HomeMy WebLinkAboutBUSINESS PLAN 7/10/1987
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FACILITY DIAGRAM
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SITE DIAGRAM I xx..xx I
Business Nome:
Kern Rock Companv
Business Address: 4801 Wible Road. Bakersfield
For Office Use Only
Are<: Mop i# of
NORTH 0-
First In Station:
Inspec~lon Station:
fOX. 500 Feet
B®
I ¡rueI' I
Diesel Tank
o
Cement Silo
9
:l
HOwriIaÅ BillS
'-----'
~
D
Grave Ramø
:: SIC': ,:t Sl'!t
Tnmròtmer
F1a = F1ammable
E = Electrical
_n
,rUEI'I
LJ
I
¡------; I
!§I~ICium Chloride
I U
I ;~RDA- 79
ki> l i
V I :¡orravair
IO~B¡'82
¡OILon-1i
oc1- ,,~,.
f-",
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('""'\Wdter Tank
2CCO V I'
aala'V\,
~':{VWllterTank
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.~c":"'~: SeAL:
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SITE/FACILITY DIAGRAM
FORM 5
~ORTH SCALE: BUSINESS NA.'IE : FLOOR: OF
1" = 100' KERN ROCK COMPANY
,Z DATE: 7/ 1~ 87 FACILITY N~~ESOUTHWEST BATCH PLANT UNIT #65 OF
(CHECK ONE) SITE DIAGRA)( X FACILITY DrAGRA.~ X
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(Inspector's Commen¡ts): /. ,-"º-fFICIAL USE
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SITE DIAGRAM (ReqUlr~e..)
1. Addreös: Identity the
prIncIple buildinea
by the Street nu.ber..
.
';&,," ,,~
-~~- -,
9. Lock (key) Box
.~
10. M5DS Storoie Box
2. Street(a), AlleYI,
Or I veWDY'. DIU.I Park I nK
Are.1 DuJacent to the
property, Include the
atreet noa...
l1:':RÍlUrood Tracka
12. Fence or BarrIer
D. Wire
b. HOlonry
3. Store Drains, Culverts.
Yard Dnlns
c. Wood
.. Droinaie Canals. Dltchss.
Creeks,
d. Gat..
13. PowerUn..
5. Buildln!:s
a. Fr.ee conatructlon
14. Guard Stotlon
b. Masonry constructloD
15. Storaee Tanka:
IdenCify the
capacity .In Kal.
a. Abov. rround
c. Metal construction
d. Access Door
b. Underaround
6. Utility Controls
a. Ga.
16. Olklnc or 801'.
b. Electricity
11. Ev.cuatloQ Route
c. lIIoter
.
.
18. EvacuatIon Area:
Identity the
10caUon wbere
e.ployee. .111
..ot.
7. Fire Suppresalon Syste..:
e. 'Ire Hydl'auts
b. 'lre Sprinkler
Connection.
18. Outsld. Hazardou.
Wa.t. StoraiO
c. '11'0 Standpipe
Conn.ction.
ao. Out.ld. Hazardoul
..tlrlll StoraiO
d. Water Control Valv..
for protectloQ sy.t...
21. Outside H.zardou.
M.teri.l
Us./H.odl1ni
e. '11'0 PUllP
22. Typo ot Hazardou.
..t.rlal/....t.
Stor.d
or Ue.d (5..
8olowl
8. '11'. D.p.rt.ent Ace...
TYPE OF ~ZAlWOUS MATERIAL
, . n....bl.
I . IIplo.lv. L . LIquId
I . Radlololleal
C . Corro.lv. 0 . O&JdJI.r
o . 0..
P . Pollon
If . Wat.r R.actlv. T. To&lc
S . SaUd
B . Cryoienic
D . w..te . . IUolo,lca1
EXaMpl.: 'l....bl. Liquid. ,~
PAC:LITY D(~G~ (R.qulred It... la'addltloa to th., abov.)
1. Rh,,1'8 tor 'prlnkJ.... .. ,tr. SIC.po.
a. Parti tioo. 8. All' CODdltlonlo, Units
3. Stalr.ay.: Indloate the 10. WtAdow.
lev.ls .ervod troD
hiih.at to lo..et. U. Inllde Haa.rdou. W.ste
Storas'
.. Elcalator: Indlc.te tbe
leve~. s.rv.d fro. Ja. In.ld, H.zardoul
hiehese to lo..st. Matlrlal. Storare
5. Uovacor 13. In.ld. U.zardoul
Mac.rlal. U../HandJlne
ð. Attic Ace...
14. S...r DraIn InJeta
7. Sky1ieht.
...~~=--....~
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MAP
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FACILITY DIAGRAM í
SITE DIAGRAM IXXXX I
Business Name: Kern Rock Company
Business Address: 4801 Wible Road. Bakersfield
For Office Use Only
Inspection Station:
Area Mop i# of
NORTH 0
First In Station:
To Wible Road Approx. 3 miles .
B
I w. I T~·D
()vabødBim
<6>§
o
o
o
e
2WJO
Géilay"\
E"'~V
Gravel Ramp
I
Material Bins
BI!tCi1 ¡:!snt
D
Trmsformcr
F1a = Flammable
E = Electrical
L
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NCT7C SCAL..:
03-19-1993 10:14RM
FROM Moore Env. Compliance
.1.el.'~ lY~ ~
TO
1'L&.N
18053260576 P.01
MAP
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SITE, DIAGRAM rxxíx j
FACJLliY DIAGRAM
]
Business Nome: Kern Rock CQmpany
I~.
Business Address: 4801 Wible Road. Bakersfi~~d
For Office Use OnlY
Area Map tI of
NORTH 0-
First In statlQn:
Inspéctfon StatIon:
To Wible Road Approx. 3 miles ....
@
en~
r::l
L:J@
I irUEr 1
GlII\Iá Ratnø
6m ?!anr
o
~
F1a = Flammable
E ;:z Electrical
T'*O
l
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Nr:T~~ c:!"':U ~ ~,-,"'r'-""",,-I __-~
Per... it
j~ '
to
Operil.te
Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
This permit is issued for the following:
" '::Ha~ardous Materials Plan
:::Illf'~[ground Storage of Hazardous Materials
·'·[[·gagement Program
m'[., Waste
4801
PERMIT ID# 015-021.000580
KERN ROCK COMPANY
LOCATION
Issued by:
WIBLE
Bakersfield Fire Department
omCE 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:
DRESS:
CalMar Co. of Central California and Industrial Asphalt
P. O. Box 22800
Bakersfield, Califonù3 93390
SAN EMlDIO ROCK PLANT ADDRESS
1.5 miles west ofOtd River Road on Hwyl66. 166
OrnC! TELEPHONE NUMBERS
Main Office 8354800
1 Dispatch 8354804
7 Dolores St. Plant 324-67JS
18 Southwest Plant 391-1085
3 Frazier Park 245·3301
9 Tehachapí 822-4138
Rock Plant (San Emidio) 858-2673
858-2610
(Wheeler Ridge) 858'()106
858 m.tJ9
Industrial Asphalt 834-0130
(Wheeler Ridge)
E RMC Piant
Cobb
mzier Park RMC
4 Tim Banks
S John HW\t
6 Gene Wesley
7 Dotores St RMC
8 Don Ma10ny
9 Tehacbapi RMC
10 Tony Smith (friangle Rock)
t 1 Tuck Colvin
12 Shop Pick up
13
14 Chuck Hyman
15 Shop Repair Truck
16 Wheeler Ridge (Scale house)
17 Steve Micbaels (Reliance Sup)
18 Southwest RMC plant
19
20 Panama AlC Plant
21
22
23 Bill Timmons
24 San Emidio Scale House
114 Reliance Rock &. Sand
120 Reliance Cement
DIRECI' PHONE NUMBERS AND VOICE ~IL ExTENSIONS
John Hunt 83S-4809 Car 363-2732 Pager 329-4154
Demús Hunt 835-4810 Car 332-4328 Pager 329.0464
Gene~ 835-4815 Car 829--7635 Pager329-8877
__ ~ on 834-Ø132 Car 829-7638 PagerJ29-41S3
I 8354811
Rick Powell 835-4819
Jerry Cobb 8354816 Car
Tim Banks 835-4818 Car 363-2731
Chuck Hyman 4835 Mobile 828-5847
Steve Michaels Reliance Disp. 835-4817
Bill Timmons Pager 329..0559
Jackie Wheaton 835-4812
Kathy McMasters 4837
Sandy Wagner 2525
Angela Bailey 835-4813
FAX NUMBERS
Office (80S) 833-9134
Dennis Hunt (805) 834-9308
Rock Plant (San Emidio) (80S) 858-1028
(Wheeler Ridge)
. Industrial Asphalt (80S) 834·2836
[ij~ (805)834-1142
Dolores St. Plant (80S) 324-49.56
Pager 329~76
Pager 329-0478
Pager 321-7807
Pager 329.0513
10-4 OK Message received
10-6 Busy, Stand By
10-7 Out of senice. leaving air
10-8 In sen:ice. Subject to call
10-9 Repeat message
10-10 Job complete
to-I J Tallcing to fast
10- J 2 Visitors present
10-20 My location is
10-21 Call by phone
10-22 Report in person to ..
10-23 Stand by
10-25 Can you contact..
10-35 Confidential
10-36 Correct time
10-42 Traffic: accident at ..
10-43 Traffic tied up at ..
10-44 I have a message for you
1O~2 Unable to copy use phone
10-73 Speed trap at ..
10-91 Talk closer to mike
10-94 please give a long count
10-99 Job Complete
10-200 Police needed at ,.,
IO/II!I997·PSZ
i..('DOIo - fA· (, .
1 ". ',¡
- . /'
KERN ROCK COMPANY 215-000-00058 - ~, CC~~~~~~aqe
Overall Site with 1 Fac. Unit JAN
1 2 1996
General Information
1
~
01/0~/96
=-
Løcation: 4801 WIBLE RD
C[ty : BAKERSFIELD
Map:123 Haz:3 Type: 3
Grid: 13C FlU: 1 AOV: 0.0
Contact Name
DAVE HUMPHREY
B.usiness Phone:
2'4-Hour Phone",,:
Pager Phone
Title
I GENERAL MANAGER
(805) 324-9714x
(805) 945-4475x
() x
Contact Name
DENNIS RYMAN
Business Phone:
24-Hour Phone
Pager Phone
Title
I TRNSPTNïMANAGER - "
(805) 324-9714x
(805) 589-9052x
() x
Administrative Data
Mail Addrs: POBOX 3329
City: BAKERSFIELD
'Comm Code: 215-005 BAKERSFIELD STATION 05
D&B Number: 053001617L
State: CA Zip: 93385-
SIC Code: 3273
Owner: KERN ROCK COMPANY
Address: 529 DOLORES ST
City: BAKERSFIELD
Phone: (805) 397-1085
State: CA
Zip: 93305-
Summary
'"
I, ¡)~ilIO (t, t+v MtltHtVl Do herebv certify that r ha
(Type Or print name) J ,ve
reviewed the attached hazardous materiafs manage-
ment plan for ,KE.fW ruc,z and thatit arong with
(Name 01 Bualnttss) ·
any corrections constitute a comptete and correct man-
agement plan for my facility.
l~l
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01/04/96
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KERN ROCK COMPANY 215-000-000580
Hazmat Inventory List in MCP Order
Page
2
02 - Fixed Containers on Site
02-1004 CALCIUM CHLORIDE
~ Immed Hlth
Form Max Qty MCP
Liquid 300 High
GAL
PIn-Ref Name/Hazards
02-:005 WRDA 79
~ Reactive
Liquid 1500 High
GAL
02-,003 DARAVAIR
~ Reactive
Liquid 500 Moderate
GAL
02~001 DIESEL #2
~ Fire, Immed Hlth, Delay Hlth
Liquid 400 Low
GAL
02~006 PORTLAND CEMENT
~ Delay Hlth
Solid 400000 Minimal
LBS
02~007 SIKA 161 Liquid 25 Unrated
~ ?Fire, ?Pressure, ?Reactive, ?Immed Hlth, ?Delay Hlth GAL
02~008 SIKA AEA 15 Liquid 25 Unrated
~ ?Fire, ?Pressure, ?Reactive, ?Immed Hlth, ?Delay Hlth GAL
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KERN ROCK COMPANY 215-000-000580
02 - Fixed Containers on Site
Page
3
Hazmat Inventory Detail in MCP Order
02-004 CALCIUM CHLORIDE
~ Immed Hlth
Liquid
300 High
GAL
CAS #: 10043-52-4
Trade Secret: No
Form: Liquid
Type: Mixture Days: 365 Use: CLEANING
Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL --
300 I 150.00 I 300.00
Storage
ABOVE GROUND TANK
r Press T Temp ~I Location
Ambient AmbientE SIDE OF PROPERTY NEAR FENCE
- Conc 0;;::-1
33.0% Calcium Chloride
Components
1-; MCP -----rGuide
Minimal I 60
02";005 WRDA 79
~ Reactive
Liquid
1500 High
GAL
CAS #: 102-71-6
Trade Secret: No
Form: Liquid
Type: Mixture Days: 365 Use: ADDITIVE
Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL --
1,500 I 100.00 I 200.00
Storage
ABOVE GROUND TANK
r Press T Temp ":ì
Ambient AmbientlBATCH PLANT
Location
Components
ffi MCP iUide
Moderate 27
High 27
High 29
Conc
3.0%
0.0%
2.0%
Triethanolamine
Diethanolamine
Formaldehyde (EPA)
02-'003 DARAVAIR
~ Reactive
Liquid
500 Moderate
GAL
CAS #: 1310-73-2
Trade Secret: No
Form: Liquid
Type: Mixture Days: 365 Use: OTHER
Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL --
500 , I 50.00 I 100.00
Storage
ABOVE GROUND TANK
r Press T Temp ~I Location
Ambient AmbientE SIDE OF PROPERTY NEAR FENCE
- Conc l
2.0% Sodium Hydroxide
Components
1-; MCP -----rGuide
Moderate 60
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KERN ROCK COMPANY 215-000-000580
02 - Fixed Containers on Site
Page
4
Hazmat Inventory Detail in MCP Order
02-001 DIESEL #2
~ Fire, Immed Hlth, Delay Hlth
Liquid
400 Low
GAL
CAS #: 68476-34-6
Trade Secret: No
Form: Liquid
Type: Pure
Days: 365 Use: FUEL
Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL --
400 I 200.00 I 400.00
Storage
ABOVE GROUND TANK
r Press T Temp -:ì Location
Ambient AmbientlCENTER OF YARD
- Cone l
100.0% Diesel Fuel No.2
Components
r;.; MCP ----rGuide
Moderate 27
02~006 PORTLAND CEMENT
~ Delay Hlth
Solid
400000 Minimal
LBS
CAS #: 65997-15-1
Trade Secret: No
Form: Solid
Type: Pure
Days: 365 Use: OTHER
---- Daily Max LBS ~ Daily Average LBS --r-- Annual Amount LBS --
400,000 I 200,000.00 I 5,000,000.00
Storage r Press T Temp -:ì
METAL CONTAINR-NONDRUM Ambient AmbientBATCH PLANT
Location
- Cone l
100.0% Portland Cement
"
Components
~ MCP ----rGuide
Low I 26
02~007 SIKA 161 Liquid
~ ?Fire, ?Pressure, ?Reactive, ?Immed Hlth, ?Delay H
25 Unrated
GAL
CAS #:
Trade Secret: No
Form: Liquid
Type: Mixture Days: 365 Use:
Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL --
25 I 6.00 I 2,250.00
Storage
ABOVE GROUND TANK
r Press T Temp -I
Location
- Cone
Components
MCP --rGuide
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KERN ROCK COMPANY 215-000-000580
02 - Fixed Containers on Site
Page
5
Hazmat Inventory Detail in MCP Order
02-:008 SIKA AEA 15 Liquid
~ ?Fire, ?Pressure, ?Reactive, ?Immed Hlth, ?Delay H
25 Unrated
GAL
CAS #:
Trade Secret: No
Form: Liquid
Type: Mixture Days: 365 Use:
Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL --
25 I 6.00 I 2,250.00
Storage
ABOVE GROUND TANK
r Press T Temp l
Location
- Conc
Components
MCP -re;uide
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KERN ROCK COMPANY 215-000-000580
00 - Overall Site
Page
6
<D> Notif./Evacuation/Medical
<1> Agency Notification
CALL 911 AND NOTIFY THE STATE OFFICE OF EMERGENCY SERVICES AT
1-:800-852-7550.
'--
<2> IEmployee Notif./Evacuation
NOTIFICATION WILL BE VERBAL AND THE STAFF WILL EVACUATE TO THE DESIGNATED
AREA. THE CORPORATE OFFICE WILL THEN BE CONTACTED.
<3> Public Notif./Evacuation
EVACUATION OF THE PUBLIC WOULD BE UNDER THE DIRECTION OF THE BAKERSFIELD
F1RE DEPARTMENT.
,-,
<4> Emergency Medical Plan
MERCY HOSPITAL
MEMORIAL HOSPITAL
- 2215 TRUXTUN AV - 327-3371
- 420 34TH ST - 327-1792
WILLARD CHRIATIANSEN - 327-9617
HALL AMBULANCE - 832-0123
GOLDEN EMPIRE - 327-9000
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KERN ROCK COMPANY 215-000-000580
00 - Overall Site
Page
7
01/04/96
<E> Mitigation/Prevent/Abatemt
<1> Release Prevention
THE QUANTITIES OF HAZARDOUS MATERIAL STORED AT THE FACILITIES ARE MINIMIZED.
ABSORBENT MATERIAL IS KEPT ON HAND TO CONTROL SMALL SPILLS. EMPLOYEES ARE
RE~UIRED TO KEEP THEIR WORK AREAS CLEAR AND UNCLUTTERED. CONTAINERS OF
HAZARDOUS MATERIALS ARE CHECKED PERIODICALLY FOR LEAKS, RUST, AND CORROSION.
EMPLOYEES ARE REQUIRED TO USE PERSONAL SAFETY EQUIPMENT AND REVIEW MSDS
COPIES. SIGNS ARE POSTED AND HAZARDOUS MATERIALS ARE LABELED.
<2> ;Release Containment
A~SORBENT MATERIAL IS KEPT ON HAND TO CONTROL SMALL SPILLS. EMPLOYEES ARE
REQUIRED TO KEEP THEIR WORK AREAS CLEAN AND UNCLUTTERED.
,",,,
<3> IClean Up
SPILLED MATERIALS ARE DISPOSED OF IN ACCORDANCE WITH LOCAL, STATE AND
FEDERAL REGULATIONS. THE FIRE DEPARTMENT WILL BE NOTIFIED IMMEDIATELY IF
FACILITY PERSONNEL CANNOT CONTAIN THE EMERGENCY.
