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HomeMy WebLinkAboutBUSINESS PLAN (3) ~," ~ a,~.- ;."~-- ~ SITE DIAGRAM J x 1 Business Name: sr.Hnm S SFRVTEE CENTER Business Address: 705 so UNION AVE . FACILITY DIAGRAM J 1 - _.~----------- --- ---- --- - -- - -------------- 'r ------- 110 _ I Ä" I "'. . i i1J ---.....-.. . . ..---.-.--...---..... -.- ...-------- 13' u "5 o t'a.7ft4# ~ ~ '!J:' ~ , .'. (Y1 o..i " + :i:I: it ' -r ra h~ pð,..kd·\·IÞ.... ,~, DDO QAt. ~71ðIl£~~ 0 'F()~(, rAAlI:S EY_IL'7ØR~ ·o/:¿ e'ACII B o ~ J j - o ppe\"'\J. \-. ol'\~ ~ j , i-sr;'~ "~':z:'\ "",...1 ~,... \ IW'R,,., "@ -~~" '0 @ - ¡ " I .-;' , ¡U, It! li. ~a .~.:..... uølve-ma.,~ . , _ QTer"va\ve-l.o.::.a\ 'III: h re ß'j!>~ e I'Y\ '..l.':t -t e ,. Vt\I~e- 'iV'ClI'V' "' " . --... . , ¡,.~)t§) -~,~t I I ¡ ~ U..la, ,.c,.'1 ')US~ SO'lt -+h Ga.+ e - ~o......er oç ç", ':..; '+ s $. u..'-ee..I( e Yldt.; .. ~. ~Cl~neIG< o..te- t'n Iy e"+õctnCe 71JSnts.f- ((~l. end.s 0..- ?1.cr-H, G,,"-e-Pol,µe,. or~ n ~hts .J. W e c2./~ eY\~5 q:.. © u. n u se.4, 9a....-\c:: - n D IJ ð l.µ~J' ~ ¡:;;"c. H,c1..".,,, (Inspector's Comments): TIL "]Z' :2[ (/3) © Ôos Vl\.\v-e ê.. I ê C + Y' IC'Ll V\."\C\,. ; V\ S <@J tl 1\ \ , \f R ; S<? ,- '(IJL~ ~ N ~Ö2_D ~:=-_.J~. -, <§) tI[. Të.(r'ClC.~ lA.)C\. "1 ' ' -OFFICIAL USE ONLY- HMCU-13 (; ,¡ <... ~ I~ ; . · It UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME INSPECTION DATE INSPECTION TIME k C' ~J4.-1--¡-,-~ç:~. ~chC!Oli_~_.______________ 1 -,,-01 -H5r "3ð _,':- 1--.-------- ..,..,.---.------- ADDRESS PHONE No, No. of Employees 10S-· S. U/V,rO...... ---~ ZS"'"L - S"60( Jy -- ------...-------.-- FACILlTYCONTACT Business 10 Number S;-¿'þ ++ "1S 0 ~ 1+-h )')" """-' IS-021-tv I Sz..Cf. Section 1: Business Plan and Inventory Program outine c:J Combined o Joint Agency o Multi-Agency c:J Complaint c:J Re-inspection C V ( C=Compliance ) V=Violation OPERATION COMMENTS ~ 0 ApPROPRIATE PERMIT ON HAND ~ ~ BUSINE~~-LAN CONTACT ·INFOR~ATI~~-;~~~;~~E _=~_~- -~~:~-_~~Q~_~.~~:~~~~~~~~~~~~:-=~~~~:::~-~-=-~~._-_-:.--.-~_=__ '"PK c:J VISIBLE ADDRESS ~ c:J CORRECT OCCUPANCY ~ 0 VERIFICATION OF INVENTORY MATERIALS.____________ .-- _~uJilJ...d;t;L ______fi.t11aCl..L)__IÝ../2L<2_ 18 I ~ c:J VERIFICATION OF QUANTITIES ! ~ ~ -:::~:::R:~:::::~~ .~._~~~-~:~~~5+~~ / ~___~_________________ _ ___ _____ ,_ __..._ _______ _____11___.__ _____.___ ______ _____ ___ c:J VERIFICATION OF HAT MAT TRAINING____ ____ ____ __ ____'. "':,,___ ___ ______ __ _________ ___._.__ _~_ ___ ___ VERIFICATION OF ABATEMENT SUPPLIES ~~~.!_R~C~~~~~S _ _____ ___ __ __ _ ___ ____ _____ ___ _______~-----. _ ___ ::::::::: ::::~~::~::UAT~__ _...__.._ n___ .__nn_~_ ._---_._-----_._~~----_._-_.-"--- _.,._+____________..._____.___.___________.___~____m. __.._______.. ._._______ _____ ,,, I " -----.------- ---.--.----------..---.--. ._---_._-_.._--_.~"--_.._--_._-.----_._-----_.__._-- --..---.---.----.. \. ~-------_._---------_._-------- .-.---.-. --------_._-----------------_._---_._---~--_...._--_..----..------. - ~- --------_._~-------------- ----------------- ----- -..-. FIRE PROTECTION ~- y-e ¡tIyIf"* ç ~Æ"_/~/~ ~ . U u. ~ --~-------------- ------------~------ -----_._~--~--_. ------ SITE DIAGRAM ADEQUATE & ON HAND HOUSEKEEPING ~c:J ANY HAZARDOUS WASTE ON SITE?: ~ YES 0 No EXPLAIN: t-vA-S~ ð, L QUESTIONS R~~ARDING THIS INSPECTION? PlEASE CALL US AT (661) 326..3979 ~ __j"'f\..~~_______~:? ::ge Nö~----- .-<c:7 Business Site Responsible party White· Environmental Services Yellow - Station Copy Pink - Business Copy ((, C /' ¡-:;, ( ..-t,. K C SUPT OF SCHOOLS tlkv CNTR . SiteID: 015-021-001529 Manager : DON FOWLER Location: 705 S UNION AVE City BAKERSFIELD CommCode: BAKERSFIELD STATION 06 EPA Numb: '1-\\\\3 'Q Sx.ç BusPhone: Map : 124 Grid: 06B (661) 852-5802 CommHaz : Low FacUnits: 1 AOV: SIC Code:7538 DunnBrad: Emergency Contact / Title Emergency Contact / Title SCOTT BOHANNON / SAFETY ADMIN. RON SHEARER / DIRECTOR Business Phone: ( 661) 852-5800x Business Phone: (661) 852-5861x 24-Hour phone : (661) 393-1869x 24-Hour Phone : (661) 589-9450x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Period : Preparer: Certif'd: ParcelNo: to Phone: (661) 852-5800x State: CA Zip : 93301 Phone: (661) 852-5800x State: CA Zip : 93301 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Contact : MailAddr: 1300 17TH ST City : BAKERSFIELD Owner Address : City K C SUPT OF SCHOOLS 1300 17TH ST : BAKERSFIELD Emergency Directives: PLEASE SCOTT BOHANNON WHEN COORDINATING A FACILITY INSPECTION. SCOTT SHOULD BE PRIMARY CONTACT PERSON. 661-~G 474Er. DOUG FOWLER 393-1669 ~5).-S~oo I, G...J.I- ~h/À.nl){)n ID~ h~riS©Y ciSrtií1y ~h~~ ij ~W~ ~name) reviewed tha mtach®d hB1Zam1ous ma~sria1i~ mla!n®~®- ~L";t\ <:..0 Sur"" merit pl~i1 ior e>f. SGhcD ~ ~nd ~h~~ i~ tati©n@ w¡~~ (Nœmø of I8\u¡¡ÍMIJC) MY COITedifJfi1:S ronsti~u~~ t§1 ©@m~l@t® @In©] oorr®©'i\ Mlalfñ- agem~m plan for m}f i@\©glit~. ~~~ f-3 -63 Date -1- 08/22/2003 ·c.--- - ~~ ~ e K C SUPT OF SCHOOLS SERV CNTR SiteID: 015-021-001529 Manager : DON FOWLER Location: 705 S UNION AVE City BAKERSFIELD CommCode: BAKERSFIELD STATION 05 EPA Numb: BusPhone: Map : 124 Grid: 06B (661) 852-5802 CommHaz : Low FacUnits: 1 AOV: SIC Code:7538 DunnBrad: f? d .,--- Emergency Contact RON SHEARER Business Phone: 24-Hour Phone Pager Phone / Title / DIRECTOR (661) 852-5861x (661) 589-9450x () x Emergency Contact ~KE D80I..ITTLi: Business Phone: 24-Hour Phone : Pager Phon~ : Hazmat Hazards: / Title / SAFETY ADMIN. (661) 852-5800x (661) )9: l'::'ð~x ( ) J........