HomeMy WebLinkAboutBUSINESS PLAN " H_"',I_~IP P L~:N 5IAP
'~' "~'' SITE DIAGRAM ~ CILITY DIAGRAM
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ANDERSONICS FABRICATION~PROCESS Sit. eID: 015-021-000116
Manager : BusPhone: (661) 631-8940
Location: 3801 BURR ST B Map : 102 CommHaz : Moderate
City : BAKERSFIELD Grid: 26A FacUnits: 1 AOV:
CommCode: COUNTY STATION 65 SIC Code:
EPA Numb: DunnBrad:
Emergency Contact / Title Emergency Contact / Title
JEFF ANDERSON / PRESIDENT TC~JY RL~3ALCA~
Business Phone: (661) 631-8940x Business Phone: (661) 631-8940x
24-Hour Phone : (661) 631-8940x 24-Hour Phone : (661)
Pager Phone : ( ) - x Pager Phone : ( ) - x
Hazmat Hazards: Fire Press ImmHlth DelHlth
Contact : Phone: (661) 631-8940x
MailAddr: 3801 BURR ST B State: CA
City : BAKERSFIELD Zip : 93308
Owner JEFFREY R ANDERSON Phone: (661) 589-3760x
Address : 13908 TARADALE CT State: CA
City : BAKERSFIELD Zip : 93312
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
I, ~~~,~ ~~V~- Do hereby ce~i~ that I have
reviewed the attached haza~ous m~edais manag~
ment
p~n
mE~m'~l[~..~ and th~ it along with
any co~ections con~itut® a compile and co~ect mare
agemem plan ~r my ~cili~o
1 06/16/2003
F ANDERSONICS FABRICATION~PROCESS SiteID: 015-021-000116
~ Hazmat Inventory By Facility Unit
-- MCP+DailyMax Order Fixed Containers on Site
Hazmat Common Name... ISpecHazlEPA HazardsI Frm I DailyMax IUnitlMCP
~C~T~L~N~ ~ ~ ~ I~ ~ ~~0\~L
OXYGEN F IH DH G ~~-5~-00 ~T3 Low
ARGON F P IH G ~R-8~Q~-00 ~T3 Min
MOTOR OIL F DH L ~ \ 55.00 ~AL Min
-2- 06/16/2003
F ANDERSONICS FABRICATION SiteID: 015-021-000116
= Inventory Item 0002 Facility Unit: Fixed Containers on Site
~U~U~ ~vl~ / ~£~ ~vl~
ACETYLENE Days On Site
365
Location within this Facility Unit Map: Grid:
OUTSIDE S WALL CAS#
74-86-2
STATE i TYPE PRESSURE i TEMPERATURE CONTAINER TYPE
Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum Daily~age
130.00 GAL] ~~'GAL 400.-0~ GAL
HAZARDOUS COMPONENTS
%Wt. Rye, s CAS#
100.00 Acetylene 74862
HAZARD ASSESSMENTS
TSecretNo N~S I Bi°HasINO Radioactive/AmountNo/ Curies EPAF P Hazards I NFPAIH / / / USDOT# HiMOP
MISC. LOCAL AGENCY DATA
Ag. Definedl: Ag.Defined2: Ag.Defined3: Ag.Defined4:
Ag.Defined5: Ag.Defined6: Ag.Defined7:
Ag. Defined8: Ag.Defined9: Ag.Definel0:
-- Ag. Definell
-3- 06/16/2003
F ANDERSONICS FABRICATION & PROCESS SiteID: 015-021-000116 ~
~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~
-- COMMON NAME / CHEMICAL NAME
OXYGEN Days On Site
365
Location within this Facility Unit Map: Grid:
OUTSIDE S WALL CAS#
7782-44-7
. /Gas ] Pure Above Ambient I Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum Daily Average
249.00 FT3 I 1500.00 FT3 900.00 FT3
HAZARDOUS COMPONENTS
100.00 Oxygen, Compressed N 7782447
HAZARD ASSESSMENTS
TSecretl ~SIBioHaz Radioactive/Amount EPA Hazards NFPA USDOT# I MCP
No N No No/ Curies F IH DH / / / Low
MISC. LOCAL AGENCY DATA
Ag.Definedl: Ag. Defined2: Ag. Defined3: Ag.Defined4:
Ag. Defined5: Ag.Defined6: Ag.DefinedT:
Ag. Defined8: Ag. Definedg: Ag. Definel0:
-- Ag.Definell
4 06/16/2003
F ANDERSONICS FABRICATION & PROCESS SiteID: 015-021-000116
~ Inventory Item 0003 Facility Unit: Fixed Containers on Site
-- COMMON NAME / CHEMICAL NAME
ARGON Days On Site
365
Location within this Facility Unit Map: Grid:
OUTSIDE S WALL CAS#
7440-37-1
Gas /Pure Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
248.00 FT3 1800.00 FT3 I 1000.00 FT3
HAZARDOUS COMPONENTS
75.00 Argon N 7440371
25.00 Carbon Dioxide IN° I 124389
HAZARD ASSESSMENTS
TSecretI ~SIBioHazI Radioactive/Amount EPA HazardsI NFPA USDOT# MCP
No N No No/ Curies F P IH / / / Min
MISC. LOCAL AGENCY DATA
Ag.Definedl: Ag. Defined2: Ag. Defined3: Ag.Defined4:
Ag. Defined5: Ag.Defined6: Ag. DefinedT:
Ag. DefinedS: Ag.Defined9: Ag. Definel0:
-- Ag. Definell
-5- 06/16/2003
p ANDERSONICS FABRICATION & PROCESS SiteID: 015-021-000116
= Inventory Item 0005 Facility Unit: Fixed Containers on Site
~U~ ~Vl~ / ~£~
MOTOR OIL Days On Site
365
Location within this Facility Unit Map: Grid:
S FENCE CAS#
8020835
F STATE ~ TYPE i PRESSURE i TEMPERATURE CONTAINER TYPE
Liquid /Pure Ambient Ambient DRUM/BARREL-METALLIC
I AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
55.00 GAL 55.00 GAL 40.00 GAL
HAZARDOUS COMPONENTS
%Wt. RNo~ CAS#
100.00 Motor Oil, Petroleum Based 8020835
HAZARD ASSESSMENTS
TSecretl ~S BioHaz Radioactive/Amount I EPA Hazards NFPA USDOT# I MCP
No N No No/ Curies F DH / / / Min
MISC. LOCAL AGENCY DATA
Ag. Definedl: Ag.Defined2: Ag.Defined3: Ag. Defined4:
Ag. Defined5: Ag. Defined6: Ag. Defined7:
Ag. Defined8: Ag. Definedg: Ag. Definel0:
-- Ag. Definell
6 06/16/2003
F ANDERSONICS FABRICATION ~ESS SiteID: 015-021-000116
Fast Format
= Notif./Evacuation/Medical Overall Site
.-=-.Agency Notification 07/06/2000
WE WILL BE USING THE 911 EMERGENCY NUMBER FOR AGENCY NOTIFICATION.
