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HomeMy WebLinkAboutBUSINESS PLANI . \ _,/ li JoRonCo Rentals Inc 2309 E Brundage Ln A f - ~ JORONCO RENTALS INC SiteID: 015-021-003052 Manager RON HOLBERT Location: 2309 E BRUNDAGE LN A City :~BAKERSFIELD BusPhone: (661) 325-0855 Map 124 CommHaz Extreme Grid: 04B FacUnits: 1 AOV: CommCode: KCFD STA 41 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title RON HOLBERT / OWNER JOE HOLBERT / OWNERS FATHER Business Phone: (661) 325-0855x Business Phone: (661) 325-0855x 24-Hour Phone (661) 809-1390x 24-Hour Phone (661) 809-1392x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact RON HOLBERT Phone: (661) 325-0855x MailAddr: 2309 E BRUNDAGE LN A State: CA City BAKERSFIELD Zip 93307 Owner RON HOLBERT Phone: (661) 325-0855x Address 2309 E BRUNDAGE LN A State: CA City BAKERSFIELD Zip 93307 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif ~ d: RSs : No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK ENT q C1G , 1 ~ zoos 3x.~ed on my inquiry of those indh~iduals responsible for obf~zinin0 the information, ! cartify under penaEty of lav~• that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and ramplete. ~.,~ la Ivy Si ature Date -1- 07/12/2007 ~, F JORONCO RENTALS INC SiteID: 015-021-003052 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP PROPANE HELIUM E F P F P IH IH G G 5400.00 200.00 FT3 FT3 Hi Min -2- 07/12/2007 -3- 07/12/2007 F JORONCO RENTALS INC SiteID: 015-021-003052 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 74-98-6 ~GaSATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE TPure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 540.00 FT3 5400.00 FT3 5400.00 FT3 - HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Propane Yes 74986 riEiGHttL 1-~JbJ;.7.71~1r,1V 1 ~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME HELIUM Location within this Facility Unit NE CRNR OF BLDG INSIDE STATE TYPE Gas TPure Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 7440-59-7 = PRESSURE TEMPERATURE CONTAINER TYPE Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 200.00 FT3 200.00 FT3 200.00 FT3 ru-~c~i-l.~cl~wo ~.~1.1r~,~V1;~dTS %Wt• RS CAS# 100.00 Helium No 7440597 ilri[~ti1CL 1'i. 7.7 L' JJ1"1L' 1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -4- 07/12/2007 F JORONCO RENTALS INC SiteID: 015-021-003052 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 04/11/2007 ~ ALARM SYSTEM W/SIREN Employee Notif./Evacuation 04/11/2007 ALARM SYSTEM W/SIREN Public Notif./Evacuation 04/11/2007 ALARM SYSTEM W/SIREN Emergency Medical Plan N/A 04/11/2007 -5- 07/12/2007 F JORONCO RENTALS INC SiteID: 015-021-003052 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 12/15/2005 ~ TANKS SECURED IN PLACE. Release Containment N/A 04/11/2007 Clean Up N/A 04/11/2007 vl.llcl itC.7VLL1VC til.:L1VCL L1. V11 -6- 07/12/2007 F JORONCO RENTALS INC SiteID: 015-021-003052 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ A~JCC:1d1 i7d4dLU~ Utility Shut-Offs NATURAL GAS/PROPANE: NW CRNR OF BLDG ELECTRICAL: N SIDE OF BLDG WATER: N SIDE OF BLDG 04/11/2007 Fire Protec./Avail. Water 12/13/2006 ONSITE SPRINKLERS WITH ALARM SYSTEM. FIRE EXTINGUISHERS IN WHSE AREAS. FIRE HYDRANT 180FT W OF BLDG Building Occupancy Level 30 04/11/2007 -7- 07/12/2007 ~: F JORONCO RENTALS INC SiteID: 015-021-003052 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 04/17/2006 ~ BRIEF SUMMARY OF TRAINING PROGRAM: WE HAVE A SAFETY MEETING EVERY MONTH. WE GET TRAINING FROM COAST GAS EVERY YEAR ON PROPANE SAFETY. rayc c. nclu tvi. r ul.uLC U5C nciu ivL ru~.ui.C u~c -8- 07/12/2007 ~ ~ _t JORONCO RENTALS INC Manager RON HOLBERT Location: 2309 E BRUNDAGE LN A City BAKERSFIELD CommCode: KCFD STA 41 EPA Numb: T I ~w SitelD: 015-021-003052 BusPhone: (661) 325-0855 Map 124 CommHaz Extreme Grid: 04B FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title RON HOLBERT / OWNER JOE HOLBERT / OWE- ~ ~ Business Phone: (661) 325-0855x Business Phone: (661) 325-0855x 24-Hour Phone (661) 809-1390x 24-Hour Phone (661) 809-1392x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact RON HOLBERT Phone: (661) 325-0855x MailAddr: 2309 E BRUNDAGE LN A State: CA City BAKERSFIELD Zip 93307 Owner RON HOLBERT Phone: (661) 325-0855x Address 2309 E BRUNDAGE LN A State: CA City BAKERSFIELD Zip 93307 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK ~1~ used on responsible fQ ~ inquiry of those obtai u ~nd nder ividuels ning the inform t~on examined a~lq of law that I h fY ave am fa Per,,onall submitted and believe Tar with the accur th an n o o e, and com e information plete iS . true, r Signature -~' ®ate EIVfi~~ ~ ~~ ~ ~ rm~Q7 -1- 02/01/2007 F JORONCO RENTALS INC SitelD: 015-021-003052 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ~-•. ti PROPANE E F P IH G -5400:00 FT3 Hi HELIUM F P IH G 200.00 FT3 Min -2- 02/01/2007 -3- 02/01/2007 F JORONCO RENTALS INC ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME PROPANE Location within this Facility Unit STATE TYPE PRESSURE _ Gas TPure -Above