HomeMy WebLinkAboutBUSINESS PLANkr;
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' ;;' OAKDALE HEIGHTS
!~ 3209 BROOKSIDE DRIVE
AUG 11 2003
~,
i ~~
T _ i
OAKDALE HEIGHTS
SiteID: 015-021-002533
Manager C-~f~3-S--E~H~i~I-NC~POiVi~~~ ~~l'121~~ BusPhone: (661) 663-9671
Location: 3209 BROOKSIDE DR Map 123 CommHaz High
City BAKERSFIELD Grid: 08D FacUnits: 1 AOV:
CommCode: BFD STA 09
EPA Numb:
SIC Code:8361
DunnBrad:
E ~ _~}t, / Title Emergency Contact / Title
~~3~~ / EXECUTIVE DIR RAUL ZAMUDIO / MAINTENANCE DIR
Business Phone: (661) 663-9671x Business Phone: (661) 663-9671x
24-Hour Phone (661) 205-7480x 24-Hour Phone (661) 900-0351x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards : Fi
ImmHlth DelHlth
r
e
Contact s
t
~
~,i~I~TY ~~~~T~1~/,~~1~ Y Phone : ( 661) 663 - 9671x
MailAddr: 3209 BROOKSIDE DR State: CA
City BAKERSFIELD Zip : 93311
Owner OAKDALE HEIGHTS MANAGEMENT CORP Phone: (530) 222-6797x
Address 443 REDCLIFF DR 200 State: CA
City REDDING Zip 96002
Period to TotalASTs: = Gal
Preparers Tota.lUSTs: = Gal
Certif' d: RSs : No
ParcelNo:
Emergency Directives : ~N'i''D J~'~ ~, 0 ,~~~'
PROG A - HAZMAT
PROG C - COMM HOOD
f3as2d on my inquiry of those individuals
responsible for obtai-~ing the information, I certify
und
er p2naity of la~v that I have personally
e~aniined and am familiar with the informatian
submitted and believe the information is true
,
accurate, and complete.
S
ignature Date
-1- 07/13/2007
~.
~'
F OAKDALE HEIGHTS
~ Hazmat Inventory =
~ MCP+DailyMax Order
= SiteID: 015-021-002533 ~
By Facility Unit ~
Fixed Containers at Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
BLEACH (LIQUID) IH L 8.00 GAL Hi
BLEACH IH L 5.00 GAL Hi
CLEANER DH L 6.00 OZ Mod
PAINT - LATEX BASED F L 5.00 GAL Mod
DETERGENTS DH L 4.00 LBS Mod
CLEANER DH L 2.00 GAL Mod
GLASS CLEANER IH DH L 1.00 GAL Mod
CLEANER DH L 1.00 GAL Mod
DETERGENTS DH L 1.00 GAL Mod
DETERGENTS DH L 1.00 Mod
CLEANSER IH DH S 20.00 OZ Min
WATER CONDITIONER DH L 5.00 GAL UnR
LAUNDRY SOFTENER L 5.00 GAL UnR
DELIMER IH L 4.00 GAL UnR
QUATRAMINE A L 2.00 GAL UnR
RINSE ADDITIVE L 2.00 GAL UnR
TUB AND TILE CLEANER IH L 2.00 GAL UnR
-2- 07/13/2007
-3- 07/13/2007
F OAKDALE HEIGHTS SiteID: 015-021-002533 ~
~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
BLEACH (LIQUID) Days On Site
365
Location within this Facility Unit Map: Grid:
CAS#
7681-52-9
Liquid TPureE ~ AmbRent~E ~ AmbientT~E ~ PLASTOICTCONTAINERE
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
8.00 GAL 8.00 GAL 8.00 GAL
tit~GH_tt11lJUJ ~:vl~trvlv~lvlb
%Wt. RS CAS#
100.00 Sodium Hypochlorite No 7681529
riHGl-1KL E~J~~b.71~1~1V 15
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH / / / Hi
~ Inventory Item 0009 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
BLEACH Days On Site
PURITAN L2 365
Location within this Facility Unit Map: Grid:
'CAS#
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid Pure _~mbient ~ Ambient ~ PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
2.50 GAL 5.00 GAL 5.00 GAL
titiGtittLVU~ 1,v1~1rv1vr,1v1J
°sWt. RS CAS#
100.00 Bleach No 7681529
l11-~GHItL E~~ ~~A~1~1~1V 15
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH / / / Hi
-4- 07/13/2007
F OAKDALE HEIGHTS SiteID: 015-021-002533 ~
~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~ 'i
COMMON NAME / CHEMICAL NAME
CLEANER Days On Site
PINESOL 365
Location within this Facility Unit Map: Grid: i
CAS#
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TMixture ~ Ambient ,Ambient METAL CONTAINR-NONDRUM
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
22.00 OZ 6.00 OZ 6.00 OZ
HAZARDOUS COMPONENTS
%Wt.
