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HomeMy WebLinkAboutAST-APPL 6/12/2007A r r. ~ ABOVEGROUND STORAGE TANK :' B B R S P I II APPLICATION FORM ~Rr~r r INSTALLATION/REMOVAL OF AN AST ^ INSTALL REMOVE PERMIT # ~b 1 BAKERSFIELD FIRE DEPARTMENT Prevention Services 1600 Truxtun Avenue, Suite 401 Bakersfield, CA 93301 Phone: 661-326-3979 • Fax: 661-852-2171 Page 1 of 2 FACILITY NA _ r w _^ ADDRESS ~/ L ~ ' OPERATOR NAME .- PERMIT TO OPERATE # (~ i5 - 6~1- QO i 4-O OWNER NAME - - _ -~ -_ - - - NUMBER OF NKS TO BE INSTALLED CJ /REMOVED # CONTENTS VOLUME TAN K nn 1 N mot' U NAME OF COMPANY INSTALLING AND/OR REMOVING TANK GT-' MAILING ADDRESS s4s ~. ~~ ~ NAME & PH NE # OF CONTACT PERSO DATE & TIME TANK IS TO BE I STALLED/REMOVED SIG E OF AP LICAN DATE ~/!a/a 7 APPROVED BY DATE FD2081 (Rev 05/07) r ~Haagen•Dazs `~-- Officer Underwood Bakersfield Fire Department CERTIFIED MAIL RETURN RECEIPT Prevention Services 1600 Truxtun Avenue, Suite 401 Bakersfield, CA 93301 - - - -- Re: Tank Reinoval-Appiicatiorf--_ ,. -- _ ___ - _-~_. -- - _ Dear Officer Underwood: Please find enclosed an application form for the removal of an AST from Dreyer's Grand Ice Cream, inc's located at 7301 District Boulevard, Bakersfield, CA 93308. The removal application is for our 1000 gallon used oil tank. Because we do not generate large quantities of used oil on a routine basis, and the used oil we do generate we collect in drums, I would like to decommission and have removed our existing used oil AST. ACTI has been selected to remove the tank and Coles Environmental will be handling the disposal of the washwaters. Their services will be schedule as soon as we receive approval for the removal of the tank from Bakersfield Prevention Services. Also enclosed you will find a check in the amount of $109 to cover the permit application fee. Please contact me at 661-398-3495 if you have any questions. Sincerely, ~ ~~~~/^ Kimberl Lawler ~" J Environmental Manager F, ti:.... 7301 District Boulevard, Bakersfield, California 93313 Tel: (661)398-3500 Fax: (661)398-3524 BILLING & PERMIT STATEMENT -i PERMIT # fkTTZ.-D1-¢ ~~ B AFB' 8 R S F I~ru'°lL D `~~`,~: F/RE ~ ;~" ~DrAR 1MT w BAKERSFIELD FIRE DEPARTMENT Prevention Services 1600 Truxtun Avenue, Suite 401 Bakersfield, CA 93301 Phone: 661-326-3979 • Fax: 661-852-2171 • LOCATION OF PROJECT ~3D1 DISTP.I CT~gi~VD - T2>uMOV>/ 10OD-GILL l~.S~D OI (_ ~kST -t-~p STARTING DATE I DD COMPLETION DATE PROPERTY OWNER NAME PROJECrNAME DTZI/`rERS CIR}~ND ICt/ CT2.>/fkM ADDRESS PHONE# PROJECT ADDRESS X301 D (STRI CT g (_...VD CIl"Y STATE ZIP CODE • • CONTACT NAME K.(Mg1/RL`( Lf~WLER CA LICENSE # • • TYPE OF LICENSE EXPIRATION DATE PHONE # 3~° 8-345 CONTRACTOR NAME ~cCTI FAX # ADDRESS -4.548 W>/St_>/Y LN T~ ~ / c^ 1 CTfY D~1~-~T<J~I1/l~D STATE C~ ZIP CODE J°330g All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK ^ © ^ ^ Alarms -New & Modification (minimum charge) $280 ^ • 84 ^ 98 over 20 000 sq ft 028 x sq ft $0 ^ 84 ^ , . ^ 98 ^ Sprinklers -New & Modification (minimum charge) $280 ^ 84 ^ 98 ^ over 5 000 sq ft $0.028 x sq ft ^ 84 , ^ 98 ^ Minor Sprinkler Modification (<10 heads) $96 (inspection only) ^ 84 ^ 98 ^ Commercial Hood (New & Modification) $470 ^ 84 98 ^ Additional hood $58 ^ 84 ^ 98 ^ Spray Booth (New & Modification) $470 ^ 84 ^ 98 ^ Aboveground Storage Tank (Installation/One Inspection) $180 ~ 82 ^ Additional tank $96 ; 82 px Aboveground Storage Tank (Removal/Inspection) 109 G ~0 10 20 ^ 82 ^ Underground Storage Tank (Installation/Inspection) $878/tank ^ 82 ^ Underground Storage Tank (Modification) $878/site ^ 82 ^ Underground Storage Tank (Minor Modification) $167 ^ 82 ^ Underground Storage Tank (Removal) $573/tank ^ 84 ^ Oil well (Installation) $96 ; 84 ^ Mandated Leak Detection (test)/Fuel Monit Cert/SB989 NOTE: $96 for each type of test/site even if scheduled at the same time $96/site ; ^ ^ 82 ^ Tent $96/tent ^ ^ 84 ^ After hours inspection fee $121 ~ 84 ^ Pyrotechnic (per event, plus inspection fee of $96/hr) $96 + (5 hrs min standby fee/insp)=$576 , 84 ^ Re-inspection/Follow-up Inspection $96/hour ^ 84 ^ Portable LPG (Propane): # Cages: $96 ^ ^ 84 ^ Explosive Storage $266 , 84 ^ Copying & File Research (File Research fee $34/hr) $0.25/page ^ ^ 84 ^ Miscellaneous 84 FD2021 (Rev 05/07) i -ORIGINAL (Treasury) 1 -YELLOW (File) 1 -PINK (Customer) J!' DREYERS GRAND ICE CREAM-BKSFLD yYlar -~ Vb1 cL~v+>i }~na/1 Manager Location: 7301 DISTRICT BLVD City BAKERSFIELD SiteID: 015-021-001407 BusPhone: (661) 398-3500 Map 123 CommHaz Extreme Grid: 16C FacUnits: 1 AOV: CommCode: BFD STA 09 EPA Numb: CAL000212597 SIC Code:2024 DunnBrad:88-825-6224 Emergency Contact / Title Emergency Contact / Title KIMBERLY LAWLER / ENVIRON MANAGER SEAN CARLSEN / H & W MANAGER Business Phone: (661) 398-3495x Business Phone: (661) 398-3549x 24-Hour Phone (C6~.) 345-7522x 24-Hour Phone (661) 978-2538x Pager Phone (~48' ) - x Pager Phone ( ) - x Hazmat Hazards: RSs Fire Press React ImmHlth DelHlth Contact KIMBERLY LAWLER Phone: (661) ~-A-b-~~x MailAddr: 7301 DISTRICT BLVD State: CA q7S-ao~o City BAKERSFIELD Zip 93313 Owner HOLDINGS Phone: (510) 652-8187x Address 5929 COLLEGE AVE State: CA City OAKLAND Zip 94618 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: Yes ParcelNo: Emergency Directives: ENT'D J U L 1 8 2007 PROG A - HAZMAT PROG H - HAZ WASTE GEN PROG R - CAL ARP PROG T - ABOVEGROUND STORAGE TANK i3ased on my inquiry of those individuals responsible for obtaining the d information, I certify un er penalty of law that i have personally examined and am familiar with the information submitted and believe the i nformation is true, accurate, and complete. Signature / ® ~ Date -1- 07/11/2007 P-~' FEB. Z ~ ~~!05 ,.. . ~::. ~, .. NGS~~e H~gen~Dri .~ ~~E ~~~~~ ~w ~,~~~' ~aa~ toes ~za~ous T MATERIALS BUSINESS A~'~ PLAT poi g ~~~ 5~~,0( ~ma ~-~e z 55~~ 12oos DREYF.R'S ICE CREAM COMPANY - BAKERSFIELD 7301 District Boulevard Bakersfield, CA 93313 (661) 398-3500 (661) 398-4860 fax 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 III Inventory IV Site and Building Maps A. SiteBuilding Map B. Locations of Stared Chemicals Map V Responding to Chemical Emergencies A. Abatement and Mitigation B. Spill Response Personnel C. Location of Utility Shut Off Valves VI Spill Notification VII Training VIII Certification Appendix A Hazardous Materials SpilUClean-up Contractors SECTION I Business Identification Data p ,p 0. S F 1 D CITY 4F BAKERSFIELD ~ ~ ~,J OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 [ `~ /~i BUSINESS OWNER /OPERATOR IDENTIFICATION ~tU ~ FACILITY INFORMATION J (one form per mnttrra! per 1ld,,, I::FACILI~TY ~IDENTIFICATI"ON .._: _ _ FACILI'i'Y~ID # 1 5 ch- 0 2 1 0 0 1 4 -0 7 - C -Year Beginning ~ ~ ~ " Year Ending 101 January 1, 2005 100 December 31, 2005 BUSINESS NAME (Same as FACILITY NAME or DBA- Doing Business As} 3 BUSINESS PHONE 661-398-3500 102 Dreyer's Grand tce Cream - Bakersfield SITE ADDRESS 7301 District Blvd. 103 CITY Bakersfield 104 CA ZIP 93313 105 DUN 8 N/A cos SIC CODE 2024 X07 BRADSTREET (4 Digit #) COUNTY Kem cos OPERATOR NAME 109 OPERATOR PHONE ~~0 11. Oli'yN~R 1NF(31MATION OWNER NAME Holdings ~~~ OWNER PHONE 510-652-8187 i~z OWNER MAILING ADDRESS 5929 College Avenue »s CITY Oakland i~a STATE CA pis ZIP 94618 ins ' III. ENVIRONMENTAL CONTACT CONTACT NAME Guy Moran ~i~ I CONTACT PHONE (661) 201-8824 ils CONTACT MAILING 7301 District Blvd. »s ADDRESS CITY Bakersfield ~zo STATE CA ~2~ ZIP 93313 ~zz -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- NAME Richard Royer ~za NAME Guy Moran 129 TITLE Risk 8 Safety Manager ~zs TITLE Environmental Coordinator rso BUSINESS PHONE (661) 398-3590 ~2s BUSINESS PHONE (661) 201-8824 ~s~ i 24-HOUR PHONE (661) 978-1736 ~z7 24-HOUR PHONE (661) 201-8824 Isz i PAGER # 128 PAGER # ~~ V. CERTIFiCATdON Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted in this inventory and believe the information is true, accurate, and complete. j SI AT RE PE OR DAT ~aa NAME OF DOCUMENT PREPARER ass I Z. Z ~ Q1 ~ Guy Moran N MES OF O NE P TO print) ~3s TI LE OF WNER/OPERATOR ~s7 Mark McLenithan Plant Manager f `~~ 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 1 S 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) 45I-8346 2. Toxic Information Hotline Phone: (840) 233-3360 An Immediate Verbal Report Shall Be Provided As Saon 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 si "ficant present or potential hazaid to human health and safety property, or the environment. B. Local Emergency Medical Assistance Appropriate For Potential Accident Scenarios In Our Business 1. Facility: Central Valley Occupational Medical Group Address: 4100 Truxtun Avenue, Suite 200 City: Bakersfield, CA Zip Code: 93309 Phone: (661) 632-1540 2. Facility: San Joaquin Valley Community Hospital Address: 2615 Eye Street City: Bakersfield, CA Zip Code: 93301 Phone: (661) 395-3000 3. Emergency Medical Agency (Ambulance): Local Paramedics Phone: 911 C. Emergency Action Plan Forward A basic system of emergency preparedness has been established to meet requirements of state and local codes and Company policy. Dreyer's Grand Ice Cream -Bakersfield Plant makes every effort to meet these requirements and provides for the protection of personnel and property. The effectiveness of any "Emergency Response Plan" is dependent on the participation of employees at all levels in the planning and training activities, which occur prior to an emergency or disaster. The Emergency Response Plan is designed as a ready reference tool for use when an actual emergency occurs. It will enable personnel to know what their responsibility is and what can be expected from other team members. In an actual emergency, the safety of personnel and the protection of property may depend on the action taken by those in the area of the emergency. Therefore, all personnel should familiarize themselves with the Emergency Response Plan and be aware of the proper steps to take during an emergency. In this facility, specific personnel are assigned to an Emergency Response Team. This team assists in implementation of the Emergency Response Plan. The team provides guidance during practice evacuations of the facility and during an actual emergency. For their own safety, all personnel must follow the instructions of these individuals. In order to critique the efficiency and effectiveness of the Emergency Response Plan, all plant evacuations will be reviewed and discussed by management within 48 hours of the evacuation. General Evacuation Procedures The following procedures apply to the Team Coordinators/Group Leaders~L,ead Operators when it is necessary to evacuate the plant. 1. Team Coordinators are responsible to assure personnel are safely evacuated and assembled in their designated locations. Team Coordinators shall visually inspect their work areas in pairs (buddy system) on their way out of the plant to ensure all employees have evacuated. Team Coordinators shall report to the central assembly area, on the grass outside the cafeteria, immediately upon exit from the building. 2. Group Leaders/Lead Operators shall lead employees on their specific line out of the plant through the closest, safe exit and shall proceed directly to the assembly area on the grass outside the cafeteria. All personnel are to remain at this location until the "all clear" signal has been given by the Incident Commander. 3. Upon assembly of personnel at their designated location,, within the assembly area, the Team Coordinator, Group Leader, or Lead Operator shall determine if all personnel are accounted for by making a roll call. The Control Center shall be notified by the Team Coordinator, Group Leader, or Lead Operator of the head count immediately. 4. The Control Center shall immediately notify the Incident Commander if any employee is missing. The Incident Commander will notify the Emergency Response Team or Fire Department. Dreyer's Grand Ice Cream personnel may be assigned to assist the Fire Department. Ammonia Release Procedures A. Purpose The purpose of these procedures is to outline the responsibilities of the management team who will be directing activities in the event of an ammonia release. The protection of employees and Company assets is of the utmost importance. B. Procedures 1. If there is a visible cloud of ammonia present or heavy odor, employees in that local area are to be moved to another area and the Utilities/Facilities Team Coordinator is to be to be made by the Incident Commander and/or the refrigeration team, as appropriate. Except in the case of alife-threatening situation, the message to evacuate should be verbally communicated by Management Personnel from all areas as to avoid employee panic. 2. If it is deemed necessary to evacuate and can be done safely without pulling the alarm box, Senior Management members must consider wind direction. If the Central Employee Assembly Area is upwind of -the release, employees are [o assemt~le m the designated location as called for in our evacuation procedures. However, if the wind is blowing in the direction of the Assembly area, the most senior management member must decide on an alternate safe assembly location. If an alternate assembly location is necessary, respective Team Coordinators must communicate this. If the fire alarm pull box is activated and the wind is in the direction of the Visitor Parking Lot, employees are to be directed to an alternate locarion as they evacuate to the visitor parking lot by Team Coordinators, or any member of management available. The person pulling the fire alarm pull box must contact the Security Office immediately by calling extension 3599. 3. Employees must evacuate the plant immediately if the alarm is activated or if instructed to do so by Management or any Utilities/Facilities Technician. Upon evacuation to the Central Employee Assembly Area each employee must stay with his or her specific production line, or department, in order to have an accurate head count conducted. All employees must evacuate except those trained and authorized personnel (with proper protective clothing and breathing equipment). 4. Each Department Manager, or Team Coordinator, in charge must account for each person under his or her responsibility. Team Coordinators must account for the people on the production lines, and then report to the Incident Commander. They must give the Incident Commander a list of the missing employees and location of where they were last seen, if possible. 5. If necessary, the Incident Commander will assign a squad to conduct a search. C. Responsibilities of Utilities/Facilities Personnel The Maintenance Manager is responsible for the ammonia release procedures in the plant. In his/her absence a properly trained, Group Leader on duty is in charge of the ammonia release activities. 2. After arriving at the scene of the ammonia release (with proper personal protective equipment), the Utilities/Facilities personnel must assess the situation as quickly as possible, and confer with the Incident Commander. 3. Turn on the fans, blowers, and ventilators as deemed appropriate by the Incident Commander. 4. Utilities/Facilities personnel must not enter a high ammonia concentration (300 ppm or greater) area without an approved SCBA and Level A protective equipment. 5. The Utilities/Facilities personnel must use the "buddy system." Each person must have a "buddy" and is responsible for staying within sight of their "buddy." Each `buddy" must be dressed out at the same level of protection as the entry person. 6. It is the responsibility of the Utilities/Facilities Team Coordinator or Group Leader on duty to contact Risk & Safety personnel to report the status of the ammonia release immediately. He/she is also to report as soon as possible if it is safe for the Production Supervisors to re-enter the plant to get the food ingredients off the lines and have them properly stored. D. Responsibilities of the Senior Member of Management 1. On first shift, the Plant Manager is the Senior Member of Management. His alternate shall be a Business Unit Manager. 2. On second shift, the Business Unit Manager is the Senior Member of Management. His alternate shall be a designated Team Coordinator. 3. On third shift, the Business Unit Manager is the Senior Member of Management. His alternate shall be the designated EPSU Team Coordinator. 4. The Senior Member of Management will set up a Control Center in the Administrative Conference Room assisted by the People Systems Manager or his/her designee. The ammonia release activities will be monitored from this location via telephone and two- way radio. If evacuation is necessary this group will follow-up to be sure all employees have evacuated. 5. Corporate Notifications: Name Title Phone Number To Be Notified By Buttons Coleman VP, erations (661) 39$-3540 Plant Manager Greg Molloy Director, Risk & Safety (260) 437-0301 Risk & Safety Manager 6. Other Notifications: Agency Phone Number To Be Notified By D artment of Health (66l) 868-0554 Risk & Safety Personnel Environmental Protection Agency (EPA (202) 514-1489 Risk & Safety Personnel Public Utilities Commission (800 649-7570 Maintenance 1Vlanager National Response Center (EPA) * Required only if discharge is over 1001bs. (800) 424-8802 or (202) 426-2675 Risk & Safety Personnel Fire De artment 91 I 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 Emergent Medical Service 91 I Risk & Safet Personnel Contractor Involved - Engineerin Mana er 7. If the media arrives at the plant, the People Systems Manager, or hislher designee, will give the news media the appropriate corporate contact. Should the media amve at the plant at an hour when the People Systems Manager, or his/her designee, is not present, their names(s), station identification, and phone number will be taken and someone will get back to them. 8. Members of management near the location of the ammonia release are to keep all persons not directly involved with facilities in the discovery and repair of the release away from the scene. Only those employees who are properly trained and equipped to handle an ammonia emergency should be allowed in the immediate area (this includes non-facilities management). The Emergency Medical Service (EMS), or any other outside assistance should be instructed by management to remain at a location several hundred yards from the scene until their services are needed. 