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HomeMy WebLinkAboutBUSINESS PLAN ., ¡,. - 1 - ~ 04/21/92 KEENAN SUPPLY 215-000-000249 Overall Site with 1 Fac. Unit General Information By Location: 720 WILLIAMS ST Community: BAKERSFIELD STATION 02 Map: 103 Grid: 28C Contact Name PHILLIP AMBURN DUNG- Title MANAGER S;AJ:¡E'ß S SA-LE Administrative Data 720 WILLIAMS ST BAKERSFIELD 215-002 BAKERSFIELD STATION 02 HA:::JOCA HO~OC~ CORPORATION POBOX 31 ARDMORE Business Phone (805) 327-1623 x (805) 327-1623 x Mail Addrs: City: Comm Code: D&B Number: 00-137-9429 State: CA Zip: 93305- SIC Code: Owner: Address: City: Phone: (805) 327-1623 State: PA Zip: 19003-0031 Summary ~Ð ~l\..\A' A-MßtJ.e.l Do rner~by cerltfy that I have (V~ 1M ¡<)I!ftt rII!II9) f®vi®w~d ~he ~~ched h~ªr(Ç9©us materials man~gec ment plan for J<'æt\\f\1\.\ S~f'e\'~ and that it along with (NM1ø 01 uoiM ) ~ny corr~ij©~~ <oon~mL!il® 1§1 comlºl\St~ ~rod oorrr®d man", ~~m®nt ¡giSln fow m~ 11®©3~. - Iv "f.\i/-.~ . ~~ gMtureJ :':'...~ lD -<D -c, ~ ~ 'i' " e e 04/21/92 KEENAN SUPPLY 215-000-000249 02 - Fixed Containers on Site Page 2 Hazmat Inventory Detail in Reference Number Order 02-001 DIESEL FUEL ~ Fire, Immed Hlth, Delay Hlth Liquid 75 Low GAL CAS #: 68476-34-6 Trade Secret: No Form: Liquid Type: Pure ' Days: 365 Use: FUEL Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 75 I 55.00 I 440.00 Storage r Press T Temp ~ Location DRUM/BARREL-METALLIC Ambient Ambient SW END OF YARD - conc·l 100.0% Diesel Fuel No.2 Components I~ MCP -¡List Low I 02-002 PROPANE ~ Fire, Immed Hlth, Delay Hlth Liquid 5400 High FT3 CAS #: 74-98-6 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL ---- Daily Max FT3 ~ Daily Average FT3 ~ Annual Amount FT3 -- 5,400 1,000.00 I 5,400.00 Storage r Press T Temp ~ Location FIXED PRESS. CYLINDER Above AmbientlSW END OF YARD - Conc l 100.0% Propane Components ~ MCP -¡List Extreme I 02-003 PROPANE GAS CYLINDER ~ Fire, Immed Hlth, Delay Hlth Liquid 288 High FT3 CAS #:74-98-6 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max FT3 ~ Daily Average FT3 ~ Annual Amount FT3 -- 288 I 288.00 I 5,400.00 Storage r Press T Temp ~ PORT. PRESS. CYLINDER Above Ambient ON FORKLIFT Location - Conc -, 100.0% Propane Components r; MCP -¡List Extreme I .. e e 04/21/92 KEENAN SUPPLY 215-000-000249 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in Reference Number Order 02-004 OXYGEN ~ Fire, Immed Hlth, Delay Hlth Gas 288 Low FT3 CAS #: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 --r- Daily Average FT3 --¡- Annual Amount FT3 - 288 I 288.00 I 288.00 . Storage r Press T Temp ~ Location PORT. PRESS. CYLINDER Above Ambient NW INSIDE BLDG - Conc l 100.0% Oxygen, Compressed Components I~ MCP -,-List Low I 02-005 ACETYLENE ~ Fire, Pressure, Immed Hlth Gas 288 High FT3 CAS #: 74-86-2 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3 --r- Daily Average FT3 --¡- Annual Amount FT3 - 288 I 288.00 I 288.00 Storage r Press T Temp ~ Location PORT. PRESS. CYLINDER Above Ambient NW INSIDE BLDG - Conc l 100.0% Acetylene Components 1-; MCP -,-List' High I e e 04/21/92 KEENAN SUPPLY 215-000-000249 00 - Overall Site Page 4 <D> Notif./Evacuation/Medical <1> Agency Notification BAKERSFIELD FIRE DEPARTMENT (EMERGENCY # POSTED). MANAGER PHIL AMBURN (POSTED). CORPORATE OFFICE (POSTED. <2> Employee Notif./Evacuation VERBAL NOTIFICATION AND EVACUATION