RS CAS#
l11-1GHKL 1-~, 7,7J~J.7.71~1L" 1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies DH / / / Mod
~ Inventory Item 0003
COMMON NAME / CHEMICAL NAME
PAINT - LATEX BASED
Location within this Facility Unit
STATE TYPE PRESSURE
Liquid TMixture~ Ambient
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
5.00 GAL 5.00 GAL 5.00 GAL
I11-~GEiiCLVUJ l.Vl~lt'V1VI:,1V 1.S
%Wt. RS CAS#
40.00 Xylene, Mixed No 1330207
10.00 Toluene No 108883
5.00 n-Butyl Acetate No 123864
5.00 Naphtha No 8030306
5.00 Mineral Spirits No 8030306
rlt-~asi.tcl~ tiJJr~aJl~inlvlJ
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F / / / Mod
Facility Unit: Fixed Containers at Site ~
Days On Site
365
Map: Grid:
CAS#
TEMPERATURE CONTAINER TYPE
Ambient -~STIC CONTAINER
-5- 07/13/2007
F OAKDALE HEIGHTS SiteID: 015-021-002533 ~
~ Inventory Item 0014 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
DETERGENTS Days On Site
DISHWASHING DETERGENT 365
Location within this Facility Unit Map: Grid:
CAS#
7681-52-9
Liquid TYPE PRESSURE TEMPERATURE CONTAINER TYPE
TMixture ~ Ambient ~ Ambient -~STIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
4.00 LBS. 4.00 LBS 4.00 LBS
tir-~~r~rcL~u~ c.:~i~ir~iv~iv-l~~
%Wt. RS CAS#
35.00 Sodium Hydroxide No 1310732
10.00 Tetrasodium Pyrophosphate No 7722885
t1E-~L,E~KL AJ~1.'Saal~lL'1V1_J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies DH / / / Mod
~ Inventory Item 0005 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
CLEANER Days On Site
CARPET CLEANER 365
Location within this Facility Unit Map: Grid:
CAS#
Liquid TMixtur~ AmbRent~E ~ AmbientT~E METALOCONTAINRTNONDRUM
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
1.00 GAL 2.00 GAL 2.00 GAL
HAZARDOUS COMPONENTS ~ ,
cwt.
RSA CAS#
HAZARD AS SESSMENTS.
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies DH / / / Mod
-6- 07/13/2007
P OAKDALE HEIGHTS
~ Inventory Item 0006
COMMON NAME / CHEMICAL NAME
GLASS CLEANER
Location within this Facility Unit
SiteID: 015-021-002533 ~
Facility Unit: Fixed Containers at Site ~
Days On Site
365
Map: Grid:
CAS#
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid Pure Ambient Ambient PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
2.50 GAL 1.00 GAL 1.00 GAL
tll-1G1-~KLV U.7 1.V1~lYV1VL" 1V 1.7
%Wt. RS CAS#
100.00 Ammonium Hydroxide No 1336216
IlE~GHCCL H~ 7.7~~771°1L~1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
Nb No No No/ Curies IH DH / / / Mod
~ Inventory Item 0007
COMMON NAME / CHEMICAL NAME
CLEANER
BATHROOM CLEANER
Location within this Facility Unit
Facility Unit: Fixed Containers at Site ~
Days On Site
365
Map: Grid:
CAS#
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TMixture ~ Ambient ~ Ambient METAL CONTAINR-NONDRUM
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
2.50 GAL 1.00 GAL 1.00 GAL
HAZARDOUS COMPONENTS ,
oWt
RS CAS#
HAZARD A SSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies DH / / / Mod
-7- 07/13/2007
F OAKDALE HEIGHTS SiteID: 015-021-002533 ~
~ Inventory Item 0015 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
DETERGENTS Days On Site
ENZYME POWER DETERGENT 365
Location within this Facility Unit Map: Grid:
CAS#
7681-52-9
Liquid TYPE PRESSURE TEMPERATURE CONTAINER TYPE
TMixtur~Ambient ~ Ambient ~STIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
2.50 GAL 1.00 GAL 2.00 GAL
-- t1HGL~tCL V U 5 l: V1~lY V1V L' 1V 1 a
oWt. RS CAS#
35.00 Sodium Hydroxide No 1310732
10.00 Tetrasodium Pyrophosphate No 7722885
riHGEiiCL 1'~S~~D~71~1J;1V 1 J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies DH / / / Mod
~ Inventory Item 0017
COMMON NAME / CHEMICAL NAME
DETERGENTS
STARLITE DISHWASHING DETERGENT
Location within this Facility Unit