-- Employee Notif./Evacuation 06/26/1992
DO TO THE RELATIVELY SMALL SIZE OF OUR FACILITY WE WILL USE VERBAL CALLS FOR
NOTIFICATION. EMPLOYEES ARE INSTRUCTED AS TO WHERE AND WHAT EXITS ARE
AVAILABLE DURING AN EMERGENCY.
-- Public Notif./Evacuation 07/06/2000
WE WILL BE USING THE 911 EMERGENCY NUMBER FOR PUBLIC NOTIFICATION AND
EVACUATION, IF NECESSARY.
Emergency Medical Plan 06/26/1992
IN CASE OF A MEDICAL EMERGENCY WE WILL UTILIZE THE 911 EMERGENCY NUMBER FOR
IMMEDIATE CARE.
7 06/16/2003
F ANDERSONICS FABRICATION ~ESS SiteID: 015-021-000116
Fast Format
= Mitigation/Prevent/Abatemt Overall Site
--Release Prevention 01/09/1991
RELEASE PREVENTION FOR OUR GASES IS PROVIDED VIA 2 LOCK UP STORAGE BINS. THE
BOTTLES ARE CHAINED UP IN THEIR UPRIGHT POSITION, THE BOTTLES ALSO HAVE
THEIR VALVE PROTECTION.
-- Release Containment 07/06/2000
WE HAVE OUR GASES STORED IN 6' WIDE X 4' DEEP X 7' HIGH STEEL WALL
-- Clean Up 01/09/1991
GASES WILL DISPERSE MOTOR/PUMP OIL WILL BE REMOVED AND HAULED TO A DISPOSAL
FACILITY BY A CERTIFIED HAULER.
Other Resource Activation
8 06/16/2003
f AlqDERSONICS FABRICATION PROCESS SiteID: 015-021-000116
I Fast Format
~ Site Emergency Factors Overall Site
'~ Special Hazards
--Utility Shut-Offs 07/06/2000
A) GAS - NW CORNER OF BLDG OUTSIDE AT METER
B) ELECTRICAL - NW CORNER OF BLDG OUTSIDE AT PANEL
C) WATER - AT CURBSIDE N OF BLDG
D) SPECIAL -NONE
E) LOCK BOX - NO
-- Fire Protec./Avail. Water 07/06/2000
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS AT SHOP SE INSIDE,~ AND
IN OFFICE CENTER.
FIRE HYDRANT - N SIDE ACROSS ST.
Building Occupancy Level
9 06/16/2003
F ANDERSONICS FABRICATION~PROCESS SiteID: 015-021-000116
Fast Format
Training Overall Site
-- Employee Training 07/06/2000
WE HAVE~--~ EMPLOYEES AT THIS FACILITY.
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: BOTH INITIAL AND REFRESHER TRAINING
SESSIONS ARE PROVIDED ON A ONE TO ONE BASIS. PERSONNEL ARE INSTRUCTED AS TO
THE SAFE HANDLING AND OPERATION OF OUR HAZARDOUS MATERIALS AND THE MATERIAL
CONTAINERS. PROPER OPERATION OF FIRE EXTINGUISHERS AND POWER/GAS
DISCONNECTS IS DISCUSSED~ EMERGENCY EVACUATION AND EMERGENCY RESPONSE
-- Page 2
--Held for Future Use
Held for Future Use
-10- 06/16/2003
ANDERSONICS FABRICATION & _~ ....... ~_,! SiteID: 215-000-000116
Manager : · ~ J~qN 2 6 2000 Bu~Phone:! (805)
Location: 3801 BURR ST I/t '~ Ma~ : 102 :
CommHaz Moderate
City : BAKERSFIELD /l~."' G~d: 26A FacUnits: 1 aov:
~CommCode: COUNTY STATION 65 SIC Code:
EPA Numb: DunnBrad:
Emergency Contact / Title Emergency Contact / Title
PRES IDENT &~)~~ ~1 TONY RUVALCABA
Business Phone: ~8~-3-7~0x ~,~ Business Phone:~ ) ~4~9~-3~60x
24-Hour Phone : 5~9-~7C~x~ ~'~ I~ 24-Hour Phone 8~5) 832-6097x
Pager Phone : ( ) _ x / Pager Phone : ( ) - x
Hazmat Hazards: Fire Press ImmHlth DelHlth
Contact : Phone: ( ) - x
MailAddr: 3801 BURR ST o~ State: CA
City : BAKERSFIELD Zip : 93308
Owner JEFFREY R ANDERSON Phone: (805) 589-3760x
Address : 13908 TARADALE CT State: CA
City : BAKERSFIELD Zip : 93312
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
Emergency Directives:
-~ Hazmat Inventory One Unified List
-- As Designated Order Ail Materials at Site
Hazmat Common Name... ISpooHazlEPA HazardsI Frm DailyMax Unit]MCP
OXYGEN F IH DH G 1500.00 FT3 Low
ACETYLENE F P IH G 850.00 GAL Hi
ARGON F P IH G 1800.00 FT3 Min
i~ O ~ ~'*~~ P P III ~ ~ ~ ~ FT~ ~
MOTOR OIL F DH L 55.00 GAL Min
/6',~3~F-~Do hereby certiflj thall have
(Type or print name)
reviewed the attached hazardous rnmsrials manage-
for/kl']D~"~C~nd ~ha~ i~ along wi~h
ment
plan
' (Name of 8usiK~ss)
any corrections constitute a complete and correct man-
agemen~ pJan for my faciliW,
~ ANDERSONICS F~RICATION & PROCESS SiteID: 215-000-000116
~ Inventory Item 0001 Facility Unit: Fixed Containers on Site
OXYGEN Days On Site
365
