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BUSINESS PLAN 11/30/2006
_ UNIFIED PROGRAM INSPECTION CHECKLIST' ~ R~_ D .SECTION 1: -Business Plan and Inventory Program aRrM Prevention Services 900 Truxtizn Ave., Suite 210 Bakersfield,-CA 93301 _ Tel.: (661j 326-3979 Fax: (661) 872-2171 . FACILITY NAME (3~ ~K ~o~ r~~ui,~~~<.u- co . ~c INSPECTION DATE l/- 3 C~ -oG NSPECTION TIME 1©G ~ ADDRESS 330 ~L. l`tt-~ PHONE NO. ~Z3-7$~~ O OF EMPLOYEES ~-D FACILITY CONTACT BUSINESS ID NUMBER 15-021- Q(,)(} 71 Z -- - -_ - - Section 1: Business Plan and Inventory Program ~D~~ L"f ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V (c=compliance OPERATION V=Violation COMMENTS d~ ^ APPROPRIATE PERMIT ON HAND ENT'D D E C ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY (~ V ^ VERIFICATION OF HAZ MAT TRAINING ~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE &.ON HAND ANY HAZARDOUS WASTE ON SITE? li~S'ES ^ NO EXPLAIN: L/iQ' S`/z~- ~ / L.~ Ii//f STI~.. ~"lt'VTJ /~~'Llz,~L C~"z QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) '326-3979 Inspector (Please Print) Fire Prevention / 1" In /Shift of Site/Station # Busines ite / esponsi Party (Please Print) White -Prevention Services Yellow -Station Copy ~ - -Pink -Business Copy FD 2155 (Rev. 09/05 ti' t ~~~ 1 ~5~ ~ California Safety Training Corporation® 4909 Stockdale Highway #132 Baker~eld, CA, 93309-2637 BERCHTOLD EQUIPMENT eFCe~,EO COMPANY E E B 2 8 2007 330 EAST 19T" STREET, BAKERSFIELD CA 93305 EIdVIR~Pdt~iEf~TJO! hcAi.TH SERVICES Hazarda~rs Materials Business Pian -PREPARED BY: V r-~ a-_ ~. ~_,~ ~.~ ~NT'D MA.R z ._ (661)847-8300 CSTC@CSTCSafety.com FEBRUARY 2007 UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS ACTIVITIES Page 2 of 26 I. FACILITY IDENTIFICATION FACILITY ID # 1 EPA ID # (Hazardous Waste Only) 2 BUSINESS NAME (Same as Facility Name of DBA-Doing Business As) 3 BERCHTOLD EQUIPMENT COMPANY II. ACTIVITIES DECLARATION NOTE: If you check YES to any part of this list, please submit the Business Owner/Operator Identification page (OES Form 2730). Does our facilit ... If Yes, lease com lete these a es of the UPCF.... A. HAZARDOUS MATERIALS Have on site (for any purpose) hazardous materials at or above 55 gallons for liquids, 500 pounds for solids, or 200 cubic feet for compressed gases ®YES ^ NO 4 HAZARDOUS MATERIALS INVENTORY (include liquids in ASTs and USTs); or the applicable Federal threshold _ CHEMICAL DESCRIPTION (OES 2731) quantity for an extremely hazardous substance specified in 40 CFR Part 355, Appendix A or B; or handle radiological materials in quantities for which an emergenc lan is re wired ursuant to 10 CFR Parts 30, 40 or 70? B. UNDERGROUND STORAGE TANKS (USTs) UST FACILITY (Formerly swltcB Form A) 1. Own or operate underground storage tanks? ^YES ®NO 5 UST TANK (one page per tank) (Formerly Form B) 2. Intend to upgrade existing or install new USTs? ^YES ®NO 6 UST FACILITY UST TANK (one per tank) UST INSTALLATION - CERTIFICATE OF COMPLIANCE (one page per tank) (Formerly Form C) 3. Need to report closing a UST? ^YES ®NO 7 U$T TANK (closure portion -one page per tank) C. ABOVE GROUND PETROLEUM STORAGE TANKS (ASTs) Own or operate ASTs above these thresholds: ---any tank capacity is greater than 660 gallons, or ^YES ®NO 8 NO FORM REQUIRED TO CUPAs ---the total capacity for the facility is greater than 1,320 gallons? D. HAZARDOUS WASTE 1. Generate hazardous waste? ^YES ^ NO 9 EPA ID NUMBER -provide at the top of this page 2. Recycle more than 100 kg/month of excluded or exempted RECYCLABLE MATERIALS REPORT (one recyclable materials (per HSC 25143.2)? ^YES ®NO 10 per recycler) 3. Treat hazardous waste on site? ONSITE HAZARDOUS WASTE ^ YES ®NO 11 TREATMENT -FACILITY (Formerly DTSC Forms 1772) ONSITE HAZARDOUS WASTE TREATMENT -UNIT (one page per unit) (Formerly DTSC Forms 1772 A,B,C,D and L) 4. Treatment subject to financial assurance requirements (for ^YES ®NO 12 CERTIFICATION OF FINANCIAL ~ Permit by Rule and Conditional Authorization). ASSURANCE (Formerly DTSC Form 1232) 5. Consolidate hazardous waste generated at a remote site? REMOTE WASTE /CONSOLIDATION ^ YES ®NO 13 SITE ANNUAL NOTIFICATION (Formerly DTSC Form 1196) 6. Need to report the closure/removal of a tank that was classified as ^ yES ®NO 14 HAZARDOUS WASTE TANK CLOSURE hazardous waste and cleaned onsite? CERTIFICATION (Formerly DTSC Form 1249) E. LOCAL REQUIREMENTS Is (You may also be required to provide additional information by your CUPA or local agency.) =T ,~ 02/262007 11:15 661-325-4059 BERCHTOLD EQUIP CO r- - - - UNIk'iED pROGRP-M 1vEN'1'tEICA'1'i.ON ATIOIV ERlOPERATOR FACILITY INFORM gUSTNESS OWN I- tDGNTiI''lCAT10N iNC DATE lan ~ gEG(NN ...-.,n~ 1 ARY 2007_-_-~ USIIakSS NAME. (~~^~ rs':M1CUa,'Y NnMe ar „>3n - 3)`.RCHTOLD ir.QU1PMF'NT COMPANY d1J5II`IESS SiT7+ AppRESS 3301"-AST 1__~~.E~~ 027869619 c~vNTY KERN BUS[NL-55 OPER B~1zcI-lxoT.n er~RC~-1TV>.n ~c pWN1rR MAILING / p,p. BOX 3098 crrY MME. MENT COMPANY (A PA.RTNi RBUSrnESS OWNER ~1,nFNT cOMPANY (A PAR-rWERSfiIP) CA __-__~ BAKEK~r ll;t.,u iil. ETiV1RONMEIVTAL CVn ~n~ , 661-3z3-7817 PAGE 01/01 nTEn FORM Y 661.323-781'7 eta !16 ns Z•1P cOnE 93385-3098 IIA CONTACT' PIiONt: b61-323-7817 ~~, MARCIA. BERCHTOLD CONTACT MATI.ING ADDRESS P.O. BOX 3098 liu STATE, 121 1~ ZIP CODE ctT~r CA 93385-3098 BAKERSFIELI7 EMERGENCY CONTACTS IV -SEC0I~IDARY- -PRIMATtY- . - 1:~ VAME ,29 NAME ; MARK BERCHT0I.D iv1ARC1 A BERCHTOLD - •:• ~ TiTLE ,io TITI..F. PRES[DE~T I-TRC _ __ __u BU5IN1:55 PHONE. ~ 1~ BUSINESS i">f.11YF, ;~~ 661-323-7817 6E1-323-78I~ 24HOUR PITONG 17a ` ''_t~HOUR PNO~F •h 661-747-4630 6fi~--47-8521 PAGER p 127 PAGER x _ ADDI'.CIONAI~ LOCAI,LV COLI,CCTCD INFORMATION: EMAIL: MARCIABCa"?BERCHTQLI3.COM ~ ' APN: 016-120-14-9 ~ ande~ p~e~lN Of IAw Ihat I lrts he ir Y d e a ~ e~ p am familiar with t nftlTmatian a ilhmifled and bcl icv the ibrnlation i, l iu se~vrntef a d ctVmpk~ : Pcr~nnallY ~amined>md SIGNATURP. F' V WNL•R/ L'RATUR AR I)F,SIGNAI'fiD RF,PRESI•:NTM17IVE OATS Ila 1c.lNE OF TSOCUMENT PREPARI;R -. itE Or cIGNER {print ~ ~ Z ~6-07 CSTC~ MARCIA BERC 1 ~a i i TI ~ O° SIGNER ~ HTOI,n _ HRC 661-323-7 CA 93305 ,na SIC C( 1sal , a 2V ~~ ~~ r Z °" O z O m z a~+ 4~ a~ w ~~ ~m z ~; W ~ 41 L ~ ~ ~ ~ ~ ~ O ~ ~ 0~~~„ W # ~ ~ ~' C mc~*a~n ~~ ~" ~~ _~ iii ~~ ~ ~ ~ ~ i, ~ ~ ~ ~t ~ 1+ ~ '~ I ~ ~ o ~-- ~ $ a a h giaa y el ~ gaa,n L q a ~~ a a~i a 4 o a i p. a 3'°=,'a Q, WLq i~ a `'~aeQ ~ L ~$ +v a ayd_ aq ---~ olal~o 5° 4'a ~WZpOC '~ a==~' ~qa oy~'u oo y do w~ ~4r l ~ fA a i f0 fA T~ 'r C a OI 10 ~ a " O N Vl A y i t r qL r O ^C Y~ -y L NC~LL 6Vi "~-7 L d R (A '^ O L7 'r a A O C y C a L C y e ~ ~ ~~ ~ 7 .°,5ea~ GC,'°,avlL~:a°a~~A~_~xo'a.n~~aeaoi'~~ii glee a vOdv~i y~00iyai._ L_e.- ~p'agoa41.,122viQEe~~ LLame'e;? al-+o°4a' N N ayL QW~waaaC~NOaVa6W10Caaa~aaN~LMNC~iQ~~=tu~6~miO~C"C Nra+.a. '~ Y .~ ^C 10'O Ll. O .d O .~. a =" ~' II > a .L L ..~ .L.L A q A 10 a ai R q .~ it q i a~ ~ s r 7 i A 10 A cQKC40700mGiUOOO WWW WY. 1L IV IL LLIyLLILG7G7G7L7=wnJOOddOCViVi~VlVi H ~r~~ ~-11 1111 II II 11-II II 11 1111 II.