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HomeMy WebLinkAboutES-BUSINESS PLAN 11/26/2003 · ...-~ -yl. ''../.1 p- , + J. £'1..,'+ 1:'l't ~. ........-. it- lit ~ -~-- ' f1 t't t~ - SITE' ID :t± fS23 e l~~Ii:."'" T~'~I\~'l' 'YJ 5kop~ ( £lttU r... CAse; ) Of AtA. ~ -l¡ M e..&Ak.. A~ £å'b' ¡ ..~ O"Lea. I , I Ouu'- ' :&owSUk.. "TÞaaclc.. ~ -A...t~ "ÜV·"............. 1.u1~"'" 1005 1.1lW....;..1S 5Þ-~ Bcdte~.'a qlJQ$ Per it Operil.te to Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF"PERMIT ON REVERSE ,SIDE " ~. . . - '..~ :'''i~, . .. . . .' , " ~. " ,- "·-.1· ..... this oermit Is Issued for the following: ~ Hazardous Materials Plan o Underground Storage of Hazardous Materials o Risk Management Program o Hazardous Waste On-Slte Treatment LOCATION: 605 WILLIAMS ST " ". ~ r Permit ID #:: 1015-000-001523 IRONSIDE TRUCK BODY MF Issued by: .' -' ~ " '." , , , , (.0' 1 . Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SERVICES' 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 'Voice (661) 326-3979 FAX (661) 326-0576 i Approved by: Issue Date 'June 30, 2003 .. . . , Expiration Date: . ¡ .~. "_.~, . "-. ,'~.<-,. ¡:t'.: ;. ,: ¡ ., : , Per it to Operate Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE LOCATION , 605 WILLIAMS' This permit is issued for the following: ':;tlt~ardous Materials Plan . """"e..[ground Storage of Hazardous Materials " .'., ,Qagement Program %.. Waste f' PERMIT ID# 015-o21~01523 IRONSIDE tRUCK BODY MFG Issued by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 FAx (805) 326-0576 Approved by: *~ ph Huey, ffice of ental Servi es Expiration Date: June 30, 2000 : !~f . r~ t'. ~. it- '" -K fi!. it- -~ ~;: 'c. ~ ~ ~ 1 ., · e.. e.~t.. . ßa:HtV ' , , ~ ~ -~ ,'~" --.... . Sk..~ ( £)(t.:t~c5' +~' tasf.-..' ) Of AlA. £~e.v9e.\;(c::f , -- ß ve.£l.(¿'" A v eo 0- w.'M.t O"Lc... 1)00\0'" ])OOy \Mo.~ o-Ç·Fc:.c.c- 0++ L,c¿... ,>~t)'~ +t~G ~'(dYA. h~.~~t~~ . e><t. '- T..Ifowsicl&.. ,., u de.. ßocL~ '''~ l'Iõ";r~~~~~~~c~ ""0 ~ . -,I ,.~ piOOœ DRAWn«; OF ~ IA'rotTr ~ FAeILI'lY USn¡; ~ P~DFD BEIai. ALL œ 'l'HE FOIU.wUl; INFOII4ATICN MUST BE ncIJ~ IN œDER FOR APPLICATICN ro BE -- P~5Ð1: TANK(S), PIPOO , DISPœSER(S), nctmOO I..EH.;'œS AND DlMENSICNS ' PR>PœED SAMPLIR; IOCATICNS ŒSIGNA'm> BY 'DUS SYMBOL · ~ · NEAREST STREET OR INl'ERSEX:TIœ k ANY WATER WELLS OR SURF1CE WA'l'ERS WI'DUN 100 I lW)IUS OF FN:ILI'lY V"""tamI ARIOi . ,. -@ ;.:¡ . e·~ ~~. V ' /' .,. , .. ~_ .. ,no ..... _ _ . _'. . .~ ..~_. ~ ~ D~~ =- -- '¡II)~&.J ".- ~~~ .,c,D@ D.J?~~." o~e or ~ '^'(.. . : ~~ ~ - -- V .J ~ (j> Q) - -1 ~ , ...... . ~ . _._n - "..---, '.." - '...-.:-\..'..--.'-.. ' "'._' ?Q --<-cl ~ \Co ~ \l W\.~\Gt~~ -.--' .--.- ç:e.... c..e. .. <:.... < ~ ,-"....., - I -\.' <:_,,~f,¡~ '5l., ......-... -- '- .. .-- jr,c.', 0. H .. H tot , -, -- --.-- -- f-t ... H - tot .. /¡"¡'tul.;u~~./' ... lot H .. of .. ¡ttc::~ i::>r.~ - ---r-' , . I H ! J { t , 51.... i~qé. , I ~¡Jk~J o -' o r ............ -- 4...'._ ~ ~ ~ ~ ., :7 ·z fi L o -- -"- o .. ~ .a. 1 ~ - '- 'SLII=.'~ 0 c:.~,..,¡'LN~ r,"NGI!. _.J '_ "- . L~, r c:.~~IN ltM¡-- ~ 11&.-'" I " . .~ . 0 ---- . -'I I ¡ tø.t\"- ~ D~~ ~ , I ~-... ... )I. 11._ 1,:,1. .... ø I o I sJ~L1k. .- -j. \. 2>lAc~ tr "'~.... ì I'- ¡ - - ~., :~""7""- --T~ .-:- ,.-- -'" ---. -.., _. --- - --~ -- ~- '-' -.-- - .. i i I r-·· ~ · · ~ '.H.' ~ ~ > d.- o. L to ±-í 16 .. !]} l J -~ <P~ I ')-'ð , ,.·,1 ..c, '~r~I,..,,\. , 0 .w.~....u" -' o -d- " C Icd~, ~ ~-~ .IOl n -';"-1' ~ : , . " I .:, , Cøco. _ :, , , . ~ I 7ð .~ --, . -: r~' I. Q. r'¿Q . ' W ILL I Ä... ~1 s F~P.C:: ~ l I <.. I <>- . c:. N°' I t;þ I ....I~;.C>') i~rz-c~lN·· II I I ( lec:a . CIllo )c. 4-("Þ~ 10) --'- ____ . _~ _.. __ . n",~_.,_,_,,,,,,,,-~,'--'h_~~"____"""'_-'"';""''''''_'-' ........,..-,.,..--,~...............~- 1~;cÞl, .0 , - \. lA. := Q ¡ ~ ~ " ::i , ~ . j'."..'. " ~ , ~ i;: G) ~ (" . @ N ··-i I : p\ ~ ¥1 ~ (ð ® Ð <It ~- ,. ,. ,,-----. ",--, '-'.' _~'<ii fMl.:IFORNI-A-- CI\ N ~ CD co ' 50~ - ~'.. i\) .~ U a -~ --- . -, - -- S.l/4 Cor. T.29$. R.2 ~ ~ ,. /, ~... 'Y." --=- . . CITY OF BAKJ4:RSFlEl,O FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd I~'loor, Bakersfield, CA 93301 FACILITY NAME -¡-~O rJS ¡'t)e. 'ìQ ve-l(" g()~r INSPECTION DATE 11 I ~ iJ I () 3 ADDRESS L,OS- L( hIlI À n, s .s ,- PHONE NO. 3:;J.2 ~ ~ g ~ I FACILITY CONTACT (Ý) I IN \-1\ LA ì BUSINESS ID NO. 15-210- 00 I Š-23 INSPECTION TIME 2ò ('nl',...) NUMBER OF EMPLOYEES '7 Section 1: Œt"Routine Business Plan and Inventory Program o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERA TION C V COMMENTS Appropriate pennit on hand ./ t>A\N'\ ~ïH Business plan contact infonnation accurate V Visible address V n~" A ,,^-- V -.;J Correct occupancy Veri fication of inventory materials V /:2 / J:) (] r. A. ~ ->.J::: J::! 