Location within this Facility Unit Map: Grid:
OUTSIDE SOUTH WALL CAS#
7782-44-7
Gas Pure Move A~ient A~ient PORT. PRESS. CYLI~ER
MOUNTS AT THIS LOCATION
I Largest Container I Daily Maximum I Daily Average
~ FT3 1500.00 FT3 900.00 FT3
HAZARDOUS COMPONENTS
100.00 Oxygen, Compressed N 7782447
HAZARD ASSESSMENTS
I TSecret ~S BioHaz Radioactive/Amount EPA Hazards NFPA I USDOT# MCP
No N No No/ Curies F IH DH / / / Low
= Inventory Item 0002 Facility Unit: Fixed Containers on Site ~
· ~U_IVLIVlU,IN N./-MVll"; / tfki~Wll~fAOu ~Z-~Vl~
ACETYLENE Days On Site
365
LOcation within this Facility Unit · Map: Grid:
OUTSIDE SOUTH WALL CAS#
74-86-2
Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum I Daily Average
/3C> GAL[ s50.00 GAL[ GAL
HAZARDOUS COMPONENTS
1%Wt' Acetylene RSI CAS#
100.00 ' Yes 74862
HAZARD ASSESSMENTS
[TSecret oRS BioHaz Radi°active/Amount EPA HazardsNo N No No/ Curies F P IH NFPA I USDOT# I MCP/// Hi
2 06/21/2000
ANDERSONICS FABRICATION & PROCESS ~~~6~ SiteID: 215-000-000116
Inventory Item 0003 ~~~ Facility Unit: Fixed Containers on Site i
iE~ COMMON NAME / CHEMICAL NAME
ARGON o Days On Site °
o 365 o
Location within this Facility Unit Map: Grid:
OUTSIDE SOUTH WALL o CAS// °
o 7440-37-1 °
STATE Ei~ TYPE E~Ei~ PRESSURE ~E~i TEMPERATURE EEiEEEE CONTAINER TYPE
Gas o Pure o Above Ambient o Ambient ° PORT. PRESS. CYLINDER °
ieee~eeeeeeaeeeaeeeeeeeeeeei AMOUNTS AT THIS LOCATION
Largest Container ° Daily Maximum o Daily Average o
~/.-2i'~ FT3 ° 1800.00 ~FT3 o 1000.00 FT3 °
i~6~i~6~~ HAZARDOUS COMPONENTS
%Wt. o o RS° CAS// o
75.00OArgon ONo o 7440371 °
25.00OCarbon Dioxide ONo o 124389°
i~i~i~i~~ HAZARD ASSESSMENTS
°TSecret° RS°BioHaz° Radioactive/Amount ° EPA Hazards o NFPA ° USDOT//o MCP o
No ONoONo o No/' Curies°FP IH o /// o OMinO
Invemory Item 0004 ~~EE~E Facility Unit: Fixed on Site
i~ COMMON / CHEMICAL NAME
NOS o D~ On Site o
o 365
Location within this Unit Map: Grid:
OUTSIDE SOUTH ° CAS// o
O O
STATE EiE TYPE EE~i~ E~i~ CONTAINER TYPE
Gas ° Mixture ° Above Ambient o PORT. PRESS. CYLINDER °
. Largest Container o Daily o Daily Average o
FT3 ° 1500 FT3 o 1000.00 FT3 o
%Wt. o o RSo o
95 . 00 O propane OyesO
2.00Opropylene °Yes° 11 '1°
~eeeeeee HAZARD ASSESSMENTS
°TSecret° RE o EPA Hazards o NFPA USDOT# o MCP o
No ONoONo o No/ Curies °FP IH o /// o OHi
-3- 06/21/2000
ANDERSONICS FABRICATION & PROCESS ~~e~e SitelD: 215-000-000116
Inventory Item 0005 ~~~ Facility Unit: Fixed Containers on Site i
i~ COMMON NAME / CHEMICAL NAME ~~~~~i~~~i
MOTOR OIL o Days On Site °
o 365
Location within this Facility Unit Map: Grid:
SOUTH FENCE ° CAS# o
o 8020835 o
STATE ~ifi TYPE ~i~ PRESSURE ~i TEMPERATURE ~i~ CONTAINER TYPE
Liquid o Pure o Ambient o Ambient o DRUM/BARREL-METALLIC o
i~~~~i AMOUNTS AT THIS LOCATION
Largest Container o Daily Maximum o Daily Average o
~- GAL ° 55.00 GAL ° 40.00 GAL °
i~~~~ HAZARDOUS COMPONENTS
%Wt. o o RSo CAS# o
100.00OMotor Oil, Petroleum Based °No o 8020835°
i~i~i~i~~ HAZARD ASSESSMENTS
°TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA ° USDOT# o MCP o
No ONoONo o No/ Curies°F DH° /// o °Min°
-4- 06/21/2000
ANDERSONICS FABRICATION & PROCESS ~~~ SiteID: 215-000-000116 i
Notif./Evacuation/Medical ~~~~~~ Overall Site i
i~ Agency Notification ~~~~~~~ 06/26/1992 i
o
WE WILL BE USING THE 911 EMERGENCY NUMBER FOR AGENCY NOTIFICATION
o
i~ Employee Notif./Evacuation ~~~~~ 06/26/1992 i
o
DO TO THE RELATIVELY SMALL SIZE OF OUR FACILITY WE WILL USE VENAL CALLS FOR o
NOTIFICATION. EMPLOYEES ARE INSTRUCTED AS TO WHERE AND WHAT EXITS ARE
AVAILABLE DU~NG AN EMERGENCY.
o
i~ ~blic Notif./Evacuation ~~~g~~~ 06/26/1992 i
O
WE WILL BE USING THE 911 EMERGENCY NUMBER FOR PUBLIC o
NOTIFICATION/EVACUATION, IF NECESSARY.
O
i~ Emergency Medical Plan ~~~~~~ 06/26/1992 i
o
IN CASE OF A MEDICAL EMERGENCY WE WILL UTILIZE THE 911 .EMERGENCY NUMBER FOR o
IMMEDIATE CARE.