Ambient SiteID: 015-021-003052 ~ Facility Unit: Fixed Containers at 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 540.00 FT3 5400.00 FT3 5400.00 FT3 r~~t~tc~vu~ wrirvlv~lvl~ %Wt. RS CAS# 100.00 Propane Yes 74986 t11~GH.KL L-~aJ~551~1~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME HELIUM Location within this Facility Unit NE CRNR OF BLDG INSIDE STATE TYPE PRESSURE _ Gas Pure Above Ambient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 7440-59-7 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 200.00 FT3 200.00 FT3 200.00 FT3 nt~~tucLVUa ~vrirvlv~lvl~ %Wt. RS CAS# 100.00 Helium No 7440597 I1tiGHtCL liJ Jr,J.71~1~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -4- 02/01/2007 F JORONCO RENTALS INC SiteID: 015-021-003052 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ Agency- Notif icatiori -- -- - _ -- Employee Notif:/-Evacuation Public Notif./Evacuation I corm sy~te~, ~ ~~h `~ ~ ran Emergency Medical Plan N Ia -5- 02/01/2007 P JORONCO RENTALS INC SiteID: 015-021-003052 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 12/15/2005 ~ TANKS SECURED IN PLACE. xelease c:onLainmenL__ __-- ~ i 1~~~ Clean Up N~fl Other Resource Activation -6- 02/01/2007 F JORONCO RENTALS INC SiteID: 015-021-003052 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ape(.:1d1 IldGdL C1.7' Utility Shut-Offs NATURAL GAS/PROPANE: NW CRNR OF BLDG ELECTRICAL: N SIDE OF BLDG WATER: N SIDE OF BLDG NO LOCK BOX 03/09/2006 Fire Protec./Avail. Water 12/13/2006 ONSITE SPRINKLERS WITH ALARM SYSTEM. FIRE EXTINGUISHERS IN WHSE AREAS. FIRE HYDRANT 180FT W OF BLDG ~suilaing vc:cupaticy Level ~.-~ - ~~ ~e~pl~ -~- 02/0l/200~ ~~ -~ _ ,~ / l F JORONCO RENTALS INC SiteID: 015-021-003052 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 04/17/2006 ~ F BRIEF SUMMARY OF TRAINING PROGRAM: WE HAVE A SAFETY MEETING EVERY MONTH. AWE GET TRAINING FROM COAST GAS EVERY YEAR•ON PROPANE SAFETY. rays ~ nciu ivL r u~u.~c u5c riciu LVi ru~uic vac -8- 02/01/2007 n , ~~~• BAKERSFIELD FIRE DEPT. ~ I _~ Prevention Services ~ b'1 FIRE PREVENTION INSPECTION >j EF~RE t ~ 90o Truxtun Ave., ste. 210 ~/ ~RrM r Bakersfield, CA 93301 Tel.: (661) 326-3979 ^ Fax: (661) 852-2171 DISTRICT BLOCK NO. DATE ~ ~ ~ ~ ~ t ~ EE~ ~ FACILITY ADDRESS ~ ~~ ~ ~ ~~~~ D~~ C ~ ^ CITY, STATE, ZIP ~~'1~~ i Sr ~ ~~~, f C ( „ '4. FACILITY NAME ~""~ ~~ ~W r.$ ~Y~HONE NOS S FAC~ I MANAGER'S NAME ~p O~~ 11'' r BUSINESS OWNER'S NAME AND ADDRESS CITY, STATE, ZIP OWNER'S PHONE NO. BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO. OCC TYPE OCC LOAD NO. OF FLOORS HIGH RISE BLDG RISER DATE ^ YES ^ NO CORRECT ALL VIOLATIONS v~o~nrioN REQUIREMENTS CHECKED BELOW No. IB E WASTE I DRY O S 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) C MBU T L VEGETATION 2 Provide non-combustible containers with tight fitting lids for the storage of combustible waste and rubbish pending its safe disposal. (U.F.C.) COMBUSTIBLE STORAGE 3 Relocate combustible storage to provide at least 3 feet clearance around motor fuse box/fire door (N.E.C.) (U.F.C.) 4 Relocate fire extinguisher(s) so that they will be in a conspicuous location, hanging on brackets with the top to.the extinguisher not more than 5 feet above the floor. (N. F. P. A. No. 10) EXTINGUISHERS ~1'; ~ Provide and install (amount) _____ approved (type & size) __________________ portable fire extinguisher to be I immediately accessible for use in (area). _____________________________ (U.F.C.) g Re-charge all fire extinguishers. a in ~he~s~ha~ b~~~ed at least once each year, and/or after each use, by a person having a valid license or certificate. (U. ) 7 Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit (doorlwindow) to SIGNS fire escape. (U.F.C.) g Provide and maintain appropriate numbers on a contrasting background and visible from the street to indicate the correct address of the building. (B. M.C.) (U.F.C.) ,g Repair all (cracks/holes/openings) in plaster in (location) ______________________________________. Plastering FIREDOORSI shall return the surface to its original fire resistive condition. (U.B.C.) FIRE SEPARATIONS 10 Remove/repair (item & location) _ ______________. Self-closing ------------------------------------------ doors shall be designed to close by gravity, or by the action of a mechanical device, or by an approved smoke and heat sensitive device. Self-closing doors shall have no attachments capable of preventing the operation of the closing device. (U.F.C.) EXITS 11 Remove all obstruction from hallways. Maintain all means of egress free of any storage. (U.F.C.) 12 Provide a contrasting colored and permanently installed electric light over or near required exit (location) ______ to clearly indicate it as an exit. (U.F.C.) STORAGE 1g Remove all storage and/or other obstructions from fire escape landings and stairways stair shafts. (Fire escapes/stair shafts are to be maintained free from obstructions at all times.) (U.F.C.) 14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets ELECTRICAL APPLIANCES where needed. (N.E.C.) (U.F.C.) 15 Remove multiple attachment cords from specific electrical convenience outlet (one plug per outlet) (N. E.C.) (U.F.C.) OUTDOOR BURNING 16 Violation of Section 1102 dealin with recreational fires or o en burnin U.F.C. FIREWORKS 17 Violations of Section 7802 U.F.C. or 8.49.040 of the Bakersfield Munici al Code B.M.C. re ardin fireworks. OTHER 1 S) ~'e ' ~ i ~ ~^/ ~ i ~. ! C. Gr ~C ~. .