<4> Other Resource Activation
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KERN ROCK COMPANY 215-000-000580
00 - Overall Site
Page
8
<F> Site Emergency Factors
<1> Special Hazards
<2> ,Utility Shut~Offs
A) GAS - NONE
B) ELECTRICAL - SW CORNER ON THE GROUND FLOOR/MAIN IN STOREROOM
C) WATER - NW CORNER OF WIBLE AND CATTLE DR
D): SPECIAL - NONE
E) LOCK BOX - NO
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS????????
LOCATION OF NEAREST FIRE HYDRANT - SE CORNER OF WIBLE AND CATTLE DR
<4> Building Occupancy Level
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KERN ROCK COMPANY 215-000-000580
00 - Overall Site
Page
9
<G> Training
<1> Employee Training
WE HAVE 1-5 EMPLOYEES. THIS PLANT DOESN'T OPERATE DAILY.
WE: HAVE MATERIAL SAFETY DATA SHEETS ON FILE IN OFFICE.
BRIEF SUMMARY OF TRAINING: EMPLOYEES ARE SHOWN WHERE HAZARDOUS MATERIALS
ARE STORED. THEY ARE SHOWN WHERE FIRE EXTINGUISHERS AND PERSONAL PROTECTION
EQUIPMENT ARE LOCATED AND INSTRUCTION ON THEIR USE. THIS ORIENTATION IS
GI¥EN BY THE PERSONAL DEPARTMENT AND THE TOUR OF THE FACILITY IS GIVEN BY
THEIR DEPARTMENT SUPERVISOR OR DESIGNEE.
1. READING A MATERIAL SAFETY DATA SHEET, AND WHERE TO FIND THEM.
2. REVIEW OF ALL MATERIAL SAFETY DATA SHEETS FOR CHEMICALS THAT MAY BE IN
T~EIR WORK AREA.
3. WARNING ABOUT ALL HAZARDOUS MATERIALS AND WASTES IN THEIR WORK AREA.
4. HOW TO READ HAZARDOUS COMMUNICATION LABELS ON CONTAINERS.
5. USE OF PERSONAL SAFETY EQUIPMENT REQUIRED FOR EACH CHEMICAL.
6., REVIEW BUSINESS EMERGENCY PLAN. READ PLAN AND SIGN CERTIFYING THEY
UNDERSTAND IT.
7.. SAFE HANDLING AND HAZARD PREVENTION PROCEDURES AS DESCRIBED UNDER PLAN.
8., USE OF A FIRE EXTINGUISHER AND OTHER EMERGENCY EQUIPMENT.
9., EVACUATION PROCEDURES, AS IDENTIFIED UNDER EVACUATION PLAN.
lO.WATCH FOR LEAKS, VAPORS, OR OTHER INDICATIONS OF POTENTIAL HAZARDS.
<2> Page 2
"
<3> Held for Future Use
<4> Held for Future Use
-----y '
I' -
. HAZARDOUS MA TER& INSPECTION
B.field Fire Dept.
Hazardous Materials Division
_. _" "r~,"
Date Completed
/û/~)5
/ '
Business Name: /á3ßN BoCK- (;ø.
.
Location: 'I XtJ / W¡B Lff «l";) .
Business Identification No. 215-000 'dl>O 5 j'f)
(Top of Business Plan)
Inspector "1íš ¡AI b£R
/ / 5 ~ Inspection Time:
Station No. 7
Arrival Time: //36
Shift (3
Departure Time:
/'/ /»JIN .
Adequate Inadequate
Verification of Inventory Materials LJ I1r ùPDÄTéO nl Co (ç s-
Verification of Quantities LJ GJ i,\
Verification of Location LJ ~ l!
Proper Segregation of Material LJ œ( V,..,KNOW JJ 01( ~
Comments:
Verification of MSDS Availability 0 [!( MSDS f EM 612.. .
Number of Employees: PRoc..C-J}o)a-,ss "TO ßG
Verification of Haz Mat Training LJ ~ MovdTEi) (N oFR.6
Comments:
Verification of Abatement Supplies & Procedures 0 ~ SAND 0f'J SITE
'\0 I)le<:é ~ ß~II'\
Comments:
Emergency Procedures Posted LJ üt
Containers Properly Labeled 0 ~
Comments:
Verification of Facility Diagram 0 ~ uç>pþ. '(E=J> M~P
O&¡-ø.ltJet.> l'2. ((¡:>(G>'"
Special Hazards Associated with this Facility: WA.-c;.T€ OIL j)(t.I..)"""" 'ïQ &E e.c.-ro./t:t>
Violations: Hw 5e1<e:P\ µ {, ~ù I'J b
MoIJrlf( ~ 01V PM::r-77M1~
AA ~
r~, ~L-~ ~(lf-0
n ~ysiness OwnerlManager PRINT NAME
\<.. e-k f:
i(YdL J{AZ -.A41A--r 3.:z-s,- 3971 -
W~~ C/..~UEC)
~ ~ru5.
~ ~ ~ .Il:I.C..r-:.-
64-515" . eIYJP/A)Y£L U {II ~/LI"",<
WMe-Haz Mat Div
01..'- or-! fól,.LðW-oP
AllltemsO.K ~rZ-fc..('iç ~
rection Needed ,.
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ßf¿;jf dp< ~
~/~ ~
Yellow-Station Copy Pink-Business Copy a
....
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06/30/95 '.
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KERN ROCK COMPANY 215-000-000580
Overall Site with 1 Fac. Unit
Page
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General Information
Location: 4801 WIBLE RD Map:123 Haz:3 Type: 3
City : BAKERSFIELD Grid: 13C F/U: 1 AOV: 0.0
-- Contact Name Title r-- Contact Name Title
DAVE HUMPHREY / PRODUCTION MANA DENNIS RYMAN / GENERAL MANAGER
Business Phone: (805) 324-9714x Business Phone: (805) 324-9714x
24-Hour Phone · (805) 945-4475x 24-Hour Phone · (805) 589-9052x
· ·
Pager Phone · ( ) - x Pager Phone · ( ) - x
· ·
Administrative Data
Mail Addrs: P 0 BOX 3329 D&B Number: 053001617L
City: BAKERSFIELD ,State: CA Zip: 93385-
Comm Code: 215-005 BAKERSFIELD STATION 05 / SIC Code: 3273
I
OWner: KERN ROCK COMPANY Phone: (805) 397-1085
Address: 529 DOLORES ST State: CA
City: BAKERSFIELD Zip: 93305-
Summary
C evL lJ.
1,01 J'/ ('¡S'
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06/30/95 i KERN ROCK COMPANY 215-000-000580 Page 2
Hazmat Inventory List in MCP Order
02 - Fixed Containers on Site
Pln..,.Ref Name/Hazards Form Max Qty MCP
02-004 CALCIUM CHLORIDE \1)eJ~ Liquid 300 High
~ Immed Hlth GAL
02-005 WRDA 79 Liquid 1500 High
~ Reactive GAL
02-003 DARAVAIR Liquid 500 Moderate
~ Reactive GAL
02-001 DIESEL #2 Liquid 400 Low
~ Fire, Immed Hlth, Delay Hlth GAL
02..,.006 PORTLAND CEMENT Solid 400000 Minimal
~ Delay Hlth LBS
02..,.007 SIKA 161 Liquid 25 Unrated
~ ?Fire, ?Pressure, ?Reactive, ?Immed Hlth, ?Delay Hlth GAL
02-008 SIKA AEA 15 Liquid 25 Unrated
~ ?Fire, ?Pressure, ?Reactive, ?Immed Hlth, ?Delay Hlth GAL
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Hazmat Inventory Detail in MCP Order
02~004 CALCIUM CHLORIDE
~ Immed Hlth
Liquid
300 High
GAL
CAS #: 10043-52-4
Trade Secret: No
Form: Liquid
Type: Mixture Days: 365 Use: CLEANING
Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL --
300 I 150.00 300.00
Storage
ABOVE GROUND TANK
r Press T Temp ~ Location
Ambient AmbientE SIDE OF PROPERTY NEAR FENCE
- Conc l
33.0% Calcium Chloride
Components
r; MCP --rGuide
Minimal I 60
02-005 WRDA 79
~ Reactive
Liquid
1500 High
GAL
CAS #: 102-71-6
Trade Secret: No
Form: Liquid
Type: Mixture Days: 365 Use: ADDITIVE
Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL --
1,500 I 100.00 200.00
Storage
ABOVE GROUND TANK
r Press T Temp ~
Ambient AmbientlBATCH PLANT
Location
Components
Œ MCP 1Uide
Moderate 27
High 27
High 29
Conc
3.0%
0.0%
2.0%
Triethanolamine
Diethanolamine
Formaldehyde (EPA)
02~003 DARAVAIR
~ Reactive
Liquid
500 Moderate
GAL
CAS #: 1310-73-2
Trade Secret: No
Form: Liquid
Type: Mixture Days: 365 Use: OTHER
Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL --
500 50.00 100.00
Storage
ABOVE GROUND TANK
r Press T Temp ~ Location
Ambient AmbientE SIDE OF PROPERTY NEAR FENCE
- Conc -,
2.0% Sodium Hydroxide
Components
1-; MCP --rGuide
Moderate 60
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Hazmat Inventory Detail in MCP Order
02~001 DIESEL #2
~ Fire, Irnmed Hlth, Delay Hlth
Liquid
400 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 --
400 I 200.00 I 400.00
Storage
ABOVE GROUND TANK
r Press T Temp :-~~um ~eatioß
Ambient Ambient I~ER OF YARD w^"DIÞJ~
~~
- Conc l
100.0% Diesel Fuel No. 2
Components
r; MCP ~uide
Moderate 27
02~006 PORTLAND CEMENT
~ Delay Hlth
Solid
400000 Minimal
LBS
CAS #: 65997-15-1
Trade Secret: No
Form: Solid
Type: Pure
Days: 365 Use: OTHER
---- Daily Max LBS ----r-- Daily Average LBS --r-- Annual Amount LBS --
400,000 I 200,000.00 I 5,000,000.00
Storage r Press T Temp ~~~
METAL CONTAINR-NONDRUM Ambient Ambien~CH
- Conc l Components
100.0% Portland Cement
PLANT
- L"o~n
S"l'-V
r=- MCP
I Low
~uide
I 26
02""007
SIKA 161
~ ~, ?I-=--.........e, 1R... -=-
Liquid
ïde, ~èd HI th} 'i-~~.c It
25
GAL
Unrated
CAS #:
Trade Secret: No
Form: Liquid
Type: Mixture Days: 365 Use:
Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL --
fðOO 1J!!f;. I 7<:>0 =:.~ I 2,250.00
Storage
ABOVE GROUND TANK
:::~,J
r Press T Temp
c/2A1 It. (JÇ Ú) 'r ) .,-.tMJ ~ ð/<6A
-----
50A0
Components
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Hazmat Inventory Detail in MCP Order
02-008
:~:~ ~~_--~llre, ?R&a!r1i~Ve,~~~ii~~nY-H
CAS #: Trade Secret: No
25 Unrated
GAL
Form: Liquid
Type: Mixture Days: 365 Use:
Daily A~(verag 'GALJ----¡- Annual Amount GAL -
~ I 2,250.00
r Press T Temp
C (2.NQ.... OC U>1
"
Storage
ABOVE GROUND TANK
- Conc
0""'- ~I N
Components
50A~
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<D> Notif./Evacuation/Medical
<1> Agency Notification
CALL 911 AND NOTIFY THE STATE OFFICE OF EMERGENCY SERVICES AT
1-800-852-7550.
<2> Employee Notif./Evacuation
N0TIFICATION WILL BE VERBAL AND THE STAFF WILL EVACUATE TO THE DESIGNATED
AREA. THE CORPORATE OFFICE WILL THEN BE CONTACTED.
<3> Public Notif./Evacuation
EVACUATION OF THE PUBLIC WOULD BE UNDER THE DIRECTION OF THE BAKERSFIELD
FIRE DEPARTMENT.
<4> Emergency Medical Plan
MERCY HOSPITAL
MEMORIAL HOSPITAL
- 2215 TRUXTUN AV - 327-3371
- 420 34TH ST - 327~1792
WILLARD CHRIATIANSEN - 327-9617
HALL AMBULANCE - 832-0123
GOLDEN EMPIRE - 327-9000
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<E> Mitigation/Prevent/Abatemt
<1> Release Prevention
THE QUANTITIES OF HAZARDOUS MATERIAL STORED AT THE FACILITIES ARE MINIMIZED.
ABSORBENT MATERIAL IS KEPT ON HAND TO CONTROL SMALL SPILLS. EMPLOYEES ARE
REQUIRED TO KEEP THEIR WORK AREAS CLEAR AND UNCLUTTERED. CONTAINERS OF
HAZARDOUS MATERIALS ARE CHECKED PERIODICALLY FOR LEAKS, RUST, AND CORROSION.
EMPLOYEES ARE REQUIRED TO USE PERSONAL SAFETY EQUIPMENT AND REVIEW MSDS
COPIES. SIGNS ARE POSTED AND HAZARDOUS MATERIALS ARE LABELED.
<2> Release Containment
ABSORBENT MATERIAL IS KEPT ON HAND TO CONTROL SMALL SPILLS. EMPLOYEES ARE
REQUIRED TO KEEP THEIR WORK AREAS CLEAN AND UNCLUTTERED.
<3> Clean Up
SPILLED MATERIALS ARE DISPOSED OF IN ACCORDANCE WITH LOCAL, STATE AND
FEDERAL REGULATIONS. THE FIRE DEPARTMENT WILL BE NOTIFIED IMMEDIATELY IF
FACILITY PERSONNEL CANNOT CONTAIN THE EMERGENCY.
<4> Other Resource Activation
---r--
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<F> Site Emergency Factors
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - NONE
B) ELECTRICAL - SW CORNER ON THE GROUND FLOOR/MAIN IN STOREROOM
C) WATER - NW CORNER OF WIBLE AND CATTLE DR
D) SPECIAL - NONE
E) LOCK BOX - NO
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS????????
L0CATION OF NEAREST FIRE HYDRANT - SE CORNER OF WIBLE AND CATTLE DR
<4> Building Occupancy Level
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<G> Training
<1> Employee Training
W~ HAVE 1-5 EMPLOYEES. THIS PLANT DOESN'T OPERATE DAILY.
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE IN OFFICE.
BRIEF SUMMARY OF TRAINING: EMPLOYEES ARE SHOWN WHERE HAZARDOUS MATERIALS
ARE STORED. THEY ARE SHOWN WHERE FIRE EXTINGUISHERS AND PERSONAL PROTECTION
E~UIPMENT ARE LOCATED AND INSTRUCTION ON THEIR USE. THIS ORIENTATION IS
GIVEN BY THE PERSONAL DEPARTMENT AND THE TOUR OF THE FACILITY IS GIVEN BY
THEIR DEPARTMENT SUPERVISOR OR DESIGNEE.
1. READING A MATERIAL SAFETY DATA SHEET, AND WHERE TO FIND THEM.
2. REVIEW OF ALL MATERIAL SAFETY DATA SHEETS FOR CHEMICALS THAT MAY BE IN
THEIR WORK AREA.
3. WARNING ABOUT ALL HAZARDOUS MATERIALS AND WASTES IN THEIR WORK AREA.
4. HOW TO READ HAZARDOUS COMMUNICATION LABELS ON CONTAINERS.
5. USE OF PERSONAL SAFETY EQUIPMENT REQUIRED FOR EACH CHEMICAL.
6. REVIEW BUSINESS EMERGENCY PLAN. READ PLAN AND SIGN CERTIFYING THEY
UNDERSTAND IT.
7. SAFE HANDLING AND HAZARD PREVENTION PROCEDURES AS DESCRIBED UNDER PLAN.
8. USE OF A FIRE EXTINGUISHER AND OTHER EMERGENCY EQUIPMENT.
9. EVACUATION PROCEDURES, AS IDENTIFIED UNDER EVACUATION PLAN.
10.WATCH FOR LEAKS, VAPORS, OR OTHER INDICATIONS OF POTENTIAL HAZARDS.
<2> Page 2
<3> Held for Future Use
<4> Held for Future Use
.. t... . OCT. 27. 1995 3:21PM r IÆ:STERN R£Glcri
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SIKA CORPORATION
201 POLITO AVENUE
LYNDHURST, NJ 07071
Company Contact: SIL SANTANGELO
Emergency Contact: CHEMTREC
Emergency Phone Number: (BOO)424-9300
l SBC~ION *1 - IDENTIFICATION
Product
Name: sIn A!1A-1S
CAS Number: Not Established
Product code: NO. 106
Yormula Identification: 01/05/83
Chemical Family: INORGANIC SALT OF PROCESSED OIL
Synonyms: NO. 106
HMIS Hazard Rating - Health: 1
- Fire: 0
- Reactivity: 0
- PPE:, B
Slight,
Negligible
Negligible
Special Hazards: IRRITANT, SENSITIZER
I SECTION #2 - RA21RDOUS CHEMICAL COMPONENTS
Co~ponent: ROSIN SOAP
CAS Number: Not E5tablished
OSHA N/A IARC N/A
ACGIH N/A
NTP NjA
Page: 1
09/18/89
Telephone: (201)~J3-8800
,]
SEC'l'ION '3
PHYSICAL DA~A
Boiling point: N/AoP
Melting Point: N/AoF
Vapor Pressures N/A
Vapor Density CAir=l): >AIR
Specific Gravity: N/~
Packing Density: 8.S1#/GAL
solUbility (H2O): N/A
Percent Volatiles: N/A
Evaporation Rate: SLOWER THAN ETHER
Appearance
DARK BROWN LIQUID
A. SIKACORf'oRArION
I" >," ,'producu S)ljrem¡'c:rllj~lu..,WOt'dwjde
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.. 'OCT.27'.l995
3:2eFM
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®
Quiet Competence
. DESCRJPT10N
PIaSt0cr8te 1611ti a pol~mir-tYP6 admix·
!\Ire. It is a nor.-air-en1riJning, water·re.
ducing, .trength-øroducing admixture.
Plaatocicte1e, contaiOl no chlorides.
It meets tile requirements of ASTM C-494,
Type A; Corp; of· EngIneers CRD C-a7,
Type A: and AASHTO M·194, Type A.
WHERE TO USE .
¿ Ll6e wher;' hlgh-ill'ength, coat1lf!¡¡O-
tlve concrete ie needed.
.. Use where increased workQbHitY is
de¡ired.
.. Use in mixlii with a reduced ~lIm¡¡nt
content.
... 'Uðe in prsc~t/prestreflSed concrete.