O
-5- 06/21/2000
ANDERSONICS FABRICATION & PROCESS
Mitigation/Prevent/Abatemt ~~~/~~~ Overall Site
i~ Release Prevention ~~~~~~~ 01/09/1991
o
RELEASE PREVENTION FOR OUR'GASES IS PROVIDED VIA 2 LOCK UP STORAGE BINS. THE o
BOTTLES ARE CHAINED UP IN THEIR UPRIGHT POSITION, THE BOTTLES ALSO HAVE o
THEIR VALVE PROTECTION. o
O
o
WE HAVE OUR GASES STORED IN 6' WIDE X 4' DEEP X7' HIGH STEEL WALL o
o
O
GASES WILL DISPERSE MOTOR/PUMP OIL WILL BE REMOVED AND HAULED TO A DISPOSAL o
FACILITY BY A CERTIFIED HAULER. o
o
i~ Other Resource Activation
o
o
-6- 06/21/2000
ANDERSONICS FABRICATION & PROCESS EE~EEE~EEE~E SitelD: 215-000-000116 i
Site Emergency Factors ~~~~~~ Overall Site i
o
o
i~ Utility Shut-Offs ~~~~~~~ 06/26/1992
0
A) GAS - NORTHWEST CORNER OF BUILDING OUTSIDE AT METER o
B) ELECTRICAL - NORTHWEST CORNER OF BUILDING OUTSIDE AT PANEL o
C) WATER - AT CURB SIDE NORTH OF BUILDING o
D) SPECIAL - NONE °
E) LOCK BOX - NO o
O
i~ Fire Protec./Avail. Water ~~~~~ 06/26/1992
o
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS AT SHOP SOUTHEAST INSIDE AND IN o
SHOP NORTH INSIDE AND IN OFFICE CENTER. o
O
O
O
FIRE HYDRANT - NORTH SIDE ACROSS STREET o
O
i~ Building Occupancy Level
O
O
-7- 06/21/2000
ANDERSONICS FABRICATION & PROCESS
Training ~~~~~~~~ Overall Site
i~ Employee Training ~~~~~~~ 05/30/1996
o
WE HAVE 2 TO 6 EMPLOYEES AT THIS FACILITIES o
O
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE o
O
BOTH INITIAL AND REFRESHER TRAINING SESSIONS ARE PROVIDED ON A ONE TO ONE °
BASIS. PERSONNEL ARE INSTRUCTED AS TO THE SAFE HANDLING AND OPERATION OF o
OUR HAZARDOUS MATERIALS AND THE MATERIAL CONTAINERS. PROPER OPERATION OF o
FIRE EXTINGUISHERS AND POWER/GAS DISCONNECTS IS DISCUSSED. EMERGENCY o
EVACUATION AND EMERGENCY RESPONSE PERSONNEL NOTIFICATION IS REVIEWED. o
O
O
o
i~ Held for Fumre Use
o
O
i~ Held for Fumre Use
O
O
-8- 06/21/2000
04/25/96 ANDERSONICS FABRICATION & PROCESS 215-000-000116 Page 1
Overall Site with 1 Fac. Unit
General Information
Locatibn: 3801 BURR ST Map:102 Haz:3 Type: 3
City : BAKERSFIELD Grid: 26A F/U: 1 AOV: 0.0
Con~act Name Title~ Contact Name Title
BusineSs Phone: (805) 589-376~xsw ~ II Business Phone: (805) 589-3760x
24-Hou~ Phone : (805) ........ ~'-I/
~u~ ~u~ux 70 24-Hour Phone : (805) 832-6097x
Pager ~hone : ( ) - x B ~ Pager Phone : ( ) - x
I[
Administrative Data
Mail A~drs: 3801 BURR ST D&B Number:
2ity: BAKERSFIELD State: CA Zip: 93308-
Comm ,ode: 215-065 COUNTY STATION 65 SIC Code:
i~ner: JEFFREY R ANDERSON Phone: (805) 589-3760
Ad ~ess: 13908 TARADALE CT State: CA
~ity: BAKERSFIELD Zip: 93312-
Summary
RECEIVED
HA~ -~A ~ D/F
I, ~"~' t~t'~_~'~e"~o hereby cer'[ify that ! hsve
reviewed the a~ached heza~ous mate~als marmg,~-
ment plan forCe, and that it along with
any ~rr~tions con&~itute a comp?et9 and ~rre~ man-
age~nt plan for my facili~.
04/25/96 ANDERSONICS FABRICATION & PROCESS 215-000-000116 Page 2
Hazmat Inventory List in MCP Order
02 - Fixed Containers on Site
Pln-Ref Name/Hazards Form Max Qty MCP
02-002 ACETYLENE Gas 850 High
· Fire, Pressure, Immed Hlth GAL
02-004 N O S CHEMOLENE Gas 1500 High
· Fire, Pressure, Immed Hlth FT3
02-001 OXYGEN Gas 1500 Low
· Fire, Immed Hlth, Delay Hlth FT3
02-003 ARGON Gas 1800 Minimal
· Fire, Pressure, Immed Hlth FT3
02-005 MOTOR OIL Liquid 55 Minimal
· Fire, Delay Hlth GAL
04/25/96 ANDERSONICS FABRICATION & PROCESS 215-000-000116 Page 3
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
02-002 ACETYLENE Gas 850 High
· Fire, Pressure, Immed Hlth GAL
CAS #: 74-86-2 Trade Secret: No
Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING
Daily Max GAL I Daily Average GAL 1 Annual Amount GAL
850 I 400.00 5,000.00
Storage Press T Temp Location
PORT. PRESS. CYLINDER Iabove ~AmDiontlouTSIDE SOUTH WALL
-- Conc~ Components I MCP i~uide
100.0% IAcetylene IHigh I 17
02-004 N O S CHEMOLENE Gas 1500 High
· Fire, Pressure, Immed Hlth FT3
CAS #: 74-98-6 Trade Secret: No
Form: Gas Type: Mixture Days: 365 Use: FABRICATION
Daily Max FT3I Daily Average FT3 I Annual Amount FT3
1,500 I 1,000.00 15,000.00
Storage I Press T Temp I Location
PORT. PRESS. CYLINDER Above ~Ambient OUTSIDE SOUTH WALL
- ConcI Components I MCP --~Guide
95.0% iPropane Extreme I 22
2.0%IPropyleneIHigh ! 22
02-001 OXYGEN Gas 1500 Low
· Fire, Immed Hlth, Delay Hlth FT3
CAS #: 7782-44-7 Trade Secret: No
Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING
Daily Max FT3I Daily Average FT3 I Annual Amount FT3