~.. VY.S r, f ~ '~. w ~+ r (1. p~cJ.w. c Q V C Y f. w ~-- ~..~..~~~~n~~~ ~ ... 1 I 3 ~~ o CUSTOMER: f ~ LEGEND: C.F.C. CALIFORNIA FIRE CODE (Signature ' (Please Print Name Legibly, Title) U.B.C. UNIFORM BUILDING CODE ,s'' INSPECTOR: r c:~.~.-ter--~ AP NO.:~- `~ B.M.C. BAKERSFIELD MUNICIPAL CODE N.F.P.A. NATIONAL FIRE PROTECTION `"" (Signature) ~ ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE u~ rcer-rteu White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (R@V. 09/05) HAZARDOUS MA"['ERIALS MANAGEMENT PLAN - (UNIFIED PROGRAM CONSOLIDATED FORM) _ APPLlCA110N sovun~etioPezA~oROevrr~ca~rioNr~nn (HAZARDOUS MATERIALS FACILITY INFORMATION) B R A i. D ~~~~ r BAKERSFIELD FIRE DEPT.52005 Prevention Services uEC 1 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301. Tel.: (661) 326-3979 ~!~ Fax: (661) 852-2171 U i Panes 1 of ~ _~ ~ ~ n.l n v FD 2142 (Rev. 09/05) HAZARDOUS MATERIALS MANAGEMENT PLAN ~~ UNIFIED PROGRAM CONSOLIDATED FORMS ~' » --~ _1L3 -P~ --- I~U~I CHEMICAL DESCRIPTION FORM ;~~ r HAZARDOUS MATERIALS INVENTORY (NEW ^ ADD ^ DELETE ^ REVISE 200 BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 (One lorm per material, per building, or area.} o....e~ ..~ o ..-. C 10 ' ng Business As) BUSINESS NAME (Same as FACILITY NAME or DB A - D oi 3 ` ~ , ~ c1 N ~E'.i~~ I t.t.t 119 C.,• . CHEMICAL LOCATION r^ p~ Q~I ~ (^'/'~ ` ('~, y~ p ~ ~ (~ ~(J v ~'(Vli 1.1 ~ { ~ 201 CHEMICAL LOCATION 20 CONFIDENTIAL (EPCRA) ^ Yes~N FACILITY ID No. 1 MAP No. (optional) 203 GRID NO. (optionaq 2 II CH AL I FORMATION - CHEMICAL NAME ~~/-O ~ i 205 TRADE SECRET ^ Yes ~o 2 COMMON NAM ~p l ~ 207 EHS• ^ Yes ~No 20 .~ O CAS No. q ~ 1 f1 209 •K EHS is "Yes; all amounts below must be in lbs /// . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 21 TYPE 211 21 CURIES 21 ~p PURE ^ m MIXTURE ^ w WASTE RADIOACTIVE: ^ Yes ~No PHYSICAL STATE ^ s SOLID ^ I LIQUID ~g GAS 214 LARGEST CONTAINER 21 ~~ ~ O FED HAZARD CATEGORIES FIRE ^ 2 REACTIVE '~3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH 21 (Check all that apply) . ANNUAL WASTE 217 MAXIMUM 218 DAILY AMOUNT AVERAGE DAILY AMOUNT 219 STATE WASTE CODE 22 AMOUNT ^ UNITS ~ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON SRE 222 ff EHS, amo n must be in lbs. 22 STORAGE CONTAINER (cnectc alt tnar apply) ~ ABOVEGROUNO.TANK ^ f CAN ^ k BOX ^' p TAN K WAGON ^ b UNDERGROUND TANK ^ g CARBOY 4 I CYLINDER ^ q RAIL CAR ^ c TANK INSIDE BUILDING ^ h SILO ^ d STEEL DRUM ^ i FIBER DRUM ^ n PLASTIC BOTTLE ^ e PLASTIC/NONMETALLIC DRUM ^ j BAG ^ o TOTE BIN STORAGE PRESSURE ~ a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 22 22 STORAGE TEMPERATURE ~ a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC . :~%VNT ""`=<. :, HAZARDOUS COMPONENT °'EHS : ` ' CAS # - 1 ~~~(~ 226 1 227 ^ Yes C No 228 y- ~~ 22 2 230 231 ^ Yes ^ No 232 23 3 234 235 ^ Yes ^ No 236 23 4 238 239 ^ Yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 24 ~III:SIGNATURE - PRINT NAME 8 TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE ATE 2 FD 2144 (Rev. 09105) ... ~-... ., ~ , ~~AST SAS - ~ BAKEAStaIEL.I~ #27'6Q ~~ ' 1 X428 ENDES ST ~ ' E3AifFR;SFi>-:t_E~ CA 9338 Section„_;I ~ ' gf ATE•K1A'<., SAFETY DATA SHEET I Supplier's Nam~r:!. `~-_. ~ ~ `r ! _ ~ °s ~ Phone Number: !! _ -- Address: ---~~ l~ ~ ~' ~? /1 t~ Es~ 5 ~'- L.-' Y`~ ~ V` ~ _~ ___-_~~ Q 4 - Chemical Name. ~.fQUEFII=D PETROLEUM GAS or FROPAN)~ F«rmula: C~Ho CAS Registry 1`ioj : 74-98-b Chemical 1/amily: 1-iydrecarbon WARNING: D~t Eger! Extremely flalztmable. Co~r,press- ed Gas Ash ' ~ t in hi h concentrations. Contact with HEALTtt FIRS HazaRO "-" ~tAZaao liquid causes bur s si.mll2u to frost bite, OSHA perm.issi- ,~ e~ bie txp_bsure 1i !it (PEL) 10()0 pprr~ for an 8-hour ~~yrk- day. iu 7 ~ '-' REAGTlYlTY u Appearance an~l ~3dor: Yapgr and liquid are colorless. - - --- -- Product contai ~s.~an odorant (unpleasant odor). a --, s:v®ra ~CtlOrl )(Y pi I Hazardous Mi itpres: 3 -.