(: X (+.fJ/'YI V\.. "3 <7:r . I Y ~ '1 ire Press ImmHlth DelHlth Owner Address City K C SUPT OF SCHOOLS 1300 17TH ST BAKERSFIELD Phone: (661) 852-5800x State: CA Zip 93301 Phone: (661) 852 - 5800x State: CA Zip 93301 Contact : MailAddr: 1300 17TH ST City BAKERSFIELD Period Preparer: Certif'd: TotalASTs: TotalUSTs: RSs: Gal Gal Emergency Directives: 5~76h~ PLEASE CALL SHOULD BE PRIMARY CONTACT ~I?ð ""'-- / WHEN COORDINATING A FACILITY INSPECTION. MIKE PERSON. 661-636-4748. p= Hazmat Inventory One Unified List ì f== Alphabetical Order All Materials at Site ì Hazmat Common Name. . . SpecHaz EPA Hazards DailyMax MCP ANTIFREEZE L 420.00 GAL Low ARGON F P IH G 300.00 FT3 Min AUTOMATIC TRANSMISSION FLUID F DH L 250.00 GAL Low DIESEL F DH L 12000.00 GAL Mod GASOLINE F DH L 12000.00 GAL Mod GEAR OIL F DH L 250.00 GAL Low HYDRAULIC OIL L 55.00 GAL Low MOTOR OIL F DH L 750.00 GAL Min R-12 G 400.00 FT3 Min WASTE OIL F DH L 500.00 GAL Low WASTE OIL FILTERS F DH S 330.00 GAL UnR c;Át¥\~ 5' ¿bJ-J- '"R c> h ~ n ;?6Y\... Ge-v~ . ./ rv'~ -1- 07/01/2002 / pð-Vr-¡C~nv/ ~r- "'3c¡3- J"iI&, ~ .'.-_,P." -- -',- e e CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd l~loor, Bakersfield, CA 93301 FACILITY NAME ".C. ,J"upfo-f ~c.hOßt~ 5(¡-uÌU Ctl\~ INSPECTION DATE 1/- / ~ ,. C> ADDRESS 70~ S· UI\I'O" A\JL PHONE NO. 6'" ~S2..- S-80'2.. FACILITY CONTAC~/.W·~ ?.t+Ld'~'- BUSINESS ID NO. 15-21O-0IS~q INSPECTION TIME .þÐ r>? 1_ NUMBER OF EMPLOYEES I I 'Z...- Section I: Business Plan and Inventory Program o Routine o Combined o Joint Agency o Multi-Agency o Complaint o Re-inspectìon OPERA TION C V COMMENTS Appropriate pennit on hand ~ Business plan contact infonnation accurate 'x Visible address > Correct occupancy )< I Verification of inventory materials ?- -* Verification of quantities ~ y~ Cð~~ Verification of location 7 &~>~ Proper segregation of material 'r Verification of MSDS availability '7 Verification of Haz Mat training 'r Verification of abatement supplies and procedures '7 Emergency procedures adequate y Containers properly labeled ')< Housekeeping }- Fire Protection )7 Site Diagram Adequate & On Hand 'y C=Compliance V=Violation Any hazardous ~aste on. site) '0 Yes (J NO./ . / ~ Explain: t- "'::I" f-.-c... 0, / A- ~/ ~~ z,. <... ~/.¡...-/f // I" Questions regarding this inspection? Please call us at (661) 326-3979 White· Env. Svcs, Yellow· Station Copy Pink - Business Copy i1)~1J 7~< usmess Site Responsible Party Inspector: ~ ~ &¿ e e CITY OF BAKERSFIEI..D FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd I;'loor, Bakersfield, CA 93301 \. FACILITY NAME j~.t:-. ŠN 11-. or- ~tPht>ðII INSPECTION DATE II - 2.? -0 , ADDRESS -'0 r ~. t:.-(~~t:Þ,-- PHONE NO, {..l." - l?s;''Zo'- ~iJll..... FACILITY CONTACT_.s;"~Þ)--J.. ðc>IJ-A-r\no..-- BUSINESS ID NO. 15-210- 0:>/ s-Z.9 INSPECTION TIME NUMBER OF EMPLOYEES 171 Section 1: Business Plan and Inventory Program o Routine o Combined ~ Joint Agency o Multi-Agency o Complaint ORe-inspection OPERATION C V COMMENTS Appropriate pennit on hand V ¡..r "- . Business plan contact infonnation accurate V i- ~~t>'""..e. ,J':" k '<. -:b.:,. 0 I J:r ,1......... ) 'iF A-d.- Visible address ¡.... r-- ~~J-í &/t- y+NjVOI/L Correct occupancy ;I"" - F'l~¡" tnr-- ~ .n Verification of inventory materials ",- \T ¿p (q 1·- ;? S è.. - ç-2¡ <- Verification of quantities ~ - Verification of location ,... VO-L- çh ..p t:). 17 .¡¿/l ~ Proper segregation of material , - ~ùs~, -::p- ¿p úJ - ~ 2. - S?i..(/ Verification of MSDS availability /' ...- Verification of Haz Mat training - - Veri fication of abatement supplies and procedures .,.. Emergency procedures adequate ../ Containers properly labeled / Housekeeping ./ Fire Protection ../ G~. ?e--J ~O: 1>~~ Ey/., Site Diagram Adequate & On Hand y ,- cÞe~ ~~ I:.. ~__- /~ C=Compliance V=Violation Any hazardous waste on site?: ~Yes 0 No Explain: ~ r->::r~ ¿$I, / White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: Questions regarding this inspection? Please call us at (661) 326-3979 /- ì ,,"'. ~ ..;¿, -- CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES INSPECTION DATE \ ,.......'L cr-oe...-, PHONE NO. ð-~- ~- BUSINESS ID NO. 15-210- ð 1<ç - O-v. - OG '~~J NUMBER OF EMPLOYEES\'( Section 1: Business Plan and Inventory Program o Routine fCcombined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERA nON C v COMMENTS Appropriate penn it on hand ,/ , V Business plan contact infonnation accurate / Visible address / Correct occupancy /v '- - Verification of inventory materials ./ . ~~'t)7As rJ1~ J~(J~ ~) ('\ J. Verification of quantities 'Y? - lz... '"-¥e. ~<:Jl... . 400 (M~ ~ Veri fication of location V I I V Proper segregation of material ./ / V Verification of MSDS availability .. Verification of Haz Mat training / Verification of abatement supplies and procedures ./ Emergency procedures adequate / v .I Containers properly labeled ./ Housekeeping / Fire Protection ./ /' Site Diagram Adequate & On Hand ./ Any hazardous wæ \n site?: Explain: (.