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HomeMy WebLinkAboutBUSINESS PLAN 11/4/2005i ~, ~;' j ~ DREYERS 7301 DISTRICT BLVD. UNIFIED PROGRAM INSPECTION CHECI(LIST _-..~ ..... ,,_ ~x~r;.xa~ ._,~.a~t arm,.,a.~.r<..~r^€<~..~.<.,-...,~...,~~K.-_._..:.-~.,~:x-..... .,..,.+.~'.-. ;, ,__.-...,~.:: r. --v _~at SECTION 1: Business Plan anc9 Inventory Program BAKERSFIELD FIRE DEPT Prevention Services . p pss 900 Truxtun Aye., Suite 210 ~rxrM ~ Bakersfield, G~ 9330~~jj 3979'Ft^- : (661) 326 Tel ~6 . . an Fax: (661) 872 2171 ,/ls FACILITY NAME 47 rt ~.~.. ~ NSPECTION DATE (I - ~-i _ c~ ~- INSP€CTION TIME i I ~~u ADDRESS _ ~73n ~ts-riZ.ic.~c BONE NO. ~y~'~'~o~ O OF EMPLOYEES l()-s~ FACILITY CONTACT ~~ ~ 6 it./~.-~ ~ ~ ~- - ~ ~ r~ ~m~ ~z _ USINESS ID NUMBER 15-021- I LL ~ ~~ Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION • C V (~=Compliance` OPERATION V=Violation / COMMENTS _ ___ -/ C~ ^ APPROPRIATE PERMIT ON HAND ^ BUSIr1eSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ~ // L ^ CORRECT OCCUPANCY J ~ / Lid ^ VERIFICATION OF INVENTORY MATERIALS I~ ^ VERIFICATION OF QUANTITIES L7 ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL IBS ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND P R OCEDURES - / Cg ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING (~ ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? YES ^ NO EXPLAIN: d [ rv' ~CA'v``~a-1~ 1.14 ~ 1~/~LE' QUESTIONS REGARDING THIS INSPE~~3CTION? PLEASE CALL US AT (B81) 326-3979 Inspector (Please Print) Fire Prevention / 1" In /Shift of Site/Station # Business Site/School Site Responsib a Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Capy FD2049 (Rav. 02/05) -._ ~ . . i. Kurt Hansen I Team Coordinator 661.398.3577 Ce11661.343.2219 7301 District Boulevard Bakersfield, California 93313 e-mail: kurt.hansen@dreyers.com ~: ~e .: ,Joan ~'VOCYner, nRM, CSP, REHS Operations Risk & Safety D7anager Direct 260.496.8914 Fait 260.482.4152 Cell 260.437.3824 3426 Wells Street Fort Wayne IN 46808 E-Dlail: jfwoerne~edys.com r • Dreyer's Grand Ice Cream, Inc. j Timothy R. Scott Continuous Improvement Manager -Supply Chain/GPS 510.450.4689 Cell 510.637.8536 Fax 510.450.4592 5929 College Avenue • Oakland, California 94618 ~; e-mail: trscott@dreyers.com (,i,,~^} o~~~~ ~`~~~ .,` %. ry~:. ~. r~.~ C ~ et~SJ ~~ ~ ~~ ~ ~, V ~J ~. 7904.2.8.1 7904.4.3.1 1. The tank vehicle's specific function is that of supplying fue~ to motor vehicle fuel tanks, 2. The dispensing line does not exceed 50 feet (15 240 mm) in length, 3. The dispensing nozzle is an approved type, 4. The dispensing hose is properly placed on the approved reel or in a compartment provided before the tank vehicle is moved, 5. Signs prohibiting smoking or open flame within 25 feet (7620 mm) of a tank vehicle or the point of refueling are promi- nently posted on the tank vehicle, 6. Electrical devices and wiring in areas where fuel dispensing is conducted aze in accordance with the Electrical Code, 7. Vapor-recovery systems aze provided in accordance with Section 5202.13, 8. Tank vehicle dispensing equipment is operated only by des- ignated personnel who are trained to handle and dispense motor fuels, and 9. Provisions aze made for controlling and mitigating unautho- rized discharges. _7.904.2.8.2 Location. Dispensing from tank vehicles shall be conducted at least 50 feet (15 240 mm) from structures or combus- tible storage. 7904.3 Well Drilling and Operating. 7904.3.1 General. Wells for oil and natural gas shall be drilled and operated in accordance with Section 7904.3. 7904.3.2 Location. 7904.3.2.1 Storage tanks and sources of ignition. Well heads shall not be located within 25 feet (7620 mm) of storage tanks or boilers, fined heaters, open-flame devices or other sources of igni- tion. Smoking is prohibited at wells or tank locations except as designated and in approved posted areas. EXCEPTION: Engines used in the drilling, production and serving of wells: 7904.3.2.2 Streets and railways. Wells shall not be drilled within 75 feet (22 860 mm) of any dedicated public street, high- way or neazest rail of an operating railway. 7904.3.2.3' Buildings. Wells shall not be drilled within 100 feet (30 480 mm) of buildings not necessary to the operation of the well. Wells shall not be drilled within 300 feet (91440 mm) of build- ings used as a place of assembly, institution or school. When wells are existing, buildings shall not be constructed within the distances set forth in Section 7904.3 for separation of wells and buildings. 7904.3.3 Waste Control. 7904.3.3.1 Discharge on a street or water channel. Liquids containing crude petroleum or its products shall not be discharged into or on streets, highways, drainage canals or ditches, storm drains, or flood-control channels: 7904.3.3.2 Discharge and combustible materials on ground. The surface of the ground under, azound or neaz wells, pumps, boilers, oil storage tanks or buildings shall be kept free of oil, waste oil, refuse or waste material. EXCEPTION: Material within an oil sump or tank. 7904.3.3.3 Clearing around wells and tanks. Land within 25 feet (7620 mm) of wells, flammable or combustible liquid 2001 CALIFORNIA FIRE CODE tanks, or other appurtenances to such wells shall be kept free of dry weeds, grass, rubbish or other combustible material at all times. When, in the opinion of the chief, the distance is not sufficient to provide reasonable fire safety, a greater distance may be required, not to exceed the height of a demck or greatest dimension of a tank. 7904.3.4 Sumps. 7904.3.4.1 Maximum width. Sumps or other basins for the retention of oil or petroleum products shall not exceed 12 feet (3658 mm) in width. 7904.3.4.2 Backtilling. Sumps or other basins for the retention of oi] or petroleum products larger than 6 feet by 6 feet by 6 feet (1829 mm by 1829 mm by 1829 mm) shall not be maintained lon- ger than 60 days after the cessation of drilling operations. 7904.3.4.3 Security. Sumps, diversion ditches and depressions used as sumps shall be securely fenced or covered. 7904.3.5 Prevention of blowouts. Adequate protection shall be provided to control and prevent the blowout of a well. Protection equipment shall meet federal, state and other applicable jurisdic- tion requirements. 7904.3.6 Storage tanks. Storage of flammable or combustible liquids in tanks shall be in accordance with Section 7902. Each oil storage tank or group of tanks shall have posted in a conspicuous place on or neaz such tank or tanks an approved sign with the name of the owner or operator, name or number of lease and the tele- phone number where a responsible person can be reached at any time. 7904.3.7 Soundproofing. Where soundproofing material is re- quired during field operations, such material shall be noncombus- tible. EXCEPTION: Fire-retazdant treated material may be used and maintained when approved. 7904.3.8 Signs. Well locations shall have posted in a conspicu- ousplace anapproved sign with the name of the owner or operator, name or number of the lease, and number of the well. Such signs shall be maintained on the premises from the time materials are delivered for drilling purposes until the well is abandoned. 7904.3.9 Field loading racks. Field loading racks shall be in ac- cordance with Section 7904.5. 7904.4 Bulk Plants or Terminals. 7904.4.1 General. Portions of properties where flammable and combustible liquids are received by tank vessels, pipelines, tank cars or tank vehicles and aze stored or blended in bulk for the pur- pose of distributing such liquids by tank vessels, pipelines, tank cars, tank vehicles or containers shall be in accordance with Sec- tion 7904.4. 7904.4.2 Buildings. 7904.4.2.1 Construction. Buildings shall be constructed in ac- cordance with the Building Code. 7904.4.2.2 Means of egress. Rooms in which liquids are stored, used or transferred by pumps shall have means of egress arranged to prevent occupants from being trapped in the event of fire. 7904.4.2.3 Heating. Rooms in which Class I liquids are stored or used shall be heated only by means not constituting a source of ignition, such as steam or hot water. Rooms containing heating ap- pliances involving sources of ignition shall be located and az- ranged to prevent entry of flammable vapors. 7904.4.3 Ventilation. 7904.4.3.1 General. Ventilation shall be provided for rooms, buildings and enclosures in which Class I liquids are pumped, 1-204 T 2001 CALIFORNIA FIRE CODE SECTION 7904 -SPECIAL OPERATIONS 7904.1 General. The following special operations shall be in ac- cordance with Sections 7901, 7902 and 7903 except as provided in Section 7904. 1. Storage and dispensing of flammable and combustible liq- uids on farms and construction sites. 2. Well drilling and operating. 3. Bulk plants or terminals. 4. Loading and unloading of tank vehicles and tank cars. 5. Tank vehicles and tank vehicle operation. 6. Refineries. 7904.2 Storage and Dispensing of Flammable and Combus- tible Liquids on Farms and Construction Sites. 7904.2.1 General. Permanent and temporary storage and dis- pensing of Class I and II liquids for private use on farms and rural areas and at construction sites, earth-moving projects, gravel pits or borrow pits shall be in accordance with Section 7904.2. EXCEPTION: Storage and use of fuel-oil and containers con- nected with oi]-burning equipment regulated by Article 61 and the Me- chanical Code. 7904.2.2 Combustibles and open flames near tanks. Storage areas shall be kept free of weeds and extraneous combustible ma- terial. Open flames and smoking are prohibited in flammable or combustible liquid storage areas. 7904.2.3 Marking of tanks and containers. Tanks and contain- ers for the storage of liquids aboveground shall be conspicuously marked with the name of the product which they contain and FLAMMABLE-KEEP FIRE AND FLAME AWAY. Tanks shall bear the additional marking KEEP 50 FEET (15.2 METERS) FROM BUII.DINGS. 7904.2.4 Containers for storage and use. Metal containers used for storage of Class I or II liquids shall be in accordance with DOT requirements or shall be of an approved design. Dischazge devices shall be of a type that does not develop an in- ternal pressure on the container. Pumping devices or approved self-closing faucets used for dispensing liquids shall not leak and shall be well maintained. Individual containers shall not be inter- connected and shall be kept closed when not in use. Containers stored outside and inside of buildings shall be in ac- cordance with Section 7902 and the Building Code. 7904.25 Permanent and temporary tanks for storage and use. 7904.2.5.1 General. The capacity of permanent aboveground tanks containing Class I or II liquids shall not exceed 1,100 gallons (4163.9 L). The capacity of temporary aboveground tanks con- taining Class I or II liquids shall not exceed 10,000 gallons (37 854 L). Tanks shall be of single-compartment design, constructed in accordance with Section 7902.1.8.2. 7904 7904.2.8.1 prevents localized overheating or flame impingement on any part of the tank in the event vapors from such vents are ignited. 7904.2.5.4 Location. 7904.2.5.4.1 General. Tanks containing Class I or II liquids shall be kept outside of and at least 50 feet (15 240 mm) from buildings and combustible storage. Additional distance shall be provided when necessary to ensure that vehicles, equipment and containers being filled directly from such tanks will not be less than 50 feet (15 240 tnm) from structures, haystacks or other com- bustible storage. 7904.2.5.4.2 Locations where aboveground tanks are prohib- ited. The storage of Class I and II liquids in aboveground tanks is prohibited within the limits established by law as the limits of dis- tricts in which such storage is prohibited. (See sample adoption or- dinance, Section 4.) 7904.2.5.5 Type of tank. 7904.2.5.5.1 General. Tanks shall be provided with top open- ings only or shall be elevated for gravity discharge. 7904.2.5.5.2 Tanks with top openings only. Tanks with top openings only shall be mounted as follows: 1. On well-constructed metal legs connected to shoes or run- ners designed so that the tank is stabilized and the entire tank and its supports can be moved as a unit, or 2. For stationary tanks, on a stable base of timbers or blocks approximately 6 inches (152.4 mm) in height which prevents the tank from contacting the ground. Tanks with top openings only shall be equipped with a tightly and permanently attached, approved pumping device having an approved hose of sufficient length for filling vehicles, equipment or containers to be served from the tank. Either the pump or the hose shall be equipped with a padlock to its hanger to prevent tam- pering. An effective antisiphoning device shall be included in the pump discharge unless aself-closing nozzle is provided. Siphons or internal pressure discharge devices shall not be used. 7904.2.5.5.3 Tanks for gravity discharge. Tanks with a con- nection in the bottom or the end for gravity dispensing liquids shall be mounted and equipped as follows: 1. Supports to elevate the tank for gravity dischazge shall be of adequate strength and designed to provide stability, and 2. Bottom or end openings for gravity discharge shall be equipped with a valve located adjacent to the tank shell which will close automatically in the event of fire through the operation of an effective heat-actuated releasing device. If this valve cannot be operated manually, it shall be supplemented by a second manually operated valve. The gravity discharge outlet shall be provided with an approved hose equipped with aself-closing valve at the discharge end of a type that can be padlocked to its hanger. 7904.2.6 Spill control, drainage control and diking. Indoor storage and dispensing areas shall be provided with spill control and drainage control as set forth in Section 7901.8.Outdoor stor-. age areas shall be provided with drainage control or diking as set forth in Section 7902.2.8. 7904.2.7 Portable fire extinguishers. Portable fire extinguish- ers with a minimum rating of 20-B:C shall be provided when re- quired by the chief. 7904.2.8 Dispensing from tank vehicles. 7904.2.8.1 General. When approved, liquids used as fuels may Emergency vents shall be in accordance with Section 7902.2.6. be transferred from tank vehicles into the tanks of motor vehicles Emergency vents shall be arranged to discharge in a manner which special equipment, provided: 7904.25.2 Fill opening security. Fill openings shall be equipped with a locking closure device. Fill openings shall be sep- arate from vent openings. 7904.2.5.3 Vents. Tanks shall be provided with a method of nor- mal and emergency venting. The diameter of normal vents shall be in accordance with Table 7904.2-A. Normal vents shall also be in accordance with Section 7902.1.13. 1-203 ~1E ~,~~q~- ~,~v~ ~~ o~~g ~ ~ 5~~0~ 2006 HAZARDOUS MATERIALS BUSINESS PLAN ~ i'~~gCJ DREYER'S ICE CREAM COMPANY - BAKERSFIELD 7301 District Boulevard Bakersfield, CA 93313 (661) 398-3500 (661) 398-4860 fax (Nestle H°O~"'~ Hazardous Materials Business Plan Sections Contents I Business Identification Data II Emergency Response Plans and Procedures A. External Emergency Notification Procedures B. Local Emergency Medical Assistance Appropriate for Potential Accident Scenarios C. Emergency Action Plan 1. Corporate Notifications 2. Other Notifications III Inventory IV Site and Building Maps A. SiteBuilding Map B. Locations of Stored Chemicals Map V Responding to Chemical Emergencies A. Abatement and Mitigation B. Location of Utility Shut Off Valves VI Spill Notification VII Certification Appendix A Hazardous Materials SpilUClean-up Contractors SECTION I Business Identification Data B E R S F I D ~~ Flee AefM T ~, ~.~^ CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 BUSINESS OWNER /OPERATOR IDENTIFICATION FACILITY INFORMATION (one form per material per building ar area) I. FACILITY IDENTIFICATION FACILITY ID # 1 5 0 2 1 0 0 1 4 0 7 1 Year Beginning Year Ending 101 January 1, 2006 100 December 31, 2006 BUSINESS NAME Dreyer's Grand Ice Cream, Inc. 3 BUSINESS PHONE 661-398-3500 102 SITE ADDRESS 7301 District Blvd. 103 CITY Bakersfield 104 CA ZIP 93313 105 DUN & N/A cos SIC CODE 2024 im BRADSTREET (4 Digit #) COUNTY Kern ioa OPERATOR NAME cos OPERATOR PHONE y~o II. OWNER INFORMATION OWNER NAME Dreyer's Grand Ice Cream, Inc. ~~~ OWNER PHONE 510-652-8187 1~2 OWNER MAILING ADDRESS 5929 College Avenue ~~s CITY Oakland ~~a STATE CA 115 ZIP 94618 ~~s III. ENVIRONMENTAL CONTACT CONTACT NAME Guy Moran iii CONTACT PHONE (661) 201-8824 its CONTACT MAILING 7301 District Blvd. its ADDRESS CITY Bakersfield izo STATE CA izi ZIP 93313 ~zz -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- NAME Richard Royer ~z3 NAME Guy Moran 129 TITLE Risk & Safety Manager izs TITLE Environmental Coordinator iso BUSINESS PHONE (661) 398-3590 izs BUSINESS PHONE (661) 201-8824 iai 24-HOUR PHONE (661) 978-1736 127 24-HOUR PHONE (661) 201-8824 Paz PAGER # 128 PAGER # ass V. CERTIFICATION Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with a info tion submitted in this inventory and believe the information is true, accurate, and complete. SI AT E TOR DATE iaa NAME OF DOCUMENT PREPARER iss Guy Moran N ES OF O N R/OP T pant) ias TITLE OF OWNER/OPERATOR ~s~ M rk F. McLe ithan Plant Manager SECTION II Emergency Response Plans and Procedures A. External Emergency Notification Procedures B. Local Emergency Medical Assistance Appropriate For Potential Accident Scenarios C. Emergency Action Plan Section II: Emergency Response Plans and Procedures A. External Emergency Notification Procedures Chapter 6.95 of the California Health and Safety Code requires a business to immediately notify, or within no more than 15 minutes, the emergency response agencies listed below if a release or threatened release of a hazardous material occurs. Emergency Response Agencies 1. Local Emergency Response Personnel Fire Agency/Police Agency: Phone: 911 2. National Response Center Phone: (800) 424-8802 or (202) 426-2675 3. Administering Agency: Agency: City of Bakersfield Office of Environmental Services Phone: (661} 326-3979 4. State Office of Emergency Services: Phone: (800) 852-7550 or (916) 427-4341 Agencies Providing Emergency Chemical Information 1. 3E -Emergency Response Information Service Phone: (800) 451-8346 2. Toxic Information Hotline Phone: (800) 233-3360 An Immediate Verbal Report Shall Be Provided As Soon As: 1. A person has knowledge of the release or threatened release. 2. Notification can be provided without impeding immediate control of the release or threatened release. 3. Notification can be provided without impeding immediate emergency medical measures. The Immediate Verbal Report Shall Include The Following: 1. The exact location and time of the release or threatened release. 2. The name of the person reporting the release or threatened release. 3. The hazardous materials involved in the release or threatened release. 4. An estimate of the quantity of hazardous materials involved. 5. If known, the potential hazards presented by the hazardous material involved in the release or threatened release. The immediate reporting shall not be required if there is reasonable belief that the release or threatened release poses no significant present or potential hazard to human health and safety property, or the environment. B. Local Emergency Medical Assistance Appropriate For Potential Accident Scenarios In Our Business 1. Facility: Vernon Sorenson M.D. Occupational Medicine Address: 3838 San Dimas St. suite B100 City: Bakersfield, CA Zip Code: 93301 Phone: (661) 326-0088 2. Facility: Memorial Hospital Address: 420 34~' St. City: Bakersfield, CA Zip Code: 93301 Phone: (661) 323-0199 3. Emergency Medical Agency (Ambulance): Local Paramedics Phone: 911 SECTION II (Part C~ EMERGENCY RESPONSE ORGANIZATION 2.1. GENERAL BOC uses a scaled version of the Incident Command System (ICS) for a limited response capability. The ICS is organized into two distinct groups: A) The Emergency Operations Center (EOC) personnel, and B) Emergency Response Team (ERT) personnel. Figure 1 illustrates the interrelationship of the Structure of the Emergency Response Organization. 2.2. EMERGENCY OPERATIONS CENTER The EOC is located in the Push-Up Conference Room with aback-up location in the Regional Distribution Center, Rocky Conference Room. The EOC serves as the management decision- making center for coordinating emergencies, response and providing liaison from the ERT through off-site emergency response organizations. It is staffed with the following personnel: Plant Manager Risk & Safety Manager (may also be at the Incident Command Post [ICP]) Operations Manager Customer Delight Manager Technical Operations Manager Finance Manager People Systems Manager Hazardous Waste Coordiator (may also be at the Incident Command Post [ICPJ) Other plant specialists depending upon the emergency Secretary The EOC is staffed through direct notification or recalled through the EOC recall notification system. 2.3. EMERGENCY RESPONSE TEAM The ERT is the organization that performs the immediate response to the scene of the emergency. The ERT responds to the emergency as part of the initial response to the emergency site for the purpose of protecting nearby persons, property, and the environment from the effects of the emergency. They are trained to respond in a defensive fashion without actually trying to stop the release, unless the release involves the ammonia refrigerant system. The function of the ERT, in order of importance is: 1. Determine the extent of the incident, 2. Perform an analysis of the situation, 3. Advise area personnel of the situation and, 4. Recommend limits of further action to Security, if any. Security serves as the focal point for aiding the ERT Incident Commander, to include: recall of EOC personnel, advisement to management without recall of the EOC team ,and response of off- site emergency units through the 911 notification system. The ERT consists of a minimum of the following four personnel: 1. An Incident Commander 2. A Safety Officer 3. Two entry personnel. Dependant upon the emergency, the ERT can be supplemented by: 1. The Hazardous Materials Emergency Coordinator, 2. Facilities Maintenance Representative. 3. Hazardous Waste Coordinator (Environmental Coordinator), 6. The Spill Response Team and spill clean-up services by ACTT, 7. Maintenance In all emergency response situations, the priority of response shall be as follows: 1. Safety of emergency responders. 2. Care of injured or endangered uncontaminated personnel. 3. Protection of plant personnel. 4. Control of the emergency. 5. Determination of the situation. 6. Setup of the Incident Command Post (ICP) for coordination, access control and decontamination. The ICP is set up on a mobile basis, dependant upon incident location. 7. Mishap evaluation. 8. Salvage, after the emergency condition is terminated. The first ERT person to arrive at the scene of the emergency event becomes the Incident Commander (IC) until relieved. Should the emergency require assets beyond the capabilities of the ERT, the ERT shall make a request for response of 911 assets through the EOC. The ERT transfers functions to the Off-Site Responders as they arrive on the scene and remain at the command post to provide assistance to the emergency responders as necessary. An emergency response logic diagram is portrayed in Figure 1A. 2.4. SPILL RESPONSE TEAM The Spill Response Team is a supplemental ERT that is staffed, trained and has the necessary equipment to respond to Site t incidental spills. The Spill Response Team is staffed through the Waste Management Organization. The Spill Response Team is called on to perform spill clean-up only upon joint decision of the Emergency Coordinator and Incident Commander. 2.5. HAZARDOUS MATRERIALS EMERGENCY COORDINATOR (EC) The EC is the principle individual responsible for contact with State and Local EPA officials. The EC may be located at the EOC or the ICP, dependant upon the size, location, and type of emergency. Figure 1-Emergency Response Organization Structure Emergency Operations center Persoru~el Plant Manager Tednical Operations Manager People ~~ Manager Derision Fnvirorrrerrtal Coordinator (may be at the ICP) Making and tZslc and Safety Manager (may be at the ICP) off-site CD Manager coordination ~~~ ~~ V1~C Materials Manager Fsgineering Manager Mair><enace manager Cormond Past l~ Contrds Irrident Catrrgnder Incident Site Safety Off~oer ERT Potential Suppat Personnel Safely Coordinator ` Environmental R&S Manager I CoorcLretor R&S Manager Cordractor aean-up Personnel Process Saf~y Coord'nator Persome! Decontamination station Figure 1A- Emergency Response Logic Diagram Maintenance EMERGENCY RESPONSE FLOWCHART Security Control Center learns of potential emergency through weather broadcast radio/ computer alarm HAZWOPER 1st Responder Awareness Level for Fire HAZMAT(non-NH3) Discoverer verbally reports potential to Security Control Center Security radios for investigative team Medical ERT for medical related injures Medical -See page x Fire -See page xx HAZMAT, Non incidental -See page xxx HAZMAT, Incidental -See page xxxx Discoverers contact Security Control Center Utilities ERT for NH3 Medical Emergencies. EE report to TC TC gathers facts of injury and makes written report ERT or EE applies first aid Ambulance transports EE EE returns to work ~Is the medica Call 3111 situation life (emergency threating? number) EE needs further medical care Security pages M. R&S Team ERT and Member meets calls 911 EE (if not transporting) at CVO or Hospital CVO 632-1540 Security I f TC transports transport EE I EE TC makes preliminary written investigative repc Family member transports Preliminary TC report submitted '-------------- through a-mail database system Investigation completed by RCS within 24 calendar hours of injury (if recordable) FIRE Large Fire Establish ICP -first tK i on scene establishes Fire involving Ordinary Structural flammable/ materials combustible fire Fire material Request additional ERT members and set up entry controls at a safe distance Request Security call 911 and recall leadership team. Evacuate personnel if required Ensure supervision performs headcount at assembly areas Control entry/exit Security deliver MSDS books to ICP FD takes control of ICP Security pages ERT Team ~ ERT makes ~ determination of severity of fire, out team to verify Employee Reported Supervised Alarm Received ---~ EE Incipient fire dear nonessential personnel Notify R&S ----------------- fire with hand held Notify security of emergency termination Secure equipment for investigation Perform investigation Terminate emergency at direction of Fire Chief Secure area Initiate investigation HAZMAT Release (non-incidental) Acid Caustic NH3 Flammables/ combustibles Verify all employees clear Establish mobile CP IC and safety officer determine situation and report to Security Establish initial. downwind distances for non engineering controlled area chemical spills Acid: Sulfuric 160 ft Nitric 330 ft Phosphoric 80 ft NH3: 200 ft Caustic: 80 ft Flammable/Combustible liquid/gases: 160 ft Compressed gas, acetylene 330 ft Compressed gas, oxygen 160 ft Setup ICP, request additional responders, EC contact notify Security to start LT recall. ACTT Allow to vent, control vapor corridor, set-up for cleanup spill control Close valves if not already closed Dike storm drains if possible Terminate emergency when spill is controlled and packaged if needed Initiate investigation report EC to make EPA report is spill over RQ Hazardous Material Release (incidental) Flammables I I NH3 Acids/ Caustics Local area detector senses leak, alarm reported to Security Control and Utilities Pager or Supervised alarm received by utilities or Security or Verbal report Flammables Security calls ERT Flammables 1. Ventilate 2. EE cleans up 3. Notify EC Security contacts Utilities 1. Use hand held detectors to verify levels. 2. Verify full face respirator available with NH3 cartridges. 3. Verify leak location, close NH3 valves to leak location, tighten valve packing, keep all employees away. 4. Ventilate area until NH3 levels reduced to less than 25 PPM. caustics, Security ;alts ERl Acids/Caustics: 1. ERT check out situation 2. Perform spill containment if possible: 3. Contact EC \4. EC contact ACTT. EC makes notification if above RQ. Incidental leak becomes and emergency response when levels IDLH range, uncontrolled and outside engineering controls. Control area access and notify Security of situation when leak becomes an emergency. SECTION III RESPONSIBILITIES 3.0. EMPLOYEES Employees are responsible for recognition of potential emergencies, reporting of emergencies to x1299 and Supervision, evacuation of an emergency area and performing safe shutdown of process equipment as directed by Supervision. 3.1. EMERGENCY OPERATIONS CENTER PERSONNEL Plant Manager Direct activities of the EOC Staff. Perform incident decision-making and liaison with non- BOC organizations. Coordinate information to the public and press. Risk and Safety Manager Advise the Plant Manager on Safety, Security, and Environmental issues affecting the emergency. Operations Manager Advise the Plant Manager with information on the location, type, and quantities of in- process material; evacuation of production personnel, and status of production facilities. Technical Operations Manager Advise the Plant Manger of equipment and process equipment status. Provide evaluations of situations involving propellant/chemicals and recommend supplemental courses of action. People Systems Manager Advise the Plant Manager on personnel issues. 3.2. INCIDENT COMMAND POST PERSONNEL Securi Establish emergency area access control points and serve as liaison to IC. Direct emergency vehicles, open access gates and doors, to include the truck turnaround gates anytime a plant wide evacuation is announced. Deliver MSDS books to the Fire Department. Hazardous Materials Emergency Coordinator Serve as liaison with IC for environmental issues. Coordinate response of Spill Response Team and supplemental services Incident Commander Serve as the emergency area site representative, responsible for overall coordination and direction of activates at the emergency area and primary interface with the EOC. This shall include overall responsibility for the safety. and health of all ERT personnel at the emergency area. Initiates initial incident command post location and establishes entry turnover of ICP responsibilities to the Bakersfield Fire Department. Safeiy Representative Advise IC on safety issues. Has the authority to suspend operations for any situation that poses imminent danger to life or health. Health Services Coordinator Coordinate and advise IC on emergency medical services. Facilities/Utilities Maintenance Representatives Advise the IC on facilities maintenance issues. Spi{I Response Team Set-up and maintain the personnel decontamination station, enter the emergency area and perform clean-up of incidental spills. Entry to the spill area requires use of the buddy system, Level A Personnel Protective Equipment, setup of a personnel decontamination station, medical first aid and transportation of standby entry personnel. Figure 2 illustrates the Incident Command System. Procedures for set-up, maintaining and processing through the PDS are contained in Exhibit H. Wind Direction Incident Command Post Incident Contamination Reduction . Area Area EOC dent Commander ety Officer Team 3 Responders Plant Manager Technical Ops Manager People Systems Manager Environmental Coordnator R&S Manager Safety Coordinator Manager Operations Manager Maintenance Dept. Manager Engineering Manager Maintenance Manager Finance Manager Controls incident site Coordinates off site assets and makes off plant liaison IHAZMAT Technicians onlyl / First Responder Figure 2 Incident Command Physical Structure downwind of the CCL Awareness level personnel Orin contaminated zone entry limit Hotline Contamination Control Line 3.3. EVACUATION PLANS EVACUATION PLAN SUMMARY Emergency evacuation of the Site I buildings and Plant site are illustrated in Exhibit I. The strategy for emergency evacuation is limited evacuation from a building containing an emergency to full building/area evacuation to the Emergency Evacuation Assembly Areas, through off-site emergency evacuation. Emergency evacuation is dependant upon the type, location ,and nature of the emergency. An emergency evacuation is declared by the ERT responding to the emergency site. Evacuation of employees is made through radio, public address system in limited buildings, telephone notification, and by runner. Once an evacuation is declared, operations cease and personnel place systems in safe shutdown if possible prior to evacuation. Personnel report to their assembly areas and supervision performs a headcount to insure all personnel have safely left the emergency area. If it is discovered that a person is missing, supervision of the missing person shall report the finding by dialing X3599, and exhaust all means to locate any missing personnel. Sweeps of the area are conducted to verify personnel have safely evacuated. 3.4. PRE-EMERGENCY PLANNING A. EMERGENCY WARNING SYSTEMS FIRE Fire detection systems are provided throughout most BOC buildings. Activation of a supervised fire detection system or activation of a manual fire alarm pull station will activate a fire alarm siren and strobe light (red beacons) and send a signal to the Security Control Center. Fire alarm sirens and emergency beacons require area evacuation. 2. OTHER EMERGENCIES All emergency or potential emergencies are to be reported via dialing X3111 and informing the local area supervisor. Emergency notification to areas may be made by radio, telephone, or runner. [Exterior cameras are strategically placed at interior and exterior locations on Site] Cameras viewing is available in the Visitor Control Center. Events located through Security cameras are investigated by Security. Security performs ERT recall and workforce notification dependant upon the extent of the event. 