STATE TYPE PRESSURE
Liquid TMixture ~mbient
Facility Unit: Fixed Containers at Site ~
Days On Site
365
Map: Grid:
CAS#
7681-52-9
TEMPERATURE CONTAINER TYPE
Ambient ~ PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
2.50 1.00 1.00
rlt]L~ti[CLVVJ ~.vl•lr vlv P~lv1J _-
~Wt. RS CAS#
35.00 Sodium Hydroxide No 1310732
10.00 Tetrasodium Pyrophosphate No 7722885
rltiL~ri[CL ti. 7 JL~~J A1.1P~1V 1 ~J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies DH / / / Mod
-8- 07/13/2007
F OAKDALE HEIGHTS SiteID: 015-021-002533 ~
~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
CLEANSER Days On Site
365
Location within this Facility Unit Map: Grid:
CAS#
7631-86-9
~SolidE I Mixture~~ PRESSURE TEMPERATURE ~~ CONTAINER TYPE
I Ambient ~ Ambient I PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
20.00 OZ 20.00 OZ 20.00 OZ
-- HAZARDOUS COMPONENTS
oWt. RS CAS#
5.00 Calcium Chloride No 10043524
HHGHKL HS~i'~~JL~1t51V 15
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH DH / / / Min
~ Inventory Item 0010 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
WATER CONDITIONER Days On Site
PURITAN L3 BOOSTER 365
Location within this Facility Unit Map: Grid:
CAS#
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid Mixture Ambient Ambient PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
2.50 GAL 5.00 GAL 5.00 GAL
HAZARDOUS COMPONENTS
°sWt .
RSA CAS#
tiL-~L,HlCL HJJ~JJ1~1r,1V 1 J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies DH / / / UnR
-9- 07/13/2007
F OAKDALE HEIGHTS SiteID: 015-021-002533 ~
~ Inventory Item 0011 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
LAUNDRY SOFTENER Days On Site
365
Location within this Facility Unit Map: Grid:
CAS#
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid Mixture Ambient Ambient PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
2.50 GAL 5.00 GAL 5.00 GAL
HAZARDOUS COMPONENTS
°sWt. RS CAS#
HAZARD AS SESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / UnR
~ Inventory Item 0008 Facility Unit: Fixed Containers at Site ~
/'Y /"1T ARl1T~T TTT T~RT1 I /TT TTITRT /YTr ITT weT1
Liquid TPure~ ~ AmbientUxE ~ TA~E~MPeRATURE TSTOICTCONTAINERE
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
4.00 GAL 4.00 GAL 4.00 GAL
HAZARDOUS COMPONENTS ,
%Wt.
HAZAR
RS CAS#
D AS SESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH / / / UnR
-10- 07/13/2007
F OAKDALE HEIGHTS SiteID: 015-021-002533 ~
~ Inventory Item 0012 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
QUATRAMINE A Days On Site
365
Location within this Facility Unit Map: Grid:
CAS#
= STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TMixture ~mbient ~ Ambient -~STIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
2.00 GAL 2.00 GAL 2.00 GAL
HAZARDOUS COMPONENTS
oWt. RS CAS#
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / UnR
~ Inventory Item 0013
COMMON NAME / CHEMICAL NAME
RINSE ADDITIVE
Location within this Facility Unit
Facility Unit: Fixed Containers at Site ~
Days On Site
365
Map: Grid:
CAS#
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid Mixture Ambient Ambient PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
2.50 GAL 2.00 GAL 2.00 GAL
HAZARDOUS COMPONENTS
%Wt.
RS CAS#
HAZARD AS SESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / UnR
-11- 07/13/2007
F OAKDALE HEIGHTS
~ Inventory Item 0016
COMMON NAME / CHEMICAL NAME
TUB AND TILE CLEANER
Location within this Facility Unit
SiteID: 015-021-002533 ~
Facility Unit: Fixed Containers at Site ~
Days On Site
365
Map: Grid:
CAS#
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TMixtur~mbient ~ Ambient -~STIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
2.50 GAL 2.00 GAL 2.00 GAL
HAZARDOUS COMPONENTS
%Wt.
