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HomeMy WebLinkAboutBUSINESS PLAN 9/20/2006 ~~a ~, "_ BARERSFIELD FIRE DEPT UNIFIED PROGRAM INSPECTION CHECKLIST <<' a p Prevention services rr/t~ 900 Truxtun Ave., Suite 210 ~,...:.am;z :~m.,~:v«~f :._r~,;, , .. , ,,: , ~ ,:-.~.-;..... ._ .> : , ... ..; ,....,,.- .. ....~ .. , _:.._:..,. s~tr s Bakersfield, CA 93301 SECTION 1: Business Plan and hnrerttory Program ~ Tel.: (661) ~26~3979 • Fax: (661) 872-2171 FACILITY NAME ~ l $~S I O ~ L l .v G,~ S'v ~f C ~ NSPECTION DATE C' z-c7 D6' INSPECTION TIME I'VE-(~ ADDRESS ~ ~~ ~~ "I`~ HONE NO. O OF EMPLOYEES FACILITY CONTACT ~ USINESS ID NUMBER 15-021-GfOO ~S7 I'~ Section 1: Business Plan >~nd Inventory Program - ~~~ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ ^ COMPLAINT ^ RE-INSPECTION • C V ~ C=Compliance OPERATION COMMENTS V=Violation ^ APPROPRIATE PERMIT ON HAND - ^ BUSIt1QSS PLAN CONTACT INFORMATIONACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES S~ ^ / VERIFICATION OF LOCATION ~ ^ PROPER SEGREGATION OF MATERIAL ~N~°~ A r n DQ1 ^ _ VERIFICATION OF MSDS AVAILABILITY `~, ~'~; - f ^ VERIFICATION OF HAZ MAT TRAINING '" ^ VERIFICATION OF ABATEMENT SUPPLIES AND ROCEDU RES _ ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED V " ^ HOUSEKEEPING v ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE 8 ON HAND ANY HAZARDOUS WAST ON SITES YES ^ NO ~UESTI,ON~S REGARDING THIS INSP[EfCT/I~ON4 PLEASE CALL US AT (881) 328-3879 Inspector (Please Print) Fire Prevention / to In / Shift of Site/Statfon >t B ss Site/ He Responsible Party (Please Prirm White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. OZ/OS) v ~. _~ MISSION LINEN SUPPLY Manager JIM KYLE Location: 720 20TH ST City BAKERSFIELD CommCode: BFD STA 04 EPA Numb: SiteID: 015-021-000157 BusPhone: (661) 323-6056 Map 103 CommHaz Extreme Grid: 30B FacUnits: 1 AOV: SIC Code: DunnBrad:95-194-2549 Emergency Contact / Title Emergency Contact / Title JIM KYLE / GENERAL MANAGER BRIAN ROMINE / PRODUCTION MGR Business Phone: (661) 323-6056x Business Phone: (661) 323-6056x 24-Hour Phone (661) 588-3030x 24-Hour Phone (661) 588-0884x Pager Phone (661) 343-6463x Pager Phone (661) 246-8447x Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact ~ ~//`~ ~~y~-~' ~ Phone: (661) 323-6056x MailAddr: 720 20TH ST State: CA City BAKERSFIELD Zip 93301 Owner MISSION LINEN SUPPLY Phone: (661) 963-1841x Address PO BOX DRAWER MM State: CA City SANTA BARBARA Zip 93102 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT Based on my inquiry of thoae individuals ~~Tfi responsible for obtaining the infprmatic~n, I certify ~ (J /~c F B under penalty of la~v tha4 I h€~ve personally ,~ 6+ examined and am familiar with the information 200 submitted and believe the information is true, , accurate, d complete. Si ature Date -1- 02/05/2007 7 y. F MISSION LINEN SUPPLY SitelD: 015-021-000157 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP DOBER VORTEX R IH DH L 550.00 GAL Hi SODIUM HYPOCHLORITE R IH L 250.00 GAL Hi BANNISH R IH L 110.00 GAL Hi ACETYLENE E F P IH G 55.00 FT3 Hi HYDRAZINE E F R IH DH L 55.00 GAL Hi PROPANE E F P IH G FT3 Hi DOBER ALK L 770.00 GAL Mod SODIUM HYDROXIDE SOLUTION E F IH L 55.00 GAL Mod KATHON LM F IH L 30.00 GAL Mod SODIUM HYDROXIDE SOLUTION E F IH L 25.00 GAL Mod ~° /°/L1~1'~'9 DH S LBS Mod OXYGEN F P IH G 125.00 FT3 Low WASTE OIL F DH L 30.00 GAL Low ~GC.c.~7~i~TZ'' ~ F IH ~ S 2000.00 LBS Min OXALIC ACID IH S 50.00 LBS Min OILS F DH L 5.00 GAL Min SUPER REDUCE F IH L 165.00 GAL UnR DOBERCIDE LM BIOCIDE L 110.00 GAL UnR -2- 02/05/2007 -3- 02/05/2007 F MISSION LINEN SUPPLY SiteID: 015-021-000157 ~ ~ Inventory Item 0019 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DOBER VORTEX Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 16919-19-0 Liquid TMixtur~Ambient~E ~ AmbientT~E DRUM/BARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 550.00. GAL 110.00 GAL nr~~t~cL~ua wlnrulVr1V1~5 %Wt. RS CAS# 50.00 Nonylphenol No 25154523 tiE~GE~tC1J E~~5~~~1~1~1V1~J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH DH / / / Hi ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME SODIUM HYPOCHLORITE Days On Site BLEACH 365 Location within this Facility Unit Map: Grid: S WALL & WHSE N WALL CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 53.00 GAL 250.00 GAL 150.00 GAL HAZARDOUS COMPONENTS oWt. RS CAS# 12.50 Sodium Hypochlorite No 7681529 tiAGKK1J H55~55Mr;N'1'S TSecret RS BioHaz Radioactive/Amount EPA Hazards .NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi -4- 02/05/2007 F MISSION LINEN SUPPLY SiteID: 015-021-000157 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME BANNISH Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 16893-85-9 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~ Ambient ~ Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 55.00 GAL 110.00 GAL 55.00 GAL t1AGHKLVUJ 1:V1~lYV1VL'1V1~ °sWt. RS CAS# 15.00 Sodium Thiosulfate, Anhydrous No 7772987 t1E'~GHtClI lj~~L' ~51~1~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH ~/ / / Hi ~ Inventory Item 0012 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: SHOP CAS# 74-86-2 STATE T TYPE T PRESSURE ~ TEMPERATURE ~ CONTAINER TYPE ~GaS I Pure I Above Ambient I Below Ambient I PORT. PRESS. CYLINDER I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 123.00 FT3 55.00 FT3 40.00 FT3 nt~c~tutuvu~ 1.V1~lYV1VI;1V 1 J %Wt. RS CAS# 100.00 Acetylene Yes 74862 riEiGHiCL HJ J~J51~1tS1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi -5- 02/05/2007 F MISSION LINEN SUPPLY SiteID: 015-021-000157 ~ ~ Inventory Item 0014 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME HYDRAZINE Days On Site 365 Location within this Facility Unit Map: Grid: SHOP CAS# 302-O1-2 Liquid TMixture ~mbRent~E ~ AmbientT~E DRUM/BNARRELENONMETAL~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 30.