3. OFF-SITE EMERGENCY NOTIFICATIONS All emergency notifications to off-site agencies is made either through dialing 911 or dialing direct telephone numbers. B. BOC EMERGENCY MEDICAL SERVICES CAPABILITIES On site first aid is limited to trained basic first aid responders. Stocked medical supplies are kept in the various locations. An electronic ambulance is located at the DC. 4.0 ORGANIZATION Generally, in the event of an emergency the EOC Personnel met at the Push-Up Conference Room. This location is referred to as the Emergency operations Center.. Emergency responders will meet as close to the emergency (considering emergency evacuation distances as possible). An alternate meeting location is at the Air Handling Unit - 13 (AHU-13) staging area (Error! Reference source not found.). AHU-13 is the principal storage area for SCBA, APR's and other emergency equipment. A copy of the Emergency Response Plan and specific response procedures will also be located in AHU-13. Positions to be established to organize and support initial incident response are: Table 1: Incident Command Post Positions and Responsibilities ~~ ~ Incident Commander ~ ~~ c Responsible for management of all operational and support activitiesat the incident site. Public Information Officer Res onsible for the formulation and release of information about the incident. Safety/Medical Officer Responsible for monitoring and assessing hazardous and unsafe situations and develo in measures for assurin ersonnel safe Hazardous Materials S ecialist Responsible for managing the hazardous materials components of the Emer enc Res onse Plan. Ent Team Leader Res onsible for all actions takin lace in the Exclusion Zone. Decontamination Leader Res onsible for all actions within the Contamination Reduction Zone. Site Access Control Leader Controls access to the hazard zones. Emer enc Res onders Res onsible for ca in out assi nments in the Exclusion Zone. Other ositions as needed Duties assi ned as needed. Dreyer's Grand Ice Cream Bakersfield Operations Center Table 2: First Shift Incident Command Phone List Emergency Response Plan May 2005 . ~ ~ Roy Beyeler -Incident Commander Office - Cell Phone - 978-1743 Nextel Name - Be eler Sam Daily -Alternate Incident Commander Cell Phone - 201-9695 Nextel Name -Daily Dean Howard Cell Phone - 201-9700 Nextel Name -Howard Rich Royer - Safety/Medical Officer Office - 3590 (Alternates: Tony Mejia, other ER's) Cell Phone - 978-1736 Nextel Name - Ro er Mel Balfour- Hazardous Materials Specialist Office - 3568 Cell Phone - 201-9702 Nextel Name -Balfour Emergency Responders- Utilities/Facilities Technicians Cell Phone - 201-2337 Nextel Name -Utility Op Pa in S stem Decontamination Leader -Maintenance Grou Leaders or Team Coordinators Public Address S stem Table 2: Second Shift Incident Command Phone List ~ ~ ~ ~ • Norman Carter -Incident Commander Office - 4834 Cell Phone - 201-9696 Nextel Name -Carter Jose Garcia -Alternate Incident Commander Office - 3553 Cell Phone - Nextel Name -Garcia Rich Royer - Safety/Medical Officer Office - 3590 (Alternates: Tony Mejia, other ER's) Home Phone - 664-7222 Nextel Name - Ro er Mel Balfour- Hazardous Materials Specialist Office - 3568 Cell Phone - 201-9702 Nextel Name -Balfour Emergency Responders- Utilities/Facilities Technicians Cell Phone - 201-2337 Nextel Name -Utility Op Pa in S stem Decontamination Leader -Maintenance Grou Leaders or Team Coordinators Public Address S stem Dreyer's Grand Ice Cream Bakersfield Operations Center Table 3: Third Shift Incident Command Staff Phone List Emergency Response Plan May 2005 .~ ~ ~ ~ Dave Sparks -Incident Commander Office - 3552 Home Phone - 978-1739 Nextel Name - S arks Joe Joven- Alternate Incident Commander, Public Information Officer, Office - 3511 Safety/Medical Officer Cell Phone - 978-1741 Nextel Name -Joven Mel Balfour- Hazardous Materials Specialist Office - 3568 Cell Phone - 201-9702 Nextel Name -Balfour Emergency Responders - Utilities/Facilities Technicians Cell Phone - 201-2337 Nextel Name -Utility Op Pa in S stem Decontamination Leader -Maintenance Grou Leaders or Team Coordinators Public Address S stem 1. Corporate Notifications: Name Title Phone Number To Be Notified By Buttons Coleman VP, Operations (661) 398-3540 Plant Manager Greg Molloy Director, Risk & Safety (260) 483-3102 Risk & Safety Manager 2. Other Notifications: Agency Phone Number To Be Notified By Department of Health (661) 868-0554 Risk & Safety Personnel Environmental Protection Agency (EPA) (202) 514-1489 Risk & Safety Personnel Public Utilities Commission (800) 649-7570 Maintenance Manager National Response Center (EPA) * Required only if discharge is over 1001bs. (800) 424-8802 or (202) 426-2675 Risk & Safety Personnel Fire Department 911 Incident Commander State Office of Emergency Services (800) 852-7550 or (916) 427-4341 Risk & Safety Personnel Office of Environmental Services (661) 326-3979 Risk & Safety Personnel Emergency Medical Service 911 Risk & Safety Personnel Contractor Involved - Engineering Manager SECTION III Inventory e easpt o F/RE ARiM f ^ NEW ^ ADD ^DELETE I CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY. CHEMICAL DESCRIPTION (one form per maleria! per huilding or area) REVISE 200 Page _ of _ I. FACILITY IlYF`ORMATION BUSINESS NAME (Same as FACII.ITY NAME or DBA - Doing~Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION 20 1 Throughout Facility Refrigeration System CHEMICAL LOCATION ^ yes D No 202 . CONFIDENTIAL (EPCRA) - I FACILITY ID # I I I S O 12 11 O I O I l 14 10~ 7 I l MAP # (opiiona!) 203 GRID # (oplionan 204 h; II. CHEMICAL; INFORMATION ; : , 205 TRADE SECRET ^ y~ ^X No 206 CHEMICAL NAME Anhydrous Ammonia If Subject to EPCRA, refer to instructions 207 COMMON NAME Ammonia ~ Exs• ~ Yes ^ No 208 CAS # 7664-4 ] _'] 209 . ~•ff EHSis"Yes," alt amounts below-must be in lbs . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE QX P p~ ^ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 21l PHYSICAL STATE ^ s SOLID X^ I LIQUID LARGEST CONTAINER HO,000 IbS. 215 g GAS 214 FED HAZARD CATEGORIES QX 1 FIRE ~ 2 REACTTVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE H EALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 2I7 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAII.YAMOUNT 183,595 DAll.YAMOUNT I83,595 220 0 UNTIS• ^ ga GAL ^ cf CU FT ~ Ib LBS ^ to TONS 221 DAYS ON SITE 222 • If EHS, amount must be in lbs. 365 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAII. CAR 223 (Check a!1 !ha! apply) ^ c TANK QdSIDE BUILDING ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE D r OTHER ^ a sTEELDRUM ^ g CARBOY ^ ]c sox ^ o TOTEBIN Throughout Facility ^ n sB,o 01 cYI.B,mER ^ p TANK WAGON Refrigeration System STORAGE PRESSURE ^ a AMBIENT D as ABOVE AMBIENT ^ bu BELOW AMBIENT 224 STORAGE TEMPERATURE Q a AMBBiNT ^ as ABOVE AMBIENT ^ ba BELOW AMBn'sNT ^ c CRYOGEMC 225 %WT `. HAZARDOUSCOIVIPONENT EHS CAS#- , I I00% zz6 Ammonia z27 ~x y~ ^ No z2s 7664-41-7 zz9 2 230 231 ^ Yes ^ No 232 233 3 234 235 ^ Yes ^ No 236 237 4 238 239 ^ Yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 111.-J1li1VA 17JKE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE/~.~~ , ~ ~ ~ - ,, J+ DATE 246 r.,,., n,~ ..,.. F.,,,;.~»ma,.,,,r r,,,,.d:»,.,,,. / /iMN / / f[L"iAewili ~ I Z X/~~ B E R S P I D ARTM T '~l CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301(661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (ane form per material per buildnrg or area) ^ NEW ^ ADD ^ DELETE 0 REVISE 200 Page _ of I. FACILITY INFORMATTdN BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream criEMICAL Locnriox zol Maintenance Shop and Outside Gas Storage CHEMICAL LOCATION ^ yes ~ xo zoz CONFIDENTIAL (EPCRA) FACn.ITY ID # I I I S O 12 _I l l f 0 l 0 I l 14 (0 17 L . _ ~ 1 - MAP # (optionan 203 1 GRID # (optional ~ 204 .. .. .. .. ... ..._ II.iCHEMICAL IlVF URMATION = .. 205 TRADE SECRET ^ Yes ~ No 206 CHEMICAL NAME Argon If Subject to EPCRA, refer [o instructions 207 COMMON NAME EHS' ^ Yes ~ No 208 CAS # ~~0_37_1 209 -- ~~IfEHS is"Yes," all amounts below must be in lbs . . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 2 I0 TYPE ~ p PURE ^ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ^ I LIQUID LARGEST CONTAINER 336 CU FT 215 g GAS 214 FED HAZARD CATEGORIES QX 1 FIRE ^ 2 REACTIVE ~ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAII.Y AMOUNT 1 SO DAII.Y AMOUNT 7$ 220 O UNITS' ^ ga GAL ~ cf CU FT ^ -Ib LBS ^ m TONS 221 DAYS ON SITE 222 • If EHS, amount must be in lbs. ~ 36S STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTICMONMETALLIC DRUM ^ i FD3ER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check at! Jhat apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUII.DING ^ g CARBOY - ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h Sll.O 0 I CYLINDER ^ p TANK WAGON STORAGE PRESSURE ^ a AMBIENT ~ sa ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE ~ a AMBIENT ^ ae ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 °/aWT HAZARDOUS COMPONENT - : EH$ CAS # I 226 ~gpp 227 ^ Yes 0 No 228 7440-37-j 229 ' OO% 2 230 231 ^ Yes ^ No 232 233 3 234 235 ^ yes ^ No 236 237 4 238 239 ^ Yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 ll1::J1Ci1VA1 UK!'i . PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATTVE ~ SIGNA7'U(2E - r ~ ~ ~~ - - pJJ DATE 246 GnyMoranErrvirarmenta! Coordinator ' ~I ~j~ aJ°~0/0~ B E R S P I D File ~er~x r ~ "~, CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301(661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) ^ NEW ^ ADD ^DELETE ~ REVISE 200 Page _ of _ .. ..; NIATION. i~ FACILITY.IlVFOR ~~~ ~ " BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION 20 ] CIP $, 6, & 7 CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) FACIl.ITY ID # I I I S I O I O I l 14 10 ~ 7 I _. ~ ...1 : MAP # (optional) 203 O 12 11 I 11 GRID # (optiorw!) 204 - ~,. , _ II. CHEMICAL INFORMATION" ; ... 205 TRADE SECRET ^ yes 0 No 206 CHEMICAL NAME Citric Acid If Subject to EPCRA, refer to inswctions 207 COMMON NAME ~ EHS• ^ Yes ~ No 208 CAS # 77-92-9 ~ 209 '~ •If E11S is"Yes," alLamounts below must be in lbs . FIRE CODE HAZARD CLASSES (Complete if requested by local Ere chief) 210 TYPE ^ P p~ X~ m MDCTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 2ll PHYSICAL STATE ^ s SOLID ~ 1 LIQUID LARGEST CONTAINER 1,$00 gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ I FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) , ~ 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAII.YAMOUNT 1,SOO DAII.YAMOUNT 22O 220 0 UNiTS• ~ ga GAL ^ cf CU FT ^ Ib LBS ^ m TONS 221 DAYS ON SITE 222 * If EHS, amount must be in lbs. 36$ STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAII, CAR 223 (Check al! Thar apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^X c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SII.O ^ 1 CYLINDER - ^ p TANK WAGON STORAGE PRESSURE Q a AMBIENT ^ u ABOVE AMBIENT ^ ha BELOW AMBIENT 224 STORAGE TEMPERATURE QX a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT-. ,__: HAZARDQUS COMPONENT ; -EHS _ CAS-#: 1 226 CIVIC ACId 227 ^ Yes ~ No 228 77-92-9 229 ,$O% 2 230 ~ 231 ^ Yes ^ No 232 233 3 ~ 234 235 ^ yes ^ No 236 237 4 238 239 ^ Yes ^ No 240 241 5 242 ~ 243 ^ Yes ^ No 244 245 .. .. _ ~~ ~ ~ ~ "~ 111. J1G~1V~A,~1jUKL' ~ ~ : PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~ " ~ SIG`//_" -A I'Z,:,.,.~•: ~ ~,~ ~ - ~ ~ - - - ~+t ~ ~/1 DATE 246 Guy Mormr, F.tlviralmen7al Coordi»alor ~!~rf~'~/ ~y~~ o~~gl/~j _.l... B E R s P l D FIRF ARTM f ~'aM, -.....,. < .,. w,- R CITY OF BAKERSFIE]LD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (o~ae jarm per malerial per budding or area) ^ NEW ~ ADD ^ DELETE ^ REVISE 200 Page _ of _ ;_ :_ -, i_ FA7 1,iTY iNFnRMATi(1N 3USINESS NAME (Same as FACII.ITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Cream ;HEMICAL LOCATION 20 1 Outside Chemical Storage Area CHEMICAL LOCATION ^ yes ^x No 202 CONFIDENTIAL (EPCRA) 'AGILITY ID # I l I S I l 0 12 l l l (~ O I O { 1 14 I O 17 { : _. :.1 MAP # (optional) 203 i GRID # (optional 204 -; : `..: II. CHEMICAL INFORMATION ~ 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If SubjeM to EPCRA, refer to inswcdons 207 COMMON NAME EHS' ^ yes Q No 208 Caustic Potash Liquid, 50% CAS # 209 ~ •If EHS"is"Yes,"-all amounts below must tie in lbs . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ p PURE ^x m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ^x I LIQUID LARGEST CONTAINER 55 gallons 21s ^ g GAS 214 FED HAZARD CATEGORIES ^ I FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE - D 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAII.Y AMOUNT I OO DAII.Y AMOUNT I O ~ 220 UNfFS' ~ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON SITE • If EHS, amount must be in lbs. 365 222 STORAGE CONTAINER (Check a!! that apply) ^ a ABOVEGROUND TANK D e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUII,DING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SILO ^ 1 CYLB~IDER ^ p TANK WAGON STORAGE PRESSURE ~ Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIDNT 224 STORAGE TEMPERATURE x^ a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT. EHS CAS#:. 1 226 Potassium H droxide y ~ zz7 x ^ Yes ^ No 228 1310-58-3 zz9 5O°/D 2 230 231 ^ Yes ^ No 232 233 3 234 235 ^ yes ^ No 236 237 4 238 239 ^ yes ^ No 240 - 241 5 242 243 ^ Yes ^ No 244 245 ~~ ~ ~ ~ ~ _ • ~ ~ -III. SIGNATURE'. PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNAT[JRE ~.J, ~ . _ _ . /~'u~~ ~ ~ ~ r~®! DATE 246 GnyMoran, EnvironmentalCoordinalor ~r~AMa/ ~ ~ / ` 0 B E R S P I D F/RF ARTM T ~n.`~ CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one jorm per material per building or area) ^ NEW ~ ADD ^ DELETE ^ REVISE 200 ~ Page _ of _ ~- -INFORMATION= : , . I. FACILITY tUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 heyer's Grand Ice Cream ;HEMICAL LOCATION 201 Waze130USe CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) ~ACII.ITY ID# I I I S I '~ O 12 11 'I O I O I I 14 ~ O I 1 ~_ ~ 1.: It MAP # (optionan 203 GRID # (optimwl) 204 . _. ... II. CHEMICAL INFORMATION ~ .. . 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If SubjeM to EPCRA, refer to inswctions 207 COMMON NAME EHS" ^ Yes 0 No zaa Cazbon Dioxide (Solid) CAS # 209 'If EHS.is"Yes," all amounts below must be in lbs.. FBtE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^Q p PURE ^ m MIXTURE RADIOACTIVE ^ Yes 0 No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE Q s SOLID ^ I LIQUID LARGEST CONTAINER 50 pounds 215 . ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ~ 4 ACUTE HE ALTH ^ 5 CHROMC HEALTH (Check all that apply) 216 . ANNUAL WASTE 217 MAXIMUM 2ta AVERAGE 219 STATE WASTE CODE AMOUNT DAII.Y AMOUNT 2O DAB.Y AMOUNT I O 220 UNrIS" ^ga GAL ^ cf CU FT X^ Ib LBS ^ m TONS 221 DAYS ON SITE ' ' If EHS, amount must be in lbs. 365 ~ 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check all that apply) ^ b UNDERGROUND TANK ^ f CAN ^X j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUII.DING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SII,O ^ I CYLBVDER ^ p TANK WAGON STORAGE PRESSURE ^Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBBiNT 224 STORAGE TEMPERATURE X^ a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGEMC 225 D ~ /oWT ._ ~ _ ... .. `ONENT'! HAZARDOUS C~IVIP , ..::EHS ~ - . ~ -.CA$.#~~ . ~ ~~ . t 226 Solid Calton Dioxide zz7 ^ Yes ~ No zza 124-38-9 229 99°/D 2 230 _ 231 ^ Yes ^ No 232 233 3 234 235 ~ Yes ^ No 236 237 4 238 - 239 ^ Yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 : , , . III: SIGNATURE .; PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE /,t,,_~_ - -, V GuyMorml,EtvironmentalCoordinator ~~~~~~` ~ l I o`Z+lz$l®~- DATE 246 , a easr~ o F/RF ARTM f ..R CITY OF BAKERSFIIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (ane form per material per bvildirrg or area) ^ NEW ^ ADD ^ DELETE ~ REVISE 200 Page _ of I. FACILTI'Y INFORMATInN BUSINESS NAME (Same as FACII,ITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION 20 1 Rollo Mold Tables CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) FACILITY ID # I I I S I O 12 11 I I O I O I l 14 l 0 17 l~ ~ I MAP # (optionan 203 GRID # (optional) 204 IL CHEMICAL INFORMATION ~ 205 TRADE SECRET ^ Yes ^X No 206 CHEMICAL NAME Calcium ChlOflda If SubjeM to EPCAA, refer to inswctions 207 COMMON NAME $rltle EHS• ^ Yes ^X No 208 CAS # 7664-41-7 ~ zo9 ~---•IfEHS s'~Yes," stl amounts below musLbe in lbs . FIRECODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE X^ p PURE ^ m MIXTURE RADIOACTTVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER 1,400 gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ I FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT 6,$00 DAII.Y AMOUNT 7,000 DAn,Y AMOUNT 990 220 UNrfS• X^ ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON SITE 222 • IFEHS, amount must be in lbs. 36$ STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTICMONMETALLIC ARUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check all that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER c TANK INSIDE BUn.DING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SII,O ^ 1 CYLINDER ^ p TANK WAGON STORAGE PRESSURE QX a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE QX a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT .. _. _r ':;'.. ,:. HAZARDOUS COMPONENT. ~. EHS ,, CAS.# I zz6 Calcium Chloride zz7 ^ Yes ~ No 22g 7664-41-7 229 94% 2 230 231 ^ Yes ^ No 232 233 3 234 235 ^ Yes ^ No 236 237 4 238 239 ^ Yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 ..-. ~..~ ., :,. :.-: ~~. ~ .~~.. ~~, lll...~iLIrIVAI UICE ~ ... ., PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246 GvyMormrEnvironmentat Coordinator ~/ ~ ~ ~~~'~ 9 a R S P l D F/RE ARTM T -.A-... a r_.,. CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301(661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW ^ ADD ^ DELETE ~ REVISE 200 is FArii,ITY iNFnRMATTON . ..: (ane form per material per bnildirrg ar area) Page _ of BUSINESS NAME (Same as FACII.ITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION Outside Chemical Storage Area CHEMICAL LOCATION ^ yes ~ No 202 201 y CONFIDENTIAL (EPCRA) FACILITY ID# l 5 0 2 1 0 0 1 4 0 7 1 MAP # (optional 203 I I I I I I I - GRID # (optional) 204 _ :. II: CHEMICAL INFORMATION .. _ .., -:::: .. .. 205 TRADE SECRET ^ Yes ~ No 206 CHEMICAL NAME CalClUm Chlorlde If Subject [o EPCRA, refer to instructions 207 COMMON NAME $illle EHS• ^ Yes 0 No 208 CAS # ']664-4I _'] 209 "If EHS is",Yes ° allamounts below must be in lbs . F[RE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE 0 P p~ ^ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAAER 330 gallons 21s ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAB,Y AMOUNT 990 DAII.Y AMOUNT 330 220 UNrfS• ~ ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON SITE • If EHS, amount must be in lbs. ~ 36$ ~ 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check all !ha! apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ~ r OTHER ^ c TANK INSIDE BUII.DING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SII,O ^ I CYLINDER plastic Tote ^ p TANK WAGON STORAGE PRESSURE Q a AMEIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT _ , . ' :EHS' .... CAS # I 226 Calcium Chloride zz7 x ^ Yes ^ No 22g 7664-41-7 229 94% 2 230 231 ^ yes ^ No 232 233 3 234 ~ 235 ^ yes ^ No 236 237 4 238 239 ^ yes ^ No 240 24 t 5 242 243 ^ Yes ^ No 244 245 ~: III. SIGNATURE ~ ~ _ . ~ - , PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE ~y /]~~ ~ ~ DATE 246 Cary Marmr. Environmental Coordinator / 1 ~ ~. L / {~G~.~ ~ .._ '~ ~^7 t~AG B E R S P I D FIRE ARTM T '~ >r CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301(661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per builJing or area) ^ NEW ^ ADD ^ DELETE ~ REVISE 200 Page of _ I_ FACILITY INFORMATION' BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION Outside Chem1CBI SLOtage Alea CHEMICAL, LOCATION ^ yes ~ No 202 201 CONFIDENTIAL (EPCRA) FACILITY [D # ` l 15 O 12 I 1 i 0 ~ 0 l l 14 I 0 ` 7 I t MAP # (optiorarl) 203 II I GRID # (optianan 204 n. CHEMICAL INFORMATION - , ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~ ~ ~ ~ ~ ~ ~ ~ ~ 205 TRADE SECRET ^ Yes ~ No 206 CHEMICAL NAME . Tf Subject to EPCRA, refer to instructions 207 COMMON NAME ~ EHS• ^ yes 0 No 208 Caznco 717 Series (Semi-Synthetic Hydrocazbon) CAS # ~ 209 •If EHSis"Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ P p~ QX m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID 0 I LIQUID LARGEST CONTAINER 55 gatlons 215 ^ g GAS 214 FED HAZARD CATEGORIES ~ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HE ALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 2l8 AVERAGE ~ ~ 219 STATE WASTE CODE AM~T~T DAILY AMOUNT 440 DAII,Y AMOUNT 440 220 UNITS" ~ ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON SITE • If EHS, amount must be in lbs. 365 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTIC/NONIv1ETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check a!! that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN d STEEL DRUM ^ h SILO ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURB Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT z24 STORAGE TEMPERATURE QX a AMBIENT ^ as ABOVE AMBIENT' ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 ,...- %WT HAZARDOUS COMPONENT ~' EHS CAS # . 1 z26 None 227 ^ y~ ^ ND 2z8 zz9 2 230 231 ^ Yes ^ No 232 233 3 234 235 ^ Yes ^ No 236 237 4 238 239 ^ Yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 ~. ~ ~ ~" ~ ~ ~ ~ ~ ~~.~;~ III; SIGNATURE ~. PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~ ~ SIGNATURE .~y.s.,,' ~ ~ DATE 246 Gny Moran, F~rviranmenta! Coorditmtor ~v rLVn/ 'a,/'~~~~ 0 E R S P I D F~Re ARTM T CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (~61) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW ^ ADD ^ DELETE ~ REVISE 200 L~ FACILIT-Y INFORMATION ~ . ~. (one form per material per huilding or area) Page _ of _ BUSINESS NAME (Same as FACII,ITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION Engine Room -Ammonia Compressors CHEMICAL LOCATION ^ yes ~ No 202 20I CONFIDENTIAL (EPCRA) FACILITY ID # I 1 ~ 5 i 0 12 I 1 I I 0 I 0 (1 14 I 0 (7 I ~ . l.. MAP # (aprionat) 203 I 1 GRID # (options!) 204 H. CHEMICAL INFORMATION ; 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME if Subject to EPCRA, refer to instructions 207 COMMON NAME EHS• ^ Yes ~ No 208 Camco 717 Series (Semi-Synthetic Hydrocarbon) CAS # 209 ~ !If EHS is"Yes," all amounts below must be in lbs. , FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ p PURE 0 m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ^D 1 LIQUID LARGEST CONTAINER 182 gallons 2i5 ^ g GAS 214 FED HAZARD CATEGORIES ^ I FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HE ALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNiIAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMD~T DAII.Y AMOUNT 3,460 DAILY AMOUNT 3,460 220 UNITS• ~ ga GAL ^ cf CU FT ^ Ib LBS ^ m TONS 221 DAYS ON SITE • If EHS, amount must be in lbs. 36$ 222 STORAGE CONTABNER ^ a ABOVEGROUND TANK ^ e PLASTIC/NONMETALLIC DRUM ^ i FIEtER DRUM ^ m GLASS BOTTLE ^ q RAn. CAR 223 (Check a!! rhar apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ~ r OTHER ^ c TANK INSIDE BUn.DING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SILO ^ I CYLINDER Compressors ^ p TANK WAGON STORAGE PRESSURE X~ a AMBIENT ^ as ABOVE AMBB3NT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE QX a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBffiNT ^ c CRYOGEMC 225 - - _ _ %W P i HAZARDOUS COMPONENT _. .- EH$,. CAS# 1 zz6 None z27 ^ yes ^ No zzs zz9 2 230 231 ^ Yes ^ No 232 233 3 234 235 ^ Yes ^ No 236 237 4 238 239 ^ Yes ^ No 240 241 5 242 0 243 ^ Yes ^ No 244 245 - _ III. SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE l~ ~ ~ G DATE 246 Guy Morau, Envirormaental Coordinaror ~~ (/~V ~ (I~j~'t,ajy~/ y'~ /`.Z p /~ ~if B B R S P 1 D , ~j Fine serer r ''L~n~„ CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (Cr61) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) ^ NEW ^ ADD ^ DELETE ~ REVISE .200 Page _ of I: FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION zol Outside -West End of Engine Room (Generator) CHEMICAL LOCATION ^ yes ^X No 202 CONFIDENTIAL (EPCRA) FACILITY ID # I l I S l „...I O 12 I 1 ~ (O I O I I 14 I O 17 I, 1 MAP # (optional) 203 ~ GRID # (opliona0 204 ' IL CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME D1eSe~ FUeI #2 If Subject to EPCRA, refer to inswctions 207 COMMON NAME EIIS• ^ yes ^X No 208 CAS # 68476-34-6 209 •If EHS is".Yes," all amounts below must be in Ibs : FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 2I0 TYPE QX ' p pUgp ^ m MDiTURE RADIOACTIVE ^ Yes 0 No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER 2,500 gallons zls ^ g GAS 214 FED HAZARD CATEGORIES ^ I FUtE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HE ALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT Z,SOO DAII.Y AMOUNT O 220 0 UNITS• ^X ga GAL ^ cf CU FT ^ Ib LBS ^. to TONS 221 DAYS ON SITE 222 " If EHS, amount must be in lbs. 36S STORAGE CONTAINER ^X a ABOVEGROUND TANK ^ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAII. CAR 223 (Check all Jhat apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUII.DING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SII,O ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE D a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIEN'P 224 STORAGE TEMPERATURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 22S °/aWT ; .HAZARDOUS. C014IPO.NENT EHS ; •CAS # . 1 zz6 Diesel Fuel #2 zz7 ^ Yes ~ No zzs 68476-34-6 zz9 100% 2 230 231 ^ Yes ^ No 232 233 3 234 - ~ 235 ^ Yes ^ No 236 237 4 238 239 ^ yes ^ No 240 241 S 242 243 ^ Yes ^ No 244 24S ~~ ~~... ~: ~.III.'.SIGNATURE . ,_ ~ .. PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~ ~ SIGNATUR/,E~~}/ y ~ ~~ n~ - ~ ~ I /DATE 246 JemlijerL.Friebel,Risk&SajetyCoordinator '~.h~Y/ ~i~V~K!-[.O/I'li ~~~L~p ' B a R S P l D F/RQ ARTM T ~ "~f - 0 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION - ~ (one jorm per malaria) per building or area) ^ NEW ^ ADD ^ DELETE ~ REVISE 200 Page _ of , I. FACILITY INFORMATION . BUSINESS NAME (Same as FACB.CfY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION 20 1 Wastewater Building CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) FACILITY ID # I l 15 O 12 I 1 I 0 I 0 I 1 14 I 0 17 I , ._ ~.. , 1,. MAP # (optionat) 203 If ! GRID # (optional) 204 . .. ::. - , ..- .. - R. CHEMICAL INFORMATION. .~ ' 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME DIeSCI FOCI #2 - If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS• ^ Yes 0 No 208 CAS # 68476-34-6 Y09 •If EHS is".Yes,.":all amounts fielow must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^X p p~ ^ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER 300 gallons ~ 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HE ALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAII.Y AMOUNT 3OO DAII,Y AMOUNT 2SO 220 UNTCS• ^X ga GAL ^ cf CU FT ^ Ib LBS ^ m TONS 221 DAYS ON SITE • If EHS, amount must be in lbs. 36$ 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTIClNONMETALL[C DRUM ^ i FTBER DRUM ^ m GLASS BOTTLE ^ q RAn, CAR 223 (Check all that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER c ~ TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SII,O ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE ~ a AMBIENT ^ as ABOVE AMBIINT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE ^Q a AMBBiNT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT ~ ~ .. __. - ~ -, HAZARDOUS ~CQMPONENT _ ; _. ~.: _ ~ EHS ~ ~. .. ~ _ CA$ # ~ ~ ~ . ~ - 1 226 Diesel Fuel #2 227 ^ yeS ~ No zzg 68476-34-6 zz9 100% 2 230 231 ^ Yes ^ No 232 233 3 234 235 ^ Yes ^ No 236 ~ 237 4 238 ~ 239 ^ Yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 III. SIGNATURE ', PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~~ SIGNATURE ,A L ~ r DATE 246 GnyMoran,EnvirarmentalCo~rdinator ~NM ~~~~~ ZI2$~QGi E E R S P I D F/RB AR 1M f ~~ •.w~-r< r-..: • . ~.~ OR CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW ~ ADD . (one form per material per building or area) ^ DELETE ^ REVISE 200 Page of ~. - L FACII:.TI'Y INFORMATION' iU5[NESS NAME (Same as FACQ.ITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Cream :HEMICAL LOCATION zo l Outside Chemical Storage Area CHEMICAL LOCATION ^ yes ~ No zo2 CONFIDENTIAL (EPCRA) 'AGILITY ID# I l 15 O 12 11 O I O I 1 (4 I O 17 I. ~, 1 MAP # (optional) 203 GRID # (optionaO 204 ,.. ...-.. _ :° II CHEMICAL INFORMATION c: - 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS" Yes x No 2os Exxelerate 320 CAS # 209 'If EHS is"Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ p PURE ^X m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER 55 gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIItE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HE ALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE ^MD~`T DAILY AMOUNT I OO DAII.Y AMOUNT 2O 220 UNrfS• ~ga GAL ^ cf CU FT ^ Ib LBS ^ m TONS 221 DAYS ON SITE " If EHS, amount must be in lbs. 3 fi$ 222 STORAGE CONTAINER (Check al! that apply) ^ a ABOVEGROUND TANK ~ e PLASTICMONMETALLIC DRUM ^ i FB3ER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUII,DBVG ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SII.O ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE QX a AMBIENT ^ as ABOVE AMI3~NT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT :... , . - -.. HAZARDOUS'COMPONENT : . EHS CAS.# 1 226 Chelating Agents zz7 ^ Yes 0 No 22s Misture zz9 20 - 50% 2 230 231 ^ Yes ^ No 232 233 3 234 235 ^ Yes ^ No 236 237 4 238 239 ^ yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 ~ 245 . III. SIGNATURE . PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE ~/Yy~ _, ew ~ ~28~ DATE 246 Gu Moran, Environmental Coordirwtor ,~ j~A~~/ r ~ (l!'1.~ B E R 5 P I D Fine ~ R r~- ~ CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301(661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW ~ ADD ^ DELETE ^ REVISE 200 T_ FAC'ii.iTY INFORMATION ~ , • . ~.~ OR (one jornr per material per building or area) Page _ of _ 3USINESS NAME {Same as FACII.ITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Cream ;HEMICAL LOCATION 20 1 CIP Room 3 & 4 CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL {EPCRA) 'ACll,ITY ID # I 1 15 ~"- O 12 I 1 `#~ O I O I I (4 I O 17 I -.l ~ MAP # (oplialan 203 GRID # (aplianaO 204 II: CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer tD insuuctions 207 COMMON NAME EHS• ^ Yes ~ No 208 Exxelerate CIP CAS # 209 `.•If EHS is"Yes,'.': all8mountabelow-must be in lbs. FBtE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ P p~ X~ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID 0 I LIQUID LARGEST CONTAINER 3,000 gallons 215 ^ g GAS 2t4 FED HAZARD CATEGORII3S ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHROMC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 216 AVERAGE 219 STATE WASTE CODE AMOUNT DAII,Y AMOUNT I OO ~ DAII.Y AMOUNT 20 220 UMTS• ~ga GAL ^ cf CU FT ^ Ib LBS ^ N TONS 221 DAYS ON SITE • If EHS, amount must be in lbs. 365 222 STORAGE CONTAINER [] a ABOVEGROUND TANK ^ e PLASTIC/NONMETALL[C DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check all !ha! apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER 0 c TANK INSIDE BUII.DING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SII.O ^ 1 CYLINDER ^ p TANK WAGON STORAGE PRESSURE ~ a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE ~ QX a AME~NT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGEMC 225 /oWT HAZARDOUS CO •„ MPONENT•_ EHS CAS# . 1 2ze Sodium Hydroxide 227 ^ Yes ~ No 22a 1310-73-2 2z9 8% 2 3% z3o Sodium Hypochlorite z31 ^ Yes D No 232 7681-52-9 233 3 1 - 5 % z3a Chelating Agent z35 ^ yes x^ No z36 9003-04-7 z37 4 1 - 5% z3s Anionic Surfactant 239 ^ Yes ^x ND 2ao 1300-72-7 z41 5 242 - 243 ^ Yes ^ No 244 245 III. SIGNATURE / PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE ~~ ~ ~ ~/ f lI o b DATE 246 Guv Morml. Farviralmenlal Coordhlalor - Al~'^7 /t/1~/ - e4 {{{{ v~' 0 !!!! e easrt o F/RB ARTM T CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION `' „r (one form per material per building or area) ^ NEW ^ ADD ^ DELETE ~ REVISE 200 Page _ of I. FACILITY: INFORMATION:. -°" ` ' BUSBdESS NAME (Same as FACII,ITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION CIP Room 5, 6, & 7 CHEMICAL LOCATION ^ yes ^x No 202 201 CONFIDENTIAL (EPCRA) FACILITY ID # 1 5 0 2 1 0 0 1 4 0 7 1 MAP # (optional) 203 GRID # (optimw~ 204 II: CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ^x No 20fi CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME Foam Shine (High Foaming Acid Cleaner) EHS• ^ yes Q No 2os CAS # 209 •IfEHS ~is'"Yes;",;all amounts below must be in.lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ p PURE ~ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID x^ 1 LIQUID LARGEST COMAINER 55 gallons 21s ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 2I7 MAMMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT $$ DAII.YAMOUNT SS ~ 220 . UNrrS• ~ ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON SITE • [f EHS, amount must be in lbs. 36$ 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK 0 e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check a!l lhat apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SII.O ^ I CriINDER ^ p TANK WAGON STORAGE PRESSURE Q a AMBIENT ^ as ABOVE AMBIEI I~IT ^ ba BELOW AMBIENT - 224 STORAGE TEMPERATURE ~ a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 . ~ %WT. ~ HAZARDOUS COMPONENT. , `, '; EHS CAS # . 1 z2fi Phosphoric Acid 2z7 ^ yC3 x ^ No zzs 7664-38-2 229 41°/a 2 230 231 ^ Yes ^ No 232 A 233 3 234 235 ^ yes ^ No 236 237 4 238 239 ^ yes ^ No 240 - 241 5 242 243 ^ Yes ^ No 244 245 ~~ ~ III. $IGNATLrRE PRINT NAME & TI71,E OF AUTHORIZED COMPANY REPRESENTATI VE SIGNATURE ] ~ ~ r?~ rf y /~ DATE 246 Grry Morm; E.trrirm~mental Coordinator ~/ ~ i/ ~ - 0."1 ~ v~~ip. a easrt o F/RF ARTM T CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (~61) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION „r (one form per nealerial per building or area) ^ NEW ^ ADD ^ DELETE 0 REVISE 200 Page _ of _ ;. .. .. - .....r.~. ',, ,. ~. -. ,...; ,: I: FACILTTY INFORMATION BUSINESS NAME (Same as FACII,ITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION Outside Chemical Storage Area CHEMICAL LOCATION ^ yes ~ No 202 201 CONFIDENTIAL (EPCRA) FACILITY ID#~ I I S I 0~ 2 I 1 I O~ O I I 14 - I 0~ 7 I ~ 1: ~ MAP # (opliona~ 203 1ltl GRID # (optional) 204 . - II:-CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer [o inswctions 207 col~.IOx NAME Foam Shine (High Foaming Acid Cleaner) mss" ^ Yes 0 No zos CAS # 209 ~"B'EHS is"Yes," all amounts below must be in Iba . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ p PURE 0 m MIXTURE RADIOACTIVE ~ ^ Yes ~ No 212 CURIES - 213 ^ w WASTE 211 PHYSICAL STATE ~ ^ s SOLID ~ I LIQUID LARGEST CONTAINER 55 gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that aPP1Y) 216 ANNUAL WASTE 2I7 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE '4MO~T DAII.Y AMOUNT SS DAII.Y AMOUNT $S 220 UNTTS" ~ ga GAL ^ cf CU FT ^ Ib LBS ^ m TONS 221 DAYS ON SITE If EHS, amount must be in lbs. 36$ 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK ~ e PLASTICMONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAB, CAR 223 (Check all that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUII.DBIG ^ g CARBOY ^ k BOX ~ ^ o TOTE BIN ^ d STEEL DRUM ^ h SB.O ^ I CYLIlVDER ^ p TANK WAGON STORAGE PRESSURE QX a AMBIENT ^ as ABOVE AMBB34T ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE ~X a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT ~ ~ ~ ~ ~ ~ HAZARDOUS COIv1PONENT ~ „_ EHS .:~ ~ ~ ~ CAS #~ 1 z26 Phosphoric Acid 227 ^ Yea 0 N° 2zs 7664-38-2 229 41% 2 230 231 ^ Yes ^ No 232 233 3 234 235 ^ Yes ^ No 236 237 4 238 239 ^ Yes ^ No 240 241 5 242 ~ 243 ^ Yes ^ No 244 245 IIL SIGNATURE PRINT NAME & TITLE bF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE ' DATE 246 Gay Moran, Environmental Coordirwtor ~s~ i~.