RS CAS#
tit~~s-~tcL ta~~~aai~i~ly 1
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH / / / UnR
-12- 07/13/2007
F OAKDALE HEIGHTS SiteID: 015-021-002533 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification 04/13/2006 ~
EMERGENCY: 911
NON-EMERGENCY: BAKERSFIELD FIRE DEPT, STA 9, 398-1268
Employee Notif./Evacuation 09/04/2003
SIMPLEX ALARM SYSTEM WITH SIREN
Public Notif./Evacuation 09/04/2003
SIMPLEX ALARM SYSTEM WITH SIREN WITH DIRECTION FROM FACILITY STAFF
Emergency Medical Plan 04/13/2006
IF NEED ARISES, TAKE EMPLOYEE TO MERCY SOUTHWEST HOSPITAL. IF EMERGENCY,
CALL 911.
-13- 07/13/2007
F OAKDALE HEIGHTS SiteID: 015-021-002533 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 03/20/2007 ~
CHEMICALS ARE STORED ON RACKS OFF THE FLOOR, CHECKED DAILY FOR LEAKAGE.
WHEN CHEMICALS ARE PURCHASED, THEY ARE CHECKED FOR ANY PUNCTURES OR CRACKS
BY ME OR MY HOUSEKEEPERS.
Release Containment 03/20/2007
OUR CHEMICALS ARE STORED IN LOCKED AREAS NOT ACCESSIBLE BY OUR RESIDENTS.
Clean Up
MOPS, BROOMS, BUCKETS, AND ABSORBANT MATERIALS.
03/20/2007
Other Resource Activation
-14- 07/13/2007
F OAKDALE HEIGHTS SiteID: 015-021-002533 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
_, ,_
~~~~~a~ ~~a~a~u~
Utility Shut-Offs 03/20/2007
GAS: S SIDE NEXT TO TRASH BIN
ELECTRICAL: SW CRNR IN MECH ROOM ACROSS FROM KITCHEN
WATER: E SIDE OF BLDG IN KITCHEN DIRECTORS OFFICE NEXT TO LAUNDRY ROOM
Fire Protec./Avail. Water 08/12/2003
H2O SPRINKLER SYSTEM AND HAND-OPERATED FIRE EXTINGUISHER
Building Occupancy Level 04/13/2006
55 EMPLOYEES
-15- 07/13/2007
:.
' _ ~:~>
F OAKDALE HEIGHTS SiteID: 015-021-002533 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 03/20/2007 ~
MSDS BINDER IN MAIN LAUNDRY ROOM, MAINTENANCE OFFICE, AND KITCHEN.
BRIEF STJNIlKARY OF TRAINING PROGRAM: MATERIAL SAFETY DATA SHEETS ARE HELD IN
BINDER ON ALL CHEMICAL PRODUCTS IN-HOUSE. YEARLY TRAINING, PLUS TRAINING
FOR NEW EMPLOYEES.
Ydy C L
nc.LU ivi ru~.uic Vic
.7 J L.
ilG lU 1V1 ru~..u1c V~7G
-16- 07/13/2007
~~
OAKDALE HEIGHTS SiteID: 015-021-002533
Manager CHRIS ETHERINGTON
Location: 3209 BROOKSIDE DR
City BAKERSFIELD
BusPhone: (661) 663-9671
Map 123 CommHaz High
Grid: 08D FacUnits: 1 AOV:
CommCode: BFD STA 09
EPA Numb:
SIC Code:8361
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
TRACY FLAHERTY / EXEC DIRECTOR RAUL ZAMUDIB / MAINTENANCE DIR
Business Phone: (661) 663-9671x Business Phone: (661) 663-9671x
24-Hour Phone (661) 205-7480x 24-Hour Phone (661) 900-0351x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: Fire ImmHlth DelHlth
Contact TRACY FLAHERTY Phone: (661) 663-9671x
MailAddr: 3209 BROOKSIDE DR State: CA
City BAKERSFIELD Zip 93311
Owner OAKDALE HEIGHTS MANAGEMENT CORP Phone: (530) 222-6797x
Address :-443 REDCLIFF DR 200 State: CA
City REDDING Zip 96002
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
PROG C - COMM HOOD
f~%~'~~~ on nay
i
npuiry of those individuals
y
.