9. When the release has been stopped, the most senior member of management will make the decision to allow employees to re-enter the plant and resume production operations, or to terminate the current shift operations for the day. E. Responsibilities of Production When the Incident Commander has given the permission to allow Production Management to re-enter the plant, the Plant Manager and Business Unit Managers shall appoint a team to properly take care of the ice cream on the production lines. This team should consist of Lead Operator, QA Personnel and Production Maintenance Technicians. F. Responsibilities of The Emergency Response Team 1. All Emergency Response Team Members not involved in the repair of the ammonia release shall be on stand-by at the Central Assembly Area. The Emergency Response Team maybe asked to assist in the employee search efforts. 2. Ernergency Response Team Members shall also be on stand-by to spray water at the ammonia release area. (Only if directed to do so by the ITtilit~s/Facilties Team Coordinator or Utilities/Facilities Group Leader.) G. Authorization to Re-Enter Plant The authorization for employees to re-enter the plant to resume production can only be given by the Incident Commander after he/she consults with the Utilities/Facilities personnel on duty and after the Utilities/Facilities Team Coardinatar and Risk & Safety personnel have accessed that the work area is safe for re-entry. Air samples will be taken with the Manning Systems Inc., monitors which are located in the UtilitieslFacilities office, and/or the ammonia detectors which are located throughout the Production Floor. H. Medical Treatment For Exposure to Ammonia In the event an employee is exposed to ammonia the following steps are to be followed in order to properly care for the individual: Ingestion: If ammonia is swallowed in liquid form, keep victim warm and immediately obtain medical attention. If signs of respiratory obstruction develop, immediately transport to the nearest medical facility. Do not induce vomiting. Inhalation: Remove victim to fresh air. Give oxygen if breathing is difficult. If breathing has stopped, perform artificial respiration and obtain immediate medical attention. Contact with Skin: Apply water immediately to exposed areas of skin and continue for at least 30 minutes. Remove contaminated clothing, shoes, and constrictive clothing while continuing to apply water, being careful not to tear the skin. If skin surface is damaged, apply a clean dressing. If skin surface is not damaged, cleanse the affected area thoroughly with mild soap and water. Do not apply salves or ointment to affected areas and obtain immediate medical attention. Contact with Eyes: Remove victim to fresh air and immediately flush with flowing water for at least 30 minutes with the eyelids held apart. Obtain immediate medical attention. Ammonia Spills/Releases Procedures Quick Reference The following procedure should be followed in the event of an ammonia spill or release: 1. Investigate the cause (Maintenance with protective equipment). 2. Evacuate affected area. 3. Shut down broken lines or system. 4. Contact Fire Department if any vapors go to outside. S. Contact the wastewater POTW if any ammonia has gone into the sewer drains. 6. Vent the affected areas. 7. Control and contain the spill and neutralize the ammonia. 8. If more than 100 pounds (18 gallons) was spilled, Risk & Safety personnel or if they are not available, the Business Unit Manager or his/her designee should contact the following immediately (within 1 S minutes of the incident): a) National Response Center (get report number and name of person) (800) 424-8802 or (202) 426-2675. b) Local Emergency Response Commission (661) 326-3979 c) State Office of Emergency Services (800) 8S2-7SS0 or (916) 427-4341. d) Greg Molloy (260) 437-0301. 9. A written report should be completed by the shift Utilities/Facilities Group Leader stating dates, times, who, what, where, how, and corrective action taken. This should be given to the Risk & Safety Manager. 10. Risk & Safety personnel should be contacted to monitor employee exposure and limits. C6emicaUHazardous Material Release and Notification A. Responsibility of Plant Personnel If you discover achemical/hazardous material spill or threatened spill notify the security office (ext. 3599) and the proper response group will be notified of the situation. B. Responsibilities of Facilities Management 1. After receiving a report of a spill, first identify the spill location and determine what resources are necessary to properly respond to the incident. 2. If additional resources are needed contact the appropriate agency for the additional help (i.e. Fire Department or outside contractor service). 13 3. Risk & Safety personnel will be responsible for notifying the following agencies of the release or threatened release immediately (within 15 minutes of the incident): City of Bakersfield, Office of Environmental Services (661) 326-3979 State Office of Emergency Services (800) 852-7550 or (916) 427-4341 National Response Center (8-00) 424-8802 or (202) 426-2675 C. Responsibilities of the Emergency Response Team 1. The Emergency Response Team, which consists of a group of specially trained employees vn all three shifts, will handle specifically assigned duties delegated by the Incident Commander on that shift. 2. The Incident Commander will designate a person to begin paging the appropriate personnel. The Emergency Response Incident Commander or senior plant Emergency Team Member shall be responsible for obtaining two-way radios in order to maintain communications. D. Termination of ChemieaVHazardous Materials Release Procedures The Incident Commander shall terminate the ChemicaUHazazdous Materials Release Procedures. If the Evacuation Plan was executed, the notification shall be made at the Plant Main Entrance. If the employees were not evacuated, the Department Managers will be contacted to terminate the ChemicaUHazazdous Materials Release Procedures. Fire Plan A. Responsibility of Flant Personnel If you discover a fire (regazdless of the size), pull the neazest fire alarm immediately. After leaving the fire area, report the nature and location of the fire to the security office (ext. 3599) and evacuate the building. B. Responsibilities of Facilities Management 1. After receiving the report of a fire when the alarm is pulled, first identify the fire location on the alarm zone panel, then check out fire area to ensure the fire exists. If there is a fire, call the fire department to confirm they were alerted by the fire alarm system. If the internal telephone system is out of order, use a pay telephone. 2. After calling the Fire Department, the Utilities/Facilities Team Coordinator or Group Leader must meet the Emergency Response Team at the designated gathering area. The Emergency Response Team should respond to the alarm and meet at the designated area awaiting instruction from the Incident Commander, unless obvious actions should be taken. The group call for the Emergency Response Team is activated by use of radios and/or alarm. 3. After verifying the Fire Department has been contacted the Utilities/Facilities Team Coordinator or Group Leader must notify the Plant :Manager, Business Unit Managers, and Risk & Safety personnel. 4. If the fire alarm is pulled, the Security Guard at the main entrance shall stop all incoming traffic with the exception of emergency vehicles (fire truck, ambulance, etc.). The Security Guard will also be responsible for clearing all non-emergency vehicles from in front of the entrance gates. The Security Guard must be prepared to tell the Fire Department personnel the following: a) Location of the fire. b) The name of the Dreyer's Grand Ice Cream employee to contact in the plant. C. Responsibilities of the Emergency Response Team 1. The Emergency Response Team, which consists of a group of specially trained employees on all three shifts, will handle specifically assigned duties delegated by the Incident Commander on that shift. 2. The Incident Commander will designate a person to begin paging the appropriate personnel. The Emergency Response Incident Commander or senior plant Emergency Team Member shall be responsible for obtaining two-way radios in order to maintain communications. D. Termination of Fire Flan Procedures The Incident Commander shall terminate the Fire Plan Procedures. If the Evacuation Plan was executed, the notification shall be made at the Plant Main Entrance. If the employees were not evacuated, the Department Managers will be contacted to terminate the Fire Plan Procedures. ~s SECTION III Inventory B E R S P I D F/RE ABTM f ~ ~ ,+.--. CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW ^ ADD V `^`w~. ~.,..` OR ^DELETE ~ REVISE 200 I. FACILITY INFORMATION (ale farm per material per huilding or area) Page _ of _ BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION 201 Throughout Refrigeration System #1 (Old Construction) CHEMICAL LOCATION ^ yes 0 No 202 CONFIDENTIAL (EPCRA) FACII-ITY ID# I] 1 5 0 1 2 I I I 0 I 0 I 1 1 4 10 1 7 I I MAP # (optionn~ 203 GRID # (optional 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes D No 206 CHEMICAL NAME AnhydiOUS Ammonia ~ If Subject to EPCRA, refer to instructions 207 COMMON NAME AmmOilla EHS• ^X yes ^ No 208 CAS # 7664-41-7 209 •If EHS is'"Yes," all amounts below must be in lbs . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^Q p PURE ^ m MIXTURE RADIOACTIVE ^ Yes 0 No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER 44,710 1bS. 215 g GAS 214 FED HAZARD CATEGORIES Q 1 FIRE ~ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE H EALTH ^ 5 CHRONIC HEALTH (Check all that apply) ~ t 6 ANNUAL WASTE 2I7 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT 104,595 DAILY AMOUNT 104,595 220 0 UNITS• ^ ga GAL ^ cf CU FT ^X Ib LBS ^ to TONS 221 DAYS ON SITE 222 • If EHS, amount must be in lbs. 365 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTIC/NONMETAI-LIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check all thnt nppiy) ^ c TANK INSIDE BUILDING ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE CI r OTHER ^ d STEEL DRUM ^ g CARBOY ^ k BOX ^ o TOTE BIN Throughout Facility ^ h SILO ~ I CYLINDER ^ p TANK WAGON Refrigeration System STORAGE PRESSURE ^ a AMBIENT 0 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# 1 100% zz6 Ammonia zz7 ^X Yes ^ No zzs 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 S 242 243 ^ Yes ^ No 244 245 III. SIGNATURE PRINT NAME & TITLE OF AU THORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246 Guy Moran, Environmental Coor dinator ~ - ~~ ~~~ M .r.vl. ~~~3Ji~.~ B E R S P I D FIRE ARTM T .s,.,y ~ ',~%.,, .~ ~O,.n CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW ^K ADD ^DELETE ^ REVISE 200 (one form per mnterinl per huilding or Wren) Page _ of I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION 201 Throughout Refrigeration System #2 (New Construction) CHEMICAL LOCATION ^ yes ^X No 202 CONFIDENTIAL (EPCRA) , FACILITY ID # I I I S I I O 12 I l I I O I O I I 14 I O 17 I I MAP # (optionan 203 GRID # (optional) 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME Anhydrous Ammonia If Subject to EPCRA, refer to instructions 207 COMMON NAME Ammonia EHS* x^ Yes ^ No 208 CAS # 7664-41-7 209 *If EHS is"Yes," all amounts below must be in lbs . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE x^ p PURE ^ m MIXTURE RADIOACTIVE ^ Yes 0 No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID D I LIQUID LARGEST CONTAINER 32,000 IbS. 215 g GAS 214 FED HAZARD CATEGORIES X^ 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 77,500 DAILY AMOUNT 77,500 220 0 UNITS* ^ ga GAL ^ cf CU FT ^X 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 n!/ 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 Throughout Facility ^ h SILO ^O I CYLINDER ^ p TANK WAGON Refrigeration System STORAGE PRESSURE ^ a AMBIENT D 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# 1 100% zz6 Ammonia 227 QX Yes ^ No 2zs 7664-41-7 229 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 III. SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE Guy Moran, Environmentn! Coorrlinntor DATE 246 a~~s~o 35 B E R S P I D F/RF ARTM T ~ ,~ -a.y< -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 tSUSlNtSS NAMP: (Same as NAI;I Dreyer's Grand Ice Cream I. FACILITY INFORMATION ~~ _~~• ~,.r ~R , (one form per mnteria! per building or area) Page _ of CHEMICAL LOCATION 20I Maintenance Shop and Outside Gas Storage CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) FACILITY ID# I] I S I 1 II 0 (2 I] ( 10 (0 I I 1 4 10 1 7 I 1 MAP # (optionn~ 203 GRID # (optionn!) 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ ya Q No 206 CHEMICAL NAME Argon If Subject to EPCRA, refer to instructions 20'7 COMMON NAME EHS* ^ yes ~ No 208 CAS # 7440-37-1 209 *IfEHS is"Yes," all amounts below must be in lbs . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 2 10 TYPE ~ p PURE ^ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ` ^ w WASTE 211 ' PHYSICAL STATE ^ s SOLID ^ 1 LIQUID LARGEST CONTAINER 336 CU FT 215 g GAS 2I4 FED HAZARD CATEGORIES 0 1 FIRE ^ 2 REACTIVE ~ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE 220 AMOUNT 0 DAILY AMOUNT ISO DAILY AMOUNT 7S UNITS* ^ ga GAL ~ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON S[TE 222 • If EHS, amount must be in lbs. 365 ~C ORAL E COn TAINER ^ a ABOVEGROUND TANK ^ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 pP 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 ^D 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 HAZARDOUS COMPONENT EHS CAS# Argon zz7 ^ ves ~ No zz8 7440-37-I 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 I III. SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE q 1 DATE 246 Guy Mornn, Environmenla! Coorr(inntor .~~~/ ~j~/~j,M~ .,! ~~31b 5 B E R S F 1 D FIRE ABTM T ~~ u OR~ 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 (one form per materiel per building or wren) Page _ of BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION 201 CIP 5, 6, cQC 7 CHEMICAL LOCATION ^ yes ^x No 202 CONFIDENTIAL (EPCRA) FACILITY ID # I 1 (S I I O 12 I l l ~ O I O I I 14 I O 17 I 1 MAP # (optional) 203 GRID # (optional 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME Cltrlc ACId If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS' ^ Yes ~ No 208 CAS # 77_92_g 209 'If EHS is"Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 2 10 TYPE ^ p PURE ~ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ q SOLID ^x I LIQUID LARGEST CONTAINER I,5~0 $a(~OI7S 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ t FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HE ALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT I ,$~~ DAILY AMOUNT 22~ 220 UMTS• ^X 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 PLASTICMONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check ell thnt 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 ~ a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 22S %WT HAZARDOUS COMPONENT EHS CAS# 1 226 Citric Acid zz7 x ^ Yes ^ No 228 77-92-9 229 $Q% 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 AEPRESEMATIVE SIGNATURE DATE 246 Guy Moran, Environmentnl Coordinator ~~ ~/y/~~~u VINr- ~ ~ l~ ~ f ~ s B E R S F I D FIRE ARTM T V x..., .,~*-... ^ 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 FA('1l.ITV TNF(1RMATInN ~~ w,~~, o FOR ~ (one form per material per building or Wren) Page _ of IUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 heyer's Grand Ice Cream ;HEMICAL LOCATION 201 Outside Chemical Storage Area CHEMICAL LOCATION ^ yes ^X No 202 CONFIDENTIAL (EPCRA) ~ACILITY ID # I I I S I 10 1 IIII 2 11 10 I 0 I 1 1 4 (0 1 7 I 1 MAP # (opti°na~ 203 GRID # (optionnn 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ Yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS* ^ yes 0 No 208 Caustic Potash Liquid, 50% 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 X^ 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 DAILY AMOUNT 1 OO DAILY AMOUNT I O 220 UMTS* ~ga GAL ^ cf CU FT ^ 16 LBS ^ to TONS 221 DAYS ON SITE * If EHS, amount must he 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 TOTE BIN ^ d STEEL DRUM ^ h SILO ^ 1 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 %WT H AZARDOUS COMPONENT EHS CAS# I 226 Potassium Hydroxide 227 ^ Yes ~ ND zzs 1310-58-3 zz9 50% 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 244 245 III. SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE ~ ~w _ ' /~ DATE 246 Gny Moran. Environmental Coordirrntor Ba Hi wis w M r' ~ ~ 2//3t~ rE R VS F 1 D F/RE ARTM T ^ 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 1 FA('TT ITV TNF(1RMATITTN ~ ~~~r [J C ,.,.. ' OR (onejorm per material per building or area) Page _ of _ IUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 heyer's Grand Ice Cream :HEMICAL LOCATION 201 Warehouse CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) ~ACILITY ID # I I I S L........I O 1 2 11 I (O I O I l 14 I O 17 I 1 MAP # (optional) 2D3 GRID # (optional) 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes 0 No 206 CHEMICAL NAME If Subjec[ [o EPCRA, refer to instructions 207 COMMON NAME EHS* ^ Yes ~ No 208 Carbon Dioxide (Solid) CAS # 209 "If EHS is"Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 2I0 TYPE ~ p PURE ^ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE 0 s SOLID ^ I LIQUID LARGEST CONTAINER 50 pounds 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 AMOUM DAILY AMOUNT 20 DAILY AMOUNT 1 ~ 220 UMTS* ^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 ABOV EGROUND TANK ^ e PLASTIC/NONMETALL[C 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 SILO ^ 1 CYLINDER ^ p TANK WAGON STORAGE PRESSURE 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# 1 226 Solid Carbon Dioxide zz7 x 124-38-9 zz9 99% ^ Yes ~ No 228 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~~ ~ DATE 246 Guy Moran, Environmental Coorrlinntor / I/1j91 / // to .. s.n i 7 w'~1. ~//L~ B E R S P 1 D F/RB ARTM T ~x-..