5 '1 Verification of quantities V I ..../ A /7. or~, /,9(/ Verification of location V ltT'c hi I?? 00.,5 a..../4!.e ¿ .# r'ìJ 0 ¿)'7 Proper segregation of material ¡/ Verification of MSDS availability II' ~~~ - , Veri fication of Haz Mat training ¡J/If Verification of abatement supplies and procedures V Emergency procedures adequate V i,/:U" ) )vYY)ðO 9 Containers properly labeled ¡/ fiT e .' e'S.:1 ~ '9 ,¿ Housekeeping V Fire Protection V S s:.a.. V l 'c...~ 'JU{:;; T~ \ ç moNT 1'1 Site Diagram Adequate & On Hand V C=Compliance V=Violation Any hazardous waste on site?: Explain: DYes ~ While - Env, Svcs, Yellow - Station Copy Pink - Business Copy ~~. Business Site Responsible Party Inspector:R- ~t- ~0 Questions regarding this inspection? Please call us at (661) 326-3979 Z ,r'" ,J .' 1 ~ ~ ~ . IRONSIDE TRUCK BODY MFG & SLS . SiteID: 015-021-001523 Manager : Location: 605 WILLIAMS ST City BAKERSFIELD BusPhone: Map : 103 Grid: 28C (661) 322-7361 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 02 EPA Numb: SIC Code:3713 DunnBrad: Emergency Contact / Title Emergency Contact / Title ELWOOD CHAMPNESS / LANDLORD MINH LAI / OWNER Business Phone: (661) 327-0228x Business Phone: (661) 322-7361x 24-Hour Phone : ( ) - x 24-Hour Phone : (661) 8~3-6592xHM Pager Phone : ( ) - x Pager Phone : ( ) - x , , DelHlth Hazmat Hazards: Fire Press ImmHlth Contact : Phone: (661) 322-7361x ~aiIAddr: 605 WILLIAMS ST ~t-e: CA Çity : BAKERSFIELD p : 93305 Owner MINH LAI ~ Phone, (661) &3~ 063~ Address : 5-9W:- LUGEME AVE 31ðO E... S>E-N'::> 0 c.T State: CA g '1]'~'"" ~'Z- City : BAKERSFIELD Zip : 93313 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: One Unified List 9 All Materials at Site 9 SpecHaz EPA Hazards DailyMax MCP L 1. 00 GAL UnR F P IH G 281. 00 FT3 Low F P IH G 1200.00 FT3 Low F DH L 55.00 GAL Hi f=: Hazmat Inventory f=P Alphabetical Order Hazmat Common Name. . . CLEANING AND PRIMER THINNER OXYGEN STARGON IT-HINNER -1- 01/07/2003 -- e ø IRONSIDE TRUCK BODY MFG & SLS SiteID: 015-021-001523 Manager : Location: 605 WILLIAMS ST City BAKERSFIELD BusPhone: Map : 103 Grid: 28C (661) 322-7361 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 02 EPA Numb: SIC Code:3713 DunnBrad: Emergency Contact / Title Emergency Contact / Title ELWOOD CHAMPNESS / LANDLORD MINH LAI / OWNER Business Phone: (661) 327-0228x Business Phone: (661) 322-7361x 24-Hour Phone : ( ) - x 24-Hour phone : (661) 833-6592xHM Pager Phone : ( ) - x Pager Phone : ( ) - x .. HazmaLHaZ~qrgs,: Fire Press ImmHlth DelHlth ~. - , " - ~ Contact : Phone: (661) 322-7361x MailAddr: 605 WILLIAMS ST State: CA City : BAKERSFIELD Zip : 93305 Owner MINH LAI Phone: (661) iD4 OfS39:x: Address : S9Ql LTTCEUE ATÆ 31 ~ Q t:ss~", 60 h c.~ State: CA <'b 2>~-bS-O¡~ City : BAKERSFIELD Zip : 93313 Period : to TotalASTs: . = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: Hazmat Common Name... SpecHaz EPA Hazards One Unified List ì All Materials at Site ì DailyMax MCP L ~ ' 1. QQ GAL UnR G 281.00 FT3 Low G 1200.00 FT3 Low L 55.00 GAL Hi p= Hazmat Inventory f== Alphabetical Order GLEANING AND -PRIMER THINNER_- OXYGEN STARGON THINNER - ------ F P IH I, I\'\\';.,~ ~: 00 hereby certify l~ 'PI ~ ,. ype or print name) fJ8I reviewed the attached hazardous materials manage- ment plan for~",,~' .c\....ïrvè.~ ~~t-and that it along with (Name of BuIIriiii) r any corrections constitute a complete and correct man- agemen1l plan for my facility. DH ~i\A' ~_ II __ O~3 0.., '.... -1- 01/30/2003 ",..<:'_~ -1- ..' , ,~I -, ." ,~ e e CITY OF BAKERSFIELD FIRE DEPARtMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd )<'Ioor, Bakersfield, CA 93301 FACILITY NAME~fJ¡J~t~~ \\l.lJc.K ~ ADDRESS ~S- (.0 rt{ 'AI11 ç, S~ FACILITY CONTACT M ~ N K LA-X- INSPECTION TIME I á J1't IN INSPECTION DATE 10 / I t./ / ()"2- PHONE NO. fo fo I 3:;.. 7 - Ö 22-. is BUSINESS 10 NO. 15-210- () t) 1$2'3 NUMBER OF EMPLOYEES S- Section I: ~outine Business Plan and Inventory Program o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERA TION C V COMMENTS Appropriate pennit on hand !...... Business plan contact infonnation accurate V Visible address V Correct occupancy V Verification of inventory materials ¡/ Verification of quantities V Veri fication of location v Proper segregation of material ./ Verification of MSDS availability II' Verification of Haz Mat training ¡"Ilk Verification of abatement supplies and procedures V Emergency procedures adequate V Containers properly labeled V Housekeeping vi Fire Protection 1.1 Site Diagram Adequate & On Hand V C=Compliance V=Violation Any hazardous waste on site?: Explain: DYes ~o White - Env, Svcs, Yellow - Station Copy Pink - Business Copy c~ Business Site Responsible Party Inspeclor:-t- ~ "fulie4¿ :J-(Ý , Questions regarding this inspection? Please call us at (661) 326-3979 ~' ,~.;¡..