~~:Yï ~es ONo ~ \ C=Compliance V=Violation White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Questions regarding this inspection? Please can us at (661) 326-3979 ..i - - '... K C SUPT OF SCHOOLS SERV CNTR SiteID: 015-021-001529 Manager : DON FOWLER Location: 705 S UNION AVE City BAKERSFIELD BusPhone: Map : 124 Grid: 06B (661) 852-5802 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 05 EPA Numb: SIC Code:7538 DunnBrad: Emergency Contact / Title Emergenqy Contact / Title DON FOWLER / ADMINISTRATOR RON SHEARER / DIRECTOR Business Phone: (661) 852-5800x Business Phone: (661) 852-5861x 24-Hour Phone : ( 661) 393-1869x 24-Hour Phone : (661) 589-9450x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire DelHlth Contact : Phone: (661) 852-5800x MailAddr: 1300 17TH ST State: CA City : BAKERSFIELD Zip : 93301 Owner K C SUPT OF SCHOOLS Phone: (661) 852-5800x Address : 1300 17TH ST State: CA City : BAKERSFIELD Zip : 93301 ." Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: SpecHaz . --"One UÏri~ied List ì ~ll Materials at,,,--Site ì "- DailyMax Unit F Hazmat _Inventory p== A~,~êsignated Order Hazmat Common Name. . . GASOLINE DIESEL HYDRAULIC OIL ANTIFREEZE MOTOR OIL GEAR OIL WASTE OIL AUTOMATIC WASTE OIL 12000.00 GAL 12000.00 GAL 55.00 GAL 420.00 GAL \ DH 750 . 00 GAL ( \ DH L 250 . 00 GAL ~/w F \ '\ ~H L 500 . 00 GAL ow TRANSMISSlpN FLUID!h. Ih()¿H1liDo~ersby cshn¥ thatL! have 250.00 GAL/ Low FILTERS (fype or print name} F\ "'QH S 330.00 GAL UnR reviewed the attached hazar~ous materi'ãts,Jnanage- ~__,/- ment plan for kesos (- ~d that it~I:~~~iÜl----_// - (Nams 01 Business) "-'" ...............~ any corrections constitute a complete arièlcorr.ª-ç:!_~~n- " -1- .eC~~~ ~ )1/3CJIo?J Signature Daté 11/28/2000 ,¡ e -- f K C SUPT OF SCHOOLS SERV CNTR f= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME GASOLINE SiteID: 015-021-001529 9 Facility Unit: Fixed Containers at Site ì Days On Site 365 Location within this Facility Unit Map: W SIDE OF PROPERTY BETWEEN FUEL ISLAND & CAR WASH Grid: CAS # 8006619 [ ~TA~E, I TYPE -r: P~ESSURE ----r TEM~ERATURE I CONTAINER TYPE =Llquld __pure ~mblent ---1 Amblent ~ UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL 12000.00 GAL 6000.00 GAL %Wt. I 100.00 Gasoline HAZARDOUS COMPONENTS CAS#B006619 ~ No TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Mod HAZARD ASSESSMENTS f= Inventory Item 0003 F== COMMON NAME / CHEMICAL NAME DIESEL Facility Unit: Fixed Containers at Site ì Days On Site 365 Location within this Facility Unit Map: W SIDE OF PROPERTY BETWEEN FUEL ISLAND & CAR WASH Grid: CAS # 68476302 [ ~TA~E I TYPE -r: P~ESSURE ----r TEM~ERATURE I CONTAINER TYPE =Llquld __pure ~mblent ---1 Amblent ~ UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 12000.00 GAL 12000.00 GAL 6000.00 GAL %Wt. RS CAS # 100.00 Diesel Fuel No. 2 No 68476302 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Mod HAZARD ASSESSMENTS -2- 11/28/2000 e e f K C SUPT OF SCHOOLS SERV CNTR F Inventory Item 0004 = COMMON NAME / CHEMICAL NAME HYDRAULIC OIL SiteID: 015-021-001529 ~ Facility Unit: Fixed Containers at Site ì Days On Site 365 Location within this Facility Unit Map: EQUIPMENT RM - W END OF TRANSPORATION BLDG Grid: CAS # STATE - TYPE Liquid Pure PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL Daily Average 30.00 GAL %Wt. RS CAS # 100.00 Hydraulic Oil No 112345 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low HAZARD ASSESSMENTS F Inventory Item 0005 F= COMMON NAME / CHEMICAL NAME ANTIFREEZE Facility Unit: Fixed Containers at Site ì Days On Site 365 Location within this Facility Unit MACHINE SHOP RM - TRANSPORTATION BLDG Map: Grid: CAS # STATE - TYPE Liquid Pure PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 210.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 420.00 GAL Daily Average 200.00 GAL %Wt. RS CAS # 100.00 Ethylene Glycol No 107211 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low HAZARD ASSESSMENTS -3- 11/28/2000 e e F K C SUPT OF SCHOOLS SERV CNTR f= Inventory Item 0006 F= COMMON NAME / CHEMI CAL NAME MOTOR OIL SiteID: 015-02i-001529 ì Facility Unit: Fixed Containers at Site ì Days On Site 365 Location within this Facility Unit W END OF TRANSPORTATION BLDG - OUTSIDE Map: Grid: CAS # 8020835 STATE - TYPE Liquid Pure PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 250.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 750.00 GAL Daily Average 450.00 GAL HAZARDOUS C MP N TS %Wt. RS CAS # 100.00 Motor Oil, Petroleum Based No 8020835 o 0 EN TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min HAZARD ASSESSMENTS f= Inventory Item 0007 F= COMMON NAME / CHEMICAL NAME GEAR OIL Facility Unit: Fixed Containers at Site 9 Days On Site 365 Location within this Facility Unit W END OF TRANSPORTATION BLDG - OUTSIDE Map: Grid: CAS # 64742-57-0 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 250.