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Per . . it to , I r I Operil.te - . Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE this permlt.ls Issued for the following: It! Hazardous Materials Plan o Underground Storage of Hazardous Materials . 0 Risk Management Program o Hazardous Waste On-Site Treatment ., Issued by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Approved by: Issue Date Expiration Date: June 30, 2003 Per it to Operate Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This permit is issued for the following: ':'''a~rdous Materials Plan ." .,.""" round Storage of Hazardous Materials agement Program Waste 300 UNION I I PERMIT ID# 015-021-000329 JAGUAR CUSTOM WROUGHT LOCATION Issued by; Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave" 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 FAX (805) 326-0576 *~ ph Huey, ffice of ental Servi es . -Jllne 30, 2000 r I I' , Approved by: Expiration Date: , I ! i I ! I I --------.....----.------ ~ ~~ ....... ~ ~ ~ -- r { ~ \-f:: -- O~ ~ { \~ { ~ l X c:t: 'Ç) ~ Q .\J lLL r [ r I r ~p. ~~ -fr1?Je. Ë (\st - _~ (¿tV- Quest' /ìo+o PartS &u/(C{(N1 ' s*~ ~ T'(v<.l-\. ~~ ~~. r f w'" ~.\~~ ~0\\ . 'Y':)b~' 't" f? ( \):>:> F f' r fo.rk,pJí A-r e: q ç,,,,.. 14 .po vJ (').? :r>-S-'" ~~.( ~ <:: 9 r p ~' ~) t: (!) ~ ~- u x ,,1 ~ t .~ ftU5¡ p . .L.lýpet; , 5'7'- A ~ é. /'r s, I 7\ ~ ~f\,ð , i -c ~ tl\£¡ I 1 ~ ¡ ~t to '.' £. p~ 11 ~"^- . ~f s, e DtCt.q ra..V}/\ . ) D Q LJ N \ Q l-J I) v ~ \¡'J ( s t" 71? I {t ck 14M 11 U S ¡¡; f.e I .-{,. rRe 5 -I-rt u/ra¡tjf I -wt¡.:¡¡-~ . ~~l/d h1A;~ ------_._~~-_._-~_._---_. ---.-_. .---.--- ..-----_..~_. .~_...__. .-----.. ------- ~- -- - -jf--ql/.. _e -' '~=:~V'FACILITY DIAGRAM FORM 5 NORTH UNIT~: OF SCALE: ,- FLOOR: OF , '02- ~-fÁ 1 R¡.( Nt- JDCd~e( h't.¡r-e ~ FACILITY DIAGR.~~ ~ vÝ'! \ ) yo) ~--s 0 ~ !j'" I , An¡ð~A-IW~l2fß 'y--Jo.{ I L '~ ~ 1 r)-bk;~ L;l] CD). :-dc".l.. ' C ç , JS.L?t'/t c. e c¡ I '-€IV t... 0" JSPlW' , "., ~ Lill ~¡;- p Co C~ ). 0 N(')rtl~ ~ Co ::2- ÌT\~ \D 'f"" >At , ) vr- Dù 'J..r ..f, v t'1' ~ vfi~r o \/(/jlf I 0 !) ~\ L 'J \) "f:: r ~ \<./ ßrr'- Lv ~ (~ (l.j:>""- '\):) ~t " (./IC.~ oV S. \0 0 -..->~~ ( \Y' ') t) ~.... y '" , ")") , 1.\ ¡ s }J i ý' , (Inspector's Comment~: -OFFICIAL USE ONLY- j _ /71 ~/?/C C'ù.s'T77/n ~£.o~h/ ~on/ JOÓ L//¡//¿;;-J /-7'-i/C '-.5c:2..-? 0~ G - ,SA - - e CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 --=<- FACILITYNAME{~ ~L.f I",.., ADDRESS ~" l.J~'~ FACILITY CONTACT ~ J<2.5S·e/'S INSPECTION TIME I S; ""i" INSPECTION DATE 10 -'C~(J I PHONE NO. '3::Z "3 - >0 IS- BUSINESS ID NO. 15-210- ß/t:> 3 ~ e¡ NUMBER OF EMPLOYEES t- I Section 1: ¿utine Business Plan and Inventory Program o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERATION C V COMMENTS Appropriate pennit on hand ¡) Business plan contact infonnation accurate I Visible address V Correct occupancy ..¡ . Verification of inventory materials 11 V -p,,¡nI ~ /v",?,,, ""1. ,heir e;1Þ1 111 vi 7 Verification of quantities Verification of location V Proper segregation of material vi Verification of MSDS availability &I ,,(J (life t:1Þ'\ S,,, dcv/d. +1...4 ~,."" Verification of Haz Mat training ¡/ Verification of abatement supplies and procedures ¡/ Emergency procedures adequate v' Containers properly labeled ..I Housekeeping V Fire Protection ¡J Site Diagram Adequate & On Hand II" C=Compliance V=Violation Any hazardous waste on site?: Explain: DYes ~o Questions regarding this inspection? Please call us at (661) 326-3979 White - Env. Svcs, Yellow - Station Copy Pink - Business Copy Inspector~~~ ~ .....-''\:;o~ e e JAGUAR CUSTOM WROUGHT IRON SiteID: 015-021-000329 Manager : Location: 300 UNION AVE City BAKERSFIELD BusPhone: Map : 103 Grid: 32C (661) 323-5015 CommHaz : Moderate FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 06 EPA Numb: SIC Code:3446 DunnBrad: Emergency Contact / Title Emergency Contact / Title HAROLD JAGGERS / OWNER JOSHUA HUBBLE / FOREMAN Business Phone: (661) 323-5015x Business Phone: (661) 323-5015x 24-Hour Phone : (661) 363-8431x 24-Hour Phone : (661), J9J 7329x5<l'l-Lf Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press Contact : Phone: (661) 323-S01Sx MailAddr: 300 UNION AVE State: CA City : BAKERSFIELD Zip : 93307 Owner HAROLD JAGGERS Phone: (661) 323-SQlSx Address : ..2-d J e CED1rn. ~ S T 910 l tffJ{'J&'k~ fnIe.. State: CA City : BAKERSFIELD Zip : .gd~gl-C¡3"}()7 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: 4'1 One Unified List ì All Materials at Site ì SpecHaz EPA Hazards DailyMax MCP F P G 332.00 FT3 Hi P G 300.00 FT3 Min P G 1660.00 FT3 Min F P G 1200.00 FT3 Low p= Hazmat Inventory p== Alphabetical Order Hazmat Common Name... ACETYLENE ARGON CARBON DIOXIDE OXYGEN f}(J (J1ltJI ()ú~ 100 ~I I~ 00øR - £~C¡ ,,^<J ~ , '1 + ~V'-UL /1(2+- ,¡~~ -1- 09/06/2001 ~ ~~ . rìC::-~,~-::_"..,. . ~\..' - ., '1\ 71"":'\""", f¡ ...... . ...A'~' ·.L \j' ~':: J~ I V!::'~J ;{í :11<*OC I "'';;v 1 I-~' .. , -~ L: - = JAGUAR CUSTOM WROUGHT IRON SiteID: 215-000-000329 : Manager : Location: 300 UNION AVE City BAKERSFIELD CommCode: BAKERSFIELD STATION 06 EPA Numb: - - <,- -----.;;. BusPhone: Map : 103 Grid: 32C (805) 323-5015 CommHaz : Moderate FacUnits: 1 AOV: SIC Code:3446 DunnBrad: Emergency Contact / Title Emergency Contact / Title HAROLD JAGGERS / OWNER BETTY JAGGERS / OWNER Business Phone: (805) 323-5015x Business Phone: (805) 323-5015x 24-Hour Phone : (805) 363-8431x 24-Hour Phone : (805) 363-8431x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press Contact : Phone: ( ) - x MailAddr: 300 UNION AVE State: CA City : BAKERSFIELD Zip : 93307 Owner HAROLD JAGGERS Phone: (805) 323-5015x Address : 2230 CEDAR ST State: CA City : BAKERSFIELD Zip : 93301 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 f== Alphabetical Order Hazmat Common Name... SpecHaz EPA Hazards ACETYLENE ARGON CARBON DIOXIDE OXYGEN F P G P G 1,&Ir~,J Œ~ Do hereby ~rtify Ihall he'J~ ~ 0' pnrn VlI1 $) f®vi~w®d ~h® Sltl~I1(9©1 ~<êlZtãwd©tl~ ma~®i'Ù~~~i'1Sì~€1- msn~ pl~i11 U' C1¿W~(~ &~t~~h ~. /)~ DailyMax MCP 332 FT3 Hi 300 FT3 Min 1660 FT3 Min 1200 FT3 Low ®ny e©fr@©~ij©ú"àfS ©Oi1$~iìl!~~ Sl ©öWi[9)¡®~® ®rð<Q! ©©IT®~ man- ~~~m~V'D~ p~~l1l ~©f m~ 1®©iiitW. -1- 08/24/1999 '" e e F JAGUAR CUSTOM WROUGHT IRON F Inventory Item 0002 = COMMON NAME / CHEMICAL NAME ACETYLENE SiteID: 215-000-000329 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit SHOP WORK AREA Map: Grid: CAS # 74-86-2 - TYPE Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 332.00 FT3 Daily Average 200.00 FT3 I 1~~~óoIAcetYlene HAZARDOUS COMPONENTS ~ No CAS # 748621 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P / / / Hi HAZARD ASSESSMENTS F Inventory Item 0003 = COMMON NAME / CHEMICAL NAME ARGON Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit SHOP WORK AREA Map: Grid: CAS # 7440-37-1 STATE - TYPE Gas Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 300.00 FT3 Daily Average 300.00 FT3 I %Wt. I 100.00 Argon HAZARDOUS COMPONENTS ~ CM# I 7440371 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies P / / / Min HAZARD ASSESSMENTS -2- 08/24/1999 'i e e f JAGUAR CUSTOM WROUGHT IRON f= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME CARBON DIOXIDE SiteID: 215-000-000329 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit SHOP WORK AREA Map: Grid: CAS # 128-38-9 - TYPE Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 1660.00 FT3 Daily Average 600.00 FT3 %Wt. RS CAS # 100.00 Carbon Dioxide No 124389 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies P / / / Min HAZARD ASSESSMENTS f= Inventory Item 0004 = COMMON NAME / CHEMICAL NAME OXYGEN Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit SHOP AREA Map: Grid: CAS # 7782-44-7 - TYPE Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 1200.00 FT3 Daily Average 600.00 FT3 %Wt. RS CAS # 100.00 Oxygen, Compressed No 7782447 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P / / / Low HAZARD ASSESSMENTS -3- 08/24/1999 e e í JAGUAR CUSTOM WROUGHT IRON ëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000329 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format ¡ íë Notif./Evacuation/Medical ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site ¡ íëë Agency Notification ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëë Employee Notif./Evacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 07/13/1998 j o 0 o NOTIFICATION - POSTED PHONE NUMBERS FOR POLICE, FIRE AND AMBULANCE. o o o o EVACUATION - 3 ROLL UP 12 FT DOORS IN SHOP AREA ARE KEPT OPEN DURING WORK o HOURS. 1 STANDARD DOOR FROM SHOP AREA TO OFFICE. o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëë Public Notif./Evacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 07/13/1998 ¡ o 0 o WE HAVE NO NEED TO EVACUATE THE PUBLIC. o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëë Emergency Medical Plan ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 07/13/1998 ¡ o 0 o SAN JOAQUIN COMMUNITY HOSPITAL - 2615 EYE ST - 327-1711. o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj e e -4- 08/24/1999 e e í JAGUAR CUSTOM WROUGHT IRON ëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000329 íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format íë Mitigation/Prevent/Abatemt ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site íëë Release Prevention ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 07/13/1998 ¡ o 0 o THINNERS ARE KEPT IN METAL CABINET MARKED FLAMMABLE. PRESSURIZED TANK o CYLINDERS ARE KEPT CHAINED TO WELDERS, OTHER CYLINDERS ARE KEPT CHAINED o OUTSIDE BUILDING. o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëë Release Containment ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëë Clean Up ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 07/13/1998 ¡ o 0 o A FIRE EXTINGUISHER IS LOCATED AT PAINT BOOTH. 2 FIRE EXTINGUISHERS ARE 0 o LOCATED IN SHOP AREA AND ALSO THERE IS A SHOWER. 0 o 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëë Other Resource Activation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj -5- 08/24/1999 ~ e e í JAGUAR CUSTOM WROUGHT IRON ëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000329 i íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format ¡ íë Site Emergency Factors ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site ¡ íëë Special Hazards ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëë Utility Shut-Offs ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 07/13/1998 ¡ o 0 o A) GAS - SE CORNER OUTSIDE OF BLDG o B) ELECTRICAL - S SIDE 40 FT SW OF SE CORNER o C) WATER - SW END OF BLDG OUTSIDE o D) SPECIAL - NONE o E) LOCK BOX - NO o o o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëë Fire Protec./Avail. Water ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 07/13/1998 i o 0 o PRIVATE FIRE PROTECTION - FAUCETS IN FRONT, SIDE AND BACK OF BLDG FIRE o EXTINGUISHERS LOCATED IN PAINT BOOTH AREA AND SHOP AREA. o o o o o o o o o NEAREST FIRE HYDRANT - ACROSS ST ON SW CORNER OF BLDG. o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëë Building Occupancy Level ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj -6- 08/24/1999 ...