1,500 I 900.00 15,000.00
Storage I Press T Temp I Location
PORT. PRESS. CYLINDER Above ~Ambient OUTSIDE SOUTH WALL
-- Conc Components MCP iGuide
100.0% IOxygen, Compressed ILow ~ 14
04/25/96 ANDERSONICS FABRICATION & PROCESS 215-000-000116 Page 4
02 - Fixed Containers on Site
Hazmat Inventory Detail in MCP Order
02-003 ARGON Gas 1800 Minimal
· Fire, Pressure, Immed Hlth FT3
CAS #: 7440-37-1 Trade Secret: No
Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING
Daily Max FT3 I Daily Average FT3 I Annual Amount FT3 --
1,800 I 1,000.00 20,000.00
Storage Press T TempI Location
PORT. PRESS. CYLINDER Above ~AmbientlOUTSIDE SOUTH WALL
-- ConcI Components I MCP ---/Guide
75.0% IArg°n IMinimal I 12
25.0%ICarbon Dioxide Low ~ 21
02-005 MOTOR OIL Liquid 55 Minimal
· Fire, Delay Hlth GAL
CAS #: 8020835 Trade Secret: No
Form: Liquid Type: Pure Days: 365 Use: LUBRICANT
Daily Max GALI Daily Average GAL I Annual Amount GAL
55 ~ 40.00 100.00
Storage Press T Temp Location
DRUM/BARREL-METALLIC IAmbient~AmbientlSOUTH FENCE
- ConcI ComponentsI MCP -~TGuide
100.0% IMotor Oil, Petroleum Based IMinimal I 27
04/25/96 ANDERSONICS FABRICATION & PROCESS 215-000-000116 Page 5
00 - Overall Site
<D> Notif./Evacuation/Medical
<1> Agency Notification
WE WILL BE USING THE 911 EMERGENCY NUMBER FOR AGENCY NOTIFICATION
<2> Employee Notif./Evacuation
DO TO THE RELATIVELY SMALL SIZE OF OUR FACILITY WE WILL USE VERBAL CALLS FOR
NOTIFICATION. EMPLOYEES ARE INSTRUCTED AS TO WHERE AND WHAT EXITS ARE
AVAILABLE DURING AN EMERGENCY.
<3> Public Notif./Evacuation
WE WILL BE USING THE 911 EMERGENCY NUMBER FOR PUBLIC
NOTIFICATION/EVACUATION, IF NECESSARY.
<4> Emergency Medical Plan
IN CASE OF A MEDICAL EMERGENCY WE WILL UTILIZE THE 911 EMERGENCY NUMBER FOR
IMMEDIATE CARE.
04/25/96 ANDERSONICS FABRICATION & PROCESS 215-000-000116 Page 6
00 - Overall Site
<E> Mitigation/Prevent/Abatemt
<1> Release Prevention
RELEASE PREVENTION FOR OUR GASES IS PROVIDED VIA 2 LOCK UP STORAGE BINS. THE
BOTTLES ARE CHAINED UP IN THEIR UPRIGHT POSITION, THE BOTTLES ALSO HAVE
THEIR VALVE PROTECTION.
<2> Release Containment
WE HAVE OUR GASES STORED IN 6' WIDE X 4' DEEP X7' HIGH STEEL WALL
RACK/BOXES.
<3> Clean Up
GASES WILL DISPERSE MOTOR/PUMP OIL WILL BE REMOVED AND HAULED TO A DISPOSAL
FACILITY BY A CERTIFIED HAULER.
<4> Other Resource Activation
04/25/96 ANDERSONICS FABRICATION & PROCESS 215-000-000116 Page 7
00 - Overall Site
<F> Site Emergency Factors
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - NORTHWEST CORNER OF BUILDING OUTSIDE AT METER
B) ELECTRICAL - NORTHWEST CORNER OF BUILDING OUTSIDE AT PANEL
C) WATER - AT CURB SIDE NORTH OF BUILDING
D) SPECIAL - NONE
E) LOCK BOX - NO
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS AT SHOP SOUTHEAST INSIDE AND IN
SHOP NORTH INSIDE AND IN OFFICE CENTER.
FIRE HYDRANT - NORTH SIDE ACROSS STREET
<4> Building Occupancy Level
04/25/96 ANDERSONICS FABRICATION & PROCESS 215-000-000116 Page 8
00 - Overall Site
<G> Training
<1> Employee Training
WE HAVE ~_~EM~OYEES AT THIS FACILITIES
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
BOTH INITIAL AND REFRESHER TRAINING SESSIONS ARE PROVIDED ON A ONE TO ONE
BASIS. PERSONNEL ARE INSTRUCTED AS TO THE SAFE HANDLING AND OPERATION OF
OUR HAZARDOUS MATERIALS AND THE MATERIAL CONTAINERS. PROPER OPERATION OF
FIRE EXTINGUISHERS AND POWER/GAS DISCONNECTS IS DISCUSSED. EMERGENCY
EVACUATION AND EMERGENCY RESPONSE PERSONNEL NOTIFICATION IS REVIEWED.
<2> Page 2
<3> Held for Future Use
<4> Held for Future Use
06/12/92 ANDERSONICS FABRICATION & PROCESS 215-000-000116 Page 1
Overall Site with 1 Fac. Unit
General Information
Location: 3801 BURR ST Map: 102 Hazard: Moderate
Community: COUNTY STATION 65 Grid: 26A F/U: 1 AOV: 0.0
~ Contact Name Title ~ Business Phone , 24-Hour Phone-
I 1(805) 589-1650
IJEFF ANDERSON PRESIDENT 1(805) 589-3760 x 1'(805)
ITONYRUVALCABA FOREMAN (805) 589-3760 x
832-6097
Administrative Data
Mail Addrs: 3801 BURR ST D&B Number:
City: BAKERSFIELD State: CA Zip: 93308-
Comm Code: 215-065 COUNTY STATION 65 SIC Code:
Owner: JEFFREY R ANDERSON Phone: (805) 589-3760
Address: 13908 TARADALE CT State: CA
City: BAKERSFIELD Zip: 93312-
Summary
HA~ MA.T,
I, ~'~_~ ,~, ~. i,,~.~'~33_ ~_.tDo 'hereby cerr~y tha~ ~ have
(W~&~.tmme) - ~- .
reviewed the 'attached hazardous matsHa~ ~sn~e-
men~ plan for ~_~~and ~ha~ i~ along with
(Nmne ~ Busino~)
any ~rmc~ions ~nsfit~e a ~mplets a~d corr~ ~an~
agem~n~ p~n for ~ fac~fi~ ....