~v ~ o~ZS`Q~4 a E R S P I D Fine ' ARTM f Amp„ ~.u•,.< .. c.,• OR CITY OF BAKERSFIEI.,D OFFICE OF ENVIRONMENTA-L SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per huildirrg ar area) ^ NEW ^X ADD ^ DELETE ^ REVISE 200 Page _ of _ I. FACILITY INFORMATION .'~ ~ ~ - 3USINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Cream ;HEMICAL LOCATION 20 1 Outside Chemical Storage Area CHEMICAL LOCATION ^ yes ^X No 202 CONFIDENTIAL (EPCRA) AGILITY ID # ` 4 ~ 5 I ^°~''~ 0 12 I 1 i 0 I 0 I 1 14 ~ 0 17 I ~ { MAP # (opJionall 203 GRID # (options!) 204 :,.. ,, ` • . II: CHEMICAL INFORMATION .. ~ 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS• Yes X No 208 2171 General Cleaner CAS # 209 ` .•IfEHS is"Yes,".all amounts below must be in lbs. FniE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ P PURE ~ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURB'sS 2l3 ^ w WASTE 211 PHYSICAL STATE Q s SOLID ^ 1 LIQUID LARGEST CONTAINER 2 pounds zis ^ g GAS 214 FED HAZARD CATEGORIES ~ ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ~ 4 ACUTE HEALTH ^ 5 CHROMC HEALTH (Check all that aPP1Y) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE ~ 219 STATE WASTE CODE AMOUNT DAII.Y AMOUNT 2O DAII,Y AMOUNT 1 O 220 UNTTS• ^ga GAL ^ cf CU FT ^X Ib LBS ^ m TONS 221 DAYS ON SITE ` /f EHS, amount must be in lbs. 365 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTIC/NONMETALL[C DRUM ^ i FIBER ARUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check all that apply) ^ b UNDERGROUND TANK ^ f CAN ~ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k SOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SILO ^ 1 CYLINDER ^ p TANK WAGON STORAGE PRESSURE ^D a AMBIENT ~ ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE Q a AMBIENT. ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 ~~r~r~ °/D YY L _. ~` _ HAZARDOUS COMPONENT - .EHS~ :, ~' - ;. : ~. ... '-CAS #.- .- 1 zee Sodium Cazbonate zz7 ^ Yes ~ No zza 497-19-8 zz9 36% 2 9°{0 230 Sodium Metasilicate 231 ^ Yes 0 No 232 6834-92-0 233 3 1 O% 234 Sodium Lineaz Alkyl Benzene Sulfonate 235 ^ Yes ~ No 236 25155-30-0 237 4 3°/a 23s Sodium Tripolyphosphate 239 ^ Yes ~ No 240 7758-29-4 gal 5 242 243 ^ Yes ^ No 244 245 -~ ~ ~- -~ `III.SIGNATURE " PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE ~ E ~~~ ~~~ $~~ / DATE 246 Guv Moran. Environmental Caardinamr ~~""~~ __ __ AA (~ B a R S P l D F/RE ARTM T CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW 0 ADD ^ DELETE ^ REVISE 200 _.-.. L FACII;TI'Y .INFORMATION " = R~ (one form per material per building or meal Page _ of 3USINESS NAME (Same as FACII.ITY NAME or DBA -Doing Business As) 3 ' ~reyer's Grand Ice Cream :HEMICAL LOCATION zol Maintenance Shop & Outside Storage Area CHEMICAL LOCATION ^ yes ~ No zoz CONFIDENTIAL (EPCRA) AGILITY ID # I 1 15 i ~ 0 12 I 1 ~ 0 I 0 ` 1 ` 4 ~ 0. 17 ~ . _ . ,. 1 MAP # (optional) 203 I I GRID # (oplimmf) 204 . - -~ ... .. .. ~ - . II: CHEMICAL-INFORMATION ~ 205 TRADE SECRET ^ Yes ^x No 206 CHEMICAL NAME If Subject to EPCRA, refer to instmctions 207 COMMON NAME EHS• ^ yes ~ No 208 Helistar SS CAS # 209 'IfEHS is"Yes,',', all amounts below must be in lbs . FIRE CODE HAZARD CLASSES (Complete if requested by local fire.chief) 2l0 TYPE ^ p PURE ^x m MIXTURE RADIOACTIVE ^ Yes ^x No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ^ I LIQUID LARGEST CONTAINER 336 Cf 215 g GAS 214 FED HAZARD CATEGORIES ^x I FIRE ^ 2 REACTIVE ^x 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217. MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAII,Y AMOUNT 100 DAII,Y AMOUNT 50 220 UMTS" ^ga GAL ~ cf CU FT ^ Ib LBS ^ m TONS 221 DAYS ON SITE " If EHS, amount must be in lbs. 36$ 222 AINER ~C ORAQ Eti O ~ ^ a ABOVEGROUND TANK ^ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIl. CAR 223 ry ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUB.DING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SB,O ^x I CYLINDER ^ p TANK WAGON STORAGE PRESSURE ^ a AMBIENT ~ as ABOVE AMBIENT ^ ba BELOW AMBIENT - 224 STORAGE TEMPERATURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDQUSCOMPONENT -.EHS CAS#. 2z6 l Argon 2z7 ^ yes ~ No 22s 7440-37-1 z29 >50°/D 2 230 Helium 231 ^ Yes ^x No 23z 7440-59-7 z33 <49°/D 3 234 Cazbon Dioxide ~ 23s x ^ Yes ^ No 236 124-38-9 z37 <1% 4 238 239 - ^ Yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 " III. SIGNATURE `_ PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE ~ ~ ~ ~ ~ DATE 246 Guy Moran, Errvironmenta! Coordinator ~ ~~ •Z ~28~4.6= B E R S P I D ~j F~R~ ~ w R rer r '"'~ ~, CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one jarm per material per building or area) ^ NEW 0 ADD ^ DELETE ^ REVISE 200 Page _ of _ .. . .., r, ACII.iTY i1VFORMA~ TiON nJSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Cream ;HEMICAL LOCATION 201 Mateilal5 ReChllSitiOri Office - CHEMICAL LOCATION ^ yes ^x No 202 CONFIDENTIAL (EPCRA) 'AGILITY ID # ~ 1 ~ 5 f -`~ 0 1 2 ` 1 ~ ~ 0 I 0 I 1 14 ` 0 17 I ,_ ~ 1 I MAP # (optional) 203 GRID # (opinona!) 204 .. ..-. ~ .,~, ~~ ~ II. CHEMICAL INFORMATION . . , ,.. ~. s~ 205 TRADE SECRET ^ yes ^ No 206 CHEMICAL NAME If Subject to EPCRA, refer to inswctions 207 COMMON NAME EHS• ~ ^ y~ Q No 208 16-7400Q Ink CAS # 209 ~ •IfEHSis"Yes," all amounts below.musf be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ p PURE ^x m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ^x I LIQUID LARGEST CONTAINER 1 liter 215 ^ g GAS 214 FED HAZARD CATEGORIl3S Q 1 FBtE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HE ALTH ^ 5 CHROMC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAn.v AMOUrrr 5.28 DAII.Y AMOUNT 2.64 zzo UNCfS' x^ga GAL ^ cf CU FT ^ Ib LBS ^ m TONS 221 DAYS ON SITE * If EHS, amount must be in lbs. 365 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTIC/NON[vIETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR (Check all that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^x n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUII.DING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SILO ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE Q a AMBIENT ^ sa ABOVE AMBIENT ^ ba BELOW AMBIENT STORAGE TEMPERATURE ^X a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC %WT HAZARDOUS COMPONENT, :-. .. . EHS CAS # 1 zz6 I-Methoxy-2-Propanol 227 ^ Yes ~ No zzg 107-98-2 1-5% 2 z3o 2-(2-Ethoxyethoxy) Ethanol zit ^ yeS x ^ No 232 111-90-0 1 - 5% 3 234 Basic Violet 3, CI 42555 z3s x ^ Yes ^ No 236 548-62-9 0.1 - I % 4 1 - 5% 238 Ethanol 239 ^ yes ~ No 240 64-17-5 s 242 Methanol 243 ^ ^ Yes x No 244 67-56-1 60 - 10~% HI' SIGNATURE 222 223 224 225 229 233 237 241 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE -SIGNATURE ~ /~~ ~~ ~~~~ DATE 246 Guy Moran, Enviramlental Coordinator ~.t LIAMr ~/'~~~ •:~.,,. r,~- CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW ^ ADD ^ DELETE ~ REVISE 200 - i. FACii,TTY NFURMATTCIN ~.r° (one form per material per hrri/ding or area) Page _ of _ BUSINESS NAME (Same as FACII.ITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION 20 1 M2YCr1aIS ReGU1S1IlOn O>~iCe CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) FACILITY ID# I I I S I O 12 11 ~ I O I O I l 14 ~ 0 l 7 l 1 MAP # (optional) 203 f GRID # (optional) 204 ,- . .. ._ -.. -.. _.. ~. II:.CIIEMICAL INFORMATION , 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject [o EPCRA, refer to instructions 207 COMMON NAME JAX Magna-Plate 220 FG, 460 FG EHS" ^ yC3 Q ND zos CAS # 209 ~ "If EHS is"Yes,".all amounts below tiiustbe in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local Fire chief) 210 TYPE ~ p PURE ^ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID 0 1 LIQUID LARGEST CONTAINER S S gaIIOnS 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ~ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT 55 DAII.Y AMOUNT 55 220 UNTfS' ~ ga GAL ^ cf CU FT ^ lb LBS ^ to TONS 221 DAYS ON SLTE , • If EHS, amount must be in lbs. .365 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check all that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^X c TANK INSIDE BUILDING ^ g CARBOY ~ ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SILO ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE 0 a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE QX a AMBIENT ^ as ABOVE AMBIENT ~ ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 `=~ °/D YY 1 ... _ ~ _ HAZARDOUS`COMPONENT ~ . ~ ~~ ~~. .:. ~. • ~ ~ - .. . "~ EHS .. ~.;. ' '. ~ ~ ~ - CAS~# 1 100% 226 White Mineral Lubricating Oils 227 ^ Yes ^x ND zza zz9 2 230 231 ^ yes ^ No 232 233 3 234 ~ ' 235 ^ Yes ^ No 236 237 4 236 239 ^ yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 B a R S P i D F/RE ARTM l .III: SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~ SIGNAT~UR~E~~/ ~ ' ~ DATE 246 tarry Moran, E.rrvironnrenml Coordinator .! ` f/-~ ~ !'~~ ~ e7+p V ~ _ _ - B B R S P I D F/RF ARiA/ i CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (~61) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per hviGir'reg or area) ^ NEW ^ ADD ^ DELETE ~ REVISE 200 Page ~_ of _ I. FACILITYINFORNIATION` BUSINESS NAME (Same as FACII.ITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION Materials Requisition Office CHEMICAL LOCATION ^ y~ QX No 202 201 CONFB)ENTIAL (EPCRA) FACILITY ID# I l I S i 0~ 2 l l O I O { l 14 l 0 17 l l- MAP # (optional) 203 GRID # (optioaa~ 204 _..., _. II. CHEIVIICAL WFORMATION` ~ 205 TRADE SECRET ^ Yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS• ^ Yes ~ No zos JAX Syncomp - FG ISO Grade 32 CAS # 209 +If EHS:is"Yes,"all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ P p~ ~ m MIXTURE RADIOACTIVE ^ Yes 0 No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER $$ gallons 215 ^ g GAS 214 FBD HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HE ALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMl3M 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAII.YAMOUNT SS DAILY AMOUNT $$ 220 UNITS• ~ ga GAL ^ cf CU FT ^ Ib LBS ^ m TONS 221 DAYS ON SITE • If EHS, amount must be in lbs. 36$ 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTICMONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAII. CAR 223 (Check a!l lhat apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER X^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BBV ^ d STEEL DRUM c ~ ^ h SII.O ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE Q a AMBB3NT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE ~ a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 °/nWT~ - ~ ~ ~ ~ ~ HAZARDOUS COMPONENT . _ ~~.... EHS ~. ~: - ~ CAS # ~ - I 226 Synthetic Lubricating Oil 227 ^ Yes ~ No 2zg ~ 229 100% 2 230 231 ^ yes ^ No 232 ° 233 3 234 ~ 235 ^ yes ^ No 236 237 a 238 239 ^ Yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 III. SIGNATURE ` PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE t~/~/~/ ^ q DATE 246 GuyMorml, EnvirarmentalC~ordinator I ~ /®`~YY1r ~ a~ ~~O/~ B a R S P l D ~ FIRE ARTM f ~ ''~j x-,.< mss.,- ..~^ 0 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (are jorm per material per buildiag ar areaJ ^ NEW ^ ADD ^ DELETE ~ REVISE 200 Page _ of .. ,, , _ I: FACILITY INFORMATION' .. ~ . BUSINESS NAME (Same as FACII.ITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION Materials Requisition Office CHEMICAL LOCATION ^ yes ~ No 202 20l CONFIDENTIAL (EPCRA) FACILITY ID# I l 15 O 12 11 O I O I l 14 l 0 l 7 l~ . l~ MAP # (oplionan 203 GRID # (optiana!) 204 II: CHEMICAL INFORMATION - , 205 TRADE SECRET ~ ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME ~ EHS• ^ Yes ~ No 208 JAX Cryoguazd Plus ISO 68 CAS # 209 •If EHS is"Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ p PURE ~ m MDCTURE RADIOACTIVE ^ Yes ~ No 2I2 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER SS gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FntE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHROMC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM ZIS AVERAGE 219 STATE WASTE CODE AMOUNT DAn.YAMOUNT SS DAB.YAMOUNT SS 220 UMTS• ~ ga GAL ~ ^ cf CU FT ^ Ib LBS ^ N TONS 221 DAYS ON SITE If EHS, amount'must be in lbs. 365 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ RAIL CAR q 223 (Check all that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER c TANK INSIDE BUII.DING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SILO ^ 1 CYLINDER ^ p TANK W AGON STORAGE PRESSURE Q a AMBIENT ^ as ABOVE AMBIEI9T ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE 0 a AMBIENT ~ ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGEMC 225 :.. %WT HAZARDOUS COMPONENT `,EHS. CAS.# 226 1 Hydrotreated Petroleum Pazaffirlic Mineral Lubricating Oil 227 ^ y~ ^x No 2zg 8042-47-5 229 100% 2 230 ~ 231 ^ Yes ^ No 232 233 3 234 235 ^ yes ^ No 236 237 4 238 239 ^ Yes ^ No ' 240 241 5 242 243 ^ Yes ^ No 244 245 .III. SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~ SIGNAT~UR,(E~~ - ' ~ ~ ~ ^ /~ ~ DATE 246 GrryMoran, Environmental Coordinator _` „° -- A_ ~~/y~/ s~+I d.~Qt? B E R a P ~ D F/RF ARTM f • ,u..,.. ~,~.., ^ NEW OX ADD ^ DELETE CITY OF BAKERSFIE]LD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ REVISE 200 L`FACILTTY~~~INFORMATION `~ ~n..'~ (one form per material per building or area) Page _ of 3USINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Cream :HEMICAL LOCATION 201 Materials Requisition Office CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) ~ACII.ITY ID # ~ 1 15 I ~! 0 I 12 ~ I I 0 I. 0 I 1 14 ~ 0 17 I ~ ~ 1~ ~ MAP # (aptionan 203 Il GRID # (oprionaO 204 . .. .. .. .. .. ,.: ' II;CIiEMICAL INFORMATION ._ ... ..:.. .. ~ 205 - TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS' Yes x No 208 JAX Magna-Plate ?2 CAS # - ~ 209 ~' ~'If EHS is"Yei;'~all'amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief] 2I0 TYPE ^ p PURE ^X m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID . ~ I LIQUID LARGEST CONTAINER 55 gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HE ALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MA70MLIM 218 AVERAGE 2I9 STATE WASTE CODE AMOUNT DAII,Y AMOUNT I O DAII.Y AMOUNT S 220 UNITS' ~ga GAL ^ cf CU FT ^ Ib LBS ^ m TONS 221 DAYS ON SITE ' If EHS, amount must be in lbs. 36$ 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAB. CAR 223 (Check al! that apply) ^ b UNDERGROUND TANK ^ f CAN - ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUII.DING ^ g CARBOY ^ k BOX ^ o TOTE BIN d STEEL DR[JM ^ h SILO ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE ^X a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ~ 224 STORAGE TEMPERATURE ~ a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT - ^ c CRYOGENIC 225 °/DWT HAZARDOUS COMPONENT EHS CAS # , 1 ~ 226 None ~ 227 ^ Yes ^ No zzs 229 2 230 231 ^ Yes ^ No 232 233 3 234 235 ^ yes ^ No 236 237 4 236 239 ^ yes ^ No 240 241 5 242 243 ^ yes ^ No 244 245 ,. ., ;:. III: SIGNATURE PRINTNAME & T[TLE OF AUTHORIZED COMPANY REPRESENTATIVE $iGNATURE ~ ~ ~ ~ DATE 246 Guy Morro; Environmental Coordinator ~ 10~, ,106 . E E R S P I D F/RE ARTM T CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW ^ ADD ^ DELETE ~ REVISE 200 L FACILITY INFnRMATiON:: ~.«" 0 (ale form per nmteria! per building or area) Page ~ of BUSINESS NAME (Same as FACB.ITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION ASRS ~-Cranes CHEMICAL LOCATION ^ Yes ~ No 202 201 ~ CONFIDENTIAL (EPCRA) FACILITY ID # I l 15 l I O 12 (I I O I O I l 14 l 0 17 ( 1 ' MAP # (optionan 203 GRID # (optional 204 - II.'CHEMICAL INFORMATION- ,.. . 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS• Yes x ND zog JAX Magna-Plate 80, 86, 88 CAS # 209 ..'IfEHS is'"Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ P p~ Q m MIXTURE RADIOACTIVE ^ Yes ^X No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID X^ I LIQUID LARGEST CONTAINER 1$ gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ l FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HE ALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 2l8 AVERAGE 219 STATE WASTECODE AMOUNT DAII.Y AMOUNT 7O DAII,Y AMOUNT 6O 220 UNfrS• ^ ga GAL ^ cf CU FT ^ Ib LBS ^ N TONS 221 DAYS ON SITE ~ If EHS, amount must be in lbs. 36$ 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTIC/NONMETALLIC DRUM ^ i Fll3ER DRUM ^ m GLASS BOTTLE ^ q RAll, CAR 223 (Check a!! that aPPlYI ^ b UNDERGROUND TA13K ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^X d STEEL DRUM ^ h SII.O ^ I CYLBVDER ^ p TANK WAGON STORAGE PRESSURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE Q a AMBIENT ^ as ABOVE AMBIENT - ^ ba BELOW AMBIENT ^ c CAYOGEMC 225 °/aWT ~ - . ~ ~ ~ HAZARDOUS COIvIPONENT- ~~~ EHS ~ ~,:~ ~ ~ ~ CAS # 1 226 Synthetic Lubricating Oil ~ 227 ^ Yes ^x No zza 229 100°/a 2 230 231 ^ Yes ^ No 232 233 3 234 235 ^ yes ^ No 236 ~ 237 4 238 239 ^ Yes ^ No 240 241 5 242 2a3 ^ Yes ^ No 244 245 _ ~ ~ .IIL SIGNATURE ~ , , .. - . .. PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~ SIGNATURE" ' ~ " ~ ~ f ~ DATE 246 Gay Moran, F.~rvironmental Coordinamr l l 1~ ] l / ~~'~~~~ ~ _.. ~, p (x1 B E R S P I D ~7 r• F/RE ' ARlM f ~,w„ -.,..,..~ ...r...,- CITY OF BAKERSFIEI.,D OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVL+'NTORY CHEMICAL DESCRIPTION (one form per material per building or area) ^ NEW 0 ADD ^ DELETE ^ REVISE 200 Page _ of _ 1. FACI(1(.1(TY INFORMATION SUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Cream ;HEMICAL LOCATION 201 Materials Requisition Office CHEMICAL LOCATION ^ Yes ^X No 202 CONFIDENTIAL (EPCRA) ~ACII.ITY ID # I l I S I '~ O 1 2 11 I O I O I l 14 I O 17 I .- .1 : MAP # (options!) 203 GRID # (options!) 204 _ .:. ll. CHEMICAL INFORMATION 205 TRADE SECRET ^ Yes 0 No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS" ^ yes ~ No 208 16-7400Q Make Up Fluid CAS # 209 ~ `If EHS is`Yes;' all amounts below must be inlbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 2l0 TYPE ^ p PURE ~ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ ~ I L[QUID LARGEST CONTAINER 1 liter 215 ^ g GAS 214 - FED HAZARD CATEGORIES QX 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHROMC HEALTH (Check all [hat apply) - 216 ADINUAL WASTE 2l7 MAXIMUM 218 AVERAGE 214 STATE WASTECODE AMOUNT DAII,Y AMOUNT $.2g DAII,Y AMOUNT 2.64 220 UNITS' ~ga GAL ^ cf CU FT ^ Ib LBS ^ m TONS 221 DAYS ON SITE * If EHS, amount must be in lbs. 365 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTIC/NONMETALLIC DRUM ^ i FB3ER DRUM ^ m GLASS BOTTLE ^ q RAII. CAR (Check all that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^X n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUII.DING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SII.O ^ t CYLINDER ^ p TANK WAGON STORAGE PRESSURE 0 a AMBIENT ^ ea ABOVE AMBIENT ^ ba BELOW AMBIENT STORAGE TEMPERATURE ^Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC °/DWT _. HAZARDOUS-COMPONENT EHS CAS.# . . I 226 Me anol 227 yes ^x No 22s 67-$6-1 60 - 100% 2 230 231 ^ Yes ^ No 232 3 234 235 ^ Yes ^ No 236 4 238 239 ^ Yes ^ No 240 5 242 243 ^ Yes ^ No ~ 244 III:. SIGNAT'C)RE 222 223 224 225 229 233 237 241 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246 Gay Moran, Envirotmrental Coordinator ~j ~ y,I/ r~~je,~ e ~ _ !7 '7 Q ~~.. B a R S P I D Fine ARTM T CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301(661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ' ^ NEW ^ ADD ^ DELETE D REVISE 200 - ~ ._ ,. , . I. FACILITY INFORMATION , BUSINESS NAME (Same as FACII.ITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream (one form per material per building or area) Page _ of CHEMICAL LOCATION Outside Chemical Storage Area CHEMICAL LOCATION ^ yes ~ No zoz 201 CONFIDENTIAL (EPCRA) FACll.ITY ID # I 1 ~ 3 ~ >.I 0 12 I 1 ~ 0 I 0 I 1 14 ~ 0 17 ! 1 MAP # (optional) 203 GRID # (optional) 204 Ii CHEMICAL INFORMATION _. CHEMICAL NAME 205 TRADE SECRET ^ yes ~ No 206 If Subject to EPCRA, refer to insWCtions 207 COMMON NAME Mandate (Acid Sanitizes) Exs• ^ Yes ~ Nn zoo CAS # 210 ' "'" U p PURE LJ m MIXTURE RADIOACTIVE U Yes LI No 212 """""' "' ^ w WASTE 211 I PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER 55 gallons zls ^ g GAS 214 FED HAZARD CATEGORIES ^ I FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAJQMUM 218 AVERAGE 219 STATE WASTE CODE ~G~T DAII,Y AMOUNT 220 DAII,Y AMOUNT 11 O 220 UMTS• ~ ga GAL ^ cf CU FT ^ Ib LBS ^ N TONS 221 DAYS ON SITE " TF EHS, amount must be in lbs. 365 STORAGE CONTAINER ^ a ABOVEGROUND TANK ~ e PLASTICMONMETALLIC DRUM ^ i FffiER DRUM ^ m GLASS BOTTLE ^ q RAB. CAR (Check a!! That apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUILDSNG ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SII.O ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE . Q a AMBIENT STORAGE TEMPERATURE Q a AMBIENT ^ as ABOVE AMBIEtdT ^ as ABOVE AMBIENT ~ ^ ba BELOW AMBIENT - ^ ba BELOW AMBIENT ^ c CRYOGENIC 224 225 °/DWT .: HAZARDOUS COMPONENT ;.. EHS , :, CAS # 22.5% Phosphoric Acid z27 ^ Yes ~ No 228 7664-38-2 229 2 230 231 ^ Yes ^ No 232 233 3 234 235 ^ Yes ^ No 236 237 a 23R 239 ^ Yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 :: ~ ~ -._., ~~ ~ ' : ~ ~~ III: SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~ SIGNATUREr/; - - - Gvy Morcuy Environments! Coordinator ~~~~ - ^-~ ~~pp- DATE p2 I~,~HJ b 246 ~. 209 _. •If EHS is"Yes," elYamounts below must be in lbs. 222 223 B a R 5 P 1 D ARTM T '~ ... CITY OF BAKERSFI]ELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INWENTORY CHEMICAL DESCRIPTION ' (ale jorm per material per building or area) ^ NEW ^ ADD ^ DELETE X^ REVISE 200 Page _ of _ . .. ~ -. " i_ FA('ii.ITY INFnRMATi(1N: BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION 20 1 CIP Room 3 & 4 CHEMICAL LOCATTON ^ yes ~ No 202 CONFIDENTIAL (EPCRAj FACII.ITY ID # I 1 1 5 ( O 12 I l l l 0 l 0 I 1 14 l 0 l 7 l. 1 MAP # (optional 203 ` II GRID # (optionan 204 _ -.: .:- II. CHEMICAL INFORMATION .: , ,. 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME Mandate (Acid Sanitizer) EHS• ^ Yes ~ No 208 CAS # 209 - "If EHS is°Yes,' all amounts below must be in lbs . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ p PURE ^X m MIXTURE RADIOACTIVE ^ Yes ^X No 212 CURBiS 213 ^ w WASTE 211 PHYSICAL STATE ^ a SOLID ^X I LIQUID LARGEST CONTAINER 3,000 gallons zls ^ g GAS 214 FED HAZARD CATEGORIES 0 1 FIRE x^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAJOMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAII,Y AMOUNT 3,000 DAn.Y AMOUNT 1,500 220 UNrfS• 0 ga GAL ^ cf CU FT ^ Ib LBS ^ m TONS 221 DAYS ON SITE 222 • If EHS, amount must be in lbs. ~ 365 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^e PLASTIC/NONMETALLIC DRUM ^ i FB3ER DRUM ^ m GLASS BOTTLE ~ ^ q RAIL CAR 223 (Check af! that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ~c TANK INSIDE BUII.DING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SII.O ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE X^ a AMBIIiNT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGEMC 225 l',~ °/D YY 1 ; ~ ,', ~ _ -•. - ' ~ . ` ~ -HAZARDOUS COMPONENT- ,, r ~~ .~ .' ~' .EHS ~ = ~ . • ~ `• ~ - : ~ ~ CAS #. .. ~ ~, 1 226 Phosphoric Acid 227 ^ Yes x^ No 2zs 7664382 229 22.5% 2 230 231 ^ Yes ^ No 232 233 3 234 235 ^ yes ^ No 236 237 4 238 239 ^ Yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 .ill: J1lsiVAl7J1CL' -, ,. PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE ~ - ~ ~ ~ ~ ~ ~ ~ DATE 246 Gay Moran,EnviramlentalCoordinator /~ '~~..~r>7 '~17,~~~(n B E R a P l D F/RE AR7M 7 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW ^x ADD ^ DELETE ^ REVISE 200 ,..I. FACILTTY INFORMATION .. ` . -~ 6 • ~aN` e 0 (one form per material per building or area) Page _ of _ SUSnJESS NAME (Same as FACII.ITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Cream ;HEMICAL LOCATION 20 1 Outside Chemical Storage Area CHEMICAL LOCATION ^ yes 0 No 202 CONFIDENTIAL (EPCRA) 'AGILITY ID# I l 15 O 12 11 I O I O I I 14 10 (7 I 1 MAP # (optional) 203 GRID # (aptianan 204 IL CHEMICAL'INFURMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to inswctions 207 COMMON NAME EHS• ^ Yes ~ No 208 Matrixx CAS # 209 " !If EHS is"Yes," all amounts below must be in lbs . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ p PURE ^x m MDCTURE RADIOACTIVE ^ Yes ^x No 212 CURB3S 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ I LIQUID ~ LARGEST CONTAINER SS gallons zls ^ g GAS 214 FED HAZARD CATEGORIES ^ I FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT I O DAII.Y AMOUNT S 220 UNTCS' ^x ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON SITE If EHS, amount must be in lbs. 36S 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK 0 e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAll. CAR 223 (Check all that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SIl.O ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE Q a AMEB3NT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE ^x a AMBIENT ^ as ABOVE AMBBiNT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 °/D YY 1 - . ~ HAZARDOUS'COMPONENT ~ -~~~.-`~ .:.. .. - ~ ~, ~ ~: ~~. ,.. - ~.: -. ~ ~~ EHS :-. _ .., ~ -~ ~ .. ~ ~ .:CAS # _ . l 2S% 226 ACetIC ACId 227 ^ Yes ^x No 228 64-I9-~ 229 2 7% 23o Hydrogen Peroxide 231 ^ Yes ~ No 232 7722-84-I z33 3 234 Peroxyacetic Acid z35 ^ ye5 x ^ No 236 79-2I-O 237 $% 4 238 239 ^ Yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 'III SIGNATURE ' PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE /l~ ~ ~ ~ / /1 DATE 246 Guy Moran, Environmental Caordinamr ~ _/_ J~/ ~/r / {%S/f a~w/1 i ~ ~. 2.1 ~i~/ 6~0 9 a R a P l D F/RB AR1IM 7 -.~~. a.:...,~ CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ~. (one form per material per baAJing or area) ^ NEW ^ ADD ^ DELETE ~ REVISE z00 _ Page _ of i _ T~FA~('T$,iTV ~iNFnRMATT(-N.~- BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 _ Dreyer's Grand Ice Cream CHEMICAL LOCATION 20 1 Outside Chemical Storage Area CHEMICAL LOCATION ^ yes 0 No 202 CONFIDENTIAL (EPCRA) FACILITY ID# I I I S( II 0~ 2 I l l ~ O I O I 1 14 1 0 1 7 I. ., 1. MAP # (optional) 203 Ii GRID #(optional) 204 - . - .., _ .. _- .. .- - - ` _ ` II CHEMICAL'' INFORMATION ° _. _ 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to insWCtions 207 COMMON NAME Mikroklene DF (Idophor Detergent Disinfectant) EHS• ^ yes X[] No 208 CAS # 209 'IfEHS is"Yes;" altamolints below must be ialbs . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ P PURE ~ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER 55 gallons 215 ^ g GAS 214 FED HAZARD CATEGOR~S ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHROMC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MA7QMIIM 2l8 AVERAGE 2l9 STATE WASTE CODE AMOUNT DAII,Y AMOUNT 1 I O DAII.Y AMOUNT 55 220 Q UraTS• ~ ga GAL ^ cf CU FT ^ Ib LBS ^ m TONS 221 DAYS ON SITE 222 • If EHS, amount must be in lbs. 365 STORAGE CONTAINER ^ a ABOVEGROUND TANK ~ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check all !ha! apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC $OTTLE ^ r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ 0 70TE BIN ^ d STEEL DRUM ^ h SILO ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ha BELOW AMBIENT 224 STORAGE TEMPERATURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS # ` "~ 1 226 Iodine zz7 x ^ Yes ^ No 22s 7553562 zz9 1.75% z 6.5% 23o Phosphoric Acid zit ^ Yes ~ No z3z 7664382 233 3 2% 234 2-Butoxyethanol 235 ^ Yes ~ No 236 111762 237 4 238 ~ 239 ^ Yes ^ No 240 ~ 241 5 242 243 ^ Yes ~ No 244 245 , :. ,> 111: 51GNA1'UKL' :. ,.. ,. PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~ ~ ~ SIGNATURE ~ ~ ~ ~ - _ ~ ~ ~ ~ DATE 24b Gny Moran, Grvironn:en(al Caoidinamr / / IfI ~a~/ a~.8lo~ R E R S P 4 D Fine serer r ~ CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) ^ NEW ^ ADD X^ DELETE ^REVISE 200 Page _ of _ I. FACIL.TTY. INFORMATION . BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION A lr COmpreS507 ROOM - CHEMICAL LOCATION ^ y~ QX No 202 201 CONFIDENTIAL (EPCRA) FACILITY ID # I l 15 I O 12 11 I O I O I l 14 10 l 7 l I ., MAP #(optional) 203 GRID # (optional) 204 II: CHEMICAL INFORMATION ;,. ; .. ~ 205 TRADE SECRET ^ yes ^X No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS' ^ Yes ~ ND zos Mobil Multipurpose ATF (Dextron 3) CAS # ~ 209 ~~ •IfEHSis"Yes," all amounts below must be in Ibs: FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief] 210 TYPE ^ p PURE 0 m MDrTURE RADIOACTIVE ^ Yes ^ No 212 CURIES 213 ^ w WASTE 21l PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER 55 gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ I FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HE ALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMO~T DAII.Y AMOUNT 165 DAII,Y AMOUNT 55 zzo IJNrTS" 0 ga GAL ^ cf CU FT ^ Ib I,BS ^ to TONS 221 DAYS ON SITE • If EHS, amount must be in Ibs. 365 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ RAIL CAR q 223 (Check all that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUILDBJG ^ g CARBOY ^ k BOX ^ o TOTE BIN d STEEL DRUM ^ h SII,O ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT ..- ' -. t} .. _ HAZARDOUS COMPONENT:; 'EHS . ;' CAS # t z26 Diphenylamine z27 ^ y~ x ^ No z2s 122-39-4 2z9 1% 2 230 231 ^ Yes ^ No 232 233 3 234 235 ^ Yes ^ No 23b 237 4 238 239 ^ Yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 .. = III. SIGNATURE . " PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE -SIGNATURE ~ DATE 246 Guy Moran, Eaviranmenml Coordinator ~(~' ~ ~, y~,Q /~Gi CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (ane form per material per building or area) ^ NEW ~ ADD ^ DELETE ^ REVISE 200 Page _ of _ .. ~~ ~ ~" I: FACILITYiNFORM ~ ~~ ~ ~~~ ATiON `- iUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Cream :HEMICAL LOCATION 201 Outside Chemical Storage Area CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) rACILITY ID# 1 5 0 2 1 0 0 1 4 0 7 1 MAP # (optional) 203 ' I I ~~ ~ f GRID # (optional) 204 . . 1 { II:. CHEMICAL.INFORMATION _. ~ 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to inswctions 207 COMMON NAME EHS• ^ y~ x0 No 208 Nalco 2560 CAS #, 209 -~"•IfEHS is'Yes," all amounts below must be in lbs . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ p PURE ~ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURSES 2I3 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID D I LIQUID LARGEST CONTAINER 55 gallons 2Is ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ~ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM ~ 218 AVERAGE 219 STATE WASTE CODb ~o~T DAILY AMOUNT 8O DAILY AMOUNT ~ I i 220 UNITS• ~ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON SITE If EHS, amount must be in lbs. ~ 365 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK ~ e PLASTICMONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check all that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTEBIN ^ d STEEL DRUM ^ h SILO ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE ^x a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT ` HAZARDOUS COMPONENT.:,.. _ EHS CAS # I 226 H drochloric Acid y zz7 x ^ Yes ~ No 226 7647-O1-0 zz9 30 - 60% 2 230 231 ^ Yes ^ No 232 233 3 234 235 ^ Yes ^ No 236 237 4 238 239 ^ yes ^ No 240 241 5 242 243 ^ yes ^ No 244 245 _, III. SIGNATURE ` PR1NT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~ ~ SIGNATURE / fit~"'V ~Mi ~ ~ ~ ~g J~G DATE 246 Gvy Morro; Frrvirarmenta! Coordinator ` B E R S P I D F/RF w~, ARTM f tf ~, •.+~.~.< .. K....• OR CITY OF BAKERSFIEI..D OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per materrat per banding or area) ^ NEW ^x ADD ^ DELETE ^ REVISE 200 Page _ of _ `'~i_~FACIi.ITY~~INFORNi~ATION ~ ~ ~ - IUSINESS NAME (Same as FACII.TTY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Cream ;HEMICAL LOCATION zol Outside Chemical Storage Alea CHEMICAL LOCATION ^ yes ~ No zoz CONFIDENTIAL (EPCRA) ~ACB,ITY ID # I I 15 ~ I 0 1 1 II 2 I 1 (0 I 0 I 1 14 ~ 0 17 ~ .. 1 11 MAP # (optiatat) 203 GRID # (optional) 204 II. CHEMICAI, INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS" ^ yes ~ No 208 Nalprep 2$78 CAS # 209 '~. "If EHS is"Yes,' all amountsbelow must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ p PURE x^ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ^x 1 LIQUID LARGEST CONTAINER 55 gallons 215 ^ g GAS 214 FED HAZARD CATEGORIliS ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAII.Y AMOUNT S $ DAII,Y AMOUNT 1 220 UNI'TS' 0ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON SITE " if EHS, am ount must be in lbs. 36$ 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK ~ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAA. CAR 223 (Check all that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUB.DING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SII•O ~ ^ 1 CYLINDER ^ p TANK WAGON STORAGE PRESSURE ~ a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE ~]x a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT ~. ~ ~ ~~~~~~ ~ HAZARDOUSCOMPONENT ~~' ~; EHS ,..~..: ~ ~~ CAS~# 1 226 Sodium Hexametaphosphate zz7 ^ y~ x ^ ND z2s 10124-$6-8 229 10 - 30% 2 230 231 ^ Yes ^ No 232 233 3 234 235 ^ yes ^ No 236 237 4 238 239 ^ Yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 IIL.SIGNATURE' ~ ~ PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE tarry Mormr, Environmental Coordinator I ~A~ rh J. 1J / / /~ ss.w e ~ ~ [J(l DATE 246 R 8 R S F{ n F/RE ARTM f i s..,,< CITY OF BAKERSFIE]LD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301(661) 326-3979 HAZARDOUS MATERIALS INVENTORY . CHEMICAL DESCRIPTION ^ M3W 0 ADD ^ DELETE ^ REVISE 200 i FA(`ii..Cl'V TNFnRMATiON '.. ~o-~' 0 (one farm per material per building or area) Page _ of tUSINESS NAME (Same as FACII,ITY NAME or DBA -Doing Business As) 3 - ~reyer's Grand Ice Cream ;HEMICAL LOCATION 201 Outride Chemical Storage Area CHEMICAL LOCATION ^ yes ^X No 202 CONFIDENTIAL (EPCRA) ACII.ITY ID# 1 5~ 0 ~ I 2 1 0 0 i 4 0 7 i- MAP # (optiorwlJ 203 ~.._~ I I I I ~ GRID # (op(iona!) 204 ,.. , ..... - 1 ~~ " ~ II.CHEMICAL INFORMATIQN ~. 