- ...~ e - í JAGUAR CUSTOM WROUGHT IRON ëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000329 íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/06/1995 ¡ 0/0 o o HOW MANY EMPLOYEES AT THIS FACILITY???????? / ~ o o o o o WE HAVE MATERIAL SAFETY DATA SHEETS POSTED ON THE BULLETIN BOARD. o o BRIEF SUMMARY OF TRAINING PROGRAM: WE HAVE WEEKLY SAFETY MEETINGS ON 0 o HAZARDOUS MATERIALS. WE ARE WRITING A HAZARD COMMUNICATION PROGRAM. PHYSICAL 0 o AND HEALTH HAZARDS ARE DISCUSSED. 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ 0 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -7- 08/24/1999 ~ j p..::-~... e· . CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 ~OUSMATEmALS~NTORY FACILITY DESCRIPTION CHECK IF BUSINESS IS A FARM [ ] BUSINESSN6,,¢,~~ (,)1;, ~W) WYfJuq 1t1 J;VO~ FACILITY NAME ~__ ~ 60D tj"\f () fJ A--\J~ STATE ~ CITY NATURE OF BUSINESS '9> SIC CODE 3 if tf I DUN & BRADSTREET NUMBER q 5"'- ;; ~ 7 J- 7 S-" ù OWNERlOPERATOJ\oröCt\ 0&k\g:fts PHONE "32 ~ - S-O!-~ MAILING ADDRESS S () D \Jf'..\ (<)1\\ ~~ CITY ~\~~ STATE G. zIPg3 3 ð 7 EMERGENCY CONTACTS NAME t\~rö~ ~~G\eN:ç BUSINESS PHk~ À ~SlJ I ~ NAME()~4 U\D~ \--e BUSINESS PHONE 37-if S-O ( r TITLE 0 LU lIì e r 24HOURPHONE -gb"2)~ f4s ( TITLE 24 HOUR PHONE 3-9 ~ - '73:J-.- 9 - r 1 ,J'~I ~ Busíness NJ;2 (\ ~ \\ ~ '( ~USMATE~~NTO. .' (jJ~~ ~()r) ()I\J {OtJ 11. Page of ~-.- CHEMICAL DESCRIPTION J Revision { ] Deletion { ] Check if chemical is a NON Trade Seem ( J Trade Secret ( 1 3) DOT 1# (optional) , AHM [v1CAS 1# k:::17l.f2 - g q- fI 2) Common Name: Chemical Name: 4) Physical & Health / PHYSICAL HEALTII Hazard Categories Fire [if] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ] , /~ 'I : i nF (((' ,/ ,\) /l ú \ ¡- i'ji '" ,'- ~ v. "" I I t d" Check if chemical is a NON Trade Secret [~rade Secret [ 5) WASTE CLASSIFICATION (3-digit code Û'om DHS Fonn 8022) 6) PHYSICAL STATE Solid [ J ^ Liquid [~Gas [ ] Pure [ 7) AMOUNT ANDTIMEATFACII.JtY \ UNITSOF~URE Maximum Daily Amount ~ Lbs { ] Gal [1)] ft3 [ ] Average Daily Amount ~u Cwies [ ] Annual Amount . Largest Size Container {!;ji ©i\ Ø\ fi t C\ ¡J¡ 1# Days on Site ,t..:p v Circle Which Months: , 9) MIX11JRE: List COMPONENT the three most hazardous I) ~ chemical components or 2) any AHM components 3) l] 7 ~ &'~ 10)LOCATION~ '7ì'¡', 1'(,'", q, ~ ~ coL ~ I~": V t 1 u ~ ðV rr C " , 1) INVENfORY STATUS: ~~w [ ] Ac:üµtion [ ] Revision (~etion [ I~- A, ",rr:;;~ \ r:--. fe" .Æ)) 2) Common Name: ~ \\. \ \) II v '\" ,~ \Ù-t~\-C9 ç<- "" ~~__~rr '" Chemical Name: USE CODE Mixtw"e [ ] Waste [ ] Radioactive [ 8) STO~GE COD.E$ ..L \ a) Container: fV\. 'VJA / J b) Pressure: c) Temperature All Year, I, F, M, A, M, I, I, A, S, 0, N, D CASI# %wr AHM [ ] [ ] [ ] 3) DOT 1# ('?Ptional) AHM[ ] CASI# ::r ee/, <'=" (":" (!~, l 4) Physical & Health PHYSICAL HEAL TII Hazard Categories Fire [ ) Reactive [ ) Sudden Release of Pressure [ ] Immediate Health (Acute) [ ) Delayed Health (Chronic) [ 5) WASTE CLASSIFICATION (3-digit code Û'om DHS Fonn 8022) 6) PHYSICAL STATE Gas [ ] <: Pure [ Solid [ Liquid [ 7) AMOUNT AND TIME AT FACILITY Maximum Daily Amount Average Daily Amount Annual Amount Largest Size Container 1# Days on Site UNITS OF MEASURE Lbs [ ) Gal [ ] ft3 [ ) Curies [ ) ¡- Circle Which Months: 9)~: List the three most hazardous I) . chemical components or 2) any AHM components 3) COMPONENT IO)LOCATION USE CODE Mixture [ ) Waste [ ) Radioactive [ 8) STORAGE CODES a) Container: b) Pressure: c) Temperature All Year, I, F, M, A, M, I, J, A., S, 0, N, D CAS# %wr AHM [ ) [ I [ ] ð2J~ r certitÿ under penalty of law, that r have personalJy examined and am familiar with the intòrmation on this and aU attached c:foçumc:nts. I believe the submittedinfonnation is true, accurate and q~' ~'{O IJ 'I AGGefS 0 iN1Jelf'" vi PRINT Name & Title of Authorized Company Representative ~ff~ '3:æ¿711 '..i :¡.,->:~ ~RDOUS MATF(~S INQN.RY ~ C '1. \ \ \ .M r~.Q)(¡1 ~VV t ) 1\ ,~ p.age _ of_ Busmess Nan\e-J-1iL{}l0. V lJ2'1Ð1M W va ~ gfJ 0 \ fJ I () /IJ ~ /' 1) INVENTORY STATUS: NOW/¡ J Addition k J RcvIT [ J~ [ J Chcok if chcmiœl is a NON Trade Sc=t [ UTradc S..... ( 2) Common Name: ø f:i e ~ U i ( (À ~ ~ , ~ 3) OOT II (optional) . Chemical Name: AHM [v(' CAS II 4) Physical & Health PHYSICAL HEAL 111 Hazard Categories Fire [ ) Reactive [ ) Sudden Release of Pressure [ ) Immediate Health (Acute) [ ] Delayed Health (Chronic) [ 5) WASTE CLASSIFICATION (3~git code from DHS Form 8022) 6) PHYSICAL STATE Solid [ ) Liquid [v( Gas [ ) Pure [ UNITS OF ~ Lbs[ ]Gal~9t~[ ) Curies [ ] 7) AMOUNT AND TIME AT FACJLrIjY., qaA Maximum Daily Amount ~~ Average Daily Amount I Annual Amount ~ Largest Size Container II Days on Site ' ..