:. Uae În aU concrete where high QU¡U(y la
required.
ADVANTAGES
.. HiQn stRJct1JraJ quality concrete,.
A Improved cament utlliution
¿ Higher etrength...higher compressive
wenglh witl'l equal cement.
A Higher early strengths.
.... NonnaJ setting.
.... Reduced p(HJl1iability.'
.. Increased workability.· "
\..J' ... ContiloÎni no ChlOC'Í.del:
. . PACKAGING . .
. 5-g&l. p¡¡jl$, 55;1al. drums, and bulk.
.
~ast~;et;~
161
Polymer-type, wafBl'-reducing strength-producing admlldµre
1-8()O.&3.8KA NA nONWlDI!
Regional Inførmøtion and SaIe$ Centers
For the JocatìOf' of your nearest sliø. ~illt1$ office, OOfItact yOur regional Genter.
MidwfI6t Southern
1682 Mar/ot'l WilliatTl.iport Road 2ß28 W Paf1<er Read
Marion, OH 433a2 Suite 205 ,
PhOM: 61+-SB1~ PIS/lo, TX 75tJ75
Fax: fIl4.;jlJ7-8C1~ 1'irx'If:: 214-867-4668
Fax: 214-867-5928
" TYPICAL DA T.4 , "
SHELr iJFE
Unlimited. Protsct from freezing.
STORAGE CONDI11QNS
. Store above 30F. Protect from freezing. If .
frozen, thaw and agitate before uSing.
CDLOR
Dark brown
, , HQWrOUSE'" ';,
DOSAGE
3-8 fl. oz./100 lb. cement.
MIXING
Add COf(ect IIITIOUnt of Plaatoorete 1 a 1 at
!tie conorete plant Add manuAlly or by
autornatød dispenser directly inco sand at
weigh hopper or Into the water URe at the
batch plant.
Do not premix "-iln air.entraining agent.
UMlTAnoNS
.. Do OOt pntmix wit/'l alr-;)h\(aining agent.
.. Protect from freezing.
,¡ ¡: CAIITION,': ',',
JRlfITANT
Skin and e~e irritant; aVOid contact. The
use of Nt OSHIMSHA approved respirator.
safaty goggle$. and rubber gloves is ree.
0Im'I8nded. AVOid br6a.thlng product. Use
with adequat~ ventilation. Remove Cion-
taminatad clothing.
RRST AlD
Wash .kin with soap ana wa.ter. In oa.se of
eye oontact, fluah with waterfor 15min-
utes; COntact a phyalcian. Wash clothing
before l&ousa.
CLEAN UP
COl1tain and coect with absorbent mat9-
rial. Dispolie of in accordance with '~ur-
rent, applicabkt local, ¡tate, and federaJ
r~lJu/..tiona. '
ofllWl( 2ð2. SMell and pþ;¡IQ¡;r¡q are røgjallllðð 1r1odDm;¡/k:¡,
t-4ad91n USA. P,In1od WI USA. Nwemc.er. 1S93,
Â
Nonh88St
201 PoIitDAveroe
l.yndtwrsL NJ 07011
pht:Jne: 201-933-8800
Fax: 2C1..¡J()4-.1 D2D
Wesœm
12767 East lmpØlIa/ HW¡'
Santa Fe Springs, CA !XJ670
~:31~94f~1 '
Fax: 310-941-4762
'SI<I\ ~ I11IPl\OcuctSTOB¡FÆI¡CF~hC!1JRIIIGŒÆCt1I AHl1HA.T1IieI'WlLl"",,I:1KA.'&QJIIIØIT ~1'H'Ia1CA\, IIIIOPOOIEßWI1&I H'I'\J~'" ~ wm<auu.1I Qtl\flõT10N5
ANO TëS11Ð IN ~£ WI1H A8N ANO $IKA STANOAAOil ~ ...Æ NO OThER _~ er ,Moo. Of' I>Hf ""''!\RIll WI1A115OfVeR. £Ja'fte&t,EJ) OR II#Llfo. 1Ncu.<JINQ 1>io'Y WAI\IW>I1Y 01'
~AðIIJTYORFm.es.s """... ....~JI'V_IN C"""iCI1QNWlTt1Tt1~ PIIOQUCT, Sl(ACOff'OIl,ŒQoIiHN-1.NOTeELIAI!lER)R~S CI'~y 8ORT, INCUJOINO ~TfOIlCONSEOUENIV\L.
o.."",C¡ES, f£SU..flt«i fROW.l>N( ~l!ÆiICtI OF AI'lI''''....IIAKTV. 1IIk1iT"(;\\ ~\iIiD QfI l/,Ii'IJEI),IIICtI.OHl......IoW'III>HT'fOF Mí)O~T....11J1Y OR I'tTNGSIi _... PN<IICLV,A ~E CII FROtoI
AH'fOTHERCI\US~_11IQ~ili.IlKABtWJ.AI.SO Nay iii Rœl'QNi8LfFOll u;¡j¡ Cl'1HIII ~"'A _1<1 _t4é QjNf(PATfHTHW:i!lV OTl1BlS:
'-'
KEEP CONTAINER TIGHTLY CLO$ED KEEP OUT OF REACH OF CHILDREN
NOT FOR INTERNAL CONSUMPTION FOR INDUSTRIAL USE ONLY
CONSULT MATERIAL SAFETY DATA SHEET FOR MORE INFORMATION
. ,
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Odor
]
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FATTY ODOR
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; L SECTIOH '4 - FIRE F:IG1tTING , EXPLOSION DATA
Flash Point: NjA*F
~utoiqnition: N/A·F
Flammability Class: NCMB
I
Lower Explosive Limit (%): N/A
Î TJppar Explosive Limit (.%): N/A
Fire and Explosion Hazards
NONE KNOWN
Extinguishing Mèdia
~OAM/WATER FOG/DRY CHEMICALS FOR SURROUNDING FIRE
Special Fire Fighting Instructions
WEAR N.IOSH/MSA APPROVED SELF-CONTAINED BREATHING APPARATUS AND roLL
PRO'l'ECTrn GEAR. AS FOR SURROUNDING FIRE.
"
SECTION is - EXPOSURE and EFFECTS - INHALATION
Routes of Exposure - Inhalation
NON£ KNOWN
First Aid - .Inhalation
REMOVE TO FRESH ArR. IF BREATHING HAS STOPPED, INSTITUTE ARTIFICIAL
RESPIRATION. CONSULT WITH PHYSICIAN.
[SECTION IS - ~XPOSURE and EFFECTS - SKIN
Routes of Exposure - Skin
MAY CAUSE A REVERSIBLE INFLAMMATORY EFFECT ON SKIN OR TISSUE AT THE SITE OF
CONTACT.
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4IÞ SBC~ION 'S - EXPOSURB ahd EFFECTS - SKXN Continued...
First Aid - Skin
WASH SKIN THOROUGHLY WITH SOAP AND WATER. REMOVE CONTAMINATED CLOTHING. IF
SYMPTOMS PERSIST CONSULT PHYSICIAN.
L SECT'ION #S - EXPOSURE and EFFECTS - EYES
Rout~ of Exposure - Eyes
EYE IRRITANT.
NERVE, OR BLINDNESS.
First Aid - Eyes
RINSE EYES THOROUGHLY WITH WATER FOR AT LEAST 15 MrNUTES. CONSULT PHYSICIAN.
]
aBCTIOD '5 - BXPOSURE and EFFECTS - INGESTION
Routes of Exposure - Ingestion
I1A'i CAUSE EFFECTS TO THE GI TRACT, USUALLY RESULTING FROM ÌNGESTION ,OF THE
MATERIALS, SUCH AS IRRITATION, NAUSEA, GI DISORDERS, ULCERATION, DIARRHEA OR
CONSTIPATION.
First Aid - Ingestion
4IÞ 'DO NOT INDUCE VOMITING. DILUTE WITH WATER. CONTACT PHYSICIAN.
SECTION '5 - HEALTH CONDITIONS AGGRAVATED DY EXPOSURE
ROSIN AND SOME OF ITS DERIVATIVES MAY CÄUSE AN ALLERGIC SENSITIZATION IN A
, SUBSTANTIAL PROPORTION OF HUMANS OR. ANIMALS IN NORMAL TISSUE AFTER REPEATED
EXPOSURES.
I SECTION " - REACTIVITY , POLYHERI2ATIOH
Stability: STABLE
Conditions to Avoid (Stability)
NONE KNOWN
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SECTrON '6 - REACTIVIT~ , POLYMERIZATION ContinUGd...
Incompatible Materials
ACIDS
Hazardous Decomposition Products
NONE ¡WOWN
Conditions to Avoid (Polymerization)
NONE KNOWN
Ha2ardous Polymerization: WILL NOT OCCUR
!
SECTION *7 - SPILL, LEAK, & DISpOSAL PROCEDU~S
Steps tob. Taken in The Event of Spills, Leaks, or'Release
WEAR SUITABLE PROTECTIVE EQUIPMENT. CONTAIN SPILL AND COLLECT WITH ABSORBENT
MATERIAL AND TRANSFER INTO SUITABLE CONTAINERS. AVOID CONTACT.
, i
Waste Disposal Methods
DISPOSE OF IN ACCORDANCE WITH FEDERAL, STATE ,AND LOCAL ENVIRONMENTAL
REGULATIONS.
. SARA Hazard Classes: Acute Health Hazard
.
. I SECTION i8 - SPECrAL PROTECTIVE HEASt1RES
ventila.tion
USE WITH ADEQUATE VENTILATION.
Eye Protection
SAFETY GLASSES/GOGGLES
Skin Protection
AVOID SKIN CONTACT. WEAR LONG SLEEVE SHIRT AND LONG PANTS . CHEMrc.ÄL RESISTANT
RUBBER OR PLASTIC GLOVES.
. OCT. 27. 1995 3:23PM It I£STERN REGret'!
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. SEc:.rXOH fa - SP;SCXAL PROTECTIVE HEAS'DR.ES continùed...
Respiratory Protection
NONE REQUIRED.
¡ ,
SEC~ION '9 - SPB~~ PRECAUTIOHS - STORAGB , HANDLING
storage & Handling Conditions
STORE IN COOL, DRY AREA. KEEP CONTAINERS TIGHTLY CLOSED. KEEP FROM FREEZING.
MAY REACT WITH ACIDS AND SHOULD NOT BE STORED NEAR SUCH MATERIAL.
I SBC~IOJi .10 - SHIPPING XNPORMATION
I DrSCLAJ:MER OF EX1?RESSED AND XKPLIED WARRAH'l'XBS
The data in this Material Safety Data Sheat relates only to the specific
material herein anddoas not relate to use in combination with any other
material or in any process. The information set forth herein is based on
technical data that Sika Þelieves to be reliable as of the date hereof. Since
conditions ot use are outside our control, we make no warranties, express or
implied and assume no liablilty in connection ~ith any use of this .
information. Nothin~ herein is to be taken as a license to operate under or
a recommendation to 1nfrinqa any patent~. '
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RECORD OF TELEPHONE CONVERSATION
Location:
4~o,
w\~(~
r¿~
)6ll..A.,,\ ~c I(
ID#_
Business Name: ß ~è\ ~ 'if"
Contact Name: ß ft.E-1' ~j~~
Business Phone: 7,4- $-7'2 -.?j~OO
FAX:
Inspector's Name:
Time of Call: Date:' '1.1 ç-/~~ Time:
# Min:
Type of Call: Incoming [ ] Outgoing [
Returned [ ]
Content of Call:
Actions Required:
Time Required to Complete Activity # Min:
~ "I' .,'~
09/01/94
--
.
KERN ROCK COMPANY 215-000-000580
Overall Site with 1 Fac. Unit
Page
1
General Information
Location: 4801 WIBLE RD Map: 123 Haz:3 Type: 3
City . Grid: 13C F/U: 1 AOV: 0.0
.
r-- Contact Name Title ~ Contact Name Title
DI:LL BU'fLER ÞÞtvE IWMlltII£.,/ PRODUCTION MANA DENNIS RYMAN / GENERAL MANAGER
Business Phone: (805) 324-9714x Business Phone: (805) 324-9714x
2.4-Hour Phone · (805) 588 8412x 24-Hour Phone . (805) 589-9052x
· .
Prager Phone · ( ) C'/'I5' _'iY'1'> X Pager Phone : ( ) - x
·
Administrative Data
Mail Addrs: P.O. BOX 3329 D&B Number: 053001617L
City: BAKERSFIELD State: CA Zip: 93385-
¡Comm Code: 215-005 BAKERSFIELD STATION 05 SIC Code: 3273
Owner: KERN ROCK COMPANY Phone: (805) 397-1085
Address: 529 DOLORES ST State: CA
,
City: BAKERSFIELD Zip: 93305-
,
Summary
Sf:l:Cl:11Il:O
<0
1j-4~ /994
. II",.
.., t: ^..
v
I, f)~J/() (i. !-hMP~ Do hereby certify ~hat D h
(Type or print name) lave
. reviewed the attached hazardous materials manage-
ment plan for £{~ Iú:J ~ and that 'it along with
(Name of BU8Inesa)
any corrections constitute a complete and correct man-
agement plan ror my facility.
~
1-1'-9'7
Date
\
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09/01/94
KERN ROCK COMPANY 215-000-000580
Hazmat Inventory List in MCP Order
Page
2
02 - Fixed Containers on Site
PIn-Ref Name/Hazards Form ' Max Qty MCP
02-004 CALCIUM CHLORIDE Liquid 300 High
~ Immed Hlth GAL /'
/!iJ)œ ¡/
02-005 WRDA 79 Liquid 209- High
~ Reactive GAL ,/
$00 '1/
02-003 DARAVAIR Liquid ~ Moderate
~ Reactive GAL
/
02-1007 MBL 82 - (l.Z.ftI~ / Liquid 100 Moderate
~ Immed Hlth GAL
02-,001 DIESEL #2 Liquid /O())Q)
. -+&0 Low
~ Fire, Immed Hlth, Delay Hlth GAL
02-'006 PORTLAND CEMENT Solid 400000 Minimal
~ Delay Hlth LBS
02-'008 ZEECON II MM)OIl;~'/ Liquid 100 Unrated
~ Immed Hlth GAL
S,v(A- Ð" '-11'9"1 ~ ,5'~g
S; t ~A AU/... trl ~ '1 () ~tÞ
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09/01/94
KERN ROCK COMPANY 215-000-000580
02 - Fixed Containers on Site
I
Page
3
Hazmat Inventory Detail in MCP Order
02~004 CALCIUM CHLORIDE
~ Immed Hlth
Liquid
300 High
GAL
CAS #: 10043-52-4
Trade Secret: No
Form: Liquid
Type: Mixture Days: 365 Use: CLEANING
Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL --
300 I 150.00 I 300.00
Storage
ABOVE GROUND TANK
r Press T Temp ~ Location
Ambient AmbientlE SIDE OF PROPERTY NEAR FENCE
- Conc l
33.0% , Calcium Chloride
Components
r;' MCP -----p;uide
Minimal I 60
02.1005 WRDA 79
~ Reactive
Liquid
200 High
GAL
CAS #: 102-71-6
Trade Secret: No
, Form: Liquid
Type: Mixture Days: 365 Use: ADDITIVE
Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL --
200 100.00 I 200.00
Storage
ABOVE GROUND TANK
r Press T Temp ~
,Ambient AmbientBATCH PLANT
Location
Components
ffi MCP ,Uide
Moderate 27
High 60
High 29
Conc
3.0%
0.0%
2.0%
Triethanolamine
Diethanolamine
Formaldehyde (EPA)
02~003 DARAVAIR
~ Reactive
Liquid
100 Moderate
GAL
CAS #: 1310-73-2
Trade Secret: No
Form: Liquid
Type: Mixture Days: 365 Use: OTHER
Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL --
100 I 50.00 I 100.00
Storage
ABOVE GROUND TANK
r Press T Temp -:I Location
Ambient AmbientlE SIDE OF PROPERTY NEAR FENCE
- Conc l
2.0% Sodium Hydroxide
Components
1-; MCP -----p;uide
Moderate 60
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09/01/94
KERN ROCK COMPANY 215-000-000580
02 - Fixed Containers on Site
Page
4
Hazmat Inventory Detail in MCP Order
02"""007 _Mm.-8-2
, ~ Immed Hlth
~-..Æ:..f)
Liquid
100 Moderate
GAL
CAS #: 102-71-6
Trade Secret: No
Form: Liquid
Type: Mixture Days: 365 Use: ADDITIVE
Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL --
100 I 100.00 I 100.00
Storage ~ Press ì Temp Location
ABOVE GROUND TANK Ambient Ambient E SIDE OF PROPERTY NEAR FENCE
, NO LONGER IN USE, RESIDUAL IN TA
- Conc l
1.0% Triethanolamine
Components
1-; MCP -,-Guide
Moderate 27
02~001 DIESEL #2
~ Fire, Immed Hlth, Delay Hlth
Liquid
400 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
400 I , 200.00 I 400.00
Storage
ABOVE GROUND TANK
r Press T Temp ~ Location
Ambient AmbientCENTER OF YARD
- Conc l Components r; MCP ~uide
100.0% Diesel Fuel No. 2 Moderate 27
02-006 PORTLAND CEMENT Solid 400000 Minimal
~ Delay Hlth LBS
CAS #: 65997-15-1 Trade Secret: No
Form: Solid
Type: Pure
Days: 365 Use: OTHER
---- Daily Max LBS ----r-- Daily Average LBS --r-- Annual Amount LBS --
400,000 I 200,000.00 I 5,000,000.00
Storage r Press T Temp ~I
METAL CONTAINR-NONDRUM Ambient AmbientBATCH PLANT
Location
- Conc -,
100.0% Portland Cement
Components
1-:- MCP -,-Guide
I Low I 26
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09/01/94
KERN ROCK COMPANY 215-000-000580
02 - Fixed Containers on Site
Page
5
Hazmat Inventory Detail in MCP Order
02-i008 ZEEC.~ ~V-l::...D
.. Immed Hlth
Liquid
100 Unrated
GAL
CAS #:
Trade Secret: No
Form: Liquid
Type: Mixture Days: 365 Use: ADDITIVE
Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL --
100 I 100.00 I 100.00
Storage m¡ Press ì Temp Location
ABOVE GROUND TANK Ambient Ambient E SIDE OF PROPERTY NEAR FENCE
NO LONGER IN USE, RESIDUAL IN TA
- Conc
Components
MCP -¡Guide
.
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09/01/94
KERN ROCK COMPANY 215-000-000580
00 - Overall Site
Page
6
<D> Notif./Evacuation/Medica1
<1> .Agency Notification
CALL 911 AND NOTIFY THE STATE OFFICE OF EMERGENCY SERVICES AT
1~800-852-7550.