~. ..e.~.~ o ~~ OR 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 (one form per materinf per building or area) 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 Chemical Storage Area CHEMICAL LOCATION ^ Yes ~ No 202 201 CONFIDENTIAL (EPCRA) FACILITY ID # (I I S I I O 12 I 1 I (O I O (l 14 I O 17 I 1 MAP # (optional) 203 GRID # (optional) 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME Calcium Chloride If Subject to EPCRA, refer to instructions 207 COMMON NAME Brine EHS* ^ yes ^X No 208 CAS # 7664-41-7 zo9 *If EHS is"Yes;' all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^X P pURE ^ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER 330 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 DAILY AMOUNT 990 DAILY AMOUNT 330 220 UMTS* 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 ^ 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 X^ r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SILO ^ 1 CYLINDER plastic Tote ^ p TANK WAGON STORAGE PRESSURE X^ a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE ^X a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %W-I' HAZARDOUS COMPONENT EHS CAS # I 226 Calcium Chloride 227 ^ ves ~ No zzs 7664-41-7 zz9 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 III. SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE t' DATE 246 Guy Moran, Environments( Coordinator .1 j/~~ 2.23 Gb`5 B E R S P I D F/RE ARJM T ,s..,'~~~_., 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 tsusrrvn~~ rva.°nn game as rHI,ILI t x rv.vrvin or unr~ - Dreyer's Grand Ice Cream I. FACILITY INFORMATION u „r ro (one form per mnterinl per building or area) Page _ of _ CHEMICAL LOCATION 201 Rollo Mold Tables CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) FACILITY ID # I l I S J ql 0 1 2 I I 0 I 0 I 1 (4 (0 (7 I 1 MAP # (optional) 203 11 GRID # (optional 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ y~ XQ No 206 CHEMICAL NAME Calcium Chloride If Subject to EPCRA, refer to instructions 207 COMMON NAME Brine EHS' ^ y~ []X No 208 CAS # 7664-41-7 209 'If EHS is"Yes," all amounts below must be in lbs . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE QX p pURE ^ m MIXTURE RAD[OACTiVE ^ Yes 0 No 212 CURIES 213 ^ w WASTE 2t1 PHYSICAL STATE ^ s SOLID ~ 1 LIQUID LARGEST CONTAINER 1,400 gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ t FIAE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HE ALTH ^ 5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE 220 AMOUNT DAILY AMOUNT 7,000 DAILY AMOUNT 99O UNITS' X^ ga GAL ^ cf CU F? ^ 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 al! that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^X c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ 0 70TE BIN ^ d STEEL DRUM ^ h SILO ' ^ 1 CYLINDER ^ p TANK WAGON STORAGE PRESSURE Q a AMBIENT ^ as ABOVE AMBIEM ^ 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 Calcium Chloride 227 ^ Yes X^ No 228 7664-41-7 zz9 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 III. SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246 Guy Morml, Environmental Coordinator ~~ j ~? Jr'~~~VV e~.12 ~.~C e ertsPi o F/RE ARTM T 7 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. FACILITY INFORMATION ~~o ~• ~~~^ OR (oneJorm per material per building or area) Page _ of _ ~i BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Crea m CHEMICAL LOCATION Outside Chemical Storage Area CHEMICAL LOCATION ^ yes ~ No 202 201 CONFIDENTIAL (EPCRA) FACILITY ID # I l I S I I O 12 11 ~' O I O I l 14 I O 17 I 1 MAP # (opriwmn 203 GRID # (optional 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes QX 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) 2 10 TYPE ^ p PURE 0 m M1XTllRE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID 0 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 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT 440 DAILY AMOUNT 440 220 UMTS* 0 ga GAL ^ cf CU FT ^ 16 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 FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check n!! ihnt apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN 0 d STEEL DRUM ^ h SILO ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE ^Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE QX aAMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT - EHS CAS# 1 zz6 None zz7 ^ Yes ^ No zzg 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 NAIviE & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE 1 rr~~)J JJ((--~~ ] DATE 246 Guy Moran, Environmental Coordinator ,~Il~ ~~/~~ O°%L~//J~ r' B {~ E R S F I D C' FARE ARTM t U ~ _~ . ORj 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 (orre form per mn[erin! 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 Engine Room #1 -Ammonia Compressors CHEMICAL LOCATION ^ yes XO No 202 201 CONFIDENTIAL (EPCRA) FACILITY ID # I l I S r 0 1 2 (I I,''~',,,~_ 10 I 0 I 1 (4 10 1 7 I I MAP # (options!) 203 GRID # (optiamn 204 II. 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 Camco 717 Series (Semi-Synthetic Hydrocarbon) 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 pURE ~ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER 182 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 2I7 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT 3,460 DAILY AMOUNT 3,46 220 UN[TS• ~ 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 ^X r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SILO ^ 1 CYLINDER Compressors ^ 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# 1 zz6 None zz7 ^ ves ^ No z28 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 ~7 y DATE 246 Guy Mornrr, Environmenut! Coorrlinstor ~~ ~6~ ~~ prr'~1.3 I65 ° easxt o F/RB ABTM T •,~., t ~k. ~ ~..,. CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION * * ~.r ^ NEW ^D ADD ^ DELETE ^ REVISE 200 Dreyer's Grand Ice Cream or (one form per material per building or area) Pagc _ of CHEMICAL LOCATION zol Engine Room #2 (New Construction)- Ammonia Compressors CHEMICAL LOCATION ^ yes ^X No 202 CONFIDENTIAL (EPCRA) FACILITYID.# . 1 5 .I I I. "~ 0 2 I 0 0 I 4 0 7 1 ~: MAP # (optionnl) 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 Camco 717 Series (semi-Synthetic Hydrocarbon) EHS* ^ y~ ^Q No 208 CAS # 209 *If EHS is"Yes;' all aviounts`below must be in Ibs . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ P p~ Qm MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 2l3 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID X^ I LIQUID LARGEST CONTAINER 182 gallons zls ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH 2I6 (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE 220 AMOUNT DAILY AMOUNT 3460 DAILY AMOUNT 3460 0 UNITS* ~ ga GAL ^ cf CU FT ^ 16 LBS ^ to TONS 221 DAYS ON SITE 222 * If EHS, amount must be in Ibs. 365 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 Dr OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ 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 AMEIENT ^ c CRYOGENIC 225 °/aWT HAZARDOUS COMPONENT EHS CAS# I 226 none 227 ^ Yes ^ No 228 229 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 III. SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE y / DATE 246 Guy Moran, Environmenml Coorrlinaror ~~~ ~,~%~ ~ ~tr~! ~~ B , E R S P I D FIRE ARTM T •.aw. a.-... .. u w~ 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 I. FACILITY INFORMATION (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 -West End Of Engine Room (Generator) CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) FACILITY ID# I I I S (. I O (2 I l I I O I O I l 14 I O 17 I 1 MAP # (optional) 203 GRID # (optionat) 204 II. CHEMICAL INFORMATION - 205 TRADE SECRET ^ Yes D No 206 CHEMICAL NAME Diesel Fuel #2 If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS* ^ yes ~ No 208 cns # 68476-34-6 209 *If EHS is"Yes," all amounts below must be in lbs . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE Q p pURE ^ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER 2,$00 gallons 21S ^ g GAS 214 FED HAZARD CATEGORIES ^ I FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ S CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT 2,$00 DAILY AMOUNT O 220 0 UMTS* ^x ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON S[TE 222 • If EHS, amount must be in lbs. 36$ STORAGE CONTAINER X^ a ABOVEGROUND TANK ^ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check a!! thnt npply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE SIN ^ d STEEL DRUM ^ h SILO ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE ^x a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE ^x aAMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS# I 226 Diesel Fuel #2 zz7 x ^ Yes ^ No 228 68476-34-6 229 100% 2 230 231 ^ Yes ^ No 232 233 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 Guy Mornn, 6nvironmentn! Coordinator ~ ~-y.~ ~ ~ ,~/ /) ~/_ j ~ n / ~,~"]~/O 5 B E R S F I D FIRE ARTM T Y `~ ~4 ~o .~ ORS 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 (one form per materiel per building or area) Page _ of I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION 201 Wastewater Building CHEMICAL LOCATION ^ yes ^X No 202 CONFIDENTIAL (EPCRA) FACILITY }D # ` } ` 5 I' -I 0 4 2 { } I,,.,,..I 0 I 0 I 1 ~ 4 1 0 17 ~ 1 MAP # (oplionaO 203 f GRiD N (optionn~ 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME Diesel Fllel #2 If Subject to EPCRA, refer to inswctions 207 COMMON NAME EHS" ^ yes ~ No 208 CAS # 68476-34-6 209 '[f EHS is"Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE 0 p PURE ^ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ X LARGEST CONTAINER s SOLID ^ I LIQUID 300 allOnS g 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ I F[RE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HE ALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 2I9 STATE WASTE CODE AMOUNT DAILY AMOUNT 300 DAILY AMOUNT 250 220 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 thnt npply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER 0 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 ^X a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS# 1 226 Diesel Fuel #2 227 ^ ves ~ 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 5 242 ~ ~ 243 ^ Yes ^ No 244 245 III. SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE /~~J~ ~ ~ ~ ~~~ ~ ~ ~ y DATE 246 Guy Moran, Environmeattrl Coordinator iCJNN•1 /~Y~I~fO' K.i~// ~ d~/aS a E R S P I D Fine serer ~ :z--. ~ ~...... 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 BUSINESS NAME (Same as FACILITY NAME or Dreyer's Grand Ice Cream I. FACILITY INFORMATION u ~ ,.n'" Fp (one form per mnterinl per bui/cling or wren) Page _ of CHEMICAL LOCATION 201 Outside -West End CHEMICAL LOCATION [] y~ ^X No 202 CONFIDENTIAL (EPCRA) FACILITY ID # _I l 15 I ~ O 12 I ] O I O I 1 14 I O 17 I I MAP # (optionn~ 203 GRID # (optionn!) 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME Diesel Fuel #2 If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS• ^ Yes D No 208 CAS # 68476-34-6 209 •If EHS is"Yes," all amounts below must be in lbs . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE 0 p PURE ^ m MIXTURE RADIOACTIVE ^ Yes 0 No 212 CURIES 213 ^ w WASTE 2tl PHYSICAL STATE ^ s SOLID ~ 1 LIQUID LARGEST CONTAINER 500 gallons 21s ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE ~ 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE 220'. AMOUNT DAILY AMOUNT SOO DAILY AMOUNT I ~ 0 UMTS• ~ ga GAL ^ cf CU FT ^ lb LBS ^ to TONS 221 DAYS ON S[TE 222 • If EHS, amount must be in lbs. 365 STORAGE CONTAINER X^ a ABOVEGROUND TANK ^ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check nll that npply) ^ 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 Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS# I 226 Diesel Fuel #2 zz7 x ^ Yes ^ No 228 68476-34-6 229 10~% 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 24S III. SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246 Jennifer L. Friebel, Risk & Snjety Coordinntor ~~~• ~,~.~~ d~a3 D~ ig B E ft S F l D F/RE ARTM T I ~ ss... < ,. *..., ^ 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 FA ('A ,ITV iNF(1RMATi(lN ~~~ U ~ O ? FOR (one form per material per huilrling or nreaf Page _ of _ SUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Cream ;HEMICAL LOCATION 201 Outside Chemical Storage Area & CIP Rooms CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) ~ACILITY ID # (l I S I O 12 I 1 (.. I O I O I 1 14 (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 instructions 207 COMMON NAME EHS* ^ Yes D No 208 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 chie0 210 TYPE ^ p PURE 0 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 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 OO DAILY AMOUNT 2O 220 UNITS* Oga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON S[TE * 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 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 ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %W'I' H AZARDOUS COMPONENT EHS CAS # i zz6 Chelatin A eats 2r7 x Misture zz9 20 - 50% g S ^ ves ^ No 22s 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 SIGNATURE ~ F/1F //TL~ ~ ~' ~ /~~ DATE 246 Guy Morm+, Envira+mentnl Coorrlinntor / /I e re ~e~J~ s; F ~ o Fine ARTM T ^ 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. FACILITY INFORMATION ,~a"~ 'Rs ,.. °. FOR ~. (one form per mnterin( per building or area) Page _ of tUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 )reyer's Grand Ice Cream ;HEMICAL LOCATION 20I CIP Room 3 & 4 CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) 'AGILITY ID # I l I S ( ;I O 1 2 I 1 f "_I 0 I 0 (1 1 4 I 0 17 I 1 MAP # (optiarnt) 203 GRID # (optionnlJ 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 zos Exxelerate CIP CAS # 209 "IIEHS 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 3,000 gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ I FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEA LTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT I ~~ DAILY AMOUNT 2O 220 UNITS" ~ga GAL ^ cf CU Fr ^ Ib LBS If EHS, amount must be in lbs. ^ to TONS 221 DAYS ON SITE 365 222 STORAGE CONTAINER (Check n!! that npply) ^ a ABOVEGROUND TANK ^ b UNDERGROUND TANK c TANK INSIDE BUILDING ^ d STEEL DRUM ^ e PLASTIC/NONMETALLIC DRUM ^ f CAN ^ g CARBOY ^ h SILO ^ i FIBER DRUM ^ j BAG ^ k BOX ^ I CYLINDER ^ m GLASS BOTTLE ^ q RAIL CAR ^ n PLASTIC BOTTLE ^ r OTHER ^ o TOTE BIN ^ p TANK WAGON 223 STORAGE PRESSURE ~ a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE QX aAMBIENT ^ as ABOVE AMBIENT ^ 6a BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS# I 226 8% Sodium Hydroxide 227 ^ Ye9 X ^ No 22g 1310.73-2 229 2 3% 230 Sodium Hypochlorite 231 ^ Yes x^ No 232 7681-52-9 233 3 1 - 5 % 234 Chelating Agent 235 ^ yes ^x No 236 9003-04-7 237 4 I - 5% 238 Allionil: $UTfaCtarlt 239 ^ yes 0 No 240 1300-72-7 241 5 242 243 ^ Yes ^ No 244 245 PRINT NAME & TITLE OF A III. SIGNATURE UTHORIZED COMPANY REPRESENTATIVE SIGNATURE i _ , _ ~Yl.~ ,- ~_ .. Ia. i DATE 246 d i a E R S P I D F/RE ARTM T -.x..,.. .n ~-.._ ~f U C '~ ,OR~ CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW ^ ADD ^ DELETE ~ REVISE 200 I. FACILITX INFORMATION (one form per mnterinl per building or nren) Page _ of _ BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION CIP Room 5, fi, 8c 7 CHEMICAL LOCATION ^ yes ~ No 202 201 CONFIDEN7IAL (EPCRA) FACILITY ID # I l (S I 10 1 2 11 I>-> E O I O I I 14 I O 17 ( I MAP # (optional) 203 f GRID # (optianan 204 . II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME Foam Shine (High Foaming Acid Cleaner) EHS• ^ Yes x^ No 208 CAS # 209 *If EHS is"Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ p PURE ~ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID 0 1 LIQUID LARGEST CONTAINER 55 gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ I FIRE ~ ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HE ALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT 55 DAILY AMOUNT 55 220 UNITS• ~ ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON SITE • If EHS, amount must be in lbs. 36$ 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK ~ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check nll 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 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# 1 226 Phos horic Acid P zzl x ^ Yes ^ No 228 7664-38-2 z29 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 III. SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE p~ rN /r DATE 246 Guy Mornn, Enviraemenml Coordinnto ~ r pc ~3`~5 H E R S F 1 D FIRF AMTM T .a..