-~.~ . ...... ~ " e e + IRONSIDE TRUCK BODY MFG & SLS ======================= SiteID: 015-021-001523 + Manager : Location: 605 WILLIAMS ST City BAKERSFIELD BusPhone: Map : 103 Grid: 28C (661) 322-7361 CommHaz : Low FacUnits: 1 AOV: ÇommCode: BAKERSFIELD STATION 02 SIC Code:3713 EPA Numb: DunnBrad: +==============================================================================+ +=======================================+======================================+ Emergency Contact / Title Emergency Contact / Title ELWOOD CHAMPNESS / LANDLORD MINH LAI / OWNER Business Phone: (661) 327-0228x Business Phone: (661) 322-7361x 24-Hour Phone : ( ) .' x 24-Hour Phone : (661) 833-6592xHM . Pager Phone : () x Pager Phone : ( ) 1 X +-~-------------------------------------+--------------------------------------+ I Hazmat Hazards: Fire Press ImmHlth DelHlth I +-~----------------------------------------------------------------------------+ Contact : Phone: (661) 322-7361x MailAddr: 605 WILLIAMS ST State: CA City : BAKERSFIELD Zip : 93305 +------------------------------------------------------------------------------+ Owner MINH LAI Phone: (661) 834-0638x Address: 5901 LUGENE AVE State: CA City : BAKERSFIELD Zip : 93313 +------------------------------------------------------------------------------+ Period to TotalASTs: = Gal Preparer: ' TotalUSTs: = Gal Certif'd: RSs: No +-~----------------------------------------------------------------------------+ Emergency Directives: +==============================================================================+ += Hazmat Inventory ========================================= One Unified List + +== Alphabetical Order ================================= All Materials at Site + +--------------------------------+-------+-----------+-----+----------+----+---+ I Hazmat Common Name... SpecHazlEPA Hazards Frm I DailyMax IUnitlMCpl +--------------------------------+-------+-----------+-----+----------+----+---+ CLEANING AND PRIMER THINNER L 1.00 GAL UnR OXYGEN F P IH G 281.00 FT3 Low STARGON F P IH G 1200.00 FT3 Low THINNER F DH L 55.00 GAL Hi - +=~========~~==================================================================+ -1- 03/27/2002 I ,4.- - c' .- IRONSIDE TRUCK BODY MFG & SLS SiteID: 015-021-001523 Manager : Location: 605 WILLIAMS ST City BAKERSFIELD BusPhone: Map : 103 Grid: 28C (661) 322-7361 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 02 EPA Numb: SIC Code:3713 DunnBrad: Emergency Contact / Title Emergency Contact / Title ELWOOD CHAMPNESS / LANDLORD MINH LAI / OWNER Business Phone: (661) 327-0228x Business Phone: (661) 322-7361x 24-Hour Phone : ( ) - x 24-Hour Phone : (661) 834- Q£J8x Pager Phone : ( ) - x Pager Phone : ( 1-/,) - x ; NI Q?7-(nS"G2 Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : Phone: (661) 322-7361x MailAddr: 605 WILLIAMS ST State: CA City : BAKERSFIELD Zip : 93305 Owner MINH LAI Phone: (661) 834-0638x Address : 5901 LUGENE AVE State: CA City : BAKERSFIELD Zip : 93313 Period : to' TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency, Directives: One Unified List ì All Materials at Site ì p= Hazmat Inventory p== As Designated Order Hazmat Common Name... SpecHaz EPA Hazards OXYGEN GON/CARBON DIOXIDE CLEANING AND PRIMER THINNER THINNER ~,,\^{t.- GoL\) C-....-:lS ~ "",~\ðuJ~ GA~ S(\~ .'V'- D. ~n..l~ \ F P F P IH IH G G L L DailyMax MCP 281. 00 FT3 Low 281.00 FT3 Low 1. 00 GAL UnR 55.00 GAL Hi F DH V4L'x: tv n- ~ '- 1"2-~ f:- T ~ -1- 07/19/2000 --'" - -- - . IRONSIDE TRUCK BODY MFG & S SiteID: 215-000-001523 Manager : Location: 605 WILLIAMS ST ~... City BAKERSFIELD //BY: MAR '3 2000 BusPhone: Map : 103 Grid: 28C (805) 322-7361 CommHaz : Low FacUnits: 1 AOV: ~, ,----- CommCode: BAKERSFIELD STATION 02 EPA Numb: SIC Code:3713 DunnBrad: Emergency Contact / Title Emergency Contact / Title ELWOOD CHAMPNESS / LANDLORD MING LAI / OWNER Business phone: (805) 327-0228x Business Phone: (805) 322-7361x 24-Hour Phone : ( ) - x 24-Hour Phone : (805) 834-0638x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: , Contact : MailAddr: 605 WILLIAMS ST City : BAKERSFIELD Fire Press ImmHlth DelHlth Owner Address City MINH LAI : 5901 LUGENE AVE : BAKERSFIELD Phone: ( ) State: CA Zip : 93305 Phone: (805) 834-0638x State: CA Zip : 93313 - x Period : Preparer: Certif'd: to TotalASTs: = TotalUSTs: = RSs: No Gal Gal Emergency Directives: I, (Typo or print name) Do hereby certify that I have reviewed the attached hazardous materials manage- ment plan for and that it along with (Name of BusinG88) any corrections constitute a complete and correct man- agement plan for my facitity. '~no{' 3- 3-Jù-{)Q DaI8 -1- 01/19/2000 e F IRONSIDE TRUCK BODY MFG & SLS f=. Hazmat Inventory p== Alphabetical Order e SiteID: 215-000-001523 1 By Facility Unit 1 Fixed Containers at Site 1 Hazmat Common Name... ARGON/CARBON DIOXIDE CLEANING AND PRIMER THINNER OXYGEN THINNER SpecHaz EPA Hazards DailyMax MCP F P IH G 281. 