~ 9)~: Li~ the three most hazardous chemical components or any AHM components lO)LOCA TION -:s 0 0 CHEMICAL DESCRIPTION Circle Which Months: 1) ~~~Vlr ~~ ~~ t,-J ,() I 0 ð0 ft--.J}-Q) USE CODE Mixtw'e [ ] Waste ( ] Radioactive [ :~~~r:;EC~^ I Ú!J7 b) Pressure: JU+Y c) Temperature All Year. 1. F. M. A. M.l. I, A. s. 0, N. D ~oB'~'-f /;þ %Wf ato ~1~~1~ AHM ( ) [ ) [ ] 1) INVENTORY STA lUS: New [ ) Addition [ ] Revision [ ) Deletion [ 2) Common Name: ß t û (~ sP.\IY)' - G-toç> J Chcok if~ is a NON Tnode Sc=t ~_Sc=t ( ~ ({ÁI 3) OOT II (optional) AHM[v( CAS # Chemical Name: 4) Physical & Health L PHYSICAL HEAL 111 Hazard Categories Fire ( ) Reactive [ ) Sudden Release of Pressure ( ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ) 7) AMOUNT AND TIME AT FACn.ITY Maximum Daily Amount . Average Daily Amount ~ Annual Amount ~ Largest Size Container , CL II Days on Site . . , S> 9)~: Li~ the three most hazardous chemical components or any AHM components 5) WASTE CLASSIFICATION 6) PHYSICAL STATE Solid [ (3~git code from DHS Form 8022) Liquid [v( Gas [ ] Pure [ UNITS OF ~URE Lbs [ ] Gal [.s ] ft3 [ ) Curies [ ] Circle Which Months: ~¡œ~rIT USE CODE Mixture [ ] Waste [ ] Radioactive [ 8) STORAGE COI?&S ~ I a) Container: tl'e ~ b) Pressure: c) Temperatw'e All Year, 1, F. M. A. M. I. I. A. s. O. N. D C~tI. ~í~;~;-~~' ~ 7-~'f- I % Wf ð-fõ /~- ftð I AHM [ ] [ ) [ ] 10)LOCATION.~ OC'J l ) ~) ( C) '" ì f\-\)-e---- I certify under penalty of law. that I have personallyexammed and am familiar with the in1òrmation on this and all attached documents. I believe the SUbmi~ infonnation is true. accurate and complete. (2.. J __. ?, J.lJ+(b d ;.\ ~G6 e '':¡ 0 W I'm- l1>n f ~ q n?J PRINT Name & Title of Authorized Company Representaúve Signa Date Business N~ J~ \ \ t\ V \ . C~OU~ MA~\1RfALrl, (!;I~~:~NTO. , . ·1 ¡vW Q ,> ..d'1/ ! ..; , \ .,", I" r t¿j -:p'. !J4.... ~ ~ ~!' " \~~, \nrri ,¡».jvtxddièsS ~bn l~JlfC fv .~......~ -(.. ~)~~ ~ge-1- of 4 / I) INVENTORY STATUS: New ( ] Addition ( ] Revision { ] Deletion ( ] Check ifchemical is a NON Trade Secret ( '1'Trade Secret ( ] CHEMICAL DESCRIPTION 2) Common Name: 3) DOT /I (optional) Chemical Name: ARM ( ] CAS /I 4) Physical &:. Health PHYSICAL HEAL rn Hazard Categories Fire ( ] Reactive ( ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) ( ] 5) WASTE CIASSIFICATION (3-digit code ftom DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid ( ) Liquid ( ) Gas ( ) Pure ( ) Mixture { ] Waste { ] Radioactive ( ) 7) AMOUNT AND TIME AT FACILITY Maximum Daily Amount Average Daily Amount Annual Amount Largest Size Container #I Days on Site UNITS OF MEASURE Lbs( ] Gal ( ]ft3[ ] Curies ( ] 8) STORAGE CODES a) Container: b) Pressure: c) Temperature Circle Which Months: All Year. J. F. M. A. M. J.l. A. S. O. N. D 9)~: Li~ the three most hazardous 1) chemical components or 2) any AHM components 3) lO)LOCATION COMPONENT CAS# %wr AHM { ] ( ] ( ] . 1) INVENTORY STA1US: New { ] Addition [ ] Reyision [ J Deletion ( J Check if chemical is a NON Trade Secret ( ] Trade Secret [ J 2) Common Name: 3) DOT II (optional) Chemical Name: ARM [ ] CAS II 4) Physical &:. Health PHYSICAL HEAL 1H Hazard Categories Fire { J Reactive { } Sudden Release of Pressure [ } Immediate Health (Acute) { } Delayed Health (Chronic) ( ] S) WASTE CLASS1FICATION (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ) Liquid { ] Gas { ] Pure { ] Mixture [ J Waste [ J Radioactive ( J 7) AMOUNT AND TIME AT FACn.rrY Maximum Daily Amount Average Daily Amount Annual Amount Largest Size Container II Days on Site UNITS OF MEASURE Lbs[ JGal[ )ft3[ J Curies [ ] 8) STORAGE CODES a) Container: b) Pressure: c ) Temperature Circle Which Months: All Year. 1. F. M. A. M. 1. 1. A. S. O. N. D 9) MIX111RE: List the three most hazardous 1) chemical components or 2) any AHM components 3) COMPONENT CAS# %wr ARM [ ] ( ) [ J IO)LOCATION I c certitY under penalty of law. that I have personally examined and am tàmiliar with the intòrmation on this and all attached doc:uments. I believe the submitted infonnation is true. accurate and complete. I PRlNT Name &:. Title of Authorized Company Representative Signature Date · . 3 e RJEc JUll 3 1998 BY:__ e JAGUAR CUSTOM WROUGHT IRON SiteID: 215-000-000329 Manager : Location: 300 UNION AVE City BAKERSFIELD BusPhone: ~ap : 103 Grid: 32C (805) 323-5015 CommHaz : Moderate FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 06 EPA Numb: SIC Code:3446 DunnBrad: Emergency Contact 1 J1 Ti1fle DWNer- L~RRY LINDDB¥ l<iia \f'6l~ cJ()...q qv6 Business Phone: (805) 323-5015x 24-Hour Phone : (805) 398-~.âl1x~,~-g£ßJ Pager Phone : ( ) - x Emergency Contact 10_.1\ Title OLRJ~ B{ffl:ß rRO~J:rUS 1p:?'1't~ UllGqeYS Business Phone: (805) 323-5015x ~ I 24-Hour Phone : (805) ..:JG6-9'l.41x3b3-~ 't1S1 Pager Phone : ( ) - x Hazmat Hazards: Fire Press Owner Address City HAROLD JAGGERS : 2230 CEDAR ST : BAKERSFIELD Phone: ( ) State: CA Zip : 93307 Phone: (805) 323-5015x State: CA Zip : 93301 - x Contact : MailAddr: 300 UNION AVE City : BAKERSFIELD Period : Preparer: Certif'd: to TotalASTs: = TotalUSTs: = RSs: No Gal Gal Emergency Directives: One Unified List ì All Materials at Site ì p= Hazmat Inventory p== As Designated Order Hazmat Common Name... SpecHaz EPA Hazards DailyMax MCP CARBON DIOXIDE P ACETYLENE F P ARGON C7 II ~ . P OXYGEN ~Ð .Þ~ er ...va hereby c@rtl~ \ìþꧡp ~ ~[f!V® w~ ~) fi'®'5'Ö~tlif@©Ì ~IJ'¡¡~ ~~tC~(9~ K1~al"d~§) m~~®fi®~ m~n<a!