THROUGH POSTED EXITS. <3> Public Notif./Evacuation DIRECT NOTIFICATION BY COMPANY EMPLOYEES. <4> Emergency Medical Plan FIRST AID STATION IN WAREHOUSE. MERCY HOSPITAL (POSTED). MERCY MEDI CENTER (POSTED). BAKERSFIELD OCCUPATIONAL MEDICAL GROUP (POSTED). HALL AMBULANCE (POSTED). e 'e 04/21/92 KEENAN SUPPLY 215-000-000249 00 - Overall Site Page 5 <E> Mitigation/Prevent/Abatemt <1> Release Prevention EMPLOYEE TRAINING PROGRAM. MATERIAL STORED AT GROUND OR NEAR GROUND LEVEL TO PREVENT DROP AND SPILLAGE. ALL MATERIAL SECURED TO PREVENT RELEASE. <2> Release Containment CONFINED AREA FOR CONTAINMENT AND MINIMIZATION. LOCATION FROM POTENTIAL HAZARDOUS AREAS. FLAMMABLE MATERIAL. <3> Clean Up REFER TO MSDS FOR CHEMICAL COMPOSITION AND REFER TO WARNINGS ON LABELS FOR CONTACT. UTILIZE APPROPRIATE METHODS FOR CONTAINMENT AND CONTACT AUTHORITIES AND OR PROFESSIONAL HELP FOR SAME. <4> Other Resource Activation · e e 04/21/92 KEENAN SUPPLY 215-000-000249 00 - Overall Site <F> Site Emergency Factors Page 6 ~ I <1> Special Hazards <2> Utility Shut-Offs NATURAL GAS - NE CORNER OF BLDG OUTSIDE PROPANE - SW CORNER OF YARD ON TANK ELECTRICAL - E INSIDE WALL OF WAREHOUSE NEAR STAIRS WATER - SOUTHEAST GATE ON WILLIAMS STREET SPECIAL - NONE LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS AS REQUIRED BY LAW AND SERVICED BY AAA ALARM. NEAREST FIRE HYDRANT - INTERSECTION OF TRUXTUN AND WILLIAMS STREET. <4> Building Occupancy Level '.. ç¡ 'f¡ t~ e e 04/21/92 KEENAN SUPPLY 215-000-000249 00 - Overall Site Page 7 <G> Training <1> Page 1 WE HAVE 12 EMPLOYEES, ONLY 3 FOR DISPENSING PROPANE AND DIESEL. WE HAVE MSDS SHEETS ON FILE AT THIS FACILITY. BRIEF SUMMARY OF TRAINING PROGRAM: FORMAL CORPORATE HAZARD COMMUNICATION PROGRAM ON FILE, COMPLIES WITH FEDERAL AND STATE REQUIREMENTS. LIST OF ALL HAZARDOUS SUBSTANCES, TRAINING, EDUCATION DOCUMENTS, ETC. REGULAR ONCE PER MONTH SAFETY MEETINGS AND TRAINING ACCIDENT AND ILLNESS PREVENTION PROGRAM. TRAINING ON LP GAS CERTIFIED THROUGH PETROLANE, INSPECTION, FILLING, HANDLING AND OPERATION. TRAINING ON DISPENSING DIESEL FUEL TO FORKLIFT - HAND PUMP FROM 55 GAL DRUM. DRY CHEMICAL AND WATER FIRE EXTINGUISHERS. EMERGENCY EVACUATION AND ASSISTANCE POSTED. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use ......' -'-. ... .. - ~NAN SUPPLY 21 ~i--000-'0002_ e.,.~all Site with, 1,Fac. U'n_ Page 1 11/02/'::12 '/Þ de. General Information -[-==:: ~o -~LL;:-~T -====~~ H~:~' ~::e:ate {I C~~mm I.~I i t.y: BA!~,=~~~":' EL D.. S ~ A T ~_~~~_~~~~_____,__ ,___ G.,.", i d_,~_:~~____~~~_~_~______~_~~~_~_~__~~~~ ~ C01"ltact Name ---]--- Title --~-- Busi1"less Phc'¡~le ---1 i=:L.·--Hou.,.~ Ph01"lel PHILLIP AMBURN MANAGER (805) 327-1623 x I (805) 397-7912 I R I ~~~~~~~,_ Y ~~NG ___,_____ ~AL=- S _______________________ _~_~~~~::____~::~_~~_~~_:~___~~____1 ( ~_~~~) ___~~~6 '~~_1 751 ,------- Ad m i 1"1 i s t .,.~ a t i ve D a t a ------------------,-----..-,----------------- Mail Addrs: 720 WILLIAMS ST D&B Number: 00-137-9429 City: BAKERSFIELD State: CA Zip: 93305- Comm Code: 215-002 BAKERSFIELD STATION 02 SIC Code: 5074 -.---------.--.--.......-..---- ------.--..-..-....--...--------.-.---..--.----....-..-----..------ Owner: HAJOCA CORPORATION Address: POBOX 31 Ci'l:;y: ARDMORE Phone: (805) 327-1623 State: PA Zip: 19003--0031 ------..------....-.-----.-- -----..------.-........-...---..