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME if Subject to EPCRA, refer to instructions 207 COMMON NAME EHS• ^ Yes ~ No 208 Nalco 2896 Liquid CAS # 209 '--*If EHS is`tYes;' all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ P p~ Q m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID 0 I LIQUID LARGEST CONTAINER $$ gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHROMC HEALTH (Check all that apply) 216 ANMJAL WASTE 217 MAXMIUM 218 AVERAGE 219 STATE WASTE CODE ~D~T DAII,Y AMOUNT 1 O DAII.Y AMOUNT $ 220 UNITS• ~ ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON SITE * if EHS, amount must be in lbs. 36$ 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^X a PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAII, CAR 223 (Check all !ha! apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUII.DING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SII.O ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE ^X a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE ^Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGEMC 225 %WT' HAZARDOUS COMPONENT:.:.. ' ... EHS CAS # . 1 1 - $% 226 Sodium Hydroxide 227 ^ Yes 0 No z2s 1310-73-2 z29 2 230 231 ^ Yes ^ No 232 233 3 234 235 ^ yes ^ No 236 _ 237 4 ~ 238 239 ^ Yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 ' III, SIGNATURE: PRINT NAME & TITLE OF AUTHORIZED~COMPANY REPRESENTATIVE SIGNATURE .~/~ DATE 246 Gay Moran, Environments! Coordinator ~~ / ~Ir~M~ ~ 1 ~ ~~ B a R 5 P I D ,iw tM r ..~ CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301(661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION {one jorm per material per building or area) ^ NEW ^ ADD ^ DELETE ^X REVISE 200 Page _ of _ L FACLL,ITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION Engine Rooms -Water Treatment CHEMICAL LOCATION ^ yes ~ No 202 201 CONFIDENTIAL (EPCRA) FACILITY ID # ~ l 15 O 12 ~ 1 { O I O ` 1 14 I O 17 ~: , 1 MAP # (optionat) 203 GRID # (optional) 204 H~ CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to insttvciions 207 COMMON NAME Nalco 2536 Plus EHS• ^ Yes ~ No 208 CAS # 209 ~•IfEEIS is"Yes,", all amounts below must be in lbs. FntE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ P p~ Q m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE Bll PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER SS gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ S CHRONIC HEALTH (Check all that aPP1Y) 216 AN!`R1AL WASTE 217 MAXBvIUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT' DAILY AMOUNT SS DAII.YAMOUNT SS 220 UNITS• ~ ga GAL ^ cf CU FT ^ Ib LBS ^ m TONS 221 DAYS ON SITE If EHS, amount must be in lbs. 36$ 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK ~ e PLASTIClNONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIl. CAR 223 (Check a!l that apPlY1 ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ~ ^ o TOTE BIN ^ d STEEL DRUM ^ h SII.O ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE 0 a AMBIENT ^ aa~ ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 ~. °/aWT , ~ _ HAZARDOUS COMPONETIT EHS CAS # ". . I 1% z26 Sodium Mercaptobenzothiazole zz7 ^ yu ~ No z2s 2492-26-4 229 2 $% 230 $Od1I1ITl NIIf([e 231 ^ Yes 0 No 232 7632-00-0 233 3 S% z3a Sodium Tetraborate z3s ^ yes ^D N° 236 1330-43-4 z37 4. 236 239 ^ Yes ^ No 240 241 S 242 243 ^ Yes ^ No 244 245 .. III. SIGNATURE , ~' . ))) PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~ SIGNATURE ~ ~ ~ - ..Z la ~~~ DATE 246 Guy Moran, Environnrenta! Coordinator ~yv -~.-~.. a ~-,. CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW ^ ADD ^ DELETE ~ REVISE 200 I: FACILTI'YINFORMATION ~.. (one form per n+alerial per building or area) _ Page of BUSINESS NAME (Same as FACII,ITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION Engine Rooms -Water Treatment CHEMICAL LOCATION ^ yes ~ N° 2oz 201 CONFIDENTIAL (EPCRA) FACILITY ID# I I I S I I O 12 I l l I O I O I I 14 I O 17 ~ .. 1 MAP # (optional) 203 GRID # (optionat) 204 `-` IL.CIIEMICAL INFORMATION _. 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to inswctions 207 COMMON NAME Nalco 2548 Oxygen Scavenger EHS• ^ yes X^ No 208 CAS # 209 ~ •If EHS ~is"Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ P p~ ^Q m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ 1 LIQUID LARGEST CONTAINER SS gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ~ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HE ALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXBvIUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT 11 O DAII.Y AMOUNT S S 220 UNTfS" ~ ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON SITE • If EHS, amount must be in lbs. 36S 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK D e PLASTIC/NONMETALLIC DRUM h h ^ i FBER DRUM ^ m GLASS BOTTLE ^ RAII, CAR q 223 eck all t at apply) (C ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ~ ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUB.DBJG ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SILO ^ 1 CYLINDER ^ p TANK WAGON STORAGE PRESSURE QX a Ah,IB~NT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT •224 STORAGE TEMPERATURE X^ a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 .: ~ ~. .. °/aWT 'HAZARDOUS COIvIPONENT EHS . CAS # 1 40% zze Sodium Bisulfate 227 ^ Yes ~ xo 2zs 7631-90-5 z29 2 $% 230 Potassium Bisulfate 231 ^ Yes ~ No 232 7773-03-7 233 3 234 235 ^ Yes ^ No 236 237 4 238 239 ^ Yes ^ No 240 241 5 242 ~ 243 ^ Yes ^ No 244 245 a easrl ~ Fine ARTM f III. SIGNATURE . PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTF.TIVE SIGNATURE /~„ y, ~/,~~~ ~ ~/~~ /d~ DATE 246 GvyMorm+, Frrvironmenlal Coordinator ~V~^'~ ` e eas Pl D Fine ARTUi r •:~.,,< .ter:..,. CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW ^ ADD DELETE ^REVISE 200 . Ii FACILITY INFORMATION ~• ~.. (one form per maleria! per building or area) Page _ of _ BUSINESS NAME (Same as FACn.ITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION CIP Room 3 & 4 CHEMICAL LOCATION Yes x No 202 201 CONFIDENTIAL (EPCRA) FACII.ITY ID # I l 15 O 12 I 1 ~ O I O I l 14 l 0 17 I 1 MAP # (opliona!) 203 GRID # (opriorra!) 204 II: CHEMICAL INFORMATION ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ 205 TRADE SECRET ^ Yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to inswctions 20> COMMON NAME Oxonia Active (Acid Sanitizer) ~" ^ Yes ~ No 208 CAS # 209 -..'If EHS is"Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) - 210 TYPE ^ p PURE ~ m MIXTURE RADIOACTIVE ^ Yes ~No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID D I LIQUID LARGEST CONTAINER 55 gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FntE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE '4MOT~T DAII,Y AMOUNT I OO DAII,Y AMOUNT S O 220 . UNrfS" ~ ga GAL ^ cf CU FT ^ lb LBS ^ m 70NS 221 DAYS ON SITE • If EHS, amount must be in lbs. 365 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK x^ a PLASTICMONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIl, CAR 223 (Check a!1 that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUII.DING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SII,O ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE ^x a AMBIENT ^ as ABOVE AMBIENT ~ ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 °/aWT~ ~ ~ ~ ~ HAZARDOUS~COIVIPONENT EHS ~ ~ ~ ~.. CAS#_ I 226 Acetic Acid 227 x ^ Yes ^ No 228 64-19-7 z29 8% 2 27.5% 230 Hydrogen Peroxide 231 ^ Xes ^x No 232 7722'84-1 233 3 234 Perox acetic Acid y 235 x ^ Yes ~ No 236 79-21-0 z37 S.8% , 4 238 239 ^ Yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 III:.SIGNATURE " .... PRINT NAME & TITLE OF AUTHORED COMPANY REPRESENYATIVE ~ ~ ~ SIGNATURE //~./~ ~ /~ 0 (' L DATE 246 Guy Moran, Environments! Coordinator C p O a easpt o F/RB ARTM T CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per nralerial per building or area) ^ NEW ^ ADD DELETE ^REVISE 200 Page _ of _ I FACIL;TTY INFORMATION BUSINESS NAME (Same as FACII.ITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION OUtSlde CIIemIC3I StOfage Area CHEMICAL LOCATION ^ yes ~ No 202 201 CONFIDENTIAL (EPCRA) FACILITY ID # I 1 15 O 12 I 1 I O I O I I 14 (O 17 L, ~_ : '- 1 MAP # (optional) 203 GRID # (options!) 204 II. CHEMICAL INFORMATION; 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME Oxonia Active (Acid Sanitizer) ~S" ^ Yes ~ No 208 CAS # 209 - •If EHS is"Yes,"all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ p PURE 0 m MIXTURE RADIOACTIVE ^ Yes ~No 212 CURIES 2I3 ^ w WASTE 21l PHYSICAL STATE ^ s SOLID D I LIQUID LARGEST CONTAINER 55 gallons zls ^ g GAS 214 , FED HAZARD CATEGORIES ^ I FIRE ^ 2 REACTIVE ' ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 216 AVERAGE 219 STATE WASTE CODE AMOUNT DAII,Y AMOUNT I OO DAII.Y AMOUNT $ 220 UNITS" ~ ga GAL ^ cf CU FT ^ Ib LBS ^ m TONS 221 DAYS ON SITE • If EHS, amount must be in lbs. 365 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK ~ e PLASTIC/NONMETALLIC DRUM ~ ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAB. CAR 223 (Check all that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN - ^ d STEEL DRUM ^ h SII.O ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE D a AMBIENT ^ as ABOVE AMBIEAIT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBII'sNT ^ c CRYOGEMC 225 °/aWT 'HAZARDOUS COMPONENT EHS' CAS# _" 1 zz6 Acetic Acid z27 x ^ Yes No 228 64-19-7 zz9 8% 2 27.5% 23o Hydrogen Peroxide 231 ^ Yes ~ xa z3z 7722-84-I 233 3 234 Peroxyacetic Acid z3s ^ Yes ~ No 236 79-21-0 z37 5.8% 4 238 239 ^ Yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 IIL SIGNATURE. PRnJT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE ,(,~ ~ , _ /'1/~ ^'~g /^, DATE 246 . GvyMoran, Environmental Coordinator "!r-/~t'LIfl~ / / / e[. `~j B a R a P I D F/RF ARfM f ^ NEW ^ ADD ^ DELETE ~ <.~ 0 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS. MATERIALS INVENTORY CHEMICAL DESCRIPTION (one farm per n+aleria/per building or area) REVISE 200 Page _ of _ _, i_ FAC'ii,Tl'Y iNF(1RMATi(911i^ BUSINESS NAME (Same as FACII.ITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION zo l Maintenance Shop and Outside Gas Storage Area CHEMICAL LOCATION ^ Yes 0 No zoz CONFIDENTIAL (EPCRA) FACB.ITY ID# I I I S I - I IIII O 12 11 I O I O I I 14 I O 17 ~. 1 MAP # (oplianal) 203 GRID # (options!) 204 .;- ~ ~ _ :. .. .. ... II: CHEMICAL WFORMATION 205 TRADE SECRET ^ Yes ~ No 206 CHEMICAL NAME Oxygen If Subject to EPCRA, refer to inswctions 207 COMMON NAME EHS• ^ yes 0 No 208 CAS # 77$2-44-7 209 '[f EHS is"Yes,".all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE Q P p~ ^ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ^ 1 LIQUID LARGEST CONTAINER 249 CU FT 215 g GAS 214 FED HAZARD CATEGORIES QX I FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHROMC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 2l9 STATE WASTE CODE AMOUNT DAII,Y AMOUNT 1 O DAII.Y AMOUNT S 220 0 UNIT$• ^ ga GAL ~ cf CU FT ^ Ib LBS ^ N TONS 221 DAYS ON SITE 222 • If EHS, amount must ba in lbs. 36S STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLAST[C/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check al! that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ~ ^ r OTHER ^ c TANK INSIDE BUB.DING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SB.O ~ I CYLB~IDER ^ p TANK WAGON STORAGE PRESSURE ^ s AMBIENT ~ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT .. HAZARDOUS COMPONENT EHS - CAS,#. - .. I 226 Oxygen, Compressed 227 ^ yE5 x ^ No 228 7782-44-7 229 100% 2 230 ~ I ^ Yes ^ No 232 233 3 234 235 ^ yes ^ No 236 237 4 238 239 ^ Yes ^ No 240 241 5 242 - 243 ^ Yes ^ No 244 245 . . , ,~ ; ~ .. .. . ..... . .. .:.. .:. :. ...111.-Jih1VAlU1(E ,.;., :.~- .~, ,c- ... .. .. .. PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~ SIGNATURE ~~ ~~~~L ~ ~ ~ ~ ~ DATE 246 Gay Moran EJrvironmenla! Caoidinalor 1G..lA/~ ~~~ ~~~s/o6 .~ e easel o _ F/RE ARfM T '~f CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301(661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRII'TION (one form per malaria! per building or area) ^ NEW ^ ADD ^ DELETE 0 REVISE 200 Page _ of _ I. FACILITY~~INFORMATION _ ~- BUSINESS NAME (Same as FACB,ITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION GIyCOI System CHEMICAL LOCATION ^ yes 0 No 202 201 CONFIDENTIAL (EPCRA) FACILITY ID # I 5 0 2 1 0 0 1 4 0 7 . l~ MAP # (optional) 203 ~~ ~ I I ~ _. GRID # (opliona!) 204 -.: II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes 0 No 206 CHEMICAL NAME Propylene Glycol -Industrial [f Subject to EPCRA, refer to instructions 207 COMMON NAME EHS" ^ y~ QX No 208 Glycol CAS # 209 "IEEHS is"Yes;" ell amounts below-must be in lbs . $7-$$-6 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 2I0 TYPE ^X P p~ ^ m MIXTURE RADIOACTIVE ^ Yes 0 No 212 CURIES 213 ^ w W ASTE 2l l PHYSICAL STATE ^ s SOLID x^ I LIQUID LARGEST CONTAINER 1,100 gallons 215 ^ g GAS 2l4 FED HAZARD CATEGORIES ^ I FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAII,YAMOUNT 1,100 DAILY AMOUNT 1,100 220 UN1TS* ~ ga GAL ^ cf CU PT ^ Ib LBS ^ N TONS 221 DAYS ON SITE If EHS, amount must be in lbs. 36$ 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Chec& all that aPPIY) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ~ r OTHER ^ c TANK INSIDE BUB,DING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SII;O ^ I CYLINDER Piping ^ p TANK WAGON STORAGE PRESSURE Q a AMBIENT ^ u ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE [x a AMBIENT ^ u ABOVE AMBIl'sNT ^ ba BELOW AMBIENT ^ c CRYOGEPIIC 225 %WT . HAZARDOUS COMPONENT - "` , :• EH5 `, CAS # 1 226 1, 2 - Propanediol zz7 ^ y~ x ^ No 228 57-$$-6 229 100% 2 230 ~ 231 ^ Yes ^ No 232 233 3 234 ~ 235 ^ Yes ^ No 236 237 4 238 239 ^ Yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 III. SIGNATURE , PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE ,~/ ~/`/ ~ ^~ /U'~ DATE 246 Guy Moran, Em+ironmenml Coordinator °L~71_.t.W( os a 8 a R 5 P t D Fine ARTM i CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301(661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW ^ ADD ^ DELETE ~ REVISE 200 ;.. • . ' ' I. FACILITY INFORMATION: o~ (one form per material per building or area) Page _ of _ BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION 201 Outside Chemical Storage Area CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) FACILITY ID#~ l 15 D 12 I l l l 0 l 0 I I 14 10 l 7 l i MAP # (optionan 203 J GRID # (optional 204 _ IL:CHEMICAL IIVFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME Propylene Glycol -Industrial If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS' ^ Yes ~ No 208 cns # 57-55-6 209 'If EHSis.'Yes," all amounts below must be in lbs. .. ._ FIRE CODE HAZARD CLASSES (Compiete if requested by local fire chief) 210 TYPE []X P p~ ^ m MIXTURE RADIOACTIVE ^ Yes X^ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID D I LIQUID LARGEST CONTAINER 330 gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT 170 DAII.Y AMOUNT 170 220 , 1000 UMTS" X^ ga GAL ^ cf CU FT ^ Ib LBS ^ m TONS 221 DAYS ON SITE 222 * L: EHS, amount must be in lbs. 365 STORAGE CONTAINER ^ a ABOVEGROUND TANK - ~ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ RAII. CAR 9 223 (Check all that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SII.O ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGEMC 225 _ ~ -~ -• %WT , . HAZARDOUS COMPONENT ' EHS. :'' ' . CAS:# 226 1 1, 2-Propanediol 227 ^ Yes ^x No 22g 57-55-6 229 1 ~0% 2 230 ~ ~ 231 ^ Yes ^ No 232 233 3 234 ~ 235 [] Yes ^ No 236 237 4 238 239 ^ Yes ^ No 240 241 5 242 243 ~ Yes ^ No 244 245 " :SI NATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE ~~ DATE 246 p /j Gary Moran, Environmental Coordinator _ ~i~tw2//I/ ~~'aZ0/®~ v B a R S P l D FIRE ARTM T CITY OF BAKERSFI[ELD OFFICE OF ENVIRONMEN7~AL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^NEW ^ ADD ^DELETE ~ REVISE 200 ~~ _.._ ,.,. ,, - L FACii,Ti'V iNFnRMATTnN . a~ r (ale form per material per building or area) Page of BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION 201 CIP Room 3 & 4 CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) FACILITY ID # I I I S L, f 0~ 2 l 1 O I O I I 1 4 I 0~ 7~ -~ 1 MAP # (oplional) 203 GRID # (options!) 204 IL CHEMICAL INFORMATION - ,, -... ~ 205 TRADE SECRET ^ y~ QX No 206 CHEMICALNAME If Subject to EPCRA, refer to inswctions 207 COMMON NAME Quorum Yellow LP EHS' ^ yes ~ No 208 CAS # 209 *If EHS-is"Yes; S all amounts belowmust be in lbs . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief 210 TYPE ^ P PURE ~ m MIXTI3RE RADIOACTIVE ^ Yes X^ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID 0 1 LIQUID LARGEST CONTAINER 3,000 gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 F[RE 0 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) ~ 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE ~ 219 STATE WASTE CODE AMOUNT DAIl.Y AMOUNT 3,000 DAII,Y AMOUNT 200 220 0 UNrrS* ~ ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON SITE 222 If EHS, amount must be in lbs. 365 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check all !ha! apply) c TANK INSIDE BUILDING ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ d STEEL DRUM ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ h SII.O ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE ^Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT ,; HAZARDOUS COMPONENT... EHS CAS# ;. 1 226 Sodium Hydroxide 227 ^ Yea ~ No zzg 1310-73-2 zz9 10% 2 3% 230 Sodium Hypochlorite ~ z31 ^ Yes ~ No 232 7681-52-9 233 3 234 235 ^ ~.~ ^ No 236 237 4 238 239 ^ Yes ^ No 240 241 5 242 243 ^ yes ^ No 244 245 III: SIGNATURE.: . PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE ~ DATE 246 Gny Morar, Frrvironmenta! Coordinator ~~~~~. Q~y a J~,~©~i a e a s P I n F/RF ARTM T '~`~ CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per hailding or area) ^ NEW ^ ADD ^DELETE ~ REVISE 200 Page _ of _ `, ~..~; ~.~ - i_ FACTi.TT[r.`iNFnRMATi(IN <~~ BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION zo t Chemical Storage Area CHEMICAL. LOCATTON ^ yes 0 No 2oz CONFIDENTIAL (EPCRA) FACILITY ID # I l l 5 l i 0 l 2 l 1 I O{ O I l 14 10 17 I~ l MAP # (optional 203 (I(I GRID # (optional) 204 II. CHEMICAL INFORMATION . - 205 TRADE SECRET ^ yes ^x No 206 CHEMSCAL NAME If Subject to EPCRA, refer to inswctions 207 COMMON NAME Quorum Cleaz (Quaternary Ammonium Sani6zer) EHS• ^ Yes ~ No 208 CAS # 209 "If EHS is"Yes," altsmounts below must be in lbs . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ p PURE ~ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ^X 1 LIQUID LARGEST CONTAINER 55 gallons 215 ^ g GAS 2l4 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT 11 O DAILY AMOUNT $5 220 0 UNITS• 0 ga GAL ^ cf CU FT ^ Ib LBS ^ m TONS 221 DAYS ON SITE 222 • If EHS, amount must be in lbs. 365 STORAGE CONTAINER ^ a ABOVEGROUND TANK 0 e PLASTICMONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check aU that aPPlY~ ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n' PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUQ,DING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SILO ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE QX a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT... '- :__ ~: __ ;`.. HAZARDOUS COMPONENT _, .., EHS :: CAS # t zz6 Alkyl Dimethybenzylammonium Chloride 227 ^ yes x N° z2s 8001545 zz9 5°/a 2 230 ~ 231 ^ Yes ^ No 232 233 3 234 235 ^ yes ^ No 236 237 4 238 239 ^ Yes ^ No 240 241 5 242 ~ 243 ^ Yes ^ No 244 245 .--' 111: J1lr1VAl`U1(L+ :.. PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~ ~ - ~ ~~ ~~ ~ ~ ~ $IGNAT[IRE ~ ~ - ~ ~' ~~ ~ ~~ ~ ~ ~ ~~ ~ ~~ ~ ~ ~ b~ ~/~ DATE 246 Gvy Moran, Environmental Coordinator ~Y/~(~/ ~jt„~~ ~ , ~~oZp ~i/G' a easvt F/RE ARfM T -~-.< ~~- CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW ^ ADD ^DELETE ~ REVISE 200 L FACILIT] INFORMATION (are jornr per material per huilding ar area) Page _ of _ BUSINESS NAME (Same as FACII,ITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION 20 1 Chemical Storage Area CHEMICAL LOCATION ^ Yes ~ No 202 CONFIDENTIAL (EPCRA) FACILITY ID # I I I S I O 12 I I I l 0 l 0 I 1 14 10 l 7 l ~ 1 MAP # (optionaQ 203 GRID # (optional) 204 II:'CHEMI CAL INFORMATION,. 205 TRADE SECRET ^ Yes D No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME Quorum Brown (Heavy Duty Alkaline Cleaner) Exs• ^ Yes ~ No 208 CAS# 209 - ,. ,: . • must be in lbs. B'EHSis"Yes"al6amountsbelow FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ P p~ ^X m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID OI LIQUID LARGEST CONTAINER SS gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIItE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HE ALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAB,Y AMOUNT I 1 O DAII.Y AMOUNT SS 220 _ 0 UNITS" 0 ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON SITE 222 • If EHS, amount must be in lbs. 36$ STORAGE CONTAINER ^ a ABOVEGROUND TANK ~ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAB. CAR 223 (Check all that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUIl.DTNG ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h Sll.O ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE Q a AMB~NT ^ as ABOVE AMBIl3NT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT ,, . .... HAZARDOUS COMPONENT;' EHS.. CAS# . 1 226 Sodium Hydroxide z27 ^ y~ []x No zzs 1310732 z29 45% 2 230 231 ^ Yes ^ No 232 233 3 234 235 ^ yes ^ No 236 237 4 238 ~ 239 ^ yes ^ No 240 241 5 242 ~ 243 ^ Yes ^ No 244 245 . ... -..-"111. J1b1VA1 U1CP. ,.;. 5., ,- -..' - ., PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~ ~ SIGNA~ ~ ~ DATE 24b Guy Morro{ Fnvirarmremal Coorr4~nator ~ ~ /~~. B E R S P I D ~ Fine ARTM T '~M1~ -.-..< -,r...,- 0 CITY OF BAKERSFIELD ' OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (ate form per material per building or area) ^ NEW ^ ADD ~ DELETE ^REVISE 200 Page _ of ' ' I. FACILITY INFORMATION BUSINESS NAME (Same as FACB,TTY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION Outside Chemical Storage Alea CHEMICAL LOCATION ^ yes ~ No 202 201 CONFIDENTIAL, (EPCRA) FACILITY ID # I l l 6 I I O 12 11 O I O I l 14 l 0 l 7 l 1'. MAP # (optional 203 l 1 GRID # (options!) 204 _ II. CHEMICAL INFORMATION " .. ,. 205 ~ TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 conmvloxxAME Quorum Yellow II (Alkaline CIP Cleaner) Etls• ^ Yes 0 No tog CAS # - 209 ~•IfEHSis"Yes,"._all amounts~below must be in lbs.. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ p PURE ~ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER SS gallDnS 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ I FIRE ^ 2 REACTIVE ~ ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXR~fUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT 11 O DAII.Y AMOUNT SS 220 UMTS• 0 ga GAL ^ cf CU FT ^ Ib LBS ^ m TONS 221 DAYS ON SITE If EHS, amount must be in lbs. - 365 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK ~ e PLASTIC/NONMETALLIC DRUM ^ i F1BER DRUM ^ m GLASS BOTTLE ^ q RAll CAR 223 (Check a/1 that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BLJn.DING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SILO ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE Q 8 AMBIENT ^ Ba ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE ~ a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 /oWT . :. ~ ~ .. ~ HAZARDOUS COMPONE ~" ~ ° NT .:. - . _. .-" EHS"'. CAS# - 1 zz6 Sodilun Hydroxide 2z7 ^ Yes ~ xD z2a 1310-73-2 zz9 15°/D z 23o Sodium Hypochlorite 231 ^ y~ x ONo z32 7681-52-9 z33 3°/a 3 234 ~ 235 ^ Yes ^ No 236 237 4 23g 239 ^ Yes ^ No 240 241 5 242 243 .^ Yes ^ No 244 245 III: SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~ SIGNATtJAE ,',`~, DATE 246 Cny Moran, F.trvironmenlal Coordinalor ~~v9~-./f 'a,~a~ lO~j e easpi o F/RH ARTM T ''~ ,,. CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per bailding ar area) ^ NEW ^ ADD ^ DELETE ~ REVISE 200 ~ Page ~ of _ I. FACII~ITY INFORMATTON BUSINESS NAME (Same as FACIIITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION Outside Chemical Storage Area CHEMICAL LOCATION ^ yes ~ No 202 201 CONFIDENTIAL (EPCRA) FACILITY ID# I I I S i 0 12 I l I 0 I 0 I 1 ~ 4 I 0 1 7 I _ 1 MAP # (opliona!) 203 GRID # (optionan 204 ,.-" _ _ .. II. CHEMICAL INFOR_ NfATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME R Subject to EPCRA, refer to instructions 207 COMMON NAME Quorum Yellow LP EHS* ^ Yes ~ No 208 CAS # 209 ~ •If EHS is"Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ p PURE ~ m MIXTURE RADIOACTIVE ~ ^ Yes ~ No 212 CURIES 213 ^ w WASTB 211 PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER $$ gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT 11O DAII,Y AMOUNT $$ 220 UNTTS• ~ ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON SITE If EHS, amount must be in lbs. ~ 36$ 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK ~ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check a!f that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SII,O ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE 0 a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBB3NT ^ c CRYOGENIC 225 ., %WT HAZARDOUS COMPONENT "" .. .EHS CAS f/ I 226 Sodium Hydroxide ~ 227 ^ Yes ~ x° z2s 1310-73-2 zz9 10% 2 230 Sodium Hypochlorite 231 ^ Yes X^No 232 7681-$2-9 233 3°!° 3 234 235 ^ yes ^ No 236 237 4 238 239 ^ Yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~ ~ ~ ~ ~ III. 5 GNATURE RE />n„ ~ ~~ ~ ~ ^ ~~p DATE 246 Cny Morme, Environmenml Coordinator . /„ 04 ~ I/~ B a R S P i D Fine ARTM T ^ NEW ^ ADD ^ DELETE ~.~ 0 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION REVISE 200 (are jorm per material per huilding or area) Page _ of _ is FACii,iTY iNFnRMATTON ' BUSINESS NAME (Same as FACB.ITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION W arehouse CHEMICAL LOCATION ^ yes ^X No 202 201 CONFIDENTIAL (EPCRA) FACILITY ID.# I l 15 11l O 12 I l l I O ~ O ~ l l 4 (O 17 I ~ L MAP # (optimrat) 203 GRID # (optional) 204 ...,. H. CHEMICAL INFORMATION .., 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to insWCtions 207 COMMON NAME Soybean OII !Vegetable Oil Ex5" ^ vea ^D No zos CAS # ~ 209 ~~ *IfEHS is"Yes," ell amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE Q p PURE ^ m MIXTURE RADIOACTIVE ^ Xes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID 0 I LIQUID LARGEST CONTAINER $ gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAII.Y AMOUNT 40() DAII,Y AMOUNT $ 220 UNITS' ~ ga GAL ^ cf CU FT ^ Ib LBS ^ m TONS 221 DAYS ON SITE " If EHS, amount must be in lbs. 36$ 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAB. CAR 223 (Check al! that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ~ r OTHER ^ c TANK INSIDE BUII.DING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ~ ^ h SILO ^ l CYLBVDER Steel Pail ^ p TANK WAGON STORAGE PRESSURE 0 a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT ~ ~ ~ HAZARDOUS COMPONENT . ~ ~ 'EHS . ~~ ~ CAS # " 1 zz6 None 2z7 ^ yes ^ No z2s zz9 2 230 ~ ~ 231 ^ Yes ^ No 232 233 3 234 235 ^ Yes ^ No 236 ~ 237 4 238 239 ^ Yes ^ No 240 24I 5 242 243 ^ Yes ^ No 244 245 _ _ IIL SIGNATURE ' :. r PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~ SIGNATURE ~ ~ - .. DATE 246 Guy Moran, Envirmtmenta! Coordinator ~~~{q/~ tsR.~ a~ Lb b e easri o F/RE ARTM T ~ '~ CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or mea) ^ NEW ^ ADD ^DELETE ^X REVISE 200 Page _ of _ ~.. I. FACIL:TTY INFnRMATTOI~i . BUSINESS NAME (Same as FACQ,ITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION 20 1 West BOlier ROOM CHEMICAL LOCATION ^ yes 0 No 202 C ONFIDENTIAL (EPCRA) FACILITY ID# I 1~ 5 O 12 11 O I O I I 14 I O 17 I 1 MAP # (optional) 203 GRID # (optionan 204 II:~CHEMICAL INFORMATION .: ~ - , 205 TRADE SECRET ^ Yes ^X No 206 CHEMICAL NAME Sulfuric Acid If Subject to EPCRA, refer to inswctions 207 COMMON NAME EHS• Q Yes ^ No 208 CAS # 209 : *If EHS is"Yes;' all amounts below must be idlbe . 7664-93-9 FIItE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE Q p PURE ^ m MIXTURE RADIOACTIVE ^ Yes 0 No 212 CURBiS 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER 5$ gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAII.Y AMOUNT 1 O DAILY AMOUNT 7.7 220 . O UN1TS* ^ ga GAL ^ cf CU FT 0 Ib LBS ^ m TONS 221 DAYS ON SITE ~ 222 • If EHS, amount must be in lbs. 36$ STORAGE CONTAINER ^ a ABOVEGROUND TANK ~ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAII, CAR 223 (Check a!l that apply) ^ c TANK INSIDE BUILDING ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ d STEEL DRUM ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ h Sn.O ^ I CYLINDER ^ p TANK WAGON STORAGE PRESS[RE ^Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE QX a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGEMC 225 %WT HAZARDOUS COMPONENT '.'EHS ,'; CAS # . 1 93% 226 Sulfuric Acid 227 Q Yes ^ No zzs 7664-93-9 zz9 2 230 231 ^ Yes ^ No 232 233 3 234 235 ^ Yes ^ No 236 237 4 238 239 ^ Yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 111.~J1b1VA1~UKC, PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~ SIGNATURE ~ ~ ~ DATE 246 Guy Morro; Envirann:enlal Coordinator ~.Ql~I ~.~~jl/j~ ~l "L BI~b 9 E S P I D Fine ARTM T -~-,..~ -.r...,- `~. ~..~ CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per ma/eria! per building or area) ^ NEW ^ADD ^ DELETE ^X REVISE 200 Page _ of _ r ,: ~:.- .. .r, _ ~. _.. I: FACiL> Tt-Y INFORMATION _ BUSINESS NAME (Same as FACII,ITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION 20 1 WaStewatei NeutialtZa$Otl Plant - CHEMICAL LOCATION ^ y~ QX No 202 CONFIDENTIAL (EPCRA) FACILITY ID # I i 16 0 4 2 { l l I O I O ~ l 14 l 0 l 7 ~ ~ 1' MAP # (oplionaf) 203 II GRID # (opiiwrat) 204 IL CHEMICAL INFORMATION - 205 TRADE SECRET ^ yes 0 No 206 CHEMICAL NAME $UIfU[IC ACId If Subject [o EPCRA, refer to instructions 207 COMMON NAME _ EHS' Q Yes ^ No 208 CAS # 209 'If EHS is"Yes,' all amounts below: must be in lbs. 7664-93-9 = FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ P p~ [] m MIXTURE RADIOACTIVE ^ Yes ^X No 212 CURBS 2I3 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ^K 1 LIQUID LARGEST CONTAINER 1,000.ga110nS ~ ~ zu ^ g GAS 214 FED HAZARD CATEGORIES ^ I FIItE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHROMC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MA]QMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAII.Y AMOUNT 10,600 DAILY AMOUNT 7,420 220 UMTS• ^ ga GAL ^ cf CU FT ~ Ib LBS ^ m TONS 221 DAYS ON SITE ' If EHS, amount must be in lbs. 365 222 STORAGE CONTAINER QX a ABOVEGROUND TANK ^ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAII. CAR 223 (Check a!l /ha/ apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SII.O ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE XQ a AMBIEAIT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE QX a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT _ - , .~ ,` HAZARDOUS COMPONENT _ EHS„ ;. CAS# . I 36% 226 Sulfuric Acid 227 ~ Yes ^ No zzg 7664-93-9 z29 2 230 231 ^ Yes ^ No 232 233 3 ~ 234 235 ^ yes ^ No 236 ~ 237 4 238 239 ^ Yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 III. SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE - ~ - DATE 246 Guy Morena, Firvironmenla! Caordina/or ~p?iC,Ya1. ~ I'Z$'~ B E R S P I D F/R6 ARTM T CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ~. (ane form per material per building or area) ^ NEW ^ ADD ^ DELETE 0 REVISE 200 Page _ of _ I ,. ,- L:RACILITY~INI+'ORMATION~ BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION zo l Outside Wastewater NeutralizationArea CHEMICAL LOCATION ^ y~ ~X No 202 CONFIDENTIAL. (EPCRAj FACILITY ID# I I I b l II11 O 12 11 ( 10 I 0 I I 1 4 10 1 7 I_ ~. 1 MAP # (oplionalJ 203 II11 If GRID # (optronaO 204 ,, .:.._ ,... II. CHEMICAL INFORMATION ; 205 TRADE SECRET ^ Yes D No 206 CHEMICAL NAME SOdiUirl HydIOXide, SOIUtIOn If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS• ^ Yes ~ No 208 CAS # 1310-73-2 209 •If EHS is°Yes," atl amounts below must be_in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ P p~ ~ m MIXTURE RADIOACTIVE ^ Yes ~ No 2I2 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ^D I LIQUID LARGEST CONTAINER 1,400 gallons zis ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HE ALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 2I8 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT ZO DAILY AMOUNT lO 220 0 UNITS' ~ ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON SITE 222 If EHS, amount must be in lbs. 36$ STORAGE CONTAINER []X a ABOVEGROUND TANK ^ e PLASTIC/NONMETALLIC DRUM ^ i FffiER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check a!! that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEF1, DRUM ^ h SILO ~ ^ 1 CYLINDER ^ p TANK WAGON STORAGE PRESSURE ~ a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT ~_ HAZARDOUS COMPONENT- :. EHS ~ :,. CAS # 1 2z6 Sodium Hydroxide, Solution 2z7 ^ Yes ~ No 22s 1310-73-2 ~ zz9 73% 2 230 231 ^ Yes ^ No 232 233 3 234 235 ~ ^ Yes ^ No 23b 237 4 238 239 ^ Yes ^ No~ 240 241 5 242 243 ^ Yes ^ No 244 245 III: SIGNATURE ~ PRINTNAME & TTTLE OF AUTHORIZED COMPANY REPRESENTATIVE ~ ~ SIGNATURE ~ ~ DATE 246 Guy Moran Errvtronmenta! Coordmamr a a R S P t D F~Re ARTM T CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93.301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW ^ ADD ^DELETE ^X REVISE 200 I i_ FA('ii,TTY INFORMATION ~. • ~" (mre jorm per maleriaf per building or area) Page of BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION 20 1 BOIIei ROOTn ~ CHEMICAL LOCATION ^ y~ QX No 202 CONFIDENTIAL (EPCRA) FACILITY ID# I 1 15 O 12 I I O I O I I 14 I O 17 11 MAP # (optional) 203 GRID # (optional) 204 MICAL INFORMATION .,:: 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to inswctions 207 COMMON NAME Transport Plus 2800 EHS~ ^ Yes ~ No 208 CAS # 209 . 'IfEHS.is"Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ P p~ Q m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES ~ 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ^X I LIQUID LARGEST CONTAINER $$ gallons 215 ' ^ g GAS 214 FED HAZARD CATEGORIES ^ I FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 2I8 AVERAGE 219 STATE WASTE CODE AMOUNT O DAII.Y AMOUNT I I O DAII,Y AMOUNT $$ 220 UNITS' 0 ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON SITE 222 " If EHS, amount must be in lbs. 36$ STORAGE CONTAINER ^ a ABOVEGROUND TANK ~ e PLASTIC/NONMETALLIC DRUM ^ i FB3ER DRUM ^ m GLASS BOTTLE . ^ q RAIL CAR 223 (Check al! shat apply) . ^ c TANK INSIDE BUB.DING ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ d STEEL DRUM ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ h SII,O ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE ~ a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS :COMPONENT ..:: ~. _ . • .. EHS . CAS # 1 zz6 None zz7 ^ Yes ^ No 228 2z9 2 230 231 ^ Yes ^ No 232 233 3 234 235 ^ yes ^ No 236 237 4 238 - 239 ^ yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 _ . , ....: 111. J1b1VA1 UKhi:. PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE ~ ~ _ ~ ~ ~ DATE 246` Guy Moran, &+viramrenlaf Coordirralor ~.~.