~< .n 1+.' ~~ 0 _~J~~ FORS. CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION It ^ NEW ^ ADD I ^ DELETE 0 REVISE 200 I. FACILITY INFORMATION (one form per material per bui!<ling or area) Page _ of BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION Outside Chemical Storage Area CHEMICAL LOCATION ^ yes 0 No 202 201 CONFIDENTIAL (EPCRA) FACILITY ID # I I I S I I O (2 I l ( (0 10 I 1 ~ 4 I 0 1 7 I 1 MAP # (optional 203 II f{ GRID # (options!) 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME Foam Shine (High Foaming Acid Cleaner) 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 X^ I LIQUID LARGEST CONTAINER 55 gallOttS 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HE ALTH ^ S CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 2l9 STATE WASTE CODE AMOUNT DAILY AMOUNT 55 DAILY AMOUNT 55 220 UNITS* ^X ga GAL ^ cf CU FT ^ lb 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 FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check nl! 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 a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE XO aAMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 22S %WT HAZARDOUS COMPONENT EHS CAS# 1 226 Phosphoric Acid 227 ^ Yes ~ No 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 S 242 243 ^ Yes ^ No 244 24S I III. SIGNATURE PRINT NAME & T77LE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE/•'~,'.. •'. '~/f DATE 246 Guy Moran, Envirwlmentnl Coordinator ,~r~(~{~y ~~/}~f/~AA/ ~~~ l/©~~ 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_ FACILTTY INFORMATION ` ~ ~. v _.~" ~ GFOR (one form per mrrterinf per building or nren) Page _ of _ NSINESS 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) 'AGILITY ID # I l I S I O 1 2 I 1 L. I O I O (I 14 (O (7 I t MAP # (optionnO 203 GRID # (oplionnl) 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 ~ No 208 2171 General Cleaner 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 0 No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ~ s SOLID ^ 1 LIQUID LARGEST CONTAINER 2 pOllndS 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) 2l6 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT 2O DAILY AMOUNT I O 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/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check ntl thnt npplyJ ^ b UNDERGROUND TANK ^ f CAN ^x j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SILO ^ I CYLEYDER ^ p TANK WAGON STORAGE PRESSURE XD a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE QX a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT H AZARDOUS COMPONENT EHS CAS# I 2z6 36% Sodium Carbonate zz7 x ^ Yes ^ No 228 497-19-8 zz9 2 9% 230 Sodium Metasilicate 231 ^ Yes ~ No 232 6834-92-0 233 3 10% z3a Sodium Linear Alkyl Benzene Sulfonate 235 ^ Yes 0 No 236 25155-30-0 z37 4 3°/D 23s Sodium Tripolyphosphate 239 ^ ves ~ No zao 7758-29-4 zal 5 242 243 ^ yes ^ No 244 245 B E R S F 1 D F/RE AR1M f III. SIGNATURE `, PREJT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE /"~/ I"' ~I-.~IR~ DATE 246 Guv Morml Environmentnl Coorrlinntor ~.`,J1/~~ ;J,.ij(V ~_ B E R S F{ D F/RF r ARTM ' T -...~< .,.~e....- ^ NEW ^ ADD ^ DELETE CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION REV ISE 200 i_ FACH.iTY INFnRMATinN ~~ U O. ', OR •. (one farm per mnterinl per building or Wren) Page _ of _ tUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Cream :HEMICAL LOCATION 201 Maintenance Shop & Outside Storage Area CHEMICAL LOCATION ^ yes 0 No 202 CONFIDENTIAL (EPCRA) ~ACILITY ID # I l I S ~_ I 0 1 2 11 I O I O I I 1 4 I O 17 ( 1 MAP # (optionnt) 203 GRID # (optionn~ 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 Helistar SS CAS # 209 "If EHS is"Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by l ocal fire chief) 210 TYPE ^ p PURE ~ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 21I PHYSICAL STATE ^ s SOLID ^ I LIQUID LARGEST CONTAINER 336 Cf 215 g GAS 214 FED HAZARD CATEGORIES Q 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 100 DAILY AMOUNT SO 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 ABOV EGROUND TANK ^ e PLASTICMONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check nl! thnt 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 D I CYLINDER ^ p TANK WAGON STORAGE PRESSURE ^ a AMBIENT x ^ 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# 1 226 >5()% Ar on 2z7 g x ^ Yes ^ No 228 7440-37-1 zz9 2 230 <49% [-1ejjUrn 231 x ^ Yes ^ No 232 7440-59-7 233 3 234 <1% Carbon Dioxide 235 ^ Yes ~ No 236 124-38-9 237 4 238 239 ^ Yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 24S III. SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE `DATE 246 Guy Mormq Environmental Coordinator 9 it s /% 1 -„_. B E R S F~ t_D P/RE ARTM f ^ NEW ^ADD ^ DELETE CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION RE V ISE 200 T_ FACILTI'Y TNFnRMATTON r u c ~. • o ~,... gGFOR (one form per materinl per building or nren) Page _ of tUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 )reyer's Grand Ice Cream ;HEMICAL LOCATION 20I Materials RegUlSltlOn OfI1Ce CHEMICAL LOCATION ^ yes ^X No 202 CONFIDENTIAL (EPCRA) 'AGILITY ID # I l I S I I O 1 IIII 2 11 i I O I O I l 14 I O 17 I 1 MAP # (optiaia~ 203 GRID # (optionnO 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 16-7400Q Ink 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 0 No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER 1 liter 215 ^ g GAS 214 FED HAZARD CATEGORIES 0 1 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 DAILY AMOUNT $.28 DAILY AMOUNT 2.64 220 UNITS" ^X ga GAL ^ cf CU FT ^ lb LBS ^ m TONS 221 DAYS ON SITE , " If EHS, am ount must be in lbs. 36$ 222 STORAGE CONTABER (Check al! that apply) ^ a ABOVEGROUND TANK ^ 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 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 ^X a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS# I 226 1-Methoxy-2-Propanol 227 ^ yes ~ No zzs 107-98-2 zz9 1 - $% 2 z3o 2_~2_Ethoxyethoxy) Ethanol zit ^ yes x ^ No 232 111-90-0 z33 1 - $% 3 234 Basic Violet 3, CI 42$$$ ~ 235 ^ Yes ^X No 236 548-62-9 237 0.1-I% 4 1 - $% 238 Ethanol 239 ^ yes ~ No 240 64-17-$ 241 s 242 Methanol 243 ^ ves ~ ND 2aa 67-$6-1 zas 60 - 100% III. SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE ~ DATE 246 Guy Morttn, Environmental Coordiarttor ~,~~~, a'pZ e~ B E R S F I D F/RE ARTM T I f •-~--.. ..w -.. ~o ~. V ~„~ OR , CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW ^ ADD ^ DELETE ^X REVISE 200 (one form per ma(erial per bui(tling or area) Page _ of I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY 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 I I O 12 11 ~.-' I O I O I I 14 I O 17 I 1 MAP # (optional) 203 GRID # (optionnt) 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 JAX Magna-Plate 76 (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 PURE ~ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER 58 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 2l9 STATE WASTE CODE AMOUNT DAILY AMOUNT 5g DAILY AMOUNT $ 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 ^ a ABOVEGROUND TANK ^ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check a!l that npply) ^ 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# 1 226 White Mineral Lubricating Oils 227 ^ Yes ^X No zzs 229 1~~% 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 I III. SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE !T w ~"' DATE 246 Guy Moran, Environmentnf Coonlinatar ~{~ rnd••~~~~,I~%'3/(l~~J B E 0. 5 F 1 D F/RE ARTM T I f ~z-..r. ,~.a..~ ' ,~ ,.,.~ OR , 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 (one form per mrtterittl per building °r nreaf Page _ of BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION Materials Requisition Office CHEMICAL LOCATION ^ yes ^K No 202 201 CONFIDENTTAL(EPCRA) FACILITY ID # I I I S I - I O 12 11 ('.~-- I O I O I 1 14 I O 17 I I MAP # (optionn~ 203 ll GRID # (optional 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 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 PURE ~ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID X^ 1 LIQUID LARGEST CONTAINER 58 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 ANNLIAL WASTE 2I7 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT $g DAILY AMOUNT 5 220 UMTS` ~ 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 al] 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 X^ a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE Q aAMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS# 1 226 White Mineral Lubricating Oils 227 ^ Yes ^x No zzs 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 DATE 246 Guy Mornn, Errvirartmentul Coordinator ~(~ ~fj~,,l_~ ~I~.3~~ A B ~ E a S F 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 I. FACILITY INFORMATION ~, u c' F'OR ~, (one form per mnterinl per building or nren) Page _ of BUSINESS NAME (Same as FACILITY 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 ~' I O 12 11 I~>, I O I O I l 14 I O 17 ( I MAP q (optional) 203 1I` GRID # (optionnl) 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS• ^ yes D No 208 JAX Syncomp - FG ISO Grade 32 CAS p 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 $$ gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 F[RE ^ 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 $$ DAILY AMOUNT $ 220 UMTS* 0 ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON SITE ' If EHS, amount must be in lbs. 36$ 222 STORAGE CONTAINE R ^ a ABOVEGROUND TANK ^ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check nll 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 QX a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE Q aAMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS# 1 226 Synthetic Lubricating Oil 227 ^ ves ~ ND zza 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 DATE 246 Guy Mornn, Environmentnl Coordiantor B E R S P i D Five ARTM T r -..c~< _e.~y ~ ~~; `~' „~~ OR 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 (one form per material per building or wren) Page _ of I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION Materials Requisition Office CHEMICAL LOCATION ^ yes K^ No 202 201 CONFIDENTIAL (EPCRA) FACILITY ID # I I I S I- I O 12 11 I I O I O I l 14 I O 17 I 1 MAP # (oprionnQ 203 GRID # (optional) 204 II. CHEMICAL INFORMA TION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS* ^ yes X^ No 208 JAX Cryoguard 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 MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID X^ I LIQUID LARGEST CONTAINER 55 gallons 215 ^ g GAS 21a 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 DAILY AMOUNT 5$ DAILY AMOUNT 5 220 UNITS* ^X 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/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check a!! that apply) ^ b UNAERGROUND 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 ^X a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 °/DWT HAZARDOUS COMPONENT EHS CAS# 1 zz6 Hydrotreated Petroleum Paraffinic Mineral Lubricating Oil 227 ^ Yes ^x No zzs 8042-47-5 zz9 100% 2 230 231 ^ Ves ^ No 232 233 3 234 235 ^ Yes ^ No 236 237 4 238 239 ^ Yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 I III. SIGNATURE PR[NT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE ,e~ y /I DATE 246 Guy Mornn, Environmental Coordinator ~,w(x.y ~~~~~~ of /O[.3~0 5 B E R s F l D F/RE ARfM f r..~„ olps~. ~ o ', ~.~^ FOR , 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 (one jornr per materin! per building or wren) Page _ of BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION 201 Materials Requisition Office CHEMICAL LOCATION ^ ~,~ XQ No 202 CONFIDENTIAL (EPCRA) FACILITY ID # I l I S I O 12 11 I O I O I I (4 I O 17 I 1 MAP # (optional) 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 JAX Magna-Plate 220 FG, 460 FG 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) 2 I0 TYPE Q P pURE ^ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ^X 1 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) 2I6 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT 55 DAILY AMOUNT 55 220 UNITS• 0 ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON SITE • If EHS, artwunt 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!! thnt apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER 0 c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h S[LO ^ 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 °/DWT HAZARDOUS COMPONENT EHS CAS# I 226 100% White Mineral Lubricating Oils 227 ^ Yes ~ No 22g 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 I III. SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATUR/E.~e - .. v - 7~~ ~ ~ ~ ~~ ~ s~ C DATE 246 Guy Morro; Environmental Coordinator ../ fiW~J~ /~~I /,I•~ L(1//l~ .Lf~ ~~~ 7 B b R S F i~t D i/RE c ARTM T ^ 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 1_ FACiI,ITY INFEIRMATION .~ .~, V ~ Y OR ~ (aye form per mnterin! per building or nren) Page _ of tUSINESS 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) FACILITY [D # I l I S ~ ~~ O 12 11 I I O I O I I 14 10~ 7 I 1 MAP # (optionn~ 203 GRID # (optionnr) 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ y~ ^X No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS* ^ Yes ~ No 208 JAX Magna-Plate 22 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 2I1 PHYSICAL STATE ^ s SOLID 0 I L[QU[D LARGEST CONTAINER 55 gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTI V E ^ 3 PRESSURE RELEASE ^ 4 ACUTE HE ALTH ^ S CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT 1 O DAILY AMOUNT S 220 UMTS* ~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 FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check °!I thnt npply) ^ 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 X^ aAMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT H AZARDOUS COMPONENT EHS CAS# 1 zee None zz7 ^ Yes ^ No zzs zz9 2 230 231 ^ Yes ^ No 232 233 3 234 235 ^ yes ^ No 236 237 4 238 239 ^ yes ^ No 240 24t 5 242 243 ^ Yes ^ No 244 245 III. SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246 Guy Mornn, Environmentnl Coorrlinnlor ~ a~~31o~ B E R S P I D F/RE ARTM T ~ ~ U ~ O v'w i~m~ OR , 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 (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 ASRS -Cranes CHEMICAL LOCATION ^ yes 0 No 202 201 CONFIDENTIAL (EPCRA) FACILITY ID # I I I S I I O 12 11 I ~ O I O I l 14 I O 17 ( I MAP # (optionaO 203 1111 GRID # (optional) 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instmctions 207 COMMON NAME EHS• ^ y~ XQ No 208 JAX Magna-Plate 80, 86, 88 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 ^x I LIQUID LARGEST CONTAINER 15 gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ I FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all thaz apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT ~0 DAILY AMOUNT 6 220 UNITS• ^ ga GAL ^ cf CU FT ^ 16 LBS ^ to TONS 221 DAYS ON SITE * If EHS, amount must be in lbs. 365 222 STORAGE CONTAINE R ^ a ABOVEGROUND TANK ^ e PLAST[CMONMETALLIC 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 x^ d STEEL DRUM ^ h SILO ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE ^X a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE ^X aAMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS# 1 226 Synthetic Lubricating Oil zz7 ^ y~ Qx No zza 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 DATE 246 Guy Moran, Environmental Coordinator ~~~ ~~~ ~~~-r al~>~S ~_ B E R S F~ D F/RF ARTM T '.~.. .+.c....- ^ 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_ FAC(i,TI'Y iNFnRMATiON -~.~~, r * o~,.. °, FOR o (one form per material per 6uilrling or area) Page _ of _ W SINESS 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) ~AC[LITY ID # I I 15 ! `'I O 1 2 I 1 I I O I O I I 14 I O 17 ( I MAP # (optionnn 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 ~ No 208 16-7400Q Make Up Fluid 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 ~ 1 LIQUID LARGEST CONTAINER 1 liter 215 ^ g GAS 214 FED HAZARD CATEGORIES Q 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HE ALTH ^ 5 CHRONIC HEALTH (Check all that apply) 2I6 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT 5.2$ DAILY AMOUNT 2..64 220 IIMTS* ~ga GAL ^ cf CU FT ^ Ib LBS * If EHS, amount must be in lbs. ^ to TONS 221 DAYS ON SITE 365 222 STORAGE CONTAINER (Check nq that apply) ^ a ABOVEGROUND TANK ^ b UNDERGROUND TANK ^ c TANK INSIDE BUILDING ' ^ d STEEL DRUM ^ e PLASTIC/NONMETALLIC DRUM ^ f CAN ^ g CARBOY ^ h SILO ^ i FIBER DRUM ^ j BAG ^ k BOX ^ I CYLINDER ^ m GLASS BOTTLE ~ n PLASTIC BOTTLE ^ o TOTE BIN ^ p TANK WAGON ^ q RAIL CAR ^ r OTHER 223 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 #1 1 ~ 226 60 - 100% Methanol z27 x ^ Yes ^ No 228 67-56-1 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 w~ ~// ~ /p DATE 246 Guy Moran, Environmental Coordinator `_'J ~A~/ / V/ a~ ,~ _ ~ / ~ 7 7 /A~~ B E R S P i D Fine ARTM T ~nw~` O o 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 (one form per marerinf per building or men) Page _ of _ BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION Outside Chemical Storage Area CHEMICAL LOCATION ^ y~ ~X No 202 201 CONFIDENTIAL (EPCRA) FACILITY ID # I I 15 ~ i 0 12 l 1 I O I O I I 14 I O 17 I I MAP # (optionn~ 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 Mandate (Acid Sanitizes) 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 PURE ~ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ LARGEST CONTAINER s SOLID 0 ! LIQUID SS allOnS g 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 22O DAILY AMOUNT 1 1 ~ 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 nl1 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 CYLB~IDER ^ 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# l 226 Phosphoric Acid zz7 ^ y~ xQ No 2zs 7664-38-2 z29 22.5% 2 230 23I ^ 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 Moran, Environmental Coordinator ...C J~V ~~i/I~ ~h~fas B E R S P I D Fiiae ARTM T 7- ~ .z..