---- Summal'~y ----------l I _ _______________________________,_______..______________..______________________._.___________J --- -.----..-..-....- -........--.. ..---....-.-.-..---.-..---..-....--.....--------- ~~~þ~Cv7v ð~ ~~~ ífrM11.bði~C [)~ ~.(~, ___ ' , ,$73.9?:J ¡/ðJ/cU" (~ PA~. J-,_ 9 (gO! ,S ~-07\. 1J,v.Æ. ozr· CJ L/ I ~ SeafA- éf/ ~ · . B~ersfield Fire Dept. Hazardous Materials Division / 2130 "G" Street Bakersfield, CA 93301 RECEIVED J U N 1 0 1991 Ans'd. ........... o~) '~G- 9 INSTRUCTIONS: HAZARDOUS MATERIALS MANAGEMENT PLAN &-.c¿û 103- 9-- - ~~ 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: J<EiðtJPtN SUPPLY DIV. ð1= HA:S"<x"f\ C{)RP. LOCATION: 7;).0 l^~h\...\-\~ffiß 5'T1R..6E."r MAILING ADDRESS: CITY: 13A-K6èSFl~D CS~{Y\E ) STATE: C1t ZIP:Q330S- PHONE: ~o.s) 3õ27-I(O~3 DUN & BRADSTREET NUMBER: r)n... J37-9'-1:29 SIC CODE: PRIMARY ACTIVITY: Wl-\-o\...e;sA1..& bl~IRIßlÅTOR ?l-U.{Y\~IN6 -SUPPLIES OWNER: ~A-50C.A- CúR~D((:.Alll()~ MAILING ADDRESS: Y.0. ß(þ~ :3 \ f\R~t<\oiGG J VA- ,qOOs -00:6 i / SECTION 2: EMERGENCY NOTIFICATION: I) (ÓR) CONTACT TITLE BUS. PHONE 24 HR. PHONE ~lU_\f' PrMIbl).\R.~ [M6R) ("6öS)3é}-7-)/o'Z'3 @D5)laIoLl-:73'iS .' K \t.\-\AR.t:> l<Ñl('k.~ i3oc..kE:<Ç ~tS&, Mb~. <3\'1S' 3{p1o-é)D/c)::).. ~ 1'3) 3iP 3- 777d- o KV\.'SSet..L ST~P~ (SfTL£S) ~D5) 3ë).-¡-) loZ3 ('BOS) '53 i -1$51oC6 ;;2) 1 . FD1590 e Bakersfield Fire Dept. . e Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN ,"--"'~, SECTION 3: TRAINING: NUMBER OF EMPLOYEES: I Z , (3 Çc9R t) \SÇ/eN5 i ~ ?<2D ?AN~ ~ \) I ESEL) --- ,------ -- ---- .~ -.-~--------.----~----.--.--. ~---- _..___ . _n_..____ _.,_~___ _ ~ _ , ,. ye.s MATERIAL SAFETY DATA SHEETS ON FILE: BRIEF SUMMARY OF TRAINING PROGRAM: ~RM~LéDRPO~z::.A.:n;. H-A"Z~ Co(Y1(Y) L.t.N\c..ATi ON ~û~ ÐN \=' \ L-€'. C OfY\Y't.-.l E%~ l..ð ,-n4 Fe-o-b1RA-c. A-i'J D 5TA-"r6 'RE&..0! RE't'Y\ E=NT$ . ~\tS'- ÐY A-LL\-\;-A-z.~t::>(:;x..u::. =:;ußS"ïf>rNc:.es --r'RA-, N \~&, 6Duc..1+TION ./ ) ) D~~lÁ~e-'~)"TSj €c..T. (f\-ì:\Ac..\"-\E-D ')" K8ê«AL~ LÐNct/mDt'J"lt-\) SAf'e1y \Y\eG-T\ ~&-~ ~D '"""TQ..f:\ L N \ i'-J& - Ac..C l De;?N "\ È. '-J-L1-Nt=SS ?(2..8-.J~'\tO~ ?~ObR.Pnv\.. IRf'\-\N'N·C--·oQ~ LP ~ C~'\lr\e-D ~---Q ~r\ V\:i:\ ,20 L.o~6 J t"t--l~ \> 2e;"("L <[) 0..) -ç::, \..-L.- \ N.6-) rtA-N C:>).,\ N& J A-N D ð ¡>61GA-no~ TR~\ NGs- 0 N þ{S~ ¡ "'-J6- D\E-£SL \==u.EL- -¡--e> ~R L<-Ll 'F-r _ rt-f'rN D ~!V\ç' ?RD~" 55 bAL.. b~fY). 't)(zy ct-te>'Y\\cP\L- ?- W.~Te-vc. t=,¡R.!:: E')LìI\oJbvUS~ SECTION 4: EXEMPTION REQUEST: E M-eíè.Gs-61Vc.y E-VA-C!...u~T\ ù ~ 2: PrSS I S~G€ . \=>C>5T'E:'ù. < I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALlFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TlMEEXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: I, ¡--J u.Ç'í?L. b\V. of HA:SOCA êÐR~ CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURAT . I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALlFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. ~Q~~ SIGNATUR M~0l TITLE K ~-4--91 DATE 2. FD1590 _, __. -:-. --7" e Bakersfield Fire Dept. e Hazardous Materials Division , HAZARDOUS MATERIALS MANAGEMENT PLAN facility Unit Name:JEeN~ SlAPP'-'1 DIU. of ~:S<X.i'l (bíÇp. " SECTIO-N 6:-NOTIFICATION AND EVACUATION PROCEDURES:- _ _.-'_::'-' '0- -. :'::':~=::"~~-'--:.'-"'_-.~ ~"'~--""':!" A. AGENCY NOTIFICATION PROCEDURES: ,- ~lcLE:1G6riE-t....