<2> Employee Notif./Evacuation
NOTIFICATION WILL BE VERBAL AND THE STAFF WILL EVACUATE TO THE DESIGNATED
AREA. THE CORPORATE OFFICE WILL THEN BE CONTACTED.
<3> Public Notif./Evacuation
EVACUATION OF THE PUBLIC WOULD BE UNDER THE DIRECTION OF THE BAKERSFIELD
FIRE DEPARTMENT.
<4>;Emergency Medical Plan
MERCY HOSPITAL
M~MORIAL HOSPITAL
- 2215 TRUXTUN AV - 327-3371
- 420 34TH ST - 327-1792
WILLARD CHRIATIANSEN - 327-9617
HALL AMBULANCE - 832-0123
GOLDEN EMPIRE - 327-9000
.
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09/01/94
KERN ROCK COMPANY 215-000-000580
00 - Overall Site
Page
7
<E> Mitigation/Prevent/Abatemt
<1> Release Prevention
THE QUANTITIES OF HAZARDOUS MATERIAL STORED AT THE FACILITIES ARE MINIMIZED.
ABSORBENT MATERIAL IS KEPT ON HAND TO CONTROL SMALL SPILLS. EMPLOYEES ARE
REQUIRED TO KEEP THEIR WORK AREAS CLEAR AND UNCLUTTERED. CONTAINERS OF
HAZARDOUS MATERIALS ARE CHECKED PERIODICALLY FOR LEAKS, RUST, AND CORROSION.
EMPLOYEES ARE REQUIRED TO USE PERSONAL SAFETY EQUIPMENT AND REVIEW MSDS
COPIES. SIGNS ARE POSTED AND HAZARDOUS MATERIALS ARE LABELED.
<2>.Release Containment
ABSORBENT MATERIAL IS KEPT ON HAND TO CONTROL SMALL SPILLS. EMPLOYEES ARE
REQUIRED TO KEEP THEIR WORK AREAS CLEAN AND UNCLUTTERED.
<3> Clean Up
SPILLED MATERIALS ARE DISPOSED OF IN ACCORDANCE WITH LOCAL, STATE AND
F~DERAL REGULATIONS. THE FIRE DEPARTMENT WILL BE NOTIFIED IMMEDIATELY IF
FACILITY PERSONNEL CANNOT CONTAIN THE EMERGENCY.
<4> Other Resource Act~vation
.
.
09/01/94
KERN ROCK COMPANY 215-000-000580
00 - Overall Site
Page
8
<F> Site Emergency Factors
<1> ·Special Hazards
<2> Utility Shut-Offs
A) GAS - NONE
B) ELECTRICAL - SW CORNER ON THE GROUND FLOOR/MAIN IN STOREROOM
C) WATER - NW CORNER OF WIBLE AND CATTLE DR
D) SPECIAL - NONE
E) LOCK BOX - NO
<3> Fire Protec./Avail. Water
P~IVATE FIRE PROTECTION - FIRE EXTINGUISHERS????????
LOCATION OF NEAREST FIRE HYDRANT - SE CORNER OF WIBLE AND CATTLE DR
<4>;Building Occupancy Level
\t
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09/0t/94
KERN ROCK COMPANY 215-000-000580
00 - Overall Site
Page
9
<G> Training
<1> !Employee Training
WE HAVE 1-5 EMPLOYEES. THIS PLANT DOESN'T OPERATE DAILY.
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE IN OFFICE.
BRIEF SUMMARY OF TRAINING: EMPLOYEES ARE SHOWN WHERE HAZARDOUS MATERIALS
ARE STORED. THEY ARE SHOWN WHERE FIRE EXTINGUISHERS AND PERSONAL PROTECTION
,
EQUIPMENT ARE LOCATED AND INSTRUCTION ON THEIR USE. THIS ORIENTATION IS
G1VEN BY THE PERSONAL DEPARTMENT AND THE TOUR OF THE FACILITY IS GIVEN BY
THEIR DEPARTMENT SUPERVISOR OR DESIGNEE.
1. READING A MATERIAL SAFETY DATA SHEET, AND WHERE TO FIND THEM.
2. REVIEW OF ALL MATERIAL SAFETY DATA SHEETS FOR CHEMICALS THAT MAY BE IN
THEIR WORK AREA.
3. WARNING ABOUT ALL HAZARDOUS MATERIALS AND WASTES IN THEIR WORK AREA.
4. HOW TO READ HAZARDOUS COMMUNICATION LABELS ON CONTAINERS.
5. USE OF PERSONAL SAFETY EQUIPMENT REQUIRED FOR EACH CHEMICAL.
6. REVIEW BUSINESS EMERGENCY PLAN. READ PLAN AND SIGN CERTIFYING THEY
UNDERSTAND IT.
7. SAFE HANDLING AND HAZARD PREVENTION PROCEDURES AS DESCRIBED UNDER PLAN.
8~ USE OF A FIRE EXTINGUISHER AND OTHER EMERGENCY EQUIPMENT.
9. EVACUATION PROCEDURES, AS IDENTIFIED UNDER EVACUATION PLAN.
10.WATCH FOR LEAKS, VAPORS¡ OR OTHER INDICATIONS OF POTENTIAL HAZARDS.
<2> ,Page 2
<3> Held for Future Use
<4> Held for Future Use
.
.
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09/01/94
KERN ROCK COMPANY 215-000-000580
00 - Overall Site
Page 10
<G> Training
<4> Held for Future Use (Continued)
.
.
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09/01/94
KERN ROCK COMPANY 215-000-000580
00 -Overall Site
Page 11
<H> RMPP DATA
<1> ¡Release Containment
<2> ,Offsite Consequences
<3> In House Capabilities
<4> Plant Shutdown Instruction
.
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09/01/94
KERN ROCK COMPANY 215-000-000580
00 - Overall Site·
Page 12
<I> Underground Storage Tanks
<1> Leak Monitoring Methods
<2> Leak/Spill Response Plans
<3> Misc. Reporting Procedures
<4> 'Tank Test/Service Company
Business Name
BAKER.IELD CITY FIRE DEP.,TMENT
HAZ~RDOUS MATERIALS INVENTORY
K ~ P.-Q(A.(..
ço.
Page10f I-
Address LßOI W)éh,~ (v;>
!
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New [ ] Addition v( ReJision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ]
2) Common Name: 5'1 K A I .. I I 3) DOT # (optional)
I
Chemical Name: 51 r< A- 161 I AHM [ ] CAS #
,
4) PHYSICAL & HEALTH I
P.HYSICAL HEALTH
HAZARD CATEGORIES Fire [ I Reactive [I] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ]
5) WASTE CLASSIFICATION (3-digit cJde from DHS Form 8022) USE CODE
,
6) PHYSICAL STATE Solid [ ] Liquid [ ] I Gas [ ] Pure [ ] Mixture [ ] Waste [ ] Radioactive [ ]
a;ECKALL THAT APPtY
7) AMOUNT AND TIME AT FACILITY I 8) STORAGE CODES
I UNITS OF MEASURE
Maximum Daily Amount: ~:Z~ I 100 [] gal .r1 ft3 [ ] a) Container: 0'"2-
Average Daily Amount: ,<; curies [ ] b) Pressure:
Annual Amount: Zz,ço c) Temperature:
Largest Size Container: 1500 ~~,
# Days On Site 36~ Circle Which Months: F, M, A, M, J, J, A. S, 0, N, D
9) MIXTURE: I CAS # %WT AHM
List I COMPONENT
the three most hazardous 1 ) I [ ]
chemical components or I
any AHM components 2) [ ]
I
3) I [ ]
10) Location [
I CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New [ ] Addition.Yf"Retision [, ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ]
2) Common Name: $'1 ¡{ Rr 1\-'£4 3) DOT # (optional)
Chemical Name: 511<A- A-~J I S AHM [ ] CAS #
,
4) PHYSICAL & HEALTH [ HEALTH
PHYSICAL
,
HAZARD CATEGORIES Fire [ ] Reactive! ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ]
5) WASTE,CLASSIFICATION (3-digit c~de from DHS Form 8022) USE CODE
,
I
6) PHYSICAL STATE Solid [ ] Liquid Þ1 Gas [ ] Pure [ ] Mixture [ ] Waste [ ] Radioactive [ ]
CHECK AU. THAT APPlY
7) AMOUNT AND TIME AT FACILITY 7..5 UNITS OF MEASURE 8) STORAGE CODES
Maximum Daily Amount: Ibs [] galy[ ft3 [] a) Container: O-Z-
Average Daily Amount: , curies [ ] b) Pressure:
Annual Amount: Zl.S"O c) Temperature:
Largest Size Container: IftJo ~J,
# Days On Site 31.5" Circle Which Months: F, M, A, M, J, J, A. S.O, N, D
1 -
9) MiXTURE: Ust COMPONENT CAS # %WT AHM
the three most hazardous 1 ) I [ ]
chemical components or I
any AHM components ··r- 2) [ ]
3) [ [ ]
10) Location ¡
certify under penalty or law, mat I nave personallY exammed and am ramlllar WltrI trle mromation suomI ~ on this and all attacned documents. I Del/eVe the
submitted information is true, accurate, and comp/ite. ~ J C^ / 9-/,-9'1
)PnlIO t.. J.ÑMP~i .- f'(2.ùOVÛ1'tIl..1 M'tl...-.:- \ 1'-_ -
PRINT Name & Title of Authorized Company Repr~sentative )ignaturø. , Date
.......- ,... RE~ Y LEPC STNllOAAD FOUA
3Q
\)U_ .
BAKERSFttLD CITY FIRE DEPAr.MENT
HAZARDOUS MATERIALS INVENTORY
Page::Þur .....
Business Name
Address
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ]
2) Common Name: 3) DOT # (optional)
Chemical Name: AHM [ ] CAS #
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ]
5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] Liquid [ ] Gas [ ] Pure [ ] Mixture [ ] Waste [ ] Radioactive [ ]
CHECI<AL1.. THAT ItPPtY
7) AMOUNT AND TIME AT FACIUlY UNITS OF MEASURE 8) STORAGE CODES
Maximum Daily Amount: Ibs[]gal[] ft3 [ ] a) Container:
Average Daily Amount: curies [ ] b) Pressure:
Annual Amount: c) Temperature:
Largest Size"Container:
# Days On Site Circle Which Months: All Year, J, F, M, A, M, J, J, A, S, 0, N, D
9) MIXTURE: List COMPONENT CAS # %WT AHM
the three most hazardous 1 ) [ ]
chemical components or
any AHM components 2) [ ]
3) [ ]
10) Location
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemic,a1 is a NON TRADE SECRET [ ] TRADE SECRET [ ]
2) Common Name: 3) DOT # (optional)
Chemical Name: AHM [ ] CAS #
4) PHYSICAL & HEALTH PHYSICAL HEALTH
h1AZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ]
5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] Liquid [ ] Gas [ ] Pure [ ] Mixture [ ] Waste [ ] Radioactive [ ]
CHECI<ALL THAT APPLY
7) AMOUNT AND TIME AT FACIUlY UNITS OF MEASURE 8) STORAGE CODES
Maximum Daily Amount: Ibs[]gal[] ft3 [ ] a) Container:
Average Daily Amount: curies [ ] b) Pressure:
Annual Amount: c) Temperature:
Largest Size Container:
# Days On Site Circle Which M0.rths: All Year. J. F, M, A, M. J, J, A, S, 0, N, D
9) MIXTURE: List COMPONENT CAS # %WT AHM
the three most hazardous 1 ) [ ]
chemical components or
any AHM components 2) [ ]
3) [ ]
10) Location
certify under penalty of law, that I have personally exammed and am familiar with the mfomation submItted on thIS and all attaCfiiiâ documents. I believe ttle
submitted information is true, accurate, and complete.
PRINT Name & Title of Authorized Company Representative
Signature
Data
$eptember3Q 1an
REGiO\l Y lEPC STANDARD FæM
e:
fa
SIKA CORPORATION
products/systems/services... worldwide
10/25/93
Kathy Rourke
Kern Rock
29 Delano street
Bakersfield, CA 93307
STATE OF CALIFORNIA
COUNTY OF LOS ANGELES
To Whom It May Concern:
I, David H. Haug, being duly sworn according to the law, hereby
depose and say that:
This is to certify that Sika ABA 15 is manufactured under strict
quality control conditions by sika Corporation, 12767 E. Imperial
Highway, Santa Fe Springs, CA 90670.
This is also to certify that,sika AEA 15 is a liquid air-entraining
resin. It is a concentrated solution of sodium-salt-type soap.
Sika ABA 15 meets the requirements of ASTM C-260, Corps of Engineers
CRD C- 3, and SHTO M-154.
subscribed to before me this 25th day of October, 1993.
12767 E. Imperial Highway. Santa Fe Springs. CA 90670. (310) 94 J.{)231 . 1-B00-933-SII<A
e
e
SIJ(A CORPORATION
products/systems/services... worldwide
10/25/93
Kathy Rourke
Kern Rock
29 Delano street
Bakersfield, CA 93307
STATE OF CALIFORNIA
COUNTY OF LOS ANGELES
To Whom It May Concern:
I, David H. Haug, being duly sworn according to the law, hereby
depose and say that:
This is to certify that Plastocrete 161 is manufactured under strict
quality control conditions by Sika Corporation, 12767 E. Imperial
Highway, Santa Fe Springs, CA 90670.
This is also to certify that Plastocrete 161 is a polymer-type
admixture. It is a non-air-ehtraining, water-reducing, strength-
producing admixture. Plastocrete 161 contains no chlorides. It
meets the requirements of ASTM C~494, Type A, Corps of Engineers,
CRD C-S7, Type A, and AASHTO M-194, Type A.
Sworn and subscribed to before me this 25th day of October, 1993.
2767 E. Imperial Highway. Santa Fe Springs, CA 90670. 13 0) 94 '()23 . -a00-933-SJKA
Mr ''0 F;'''' ~ .
Rat/AI E. /(¡elf
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HAZARDOUS MA TE.LS INSPECTION ~~ Akersfield Fire Dept.
.;po .-.. ç~, Hamdous Materials Division
;;t:,*<",wm>m:;fffijç2/ØÆmffit1W¡li&W1Ælli.ffii&1$YAfJ/(C~'-~?:J'-;;:f),:·':: "~::7~:;::~:-:;;;E':0illlli<::':':'~'¿è':'<:i:RLÛL:j::::~,\ -~>/ Ihß:iiÞSIIy;'y
Business Name: J ern
Location: Lt<b 0 ,
Date Completed
Cd '- ('Do'" ),/
C?-S- 9<f
RQ ~ [<
VJ; \01 ~
Business Identification No. 215-000 -000 S~ 0
Station No.
7
10'(-)
Shift _(3 Inspector
Departure Time: II 0 C)
Arrival Time:
Verification of Inventory Materials
Verification of Quantities
Verification of Location
Proper Segregation of Material
Comments:Y~flAt't..,Q +""0 ct,"'....;c...(s "",,\'-t
Verification of MSDS Availability
Number of Employees: I
Verification of Haz Mat Training
Comments:
Verification of Abatement Supplies & Procedures
Comments:
(Top of Business Plan)
006"('
Inspection Time:
~o
,
""",,, ......c
Adequate Inadequate
D ~
r ~ SO~4L 1;$ t.)
[JJ-r 0 p.r-. J" cb OoJ('....
f1øO~ a~y
QJ/ 0
J~~..... "'" t b"'Q...J w R Y'4- 7'1
"",,,. """,p ~ O"'''t:i\ va;...
tJ:r' 0
(jý' D
g- O
Emergency Procedures Posted ~
Containers Properly Labeled 0
Comments: L..6\ ~e I UIr\ """ " ~ ~. ) +-t:\ "" k"}
Verification of Facility Diagram
Special Hazards Associated with this Facility:
o
~
rn-
o
Violations: tJéGP í2> ~ I/NM~ T1h1r8.
(tlM1Jt;é ~/¿'l., ßvn..e'e.. í1J v1\-\Je- ~Mr~
jí/lari /VItX'-Lnr/.; I
Business OWner/Manager PRINT NAME
fo ßcrp~:;:2..9 /
~ _ q. .5 3 ,. rv.¡hite-Haz Mat Oiv
d1.
Yellow-Station Copy
All Items O.K LJ
Correction Needed ~
Pink-Business Copy
(i)
~
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BAKERSFIELD CITY FIRE DEPARTMENT
II
\
I
I
I
HAZARDOUS MATERIALS DIVISION
2130 "G" STREET
BAKERSFIELD, CA. 93301
(805) 326-3979
HAZARDOUS MATERIALS INVENTORY
FACILITY DESCRIPTION
CHECK IF BUSINESS IS A FARM []
BUSINESS NAME Kern Rock Company
FACILITY NAME Wible Road
SITE ADDRESS 4801 Wible Road
:CITY
Bakersfield
STATE
California
ZIP 93385
'NATURE OF BUSINESS
Ready Mix Conc.rprp
SIC CODE
3272
DUN & BRADSTREET NUMBER 0530016171
: OWNER/OPERATOR Beazer West. Inc.
PHONE (310)634-6698
MAILING ADDRESS 3000 E. South Street
, CITY Long Beach
STATE California
ZIP 9080')
EMERGENCY CONTACTS
. NAME Bill Butler
TITLE Produc tion Manager
· BUSINESS PHONE (805) 324-9714
24-HOUR PHONE (80')) ,)RR RL. 1?
NAME Dennis Ryman
TITLE Central Maintenance Man;::¡gpr
BUSINESS PHONE (805) 324-9714
24-HOUR PHONE (805) 589-90S?
_ i
REGiON V LEPC ST ANOARD ,-
BAKERI=IELD CITY FIRE DEF4tRTMENT
HAZARDOUS MATERIALS INVENTORY
Page-Lof-A
Business Name Kern Rock Company
,
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New [ 1 Addition [ ] Revision n ~i'on ( ] Check if chemical is a NON TRADE SECRET XX TRADE SECRET [ J
2) Common Name: Portland Cement V 3) DOT 11 (optionaJ) N/A
Chemical Name: Portland Cement AHM ( ] CAS 11 N/A
4) PHYSICAL & HEALTH PHYSICAL HEALTH I
HAZARD CATEGORIES Fire [}Q Re active ( ] Sudden Release of Pressure ( 1 Immediate Health (Acute) [x:] Delayed Health (Chronic) [
I
5) WASTE CLASSIFICATION N/A (3·digit code from DHS Form 8022) USE CODE 01 !