re°.~.^~~n"?'s,~~t:A f~:~r {~S,.~ft~' ininy the information, d certify
un.,ier ~.°s~r~~ai'cy «t Ia1^~ that I have personally
exarroir!k:-s,l and am familiar with the information
sut~r~it±~,.~ band believe the information is true,
a~:cura~e
a~od com
lete ~oo'~
,
p
. .` 9
[ ~
L~~'O ~~ 1
~igriature Date
-1- 02/05/2007
F OAKDALE HEIGHTS SiteID: 015-021-002533 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers at Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
BLEACH (LIQUID) IH L 8.00 GAL Hi
BLEACH IH L 5.00 GAL Hi
CLEANER DH L 6.00 OZ Mod
PAINT - LATEX BASED F L 5.00 GAL Mod
DETERGENTS DH L 4.00 LBS Mod
CLEANER DH L 2.00 GAL Mod
GLASS CLEANER IH DH L 1.00 GAL Mod
CLEANER DH L 1.00 GAL Mod
DETERGENTS DH L 1.00 GAL Mod
DETERGENTS DH L 1.00 Mod
CLEANSER IH DH S 20.00 OZ Min
WATER CONDITIONER DH L 5.00 GAL UnR
LAUNDRY SOFTENER L 5.00 GAL UnR
DELIMER IH L 4.00 GAL UnR
QUATRAMINE A L 2.00 GAL UnR
RINSE ADDITIVE ~ L 2.00 GAL UnR
TUB AND TILE CLEANER IH L 2.00 GAL UnR
-2- 02/05/2007
-3- 02/05/2007
F OAKDALE HEIGHTS
~ Inventory Item 0001
COMMON NAME / CHEMICAL NAME
BLEACH (LIQUID)
Location within this Facility Unit
STATE TYPE PRESSURE
Liquid TPure ~ Ambient
SiteID: 015-021-002533 ~
Facility Unit: Fixed Containers at Site ~
Days On Site
365
Map: Grid:
CAS#
7681-52-9
TEMPERATURE CONTAINER TYPE
Ambient ~ PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
8.00 GAL 8.00 GAL 8.00 GAL
t1~~HtcL~u~ wl~ir~ivl;ivla
%Wt. RS CAS#
100.00 Sodium Hypochlorite No 7681529
t1HGHKL H~7.71",.7.71~1L"ilV 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH / / / Hi
~ Inventory Item 0009 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
BLEACH Days On Site
PURITAN L2 365
Location within this Facility Unit Map: Grid:
CAS#
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TPure =Ambient ~ Ambient ~ PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
2.50 GAL 5.00 GAL 5.00 GAL
rltiatitcl~vu~ ~ul~iruivl;tvl~
%Wt. RS CAS#
100.00 Bleach No 7681529
t11~GHtC1J F~i.752S~J1~1L"1V15
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH / / / Hi
-4- 02/05/2007
F OAKDALE HEIGHTS
~ Inventory Item 0004
COMMON NAME / CHEMICAL NAME
CLEANER
PINESOL
Location within this Facility Unit
STATE
Liquid
TYPE PRESSURE
Mixture ~mbient
oWt.
RSI CAS#
t11~G1-1KL 1~~J~J51~1L'1V15
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies DH / / / Mod
~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
PAINT - LATEX BASED Days On Site
365
Location within this Facility Unit Map: Grid:
CAS#
STATE
Liquid
TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Mixture Ambient ~ Ambient -~STIC CONTAINER
SiteID: 015-021-002533 ~
Facility Unit: Fixed Containers at Site ~
Days On Site
365
Map: Grid:
CAS#
TEMPERATURE CONTAINER TYPE
Ambient METAL CONTAINR-NONDRUM
AMOUNTS AT THIS LOCATION
Daily Average
6.00 OZ
Largest Container Daily Maximum
22.00 OZ 6.00 OZ
HAZARDOUS COMPONENTS
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum
5.OO.GAL 5.00 GAL
Daily Average
5.00 GAL
nti~t~tcl~uu~ cvl~irvlvrJlvl~
$Wt. RS CAS#
40.00 Xylene, Mixed No 1330207
10.00 Toluene No 108883
5.00 n-Butyl Acetate No 123864
5.00 Naphtha No 8030306
5.00 Mineral Spirits No 8030306
riL~GE~tUJ 1-~ J7~5~1~1t;1V1~J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F / / / Mod
-5- 02/05/2007
F OAKDALE HEIGHTS SiteID: 015-021-002533 ~
~ Inventory Item 0014 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
DETERGENTS Days On Site
DISHWASHING DETERGENT 365
Location within this Facility Unit Map: Grid:
CAS#
7681-52-9
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TMixtur~-Ambient ~ Ambient ~ PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
4.00 LBS 4.00 LBS 4.00 LBS
ns-~c,t~rcLVUa ~uinrulv~iv 15
oWt. RS CAS#
35.00 Sodium Hydroxide No 1310732
10.00 Tetrasodium Pyrophosphate No 7722885
riHGKtCL HJJr,551~1~1V 1 J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies DH / / / Mod
~ Inventory Item 0005 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
CLEANER Days On Site
CARPET CLEANER. 365
Location within this Facility Unit Map: Grid:
CAS#
Liquid TMixture ~ Ambient~E ~ AmbientT~E METAL CONTAINRTNONDRUM
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
1.00 GAL - 2:00 GAL 2.00 GAL
HAZARDOUS COMPONENTS ,
%Wt.