-D ~\\2.6 D~\f'<"'e:-ÑT. ('Eme1Sè~BNc.y -:I±: PÐ5f"ED) fVì~ACoB1R: : ?t+~'- ~®u~ ( PD5n5~ CORÇ/D~T6- <0n=\~E ~ ,( \?c!:'5~) B. EMPLOYEE NOTIFICATION AND EVACUATION: Vt?<ZßAc. NOT\ PlC~-¡(€)~ . £ v Ae.-u. <PI 11 0 Ñb -n-oc-ò'2£> LAC:" r\ PÐ Sle-D 6')(."S. C. PUBLIC EVACUATION: b i Q.BC..>T fV0TIF \Ú~T10,...:) By C(9ýY\(>A-N j ~ PLoye65 D. EMERGENCY MEDICAL PLAN: I-J 'f=(R'5-r A\t:> ~TAT'DI0 IN WA{2Öt-+-e-u.~b . z) . fV\ S;-z ~ \-\-o<;? \ T ~'- (<20 5-reP ') 3), (V\Bì\è-.c., N\"6-1>; C ~)ì-E-R- (P0 S'tt> ) 4). 6A ¡¿6fÇS"F'¡ e-t..-D OCúAPAT(С04L( '?s'>SI6\~) (Ylt1.'::> \ c..A--L 6~ ~ 5) H~ ~0LA.L-A~C£ (PD~Te'Þ) 3. FDlfiJO · Bakersfield Fire Dept. e Hazardous Materials Division .-:-... -"'~. ~-~ , HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: '--·'--~"'---·---A.-·-'--RäEÃS{PREVËNTïoN STËP-S:---~-c~Pu>ë:tbG- ---rR~IN I I'-f6ÞR.obiGA-M . fYlfr."JE12I1'TL. $'"îo(2C--D A-r G::.~Ot:J..,~D ÐR ~&A-fc? ~~JJD LGu~ 40 ¡:::>(.2eV~1 D(20P ~&Y'\I...I--.p,-Gs-G. A-LL~~\~ se~ß&D IP PR6ùGrJr R~. B. RELEASE CONTAINMENT AND/OR MINIMIZATION: ' " CÐN-ç:.I~e-b ~ FoIG C.DÑTA-\~(Y\~-¡- ~ (Y)\t0\('YÎ\Z-A"ï¡ON . LOCATIt)~ ç::.RÐN' Yb,GuV-n P>r-L- t-+AZ--.~þ£9-US ^J>..-^ c:: --- rn~.J C.I. rL-fT-rYl A 13 LE /Y) A-TL ~ C. CLEAN-UP PROCEDURES: FE~ -ro(>\t\5:t:?S. Ft9R. C-¡-+·E:;Wt\GA-L eÐYY\Pos¡ -rl DN A i0~ 1< ~ '""iê:> \Á)f~·Q ¡0 I N bS oN 1- A-6 Efi'L.S "FD(.Ç Cé)NTMC--T... tÁ (, l- (ZG" A-ppeDP« I ~ Mf?lH-ð.DS 'Ç-OR CONT~~\)....H"î~T ~ D C-Df\J'"7'A-C....1 A--Ti..hr>R \T\G:5 PrÑ\:>oR 'PfGO~e-.sSI ON~ H6LP F"DR 5A-w\6. SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: ?RðPA1.JtS." SJ.D. CÐR.NeiZ ÐF ý~ ON ~t(. tJA-T.~Ac;: N..6. CeRN~ DÇ- ß~. Du.' ~1e:.6 ELECTRICAL: EA6T'- INbICye; WA1.-L OF W-AO~f-\-t9.t.t5.t. )'-SSRRo ~TA-lR.S· WATER: Sl)u~e:;:'~..¡,'Í ~A:.¡-e. ()~ LO-'LL.IA-rvìS ~;T\2:6-G1.. -- ~ SPECIAL: LOCK BOX: YES/69) IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: B. PRIVATE FIRE PROTECTION: t)Cl!¡...\(;.lÁ\£t-lE-R,S f\S ~\~ ßy LA W, SG1<.U 1c.E-\t> 13'1- ,A P¡ F\ A-c.-A-II'2.6\A-- WATER AVAILABILITY (FIRE HYDRANT): :r:N~'5GC;ncO~ D F 'ú.?<.Á;)l:TON ~ VÙ\ L..L1 ~ ~ £~. A. 4. FD1590 , ;.--- \Ù -D It Cl ~ ¿) ":\oJ. 2 !3 ¡.,)~ ~~ ~~ ({o:. D- o e H.MMP e PLAN MAP SITE DIAGRAM ø FACILITY DIAGRAM c=J Business Name: kEî,-o-.,);TÑ Su..PPUj blV- at=" µ-Pf.$ðc.A GDR? Business Address: 7 é)..o CÙ l u....,l f\-ýY\~ .:;~ .- . --.. .P.___· - - ~._.___, ~___ ,.._---~- -- - - --- ..--. -. ----".. ". . First In Station: . . For Office Use Only -. -- ------ Area Map # I of I NORTH 0- Inspection Station: 6PrST ~)CI\Át-.,j C E-O\S<D~ )-\l\..Ò~) ~ ~ t\ :s \U ~ I)! \1: '\ ~- l & ~~ ~~ ? <:> . \~t ¢. ç;!. ~ \- '?, ~~û ~~ <i IS) V. ~ ¡ \1,} '* r- \C'.o ~ C, ~ & ~ ~ :J Q. ) \SJ (). ç-- ~ ,.. 0.\ \XI Q¡ I.> ;5 cJ ~ ~,\ cc '\ \\ ð \~~\ 0 ~ ~ ~ g ~ p\.S" i~ ..J)~ d~ " \f\ tD D ~ ~ ill ~ ~ ~~c".. \~'\ Í-~ \1\ ') ~. -" I 4 \\~~, ~D ~ Ù ~ ~ '3 -------.---------. \- \-- i "':,'\ -::s ~ ~t 't ~ ~ ~~~~ ~~ µ.y þ~T ¡¿ --- It µ. c \- ~ IJ\ ~ ~ ~ L~ .J'> \9 ~ \1J £ \fì i ....- ~ j -' ~ 3 ~ ~~~ ~3~ã ~ - - ~ .<&~ \-"';!"- 2~0'¡ :sE In ()~ v ~ \L \L Ð t , CITY of i:3AKEH~l-l ELU j, . . I . )Í0 HAZARDOUS MATERIALSINVEN-tORY farll and Agtlcu¡ture 0 Standard Business I' I f'" . I L NON-TRADE SECR ETS , Page -----1.- 0.c::7"> BUSINESS NAME:: 1<'~A1\!~U~~b/lJIG ON OWNER NAME: HA::soc.A CðRPoRA-TIÐ~ NAME OF ~HIS FACILITYÒ' /(ééif\J, AN SUPP,--Y -- -- LOCATION. ¡ = ~ . ADDRESS· {'.oÞ I STANDARD IND. CLASS C DE'---- .