-II 11 1111 II II II 11 1111 11"II II "11.11 1111 11 11 II 11.11.11 11-11 11 1111 II 11 11."11.11 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIA LS HAZARDOUS MATERIALS INVENTORY - cxEMicAL nESCRIPTION (one a e er material er buildin or area ^ADD ^DELETE ^REVISE 200 Page _5_ oF_ 26_ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 BERCHTOLD EQUIPMENT COMPANY CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA zoz SHOP ^ YES ® NO 1 MAP# (opuonap 203 GRID# (optional) ~ zoo ~ FACILITY ID # 1 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yes ®No 206 OIL 15/40 cnx COMMON NAME zos zos EHS* ^ Yes ®No LUBRICATING OIL CAS# 209 *If EHS is "Yes", al l amounts below must be in lbs. N/A FIRE CODE HAZARD CLASSES (Complete i£required by CuPA) 210 HAZARDOUS MATERIAL 211 TYPE (Check one item only) ^ a. PURE ®b. MIXTURE ^ c. WASTE RADIOACTIVE ^ Yes ®No 212 CURIES 213 PHYSICAL STATE (Check one item only) ^ a. SOLID ®b. LIQUID ^ c. GAS 214 LARGEST CONTAINER 330 215 FED HAZARD CATEGORIES 216 (Check all that apply) ®a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ^ d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 21~ MAXIMUM DAILY AMOUNT 21s ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 200 330 0 221 DAYS ON SITE: 222 UNITS* ®a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS 365 Check one item onl * If EHS, amount must be in ounds. STORAGE CONTAINER ® a. ABOVE GROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ^ n. PLASTIC BOTTLE ^ r. OTHER ^ C. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ 0. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ^ I. CYLINDER ^ p. TANK WAGON 223 STORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 224 STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 10-100 zze DISTILLATES, PETROLEUM, HYDROTREATED zn ^ Yes ®No zzs 64742-54-7 229 HEAVY PARAFFINIC 2 0-9o zsa DISTILLATES, PETROLEUM, SOLVENT- z31 ^ Yes ® No z3z 64741-88-4 233 REFINED HEAVY PARAFFINIC RESIDUAL OILS PETROLEUM SOLVENT- 3 0-20 234 , , z3s ^ Yes ® No 236 64742-01-4 237 REFINED 4 0-2 z3s ZINC ALKYLDITHIOPHOSPHATE z39 ^ Yes ® No zoo 68649-42-3 241 5 0-10 zoz PROPRIETARY INGREDIENTS zos ^ Yes ® No z4a PROPRIETARY BLEND 245 If more hazardous components are present at greater than 1 % by weight if non-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of pap er capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION za6 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - cxEMicaL nESCRirTION (one a e er material er building or area) ^ADD ^DELETE ^REVISE 2007 Page _6_ of _26_ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 BERCHTOLD EQUIPMENT COMPANY CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA zoz SHOP ^ YES ® NO ~ 1 MAP# (optional) 203 GRID# (optional) zoa FACILITY ID # I II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yes ®No zob HYDRAULIC OIL cnx COMMON NAME zo7 zoa EHS* ^ Yes ®No LUBRICATING OIL CAS# 209 *If EHS is "Yes", al l amounts below must be in lbs. N/A FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 HAZARDOUS MATERIAL 21I TYPE (Check one item only) ^ a. PURE ®b. MIXTURE ^ c. WASTE RADIOACTIVE ^ Yes ®No 212 CURIES 213 PHYSICAL STATE 214 (Check one item only) ^ a. SOLID ®b. LIQUID ^ c. GAS LARGEST CONTAINER 330 2I5 FED HAZARD CATEGORIES 216 (Check all that apply) ®a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ^ d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 2t9 STATE WASTE CODE 220 200 330 ~ 221 DAYS ON SITE: 222 UNITS* ®a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS 365 Check one item onl * [f EHS, amount must be in ounds. STORAGE CONTAINER ® a. ABOVE GROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ^ n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ^ I. CYLINDER ^ p. TANK WAGON 223 STORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 224 STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOG ENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # l 0-100 zze DISTILLATES, PETROLEUM, HYDROTREATED zz~ ^ Yes ® No zzs 64742-54-7 zz9 HEAVY PARAFFINIC DISTILLATES PETROLEUM SOLVENT- 2 0-90 zso , , zst ^ Yes ® No z3z 64741-88-4 233 REFINED HEAVY PARAFFINIC RESIDUAL OILS PETROLEUM SOLVENT- 3 o-ZO z3a , , z3s ^ Yes ® No 236 64742-01-4 z37 REFINED 4 0-2 zss ZINC ALKYLDITHIOPHOSPHATE zs9 ^ Yes ® No zao 68649-42-3 eat 5 0-10 zaz PROPRIETARY INGREDIENTS za3 ^ Yes ® No zaa PROPRIETARY BLEND zas If more hazardous components are present at greater than 1 % by weight if non-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of pap er capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 2a6 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL nESCRirTION (one a e er material er buildin or area ^ADD ®DELETE ^REVISE zoos Page _7_ of_26_ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 BERCHTOLD EQUIPMENT COMPANY CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA zoz SHOP ^ YES ® NO i I MAP# (optional) 203 GRID# (optional) 204 FACILITY ID # I II. CHEMICAL INFORMATION CHEMICAL NAME zos TRADE SECRET ^ Yes ®No zoa MOTOR OIL CAR COMMON NAME zoo tog EHS* ^ Yes ®No LUBRICATING OIL CAS# zo9 *If EHS is "Yes", al l amounts below must be in lbs. N/A FIRE CODE HAZARD CLASSES (Complete if required by CtrnA) 210 HAZARDOUS MATERIAL z1t TYPE (Check one item only) ^ a. PURE ®b. MIXTURE ^ c. WASTE RADIOACTIVE ^ Yes ®No 21z CURIES 213 PHYSICAL STATE zt4 (Check one item only) ^ a. SOLID ®b. LIQUID ^ c. GAS LARGEST CONTAINER 330 2t5 FED HAZARD CATEGORIES 215 (Check all that apply) ®a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ^ d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT zt7 MAXIMUM DAILY AMOUNT 21s ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 200 330 Q zzl DAYS ON SITE: 222 UNITS* ®a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d, TONS 365 Check one item onl * If EHS, amount must be in ounds. STORAGE CONTAINER ® a. ABOVE GROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ^ n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ^ I. CYLINDER ^ p. TANK WAGON 223 STORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 22a STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 10-100 zze DISTILLATES, PETROLEUM, HYDROTREATED zv p yes ®No zza 64742-54-7 zz9 HEAVY PARAFFINIC 2 0-90 z3o DISTILLATES, PETROLEUM, SOLVENT- zst ^ Yes ® No zsz 64741-88-4 z33 REFINED HEAVY PARAFFINIC RESIDUAL OILS PETROLEUM SOLVENT- 3 0-2o zsa , , zss ^ Yes ® No z3e 64742-01-4 z3~ REFINED 4 0-2 239 ZINC ALKYLDITHIOPHOSPHATE 239 ^ Yes ® No zao 68649-42-3 2a1 5 0-10 zaz PROPRIETARY INGREDIENTS zas ^ Yes ® No zaa PROPRIETARY BLEND zas If more hazardous components are present at greater than 1 % by weight if non-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION zab UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - cHENIicAL nESCRIrTioN (one a e er material er buildin or area ^ADD ^DELETE ^ REV ISE zoos Page _8_ of _ 26 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 BERCHTOLD EQUIPMENT COMPANY CHEMICAL LOCATION tot CHEMICAL LOCATION CONFIDENTIAL EPCRA zoz STEAM DOCK ^ YES ® NO I MAP# (optional) 203 GRID# (optional) Zoo FACILITY ID # i 1 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yes ®No zo5 WASTE OIL COLLECTED FOR RECYCLING cAR COMMON NAME zoo zos EHS* ^ Yes ®No WASTE OIL CAS# 209 *If EHS is "Yes", all amounts below must be in lbs. N/A FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 2l0 HAZARDOUS MATERIAL TYPE (Check one item only) ^ a. PURE ®b. MIXTURE 21l ^ c. WASTE RADIOACTIVE ^ Yes ®No 212 CURIES 213 PHYSICAL STATE 21a (Check one item only) ^ a. SOLID ®b. LIQUID ^ c. GAS LARGEST CONTAINER 330 Zts FED HAZARD CATEGORIES 215 (Check all that apply) ®a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ^ d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 21~ MAXIMUM DAILY AMOUNT 2ts ANNUAL WASTE AMOUNT 219 STATE WASTE CODE zzo 200 330 p 2z1 DAYS ON SITE: 222 UNITS* ®a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS 90 Check one item onl * If EHS, amount must be in ounds. STORAGE CONTAINER ® a. ABOVE GROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ^ n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ^ I. CYLINDER ^ p. TANK WAGON zz3 STORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 224 STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # DISTILLATES PETROLEUM HYDROTREATED l 0-100 zzb , , zn ^ Yes ® No zza 64742-54-7 229 HEAVY PARAFFINIC DISTILLATES PETROLEUM SOLVENT- 2 0-90 zso , , zst ^ Yes ® No zsz 64741-88-4 233 REFINED HEAVY PARAFFINIC RESIDUAL OILS PETROLEUM SOLVENT- 3 0-20 zsa , , z3s ^ Yes ® No zsb 64742-01-4 z3~ REFINED 4 0-2 zss ZINC ALKYLDITHIOPHOSPHATE zs9 ^ Yes ®No zao 68649-42-3 za1 5 0-10 zoz PROPRIETARY INGREDIENTS za3 ^ Yes ® No 244 PROPRIETARY BLEND zas If more hazardous components are present at greater Than 1 % by weight if non-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 2a5 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIA LS HAZARDOUS MATERIALS INVENTORY - cxEiv~ICAL nESCRiPTioN (one a e er material er buildin or area) ^ADD ^DELETE ®RE V ISE 2007 Page _9_ of _ 26_ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 BERCHTOLD EQUIPMENT COMPANY CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA zoz STEAM DOCK ^ YES ® NO ___ 1 MAP# (optional) 203 GR[D# (optionaq zoo FACILITY ID # L_- 1 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yes ®No zo5 WASTE ANTIFREEZE COLLECTED FOR RECYCLING cAR COMMON NAME zoz zos EHS* ^ Yes ®No ANTI-FREEZE CAS# 209 *If EHS is "Yes", all amounts below must be in lbs. N/A FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 HAZARDOUS MATERIAL TYPE (Check one item only) ^ a. PURE ®b. MIXTURE ^ c. WASTE 2t I RADIOACTIVE ^ Yes ®No zl2 CURIES 213 PHYSICAL STATE (Check one item only) ^ a. SOLID ®b. LIQUID ^ c. GAS eta LARGEST CONTAINER I50 215 FED HAZARD CATEGORIES 215 (Check all that apply) ^ a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ®d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT zt7 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE z2o 50 150 Q 221 DAYS ON SITE: 2z2 UNITS* ®a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS 90 Check one item onl * If EHS, amount must be in ounds. STORAGE CONTAINER ® a. ABOVE GROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ^ n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ^ I. CYLINDER ^ p. TANK WAGON z23 STORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT zz4 STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 190-100 zz6 PROPYLENE GLYCOL zn ^ Yes ® No zza 107-21-1 229 2 0-10 z3o NOT NAMED ON MSDS zit ^ Yes ®No z3z UNKNOWN 233 3 z34 235 ^ Yes ® NO 236 237 4 z3s z39 ^ Yes ® No zao za1 5 zaz za3 ^ Yes ® No 2aa zas If more hazardous components are present at greater than 1 % by weight if non-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION za5 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIA LS HAZARDOUS MATERIALS INVENTORY - cHENIICAL DESCRIPTION (one a e er material er buildin or area) ^ADD ^DELETE ^REVISE 2007 Page _10_ of_ 26_ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 BERCHTOLD EQUIPMENT COMPANY CHEMICAL LOCATION zo1 CHEMICAL LOCATION CONFIDENTIAL EPCRA zoz WELDING AREA ^ YES ® NO 1 MAP# (optionaq 203 GRID# (optional) 2oa FACILITY ID # 1 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yes ®No 206 ARGON cAx COMMON NAME zoz zos EHS* ^ Yes ®No ARGON CAS# zog *If EHS is "Yes", all amounts below must be in lbs. 7440-37-1 FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 HAZARDOUS MATERIAL TYPE (Check one item only) ®a. PURE ^ b. MIXTURE ^ c. WASTE 211 RADIOACTIVE ^ Yes ®No ztz CURIES 213 PHYSICAL STATE (Check one item only) ^ a. SOLID ^ b. LIQUID ®c. GAS zla LARGEST CONTAINER 304 215 FED HAZARD CATEGORIES 216 (Check all that apply) ^ a. FIRE ^ b. REACTIVE ®c. PRESSURE RELEASE ^ d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT zls ANNUAL WASTE AMOUNT z1v STATE WASTE CODE 2zo 450 608 Q zz1 DAYS ON S-TE: 222 UNITS* ^ a. GALLONS ®b. CUBIC FEET ^ c. POUNDS ^ d, TONS 365 Check one item onl * If EHS, amount must be in ounds. STORAGE CONTAINER ^ a. ABOVE GROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ^ n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ® I. CYLINDER ^ p. TANK WAGON zz3 STORAGE PRESSURE ^ a. AMBIENT ®b. ABOVE AMBIENT ^ c. BELOW AMBIENT z24 STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC zz5 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1 zz6 zz7 ^ Yes ® No zza zz9 2 230 231 ^ Yes ® NO 232 233 3 234 235 ^ Yes ® NO 236 z37 4 z3s z39 ^ Yes ® No zao zal 5 zoz z43 ^ Yes ® No zaa zas If more hazardous components are present at greater than 1 % by weight ifnon-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION za6 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - cxEMICAL nESCRiPTioN (one a e er material er buildin or area ^ADD ^DELETE ^REVISE 2007 Page _I1_ of_ 26_ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 BERCHTOLD EQUIPMENT COMPANY CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA 202 WELDING AREA ^ YES ® NO 1 MAP# (optional) 203 GRID# (optional) 204 FACILITY ID # 1 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yes ®No 206 NITROGEN cna COMMON NAME zo7 zos EHS* ^ Yes ®No NITROGEN CAS# zo9 *If EHS is "Yes", all amounts below must be in lbs. 7727-37-9 FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 HAZARDOUS MATERIAL zt 1 RADIOACTIVE ^ Yes ®No 212 CURIES 213 TYPE (Check one item only) ®a. PURE ^ b. MIXTURE ^ c. WASTE PHYSICAL STATE (Check one item only) ^ a. SOLID ^ b. LIQUID ®c. GAS 214 LARGEST CONTAINER 300 215 FED HAZARD CATEGORIES 216 (Check all that apply) ^ a. FIRE ^ b. REACTIVE ®c. PRESSURE RELEASE ^ d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 200 300 ~ 221 DAYS ON S[TE: 222 UNITS* ^ a. GALLONS ®b. CUBIC FEET ^ c. POUNDS ^ d. TONS 365 Check one item onl * If EHS, amount must be in ounds. STORAGE CONTAINER ^ a. ABOVE GROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ^ n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ® I. CYLINDER ^ p. TANK WAGON 223 STORAGE PRESSURE ^ a. AMBIENT ®b. ABOVE AMBIENT ^ c. BELOW AMBIENT 224 STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1 zz6 zz7 ^ Yes ® No zzs z29 Z 230 231 ^ Yes ® NO 232 233 3 234 235 ^ Yes ® NO 236 237 4 z3s