- S~rlous " ~ - Atsuierats HAZARDOUS INGREDIENTS Air uth 2.15 tp_ 9.60 percent propane Section III 'i PHYSICAL 1DATA 1 ~-. $ligh! 4 -~-Minimal Boiling Point: ' -44°F Vapor Pressure (PSIG} at 100°l+: _ 20S Specific Gravit ~ ~EIoO = l ): _0.51 Percent, Volatile by Volume (%a): _100 Vapor Density a r = 1): 1.52_ Evaporation rate: Gas at normal ambient Scrtubility in W ~t~r: Slsghtly ~ temperatures Section IV li 1±1RE AND EXPI,O5ION HAZARD DATA I~lash Paint: •"- 156 Classititatian: Flanlrnable Gas UN 1075 Flammable Lirn tit - LFL; 2.15 UFI.: 9.60 Extinguishing Media: Water sprayClass A-B-C or ~C fire extinguisher. Spteial Firt Figl~t~ng Procedures: Step flow of gas. Use water to keel ire exposed containers cool. Use water spray to disperse unignita.tl sas or va or. if i ninon has accurrect a,nd no water available, tank metal may weaken from overheatintr. Evitciuate area. ]f ~a5 has not ignited, LP-gas lictuid or vapor may be disaerscd by water snraY or flooding. Decarnposition ~?iroducts under Fira Conditions: Fumes, smoke, carbon monoxide, aldehydes and other decomposi- tion products, i~: the case of incomplete combustion or -vhen used as an engine fuel. ~.... "EMPTY" Cor~t~iner Warning: "Empty" containers retain residue ;liquid and/or vapor} and can be dangerous. DO NOT PRESSUF~.1~.E, GC3T, WELD, BRAZE, SOLDER, DRILL, CIRIND UR EXPOSE SUCI-I CONTAINERS TC'] ttl~lil,~t't..AlVtliu;~h'.~1.K1C_J _VK vl non ~~.,uK~.r.~ lJx Ac.~tv.t i i~.riV; f n~X tViA7 ~xY JURYOR DEA'C,'H. Ao not attempt ro clean since residue is diff;culi to remove. All contairl~ an tnvironment ~l safe manner and in accordance with governmental rcguiations. 5ectlan Y I HEALTH IHAZAR~ ~, tJSHA P.E.L.: ~PP1'ug ftCGiH 7L.V: 1000 FPM Effects of Overexposure: Inhalation - symptoms rangii„a ! fry cam diaziness to anesthesia and respiratory arrest. Eyes -moderate irri Aid prccedures:al>thalaharl -remove tt~ fresh air. Gua~nst sel injury. Apply arts lcial slapped. I ntrations can lead to . Emergency & First ~tion if breathing has Stable• X Incompatit kl~ardaus Section '~I Steps to be ~'entildte tl ofof tt~ssue cc, ~StE DISC Unstable: _ Hazardous 17erc~mposition Products: None (materials to as-aid}: Ivlixina with oxygen or air, except at butnCE rmerizatit7t3: play taccur it not occur ~ ___•_ SPILL oR LEAiRC FROCEl~L~1~ES in case material is released: Keep public away. Shut off supply of gas. Eliminate sottrces of ignition. ea. Disoersr H'ith ~~'ater spray. Contact between skirt ancTthese gases in liquid farm tan cau3e frecztn~ ury similar to thermal burn. hod: C:c~ntrolied burntnT ~.~UntaCt sttppliei. SFECI.AL FROTEGTION i1~1F17t1L"viA'TIUN fiesplrator'I )yroteetion: Stay out of gas ~~r vapor (because of fire hazar_d). 'VKntilatian: Explosion-ftrot~f rnntc~rs and keep sonrr ~~' ignition at safe~c istances. Fersarta~rotective ~utpment and Apparel: Cilo+rer res,stant to :he a~ctte~ns of LP-gas _~ggles for protet'tiort against accidentiai release ti~f pre5sttriz:.ci prvduets~ Section IX~ SPEC}AL P?~lE~CAU'~'tt~N~ be taken tvhesl handling and storing: F~eep containers away from heat sottrces and store in upright :iners should not be droppers. Keep container valve ~lose~c -when-- not__n us_e_. tJther Precau tort: Instal! and_ plug container service valve. ~h~hert not connected for_use~ Seeclon x N Tf1X}COLOC}cAL IN)f'at~MAxION .~_ ~~ - OSHA tL cl4nogen Classifi~atic~n (29 (::t=R 1910) Nat Ii:~ted/applicable X U.S. Dep .tt!-tent of I-Iea,lth (21 ~:FFt 1g4.1~55}: Generally re.ognixad as safe (GRAS) as a direct httm__an fovd iagr~- dient ltihe used as a propellant, aerating agent and gas as defined in Season 170.3(0)(25).' Section X}~ ~ DOT ~.AB>~'I..Ii`~iG_TNI OI~MA~'ION (~9 CPR. IOt)-199) Proper shi lpin$ name: ~.iquefied F'etroleurn C~a.s Identifitation No,: UPS 1075 I-Ta~:.atdous~C~lassification: Fiarittt~abl.e Gas~~a- Label(s) Required: ~antrrtable_Gas -- Section XI~:: ISStJ1F. }N)FUIL44AT}OI~t Issue Dateiti ~ ~~ __ This material; safety data sheet and the informatian it contains is c~:fered to ya:t in good faith aS accurate. This $up- pTicr does r~a~ manufacture il`sis product but is a supplier of the product independzntly m~anYufarturecl by others. Much u#'th-e info~rtKation cantairied in this data sheet was rcr.~ived from sources outside ottr Cnrnpany. T'o the best of our kno«•ied¢e~:hlis information is accurate, but this Supplier does not guarantee its accuracy or completeness. Health and safety° prtc .t;`¢;ions in this data sheet nay not be adequate ft~r all ind'sv'tduals and/nr situations. It is the tlscr's oblige-• tion to e~`a~u~ie and USe tills product safely, comply with all applicable laws and rtgtdations anti t.cs assume the risks inyole~td in t!lie use of this product. NO ~V.~R)r~t~NTY UR b1EFtG}-IANTABILITY, FITNESS PCaR ANY 1'AFtT1C'ULAR. PURPI,~iES, (~R ANY UTHEIt 11~~RRANTY IS >/XFRFSSEL'~ 4I~ IS 7"O BE IMPI~IED Rl~GA~T}INC TI-IE ACCURACY OR Cta?~T- PLIT>r:\ ''~~S G>" 7'H1S INFOI2RiATiC)N, i HE R~SL1I.'T'S TC,'i BE O}3TAINED }'ROh9 TI-IE USE OFT}~IIS II'~1- Ft)RA4.~T~lCI?N OR ~l'HE PROrJUCT, THE SAFE7~' t7F' T~-lIS PRODUC T, OK ThIE HAZAI't:C)5 RELA'1°EI3 7'O lrs I.1s~. a (HMMP) ~~' ~ ~'~ HAZARDOUS MATERIALS MANAGEMENT PLAN B $ ~s r~ __4 UNIFIED PROGRAM CONSOLIDATED FORMS ;.~ ~trr r CHEMICAL DESCRIPTION FORM `~ HAZARDOUS MATERIALS INVENTORY NEW ^ ADD ^ DELETE ^ REVISE 200 BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 (One form per material, per building, or area.) Pnnn~ of 7 C O iness As} BUSINE (Sa me ea FACII.f(Y or DBA - D Oi ng Bu s (` t C ~ ~N~ ~ I~l..