---r---.-- ~~~~~ W: 4 ;f-:i~~~"" ~Ib~~ ¡!p: ~~¡/rF.~--JPA ¿--:'~-ÞO'" DUN AND 8RADSTR~ET NUM8~R--~-í37"9iZ;;iS'--- - -c:---- - ¡-- , R~FER TO-j.~ ðtID~~ fuR PRDPER CODES ¡ -..,... - - - - - - - . I 2 :' 3 6 8 9 10 11 12: 13 II Trans TYABMax Mea$ure Cant Cant Cant Use - location Where!; 'by NHles of IIixture{CCflDonents Code Code 'Ant UnIts . Type Press Temp Code Stored In facility! wt See Instruc Ions tJ f> 75 liD GsAL Dto Lf / :5W 6tJ\> (!.~ ~~ /Oó Di G<GG¿. , Physical ond Hearth "¡alard C.A,S. Hu~ber Component II Na~e &,C,A,S. Number ~ (Check all that japp YI f ¡: I ' Component 12 Nue I C.A,S, NUlllber i XFire Hazard,!' 0 Reactivity 0 Delayed 0 Sudden Release 0 falmediate II,; Health of Pressure Health Component 13 Name I C.A.S. Number - ,/ .s w t:i'Nt:> oFI YA-Rp ¡{)t) PRo PPr-NG &i+s C.A.S. Number Component II Name I C.A.S. Humber o Reactivity o Delayed ,'~.rsudden Release Health of Pressure O Component 12 Na~e I C.A.S. Number Immediate " Health i Component 13 NUle I C.A.S. Humber ! i t)/If Fb¡e¡¿t...I1=;r / '00 PRÞ PrtfV6 &;4- S é L.' Component 11 o Delayed ~Sudden Release Health of Pressure 0, Component.2 Halle I C.A.S. Humber Immediate Health . Component 13 Nalle I C,A.S. HUllber , , 4;), -N.W ,:J:Ñ5IDtf" ïSl,.b~. ¡DO Component.1 Nalle I C.A.S. NUllber ~ ! o Delayed 'Rf Sudden Release Health ~ of Pressure " O ,Component 12 Name I C.A. S. Number ¡: IlImedlate í' Health "1,,1,,1,, Component 13 Na~e I C.A.S, NUllber 8':a i -gS6g I trllf'F1iõñè ., tn:;rlL.l.lf' Çf(YIØU~ Tttle M ~R ' ~y ;~~S #2Rall\f'LI~£.~ ~P5 ntle 'þAL6> Certifiçatioo fReed and $ign af1ßrC9mp7eting a77 sections) ¡: il I certify unðer pena/lx 0 ra~ th,t I have persona I~l examJneo Ood 011 familIar yith the informatIon $ubllitted in this end ~11 ~ , attaçhed dQCUlleRts\ aRq t at lIa ed OR IIY In uirr 0 hose Individuals responsible for obtaIning the Information. J believe :that the ,:' ~ submitted InfOr',"at on IS t , U I~e, I coiple e. (\1\ I ~J J ¡ - ,,\~ - . . I -- '~fl!~e enð of c ,I ... \In, r 110 r p r or s au or e reiîfëšëii~' ; STgñ re ,', ~ ( , ' fi PkW~-J-'1 " CITY of HAKEK~~ I ELU : , I . Jí. HAZARDOUS MATERIAL'S INVEN+ORY , Far., and Agticulture 0 Standard Business I', P~' ( .... \ L NON-TRADE SECRETS ¡' age ~_n 0 ~ ~um~ð~' NAME!: J<'EE'NA-tù ::¡'U~PL~ b I ú I SlOrJ. ~Mtl~M~ME: HA:S4 ~ðRPoRA-nÐo-l M~M~D~~D~~hB. F mWt¿ff~.AN Su PF:",'f--- ~h~~~ W: @~i~~~ ~.,- J}kM~ ¡)~~M~~t~~-:~~:;~ D~~DA:: iBRA~S~R,~E~ ~U~B!~=-~-:?37:9$'~-r~ T~Qe "":xAve:age:; An~ua'l Hea~ure . lys c~nt c~nt c~~t uU ,; locati~~ Where ¡: ,'6y HSIIes of ~ix~~re{çClloone'\ts Code'Allt Allt ¡ Est UnIts ' on ~Ite Type Press Temp Code Stored In F8C111ty:: wt See Instru: Ions P ,;)ß$Fí3 o'-i 4- ,+;;) N.fIlJ. ..:If\J-GíDEt BI-Db PhYsic~1 and He,I'th Halard C.A,S, Humber COllponent.1 Nalle I. C.A.S. Number II i' ! Çheck a II that '¡apply) , Ii !i ¡: ~ I ' Component.2 Halle I C.A.S, Number Æ Fire Hazard 0 Reactivity 0 D~J:rf~ k1Udgfnpr:~:3t: 0 III"lfedaiNhe If,l Component f3 Hallie 1 C.A,S. Hu~ber e Physical 'od He Ith Halard ' ' (Check a I tha, applYI o Fire Hazard 0 Reactivity j i ¡ " o De I ayed . 0 Suddfn Re lease Health 0 Pressure O COlllponent f2 HUle 1 C.A.S. HUllber IlIl! ßdiate I , Health l Component 13 Nalle I C.A.S. HUllber I í' o De layed 0 SUddfn Re I ease Health 0 Pressure I, ! O " COllponent 12 Nalle I C.A.S. HUllber I' IlImediale I' Hea I th . ' Ii . Component.3 Nalle & C,A.S. NUllber ~ I ,j: i Phy~ic~1 and Health Haiard ; IÇheck all tha,t applYI . 