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 250.00 GAL Daily Average 150.00 GAL HAZARD U MP %Wt. RS CAS # 100.00 Gear Oil No 8020835 o S CO ONENTS HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -4- 11/28/2000 e e F K C SUPT OF SCHOOLS SERV CNTR f= Inventory Item 0008 = COMMON NAME / CHEMICAL NAME WASTE OIL SiteID: 015-021-001529 ì Facility Unit: Fixed Containers at Site ì Days On Site 365 Location within this Facility Unit W END OF TRANSPORTATION BLDG - OUTSIDE Map: Grid: CAS # 221 . [ ~TA~E I TYPE ~ P~ESSURE ---, TEM~ERATURE I CONTAINER TYPE ==L~qu~d ___Waste ~mb~ent ---1 Amb~ent ~ ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 500.00 GAL 500.00 GAL 200.00 GAL %Wt. RS CAS # 100.00 Waste Oil, Petroleum Based No 0 HAZARDOUS COMPONENTS HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low f= Inventory Item 0009 F= COMMON NAME / CHEMICAL NAME AUTOMATIC TRANSMISSION FLUID Facility Unit: Fixed Containers at Site ì Days On Site 365 Location within this Facility Unit W END OF TRANSPORTATION BLDG - OUTSIDE Map: Grid: CAS # 64742-56-9 STATE - TYPE Liquid Pure PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container 250.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 250.00 GAL Daily Average 150.00 GAL HAZARDOUS COMPONENTS . %Wt. RS CAS # 100.00 Transmission Fluid (Petroleum-Based) No 0 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -5- 11/28/2000 e e F K C SUPT OF SCHOOLS SERV CNTR p= Inventory Item 0010 = COMMON NAME / CHEMICAL NAME WASTE OIL FILTERS SiteID: 015-021-001529 ì Facility Unit: Fixed Containers at. Site ì Days On Site 365 Location within this Facility Unit STEAM CLEANING BAY - W END OF SHOP Map: Grid: CAS # 221 STATE - TYPE Solid Waste PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 330.00 GAL Daily Average 110.00 GAL %Wt. I HAZARDOUS COMPONENTS ~ CAS # HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / UnR -6- 11/28/2000 e e F K C SUPT OF SCHOOLS SERV CNTR I p= Notif./Evacuation/Medical Agency Notification SiteID: 015-021-001529 ì Fast Format ì Overall Site ì 03/04/1999 CONTACT FIRE DEPT AND/OR POLICE BY TELEPHONE. Employee Notif./Evacuation 03/04/1999 CONTACT EMPLOYEES BY INTERCOM AND TWO-WAY RADIO EVACUATION PLAN IS IN PLACE AND PRACTICED ANNUALLY. Public Notif./Evacuation 03/04/1999 ] 03/04/1999 NONE. Emergency Medical Plan CONTACT POLICE AND/OR FIRE DEPT IN CASES OF ANY MEDICAL EMERGENCY. -7- 11/28/2000 e e í K C SUPT OF SCHOOLS SERV CNTR ëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-001529 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format ¡ íë Mitigation/Prevent/ Abatemt ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Release Prevention ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/04/1999 ¡ o 0 o WE HAVE MINIMIZED THE STORAGE OF ANY HAZARDOUS MATERIAL. CONTAINERS ARE o DOUBLE WALLED. TRAINING IS HELD ON AN ON-GOING BASIS. 0 o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Release Containment ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/04/1999 ¡ o 0 o WE HAVE MINIMIZED THE STORAGE OF ANY HAZARDOUS MATERIAL. CONTAINERS ARE o DOUBLE WALLED. TRAINING IS HELD ON AND ON-GOING BASIS. 0 o 0 o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Clean Up ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë03/04/1999 j o 0 o A SUPPLY OF ABSORBANT IS KEPT ON HAND FOR SPILLS. EMPLOYEES ARE INSTRUCTED 0 o TO CONTACT THE FIRE DEPT IN THE EVENT OF A LARGE SPILL. 0 o 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Other Resource Activation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -8- e e 11/2812000 e e í K C SUPT OF SCHOOLS SERV CNTR ëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-001529 ¡ íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Fornaat j íë Site Emergency Factors ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Special Hazards ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Utility Shut-Offs ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/04/1999 j o 0 o A) GAS - NW CORNER OF TRANSPORTATION BLDG o B) ELECTRICAL - NW CORNER OF TRANSPORTATION BLDG o C) WATER - NE CORNER OF MAINTENANCE AND OPERATIONS BLDG o D) SPECIAL _ NONE 0 o E) LOCK BOX - YES, AT ENTRANCE GATE & E SIDE OF TRANSPORA TION BLDG o 0 o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Fire Protec./Avail. Water ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/04/1999 j o 0 o PRIVATE FIRE PROTECTION;. SPRINKLER AND ALARM SYSTEM. SONITROL SECURITY o SYSTEM WILL NOTIFY IF FIRE ALARM IS ACTIVATED. 0 o 0 o o o o o o NEAREST FIRE HYDRANT - SIX HYDRANTS LOCATED ON AND AROUNG THE SITE LOCATION. 0 o 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Building Occupancy Level ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o âëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -9- 11/2812000 .. e e . í K C SUPT OF SCHOOLS SERV CNTR ëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-001529 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Fornaat j íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/04/1999 ¡ o 0 o WE HAVE 120 EMPLOYEES AT THIS FACILITY. o o o o WE DO HAVE MSDS SHEETS ON FILE. o o o o BRIEF SUMMARY OF TRAINING PROGRAM: WEEKLY AND MONTHLY SAFETY TRAINING o MEETINGS WITH ALL STAFF. 0 o o o äëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o äëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Held for Future U se ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë ¡ o 0 o o äëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -10- 11/28/2000 KERN COUNTY SUPERINTENDENT OF SCHOOLS Kelly F. Blanton, Superintendent 1300 17th-Street- Cl1Y CENTRE, Bakersfield, CA 93301-4533 , j f : ¡ ~:J DON FOWLER, Administrator Transportation Services 705 S. Union Avenue 1805) 852-5800 . FAX 18(5) 852-5829 dofowler@kern.org http://www.l<ern.org I i@ I . . . advocates for children' ~-~- " -- .. .