00 FT3 Low L 1. 00 GAL UnR F P IH G 281.00 FT3 Low F DH L 55.00 GAL Hi -2- 01/19/2000 e e í IRONSIDE TRUCK BODY MFG & SLS ëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001523 ¡ íë Inventory Item 0002 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers at Site i íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ o ARGON/CARBON DIOXIDE 0 Days On Site 0 o o 365 0 Grid: ûááááááááááááááááÇ o CAS# o o Location within this Facility Unit o IN THE LOCKER BEHIND OFFICE Map: o 0 7440-37-1 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Gas 0 Mixture 0 Above Ambient 0 Ambient 0 DRUM/BARREL-METALLIC 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCA nON ëëëëëëëëëëëëëëëëëëëëëëëëë¡ o Largest Container 0 Daily Maximum 0 Daily Average 0 ~ëëëë~Jëëëë~¡:ëë~ëëëëëÜëë~~~~~~ëë~J:ëë;ëëëëëëëëi~i~~ë~ë~~~ë;ëëëëëëëëëëëëëf íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ o %Wt. 0 0 RSo CAS# 0 o 0 Argon °No 0 74403710 o ' 0Carbon Dioxide °No 0 1243890 åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëf íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë ¡ 0TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 o No 0No 0 No 0 No/ Curies 0 F P IH 0 / / / 0 0 Low 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëf '. - e e íë Inventory Item 0003 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers at Site j íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ o CLEANING AND PRIMER THINNER 0 Days On Site 0 o o 365 0 Grid: ûááááááááááááááááÇ o CAS# 0 o Location within this Facility Unit o BACK OF SHOP Map: o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëf íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Liquid 0 Pure 0 Ambient 0 Ambient 0 DRUM/BARREL-METALLIC 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë.ëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡ o Largest Container 0 Daily Maximum .0 Daily Average 0 o 53.00 GAL 0 1.00 GAL 0 1.00 GAL 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ o %Wt. 0 0 RSo CAS# 0 o 40.000 0No 0 64742-4890 åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëf íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë ¡ 0TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 o No °No 0 No 0 No/ Curies 0 0 / / / 0 ,0 UnR 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëf -3- 01119/2000 e e í IRONSIDE TRUCK BODY MFG & SLS ëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001523 ¡ íë Inventory Item 0001 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers at Site j íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëëj o OXYGEN 0 Days On Site 0 o 0 365 0 o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o IN THE LOCKER BEHIND OFFICE 0 CAS# o o 0 7782-44-7 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj· íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Gas 0 Pure 0 Above Ambient 0 Ambient 0 PORT. PRESS. CYLINDER 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCA nON ëëëëëëëëëëëëëëëëëëëëëëëëëj o Largest Container 0 Daily Maximum 0 Daily Average 0 ;ëëë~Jëëëë~¡:ëë~ëëëëëÜëë~~~~~~ëë~r1ëë;ëëëëëëëëi~iê~ë~ë~~~ë;ëëëëëëëëëëëëëj íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëëj o %Wt. 0 0 RSo CAS# 0 o 100.0000xygen, Compressed °No 0 77824470 åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë j 0TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 o No °No 0 No 0 No/ Curies 0 F P IH 0 / / / 0 0 Low 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj -4- 01119/2000 e e í IRONSIDE TRUCK BODY MFG & SLS ëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001523 i íë Inventory Item 0004 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers at Site j íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ o THINNER 0 Days On Site 0 o 5 STAR THINNER 0 365 0 o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o W. 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J ~o , J cy o ~ ~tJl~ ::b1+ ~,ct.o 7t;(¡;ÜC( ~ .A..a.