. . ~:;
06/12/92 ANDERSONICS FABRICATION & PROCESS 215-000-000116 Page 2
02 - Fixed Containers on Site
Hazmat Inventory Detail in Reference Number Order
02-001 OXYGEN Gas 1500 Low
· Fire, Immed Hlth, Delay Hlth FT3
CAS #: 7782-44-7 Trade Secret: No
Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING
Daily Max FT3 Daily Average FT3 I Annual Amount FT3
1,500 I 900.00 15,000.00
Storage Press T Temp Location
PORT. PRESS. CYLINDER IAbove ~AmbientlOUTSIDE SOUTH WALL
-- Conc Components ~' MCP ~List
100.0% IOxygen, Compressed ILOw
02-002 ACETYLENE Gas 850 High
· Fire, Pressure, Immed Hlth GAL'
CAS #: 74-86-2· Trade Secret: No ~
Form: Gas Type: Pure ~ Days: 365 Use: WELDING SOLDERING
Daily Max GAL850 I Daily Average400.00GAL [ Annual Amount5,000.00GAL --
Storage ~ Press T Temp Location
PORT. pRESS. CYLINDER IAbove ~AmbientlOUTSIDE SOUTH WALL
-- Conc Components MCP ~List
100.0% IAcetylene .. IHigh
02-003 ARGON~ Gas 1800 'Minimal
· Fire, Pressure, Immed Hlth FT3
CAS #: 7440-37-1 Trade Secret: No
Form: GaS Type: Pure Days: 365 Use: WELDING SOLDERING
Daily Max FT3 Daily Average FT3 I Annual Amount FT3 --
1,800 I 1,000.00 20,000.00
Storage Press T Temp Location
PORT. PRESS. CYLINDER IAbove ~AmBiontlOUTSlDE SOUTH WALL
-- Conc Components . MCP ~Llst
75.0% IArgon /Minimal
2510% Carbon Dioxide /Minimal
06/12/92 ANDERSONICS FABRICATION & PROCESS 215-000-000116 Page 3
02 - Fixed Containers on Site
Hazmat Inventory Detail in Reference Number Order
02-004 N O S CHEMOLENE Gas 1500 High
~ Fire, Pressure, Immed Hlth FT3
CAS #: 74-98-6 Trade Secret: No
Form: Gas Type: Mixture Days: 365 Use: FABRICATION
Daily Max FT3 Daily Average FT3 I Annual Amount FT3
1,500 I 1,000.00 15,000.00
Loc~tion
Storage Press T Temp
I
PORT. PRESS. CYLINDER Above ~AmbientlOUTSIDE SOUTH WALL
-- ConcI Components I MCP ----~List'
95.0% IPropaneIExtreme
2.0%IPr°pylene High
02-00~ MOTOR OIL Liquid 55 Minimal
~ Fire, Delay Hlth GAL
CAS #: 8020835 Trade Secret: No
Form: Liquid Type: Pure Days: 365 Use: LUBRICANT
Daily Max GAL55 I Daily Average40.00GAL ----~ Annual Amount100.00GAL
Storage Press T Temp Location
DRUM/BARREL-METALLIC Ambient~Ambient. SOUTH FENCE
-- Conc Components . MCP List
100.0% IMotor Oil, Petroleum Based IMinimal I
06/12/92 ANDERSONICS FABRICATION & PROCESS 215-000-000116 Page 4
00 - Overall~ Site
<D> Notif./Evacuation/Medical
<1> Agency Notification
WE WILL BE USING~THE 911 EMERGENCY NUMBER FOR AGENCY NOTIFICATION
<2> Employee Notif./Evacuation
DO TO THE RELATIVELY SMALL SIZE OF OUR FACILITY WE WILL USE VERBAL CALLS FOR
NOTIFICATION. EMPLOYEES ARE INSTRUCTED AS TO WHERE AND WHAT EXITS ARE
AVAILABLE DURING AN EMERGENCY.
<3> Public Notif./Evacuation
<4> Emergency Medical Plan
IN CASE OF A MEDICAL EMERGENCY wE WILL UTILIZE THE 911 EMERGENCY NUMBER FOR
IMMEDIATE CARE.
06/12/92 ANDERSONICS FABRICATION'& PROCESS 215-000-000116 Page 5
O0 - Overall Site
<E> Mitigation/Prevent/Abatemt
<1> Release Prevention
RELEASE PREVENTION FOR OUR GASES IS PROVIDED VIA 2 LOCK UP'STORAGE BINS. THE
BOTTLES ARE CHAINED UP IN THEIR UPRIGHT POSITION, THE BOTTLES ALSO HAVE
THEIR VALVE PROTECTION.
<2> Release Containment
WE HAVE OUR GASES STORED IN 6' WIDE X 4' DEEP X7' HIGH STEEL WALL
RACK/BOXES.
<3> Clean Up
GASES WILL DISPERSE MOTOR/PUMP OIL WILL BE REMOVED AND HAULED TO A DISPOSAL
FACILITY BY A CERTIFIED HAULER.
<4> Other Resource Activation
06/12/92 ~ ANDERSONICS FABRICATION & PROCESS 215-000-000116 Page 6
00 - Overall Site
<F> Site Emergency Factors
<1> Special Hazards
<2> Utility Shut-Offs
A) GAS - NORTHWEST CORNER OF BUILDING OUTSIDE AT METER
B) ELECTRICAL - NORTHWEST CORNER OF BUILDING OUTSIDE AT PANEL
C) WATER - AT CURB SIDE NORTH OF BUILDING
D) SPECIAL - NONE
E) LOCK BOX - NO
<3> Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION ' FIRE EXTINGUISHERS AT SHOP soUTHEAST INSIDE
FIRE HYDRANT - NORTH SIDE ACROSS STREET
<4> Building Occupancy Level
06/12/92 ANDERSONICS FABRICATION & PROCESS 215-000-000116 Page 7
00 - OVerall Site
' <G> Training'
<1> Page 1
WE HAVE 4 EMPLOYEES AT THIS FACILITIES
WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE
BOTH INITIAL AND REFRESHER TRAINING SESSIONS ARE PROVIDED ON A ONE TO ONE
BASIS. PERSONNEL ARE INSTRUCTED AS TO THE SAFE HANDLING AND OPERATION OF
OUR HAZARDOUS MATERIALS AND THE MATERIAL CONTAINERS. PROPER OPERATION OF
FIRE EXTINGUISHERS AND POWER/GAS DISCONNECTS IS DISCUSSED. EMERGENCY
EVACUATION AND EMERGENCY RESPONSE PERSONNEL NOTIFICATION IS' REVIEWED.