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# 35.00 Hydrazine (EPA) Yes 302012 til-~GlittL r~aa~a~i~i~iv1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH DH / / / Hi ~ Inventory Item 0024 COMMON NAME / CHEMICAL NAME PROPANE Location within this Facility Unit STATE TYPE PRESSURE _ Gas TPure Above Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 74-98-6 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average FT3 FT3 FT3 nsic~rucLVUa ~.vrirvlvnlvta %Wt• RS CAS# 100.00 Propane Yes 74986 L1HGLi[CL H.7.7,C,.7.71~1L~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi -6- 02/05/2007 F MISSION LINEN SUPPLY SiteID: 015-021-000157 ~ ~ Inventory Item 0028 Facility Unit: Fixed Containers on Site ~ /ll1L I11 R/'11T wTT LIT ~ I'YTTTLIT /'YTT LTT LeT AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 770.00 GAL 440.00 GAL riliL~li1CLVUJ 1.V1~lYV1VL'1V1J %Wt. RS CAS# 50.00 Sodium Hydroxide No 1310732 riL-~GL-~iCL L-~.7~7~J.71~1~1V 1 ~J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies ~ / / / Mod ~ Inventory Item 0027 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME SODIUM HYDROXIDE SOLUTION Days On Site BOILER WATER TREATMENT RSI 8714-55 365 Location within this Facility Unit Map: Grid: CAS# 6834-92-0 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~ Ambient ~ Ambient DRUM/BARREL-METALLIC I AMOUNTS AT~THIS LOCATION Largest Container Daily Maximum I Daily Average 55.00 GAL 55.00 GAL 55.00 GAL au-~uraiurv~o ~.vi•irvlvr~lviS ~Wt. RS CAS# Sodium Hydroxide, Solution No 1310732 Hydrazine (EPA) Yes 302012 rlt']L~KRL tiw 7 w7 ra w7 a71"1L' 1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Mod -7- 02/05/2007 Liquid TMixture~mbient~E ~ AmbientT~E DRUM/BARRELEMETALLIC r F MISSION LINEN SUPPLY SiteID: 015-021-000157 ~ ~ Inventory Item 0021 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME KATHON LM Days On Site MICROBIOCIDE 365 Location within this Facility Unit Map: Grid: CAS# STATE TYPE ~~ PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~ Ambient ~ Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 30.00 GAL 30.00 GAL 30._00 GAL rlca~r~tcLUUS ~ulnr~lv~lvl~ %Wt. RS CAS# 95.00 Propylene Glycol No 57556 0.10 Chlorobenzene No 108907 tiHGl-1KL A~7t55~1~1L"~1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Mod ~ Inventory Item 0026 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME SODIUM HYDROXIDE SOLUTION Days On Site BOILER WATER TREATMENT RSI 8462-5 365 Location within this Facility Unit Map: Grid: CAS# 6834-92-0 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~ Ambient ~ Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 25.00 GAL 25.00 GAL 25.00 GAL HAZARDOUS COMPONENTS oWt. RS CAS# Sodium Hydroxide, Solution No 1310732 Hydrazine (EPA) Yes 302012 I1HL~LitCL H. 7J.C~.7~J1~1L"1Vl~J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Mod -8- 02/05/2007 F MISSION LINEN SUPPLY ~ Inventory Item 0029 COMMON NAME / CHEMICAL NAME CLEANING COMPOUND Location within this Facility Unit SiteID: 015-021-000157 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 ~ Map: Grid: ~ 3Z0 ~nc+E 7~-~ r^ 9I ~SolidE I Mixture I Ambient~E ~ AmbientT~E DRUM/ ARRELENONMETAL~ AMOUNTS AT THIS LOCATION Largest Container (oyL Daily Maximum (~~gG Daily Average ~,~~ y ~~ ~" / ~ ~! ~S~ Jrs BB'S HAZARDOUS COMPONENTS 3~ %Wt . 'r ~ ~~OTjg,!`J/v/y ~y~P~~i~~hR RS CAS# ~32a-~i' riAGl-~KL A~~t;5~1~1Y51V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Mod ~ Inventory Item 0011 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: SHOP CAS# 7782-44-7 STATE T TYPE T PRESSURE TEMPERATURE CONTAINER TYPE Gas t Pure I Above Ambient Below Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 125.00 FT3 125.00 FT3 100.00 FT3 I1F1GH1tLVU~J 1.V1~lYV1VtS1V1b °sWt. RS CAS# 100.00 Oxygen, Compressed No 7782447 riHGt1KL H.7 .7lS.7.71~1L' 1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low -9- 02/05/2007 F MISSION LINEN SUPPLY SiteID: 015-021-000157 ~ ~ Inventory Item 0025 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 221 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TWaste ~ Ambient ~ Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 30.00 GAL 30.00 GAL GAL IIKGHCCLV U.7 1..V1~lYV1V 1~;1V 7 ~ aWt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 I1HG1itCL H. 7J~.75P71=,1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ~ Inventory Item 0018 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CH/Ei~j/M/I~/C~AL N_AM,/E~? ~/ / /~~ T/fl1TTT~T L'~T ~mTT]~ ~ J C.L~~ ~ {~/7 /L i~ `~ 1.+/A V 4 /~8it cfr Days On Sit e 365 Location within this Facility Unit Map: Grid: '_ S WALL & WHSE N WALL ~CAS# STATE TYPE ~~ PRESSURE TEMPERATURE CONTAINER TYPE Solid Mixture I Ambient ~ Amh;Pnt ~ uAr_ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average SS 6'~.7~8~6-fl 0 ~~ 22p ~o.~- n n n n n _ ~- ~5.~g--6~p LBS -10- 02/05/2007 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Min F MISSION LINEN SUPPLY SiteID: 015-021-000157 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME OXALIC ACID Days On Site 365 Location within this Facility Unit Map: Grid: S WALL & WHSE N WALL CAS# 144-62-7 ~SolidE I Mixture~- PRESSURE TEMPERATURE ~ CONTAINER TYPE I Ambient ~ Ambient I BAG AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 50.00 LBS 50.00 LBS 50.00 LBS riAGL-1tCLVUJ 1,V1~lYV1V~1V15 %Wt. RS CAS# 100.00 Oxalic Acid No 144627 I1HGEiiCL H.7.7~.7.71~1~1V1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Min ~ Inventory Item 0010 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME OILS Days On Site 365 Location within this Facility Unit Map: Grid: WHSE NW CRNR OUTSIDE BLDG CAS# Liquid TMixture ~ AmbRient~E ~ AmbientT~E DRUM/BARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 