RSA CAS#
HAZARD A SSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies DH / / / Mod
-6- 02/05/2007
F OAKDALE HEIGHTS
~ Inventory Item 0006
COMMON NAME / CHEMICAL NAME
GLASS CLEANER
Location within this Facility Unit
Largest Container
2.50 GAL
STATE TYPE PRESSURE
Liquid TPure ~ Ambient
AMOUNTS AT THIS LOCATION
Daily Maximum
1.00 GAL
Daily Average
1.00 GAL
ru~~tax~vua ~ui~irulv~ly 1 a
%Wt. RS CAS#
100.00 Ammonium Hydroxide No 1336216
riHGHl[L .'~5.'7C.aJ1~1L1V1J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH DH / / / Mod
~ Inventory Item 0007
COMMON NAME / CHEMICAL NAME
CLEANER
BATHROOM CLEANER
Location within this Facility Unit
STATE TYPE PRESSURE
Liquid TMixture~mbient
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum. Daily Average
2.50 GAL 1.00 GAL 1.00 GAL
~Wt.
Facility Unit: Fixed Containers at Site ~
Days On Site
365
Map: Grid:
CAS#
TEMPERATURE CONTAINER TYPE
Ambient METAL CONTAINR-NONDRUM
RSA CAS#
ny,~r-ucL [~5~naai~i~ivl~
TSecret RS BioHaz Radioactive/Amount EPA Hazards ;NFPA USDOT# MCP
No No No No/ Curies DH / / / Mod
HAZARDOUS COMPONENTS
SiteID: 015-021-002533 ~
Facility Unit: Fixed Containers at Site ~
Days On Site
365
Map: Grid:
CAS#
TEMPERATURE CONTAINER TYPE
Ambient PLASTIC CONTAINER
-7- 02/05/2007
F OAKDALE HEIGHTS
~ Inventory Item 0015
COMMON NAME / CHEMICAL NAME
DETERGENTS
ENZYME POWER DETERGENT
Location within this Facility Unit
SiteID: 015-021-002533 ~
Facility Unit: Fixed Containers at Site ~
Days On Site
365
Map: Grid:
CAS#
7681-52-9
STATE TYPE ~~ PRESSURE TEMPERATURE ~ CONTAINER TYPE -
~Liquid Mixture I Ambient ~ Ambient I PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
2.50 GAL 1.00 GAL 2.00 GAL
• tiAGi~ttllVUJ ~V1~1rV1v1,1v1a
%Wt. RS CAS#
35.00 Sodium Hydroxide No 1310732
10.00 Tetrasodium Pyrophosphate No 7722885
tia'~GLjiC.L A~5J:5551~1JJlv~t~a
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies DH / / / Mod
~ Inventory Item 0017 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
DETERGENTS Days On Site
STARLITE DISHWASHING DETERGENT 365
Location within this Facility Unit Map: Grid:
CAS#
7681-52-9
LiTA1d Mixture Ambient~E AmbientTURE CONTAINER TYPE
qu' T -~ ~ ~ PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
2.50 1.00 1.00
riHGE1tCL V U.7 1. V1~lY V1V 1;1V 15
%Wt. RS CAS#
35.00 Sodium Hydroxide No 1310732
10.00 Tetrasodium Pyrophosphate No 7722885
_ ritiGtlKL 1~J~J;J~1~1~1V l b
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies DH / / / Mod
-8- 02/05/2007
F OAKDALE HEIGHTS SiteID: 015-021-002533 ~
~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
CLEANSER Days On Site
365
Location within this Facility Unit Map: Grid:
CAS#
7631-86-9
~SolidE I Mixture~~ PRESSURE TEMPERATURE ~~ CONTAINER TYPE
I Ambient ~ Ambient I PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
20.00 OZ 20.00 OZ 20.00 OZ
tiHGAiCLVUJ 1:V1~lYV1VI;1V1J
%Wt. RS CAS#
5.00 Calcium Chloride No 10043524
t1AGt~tCL A5~1"~~J1~1L'~1V1J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH DH / / / Min
~ Inventory Item 0010 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
WATER CONDITIONER Days On Site
PURITAN L3 BOOSTER 365
Location within this Facility Unit Map: Grid:
CAS#
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid Mixture Ambient Ambient PLASTIC CONTAINER.