6) PHYSICAL STATE Solid ~] Uquid ( ] Gas ( ] Pure [ ] Mixture 10t Waste [ ] Radioactive [ I I
i
CHEO<ALL. "",AT APPt.Y I
7) AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES
Maximum Daily Amount: 400,000 100 [x:1 gaJ ( ] ft3 [ ] a) Container: 13
Average Daily Amount: 200.000 curies [ I b) Pressure: 01
AnnuaJ Amount: 5~gg?ðggo c) Temperature: 04
Largest Size Container: Circle Which Months: ~ J,
# Days On Site 365 F, M, A. M, J, J, A. S, 0, N, D
~) MIXTURE: Ust COMPONENT CAS # "10m AHM
the three most hazardous 1) Calcium Salts 11168-85-3 ---- [ ]
chemical components or
any AHM components 2) [ I
3) [ ]
1 0) Location Batch Plant :
1) INVENTORY STATUS: New [ I Addition [ ] tSiOn~] CHEMICAL DESCRIPTION
;
Deletion ( ] Check if chemical is a NON TRADE SECRET n TRADE SECRET [ ]
2) Common Name: WRDA 79 V 3) DOT # (optionaJ) N/A
Aqueous Solution Lignosulfonate & Amine N/A ..
Chemical Name: AHM ( ] CAS #
4) PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [~ Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) Dc] Delayed HeaJth (Chronic) [xJ ,
5) WASTE CLASSIFICATION N/A (3-digit code from DHS Form 8022) USE CODE 01
6) PHYSICAL STATE Solid [ ] Liquid ¡XI Gas ( ] ?'~re , ] Mixture X] Waste [ ] Radioactive ( ]
L
CHfCX ALL THAT APPl v
17) AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES
Maximum Daily Amount 200 lbs [ ] gal [x:] :\3 [ I a) Container: 02
Average Daily Amount: 100 curies [ ] b) Pressure: 01
AnnuaJ Amount: 200 c) Temperature: 04
Largest Size Container: 1200 ~J,F,M,
# Days On Site 365 Circle Which Months: A. M, J, J, A, S, 0, N, D
'9) MIXTURE: Ust COMPONENT CAS # "10m AHM
the three most hazardous 1) Formaldehyde 00050-00-0 1 ( ]
cnemical components or Triethanolamine
any AHM components 2) 102-71-6 3 [ ]
3) Diethanolamine 111-42-2 -- [ ]
10) Location Batch Plant
ceffJry unOer enaJ of law, char I have personal/\ examinee ana am familial With the ¡nromaaon suomltted on chis ana sir at!acnee aocumenrs. I oeileve ;:-: ~
Address
4801 Wible Road
p ~ y
submitted information is true, accurate, and complete.
J. ~retton Braden, Regulatory Affairs Manager
PRINT Name & ¡¡tie of Authorized Company Representative
rj{;;~~~
7/f~3
/ Dare
.~_o..'O.'g¡;Q
I'ECiKÞfW L£JIC!T~O"'-¡
BAKERI=IELD CITY FIRE DEF4RTMENT
HAZARDOUS MATERIALS INVENTORY
PageLof~
Busimess Name Kern Rock Company
Address
4801 Wible Road
1) INVENTORY STATUS: New [ 1 Addition [ ~n k] CHEMICAL DESCRIFTION
Deletion [ J Check if chemical is a NON TRADE SECRET :K] TRADE SECRET [ ]
2) Common Name: Diesel 112 y/ 3) DOT # (optional) N/A
~hemical Name: Petroleum Hydrocarbon AHM [ ] CAS # N/A
4) 'PHYSICAL & HEALTH PHYSICAL HEALTH I
HAZARD CATEGORIES Fireti Reactive [ ] Sudden Release of pråssure [ ] Immediate Health (Acute) (X Delayed Health (Chronic) [XI
N/A I
5) ¡WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 19 I
6) PHYSICAL STATE Solid [ ] Liquid [XI Gas [ ] Pure [ ] Mixture K] Waste [ ] Radioactive [ J I
I
CHEOC AU. T'HAr AP9tY !
7) AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES
Maximum Daily Amount: ~88 100 [ ] gal [x! ft3 [ ] a) Container: 02
Average Daily Amount: curies [ I b) Pressure: 01
Annual Amount: 400 c) Temperature: 04 I
Largest Size Container: 1000 GíI~J. F. M. I
# Days On Site 365 Circle Which Months: A. M. J. J, A, S, 0, N, D
9) MIXTURE: Ust COMPONENT CAS # %WT AHM i
I
the three most hazardous 1) Diesel Oil fI2 68476-34-6 98 [ I 1
chemical components or Biphenyl 1 I
any AHM components 2) 92-52-4 [ ] i
91-20-3 I
Naphthalene <.1 I
3) [ ] I
10) Location Center of yard II
q
CHEMICAL DESCRIFTION :1
Revision [X] 4n [ ;1
II
1) INVENTORY STATUS: New [ ] Addition [ ] ] Check if chemical is a NON TRADE SECRET [xl TRADE SECRET [ ] !i
I
2) Common Name: Calcium Chloride V 3) DOT # (optional) N/A :1
,!
Inorganic Salt 10043-52-4 :1
Chemical Name: AHM [ 1 CAS # '!
4) PHYSICAL & HEALTH N/A \!
PHYSICAL HEALTH II
"
HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ 1 Immediate Health (Acute) [~ Delayed Health (Chronic) [ 1 \1
5) WASTE CLASSIFICATION N/A (3-digit code from DHS Form 8022) USE CODE 08. 19 'I
I
I
6) PHYSICAL STATE Solid [ I Liquid [X Gas [ ] Pure [ ] Mixture [X] Waste [ ] Radioactive [ ] i
CHECK AlL THAT APPlY I
I
7) AMOUNT AND TIME AT FACiliTY UNITS OF MEASURE 8) STORAGE CODES
Maximum Daily Amount: 300 Ibs [ ] gal [~ ft3 [ ] a) Container: 02
Average Daily Amount: 188 curies [ ] b) Pressure: 01
Annual Amount: c) Temperature: 04
Largest Size Container: JUUO ~J,F. !
# Days On Site 365 Circle Which Months: M, A. M, J. J. A. S, 0, N, D I
9) MIXTURE: Ust COMPONENT CAS # %WT AHM
the three most hazardous 1) Calcium Chloride 10043-52-4 11-7') [ 1
chemical components or
any AHM components 2) [ I
3) [ I
10) Location East side of property near fence
I cernty under penBJty of Jaw, CtJatT11ave personal/I exammed ana am ramillar with CtJe Inromat/on suomltted on this ana ail artacned aocumenœ. / oel/eve cr. e
y
submitted information is true. accurate, and complete.
f£~~
3/;hJ
/' Date
J. Bretton Braden, Regulatory Affairs Manager
PRINT Name& Titfe of Authorized Co~pany Represenrativ;---
aeGCJrlt" \..£PC",A#IIoaN'IO¡;,-,.·....
BAKERI=IELD CITY FIRE DE~TMENT
HAZARDOUS MATERIALS INVENTORY
Business Name
Kern Rock Company
Address 4801 Wible Road
Page.l..of~
CHEMICAL DESCRIPTION
1) .INVENTORY STATUS: New I 1 Addition I 1 Revision øcJ/Òeletion [ ] Check if chemical is a NON TRADE SECRET K I TRADE SECRET [ ]
I 7 N/A
I 2) Common Name: Daravair 3) DOT ;; (optional)
I -v
<:;hemical Name: Aqueous Solution of Neutralized Vinsol AHM 11 CAS # N/A
4)'PHYSICAL & HEALTH PHYSICAL HEALTH
HAZARD CATEGORIES Fire [ ] Reactive I}Q Sudden Release of Pressure I] Immediate Health (Acute) IX] Delayed Health (Chronic) [ I
5) WASTE CLASSIFICATION N/A (3-digit code from DHS Form 8022) USE CODE 01 I
6)i PHYSICAL STATE Solid [ ] Liquid [:xl Gas [ ] Pure [ ] Mixture X] Waste [ ] Radioactive I ] I
CHECK AU. TUAT APPtY
7)i AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES
Maximum Daily Amount: 100 100 [ ] gaJ [X] !t3 [ ] a) Container: 02
Average Daily Amount: 168 curies I I b) Pressure: 01
Annual Amount: c) Temperature: 04
Largest Size Container: 300- .~J.F.M.
;; Days On Site 36-Š- Circle Which Months: A. M. J. J. A. S. O. N, D
,
9) MIXTURE: Ust COMPONENT CAS # %wr AHM
, the three most hazardous 1) Sodium Hydroxidf> 1310-73-2 2 I]
chemical components or
any AHM components 2) [ ]
3) [ ] I
10) Location East side of property~ear fence I
J CHEMICAL DESCRIPTION
I 1) INVENTORY STATUS: New [ ] Addition I J Revision Ix) Deletion ( ] Check if chemica! is a NON TRADE SECRET [X TRADE SECRET [ ]
2) Common Name: MBL-82 3) DOT # (optionaJ) N / A
I
I Chemical Name: Cement Dispersing Agent AHM [ ] CAS # N/A
I II
¡ 4) PHYSICAL & HEALTH N/A PHYSICAL HEALTH
I
i HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ 1 Immediate HeaJth (Acute) 1M Delayed HeaJth (Chronic) [ J
\ 5) WASTE CLASSIFICATION N/A 01 'I
(3-digit code from DHS Form 8022) USE CODE !I
I
I 6) PHYSiCAL STATE Solid [ J Liquid [xl Gas [ I Pure [ ] Mixture KJ Waste [ ] Radioactive [ ] \1
I CHECK AU. T}lAT A.PPl r "
I ,
I ¡!
\ 7) AMOUNT AND TIME AT FACIUTY U~RE 8) STORAGE CODES iI
Maximum Daily Amount: 1 nn *This 100 [ ] gal 1\3 [ ] a) Container: 02 II
Average Daily Amount: 100 I compound is no curies [ b) Pressure: 01
I Annual Amount: 100 1 l' . d l' c) Temperature: 04 II
I Largest Size Container: 1000 onger ~n use, res~ ~n
, 365 ~ only 'Circ~ich" onths: -~. F, II
I ;; Days On Site M. A. M. J. J. A. S. O. N.D I¡
I !I
I -
I 9) MIXTURE: List COMPONENT CAS# %wr AHM II
I the three most hazardous 1) Triethanolamine 102-71-6 1-10 [ 1 !!
I chemlcaJ components or "
any AHM components 2) [ "
I ;:
3) [ J ':
I ,¡
"
10) Location East side of property near fence !
'!
-
¡ certJfy unaer penBJry or law, thar I have personally examtne<:1 ana am raml/tar wIth me tnromaaon suomlttea on thiS ana BJI artache<:1 aocuments. I believe rr.!:
submitted information is true, accurate, and complete.
J. Bretton Braqen, R~gula~ory Affairs Manager
PRINT Name & Title 0; Authorized Company Representative
.,.....O',JQI~
:z~~~
3~b
./ . Dare
"ECJK:NII L£PCSf~O~""
!
,.
BAKERI=IELD CITY FIRE DEF4tRTMENT
HAZARDOUS MATERIALS INVENTORY
Page~of~
Business Name Kern Rock Company
Address
4801 Wible Road
,
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New [ ] Addition ( ] R~~n!XI Deletion [ ] Check if chemical is a NON TRADE SECRET Dc] TRADE SECRET [ ]
2) Common Name: Zeecon-H \/" 3) DOT # (optional) N/A
Chemical Name: 'MIA AHM [ ] CAS # N/A
4) PHYSICAL & HEALTH N/A PHYSICAL HEALTH I
HAZARD CATEGORIES Fire ( ] Reactive [ J Sudden Release of Pressure [ I Immediate Health (Acute) [lQ Delayed Health (Chronic) [ ]
5) WASTE CLASSIFICATION N/A (3-digit code from DHS Form 8022) USE CODE 01 I
6) PHYSICAL STATE Solid [ Uquid [X Gas [ ] Pure [ ] Mixture 00 Waste [ ] Radioactive [ ] I
-- O<ECI< AÙ:1!M.t...... y ,
7)' AMOUNT AND TIME AT FACIUTY 10~iS UNITS OF MEA~ E 8) STORAGE CODES
Maximum Daily Amount: Ibs [ ] gal [~ ~ ( ] a) Container: 02
Average Daily Amount: 10(\ compound is no '~ b) Pressure: 01
Annual Amount: 10O", c) Temperature: 04
Largest Size Container. 2000 longer in use, resid 1 in
# Days On Site 365 '~t only. Circle Which ths: ~ J. F. M, A. M. J, J. A. S, O. N.D
- -
9) MIXTURE: Ust COMPONENT CAS # %wr AHM
the three most hazardous 1) Lignosu1fonates N/A --- [ I
chemical components or
any AHM components 2) [ ]
3) [ J
i
1 0) Location East side of property near I
fence I
CHEMICAL DESCRIPTION 1\
1) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ 1 Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ] 11
¡!
2) Common Name: 3) DOT # (optional) !I
:1
"
Chemical Name: AHM ( I CAS # ij
4) PHYSICAL & HEALTH PHYSICAL HEALTH ;
HAZARD CATEGORIES Fire ( ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) ( I Delayed Health (Chronic) ( 1
~) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ 1 Liquid [ 1 Gas ( ] P:;re [ ] Mixture [ I Waste [ ] Radioactive [ ]
CHECK ALL. THAr,tppt'fl
7) AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES ,
Maximum Daily Amount: Ibs [ 1 gal [ ] ;r.¡ [ ] a) Container. I
Average Daily Amount: curies [ ] b) Pressure:
Annual Amount: c) TemperatUre:
Largest Size Container:
# Days On Site Circle Which Months: All Year, J. F, M. A. M. J. J. A. S. O. N, D
9) MIXTURE: Ust COMPONENT CAS # "Iowr AHM
the three most hazardous 1) [ ]
chemical components or
any AHM components 2) ( ]
I 3) [
,
10) Location
I cera unaer ena! or law, that I nave personal/~ exammea ana am lanllllBr WItt! tt!e ;nromaaon suomltted on rhis ana all attacnea aocumencs. I believe rr. iè
ry p ty y
submitted information is true. accurate, and complete.
J. Bretton B!aden, ~egulatory Affairs Manager
---
PRINT Name & Title of Authorized Company Representative
;Z~~
!~~
'4ICII_o..)Qlçe:a
:l(QIOIoI." L£PC~~O~-J;"
:.;~-:-..
~~
~
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MIre Environmental Com!ance
16372 Construction Circle East, Unit 1
Irvine, California 92714
Telephone: (714) 786-7532
FAX: (714) 786-8532
March 23, 1993
Bakersfield Fire Department
Hazardous Materials Department
2130 "G" Street
Bakersfield, California 93301
RECEIVED
MAR 2 9 19905
HAl. MAT. OlV.
SUBJECT: Hazardous Materials Inventory Map
To Whom It May Concern:
Please replace the existing site diagram with the enclosed site diagram for Kern Rock's
Wible Road facility located at 4801 Wible Road in the city of Bakersfield.
Sincerely,
MOORE ENVIRONMENTAL COMPLIANCE
L~G~
Lilly Lindsay
Environmental Technician
Enclosure
cc: Bill Butler, Kern Rock
'\ '
'- !-,~
TO
18053260576 P.01
if
Moore Env. Compliance
e
03-19-1993 10:13AM
Facsimile Cover Sheet
To:
Company:
Phone:
Fax:
From:
Company:
Phone:
Fax:
Date:
Pages including this
cover page:
Comments:
DApvÂ.
1b..-~fíe lA C1~ ñ(<. Or~ ~~ HGo-T O'V/ð1å\.-.
(~) ~2Ce>-~7~
1605) 32(0 -057L~
.
LILL..'-1 LïND5Aý
Moore Environmental Compliance
714-786-7532
714-786-S532
3/19jq2:>
I I'
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ì'\"\o.--n ~ ~'4"\~.' J w ~ ~ cùt'
yYl..r~ Ç.ðp-{, ~.
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NOTiC SQL=
TOTAL P.01
#;.--
tþ "tt
Moore Environmental Compliance
16372 Construction Circle East, Unit 1
Irvine, California 92714
Telephone: (714) 786-7532
JY ~~~ ~ ;;14)786-8532
~
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...... " -
March 19, 1993
Bakersfield Fire Department
Hazardous Materials Division
2130 "G" Street
Bakersfield, California 93301
RECE1VEO
MAR 2 3 '993~
HAZ. MAT. ON.
To Whom It May Concern:
Please find enclosed the site map for Wible Road submitted on behalf of Kern Rock
Company. The map was inadvertently left out of the package that was Federal Expressed
on Thursday March 18, 1993, Sorry for any inconvenience this may have caused.
Sincerely,
MOORE ENVIRONMENTAL COMPLIANCE
L~ [;~~
Lilly Lindsay
Environmental Technician
Enclosure
J~ ~~
()~~
~o
. e
Moore Environmental Compliance
16372 Construction Circle East, Unit 1
Irvine, California 92714
Telephone: (714) 786-7532
FAX: (714) 786-8532
Bakersfield Fire Department
Hazardous Materials Division
2130 "G" Street
Bakersfield, California 93301
~~CE/VED
MAR 1 9.1923.
HAlo MAT. 01\1.
To Whom it May Concern:
Please find the enclosed Business Emergency Plan and Hazardous Materials Inventory for
Wible Road submitted on behalf of Kern Rock in compliance with California Health and
Safety Code, Chapter 6.95.
If you have any questions please contact me at (714) 786-7532 or Bret Braden at (310)
634-6698.
Sincerely,
MOORE ENVIRONMENTAL COMPLIANCE
èJAL~
John Sisco
Associate Environmental Specialist
Enclosure
cc: Bret Braden, w/enclosure
Bill Butler, Production Manager w/enclosure
I
·
e
Bakersfield Fire Dept.
Hazardous Materials Division
2130 "G" Street
Bakersfield, CA. 93301
..." '-.--. .
HAZARDOUS MATERIALS MANAGEMENT PLAN
INSTRUCTIONS:
1. To avoid further action, return this form within 30 days of receipt.
2. TYPE/PRINT ANSWERS IN ENGLISH.
3. Answer the questions below for the business as a whole.
4. Be brief and concise as possible.
SECTION 1: BUSINESS IDENTIFICATION DATA
BUSINESS NAME: Kern Rock Company
LOCATION:
4801 Wible Road
Bakersfield
MAILING ADDRESS:529 Dolores Street
CITY: B a k e r s fie 1 d
STATE:_~ ZIP: 93305 PHONE: 805-324-9714
DUN & BRADSTREET NUMBER: 053001617L
SIC CODE: 3273
PRIMARY ACTIVITY: Ready Mix Concrete
OWNER: Beazer West Inc.