@@}> íì M®~~ bQ)~~~ ~~&qlt~y CO> ì'A~ ~~ir®~©% ~h VO¡J (L~til ®Ûê~) ~i1Y oofG"~im~~ oo~å~u~~ a oom~!e~~ @"ll©J ~@úT®d mana G G G G 1660 FT3 332 FT3 300 FT3 1200 FT3 Min Hi Min Low ~0 ~®M~UI!~ ~~~rJ ~©Ii' ~31 ~mf0f. gl 06/30/1998 1 e e F JAGUAR CUSTOM WROUGHT IRON p= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME CARBON DIOXIDE SiteID: 215-000-000329 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit SHOP WORK AREA Map: Grid: CAS # 128-38-9 - TYPE Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container Daily Maximum Daily Average FT3 1660.00 FT3 600.00 FT3 Maximum Stored Maximum Open Use Maximum Closed Use FT3 FT3 FT3 AMOUNTS AT THIS LOCATION %Wt. RS CAS # 100.00 Carbon Dioxide No 124389 HAZARDOUS COMPONENTS -2- 06/30/1998 e e F JAGUAR CUSTOM WROUGHT IRON p= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME ACETYLENE SiteID: 215-000-000329 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit SHOP WORK AREA Map: Grid: CAS # 74-86-2 STATE - TYPE Gas Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container Daily Maximum Daily Average FT3 332.00 FT3 200.00 FT3 Maximum Stored Maximum Open Use Maximum Closed Use FT3 FT3 FT3 AMOUNTS AT THIS LOCATION HAZARDOUS COMPONENTS ~ CAS # 748621 I 'Wt I l~o.åo Acetylene -3- 06/30/1998 e e F JAGUAR CUSTOM WROUGHT IRON f= Inventory Item 0003 = COMMON NAME / CHEMICAL NAME ARGON SiteID: 215-000-000329 l Facility Unit: Fixed Containers on Site l Days On Site 365 Location within this Facility Unit SHOP WORK AREA Map: Grid: CAS # 7440-37-1 STATE - TYPE Gas Pure PRESSURE Above Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container Daily Maximum Daily Average FT3 300.00 FT3 300.00 FT3 Maximum Stored Maximum Open Use Maximum Closed Use FT3 FT3 FT3 AMOUNTS AT THIS LOCATION HAZARDOUS COMPONENTS [æJ No CAS # I 7440371 [ l~~~öoIArgon -4- 06/30/1998 e e F JAGUAR CUSTOM WROUGHT IRON f= Inventory Item 0004 F= COMMON NAME / CHEMICAL NAME OXYGEN SiteID: 215-000-000329 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit SHOP AREA Map: Grid: CAS # 7782-44-7 STATE - TYPE Gas Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container Daily Maximum Daily Average FT3 1200.00 FT3 600.00 FT3 Maximum Stored Maximum Open Use Maximum Closed Use FT3 FT3 FT3 AMOUNTS AT THIS LOCATION %Wt. RS CAS # 100.00 Oxygen, Compressed No 7782447 HAZARDOUS COMPONENTS -5- 06/30/1998 e e í JAGUAR CUSTOM WROUGHT IRON ëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000329 i íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format i íë Notif./Evacuation/Medical ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site ¡ íëë Agency Notification ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëë Employee Notif./Evacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/06/1995 ¡ o 0 o NOTIFICATION - POSTED PHONE NUMBERS FOR POLICE DEPT, FIRE DEPT AND o AMBULANCE, o o o o o o o EVACUATION - 3 ROLL UP 12 FT DOORS IN SHOP AREA ARE KEPT OPEN o DURING WORK HOURS. 1 STANDARD DOOR FROM SHOP AREA o TO OFFICE. o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëë Public Notif./Evacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/06/1995 i o 0 o WE HAVE NO NEED TO EVACUATE THE PUBLIC o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëë Emergency Medical Plan ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/06/1995 i o 0 o SAN JOAQUIN COMMUNITY HOSPITAL - 2615 EYE ST - 327-1711 o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj e e -6- 06/30/1998 e e í JAGUAR CUSTOM WROUGHT IRON ëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000329 íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format íë Mitigation/Prevent/Abatemt ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site íëë Release Prevention ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 01/07/1990 ¡ o 0 o THINNERS ARE KEPT IN METAL CABINET MARKED FLAMMABLE. PRESSURIZED TANK 0 o CYLINDERS ARE KEPT CHAINED TO WELDERS, OTHER CYLINDERS ARE KEPT CHAINED 0 o OUTSIDE BUILDING 0 o 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëë Release Containment ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëë Clean Up ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 01/07/1990 ¡ o 0 o A FIRE EXTINGUISHER IS LOCATED AT PAINT BOOTH. 2 FIRE EXTINGUISHERS ARE 0 o LOCATED IN SHOP AREA ALSO THERE IS A SHOWER. 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëë Other Resource Activation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj -7- 06/30/1998 ~ e e í JAGUAR CUSTOM WROUGHT IRON ëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000329 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format j íë Site Emergency Factors ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site i íëë Special Hazards ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëë Utility Shut-Offs ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/06/1995 ¡ o 0 o A) GAS - SOUTH EAST CORNER OUTSIDE OF BUILDING o B) ELECTRICAL - SOUTH SIDE 40 FEET SOUTHWEST OF SOUTHE EAST CORNER o C) WATER - SOUTH WEST END OF BUILDING OUTSIDE o D) SPECIAL - NONE o E) LOCK BOX - NO o o o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëë Fire Protec./Avail. Water ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/06/1995 i o 0 o PRIVATE FIRE PROTECTION - FAUCETS IN FRONT, SIDE AND BACK OF BUILDING o FIRE EXTINGUISHERS LOCATED IN PAINT BOOTH AREA AND SHOP AREA. o o o o o o o o o o FIRE HYDRANT - ACROSS STREET ON SOUTH WEST CORNER OF BUILDING. o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëë Building Occupancy Level ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj -8- 06/30/1998 ;.. :", e e í JAGUAR CUSTOM WROUGHT IRON ëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000329 íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/06/1995 ¡ o 0 o HOW MANY EMPLOYEES AT THIS FACILITY???????? o o o o WE HAVE MATERIAL SAFETY DATA SHEETS POSTED ON THE BULLETIN BOARD. o o o o BRIEF SUMMARY OF TRAINING PROGRAM: WE HAVE WEEKLY SAFETY MEETINGS ON 0 o HAZARDOUS MATERIALS. WE ARE WRITING A HAZARD COMMUNICATION PROGRAM. PHYSICAL 0 o AND HEALTH HAZARDS ARE DISCUSSED. 