- K ERN COUNTY SUPERINTENDENT OF SCHOOLS Kelly F. Blanton. Superintendent o We believe you may find this of interest. ~ere is the material you requested. From {805} 636-4 ,. \": Kern County Superintendent of Schools 1 300 17th Street - CITY CENTRE Bakersfield, CA 93301-4533 (805) 636·4000 FAX (805) 636-4698 . . , advocates for children . ~ ~ e e CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 \,o~ ~ y 1f~:2(;;¿YVIËV ~~é') \oR) f WI 25 19S9 '\ ~O / fhi0pr-,:r ',' ~'~":~ìH¡é',(~,\ (J' X'T . "~"J.~'~~') To avoid further action, return this form within 30 days of receipt. b.vv. ~ ~ 3\ I' q qq TYPEIPRINT ANSWERS IN ENGLISH. 0 Answer ~he questio~s below fo~ the business as a whole: \ (\r' , . Be as bnef and concise as possible. \! V. . _\ : ~~ '" \ -"'-"\ '\A \ ,. . .,... INSTRUCTIONS: 1. 2. 3. 4. SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESSNAùVUE: KERN COUNTY SUPERINTENDENT OF SCHOOLS LOCATION: SCHOOLS SERVICE CENTER MAILING ADDRESS: 1300 17TH ST CITY: BAKERSFIELD 93301-4533 STATE: CA ZIP: PHONE:805 852-5800 DUN & BRADSTREET NUMBER: 118805860 SIC CODE: 7538 PRIMARY ACTMTY: Building Maintenance. Pupil TransDortation. Warehouse O~R: KERN COUNTY SUPERINTENDENT OF SCHOOLS MAILING ADDRESS: 1300 17 TH ST.. CITY CENTRE. BAKERSFIELD CA 93301-4533 SECTION 2: EMERGENCY NOTIFICATION CONTACT TITLE BUS. PHONE 24 HR. PHONE 1. DON FOWLER ADMINISTRATOR 852-5800 393-1869 2. RON SHEARER DIRECTOR 852-5861 589-9450 .s-~ 75 1 e e > !' HAZARDOUSMATE~SMANAGEMENTPLAN SECTION 3: TRAINING NUMBER OF EMPLOYEES: 120 MATERIAL SAFETY DATA SHEETS ON.FILE: YES BRIEF SUMMARY OF TRAINING PROGRAM: WEEKLY AND MONTHLY SAFETY TRAINING MEETINGS WITH ALL STAFF SECTION 4: EXEMPTION REOUEST I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIME EXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) , SECTION 5: CERTIFICATION I DON FOWLER CERTIFY THAT THE ABOVE , INFORMATION IS ACCURATE. I UNDERSTAND THAT TIllS INFORMATIONWllL 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 .) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. ADMINISTRATOR TITLE 1- DATE 2 - .' i ..., e e HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES A. AGENCY NOTIFICATION PROCEDURES: CONTACT FIRE DEPT. AND/OR POLICE BY TELEPHONE B. EMPLOYEE NOTIFICATION AND EVACUATION: CONTACT EMPLOYEES BY INTERCOM AND TWO-WAY RADIO EVACUATION PLAN IS IN PLACE AND PRACTICED ANNUALLY C. PUBLIC EVACUATION: NONE D. EMERGENCY MEDICAL PLAN: CONTACT POLICE AND/OR FIRE DEPT IN CASES OF ANY MEDICAL EMERGENCY 3 e e -- ..... .' . HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION. PREVENTION AND ABATEMENT PLAN A. RELEASE PREVENTION STEPS: WE HAVE MINIMIZED THE STORAGE OF ANY HAZARDOUS MATERIAL. CONTAINERS ARE DOUBLE WALLED. TRAINING IS HELD ON AN ON-GOING BASIS. B. RELEASE CONTAINMENT AND/OR MINIMIZATION: SAME AS ABOVE C. CLEAN-UP PROCEDURES: A SUPPLY OF ABSORBANT IS KEPT ON HAND FOR SPILLS. EMPLOYEES ARE INSTRUCTED TO CONTACT THE FIRE DEPT. IN THE EVENT OF A LARGE SPILL. SECTION 8: UTll.ITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY) NA~GAS!JPROP~: NORTHWEST CORNER OF TRANSPORTATION BUILnTNr. ELECTRICAL: NORTHWEST CORNER OF TRANSPORTATION BUILDING WATER: NORTHEAST CORNER OF MAINTENANCE AND OPERATIONS BUILDING SPECIAL: NONE LOCK BOX: YES/NO IF YES, LOCATION: AT ENTRANCE GATE & EASE SIDE OF TRANSPORTATION BUILDING SECTION 9: PRIVATE FIRE PROTECTION/W ATER AVAILABILITY A. PRIVATE FIRE PROTECTION: SPRINKLER AND ALARM SYSTEM. SONITROL SECURITY SYSTEM WILL NOTIFY IF FIRE ALARM IS ACTIVATED. B. WATER A V AlLABILITY (FIRE HYDRANT): SIX HYDRANTS LOCATED ON AND AROUND THE SITE LOCATION~ 4 e e CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 HAZARDOUS MATERIALS INVENTORY F ACll..ITY DESCRIPTION CHECK IF BUSINESS IS A FARM [ ] BUSINESS NAME KERN COUNTY SUPERINTENDENT OF SCHOOLS FACllJTYNAME SCHOOLS SERVICE CENTER SITE ADDRESS 705 SO. UNION AVE CITY BAKERSFIELD STATE CA ZIP 93307 NATURE OF BUSINESS SCHOOL TRANSPORTATION, WAREHOUSE & MAINTENANCE SIC CODE 7538 DUN & BRADSTREET NUMBER 118805860 OWNER/OPERATOR KERN CO. SUPERINTENDENT OF SCHO~HbNE 805 852-5800 MAILING ADDRESS 1300 17TH ST.. CITY CENTRE CITY BAKERSFIELD STATE CA ZIP 93301-4533 EMERGENCY CONTACTS NAME DON FOWLER TITLE ADMINISTRATOR BUSINESS PHONE 852-5800 24 HOUR PHONE 393-1869 NAME RON SHEARER TITLE DIRECTOR BUSINESS PHONE 852-5861 24 HOUR PHONE 5R9-94~0 1 ~OUS MATERIALS INVENT. Business Name Address CHEN.UCALDESC~ON Page_of_ 2) Conunon Name: I) INVENTORY STATIJS: New ( ] Addition ( ] Revision ( ] Deletion ( ] Check if chemical is a NON Trade Secret ( ] Trade Secret ( ] 3) OOT # (optional) Chemical Name: 4) Physical & Health Hazard Categories ARM ( ] CAS # PHYSICAL HEAL TII Fire ( ] Reactive ( ] Sudden Release of Pressure ( ] Immediate Health (Acute) ( ] Delayed Health (Chronic) [ 5) WASJE CLASSIFICATION (3-digit code ftom DHS Form 8022) 6) PHYSICAL STAJE Gas [ ] Solid ( Liquid ( Pure [ 7) AMOUNT AND TIME AT FACILITY 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)~: List the three most hazardous 1 ) chemical components or 2) any ARM components 3) COMPONENT lO)LOCATION USE CODE Mixture [ ] Waste ( ] Radioactive ( 8) STORAGE CODES a) Container: b) Pressure: c) Temperature All Year, J, F, M, A. M, J, J, A. S, 0, N, D CAS# %wr ARM [ ] [ ] ( ] 2) Conunon Name: I) INVENfORY STATIJS: New [ ] Addition ( ] Revision ( ] Deletion ( ] Check if chemical is a NON Trade Secret ( ] Trade Secret [] -. 