<2> Page 2 as needed
<3> Held for Future Use
<4> Held for Future Use ~
e RECEIVED
Bakersfield Fire Dept.
Hazardous Materials Division AU(; I 6 1990
2130 "G" Street H~z. MAT. DIV.
HAZARDOUS MATERIALS MANAGEMENT PLAN Anti ............
1.,. To ovo!d further action, return this form within 30 days of receipt.' ,
2. "¥YPE/PRINT ANSWERS IN E~GLISH. ,' . ,, ., .
3. Answer the questions below for the business as a whole.
4. Be brief and concise oS po~ible.
. SECTION .1: . BUSINESS. IDENTIFICATION DATA . . .~.
BUSINESS NAME: ~~~
LOCATION' ~~1 ~ ~" ~~ ~,i~~-~; ~
MAILING ADDRESS:
CITY: ~~~ STATE:~ ZIP: ~5%~ PHONE~~'3V~O
DUN & BRADSTREET NUMBER' ~ SIC CODE:
PRIMARY ACTIVITY: o~~ P~c~ ~~~q~ ~~~
OWNER: ~~ ~ ~. N~~~ ':'
MAILING ADDRESS: ~%~ ~~~ ~ ~~~ ~
SECTION 2: EMERGENCY NOTIFICATION:
CONTACT TITLE BUS. PHONE 24 HR. PHONE
/ FDI590
Bakersfield Fire Dept.
Hazardous Materials Division
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION 3: TRAINING:
NUMBER OF EMPLOYESS' ~
MATERIAL SAFETY DATA SHEETS ON FILE: -q ~.~
BRIEF SUMMARY OF TRAINING PROGRAM:
SECTION 4: EXEMPTION REQUEST:
i CE'I~I~IFY 'uN'DER PENALTY OF~PERJURY :(HAT MY BUSINESS IS'EXEI~IPT FRO~ THE
REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "'CALIFORNIA HEALTH &
SAFETY CODE" FOR THE FOLLOWING REASONS:
' ~'~ DO NOT'HAr~'DLE'~/~AR'DC~J'S'MATERIA'LS.
WE DOHANDL~ ' " "'' ' "'
HAZARDOUS'UA'TLR ALS/BUT TI-iEQUANTITIES AT NO
, TIMEEXCEED THE MINIMUM REPORTING.QUANTITIES.
~ .: ., ..... . ,, ? .,~ - .: ',; , -,. .. , , ·
OTHER (SPECIFY REASON) ·
SECTION 5: CERTIFICATION:
I, CERTIFY THAT THE ABOVE INFOR-
MATIp..N IS ACCURATE., I U,NpERSTAN,D THAT THIS I~FORMATION WILL BE .USED TO
FULFILL MY FIRM'S OBLIG~,TIONS U'NDI~R'THE'"CAI"IFORN'I~, I-1E~AL'TH ~ND S/~:~TY CODE"
ON,HAZ~RDO.US MATERIALS. (DIV. 20 CHAPTER 6.95 SEC. 25500 ET ~AL.) AND THAT
INACCURATE INFORMATION CONSTITUTES PERJURY;
///:~NX TI.] R F ..... -T I"1' L'E D ATE
FO1590
Bakersfield Fire Dept.
Hazardous Materials Division "
HAZARDOUSMATERIALS MANAGEMENT PLAN
Facility Unit Name:
SECTION 6:.... NOTIFICATION AND EVACUATION PROCEDURES:
A. AG~N"-~', N'O.T. IFIC~ATJON PRO6EDURE~: '
B. EMPLOYEE NOTIFICATION AND EVACUATION:
.C. PUBLIC EVACUATION: ~~'
D. EMERGENCY MEDICAL PLAN:
'~'~ ~l~r:,~: .~ ~1~ ~x~:b~ ~:~',~--~~,~, ~,,~' ~,,,~\L~.
B~kersfield Fire Dept.
Hazardous Materials Division
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN:
B. RELEASE CONTAINMENT AND/OR MINIMIZATION:
SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY)'
NATURAL GAS/PROPANE:
SPECIAL: ~n~
LOCK BOX: YES/~;~;~ IF YES, LOCATION'
SECTION 9: PRIVATE FIRE PROTECTION/WATER'AVAILABILITY:'.. ..... '
A. PRIVATE FIRE PROTECTION' ,. '' ",, .'.i"
B. WATER AVAILABILITY (FIRE HYDRANT)'
4. FD1590
CITY of BAKERSFIELD
.j~HAZARDOUS MATERIALS INVENTORY
Farm andAgticulture F1 Standard Business NON--TRADE SECRETS Page
BUSINESS NAME- .~___~,~~\d.L% OWNER NAME: ~~ ~~~ NAME OF THIS FACILITY:
LOCATION: ~ ~,- ~ ~, ADDRESS; t~ ~~ STANDARD IND. CLASS COOk:
.... REFER TO~N~ FuH H~UH~ CODES
I 2 3 4 5 ' 7 8 ' 10 Il 12 ,~y Nm,es of ,,xture/Co,~onents
Trans [YOe ~ax Avfrage Annual Heasure t ~y~ Cont Cont ConL Us LocaLion.~he[e.
Code code Am~ Amt EsL Units on 5~ce. Type Press Temp Co~e SLored in facility See [nstruct~ons
Physical 8od Health Hazard C.A.S. Number o~-~'~ Component II Name i C.A.S. Humber
(Check al/ ~ha[ apply)
Component 12 Name S C.A.a. Number
~Fire Hazard D Reactivity ~ Delayed ~Sudden Release ~ Immediate
Health -- ~ of Pressure Health
Component 13 Name t C.A.S. Number
Physical 8od He~lCh 64zArd . C,A.a. Number ~ o~q ~ Component II Name A C.A,S, Number
(Check 4]l ChAC
~ Fire Hazard ~ Reactivity 0 Delayed ~Sudden Release O [m~i~ Component ,2 Hame , C.A.S. Number ....