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ 0 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj -9- 06/30/1998 _.. .__.___. __ Oh _ __ ___. . --- - - .' - - ~._--_._~~. -----...---- - -- . I - - . PAYMENT TRANSFER .. . f REOUESTED BY E5+hec 00 íQ.f\ DEPAR~ENT E~v. SvC~_ DATE l - d \ - q 7 PHONE ,-~d.b- 3qìq PAYMENT TRANSFERRED FROM: CUSTOMER TYPE AND NUMBER CUSTOMER NAME PAYMENT DATE PAYMENT AMOUNT ES 3b9L/ --.JajL)Q r (' vS-/OIYI ¿J¡0':jh-l ..:Jì-()¡') Jï1c 8-/-9S" JI / 750, 5 <R . PAYMENT TRANSFERRED TO: CUSTOMER TYPE AND NUMBER CUSTOMER NAME PAYMENT AMOUNT ~~ 39/() -b!jj O/d<J,~/I1 ~)f0'jJd /rQII JIIC. REASON: {,,7:'l::'d <;('t:.Tl/~ ~~~~ lJ~:d~í 7:Æ)a~91[/)y q APPROVED BY: SUBMIT TO ACCOUNTS RECEIVABLE FOR PROCESSING - STATEMENT OF ACCOUNT . CITY OF BAKERSFIELD 1501 TRUXTUN AVE BAKERSFIELD, CA 93301-0000 (805) 326-3979 DATE: 9 10 1 195 TO: JAGUAR CUSTOM WROUGHT IRON INC 300 UA"~ ~~ ö¡ sß'D7 CUSTOMER NO: 3910 CUSTOMER TYPE: EsI 3910 - - - - - - - - - - ----..-----.--.~-~- - - - "'!- ~~-~~~~~ ~--- - - - - - - - - - - ~- ~ - ---~--~=-~-:...::.~ ~~_""": - - CHARGE DATE DESCRIPTION REF-NUMBER DUE DATE TOTAL AMOUNT ------ -------- ------------------------- ---------- -------- -------------- 6/01/95 BEGINNING BALANCE 158.00 NEW STATEMENTS! Please call 326-3979 if you have questions or changes regarding your account. -------------- -------------- -------------- -------------- CURRENT OVER 30 OVER 60 OVER 90 -------------- -------------- -------------- -------------- 158.00 ---- --- -- - --- ~ DUE DATE: 9101/95 PAYMENT DUE: TOTAL DUE: 158.00 $158.00 '-- .. .- ---. - -, - PLEASE DETACH AND SEND THIS COPY WITH REMITTANCE 9101/95 DUE DATE: 9101/95 REMIT AND MAKE CHECK PAYABLE TO: CITY OF BAKERSFIELD P.O. BOX 2057 BAKERSFIELD CA 93303-2057 CUSTOMER NO: 3910 CUSTOMER TYPE: ESI TOTAL DUE: 3910 $158.00 i 11/'15/94 Page 1 ! ,j AC>LJAI"" ClW'I"OIVI WI"'OlJC>I·.J··'· ·1' ""ON ·r Nc () ' 5'" .... (~'."J .,.. () (' () (9 "f' ·1 . _,.. .'\ ..' ..) ... . "\....., .."\ .. . .. . .} 1,,). a .. \I '¡ 1 (:' .J '. h·, _ U.era I. ".),te Wlt , ~ .. __ __ __ __ __ _ __ _ __ _ _.__ _ ___ __ ____~:~::. ~_ ~_ ~ ~ ~~~ ~~ ~ ~~~ _.___ __l;~c¿ :~~~?-:¿g.:: 9.9_ -=_º__ __ ___ ------------------------------------------------------------------------------1 1 1----------------------------------------------------------------------------11 j! L. 0 cat ion: :) 0 0 UNION A V !VI a p : 'I 0 8 H a z : or y p e: -, I II .., ("AI'I"'I" ··'I..··ITII·· ,. 'd '~2(' '\ AO\I () () II Clty : :,1 '\:::.~~)'.....:::...) Ur1,: ::. ../ : .. : " I ----------------------------------------------------------------------------1 ! 11-·.......· Contact Name ............................ 'Title ·..·....·-··..··...-..11...·........ Contact Name ............................ "I"itle ......................., i I i' '\""):"V i ]"NI')<:'Fv / 1I'::lll:"1 P· 00\/TN<:" ) i , I ... /"\" \. ....., .. '..)... 1 I I.. . h ... " .. ... I '..) / , I I Business Phone: (805) 828-5015x II Business Phone: (805) 823-5015x I I I 24·..Hour Phone: (005) J9Ü..·92'·!x ! I 24....Hour Phone: (005) :)66'''9~;4'x ¡ I II Pager Phone () x i I Pager Phone () x i I j ..1....··..··..·..···..........-......·..·..................···..·....·..·....··......'· .......................,........... ... ·......·/1·...·.. -.......................................,............................. ...............-..,...... ',·...··....··..···....·,···....1 i 11--------------------------- Administrative Data ----------------------------1 I I I Mail Addrs: 300 UNION AV O&B Number: I I II City: ÜA'~EI~~:)¡:::I[I...D ~)tate: CA Zip: 9:):)07·... II I Comm Code: 015-906 COUNTY/BFD-STA 6 RESPONSE SIC Code: 3446 / I I I -------------------------------------------------------------------------- I I II Owner: HAI:;:OI...D ,.JAG(;E:~~:) Phone: (OOS) ::32:)'''50'15 ¡I·! ¡ I Ad...J ';2"~() "'1"'1" AI" <'''I'' c, t "'A I I I . U res s: c... ,). t... ::: J ~ 'J ,~) t a . e: C. I i ¡-S:I~~~~~i ~~::f:~:~~~'~~J_ ~~~:.: :...: :::.: ~??~ej::::::::::::::~ ~.~~:~~-)~~=::::: :::::. i i \ \ ~ - ;)D I I' ! " J I I I 0" I i II II Ar II 1 ¡ ........,................................................................-.........,...............................................-.................................,.................................................re..............,.............m...................................·..........-11 1==============================================================================1 ~~r~ 3 rFl2#- (;.r '1 II / fl!lt~ ) ~~OMIV ~ ----- / D ~ . 'j '1/'\ ~;/94 ,JAGUAI~ CUSIOlv\ WI~OUGH'T TI~ON TNC 0·15,...