5.00 GAL 5.00 GAL I 50.00 GAL ruounc~LVVO ~.vrirViv~lvtS %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 rLCiL~riRL ti JJL'.7 ~J1.1L'lV liJ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min -11- 02/05/2007 F MISSION LINEN SUPPLY SitelD: 015-021-000157 ~ ~ Inventory Item 0006 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME SUPER REDUCE Days On Site 365 Location within this Facility Unit Map: Grid: CAS# • 7681-57-4 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~ Ambient ~ Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 165.00 GAL 55.00 GAL HAZARDOUS COMPONENTS sWt. RS CAS# 23.00 Hydrofluorosilicic Acid No 16961834 t11iGEiLCL Ei.7.7tS.7.7P7~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / UnR ~ Inventory Item 0030 Facility Unit: Fixed Containers on Site ~ /'~l1T R11 /Ir1TT TTT TRT I /YTTTIIRT /`ITT LTT wwr. AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 110.00 GAL 55.00 GAL HAZARDOUS COMPONENTS °sWt . RSI CAS# HAZARD AS SESSMEivl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP ~No No No No/ Curies / / / UnR -12- 02/05/2007 ~ltil~ ~l~Yr~ rR~55uRE TEMPERATURE CONTAINER TYPE Liquid TMixture ~mbient ~ Ambient DRUM/BARREL-METALLI~ F MISSION LINEN SUPPLY SiteID: 015-021-000157 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 10/25/1999 ~ CALL 911. = Employee Notif./Evacuation 10/25/1999 EVACUATION IS HANDLED BY ONE LONG BELL. ALL EMPLOYEES HAVE BEEN INSTRUCTED TO LEAVE THE BLDG WHEN BELL SOUNDS. FIRE DEPT IS CALLED FOR ALL FIRES. Public Notif./Evacuation 10/24/2003 ALL VISITORS IN THE PLANT AT THE TIME OF EVACUATION WILL BE ESCORTED FROM THE PLANT BY JIM KYLE OR ROBERT PHILLIPS. Emergency Medical Plan 10/24/2003 ALL MEDICAL EMERGENCIES ARE HANDLED BY , `~ e.~ hor S ©r ~c,S~r~ m . ©. ~ n~ . ~~~$ S cA,n ~~~ rna~ ~~ . She ~ 1~1~0 3 aK~~ s~-~ e~ , C 1~- ~l 330 } (o toy 3~ ca - v ©$g -13- 02/05/2007 F MISSION LINEN SUPPLY SiteID: 015-021-000157 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 10/20/2000 ~ ALL LIQUIDS ARE STORED IN DRUMS. ALL POWDERS ARE STORED IN BAGS AND OFF THE GROUND. ALL LIQUID SPILLS WILL BE CONTAINED BY DAMING WITH KITTY LITTER AND THE SPILL WILL BE CLEANED UP. ALL POWDERS ARE SWEPT UP AND USED. Release Containment ALL LIQUID SPILLS WILL BE CONTAINED BY DAMING WITH DIRT. 07/17/1996 Clean Up 10/25/1999 ALL LIQUID SPILLS WILL BE CLEANED UP ACCORDING TO MSDS RECOMMENDATIONS FOR THAT CHEMICAL CLEAN UP PROCEDURE. ALL POWDERS WILL BE SWEPT UP AND USED. Other Resource Activation -14- 02/05/2007 r ;. P MISSION LINEN SUPPLY SiteID: 015-021-000157 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ _, ~Nc~..-.ai nac~aiua Utility Shut-Offs 11/09/2006 A) GAS - SW CRNR OUTSIDE OF BLDG B) ELECTRICAL=- WALL BEH BOILER C) WATER - SW CRNR OUTSIDE OF BLDG D) SPECIAL - NONE E) LOCK BOX - NONE Fire Protec./Avail. Water 02/05/2007 PRIVATE FIRE PROTECTION - BLDG CONTAINS OVERHEAD SPRINKLERS, 9 FIRE EXTINGUISHERS. BLDG HAS ALARM SYSTEM WHICH ALSO MONITORS FOR FIRES AND NOTIFIES POLICE, FIRE DEPT, AND MANAGEMENT TEAM. NEAREST FIRE HYDRENT - SE CRNR 21ST ST & R ST. Building Occupancy Level 03/15/2006 41 EMPLOYEES -15- 02/05/2007 F MISSION LINEN SUPPLY SiteID: 015-021-000157 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 11/09/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: WE HAVE A WRITTEN HAZARDOUS COMMUNICATION PROGRAM. ALL NEW EMPLOYEES ARE INSTRUCTED IN SAFE HANDLING OF CHEMICALS THRU MEETING, VIDEO TAPES, AND EXTENSIVE TRAINING. SAFETY EQUIPMENT IS USED WHEN HANDLING ANY POTENTIALLY HAZARDOUS CHEMICALS. MSDS ARE POSTED IN BINDER IN WASHROOM ABOVE THE CHEMICALS, AND IN THE OFFICE. rc~y~ G Held for Future Use nciu ivi ru~utc u~c -16- 02/05/2007 ,~ + MISSION LINEN SUPPLY ________________________________ SiteID: 015-021-000157 + Manager Location: 720 20TH ST City BAKERSFIELD Phone: (661) 323-6056x State: CA Zip 93301 Phone: (661) 963-1841x State: CA Zip 93102 TotalASTs: = Gal TotalUSTs: = Gal RSs: No CommCode: BFD STA 04 SIC Code: I EPA Numb: I DunnBrad:95-194-2549 - - ~it7 M/N2. Emergency Contact / Title Emergency Contact / Title JIM KYLE / GENERAL MANAGER / ER Business Phone: (661) 323-6056x Business Phone: (661) 323-6056x 24-Hour Phone (661) 588-3030x 24-Hour Phone (661) 832-4543x -r-Phone (661) 343-6463x Pager Phone (661) 343-6503x Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact MailAddr: 720 20TH ST City BAKERSFIELD Owner MISSION LINEN SUPPLY Address PO BOX DRAWER MM City SANTA BARBARA Period to Preparers Certif ' d: ParcelNo: Emergency Directives: PROG A - HAZMAT 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, accur d complete. r .~~~-~~ nature Date BusPhone: (661) 323-6056 Map 103 CommHaz :High Grid: 30B FacUnits: 1 AOV: ! ~„ ~ y_~, ~,,,, Ab'p'= ©~ ~v /~ ~~~~ ZY~-~rv7 ~,~ ~YI~~ ~ ~ ~~~~ -1- 03/06/2006 OCT b zou3 ~` T~ CITY OF BAKERSFIEI,D FIRE DEPARTMENT OFFICE OF ENVIRON!~iF.NTAL SERVICES •'~ UNIFIED PROGRAM INSPECTION CHECKLIST dw ~R~,~~~ 1715 Chester Ave., 3rd i'loor, Bakersfield, CA 93301 r~ P vuww- FACILITY NAME %~sr~'X' ~--~n1'~''y ~ ~~ ~~~ ADDRESS ?LCD Z~T~ FACILITY CONTACT I'" ~ ~~ ~/t ~ INSPECTION TIME 1 ~~~ Section I: ~outine INSPECTION DATE 9 " % (~ - d ~ _ \' I PHONE NO. 3~ ~ -~oS"~ BUSINESS ID NO. 15-21U- ~dy (S' NLIMBER OP EMPLOYEES Business Plan and Inventory Program ^ Combined ^ Joint Agency ^Mutti-Agency ~,i ^ Complaint ^ Re-inspection v OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials ~ A ~ r Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection ~ ~.C (- pI~ I r~ Site Diagram Adequate & On Hand ~ ~G C=Compliance V=Violation Any hazardous waste,on site?: Yes ^ No Explain:~t KGs" (~~ ~ Questions regarding this inspection? Please call us at (661) 326-3979 .S ;/ ~ G White -Env. Svcs. Yellow -Station Copy Pink -Business Copy ,; ~-- r l --iia : ; ,~ Bus~fess