-. CHEMICAL LOCATION ~ r 201 CHEMICAL LOCATION CONFIDENTU-L (EPCRA) 20 ^ Ye;{~ N ~ ~_ O ~ ~~ ~ Iv , FACILITY ID No. 1 MAP No. (optaneq 203 GRtD NO. (oprionaq 2 IL CH L I O CHEMICAL NAME 205 2 i ~ ~ y'~~~ I.JL.i - 1 TRADE SECRET ^ Yes No COMMON NAME ~ r 1 207 EHS' ^ Yes No ~ ~ ~ ~ ` 20 CAS No. 2~ ~ ~ ~O` ~ in ibsS is'Yes: all amounts below must be _ FIRE CODE HAZARD CLASSES (Complete if requested by lopl fire t•ItieT) 21 TYPE RE T 211 RADIOACTNE: ^ Yes ~No 21 CURIES 21 PURE O m MIXTU ^ w WAS E LARGEST CONTAINER 27 PHYSICAL STATE ^ s SOLID O I LIQUID ~g GAS 214 FED HAZARD CATEGORIES ~1 FIRE ^ 2 REACTIVE ~3 PRESSURE RELEASE ^ 4 ACUTE HEALTH 3 5 CHRONIC, HEALTH 21 (Ct~edc afl that aPWy) ANNUAL WASTE 217 MAXIMUM Y18 AVERAGE 219 STATE WASTE 22 AMOUNT DAILY AMOUNT DAILY AMOUNT CODE 221 222 ^ UNITS ^ ga GAL ' ,/ 1d d CU FT ^ Ib LBS ^ to TONS DAYS ON S(iE N EHS, amount must be in Ibs. 22 STORAGE CONTAINER ^ k BOX ^~ p TANK WAGON (cnecrr an rner appry~ ^ a ABOVEGROUND TANK ^ i CAN ^ b UNDERGROUND TANK ^ g CARBOY ~ CYLINDER O q RAIL CAR ^ c TANK MSIOE BUILDING ^ h SILO ^ d STEEL DRUM D i FIBFUt DRUM ^ n PLASTIC BOTTLE ^ e PLASTiC/NONNIEfALUC DRUM ^ j BAG ^ o TOTE SIN STORAGE PRESSURE~~' a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 22 STORAGE TEMPERATURE ~ a AMBIENT ^ ae ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 22 %WT HAZARDOUS COMPONENT EHS CAS # ,qq 226 227 ^ Yea o 228 ~- 22 2 230 231 ^ Yea O No 232 23 3 234 235 ^ Yes ^ No 236 23 4 238 239 ^ Yes ^ No 240 241 5 242 243 ^ Yes O No 244 24 _. IIL SIGNATURE ;:. PRINT NAME 8 TITLE OF Al1THORvFn COMPANY RFPRESENTATNE SIGNATURE DA 24 FD 2144 (Rev. 09105) ,bl.+l TE~IAL SAFE7Y ~ TA S~MEET ~~ ~~c~pU~l' Nl~ M-.i~:~~ +~"~- ,~» 1- iCh~~r1~Ca1 P~-duc# end Cotnparoy Id~ntlfl~a#I~n B4C Gasee, 1liYii~on of The B()C Glroup, lac, 5'}5 Mauintuiu A~euue ll~iutirmy Hill, NJ' U79t74 BOC Gawes Ulr~islatn of 1300 Caiaada Linoated 5~7:~ ~al~ewrne Street,lTnit 2 Me~'si~uga, Ontaria L5R 3V4'+5 TEIJE~I'l~4NE N~3MB1F~t: (908) 444.5 IOU 7.4.1i4U$ F~IF.Ik~>~.1VCY"Y~.E1PffCUNE NUMB1~:Re ~i>~nn'rREC (Sb0) 424-9346 TEr.>/>:eoz~~ N~~~: (cos) sal-1~oci Zq-$OUR ~'vf1~.it~',~ri1CY TELF.I'1H4;-NE NUMBER: (~05) sa 1-Q8a2 ~GF.NCY ~'SP®NS]E PL.A1+1 NU: 2U1a1 ~ltdrirJC1[' NAMES HELIUM, GAS C[~;NCYCAC. NAIVIE: Helium CG11~M~N N~.S~lSYNO.NYMfS: Helium; Helium, campt~steci; ~lelium~-d '! lsC (Canada) CE~SII~HGATIGN; 2.2 W1IM.TS C1.ASSIFIGATg€1N: A l"REPaREI~ BY: Coss Cpntrol(9pR~54-81.UO1(905)501-1700 I'H]:P'A>bt.4TI~1Y iD,a~c~: 6tll95 R,E4ZEW DATM:S: 6/7196 2'. ~ompas~i~~n, Irafarrnailon oat iregretl#ents 1N1C~>~top~lT Ys VliL.tllflt" REL•OSt~kA Tl_h!•ACaC3fH It6'~so ~' Lieu Rau-eit s~ie 4e6ium 88885 to Simple Psphyxiant $Impla Asphyxiarn fiat Available FORMIII~: Me 88.8888 CASa 7440.58-7 aTECS ~: MM652('t000 ____~ ` Aa stata~d in 29 GFR 1910, 5uhpant Z (rovierd ,fuly 1, 1993) 2 .1s statod in the .~-~ 1994-95 Thcrxhald Limit V> for Chcmiral Subataiacc~ aad Physical Agcnls ~. Fls~alyds Id~erttlflC~#~on airnpl~ pFi~xiant • 1"hi~ pt+~ducr dp~s nat'~ri~,ln axygeri ar~d ~y cause aaphvxEa ~~ rei~~~ed. in'a .. ~~fl'~li"IB~I. ~P~. M~i:ntalft az~,~en ie~als.,~,ctfe 1$;5'O~o; 1!~OCIfiIEIOlIRlatll6. MSDS: G-5 1~eviserd: 6176 Pa,~e 1 tJf 4 Lit ~~t'd dt'3rJ ~ tiHJ ~,l7~3W L~~8~3~8~Z99 t~9~Tt '_: i3©~,r~h~%T; PF~OR.U~'1" P;I~AA~ °6°I~EI.II.ENI; "GA-~ _ . Skin ~ontat:t Skin Absatgtion ` Eye Cantact ~ inhalariozz f ingestion Yes NU ~___ Yes YeS ~ _ _ 1~"Q oast ~e~a u~r~rrrC. __._ 'Exposure T,imits ~ --- __.. irritant T St'atsitlt~tian Nn I Teratagen ~ Na Reproductive Hazard ~ i ~ ~a._ - ~uzagen No ~ Na ~_ Y tda SyrrCr'$i~Slil: EPCeCtS NO11C re~tYrtetl _ _-__ ,. ~'+ucinogetritity: -- N`1'k'; Nu IA1tC: No OSHA: Na No adverse efft:c:t3 anticipated. 51f~T1V EY~ECTS: Na adverse e~c~ anticipated. 1NGES'1'i~N fi~'I~ECTS: No adverse effects anticipated.. A~i'AI,ATlO1V 1~IM + ~ CTS; i'roduct is a non-taxis simple bsptryxiant. 1/~ects of oxygen def"icicne:y resuidng trom simple asphyxiants .may include: rapid breathing, diminished mental alertness, impairv~i muscular coordiAation, faulry judgement, depressiott of al! settsations, emcttiunal instability, and fatigue. AS asphyxiation prcrgtosses, nausea, varniting, prostratioar, and loss oPCOnsciousuess may result, evd'utu&]ly leading co convulrians, cc~zux, aad death... Oxygen deficiency during pr+;gnaasccy has pmducsd developmental abnor~aralitus ~ liu and expertn~nta! animals. NF`PA IlLL4lAlti? CQ~IES HGAl[h: 0 Flammability: 0 itaaciivity: 4 4. Flrst W-Id 110~t~ur~s ~iIVILS k~AiGAR.I) C41D~5 $AT>[NOS SY. S'1'1<.M Ilea-th; d Q = No C~iaattrd Flammability: Q 1 = Slight Haxxrd Reactivity: 0 2 =Moderate Haratd 3 = Seriatrs xazacd 4 ~ Severe Hazard EY~~o NrV$r introduce oii?.L'III2lIt nr oil iriW the eyes aifhout aat;d.iCdi advice! If pain is preseitl, refer the victi~r w an ol>ttthafnralogist for treatment and fallow up. RiISJ[DS: G-~ .~irvtisede fil71~ l?dge 2 +3f +5 ~~~ ~Jdr~ ~~~ ~ j~~ S ~~1~~ i~~Gi~I~ClF Ly`j ro'_s ~ [T S~~' ~~Fi~ ~ TT PR~9UtJ~T I+JA~A~:. FlEl;.t~SVI, ~A~ SKIM; Nn adverse e~cects anticipauxi. tN41ES'I'1~11~i: Ingestion is not artticipat,Gd. YIVHAL,~1"pIQN; PRaMfr.C 14~'sIC:AL. A'i°tl?Pd1'!t]N' IS 1V1AN1.