~ ' I~ åëëëëëëëëëëëëëëëëëëëëëëëëëëëë~êëëëëëëëëëëëëëëëëëëiëëëeëèëëeëëüëëëëëëëëëëëëëë ëf ~ íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Liquid 0 Mixture 0 Ambient 0 Ambient 0 DRUM/BARREL-METALLIC 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCA nON ëëëëëëëëëëëëëëëëëëëëëëëëëj o Largest Container 0 Daily Maximum 0 Daily Average 0 o 55.00 GAL 0 55.00 GAL 0 55.00 GAL 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ o %Wt. 0 0 RSo CAS# 0 o 30.000 Acetone °No 0 676410 o 15.000Toluene 0No 0 1088830 o 10.00 on-Propanol °No 0 712380 o ~O.OOon-Butyl Acetate °No 0 1238640 o 5.000Xylene, Mixed °No 0 13302070 o 5.000Methanol 0No 0 675610 åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëf íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë j 0TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 o No °No 0 No 0 No/ Curies 0 F DH 0 / / / 0 0 Hi 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëf -5- 01/19/2000 e e í IRONSIDE TRUCK BODY MFG & SLS ëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001523 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format i íë Notif./EvacuationlMedical ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Agency N otification ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 10/28/1994 j o 0 o CALL 911 o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Employee Notif./Evacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 10/28/1994 i o 0 o VERBAL NOTIFICATION o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Public Notif./Evacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 10/28/1994 j o 0 o DOES NOT APPLY o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Emergency Medical Plan ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 10/28/1994 i o 0 o MEDI CENTER ON 34TH STREET o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -6- 01119/2000 .. e e í IRONSIDE TRUCK BODY MFG & SLS ëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001523 i íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format j íë Mitigation/Prevent/ Abatemt ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site i íëë'Release Prevention ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 10/28/1994 j o 0 o PROPER VALVE & FITTINGS o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Release Containment ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 10/28/1994 i o 0 o DOES NOT APPLY o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Clean Up ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 10/28/1994 i o 0 o REPLACE BOTTLES o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Other Resource Activation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -7- 01119/2000 ,. e e í IRONSIDE TRUCK BODY MFG & SLS ëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001523 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format i íë Site Emergency Factors ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site i íëë Special Hazards ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë j o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Utility Shut-Offs ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 10/28/1994 j o 0 o 1\) GAS - N OUTSIDE OF BLDG, INSIDE OF GATE o B) ELECTRICAL - INSIDE SHOP o C) WATER - N SIDE OF BLDG o D) SPECIAL - NONE o D) LOCK BOX - NO o 0 o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Fire Protec./Avail. Water ëëëëëëëëëëëëëë"ëëëëëëëëëëëëëëëëëëëë 10/28/1994 i : PRN ATE FIRE PROTECTION - NO (DilT IIA 'IE ~~ EXTINGUlSHERj)~) 0 o 0 o o o NEAREST FIRE HYDRANT - IN FRONT OF BLDG o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Building Occupancy Level ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -8- 0111912000 '.--- 'ÍOl e e í IRONSIDE TRUCK BODY MFG & SLS ëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001523 ¡ íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast F annat i íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site ¡ íëëEmPlayeeìaining ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 10/28/1994 j o 0 o WE HAVE EMPLOYEES AT THIS FACILITY. 