z39 ^ Yes ® No zao za1 5 242 243 ^ Yes ® NO 244 245 If more hazardous components are present at greater than 1 % by weight ifnon-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - cxENIICaL nESCRIrTION (one a e er material er buildin or area) ^ADD ^DELETE ^REVISE 200 Page _lz_ of_26_ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 BERCHTOLD EQUIPMENT COMPANY CHEMICAL LOCATION zol CHEMICAL LOCATION CONFIDENTIAL EPCRA zoz WELDING AREA ^ YES ® NO 1 MAP# (optional) zoa GRID# (optional) zoo FACILITY ID # 1 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yes ®No zoa OXYGEN cnR COMMON NAME zoa zos EHS* ^ Yes ®No OXYGEN CAS# zo9 *If EHS is "Yes", all amounts below must be in lbs. 7782-44-7 FIRE CODE HAZARD CLASSES (complete if required by cupn) 210 HAZARDOUS MATERIAL 21t TYPE (Check one item only) ®a. PURE ^ b. MIXTURE ^ c. WASTE RADIOACTIVE ^ Yes ®No zlz 213 CURIES PHYSICAL STATE 214 (Check one item only) ^ a. SOLID ^ b. LIQUID ®c. GAS zls LARGEST CONTAINER 300 FED HAZARD CATEGORIES 216 (Check all that apply) ®a. FIRE ^ b. REACTIVE ®c. PRESSURE RELEASE ^ d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT zl7 MAXIMUM DAILY AMOUNT zla ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 400 600 ~ zzl DAYS ON SITE: 222 UNITS* ^ a. GALLONS ®b. CUBIC FEET ^ c. POUNDS ^ d. TONS 365 Check one item onl * If EHS, amount must be in ounds. STORAGE CONTAINER ^ a. ABOVE GROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ^ n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ® I. CYLINDER ^ p. TANK WAGON zzs STORAGE PRESSURE ^ a. AMBIENT ®b. ABOVE AMBIENT ^ c. BELOW AMBIENT z24 STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 2z5 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1 zz6 zv ^ Yes ®No zza zz9 2 230 231 ^ Yes ® NO 232 z33 3 234 235 ^ Yes ® NO 236 z37 4 238 239 ^ Yes ® NO 240 241 5 z4z z43 ^ Yes ® No z44 zas If more hazardous components are present at greater than 1 % by weight ifnon-carcinogenic, or O.l % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION zaa UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRirTioN (one a e er material er buildin or area) ^ADD ^DELETE ^REVISE -2007 Page _13_ of_26_ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 BERCHTOLD EQUIPMENT COMPANY CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA zoz ANNEX ^ YES ® NO 1 MAP# (optionaq 203 GRID# (optional) 204 FACILITY ID # 1 II. CHEMICAL INFORMATION CHEMICAL NAME zos TRADE SECRET ^ Yes ®No zo6 UDT KUBOTA HYDRAULIC OIL cnx COMMON NAME zo7 zos EHS* ^ Yes ®No HYDRAULIC OIL CAS# zog *If EHS is "Yes", all amounts below must be in lbs. NA FIRE CODE HAZARD CLASSES (Complete it required by CUPA) 210 HAZARDOUS MATERIAL zl t TYPE (Check one item only) ^ a. PURE ®b. MIXTURE ^ c. WASTE RADIOACTIVE ^ Yes ®No 212 213 CURIES PHYSICAL STATE (Check one item only) ^ a. SOLID ®b. LIQUID ^ c. GAS 2t4 zts LARGEST CONTAINER 2.5 FED HAZARD CATEGORIES 2t6 (Check all that apply) ®a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ^ d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 21g ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 50 75 0 zzt DAYS ON SITE: 222 UNITS* ^ a. GALLONS ®b. CUBIC FEET ^ c. POUNDS ^ d. TONS 365 Check one item onl * If EHS, amount must be in ounds. STORAGE CONTAINER ^ a. ABOVE GROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ® n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ^ I. CYLINDER ^ p. TANK WAGON 223 STORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 224 STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # DISTILLATES PETROLEUM HYDROTREATED 10-100 zz6 , , zz~ ^ Yes ®No zzs 64742-54-7 229 HEAVY PARAFFINIC DISTILLATES PETROLEUM SOLVENT- z o-90 z3o , , zit ^ Yes ® No z3z 64741-88-4 233 REFINED HEAVY PARAFFINIC RESIDUAL OILS PETROLEUM SOLVENT- 3 0-20 z3a , , z3s ^ Yes ® No z36 64742-01-4 z3~ REFINED 4 0-2 z3s ZINC ALKYLDITHIOPHOSPHATE z39 ^ Yes ®No zao 68649-42-3 z4l 5 0-10 zaz PROPRIETARY INGREDIENTS za3 ^ Yes ®No za4 PROPRIETARY BLEND 245 If more hazardous components are present at greater than 1 % by weight ifnon-carcinogenic, or 0.t % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION za6 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - cxENIICAL nESCRIPTION one a e er material er buildin or area ^ADD ^DELETE ^ REVISE zoos Page _l4_ of _26_ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 BERCHTOLD EQUIPMENT COMPANY CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA 202 ANNEX ^ YES ® NO I MAP# (optional) 203 GRID# (optional) 204 FACILITY ID # 1 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yes ®No 206 HYDRODEX 3 cAx COMMON NAME 20~ 2os EHS* ^ Yes ®No TRANSMISSION FLUID CAS# 209 *If EHS is "Yes", all amounts below must be in lbs. NA FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 HAZARDOUS MATERIAL TYPE (Check one item only) ^ a. PURE ®b. MIXTURE ^ c. WASTE 2t I RADIOACTIVE ^ Yes ®No 212 213 CURIES PHYSICAL STATE 214 (Check one item only) ^ a. SOLID ®b. L[QU[D ^ c. GAS 215 LARGEST CONTAINER 2.5 FED HAZARD CATEGORIES 216 (Check all that apply) ®a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ^ d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 21~ MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT zl9 STATE WASTE CODE 220 45 60 ~ 221 DAYS ON SITE: 222 UNITS* ^ a. GALLONS ®b. CUBIC FEET ^ c. POUNDS ^ d. TONS 365 Check one item onl * If EHS, amount must be in ounds. STORAGE CONTAINER ^ a. ABOVE GROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ® n. PLASTIC BOTTLE ^ r. OTHER ^ C. TANK INSIDE BUILDING ^ g. CARBOY ~ ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ^ I. CYLINDER ^ p. TANK WAGON 223 STORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 224 STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1 85-90 zzb BASE LUBRICATING OILS zz~ ^ Yes ® No zzs NOT LISTED ON MSDS 229 2 10-15 zso DETERGENT MIXTURE zst ^ Yes ® No zsz NOT LISTED ON MSDS 233 3 1 234 DYE MIXTURE zss ^ Yes ® No z36 NOT LISTED ON MSDS z3~ 4 238 239 ^ Yes ® NO 240 241 5 242 243 ^ Yes ® NO 244 245 If more hazardous components are present at greater than 1 % by weight ifnon-carcinogenic, or O.l % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - cxEMicAL DESCRIPTION (one a e er material er buildin or area ^ADD ^DELETE ^REVISE 2007 Page _i 5_ of _26_ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 BERCHTOLD EQUIPMENT COMPANY CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA 202 ANNEX ^ YES ® NO 1 MAP# (optionaq 203 GRID# (optional) 204 FACILITY ID # 1 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yes ®No zo6 HYDRAULIC OIL cne COMMON NAME zo7 2oa EHS* ^ Yes ®No MULTI-G 134 HYDRAULIC FLUID CAS# zo9 *If EHS is "Yes", all amounts below must be in lbs. NA F[RE CODE HAZARD CLASSES (Complete if required by CUPA) 210 HAZARDOUS MATERIAL TYPE (Check one item only) ^ a. PURE ®b. MIXTURE ^ c. WASTE 21t RADIOACTIVE ^ Yes ®No ztz 213 CURIES PHYSICAL STATE 214 (Check one item only) ^ a. SOLID ®b. LIQUID ^ c. GAS 215 LARGEST CONTAINER 2.5 FED HAZARD CATEGORIES 216 (Check all that apply) ®a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ^ d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 2Ig ANNUAL WASTE AMOUNT 2~9 STATE WASTE CODE 220 60 90 p 221 DAYS ON SITE: z22 UNITS* ®a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS 365 Check one item onl * If EHS, amount must be in ounds. STORAGE CONTAINER ^ a. ABOVE GROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ® n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ^ I. CYLINDER ^ p. TANK WAGON 223 STORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 224 STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # DISTILLATES PETROLEUM HYDROTREATED 10-100 zz6 , , z27 p Yes ® No zza 64742-54-7 229 HEAVY PARAFFINIC DISTILLATES PETROLEUM SOLVENT- 2 0-90 z3o , , zit ^ Yes ® No z3z 64741-88-4 z33 REFINED HEAVY PARAFFINIC RESIDUAL OILS PETROLEUM SOLVENT- 3 0-20 z34 , , z3s ^ Yes ® No 236 237 64742-01-4 REFINED 4 0-2 z3s ZINC ALKYLDITHIOPHOSPHATE z39 ^ Yes ® No zao 68649-42-3 241 5 0-10 z4z PROPRIETARY INGREDIENTS za3 ^ Yes ® No za4 PROPRIETARY BLEND 245 If more hazardous components are present at greater than t % by weight ifnon-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION z46 a UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - cxElvllcAL nESCRIPTION (one a e er material er buildin or area) ^ADD ^DELETE ^REVISE 200 Page _16_ of_26_ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 BERCHTOLD EQUIPMENT COMPANY CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA zoz ANNEX ^ YES ® NO i FACILITY ID # 1 MAP# (optionap 203 GRID# (optional) -- 1 204 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yes ®No zoa MOTOR OIL cAR COMMON NAME zog zog EHS* ^ Yes ®No MASTERGOLD 15/40W ENGINE OIL CAS# zog *If EHS is "Yes", all amounts below must be in lbs. N A FIRE CODE HAZARD CLASSES (Complete if required by CUPA) zl0 HAZARDOUS MATERIAL TYPE (Check one item only) ^ a. PURE ®b. MIXTURE ^ c. WASTE 211 RADIOACTIVE ^ Yes ®No zlz CURIES 213 PHYSICAL STATE (Check one item only) ^ a. SOLID ®b. LIQUID ^ c. GAS 214 LARGEST CONTAINER 2.5 215 FED HAZARD CATEGORIES 216 (Check all that apply) ®a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ^ d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 21~ MAX[MUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT z19 STATE WASTE CODE zzo 140 180 0 221 DAYS ON SITE: zzz UNITS* ®a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS 365 Check one item onl * [f EHS, amount must be in ounds. STORAGE CONTAINER ^ a. ABOVE GROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ® n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ^ I. CYLINDER ^ p. TANK WAGON zzs STORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 224 STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC zz5 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # DISTILLATES PETROLEUM HYDROTREATED l 0-100 zze , , zz~ ^ Yes ® No zza 64742-54-7 zz9 HEAVY PARAFFINIC 2 0-90 zso DISTILLATES, PETROLEUM, SOLVENT- zit ^ Yes ®No zsz 64741-88-4 233 REFINED HEAVY PARAFFINIC 3 0-20 zsa RESIDUAL OILS, PETROLEUM, SOLVENT- zss ^ Yes ® No zse 64742-01-4 zss REFINED 4 0-2 zss ZINC ALKYLDITHIOPHOSPHATE 239 ^ Yes ® No zao 68649-42-3 241 5 0-10 zoz PROPRIETARY INGREDIENTS z4s ^ Yes ® No z44 PROPRIETARY BLEND 245 If more hazardous components are present at greater than 1 % by weight ifnon-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION zab ,, UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - cxEMicaL nESCRIPTioN (one a e er material er buildin or area ^ADD ^DELETE ^RE V ISE zoo? Page _l7_ of _26_ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 BERCHTOLD EQUIPMENT COMPANY CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA zoz ANNEX ^ YES ® NO ~ l MAP# (optionaq 203 GRID# (optional) I 204 FACILITY ID # ~ 1 _- __ II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yes ®No zo6 HYDRAULIC OIL cAR COMMON NAME 20~ zos EHS* ^ Yes ®No MULTI-G 134 HYDRAULIC FLUID CAS# zo9 *If EHS is "Yes", al l amounts below must be in lbs. NA FIRE CODE HAZARD CLASSES (Complete if required by CUPA) zlo HAZARDOUS MATERIAL ell TYPE (Check one item only) ^ a. PURE ®b. MIXTURE ^ c. WASTE RADIOACTIVE ^ Yes ®No 2t2 CURIES 213 PHYSICAL STATE 2t4 (Check one item only) ^ a. SOLID ®b. LIQUID ^ c. GAS LARGEST CONTAINER 5 215 FED HAZARD CATEGORIES 2t6 (Check all that apply) ®a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ^ d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT zt~ MAXIMUM DAILY AMOUNT zla ANNUAL WASTE AMOUNT zl9 STATE WASTE CODE 220 160 240 ~ 22l DAYS ON SITE: zz2 UNITS* ®a. GALLONS ^ b. CUBIC FEET ^ c, POUNDS ^ d. TONS 365 Check one item onl * If EHS, amount must be in ounds. STORAGE CONTAINER ^ a. ABOVE GROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ® n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ^ I. CYLINDER ^ p. TANK WAGON zz3 STORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 224 STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC zzs %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # DISTILLATES PETROLEUM HYDROTREATED l 0-100 zzs , , zzs ^ Yes ® No zzs 64742-54-7 229 HEAVY PARAFFINIC 2 0-90 z3o DISTILLATES, PETROLEUM, SOLVENT- z31 ^ Yes ®No zsz 64741-88-4 233 REFINED HEAVY PARAFFINIC RESIDUAL OILS PETROLEUM SOLVENT- 3 0-20 234 , , z3s ^ Yes ® No z3e 64742-01-4 23, REFINED 4 0-2 z3s ZINC ALKYLDITHIOPHOSPHATE zs9 ^ Yes ® No zoo 68649-42-3 24l 5 0-10 zoz PROPRIETARY INGREDIENTS zos ^ Yes ® No z44 PROPRIETARY BLEND 245 If more hazardous components are present at greater than 1 % by weight ifnon-carcinogenic, or 0,1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION z46 /~ M,- UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - cxElvllcAL nESCRIPTION one a e er material er buildin or area) ^ADD ^DELETE ^REVISE 200 Page _18_ of_26 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 BERCHTOLD EQUIPMENT COMPANY CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA Zoe BACK COUNTER ^ YES ® NO ~ 1 MAP# (optional) 203 GRID# (optionaq zoo FACILITY ID # i ~ I II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yes ®No zob ANTIFREEZE cAx COMMON NAME 20~ zog EHS* ^ Yes ®No ES COMPLEAT ANTI-FREEZE CAS# zo9 *If EHS is "Yes", all amounts below must be in lbs. N/A FIRE CODE HAZARD CLASSES (Complete if required by CuPA) 210 HAZARDOUS MATERIAL 21l TYPE (Check one item only) ^ a. PURE ®b. MIXTURE ^ c. WASTE RADIOACTIVE ^ Yes ®No 212 213 CURIES PHYSICAL STATE 214 (Check one item only) ^ a. SOLID ®b. LIQUID ^ c. GAS 215 LARGEST CONTAINER I FED HAZARD CATEGORIES 216 (Check all that apply) ^ a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ®d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 24 72 ~ 221 DAYS ON SITE: 222 UN[TS* ®a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS 365 Check one item onl * If EHS, amount must be in ounds. STORAGE CONTAINER ^ a. ABOVE GROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ® n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ^ I. CYLINDER ^ p. TANK WAGON 223 STORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 2z4 STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # ~ 90-100 zzb PROPYLENE GLYCOL z27 ^ Yes ®No