(~· ···,()()097·\ ()A :=,' x ¡.."> (J ('0-....1'I'·ne""" ."'..... ,:'>,'..... . .." ..~ ..'.! ! \. -::. . ,,' f ~~ r.':f \. ',. \. t:'.. ~ Page 2 ... Hazmat Inventory Deta1l 1n Reference Number Order ···......·.·..N··..·_.._H··__.·..·..·................·..···.....·...................._........_........_...........__....._......____.. ............,......_................_.. .......................................... ................... 02-001 ACETYLENE > Fire. Pressure Gas :):)2 High FT:) __~............__....__.__._...._..___......_.___._._...................................................................................__.__.__........................___.__......m___.__._ CM:> :!;: '14062 l'rade ~:)ecre'c: No ¡:=orm: Gas 'T'ype: Pure Days: Use: ---- Daily Max FT3 ::3::32 I ... I .... I Daily Average FT3 0,00 --1-- Annual Amount FTJ ¡ 0,00 .... .... .., .... .... .... S tor age .... .... ....... .... .... I Pre s s \Above I Temp -1------------ Location Ambientl .... .... .... .... .... .... .... ~.. .... .... - Cone -1---------------------- Components 100.0% ¡Acetylene -------------1- MCP IHigh -'. .... I G u ide I 17 .....____._____..__._...._~._........_.~......~......_..__.·······.M··..~_··~···.···~····.._··_······.._··_·..__···..·................__....._......___.........._.__._...._".........._...._._.____.....___.." 02..··0()2 O)<YGEN > F1re. Pressure Cas '1200 Low ¡:::'fJ -....-.-..--..........".....--.--..---......--.........................--.-....-..-.-.-........------....-.-.-.-............................-.-.-....................-..--.-.-........-.- CM) :j:: '1'10244'/ 'Trade ~:)eeret: No Form: Gas 'T'ype: Pu re Days: Use: ---- Daily Max FTJ 1.200 --1-- Daily Average FTJ --1-- Annual Amount FTJ -- I 0,00 I 0,00 .........."............ ~:)torage .............-.............. I Press ¡Above ! Temp -1------------ IAmbientj l.. oc a t'1 on '.. .... ... ... .... -" .... -.. .." .... - Cone -1---------------------- Components 100.0% ¡Oxygen. Compressed -----------...-1- MCP --¡Guide ¡Low I 14 ........._.._...."..."..__.__................_____....__................_..............__.__._"".._.....__.._._........._............._......._......_._._______.._.H....._....__.._._·__...."......._.__.... 02··.. 00:) A¡:~CON > Pressure Gas 300 ¡v!inimal FT'::) _...__._.._._""....__.~...-.__._._._.__.."..".__._......---.........--.-.....--.....-....--.-----.-..---.---.-.--..-----......--.---..--.- CM) ~*: 'I 4. 4 0 :) 'l '1 'Trade ~)ecret: No Form: Gas 'T'ype: Pu re Days: Use: ---- Daily Max FTJ ----1-- Daily Average FT3 300 0.00 .... ... I .... .-. Annua 1 I Amount ¡... I:J .... .... 0,00 .... .... .... -- .... .... ~3torage .... ..-... ... ".'" .... j Press !Above I T' e m p .... I .'. .... ,... .... ..., -.. .... ... .... ... .... .... ¡Ambient! Location ................................ ........ .... Conc -- I .... ........... ...... ....... ... .... ........ .... .... .... ....... .... ....... ,... .... Components 100,0% ¡Argon .... .... .... ... ,.. -- .... ". ........ ... .... ... !.. ¡\liC P .... ..' I Cu i de Ivlinimal I '12 ·11/·IS/91.j. ,.J !>..(;U A j~ CU ~)!VI.. ~ j~OU GI::~·r J i~(?i\j J i\J C () ~~ ~ .... C.· ..,·0009'/ 'I o~ ~lxed Gontalners at 01te p . age :3 Hazmat Inventory Detail in Reference Number Order ._.__.._._'M._·_.._·..._.M.__.__....._._______.._____.._.____._.._...._.....___..._....___._.__....__.__._._.._..........__...._________...._.__...._._._... 02-004 CARBON DIOXIDE > Pressure Cas ·16(-) 0 Ivl in i rna ï F·r:) ...-....-.-...-......-.-.--...--.-..-............--........,.-.-....-.--------............ ................... .,..-....------........--..---......-....-........----.... CM:; ~: '124:309 ·Trade ~>ecret: No Form: Gas ·Type: Pu re Oays: Use: ---- Daily Max FT3 ----1-- Daily Average FT3 ., ¡ 6. 6 0 I 0 . 0 0 ..··....1···,··,' I Annual Amount FT3 -- 0,00 ------ Storage ------- Press Above I Temp -1------------ Location ---------- ¡Ambient! - Cone -1---------------------- Components -------------1- MCP --¡Guide '!OO,O% ¡Carbon Dioxide ILow I 2·¡ · .\.\ 1'\ ~j194 ,jAGUAR CU~IY"'")\\II WHOUGI·rr II:;:ON INC 0·15....0.....0009'11 00 - Overall Site Page 4 <D> Notif./Evacuation/Medical -.-........-.-.............-.-........---.-..........--.---.-..-----.-.---.-.....-...............--...-.-.-.................-.........._-_..-._.......-...................-........._..---..-....-.----.-.- <1> Agency Notification .... .... .... ".. .... .... 'M, _.. .... .... ..0' .... .... .._ .... .... .... .... .... ...' "_ .... .... <2> Employee Notif./Evacuation ............·..._....._··....··....___··...__.....·.ø..........·.·,.............,..................... NOTIFICATION - POSTED PHONE NUMBERS FOR POLICE DEPT, FIRE DEPT AND A!\lIBUL.ANCC, EVACUATION - 3 ROLLUP 12 FT DOORS IN SHOP AREA ARE KEPT OPEN DUHING WORK HOURS. STANDARD DOOR FROM SHOP AREA TO OfFICE, <3> Public Notif,/Evacuation --....-.-.........--.........----.-......-....---........--..........'-- WE HAVE NO NEED TO EVACUATE THE PUBLIC, <4> Emergency Medical Plan _.____.........__.___._______.M.______._ SAN JOAQUIN COMMUNITY HOSPITAL 261~; EVE ~)'r HAI'(::::F~~:)FJEL.U. CA (S3()~») :;)2'1····171·' · '11/'1~)/94 ,.) AGU A ¡:~ CU ~)TOivl W ¡:~OU CI·:1·r I ¡:~(?~~ I,~~ C () '1 5....0.