'I o Fire Hazar~ 0 Reactivity, ¡ ! , .1 ¡; f' I I I I I I g-31-~ 7rlifTM¡ ,[: Component'l Nalle I C.A.S. NUllber ~ ¡ , ï : ,!' O Component 12 HUle 1 C.A.S. HUllber¡:' IlImed ate . Ii,: { Health " Component 13 Nale I CIA.S. Humber I" I' . (; , ii EMERGENCY !cONTACTS "'R!II?t+<I.-l-d?' ~/6U'~ttle fYl b$2:.· z~rL}Ph"'lni''ì5" 112R!1Ie RCt~~F SrjM'18;: Tttle1Ai.Et:; Certifiçatio~ (Re~d and $ign BfJf3r cÇ)mp1~tif1g (111 sections) i ! I certrfy un~er pena Itr 0 law that I haVe persona h[ eX8ll1n~Q a~d all fami lIar with the InformatIon $ubllitted In this end ~1I ,I attaçhedðdQcUlle ts\ anQ t at based on IIY Inquiry 0 hose IndIVIduals responsIble for obtaIning the Inforllatlon, 1 belIeve ,that the '1" , SUbll\ltte Inforr,at 0 \S true, ac urate, and cotlplete. . ~:? (\'D I: ,'~ ' I µ'lL-l,AP' i!?U .... íY\PrN'fI'r~~ ' " ¿~~:-, LA~ ,¡ /H~e ~(!o 0 C , Itn r r )/ne~ per r s au Or! e r presentat Ive . ¡. atur~ :" I I ,j', ; Ii ' Ll Physic", 'od H~alth Uaiard ICheck a I th~t applyl o Fire Hazar~ 0 React hi ty C.A.S, HUl\ber i o Delayed 0 Sudden Release Health of Pressure 6L5Jc¡/ ' UHrs{4r.e~- .J I { I ... \, CJ. ~ t:L w ~ ~ , ~... \J\ ~ \¡\ 'tl) f ç ::S ' ;- ~ 2 \\,) . 4: ~ ~ ::s Form 1100 0 ~0 ¡;;; ..... ::. \J\ () - ~ ~ ¿ ~ \!) - .J .1 ' , \J~ ~ ~ ~ ~ Q-CI\J .... ~~ ~~ e e HAZARDOUS SUBSTANCES INVENTORY Hajoca Corporation (or Keenan Supply, Crane Supply, etc.) 13 rr'¿E{è:5 FIEcû : ~ . , 1¡;). () WI¿.L-irtYnS ST. '7~3ð5 Telephone ßo's) .3 d. 7 - ( Co 23 Location Address Date Prepared 4 ~q i Manager ~i.L. ~ìßL'('~ PRODUCT CHEMICAL NAME -'uZ:C 4' . products are 6~¿.) S-:"'(é-vt,./''''-'.::r [, 'Î ~;> P . C . # c::7 ___"") e e OSHA HAZ - COM TRAINING RECORD TRAINING DATE: 1-/ / P;1/1/ I . By attending this'meeting, acknowledge training on topics inàicated. Signatures of th se attendi . SUBJECT COVERED: ~/ EMERGENCY PROCEDURES V'" HAZARDOUS MATERIAL SURVEY V· HEALTH HAZARDS ~' MSDS FILE LOCATION /'MSDS INFORMATION V REVIEW OF· HAZARD COMMUNICATION PROGRAM V REVIEW OF HAZARD COMMUNICATION STANDARD i...·/· SAFE WORK PRACTICES ~. SPILL AND LEAK PROCEDURES ~ SPECIFIC PRODUCT(S) DISCUSSED 1 4 5 6 7 8 9 ?vC- -' Pr0)6 (ò ~'i-'i n\.' I " ' r . /,\/) <. ).ft.-tt..-c.'-V1 t _,(¿~'lo('/t.d 14 PVC - p^~/YV1.-~J 15 A/I f'tpp ~ ~1..Þ1f?/~.(? f~¿U) 16 '.1 " f?-70 P/k~ !.Ö:.vd /)Mø-~Q . II [ ?~.-eA'I P ~-,,-__t/1 o ¡"l ....~·r·4 11 ;'1 ( J 19 . £¡1Æ LAL(''Y :. t'C~íU-'f'.-f.--V ,) /)(\,---. 'D' J //1 l.J!¿¡) f- cft,-u.,lj/-7 S (If 12 /j3'1¿-./,j:J/~JF~(}0 ~~i / '~"nN"C(~r 'X--",-.G/Q,:-O \/VJ o/~__,_ 23 It enter Manager Ignature 24 10 & (vr' I c; ,3 h ,{:Uyy¡ (lson ,þ ~ ::<~" ~~ 13 Form 1099 25 e,~ e Þetrolane LP-Gas Training Certification Container Inspection, Filling, Handling And Operation· I, , '. . ....... ....,.. ,. Daté h-cÝI -f)7. '. ~. CompanyICustomerName·· ¿~ S~ ðl/r ~.. .. ,.' . Street Address Id()"UJ~', ,,:-j" '. '. ,. . ..'. ,...,. , ~A;t7.o.~- State (1"11- City L ~ ·,1 Certification· of Instruction , , ' , -,. ,.. ~ . !he~n.~er~,igned.per,~on(s) ,cert~fy' !h,å,t'th~Y r~ceived, in~t,,~udion, ,in the~tl~et,,~ds, ,~f jn.sp<w!', ", In ,flllln , handling ançloperatlng procedures of LP-gascont¡;ilners fro~~Ü,~ ' Jgií 1~1L " ' o~ __ ' . ",",',' " '.,.. ' " ..' on,this"'dafe; ~~o¿tin,s,ir~c~~'s~7t· . ne district (city andßtate) Name Name f?