MAILING ADDRESS:
3000 South Street
Lon g Be a c h . CA 9 0 8 0 5
SECTION 2: EMERGENCY NOTIFICATION:
CONTACT
TITLE
BUS. PHONE -
24 HR. PHONE
1. Bill Butler
Pr~duction Manager
324-9714
588-8412
2. Dennis Rym;:¡n
r.pnrr~l M~;nr M~n~gpr
i?.6. 971.6.
'1R9 QO'1?
1.
e
e
Bakersfield Fire Dept.
Hazardous Materials Division
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION 3: TRAINING:
NUMBER OF EMPLOYEES: 1 - 5
This plant doesn't operate daily.
MATERIAL SAFETY DATA SHEETS ON FILE:
In office.
BRIEF SUMMARY OF TRAINING PROGRAM: Employees are, shown where hazardous
materials are stored. They are shown where fire extinguishers and personal
protection equipment are located and instruction on their use. This orientatio~
I is given by the Personal Department and the tour of the facility is given by
their department supervisor or designee.
1. Reading a Material Safty Data Sheet. and where to find them.
2. Review of all Material Safety Data Sheets for chemicals that may be in
their work area.
Warning about all hazardous materials and wastes in their work area.
How to read Hazardous Communication labels on containers.
Use of personal safety equipment required for each chemical.
Review Business Emergency Plan. Read Plan and sign certifying they under
-stand it. .
Safe handling and hazard prevention procedures as described under to Pla'
Use of a fire extinguisher and other emergency equipment.
Evacuation procedures. as indentified under Evacuation Plan
Watch for leakßIÖ.va,u.<l..r.$.-Tor other indications of potential hazards.
SECTION 4: EXEMPlI N t(1:~ut:~ :
3.
4.
5.
6.
7 .
8.
9.
10.
I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE
REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH &
SAFETY CODE" FOR THE FOLLOWING REASONS:
WE DO NOT HANDLE HAZARDOUS MATERIALS.
WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO
TlMEEXCEED THE MINIMUM REPORTING QUANTITIES.
OTHER (SPECIFY REASON)
SECTION 5: CERTIFICATION:
I, ~::.:, '~pe_tt.QIl_Br<ajjen- CERTIFY THAT THE ABOVE INFOR-
MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO
FULFILL MY FIRM1S OBLIGATIONS, UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE"
ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT
INACCURATE INFORMATION CONSTITUTES PERJURY.
Re
Affairs Manaaer
TITLE
e
Bakersfield Fire Dept.
Hazardous Materials Division
e
HAZARDOUS MATERIALS MANAGEMENT PLAN
Facility Unit Name:
Kern Rock Company
Wible Road
SECTION 6: NOTIFICATION AND EV ACUATION PROCEDURES:
A. AGENCY NOTIFICATION PROCEDURES:
Call 911 and notify the State Office of Emergency Services
at 1-800-852-7550
B. EMPLOYEE NOTIFICATION AND EVACUATION:
Notification will be verbal and the staff will evacuate to the
designated area. The corporate office will then be contacted.
C. PUBLIC EVACUATION:
Evacuation of the public would be under the direction of the
Bakersfield City Fire Department.
D.
EMERGENCY MEDICAL PLAN:
Mercy Hospital
2215 Truxtun Ave.
327-3371
Dr. Willard Christiansen
327-9617
Bakersfield Memorial Hospital
420 34th Street
~~7~4t1fïulance
Golden Empire Ambulance
327-9000
3.
FOI~
'-'"
.
Bakersfield Fire Dept. e
Hazardous Materials Division
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN:
,
A. RELEASE PREVENTION STEPS: The q uan tit ies 0 f hazardous mater ial
stored at the facilities are minimized. Absorbent material is kept on
hand to control small spills. Employees are required to keep their
work areas clear and uncluttered. Containers of hazardous materials
are checked periodically for leaks, rust, and corrosion. Employees
are required to use personal safety equipment and review MSDS copies.
Signs are posted and hazardous materials are labeled.
B. RELEASE CONTAINMENT AND/OR MINIMIZATION:
Absorbent material is kept on hand to control small spills.
Employees are required to keep their work areas clear and uncluttered.
C. CLEAN-UP PROCEDURES:
Spilled materials are disposed of in accordance with local,
state and federal regulations. The fire department will be notified
immediately if facility personnel cannot contain the emergency.
SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY):
NATURAL GAS/PROPANE:
None
ELECTRICAL: Main is located in the storeroom of the two story office.
South east corner on the ground floor.
WATER: North west corner of Wible and Cattle Drive.
SPECIAL: N/A
LOCK BOX: YES@
IF YES, LOCATION:
SECTION 9: PRIVATE FIRE PROTECTION/WATER A V AILABILlTY:
A. PRIVATE FIRE PROTECTION: N/A
B.
WATER AVAILABILITY (FIRE HYDRANT):
)
South east corner of Wible and Cattle Drive.
4.
. .
ACUTELY HAZARDOUS MATERIALS REG~RATION FORM
This fonn MUST be completed by the owner or operator of EACH business in California which. at
any time, handles' ,Acutely Hazardous Material in quantities, or in a mixture, equal to or greater than the
Federal Threshold Planning Quantities for'EXtremely Hazardous Substances. Submit this completed form to
your local Administering Agency. (§25533 & 25536 Health & Safety Code)
Note instructions on rev~~e
,-'-'BUSINESSNAME ..JfÉR/I P¡y;/( CO"
BUSINESS SITE ADDRESS tJt6() I V¡ ,t~ J( j
BUSINESS MAILING ADDRESS (if dHrerent) ¡, {}. /10 X 31;<'1 / ¡?~~t,''¡¡O> tj J Jf:.ç-
BUSINESS PHONE ( '::Jþ'f-9?/tf BUSINESS PLAN SUBMISSION DATEl i./ -o? ,?~/ f/?f
PROCESS DESIGNATION:
ACUTELY HAZARDOUS MATERIALS HANDUmJ
-USE ADDmONAL PAGES IF NECESSARY-
CHEMICAL NAME
IrvRJR ?tJ
" f
1 ":,
f"'.<
¡' .1 ~ ¡ .~ : '
, r ,,' , ,,' ': I, ¡ ,;
L'_' . '¡\'h
, - i...1
"'. ¡""IV I
OUANTITY
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SIGNATURE~ ~.
d_' -, , PRINTED NAME <pI., 1¡J5¡/ai,'
TITLE l c(~p (X(7'¿)¡þ/
,'------- -- DATE 6-1-/~1
Caurornia.omœ of Emergency Servtc:es FORMHM 3777 (11 . 12·89)'
T-3
-
INSTRUCTIONS:
Superscripts:
1. Please contact your local Administering Agency if you handle quantities of Acutely Hazardous Materials
above state thresholds and have not submitted a business plan (Remember that California Acutely Hazardous
Materials are identical to EPA Extremely Hazardous Substances).
2. "Process Designation" is provided for facilities that. with Administering Agency approval, would most easily be
reported by process. For a business that repons the business plan data by process, this will allow subdivision of
. . . - . - .
facility RMPP registration data in similar fonnat to the business plans. This fonnat could simplify facility
inspections and future emergency response.
:J.
3. Use the EP A list of Extremely Hazardous Substances from the Federal Register, 40 CFR 355 (Sections 302 and
304) (Note: This list may change on a yearly basis. Be sure the list used for compliance is the updated liSL An
uPdated list can be obtained from EP A or the State of California Environmental Affairs Agency.) If appropriate,
attach a copy of the inventory (submitted to your Administering Agency in your business plan) with all Acutely
.__JJ.azardous Mat~s bighlighted. , ,::::,;::, _~--::_-:::::,__,"
4. Do not include Trade Secret information in these descriptions.
"
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~!î
General:
,
.-
"
"
r-
For emergency response purposes, if these elements are appropriate. it would be desirable to describe the following to
the Administering Agency:
1. Batch Process:
~,
r:
"
-'
a. What raw marerials?
b. What operating pressure range?
,¡
if
c. What operating temperature range?
d. Batch capacity rating?
e. Product characteristics? (e.g., chemical state, flammability. toxicity. etc.)
f. Critical process points and characteristics?
2. ContinuouS process: (similar information as-above.)--'
------- - '-- ---. - --- - -
NOTE:
'"Pursuant to §25534, the Administering Agency may require the submission of a Risk Management Prevention
Program (RMPP), if the Administering Agency det.emtines that the handler's operation may present an acutely
hazardous materials accident risk. The handler shall prepare the RMPP in accordance with §25534 (c) of the Health
and Safety Code. The RMPF! shall be prepared within 12 months following the request made by the Administering
Agency pursuant to this section." (§ 25534 (c) Healm and Safety Code)
An,amendment to the RMPP must be submitted to me Administering Agency within 30 days of:
1. Any additional handling of acutely hazardous materials.
2. ·Any marerial or substantial alterations to business activities.
,__--:}. Ç,hange of ad~._b~in_ess ownership._or business.name.__(§_2553~ (cl Health & Safety__c.()d~)
-EVERY BUSINESS REQUIRED TO SUBMIT AN RMPP SHALL IMPLEMENT THE APPROVED RMPP .
89 80373
.
.
[- 4
õi_ j~_
'\ f 11
e
RISK RANKING ,.,.
KERN ROCK WIBLE ROAD
FACILITY RISK INDEX
INSPECTION HISTORY
POPULATION EXPOSED
NCP
TOX FACTdR
8ØØ GAU55 GAL< .01 ì==. 15
2.1 X 3
3 X 3
2 X ~~
4 X
Ø.1 X
e
6Þ3
9
4
4
O ! ,-
. ,::J
TOTAL 23.45
- - --------,-------
-; , ¡ ~ I ,
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e
FACILITY RISK INDEX
RATING
..
W ~ Activities or conditions that increase the likelihood of a release.
3 ~ .5 m ~
(NO. OF YES ANSWERS 0N THE QUESTIONNAIRE 1-13.
,Add I yes to each facility for s10rage and MiniMal
X This factor reflects a cOMpany's claiM (safety) history.
0.61
(WORKER COMP FACTOR, MAXIMUM EXPECTED IS 1.5)
Y Self reported accident I safety record.
ø
(REASONABLE""0; INAOEQUATE'''Ø. 25, GROSSl.Y INADEQUATE==Ø. 5)
Z A discretionary category used to account for factors not
directly addressed in the questionnaire.
ø
(OTHER COMPLICATING FACTORS
MINIMAl=0, CONSIDERA8LE=0.5, SUBSTANTIAl=! .0)
FACILITY
RISK INDEX
RATING
F- T
J,
2.11
W + X +- Y +- Z
RATING RATIONALE:
Risk increases wit~,increasing process cOMplexity and potential for
hUMan en-or.
¡ ,
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POPULATION EXPOSED -
RATING
I. IS TOXIC MATERIAL APT TO BECOME AIRBORN RAPIDLY?
i.e. A GAS, FINE DUST, HIGHLY VOLATILE LIQUID
NO~I YES= 2
IF ANSWER TO 11 IS NO, PROCEED TO #6
IF ANSWER TO #1 IS YES, ESTIMATE THE EVACUATION ~AOIUS, USING THE
BAKERSFIELD FIRE DEPT. GRAPH MODEL, AND ANSWER QUESTIONS 2-5.
2. IS THERE A SCHOOL WITH IN THE EVACUATION RAOIUS ?
NO=0, YES=I ø
6. IS THERE A NURSING HOME OR HOSPITAL WITH IN
THE EVACUATION RADIUS ?
NO=Ø, YES=l ø
4. IS THERE RESIDENTIAL HOUSING WITHIN THE
EVACUATION RADIUS 7 NO=0. YES=l ø
5. IS THE POPULATION DENSITY OF THIS AREA HIGHER
THAN THE AVERAGE DUE TO ALOT OF MULTISTORY BUILDINGS ?
NO=0, YES=1 ø
G. WHAT IS THE OCCUPANCY OF THE BUILDING
THAT AHM IS STORED OR HANDLED IN ?
'LESS'THAN 5 PEOPLE=1
6 - 25 PEOPLE =2
26 - 50 PEOPLE =3
MORE THAN 50 PEOPLE =4
TOTAL POPULATION EXPOSED RATING
~
~
j';' :'i!1' ~ ~
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FACILITY INFORMATION FORM
Please anSHer each of the following questions by circling
Y (yes) or N (no).
1.
Is any acutely hazardous material (AHrI) e\,"'; "¡'
manufactured or used in a chemical reaction ? .~
Is any other flammable gas, flammable liquid
or explosive material manufactured or used in
a chemical reaction '? Y I ®
2.
Is any reaction in question 1 or 2 a moderately
or h~ghly exothermic Æeaction ( e.g. alkylation
esterfication, oxidation, nitration, polymerization
or condensation) or one involving electrolysis? Y I~
Can any unplanned release of a AHM to the atmosphere
result from the malfunction of any scrubbing, treatment
or neutralization system or the discharge of a
pressure relief system ? Y I(j)-
3.
4 .
5.
DAHoMes ~ny Phdysicdal or chdem~callProcesbstinh which an 0') ~,¡, ""',,'
1 1S pro uce or use 1nvo ve a a c process ; \;I'
6.
Does any physical
production or use
excess of 15 psig
or chemical process involve
of any AHM at a pressure in
-,I
? I~ ~~'\'~
the
7. In excess of 275 psig ?
8 .
Does any physical or chemical process involve the
production or use of an AHM at a temperature above
125 degrees F ?
9. In excess of 250 degrees ?
10. Can any explosive dust be present in any closed
container within 100 feet of an AHM or otherwise
be present in the same building as an AHM ?
11. Is there any ignition source or open flame within
100 ft. of any process, storage or transfer
area where a flammable or explosive AHM is
present , except where there is a firewall
providing protection ?
12. Is any lined or non-metallic p1pe used in the
transfer of any AHM 0')
1"
J.
Is any equipment or piping handling any AH~ more
'10 years old ?
Y ¡Q
" I~
1 IV
Y IG
\' ! .r::~
/0
v 1(9
Y /(j)
Y /(Ç)
y /C)
""f; 1: .,~~_ ~
r, '
,e
.
PLEASE PROVIDE THE FOLLOWING INFORMATION
( Attach additional pages if necessary)
1.
Your cpmpany's current worktrs compensation
experience modifica·tion fac'tor.
61.%
2 .
How many people occupy the building in which
AHM's are used or stored?
.-þ-
3., Give details of all accidents which involved any
hazardous material and all other instances when the fire
department,has been summoned in an emergency.
¡//p~
4. -Briefly described the operations process at your plant
and the specific processes utilizing AHM's, including
storage proceedures.
We 1I1J!J1lf1Jr1iie M~¡!(ì'/. CQllcle 7é, w 1f:fl11 -?'l à ~,v -9Ät7V1e
11M! /ìc7f #$ IJ- wili). )er/Ícf3). /pu//Þ'<?wJ), :rr ¡'ßS:7óí~/ /l-
ope /#ðqJ5##! a~tJ~l9jj@4I ~~ý-t!J.6 4J, J&lIe ;<JI&t/æ/7:i1/1" !//q'7li
~, 12 if /, IJ'
Il C()I(//~Û/¡ffßi/7, We IÍl)tI(¿ %PPøt'l/9f( W/?.))Ij-?9 #Tovl. \
~kR.e~ ~~r/,,~jj/TI?¿,!!-I? I!/¡pw ¡'v7ðe-ftiPCr?9; ,pf ./'~¡1(f
0=- /PYI/fl ov) w,¿!e $/)@el ¿jjlc/ .p4¡1/T f./'
W,L\'; ~ ~~:~ ,?(ùd,0ct \.}\>
-2-
~ -'~; :~~'<"-- ~
. '
.
.
5. Briefly describe the equipment being used in the
p~~e:;;;~:;¡;;~ coµ:/e7é ~/t ~ #- ?/!effvJbd
~~~ - .
6. Report quantity of AHM(s), referenced in the cover
letter, that this business handles.
a) Maximum amount on hand at anyone time.
';00 ~1tr
C7
b) Please attach a Material Safety Data Sheet
for any material that is a mixture. Do not
include MSDS for pure substances.
DEMOGRAPHIC DATA:
State the straight line distance in feet between the
business property line and each of the following.
1- Nearest school. /4
2. Nearest daycare center, hospital, ¡yiP
nursing home or similar facility.
,
3. Nearest residence/motel etc. ,$ ~() t- '=7;
4. Nearest òccupied building. ~f)() ';Þ7
.
Business
Name: kÉKlt/ ~¡;I( ¿O.
",{;per (PP411?~ .sT¡ .~~¡'\/¡'èrl ú), I t( ~?or '
. ~&. /3/)1. ,~5:.2?) ..ßð;f§)f/j@~ /')); r??8S
".. Address:
/1)(' W: f1J.! P.t
Pffd
I certify that the foregoing information
correct to the best of my knowledge.
Signature: ~~
Ti tIe; .!ífrof/ ' '~ .
is true and
Date:
b-4-1?1/
-:3-
~ '- ¡
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-
Construdion Produds'Division
GRACE
W.R. Grace & Co.- Conn.
62 Whittemore Avenue
Cambridge, MA 02140-1692
(617) 876-1400
January 26, 1990
Kern Rock Company
P. O. Box 3329
Bakersfield, CA 93385
TO Whom It May Concern:
The OSHA Hazard Communication Rule requires manufacturers and distributors
to provide all direct purchasers with an appropriate Material Safety Data
Sheet (MSDS). This is required upon initial shipment of a product and
again anytime the MSDS is updated (Title 29 § 1910.1200 Paragraph g6).
According to our records, you recently purchased the productCs) listed
below. A Material Safety Data Sheet for each product is attached. Please
forward this information to the appropriate persons within your company.
If you require any additional product safety information, please contact
Marlena Fox - Industrial Hygienist Deptartment of Environmental Health and
Safety.
Very truly yours,
M~ta {/J{;4,
Marlena Fox
Industrial Hygienist
Dept. of Environmental
Health and Safety
MF:cr
Attachment
MSDS HD-Qj238 - WRDA 79
"
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"-'1"
0-05238 MATERIAL SAFETY DATA SHEET Page 1 of 7
MSDS PREPARED BY: Environmental Health DeDt. Construction Products Div.
H.R.Grace & Co.-Conn. H. R. Grace & Co. of Canada Ltd.