3) OOT # (optional) 4) Physical & Health Hazard Categories ARM [ ] CAS # PHYSICAL REALTII Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) ( ] Delayed Health (Chronic) [ Chemical Name: 5) WASJE CLASSIFICATION (3-digit code ftom DHS Form 8022) 6) PHYSICAL STAJE Solid [ Liquid [ Gas [ ] Pure [ 7) AMOUNT AND TIME AT FACILITY 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)~: List thethreemosthazardo~ 1) chemical components or 2) any ARM components 3) COMPONENT USE CODE Mixture [ ] Waste [ ] Radioactive [ 8) STORAGE CODES a) Container: b) Pressure: c) Temperature All Year, J, F, M, A. M, J, J, A. s. 0, N. D CAS# %wr AHM [ ] [ ] ( ] lO)LOCATION I certify under penalty of law, that I have personally examined and am tàmiliar with the intòrmation on this and all attached documents. I believe the submined infonnation is true, accurate and complete. . ! PRINT Name & Title of Authorized Company Representative Signature Date ; '.. 4 .. AMwous MATERIALS INVENAy Page .t- of ~ Business Name SCHOOLS SERVICE CENTER Address 705 SO. UNION CHEMICAL DESCRIP110N 2) Common Name: HYDRAULIC OIL I) INVENTORY STA rus: New ( ] Addition ( ] Revision ( ] Deletion ( ] Check if chemical is a NON Trade Secret IX ] Trade Secret ( ] 3) OOT # (optional) Chemical Name: AHM ( ] CAS # 4) Physical & Health PHYSICAL HEAL TII Hazard Categories Fire ( X] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ 5) WASTE CLASSIFICATION (3-<1igit code &om DHS Fonn 8022) 6) PHYSICAL STATE Solid [ Liquid [)q Gas [ ] Pure [ 7) AMOUNT AND TIME AT F AClLITY Maximum Daily Amount 55 Average Daily Amount 30 Annual Amount 110 Largest Size Container a:¡ a:¡ # Days on Site '365 UNITS OF MEASURE Lbs ( J Gal (X J ft3 ( J Curies [ J Circle Which Months: 9)~: Li~ the~mo~~~ I) chemical components or 2) any AHM components 3) COMPONENT USE CODE Mixture [ J Waste [ ] Radioactive [ 8) STORAGE CODES a)ConáUner. OR b) Pressure: 1 c) TemperatW'e 4 c:AIfYeai( J, F, M. A. M. J, J, A. s, 0, N, D --=------' CAS# % wr AHM [ ] [ 1 [ J 10)LOCATION EQUIPMENT ROOM - WEST END OF TRANSPORTATION BUILDING I) INVENTORY STA rus: New [ ] Addition [ J Revision [ ] Deletion [ ] Check if chemical is a NON Trade Secret k J Trade Secret [ ] 2) Common Name: ANTI FREEZE 3) OOT # (optional) Chemical Name: AHM [ ] CAS # 4) Physical & Health PHYSICAL HEALTII Hazard Categories Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [X J 5) WASTE CLASSIFICATION (3-<1igit code &om DHS Form 8022) 6) PHYSICAL STATE Solid [ Liquid [X] Gas [ J Pure [ 7) AMOUNT AND TIME AT F ACn.ITY Maximum Daily Amount 420 Average Daily Amount :mn Annual Amount 400 Large~ Size Container 210 # Days on Site 365 UNITS OF MEASURE Lbs [ ] Gal [ X] ft3 [ Curies [ ] Circle Which Months: 9)~: Li~ the~mo~~~ I) chemical components or 2) any AHM components 3) COMPONENT I O)LOCA TION MACHINE SHOP ROOM - TRANSPORTATION BUILDING I certiíY under penalty of law, that I have personally examined and am familiar with th believe the subnútted infonnation is true, accurate and complete. DON FOWLER, ADMINISTRATOR PRINT Name & Title of Authorized Company Representative USE CODE Mixture [ J Waste [ ] Radioactive [ 8) STORAGE CODES a) Container. 1 0 b) Pressure: 1 c) T emperatW'e Ll ~,F, M. A. M. J, J, A. S, 0, N, D CAS# % wr ARM [ ] [ ] [ ] Signature 1- ~-'l'1 Date y, . I .~ ~OUS MATERIALS INVENTO. " Page_of_ A~ 705 SO UNION Business Name SCHOOLS SERVICE CENTER CHEMICAL DESCRIPTION 2) Common Name: MOTOR OIL #40 I) INVENTORY STA ruS: New ( ] Addition ( J Revision [ J Delction [ ] Check if chemical is a NON Trade Secret (X J Trade Secret ( 3) DOT /I (optional) Chemical Namc: AHM [ J CAS /I 4) Physical &. Health PHYSICAL HEAL 1H Hazard Categories Fire [ X] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ 5 ) WASTE CLASSIFICATION (3-digit code ûom DHS Fonn 8022) 6) PHYSICAL STATE Solid [ L~~ujd [X] Gas [ ] Pme[ 7) AMOUNT AND TIME AT FACILITY Maximum Daily Amount 250 Averagc Daily Amount l~U Annual Amount 400 Largest Size Container 250 /I Days on Site 365 UNITS OF MEASURE LOO ( ] Gal ( X] ft3 ( ] Curies [ ] Circle Which Months: 9) M1XTI1RE: List the three most hazardous 1 ) chemical components or 2) any AHM components 3) COMPONENT USE CODE Mixture [ ] Waste [ ] Radioactive [ 8) STORAGE CODES a) Container: b) Pressure: c) Temperature ~, F, M,A. M, J, J,A. S, 0, N, D CAS/I % wr AHM [ ] [ ] [ ] 10)LOCATION WEST END OF TRANSPORTATION BUILDING - OUTSIDE 2) Common Name: MOTOR OIL # 15 - 40 1) INVENTORY STATIJS: New [ ] Addition ( ] Revision [ ] Deletion [ ] Check ifchemical is a NON Trade Secret [X] Trade Secret [ 3) DOT /I (optional) Chemical Name: AHM [ ] CAS /I 4) Physical &. Health PHYSICAL HEAL 1H Hazard Categories Fire [ X ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ 5) WASTE CLASSIFICATION (3-digit code ûom DHS Form 8022) 6) PHYSICAL STATE Solid [ Liquid [ X ] Gas [ ] Pme[ 7) AMOUNT AND TIME AT FACILITY Maximum Daily Amount 250 Average Daily Amount 150 Annual Amount 400 Largest Size Container 250 /I Days on Site ::!fì!'i UNITS OF MEASURE Lbs [ ] Gal [ X ] ft3 [ Curies [ J Circle Which Months: 9) MIXTURE: List the three most hazardous 1)' chemical components or 2) any AHM components 3) COMPONENT USE CODE Mixture [ ] Waste [ ] Radioactive [ 8) STORAGE CODES a) Container: b) Pressure: c) Temperature . - --:;--y ~ Year,), F, M, A. M, J, J, A. S, 0, N, D ..