Site responsible Party Inspector: f_ i ~G_ MISSION LINEN SUPPLY SiteID: 015-021-000157 Manager JIM KYLE BusPhone: (661) 323-6056 Location: 720 20TH ST Map 103 CommHaz Extreme City BAKERSFIELD Grid: 30B FacUnits: 1 AOV: CommCode: BFD STA 04 SIC Code: EPA Numb: DunnBrad:95-194-2549 Emergency Contact / Title Emergency Contact / Title JIM KYLE / GENERAL MANAGER BRIAN ROMINE / PRODUCTION MGR Business Phone: (661) 323-6056x Business Phone: (661) 323-6056x 24-Hour Phone (661) 588-3030x 24-Hour Phone (661) 588-0884x Pager Phone (661) 343-6463x Pager Phone (661) 246-8447x Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact JIM KYLE Phone: -(661) 323-6056x MailAddr: 720 20TH ST State: CA ; City BAKERSFIELD Zip 93301 Owner MISSION LINEN SUPPLY Phone: (661) 963-1841x Address PO BOX DRAWER MM State: CA City SANTA BARBARA Zip 93102 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT Qased on my inquiry of those individuals responsible far obtaining the information, I certify under penalty of la~~:° that I have personally examined and am familiar with the information submitted nd believe the information is true, accur , ar:d complete. _ ~ ~~~ -7-23 ~~ 7 . ature Date ENT'D J U L 2 5 2~~y -1- 07/12/2007 ,.~ ,_ _ =~: F MISSION LINEN SUPPLY SiteID: 015-021-000157 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP DOBER ~ / y~ ~~''~c.~it.(,L~i+~~ ~ 7 R IH DH L 5 5 0 . 0 0 GAL Hi SODIUM HYPOCHLORITE R IH L 250.00 GAL Hi BANNISH R IH L 110.00 GAL Hi ACETYLENE E F P IH G 55.00 FT3 Hi HYDRAZINE E F R IH DH L 55.00 GAL Hi PROPANE E F P IH G ~ FT3 Hi DOBER ALK L 770.00 GAL Mod PRISM DH S 110.00 GAL Mod SODIUM HYDROXIDE SOLUTION E F IH L 55.00 GAL Mod KATHON LM F IH L 30.00 GAL Mod SODIUM HYDROXIDE SOLUTION E F IH L 25.00 GAL Mod OXYGEN F P IH G 125.00 FT3 Low WASTE OIL F DH L 30.00 GAL Low ACCENTUATE II LIQUID STARCH F IH S 220.00 GAL Min OXALIC ACID IH S 50.00 LBS Min OILS ~ F DH L 5.00 GAL Min SUPER REDUCE F IH L 165.00 GAL UnR DOBERCIDE LM BIOCIDE L 110.00 GAL UnR -2- 07/12/2007 -3- 07/12/2007 i. ~~ `~ F MISSION LINEN SUPPLY SiteID: 015-021-000157 ~ ~ Inventory Item 0019 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DOBER VORTEX Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 16919-19-0 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average - 55.00 GAL 550.00 GAL 110.00 GAL t1E~GFll{1JVU~ lrV1~lYV1V~1V1J aWt. RS CAS# 50.00 Nonylphenol No 25154523 tiHGHtCL AS~Ia;5~1~11a;1V~l~~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH DH / / / Hi ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME SODIUM HYPOCHLORITE Days On Site BLEACH 365 Location within this Facility Unit Map: Grid: S WALL & WHSE N WALL CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~ Ambient ~ Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 53.00 GAL 250.00 GAL 150.00 GAL tit~G.'~KLVUS ~V1~1rVlvl;lvla %Wt. RS CAS# 12.50 Sodium Hypochlorite No 7681529 t11~GHKL Lj~AL".7~1~1L'1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi -4- 07/12/2007 ~. t, F MISSION LINEN SUPPLY SiteID: 015-021-000157 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME BANNISH Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 16893-85-9 Liquid TMixtur~ AmbRent~E ~ AmbientT~E DRUM/BNARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 110.00 GAL 55.00 GAL - HAZARDOUS COMPONENTS oWt. RS CAS# 15.00 Sodium Thiosulfate, Anhydrous No 7772987 r1H~t~tcL xaa~~~in~lv~l5 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi ~ Inventory Item 0012 COMMON NAME / CHEMICAL NAME ACETYLENE Location within this Facility Unit SHOP STATE TYPE PRESSURE _ Gas TPure -Above Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 74-86-2 TEMPERATURE CONTAINER TYPE Below Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Co123100rFT3 Daily M55100m FT3 I Daily A40r00e FT3 ru-ic~t~l~vuJ ~.vllrvtvaly 18 %Wt• RS CAS# 100.00 Acetylene Yes 74862 i1HL~L~iRL HJ JL~J J1°1P~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi -5- 07/12/2007 F MISSION LINEN SUPPLY SiteID: 015-021-000157 ~ ~ Inventory Item 0014 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME HYDRAZINE Days On Site ' 365 Location within this Facility Unit. Map: Grid: SHOP CAS# 302-01-2 Liquid TMixture ~mbRent~ ~ AmbientT~E DRUM/BARRELENONMETA~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 30.00 GAL - t1AGXKiJVUJ l:Vl~lt'ViVi'~iVi~J oWt. RS CAS# 35.00 Hydrazine (EPA) Yes 302012 riHGH.tCL A5J~5~1~1r;1V'lJ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH DH / / / Hi ~ Inventory Item 0024 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 74-98-6 STATE TYPE T PRESSURE ~~ TEMPERATURE ~~ CONTAINER TYPE ~ ~GaS Pure I Above Ambient I Ambient I PORT_ PRESS. CYLINDER I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average FT3 FT3 FT3 riHGlitCLVUJ 1.V1~lYV1V.C,1V1b °sWt . RS CAS# 100.00 Propane Yes 74986 riHGEitCL Ei~ 5~~J1~1~1V 1,.'~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi -6- 07/12/2007 F MISSION LINEN SUPPLY ~ Inventory Item 0028 COMMON NAME / CHEMICAL NAME DOBER ALK Location within this Facility Unit SiteID: 015-021-000157 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~ Ambient ~ Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 770.00 GAL 440.00 GAL nric,s-itcLVU~ ~.vinrvlvr,lvla %Wt. RS CAS# 50.00 Sodium Hydroxide No 1310732 ri1-~GE~tCL Y.,7.7L' .7,71~1L" 1V l A TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Mod ~ Inventory Item 0029 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME PRISM Days On Site CLEANING COMPOUND 365 Location within this Facility Unit Map: Grid: CAS# 7320-34-5 ~SolidE TMixture ~mbRient~E ~ AmbientT~E DRUM/BARRELENONMETAL~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 110.00 GAL 55.00 GAL HAZARDOUS COMPONENTS , owt. HAZAR RSA CAS# D AS SESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Mod -7- 07/12/2007 j K F, MISSION LINEN SUPPLY SiteID: 015-021-000157 ~ ~ Inventory Item 0027 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME SODIUM HYDROXIDE SOLUTION Days On Site BOILER WATER TREATMENT RSI 8714-55 365 Location within this Facility Unit Map: Grid: CAS# 6834-92-0 Liquid TMixture ~mbRient~E ~ AmbientT~E DRUM/BNARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL riHGlitCLVU.7 l.Vl°lYV1VP~1V 1.7 %Wt. RS CAS# Sodium Hydroxide, Solution No 1310732 Hydrazine (EPA) Yes 302012 t1E~GKKL 1~JJ~JJ1~1~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Mod ~ Inventory Item 0021 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME KATHON LM Days On Site MICROBIOCIDE 365 Location within this Facility Unit Map: Grid: CAS# Liquid TMixture ~ Ambient~E ~ AmbientT~E-~STCICTCONTAINERE AMOUNTS AT THIS LOCATION Largest ,Container Daily Maximum I Daily Average 30.00 GAL 30.00 GAL 30.00 GAL 111iGriLCLVUJ 1.V1~lYV1V~1V 1.7 %Wt. RS CAS# 95.00 Propylene Glycol No 57556 0.10 Chlorobenzene No 108907 ri1-1GH1CL E~JJr,JJ1~1~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Mod -8- 07/12/2007 F MISSION LINEN SUPPLY SiteID: 015-021-000157 ~ ~ Inventory Item 0026 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME SODIUM HYDROXIDE SOLUTION Days On Site BOILER WATER TREATMENT RSI 8462-5 365 Location within this Facility Unit Map: Grid: CAS# 6834-92-0 Liquid TMixture ~ AmbRient~E ~ AmbientT~E PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 25.00 GAL ~ 25.00 GAL 25.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# Sodium Hydroxide, Solution No 1310732 Hydrazine (EPA) Yes 302012 riAGAtC1J ASJt5aJ1~1i51V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Mod ~ Inventory Item 0011 COMMON NAME / CHEMICAL NAME OXYGEN Location within this Facility Unit SHOP STATE TYPE PRESSURE _ Gas Pure Above Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 7782-44-7 TEMPERATURE CONTAINER TYPE Below Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 125.00 FT3 125.00 FT3 100.00 FT3 11HGtiCCLVUA l.Vl"lYV1V~1V1.7 %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 rlc~~tLtcl~ t~~~~~al~i~ly 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low -9- ~ 07/12/2007 F MISSION LINEN SUPPLY SiteID: 015-021-000157 ~ ~ Inventory Item 0025 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WASTE OIL Days On Site 365 Location within this Facility Unit,- Map: Grid: CAS# 221- Liquid TWaste ~-Ambient~E ~ AmbientT~E DRUM/BNARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 30.00 GAL 30.00 GAL GAL nx~xtcl~VUJ wl~irvlv~lvlJ °sWt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 I1EiGKKL L'iJ .7L'.7w71~lL"1V1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ~ Inventory Item 0018 COMMON NAME / CHEMICAL NAME ACCENTUATE II LIQUID STARCH Location within this Facility Unit S WALL & WHSE N WALL STATE TYPE PRESSURE Solid TMixtur~ Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 9005-27-0 TEMPERATURE CONTAINER TYPE Ambient BAG AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 220.00 GAL 220.00 GAL I11.1GL~ICLVU.7 1:V1~lYV1VL'1V 1.7 %Wt. RS CAS# 100.00 Starch, Hydrolyzed No 9005270 t11-1GL-1KL H~7.71:,JJ1~1L" 1V 1 .7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / j / Min -10- 07/12/2007 F MISSION LINEN SUPPLY SiteID: 015-021-000157 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME OXALIC ACID Days On Site 365 Location within this Facility Unit, Map: Grid: S WALL & WHSE N WALL CAS# 144-62-7 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid TMixtur~mbient ~ Ambient BAG AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 50.00 LBS 50.00 LBS I ~ 50_.00 LBS ' til-~GAt'CLVU~ 1.V1~1rV1VJ;1Vlb %Wt. RS CAS# 100.00 Oxalic Acid No 144627 tiF~L+t~ttL ti~ a 1J a a1~1JJ1V 1 a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Min ~ Inventory Item 0010 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME OILS Days On Site 365 Location within this Facility Unit Map: Grid: WHSE NW CRNR OUTSIDE BLDG CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Liquid TMixture ~ Ambient ~ Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 5.00 GAL 5.00 GAL 50.00 GAL r1HLxtcl~vu~ ~,vrlrviv~iv 1 a aWt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 __ lyxc,ruu~ x ~~~~arl~lyl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min -11- 07/12/2007 F MISSION LINEN SUPPLY SiteID: 015-021-000157 ~ ~ Inventory Item 0006 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME SUPER REDUCE Days On Site ' 365 Location within this Facility Unit Map: Grid: CAS# 7681-57-4 LiTAid Mixture PRESSURE TEMPERATURE CONTAINER TYPE qu~ TAmbient ~ Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 165.00 GAL 55.00 GAL -- tu~~r~x.LUU~ c.:uinruiv~ty 15 °sWt. RS CAS# 23.00 Hydrofluorosilicic Acid ~ No 16961834 nt~~r-ucL .yaar.~ain~lyla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / UnR ~ Inventory Item 0030 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DOBERCIDE LM BIOCIDE Days On Site 365 Location within this Facility Unit Map: Grid: CAS# Liquid TMixture ~ Ambient~E ~ AmbientT~E DRUM/BNARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest .Container Daily Maximum Daily Average 55.00 GAL 110.00 GAL 55.00 GAL HAZARDOUS COMPONENTS owt. RSI CAS# HAZARD AS SESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / UnR -12- 07/12/2007 F MISSION LINEN SUPPLY SiteID: 015-021-000157 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 10/25/1999 ~ CALL 911. Employee Notif./Evacuation 10/25/1999 EVACUATION IS HANDLED BY ONE LONG BELL. ALL EMPLOYEES HAVE BEEN INSTRUCTED TO LEAVE THE BLDG WHEN BELL SOUNDS. FIRE DEPT IS CALLED FOR ALL FIRES. Public Notif./Evacuation 10/24/2003 ALL VISITORS IN THE PLANT AT THE TIME OF EVACUATION WILL BE ESCORTED FROM THE PLANT BY JIM KYLE OR ~L'r~' /~i// 6/~ % Emergency Medical Plan 02/27/2007 ALL MEDICAL EMERGENCIES ARE HANDLED BY VERNON SORENSON MD INC, 3838 SAN DIMAS ST B100, 326-0088. -13- 07/12/2007 -: F MISSION LINEN SUPPLY SiteID: 015-021-000157 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 10/20/2000 ~ ALL LIQUIDS ARE STORED IN DRUMS. ALL POWDERS ARE STORED IN BAGS AND OFF THE GROUND. ALL LIQUID SPILLS WILL BE CONTAINED BY DAMING WITH KITTY LITTER AND THE SPILL WILL BE CLEANED UP. ALL POWDERS ARE SWEPT UP AND USED. Release Containment 07/17/1996 ALL LIQUID SPILLS WILL BE CONTAINED BY DAMING WITH DIRT. Clean Up 10/25/1999 ALL LIQUID SPILLS WILL BE CLEANED UP ACCORDING TO MSDS RECOMMENDATIONS FOR THAT CHEMICAL CLEAN UP PROCEDURE. ALL POWDERS WILL BE SWEPT UP AND USED. V1.11C 1_ tCCSVUl C:C liC: l.lVdl.l Vil -14- 07/12/2007 F MISSION LINEN SUPPLY SiteID: 015-021-000157 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .~Nc~:.Lal na~aiu~ Utility Shut-Offs 11/09/2006 A) GAS - SW CRNR OUTSIDE OF BLDG B) ELECTRICAL - WALL BEH BOILER C) WATER - SW CRNR OUTSIDE OF BLDG D) SPECIAL - NONE E) LOCK BOX - NONE Fire Protec./Avail. Water 02/05/2007 PRIVATE FIRE PROTECTION - BLDG CONTAINS OVERHEAD SPRINKLERS, 9 FIRE EXTINGUISHERS. BLDG HAS ALARM SYSTEM WHICH ALSO MONITORS FOR FIRES AND NOTIFIES POLICE, FIRE DEPT, AND MANAGEMENT TEAM. NEAREST FIRE HYDRENT - SE CRNR 21ST ST & R ST. Building Occupancy Level 03/15/2006 EMPLOYEES -15- 07/12/2007 F MISSION LINEN SUPPLY SiteID: 015-021-000157 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 11/09/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: WE HAVE A WRITTEN HAZARDOUS COMMUNICATION PROGRAM. ALL NEW EMPLOYEES ARE INSTRUCTED IN SAFE HANDLING OF CHEMICALS THRU MEETING, VIDEO TAPES, AND EXTENSIVE TRAINING. SAFETY EQUIPMENT IS USED WHEN HANDLING ANY POTENTIALLY HAZARDOUS CHEMICALS. MSDS ARE POSTED IN BINDER IN WASHROOM ABOVE THE CHEMICALS, AND IN THE OFFICE. rayc ~ nc.tu ivi ru~.utc vac nciu LVi ru~.utc vac -16- 07/12/2007 ~N` _ DOBER Conforms to ANSI 2400.1-2004 Standard {United States, Canada, Mexico). GROUP Detergent #27 Revised 1 . Product and company identification Common name Detergent #27 Revised Code 000575 Material uses Liquid laundry detergent. Supplier/Manufacturer Dober Group 14461 S. Waverly Ave. Midlothian, IL 60445 In case of emergency ChemTel : 1-813-248-0585 / 1-800-255-3924 MSDS authored by: Kemika XXI Inc. + 1-450-435-7475 07/31/2006 2 . Hazards identification Physical state Liquid. (White emulsion.) Odor Mild. Hazard status This material is classified hazardous under OSHA regulations in the United States, the WHMIS Controlled Product Regulation in Canada and the NOM-018-STPS-2000 in Mexico. Emergency overview WARNING! CANCER HAZARD. CONTAINS MATERIAL WHICH CAN CAUSE CANCER. CAUSES SEVERE RESPIRATORY TRACT, EYE AND SKIN IRRITATION. MAY BE HARMFUL IF SWALLOWED. CONTAINS MATERIAL WHICH MAY CAUSE DAMAGE TO THE FOLLOWING ORGANS: KIDNEYS. Do not ingest. Avoid contact with skin and clothing. Avoid breathing vapor or mist. Keep container closed. Use only with adequate ventilation. Wash thoroughly after handling. Risk of cancer depends on duration and level of exposure. Routes of entry Dermal contact. Eye contact. Inhalation. Ingestion. Potential acute health effects Eyes Severely irritating to eyes. Skin Severely irritating to the skin. Inhalation : Severely irritating to the respiratory system. Ingestion May be harmful if swallowed. Potential chronic health Carcinogenic effects Classified 26 (Possible for humans.) by IARC [Nitriloacetic Acid effects Trisodium Salt Monohydrate]. Classified None. by NIOSH (Nitriloacetic Acid Trisodium Salt Monohydrate]. Mutagenic effects Not available. Teratogenic effects Not available. Medical conditions Repeated or prolonged contact with spray or mist may produce chronic eye irritation and aggravated by over- severe skin irritation. Repeated or prolonged exposure to spray or mist may produce exposure respiratory tract irritation, leading to frequent attacks of bronchial infection. Repeated exposure to a highly toxic material may produce general deterioration of health by an accumulation in one or many human organs. See toxicological information (section 11) Date of issue 07/31/2006 Page: 1!6 nucnvred by KEM 1 KA a ~ ~ A'TFiI V i'1 ~m[ Detergent #27 Revised 3 . Composition/information on ingredients United States Name CAS number Ethylene oxide-nonylphenol polymer 9016-45-9 10 - 30 Nitriloacetic Acid Trisodium Salt Monohydrate 18662-53-8 5 - 10 Canada Name CAS number Ethylene oxide-nonylphenol polymer 9016-45-9 10 - 30 Nitriloacetic Acid Trisodium Salt Monohydrate 18662-53-8 5 - 10 Mexico Classification Name UN number IDLH H F R Special CAS number Ethylene oxide-nonylphenol Not - 1 1 0 9016-45-9 10 - 30 polymer regulated. Nitriloacetic Acid Trisodium Not - 3 1 0 18662-53-8 5 - 10 Salt Monohydrate regulated. 4 . First aid measures Eye contact Check for and remove any contact lenses. In case of contact with eyes, rinse immediately with plenty of water. Get medical attention. Skin contact In case of contact, immediately flush skin with plenty of water for at least 20 minutes. Get medical attention. Inhalation If inhaled, remove to fresh air. If not breathing, give artificial respiration. Get medical attention. Ingestion Do not induce vomiting. Never give anything by mouth to an unconscious person. Get medical attention. Notes to physician No specific antidote. Medical staff must contact Poison Control Center. 