Health ' of Pressure
Physical and Health HAzard C,A,S. Number ~ Component II Name & C,k.S, Number~qH~?-{ ~ ~
(Check a11 Chat Apply)
D Fire HAzard D ReAcCivi[y D Delayed ~Sudden Release ~ [m~i~C°mp°nenc i2 Name l C,A,S, Num'berJ~-~
Health of Pressure ComponenL 13 Name I C,A,S, Humber ~
Physical led' Health Uazard C,A,S, Number Component l1 Name I C.A,a. Number ~%~ ~ ~~
, (Check 811 that app/yJ
~Fire HAzard ~ Reactivity D Oelayed ~ Sudden Release ~ Im~i~ Component 12 Name t C,A,a, Number~~ ~ ~
.. Health of Pressure Component 13 Name t C,A,a, Number [k~[ ~
E~ERGEHCY CONTACTS ~1 ~ ~b~ ~%- t(~ fl2 ~ ~~~ TIc
Name .2~ Hr Phone Hame
:erti[iGatioq ,(Repd and.~ign after completipg.aTl sectipn~)
.,certify under pena~[~ ct)ap th~[ J navepe[soflHly.eXSmlnqO~qo~m tamilla~.viL~ the.~nto[mac]pn ~u~mitt¢~ in this tnd all
~[~acned.dgcgmeflt~, an~ [~a[ baSeD on.my inqutry ~r.cnose t~otvtoua/s responsible for ODCat~lflg [De lfltormactofl. Z believe Chat the
UOmlLteo i~toraatlOO IS [rue, Accurate, a~o co~p/ec8, '
Name ePd oficial [1tie ot o~nerlooerl[or OH o~ner/o~erstor's auc~ortzeo representative
CITY of BAKERSFIELD
MATERIALS
INVENTORY
Farm andAgticulture FI Standard Business ~HAZARDOUS
NON--TRADE SECRETS Page ~ of~
BUSINESS NAME- ~~\~ OWNER NAME: ~.-~---~ ~q~(:~51)~" - NAME OF THIS FACILITY:
LOCATION:~t ~' ~ ~~ ~ES~[~ [~~~ STANDARD IND. CLASS COU~: -
REFER TO~ I Huc I ~ UN5 ~uN HNUHbN CODES
I 2 ' 4 5 ' I 8 ' 10 Il 12 ,l~y Names of,ixture/Coeponents
;Trans [y~e Max Avfr)ge Annual Measure t Qy) Cent Cent Cent Us tocation.Whece.
Code cooe AeC Am[ Est Units on ~ice Type Press Temp Co~ewt See Instructions
Stored In haclm~cy
Physical and Health Hlzard C,A,S. Number ~ Co~ponent I1 Name t C,A,S. Number
(Check al) that apply)
Component 12 Na~e I C,A,S, Number
~ Fire Hazard ~ Reactivity ~ Be)eyed ~ Sudden Release ~ Immediate
Healt~ of Pressure Health
Component 13 Name I C,A,S. Number
Physical and Hemlth bayard C.A.S. Number ~H-~--~ Component II Name ~ C.A.S. Number ~
(Check al] that Ipp/y)
~Fire Hazard u~,,n°eact'v(ty ~ Delayed ~Sudden Release ~ Im,,~(,f, Component 12 Name t C.A.S. Number ~ /5~
Health ~ of Pressure"~a'F(~ Component 13 Name t C.A.S. Number
Physical ~nd Health U~Tard C,A.S, Humber ~~s.~~, Componen~ II Hame & C,A,S, Humber
(Check ~II that ipp/YJ
Component 12 Name, C.A.S. Numbe~
~Fire Hazard B Reactivity B Delayed B Sudden Release B Imq~di~e
Health of Pressure
Health
Component 13 Name I C.A.S. Number
Physical mhd Health UaTard C.A.S. Number Component II Name I C.A.S. Number
(Check 4// that apply)
Component I~ Name I C.A.S. Number
~ Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~ Im~i~
~ Health of Pressure
Component 13 Name I C.A.S, Number
EMERGENCY CONTACTS fll ~ ~~ ~-Xq~ fl2 ~ ~qg~~ T~ ~Hr Phone
NAme ~4 Hr Phone Name
;ertifi atio Re and f naf r corn I ting. a7 7. sec~fons)
...cerp~y un'er penal~x P~W that [~av~ pe~sonaf~.examlnq~eq~ ~, famlllar.,ltb the ~nformat~pn ,u~mittpd in this end ,11
Lt~acned,documents, anQ ~pac pasco OA.my Inquiry 9~.tnose lnOlvioua)s responsiDle for obtaining cne lnrormaclon, I believe that the
;UDmltteo Information Is crum, accurate, eno comp/etc, ·
DATE C~-- 1 ~" TIME P.M.
M
OF
PHONE NO.
TELEPHONED PLEASE CALL
CALLED TO SEE YOU WILL CALL AGAIN
WANTS TO SEE YOU RUSH
SIGNED
ASSOCIATED L1-A2334
T~NT MESSAGE
FOR L ~ ~J~
AM
DATE ~--)-c~/' qj/~ TIME,.. P.'I~I.'
M
SIGNED
ASSOCIATED L1-A2334
Roger J. Anderson P.O. Box 790
General Partner Santa Paula, CA 93060
.805/525-7108
FABRICATION. I PROCESS DESIGN
RO. Box 790 ~
Jeffrey R. Anderson Santa-Paul, CA 93060 ---
Bus.
,~' ~:)O.~- '~.,~(~ 805/525-7108 805/659-1314
FAX 805/525-9430
Quality Construction - ASME Certified
OIL & GAS PROCESS EQUIPMENT
I~O. ,Box 790
Roger J. Anderson 134 N. 13th Street
Santa Paula, CA 93060
805/525-7108
'Heaters,seParatorS a"d The Dewdr(~pper'"
FABRICATION & PROCESS DESIGN
P.O. Box 790
134 N. 13th Street
Jeffrey R. Andemon Santa Paula. CA 93060
605/525-7108 805/659-1314
Quality Construction - ASME Certified