( ·-·0 ° () 9 '7 1 _ 00 .... ()vera 1 I h. te _ <E> Prev./Minimization/Cleanup Page 5 ·______··._..___.__.____....u..___._.___...u____._____.·.._.....u.._.....__w._...._______.__._______.________.____._,______.,______..._,__.______ <1> Release Prevention ··...____._.u.._.._____....____._.........._.___..._... THINNERS ARE KEPT IN METAL CABINET MARKED FLAMMABLE. PRESSURIZED TANK CYLINDERS ARE !(EPT CHAINED TO WELDERS, OTHER CYLINDERS ARE KEPT CHAINED ou·rs I DE U L DC, <2> Release Containment ____n_...._·_··_._.___.__~··..__._··__·__··_· <::-J> Clean Up ,.., .... ~._ .... __. .... .... .... .... 'M' .... .._ A FIRE EXTINGUISHER IS LOCATED AT PAINT BOOTH. 2 FIRE EXTINGUISHERS ARE LOCATED IN SHOP AREA ALSO THERE IS A SHOWER, <4> Other Resource Activation --.---.................-....-..-..........-....--.....---.-.---'---"---'- · '\'1/'15/94 "A(;lJAI~·:l~:i··"OIVI '.1 1"'OlJ C;\·.J··¡·· T POi\' .[ Nc () 'I ~.... .)..... (\ () () 9· '·11 .J ... ., t....).. vv "' .. U 1 ... ."' .. ~ ... . ..J l J' , 00 ... Overall Site Page 6 <F> Site Emergency Factors ---.---....-........-.-........-..--.-.-.......-....--..-.-.-.-.-.-.-....-..-...-......-.-..................---...--..--..........-.--------.....--..--......--..-...-..-.----...........-..-- <1> Special Hazards -....-.....--.-.-.--..-.-..--.--..-...-- <2> Utility Shut-Offs -.--.......---...........-.......--....---.--.-- A) GAS/PROPANE... SE CRNR OUTSIDE OF BLDG, B) EL.ECr¡:~ICAL ,... ~:> ~3IDE 40 f:·'u ~>W Of::: ~:>F C¡:~NR, C) WA·fEi~ SW END OF BlDG OUTSIDE, 0) ~>PCC.l:AL .... NONE E) I...OC:< DO>< ,... NO <3> Fire Protec,jAvail. Water -.----.....-.--..-.........--......---..-.-...........'---'-- PRIVAfE FIRE PROTECTION... FAUCETS IN FRONT, SIDE AND DACK OF BLDG FIRE EXTINGUISHERS LOCATED IN PAINT BOOTH AREA AND SHOP AREA, FIRE HYDRANT... ACROSS ST ON SW CRNR OF BLDG, <4> Earthquake Vulnerability -.-.--.-...-...-..--......-.---...--.-.--.-....---.-."- · '11/'\5/94 ,JAGUAr~ cU~:)'rOIVl W¡:~OUGH'r II~ON INC ()·i5....()~....()Ü()9..,1 _ 00 .,., Overal -1 ~:)i te . Page .., <G> 'Training ___..MM......_._.._.___......_.___._..__.....___...____..____._._._.__.._...._..........M.__.....__.._...._.,.......__.......M.....'__............._.._........_._........_..._.__........__ <1> Training Record Location -..-.---.--------............-.--.--.-....--........- WE HAVE MATERIAL SAFETY DATA SHEET POSTED ON THE BULLETIN BOARD. WE HAVE WEEKLY SAFETY MEETINGS ON HAZARDOUS MATERIALS, WE ARE WRITING A HAZ/l.i~l) COivllv!UNICA'TION PI~OGI~AiV!, PHYSICAL AND HEAL'rH HAZAI~DS A¡:~E DJ~:)CU~)SED, <2> Describe Training Program -.-.-.--.--.----.--.-.-.....-.---...---------- <3> Emer. Agency Coordination ___.__····_···N·.__._·_·····....__.___..__._.._·___·__._ <4> Emer, Response Equipment .___ø~..___.__........._.._..__._._._._..._.__.___._..M......... · '\ 1/'\ 5/94 ,.J AGUA¡:~ CU~~IV! WI~OUGH·r I ¡:~ON I NC ()" 5 .... ()&_ .... ()() 0 9 7 'I ~ 00 - Overall Site ~ Page ß <H> SCHOOLS WITHIN 1/2 IV!ILE M.. .... .... .... .... .... .... .... .... .... ~.. .... .... .... _.. .... .... .... .... .... .... .... .... .... .... ....... _.. .... .... u. .... .... .... .... .... ... ,.. . _ .... .... .... .... .... .m .... .... ... .... .... .... .....n ... .... .... .... .... ... .... .... ... .... .... .... ~.. .... .... ... .... .... .... .... .... .... _.,. .... .... .... <1> High Schools ..........-.................................................... < 2 > ,.J r, Hi g h ~k hoo 1 s _........................___..___........__...._....m. <3> Elementary Schools --................--............-........-...................--- <4> Private & Pre Schools ....-....................-.-......--..............--....----......-- - CITY of BAKERSFIELD "WE CARE" January 11, 1995 . FIRE DEPARTMENT M. R. KEllY FIRE CHIEF 1715 CHESTER AVENUE BAKERSFIELD. 93301 326-3911 Jaguar Custom Wrought Iron Inc. 300 Union Avenue Bakersfield, CA 93307 Dear Business Owner: Because of the annexation of the location of your business on November 10, 1994, the Hazardous Materials Business Plan and Inventory reporting requirements of both Federal and State "Community Right to Knowll regulations will now be administered by the Bakersfield Fire Department Hazardous Materials Division. We have made arrangements to transfer the plans that you have previously filed with Kern County, to our office. Therefore, we will not need a new business plan and inventory from you at this time. California law does require all inventories to be updated annually and your business plans to be amended within 30 days of anyone of the following events. 1) A 100% or more increase in the quantity of a previously disclosed hazardous material subject to the inventory requirements. 2) Any handling of a previously undisclosed hazardous material subject to the inventory requirements. 3) Change of business address. 4) Change of business ownership. 5) Change of business name. You should also report any significant changes to your business plan such as contact information, telephone numbers etc. For any of these changes or any questions regarding the handling or storage of hazardous materials on your site, or for any necessary underground storage tank permits, please contact us at 1715 Chester Ave., Bakersfield, CA 93301, or call 326-3979. Sincerely yours, 4~ Ralph E. Huey Hazardous Materials Coordinator