0 : WE DO HAVE MSDS SHEETS ON FILE. ý-e:5 I ¡ f/ 0 ð -fJ1'r c. -e... 0 o o o BRIEF SUMMARY OF TRAINING PROGRAM: 9NLY 1 EMPLUYEE, BESIDES THE OWNER. o 0 o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Held for Future U se ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë j o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Held for Future U se ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë i o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -9- 01/19/2000 'i' _if -- IRONSIúE TRUCK BODY MFG & SLS Manager : Location: 605 WILLIAMS ST City BAKERSFIELD CommCode: BAKERSFIELD STATION 02 EPA Numb: e SiteID: 215-000-001523 BusPhone: Map : 103 Grid: 28C (805) 322-7361 CommHaz : Low FacUnits: 1 AOV: SIC Code:3713 DunnBrad: Emergency Contact / Title Emergency Contact / Title ELWOOD CHAMPNESS / LANDLORD MIN6 LAI / OWNER Business Phone: (805) 327-0228x Business Phone: (805) 322-7361x 24-Hour Phone : ( ) - x 24-Hour Phone : (805) 834-0638x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth Emergency Directives: One Unified List ì All Materials at Site ì SpecHaz EPA Hazards DailyMax MCP F P IH G 281 FT3 Low F P IH G 281 FT3 Low p= Hazmat Inventory P== MCP+DailyMax Order Hazmat Common Name... OXYGEN ARGON/CARBON DIOXIDE ij, -Y./ JJG- LA I (i"v~ or pri!\! N~:n'!l} D© 1ìiJ®V'®~ ©~!FÍtÙ«y ~1ìiJ®ft ~ 1ìiJ~® RECEIVED DEC 1 7 1997 rsviswe¡o1 ~~s Sl~Cro~<01 Ûì)mªk'OOQJJ~ m~®ði~ij$ ffl&1úìa@®o ENVIRON. SERVICES m\9oî ¡glarl ~or IRß ¡.jS¡/)£ T~ ßI ~~ ~Û'iJ~~ ß~ Bl~ú1@ ~~fi1¡ (NMP 01 ~üS) ~ú"ðy «::Oi'rs©roOü1$ OOrü$qi~M~¡g¡ ® ©©mt\!J~®J~® ~rïiJ©1 oow®~ ffl®fI'i)o ~(êMeU'!~ p~~rïiJ 10/i' ~y ~©ß~!~. ~~. trl__ Cf- q7 I£t:$!) -1- 11/19/1997 ---¡---- .' -¡ e e F IRONSIDE TRUCK BODY MFG & SLS f= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME OXYGEN SiteID: 215-000-001523 ì Facility Unit: Fixed Containers at Site ì Days On Site 365 Location within this Facility Unit IN THE LOCKER BEHIND OFFICE Map: Grid: CAS # 7782-44-7 STATE - TYPE Gas Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 281. 00 FT3 Daily Average 281. 00 FT3 HAZARDOUS COMPONENTS %Wt. EHS CAS # 100.00 Oxygen, Compressed No 7782447 HAZARD ASSESSMENTS TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low f= Inventory Item 0002 ¡= COMMON NAME / CHEMI CAL NAME ARGON/CARBON DIOXIDE Facility Unit: Fixed Containers at Site ì Days On Site 365 Location within this Facility Unit IN THE LOCKER BEHIND OFFICE Map: Grid: CAS # 7440-37-1 - TYPE Mixture PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 281. 00 FT3 Daily Average 281. 00 FT3 HAZARDOUS COMPONENTS %Wt. EHS CAS # Argon No 7440371 Carbon Dioxide No 124389 HA TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low ZARD ASSESSMENTS -2- 11/19/1997 .' e e F IRONSIDE TRUCK BODY MFG & SLS I p=Notif./Evacuation/Medical r=:" Agency Notification L:ALL 911 SiteID: 215-000-001523 ì Fast Format ì Overall Site ì 10/28/19941 10/28/1994 Employee Notif./Evacuation VERBAL NOTIFICATION Public Notif./Evacuation 10/28/1994 DOES NOT APPLY Emergency Medical Plan 10/28/1994 MEDI CENTER ON 34TH STREET -3- 11/19/1997 .' " e e F IRONSIDE TRUCK BODY MFG & SLS I f=Mitigation/Prevent/Abatemt r=: Release Prevention I PROPER VALVE & FITTINGS r=::,' Release Containment CES NOT APPLY SiteID: 215-000-001523 ì Fast Format ì Overall Site ì 10/28/19941 ] 1 I 10/28/1994 Clean Up 10/28/1994 REPLACE BOTTLES Other Resource Activation -4- 11/19/1997 T e e F IRONSIDE TRUCK BODY MFG & SLS I p= Site Emergency Factors ~ Special Hazards Utility Shut-Offs SiteID: 215-000-001523 9 Fast Format ì Overall Site ì I 10/28/1994 A) GAS - N OUTSIDE OF BLDG, INSIDE OF GATE ~) ELECTRICAL - INSIDE SHOP C) WATER - N SIDE OF BLDG D) SPECIAL - NONE ID) LOCK BOX - NO Fire Protec./Avail. Water 10/28/1994 PRIVATE FIRE PROTECTION - NO (DON'T HAVE ANY FIRE EXTINGUISHERS/SPRINKLERS) NEAREST FIRE HYDRANT - IN FRONT OF BLDG Building Occupancy Level I -5- 11/19/1997 .;. . _. 4i- e e F IRONSIDE TRUCK BODY MFG & SLS I F . Training Employee Training SiteID: 215-000-001523 ~ Fast Format ~ Overall Site ~ 10/28/1994 WE HAVE 2 EMPLOYEES AT THIS FACILITY. WE DO HAVE MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ONLY 1 EMPLOYEE, BESIDES THE OWNER. Page 2 Held for Future Use =:J =:J :=J r= I I Held for Future Use -6- 11/19/1997 ,;'~ , - \ e e CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 HAZARDOUS MATERlALS UNVENTORY FACILITY DESCRIPTION CHECK IF BUSINESS IS A FARM [ ] BUSINESS NAME T/(oJJs/!J£ 7l-üciL 6ðdt¡ ~< MtuliAlldUYII'!j FACILITY NAME SITE ADDRESS (¡;(J~C; wil/¡dM( S'fy~f____f <: CITY 6a ke rs k/ rL STATE t'A ZIP 9'?::j1J ~ NATURE OF BUSINESS ,/..-I IVUlhcfur, h:J bodil5 /lJ ¿ trUf!XJ SIC CODE -if 37 /8 DUN & BRADSTREET NillvfBER OWNER/OPERATOR MIYIj (~ PHONE 3:<;1- 13¡¿, J MAILING ADDRESS 5"90 I Lu~ne. ~ CITY ßa,kel1 kr rL STATE f/) ZIP ~ gg /.3 EMERGENCY CONTACTS NAME /10 [J äI tíll (j ()v BUSINESS PHONE J ~ a- 1:J /p J NAME ,TtJNf jUiLYe¿ BUSINESS PHONE 3;< ~ -7 3 to I TITLE We) ~ 24 HOUR PHONE :3fJ.5 - J!Q'1 TITLE !!eY~ 24 HOUR PHONE ?33 -6J'l3 1 .RDOUS MATERIALS INVENT. Business Name Tj,1J/J {-Ide _ ~llcfL &"-,; /<4«K.