~ /~~/~y~1~/ a ~~~ B E R S F I D F/RB ARTM T CITY OF BAKERSFIE]LD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW ~ ADD ^ DELETE ^ REVISE 200 _ ., L~FACILTTY INFORMATION " '~ o~ (otre form per material per building or area) Page _ of _ I iUSINESS NAME (Same as FACII.ITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Cream :HEMICAL LOCATION ~ 201 Outside Chemical Storage Area CHEMICAL LOCATION ^ yes ~ No zo2 CONFIDENTIAL (EPCRA) 'AGILITY ID # (1 15 I -5~ 0 12 I 1 I 0 (0 (1 ~ A (0 17 I 1 MAP # (optional) 203 GRID # (optioran 204 ` II. CHEMICAL INFORMATION ~ ~ ~ ~ " ~ ~ ~ ~ ~ ~ ~ ~ 205 TRADE SECRET ^ Yes 0 No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMONNAME - EHS' ^ yes ^X No 208 Trasar 23248 CAS # 209 . !IfEHS~is"Yes," ell amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ p PURE ~ m MIXTURE RADIOACTIVE ^ Yes ~ No 2l2 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER SS gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES . ^ I FBLE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HE ALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE ~G~T DAB.Y AMOUNT I O DAII.Y AMOUNT S 220 UNiTS• ~ ga GAL ^ cf CU FT ^ Ib LBS ^ m TONS ~ 1 DAYS ON SITE • If EHS, amount must be in lbs. ~ 36$ 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK ~ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAII. CAR 223 (Check al! that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SII.O ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE ~ a AMBIENT ^ ae ABOVE AME~NT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE ^Q a AMBIENT ^ ee ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 °/aWT HAZARDOUS-COMPONENT;. EHS CAS.#", 1 1 - S% 226 Phosphoric Acid 227 ^ Yes ~ No 2zs 7664-38-2 zz9 2 230 Zinc Chloride 231 ^ Yes ~ No 232 7646-85-7 233 I - S% 3 234 Organic Sulfonic Acid Salt z3s ^ Yes ~ No zsb Proprietary z37 1-S% 4 238 239 ^ yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 .III. SIGNATURE: ' PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~ SIGNATURE .rG.~ //~~ ^ ~~~~ DATE 246 Crry Moran, Environmental Coordinator eb Q B a R S P I D ~1Re ARlM T .:...... r.,,. CITY OF BAKERSFI]ELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one jwm per material per building or area) ^ NEW ^ ADD ^ DELETE ~ REVISE 200 Page _ of ,.-~, ~~ _,: I. FACILITY INFORMATION BUSINESS NAME (Same as FACB.ITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION 20 1 Chemical $tOrage Aiea CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) FACILITY ID # I I I S I 1 0 1 2 11 I I O I O I I 14 I O 17 I,,. 1 MAP # (optionan 203 GRID # (optionan 204 .: II: CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME Waste O11 EHS" ^ Yes ~ No 208 CAS # 209 -:''"ifEHS ~is"Yes,"•all amounts below must be in lbs . FIRE CODE HAZARD CLASSES (Complete if requested by local £re chief) 2I0 TYPE ^ p PURE ^ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 w WASTE 211 PHYSICAL STATE ^ s SOLID OO I LIQUID LARGESTCONTAAIER 1,100 gallons zls ^ g GAS 214 FED HAZARD CATEGORIES QX 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANIVIJAL WASTE 217 MAJOMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT ~ DAII.Y AMOUNT SO DAII.Y AMOUNT 5 220 221 3,800 UNITS" 0 ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON SITE 222 • If EHS, amount must be in lbs. 365 STORAGE CONTAINER QX a ABOVEGROUND TANK ^ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAll. CAR ~ 223 (Check a!1 lhat apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG . ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK ASIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SILO ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE ^X a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT . ~ , ~ HAZARDOUS GOMPON);NT ~ ~ ~ 'EHS ` ; ~ ~. `. CAS~# 1 226 Waste Oil, Petroleum Based 227 ^ Yes ~ No 228 229 100% 2 230 23l ^ yes ^ No 232 233 3 234 235 ^ Yes ^ No 236 237 4 238 239 ^ Yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 :.. `•111: J1k>iIVA1 Ui(L' i _._. PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~•~ SIGNATURE ~ ,.,I ~ _ ~ ~ DATE 246 Gory Mormr F.trvironntenta! Coordinator ~llll/ _~~~ ~ f ~ Q l Q~ a R S P I D ARTM T e .M° ,,...,. ~~..., o CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building ar area) ^ NEW ^ ADD ^ DELETE ~ REVISE 200 Page _ of _ i_" FA('ii.TTV `iNFORMATiON BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dteyer's Grand Ice Cream CHEMICAL LOCATION CIP Room 3 & 4 CHEMICAL LOCATION [] y~ QX No 242 201 CONFIDENTIAL (EPCRA) FACILITY ID# I 1 I S i 0~ 2 l 1 1 0 I O I l 14 I O 17 I~ -~ P MAP # (optional) 203 GRID # (optionan 204 ~..~ II. CHEMICAL INFORMATION - 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS• ~]X y~ ^ No 208 AC-SS-S CAS # 209 ~ 'If EHS is"Yes," ali amounts below~musl be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ p PURE ~ m MIXTURE RADIOACTIVE ^ Yes 0 No 212 CURIES ~ 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER 55 gallons 215 ^ g GAS 2I4 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HE ALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 2I7 MA3QMUM 218 AVERAGE ~ 219 STATE WASTE CODE AMOUNT DAB,Y AMOUNT 1,163.635 DAILY AMOUNT 581.8175 224 UNITS' ^ ga GAL ^ cf CU FT ~ Ib LBS ^ to TONS 221 DAYS ON SITE * If EHS, amount must be in lbs. 365 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK 0 e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL, CAR 223 (Check al! that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SILO ^ 1 CYLINDER ^ p TANK WAGON STORAGE PRESSURE ^X a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE ^X a AMBIENT ^ u ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %W I' _ : HAZARDOUS COIvIPONENT EHS, •• :.: CAS # I 37% 226 NiVjc Acid 227 ~x Yes ^ No 2zg 7697-37-2 229 2 4% 23o Phosphoric Acid 231 ^ Yes ~ No 232 7b64-38-2 z33 3 234 235 ^ Yes ^ No 236 237 4 23S 239 ~ yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 ... IIL SIGNATURE .. ` ; PRINT NAME & TITLE,OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE ,~~ ~ B DATE 246 Guy Moran, Environmental Coordinator '~ ~. ~~ B B R S P I D F1Re ARTM T -:..< tea-... CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEw ^ ADD ^DELETE ~ REVISE 200 1 ,' ' I. FACILTI'Y~.INF012MATION. ~ .~ (are form per nralerial per building or area) Page _ of BUSINESS NAME (Same as FACII.ITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION 20 ~ Outside Chemical Storage Area cItEMICAL LocnrlDN ^ yes ~ No zoz CONFIDENTIAL (EPCRA) FACILITY ID # I l I b O 12 11 O I O I 1 14 I O 17 I- l MAP # (optional 203 11 GRID # (optional) 204 ~IL CHEMICAL INFORMATION 20S TRADE SECRET ^ yes 0 No 206 CHEMICAL NAME [f Subject to EPCRA, refer to instructions 207 COMMON NAME ~ AC-SS-S EHS" ^ Yes ~ No 208 CAS # ~ ~ 209 ~. !If EHS is"Yes,"all amounts below must be in lbs . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ p PURE ~ m MIXTURE ~ RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 21I PHYSICAL STATE ^ s SOLID 0 I LIQUID LARGEST CONTAINER SS gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIRE ^X 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAII,Y AMOUNT ZOOO DAII,Y AMOUNT LOO 220 O UNITS" ^ ga GAL ^ cf CU FT ~ Ib LBS ^ to TONS 221 DAYS ON SITE 222 " If EHS, amount must be in lbs. 36S STORAGE CONTABER ^ a ABOVEGROUND TANK ~ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAII. CAR 223 (Check al[ that apply) ^ c TANK INSIDE BUILDING ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ d STEEL DRUM ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ h SII.O ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE 0 a AMI3IENT ~ ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE Q a AMBIENT ^ aa'ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 /off - ° .- ~ ~ ~ ~ - HAZAItDOI7S CO ~~ ~ IvIPONENT _ .. ~ ~ .-. .. .. - EHS , . CAS # 1 2zb Phosphoric Acid 227 ^ Yes ~ No zzs .7664-38-2 z29 4% 2 37% z3o Nitric Acid 231 ^x yes ^ x° z3z 7697-37-2 z33 3 234 235 ^ yes ^ No 236 237 4 238 239 ^ yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 111..~llifVA 1GUKL' ... ;.. ; ...., PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~ ~ ~ ~ _ SIGNATURE ~ ~ ~ ~ ~~ ~ ~ ,,~ ~// DATE 246 tarry Moran, Envirarmenlal Coordinator ,,,,~i(i{I rnp.Zyt,I,~„ a,/IWrQ~ e e set o F~Re ARTM f CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES • 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW ADD ^DELETE ^REViSE 200 ..., I. FACILITY INFORMATION • . L„s (one form per material per hvilding or area) Page _ of _ BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION 20 1 Technical Center Equipment Room CHEMICAL LOCATION ^ yes ~ No zoz " CONFIDENTIAL (EPCRA) FACILITY ID # I l 15 O 12, I l I O I O I I ~ 4 I O 17 I 1 MAP # (opttona!) 203 GRID # (optimal) 204 _... II: CHEMICAL IlVEORMATION " . __ 205 TRADE SECRET ^ Yes 0 No 206 CHEMICAL NAME If Subject to EPCRA, refer to insWCtions 207 COMMON NAME AC-SS-S EH$• ^ yes ~ No 208 CAS # 209 "if EHS is"Yes;"-all amounts below mustbe in Ibs . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ P p~ QX m MDCfURE RADIOACTIVE ^ Yes ^X No 212 CURIES 213 ^ w WASTE 2I1 PHYSICAL STATE ^ s SOLID ~I LIQUID LARGEST CONTAINER SS gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIRE ~ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ~ ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT 2OO DAILY AMOUNT I O 220 0 UNrfS' ^ ga GAL ^ cf CU FT ^X Ib LBS ^ to TONS 221 DAYS ON SITE 222 • If EHS, amount must be in Ibs. 36S STORAGE CONTAINER ^ a ABOVEGROUND TANK ~ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check a!1 that apply) ^ c TANK INSIDE BUILDING ^ f CAN ^ j BAG . ^ n PLASTIC BOTTLE ^ r OTHER ^ d STEEL DRUM ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ h SILO ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE ID a AMBIENT ^ as ABOVE AMBIENT ~ ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE Q a AMBIENT ^ as ABOVE AMBIliNT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT.. _..- ,._ ':. HAZARDOUS COIGIPONENT , EHS CAS #: 1 226 Phosphoric Acjd 227 ^ yE5 X ^ Na z2a 7664-38-2 z29 4% 2 37% 230 Nitric Acid 231 ^Q Yes ^ No 232 7697-37-2 233 3 234 235 ^ Yes ^ No 236 237 4 238 239 ^ Yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 _ .... 111: D1li1Vt11UliL .: ,, PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~ ~ SIGNATURE ~ - ~ - ~- ~ ~ /)~( DATE 246 Guy Morm>, £.twironmenia! Coordinator ..~~ ~~~~~~ 2, ~Z 8/F~j B B R S P I D Fine ARTM T CITY OF BAKERSFI]ELD ` OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301(661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW ^ ADD ^ DELETE ^x REVISE 200 :.:. ,. I_ FACii.1TY iNFORMATTQN (one form per nralerial per baildiug of area) Page _ of BUSINESS NAME (Same as FACII.ITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION Outside Chemjcal Storage Area CHEMICAL LOCATION ^ yes ~ No 202 201 CONFIDENTIAL. (EPCRA) FACILITY ID # I I I S O 12 11 0 (O I l 14 l 0 l 7 l_ 1 MAP # (optional 203 GRID # (optionaQ 204 ,<. , H. CHEMICAL INFORMATION 20i TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME AC-$$-$ Red (High Acid CIP Cleaner) ~ Exs• ^x Yes ^ No 206 CAS # 209 ~ •Tf EHS.is"Yes;" slfamounts below must be-in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ p p~ []x m MDCTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER $$ gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 216 AVERAGE STATE WASTE CODE AMOUNT DAILY AMOUNT 12,OO3.ZO DAILY AMOUNT I,O$8.20 220 UNrfS' ^ ga GAL ^ cf CU FT ~ Ib LBS ^ to TONS 22l DAYS ON SITE • If EHS, amount must be in lbs. 36$ 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK x^ a PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RALL CAR 223 (Check all that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SILO ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMEIENT 224 STORAGE TEMPERATURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 °/D YY l ~~ - ~ -~- - ~ HAZARDOUS COIVIPONENT ~ - ~'~ ~ EHS ~~ ~- CAS # I 226 Nitric Acid ~ zz7 x ^ Yes ^ No zzs 7697-37-2 229 37% 2 23o Phosphoric Acid 231 ^ yes 0 No 232 7664-38-2 233 4% 3 234 235 ^ yes ^ No 236 237 4 236 239 ^ yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 ,.. ,.. ~` ~ III. SIGNATURE ~~ ~' ~~ PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~ SIGNATURE ~{.,~.. , ~ . ~ ~~~~>ti ^ I~6 f~ DATE 246 tarry Mormq Environmental Coordinator „~ fjtM~' `,` eta C` B a R 5 P 1 D F/RB ARTM 7 -~-,.< ~,s,,. ..r 0 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRLPTION ^ NEW ^ ADD I' (one form per material per huilding or area) ^DELETE ~ REVISE 200 Page _ of _ I. FACILITY INFORMATION BUSINESS NAME (Same as FACB.ITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION zo l Maintenance Shop and Compressed Gas Stoiage Area CHEMICAL LOCATION ^ yes ~ No 2oz CONFIDENTIAL (EPCRA) FACILITY ID# I I I S I O 12 11 0 I 0 I 1 1 4 10 1 7 I,:. 1 MAP # (optionan 203 GRID # (optional) 204 - ,. CHEMICAL INFORMATION ` r __ 205 TRADE SECRET ^ y~ [X No 206 CHEMICAL NAME Acetylene If Subject to EPCRA, refer to inswctions 207 COMMON NAME EHS" ^ Yes 0 No 208 CAS# 209 •IfEHSis"-Yes,,"ail~amtiuntsbe]owmlistbeinlbs . 74-86-2 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE Q p PURE ^ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 21I PHYSICAL STATE ^ s SOLID ^ I LIQUID LARGEST CONTAINER 1 g$ CU FT 215 g GAS 214 FED HAZARD CATEGORIES ^ 1 FIILE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 2l9 STATE WASTE CODE ^MG~T DAILY AMOUNT 1 O DAII.Y AMOUNT S 220 O iJNITS• ^ ga GAL ~ cf CU FT ^ Ib LBS ^ m TONS 221 DAYS ON SITE 222 • If EHS, amount must be in lbs. 36$ STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLAST[CMONMETALLIC DRUM ^ i FIBER DRUM ^. m GLASS BOTTLE ^ q RAIL CAR 223 (Check all Thal apply) ^ c TANK INSIDE BUII.DING ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ d STEEL DRUM ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ h SILO ^X I CYLINDER ^ p TANK WAGON STORAGE PRESSURE ^ a AMBIENT ~ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE X^ a AME~NT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT _ _ HAZARDOUS COMPONENT. EHS CAS#~ I 100°to 226 Acetylene zz7 ^ Yes ~ No zzs 74-86-2 zz9 2 230 - 231 ^ Yes ^ No 232 233 3 234 ~ 235 ^ Yes ^ No 236 237 4 238 239 ^ yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 :111. a1li1VA 1 UKL' _" PRINT NAME & TTTT,E OF AUTI-IORiZED COMPANY REPRESENTATI VE SIGNATURE ~ ~ ~ DATE 246 Guy Moran, Environmental Coordinator ,.,~t,rrLy ?~,~...,, ~ ~ /a s~Ob B B R S P I D Fine AR1M T CITY OF ~AKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW D ADD ^ DELETE ^ REVISE 200 I::FACILTTY INFORMATION. (one forni per mareria! per building or area) Page _ of _ tUSTNESS NAME (Same as FACII.ITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Cream ;HEMICAL LOCATION 201 Olltslde Chemical SYOrage Alea . CHEMICAL LOCATION ^ y~ QX No 202 CONFIDENTIAL (EPCRA) 'AGILITY ID# I l I S f ".~ 0 1 1 2 11 I 10 (0 I~ 1 1 4 10 1 7 I~ ~. 9 MAP # (opdona~ 203 GRID # (oprionan 204 . II: CHEMICAL INFORMATION ~ ~ ~ ~ " ° "~ 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME Activated Alumina If Subject to EPCRA, refer to inswctions 207 COMMON NAME EHS` ^ yes ~ No 208 CAS # 1344-28-1 ~ 209 ~~ ~`If EHS is"Yes,"all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 2l0 TYPE Q p PURE ^ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ~ Q s SOLID ^ I LIQUID LARGEST CONTAINER 55 gallons 21s ^ g GAS 214 FED HAZARD CATEGORIES ^ I FBLE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 2l9 STATE WASTE CODE AMD~T DAII.Y AMOUNT 1,ZOO DAII-Y AMOUNT 55 zzo UNTTS` ^ ga GAL ^ cf CU FT ^X Ib LBS ^ to TONS 221 DAYS ON SITE • If EHS, amount must be in lbs. 365 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTIC/NONMETALLIC DRUM ^ i FffiER DRUM ^ m GLASS BOTTLE ^ q RAII. CAR 223 (Check a!! that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUII.DING ^ g CARBOY ^ k BOX ^ o TOTE BIN - ~ d STEEL DRUM ^ h SII.O ^ I CYLINDER . ^ p TANK WAGON STORAGE PRESSURE Q s AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE QX a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT: EHS ". ` CAS# 1 100% 226 Alumina 227 ^ Yes ~ No 22g 1344-28-1 229 2 230 231 ^ Yes ^ No 232 233 3 234 235 ^ Yes ^ No 236 237 4 238 239 ^ yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE . ~ ~~~~ ~" ~:..~ III. S GGNNTl7R~ ~ - - ~ ~ ~ ~~ ~ ~ I ~ `[ DATE 24b Gny Moran, Frrvrronmenla/ Coordinator E- ~ ~ ~ ~ ., ~~ ~ ~ L ~ ~a4 ~v ~wi v B B R s P l D F/RF ARTM T CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW ^ ADD ^ DELETE ~ REVISE 200 I ; i. FACILITY INFfRMATION ` , ..~ (one jorm per maleria! per building or area) Page _ of BUSINESS NAME (Same as FACII.ITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION Warehouse CHEMICAL LOCATION ^ yes ~ No 202 201 - CONFIDENTIAL (EPCRA) FACILITY ID# I l 15 l I O 12 I l l O~ O I l 14 l 0 17 11 MAP # (aptionan 203 GRID # (optional) 204 IL CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to insWCtions 207 COMMON NAME EHS• ^ Yes ~ No 208 Coconut Oil CAS # 204 -•If EHS is"Yes," atl amounts~belowatust be in lbs . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE Q p PURE ^ m MDCTIJRE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ 1 LIQUID LARGEST CONTAINER 5 gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ~ I FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ S CHRONIC HEALTH (Check all that aPPIY) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE ^n'ID~T DAII.Y AMOUNT 1,O4H DAILY AMOUNT S 220 UNITS• ~ ga GAL ^ cf CU FT ^ Ib LBS ^ m TONS 221 DAYS ON SITE • if EHS, amount must be in lbs. 36S 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTIC/NONMETAIL[C DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAII. CAR 223 (Check al! that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^X r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SII.O ^ I CYLINDER Steel Pail ^ p TANK WAGON STORAGE PRESSURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE QX a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS'..' CAS'# t zz6 None z27 ^ yes ^ No z2s 224 2 230 231 ^ Yes ^ No 232 233 3 234 235 ^ yes ^ No 236 237 4 ~ 238 239 ^ Yes ^ No 240 241 S 242 243 ^ Yes ^ No 244 24S - III: SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~ SIGNATURE ~/y ~ ~/ 1 /DATE 246 GoyMormr,EnvironnrenralCaordhmmr / ~~~jj~/ a,~p/®p B a R 5 P l D FIR! ARTM T ~,...,< ~c...- ^ NEW ^X ADD tsustrvtsss rvtuvtl: Game as rnct Dreyer's Grand Ice Cream ^ DELETE Y NAME or D ~,..~ ~ CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ REVISE 200 . ,. I ;r . _ ,- .., _ - ' FACILTTY_ INFORMATION , - DDin¢ Raciness Ad 3 CHEMICAL LOCATION zol Technical Center Equipment Room ~ crtEirncAL LocATION ^yes 0 No zoz CONFIDENTIAL (EPCRA) FACILITY ID # I l l s l O 12 ~ 1 ~ O ~ O ~ 1 14 I O 17 I ~ 1 MAP # (options!) 203 GRID # (optional) 204 .. II. CHEMICAL INFORMATION:. ° ~ ~ ~ ~' 205 TRADE SECRET ^yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to inswctions COMMON NAME MaYCixx 207 EHS• ^yes X^ No 208 CAS # 209 •If EH5 is"Yes," all atmunts below mustbe in lbs . FIRE CODE HAZARD CLASSES (Complete if requested by local £re chief) 210 TYPE ^p PURE ~m MIXTURE ^ RADIOACTIVE ^ Yes 0 No 212 CURIES 213 w WASTE 2I1 ' PHYSICAL STATE ^ s SOLID ~ 1 LIQUID LARGEST CONTAINER SS gatlons 2iS , ^g GAS 214 . FED HAZARD CATEGORIES Q 1 FIItE ^2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 MAXIMUM 2I8 AVERAGE 219 STATE WASTE CODE 220 AMOUNT DAll.Y AMOUNT S O DAII,Y AMOUNT I O O UMTS• ~ ga GAL ^ cf CU FT ^Ib LBS ^ m TO]VS 221 DAYS ON SITE 222 • If EHS, amount must be in lbs. 36S STORAGE CONTAINER ^ a ABOVEGROUND TANK ~e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check all [hal apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^n PLASTIC BOTTLE ^r OTHER ^ c TANK INSIDE BUII.DBQG ^ g CARBOY ^ k B03i ^o TOTE BIN ^d STEEL DRUM ^ h SII.O ^1 CYLINDER ^ p TANK WAGON STORAGE PRESSURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE QX a AMBIENT ^ as ABOVE AMBBiNT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT `: HAZARDOUS COMPONENT ... EHS CAS•# 1 226 Ascetic Acid ~ 227 ^yes ~No 22s 64-19-1 229 2S°/D z 230 Hydrogen Peroxide 231 ^ Yes ~No 23z 7722-84-I z33 7% 3 $% - 234 Peroyacetic Acid 235 ^ Yes ~No 236 79-2I-O 237 4 238 239 ^ Yes ^ No 240 241 5 242 243 ^ yes ^ No 244 245 (acre jornl per material per Auilding or area) Page _ of ' - ~ --- ~ 111::J1G1VA 1V1(Y.~" ~- - PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~ ~ SIGNATURE ~ ~ ~ ~ ~ ~/Z~e% DATE 246 G:ryMoran, Environmenlal Caordinalor 6 easP~ o F/RF ARTM T •,.,.< ..r:... CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per build»tg or wren) ^ NEW ^ ADD ^ DELETE ~ REVISE 200 Page _ of I: FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION 20 1 Maintenance Shop CHEMICAL LOCATION ^ Yes ~ D No 202 CONFIDENTIAL (EPCRA) FACILITY ID# I l l 6 O 12 11 I O I O I l 14 l 0 (7 I, I MAP # (optional) 203 GRID # (opriona!) 204 :,. ~II. CHEMICAL INFORMATION = ~ : ~ .. , :. .• ;. ~ 205 TRADE SECRET ^ yes ^X No 206 CHEMICAL NAME If Subject to EPCRA, refer to inswctions 207 comu,4oN NAME Tri-Mix Welding Gas Exs• ^ Yes ^X No 208 CAS # - 209 :' •if EHS is"Yes;" all amounts below must be in lbs . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 2ID TYPE ^ p p~ ^X m MIXTURE RADIOACTIVE ^ Yes 0 No 212 CURIES 2l3 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ^ t LIQUID LARGEST CONTAINER 336 CU FT zls 0 g GAS 214 FED HAZARD CATEGORIES QX I FIRE ^ 2 REACTIVE ^D 3 PRESSURE RELEASE ^ 4 ACUTE H EALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAJ.mdUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAII.Y AMOUNT I OO DAIl.Y AMOUNT SO 220 O UNITS" ^ ga GAL ~ cf CU FT ^ Ib LBS ^ m TONS 221 DAYS ON SITE 222 • If EHS, amount must be in lbs. 36S STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTIClNONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOT11.E ^ q RAa CAR 223 (Check alt that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG , ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SILO ~ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE X ^ a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIliNT ^ c CRYOGENIC 225 °/aWT HAZARDOUS COMPONENT. EHS ; ~ _ 'CAS # I 226 227 ^ Yes ^ No 226 229 2 230 231 ^ Yes ^ No 232 233 3 234 ~ 235 ^ Yes ^ No 236 237 4 238 239 ^ yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 . ~. .. -. .-..~. ll1.~J1li1VA1 UKP. ~.-~~..~~ ~ - ... ,.. .: --. _ - PRINT NAME & TITLE OP AUTHORIZED COMPANY REPRESHNTATIVE ~ • SIGNATURE ~ ~ ~ ~ ~ q DATE 246 Guy Moran, Errviroamenlal Coordhiatar ~ ~~~~I~~+v+~M ~~."L,Q'yb e easrt P/RE AR1M T ''~ .M •.sc..y < ..~ c+s. CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per malarial per building or area) ^ NEW ^ ADD ~ DELETE ^REVISE 200 Page _ of _ l I. FACILITY.INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION 20 1 " Outside ChemlCal Storage Alea CHEMICAL LOCATION ^ Yes ~ No 202 CONFIDENTIAL (EPCRA) FACILITY ID# I l I S O 12 11 I O I O I l 14 I O 17 I -. _ 1 MAP # (oplianal) 203 GRID # (options!) 204 " IP:' CHEMICAL INFORMATION.. 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instmctions 207 COMMON NAME De$ICCant EHS• ^ Yes ^x No 208 CAS # 209 .~ ~ •IfEHS is"Yes," all amounts below must be in lbs . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ~ p PURE ^ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ~ s SOLID ^ I LIQUID LARGEST CONTAINER 55 gallons z16 ^ g GAS 2t4 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXBvIIJM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT 1,200 DAII.Y AMOUNT 55 220 0 UMTS• ^ ga GAL ^ cf CU FT ~ Ib LBS ^ m TONS 22l ~ DAYS ON SITE 222 * If EHS, amount must be in lbs. ~ 365 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ RAII, CAR 9 223 (Check al! lhaJ apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTI~R ^ c TANK INSIDE BUII.DING ^ g CARBOY ^ k BOX ^ o TOTE BIN D d STEEL DRUM ^ h SII.O ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE ~x a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBBiNT ^ c CRYOGENIC 22S %WT -. ~ . _ ~;, .. ~` '" .... - ...~ HAZARDOUS COMPONENT - . ~. .. ; . ~.::. ~ . EHS ":- CAS # 1 - 226 Alumina zz7 x ^ Yes ^ No 228 1344281 229 100% 2 230 231 ^ Yes ^ No 232 233 3 234 235 ^ Yes ^ No 236 237 4 238 239 ^ yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 _ ~ " _ Gny~M ratprME ~ro m en a0l CoarJiHato~ED COMPANY REPRESENTATIVE ~ ~ ~ SIGNATURE DATE 246 B B R S P I D . 6 Fine ~erM r CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION lane form per maleria! per huilding or area) ^ NEW ^ ADD DELETE ^REVISE 200 Page _ of .. ~ .. ... ., r. ~ ,.. :.. .. ..- .. L-FACILITY~INFORI~IATION ~~ BUSINESS NAME (Same as FACIl.ITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION 2m Outside Chemical Storage Area cHEMtcaL LocATTON ^ yes D Na zoz coNFIDErrr1AL (EPCRa.) FACII,ITY ID # 1 5 0 2 1 0 0 1 4 0 7 1 MAP # (oplionan 203 l I ~ I I - GRID # (optional 204 : ... - ... ~~`; ~ ~~ II::CHEMICAL IlVFORMATION `,~ 205 TRADE SECRET ^ Yes ~ No 206 CHEMICAL NAME - If Subject to EPCRA, refer to instmctions 207 COMMON NAME Evaposhine -Aqueous Acid Cleaner EHS• Q yes ^ tVo 208 CAS # 209 - !If EHS is"Yes,"till.amounts below must be in lbs . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ p PURE ~ m MUCIVRE RADIOACTIVE ^ Yes ~ No 212 CURIIiS 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER 55 gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ I FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHROMC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 2I8 AVERAGE 219 STATE WASTE CODE AMO~T DAII.Y AMOUNT 1,054.35 DAII.Y AMOUNT 527.175 220 0 UMTS' ^ ga GAL ^ cf CU FT ~ Ib LBS ^ to TONS 221 DAYS ON SITE 222 If EHS, amount must be in lbs. 36$ STORAGE CONTAINER ^ e ABOVEGROUND TANK ~ e PLASTICINONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAB, CAR 223 (Check a!1 lhal apply) ^ c TANK INSIDE BUB.DING ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ d STEEL DRUM ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ h SII.O ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ~ 224 STORAGE TEMPERATURE ^X a AMB~NT ~ ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGEMC ~ ~ 225 %WT -:... a .. HAZARDOUS COMPONENT ~, EHS . `- . ~ CAS ~ . 1 9% 226 Phosphoric Acid 2z7 ^ y~ ~x No 226 7664-38-2 229 2 30% 23o Nitric Acjd 231 ~ Yes ^ No 23z 7697-37-2 233 3 234 235 ^ yes ^ No 236 237 4 236 239 ^ Yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 ,. - .. - - ,~:: 111: .11h1VE11UKP, ~ ~..., PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATTVE ~ ~ ~ ~ ~~ -~ ~~ - SIGNATURE ~ ~ ~~ - ~ - _ - -- - ~~ ~ ~ ~ DATE 246 C,ryMormr, ErrvironmenlalCoordinator ?~'~,v ~ /~: slay B R P 1 D Fine ARiM f '~} •x.,.~ ..e.,• ..r R CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one jarnr per maieria! per building or area) ^ NEW ^ADD ~ DELETE ^ REVISE 200 Page _ of `; . i FAC)ii.iTV INFn12NiATiON tUSINESS NAME (Same as FACII.[TY NAME or DBA -Doing Business As) 3 )reyer's Grand Ice Cream ;HEMICAL LOCATION zol Product Development Laboratory CHEMICAL LOCATION ^ yes 0 No zo2 CONFIDENTIAL (EPCRA) AGILITY ID# I I (S I~ O 12 11 O I O I l 14 l 0 l 7 l 1. MAP # (optional 203 GRID # (opNona~ 204 - II. CHEMIGAL.INEORMATION ... ' i 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME Nitrous Oxide If Subject to EPCRA, refer to inswctions 207 COMMON NAME EHS• ^ Yes ~ No 208 CAS # 10024-97-2 zo9 'irElls is"Yea,^ all amounts below must be in lbs . FIRE CODE HAZARD CLASSES (Completeif requested by local fire chief) 210 TYPE Q p PURE ^ m MIXTURE RADIOACTIVE ^ Yes ^X No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ^ 1 LIQUID LARGEST CONTAINER 56 lbs. 21s ^X g GAS 214 FED HAZARD CATEGORIES ^ I FIItE ^ 2 REACTIVE x^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 2l9 STATE WASTE CODE ~G~T DAII.Y AMOUNT 4 DAII,Y AMOUNT I 220 0 UNITS• ^ ga GAL ^ cf CU FT ®Ib LBS ^ m TONS 221 DAYS ON SITE . 222 • If EHS, amount must be in lbs. 365 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTICMONMETALLIC DRUM ^ i FB3ER DRUM ^ m GLASS BOTTLE ^ q RAII. CAR 223 (Check a!J lha! apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUII.DING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SII.O ^X I CYLINDER ^ p TANK WAGON STORAGE PRESSURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT _ HAZARDOUS COMPONENT ,. EHS :',. CAS# 226 Nitrous Oxide 227 ^ Yea ~ No zza 10024-97-2 zz9 100% 2 230 231 ^ Yes ^ No 232 233 3 234 235 ^ yes ^ No 236 237 4 238 239 ^ Yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 III. SIGNATURE .. ,r PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~ - - SIGNATURE ~ ~ DATE 246 ./ennijer L. Friehel, Risk & Safety Coordinator ~(,~ a, `~~~~ a easat ° ARTM T ~ ~, CITY OF BAKERSFIIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one farm per material per building or area) ^ NEW ADD ^DELETE ^REVISE 200 Page _ of _ i. FA(`li,Ti'Y..iNF(1RMATTl]N ~. BUSINESS NAME (Same as FACB.ITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION 20 1 CIP Room 3, 4 CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) FACII.ITY ID# I I I S ( I O 12 11 O I O I I (4 I O 17 I .: 1 MAP # (optional) 203 GRID # (oplionaJ) 204 :..; - II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME . ~ If Subject to EPCRA, refer to instructions 207 COMMON NAME Quorum Clear (Quaternary Ammonium Sanitizer) EHS• ^ Yes ~ No 208 CAS # 209 'If EHS is"Yes," all amounts below must be idlbs . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ p PURE 0 m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER SS gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTTVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MA70MUM 2I8 AVERAGE 2I9 STATE WASTE CODE, AMOUNT DAII,Y AMOUNT 1 I O DAII-Y AMOUNT SS 220 O UNCI'S• ~ ga GAL ^ cf CU FT ^ Ib LBS ^ m TONS 221 DAYS ON SITE 222 • If EHS, amount must be in lbs. 36S STORAGE CONTAINER ^ a ABOVEGROUND TANK ^X a PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR ~ 223 (Check al! that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK BVSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SII,O ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE Q a AMBB3NT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE ^Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %VdT ~ _ - HAZARDOUS COMPONENT - EHS ~:-.':- ~ ~- ~ CAS# ~~ 1 226 Alkyl Dimethybenzylammonium Chloride 227 ^ Yes ~ No 2zs 8001545 zz9 S% 2 230 231 ^ Yes ^ No 232 ~ 233 3 234 235 ^ yes ^ No 236 237 4 238 239 ^ Yes ^ No 240 241 5 242 - 243 ^ yes ^ No 244 245 llt. J1Ci1VA77J_1(L' ,..: r PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~ - SIGNATURE ~ ~ ~ ~ ~ ~ ~ DATE 246 Cary Mormr, Envirouneental Coordinator -~U't~' Z.l ZD7(~ a a R S P l D ARTM T ~ '~9 ....~ CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per materta! per bvilrGng or area) ^ NEW ADD ^ DELETE ^REVISE 200 Page _ of _ ON ~ ~ ... I~FACII.TC~~~ ~~ Y INFORMATi' BUSINESS NAME (Same as FACII.ITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION 20 1 CIP Room 5, 6, & 7 CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) FACILITY ID# (I 1 5 I 0 1 2 I I I 10 I 0 I 1 1 4 10 1 7 I. I MAP # (optionan 203 11 GRID # (opriona~ 204 I)•.`.~CI~IE~~IIC ~ _ _~,:.; ~: .- ~~ AL INFORMATION..:- ., ., .~ , 205 TRADE SECRET ^ Yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 coh~4oN NAME Mikroklene DF (Idophor Detergent Disinfectant) EHS" ^ y~ ^x No 2os CAS # 209 r. `L: EHS.is"Yes," all amounts be]ow-muse be in Ibs : FntE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ p PURE ~ m MIXTURE RADIOACTIVE ^ Yes 0 No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER SS gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HE ALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 2l9 STATE WASTE CODE AMOUNT DAII,Y AMOUNT I I O DAII.Y AMOUNT SS 220 UNITS' ~ ga GAL ^ cf CU FT ^ Ib LBS ^ m TONS 221 DAYS ON SITE 222 ` if EHS, amount must be in lbs. 36S STORAGE CONTAINER ^ a ABOVEGROUND TANK ~ e PLASTIClNONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAII. CAR 223 (Check a!! that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SILO ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE ~ Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT `. HAZARDOUS COMPONENT EHS ;`; , .... '. `; CAS #. - . I 226 Iodine ~ 227 ^ Yes ~ ND z28 7553562 zz9 1.75% 2 6.5% z3o Phosphoric Acid z31 ^ y~ ^X No 232 7664382 233 3 2% 234 2-Butoxyethanol 235 ^ yes ~ No 236 111762 237 4 238 239 ^ yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 . °; .' 111:J1ti1VAlUt(1;_ PAINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246 Gay Moran,EnvironntenlalCoordinator ~~V"~-T ~~ ~'~/~~ B E R 5 P I D ~ P/RF ARlN f ~? „r •.,...,,< .~....,• o CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301(661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per httilJing or area) ^ NEW ^x ADD ^ DELETE ^ REVISE 200 Page _ of _..: ..; -~ ~~ - -- '.:. L FACII.TTY-INFORMATION : ° . 3USINESS NAME (Same as FACII.ITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Cream ;HEMICAL LOCATION 20 1 West CIP Rooms CHEMICAL LOCATION ^ yes Q No 202 CONFIDENTIAL (EPCRA) IACII.ITY ID# I I I S%1 0 1 2 11 10 (0 11 1 4 10 1 7 I 1~ MAP # (optional) 203 GRID # (options!) ~ 204 II. CHEMICAL'INFORMAT--ION ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~ ~ ~ ~ ~ ~ 205 TRADE SECRET ^ Yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS" ^ Yes ~ No 208 Matcixx CAS # ~ 209 '*If EHS~is"Yes,'; all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ p PURE ^x m Mll{TURF RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ 1 LIQUID LARGEST CONTAINER SS gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ S CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIIv1UM ~ 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT - S OO DAII.Y AMOUNT I OO 220 UNITS* ~ .ga GAL ^ cf CU FT ^ Ib LBS ^ N TONS 221 DAYS ON SITE • If EHS, amount must be in lbs. 36S 222 STORAGE CONTAINER (Check a1! that apPIY) ^ a ABOVEGROUND TANK ^x a PLASTIC/NONMETALLIC DRUM ^ i FffiER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SB.O ^ 1 CYLINDER ^ p TANK WAGON STORAGE PRESSURE ~ a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE ^x a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 °/DWT HAZARDOUS COMPONENT ~ EHS CAS # 1 25% 226 Acetic Acid 227 ^ Yes ~ No 2zs 64-19-7 z29 2 7°/D z3o Hydrogen Peroxide 231 ^ Yes 0 No z3z 7722-84-1 233 3 234 peroxyacetic Acid z3s ^ ye5 x ^ No 236 79-21-0 237 S% 4 238 239 ^ Yes ^ No 240 241 5 242 ~ 243 ^ Yes ^ No 244 245 . =. .:. `. - III:.SIGNATURE ' - PRINT' NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE f~ ~ ~ ~ ~ ~ ~ ~ ~ ~ DATE 246 Gvy Maran, Ervirmrmenlal Caordinalor Z 2 B E R S P I D F/RE ~RrM ~ ,r...,,< ...:... CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW ^x ADD ^ DELETE ^ REVISE 200 ". ~ ~ ~ ~L FACILITYINFORMATION ~ `.~~ • ~~.