5 . Fire-fighting measures Flammability of the product Non-flammable. Products of combustion :These products are carbon oxides, nitrogen oxides. Some metallic oxides. Extinguishing media Suitable Use an extinguishing agent suitable for the surrounding fire. Not suitable None known. Special exposure hazards Not available. Special protective Fire-fighters should wear appropriate protective equipment and self-contained breathing equipment for fire-fighters apparatus (SCBA) with a full face-piece operated in positive pressure mode. 6 . Accidental release measures Personal precautions Immediately contact emergency personnel. Keep unnecessary personnel away. Use suitable protective equipment. Environmental precautions Avoid dispersal of spilled material, runoff and contact with soil, waterways, drains and sewers. Date of issue :07/31 /2006 Page: 2/6 A°cnoredbyKEMIKA ~ ~ Ai'-21UfV ` ~e Detergent #27 Revised Methods for cleaning up If emergency personnel are unavailable, contain spilled material. For small spills, add absorbent (soil may be used in the absence of other suitable materials), scoop up material and place in a sealable, liquid-proof container for disposal. For large spills, dike spilled material or otherwise contain material to ensure runoff does not reach a waterway. Place spilled material in an appropriate container for disposal. 7 . Handling and storage Handling Do not ingest. Avoid contact with eyes, skin and clothing. Keep container closed. Use only with adequate ventilation. Avoid breathing vapor or mist. Wash thoroughly after handling. Storage Keep container tightly closed. Keep container in a cool, well-ventilated area. 8 . Exposure controls/personal protection Consult local authorities for acceptable exposure limits. Engineering measures Use only with adequate ventilation. If user operations generate dust, fumes, vapor or mist, use process enclosures, local exhaust ventilation or other engineering controls to keep worker exposure to airborne contaminants below any recommended or statutory limits. Personal protection Eyes Splash goggles Skin Synthetic apron. Respiratory A respirator is not needed under normal and intended conditions of product use. Hands Nitrite gloves. '~ f .:a'_ ~` j ~ ~~~ ~~ HMIS Code/Personal C protective equipment Personal protection in case Safety glasses, goggles or face shield. Impervious gloves. Full suit. Boots. Wear NIOSH- of alarge spill approved self-contained breathing apparatus or equivalent and full protective gear. Wash hands, forearms and face thoroughly after handling compounds and before eating, smoking and using the lavatory and at the end of the day. Follow good industrial hygiene practice. 9 . Physical and chemical properties Physical state Flash point Odor pH Boiling/condensation point Melting/freezing point Relative density Vapor pressure Vapor density Volatility Evaporation rate Solubility Liquid. (White emulsion.) Closed cup: >93.33°C (200°F).(Pensky-Martens.) Mild. Basic. >100°C (212°F) May start to solidify at 0°C (32°F) based on data for: Water. 1.05 (Water = 1) The highest known value is 2.3 kPa (17.5 mm Hg) (at 20°C) (Water). >1 (Air = 1) 65% (v/v) >1 compared with Butyl acetate. Miscible in water. Date of issue 07/31/2006 Page: 3/6 nucnoredby KEMIKA ~, /=~ A'f"RlOtY . a EP Detergent #27 Revised 10 . Stability and reactivity Stability and reactivity The product is stable. Incompatibility with various Reactive with acids and oxidizing materials. substances Hazardous polymerization Will not occur. Conditions of reactivity None known. 11 . Toxicological information Toxicity data Product/ingredient name Test Result Route Species Ethylene oxide-nonylphenol polymer LD50 1310 mg/kg Oral Rat Acute Effects Eyes Severely irritating to eyes. Skin Severely irritating to the skin. Inhalation : Severely irritating to the respiratory system. Ingestion May be harmful if swallowed. Potential chronic health Carcinogenic effects Classified 2B (Possible for humans.) by IARC [Nitriloacetic Acid effects Trisodium Salt Monohydrate]. Classified None. by NIOSH [Nitriloacetic Acid Trisodium Salt Monohydrate]. Mutagenic effects Not available. Teratogenic effects Not available. Target organs Contains material which may cause damage to the following organs: kidneys. 12 . Ecological information Ecotoxicity data Product/ingredient name Species Period Result Ethylene oxide-nonylphenol polymer Lepomis macrochirus (LC50) 96 hour(s) 1.3 mg/I Oncorhynchus mykiss (LC50) 96 hour(s) 4.7 mg/I Lepomis macrochirus (LC50) 96 hour(s) 7.6 mg/I Lepomis macrochirus (LC50) 96 hours} 7.9 mg/1 Lepomis macrochirus (LC50) 96 hour(s) >10 mg/I Lepomis macrochirus (LC50) 96 hour(s) >1000 mg/I Environmental precautions No known significant effects or critical hazards. Products of degradation These products are carbon oxides and water, nitrogen oxides. Some metallic oxides. Toxicity of the products of The products of degradation are less toxic than the product itself. biodegradation 13 . Disposal considerations Waste disposal The generation of waste should be avoided or minimized wherever possible. Avoid dispersal of spilled material, runoff and contact with soil, waterways, drains and sewers. Disposal of this product, solutions and any by-products should at afl times comply with the requirements of environmental protection and waste disposal legislation and any regional and local authority requirements. Date of issue :07/31/2006 Page: 4/6 a,udwredby KEMIKA ~,~~~ I'~ arFnoiv .`' BER Detergent #27 Revised 14 . Transport information NAERG :Not applicable. Regulatory information UN/ IMDGI IATA DOT/ TDG :Not regulated. 