~ß~ t~~ ,Title . Title I./~~ ~ t1.~~~ ~ Name LNa~e Title, Title ~ "~ "I Owner/Manager Agreement to Instruct Employees I, "'v ~a~~ ,of~r~ ~ owner -' com pan m. '.. agree to train (or cause to be trained) employees in the proper handling of LP-gas before allowing them , ,to inspect, fill, handle, and operate LP-gas containers. The LP-gas Filling Instructions printed on the reverse side of this form shall be the training guide and sha,ll be adopted as standard operating procedure. L Signatu;e\~~ q,J . . ~ .' . .' Date ~)dsj~9 ' ~ .·...I~laceínør\t 'Of~iIIi~~ InsirÌJcíl~n I,,~pecti(m P~ot~dureD~~~I(S) .,.. ~, ..:,. ":-.' ~.' ,.... I, " \ '. . , certify that I . ~,~ ,. , ' PetrolSne representative installed the Petro lane LP-gas Filling Instructions, Decal No. $-704A 10/87 and $-704B 12/87, in a proper and conspicuous place at the LP-gas point of transfer. L Signature Date ' ~ FormS·?"2/88 - " - - . .:\.- "~HAJOCA COt4ÞORATION e SPI NO, 730 STANDARD PRACTICE INSTRUCTION ISSUE l~ SUO~ SUBJECT: . Hazard Communication Program IE 04/10/89 'I PAGE 1 ' OF 11 PURPOSE: '. o~ Tö comply with the Hazard Comml-~tion Standard Occupational Safety and Health A~i~~tion (OSHA). of. the U. S. POLICY: 1. It is the Profit Center Manager's responsibility to insure that 'Matèrial Safety Data Sheets (MSDS' s) are obtained for all products sold that are designated as hazardous. 2. MSDS's must be distributed to all customers. 3. The Manager must make all employees aware of the Hazard Communication Program and document all employee education. 4. An inventory of hazardous substances must be prepared. 5. Substances designated as hazardous must be properly labelled. 6. If applicable in order to comply with the Community Right-to-Know Act, MSDS' s must be distributed to the appropriate state and local government agencies. , 7. MSDS files must be set up and maintained at the Profit Center. 8~ California Profit Centers must comply with Proposition 65. , PROCEDURE: Responsibility Profit Center Manager Action 1. Requests f~om vendors MSDSls for all products sold by Profi t Center designated as hazardous. a.When sending a Purchase Order to the vendor, the pre-pri~ted message on the Purchase Order is sufficient. FORM 1028 " 'HAJOCA CO.ORATION e SPI NO, 730 STANDARD PRACTICE INSTRUCTION Profit Center Manager b. ISSUE l~ suo<l ~ ç¡, 04/10/89 ~\O. ""' 2 0' 11 SUBJECT: HazardComrnunication Program Responsibility is not sent, a MSDS's must be 2. Distributes MSDS's to customers: a. Customers that buy a large variety of hazardous substances are sent MSDS's in book form and updates from the American Supply Association's regional offices. b. Mails or delivers applicable MSDS I s to all remaining customers. Obtains customer signature on form 1102 to docUment receipt. c. For non-trade customers and customers not on open account, posts signs at the sales counter telling them that MSDSIS are available on request. Uses form 1101 (Customer Request For MSDS) d. When a new customer is set up, asks if they have a MSDS book. If they have a book, notes that in the file. If they do not have a book, follows step 2 a or b. e. As new and revised MSDS' s are received from manufacturers, date stamps them and sends copies to applicable customers within thirty (30) days. Completes a "New or Revised MSDS" form (form 1098) for each. NOTE: This does not apply to customers who are receiving,ASA updates. FORM 1028 1'<. 