• R (ane form per materia/per bailding or area) Page _ of _ 3USINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Cream ;HEMICAL LOCATION 20 1 Bulk Storage Area Outside CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) AGILITY ID #~ l 15 ~ O 12 I I I 10 I 0 I I` 4 I 0 1 7 I 1 MAP # (opliona~ 203 I GRID # (optional) 204 _~ ~ ~ ~~ II. CHEMICAL INFORMATI ~ ~ ~ ~ ~ ON ~ 205 TRADE SECRET ^ y~ QX No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME ~ EHS* ^ yes ~ No 208 Matrixx CAS # 209 'lf EHS is"Yes," all amounts below must be in Ibs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 2l0 TYPE ^ P pig ^x m MIXTURE RADIOACTIVE ^ Yes ^x No 212 CURIES 213 ^ w WASTE 2I1 PHYSICAL STATE ^ s SOLID ^x 1 LIQUID LARGEST CONTAINER 7000 gallons 2I5 ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXBv1UM 2I8 AVERAGE 219 STATE WASTE CODE ~G~T DAILY AMOUNT SOO DAB.Y AMOUNT I OO 220 UNITS` ~ ga GAL ^ cf CU FT ^ Ib LBS ^ m TONS 221 DAYS ON SITE • If EHS, amount must be in Ibs. 36S 222 STORAGE CONTAINER QX a ABOVEGROUND TANK ^ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAII. CAR 223 (Check al! that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUB.DING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h Sn,O ^ 1 CYLINDER ^ p TANK WAGON STORAGE PRESSURE 0 a AMBIENT ^ ee ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUSCOMPONENT EHS ; CAS.!!:: 1 25% 226 Acetic Acid 227 ^ Yes 0 No z2s 64-19-7 z29 2 7% z3o Hydrogen Peroxide 231 ^ Yes ^x No 232 7722-84-1 233 3 234 Perox acetic Acid - Y z3s x ^ Yes ~ No 236 79-21-0 z37 S% 4 238 239 ^ Yes ^ No 240 ~ 241 5 242 243 ^ Yes ^ No 244 245 III. SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE ~ DATE 246 tarry Moran, Earvirarmental Coordinator _ ~r'~/V ~' ~/r~ ~~,~ 'a ~`~,~g l~ B a R 5 P 1 D F/RE ARTM T r CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW ADD ^ DELETE ^ REVISE 200 ... >... I. FACILTfY INFORMATION BUSINESS NAME (Sarno as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION 20l West CIP Rooms CHEMICAL LOCATION ^ yes _ ~ No 202 CONFIDENTIAL (EPCRA) FACII.ITY ID# I l 15 l I O 12 I l ~u I O I O I 1 14 I O 17 I, l. MAP # (oplionat) 203 GRID # (optional) 204 . ~ - MICAL INFORMATI~ II. CHE _ ON 205 TRADE SECRET , ^Yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to inswctions COMMON NAME M3tC1XX 207 EHS• ^Yes ~ No 208 CAS # 209 : •If EHS is"Yes,"-all amounts below must be in lbs . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^p PURE ~m MIXTURE ^ RADIOACTIVE ^Yes X^ No 212 CURIES 213 w WASTE 211 PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER 55 gallons 215 ^g GAS 214 FED HAZARD CATEGORIES QX 1 FIRE ^2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHROMC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 MAXBNUM 218 AVERAGE 219 STATE WASTE CODE 220 ^h'fG~T DAILY AMOUNT SO DAILY AMOUNT I O 0 UNCfS• ~ ga GAL ^ cf CU FT ^Ib LBS ^ m TONS 221 DAYS ON SITE 222 • If EHS, amount must be in lbs. 365 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^x a PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ RAB CAR q 223 (Check all that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG . ^n PLASTIC BOTTLE ^r OTHER ^ c TANK INSIDE BUB.DING ^ g CARBOY ^ k BOX ^o TOTE BIN ^d STEEL DRUM ^ h SILO ^I CYLINDER ^ p TANK WAGON STORAGE PRESSURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT . 224 STORAGE TEMPERATURE Q a ~¢~ ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGEMC 225 D /oWT ~ HAZARD:..:, _ . -. _ - _ ~. ~_ ~ OUS COMPONENT ~~ ~._. . _. , ~ ~ ,..:EHS ,._,. ~ .. ~~ ~ ..CAS #. - 1 226 Accetic Acid zz7 ^Yes ~No 2zs 64-19-I 229 25% 2 z3o H dro en Peroxide Y g z31 x ^Yes ^No 232 7722-84-1 233 7% , 3 S% 234 Peroyacetic Acid 235 ^Yes ~No 236 79-21-0 237 4 238 239 ^Yes ^ No 240 24l 5 242 243 ^Yes ^ No 244 245 ~ „r (one farm per material per building or area) Page _ of _ .... - ,..,: ~ :... -111-J1lz1~AlUKL' ..:.. .., :-..- -~:,~. - PRINT NAME & TTTLE OF AUTHORIZED COMPANY REPRESENTATIVE - SIGNATURE - ~ ~ DATE 246 GrryMorm; Environme+ua! Caordinafor ~~' ~~~ ~ f~g~(~ CITY OF BAKERSFIELD OFFICE OF ENVIRONMENT~iL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (mre form per material per bailding or urec NEW ADD ^ DELETE ^REVISE 200 Page of I: FACILTI'Y INFORMATION JSINESS NAME (Same as FACB.ITY NAME or DBA -Doing Business As) 3 reyer's Grand Ice Cream -IEMICAL LOCATION 201 Outside Chemical Storage Alea CHEMICAL LOCATION ^ Yes ^D No 202 CONFIDENTIAL (EPCRA) \CILITY ID# 11 1 5 I- l 0 1 2 11 ~l 0 I 0 I 1 1 4 10 1 7 I 1 MAP # (opliona!) 203 GRID # (op7ionan 204 1 I I II: CFIEMICAL INFORMATIONV 205 TRADE SECRET 7HEMICAL NAME ^ Yes ~ No 206 If Subject to EPCRA, refer to insWCtions 207 :OMMON NAME Conquest EHS" ^ Yes 0 No 208 :AS # 209 'IfEHS is"Yes;° all amounts 6elow:must be in Ibs, IRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 'YPE ^ p PURE ~ m MIXTURE RADIOACTIVE ^ Yes 0 Na 212 CURIES 213 ^ w WASTE 211 HYSICAL STATE ^ ~ s SOLID I LIQUID LARGEST CONTAAER 55 gallons 215 ^ g GAS 214 ED HAZARD CATEGORIES ^ I FlltE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH 21e heck all that apply) .NNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE .MOUNT O DAII,Y AMOUNT 2O DAII,Y AMOUNT I O 220 UNffS" ~ ga GAL ^ cf CU FT ^ Ib LBS ^ to T024S 221 DAYS ON SITE 222 " If EHS, amount must be in lbs. 365 TORAGE CONTAINER h !! th k t l ^a ABOVEGROUND TANK ~ e PLASTIC/NONMETALLIC DRUM ^ i FII3ER DRUM ^ m GLASS BOTTLE ^ RAn CAR 223 ec a a app y) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE q , ^ r OTHER ^ c TANK INSIDE BUn.DBVG ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SII.O ^ I CYLINDER ^ p TANK WAGON TORAGE PRESSURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 TORAGE TEMPERATURE 0 a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGEMC 225 %WT - HAZARDOUS COMPONENT :: _ `: ,. EHS CAS# ° 226 30 /° . Sodilun Hydroxide 227 ^ Yes ~ No228 1310-73-2 229 230 231 ^ Yes ^ No 232 233 234 ~ 235 ^ Yes ^ No 236 237 238 239 ^ ^ Yes No 240 24I 242 243 ^ Yes ^ No 244 245 . .. ... - ' 111::J11i1~'Al UKL' -, :•. - - . 'RINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~ SIGNATURE , • - !` „ ~/ ~ ~~~~b pATE 246 :uy Mara» Frrvironmenta! Coordinator ~~/ l'n CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION NEW ~ DADD ^ DELETE ^REVISE 200 L FACILTI'Y:INFORMATION (ane form per maleria! per hailding or arer. Page _ of _ JSINESS NAME (Same as FACII.ITY NAME or DBA -Doing Business As) 3 Teyer's Grand Ice Cream ~MICAL LOCATION 201 CIP Room 3, 4 CHEMICAL LOCATION ^ yes 0 No 202 CONFIDENTIAL (EPCRA) 1CILITY ID # I l ~ S O 12 11 1 0 I O I l 14 l 0~ 7 l 1' MAP # (oplional) 203 GRID # (opliona~ 204 II1l II11 II .,.. II: CHEMICAL INFORMATION :HEMICAL NAME 205 TRADE SECRET ^ yes D No 206 IS Subject to EPCRA, refer to instructions 207 :OMMON NAME Conquest Exs• ^ Yes 0 No 206 :AS # 209 I_ ''IfEHS~is"Yes,"'all amounts below must be in lbs. ISES 210 m MIXTURE I RADIOACTIVE Yes LJ No 2t2 ~HYSICALSTATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER 55 gallons ~ zls ^ g GAS 214 ED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHROMC HEALTH 21t „heck all that apply) .NNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE JNOUNT O DAII.Y AMOUNT TO DAII.Y AMOUNT I O 220 UNrfS• 0 ga GAL ^ cf CU FT ^ Ib LBS ^ m TONS 221 DAYS ON SITE 222 " If EHS, amount must be in lbs. 365 TORAGE CONTAINER _heck all that apply) ^ a ABOVEGROUND TANK ~e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAII, CAR 223 ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUILDING. ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h Sn.O ^ I CYLINDER ^ p TANK WAGON TORAGE PRESSURE ~ Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 TORAGE TEMPERATURE 0 a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS.COMPONENT . - ~ EHS ~ CAS # ° 226 30 /o Sodium Hydroxide zz7 ^ Yes ~ xozz6 1310-73-2 2z9 230 ~ 23l - ^ Yes ^ No232 233 234 235 ^ Yes ^ No 236 237 238 239 ^ Yes ^ No 240 241 242 ~ 243 ^ Yes ^ No 244 245 LJ p PURE ^ w WASTE 2ll 111. S1G1VA7UKL.: . 'RINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE ~ ~ /? a/A~ DATE 246 lay Moran Eamironmenlal Crwrdinalor / 6 bC7 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (mre form per maleriafper building or arec NEW DADD ^ DELETE ^REVISE 200 Page _ of _ I FACILI'T'Y INFORMATION JSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Cream -nsMICAL LOCATION 201 Outside Chemical Storage Area \CILITY ID# I l 15 l O 12 I l l I O I O I I 14 I O 17 I. ~ l: MAP # (optional) 203 IL CHEMICAL: INFORMATION :HEMICAL NAME 205 I TRADE SECRET Yes x No 206 If Subject to EPCRA, refer to instructions lU! :OMMON NAME Accomplish ~ EHS• ^ Yes 0 No tog :AS # 209 ~ *IfEHS rs Yes,." all amounts below must be in Ibs: ^ p PURE ^X m MIXTURE I RADIOACTIVE ^ Yes 0 No 212 ^ w WASTE 2I1 'HYSICAL STATE CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) ^ s SOLID ~ I LIQUID I LARGEST CONTAINER 55 gallons ^ g GAS 2I4 2Is ED HAZARD CATEGORIES heck all that apply) ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH 5 CHRONIC HEALTH 21< .NNLJAL WASTE 217 ~ MAXIMUM 218 AVERAGE 219 STATE WASTE CODE .MOUNT O DAII.Y AMOUNT 2O DAII.Y AMOUNT I O 220 UNTrS• X^ ga GAL ^ cf CU FT ^ Ib LBS ^ m TONS 221 DAYS ON SITE 222 If EHS, amount must be in lbs. 365 TORAGE CONTAINER h k !! h l ^ a ABOVEGROUND TANK ^x a PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 ec a ! a! app y) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUII.DING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SII.O ^ I CYLINDER ^ p TANK WAGON TORAGE PRESSURE TORAGETEMPERATURE ^x a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^X a AMEIEN7 ^ as ABOVE AMBIENT 224 ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT`.' `; EHS ' CAS # e 226 27 /o Sodium Hydroxide 227 ^ Yes ^X Na22s 1310-73-2 229 230 ~ 231 ^ Yes ^ No232 233 234 235 ^ Yes ^ No 236 237 238 239 ^ Yes ^ No 240 241 242 ~ 243 ^ ^ Yes No 244 ~ 245 :_ 111:J1(i1VAlUKE .: , ~RINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE? I %r I~YW/VI/ I 0 [ DATE 246 :ay Moran Grviratmental Coordinator Z Z Off CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or arec NEW DADD ^ DELETE ^REVISE 200 Page _ of _ - - °. - ~ NATION _; . L FACILTI'1' INFOR 7SINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Cream riEMICAL LOCATION 201 Outside Neaz Bulk Storage Area CHEMICAL LOCATION ^ yes ^X No 202 CONFIDENTIAL (EPCRA) \CILITY ID # I l ~ 5 ~ ~ O 12 I I O I O I l 14 l 0 17 I 1 MAP # (optional) 203 GRID # (optional) 204 .. , .. .. ~.. ~' II. CHEMICAL ~INFORMATION< _: -. ~v~ ttvwn ~nt;tcnt 0 No 206 :HEMICAL NAME Yes Liquid Nitrogen If Subject to EPCRA, refer to inswctions 207 :OMMON NAME EHS" ^ Yes 0 No 208 :AS # 7727.37.9 ~ 209 *ifi;TlsSa°Yea;".all amounts below must be in lbs. IRE CODE HAZARD CLASSES (Complete if requested by local fire chief) I YPE ^ p PURE ^m MIXTURE RADIOACTIVE ^ Yes ^X No 212 CURIES 21 ^ w WASTE 211 HYSICAL STATE ,^ ^Q I LIQUID s SOLID LARGEST CONTAINER 148,137 gallons zls ^ g GAS 214 ED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE 4 ACUTE HEALTH 5 CHRONIC HEALTH 2 t heck all that apply) NMIAL WASTE 21 7 MAXQviUM 218 AVERAGE 219 STATE WASTE CODE JvIOUNT - O DAII,Y AMOUNT I SO,000 DAII,Y AMOUNT 130,000 220 UNirS" 0 ga GAL ^ cf CU FT ^ Ib LBS ^ m TONS 221 DAYS ON SITE 365 222 " If EHS, amount must be in lbs. TORAGE CONTAINER h k !/ h l ~a ABOVEGROUND TANK ^e PLASTICMONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAn CAR 223 ec a l at app y) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE . ^ r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SILO ^ I CYLINDER ^ p TANK WAGON TORAGEPRESSURE X ^ a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 TORAGETEMPERATURE a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 °/aWT ~ .HAZARDOUS COMPONENT. ~ ~' EHS " CAS #~ a z26 Nitrogen 227 ^ Yes ^X No2z8 7727-37-9 229 100 /a 230 ~ 231 ^ Yes ^ No 232 ~ 233 234 ~ 235 ^ Yes ^ No 236 237 238 239 ^ ^ Yes No 240 241 242 - 243 ^ Yes ^ No 244 245 ,.. ~- . ... ~ - ... - '111: Mh1VA 1:U1(L' .: ~ _. _ - .. _ . ~RINT NAME & TITLE OP AUTHORIZED COMPANY REPRESENTATI VS - - .SIGNATURE / / 6~~ ~~~ ~ 1~ DATE 246 Juy Moran Environmental Coordinator / CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (ane form per material per building ar arec NEW DADD ^ DELETE ^REVISE 200 Page _ of _ ,, ... , . ` I. FACILITY INFORMATION ::: JSnVESS NAME (Same as FACIl.ITY NAME or DBA -Doing Business As) 3 reyer's Grand Ice Cream 3EMICAL LOCATION 201 Outside Rear of Technical Center CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) 1CILITY ID # I I I S O 12 (1 I I O I O I l 14 (O 17 I .. 1 MAP # (optionan 203 GRID # (optiown 204 ~~ ` ~ ~~ II.,~CHEMICA~I: INFORMATION'' ~ _ ~~ ~, :HEMICAL NAME 205 TRADE SECRET ^ yes ~ No 206 Liquid Nitrogen if Subject to EPCRA, refer to instructions LU/ :OMMON NAME ~ EHS" ^ Yes 0 No 208 :AS # 7727-37-9 209 IfEHS is"Yes," alt amounts below must be in lbs. U p PURE L1m MDCTURE I RADIOACTIVE LJ Yes L^U No 212 ^ w WASTE 211 •HYSICAL STATE ^ s SOLID 0 I LIQUID LARGEST CONTAINER 2625 gallons 215 ^ g GAS 214 ED HAZARD CATEGORIES heck all that apply) ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH 21t rNNUALWASTE 217 MAXIMITM 218 AVERAGE 219 STATE WASTE CODE .MOUNT O DAB.Y AMOUNT I OO DAILY AMOUNT I O 220 UMTS" 0 ga GAL ^ cf CU FT ^ Ib LHS ^ m TONS 221 DAYS ON SITE 222 " If EHS, amount must be in tbs. 365 TORAGE CONTAINER h l h k ll ~a ABOVEGROUND TANK ^e PLASTIC/NONMETALLICbRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 ec r y) a a! app ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SB.O ^ I CYLINDER ^ p TANK WAGON TORAGEPRESSURE a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 TORAGE TEMPERATURE e AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGEMC 225 %WT HAZARDOUS COMI?ONENT _`. ' _ ;; ;EHS ;~ CAS # ° zee 100 /o Nitrogen z27 ^ yes 0 No2zg 7727-37-9 z2g 230 231 ^ ^ Yes Ho 232 233 234 235 ^ Yes ^ No 236 237 238 239 ^ ^ Yes No 240 241 242 243 ^ Yes ^ No 244 245 . .. - .. ill. 51hfYAd U1(L' :.... - . . 'RnJT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE `~ ,,..., /- _~~W ~ n I a /©~ DATE 246 :uyMoranErmironmental Coordinator //~1 a'a"i"IA1 "///U~/ C. 2b!/ CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301(661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one jrnm per material per building or arec NEW ^X ADD ^ DELETE ^REVISE 200 Page _ of _ I. FACILITY INFORMATIOIt' ° JSINESS NAME (Same as FACB.ITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Cream 4EM{CAL LOCATION ZOl Technical Center Equipment Room CHEMICAL LOCATION X CONFIDENTIAL (EPCRA) ^ Yes ^ No 202 ~CILITY ID# ~ I I S O 12 11 i 0 I 0 (1 1 4 10 1 7 I 1 MAP # (optional) 203 GRID # (optional) 204 `. IL CHEMICAL INFORMATIOV _. ,. :HEMICAL NAME 205 TRADE SECRET ^ Yes ^ No 206 If Subject to EPCRA, refer to insWCtions tur :OMMON NAME, COngUeSt EHS" ^ Yes ^X No 208 :AS # 209 I IfEHS rs Yes," all amounts below must be in lbs. 210 'HYSICAL STATE LJ p PURE t ^ U m MIXTURE ^ w WASTE 211 ^ s SOLID 01 LIQUID ^ g GAS 214 RADIOACTIVE LJ Yes IJ No 212 LARGES7'CONTAINER 55 gallons 21s ED HAZARD CATEGORIES ..heck all that apply) ^ 1 FIItE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH 21 t NNUAL WASTE 2l7 ~ MAXIMUM 218 AVERAGE 219 STATE WASTE CODE .MOUNT O ~ DAII,Y AMOUNT ZO DAII.Y AMOUNT 1 O 220 UNTTS" ~ ga GAL ^ cf CU FT ^ Ib LBS ^ m TONS 221 DAYS ON SITE 222 " If EHS, amount must be in lbs. 365 TORAGE CONTAINER h k l! th l ^ a ABOVEGROUND TANK ~ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ RAll CAR 223 a at app y) ec ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE q . ^ r OTHER ^ c TANK INSIDE BUII.DING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SII,O ^ I CYLINDER ^ p TANK WAGON TORAGE PRESSURE X ^ a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 TORAGE TEMPERATURE ^ ^ ^ ba BELOW AMBIENT ^ CRYOGENIC 225 a AMBIENT as ABOVE AMII~NT c :. .- ,.- .. ~ ,.< °/aWT . HAZARDOUS_COMPQNENT _ ,EHS ,: _ ;., ~ ``, CAS.# 0 226 30 /e Sodium Hydroxide 227 ^ Yea ~ xo22g 1310-73-2 z29 230 231 ^ Yes ^ No232 233 234 235 ^ Yes ^ No 236 237 238 239 ^ Yes ^ No 240 241 242 ~ 243 ^ Yes ^ No 244 245 . ~. -. . 111:J1h1VAlUKE -:~/,~~/.yy~~ ".- ry // ~j//d/ . RINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATUREJ!iss/~'71 / / /~LGI/W ~ C,~L Z3 /l/'C DATE 246 nryMaranEnvirmrmental Coordinator B E R S P I D P/RB AR7M f CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301(661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW ~ ADD ^ DELETE ^ REVISE 200 .:. ': ` <. 3 FAG i,TI'Y.iNFf7RNIA'1'i(1N (one jornr per malerial per building or area) Page _ of _ 1USINESS NAME (Same as FACB,ITY NAME or DBA -Doing Business As) 3 heyer's Grand Ice Cream ;HEMICAL LOCATION 201 Technical Center CIP Room CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) 'AGILITY ID # I 1 ~ S O Il Ill` Illl 12 I 1 ( O I O I I ~ 4 I O 17 I. . - 1 MAP # (oprionan 203 Ill GRID # (optional) 204 ,.<:, -. ,.,. ,, _ II. GI3EMIGAL INFORMATION' . _ .. ,. .. . 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS" vea x ND zos Exxelerate CIP CAS # ~ 209 -~ "If EHS is"Yes," all amounts below must be in lbs . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ~ ^ p PURE ^X m MIXTURE RADIOACTIVE ^ Yes ^X No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ^D I LIQUID LARGEST CONTAINER 55 gallons zls ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIILE ~ ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT I OO DAII,Y AMOUNT 2O 220 UNITS' ~ga GAL ^ cf CU FT ^ Ib LBS ^ m TONS 221 DAYS ON SITE " if EHS, amount must be in lbs. 365 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK De PLASTIC/NONMETALLICbRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAQ. CAR 223 (Check all Thar apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^c TANK INSIDE BUB.DING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SII,O ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE Q a AMBIENT ^ ea ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 °/D YY 1 - ._ ..: ~;' - - - ~..~: HAZARDOUS COIGIPONENT EHS ~ ' ~:. ~. CAS # ~ .. 1 226 Sodium Hydroxide 2z7 ^ yes ^x No 228 1310-73-2 ~ 229 8% z 3% z3o Sodium Hypochlorite 231 ^ Yes ~ N° 232 7681-52-9 z33 3 1 - 5 % z34 Chelating Agent 23s ^ yes ~ N° 236 9003-04-7 z37 4 I - 5% z3g .Anionic Surfactant z39 ^ Yes ~ No zao 1300-72-7 zal 5 242 243 ^ Yes ^ No 244 245 _. _ III. SIGNATURE ; ,. _, - PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNA ., c.,..._,..,_......,,r ~..,._,r._,...._ -- TUA.E ~ /f'lit..~.ern. % l7SP/~i DATE 246 B B R S P f D F/RF AIPfM f • ^ NEW ^D ADD ^ DELETE ~a.° OR CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661.) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) ^ REVISE 200 - Page _ of _ >: i. FACi,iTY iNFnRMA7`inN .:.. SUSriVESS NAME (Same as FACII.ITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Cream :HEMICAL LOCATION zo I Technical Center Equipment Room cIl>~BCAL LocAT1oN ^ yes 0 No 202 CONFIDENTIAL (EPCRA) AGILITY ID# 1 5 IILi 0 2 1 0 0 1 4 0 7 1 MAP # (opfionat) 203 II 1II GRID # (optional 204 - ON u: cxENIICAi nvi+oxMATi , 205 TRADE SECRE7 ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME - EHS• ^ yes ~ No 208 Exxelerate CIP CAS # - 209 . •If EHS is"Yes,",all amounts below must be in lbs . FIRECODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ P p~ ~ m MIXTURE RADIOACTTVE ^ Yes ^X No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER $5 gallons zls ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE .217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE ~D~'T DAII,Y AMOUNT 1 OO DAII.Y AMOUNT 2O 220 UNITS' ~ga GAL ^ cf CU FT ^ Ib LBS ^ m TONS 221 DAYS ON S17'E ' If EHS, amount must be in lbs. 36$ 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK De PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAII, CAR 223 (Check al[ the! apPlY) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^c TANK INSIDE BUII,DING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SII,O ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE Q a AMBIENT ^ ee ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS"COMI'ONENT '; EHS CAS # I 226 Sodium Hydroxide z27 ^ Yes 0 No 2za 1310-73-2 229 8% 2 3°/B z3o Sodium Hypochlorite 23l ^ Yes ~ No 232 7681-$2-9 233 3 1 ' $ % 234 Chelating Agent z3s ^ Yes ~ No 236 9003-04-7 237 4 1 - $% 238 Anionic Surfactant 239 ^ yes X^ No 240 1300-~2-~ 241 5 242 243 ^ Yes ^ No 244 245 III SIGNATURE . PRINT NAME & TITLE OF A UTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE / ~a6 246 Ga Moran, Frrvironmental Coordinamr ?rb Z e E R a P l D F/RE ARfM r CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301(661.) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW 0 ADD ^ DELETE ^ REVISE 200 . ! i_ FAC'IIiTTV i1VF(1R1-4ATI(1N' .~ rye„ 0 (one form per material per building or area) Page _ of _ 3USINESS NAME (Same as FACII,ITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Cream :HEMICAL LOCATION 20 1 BUIIC St0[age Area OlltSlde CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) ~ACILITY ID# I I I S I"' I O 12 I I I O I O I l 14 l 0 l 7 l l MAP # (optional) 203 1 GRID # (optional) 204 . ... ' H. CHEMICAL INFORMATION -. . 205 TRADE SECRET ^ yes X^ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS• ^ Yea ~ No zos Exxelerate CIP CAS # ~ 209 •If EHS is"Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ p ppRE ~ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ 1 LIQUID LARGEST CONTAINER 7,000 gallons ~ 21 s ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSLRE RELEASE ^ 4 ACCfrE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 2I6 ANNUAL WASTE 217 MAXIMUM ~ 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAII.Y AMOUNT 1 OOO DAII.Y AMOUNT ZOO 220 UNITS' 0ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON SITE • If EHS, amount must be in lbs. 36$ 222 STORAGE CONTAR~IER ^X a ABOVEGROUND TANK ^ e PLASTICMONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIl, CAR 223 (Check all that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SII.O ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE ^X a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE QX a AMBIENT ^ as ABOVE AMBIENT ~ ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT ;.. ,. HAZARDOUS'COMPQNENT _ EHS CAS#;,, 1 z26 Sodium Hydroxide 227 ^ Yes ~ No zza 1310-73-2 zz9 8% 2 3% 23o Sodium Hypochlorite 231 ^ yes D No 232 7681-52-9 233 3 1 - 5 % z3a Chelating Agent z3s ^ y~ x^ No 236 9003-04-7 z37 4 1 - 5% 238 Anionic Surfactant 239 ^ yes ~ No 240 1300-72-7 241 5 242 243 ^ Yes ^ No 244 245 III SIGNATURE PRINT NAME & TITLE OFACITHORIZED COMPANY REPRESENTATIVE ~ SIGNATURE ~~ , ~y~ ~ lye DATE 246 Gvv Morml. Eatvironmental Coordrnamr / L~/~fi ~ /VI/ ~ ~ ~2.8! f~0' R fi R a P I D Fine ~Rrn~ r -.u.,.~ .~..,. CITY OF BAKERSFIELD ^ NEW ~ ADD ^ DELETE OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ REVISE 200 `"I. FAGILTI'Y'INFORMATION "~ OR (one jorm per material per hrrihting or area) Page _ of _ I. 3USINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Cream ;HEMICAL LOCATION 201 CIP ROOM 3 & 4 CHEMICAL LOCATION ^ yes 0 No 2oz CONFIDENTIAL (EPCRA) 'ACII.ITY ID.# I l 15 O 12 I l l O I O I I 14 I O 17 I 1 MAP # (oplionan 203 GRID # (optional 204 II:.CIiEMICAL IlVFORbIATION _ ' 205 TRADE SECRET ^ Yes 0 No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS• ^ Yes D Na 2og Exxelerate CIP CAS # 209. _, . . `"If EHS is".Yes," all amouots below must be in lbs. - FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE . ^ p p» ~ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER 3000 gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIItE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE +~G~T DAILY AMOUNT I OOO DAILY AMOUNT 2OO 220 UNITS' ~ga GAL ^ cf CU FT ^ Ib LBS ^ m TONS 221 DAYS ON SITE If EHS, amount must be in lbs. 365 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ RAII, CAR q 223 (Check all Thal apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ~c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SII,O ^ 1 CYLINDER ^ p TANK WAGON STORAGE PRESSURE Qx a AMB~NT ^ as ABOVE AMBIENT ^ ba BELOW AME~NT 224 STORAGE TEMPERATURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 °/DWT HAZARDOUS COMPONENT EHS ~ CAS # 1 z26 Sodium H droxide Y zz7 x ^ Yes ^ No 228 1310-73-2 zz9 8% z 3% 230 Sodium Hypochlorite 231 ^ Yes 0 No 232 7681-52-9 z33 3 1 - 5 % z3a Chelating Agent z3s ^ Yes D No z36 9003-04-7 z37 4 1 - 5% 238 Anionic Surfactant 239 ^ yes ~ No 240 1300-72-7 241 5 242 243 ~ yes ^ No 244 245 `: ' - . IIL SIGNATURE ~ PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~ SIGNATURE ~~~~- p~ ~ ~~~ - `~ DATE ` 246 Gv Morm; Environmental Coordinator ~ ~ p U~i W'(,G~,+1~V 1 D e Baser o F/RF ARTM T CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (~61) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRII'TION ^ NEW ^ ADD ^ DELETE ~ REVISE 200 I: FACII;ITI' INFORMATION ti (are form per mareriat per bniJrihrg or area) Page _ of _ BUSINESS NAME (Same as FACB.ITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION Materials Requisition Office CHEMICAL LOCATION ^ yes ~ No 202 201 CONFIDENTIAL (EPCRA) FACILITY ID# I l I S I r'I 0 (2 I l I 0 (O I l 14 I O 17 I I MAP # (optiaraf) 203 GRID # (optional 204 ... II. CHEMICAL INFORMATION , ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ 205 TRADE SECRET ^ Yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instruc0ons 207 COMMON NAME EHS• ^ Yes ~ No 208 JAX Magna-Plate 76 (Petroleum Lubricating Oil) CAS # 209 ~IfEHS'is"Yes," all amounts below must be in lbs . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ P p~ Q m MIXTURE RADIOACTIVE ^ Yes ^X No 212 CURIES 2l3 ^ w WASTE 211 PHYSICAL STATE ^ a SOLID 0 I LIQUID LARGEST CONTAINER S8 gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ I FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHROMC HEALTH (Check all that apply) 216 ANNUAL WASTE 2I7 MAXIMUM ~ 216 AVERAGE 219 STATE WASTE CODE AMOUNT DAB.YAMOUNT S8 DAII,YAMOUNT $g 220 UMTS• ~ ga GAL ^ cf CU FT ^ Ib LBS ^ m TONS 221 DAYS ON SITE ~ If EHS, amount must be in lbs. ~ 36S 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTICMONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAB. CAR 223 (Check a!! that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER c TANK INSIDE BUB.DBJG ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SII.O ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE 0 a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE 0 a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGEMC 225 °/aWT ~ ~ ~ ~ .HAZARDOUS COMPONENT . ~~ ~ ~ _ ,~~ EHS ~ CAS # ~: 1 226 White Mineral Lubricating Oils ~ 227 ^ Yes ~ xo 2za 229 100°/a 2 230 231 ^ Yes ^ No 232 233 3 234 235 ^ yes ^ No 236 237 4 - 238 239 ^ Yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 .. ~ ~ . _ -~ ~ III. SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~ SIGNATURE- ~j~ / DATE 246 Grry Maran, Envirarmental Coordirwtor ,,,~t.LL~ ~ ~ i'Q''Z+Q~L ~ ta~ ~{ Q~ a 8 R S F 1 D Fine ARTM T CITY OF BAKERSFIIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW ^ ADD ^ DELETE ~ REVISE 200 i_ FA('T.iTY INFt7RMATi(1N .~ (one jorm per nmlerial per huilding or area) Page _ of BUSBJESS NAME (Same as FACII.ITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION Materials Requisition Office CHEMICAL LOCATION ^ yes ~ No 202 201 CONFIDENTIAL (EPCRA) FACILITY ID # I I I S O 12 11 O I O I l 14 l 0 l 7( 1 MAP # (optional) 203 GRID # (optionan 204 ,.. II. CHEMICAI7 WFURM.ATION ? . .. .. 205 TRADE SECRET ^ Yes ^X No 206 CHEMICAL NAME If Subject to EPCRA, refer to inswctions 207 COMMON NAME EHS• ^ Yes ^X No 208 JAX Magna-Plate 64 (Petroleum Lubricating Oil) CAS # 209 :: •If EHS is"Yes," all amounts below must be in lbs . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ P p~E Q m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 2{3 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER $8 gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIILE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXB~RJM 216 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT $ g DAII.Y AMOUNT $ 8 220 UNITS* ~ ga GAL ^ cf CU FT ^ Ib LBS ^ m TONS 221 DAYS ON SITE " If EHS, amount must be in lhs. 36$ 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ RAll, CAR q 223 (Check a/!that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER c TANK INSIDE BUII,DING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SII.O ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE Q a AMBIENT ^ ae ABOVE AMBIII4T ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE X^ a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT ~HAZARDOUSCOMPONENT .. EHS CAS# 1 226 White Mineral Lubricating Oils 227 ^ Yes ^x No zee zz9 100% 2 230 231 ^ Yes ^ No 232 233 3 234 235 ^ Yes ^ No 236 237 4 238 239 ^ Yes ^ No 240 ~ 241 5 242 243 ^ Yes ^ No 244 245 III. SIGNATURE PRINT NAME & TITLE OF AUTI-IORIZED COMPANY REPRESENTATIVE SIGNATURE ~~ ] ~ ~y~ ~ ~~ ~ DATE 246 Guy Moran, Environmental Coordinator `~ ~~% ~~~~~' ~'W'~V a,ra~®~j R a R a P l D Free ARTM T CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (6b1) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW ^x ADD ^ DELETE ^REVISE 200 - ~ -~ ~-' I. FACILITYINFORNIATION~ - ~ ~~ (one jornt per material per building or area) Page _ ' of BUSINESS NAME (Same as FACII.ITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION CIP Room $, 6, & 7 2p1 CHEMICAL LOCATION ^ y~ QX No 202 CONFIDENTIAL (EPCRA) FACILITY ID# I 1 (S .I 0 I 0 I 1 1 4 10 1 7 I I MAP # (aplionan 203 O 12 11 I"~ J _ GRID # (optional) 204 . IL CHEMICAL INFOBMATIUN 205 TRADE SECRET ^ yes D No 206 CHEMICAL NAME ' If Subject to EPCRA, refer to instructions 207 COMMON NAME Mandate (Acid Sanitizer) EH$` ^ y~ Qx No 208 CAS # 209 ~~ 'ffEHS is"Yes," all amounts below must be in lbs . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ p PURE ~ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES ~ 2I3 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER $$ gallons 21s _ ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIM[JM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAII.Y AMOUNT Z2O DAB.Y AMOUNT I 1 O 220 UNITS• ~ ga GAL ^ cf CU FT ^ Ib LBS ^ m TONS 221 DAYS ON SITE • If EHS, amount must be in lbs. 36$ 222 STORAGE CONTAINER [] a ABOVEGROUND TANK ^x a PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAII. CAR 223 (Check all that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUII,DBJG ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SILO ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE ~ a AMBIIiNT ^ as ABOVE AMBIEN'1; ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT: EHS. CAS# 1 zze Phosphoric Acid 227 ^ yeS X ^ No 228 7664-38-2 229 22.$% 2 230 231 ^ Yes ^ No 232 233 3 234 235 ^ y~ ^ No 236 237 4 238 239 ^ yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 III: SIGNATURE ; .. .. - ; PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATU"RE, ~ ~ ~ DATE 246 Guy Marro; Envirwimental Coordinator J ~ ~ /Z~b6 E E R P 1 D Fine ARTM f .r 0 CITY OF BA,KERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW ADD (one jornr per nraleria! per building or area) ^ DELETE ^REVISE 200 Page _ of _ ~. ~ .. .. ~ . ~ ~ MATTON ,. i FACii,ITV iNFnR BUSINESS NAME (Same as FACB-ITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION 20 1 Technical Center CIP Room cHEMtcAL LocATtoN ^ yes ~ No 202 CONFIDENTIAL (EPCRA) FACILITY ID# I I I S 1': I IJI O 12 11 0 I 0 I 1 1 4 10 1 7 I 1 MAP # (optional) . 203 GRID # (optional) 204 II:,CFIEMICAL INFORMATION ~ ~ ~ ~ ~ ~: ~ ~ ~ ~ ~ ~ ~ , ~ ~ ~ ~ ~ 205 TRADE SECRET ^ Yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instnlctions 207 COMMON NAME Mandate (Acid Sanitizer) EHS• ^ yes ~ No 208 CAS # 209 ~. •IfEHSis"Yes;" all amounts below mustbe in lbs. FIRE CODE HAZARD CLASSES (Complete ifrequested by local fire chief 210 TYPE ^ p PURE 0 m MUiTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ~ ^ s SOLID ~ I LIQUID LARGEST CONTAINER SS gajjOnS 215 ^ g GAS 214 FED HAZARD CATEGORIES ~ QX 1 FIRE ~ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE H EALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT' S O DAII-Y AMOUNT I S 220 O UN1TS• 0 ga GAL ^ cf CU FT ^ Ib LBS ^ m TONS 221 DAYS ON SITE 222 • If EHS, amount must be in lbs. - 36S STORAGE CONTAINER ^ a ABOVEGROUND TANK 0 e PLASTICMONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAII, CAR 223 (Check a!! that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r 011iER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SII,O ^ I CYLINDER ~ ^ p TANK WAGON STORAGE PRESSURE QX a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE Q a AMBIENT ^ as ABOVE AMBCENT ^ ba BELOW AMBIENT ^ c CRYOGEMC 225 °/aWT - HAZARDOUS COMPONENT - EHS.... CAS# I 226 Phosphoric Acid 227 ^ Yes 0 No 228 7664382 229 22.5% 2 230 231 ^ Yes ^ No 232 233 3 234 235 ^ Yes ^ No 236 237 4 238 239 ^ Yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 ~~~ 1ll:~J1G1VAl VKP. .*~ PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNAT~UR~E~ , y /[~- ~ l ~ DATE 246 Guy Marmr, Frrvironmenta! Coordirwtor _~~J~1 ~~~I /Z/' (~ ~! z~~~~ n easri o F1RE ARTM 7 ''~ •s.,.~ aa...~ .... CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester.Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (ane form per material per building or area) ^ NEW ^ ADD ODELETE ^REVISE 200 Page _ of _ . _. .. , . L-FACILITY INFORMATION-' BUSINESS NAME (Same es FACII.ITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION 20 1 CIP Room 5, 6, & 7 CHEMICAL LOCATION ^ yes ^X No 202 CONFIDENTIAL (EPCRA) FACII.ITY ID# I I I S I !I` O 12 11 i O I O I I ~ 4 I O 17 I 1 MAP # (optional 203 11 1111 !I! GRID # (optionan 204 V II: CHEMICAL ~IlVFORMATION . ' :. ~ , ~' ~ ` 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to inswctions 207 coMMON NAME Quorum Yellow II (Alkaline CIP Cleaner) Exs" ^ Yes ~ No 208 CAS # - 209 ~ -"If EHS~is"Yes," all amounts.below must be in Ibs . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ P p~ Q m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ 1 LIQUID LARGEST CONTAINER 3,000 gallons zls - ^ g GA5 214 FED HAZARD CATEGORIES ^ 1 FIItE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HE ALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 - MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT 3,000 DAQ.Y AMOUNT I,SOO 220 0 UNITS` ~ ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON S[TE 222 • If EHS, amount must be in Ibs. 365 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check all that apply) c TANK INSIDE BUII.DING ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ d STEEL DRUM ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ h SILO ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE Q a AMBIENT ^ ee ABOVE AMBIENT ^ ba BELOW AMBIl'sM 224 STORAGE TEMPERATURE Q a AMI3IENT ^ ae ABOVE AMBIENT ^ ba BELOW AMBIENT ~ ^ c CRYOGENIC 225 %WT ,HAZARDOUS COMPONENT.: EHS CAS # 1 15% 226 Sodium Hydroxide z27 ^ yes ~ No 22g 1310732 229 2 3% 230 Sodium Hypochlorite 231 ^ Yes 0 No 232 7681529. 