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
2.50 GAL 5.00 GAL 5.00 GAL
HAZARDOUS COMPONENTS
°sWt. RS CAS#
TTT ATT1T1 T A/1TT(1 /'1TrtTTTT lT _.
-- L1HGtiRL L-~J JL'JJ1~1L'1V1J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies DH / / / UnR
-9- 02/05/2007
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TMixture ~ Ambient ~ Ambient -~STIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
2.50 GAL 5.00 GAL 5.00 GAL
HAZARDOUS COMPONENTS
%Wt.
RS CAS#
riAGHKlJ A~Ji55J1~1L"~1V-1 J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / UnR
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid Pure Ambient Ambient PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
4.00 GAL 4.00 GAL 4.00 GAL
HAZARDOUS COMPONENTS
cwt.
RS CAS#
t7.EiG1-!1[L H. 7.7~.7.71~1L' 1V 1 ~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH / / / UnR
-10- '02/05/2007
F OAKDALE HEIGHTS SiteID: 015-021-002533 ~
~ Inventory Item 0011 Facility Unit: Fixed Containers at Site ~
~ Inventory Item 0008 Facility Unit: Fixed Containers at Site ~
~.,....,._. _.~..,-, ,...,-..._,.,,r ~_,,..,-,
F OAKDALE HEIGHTS SiteID: 015-021-002533 ~
~ Inventory Item 0012 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
QUATRAMINE A Days On Site
365
Location within this Facility Unit Map: Grid:
CAS#
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid Mixture Ambient Ambient PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
2.00 GAL 2.00 GAL 2.00 GAL
HAZARDOUS COMPONENTS
$Wt• RS CAS#
HAZARD A SSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / UnR
5'1'A'1'~ '1'YP~ PRESSURE TEMPERATURE CONTAINER TYPE
Liquid Mixture Ambient Ambient PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
2.50 GAL 2.00 GAL 2.00. GAL
HAZARDOUS COMPONENTS ,
~Wt.
RS CAS#
~ZARD AS SESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / UnR
-11- 02/05/2007
~ Inventory Item 0013 Facility Unit: Fixed Containers at Site ~
rl1L RT R/l1T TTT TRT I /'1T TTI,~RT /TTT ,~TTfRTT
F OAKDALE HEIGHTS SiteID: 015-021-002533 ~
~ Inventory Item 0016 Facility Unit: Fixed Containers at~Site ~
COMMON NAME / CHEMICAL NAME
TUB AND TILE CLEANER Days On Site
365
Location within this Facility Unit Map: Grid:
CAS#
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TMixtur~mbient ~ Ambient ~LASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
2.50 GAL 2.00 GAL 2.00 GAL
HAZARDOUS COMPONENTS
°sWt .
RSI CAS#.
IlESGHKL Eib .~r,D.71~1L"1V-1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH / / / UnR
-12- 02/05/2007
F OAKDALE HEIGHTS SiteID: 015-021-002533 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification 04/13/2006 ~
EMERGENCY: 911
NON-EMERGENCY: BAKERSFIELD FIRE DEPT, STA 9, 398-1268
Employee Notif./Evacuation 09/04/2003
SIMPLEX ALARM SYSTEM WITH SIREN
Public Notif./Evacuation 09/04/2003
SIMPLEX ALARM SYSTEM WITH SIREN WITH DIRECTION FROM FACILITY STAFF
Emergency Medical Plan 04/13/2006
IF NEED ARISES, TAKE EMPLOYEE TO MERCY SOUTHWEST HOSPITAL. IF EMERGENCY,
CALL 911.
-13- 02/05/2007
F OAKDALE HEIGHTS SiteID: 015-021-002533 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
1CC 1 CCLwS-C. -: t'~i C V Cll/L 1 Vil ~+/
~+-Zdii~•GG.<S lL.^e a'~a~r-°~ ~i7 ~eks ~ ~~C TcOa~?J ~GI~GI Gt~s.(~~
~r /~ a k iiv~ . ~~ C~~^-~ ~. is ~.-~e ~ovrc ~a-sed ~e y G: i~
('fie cue ~ rear ~y ~v~.~~~riY s or C r~ c~c S ,~y iut o7- ~. y
!t oust ice ~joU'.S.