~ATfJRY IN ALI.. CA52":5 UI; OVEItF.KI'13SURE. RESCUE. AERS()NNP..L SH017LCA $E EQW'FF.T~ iYTTH S~ll^•C[3NTAlNBT:7 Ijl?EATHING APPARATUS. Vi~,titvr; shauW he $ssisted to en uncontalxun$!ed area at~d inhale isesh ail. Quick tetl3Uval nom the contaminated. area is most important. ~:;nconSCiUtts pCrS4ttS Should be moved t~o an uncontaminated area, aYl(3 if brearhi~g has stopped, administer artlfncfal rtsuscii3tion aw3 snpplernental oxygen. Furtl~r treatment should tie symptotnatic and ettppordvts. 5. 1=1P~ Fightlin~ It~B~~uw'~~ Conditionscu'Flammaixili lYontlasruDSble Fl&sh paint- 1WIOife LYlelhod: Autoi~nitian ~Ncal A liCable ~erla urea None -- 1~.(9kj: Morse ~ UE1..(96: None l~lalardous combustitm products: Nome 15en3itiyity Gq m,eC~a,ttical tilsock,: None _~.__._..~____._... _~.___.--- _ 1_Sen&itivitY in static dischar ge: Norjt _i_ - _ _ _ l~ Y!2>E ANri IEXl'`1L~SIUN HA'~'A.RIDS: Mont:.. Nc.'~ullauu~able I~CTI1aiGUISIk[J1YC lOrI1~:YlU1: None required. l'7se as appropri~ fcx' surrounding ragteri~. ~i. A~cid~-ntal Rela~s~ Mla~~l~r Evacuate all persanncl from affectEd area. U'se appropriate pr~~tective equiptuent. if leak is in container or contrtl~Cr valve, contact tree: appropriate Gm:rrenr:y telephone number listed in Section i or cal! your GLOSE5t BCI+C lrx:ation. T. H+~fldllr~g ~itd ~tor~ge E1+sctrica,Y classiticattia~i: t+lon-htuarduw. This gas rxuxtut+k; is noncorrosive at~i raxy be used wills all conymon structural trtaterlals. Use only in .welt-vc~tilrtted ansas. Valve protection caps must reruaiui in plA~~: unless container is securrx! wl tla va.ive protection outlCt piped to use point. 1.'70 .oat drag, Slide nr roll Cylinders. Ua~e a suitable lYarid tr'uCl~ i'cr cylinder tnovernent. Use a pressure redu~.ing regulator when Cs~nne<,ting cylinder to lowea' pre3suxe (a3CiC~G pssgj piping vx Sygteams. 17o not beat cylinder by any craears to increase the ciischnr~ge rate of product from. the cylinder. Use a ehet:k valve, or trap In the ;~.isChar'ge line to prevent hszarrious bacir flow into the cylinder. M3D$: C'i-5 Revisal; 6/7f9o Page :~ of 6 E:0 ~J'~d d47~C) 6 S'ti'~'i S,4"13bi 1.0$91_8~'Z99 ~3!=:TT ~~~'G,`E'ELT RRQl~U~T .~: MI.,1~1M~ f~AS Praiser Cylipders from physical ciar~•tge, Store in coal, dry, well-r~:itilated area. of uon-carnbu3tible CottstruCtion away froth heavily trafficked areas acid. enu~geaL•y taXit3. AO nOt allow the cern:peraLlue where cylinciexs are stored to exceed 125 °l' (52 °Cj. Cylinders Should be stored upright and futea':y accrued to prevent i"aflzng or being knc~elrcrl ovt~. Use a "first in-first out°' inventory system to pro~~nt Pull cylinders being stcued ftar excessive periods of time. i"or additioaxl t'txoaprr~tldatiops, Consult Compres3erl Cos AsrioCiBliou Pamphlets ;'-1, 1~-14, l~-9, and Safet,~ Bulletin 58-2. Never carry a compressed gas cylinder or S container aP a gas in cryogenic liquid form In an enclosed space, such as a car trunl~ van or staticln wagon: A leak can. result in a t1re, explosion, asphyxiation ar a toxic exposure, 8. Expt~ura ~ontl oi~, Perston~i Pro~t~~tdol~ 1i:X'I-U5!<l~ 1L1A~flTB': ' 11!tRIFR>w~it 961dt}LkJIIiE i"lI~tC1~NA TL1l^ACd3ii 4~0, tx . Fi ted~ Helium 99.996 to Simple AtphKzlant S;Tpfe Aaphyxi8tst Not A1v2:ilapls FgRRAiJUt: He 99.8888 cis: ~aaa~•ss-~ tt~tECS v; lMl~sszonoo Rcfes w individual grate nCptavinciat regulutioaa, as uppti~:inle, For limits whk~h maybe tn~~n sffingrn~ drnn thoso tiaWd hoc. " As stated in 29 CFIt 1914, Sublrut Z (revised July 1,1993) a E1x atatecl is dbe ACdlft 7944-1395 'ItrcosLold l.ip-is V'aluee Ferc Chemical Substrates and l'h3•sical Agents. ~LJ\~.iaF~F/FNI~/~4~Ci ~~i1rlY~lJLai Local exhaust to pr~evetlt acCtuttulxtian of high COricesltratioas so as to reduce [hC trxygEn li;'vel in the air to less than 19:55ro. El~l?!FA(~!: klti3"l7CC°1CION: Saxery goggles or glasses SS appropriate for the job. Sl~fil PItQTECTI~N: Protective glovers at materlat appropriate for the job. it]ESd'IIIA-TWZY ]PI~CQT)IJCTION: Positive pressure air lino with Pull-face mask and escape battle or selt'-r.Ontained breaUling apparatus should be availrible far etllergcncy use• UTHEEIGI.PTERA6: PltU'1`ECTIOIN: S8t'ety Shoes or other footwear as appropriate for the jab. MS1IS: G-5 Revised: G17196 Page ~ of 6 bC4 39'S`d ~'1}%~7 c Si~+rJ S,D~3l~! L~~9Li'~TS~.t SS~T.T ~~9~ /E:~~'L' ~R'Ft!~IC~iJ'~T`'NA~M~:; H~LI~IR.M~ ~aA~ 9. Phy~ic;a1 end Cherrlit;~i Properties _I'~'CER ~IAI.iJE I.-1r1TI'S il'hysalcal stye {gas, liquid, salld) .Gas __V~ Vapor pressure :Not Available Vapor dtnsity (Air =1 j :(1,14 {~rasj E?vagoration point :Not Available Iiotling paint :-452.1 °P -26$.9 ~C 1:fCCZln~° 'p~Ultll : lV'Ot AVailabie Not Available pN : Nqi Applicable Specific gravity :Not Available QiUwater partition CoefAcient :Not Available Solubility (H2U) :Negligible C_ldnr threshold Nol Applicable Odor and appearance :Colorless, udoriw~ gas ~ a. Stability a+ntl 9Ree+cliivlty STABtII.ITY: Stable dIVC'KDMI°AT1lIiE.