62 Hhittemore Ave. 294 Clements Rd. Hest
Cambridge, MA 02140 Ajax, Ontario, L1S 3C6
Telephone Number for Information and EmergencY ReSDonse
In USA: (617) 876-1400 X3140 In Canada: (416) 683-8561
MSDS Number: 0-05238
OOOUSA Cancels MSDS # 0-86160
Date: 04/25/1989
SECTION I - PRODUCT IDENTIFICATION
Trade Names and Synonyms:
Chemical Names and Family:
Product Use:
Formula:
HRDA-79
CAS' (Chemical Abstract Service):
Transportation
USA DeDartment of Transportation
DOT CLASS: Nonhazardous
DOT .10#: Not Applicable
DOT LABEL: Not applicable
Aqueous Solution of Lignosu1fonate and
Amine
Concrete Hater Reducer/Retarder
MIXTURE-NA
MIXTURE-NA
Hazard Classification
CANADA Transportation of Dangerous Goods
TOG CLASS:
Nonhazardous
Surface Freight Classification:
Concrete or Masonry Plasticizer & Hater
Reducing Compound
o Health: 2 *
o Flammability: 1
o ReactiYity: 0
o Personal Protection: B,G
(See Section VIII)
SECTION II - HAZARDOUS INGREDIENTS/IDENTITY INFORMATION
NPCA-HMIS Hazard Index:
INGREDIENT
(Chemical Name,
CAS#. & Comon Name)
Formaldehyde
Cas' 00050-00-0
1.
By Ht.
11. (max)
TOXICITY DATA LOSO. LCSO etc.
(See Section IX for Exposure limits)
LDSO(oral rat) 800mg/kg
LDsO(skln rabbit) 27Omg/kg
LCS0(1nha1ation rat) S90ppm
LDSO(oral rat) more than Sg/kg
LOSO(skin rabb1t) more than 109/kg
Triethanolamine Blend
'Diethano1am1ne (111-42-2)
Ethanolamine (141-43-5)
Trlethano1amlne(102-71-6)
31. (max)
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"
D-05238
MATERIAL SAFETY DATA SHEET
Page 2 of 7
SECTION III - PHYSlCAlDAtA/CHEMlCAL eHARACTERISTICS
Boiling Point: >100°C/212°F
(estimated)
Vacour Pressure (mm Hq.) Unknown
Vaoour Density(AIR · 1) Unknown
Specific Gravity (H20. 1) -1.1
1. Volatiles
601. (as Water)
Solubility in Water: Complete
Bulk Density (N/cu. ft): Not Applicable
Aooearance and Odour: Dark brown liquid with formaldehyde
odour
Evaporation Rate Unknown
(Butyl Acetate. 1)
QH -7.0 (Neutral)
Odour Threshold:
0.8 ppm (as formaldehyde), 2.6ppm (as ethanolamine)
0.27ppm (as diethanolamine)
SECTION IV - FIRE AND EXPLOSION HAZARD DATA
Flash Point: >93°C/200°F Flammable Limits:
Method Used: (estimated) l£l NA Uf1 NA
N.F.P.A. Rating: 1-1-0
Extinguishing Media
Product is an aqueous solution and is unlikely to burn until all
water has been evaporated. In case of fire, use water. dry chemical
C02 or "alcohol" foam.
Special Fire Fiqhting Procedures
Not Applicable
Unusual Fire and Exclosion Hazards
Not Applicable
SECTION V - REACTIVITY DATA
Stable under normal conditions (yes or no): YES
Conditions or Materials to avoid (which may react or cause instability):
Avoid contact with strong oxidizers.
Hazardous Decomcosition or Bycroducts:
Sulfur dioxide. carbon dioxide and carbon monoxide.
Hazardous Polymerization:
Wi 11 not occur.
Conditions to Avoid:
None Known
"
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0-05238
MATERIAL SAFETY DATA SHEET
I
Page 3 of 7
SECTION VI - HEALTH HAZARD DATA & TOXICOLOGICAL PROPERTIES
(Include all known acute and chronic effects, signs. and symptoms of exposure and
medical conditions generally aggravated by exposure)
Routes of Exposure:
Inhalation:
Vapors of Formaldehyde may irritate nose, throat, mouth and mucous
membranes causing coughing, breathing difficulties and in severe
exposures, pulmonary edema. A small portion of people may experience
an allergic respiratory reaction (wheezing and chest tightness) upon
repeated exposure. Laboratory tests indicate that overexposure to
Formaldehyde may produce reproductive or mutagenic effects.
Skin and Eye:
Eye contact with solution may cause irritation and slight reversible
corneal injury. Vapors may irritate eyes causing tearing. Prolonged
contact with skin may cause irritation. Repeated contact can result
in an allergic reaction such as a rash or hives.
Ingestion:
Swallowing may irritate mouth, throat, and stomach causing pain,
nausea and vomiting. Tumorigenic effects have been reported
in laboratory animal' tests with Triethanolamine. Liver and kidney
damage from chronic exposure to Triethanolamine has been demonstrated
in animals.
Carcinoaenicity According to NTP. IARC and OSHA:
The following information is applicable to the Formaldehyde content of
this product only.
NTP: Suspect animal carcinogen; IARC: Category 28 carcinogen; OSHA:
Potential Cancer Hazard
VII EMERGENCY AND FIRST AID PROCEDURES
In case of contact, immediately flush EYES and SKIN with plenty of
water. Call a physician if irritation persists. . W~sh clothing before
reuse.
If INHALED. remove to fresh air. If not breathing, give artificial
respiration. If breathing is difficult, give oxygen. Get medical
attention immediately.
If SWALLOWED, induce vomiting as directed by medical personnel.
~ever give anything by mouth to an unconscious person. Get medical
attention immediately.
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0-05238
MATERIAL SAFETY DATA SHEET
Page 4 of 7
SECTION VIII - PREVENTIVE & CONTROL MEASURES
Warning Statements:
WARNING! MAY CAUSE IRRITATION.
Contains: Triethanolamine Blend (CAS#'S 102-71-6, 111-42-2,
141-45-5), Formaldehyde (CAS#50-00-0). Lignosu1fonate and Water.
May be irritating to eyes. skin and respiratory system.
Repeated skin contact or inhalation may cause sensitization.
May be harmful if swallowed.
Possible Cancer Hazard based on the Formaldehyde content.
Based on laboratory animal studies, overexposure to Triethanola-
mine by ingestion may cause tumorigenic effects and liver and
kidney damage.
Warning: This product contains chemicals known to the State of
California to cause cancer or birth defects or other
reproductive harm.
Precautionary Measures:
Avoid contact with eyes. skin and clothing.
Wash thoroughly after handling.
Avoid breathing vapors.
Use with adequate ventilation.
For professional use only. Keep out of children's reach.
Respiratory Protection:
A NIOSH approved respirator for Formaldehyde vapor is required when-
ever exposures exceed the limits specified in Section IX of this MSDS.
For additional information refer to US OSHA regulation 29 CFR 1910.
1048-Forma1dehyde (g)(2) Respirator Section or other applicable
regulations.
Ventilation:
Local Exhaust:
Mechanical:
Special:
Other:
Recommended when appropriate to control exposures.
YES
Not applicable
Not applicable
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0-05238
MATERIAL SAFETY DATA SHEET
Pa.ge 5 of 7
SECTION VIII - PREVENrTVE & CONTROL MEASURES CONTINUED
Skin Protection:
Impervious rubber gloves should be worn to guard'against prolonged or
repeated contact.
Eye Protection:
~ear goggles (or full-face respirator) to protect against vapors and
splashing.
Other Protective Clothing or Eau;cment:
~ear appropriate clothing to prevent skin contact.
~ork/Hvgenic Practices:
Use good hygiene practices and observe above precautions.
Special Note: This product contains a small quantity of ethoxylated com-
ound. Trace quantities of ethylene oxide may be present as a result.
Ethylene Oxide vapor may build up in the head space of storage containers or
tanks. The possibility of exposure to Ethylene Oxide vapor above the OSHA
action level (0.5ppm) must be addressed during non-routine tasks such as
cleaning of storage tanks. Consult the OSHA Ethylene Oxide Standard 29 CFR
1910.1041 tor appropriate procedures.
.'
0-05238
~ MATERIAL SAFETY DATA SHEET 4IÞ
~. Page' 6 of 7, . ,
SECTION IX - HAZARDOUS INGREDIENTS EXPOSURE LIMITS - U.S. Only
Exposure lÏm; ts
ACGIH
3ppm-TWA
(15mg/m3 }
:NGREDIENT:
DIETHANOLAMINE
CA$# 111-42-2
, OSHA
)ppm-T'.IA
(15mg/m3 }
OTHER
None Estaol; s."ec
E:~ANOL.AMINE
CAS# 141-43-5
3,Oppm-TWA 3.0ppm-T'.IA
'~one Establ i shea
r.')RMALDEHYCE
CAS# 00050-00-0
O.Sppm(action level> l.0ppm-TWA
l,Oppm-TWA 2.0ppm-STEL
2.0ppm-STEL
NIO$H-lowest
feasible level
TRI ETHANOLAMINE
CA$# 00102-71-6
None Established None Establíshed
None Established
SECTION X - SPILL & DISPOSAL INFORMATION - U.S. Only
Prevent product from entering drinking water supplies or streams.
Observing precautions above, collect liquid or solidify liquid with
an inert.~noncombustible material and remove for disposal.
Based on the maximum possible Formaldehyde content, a 9,800 gallon
spill would contain 1000 lbs of Formaldehyde which equals a Reportable
Quantity (RQ). Report spills equal to or in excess of the RQ to the
National Response Center at 1-800-424-8802. In MA, a 98 gallon spill
must be reported to the DEQE. In NY, a 980 gallon spill must be
reported to the DEC. .
Reportable quantities vary by region. Consult applicable state and
local regulations.
According to the EPA (40 CFR 261.3) waste of this product is not
defined as hazardous. except as noted on the MSDS. Dispose of waste in
accordance with all applicable local. state and federal regulations.
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0-05238
MATERIAL SAFETY DATA SHEET
Page 7 of 7
SECTION XI - GOVERNMENT REPORTING INFORMATION - u. S. Only
SARA Title III Reoorting Information
Tier I & II Hazard Cateaories:
DELAYED-CHRONIC
IMMEDIA TE-ACUTE
-.........
Contains Extremelv Hazardous-SARA III Section 302 Ingredient: YES
Comments: Contains up to l~ Formaldehyde.
Contains Toxic Chemical Release-SARA III Section 313 Ingredient: YES
Comments: Contains up to l~ Formaldehyde and less than 2t Diethanolamine
Other Government Reporting Reauirements:
California Proposition 65 Information: WARNING: This product contains
chemicals known to the State of California to cause cancer, or birth
defects or other reproductive harm.
Formaldehyde is listed as a SPECIAL and an ENVIRONMENTAL hazard in
the state of Pennsylvania
Non-Hazardous Ingredient Disclosure:
Water and Lignosulfonate
(¡
"THE DATA INCLUDED HEREIN ARE PRESENTED ACCORDING TO W. R. GRACE & CO.-CONN1s
PRACTICES CURRENT AT THE TIME OF PREPARATION HEREOF, ARE MADE AVAILABLE SOLELY FOR
THE CONSIDERATION. INVESTIGATION AND VERIFICATION OF THE ORIGINAL RECIPIENTS HEREOF
AND DO NOT CONSTITUTE A REPRESENTATION OR WARRANTY FOR WHICH GRACE ASSUMES lEGAL
RESPONSIBILITY. IT IS THE RESPONSIBILITY OF A RECIPIENT OF THIS DATA TO REMAIN
CURRENTLY INFORMED ON CHEMICAL HAZARD INFORMATION, TO DESIGN AND UPDATE ITS OWN
PROGRAM AND TO COMPLY WITH ALL NATIONAL. FEDERAL, STATE AND LOCAL lAWS AND
REGULATIONS APPLICABLE TO SAFETY. OCCUPATIONAL HEALTH, RIGHT-TO-KNOW AND
ENVIRONMENTAL PROTECTION."
I
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.
CITY of BAKERSFIELD
"WE CARE"
FIRE ÓEPARTMENT
D, S, NEEDHAM
FIRE CHIEF
.- --"
April 25, 1991
2101H STREET
BAKERSFIELD, 93301
326-3911
Mr. Robert Jones
Assistant General Manager
Kern Rock Co.
4801 'Wible Rd.
Bakersfield, CA 93309
'--~..~-~_.
Dear Mr. Jones,
The enclosed "Acutely Hazardous Materials Registration Form"
must be completed by any business, handling above t.he minimum
reporting quant.ity of any material on the EPA list of Extremely
Hazardous Substances. (Fed. Register Vol. 52, No 77, P. 13397).
Your company as reported handling the following Acutely Hazardous
Materials:
300 GALLONS, 1-2% FORMALDEHYDE (WRDA 79)
The attached Facility Risk Index must also be completed.
Please return the completed Acutely Hazardous Materials
Regist.ration Form and the Facility Risk Index by May 27, 1991 to:
Bakersfield City Fire Department
Hazardous Materials Division
2130 G Street
Bakersfield, Ca. 93301
The Facili t.y Risk Index is, designed to dist.inguish t.hose
facilities that u~e acutely hazardous materials in chemical
processes from t.hose who are involved in limited processes or
storage. If you have any questions, please call Barbara Brenner at
326-3979.
Sincerely Yours, ,
Ö~ ~'1e,IV\Á(
Barbara Brenner
Hazardous Material Planning Technician
o__"____ ._ .__ _
e tit
Bakersfield Fire Dept.
ACUTELY HAZARDOUS MATERIALS REGISTRATION
AND
RISK MANAGEMENT AND PREVENTION PROGRAM
CHECK LIST
1. , A.H.M. REQUESTED
2. A.H.M. RECEIVED
3. R.M.P.P.REQUESTED
4,. R.M.P.P.REVIEWED
5:. R.M.P.P.APPROVED
6,. R.M.P.P.INSPECTION
S'}S-'11 {~ 5;)1Jil
(g~ <-\J (\ \
COMMENTS:
k MI'/ AoeL
BUSINESS NAME
11
5BÒ
I. DbIUMBER
e
.
March 6, 1990
TO: Nina Mayer, Accounts Receivable
FROM: Ralph E. Huey, Hazardous Materials Coordinator
SUBJECT: Kern Rock Company
Nina, account #409201 should have a mailing address ox P.O. Box
3329, Bakersxield, Ca. 93385 with a location address ox 4801
Wible Rd. Please make this change and I will mail the invoice to
them.
Thanks
c~ h'~~.
M~ -to
,PO. Box 33)..9
ß~ofC~
Q332S
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BAKERSFIELD CITY FIRE DEPARTMENT
2130 "G" STREET
BAKERSFIELD, CA 93301
(805) 326-3979
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OFFICIAL USE ONLY
In#
BUSINESS NAME
HAZARDOUS MATERIALS
BUSINESS PLAN AS A WHOLE
FORM 2A
000580
INSTRUCTIONS:
A. BUSINESS NAME:
KERN ROCK COMPANY
A~0f~ C60
as a whole. 1)' f -1)
~ ý-?J
~lO~
1. To avoid further action. return this form by
2. TYPE/PRINT ANSWERS IN 'ENGLISH.
3. Answep the questions below for the business
4. Be as bpief and concise as possible.
SECTION 1: BUSINESS IDENTIFICATION DATA
B. LOCATION / STREET ADDRESS:
4801 Wible Road
BUS. PHONE: (805) 397-1085
(805) 324-9714
CITY: Bakersfield, CA
ZIP: 93309
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 reqllired by
law.
E~PLOYEES TO NOTIFY IN CASE OF EMERGENCY:
~AME AND TITLE DURING BUS. HRS. AFTER BCS. HRS.
A. Al Marantos, Supt. of Plants PhI 805 324-9714 PhI 805-589-9052
B.
Dennis Ryman, Equipt~ Supt.
PhI 805-322-6913
PhI 805-831-1273
SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE
,
A. NAT. GAS/PROPANE: No gas service to ,this location
B. ELECTRICAL: East door 1st floor of batch plant office electrial control room
C. WATER: Just south of main gate 3 ft. inside fence
D. SPECIAL:
E. LOCK BOX: YES /~ IF YES, LOCATION:
IF YES, DOES IT CONTAIN SITE PLANS?
FLOOR PLANS?
YES / NO
YES / ~O
MSDSS? YES / NO
KEYS? YES / ~O
- 2A -
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\
\
SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE
In event an accident Robert E. Jones, Assistant General Manager would be in charge
directing company operations. In his absence Al Marantos would be responsible for
such operations.
SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE
Hospitals: Kern Medical Center
Ü B iO (9 0 Û1ercy Hospi tal
Bakersfield Memorial Hospital
Physicians:
Willard Chistiansen, M.D.
Stuart L. Par~ish, M.D.
327-9617
325-7452
Ambulance Service: HallAmbulance 832-0l23
Golden Empire Ambulance 327-9000
SECTION 6: EMPLOYEE TRAINING
E~PLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES E~PLOYEES WITH I~ITIAL A~D
REFRESHER TRAINING IN THE FOLLOWING AREAS.
CIRCLE YES OR NO IXITIAL REFRESHER
A. METHODS FOR SAFE HANDLING OF HAZARDOUS
~1ATERIALS:....................................... ~ ~O § ~O
B. PROCEDURES FOR COORDINATING ACTIVITIES '
WITH RESPONSE AGENCIES:........ .,................. ~ ® is@)
C. PROPER USE OF SAFETY EQUIPMENT:.................. ~ NO YES NO
D. EMERGENCY EVACUATION PROCEDURES:................. ~~ (ÑÕ\
E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:....... VE NO YE ~
In future items A through 0 will be covered at our regu arly schedu ed safety meetings.
SECTION 7: HAZARDOUS MATERIAL
CIRCLE YES OR NO
DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QU~~TITIES LESS THAN 500 POrNDS OF~
SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS:. .. ... YES ~
I. Robert E. Jones , 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 inaccurate information constitutes perjury.
SIGNATUR
TITLE Assist. Gen. Mgr. DATE 7-10-87
_ ->n _
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.
BAKERSFIELD CITY FIRE DEPARTME~T
2130 "a" STREET
BAKERSFIELD, CA 93301
OFFICIAL USE OXLY
ID#
------
BUSINESS ~A~E:
BUSINESS PLAN
SINGLE FACILITY UNIT
FORM 3A
INSTRUCTIONS
1. To avoid further action, this form must be returned hy:
2. TYPE/PRINT YOUR ANSWERS IN ENGLISH.
3. Answer the questions below for THE FACII,ITY UNIT LISTED BELOW
4. Be as BRIEF and CONCISE as possihle.
FACILITY UNIT#'
05
FACILITY UNIT N~~E:
Southwest Batch Plant
SECTION 1: ~ITIaATION, PREVENTION. ABATEME~~ PROCEDURES
The most practical mitigation measure at this plant would be secondary containment
for the diesel fuel, and the lube oil, transmission fluid, and hydraulic oil. This
will be an earth embankment around the 1000 gal. diesel tank and a concrete slab
with curbing in which to set the miscellaneous lubricants.