ádress I#{JÞí UJ ;/J¡àMj (!J' () . CHEMICAL DESCRIPTION e tLII]) n r~ I eL ,I ) INVENTORY Sf ] Revision [ ] Deletion [ (3-di~t code Ô'om DHS Fonn 8022) USE CODE Liquid [¿Gas [ ] Pme [ ] Mixture [ ] Waste [ ] Radioactive [ UNITS OF MEASURE Lbs [ ] Gal [ ] ft3 [ Curies [ ] COMPONENT ß ~¡~~~~1t~17~/t1~ 3) I ð/é.A~A.J - lO)Lorll1l-t1- ~~/ . 1) INVENTORY STATIJS: New [ ] Äddition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON Trade Secret [ ] Trade Secret [ ] 2) Common Name: Chemical Name: (;letJútv~j ~ It..i~ 1k{~,N:Þ', 4) Physical & Health 7 / 4SICAL Hazard Categories Fire t \If Reactive ( ~s~ Release ofPressw-e [ 5) WASTE CLASSIFICATION 6) PHYSICAL STATE Solid [ 7) AMOUNT AND TIME AT F ACIL Maximum Daily Amount Average Daily Amount Annual Amount Largest Size Container # Days on Site Circle Which Months: 9)~: Li~ , the three most hazardous chemical components or any AHM components 2) Common Name: ....' .,.,.--Y ,/! -t . çf-~ Pageiof_ Check if chemical is a NON Trade Secret [ ] Trade Secret [ ] 3) DOT # (optional) AHM[ ] CAS# HEALTH ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ OJ STORAGE COD~"2. ~ _ a) Contamer: -:::J:/ . b) Pressure: (p 'lfs.lI.. 1+6- c) Temperature ~ ~, F, M, A. M, J, J, A. S, 0, N, D CAS# % wr l. (¡ 7?12-fg- ~ ~o-~ '~-o ~ I - --:J /'6.....~ AHM [ ] [ ] [ ] 3) DOT # (optional) 4) Physical & Health Hazard Categories AHM [ ] CAS # PHYSICAL HEALTH Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ Chemical Name: 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) 6) PHYSICAL STATE Liquid [ Gas [ ] Pme[ Solid [ 7) AMOUNT AND TIME AT F ACILTIY Maximum Daily Amount Average Daily Amount Annual Amount Largest Size Container # Days on Site UNITS OF MEASURE Lbs[ ]Gal[ ]ft3[ ] Curies [ ] Circle Which Months: 9)~: Li~ the three most hazardous 1 ) 'chemical components or 2) ¡any AHM components 3) COMPONENT lO)LOCATION USE CODE Mixture [ ] Waste [ ] Radioactive [ 8) STORAGE CODES a) Container: b) Pressw-e: c) Temperature All Year, J, F, M, A. M, J, J, A. S, 0, N, D CAS# %wr AHM [ ] [ ] [ ] I certify under penalty of law, that I have personally examined and am familiar with the infonnation on this and all attached documents. I believe the submitted infonnation is true, accurate and complete. PRINT Name & Title of Authorized Company Representative Signature Date <'!""'~ ;; "' .' tj: ., ~ BAKERSFIELD CITY FIRE DEPARTMENT HAZARDOUS MATERIALS DIVISION 1715 'CHESTERAV£~ B~ERSFIE 3301 \ 19~ HAZARDOUS M RECEIVED OçJ 0 5 1994 HAZ. MAr D . 1\1. AGEMENT PLAN INSTRUCTIONS: <6 ':~-O \ CJ\ \ 4, io avoid further action. reTurn this form within 30 days of receipt. (September 18, 1994) iYPE/PRINT ANSWERS IN ENGLISH. Answer the questions below for the business as a whole. f1/î() í f . öe brief and concise as pos.sibie. ~ ~ W' lJY ./ !O'S'd' -5 I SECTION 1: BUSINESS IDENTIFICATION DATA 0lL- BUSINESS NAME: 1:- ROIVSIDE-. 1"f{¿¡CK ß()O'l /ìl¡::--~. i 5¿S. ì. 2. 3. LOCATION: (;05 wJLI-IAfJ't5 sr. MAILING ADDRESS: S,4IJ1¿ AS ABovE:.. CiTY: ßA-K¿RSPI6LD STATE: ~ ZIP: Q3305' PHONE: 3a.a-73&1 DUN & BRAOSTR~E:T NUMBEK: f\b~ SIC CODE: 1073 PRIMARY ACTIVITY: fJ1/U1.iA.f{1c-rtAr~ ~ l't7déJir -tY't1t:k bt?(j¡'t(ç- L I OWNER: fJZ//lJH· LA I MAILING ADDRESS: c;c¡O/ LU{¡¡£II/~_ AV. SECTION 2: EMERGENCY NOTIF1CATION: CONTACT TITLE: BUS. PHONE 24 HR. PHONE 1. ¡I wood 2. f11/Hi/l ChéJi11./I1~<;ç L/Jv¡'//rwd ?J7,-ô:JrJ3 [2/' ÔU)//lfj/, 5/) ~ 7?f,/ ?~C¡ ---{J{.5,? 1 , 'JJakerstïeld Fire Dept. .azardous Materials Division _ HAZARDO US MATERIALS MANAGEMENT PLAN .. ~~. ,. Î , SECTION 3: TRAINING: NUMBER OF EMpLOYEES: ;J. ..:' MATERIAL SAFETY DATA SHEETS ON FILE: ~L "¡..8RIEF SUMMARY OF TRAINING PROGRAM: DnL1 C{ m pl 0Jt l', bCl~, '/, /^ P ¡ C/o" ~{ (rwn e,.( SECTION 4: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THAT'MY 8USINESS IS EXEMPT FROM THE REPORT[NG REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA ,HEALTH & I SAFETY ODE" FOR THE FOLLOWING REASONS: DO NOT HANDLE HAZA.RDOUS MATERIALS. ~ .~~ '!IE ~o H,~N~L~ HAZARDOUS MATERIALS, aUT THE QUANTITIES AT NO V~ IIMEtXC:::::u IHt MINIMUM RE?ORTING QUANTITIES.'- , OTHER (SPECiFY RE.'-\SON)- SECTION 5: CERTIFICATION: I. ()Z /nh Lp,/ CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. ! UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THÀT INACCURATE INFORMATlONCONST!TUTES PERJURY. ~~~. SIGNA TURE OÚJVl(lV' TITLE L1 ~ 1l¡ DATE 2. ,j.( "-" Bakersfield Fire DeDt. ~azaràous Materials Di~sion e , .. -.;' ;¡ ...~; HAZARDOUS. MATERIALS MANAGEME>¡r PLAN '7 ? , , Facility Unit Name:)' SECTION 6: NOTIFIC,\TION AND EV ACUATlON PROCEDURES: ? ,-'\. ,:\GENCY NOT!F!CAilON ?~CCEDURES: CcU,,t ~!, 3. =:-¡IPLCYE= NCTIFiC,;TICi'l A.NO E'./ACUATION: V 1 ' - I, I, ¡ ~ í' \ t ({)tLL. \~.