~ 1k9AtAli,S: None HAT.ARBJQUS 1P0)r.Y''11'1[)~R)E7~A"!'ION. D4CS nOt tk:CUr, 11. T®~Iscologlct~l in#orrnetlon Oxygen deficiencl+ duaing pre~nsncp has produced deVelnpmental abnormalitie$ in hums and experitl~rifal animals. Na d&ia givdn erg thB gBgistry of Tbni.C F1YeCt5 0~ OhemiCaf Sub5tancc;s (R'!'F.GS) ter Smx, Dau~raus Properties or Tndus;rial lyutrcialg, 7th ed. 12. Ecolo~icellraforrr~ation Iva data given, ~~. D(eposaal Consleleretione Do rwt attcmpl to dispose aF n:~idunl wade or unused quantities.. Return in thr shipping, container !'IZOP~CiLY LABELED, WI'T'H ANY VALVE pT-l'IZ.ET FLfJ~sS OR CAPS S~C[]RED AND VALVE FR4) } ACTION C:AIE' IN FLA(~,C <<~ BBC Gases or authariced distributor ,for proper dispt-sal. MSDS: G-5 Revised: 6C7nJ5 Pa,t;C 5 c}P 6 ~~i ~r'tid ~L~~I ~' cyr~ 5,0~3t'J L~93~89Z99 89~ZZ 5~~i7l6~,iL' ~P~i~~AR.1~~"i~".1-~A9ti~f~: M1~l;i~;l~~ f3AS. 7 ~b. ~'ra~n~porl Informatlor~ 1 ~. Regc~l~tory Information SAAtre T11"~.+' IA3 iVCd'I'iFICATiCtiNS AND ~'D'itM-~TIC11V S~4~i,!~ 1'A1'[.~ IDl1- IEXA~Aidll CLr4SSJE5: Sudan Reles.~e ~~f Pressure I~;aaarti i fir. 4~th~r I~nforng~tion C'cugpresseci gas cylinders shall not be nsfii7ul withaut the express wtitte~ pemnissiun or the owner. ShipzuGtu of Gampres~d gas cy~iinder which has not been ~lletl tay ttae ortmer or with his!'ber (written) i0tk4~at is a violrtlon of traiASpfJrtntion regal&tign3, )ralSC;f..~il~[>N:R OI' ERP1CilE5~~:D ANl! iMI'l.1E~17 W ~.iiRA~1VTIE5: .Al-3aougb rt;~onabie care has been teken in the prepsrataon ai" this documexat, we extend na warrttnde5 and rBSke: na repres+e~gt~atiaras as to rile avcurac~~ or caYnpleteness of th+e infarau3tio4 contsirted hereiA, and assume na respaasibility regar3iag the suitability of Ibis .iutormaiion for the user's iaten~oed pzu'poses ar for the catsw.quences OP its tug. ~acL individual shotsid tnalce a +~1~'gniaatian as to tlx: s~~itability of the ia~for~ation for their pa~ti.~-ular pugx~se(s). M6DS: G-S Devised: 6J~`K.~6 Page 6 eL 6 9~9 ~~ad d~~~ ~ SC~J S,O~l3W ~E~SSL8r Z99 29 ~LT ~C17~,`E~~,;~T' (HMMP) q ' HAZARDOUS MATERIALS MANAGEMENT PLAN -= APPLICATION A~ ~iR~ FOR SECTION DISCOVERY AND `~`.~ ARTAI T ,u NOTIFICATION (FORMS) ~~~ INSTRUCTIONS 1. To avoid further action, return this form within 30 days of receipt. 2. TYPE/PRINT ANSWERS iN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as ssible. BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of ~ `~ SECTION I FACILITY IDENTIFICATION ;, "" ~ h ,~„ ~ : ~ BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) C1 ADDRESS (For local use only) a ~o°- ~ ~-~ gru~da FACILITY ID NO. *'~ x..• ~'~: ~ i s. ~ .F -..,~ ~ ~ h d '.5 t k ~ e -s' ~z-_ _ ': SECTION II 1 rDISCOVERY'AND NOTIFICATIONS ~ ~ ~ " f .:M~, a Fz f •4 .. .. n .. .~.. ".. r... .t.- ..a ~ .v .4 . ti .. r f 7 ,..~ r h r....~~.. ~ .. r., t. .. a.~ L.t ~.. A LEAK DETECTION AND MONITORING PROCEDURES: Nor~~ B. EMPLOYEE AND AGENCY NOTIFICATION: C. ENVIRONMENTAL RESPONSE MANAGEMENT: ~V ~ i' rV I ~./~.~I ~ . D. EMERGENCY MEDIC A L P LA N A,, ~ (~ ~ ~ ~{~ (~' ( ~ / ~ ' ;SECTION II 2 ',RELEASE RESPONSE PLAN _ - - A HA7JIRD ASSESMENT AND PREVENTION MEASURES: .-ra~Ks ~cvur~cl ~~ pl~~ B. RELEASE CONTAINMENT AND/OR MITIGATION: 1~'~ C. CLEAN-UP AND RECOVERY PROCEDURES: NIA FD 2169 (Rev. os/os) Page 2 of 2 :F ",414 '`'N f'b - Y S '~# " CGj 14`I~+'1 { V'.GN .i ~-,>. ii.X.vW fe;~T,K ;.. fd ~^'~~`~ 1 '~,.'p, Y'r 3r1! I~ ~ .7.P b p i ,r, i n ~; 3 c .i M1~ - `§ do ~ 7~-~Y 1 ~.. M Y j; 9r z~. ~..~ ~ ~.~ ~ ~~ ; ~~ ~`~~~ ~ ~` -C4[~ ~ ~ ~SP N$E=PLA~1 ~EC~i~N 11~ ~P R~L~ASE~ a '~ ° a n,~ ~ . ~ 4 ,, ^ ~µ ~ .~~ ~~ u ~- . r ~ , ~ ~ ~ ~~ ~'.-.,r.[kr"sk'V,. a_.a~:~;t" e~,S. y~ bz'~,~.~ ..s' ..,~,.a, i,w:-,a. ~. ..;t~,~ ~..:. su5.. .;r.a,.,. r. ~ .,a. .. {~ ~~r ~...s^,z. ~•f,~'.. .y-'. UTILf1Y SHUT-0FFS (LOCATION OF SHUT-0FFS AT YOUR FAC{LITY) 'r ~ ( '/ , e ` ~ O~ '~ ~ N N~ ~~~ ~~~ O NATURALGASlPROPANE: 1 I~J I Wl ELECTRICAL: 1 ~ ~ C ~ ~ ~ ~ O t~ i ~ .l~Yl.~ i V WATER: V ! ~ SPECIAL: PRNATE FIRE PROTECTIONNVATER AVAILABILITY: A PRNATE FIRE PROTECTION: CAN ~~te ~pr~ ~~~ers w ~ a,4c~m ~ys~-e~.. ~i V~ e~~ ~,u,~ ~~ la~sa~ ~ ~ ~~ Uu~ehOu~ C~E'~8. B. WATER AVAILABILITY (FIRE HYDRANT): ~ Qom' 1~.1~5-~ ~~~1.~,t1~1NC~ 1d' xr .., v~ a a ~ - rrr t ~ re.^sr F .rap n s'. w t : & a ~ a ~. r ~.~~ fL, 'k Aj ~„ 4. ".,y 1 tJ/ S ~ (x'9 S T~ ~ yKe4 t~,'.', Y 5 ;~' ~ ~ ~ ~` SECTIO`N'Itl TRAINING ` 4 k q `r ~ `~ ~' t s ~ ~ s.; r . r ;. ~ ~,~ *v, ~,~; ~ ~x _ `: *+, ~„Yb't,~, P !~i'_ . ~ . `;l § ~`(- } ui.:~~*.. ~ Arse .~ ~~ . Y :af.°Y i~ ~ri.....J r~~ ~. i NUMBER OF EMPLOYEES: '~ MATERIAL SAFETY DATA SHEETS ON FILE: BRIEF SUMMARY OF TRAINING PROGRAM: \,~1 C ~d Q ~~-{~ 1~~1 N Cf l ~`I~Y (v~,p Nth . \r~1 e. C-yC'_-~ ~T~(p~.~ N t ~S ~ ~Yb~Ni ~ Oc~S-~ ~IQS ~\I ~X~ j ~ie0.J~ ~ ~ propa~~ ~~-~ , . r.,~; ~:., r ~i~„~ h, ~CERTzCF~lCATfO,~N ~ ~ __ _ _ Based on my inquiry of those individuals responsible for obtaining the information, 1 certify under penalty of law that 1 have personally examined and am familiar with the informatio bmitted and believe the information is true, accurate, and complete. SIG OF OWNE / OP R O ED REPRESENTATIVE 477 DATE (~ ~"~ .