__-.=::.~.:-~-::!;;1P' CAS/I % wr AHM [ ] [ ] [ ] 10)LOCATION WEST END OF TRANSPORTATION BUILDING - OUTSIDE ( <=ify """'" penalty oflaw, that I ba.. penooaIly""";""¡ aDd am familiar with ~. ' . _ . : on this aDd all .- documaIta. I believe the submitted infonnation is true, accurate and complete. DON FOWLER. ADMINISTRATOR . ... ~- i - ~ Ltc¡ PRINT Name &. Title of Authorized Company Representativc > . ignature Date .. .RDOUS MATERIALS INYENeRY Page 2... of ç " Busmess Name SCHOOLS SERVICE CENTER Address 705 SO UNION CHEMICAL DESCRIPTION 2) Common Name: GEAR OIL I) INVENTORY STATUS: New [ J Addition [ J Revision [ ] Deletion [ ] Check if chemical is a NON Trade Secret [X J Trade Secret ( 3) DOT 1# (optional) Chemical Name: ARM [ ] CAS 1# 4) Physical &: Health PHYSICAL HEALTII Hazard Categories Fire [X ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ 5) WASTE CLASSIFICATION (3-digit code âom DHS Fonn 8022) 6) PHYSICAL STATE Solid [ Liquid [X] Gas [ ] Pure [ 7) AMOUNT AND TIME AT FACILITY Maximum Daily Amount 250 Average Daily Amount 150 Annual Amount 250 Largest Size Container 2~O 1# Days on Site 3 5 UNITS OF MEASURE Lbs[ ] Gal [X ]ft3[ ] Curies [ ] Circle Which Months: 9)~: Li~ the three most hazardous 1) chemical components or 2) any ARM components 3) . COMPONENT USE CODE Mixture [ ] Waste [ ] Radioadive [ 8) STORAGE CODES a) Containc:r: b) Pressure: c) Temperature ---~ @1X.~,.J, F, M. A. M. J,], A. S, 0, N, D CASII % wr AHM [ ] [ ] [ ] 10)LOCATION .. WEST END OF TRANSPORTATION BUILDING - OUTSIDE 1) INVENTORY STA111S: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check ifchemical is a NON Trade Secret [ ] Trade Secret [ ] 2) Common Name: MOTOR OIL #30 3) DOT II (optional) Chemical Name: ARM [ ] CAS II 4) Physical &: Health PHYSICAL HEAL 1H Hazard Categories Fire ( X] Reactive [ ] Sudden Release ofPressurc [ ] Immediate Health (Acute)( ] Delayed Health (Chronic)( S) WASTE CLASSIFICATION (3-digit code fi'om DHS Form 8022) 6) PHYSICAL STATE Solid [ Liquid [X] Gas [ ] Pure [ 7) AMOUNT AND TIME AT FACILITY Maximum Daily Amount 250 Average Daily Amount 188 Annual AmOWlt Largest Size Container 250 1# Days on Site 365 UNITS OF MEASURE Lbs [ ] Gal [ X ] ft3 [ ] Curies [ ] Circle Which Months: 9) MIX1URE: List the three most hazardous I) chemical components or 2) any AHM components 3) COMPONENT USE CODE Mixture [ ] Waste [ ] Radioadive [ 8) STORAGE CODES a) Container: b) Pressure: c) Temperature ~, F, M. A. M. ],1, A. S, 0, N, D CASII % wr AHM [ ] ( J [ J 10)LOCATION WEST END OF TRANSPORTATION BUILDING OIITSTnF [ certify Wider penalty of law, that I have personally examined ,. with the in1òrmation on this and all attached doc:umd1ts. ' i believe the submitted infonnation is true, accurate and campi . ' DON FOWLER ADMINISTRATO· PRINT Nam~ &: Title of Authorized Company Representative Signature 1- .:0-c¡Q¡ Date ~OUS MATERIALS INVENT. Busmess Name SCHOOLS SERVICE CENTER ; ., Page_of_ Address 705 SO UNION I) INVENTORY STA11JS: New [ J Addition [ J Revision [ J Deletion [ ] Check ifchemicaJ is a NON Trade Secret [X ] Trade Secret [ 2) Common Name: WASTE OIL 3) DOT 1# (optional) Chemical Name: AHM [ ] CAS II 4) Physical &. Health PHYSICAL HEAL rn Hazard Categories Fire [X ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ CHEMICAL DESCRIPTION 5) WASTE CLASSŒ1CATION (3-digit code from DHS Fonn 8022) 6) PHYSICAL STATE L~~d[X] Gas ( ] Pure [ Solid [ 7) AMOUNT AND TIME AT FACn.lTY Maximum Daily Amount 500 Average Daily Amount 200 Annual Amount 20.000 Largest Size Container 3~n II Days on Site 5 UNITS OF MEASURE Lbs ( ] Gal [X ] ft3 [ ] Curies [ ] Circle Which Months: 9)~: Li~ the three most hazardous I) chemical components or 2) any AHM components 3) COMPONENT USE CODE Mixture [ ] Waste ( ] Radioactive ( 8) STORAGE CODES a)ConúUner. 02 b) Pressure: 1 c) Temperature 4 ,-' ----.. c ~!~ J~F. M. A, M. 1. 1. A, S. O. N. D CASII %wr AHM [ ] [ ] [ ] 10)LOCATION , WEST END OF TRANSPORTATION BUILDING - OUTSIDE 1) INVENTORY STA111S: New [ ] Addition ( ] Revision [ ] Deletion [ Check if chemical is a NON Trade Secret [X ] Trade Secret ( ] 2) Common Name: AUTOMATIC TRANSMISSION FLUID 3) DOT II (optional) Chemical Name: AHM ( ] CAS II 4) Physical &. Health PHYSICAL HEAL 1H Hazard Categories Fire [ X] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION (J.digit code from DHS Form 8022) 6) PHYSICAL STATE Liquid [X] Gas [ ] Pure [ Solid [ 7) AMOUNT AND TIME AT F ACn.ITY Maximum Daily Amount 250 Average Daily Amount 150 Annual Amount 5nn Largest Size Container 250 II Days on Site 365 UNITS OF MEASURE Lbs [ ] Gal [ X] ft3 [ ] Curies [ ] Circle Which Months: 9)~: Li~ the three most hazardous 1 ) chenúcal components or 2) any AHM components 3) COMPONENT 10)LOCATION WEST END OF TRANSPORTATION BUILDING - OUTSIDE r certify under penalty of law, that r have personally examined and am låmiliar with the . believe the submitted infonnation is true, accurate and complete. DON FOWLER, ADMINISTRATOR PRINT Name &. Title of Authorized Company Representative USE CODE Mixture [ . ] Waste [ ] Radioactive [ 8) STORAGE CODES a) Container. 