15 . Regulatory information United States HCS Classification Irritating material Carcinogen Target organ effects U.S. Federal regulations :TSCA 8(a) PAIR: Ethylene oxide-nonylphenol polymer; Nonylphenol polyethylene glycol ether TSCA 8(b) inventory: All components listed. SARA 302/304/311/312 extremely hazardous substances: No products were found. SARA 302/304 emergency planning and notification: No products were found. SARA 302/304/311/312 hazardous chemicals: Nitriloacetic Acid Trisodium Salt Monohydrate SARA 311/312 MSDS distribution -chemical inventory -hazard identification: Nitriloacetic Acid Trisodium Salt Monohydrate: Immediate (acute) health hazard, Delayed (chronic) health hazard Clean Water Act (CWA) 307: No products were found. Clean Water Act (CWA) 311: No products were found. Clean Air Act (CAA) 112 accidental release prevention: Ethylene oxide Clean Air Act (CAA) 112 regulated flammable substances: No products were found. Clean Air Act (CAA) 112 regulated toxic substances: Ethylene oxide State regulations : WARNING:This product contains a chemical known to the State of California to cause cancer and birth defects or other reproductive harm. Ingredient name Cancer Reproductive No significant risk Maximum level acceptable dosage Nitriloacetic Acid Trisodium Salt Monohydrate Ethylene oxide Canada WHMIS (Canada) Yes. No. Yes. Yes. Class D-2A: Material causing other toxic effects (Very toxic) Class D-26: Material causing other toxic effects (Toxic). DSL :All components listed. Yes. Yes. level No. Yes. 0 This product has been classified in accordance with the hazard criteria of the Canadian CPR, the United States OSHA and the Mexican NOM -018-STPS-2000. This MSDS contains all the information required by the CPR, OSHA, the American National Standard Institute (ANSI) 2400.1 and NOM -018-STPS-2000. Mexico Classification HAZARD RATINGS xC~ Flammability a- Extreme e Health 0 Reactivity 3-serious Special 2-Moderate 1-Slight 0- Minimal Date of issue :07/31/2006 Page: 5/6 /{~choredbyKEMIKA r~.ab, ~~ arixion s a ` ~" Detergent #27 Revised U International lists :This product, (and its ingredients} is (are) listed on national inventories, or is (are) exempted from being listed, Australia (AICS), in Europe (EINECS/FLINGS), in Korea (TCCL), in Japan (METI), in the Philippines (RA6969). 16 . Other information Label requirements (U.S.A.) CANCER HAZARD. CONTAINS MATERIAL WHICH CAN CAUSE CANCER. CAUSES SEVERE RESPIRATORY TRACT, EYE AND SKIN IRRITATION. MAY BE HARMFUL IF SWALLOWED. CONTAINS MATERIAL WHICH MAY CAUSE DAMAGE TO THE 1=0LLOWING ORGANS: KIDNEYS. Hazardous Material Information System (U.S.A.) HMIS RATING HAZARD RATINGS -* 2 ,rye,;°.. o- ~,: Personal protection C 4- Extreme 3- Serious 2-Moderate 1-Slight 0- Minimal See section 8 for more detailed information on personal protection. National Fire Protection ~ Flammability ~" " Association (U.S.A.) Health 0 Reactivity Special References ANSI 2400.1, MSDS Standard, 2004. -Manufacturer's Material Safety Data Sheet. - 29CFR Part1910.1200 OSHA MSDS Requirements. - 49CFR Table List of Hazardous Materials, UN#, Proper Shipping Names, PG. -Canada Gazette Part II, Vol. 122, No. 2. Registration SOR/88-64, 31 December 1987. Hazardous Products Act "Ingredient Disclosure List" -Canadian Transport of Dangerous Goods, Regulations and Schedules, Clear Language version 2005. -Official Mexican Standards NOM-018-STPS-2000 and NOM-004-SCT2-1994. Date of issue :07/31/2006 Date of previous issue 04/30/2006 Version 2.1 Notice to reader To the best of our knowledge, the information contained herein is accurate. However, neither the above named supplier nor any of its subsidiaries assumes any liability whatsoever for the accuracy or completeness of the information contained herein. Final determination of suitability of any material is the sole responsibility of the user. All materials may present unknown hazards and should be used with caution. Although certain hazards are described herein, we cannot guarantee that these are the only hazards that exist. Date of issue :07/31/2006 Page: 6/6 n~cnoredby KEMIKA ~~ ~ ATRI VT1 UNIFIED PROGRAM INSPECTION CHECKLIST, . SECTION 1: Business Plan and Inventory Program e cart a ,>-~~er ~I RTN f FACILITY NAME ISSN L i N,~ Svd P[ -~ INSPECTION DATE 9-/3-a7 INSPECTION TIME ~o ~ ADDRESS ~ HONE NO. NO OF EMPLOYEES 7 20 Z.o~ FACILITY CONTACT USINESS ID NUMBER 1 s-o2 ~ ~DOI s'7 Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V (c=compliance OPERATION V=Violation COMMENTS _ _ __ ~ ^ APPROPRIATE PERMIT ON HAND . 1 L_ A r -1 S~ r,l. ~~Y~-S Crn~C[~~Y J ~~ ~ ,,_ ISd' ^ BUSItI@SS 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 ^ VERIFICATION OF HAZ MAT TRAINING r ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE L'9' ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS eWASTyE ON SIT? ~~(ES ^ NO EXPLAIN: ~. 1 r` A ' At_.~~_ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~o~ ~~ ~ Inspector (Please Print) Fire Prevention / 181 In !Shift of Site/Station # B mess SI e/S ool Site Responsible Party (Please Print) BAKERSFIELD FIRE DEPT Prevention. Services 900 Truxt~n Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661).326-3979 Fax: (661) 872-2171 - ~ . ~. r" White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02/05) UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business ,Plan and Inventory Program ~ • Bakersfield Fire Dept. Environmental Services 900 Truxtun Ave.., Suite 210 Bakersfield, CA 933d~~ ' s ZQ45 Tel: (661)_326-3.979 _ __ _ FACILITY NAME INS~P~E~CTION DATE INSPECTION TIME -- ----------------------_----------------.-------------~-------- ______..._._. _. PH No. No. of Employees ADDRESS ._l ~ ; j~ C- TT FACILITYCONTACT Business ID Number AI 15-021-~~~~ it ~ c - Section 1: Business Plan and Inventory Pn~gram `~ Routine O Combined O Joint Agency OMulti-Agency O Complaint O Re-inspection ANY HAZARDOUS WASTE ON SITE?: ~ YES ^ NO EXPLAIN: • QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT ~F)F)') ~ 328-3979 - -- - In -- ~ -. ~"~~ --- -- ------~_ ~ -- -- _- - - spector (Please Print Fire Prevention 1st-In/Shill of Site White -Environmental Services Yellow -Station Copy ~y rBusi Site R s le Pally (Please Print) 8 Pink -Business Copy