~a ..~.-.. tl ~',.,. F'OR ,. CITY OF BAKERSFIELD i~FFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW OADD ^DELETE ^REVISE 200 I. FACILITY INFORMATION (one form per mnterinl per 6uilrling or nren) 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 l I S I O 12 11 I O I O I I 14 I O 17 I 1 MAP # (optional) 203 GRID # (oprionnfJ 204 II. CHEMICAL INFORMATION ' 205 TRADE SECRET ^ yes D No 206 CHEMICAL NAME If Subject to EPC12A, refer to mstrucuons 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 I-IZARD CLASSES (Complete if requested by local fire chief) 270 TYPE ^ p PURE ~ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE :!ll PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER 3,000 gallons 21S ^ g GAS :'.14 FED HAZARD CATEGORIES XQ I FIRE ~ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE H EALTH ^ 5 CHRONIC HEALTH (Check all that apply) :~ 16 ANNUAL WASTE 277 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT 3,000 DAILY AMOUNT I ,SOO 220 0 UMTS• ~ ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON S[TE 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 a!! that apply) ^ b UNDERGROUNLr TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE Bl1ILDING ^ 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 aAt.(BIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 22S %WT HAZARDOUS COMPONENT EHS CAS# I 226 Phosphoric Acid zz7 ^ ves ~ No zzs 7664382 zz9 22.5% 2 230 231 ^ Yes ^ No 232 233 3 234 23S ^ yes ^ No 236 237 4 238 239 ^ yes ^ No 240 247 S 242 243 ^ Yes ^ No 244 245 III. SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE 7 ~ DATE 246 Guy Moran, 6nvironmentnl Coorrlirmtor r`~..•;~ f ~ ~/~~(f f~/ ~h~e:5 B E R S P 1 D ifRE ARTM T ^ NEW ^ ADD ^ DELETE CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION C7REVtSE 200 I. FACILTI'Y INFORMATION ,x~`.~i u ,~~~`Y c ~w.. ~.w FOR (one form per mnterinl per building or area) Page _ of _ ~USINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 )reyer's Grand Ice Cream ;I~MICAL LOCATION 201 Outside Chemical Storage Area CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) 'ACll.ITY ID # I I I S I ~ O 12 I t O I O I I 14 I O 17 I 1 MAP # (optionn(J 203 GRID # (optia+uO 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME [f Subject to EPCRA, refer to instructions 207 COMMON NAME EHS" ^ yes 0 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) 2l0 TYPE ^ p pURE ~ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER 5$ gallons 216 ^ 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 1 ~ DAILY AMOUNT S 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 (Check all that npplyJ ^ a ABOVEGROUND TAYK x^ 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 BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SILO ^ 1 CYLEJDER ^ p TANK WAGON STORAGE PRESSURE x^ a AMBIENT t ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE x^ a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 22S °/DWT HAZARDOUS COMPONENT EHS CAS# 1 25% zz6 Acetic Acid 227 ^ Yes ~ No zzg 64-19-7 zz9 2 7% z3o Hydrogen Peroxide z31 ^ y~ ~ ND 232 7722-84-1 233 3 234 Perox acetic Acid z3s x 79-21-0 z37 $% y ^ Yes ^ No 236 4 i 238 239 ^ Yes ^ No 240 241 5 242 243 ^ yes ^ No 244 245 III. SIGNATURE PRINT NAME & TITLE OE AUTHORIZED COMPANY REPRESENTATIVE SIGNATUREi >, ~~ ~IN3~Q~ DATE 246 Guy Moran, Environmental Coordinator i`MJk~ 'U•1p~/, / % ~.' B E R S F I D F/RE ARTM T ^ 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 1. FACi1.iTV TNFnRMATinN o ~w„...w+ 4 1•'OR (owe form per mntennl per building or nrenJ Page _ of _ IUSINESS NAME (Same as FACILITY NAME or DBA -Doin g Business As) 3 )reyer's Grand Ice Cream ;HEMICAL LOCATION 201 CIP Room 3 & 4 CHEMICAL LOCATION ^ ~,~ QX No 202 CONFIDENTIAL (EPCRA) 'ACII,ITY ID # I 5 0 2 '~„: 1 0 0 1 4 0 7 1 MAP # (optiatnn 203 GRID # (optiown~ 204 ._ II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ^X No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS" Q yes ^ No 208 Mandate Plus 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 0 No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~1 LIQUID LARGEST CONTAINER 29,2481bS. zls ^ 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 DAILY AMOUNT 97S DAILY AMOUNT 19S 220 UIVITS• ^ ga GAL ^ cf CU FT X^ Ib LBS ^ to TONS 221 DAYS ON SITE ' If EHS, anwun[ 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 n/l thnt 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 ~ a AMB[:3NT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE Q a AMB{:3NT ^ as ABOV E AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT H AZARDOUS COMPONENT EHS CAS# 1 8°/D zz6 Phosphoric Acid 227 ^ Yes 0 No z28 7664-38-2 zz9 2 I$% 230 Aeetie ACid 231 ^ Yes ~ No 232 64-19-7 233 3 14°/D 234 Nitric ACId 235 X ^ Yes ^ No 236 7697-37-2 237 4 5 - 2~% 238 Organic Acids 239 ^ yes ~ No 240 Mixture 241 5 $ - 2~% 242 Anionic Surfactant 243 ^ Yes ~ No 244 Confidential 245 III. SIGNATURE / PRINT NAME & TITLE OF AUTHORIZED COMPANY REF'RESENTATI VE SIGNATURE ~ , , , _ +1 ~~ ? JO~ DATE 246 Gu Mornn, Environmewtnl Coorrliwntor J~~(il/~/- /^/ si J// ~ P B E R S P I D Fine ARiM r ,s...s .e..., 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 o -~~~ ~6 R~ (one form per material per building or area) Page _ of I. FACILITY INFORMATION 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 ~ ` I I 0 12 I I I_.... I 0 ~ 0 I l 14 I 0 17 I t MAP # (optionaO 203 GRID # (optional) 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes D No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME Mikroklene DF (Idophor Detergent Disinfectant) EHS" ^ yes ~ No 208 CAS # 209 "[f EHS is"Yes," all amounts below must be in lbs . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 2 10 TYPE ^ p pURE ^X m MIXTURE RADIOACTIVE ^ Yes 0 No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ X LARGEST CONTAINER s SOLD ^ 1 LIQUID 55 allons g 21s ^ g GAS 21a 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 11 O DAILY AMOUNT SS 220 UNITS" X^ 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 RAIL CAR 223 (Check nl! 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 ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS# z 6 Iodine zz7 ^ y~ ^x No zzs 7553562 zz9 1.75% 2 6.5% 230 Phosphoric Acid 231 ^ Yes ~ No z3z 7664382 z33 3 2% 234 2-Butoxyethanol 235 ^ yes ~ No 236 1 11762 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~RJE DATE 246 Guy Moran, Environmental Coordinator ~~ w,Vl i "a ~~ ~~;~ ^ NEW ^ ADD B E R S F 1' D F/RE AMTM T •.,s~< .e..,., o~ ORN ~~.~ CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION DELETE ^REVISE 200 I. FACILITY INFORMATION (one form per material per building or nren) Page _ of BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION Air Compressor Room CHEMICAL LOCATION ^~,~ QX No 202 20i CONFIDENTIAL (EPCRA) FACILITY ID # I 1 I S I I O 12 11 ~ O I O I 1 14 10 (7 I 1 MAP # (optionnn 203 GRID # (optional) 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes L7 No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 ' COMMON NAME EHS' ^ Yes x No zog Mobil Multipurpose ATF (Dextron 3) CAS # 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 ^ p PURE ~ m MIXTURE RADIOACTIVE ^ Yes ^ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~I LIQUID LARGEST CONTAINER $$gallons zls ^ 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 DAILY AMOUNT I E)S DAILY AMOUNT S 220 UMTS" 0 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!! 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 XC~ 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# I 226 Diphenylamine 227 ^ Yes 0 No zzg 122-39-4 zz9 I% 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 I III. SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246 Guy Moran, Environmental Coorrlintttor ~ ~Q/~w ~~-~~S B E R S F 1,? ~_D F/RE ARfM f ^ NEW ^ ADD ^ DELETE CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION DREVISE 200 1_ FACiI.iTY INFORMATION o ~kt~ o ,4~.. OR~ (one form per mnterin! per building or nreu) Page _ of _ IUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 heyer's Grand Ice Cream ;HEMICAL LOCATION 201 Outside Chemical Storage Area CHEMICAL LOCATION ^ y~ ^X No 202 CONFIDENTIAL (EPCRA) 'ACIl,ITY ID # ~ I I S ~ !':I 0 1 2 ` 1 I:.:. l 0 I 0 I l 14 l 0 17 ~ 1 MAP # (optionnl) 203 GRID # (optimm~ 204 II. CHEMICAL INFORMA TION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS* ^ Yes D No 208 Nalco 2560 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 PURE ~ m MIXTURE RADIOACTIVE ^ Yes x^ No 212 CURIES 2l3 ^ 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 DAILY AMOUNT SO DAILY AMOUNT 1 220 UMTS* ~ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON SITE * If EHS, anaunt must be in lbs. 365 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK D e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Cfieck n!f thnt npply) ^ 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 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 zr7 x ^ Yes ^ No 228 7647-01-0 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 PRINT NAME & TITLE OF A III. SIGNATURE UTHORIZED COMPANY REPRESENTATIVE SIGNATURE A.I n..~ . ~ . ~ DATE 246 Guy Mornn, Environmentnf Coorrlinntor /'• e B E R S P I L D F/RE AR1M f ^ 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. FACII,ITV iNFnRMATinN 0 * 4~ w+ FOR (one form per mn[erial per building or area) Page _ of _ IUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 heyer's Grand Ice Cream ;HEMICAL LOCATION 201 Outside Chemical Storage Area CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) 'ACII,ITY ID # I l I S L. €~ O 1 2 11 O I O I l 14 I O 17 I 1 MAP # (optionnn 203 GRID # (optional 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ^D No 206 CHEMICAL NAME If Subject [o EPCRA, refer to instructions 207 COMMON NAME EHS* ^ yes D No 208 Nalprep 2$78 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 ~ I LIQUID LARGEST CONTAINER $$ 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) 2 ] 6 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT $$ DAILY AMOUNT I 220 UNITS* ~ga GAL ^ cf CU FT ^ Ib LBS * If EHS, amount must be in lbs. ^ to TONS 221 DAYS ON SITE 36$ 222 STORAGE CONTAINER (Check all that npplyf ^ a ABOVEGROUND TANK ^ b UNDERGROUND TANK ^ c TANK INSIDE BUILDING ^ d STEEL DRUM ~ e PLASTIC/NONMETALLIC DRUM ^ f CAN ^ g CARBOY ^ h SILO ^ i FIBER DRUM ^ j BAG ^ k BOX ^ I CYLINDER ^ m GLASS BOTTLE ^ q RAIL CAR ^ n PLASTIC BOTTLE ^ r OTHER ^ o TOTE BIN ^ p TANK WAGON 223 STORAGE PRESSURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE []X a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGEMC 225 °/DWT HAZARDOUS COMPONENT EHS CAS# 1 226 10-30% Sodium Hexametaphosphate 227 ^ ves ~ No 2zs 10124-$6-8 229 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 III. SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMI'ANY REPRESENTATIVE SIGNATURE " ~ ~ // (~ DATE 246 Guy Morrm, Enviratmentnl Coordinator e~~/ iD~yy • ~ a-~ / D v -- B B R S F[ L D F/RE ARTM f -:~~ ,er.... ^ 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 L FA('ii.iTV iNFORMATif1N ~,.w FpR ~ (one form per mnterirt! per building or nren) Page _ of BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 heyer's Grand Ice Cream :HEMICAL LOCATION 201 Outside Chemical Storage Area CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) FACILITY ID # I I I S I I O 1 2 ~ l I O I O I I 14 I O 17 I 1 MAP # (optionn~ 203 GRID # (optionnn 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 zos Nalco 2896 Liquid CAS # 209 *If EHS is"Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 2t0 TYPE ^ p PURE 0 m MIXTURE RADIOACTIVE ^ Yes x^ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ^x I LIQUID LARGEST CONTAINER $$ gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE I-tE ALTH ^ 5 CHRONIC HEALTH - (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT ] 0 DAILY 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 ~ e PLASTIC/NONMETALL[C DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check nl! rhnt npply) ^ 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 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# t 1 - $% zz6 Sodium Hydroxide 227 ^ ves ^x ND zzs 1310-73-2 zz9 2 230 231 ^ Yes ^ No 232 233 3 234 235 ^ Yes ^ No 236 237 4 238 239 ^ yes ^ No 240 241 5 242 243 ^ yes ^ No 244 245 III. SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246 Guy Morttn, Environmental Coordinator ~1 ~ i ~ ~~ ~~ B E R S F I D F/RE ARTM T ~.-~.. .,. c.... ^ NEW ^ ADD ^ DELETE CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave.; CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION OREVI$E 200 1. FACILITY INFORMATION a ~ _ ~~ c u .~, o • Ca,,..~ FOR (one jorm per mnterinl per huilding or nren) Page _ of iUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Cream ;HEMICAL LOCATION 201 Warehouse CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) 'AGILITY ID # I I I S f 10 (2 11 11 I 10 I 0 I 1 (4 10 1 7 ( I MAP # (optionnn 203 GRID # (optiamO 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 zos N & A Vantasia Vanilla Flavoring 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 TtPE ^ P PURE ~ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID 0 I LIQUID LARGEST CONTAINER 1 gallon 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 DAILY AMOUNT 1 OO DAILY AMOUNT SO 220 UNITS" ~ ga GAL ^ cf CU FT ^ Ib LBS • If EHS, amount must be in lbs. ^ to TONS 221 DAYS ON SITE 36S 222 STORAGE CONTAINER (Check all that aPPlY~ ^ a ABOVEGROUND TANK ^ b UNDERGROUND TANK ^ c TANK INSIDE BUILDING ^ d STEEL DRUM ^ e PLASTIC/NONMETALLIC DRUM ^ f CAN ^ g CARBOY ^ h SILO ^ i FIBER DRUM ^ j BAG ^ k BOX ^ I CYLINDER ^ m GLASS BOTTLE ^ q RAIL CAR ^X n PLASTIC BOTTLE ^ r OTHER ^ o TOTE BIN ^ p TANK WAGON 223 STORAGE PRESSURE STORAGE TEMPERATURE Q a AMBIENT ^ a AMBIENT ^ as ABOVE AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ~ ba BELOW AMBIENT ^ c CRYOGENIC 224 225 %WT HAZARDOUS COMPONENT EHS CAS# I > 1% zz6 Ethyl Alcohol 227 ^ Yes x^ No zza Mixture 229 2 >1% z3o Nulomoline 11 231 ^ ves 0 No z32 Mixture 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 ~f~ ~~ ~ Cuy Moran, Environmental Coordinator i~JNM~ L~~~ / ~ ~~ DATE 246 B ~~E RSFI D F/RE ARTM t y~ O OR^ 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 (one form per material per huilrling or Wren) Page _ of _ BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION Engine Room #1 -Water Treatment CHEMICAL LOCATION ^ yes 0 No 202 201 CONFIDENTIAL (EPCRA) FACILITY ID # I I I S I 0 (2 I I O I O I I 14 I O 17 I 1 MAP # (aptionnn 203 GRID # (optionnn 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME NalCO 2536 PLUS 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 0 No 212 CURIES 213 ^ w WASTE 21I PHYSICAL STATE ^ s SOLID 0 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 apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT $5 DAILY AMOUNT 55 220 UMTS' ^X ga GAL ^ cf CU FT ^ lb LBS ^ to TONS 221 DAYS ON SITE * If EHS, amount must be in lbs. 365 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK X^ e PLASTIC/NONMETALLIC 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 BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SILO ^ 1 CYLINDER ^ p TANK WAGON STORAGE PRESSURE a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE XQ a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS# I 1 % zz6 Sodium Mercaptobenzothiazole zz7 ^ ves ~ No zzs 2492-26-4 zz9 2 $% 230 Sodium Nitrite 231 ^ Yes ~ No 232 7632-00-0 233 3 5% 234 Sodium Tetraborate 23s ^ yes ~ No z36 1330-43-4 237 4 238 239 ^ Yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 III. SIGNATURE PRIN7 NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE ' / DATE 246 Cuy Moran, Environments( Coordinator ~/'~%~~J •'~ 3/R~J~ e exsrt o P/RB ABTM f ~~~ ~. ~ ~~ ^ NEW DADD BUSINESS NAME (Same as FACI Dreyer's Grand Ice Cream CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ DELETE ^ REVISE 200 or (one form per material per building or area) Page _ of _ CHEMICAL LOCATION 201 Engine Room #2 (New Construction)- Water Treatment CHEMICAL LOCATION CONFIDENTIAL (EPCRA) ^ Yes D No 202 FACB.ITY <D #..I 1 I S I 1 0 12 I 1 ~ O I O ~ l 14 I O 17 ( 1 MAP # (optiona# 203 GRID # (optional) 204 _ __._° II.GIIEMICAL INFORMATION ._,.: _..~. ~ ,. ~~- 205 TRADE SECRET ^ yeS X^ No 206 CHEMICAL NAME refer to instructions IfSubjeMtoEPCRA, 207 COMMON NAME Nalco 2536 Plus EHS' ^ yes X^ No 208 CAS # 209 'If EHS is"Yes,' all amounts below_mus[be in Ibs . FIRE CODE HAZARD CLASSES (Complete if requested by Iocal fire chief) 210 TYPE ^ p PURE X^m MIXTURE RADIOACTIVE ^ Yes X^ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ 1 LIQUID LARGEST CONTAINER 55 gallons 21s ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH 216 (Check all thaz apply) ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE 220 AMOUNT 0 DAILY AMOUNT I DAILY AMOUNT .