zza 107-21-1 229 2 0-10 z3o DIETHYLENE GLYCOL z3I ^ Yes ®No z3z 111-46-4 233 3 234 235 ^ Yes ® NO 236 237 4 238 239 ^ Yes ® NO z4~ 241 5 z42 243 ^ Yes ® NO 244 245 If more hazardous components are present at greater than 1 % by weight if non-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION zab ~~,: UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - cxEMICAL nESCRIrTION (one age er material er buildin or area) ^ADD ^DELETE ^REVISE 2007 Page _19_ of _26_ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 BERCHTOLD EQUIPMENT COMPANY CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA 202 BACK COUNTER ^ YES ® NO i 1 MAP# (optional) 203 GRID# (optional) 204 I FACILITY ID # , I 1 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yes ®No 206 1 1 1 2-TETRAFLUOROETHANE cnR COMMON NAME zo7 zog EHS* ^ Yes ®No R134A FREON CAS# 209 *If EHS is "Yes", all amounts below must be in lbs. 811-97-2 FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 HAZARDOUS MATERIAL TYPE (Check one item only) ®a. PURE ^ b. MIXTURE ^ c. WASTE 211 RADIOACTIVE ^ Yes ®No 212 213 CURIES PHYSICAL STATE (Check one item only) ^ a. SOLID ^ b. LIQUID ®c. GAS 214 215 LARGEST CONTAINER 30 FED HAZARD CATEGORIES 216 (Check all that apply) ^ a. FIRE ^ b. REACTIVE ®c. PRESSURE RELEASE ®d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT zls ANNUAL WASTE AMOUNT 219 STATE WASTE CODE zzo 60 120 Q 221 DAYS ON SITE: 222 UNITS" ®a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS 365 Check one item onl • If EHS, amount must be in ounds. STORAGE CONTAINER ^ a. ABOVE GROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ^ n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ® I. CYLINDER ^ p. TANK WAGON 223 STORAGE PRESSURE ^ a. AMBIENT ®b. ABOVE AMBIENT ^ c. BELOW AMBIENT 22a STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1 100 zz6 zz~ ^ Yes ® No zza zz9 2 230 231 ^ Yes ® NO 232 233 3 234 235 ^ Yes ®No 236 237 ~} 238 239 ^ Yes ® NO 240 241 5 242 243 ^ Yes ® NO 244 245 If more hazardous components are present at greater than 1 % by weight ifnon-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 2a6 :M ~~ -., UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - cxEMICAL nESCRIPTION (one a e er material er buildin or area) ^ADD ^DELETE ^REVISE 2007 Page _20_ of_26 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 BERCHTOLD EQUIPMENT COMPANY CHEMICAL LOCATION zo1 CHEMICAL LOCATION CONFIDENTIAL EPCRA zoz BACK COUNTER ^ YES ® NO 1 MAP# (optional) 203 GRID# (optional) 204 FACILITY ID # i ~ 1 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yes ®No zo6 DIFLUORODICHLOROMETHANE cnx COMMON NAME 207 zos EHS* ^ Yes ®No R12F FREON CAS# zo9 *If EHS is "Yes", all amounts below must be in lbs. 75-71-8 FIRE CODE HAZARD CLASSES (Complete if required by CUPA) z1o HAZARDOUS MATERIAL TYPE (Check one item only) ®a. PURE ^ b. MIXTURE ^ c. WASTE 211 RADIOACTIVE ^ Yes ®No 212 213 CURIES PHYSICAL STATE (Check one item only) ^ a. SOLID ®b. LIQUID ^ c. GAS z14 2t5 LARGEST CONTAINER 30 FED HAZARD CATEGORIES 216 (Check all that apply) ^ a. FIRE ^ b. REACTIVE ®c. PRESSURE RELEASE ®d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE zzo 60 120 ~ 221 DAYS ON SITE: 222 UNITS* ®a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS 365 Check one item onl * If EHS, amount must be in ounds. STORAGE CONTAINER ^ a. ABOVE GROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ^ n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ® I. CYLINDER ^ p. TANK WAGON 223 STORAGE PRESSURE ^ a. AMBIENT ®b. ABOVE AMBIENT ^ c. BELOW AMBIENT 224 STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 2z6 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1 100 zz6 zz7 ^ Yes ® No zza zz9 2 230 231 ^ Yes ® NO 232 233 3 234 235 ^ Yes ® NO 236 237 4 z3a z3q ^ Yes ® No zao z41 5 za2 z43 ^ Yes ® No zaa x4s If more hazardous components are present at greater than 1 % by weight if non-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION za6 ,~ ,~ UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - cxENIICAL nESCRIPTION (one a e er material er buildin or area) ^ADD ^DELETE ^REVISE zoos Page _21_ of_26_ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 BERCHTOLD EQUIPMENT COMPANY CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA zoz CAVE ^ YES ® NO I MAP# (optionaq 203 GRID# (optional) 204 FACILITY ID # 1 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yes ®No zo6 MOTOR OIL CAR COMMON NAME zoo zo8 EHS* ^ Yes ®No SUPERCOLD HSP 15/40 CAS# 209 *If EHS is "Yes", all amounts below must be in lbs. NA FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 HAZARDOUS MATERIAL 2t t TYPE (Check one item only) ^ a. PURE ®b. MIXTURE ^ c. WASTE RADIOACTIVE ^ Yes ®No 212 zls CURIES PHYSICAL STATE 21a (Check one item only) ^ a. SOLID ®b. LIQUID ^ c. GAS 215 LARGEST CONTAINER 55 FED HAZARD CATEGORIES 216 (Check all that apply) ®a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ^ d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 21~ MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 110 275 0 221 DAYS ON SITE: 222 UNITS* ®a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS 365 Check one item onl * If EHS, amount must be in ounds. STORAGE CONTAINER ^ a. ABOVE GROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ^ n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ® d. STEEL DRUM ^ h. SILO ^ I. CYLINDER ^ p. TANK WAGON zzs STORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 224 STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 225 °/nWT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # l 0-100 zze DISTILLATES, PETROLEUM, HYDROTREATED zz~ ^ Yes ® No zzs 64742-54-7 229 HEAVY PARAFFINIC 2 0-90 zso DISTILLATES, PETROLEUM, SOLVENT- zsl ^ Yes ® No zsz 64741-88-4 233 REFINED HEAVY PARAFFINIC 3 0-20 z3a RESIDUAL OILS, PETROLEUM, SOLVENT- zss ^ Yes ®No 236 64742-01-4 237 REFINED 4 0-2 z38 ZINC ALKYLDITHIOPHOSPHATE 239 ^ Yes ® No zao 68649-42-3 241 5 0-10 z4z PROPRIETARY INGREDIENTS z4s ^ Yes ®No za4 PROPRIETARY BLEND 2a5 It more hazardous components are present at greater than 1 °o by weight if non-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION za6 .. ~~t 6' UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - cxElvl><cAL DESCRIPT><oN (one a e er material er buildin or area ^ADD ^DELETE ^REVISE zoo-7 Page _22_ of_26_ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 BERCHTOLD EQUIPMENT COMPANY CHEMICAL LOCATION zo1 CHEMICAL LOCATION CONFIDENTIAL EPCRA zoz ANNEX ^ YES ® NO i 1 MAP# (optional) 203 GRID# (optional) 204 FACILITY ID # i 1 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yes ®No zo6 LEAD ACID BATTERIES cAR COMMON NAME zoo 208 EHS* ^ Yes ®No LEAD ACID BATTERIES CAS# zo9 *If EHS is "Yes", all amounts below must be in lbs. NA FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 HAZARDOUS MATERIAL 211 TYPE (Check one item only) ^ a. PURE ®b. MIXTURE ^ c. WASTE RADIOACTIVE ^ Yes ®No 212 213 CURIES PHYSICAL STATE LARGEST CONTAINER INDIVIDUAL BATTERY 215 21a (Check one item only) ®a. SOLID ®b. LIQUID ^ c. GAS CASINGS FED HAZARD CATEGORIES 