233 3 234 235 ^ Yes ^ No 236 237 4 238 239 ^ Yes ^ No 240 241 5 242 ~ ~ 243 ^ Yes ^ No 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTf.TIVE ~ SIGNATURE DATE 246 GuyMnrmr,Frrvironmenta[Coorditmtor ~/r/~j~Z~'~'y ~~1Q~ .,z,~ a r_.,. ^ NEW ADD ^ DELETE ~. CITY OF BAKERSFIIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester. Ave., CA 93301(661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one jornr per material per building or area) ^REVISE 200 Page _ of ;. i_ FACii,TTY WF(1RMATTON BUSINESS NAME (Same as FACII,ITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCAT{ON Technical Center CIP Room ~ 201 CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) FACA.iTY ID # I I I S I O 12 I 1 O I O (I 14 I O 17 I -:1 MAP # (optional) 203 GRID # (optionan 204 II::CHEMIGAL INFORMATION -- ' `. - : . 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME Quorum Yellow LP EHS" ^ Yes ~ No 208 CAS # ~ ~ 209 !If EHS~is"Yes;"`all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ p PURE ~ m MIXTURE RADIOACTIVE ^ Yes ^x No 212 CURIES 213 ^ w WASTE 2j1 PHYSICAL STATE ^ s SOLID ~ 1 LIQUID LARGEST CONTAINER $$ gallons zls . ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIltE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXB~RJM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT 1 IO DAII.Y AMOUNT SS 220 UNTTS" ~ ga GAL ^ cf CU FT ^ Ib LBS ^ m TONS 221 DAYS ON SITE " If EHS, amount must be in lbs. 36$ 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK ~ e PLASTIClNONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAII, CAR 223 (Check al! that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUB.DING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SILO ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE XQ a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE X~ a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBB?NT ^ c CRYOGENIC 225 %WT HAZARDOU&COMPONENT EHS ~ CAS# t 226 Sodium Hydroxide 227 ^ Yes 0 No 228 1310-73-2 zz9 10% 2 23o Sodium Hypochlorite z31 ^ yeS X ~No z32 7681-$2-9 233 3% 3 234 235 ^ yes ^ No 236 237 4 238 239 ^ Yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 e Baser ° FrRe AMfM T ` ; .: III: SIGNATURE ... PAnY7 NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE - SIGNATURE y~ ~~ ~~ ^ru / ~, /~ (OG DATE 246 Gu Moran, EnvironmenmlCoorrhnator ~[ J ~J B a R a P i D ~ FIRF ARTM T "~A .... r CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (mIe form per material per building or area) ^ NEW ADD ^ DELETE ^REVISE 200 Page _ of _ i FA('Ti,TTY INFnRMATT(lN _ . BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION Technical Center Equipment Room CHEMICAL LOCATION ^ Yes ~ No 202 201 CONFIDENTIAL (EPCRA) FACILITY ID # I I I S I O 12 11 I ' I O (O I l 14 l 0 17 l 1 MAP # (optionan 203 GRID # (optional) 204 _~ . __ II: CHEMICAL INFORMATION - 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to inswctions 207 COMMON NAME Quorum Yellow LP EHS• ^ Yes x^ No 208 CAS # .209 .: .HEHS is"Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief] 210 TYPE ^ p PURE ~ m MIXTURE RADIOACTIVE ^ Yes ^x No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID DI LIQUID LARGEST CONTAINER $5 gallons zls ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FBIE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HE ALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAJQMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAII.Y AMOUNT 11 O DAII.Y AMOUNT $ $ 220 UNITS` ~ ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON SITE • If EHS, amount must be in lbs. - 36$ 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^x a PLASTIC/NONMETALLIC DRUM ^ i FIl3ER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check all,lhal apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUII.DING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SII.O ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE Q a AMBII3NT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMB~NT ^ c CRYOGENIC 225 %WT ~ ~ HAZARDOUS COMPONENT ~.~EHS •~_ ~.~ ~ .~ . ~ CAS.# . 1 226 Sodium H droxide y z27 x ^ Yes ^ No 228 1310-73-2 zz9 1 O% 2 z3o Sodium Hypochlorite 231 ^ Yes ^x No 232 7681-$2-9 ~ 233 3% 3 234 235 ^ Yes ^ No 236 _ 237 4 238 239 ^ yes ^ No 240 141 5 242 - 243 ^ Yes ^ No 244 245 III. SIGNATURE PRiN7' NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE yl ~~~ y,...sn _A _ _ - ~12Q /A~ DATE 246 Ci y Moran, Environmental Coordinator ~) ~ N/ _ /Il a aR$PI D Fine ABTA! f -R-.t ~.:.4• CITY OF BAKERSFIFLD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301(661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION F • ~». (ane jornr per maleria! per building or area) ^NEW ^ ADD ^DELETE ~ REVISE 200 ~ ~ Page _ of _ ~~ ~. ~ . - I_ F~ACii.iT~V TNFCIRMATi(lN BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION 20 1 CIP Room 5, 6, & 7 CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) FACILITY ID # (l 15 I 0 (2 (I ~ l 0 I 0 I I (4 (0 17 L. ~ 1 ~ MAP # (optional 203 GRID # (optional 204 II. CHEMICAL INFORMATION " ' ~ ' _ 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instmctions 207 COMMON NAME QUOfUm Ye110W LP EHS' ^ yes ^x No 208 CAS # - 209 - •If EHSis"Yes," all amounts below must be iri lbs . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief') 210 TYPE ^ P p~ Q m MIXTURE - RADIOACTIVE ^ Yes ^x No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ^x I LIQUID LARGEST CONTAINER 55 gallons zls ^ g GAS 214 FED HAZARD CATEGORIES ^ I FIRE ~ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT O DAII,Y AMOUNT 3,000 DAII,Y AMOUNT 2OO 220 UNITS' ~ ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON SITE 222 " L: EHS, amount must be in lbs. 365 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTICMONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAB. CAR 223 (Check all chat apply) D c TANK INSIDE BUILDING ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ d STEEL DRUM _ ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ h SII,O ^ 1 CYLINDER ^ p TANK WAGON STORAGE PRESSURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE QX a AMBB3NT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 ° /oWT HAZARDOUSC ~~~ , NEWT EHS ",` CAS # . t z26 Sodium H droxide y 2z7 x ^ Yes ^ No 228 1310-73-2 zz9 10°/D z 3°/a z3o Sodium Hypochlorite z31 ^ Yes ^x No 232 7681-52-9 z33 3 234 235 ^ Yes ^ No 236 237 4 238 239 ^ yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 .. , PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~ SIGNATURE`/ ..~ .:~~ ~ ~ / DATE 246 Y l Zdo1V ~~ :t.{ .Z ~ . Gv Moran, Environmemal Coordina(or _ _ _ b~Kle~v7 B a R S P I D F/RP ARrM 1 '~D w,,, ~..~ CITY, OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301(661) 326-3979 .HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) ^ NEW ^ ADD ^ DELETE D REVISE 200 Page _ of _ - - ::. I: FACILITYdNFORMATION' .` BUSINESS NAME (Same as FACII.ITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION Bulk Chemical Area Outside CHEMICAL LOCATION ~ ^ yes ~ No 202 201 CONFIDENTIAL (EPCRA) FACILITY ID# I I I S I O 12 11 I'' O I O I l 14 l 0 (7 I~ ; .~ 1 MAP # (optional) 203 GRID # (apliona~ 204 II: CHEMICAL INFORMATION .. 205 TRADE SECRET ^ y~ 0 No 206 CHEMICAL NAME If Subject to EPCRA, refer to inswetions 207 COMMON NAME Quorum Yellow LP EHS• ^ yes ~ No 208 CAS # 209 ''•If EHS is"Yes," all~amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ p PURE ~ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID D I LIQUID LARGEST CONTAINER 7000 gallons zls ^ g GAS 214 FED HAZARD CATEGORIES ^ I FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHROMC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAII.Y AMOUNT I OOO DAII.Y AMOUNT 2OO 220 UMTS• 0 ga GAL ^ cf CU FT ^ Ib LBS ^ m TONS 221 DAYS ON S[TE If EHS, amount must be in lbs. 36$ 222 STORAGE CONTAINER O a ABOVEGROUND TANK ^e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAII. CAR 223 (Check al! that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ~ ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUII.DING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SII.O ^ I CriINDER ^ p TANK WAGON STORAGE PRESSURE ~ a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE Qx a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGEMC 225 °/D YY r ~ ~ ~ .. ., ~ ~ ~ HAZARDOUS C014IPONENT- - EHS ~ ~ - ~. CAS # ~ ~~ 1 226 Sodium H droxide Y zz7 x ^ Yes ^ No 228 1310-73-2 zz9 l O% z z3o Sodium H ochlorite YP z31 x ^ Yes ^No 232 7681-52-9 z33 3% 3 234 235 ^ Yes ^ No 236 237 4 238 239 ^ Yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 :.. - `III. SIGNATURE ... ss PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~ SIGNATURB~ ~/~/ .`,~ /~.gIUO DATE 246 Guy Moran, Environmental Coordinator CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per material per building or area) ^ NEW ^D ADD ^ DELETE ^REVISE 200 Page _ of _ .P.'_. i:FACiI,TTY:INFOR~MATTON~:'. BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION CIP Room 5, 6, & 7 ~ 201 CHEMICAL LOCATION ~ ^ yes 0 No 202 CONFIDENTIAL (EPCRA) FACILITY ID # I I I S I (O 12 11 I`-. f 0 l 0 l 1 (4 I O 17 I, I MAP # (options!) 203 II II GRID # (opiiaralJ 204 .. .... ~.._ _. ~~ ~ ~ ILCHEMICAL~INFORMATION - -, ~ ' 205 TRADE SECRET ^ Yes D No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME Quorum Yellow LP EHS" ^ yes ~ No 208 CAS # ~ 209 ~~!If EHSis"Yes;" all amounts below musr6e in lbs . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ p PURE ^X m MIXTURE RADIOACTIVE ^ Yes ^X No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ^D I LIQUID LARGEST CONTAINER SS gallons 21s ^ g GAS 2l4 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 Ab1NlJAL WASTE 2l7 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAII,Y AMOUNt i OOO DAII.Y AMOUNT 2OO 220 UNITS• ~ ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 ~ DAYS ON SITE " If EHS, amount must be in lbs. 36S 222 STORAGE CONTAINER ^a ABOVEGROUND TANK De PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check all that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUII.DING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SII.O ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE Q a AMBIENT ^ ee ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 - s.,. %WT HAZARDOUS COMPONENT EHS` ' :' CAS'#. I zz6 Sodilrnl Hydroxide zz7 ^ yC5 X ^ No 22g 1310-73-2 2z9 10°/a 2 z3o Sodium Hypochlorite 231 ^ yes ONo z3z 7681-52-9 z33 3% 3 234 235 ^ Yes ^ No 236 237 4 238. 239 ^ Yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 E III: SIGNAT UTHO RIZED COMPANY REPRESENTATTVE SIGNATURE ~ A ME M me DATE 246 o Gu~ rar Etrv r irml nlal Coor ~~~ ~t,l: ~,l~gl~ _ B a R 5 P I D Fine ARTM f B E R S P l D P/RE ARTM f ~.w,,. .....r CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301(661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW ^ADD 0 DELETE ^ REVISE 200 .: i_ FACII.TCY iNFORMATinN , , ; ~,.~. (one form per material per building or area) Page _ of _ 3USINESS NAME (Same as FpCB.ITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Cream :HEMICAG LOCATION 20 1 CIP Room 3 & 4 CHEMICAL LOCATION Q No 202 ^ yes coxFIDENTIAL (EPCRA) 'AGILITY ID# I l ~ S I I O 12 I I I I O I O I l 14 l 0 l 7 l l MAP # (optional) 203 GRID # (optionaQ 204 II. CI3EMICAL INFORMATION. ~ 205 ~ TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to insWCtions 207 COMMON NAME _ EHS• ^X yes ^No 208 Mandate Plus CAS # 209 •IfEHS is"Yes;" all amounts below must be (nibs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ~ ^ p PURE ~ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER 29,248 155. 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FBtE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE 0 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 21T MAXRbRJM 21g AVERAGE 219 STATE WASTE CODE ,4MOUNT DAII.Y AMOUNT 97S DAILY AMOUNT I95 220 UNTfS" ^ ga GAL ^ cf CU FT ~ Ib LBS ^ m TONS 221 DAYS ON SITE • If EHS, amount must be inlbs. - 365 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLAST[C/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIl. CAR 223 (Check a[/ that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^X c TANK INSIDE BUII,DING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SII.O ^ ! CYLIIJDER ^ p TANK WAGON STORAGE PRESSURE ^X a AMBB3NT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE ~ a AMEB:NT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT .. ..; HAZARDOUS COMPONENT... - ,• :: ., _ EHS CAS # 1 8% 226 Phosphoric Acid 227 ^ Yes 0 No 228 7664-38-2 229 2 15% 230 Acetic Acid ~ - 231 ^ Yes ^X No 232 64-19-7 233 3 234 Nitric Acid z3s X ^ Yes ^ xo 236 7697-37-2 z37 14°/D a 5 - 20°/D 23s Organic Acids 239 ^ Yes ~ xo zao Mixture zal 5 5 - 20% zaz Anionic Surfactant za3 ^ Yes ~ No zaa Confidential gas ' IIT: SIGNATURE _:. ,.. PRINT NAME & TITLE OF A UTHORIZED COMPANY REPRESENTATIVE SIGNATURE ~ ` DATE 246 Gu Moran, Environmental Coordinator ~ ~ ~ S C1 B a R S P I D Fine ARfM f ,,,.,,t . ~..- CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW ^D ADD ^DELETE ^REVISE 200 .. I. FACILTTY ~INFORMA'I70N.~ ~ ~- ~wd (one form per material per building or area) Page _ of _ BUSINESS NAME (Same as FACIIdTY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION zo l Technical Center Equipment Room CHEMICAL LOCATION ^ yes ~ ND 202 CONFIDENTIAL (EPCRA) FACILITY ID # I l 15 l O 12 I l l I O I O I I 14 (O 17 I l MAP # (optionaQ 203 GRID # (optionan 204 II. CHEMICAL`-INFORMATION, .::: - ~ ~ 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to insWCtions 207 COMMON NAME Quorum Cleaz (Quaternary Ammonium Sanitizes) ~S' Yes X No 208 CAS # 209 ~ ~•IfEHS is"Yes;' all amounts below must-bein Ibs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ P p~ 0 m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID X^ I LIQUID LARGEST CONTAINER 55 gallons zls ^ g GAS 2t4 FED HAZARD CATEGORIES ^ I FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HE ALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXBvIUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAII.Y AMOUNT I I O ~ DAII,Y AMOUNT SS 220 () UNrfS' 0 ga GAL ^ cf CU Fl' ^ Ib LBS ^ to TONS 221 DAYS ON SITE 222 • If EHS, amount must be in Ibs. ~ 36S STORAGE CONTAINER ^ a ABOVEGROUND TANK D e PLASTIC/NONMETALLIC DRUM ^ i FffiER DRUM ^ m GLASS BOTTLE ^ RAIL CAR q 223 (Check all Thal apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SII,O ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE QX a AMBIENT ^ as ABOVE AMBffiNT ^ ba BELOW AMBIENT ^ c CRYOGEMC 225 /oWT ° .. ~. -HAZARDO ~ ~ . -. -. US COIyIPONENT-;.' .. - EH5:;- CAS # 1 226 Alkyl Dimethybenzylammonium Chloride 227 ^ Yes ~ No z28 8001545 229 S% 2 230 231 ^ Yes ^ No 232 233 3 234 - 235 ^ Yes ^ No 236 237 4 238 239 ^ yes ^ No 240 241 i 242 243 ^ Yes ^ No 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE '^ DATE 246 GnyMoran, FrtvironmentalCoordinator ,,,~(~ ~I / ~~/,L,l/fv 2~`L~/~ B R R S P I D F/RF ARTM T CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW ^ ADD ^DELETE ~ REVISE 2~ 1. FkCiLTTY INFORMA170N , ~~..^` 0 (one form per material per building or area) Page _ of _ BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION 201 East BOIIer ROOM ~ CHEMICAL LOCATION ^ Yes ~ No 202 CONFIDENTIAL (EPCRA) FACILITY ID# I I I s i 0{ 2 I I IP7 i 0 I 0 l i { 4 I O 17 I._ I MAP # (aptiana!) 203 ~ GRID # (optional) 204 - II:. CHEMICAL: INFORMATION ;.: . 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME $UIfUfIC ACId If Subject to EPCRA, refer to inswctions 207 COMMON NAME EHS" QX y~ ^ No 208 CAS # 209 "If EHS is"Yes," allamount; below must be in Ibs. ~ ~ 7664-93-9 ~ ~ _ ~ ~~ FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^X p PURE ^ m MIXTURE RADIOACTIVE ^ Yes 0 No 212 CURII3S 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID 0 1 LIQUID LARGEST CONTAINER 55 gallons ~ 215 . ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HE ALTH ^ 5 CHROMC HEALTH (Check all that apply) 216 ANM7AL WASTE 217 MAXIMUM 218 AVERAGE - 219 STATE WASTE CODE ~D~T DAII,Y AMOUNT 1 O DAII,Y AMOUNT 7.7 220 O UNITS" ^ ga GAL ^ cf CU FT ~ Ib LBS ^ m TONS 221 DAYS ON SITE 222 * If EHS, amount must be in Ibs. 36$ STORAGE CONTAINER ^ a ABOVEGROUND TANK ^X a PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check a!! that apply) ^ c TANK INSIDE BUILDING ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ d STEEL DRUM ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ h SII.O ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE ~ 0 a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC ~ 225 %WT. ,. - ; , HAZARDOUS COMPONENT EHS CAS# 1 93% 226 Sulfuric Acid 227 ~ Yes ^ Na z2s 7664-93-9 z29 2 230 ~ 231 ^ Yes ^ No 232 233 3 234 235 ^ yes ^ No 236 237 4 238 ~ 239 ^ Yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 "L~ IIL SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~ ~ ~ SIGNATURE ~ - - ~ n /~~ DATE 246 Guy Morro; E,rrvirwrmental Coordinator _ _ ,J ~ i,' 2~ lVf~ ^ NEW ^ ADD B a R S P l D F~Re ARTM r CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 {6fi1) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per materialper building or area) ODELETE ^REVISE 200 Page _ of - ~ ~. ;I: F9GILITY~_INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream ' CHEMICAL LOCATION 20 I Boiler Room CHEMICAL LOCATION ^~,~ QX No 202 CONFIDENTIAL (EPCRA) FACILITY ID# I l 15 l I O 12 11 O I O I l l 4 (O 17 I. - 1. MAP # (optronaQ 203 GRID # (opriona~ 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ Yes D No 206 CHEMICAL NAME Sulfuric Acid If Subject to EPCRA, refer to insttuuions 207 COMMON NAME EHS ~ Yes ^ No 208 CAS # 209 ~ ~ •IfEHS~is"Yes;' all amounts below twat be in lbs . 7664-93-9 FIRE CODE HAZARD CLASSES (Compleu if requested by local fire chief) 210 TYPE QX p p~ ^ m MIXTURE RADIOACTIVE ^ Yes ^X No 212 CURIES 2I3 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER 55 gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ I FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HE ALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAII.Y AMOUNT 1 O DAII,Y AMOUNT 7.7 220 0 UNFfS` ^ ga GAL ^ cf CU FT ~ Ib LBS ^ to TONS 221 DAYS ON SITE 222 • If EHS, amount must be in lbs. ~ 365 STORAGE CONTAINER ~ ^ a ABOVEGROUND TANK ^D a PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAB, CAR 223 (Check all that apply) ^ c TANK INSIDE BUII.DBQG ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ d STEEL DRUM ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ h SILO ^ 1 CYLINDER ^ p TANK WAGON STORAGE PRESSURE ^X a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 °/D VY 1 HAZARDOUS COMPONENT`: EHS • CAS # . 1 93% 226 $UlfUC1C Acid 227 QX yes ^ ND zzs 7664-93-9 zz9 .. 230 231 ^ yes ^ No 232 233 3 234 235 ^ yes ^ No 236 237 4 238 239 ^ Yes ^ No 240 - 241 5 242 243 ^ Yes ^ No 244 245 III. SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~ SIGNATURE - ~ DATE 246 GnyMorm; Farvironmental Caordinalor ~~ "~~~y.~~r>f ~ ~ / Zg/Gin B E R S P I D Fine ARTM T -:,,.,,. ate.,. ^ NEW ADD ^DELETE CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^REVISE 200 - .I:"FACILTI'Y IlVFORMATION . _ . ~. (one form per maleria! per building or area) Page _ of _ BUSINESS NAME (Same as FACII,ITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION 20 1 TCChIIjCaI Center CIP ROOM CHEMICAL LOCATION ^ yes ~ No 202 - CONFIDENTIAL (EPCRA) FACILITY ID # I I I S ~~ 0~ 2~ I I '~ O I O I l 14 l 0 l 7~ l MAP # (oprionan 203 GRID # (optionan 204 . ~ II: CHEMICAL INFORMATION' 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME AC-55-5 EHS' ^ yes Q No 208 CAS # 209 "*If EHS is `Yes," all amounts below tmtst~6e in lbs . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 2I0 TYPE ^ p PURE ~ m MIXTIJRE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 2I1 PHYSICAL STATE ^ s SOLID ~ 1 LIQUID LARGEST CONTAINER 55 gallons 21s ^ g GAS 2i4 FED HAZARD CATEGORIES ^ I FIRE ~ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMIIM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT ZOO DAII.Y AMOUNT I O 220 0 UN1TS• ^ ga GAL ^ cf CU FT ^X Ib LBS ^ m TONS 221 DAYS ON SITE 222 - • If EHS, amount must be in lbs. 365 STORAGE CONTAINER ^ a ABOVEGROUND TANK ~ e PLASTIC/NONMETAhL[C DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check a!! that apPlY1 ^ c TANK INSIDE BUIl.DING ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ d STEEI. DRUM ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ h SILO ^ I CYLllJDER ^ p TANK WAGON _ STORAGE PRESSURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE ^Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 °/D YY .1 ~ - " ~ .HAZARDOUS COIviPONENT. . . , ~. EHS .. CAS# t 226 Phosphoric Acid 227 ^ Yes ~ No zzg 7664-38-2 229 4% 2 37% 230 I'dltric ACId 231 XQ yes ^ No 232 7697-37-2 233 3 234 235 ^ yes ^ No 236 237 4 238 239 ^ yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 -111:-J1li1VAl7J1(r. PRINT NAME & TITLE OF AUTHORIZED COMPANY 12EPRESENTATIVE ~ SIGNATURE DATE 246 tarry Moran, Envirmmlenlal Coordilrator `/~y~A,~,L~ ?~2Q1d~ SECTION IV Site and Building Mags A. SiteBuilding Map B. Locations of Stored Chemicals Map SECTION V Responding To Chemical Emergencies A. Abatement and Mitigation B. Spill Response Personnel C. Location of Utility Shut Off Valves -. ~-,ua~ecnent ana iviingation wide #116 Acetylene Potential Hazards 'ire or Explosion Extremely flammable. Will be easily ignited by heat, sparks or flames. Will form explosive mixtures with air. Silane will ignite spontaneously in air. Some may polymerize (P) explosively when heated or involved in a fire. Vapors from liquefied gas are initially heavier than air and spread along ground. Vapors may travel to source of ignition and flash back. Containers may explode when heated. Ruptured cylinders may rocket. lealth Vapors may cause dizziness or asphyxiation without warning. Some may be toxic if inhaled at high concentrations. Contact with gas or liquefied gas may cause burns, severe injury and/or frostbite. Fire may produce irritating and/or toxic gases. Public Safety Call Emergency Response Telephone Number on Shipping Paper first. If Shipping Paper not available or no answer, refer to appropriate telephone number listed on the inside back cover of guidebook. Isolate spill or leak area immediately for at least 100 meters (330 feet) in all directions. Keep unauthorized personnel away. Stay upwind. Many gases are heavier than air and will spread along ground and collect in low or confined areas (sewers, basements tanks). Keep out of low areas. 'rotective Clothing Wear positive pressure self-contained breathing apparatus (SCBA). Structural firefighters' protective clothing will only provide limited protection. :vacuation ,arge Spill Consider initial downwind evacuation for at least 800 meters (1/2 mile). 'ire If tank, rail car or tank truck is involved in a fire, isolate for 1600 meters (1 mile) in all directions; also, consider initial evacuation for 1600 meters (1 mile) in all directions. Emergency Response 'ire Do not extinguish a leaking gas fire unless leak can be stopped. mall Fire Dry chemical or C02. ,arge Fire Water spray, fog or regular foam. Move containers from fire area if you can do it without risk. 'ire Involving Tanks Fight fire from maximum distance or use unmanned hose holders or monitor nozzles. Cool containers with flooding quantities of water until well after fire is out. Do not direct water at source of leak or safety devices; icing may occur. Withdraw immediately in case of rising sound from venting safety devices or discoloration of tank. Always stay away from the ends of tanks. For massive fire, use unmanned hose holders or monitor nozzles; if this is impossible, withdraw from area and let fire burn. . pill or Leak Eliminate all ignition sources (no smoking, flares, sparks or flames in immediate area). All equipment used when handling the product must be grounded. Stop leak if you can do it without risk. Do not touch or walk through spilled material. Do not direct water at spill or source of leak. Use water spray to reduce vapors or divert vapor cloud drift. If possible, turn leaking containers so that gas escapes rather than liquid. Prevent entry into waterways, sewers, basements or confined areas. Isolate area until gas has dispersed. 'first Aid Move victim to fresh air. Call emergency medical care. Apply artificial respiration if victim is not breathing. Administer oxygen if breathing is difficult. Remove and isolate contaminated clothing and shoes. In case of contact with liquefied gas, thaw frosted parts with lukewarm water. Keep victim warm and quiet. Ensure that medical personnel are aware of the material(s) involved, and take precautions to protect themselves. Guide #120 Carbon Dioxide (Solid) Potential Hazards Iealth Vapors may cause dizziness or asphyxiation without warning. Vapors from liquefied gas are initially heavier than air and spread along ground. Contact with gas or liquefied gas may cause burns, severe injury and/or frostbite. 'ire Non-flammable gases. Containers may explode when heated. Ruptured cylinders may rocket. Public Safety Call Emergency Response Telephone Number on Shipping Paper first. If Shipping Paper not available or no answer, refer to appropriate telephone number listed on the inside back cover of Emergency Response Guidebook. Isolate spill or leak area immediately for at least 25 meters (80 feet) in all directions. Keep unauthorized personnel away. Stay upwind. Many gases are heavier than air and will spread along ground and collect to low or confined areas (sewers, basement: tanks). Keep out of low areas. Ventilate closed spaces before entering. 'rotective Clothing Wear positive pressure self-contained breathing apparatus (SCBA). Structural firefighters' protective clothing will only provide limited protection. Always wear thermal protective clothing when handling refrigeratedlcryogenic liquids or solids. :vacuation ,arge Spill Consider initial downwind evacuation for at least 100 meters (330 feet). 'ire If tank, rail car or tank truck is involved in a fire, isolate for 800 meters (1/2 mile) in all directions; also, consider initial evacuation for 800 meters (1/2 mile) in all directions. Emergency Response Fire Use extinguishing agent suitable for type of surrounding fire. Move containers from fire area if you can do it without risk. Damaged cylinders should be handled, only by specialists. 'ire Involving Tanks Fight fire from maximum distance or use unmanned hose holders or monitor nozzles. Cool containers .with flooding quantities of water until well after fire is out. Do not direct water at source of leak or safety devices; icing may occur. Withdraw immediately in case of rising sound from venting safety devices or discoloration of tank. Always stay away from tanks engulfed in fire. pill or Leak Do not touch or walk through spilled material. Stop leak if you can do it without risk. Use water spray to reduce vapors or divert vapor cloud drift. Avoid allowing water runoff to contact spilled material. Do not direct water at spill or source of leak. If possible, turn leaking containers so that gas escapes rather than liquid. Prevent entry into waterways, sewers, basements or confined areas. Allow substance to evaporate. Ventilate the area. 'first Aid Move victim to fresh air. Ca11911 or emergency medical service. Apply artificial respiration if victim is not breathing. Administer oxygen if breathing is difficult. Clothing frozen to the skin should be thawed before being removed. In case of contact with liquefied gas, thaw frosted parts with lukewarm water. Keep victim warm and quiet. , Ensure that medical personnel are aware of the material(s) involved, and take precautions to protect themselves. Guide #121 Argon Potential Hazards lealth Vapors may cause dizziness or asphyxiation without warning. Vapors from liquefied gas are initially heavier than air and spread along ground. Contact with liquefied gas may cause frostbite. 'ire or Explosion Non-flammable gases. Containers may explode when heated. Ruptured cylinders may rocket. Public Safety Call ,Emergency Response Telephone Number on Shipping Paper first. If Shipping Paper not available or no answer, refer to appropriate telephone number listed on the inside back cover of guidebook. Isolate spill or leak area immediately for at least 10 to 25 meters (30 to 80 feet) in all directions. Keep unauthorized personnel away. Stay upwind. Many gases are heavier than air and will spread along ground and collect in low or confined areas (sewers, basements tanks). Keep out of low areas. Ventilate closed spaces before entering. 'rotective Clothing Wear positive pressure self-contained breathing apparatus (SCBA). Structural firefighters' protective clothing will only provide limited protection. ;vacuation ,arge Spill Consider initial downwind evacuation for at least 100 meters (330 feet). 'ire If tank, rail car or tank truck is involved in a fire, isolate for 800 meters (1/2 mile) in all directions; also, consider initial evacuation for 800 meters (1/2 mile) in all directions. Emergency Response 'ire Use extinguishing agent suitable for type of surrounding fire. Move containers from fire area if you can do it without risk. Damaged cylinders should be handled only by specialists. 'ire Involving Tanks Fight fire from maximum distance or use unmanned hose holders or monitor nozzles. Cool Containers with flooding quantities of water. until well after fire is out. Do not direct water at source of leak or safety devices; icing may occur. Withdraw immediately in case of rising sound from venting safety devices or discoloration of tank. Always stay away from the ends of tanks. pill or Leak Do not touch or walk through spilled material. Stop leak if you can do it without risk. Use water spray to reduce vapors or divert vapor cloud drift. Do not direct water at spill or source of leak: If possible, turn leaking containers so that gas escapes rather than liquid. Prevent entry into waterways, sewers, basements or confined areas. Allow substance to evaporate. Ventilate the area. 'first Aid Move victim to fresh air. Call emergency medical care. Apply artificial respirator if victim is not breathing. Administer oxygen if breathing is difficult. Clothing frozen to the skin should be thawed before being removed. In case of contact with liquefied gas, thaw frosted parts with lukewarm water. Keep victim warm and quiet. Ensure that medical personnel are aware of the material(s) involved, and take precautions to protect themselves. wide #122 Oxygen Potential Hazards 'ire or Explosion Substance does not burn but will support combustion. Some may react explosively with fuels. May ignite combustibles- (wood, paper, oil, clothing, etc.). Vapors from liquefied gas are initially heavier than air and spread along ground. Runoff may create fire or explosion hazard. Containers may explode when heated. Ruptured cylinders may rocket. [ealth Vapors may cause dizziness or asphyxiation without warning. Contact with gas or liquefied gas may cause burns, severe injury and/or frostbite. Public Safety Call Emergency Response Telephone Number on Shipping Paper first. If Shipping Paper not available or no answer, refer to appropriate telephone number listed on the inside back cover of guidebook. Isolate spill or leak area immediately for at least 25 to 50 meters (80 to 160 feet) in all directions. Keep unauthorized personnel away. Stay upwind. Many gases are heavier than air and will spread along ground and collect in low or confined areas (sewers, basement tanks). Keep out of low areas. Ventilate closed spaces before entering. 'rotective Clothing Wear positive pressure self-contained breathing apparatus (SCBA). Wear chemical protective clothing which is specifically recommended by the manufacturer. Structural firefighters' protective clothing is recommended for fir situations only; it is not effective in spill situations. Always wear thermal protective clothing when handling refrigerated/cryogenic liquids. :vacuation ,arge Spill Consider initial downwind evacuation for at least 500 meters (1/3 mile). 'ire If tank, rail car or tank truck is involved in a fire, isolate for 800 meters (1/2 mile) in all directions; also, consider initial evacuation for 800 meters (1/2 mile) in all directions. Emergency Response 'ire Use extinguishing agent suitable for type of surrounding fire. mall Fires Dry chemical or C02. ,arge Fires Water spray, fog or regular foam. Move containers from fire area if you can do it without risk. Damaged cylinders should be handled only by specialists. 'ire Involving Tanks Fight fire from maximum distance or use unmanned hose holders or monitor nozzles. Cool containers with flooding quantities of water until well after fire is out. Do not direct water at source of leak or safety devices; icing may occur. Withdraw immediately in case of rising sound from venting safety devices or discoloration of tank. Always stay away from the ends of tanks. For massive fire, use unmanned hose holders or monitor nozzles; if this is impossible, withdraw from area and let fire burn. pill or Leak Keep combustibles (wood, paper, oil, etc.) away from spilled material. Do not touch or walk through spilled material. Stop leak if you can do it without risk. If possible, turn leaking containers so that gas escapes rather than liquid. Do not direct water at spill or source of leak. Use water spray to reduce vapors or diver vapor cloud drift. Prevent entry into waterways, sewers, basements or confined areas. Allow substance to evaporate. Isolate area until gas has dispersed. Caution: When in contact with refrigerated/cryogenic liquids, many materials become brittle and are likely to break without warning. 'first Aid Move victim to fresh air. Call emergency medical care. Apply artificial respiration if victim is not breathing. Administer oxygen if breathing is difficult. Remove and isolate contaminated clothing and shoes. Clothing frozen to the skin should be thawed before being removed. In case of contact with liquefied gas, thaw frosted parts with lukewarm water. Keep victim warm and quiet. Ensure that medical personnel are aware of the material(s) involved, and take precautions to protect themselves. wide #125 Anhydrous Ammonia Potential Hazards [ealth Toxic; may be fatal if inhaled. Vapors are extremely irritating and corrosive. Contact with gas or liquefied gas may cause burns, severe injury and/or frostbite. Fire will produce irritating, corrosive and/or toxic gases. Runoff from fire control may cause pollution. 'ire or Explosion Some may burn, but none ignite readily. Vapors from liquefied gas are initially heavier than air and spread along ground. Some of these materials may react violently with water. Containers may explode-when heated. Ruptured cylinders may rocket. Public Safety Call Emergency Response Telephone Number on Shipping Paper first. If Shipping Paper not available or no answer, refer to appropriate telephone number listed on the inside back cover. Isolate spill or leak area immediately for at least 100 to 200 meters (330 0 660 feet) in all directions. Keep unauthorized personnel away. Stay upwind. Many gases are heavier than air and will spread along ground and collect in low or confined areas (sewers, basement: tanks). Keep out of low areas. Ventilate closed spaces before entering. 