~ ~ ME OF SIGN ER (print) 478 479 TITL OF SIG NE E R p ~ ~.0-V ~Ol b~.c/ p ~ ~ ( / '~ V JV ~.,1 FD 2169 (Rev. oslos) (HMMP) HAZARDOUS MATERIALS MANAGEMENT PLAN tuN>Fleo ~ocRAM cor~souDATm r-a~l) BUSINESS ACTIVITIES PAGE (HAZARDOUS MATERIALS FACILITY INFORMATION) B H R ~P i A F/RL ARfM/ f '~- BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Suite 210. Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 1 1. FACIUTY;IDENTIFICATION FACILITY ID # (For Office use only -please leave blank) 3 EPA ID # DBA / FAC{LITY AM,E l t n ~ . ~ IL: ACTMTIES DECLARATION DOES Your Facility ... If Yes, Please Complete ... 12 A. HAZARDOUS MATERIALS • CHEMICAL DESCRIPTION FORM 13 1. Have on site (for any purpose) hazardous es ^ No • HAZARDOUS MATERIALS MANAGEMENT PLAN materials at or above 55 gallons for liquids, Mini mum required olanninp_elements: 500 pounds for solids, or 200 cu. ft. for 'Yes ^ No • • Emergency Response Plan Maps compressed gases (include liquids in ASTs and ~ Training USTs)? • Prevention B. 1. REGULATED SUBSTANCES IRS) Have on site RS at greater than the threshold ^ Yes ~No • CHEMICAL DESCRIPTION FORM 131 planning quantities established by the Calffornia RISK MANAGEMENT PLAN (RMP Submit to USEPA) Accidental Release Prevention program ~ CONSOLIDATED COMPLIANCE PLAN (CaIARP)? Incorporating CatARP Program Elements C. UNDERGROUND STORAGE TANKS fUSTsI 13 1. Own or operate Underground Storage Tanks? ^ Yes ~Jo . UST FACILITY FORM • UST TANK FORM (One Per Tank) 2. Intend to upgrade existing or install new USTs? ^ Yes No • UST FACILITY FORM 13 • UST TANK FORM (One Per Tank) • UST IN TALLATI N F RM ne P r T nk D. 2. TANK CLOSURE f REMOVAL Need to report closing an UST that (~(¢ hazardous. O Yes I~1CjJo • UST TANK FORM (Closure section -one per tank) materials or 3. Need to report the closure /removal of a tank that ^ Yes No UST TANK CLOSURE FORM was classified as hazardous waste and cleaned on- site? E. e,BOVEGROUND PETROLEUM STORAGE TANKS (ASTs) ^ Yes ~~)do • HAZARDOUS MATERIALS MANAGEMENT PLAN 1. Own or operate ASTs above these thresholds; • Incorporating Federal Spill Prevention Control and any tank capacity is greater than 660 gallons or the Countermeasure (SPCC) Elements pursuant to 40 CFR Part 112. total capacity for the facility is greater than 1,320 F. _ HAZARDOUS WASTE ^ Yes ~(Vo • EPA ID NUMBER -Provide on this page To obtain EPA ID N mber l a hon 916 324 1781 1. Generate hazardous waste? , p - u e se p e ( ) 2. Recycle more than 100 kg/mo of recyclable ^ Yes No • RECYCLING FORM materials at the same location it was generated? 3. Recycle more than 100 kg/mo of recyclable ^ Yes No • RECYCLING FORM materials at an off-site location different from the point of generation? 4. Treat Hazardous Waste on site? ^ Yes o TP FACILITY FORM • TP UNIT FORM (One per unit) 5. Subject to Financial Assurance requirements? ^ Yes No • CERTIFICATION OF FINANCIAL ASSURANCE 6. Consolidate Hazardous Waste generated at a ^ Yes o • REMOTE WASTE'I CONSOLIDATION SITE NOTIFICATION FORM remote site? NOTE: If you checked YES to any part of Sections IIA - IIF above, then in addition to the forms requested above, please Submit BUSINESS OWNERlOPERATOR IDENTIFICATION FORM (FD2089) FD 2143 (Rev. 09(05) ~- . ~- (HMMP) ~'' HAZARDOUS MAYERIALS MANAGEMENT PLAN ;= .~ SITE & FACILITY DIAGRAM Page 2 of 2 BAKERSFIELD FIRE DEPT. Prevention Services a e-~~- n 900 Truxtun Ave., Suite 210 w~R! Bakersfield, CA 93301 ARTY T Tel.. (661) 326 3979 Fax: (661) 852-2171 SITE DIAGRAM FACILITY DIAGRAM Business Name: _~ D ~O ICI ~ _ ~~3~~.~_-----------____-- ----_-__-- Business Address: a ~c~,__~'~~-~-`~r~~Q~1~.~_._~ ? Z.~l.-~_~ ._-__-__--. - - O _ ----------- r' ~ Tt (~~ ~` :..~ ~"" j=c~ m~~i4b~ Z 1 ~ c~ i~ , c~ NORTH Please indicate direction of North FD 2170 (Rev. 09/05) ti + JORONCO RENTALS INC =___.~~.___________________________ SiteID: 015-021-003052 + Manager RON HOLBERT BusPhone: (661) 325-0855 Location: 2309 E BRUNDAGE LN A Map 102 CommHaz High City BAKERSFIELD Grid: 36D FacUnits: 1 AOV: CommCode: BFD STA 06 SIC Code: EPA Numb: DunnBrad: ----------- - ------------- ------------------------------------- Emergency Contact / 'Title Emergency Contact / Title RON HOLBERT / OWNER JOE HOLBERT / Business Phone: (661) 325-0855x Business Phone: (661) 325-0855x 24-Hour Phone (661) 80'9-1390x 24-Hour Phone (661) 809-1392x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: .Fire Press ImmHlth Contact RON HOLBERT Phone: (661) 325-0855x MailAddr: 2309 E BRUNDAGE LN A State: CA City BAKERSFIELD Zip 93307 Owner RON HOLBERT Phone: (661) 325-0855x Address 2309 E BRUNDAGE LN A State: CA City. BAKERSFIELD Zip 93307 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~ PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK Based on my inquiry of those individuals responsible for obtaining tha information, I certify under penalty of law that 1 have personally examined and am familiar with the information submitted and believe th information is true, accur , and compl Signature ate FNT~ ~ p~ .~ ~ 2006 -1- 03/09/2006