~ ¡ì¡)t"') ,; ) ((l í ì ("y'Î C. ?UBUC ~VACUAT\CN: ? ÔJ{;~/ Vl 0 ¡- i:') -" "'\ J~ h I f.........;· ,4 "/', , '.- . "-... 11 O. =~¡\ERGENCY MEOlCAL PLAN: m C {( l' Û /t k r Jl( i /1 ct.J1Y ~£e (~ " ~, . ;:QI~ ! _ Bakersfield Fire Dept.e Hazardous Materials Division ~ >, ~.... .......... .. ~.-... "'. HAZARDO'US MATERIALS MANAGEMENT PLAN I . 'f., SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELE.4.SE PREVENTION STEPS: e&-p'\ IfJv¡¿" ; .... . ~~::, ~'~ (, -,,:,. ~ 8. RElEASE'C8NTAINMENT AND/OR MINIMIZATION: tJ/A r> '-' . CLE.~,N-UP PROCE'JURES: ('~ t",~ 1,·~';, ;;/ ~ !". . /þ t':i1\ ...1 /;...~;. ,..../.¿ ~ ",," 1--k.. I.,j, ..¥ v::... - J , .,{ SeCTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACtllTY): , NATURAL GAS/PROPA,NEN 1r5'l/ J?-?__p.?'d~e. .---- - 'lDu; {/( ?',,41" --;JÃr1 ,,' k ~ ~ Dt Ge~~ =LEC:RIC.~LJ4ì~ a ,J-- to:J1 o,P J I 'I W P.,TE:<.: N f)f-1"lìf )fi' A t ot ~u.~ J d 1'/Jl"t,- C . - û SP~(::!AL: LOC:< sox: iF YES, LOC.;TION: ) SECTION 9: PRIVATE FIRE PROTECTION/WATER A V AILABILlTY: '( B. PRIVATE FIRE PROTECTION: )\\ 0 WATER AVAILABILITY (FIRE HYDRANT): ~~i1- D("()Ü; Ii;,..,,; ~' A. ¡'.~ ,\ .-¡.. BAKERSFIa.C CITY FIRE DEPARIMENT HAZARlbus MATERIALS INVENTcIPv \ #'ff' ¡41(iG¡, ~ $LS. JÞ!<OIV5I¡?E 111U(k (l£Jf)t( Address C:o< f..U////iRl .Ii:: Pag'e_of~ -::;'-'-""1: -J \1 I 'jsines~ Name ,/ CHEMICAL DESCRIPTION '-, 1) INVENTORY STATUS: New [ ] Addition [ ] Revision ( J Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ) (Oil,(rv'd'Î , I 2) Common Name: 3) DOT # (optional) J J I I Chemical Name: AHM ( J CAS# 4) PHYSICAL & HEALTI1 PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ J Immediate Health (Acute) [ J Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATlON (3·digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ J uquid [ ) Gas [ ] Pure [ ] Mixture [ ] Waste [ ] Radioactive [ ] I CHEOCAil. THAT APPtr 7) AMOUNT AND TlME AT FACIUTY ~~I UNITS OF MEASURE 8) STORAGE CODeS Maximum Daily Amount: Ibs [ ] gaJ [ ] ft3 ["'t 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. O. N. D I I 9) MIXTURE: ust COMPONENT CAS # %wr AHM the three most hazardous 1 ) [ ] cherTlÌcaJ components or any AHM components 2) [ J 3) [ ] 10) Location C-- Lj/YLL ! DC JLtJ é -::geh: Iì A ~,. ,.., I/n ~ CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New[J Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ) TRADE SECRET [ ] 2) Common Name: 7J1liA ¿)o7d/JA / '- ~I\ K'\!ltlJJ; /l-..() ,O~ ()a 3) DOT # (optional) U /l;¡OIU{ ; ¡1/J;J U ChemicaJ Name: AHM [ J. CAS # , , - 4) PHYSICAL & HEALTI1 U PHYSICAL HEALTH HAZARD CATEGORIES Fire [ J Reactive [ J Sudden Release of Pressure I J Immediate Health (Acute) [ ] Delayed HeaJth (Chronic) [ ] I 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 6) PHifSICAL STATE Solid I] Uquid [J Gas I ] Pure ( ] Mixture [ ] Waste [ ] Radioactive [ ] CNEC1C AU.. THAT APPlY 7) AMOUNT AND TlME AT FACIUTY ~I UNITS OF MEASURE0 8) STORAGE CODES Maximum Dally Amount: Ibs [ ] gal [J ft3 a) Container: I Average Daily Amount: curies [ ] b) Pressure: , Annual Amount: c) Temperature: i Largest Size Container: ! I '" Days On Site Circle Which Months: All Year. J, F, M. A. M. J. J. A. S. 0, N. D , 9) MI¡<TURE: Ust COMPONENT CAS # %wr AHM the three most hazardous 1) ( J chemical components or any AHM component,s 2) [ I 3) [ ] i 10) Location , cerf1fy,unaer penalty 01 law, Cf7ar I have personally examln8C ana am lamlllal WIth rhe rnlomaaon suomltt8C on Cf7/S and all attached documents. I believe t:ne :;ubmítted information is tTue, accurate, and complete. Signature Date PRINT Name & Title of Authorized Company Representative "'ICIOII v lDC rr lflll Qlr¡N) 11=0''' !cIIiWftOW3Q 1SIIQ BAKEtõFIELO'C1TY FIRE O.ARTMENT "" ...- ',. ~ HAZARDOUS MATE DIVISION 1715 C TER AVE. BAKERSFIELD, CA. 93301 (805) 326-3979 HAZARDOUS MATERIALS INVENTORY FACILITY DESCRIPTION CHECK IF BUSINESS IS A FARM BUSINESS NAME :f F\{)/..1,<:./d~ FACILITY NAME tV ~A" SITE ADDRESS 00t:; ú/¡'tlÙlt11s )1'. [ ] v.uck ßðd~ f11f'J' [ )~/~ ¡ CITY ß/(f/// STATE (4- ZIP tf 5<ô<::' , NATURE OF BUSINESS fJ'lai1uI-81ïAf"<l -tY'ur.k hf'dS dl/1r! ¡ I i SIC CODE J 073 I \ I I OWNER/OPERATOR 171/J1.h I \ MAILING ADDRESS )'t¡O/ LUjd:n, 4-¡/ \ CITY ß((.PI¿ ! , I ÿ'tlfJl?/ Y' , DUN & BRADSTREET NUMBER L~j PHONE f3l/~OG3R STATE ('4- ZIP 153/3 EMERGENCY CONTACTS NAME [/wGnd (0í!í1I1f i1fl5( BUSINESS PHONE 3"7'- CJ:JJ-¡ TITLE Lflÿld Inv"d 24-HOUR PHONE ~,- . ;-~ I ,', , ï '.\ , 1<, NAM E fJ1 /1/1 £... ~ ; BUSINESS PHONE~:J,) - 73? r TITLE 0 L(,ß i1d://'I 24-HOUR PHONE ){?-;¿! /00'3 ý v s.Clemœr:JO. t ggz REGION V L.EPC STNlC.-AC F-