216 (Check all that apply) ®a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ®d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 21'7 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 40 45 p zzt DAYS ON SITE: 222 UNITS* ^ a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS 365 Check one item onl * If EHS, amount must be in ounds. STORAGE CONTAINER ^ a. ABOVE GROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ^ n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ^ I. CYLINDER ^ p. TANK WAGON 223 STORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 22a STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1 48-53 zze LEAD zn ^ Yes ® No zza 7439-92-1 229 2 23-26 z3o LEAD OXIDE zit ^ Yes ® No z3z 1309-60-0 233 3 <1 z3a LEAD SULFATE z3s ^ Yes ® No z3a 7446-14-2 237 4 7-10 z3s SULFURIC ACID (ELECTROLYTE) 239 ^ Yes ® No zoo 7664-93-9 241 5 242 243 ^ Yes ® NO 244 245 If more hazardous components are present at greater than 1 % by weight if non-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION za6 ~- ;~+ a UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - cxENIICaL nESCRIPTION (one a e er material er buildin or area ^ADD ^DELETE ^ REV ISE 2007 Page _23_ of _26_ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 BERCHTOLD EQUIPMENT COMPANY CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA zoz SHOWROOM/PARTS AREA (COMBINES SPRAY CANS AND BULK CONTAINERS) ^ YES ® NO I MAP# (optional) 203 GRID# (optional) 2oa FACILITY ID # I 1 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yes ®No zob PAINT cAR COMMON NAME zoo zos EHS* ^ Yes ®No PAINT CAS# zo9 *If EHS is "Yes", all amounts below must be in lbs. NA FIRE CODE HAZARD CLASSES (Complete if required by CUPA) zto HAZARDOUS MATERIAL ztl TYPE (Check one item only) ^ a. PURE ®b. MIXTURE ^ c. WASTE RADIOACTIVE ^ Yes ®No 212 213 CURIES PHYSICAL STATE 214 (Check one item only) ^ a. SOLID ®b. LIQUID ^ c. GAS 215 LARGEST CONTAINER GALLON FED HAZARD CATEGORIES 216 (Check all that apply) ®a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ®d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT zl7 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE z2o 184 214 ~ zzt DAYS ON SITE: z22 UNITS* ®a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS 365 Check one item onl * If EHS, amount must be in ounds. STORAGE CONTAINER ^ a. ABOVE GROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ^ n. PLASTIC BOTTLE ® r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ^ I. CYLINDER ^ p. TANK WAGON zzs STORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 22a STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC zzs %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1 1o zz6 1, 2, 4-TRIMETHYL BENZENE zn ^ Yes ®No zza 95-63-6 229 2 20 z3o ALIPHATIC PETROLEUM DISTILLATES zit ^ Yes ® No z3z 64742-89-8 z33 3 15 z3a XYLENE z3s ^ Yes ® No z3a 1330-20-7 237 4 50 z3e ALIPHATIC HYDROCARBONS 239 ^ Yes ®No zao 8052-41-3 eat 5 5 z4z AROMATIC HYDROCARBONS za3 ^ Yes ® No zaa 64742-95-6 zas If more hazardous components are present at greater than 1 % by weight ifnon-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION za6 ~. ,g~ e UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - cxENiicAL nESCxiPTioN (one a e er material er buildin or area) ^ADD ^DELETE ^REV ISE zoos Page _24_ of _26_ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 BERCHTOLD EQUIPMENT COMPANY CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA 2oz CAVE ^ YES ® NO f 1 MAP# (optionap zo3 GRID# (optional) zoo FACILITY ID # 1 II. CHEMICAL INFORMATION CHEMICAL NAME zos TRADE SECRET ^ Yes ®No zo6 MOTOR OIL cAx COMMON NAME zoo zos EHS* ^ Yes ®No MASTERGOLD HSP 15/40 CAS# zo9 *If EHS is "Yes", all amounts below must be in lbs. NA FIRE CODE HAZARD CLASSES (Complete if required by CuPA) zlo HAZARDOUS MATERIAL 2t I TYPE (Check one item only) ^ a. PURE ®b. MIXTURE ^ c. WASTE RADIOACTIVE ^ Yes ®No 21z 213 CURIES PHYSICAL STATE LARGEST CONTAINER 330 AST & 2.5 GALLON 21s 214 (Check one item only) ^ a. SOLID ®b. LIQUID ^ c. GAS $OTTLES FED HAZARD CATEGORIES 216 (Check all that apply) ®a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ^ d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT zl7 MAXIMUM DAILY AMOUNT zls ANNUAL WASTE AMOUNT zl9 STATE WASTE CODE zzo 480 960 0 z2t DAYS ON SITE: 222 UNITS' ®a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS 365 Check one item onl • If EHS, amount must be in ounds. STORAGE CONTAINER ® a. ABOVE GROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ^ n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ^ I. CYLINDER ^ p. TANK WAGON z23 STORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 224 STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # DISTILLATES PETROLEUM HYDROTREATED 10-100 zze , , zn ^ Yes ®No zzs 64742-54-7 229 HEAVY PARAFFINIC DISTILLATES PETROLEUM SOLVENT- 2 0-90 230 , , zit ^ Yes ® No zsz 64741-88-4 233 REFINED HEAVY PARAFFINIC 3 0-2o zs4 RESIDUAL OILS, PETROLEUM, SOLVENT- zss ^ yes ® No 236 64742-01-4 237 REFINED 4 0-2 zss ZINC ALKYLDITHIOPHOSPHATE 239 ^ Yes ®No zao 68649-42-3 zal 5 0-10 zaz PROPRIETARY INGREDIENTS za3 ^ Yes ® No zaa PROPRIETARY BLEND zas If more hazardous components are present at greater than 1 % by weight ifnon-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION za6 ,. :it .; UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - cxEMicAL nESCRiPTioN (one a e er material er buildin or area ^ADD ^DELETE ^REVISE 2007 Page _25_ of _26_ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 BERCHTOLD EQUIPMENT COMPANY CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA zoz CAVE ^ YES ® NO I MAP# (optionaq 203 GRID# (optional) 204 FACILITY ID # u 1 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yes ®No zo6 HYDRAULIC OIL cAR COMMON NAME 20~ zos EHS* ^ Yes ®No MULTI-G 134 CAS# 209 *If EHS is "Yes", all amounts below must be in lbs. NA FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 HAZARDOUS MATERIAL zl1 TYPE (Check one item only) ^ a. PURE ®b. MIXTURE ^ c. WASTE ®No ztz RADIOACTIVE ^ Yes 213 CURIES PHYSICAL STATE LARGEST CONTAINER 330 (INCLUDES: AST, 215 214 (Check one item only) ^ a. SOLID ®b. LIQUID ^ c. GAS QUARTS, GALLONS, 2.5 GALLON CONTAINERS) FED HAZARD CATEGORIES 216 (Check all that apply) ®a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ^ d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 21~ MAXIMUM DAILY AMOUNT 21s ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 1000 2043 Q 221 DAYS ON SITE: 222 UNITS* ®a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS 365 Check one item onl * If EHS, amount must be in ounds. STORAGE CONTAINER ® a. ABOVE GROUND TANK ® e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ® n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ^ I. CYLINDER ^ p. TANK WAGON 223 STORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 224 STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 10-100 zze DISTILLATES, PETROLEUM, HYDROTREATED zrr ^ Yes ® No zza 64742-54-7 229 HEAVY PARAFFINIC DISTILLATES PETROLEUM SOLVENT- 2 0-90 230 , , zit ^ Yes ® No zsz 233 64741-88-4 REFINED HEAVY PARAFFINIC 3 0-20 234 RESIDUAL OILS, PETROLEUM, SOLVENT- zss ^ Yes ® No zse 64742-01-4 z3~ REFINED 4 0-2 z3e ZINC ALKYLDITHIOPHOSPHATE zse ^ Yes ® No zoo 68649-42-3 241 5 0-10 zoz PROPRIETARY INGREDIENTS zas ^ Yes ® No z4a PROPRIETARY BLEND 245 If more hazardous components are present at greater than 1 % by weight if non-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 .. ~~ =~~ UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - cxEMicAL nESCRiPTioN (one a e er material er buildin or area ^ADD ^DELETE ^REVISE zoos Page _26_ of_ 26 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 BERCHTOLD EQUIPMENT COMPANY CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA zoz CAVE ^ YES ® NO 1 MAP# (optional) 203 GRID# (optional) 204 FACILITY ID # L J I __ II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yes ®No - zo6 MULTI-PURPOSE GREASE cAR COMMON NAME 20~ zos EHS* ^ Yes ®No GREASE CAS# zo9 *If EHS is "Yes", al l amounts below must be in lbs. N A FIRE CODE HAZARD CLASSES (Complete if required by CuPA) z1o HAZARDOUS MATERIAL 211 TYPE (Check one item only) ^ a. PURE ®b. MIXTURE ^ c. WASTE RADIOACTIVE ^ Yes ®No 212 CURIES 213 PHYSICAL STATE 214 (Check one item only) ^ a. SOLID ®b. LIQUID ^ c. GAS LARGEST CONTAINER 14 OZ. TUBE 215 FED HAZARD CATEGORIES 216 (Check all that apply) ®a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ^ d. ACUTE HEALTH ®e. CHRONIC HEALTH AVERAGE DAILY AMOUNT zt~ MAXIMUM DAILY AMOUNT 2ts ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 300 600 p 22t DAYS ON SITE: 222 UNITS* ®a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS 365 Check one item onl * If EHS, amount must be in ounds. STORAGE CONTAINER ^ a. ABOVE GROUND TANK ® e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ® n. PLASTIC BOTTLE ® r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ^ I. CYLINDER ^ p. TANK WAGON 223 STORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 224 STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC z25 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # DISTILLATES PETROLEUM HYDROTREATED 10-100 zz6 , , zz~ ^ Yes ® No zzs 64742-54-7 229 HEAVY PARAFFINIC 2 0-90 z3o DISTILLATES, PETROLEUM, SOLVENT- 231 ^ Yes ® No z3z 64741-88-4 z33 REFINED HEAVY PARAFFINIC RESIDUAL OILS PETROLEUM SOLVENT- 3 0-20 234 , , zss ^ Yes ® No zse 64742-01-4 z3~ REFINED 4 0-2 z3s ZINC ALKYLDITHIOPHOSPHATE zs9 ^ Yes ®No zao 68649-42-3 241 5 0-10 zaz PROPRIETARY INGREDIENTS zas ^ Yes ® No zaa PROPRIETARY BLEND 245 If more hazardous components are present at greater than 1 % by weight if non-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 UNIFIED PROGRAM INSPECTION CHECKLIST .,.~......W.~..a..~,~.~...~.,...,.___.. -----_- __ _ _ SECTION 1 Business Plan and Inventory Program • FACILITY NAME ADDRESS 33© L FACILITYCONTACT T. !9~` won 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 ' Tel: X661)_326-3979 _ _ _ _ _ WSPECTION GATE INSPECTION TIMy; PHONE No. No. of Employees 323- 78i ~ ~ ~ '~ Business ID Number 15-021- Ot~b ~/ Z Section 1: Business Plan and Inventory Program 1~2outine O Combined O Joint Agency OMulti-Agency O Complaint O Re-inspection ANY HAZARDOUS WASTE ON SITE7: Ll TES ^ NO EXPLAIN: !,/ i¢Si /z D/L ~' ~/~ST/ .~ir/T//=~~L~-~ QUESTIONS REGARDING THIS INSPECTIOtJ~ PLEASE CALL US AT ~F)F)'I ~ 326-3979 Inspector (Please Print) Fire Prevention 1st-In/Shik of Site White -Environmental Services Yelbw - S18tion Copy / .I Bakersfield Fire Dept. ~/ En mental Services Business Site Responsible P rtY (Please Print) Pink • lluaineas Copy ~~ ~ Ln 5 1p~3 ~C AI ~a CITY OF BAKERSFIEI,D FIRE DEPARTMENT ~0~ OFFICE OF ENVIRONMENTAL SERVICES y UNIFIED PROGRAM INSPECTION C.HECKI.IST _w ~atii 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~'+~'~ r'~~."" 7t'~ ADDRESS ~G? ~- f ~~ ~~ FACILITY CONTACT r'%~ . _ ~ ~ ~ ~ S INSPECTION TIME. ~ r ~ ~~ Section l: Business Plan and Inventory Program Routine ^ Combined ^ Joint Agency ^Mu~ti-Agency f,] Complaint INSPECTION DATE_ ~o,~Z S ~b -~ PHONE NO. 3 Z 3 •- ~~/ 7 BUSINESS ID NO. 15-21U- (~~~`7 i ~-- NIIMBER OF EMPLOYEES "~~ ^ Re-inspection OPERATION C V COMMENTS Appropriate petYnit on hand Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location Proper segregation of material Verification 'f MSDilability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping .~ Fire Protection (~ Site Diagram Adequate & On Hand ~ C=Compliance V=Violation Any hazardous waste on s e?: Yes ^ No Explain: Gv ~^e~c D /• ~ t~ s~! ~ ~v~ "-c~-H~t. Questions regarding this inspection? Please call us at (66l) 326-3979 Business Site Responsible Party i White -Env. Svcs. Yellow • Station Copy Pink - t3usmess Copy Inspector:_~ ~a. 1 ~ j ~ "~ ~ti~ I" UNIFIED PROGRAM CONSOLIDATED FORM _ FACILITY INFORMATION A~ / ~ ~ (( BUSINESS OWNER/OPERATOR IDENTIFICATION ~ Page _3_ of _ 26 I. IDENTIFICATION FACILITY IDN t BEGINNING DATE too ENDING DATE tot FEBRUARY 2006 FEBRUARY 2007 BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 BUSINESS PHONE ~~ • ~ / 1oz BERCHTOLD EQUIPMENT COMPANY 661-323-7817 ` BUSINESS SITE ADDRESS to3 330 EAST 19T" STREET CITY toa ZIP CODE tos CA BAKERSFIELD 93305 DUN & BRADSTREET to6 SIC CODE (4 digit ~{) to7 027869619 1521 COUNTY t°a KERN BUSINESS OPERATOR NAME tog BUSINESS OPERATOR PHONE Ito BERCHTOLD EQUIPMENT COMPANY (A PARTNERSHIP) 661-323-7817 II. BUSINESS OWNER OWNER NAME ttt OWNER PHONE 11z BERCHTOLD EQUIPMENT COMPANY (A PARTNERSHIP) 661-323-7817 OWNER MAILING ADDRESS t13 P.O. BOX 3098 CITY t1a STATE tts ZIP CODE tt6 BAKERSFIELD CA 93385-3098 III. ENVIItONMENTAL CONTACT CONTACT NAME ENT'D A U G 0 1 2006 117 CONTACT PHONE 11a MARCIA BERCHTOLD 661-323-7817 CONTACT MAILING ADDRESS u9 P.O. BOX 3098 CITY 12° STATE 1zl ZIP CODE 122 BAKERSFIELD CA 93385-3098 -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- NAME tz3 NAME tea MARCIA BERCHTOLD MARK BERCHTOLD TITLE tza TITLE 1z9 HRC ~ PRESIDENT BUSINESS PHONE ~ t25 BUSINESS PHONE t3o 661-323-7817 661-323-7817 24-HOUR PHONE t26 ~ 24-HOUR PHONE 131 661-747-4630 ~ 667-747-8521 ~ PAGER b tz7 PAGER ;Y ~~ t32 ADDITIONAL LOCALLY COLLECTED INFORMATION: t33 EMAIL: MARCIABCa~BERCHTOLD.COM APN: 016-120-14-9 Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. SIGNATURE OF OWNER/OPERATOR OR DESIGNATED REPRESENTATIVE DATE 134 NAME OF DOCUMENT PREPARER 135 CSTC® NAME OF SIGNER (print) 136 TITLE OF SIGNER t37 MARCIA BERCHTOLD HRC 3 =`rr a t° ~~ •O ~o Z u7 O t+7 Z ~ d ~ ~ ~ O~ ~ ~ W ~ L 41 L ~ U7 ~~ J ~ ~ ~ F~-~ ~ V W ~ ~ `a~' m a L ~ N '~ p161y O Cr rvr ~ ~,~ r `~- G vy v Ip L r p fA 41 L 10 Vl D. r C a ~. C~ +0 dL' ~~ V! G i N tit R a .C r NC~W~ 6y MO 4 AOG CaLC v a ~ r ~ 7 LylOy .~! s. r~~C'a ~.ryyad)LiC V~xVA~J..z4D'~a~A CaALiiiii' dCOQa r0~ay ~ V ~ rai~ A ~~ C a LC rir i.~. } V V ~. W T. = fA~ ~ ~'e C~ a R ~ C +ar a F~ ~9 L ~' a ~A N a V a6 a a s aN ~ Oiv•~ y V' ~ ' N N a L L •~6 trn.a+:: ~ i N N a O Alely ~zlo~ ia 91+..6 e'e~s a doo°3~"EEW>d~~=~~~AAA Iva arie a e { l { i ' ' w n J A ' i l r r, G7 V SO 2 a ~ a KC ~ m m U Li 0 0 D W W W ~ W Lr 4. 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