No smoking signs will be installed at the diesel fuel tank and the lubricant storage
station.
Mitigation for the 500 Gal. muriatic acid supply will be secondary containment
constructed of concrete.
SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES AT THIS UNIT O~LY
A. In the event of fire:
1) The fire department will be called immediately.
2) Al Marantos and Dennis Ryman will be notified of situation immediately.
B. In the event of a spill:
1) Al Marantos and/or Dennis Ryman will be notified of the situation immediately.
2) The County of Kern Environmental Health Dept. and the City of Bakersfield Fire
D~pt. will be notified.
There should be no need for evacuation of any residents in the area. The nearest residence
is approximately 1500 Ft. away to the north and south. Calcrete Co. is approximately
700 Ft. east of the diesel fuel tank to the west there is approximately 2000 ft. of
open space between the above ground diesel tank and the nearest activity, which is an
oil production operation.
- 3A -
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- ,
~
SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY
A. Does this Facility Unit contain Hazardous Materials?..... ~ ~O
If YES, see B.
If NO, continue with SECTION 4.
B. Are any of the hazardous materials a bona fide Trade Secret YES ~
If No, complete a separate hazardous materials inventory
form marked: NON-TRADE SECRETS ONLY (\'lhite 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 4A-2.
SECTION 4: PRIVATE FIRE PROTECTION
Regularly maintained fire extinguisher in driver room on first floor of office building
also in dispatch office on second floor.
SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS
, ,
North side of truck drive through at batch plant north center part of yard approximately
35' south of fence.
SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY.
A. XAT. GAS/PROPANE:
, No natural gas or propane used at this location
B. ELECTRICAL:
Electrical control room for this location is in first floor room of batching office
building. Door in from east side of building near foot of staircase.
I
C. \vATER:
In center of yard approximately 9 ft. in from east property line. Protected by 4
yellow 4" pipe posts set in ground
D. SPECIAL:
E. LOCK BOX: YES /8 IF YES, LOCATION:
IF YES, SITE PLANS?
FLOOR PLANS?
YES / NO,
YES / NO
MSDSs?
KEYS?
YES / NO
YES / NO
- 38 -
II .
tlHI\LII:d' 'Lid. ,
FOJHI 4A-1
NON-rrnAUB SECRErrS
II A Z A It DO U SMA ..1' E It I A L S' I N V E NT 0 It Y
'11 '; I "r~;:. "^ II E : KERN ROCK co.
'1I1I11.~;:':._ ____'3-ª-Ql Wible Rd.
I I .., 7. I I' ,: __~ª-~~:r::sfield, CA 93309
IItl'", ': 805-397-1085
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OHunn "^tIE I KERN ROCK CO.
^ IJ II It E 9 S I 529 Dolores Street
I: I TY. Z I r I Bakersfield, CA 93305
PIIUUB . I 805-324-9714
F ^ c II. IT V "tI n .: 05 ..
F'^C 11.1 TYtJU I T UMIE: SoutI:.w~_s~--' '>
Plant
---
USE CFIU!; Cllllr
^
. - ----. --- -- --
;> :) " fi 0
"^X ^ 11//11 ^ r. f: II In IInp.
II (P"~ L .M!!H!!LL JIll!J ~º!l ~. CUº~
1000 1000 GAL 02 19
---
55 110 GAL 06 26
---~--
55 55 GAL 06 *99
- -----.- --- -- -- -
500 1500 GAL 02 08
------ -- -
6000 12000 LBS. 12 ~99
-- - -
4000 ]000 GAL 02 ~99
---.._-- -
* POWER TF 1\NSMIS ION & LUBRIC
-,- --
~ ADDITIVE FOR A CELEFJ TINe; ~
---- REF DY MIXJ CONC RETE'
G:>F D
.~--
--- ---. - -
-----
- --
,
-- -
1
r. (I(: ^ T r (J U It. T II I 8
__f^CILITY UtllT
160 Ft. No. of Conc.
~iuck ramp and 100 Ft.
ß~~t of west Fe~ce
A Jacent on wes slde
to two 15,000 Gal. tanks
ln N.W.
Quadrant of Yard
"
South of main water STO
rage Tanks ln SE corner
of yard
In trailer vanaoprox.
100 F~. eas~ of ~-story
~8ö8h o!fi~e
- .Ga .h an~ mar~e~
calclUffi c orlde 1 5
east of batch plant
TION
TTING TIME
0 9 I "
, flY "^ 7. Mill II II I
HT. CJlEM!Ji~L O!U!HH.!Q!Ll!AtlE ~!W !~ (!!' , III.
100 DIESEL CMLQ
100 ENGINE OIL ORMS
100 HYDRAULIC OIL ORMS -e
31 MURIATIC ACID '- , CRMT
(HCL Ac d)
--
100
CALCIUM CHLORIDE (Flake) -'.;:xJ¡i~
-. ~.
--. --.
CRMT
37.4
CALCIUM CHLORIDE (Liquid)
CRMT
_c., _
!
;
-'-
~-
~'--'" ..--.....-"
---
---....
\" r. . Robert E. Jones
-... -.-----...
IIUlt;r.IIf:V (;(rnM=T: AL MARANTOS
TITI,'E' Assist. Gen. Manager SìOH^TURB,
T 1 11,£. SUPT. OF PLANTS
fJ ^ If;: 7/11/87'-
. hUS nnUR S : 805-324-97Ttf--· .
R nus ,IIRS: 805-831-1273
Pllont , nus nnURS: 805-322-6913
AfTER nus. IIRS,; 805-589-9052
~',I (I';fllf'\, f:(UTM;T: DENNIS RYMAN TITLS. EOUIP. OF PLANT
I' III . r I' ^ r.. "1/!1'" r: S 9 ^ C T , V , T Y : ~ady Mixed Concrete Production &' Marketing
- ""·1 -
---
R^KF:RSFIELD CITY FJRÈ DEPARTMENT
FORM 4A-l
NON-TRADE SECRETS
HAZARDOUS MATERIALS INVENTORY
,:'
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P age 1 c f ".l :rj, ,i
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BUSINE~S. NAME:
ADDRESS:
CITY, ZIP:
KERN ROCK COMPANY
480l Wible Road
Bakersfield, CA 93309
OWNER NAME:
ADDRESS:
CITY ZIP:
KERN ROCK COMPANY F A.C I L I TY UN I T #: 05
529 Dolores Street FACILITY UNIT NAME: Southwest Plant
Bakersfield, CA 93305
,
PHONE , : ., (805) 397-1085 PHONE t: (805) 324-9714 10FFICIAL USE CFIRS CODE
ONLY
1 2 3 4 5 6 7 8 9 10
¡YPF. MAX ANNUAL CONT USE LOCATION IN THIS \ BY HAZARD D.O.T
;ODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE
!~a [t·aM°' g~ES:88cfE:e ¡/ì<t(03
P 1000 1000 GAL. 02 19 eas~ of ~s~ ence 100 Diesel CMLQ
AdJacent on west s~de Q%O<ß
P 55 110 GAL. 06 26 to two 10áOOO gal. tank lOO Encrine oil ORMS
in NW crua rant of yard
.
p 55 'S<; "AT, 06 *99 " " 100 Hvdraulic Oil ¡ 'à-~ 4 ORMS
South of main water di~~d) ì ()7~" O-~
M 500 1500 r.AT. 02 08 storaqe......~a~~,.:¡in SE Muriatic Acid CRMT
,
* POW ~R TRA SMISS ON & UBRICATION
.
,
~AØ7 J
fAME: Robert E. Jones TIT L E: Assist. Gen. Mgr. S I G N A T U R E""7 XLA"" ./ C; ~ .#...-?/ DA T E : 7-10-87
:MERGENCY CONTACT: Al Marantos TITLE: Supt. of Plants ./ PH~# BUS HOURS: (805) 324-9714
-
,MERGENCY CONT^CT: Dennis Ryman
'RINCIP^L RUSINESS ACTIVITY:
TIT L E: Equipt. of Plant
Ready Mixed Concrete Production & Marketing
ÄFTER BUS HRS. (805) 831 1273
PHONE f BUS HOURS: (805) 322-6913
AFTER BUS HRS: (805) 589-9052
- 41\-1 -
"
: :,:';' CIT.~of BAKERSFIELD.
: : "\:. " ,..~. .... . .
far.. and ~gr;culturf
'--'
Standard Bus inns
~ HAZARDOUS'
MATERIALS
INVENTORY
BUSINESS NAME: f(fi-:R~ Rot:.k C(),
LOCATION: #t' WI '~ Rtf
CITY, ZIP: {('eJ.<:.f-1l!I¿ C-,?, '~ 'JJ."J)@~
PHONE ,: '. ,- JlIe-~
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OWNER NAHE:" (;; ç.ç.ÇJRJ II, Ii CI2.
ADDRESS: ~,,¿ )~L-~V:í9V /:)vp:Vue
CITY, ZIP: ,7)~t(;.R ~ ?1)¿t?1
PHONE W: ?.,-~ ...:..¡. -4'L1.._
1U!¥U I'D INSTRUCTIONS roil PROPU CODKS
NAME OF TI!ë1Š FA_ÇJL.!.T...!: -
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Units
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Prest
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locstlen ~re
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,-_oJ Fire Haurd L,_oJ Reactivity 1._..1 De1sytd 1._..1 Suddeo RI'uSI I._oJ I..tdlau
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L_.I Fire Hazard I._oJ Rtacthlty L_.J Del.yed I._oJ Suddrn Reluse '-_.A I~hte
Health of PrlSsure; H"ltlt
eo.po'\tr\t 12 fi'" C .A,S. lI\Jebtr
-------..----------------------------- ....-.........
Coapcn..,t n II,.. ~ C.A.S. "ueber
. ml______l____________L_"__________L__________t__J___L-J----L-L-L-
-------- --..- --------------------------- -.----
t~ï5ical Ind Hulth Hazard
(Ched .11 that løply)
C.A.S. IIueber
Coapcntnt.l !It.., C.A.S. lIueber
---- -------------------------------------- ------
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L_.I fire Hezard 1._.1 ReactIvity L_.J Oelaypð L_.J SuddM Release I._oJ 1~lat.
tiea 1 th of Pressure Health
COOOpo"tnt nil... , C.A.S. Xùebtr
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COOIpo"..,t n lllee' C.A.S. Hueber
,~f~GENCY CON r ~C r 5
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'éLE..._IIlVf'-_____~f(,f-¡fD:-~_tlÆ~lJ(;ðJ---_- ~:t?!.l:l---l
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C.rtification (Read and slgn after COlftp]etJng all sectJons
I c.rtilv undor p~alty of In that I ha.e oersonaTly e.!~ined Ind ,. fee\1i1r _It!! the fnfor!tðtlOl'l subtltted In this .nd t11.ttlched docuaentl, .nd tNt based en W' Inquiry of those Indlvidulls respoosible
lor obtaininq tt-.l;;/:or'IWtlon. I belle.e that tM lubllitted Inloreatlen Is trut, .ccurate, tn~tt~ Æ
~~a--~" -. '-·~tl--·T~~!~~~~--~79~-t~!?~E~JP·~--··--·--{"{"-. S·--·r-.--~--------------------------------------------- ft~~S·-~,~-~------------------·_-_·
n.~'" 0 ICI., t1 .0 o."er/ooerðtor ÓR-òwner ote;:! or s .u noruto rtpresen . Ive Iqn.wr, c:;;.ø'" ua.t Iqceo
.'
CIT.~ of BAKERSFIELD
"\ :. ,. \ ~·1· . ....
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Standard aus ;nr5S
~
HAZARDOUS'
MATERIALS
:I: NVENTORY
BUSINESS NAME:ftßt. t~~'
LOCATION:' . "
CITY, ZIP: ~~t,i ~ ." rro9
PHONE': 39'! -(Ot;:r '. --
): ¡:: ,: ',::' ~¡~7"¡:'f~'
OWNER NAME: '~'FÑÞ¡J lI,t{" cr;.
ADDRESS :;~~~_K1.~~{"f' f)veuve.
CITY. ZIP: ~_l---5.__~. ?t¡"]j 01
PHONE It:' - ' -l!J .
RVER to INSTRUCTIONS tOR PROP1!R COD~S
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NAME OF Tft1Š ~~JLlT~:
STANDARD IND. CLASS CODE
DUN AND BRADSTREET NUMBER
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Units
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See Instruct lOI1S
Ccepontnt 1\ III'" C...S. lIu.ber
_____ __ ___e______ ___ __.. ___........________________... -- ------.. - ............
..:
r-, r-' r-' r-, ,.-, ','
'-_-' fire Huerd L_-' React:ivltv L_.J Dthy.d L_.J SuU... hltlSl'I.-.II~laU ú.,
Hu Ith cf Pnuurl.' . :. H..lth :.~:
CoooQOl\l!'It U II..., C.A.S. lIu.btr
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Coeporl~t U II..., t.'.5. Ifu.btr
~_'j~!__ ____f~_º__L_r:_~______L~o_____~-~-=" I vJ/:J,t!?Jj£ólf:-_'l-J.U?d..__1,l_ ____~~_~tYg_ ~~l_ ¥t-ri-!.. 4l --- -- -j----~
ç~ls;cal ,nd He,lth I'mrd ' U.S. !Iv.ber 11MJ43 -S?.-4 ~'"t JI III'" U.S. IIv.ber Æ 1...l.- N1Y (1LJ2.A' __
( hd III that apply) . ", ' " :' ¡, - -P-~- -r--- - --\J- - ------
r-, '..-, r-' ..-, ,.-, Cca;K;Mtnt U II a.. , t...s. Ifu.ber
L_J Fir. HU'ðrCI L_J Reactivity L_J DeI,y~ L_J Sudl!en ReI.", L-.I..tðl,tt .'
Hu Ith . of Pres"'rt . HM 1 th
------- -------
toepantolt 13 lis..' C.A.S. lIu.ber
Hy!i:" end Hulth Hazard
(Chec~ all that aø.lv)
ÁæJ.7lJ /4/ð -'lÍJI-,,&L- ___ _ :TPC- JjE$G¿ _¿- __.
I!il M ¡¡!to çh;1IH Té _(&JJ,IJhJJ/ù___ ______
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L JÇ.I Fire If!urd L _.J hact I~Ity L - J O.l,y~ L _.J Sudden Reluse L~:' I~hu
. Kulth of FrtsSurl , . H'llth, " , _____________~_-------,u---------- -------
- Coal»'toIt 13 II'... C,1.5. lIu.!>er
, '
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, C.A.S. lIu.ber -MID COOIpor1tnt 11 !...., C.A.S. lIu.ber 3 J I~ ,tb ~ I /.. J
, , ____ __.Þff.~ t~~r¿,.IlLlfl~L(;t:.O.vsLiL<_~~gp) ______
r-, .._, r-' ..-, ..-, Coepo"....t12 1I,..'C.A.5.IIü.btr t:..1ì5 1310'''?:J-¡)- '.
L_-' Firr H!zard L_J Re!Ctl~ity L_J Oel~yrd L_J Sudð..-: Rrluse \._J I~htt
Hralth of Prusurl Hu1th
Cooopcr'ltnt 12 IIi..' t.A,$. lIu.W
Ç~ysical and Health Hazard
(Chec~ ,II that a.oly)
- .-...---...----------...--------.....------...-------...--- --_...- ----- ~.
.'
COOOpo"W'lt II lð1Of I C. A. S. Huober
~E;GE~cr CvNr~C'S
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Crrtilic,ation (Read and s'ign ancr cO"'pJetlng all .s~ctJon.sJ
r certify uni~r ø!"lelty of h. that T have crrsonaHy r.e~in~d and u feeflhr .It" the !n'ar,.,tIOl1 subaittsd hi thl. ,t>ð .n .ttlcheð docuunt.. Ind tÑlt b.ned on .-.¡ illqulry 0' thon Individuals responsible
lor obteinin9 t1 inlorlOðtlon. I belh.e that the sub_Hted Inlor.lrlon I. true, ICcurate, and Coep1ttl. ~ Æ
a: .æa-~1.u.1Rl . -. 1~-- -9-S;J-f!ílt{L-O~ ~gJ?.7·69p~lIl!It.. .-,--.. ---.-. ..,.. / ~~. --~----------------------------- /i~S.;~;:L~~f------ --------- - --..
,,'~~e ar 0 fie >a t n e ofo."rrlooerðtor 5ir-'ö.¡f;r operatô~ s 'ULf>Qrlleo represen<I<lvI ,~[üre c;;r . ~'<', 19re.
- -~---
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HAZARDOUS ~1A TERIALS INSPECTION
5150
78
jc£rflY 126 CIc:
uJ/~ L L ,R.P~
BUSINESS HAIŒ:
INSPEcrION DATE: j! -7 - 8 8
INSPECTOR: r>t.
RECEIVED
NOV 9 1988
A,*
Co¡l£N ~'<:'b'"
o No
o N°
D NO
D
LOCATION:
'Ieol
VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATIOR
PROPER SEGREGATIOII OP MATERIAL
CCMMENTS :
CCMMENTS: ;7.5 .0 5
NoT
o /vC>
D ¡.Io
A t/19/¿ñ'L?L£ .#T S/''/E:-
VERIFICATION OF BAZ MAT TRAIHIHG
VERIFICATION OF MSDS AVAILABLE
CCMMENTS: ¡/ó
LUߣ'
CoMi/l/#NE/IIr OllcE>
C> / l- o¡¿.. /"1 tÁ tel /J 'T/ C
o t-!ð
Fof(
A-c./o
PiES ú L
/
VERIFICATION OF ABATEMBHT SUPPLXBS . PROCEDURES
CCMMENTS: So 111 £ / A ¡J j::. S
D NO
D No
uti Lfiß LE..o
EMERGENCY PROCEDURES POSTED
CON'1'AZNERS PROPERLY ~..aR1:T1m
VERD'ICM'ICBI OP PACn.ITY DIAGRAM D Jl/ ð
~O/"1~ m,l9rCRI/7,t. s No T
SPECIAL lla9.QDS ASSOCIATED VI'l'B TRIS FACILITY: S#oc,UA{ oN DI/;a-¡erl fVI
¡¡/7S r/A-/ERI,¿}¿S NOT ON
oOM CTS
6-AL ON$
Cr¡t} I- ollfS
iHI S F/lC-/¿ rry
&~D()..Nj) IN 11 2£"1
/rL./O T/1¡V/C
11/15 Y£L..¿ow C,teYST/?-¿S
fi~~ ß~DUN~ THE
oAf rNC
pJu 1l1~ riG