$ UNITS' X^ ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON SITE 222 • If EHS, amount must be in Ibs. 365 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTIC/NONMETALLIC DRUM ^ i F[BER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check aA 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 d STEEL DRUM ^ h SILO ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE QX a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE Q aAMEIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS# ' 226 Sodium Mercaptobenzothiazole 227 ^ Yes X^ No 228 2492-26-4 229 1% 2 $% 230 Sodium Nitrite 231 ^ Yes 0No 232 7632-00-0 233 3 s°~° i34 Sodium Tetraborate z3s ^ Yes ~No z36 1330-43-4 z37 4 238 239 ^ Yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 III. SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE /1 DATE 246 Guy Moran, Environmental Coordinator ~~ ~%r~~r ~ 3 f/5 /'"~ ~„_''yI B e R S P l D F/RE ARTM T u ~.. o 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 (mre form per mnterinl per building or Wren) Page _ of BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION Engine Room #1 -Water Treatment CHEMICAL LOCATION ^ yes ~ No 202 201 CONFIDENTIAL (EPCRA) FACILITY ID # I I I S ~ I O 12 11 I I O I O I I 14 I O 17 I 1 MAP # (optionnn 203 GRID # (optiorrnn 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject [o EPCRA, refer to instructions 207 COMMON NAME Nalco 2$48 Oxygen Scavenger 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 2I1 PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINE R $$ gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ I FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 2l6 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT I I O DAILY AMOUNT $$ 220 UNITS* ~ 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 D e PLASTICMONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RA[L CAR 223 (Check n!! thnt npply) ^ 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 QX a AMBIEN7 ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS# I 40% zz6 Sodium Bisulfate 227 ^ Yes ~ No 22g 7631-90-$ zz9 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 $ 242 243 ^ yes ^ No 244 245 III. SIGNATURE PRIM NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE Guy Monur, Envirorrmentnl Coordinator .,~,y ~ DATE y~,,, ~ a. aalo5 246 .~'~ ^ NEW ^ ADD B E R S P I D ~; FrRe ARTM T -.x..,< ....-.., ~~ ,..~ o CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ DELETE ~ REVISE 200 I. FACILITY INFORMATION (ane form per material per building or nren) Page _ of BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION CIP Room 3 & 4 CHEMICAL LOCATION ^ yes ~ No 202 201 CONFIDENTIAL (EPCRA) FACILITY ID # ~ I ~ 5 ~ ~ ~ 0 ~ 2 ~ 1 ~ ~ 0 ~ 0 ~ I ~ 4 ~ 0 ~ 7 ~ 1 MAP # (optional 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 Oxonia Active (Acid Sanitizer) 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 PURE ~ 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 HE ALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT I ~~ DAILY AMOUNT $~ 220 UNITS• ~ 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 ~ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR' 223 (Check all that apply) ^ b UNDERGROUND?ANK ^ 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 AMBIEN7 ^ 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# 1 226 Acetic Acid zn x ^ Yes ^ No 228 64-19-7 zz9 8% 2 2~.$% 230 Hydrogen Peroxide 231 ^ Yes ~ No 232 ~~ZZ-84-I 233 3 234 Perox aeetlC ACId y 235 X ^ Yes ^ No 236 ~9-2I-~ 237 $ g% 4 238 239 ^ Yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 III. SIGNATURE PRIN7 NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE r~ DATE 246 Guy Moran, Environmeiunl Coordinator _~I1AI/ ~~~ d~ 5 r''" B i t E R S F '. ~ D P/RE ARTM T ~,~r f'OR , CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW ^ ADD ^ DELETE ~ REVISE Z00 (aye form per materiel per building or area) 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 Chemical Storage Area CHEMICAL LOCATION ^ Yes ^X No 202 201 CONFIDENTIAL (EPCRA) FACILITY ID # I I I S I I O 12 I I I O I O I I 14 I O 17 I 1 MAP # (optional) 203 GRID # (optiam/) 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ Yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME OXOnIa AetiVe ~ ACid $anltjZei) _ 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 pURE ~ m MIXTURE RADIOACTIVE ^ Yes ~No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID O1 LIQUID LARGEST CONTAINER 55 gallons zls ^ 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 ANNIiAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT I OO DAILY AMOUNT SQ 220 UNITS* ~ ga GAL ^ cf CU FT ^ lb LBS ^ to TONS 221 DAYS ON SITE * [f EHS, amount must be in lbs. 36$ 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK D e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check all that npply) ^ 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 ^x a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS# I 226 Acetic Acid zz7 x ^ Yes ^ No 228 64-19-7 z29 g% 2 27.5% 230 Hydrogen Peroxide 231 ^ Yes ~ No 232 7722-84-1 233 3 234 PeroX aCetlC ACId y 235 X ^ Yes ^ No 236 79-21-~ 237 5 8°/D 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~ _ ,~//~ ~/ ~ J_ - / ~ DATE 246 Guy Marne, Environments( Coorrlinntor ~ +~/./1^''1~1_9T/ / /Wn-nv /~h,~"f B E R S P I D FirRe ARfM T .s..y ~ '.« _... 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 Dreyer's Grand Ice Cream I. FACILITY INFORMATION u o FORS (ane form per mnterin! per building or nrenJ Page _ of _ CHEMICAL LOCATION 201 Maln2enanee Shop and OUtSlde GaS Storage Area CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) FACILITY ID # I l 1 5 I i 0 12 I l I _ I 0 I 0 I 1 (4 I O 17 I 1 MAP # (optionnn 203 GRID # (optionnn 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME Oxygen If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS* ^ yes 0 No 208 CAS # 77$2-44-7 209 *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 249 CU FT 215 g GAS 214 FED HAZARD CATEGORIES XD 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE 220 AMOUNT DAILY AMOUNT I O DAILY AMOUNT S 0 UNITS* ^ ga GAL ~ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON SITE 222 * If EHS, arnount 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 °!( 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 ^ a AMBIENT ^x 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# 1 226 Oxygen, Compressed zz7 ^ yeS x ^ No zzs 7782-44-7 z29 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 _ J ~Y~ Cuy Marnn, Environments! Coanlinator ~ //`w~ ~~f~ [b - _ ~ ~ ^'' ~ DATE ~` m4? 246 U B E R S P I D F/RE ARTM T .xy. .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 I. FACILITY INFORMATION ~~~ U O '. ~o~. (one form per material per huilrling or aret+) Page of BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION Glycol System CHEMICAL LOCATION ^ y~ ^X No 202 201 CONFIDENTIAL (EPCRA) FACILITY ID # I l I S I_ I O 12 11 I O I O I I 14 I O 17 I I MAP # (optional) 203 GRID # (optionan 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME Propylene Glycol -Industrial If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS" ^ Yes ^x No 208 Glycol CAS # 209 "If EHS is"Yes," all amounts below must be in Ibs. 57-55-6 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 1,100 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 DAILY AMOUNT 1,100 DAILY AMOUNT 1,100 220 UMTS" ~ ga GAL ^ cf CU FT ^ Ib LBS ^ 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 ^ q RAIL CAR 223 (Check all that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ~ r OTHER ^ c TANK INSIDE BUILDEJG ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SILO ^ I CYLINDER piping ^ p TANK WAGON STORAGE PRESSURE QX 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 1, 2 - Propanediol 227 ^ Yes ~ No 2zs 57-55-6 zz9 100% 2 230 231 ^ Yes ^ No 232 233 3 234 235 ^ yes ^ No 236 237 4 238 239 ^ ~,~ ^ No 240 241 5 242 243 ^ yes ^ No 244 245 III. SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE /~~/~~/~ _ DATE 246 Guy Moran, Environmental Coorrlinaror ~/ J ~ ~r/.YffilA/ `~ J23~ S B E R S P I D Fine ARAM f I ~ .x~< _e~...- ^ NEW ^ ADD ^ DELETE u ~~ ti OR ~, CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per msterisl per building or nren) REVISE 200 ~ Page _ of _ I. FACILITY INFORMATION tsustrvtss rv.amr. Dame as rnuLt t r rvmm~ or ursn - Dreyer's Grand Ice Cream CHEMICAL LOCATION 201 Outside Chemical Storage Area CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) FACILITY ID # I l I S ~ I O 12 11 ~ I O I O I I ~ 4 I O 17 I, 1 MAP # (option~O 203 ffll GRID # (optionn~ 204 - II. CHEMICAL INFORMATION 205 TRADE SECRET ^ y~ ^X No 206 CHEMICAL NAME Propylene Glycol -Industrial If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS• ^ Yes 0 No 208 CAS # 57_55_( 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 Q 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 CATEGORIES ^ 1 F[RE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HE ALTH ^ S CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE 220 AMOUNT DAILY AMOUNT 170 DA[LY AMOUNT 17~ 0 UMTS• x^ 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 ^x e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check nfl thnt npply) ^ 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 a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE ^x aAMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS# I 226 1,2-Pro anediol p zz7 x ^ Yes ^ No 228 57-55-6 229 100% 2 230 231 ^ Yes ^ No 232 233 3 234 ~ 23S ^ yes ^ No 236 237 4 238 239 ^ Yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 III. S[(GNA'I'UKE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE 1 DATE 246 Guy Moran, Environments/ Coorrlinntor ~t~ ~~jyM/ a'Z3 Les B E R S P I D F/RE ARTM T r, U ~~~o ORp CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^NEW ^ ADD ^DELETE 0 REVISE 200 (a+e form per marerinl per buelding or area) Page _ of _ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Crea m CHEMICAL LOCATION 20 1 CIP Room 3 & 4 CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) FACILITY ID # I l I S 1 0 (2 I I O I O I l 14 I O 17 I 1 MAP # (optional) 203 GRID # (optional) 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME [f 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 WASTE 211 PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER 3,000 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 2I7 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT 3,000 DAILY AMOUNT 200 220 UNITS" x^ ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON SITE 222 * [f 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 that npplyJ 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 ^x 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# t 226 Sodium Hydroxide zn x ^ Yes ^ No 228 1310-73-2 zz9 1 O% 2 3% 230 Sodium Hypochlorite 231 ^ Yes ~ No 232 7681-52-9 233 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 DATE 246 Guy Mornn, Environmenrnl Coordi+mtor ~(~ B l: R S P 1 D F/RE ARTM T -~ ~< er:.~ fo,. 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 (one form per material per but/ding or nren) Page _ of BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) - 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION 201 Chemical Storage Area CHEMICAL LOCATION ^ y~ ^X No 202 CONFIDENTIAL (EPCRA) FACILITY ID # I l I S I I O Iff 12 11 I I O I O I l 14 I O 17 I 1 MAP # (optional) 203 GRID # (optional 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes a No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME QUOiUm Clear ~QUatemary AmmOBlllm Saniti2eT) ~ EHS* ^ Yes X^ No 208 CAS # 209 'If EHS is"Yes," all amounts below must be in tbs . 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 ~ 1 LIQUID LARGEST CONTAINER $$ gallons 215 ^ g GAS 21a 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 DAILY AMOUNT 1 10 DAILY AMOUNT $$ 220 0 UNITS" 0 ga GAL ^ cf CU FT ^ lb LBS ^ to TONS 221 DAYS ON SITE 222 * If EHS, amount must be in lbs. 3b$ STORAGE CONTAINER ^ a ABOVEGROUND TANK ~ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check all thnt 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 AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS# 1 226 Alkyl Dimethybenzylammonium Chloride zz7 ^ Yes x^ No z2s 8001$4$ 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 DATE 246 Cvy Moran, Environmeiun(Coardinntor ~C /111~J i~~~ ~ ~~ 3~ ~] B E R s P l D F/RE ARTM T ,,.~ OR 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 (one form per mnterin! per building or nren) Page _ of BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Crea m CHEMICAL LOCATION 201 Chemical S10Tage Aiea CHEMICAL LOCATION ^ yes ^X No 202 CONFIDENTIAL (EPCRA) FACILITY iD #{ 1 { 5 I I 0~ 2 I 1 I... ~ 0{ 0 I 1 ~ 4 I 0 1 7 I 1 MAP # (options!) 203 II I GRID ri (optionn~ 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instmctions 207 COMMON NAME Quorum Brown (Heavy Duty Alkaline Cleaner) EHS* ^ yes QX 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) 2 10 TYPE ^ p PURE ~ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 2ll PHYSICAL STATE ^ s SOLID ^X 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 DAILY AMOUNT 110 DAILY AMOUNT 55 220 UNITS* X^ 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 thnt npply) ^ 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 a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE ^X aAMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 °/DWT HAZARDOUS COMPONENT EHS CAS # t 226 Sodium Hydroxide z27 ^ y~ ~ No zzg 1310732 zz9 45% 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 III. SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATU~RE~~ ~~y) ,//~~/7' y~-_'A DATE 246 Guy Mornn, Environmentnl Coonlirrntor '~ ~.~^e"'1 /~%'lr'(•' YlX//`/ ~I a 31e ~ B~ E R S P I D F/RE 1ARTM T ,, '~~ , ORa CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW ^ ADD ^x DELETE ^REVISE 200 (one form per mnterinl per building or wren) Page _ of _ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Crea m CHEMICAL LOCATION Outside Chemical Storage Area CHEMICAL LOCATION ^ yes ~ No 202 201 CONFIDENTIAL (EPCRA) FACILITY ID # I l I S I. ~ O 12 I 1 I`. I 0 I 0 (1 14 I 0 17 I 1 MAP # (optionnn 203 f1 GRID # (optiouun 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME Lf Subject to EPCRA, refer to iastrucnons 207 COMMON NAME Quorum Yellow II (Alkaline CIP Cleaner) 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) 2 10 TYPE ^ p PURE ~ m MIXTURE 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 HE ALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT 110 DAILY AMOUNT SS 220 UMTS* ~ ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON SITE * If EHS, anrount must be in lbs. 365 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^x e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAA 223 (Check a1! that npp(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 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 %WT HAZARDOUS COMPONENT EHS CAS# 1 226 Sodium Hydroxide zn ^ yes X ^ No zz8 1310-73-2 zz9 15% 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 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE y~1 ~ " ~ I DATE 246 Guy Mortnq Environmetttnl Coordinntor _ ~ 11J1iV1- ~~%~~~~~n,.v ~ ~'7/@-~j~ "-( B E R S P~ D F/RE ARTM f u ,..~^ ~ fOR , 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 (one form per mnterinl per building or Wren) Page _ of _ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Crea m CHEMICAL LOCATION Outside Chemical Storage Area CHEMICAL LOCATION ^ yes ~ No 202 201 CONFIDENTIAL (EPCRA) FACILITY ID # I l I S I I Iii O 12 11 ( O I O I l 14 I O 17 I 1 MAP # (optionsO 203 GRID # (optionsO 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME Quorum Yellow LP 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) 2 10 TYPE ^ p pURE ~ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 2l3 ^ 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 2 17 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT 110 DAILY AMOUNT SS 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 ~ e PLASTICMONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check nl! 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 °/nWT HAZARDOUS COMPONENT EHS CAS # 1 226 Sodium Hydroxide 227 ^ ves ~ No zzs 1310-73-2 zz9 10% 2 230 Sodium Hypochlorite 231 ^ Yes ^X No 232 7681-52-9 233 3°/n 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 Moran, Envirmrmentnl Coortlinntor ,~~ ~~'}~~,ylr ~ d3 5 B E A S F{ D FrRe ARTM T -.x-+a .e ~..t f-~ ;Rr OR , 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. FACILTTY INFORMATION (one form per mn(erinl per building or Wren) Page _ of BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION WaiellOUSe CHEMICAL LOCATION ^ y~ QX No 202 CONFIDENTIAL (EPCRA) 201 FACILITY ID # I I I S ~` 1 0 (2 11 I 10 I 0 (I 1 4 ~ 0 1 7 I 1 MAP # (optionn<) 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 Soybean Oil /Vegetable Oil t EHS* ^ y~ Q 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) 2 10 TYPE ~ p PURE ^ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 2l3 ^ w WASTE 2I1 PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER 5 gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ } ~~ ^ 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 ,~48 DAILY AMOUNT 720 220 UMTS* ^X 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 nll thnt npply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ~ r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BRJ ^ d STEEL DRUM ^ h SILO ^ I CYLINDER Steel Pail ^ 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 °/nWT HAZARDOUS COMPONENT EHS CAS# 1 226 None 227 ^ Yes ^ No 228 229 2 230 231 ^ Yes ^ No 232 233 3 23a 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 DATE 246 Guy Momn, Environmental Coortlinntor (~/ I' /M./7 n~ / ~a3~~ S B E ft S A I D F/R6 ABTM 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 area) ^ NEW ^X ADD ^ DELETE ^ REVISE 200 Page _ of I. FACILTI'Y INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Crrand Ice Cream CHEMICAL LOCATION 201 Chemical Storage Area CHEMICAL LOCATION ^ Yes QX No 202 CONFIDENTIAL (EPCRA) FACn.ITY B)# ~ 1 5 0 2 1 0 0 t 4 0 7 1'~ MAP # (optional) 203 GRID # (optional) 204 IL CHEMICAL INFORMATION 205 TRADE SECRET ^ Yes ^D No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME Ster_Bae (F&B) EHS• ^ yes X^ No 208 CAS # 209 •IfEHS is"Yes," all amountsb~elo`w must be.ili lbs . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ p pURE Om MIXTURE RADIOACTIVE ^ Yes 0 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 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 21 7 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE 220 AMOUNT DAILY AMOUNT 20 DAILY AMOUNT S 221 UHITS• ^X ga GAL ^ cf CU FT ^ Ib LBS ^ to ?ONS 221 DAYS ON SITE 222 • IfEHS, amount must be in lbs. 365 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 BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^D d STEEL DRUM ^ h SILO ^ I 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 °/DWT HAZARDOUS COMPONENT EHS CAS # ~~ 1 226 Alkyl dimethyl benzyl ammonium chloride 227 ^ Yes 0 No 228 68424-85-1 z29 10% 2 1-$% 230 Ethanol 231 ^ Yes ^x No 232 64-17-5 233 3 234 235 ^ yes ^ No 236 237 4 238 239 ^ Yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 111. Jll>[VA1 U1(L' PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE~~~ ~n~ DATE 246 Guy Moran, Environmental Coordinator / ~~~ '~ f ~3 Q B E R S P I D F/RE ARTM T i ~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. FACILITY INFORMATION o ,,..~^ o , (one form per material per building or nren) Page _ of _ BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION 201 Engine Room #2 Cooling Tower Condenser CHEMICAL LOCATION ^ yes ^X No 202 CONFIDENTIAL (EPCRA) FACILITY ID # ~ l 15 l 0 (2 I l I O I O I I 14 ~ O 17 ~ 1 MAP # (optionn<) 203 {II GRID # (optional) 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME Stabrex ST40 EHS" ^ y~ ^Q 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) 2 l0 TYPE ^ p pURE ~m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ 1 LIQUID LARGEST CONTAINER 100 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 DAILY AMOUNT I DAILY AMOUNT .S 220 0 UNITS" ~ 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 nll 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 D 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 Sodium Hydroxide zz7 ^ y~ ^x No 2z8 1310-73-2 zz9 1.0-5.0% 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 III. SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~ SIGNATURE ~ ~,,~ ~ ~,~ ~ q~ DATE 246 Guy Mornn, Environmental Coordinator + ~~1~~:~~67/~~ ~f~~// B- I E R S P 1 D F/ME 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 ^X REVISE 200 Tas ~~ R o,. (one form per mnterin/per building or area) Page _ of _ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION 201 BOilei ROOM ~ CHEMICAL LOCATION ^ Yes X^ No 202 CONFIDENTIAL (EPCRA) FACILITY ID # I l I S I O 12 11 I I O I O I I 14 (O 17 I 1 MAP # (optionsO 203 GRID # (optionnn 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME SUIfB17C ACid ~ If Subject to 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 0 P PURE ^ m MIXTURE RADIOACTNE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ^x I LIQUID LARGEST CONTAINER 200 gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ I FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check alt that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT 1 ~ DAILY AMOUNT 7.7 220 UMTS* ^ ga GAL ^ cf CU FI' ^X 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 thnt 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 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 93% zz6 Sulfuric Acid zz7 x^ ves ^ No 22s 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 I III. SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246 Guy Morns, Environments( Coordinntor _,~,,,~,y j i~,~,y~,. d1 ~~3~D5 B E R S P I D FIRE ARTM T ,.-.,~ u ~- ~,.,.+ FAR CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW ^ADD I ^ DELETE ~ REVISE 200 (one form per materin! per building or wren) Page _ of I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION 201 Wastewater Neutralization Plant CHEMICAL LOCATION ^ yes ^x No 202 CONFIDENTIAL (EPCRA) FACILITY ID # I I I S ~ O 12 ~ 1 I O I O I l 14 l 0 l 7 l 1 MAP # (optional) 203 III GRID # (optionn~ 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME SUlfUT1C ACtd If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS* ^x 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) 2 10 TYPE ^ p pURE ~ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID D 1 LIQUID LARGEST CONTAINER I ,000 gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ I ~~ ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ S CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT 10,600 DAILY AMOUNT $~ 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 ^X a ABOVEGROUND TANK ^ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check all thnt 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 0 a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE Qx aAMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS# 1 226 36% Sulfuric Acid 227 x ^ ves ^ 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 S 242 243 ^ Yes ^ No 244 245 III. SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE /} DATE 246 Guy Mornn, Environmentn! Coorrlinntor ~~~ a ~3r~`5 B E k 5 P 1 D F/RE ARiM T .,s..,. .e s.., 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 BUSINESS NAME (Same as FACIL£fY NAME or llBA - Dreyer's Grand Ice Cream I. FACILITY INFORMATION ~~ w..,.r OR (one form p¢r material per building or nren) Page _ of CHEMtcAL LocATION zot Outside Wastewater Neutralization Area cxEMICAL LocATION ^ Yes ~ No zoz CONFIDENTIAL (EPCRA) FACILITY ID #~ I I S I 1 ` 0 1 2 11 ~ O I O I l 14 l 0 l 7 l I MAP # (optionn~ 203 GRID # (optional 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME Sodium Hydroxide, SOIUtjOn If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS* ^ yes ~ No 208 CAS # 1310-73-2 2pg *If EHS is"Yes," all amounts below must be in lbs . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 2 10 TYPE ^ p PURE ~ m MIXTURE RADIOACTIVE ^ Yes ^x No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ 1 LIQUID LARGEST CONTAINER 1,400 gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE 220. AMOUNT DAILY AMOUNT 2OO DAILY AMOUNT l O UNITS* X^ ga GAL ^ cf CU Fr ^ Ib LBS ^ to TONS 221 DAYS ON SITE 222 * If EHS, amount must be in lbs. 3650 STORAGE CONTAINER QX a ABOVEGROUND TANK ^ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check nl! thnt 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 XO 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# 1 zz6 Sodium Hydroxide, Solution 227 ^ yes 0 No zzs 1310-73-2 z29 73°/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 REPRESEMATIVE SIGNATURE /~ I~ Guy Mornn, Environmentnl Coordinator ~ ~~'O tDATE J 246 B E R S P I D Fine ARTM f ._~~ ~~. 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. FACILITY INFORMATION .~-R.~, ~o ~...+ OR (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 Engine Room #I Cooling Tower Condenser CHEMICAL LOCATION ^ Yes 0 No 202 CONFIDENTIAL (EPCRA) FACILITY ID # I l 15 O 12 I 1 I O I O (l 14 (O 17 I 1 MAP # (optional) 203 GRID # (optional 204 II. CHEMICAL INFORMATION ' 205 TRADE SECRET ^ y~ ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME 3D TraSBr EHS* ^ y~ ^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 pURE Om MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ 1 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 DAILY AMOUNT 6 DA[LY AMOUNT Z 220 0 UDIITS* ~ 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 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 ^Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE ^X aAMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS# I 226 Phosphoric Acid 227 ^ Yes ~ No zzs 7664-38-2 z29 1.0-5.0% z 23o Substituted aromatic amine 231 ^ Yes ^x xo z3z Droprietary z33 I.0-5.0% 3 234 23S ^ 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 Moran, Environmental Coordinator ~'Y ~/ /LO'7iAM/ ~'I o~3/e5 B E R S P 1 D FIRE ARTM T I ~ 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 I. FACILITY INFORMATION ~~ ,,.~ 0 (one form per material per building or urea) Page _ of _ BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION 201 Engine Room #2 Cooling Tower Condenser CHEMICAL LOCATION ^ Yes ~ No 202 CONFIDEM[AL (EPCRA) FACILITY ID # I l I S I I O 12 11 I I O I O I l 14 I O 17 I 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 3D Trasar 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 PURE ~m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 2ll PHYSICAL STATE ^ s SOLID D 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 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT 6 DAILY AMOUNT T 220 0 UNITS* ~ 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 PLASTIGNONMETALLICbRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check n/! 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 ^Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE aAMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS# 1 226 Phosphoric Acid 227 ^ yes ~ No 22s 7664-38-2 zz9 1.0-5.0% Substituted aromatic amine 231 ^ Yes ~No 232 Proprietary 233 1.0-5.0°/D 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 Moran, 6nvironmenta! Coorrlinntor s ~ ,:» B a R$ F I -' D i/RE ARTM T ~.~,., a+-.- s +,~` ~_ u c '~3 ~ o 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 (one jornr per material per building or aren) Page _ of _ BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION 201 BOllei ROOM CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) FACILITY ID # I I I S ' I 11 O 12 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 Transport Plus 2800 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) 2 10 TYPE ^ P pURE ~ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID D 1 LIQUID LARGEST CONTAINER 55 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 AMOUNT DAILY AMOUNT I I O DAILY AMOUNT 55 220 UMTS* ~ 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 e PLASTICMONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check nl1 that npplyJ ^ 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 ^ 1 CYLINDER ^ 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# 1 226 None 227 ^ Yes ^ No 228 229 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 III. SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246 Guy Moran, Environmental Coorrlinntor ~(,~ ~~~ltne~l~ ~~:310:5 ,~°~-. B "' E R S F I D F/RE ` aRrM r ~se.....c ~ ..e x-.._ ^ 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. FACIi.ITY INFORMATION ,~- ~ . O 4~ FOR a (one form per mnterinl per building or Wren} Page _ of 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) 'AGILITY ID # I I I S I I O 1 2 11 L O I O I I 14 (O 17 I 1 MAP # (optiarn~ 203 GRID # (optional) 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME [f Subject to EPCRA, refer to instructions 207 COMMON NAME EHS' ^ yes ~ No 208 Trasar23248 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 l LIQUID LARGEST CONTAINER 55 gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 F[RE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HE ALTH ^ S CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 2t8 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT I ~ DAILY AMOUNT S 220 UMTS* ^X ga GAL ^ cf CU FT ^ lb LBS ^ to TONS 221 DAYS ON SITE + If EH S, amount must be in lbs. 365 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^D 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 ^ c TANK INSIDE BUILDING ^ 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 AMBIEN7 224 STORAGE TEMPERATURE X^ a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 °/nWT HAZARDOUS COMPONENT EHS CAS# I 1 - 5% z26 Phosphoric Acid 227 ^ ves ~ No 2zs 7664-38-2 zz9 2 230 Zinc Chloride 231 x ^ Yes ~ No 232 7646-85-7 233 I - 5% 3 234 Organic Sulfonic Acid Salt 235 ^ Yes ~ No 236 Proprietary 237 1 - 5% 4 238 239 ^ Yes ^ No 240 241 i 5 242 243 ^ Yes ^ No 244 245 III. SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE / DATE 246 Guy Moran, 6nvironmemnf Coordirmtor ~/~ / S' ~~~r`~ B E R S F I D F/RE ARTM t I ~ z.,,.. ..e e.., 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 Dreyer's Grand Ice Cream or unr~ - I. FACILITY INFORMATION ~6 OR# (one form per material per building or area) Page _ of _ CHEMICAL LOCATION 201 Chemical Storage Area CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL(EPCRA) FACILITY ID # I I I S ~ I O 12 11 I"'.>": O I O I I 14 I O 17 I 1 MAP # (optional) 203 GRID # (optional) 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes D No 206 CHEMICAL NAME If Subject to EPCRA, refer to inswctions 207 COMMON NAME Waste Otl 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 PURE ^ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 w WASTE 211 PHYSICAL STATE ^ s SOLID X^ 1 LIQUID LARGEST CONTAINER 1,100 gallons 21s ^ g GAS 214 FED HAZARD CATEGORIES QX I FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE H EALTH ^ 5 CHRONIC HEALTH 2I6 (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE 220 AMOUNT DAILY AMOUNT 1,100 DAILY AMOUNT' SO ZZ1 4000 UNITS" 0 ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON SITE 222 " If EHS, amount must be in lbs. 3b5 STORAGE CONTAINER QX a ABOVEGROUND TANK ^ e PLASTIC/NONMETALLIC 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 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 TEMPERAITJRE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS# 1 226 Waste Oil, Petroleum Based 227 ^ Yes ^X No 228 229 100% 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 ^ y DATE 246 Guy Moran, Environmental Coordinator ~,ttiq/ ~~~~~/ .et,,+{.31~ 5 B E R S F I D FIRE ARTM 1 ~ ,w w< ~..' ^ NEW DADD CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ DELETE ^REVISE 200 I. FACILITY INFORMATION ~~, U Rd (one form per material per building or nren) Page _ of BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION CIP ROOM 3 BC 4 CHEMICAL LOCATION ^ yes D No 202 201 CONFIDENTIAL (EPCRA) FACILITY ID # I l I S O 12 11 O I O I l 14 l 0 l 7 I 1 MAP # (optiona# 203 GRID # (optional 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes 0 No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS* Q Yes ^ No 208 AC-55-5 CAS # ~ 209 *If EHS is"Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 2 10 TYPE ^ p PURE ~ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 21I PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER 55 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 AMOUNT DAILY AMOUNT 1,163.635 DAILY AMOUNT 581.8175 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/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check nll thnt npply) ^ 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 ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS# 1 37% 226 Nitric Acid 227 x^ Yes ^ No 22s 7697-37-2 229 2 4°/D z3o Phosphoric Acid zit ^ y~ Ox No 232 7664-38-2 z33 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. i~a~v at /~ 3~a C DATE 246 Guy Mornn, Environmentnl Coordinator ..7 47 I I a~ E R S F I D F/RE ARiM 7 U nr^ OR 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 (one form per material per building or areuf Page _ of _ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Crea m CHEMICAL LOCATION 201 Outside Chemical Storage Area CHEMICAL LOCATION ^ yes 0 No 202 CONFIDENTIAL (EPCRA) FACILITY ID # (I I S ( O 12 (I I I O I O I I 14 I O 17 I 1 MAP # (optionn~ 203 GRID # (optionn~ 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME AC-$5-5 EHS* Dyes ^ No 208 CAS # 209 *If EHS is'"Yes," all amounts below mus[ be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 2 10 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 CATEGORIES ^ I 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 DAILY AMOUNT 2,327.27 DAILY AMOUNT 41 220 UMTS* ^ ga GAL ^ cf CU FT x^ Ib LBS ^ to TONS 221 DAYS ON SITE 222 * If EHS, amount must be in lbs. 365 STORAGE CONTAINER ^ a ABOVEGROUND TANK ~ e PLASTICMONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check all 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 x^ 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# I zz6 Phos hol-ic Acid p zz7 x ^ Yes ^ No 228 7664-38-2 zz9 4% 2 37% 230 Nitric ACid 231 ^X Yes ^ No 232 7697-37-2 233 3 234 235 ^ ~,~ ^ No 236 237 4 238 239 ^ yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 III. SIGNATURE PRINT NAME & T77LE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246 Guy Moran, Envirwtmenta! Coorrlinntor / ~~r' [.'11 •~,~ I~~ aJa3lo B ~.' E R S P 1 D F/RE AR1M i •..a-.~< .n.~ U ~ • oq~.,.~ FO 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 (one form per mnteria! per building or area) Page _ of i, BUSINESS NAME (Same as FACILITY 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) FACILITY ID # I I I S I I 0 1 2 I I 10 (0 11 1 4 10 1 7 I t MAP # (optional 203 GRID # (optionnO 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME AC-$$-$ Red (High Acid CIP Cleaner) EHS• Q Yes ^ No 208 CAS # 209 "If EHS is"Yes;' all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ p PURE ~ m MIXTURE RADIOACTIVE ^ Yes 0 No 212 CURIES 213 ^ w WASTE 2I1 PHYSICAL STATE ^ s SOLID ~ 1 LIQUID LARGEST CONTAINER $$ 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 218 AVERAGE STATE WASTE CODE AMOUNT DAILY AMOUNT 12,~~3.2~ DAILY AMOUNT 1 ,~$8.2~ .220 UNITS• ^ ga GAL ^ cf CU FT JC^ Ib LBS ^ to TONS 221 DAYS ON SITE. " If EHS, amount must be in lbs. 36$ 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK ~ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check all rhnt 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 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# t 226 Nitric Acid 227 ~ Yes ^ No zzs 7697-37-2 zz9 37% 2 230 PIIOSp}IOTIC ACId 231 ^ Yes ^X No 232 7664-38-2 233 4% 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~ 1 DATE 246 Guy Moran, Environmental Coordinator /~~~~W-K.J~I / a.'