'HAJOCA CO.ORATION e SPI NO, 730 STANDARD PRACTICE INSTRUCTION Hazard Communication Program ISSUE 1 ~ suO<l OE 04/10/89 SUBJECT: PAGE 3 OF 11 Responsi bi! i ty Profit Center Manager 3. a. Informs employees substances stored Center. about hazardous a t the Prof it b. Instructs employees on what to do in an emergency. c. Instructs employees on where to locate and how to read a MSD$. d. Holds employee education meetings on a regular basis, at least once a year. e. Documents meetings on OSHA Haz - Com Training Record (form 1099). f. Reviews the Hazard Communication Program with new employees. 4. Sets up a permanent lockable, cabinet location. This file following: MSDS file in a in a secure will contain the a. Date stamped original MSDS I S in manila file folders, one per vendor, alphabetized by vendor name. b. Current customer list after initial mailing ofMSDS's is completed. c. "New Customers" folder containing return receipts from customers acknowledging receipt of MSDS's. d. Date stamped new or revised MSDS' s stapled to the front of the previous MSDS . FORM 1028 HAJOCA CO.ORATION e SPI NO, 730 STANDARD PRACTICE INSTRUCTION Responsibility ISSUE , 1 ;{ supO<l Cì . ø4/io/~9 SUBJECT: Hazard Communication Program PAGE 4 OF 11 Profit Center Manager e. Request for MSDS f.. A separate folder labelled "Employee Training Records". This folder will contain copies of OSHA Haz - Com Training Record (form 1099). 5. Sets up an employee Access Fi Ie in a location always accessible to employees containing only the most recent MSDS from a vendor. 6. If required, distributes MSDSIS to state and local government agencies. '\ 7. Prepares a inventory: hazardous substances a. Lists all stored at Hazardous 1100).' hazardous, substaI:1ces the Profi t Center on Substances Inventory (form b. Gives a copy of this list to the local fire department. c. Gives a copy of this list to all outside contractors hired to do work at the Profit Center. 8. Assures that all products designated as hazardous are properly labelled by the manufacturer, showing the following: a. The chemical (the trade adequate) . name of the substance name alone is not b. A word or phrase, such as danger or caution, that would alert someone that a hazard is present. FORM 1028 .. '··HAJOCA CO.ORATION e SPI NO. 730 STANDARD PRACTICE INSTRUCTION Hazard Communication Program ~\o ISSUE 1 ~ SUPO~ tl 04/10/89 SUBJECT: PAGE S OF 11 Responsibility ~ ~~ c. The nature of the hazard, such as causes blindness or burns. Profit Center Manager do' Precautions to be followed, such as avoid prolonged breathing of vapors, etc. e. Methodes) of disposal' of containers housing toxic, caustic or corrosive substances. f. Instructions to be followed in the event of misuse, such as if swallowed '.... g. The name of the manufacturer or sÜpplier. California PCs 9. Requests labels from manufacturers or suppliers when not provided. 10. Insures that Proposition 6S has been complied with. '~ EFFECTIVE: April 24, 1989 \ß~ FORM 1028 · M~"¡.ß¡J ~a.pf17DS~OI - w~, ~~ /~, h/J~ - rÞJ '"", 'Ä~ -- ¡(ee/l/Q,N St<tf {y ~ ~ 720¡¡)~ '~Q-~' /" , . KEE~~~ $U~fL V . r~ 6- 7· Division 01 Hajoea Corp. Manager .. . PHIL AMBURN 720 WILLIAMS ST. 5" 11! _n J'f&- q:!!>3ð BAKERSFIELD, CA ß8&w v.211"" , BUS.: (805) 327-1623 FAX: (805) 327-9759 .- ID3-drsc ~ ""2- L. ~rØ2 Gr- ~