Release."Containment
Q~r C~ rt2c CA-lt Q./^C S' ~o>'+~°l /iv (OGeE-eG~ G~1S' No
~e ee ssi 61~e 6y ovi- res~a~~~s ,
Clean Up 08/12/2003
MOPS, BROOMS, BUCKETS, AND ABSORBENT MATERIALS
~,_
v ~..iici itc.7V Ultrc tiV L1 VCLL1Vll
- -14- 02/05/2007
,, , ,-,
F OAKDALE HEIGHTS SiteID: 015-021-002533 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
.~Nc~.l.a.i nac~aiua
Utility Shut-Offs;
~cc~,c c~~f~^ : ~ (~/ - ~~"•"er- iiv /fit c c!. -/lay m ~ cress o.~ k' / fC~c N
~~c ~ << ~~,~ scv~ o~ 6~dJc . a2"•v ,Ef~I~C~/ D/rGC~0Y5 ~TZCG itc K ~ ~r ~avru~t'ry~r~si ,
~ ~foCC /~ Kf ~ ¢/~.S ~ .6: N a`r' a ~ov~s ~oLe~
~~S ~o~
Fire.Protec./Avail. Water 08/12/2003
H2O SPRINKLER SYSTEM AND HAND-OPERATED FIRE EXTINGUISHER
Building Occupancy Level 04/13/2006
55 EMPLOYEES
-15- 02/05/2007
* F
F OAKDALE~ HEIGHTS SiteID: 015-021-002533 ~
Fast Format ~
~ Training Overall Site ~
Employee Training 01/03/2007
BRIEF SUMMARY OF TRAINING PROGRAM: MATERIAL SAFETY DATA SHEETS ARE HELD IN
BINDER ON ALL CHEMICAL PRODUCTS IN-HOUSE. YEARLY TRAINING, PLUS TRAINING
l ~ FOR NEW EMPLOYEES.
Page 2 04/13/2006
MATERIAL SAFETY DATA SHEETS BINDER IS LOCATED IN MAIN LAUNDRY ROOM,
MAINTENANCE OFFICE, AND KITCHEN.
nciu ivi r ut,uic ~5c
Held for Future Use
-16- 02/05/2007
t! ,
+ OAKDALE HEIGHTS _____________________________________ SiteID: 015-021-002533 +
Manager : •-~i~TD T CST mi"'+iJF_ ~" ~ ~~~
BusPhone: (661) 663-9671
Location: 3209 BROOKSIDE DR Map 123 CommHaz High
City BAKERSFIELD Grid: 08D FacUnits: 1 AOV:
CommCode: BFD STA 09
EPA Numb:
SIC Code:8361
DunnBrad:
------- ------
+_____________________=--Ia ~ -------_-__-----------------------__________------
Emergency Contact / _ Title Emergency Contact / Title '
~~ P cr.~9~i ~-~- ~i ~ ~ ~ /~ Zcf vr~.c~ ma ` t~~
~ik~ rr`
Business Phone: (LCi/) GG3 -9lv'7/x Business Phone: (~.ai) X43 -v~7/ x
24-Hour Phone-: ((~{,/ )app -'71/~(jx 24-Hour Phone (~G/) ~dO -D3s i x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: Fire ImmHlth DelHlth
Contact T~.c.~ Gi~IY~`~j
MailAddr: 3209 BROOKSIDE DR
City BAKERSFIELD
Phone: (661) 663-9671x
State: CA
Zip 93311
Owner OAKDALE HEIGHTS MANAGEMENT CORP Phone: (530) 222-6797x
Address 443 REDCLIFF DR 200 State: CA
City REDDING Zip 96002
Period to
Preparers
Certif'd:
ParcelNo:
TotalASTs: _
TotalUSTs: _
RSs: No
Gal
Gal
Emergency Directives:
PROG A - HAZMAT
PROG C - COMM HOOD
8aeed on my inquiry of those individuals
ra8~ic7nsibie for obtaining the information, I certify
under penalty of law that I have personally
exetrrMed and am familiar with the information
subrriitted and believe the information is true,
accurate, and complete.
8i~tlatu~ date
ENT'p ~ ~ R ~ ~ ~®®
6
-1-
03/23/2006
~__ -~ -~-