'rotective Clothing Wear positive pressure self-contained breathing apparatus (SCBA). Wear chemical protective clothing which is specifically recommended by the manufacturer. It may provide little or no thermal protection. Structural firefighters' protective clothing is recommended for fire situations only; it is not effective in spill situation :vacuation pill See the Table of Initial Isolation and Protective Action Distances for highlighted substances. For non-highlighted substances, increase, in the downwind direction, as necessary, the isolation distance shown under "Public Safety." 'ire If tank, rail car or tank truck is involved in a fire, isolate for 1600 meters (1 mile) in all directions; also, consider initial evacuation for 1600 meters (1 mile) in all directions. Emergency Response 'ire mall Fires Dry chemical or CO2. ,arge Fires Water spray, fog or regular foam. Move containers from fire area if you can do it without risk. Do not get water inside containers. Damaged cylinders should be handled only by specialists. 'ire Involving Tanks Fight fire from maximum distance or use unmanned hose holders or monitor nozzles. Cool containers with flooding quantities of water until well after fire is out. Do not direct water at source of leak or safety devices; icing may occur. Withdraw immediately in case of rising sound from venting safety devices or discoloration of tank. Always stay away from the ends of tanks. pill or Leak -Fully encapsulating, vapor protective clothing should be worn for spills and leaks with no fire. Do not touch or walk through spilled material. Stop leak if you can do it without risk. If possible, turn leaking containers to that gas escapes rather than liquid. Prevent entry into waterways, sewers, basements or confined areas. Do not direct water at spill or source of leak. Use water spray to reduce vapors or divert vapor cloud drift. Isolate area until gas has dispersed. 'first-Aid Move victim to fresh air. Call emergency medical care. Apply artificial respiration if victim is not breathing. Do not use mouth-to-mouth method if victim ingested or inhaled the substance; induce artificial respiration with the aid of a pocket mask equipped with aone-way valve or other proper respiratory medical device. Administer oxygen if breathing is difficult. Remove and isolate contaminated clothing and shoes. In case of contact with liquefied gas, thaw frosted parts with lukewarm water. In case of contact with substance, immediately flush skin or eyes with running water for at least 20 minutes. Keep victim warm and quiet. Keep victim under observation. Effects of contact or inhalation may be delayed. Ensure that medical personnel are aware of the material(s) involved, and take precautions to protect themselves. ;uide #128 Diesel Fuel #2 • Waste Oil Camco Oil Potential Hazards 'ire or Explosion Highly flammable: Will be easily ignited by heat, sparks or flames. Vapors may form explosive mixtures with air. Vapors may travel to source of ignition and flash back. Most vapors are heavier than air. They will spread along ground and collect in low or confined areas (sewers, basements, tanks). Vapor explosion hazard indoors, outdoors or in sewers. Some may polymerize (P) explosively when heated or involved in a fire. Runoff to sewer may create fire or explosion hazard. Containers may explode when heated. Many liquids are lighter than water. Substance may be transported hot. [ealth Inhalation or contact with material may irritate or burn skin and eyes. Fire may produce irritating, corrosive and/or toxic gases. Vapors may cause dizziness or suffocation. Runoff from fire control or dilution water may cause pollution. Public Safety Call Emergency Response Telephone Number on Shipping Paper first. If Shipping Paper not available or no answer, refer to appropriate telephone number listed on the inside back cover of guidebook. Isolate spill or leak area immediately for at least 25 to 50 meters (80 to 160 feet) in all directions. Keep unauthorized personnel away. Stay upwind. Keep out of low areas. Ventilate closed spaces before entering. 'rotective Clothing Wear positive pressure self-contained breathing apparatus (SCBA). Structural firefighters' protective clothing will only provide limited protection. :vacuation ,arge Spill Consider initial downwind evacuation for at least 300 meters (1,000 feet). 'ire If tank, rail car or tank truck is involved in a fire, isolate for 800 meters (1/2 mile) in all directions; also, consider initial evacuation for 800 meters (1/2 mile) in all directions. Emergency Response 'ire Caution: All these products have a very low flash point: Use of water spray when fighting fire may be inefficient. mall Fires Dry chemical, COZ, water spray or regular foam. ,arge Fires Water spray, fog or regular foam. Do not use straight streams. Move containers from fire area if you can do it without risk. 'ire Involving Tanks or Car/Trailer Loads Fight fire from maximum distance or use unmanned hose holders or monitor nozzles. Cool containers with flooding quantities of water until well after fire is out. Withdraw immediately in case of rising sound from venting safety devices or discoloration of tank. Always stay away from the ends of tanks. For massive fire, use unmanned hose holders or monitor nozzles; if this is impossible, withdraw from area and let fire burn. pill or Leak Eliminate all ignition sources (no .smoking, flares, sparks or flames in immediate area). All equipment used when handling the product must be grounded. Do not touch or walk through spilled material. Stop leak if you can do it without risk. Prevent entry into waterways, sewers, basements or confined areas. A vapor suppressing foam may be used to reduce vapors. Absorb or cover with dry earth, sand or other non-combustible material and transfer to containers. Use clean non-sparking tools to collect absorbed material. ,arge Spills Dike far ahead of liquid spill for later disposal. Water spray may reduce vapor; but may not prevent ignition in closed spaces. 'first Aid Move victim to fresh air. Call emergency medical care. Apply artificial respiration if victim is not breathing. Administer oxygen if breathing is difficult. Remove and isolate contaminated clothing and shoes. In case of contact with substance, immediately flush skin or eyes with running water for at least 20 minutes. Wash skin with soap and water. Keep victim warm and quiet. Ensure that medical personnel are aware of the material(s) involved, and take precautions to protect themselves. wide #131 16-7400Q Ink 16-7400 Make Up. Fluid Potential Hazards [ealth Toxic; may be fatal if inhaled, ingested or absorbed through skin. Inhalation or contact with some of these materials will irritate or burn skin and eyes. Fire will produce irritating, corrosive and/or toxic gases. Vapors may cause dizziness or suffocation. Runoff from fire control or dilution water may cause pollution. 'ire or Explosion Highly flammable: will be easily ignited by heat, sparks or flames. Vapors may form explosive mixtures with air. Vapors may travel to source of ignition and flash back. Most. vapors are heavier than air. They will spread along ground and collect in low or confined areas (sewers, basements, tanks). Vapor explosion and poison hazard indoors, outdoors or in sewers. Those substances designated with a "P" may polymerize explosively when heated or involved in a fire. Runoff to sewer may create fire or explosion hazard. ` Containers may explode when heated. Many liquids are lighter than water. Public Safety Call Emergency Response Telephone Number on Shipping Paper first. If Shipping Paper not available or no answer, refer to appropriate telephone number listed on the inside back cover of the Emergency Response Guidebook. Isolate spill or leak area immediately for at least 100 to 200 meters (330 to 660 feet) in all directions. Keep unauthorized personnel away. Stay upwind. Keep out of low areas. Ventilate closed spaces before entering. 'rotective Clothing Wear positive pressure self-.contained breathing apparatus (SCBA). Wear chemical protective clothing which is specifically recommended by the manufacturer. It may provide little or no thermal protection. Structural firefighters' protective clothing provides limited protection in fire situations only; it is not effective in spill situations. ;vacuation pill See the Table of Initial Isolation and Protective Action Distances for highlighted substances. For non-highlighted substances, increase, in the downwind direction, as necessary, the isolation distance shown under "Public Safety." 'ire If tank, rail car or tank truck is involved in a fire, isolate for 800 meters (1/2 mile) in all directions; also, consider initial evacuation for 800 meters (1/2 mile) in all directions. Emergency Response 'ire ;aution: All these products have a very low flash point: Use of water spray when fighting fire may be inefficient. mall Fires Dry chemical, CO2, water spray or alcohol-resistant foam. ,arge Fires Water spray, fog or alcohol-resistant foam. Move containers from fire area if you can do it without risk. Dike fire control water for later disposal; do not scatter the material. Use water spray or fog; do not use straight streams. 'ire Involving Tanks or Car/Trailer Loads Fight fire from maximum distance or use unmanned hose holders or monitor nozzles. Cool containers with flooding quantities of water until well after fire is out. Withdraw immediately in case of rising sound from venting safety devices or discoloration of tank. Always stay away from tanks engulfed in fire. For massive fire, use unmanned hose holders or monitor nozzles; if this is impossible, withdraw from area and let fire burn. Spill or Leak Fully encapsulating, vapor protective clothing should be worn for spills and leaks with no fire. Eliminate all ignition sources (no smoking; flares, sparks or flames in immediate area). All equipment used when handling the product must be grounded. Do not touch or walk through spilled material. Stop leak if you can do it without risk. Prevent entry into waterways, sewers, basements or confined areas. A vapor suppressing foam may be used to reduce vapors. ,mall Spills Absorb with earth, sand or other non-combustible material and transfer to containers for later disposal. Use clean non-sparking tools to collect absorbed material. ,arge Spills Dike far ahead of liquid spill for later disposal. Water spray may reduce vapor; but may not prevent ignition in closed spaces. First Aid Move victim to fresh air. Call 911 or emergency medical service. ~~ Apply artificial respiration if victim is not breathing. Do not use mouth-to-mouth method if victim ingested or inhaled the substance; induce artificial respiration with the aid of a pocket mask equipped with cone-way valve or other proper respiratory medical device. Administer oxygen if breathing is difficult. Remove and isolate contaminated clothing and shoes. In case of contact with substance, immediately flush skin or eyes with running water for at least 20 minutes. Wash skin with soap and water. Keep victim warm and quiet. Effects of exposure (inhalation, ingestion or skin contact) to substance may be delayed. Ensure that medical personnel are aware of the material(s) involved, and take precautions to protect themselves. wide #140 Nalco 2536 Plus Potential Hazards 'ire or Explosion These substances will accelerate burning when involved in a fire. Some may decompose explosively when heated or involved in a fire. May explode from heat or contamination. Some will react explosively with hydrocarbons (fuels). May ignite combustibles (wood, paper, oil, clothing, etc.). Containers may explode when heated. Runoff may create fire or explosion hazard. Iealth Inhalation, ingestion or contact (skin, eyes) with vapors or substance may cause severe injury, burns, or death. Fire may produce irritating, corrosive and/or toxic gases. Runoff from fire control or dilution water may cause pollution. Public Safety Call emergency response Telephone Number on Shipping Paper first. If Shipping Paper not available or no answer, refer to appropriate telephone number listed on the inside back cover of the Emergency Response Guidebook. Isolate spill or leak area immediately for at least 10 to 25 meters (30 to 80 feet) in all directions. Keep unauthorized personnel away. • Stay upwind. Keep out of low areas. Ventilate closed spaces before entering. 'rotective Clothing Wear positive pressure self-contained breathing apparatus (SCBA). Structural firefighters' protective clothing will only provide limited protection. :vacuation ,arge Spill Consider initial downwind evacuation for at least 100 meters (330 feet). 'ire If tank, rail car or tank truck is involved in a fire, isolate for 800 meters (1/2 mile) in all directions; also, consider initial evacuation for 800 meters (1/2 mile) in all directions. Emergency Response 'ire mall Fires Use water. Do not use dry chemicals or foams. CO2 or Halon may provide limited control. ,arge Fires Flood fire area with water from a distance. Move Containers from fire area if you can do it without risk. Do not move cargo or vehicle if cargo has been exposed to heat. Fight fire from maximum distance or use unmanned hose holders or monitor nozzles. Cool containers with flooding quantities of water until well after fire is out. Always stay away from tanks engulfed in fire. For massive fire, use unmanned hose holders or monitor nozzles; if this is impossible, withdraw from area and let fire burn. pill or Lealc Keep combustibles (wood, paper, oil, etc.) away from spilled material. Do not touch damaged containers or spilled material unless wearing appropriate protective clothing. Stop leak if you can do it without risk. Do not get water inside containers. mall Dry Spills With clean shovel place material into clean, dry container and cover loosely; move containers from spill area. mall Liquid Spills Use anon-combustible material like vermiculite, sand or earth to soak up the product and place into a container for later disposal. ,arge Spills Dike far ahead of liquid spill for later disposal. Following product recovery, flush area with water. First Aid Move victim to fresh air. Call 911 or emergency medical service. Apply artificial respiration if victim is not breathing. Administer oxygen if breathing is difficult. rRemove and isolate contaminated clothing and shoes. In case of contact with substance, immediately flush skin or eyes with running water for at least 20 minutes. Keep victim warm and quiet. Ensure that medical personnel are aware of the material(s) involved, and take precautions to protect themselves. :uide #153 Matrixx Potential Hazards [eaath Toxic; inhalation, ingestion, or skin contact with material may cause severe injury or death. Contact with molten substance may cause severe burns to skin and eyes. Avoid any skin contact. Effects of contact or inhalation may be delayed. Fire may produce irritating, corrosive and/or toxic gases. Runoff from fire control or dilution water may be corrosive and/or toxic and cause pollution. 'ire or Explosion Combustible material: may burn but does not ignite readily. When heated, vapors may form explosive mixtures with air: indoors, outdoors, and sewers explosion hazards. Those substances designated with a "P" may polymerize explosively when heated or involved in a fire. Contact with metal may evolve flammable hydrogen gas. Containers may explode when heated. Runoff may pollute waterways. Substance may be transported in a molten form. Public Safety Call Emergency response Telephone Number on Shipping Paper first. If Shipping Paper not available or no answer, refer to appropriate telephone number listed on the inside back cover of the Emergency Response Guidebook. Isolate spill or leak area immediately for at least 25 to 50 meters (80 to 160 feet) in all directions. Keep unauthorized personnel away. Stay upwind. Keep out of low areas. Ventilate enclosed areas. 'rotective Clothing Wear positive pressure self-contained breathing apparatus (SCBA). Wear chemical protective clothing which is specifically recommended by the manufacturer. It may provide little or no thermal protection. Structural firefighters' protective clothing provides limited protection in fire situations only; it is not effective in spill situations. :vacuation pill See the Table of Initial Isolation and Protective Action Distances for highlighted substances. For non-highlighted substances, increase, in the downwind direction, as necessary, the isolation distance shown under "Public Safety." 'ire If tank, rail car or tank truck is involved in a fire, isolate for 800 meters (1/2 mile) in all directions; also, consider initial evacuation for 800 meters (1/2 mile) in all directions. Emergency Response 'ire ,mall Fires Dry chemical, C02 or water spray. ,arge Fires Dry chemical, C02, alcohol-resistant foam or water spray. Move containers from fire area if you can do it without risk. Dike fire control water for later disposal; do not scatter the material. 'ire Involving Tanks or Car/Trailer Loads Fight fire from maximum distance or use unmanned hose holders or monitor nozzles. Do not get water inside containers. Cool containers with flooding quantities of water until well after fire is out. Withdraw immediately in case of rising sound from venting safety devices or discoloration of tank. Always stay away from tanks engulfed in fire. ,pill or Leak Eliminate all ignition sources (no smoking, flares, sparks or flames in immediate area). Do not touch damaged containers or spilled material unless wearing appropriate protective clothing. Stop leak if you can do it without risk. Prevent entry into waterways, sewers, basements or confined areas. Absorb or cover with dry earth, sand or other non-combustible material and transfer to containers. Do not get water inside containers. 'first Aid Move victim to fresh air. Call 911 or emergency medical service. Apply artificial respiration if victim is not breathing. Do not use mouth-to-mouth method if victim ingested or inhaled the substance; induce artificial respiration with the aid of a pocket mask equipped with aone-way valve or other proper respiratory medical device. Administer oxygen if breathing is difficult. Remove and isolate contaminated clothing and shoes. In case of contact with substance, immediately flush skin or eyes with running water for at least 20 minutes. For minor skin contact, avoid spreading material on unaffected skin. Keep victim warm and quiet. Effects of exposure (inhalation, ingestion or skin contact) to substance may be delayed. Ensure that medical personnel are aware of the material(s) involved, and take precautions to protect themselves. suide #154 Phosphoric Acid Solvent Cleaner Quorum Brown Nalco 2896 Liquid Quorum Clear .Sodium Hydroxide, Solution Mikroklene DF Trasar 23248 • Mandate Plus • Sulfuric Acid • Quorum Yellow LP • Oxonia Active • Caustic Potash, Liquid, 50% • Exxelerate CIP • Nalco 2896 Liquid • Conquest • Accomplish Potential Hazards lealth Toxic: inhalation, ingestion, or skin contact with material may cause sever injury or death. Contact with molten substance may cause sever burns to skin and eyes. Avoid any skin contact Effects of Contact or inhalation maybe delayed. Fire may produce irritating, corrosive, and/or toxic gases. Runoff from fire control or dilution water may be corrosive and/or toxic and cause pollution. 'ire or Explosion Non-combustible, substance itself does not burn but may decompose upon heating to produce corrosive and/or toxic fumes. Some are oxidizers and may ignite combustibles (wood, paper, oil, clothing, etc.). Containers may explode when heated. Public Safety Call Emergency Response Telephone Number on Shipping Paper first. If Shipping Paper not available or no answer, refer to appropriate telephone number listed on the inside back cover of guidebook. Isolate spill or leak area immediately for at least 25 to 50 meters (80 to 160 feet) in all directions. Keep unauthorized personnel away. Stay upwind. Keep out of low areas. Ventilate enclosed areas. 'rotective Clothing Wear positive pressure self-contained breathing apparatus (SCBA). Wear chemical protective clothing which is specifically recommended by the manufacturer. Structural firefighters' protective clothing is recommended for fire situations ONLY; it is not effective in spill situations. :vacuation ,arge Spill See the Table of Initial Isolation and Protective Action Distances for highlighted substances. For non-highlighted substances, increase, in the downwind direction, as necessary, the isolation distance shown under "Public Safety." 'ire Emergency Response 'ire mall Fires Dry chemical, COZ or water spray ,arge Fires Dry chemical, CO2, alcohol-resistant foam or water spray. Move containers from fire area if you can do it without risk. Dike fire control water for later disposal; do not scatter the material. 'ire Involving Tanks or Car/Trailer Loads Fight fire from maximum distance or use unmanned hose holders or monitor nozzles. Do not get water inside containers. Cool containers with flooding quantities of water until well after fire is out. Withdraw immediately in case of rising sound from venting safety devices or discoloration of tank. Always stay away from the ends of tanks. ,pill or Leak Eliminate all ignition sources (no smoking, flares, sparks or flames in immediate area). Do not touch damaged containers or spilled material unless wearing appropriate protective clothing. Stop leak if you can do it without risk. Prevent entry into waterways, sewers, basements or confined areas. Absorb or cover with dry earth, sand or other non-combustible material and transfer to containers. Do not get water inside containers. 'first Aid Move victim to fresh air. Call emergency medical care. Apply artificial respiration if victim is not breathing. Do no use mouth-to-mouth method if victim ingested or inhaled the substance; induce artificial respiration with the aid of a pocket mask equipped with aone-way valve or other proper respiratory medical device. Administer oxygen if breathing is difficult. Remove and isolate contaminated clothing and shoes. In case of contact with substance, immediately flush skin or eyes with running water for at least 20 minutes. For minor skin contact, avoid spreading material on unaffected skin. Keep victim warm and quiet. Effects of exposure (inhalation, ingestion or skin contact) to substance may be delayed. Ensure that medical personnel are aware of the material(s) involved, and take precautions to protect themselves. :uide #157 Hydrochloric Acid • Foam Shine AC-55-5 Red • Nalco 2560 Potential Hazards Iealth Toxic: inhalation,. ingestion or contact (skin, eyes) with vapors, dusts or substance may cause sever injury, burns, or death. Reaction with water or moist air will release toxic, corrosive or flammable gases. Reaction with water may generate much heat which will increase the concentration of fumes in the air. Fire will produce irritating, corrosive and/or toxic gases. Runoff from fire control or dilution water may be corrosive and/or toxic and cause pollution. 'ire or Explosion Non-combustible, substance itself does not burn but may decompose upon heating to produce corrosive and/or toxic fumes. Vapors may accumulate in confined areas (basement, tanks, hopper/tank cars etc.). Substance will react with water (some violently), releasing corrosive and/or toxic gases. Reaction with water may generate much heat which will increase the concentration of fumes in the air. Contact with metals may evolve flammable hydrogen gas. Containers may explode when heated or if contaminated with water. Public Safety Call Emergency Response Telephone Number on Shipping Paper first. If Shipping Paper not available or no answer, refer to appropriate telephone number listed on the inside back cover of guidebook. Isolate spill or leak area immediately for at lest 50 to 100 meters (160 to 330 feet) in all directions. Keep unauthorized personnel away. Stay upwind. Keep out of low areas. Ventilate enclosed areas. 'rotective Clothing Wear positive pressure self-contained breathing apparatus (SCBA). Wear chemical protective clothing which is specifically recommended by the manufacturer. Structural firefighters' protective clothing is recommended for fire situations only; it is not effective in spill situations ;vacuation ,arge Spill See the Table of Initial Isolation and Protective Action Distances for highlighted substances. For non-highlighted substances, increase, in the downwind direction, as necessary, the isolation distance show under "Public Safety." 'ire If tank, rail car or tank truck is involved in a fire, isolate for 800 meters (1/2 mile) in all directions; also, consider initial evacuation for 800 meters ('/2 mile) in all directions. Emergency Response 'ire Note: Most foams will react with the material and release corrosive/toxic gases. mall Fires C02 (except for Cyanides), dry chemical, dry sand, alcohol-resistant foam. ,arge Fires Water spray, fog or alcohol-resistant foam. Move containers from fire area if you can do it without risk. Do not use straight streams. Dike fire control water from later disposal; do not scatter the material. 'ire Involving Tanks or Car/Trailer Loads Fight fire from maximum distance or use unmanned hose holders or Tnonitor nozzles. Do not get water inside containers. Cool containers with flooding quantities of water until well after fire is out. Withdraw immediately in case of rising sound from venting safety devices or discoloration of tank. Always stay away from the ends of tanks. pill or Leak Eliminate all ignition sources (no smoking, flares, sparks or flames in immediate area). All equipment used when handling the product must be grounded. Do not touch damaged containers or spilled material unless wearing appropriate protective clothing. Stop leak if you can do it without risk. A vapor suppressing foam may be used to reduce vapors. Do not get water inside containers. Use water spray to reduce vapors or divert vapor cloud drift. Prevent entry into waterways, sewers, basements or confined areas. mall Spills Cover with dry earth, dry sand, or other non-combustible material followed with plastic sheet to minimize spreading or contact with rain. Use clean non-sparking tools to collect material and place it into loosely covered plastic containers for later disposal. 'first Aid Move victim to fresh air. Call emergency medical care. Apply artificial respiration if victim is not breathing. Do not use mouth-to-mouth method if victim ingested or inhaled the substance; induce artificial respiration with the aid of a pocket mask equipped with aone-way valve or other proper respiratory medical device. Administer oxygen if breathing is difficult. Remove and isolate contaminated clothing and shoes. In case of contact with substance, immediately flush skin or eyes with running water for at least 20 minutes. For minor skin contact, avoid spreading material on unaffected skin. Keep victim warm and quiet. Effects of exposure (inhalation, ingestion or skin contact) to substance may be delayed. Ensure that medical personnel are aware of the material(s) involved, and take precautions to protect themselves. ~. Location of Utility Shut-Off Valves 1. Natural Gas: One manual shut-off valve is located outside between the West end of the Engine Room and the Wet Waste Handling Raom. 2. Electrical: The main switch is located. at the Main Distribution Panel located on the South West end of the plant West of the Raw Receiving Island. 3. Water: One manual shut-off valve is located at the water meter. The water meter is located in front of the building between the Cafeteria and District Blvd. A second manual shut-off valve is located behind the Drumstick Line 16 tunnel on the North side of the plant. 4. Fire Sprinkler Water: One open stem and yoke shut-off valve is located just North of the Fire Pump Room adjacent to District Blvd. 5. Locked Key Box: One locked key box is located on the outside North wall of the Fire Pump Room. SECTION VI Spill Notification :nvironment Policy -Guidance on Spill Reporting :eporting of spills is required under the following Federal legislation: • Comprehensive Environmental Response Compensation and Liability Act (CERCLA) • Emergency Planning and Community Right to Know Act (EPCRA) (often referred to as the Superfun Amendments and Reauthorization Act, SARA Title -III). requirements for reporting under these acts are similar in that listed substances are assigned reportable quantities whos xceeding during a spill event triggers reporting. Unfortunately, the reportable quantities are not always the sam etween lists, and certain States require reporting of all spill events regardless of size of locations. ;ompliance with these spill reporting provisions is mandatory, and it shall be the policy of Nestle Ice Cream Compan} perating companies to notify the appropriate agencies (listed below) in the event of a reportable spill in a timely manne this should be as soon as possible after discovery of the spill). If questions arise, you should contact one of th idividuals listed below using your best judgment. It is safer to report anon-reportable spill than to not report a spill the later deemed reportable. 'he list of reportable substances is extremely lengthy, and most of the substances are of no concern to our operation: owever you need to be aware of the entire listing. :eporting Information ,ocal Emergency Bakersfield Fire Department ;ity of Bakersfield Office of Environmental Services tate Environmental Agency lational Response Center oast Guard personnel usually answer) 911 911 661-326-3979 916-323-9723 800-424-8802 Treg Molloy 260-483-3102 SECTION VII Certification Certification Mark McLenithan, certify the above information will be used to fulfill my business' obligations under the law an iaccurate information constitutes perjury under the law. Plant Manager ~ ~~ d~ ~ig ature Title Da e APPENDIX A Hazardous Material SpilUClean-up Contractors Advanced Clean-Up Technologies Inc. 4548 Wesley Lane Bakersfield, CA 93308 661-392-7765 (24-Hour/Emergency Number) Response time less than 1 hour Nestle -___. ~.._ H~zs __ Dreyer's Grand Ice Cream Bakersfield Operations Center December 6, 2007 Bakersfield Fire Department Prevention Services 1600 Truxtun Ave, Suite 401 Bakersfield, California 93301 CERTIFIED MAIL RETURN RECIPT REQUESTED RE: Notification Required by HSC 25201.16(h)(4) To Whom It May Concern: This notice serves to meet the notification requirement found in the California Health and Safety Code HSC _ 25201.16(h)(4)._ Dreyer's Grand Ice Cream, located at 7301 District Boulevard, Bakersfield, California 93313 (EPA ID Number: CAL000212597) is processing aerosol cans. Aerosol cans are used daily in our facility. We use 5 products in aerosol form. These products are: Stainless Steel Polish, Contact Cleaner, Food Grade Penetrating Oil, Sanitary Lubricant and a Silicone Spray. It is estimated that we use 360 aerosol cans a month. All of these cans will be punctured. Used aerosol cans are collected as a universal waste in a centrally located closed container. The used cans are process using an Aerosoly 5000 puncturing machine to ensure that the aerosol cans are empty. The contents from the punctured aerosol cans drain into a 55-gallon drum. An Aerosoly filter is used to capture residual propellant and filter VOCs. The combination filter threads directly to the 3/4" drum bung. The combination filter does two things. The base of the combination filter is the coalescing cartridge. In it, the specially designed filter media coalesces microscopic liquids from the escaping propellant and forms them into droplets. The droplets collect in the reservoir of the coalescing cartridge and can be easily drained, directly into the drum. Dry propellant then moves through the activated carbon Cartridge which adsorbs hydrocarbons and odor. One 55 gallon drum will hold the residual liquids from 4,000 spent aerosol cans. The activated carbon cartridge filter should be changed after every 1200-1500 cans punctured. Once punctured, the aerosol cans are sent to a scrap metal recycler. Based on generator's knowledge from information provided in the aerosol can manufacturer's material safety data sheets, the captured aerosol can residue is handled as a RCRA D001 (flammable) Hazardous waste and a California 343 (Unspecified organic liquid mixture. This waste stream is handled in accordance with 22 CCR 66262 and is sent to a permitted TSDF for proper disposal. If there are any questions regarding the above information, please contact our Environmental Manager, Kimberly __._ _ _ Lawler: Kimberlyaawler ,dreyers:com or°- (661) 398-3495.- --- ~ - ~ ~ - I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to be the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. rel ; McLe ithan . , ... Date Manager . ,. ~ , .. 7301 District Boulevard, Bakersfield, California 93313 Tel: (661)398-3495 Fax: (661)398-3497 UNIFIED PROGRAM INSPECTION CHECKLIST _ SECTION 1: Business Plan and Inventory Program C - ~-* Prevention Services >3 A F R S F I „ 900 Truxtun Ave., Suite 210 Fiee Bakersfield, CA 93301 aRre- -Tel.: (661) 326-3979 Fax: (661) 872-2171 ACI_LITY NA ~ ~^ - l ~ e-~s ~~~~ l~~ ,~ INSPECTION DATE +~-zi-~c~ INSPECTION TIME tt~~ ADDRESS - © ~ ( PHONE NO. ~ 3 5~ NO OF EMPLOYEES 1 v ~ 2 « - FACILITY CONTACT - `~ ~ BUSI ESS ID NUMBER 15-021- (~{,C? ~- ~ ~ ~ ___I~_ _ _ __ _ . Section 1: Business Plan and Inventory Program ~~ ~-~ _ y __ _ _ __ ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION ROUTINE C ,V ( C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ,~,/ Il? ^ BUSIf18SS PLAN CONTACT INFORMATION ACCURATE C v ~Y ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^. VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL -/ L ~ ^ VERIFICATION OF MSDS AVAILABILITY ~ '-~ S. , _ ,/ UL ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE O ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING CtY ^ _ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? (~'1'ES ^ NO EXPLAIN: I QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please rint) Fire Prevention / 1" In /Shift of Site/Station # Business Site /Responsible Party (Ple Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 ' , , 7301 District Boulevard ~ ~~ S~f~~ ~~~~ Ao~T~~'.'~ ~ n Bakersfield, California 9: 7006 215Q Q~~3 2813 6697 :~ ~ JUL16'07 ~ ~~~ ~ oo~ ~ o ~ C 11+ 6'9 1L9E~ER 712557 tr ~' ,~w~~ ~ ~~~~ Iboa ~~,~.~c~n Auk ; 5~~. 441 ~~''~'-d~~, Ct3- 9330) -'jm :_ ~~ =~M=" _ -. _ ... li i ii li fl 11 i i ii !i i) it ii i i