02 b) Pressure: 1 c) Temperature 4 ~~~J, F, M. A, M. J, J. A, S. 0, N. D CASII % wr AHM [ ] [ ] [ ] ( or ~.qq Date .RDOUS MATERIALS INVENeRY Busmess Name SCHOOLS SERVICE CTR. Address 705 SO. UNION CHENDCALDESC~ON Page L of S- 2) Common Name: USED OIL FILTERS I) INVENTORY STA 111S: New [ ] Addition [ ) Revision [ ) Deletion [ ) Check if chemical is a NON Trade Secret 0< ) Trade Secret [ ) 3) DOT II (optional) Chemical Name: ARM [ J CAS 1# 4) Physical &: Health PHYSICAL HEALTH Hazard Categories Fire [X J Reactive [ J Sudden Release of Pressure [ J Immediate Health (Acute) [ ] Delayed Health (Chronic) [ 5) WASTE CLASSIFICATION 221 (3-4igit code ftom DHS Form 8022) 6) PHYSICAL STATE Solid {><] .L~<]!Ijd {X] Gas ( J Pure [ 7) AMOUNT AND TIME AT FACn.ITY Maximum Daily Amount 330 Average Daily Amount 110 Annual Amount 300 .Largest Size Container !1!1 # Days on Site 365 UNITS OF MEASURE .Lbs{ ]Gal{X]ft3{ ] Curies ( J Cirtle Which Months: 9)~: .Li~ the three most hazardous J} chemical components or 2) any ARM components 3} COMPONENT 10)l.OCATION . STEAM CLEANING BAY - WEST END OF SHOP USE CODE Mixture [ ] Waste ( ] Radioactive [ 8) STORAGE CODES a)Con~ 06 b) Pressure: 1 c) Temperature 4 C@,~I. F. M. A. M. I. I. A. s. O. N. D CAS# %wr AHM ( J [ ] [ ] 1) INVENTORY STA 1118: New [ ] Addition [ ] Revision ( ] Deletion [ J Check if chemic:aJ is a NON Trade Secret [ J Trade Seaet [ J 2) Common Name: Chemic:aJ Name: 3) DOT # (optional) AHM [ J CAS f# 4) Physic:aJ &: Health PHYSICAL HEALTH Hazard Categories Fire ( ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ] S) WASTE CLASSIFICATION (3-4igit code ftom DHS Form 8022) 6) PHYSICAl. STATE Solid [ .Liquid [ ] Gas [ J Pure [ UNITS OF MEASURE .Lbs [ ] Gal [ J ft.3 [ ] Cwies [ J 7) AMOUNT AND TIME AT FACILITY Maximum Daily Amount Average Daily Amount Annual Amount .Largest Size Container # Days on Site Circle Which Months: 9)~: .Li~ the three most hazardous I) chemical components or 2) any ARM components 3) COMPONENT I O)LOCA TION USE CODE Mixture [ J Waste [ ] Radioactive [ 8) STORAGE CODES a) Container: b) Pressure: c) Temperature ~I, F, M.A. M. I, I. A. S.O. N. D CASfI % wr AHM [ ] [ ] [ ] I certify under penalty of law, that I have personally examined and am tàmiliar with th íIìtOrma' believe the submined infonnation is trUe, accurate and complete. DON FOWLER, ADMINISTRATOR PRINT Name &: Title of Authorized Company Representative /-.MJQ9 Date ~OUS MATERIALS INVENT. " Page_of_ Busmess Name SCHOOLS SERVICE CENTER A~ 705 SO UNION CHENUCALDESC~ON 2) Common Name: GASOLINE I) INVENTORY ST A ruS: New ( ] Addition [ ] Revision ( ] Deletion ( ] Check if chemical is a NON Trade Secret ~ ] Trade Secret ( ] 3) DOT /I (optional) Chemical Name: ARM [ ] CAS II 4) Physical & Health PHYSICAL lŒAL rn Hazard Categories Fire [ X] Reactive [ ] Sudden Release ofPressurc [ ] Immediate Health (Acute)[ ] Delayed Health (Cbronic)[ 5) WASTE CLASSIFICATION (3-digit code &om DHS Form 8022) 6) PHYSICAL STATE Solid ( Liquid (X] Gas [ ] Pure [ 7) AMOUNT AND TIME AT FACILITY Maximum Daily Amount 12.000 Average Daily Amount 6.000 Annual Amount AD , 880 Largest Size Container 12 , 0 t# Days on Site 365 9)~: Lifi the three most hazardous I) chemical components or 2) any AHM components 3) , 10)LOCATION UNITS OF MEASURE Lbs[ ]Gal[X]ft3[ ] Curies [ ] Circle Which Months: COMPONENT USE CODE Mixture [ ] Waste [ ] Radioactive ( 8) STORAGE CODES a)Con~ 01 b)~: 1 c) Temperature 4 @5.~1, F, M, A, M, I, 1, A, S, 0, N, D CAS# % wr AHM [ ] [ ] [ ] WEST SIDE OF PROPERTY BETWEEN FUEE;_ISLAND & CAR WASH 1) INVENTORY STA11JS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON Trade Secret [ ] Trade Secret [ ] 2) Common Name: DIESEL FUEL Chemical Name: 3) DOT # (optional) AHM [ ] CAS # 4) Physical & Health PHYSICAL HEAL rn Hazard Categories Fire [ X] Reactive [ ] Sudden Release ofPressurc [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ S) WASTE CLASSIFICATION (3-digit code &om DHS Form 8022) 6) PHYSICAL STATE Solid [ Liquid [ X ] Gas [ ] Pure [ 7) AMOUNT AND TIME AT FACILITY Maximum Daily Amount 12 ,000 Average Daily Amount R nnn Annual Amount 120 ,'000 Largest Size Container 12.000 1# Days on Site 365 UNITS OF MEASURE Lbs [ ] Gal [X ] ft3 [ ] Curies [ ] Circle Which Months: 9) MIX11JRE: List the three most hazardous I) chemical components or 2) any AHM components 3) COMPONENT IO)LOCA 110N WEST SIDE OF PROPERTY BETWEE [ certify under penalty of law, that I have personally examined and am låmiliar with the . believe the subnútted infonnation is trUe, accurate and complete. DON FOWLER, ADMINISTRATOR PRINT Nam~ & Title of Authorized Company Representative USE CODE Mixture [ ] Waste [ ] Radioactive [ 8) STORAGE CODES a) Container: 01 b) Pressure: 1 c) Temperature 4 ~,1, F, M, A, M, I, I, A, S, 0, N, D CASt# % wr AHM [ ] [ ] [ ] Signature 1- /-&.q9 Date