~~~/~,~ R E R S P 1 1 p Flee ARTM ' T r ~ •x-s,c .,e....., V ~ "u.. i~P OR , 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 (one form per mnteriul per building or wren) 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 Chemical Storage Area CHEMICAL LOCATION ^ y~ X^ No 202 201 CONFIDENTIAL (EPCRA) FACILITY ID # I I I S O 12 I I O I O I I 14 I O 17 I t MAP # (optionnf) 203 GRID # (optionn~ 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME AC-$$-$ Red (High Acid CIP Cleaner) EHS* ~ Yes ^ No 208 CAS # 209 *If EHS is `Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ p PURE ~ m MIXTURE RADIOACTIVE ^ Yes X^ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ X LARGEST CONTAINER s SOLID ^ I LIQUID $$ allons g 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 ANNl7AL WASTE 217 MAXIMUM 218 AVERAGE STATE WASTE CODE AMOUNT DAILY AMOUNT I Z,~O3.2~ DAILY AMOUNT I,~$8.2~ 220 UMTS* ^ ga GAL ^ cf CU FT ~ Ib LBS ^ to TONS 221 DAYS ON SITE * If EHS, amount must be in lbs. 36$ 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK ~ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check nll that npply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUSLDING ^ 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 ~ aAMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS# I 226 Nitric Acid zz7 x ^ Yes ^ No 2zs 7697-37-2 229 37% 2 230 Phosphoric Acid 231 ^ Yes ~ No 232 7664-38-2 233 4% 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 ~,~q ~ ~ ~ ,, y~ ^ ~ ~'` DATE 246 Guy Mornn, Environmentnl Coarrlinator - _ .,, %~~~~~V Wr/~rf/ .G 7G+7/e/ B E R S F I D FiMe ARTM f ~ ~' u _~_ ~,.. ORM 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. FACILTI'Y INFORMATION (one, form per mnteriu! per building or Wren) Page _ of _ BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Crea m CHEMICAL LOCATION zol Maintenance Shop and Compressed Gas Storage Area CHEMICAL LOCATION ^ y~ ^X No 202 CONFIDENTIAL (EPCRA) FACILITY ID # (l I S I O 12 11 O I O I l (4 I O (7 I I MAP # (optionnJ) 203 GRID # (optionnlJ 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ Yes ^D No 206 CHEMICAL NAME Acetylene If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS* ^ Yes ~ No 208 CAS # 209 *[f EHS is"Yes," all amounts below must be in lbs . 74-86-2 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 2 10 TYPE Q p PURE ^ m MIXTURE RADIOACTNE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 ~ PHYSICAL STATE ^ s SOLID ^ I LIQUID LARGEST CONTAINER I SS CU FT 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 DAILY AMOUNT I O DAILY AMOUNT S 220 UNITS* ^ ga GAL ^X cf CU F? ^ Ib LBS ^ to TONS 221 DAYS ON SITE 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 n!! thnt 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 ^ 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 # 1 100% zz6 Acetylene 227 ^ 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 III. SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246 Guy Mornn, Environments! Coorrlinntor ~,y ~~~`, J~iL~~ ~~5, . . /".'~ B E R S F I D F/RE D'~ ARTM T ^ 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 T_ FACTT.TTV TNFnRMATTnN (one form per msterinl per building or Wren) Page _ of _ 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 ^ 3,~ QX No 202 CONFIDENT[AL (EPCRA) 'AGILITY 1D # I I I S I I O 1 Ikk 2 I I I. I O I O I I 14 I O 17 I 1 14V MAP # (options!) 203 GRID # (options 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME Activated Alumina [f Subject to EPCRA, refer to instructions 207 COMMON NAME EHS* ^ yes ^x 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) 210 ' TYPE ~ p PURE ^ m MIXTURE RADIOACTIVE ^ Yes X^ No 212 CURIES 213 ^ w WASTE 21l PHYSICAL STATE 0 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 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT 1,200 DAILY AMOUNT $$ 220 UMTS* ^ 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/NONMETALL[C DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RA[L CAR 223 (Check n!!lhst 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 ^X aAMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT H AZARDOUS COMPONENT EHS CAS# 1 100% . 226 Alumina 227 ^ Yes ~ No zz8 1344-28-1 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 o ~~, 'o 2,.,,.a» F'OR , III. SIGNATURE __ PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE 1 DATE 246 Guy Morns, Environments! Coortlinntor ~/~~ ~~~ ~w~ ~' ~?J/}-~ e eRSrt o FIRE AFTM T ^ NEW ^x 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 INFORMATION ti (one form per material per building or area) Page _, of BUS1NE55 NAME (Sams as FAC1LliY NAME or llSA - Doing riusmess As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION 201 Warehouse CHEMICAL LOCATION ^ Yes ~ No 202 CONFIDENTIAL (EPCRA) •FACII;ITY ID# 1 5 0 2 1 0 0 1 4 0 7 1; MAP # (optional 203 GRID # (optional 204 II. CHEMICAL INFORMATION ~ 205 TRADE SECRET ^ yes ^x No 206 CHEMICAL NAME If SubjeM to EPCRA, rcfer to instructions 207 COMMON NAME Artificial Special Vanilla Flavor EHS• ^ Yes ^x No 208 CAS # 209 •If EHSig"Yes;" all amounts below must be imlbs . 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 ~ I LIQUID LARGEST CONTAINER 55 gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^X 1 FIRE ^ 2 REACTNE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 2l9 STATE WASTE CODE 220 AMOUNT DAILY AMOUNT 50 DAILY AMOUNT 1 ~ 221 UNrfS' x^ 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 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 ^x a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ~ ^ c CRYOGENIC 225 °/aWT HAZARDOUS COMPONENT EHS CAS# 1 226 33.3% Ethyl Alcohol 227 x ^ Yes ^ No 228 64-17-5 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 PRBVT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246 Guy Moran, Environmental Coordinator ~~2~-~ ~h 31a s- 8 E R S F 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 0 REVISE 200 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION Warehouse 201 FACILITY ID # I l 15 :~ O 12 I l l I O I O I I 14 I O 17 I 1 MAP # (optional) 203 lI II. CHEMICAL INFORMATION CHEMICAL NAME COMMON NAME Coconut Oil CAS# TRADE SECRET ^ yes ~ No 206 If Subject to EPCRA, refer to instructions EHS* ^ yes ^x No 208 209 I *[f EHS is'"Yes:' all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 2 10 TYPE Q p PURE ^ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 21l PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER 5 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 DAILY AMOUNT 1,048 DAILY AMOUNT ~f>~ 220 UMTS* X^ ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON S[TE * If EHS, amount must be in lbs. 365 222 STORAGE CONTAINER ^ a ABOV EGROUND TANK ^ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check all that npply) ^ 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 Steel Pail STORAGE PRESSURE ~ a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 i STORAGE TEMPERATURE ^X aAMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS# I zz6 None zz7 ^ 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 5 242 243 ^ Yes ^ No 244 245 III. SIGNATURE PAINT NAME & TITLE OF A UTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246 Guy Moran, Environmental Co ~~],~ ordinator ~~~//M ~, ,,,, ~, Ja 3 f~.~ ~, .~, D ~ c o.. (one form per mnterinl peg building ar area) Page _ of _ CHEMICAL LOCATION ^ y~ ^X No 202 CONFIDENTIAL (EPCRA) ~_ B E R S F 1. D F/RE AR1M ~ ~.~< ...c..,- ^ 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 T FA('TT.TTV TNF(1RMATTf1N F ~~ U O Y q """ FOR , (one form per material per huilrling or are Page _ of BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 )reyer's Grand Ice Cream ;HEMICAL LOCATION 201 Warehouse CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) 'AGILITY ID # I I I S I I O 1 2 I I I O I O I l 14 10 (7 I 1 MAP # (optionnl) 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" ^ ves 0 No 2os Fruit Punch - 56336 (046698) C.4S # 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 2t1 PHYSICAL STATE ^ s SOLID ^x I LIQUID LARGEST CONTAINER 1 gallon 215 ^ g GAS 214 FED HAZARD CATEGORIES Q 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 DAILY AMOUNT 1 ~~ DAILY AMOUNT 5~ 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/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check nl! that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^X n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k SOX ^ o TOTE BIN ^ d STEEL DRUM ^ h S[LO ^ 1 CYLINDER ^ p TANK WAGON STORAGE PRESSURE a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE ^ a AMBIENT ^ as ABOVE AMBIENT ~ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT H AZARDOUS COMPONENT EHS CAS# 226 Ethyl Alcohol 227 ^ ves ~ No zzs 64-17-5 zz9 75 85% 2 230 23I ^ Yes ^ No 232 ~ 233 3 234 235 ^ ~,~ ^ No 236 237 4 238 239 ^ Yes ^ No 240 241 S 242 243 ^ Yes ^ No 244 245 III. SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE ~ - - , '/ ~~ ~O ,DATE 246 Guv Mormq Environments(Coordinator 'L`+/'A_.~A.11 ~, s e B E R S P ~ D F/RE ARTMf •se-... ... s.,.,• ^ 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- FACIi,iTY INFORMATION '. a ~' 0 q Fpp,~~ (one form per mrrterinl per building or area) Page _ of NSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 )reyer's Grand Ice Cream ;HEMICAL LOCATION 201 Warehouse CHEMICAL LOCATION ^ yes 0 No 202 CONFIDENTIAL (EPCRA) 'AGILITY ID # I I I S I O 1 2 11 I I O I O I l 14 I O 17 I 1 MAP # (optionnl) 203 GRID # (optionan 204 IL CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ^D No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME - EHS* ^ yes ~ No 208 Lime -13$21$50 (W2ll 01) 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 ~ I LIQUID LARGEST CONTAINER I gallon 215 . ^ g GAS 214 FED HAZARD CATEGORIES Q 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 DAILY AMOUNT SO DAILY AMOUNT 2S 220 UIQITS* Oga 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 DRURI ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check nU thnt 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 a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE ^ a AMBIENT ^ as ABOVE AMBIENT OO ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT H AZARDOUS COMPONENT EHS CAS# 1 226 Ethyl Alcohol 227 ^ yes 0 No zzs 64-17-$ zz9 4$ - $$% 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 Cuy Moran, Environmental Coorrlinntor 9 E R S P I D F/iRB A/PTM f i~~~ ti 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 ^X ADD ^ DELETE ^ REVISE 200 Page _ of ~, _-,._ . I': FACILTI'Y INFORMATION ,_ ~ ,~: :~ BUSINESS NAME (Same as FACHdTY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION 201 Warehouse CHEMICAL LOCATION ^ y~ ^X No 202 CONFIDENTIAL (EPCRA) FACILITY ID #- 1 5 0 2 1 0 0 1 4 0 7 1 MAP # (optional 203 GRID # (optional) 204 r ~II:3CHEMIGAL IN~FOR~MAT--ION 205 TRADE SECRET ^ yC4 QX No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME 2 '/: Fold Pure Vanilla Extract EHS" ^ yes ^x No 208 CAS # 209 •IfEHS is"Yes," allamountsbelow mustbe iIi'Ibs . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief 210 TYPE ^ p pURE Om MIXTURE RADIOACTIVE ^ Yes 0 No 414 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ 1 LIQUID LARGEST CONTAINER 55 gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES X^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH 2I6 (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE 220 AMOUNT DAILY AMOUNT SO DAILY AMOUNT l O 221 UNITS" ~ ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON SITE 222 • IfEHS, arnount 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 that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG x^n PLASTIC BOTTLE ^ r OTHER ^c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^d STEEL DRUM ^ h SILO ^ t CYLINDER ^ p TANK WAGON STORAGE PRESSURE ~ a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE XQ a AMEIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS# 1 226 x ^ Y`~ ^ No 2zs 64-17-5 zz9 39.3°/n Ethyl Alcohol 227 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. J1l~lVA 1 U1(L' PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE ~/Y ;~~ J ~ l~~ )Q ~ DAT'E 246 Guy Moran, Environments! Coordinator / !/ B R S P I D F/RS ABTM f ~~~ ,z„< ~, 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. FACILTI'Y INFORMATION tsuslNr:ss tvgn-tE Game as rAta Dreyer's Grand Ice Cream (one form per material per building or area) Page _ of _ CHEMICAL LOCATION 201 Waie}IOUSe CHEMICAL LOCATION ^ yes 0 No 202 CONFIDENTIAL (EPCRA) -FACILITY H) #~ I I I S O 12 11 O I O I I 14 I O 17 I [' MAP # (optional 203 GRID # (options!) 204 ,.. H. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instmctions 207 COMMON NAME Orange Flavor EHS* ^ y~ X^ No 208 CAS # 209 'If EHS is"-Yes," aII amounts below must.be in lbs . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 2 10 TYPE ^ p PURE ^X m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 2l3 ^ w WASTE 2I1 PHYSICAL STATE ^ s SOLID D 1 LIQUID LARGEST CONTAINER 1 gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES Q 1 FIRE ^ 2 REACTNE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ S CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE 220 AMOUNT DAILY AMOUNT 2S DAILY AMOUNT S UNITS' ~ ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 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 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 QX a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 °/D YY 1 HAZARDOUS COMPONENT EHS CAS. # ' 226 Acetaldehyde zz7 ^ Yes X ^ No 228 75-~~-0 229 2~% 2 230 Ethanol 231 X ^ Yes ^No 232 64-I7-S 233 l0% 3 234 235 ^ Yes ^ No 236 237 4 238 239 ^ Yes ^ No 240 24l S 242 243 ^ Yes ^ No 244 24S III. SIGNATURE PRINT' NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATTVE SIGNATURE DATE 246 Guy Moran, Environmental Coordinntor ~/ J~~/ ~~~+f,p wA / _ ~ ~~, _ 0 r B E R S P I D ABTM f '~6~, CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (bbl) 32b-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per materia/per building ar area) ^ NEW ADD ^ DELETE ^ REVISE 200 Page _ of I. FACILI'T'Y INFORMATION BUSINESS NAME (Same as FACII,ITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION 201 Warehouse CHEMICAL LOCATION ^ ya 0 No 202 CONFIDENTIAL (EPCRA) FACII:ITY ID # I I I S 0 12 I I 0 I 0 I 1 1 4 10 1 7 I 1 MAP # (optional) 203 GR[D # (optiona!) 204 - ILCHEMICALINFOR~MATIUN _~ ~ _ ~_ 205 TRADE SECRET ^ y~ Q No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME Fresh Lemon Flavor EHS" ^ yes 0 No 208 CAS # 209 "IfEF1$ is"Yes,"-all amounts below mustbe in•Ibs . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ P p~ Qm MIXTURE RADIOACTNE ^ Yes ^X No 212 CURIES 2I3 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID X^ 1 LIQUID LARGEST CONTAINER 1 gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES Q 1 ~~ ^ 2 REACTNE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE 220 p`MOUT'1T DAILY AMOUNT 2S DAILY AMOUNT S 0 UNITS' ^X ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON SITE 222 " If EHS, anrount must be in lbs. 365 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTIC/NONMETALLIC DRUM ^ i F63ER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check all that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG Qn 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 aAMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 °/DWT HAZARDOUS COMPONENT EHS CAS# ' 226 Ethanol 227 ^ Yes x ^ xo zzs 64-17-5 229 33°/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. //r~ Guy Moran, Environmental Coordinator ~ /O"`Q//V ~ /~ ~ (Q~ DATE _ ~ ~ ~,. {I' / / 246 B 8 R S P 1 D F/RB ARTM f .,r,~~~,~,.,- ^ NEW X^ADD BUSINESS NAME (Same as FACT Dreyer's Grand Ice Cream CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ DELETE ^ REVISE ~ 200 or llBA - (one form per material per building or arenJ Page _ of _ CHEMICAL LOCATION 20] Warehouse CHEMICAL LOCATION ^ ya QX No 202 CONFIDENTIAL(EPCRA) FACILITYID# . I 5 0 2 1 0 0 1 4 0 7 -1 MAP # (optional 203 GRID # (optional) 204 IL CHEMICAL INFORMATION 205 TRADE SECRET ^ y~ ~X No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME Watermelon Flavor EHS" ^ ye$ QX No 208 CAS # 209 •If EHS is"Yes," all amounts below musfbe in lbs . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief 2 10 TYPE ^ P pURE ~m MIXTURE RADIOACTIVE ^ Yes 0 No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ 1 LIQUID LARGEST CONTAINER 1 gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES Q 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE 220 AMOUNT DAILY AMOUNT 2S DAILY AMOUNT S 0 UDIITS" 0 ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON SITE 222 " If EHS, amoum must be in lbs. 36S STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTICINONMETALLIC 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 SILO ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE ~ a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE D a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS# ' 226 Ethanol 227 ^ Yes O No z2s 64-17-5 zz9 33°/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 244 245 111. ~1GNATUKI; PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE ~ ~ ~ ~~f ~~f ~~ ~ .A DATE 246 Guy Mornn, Environmentnl Coordinator ,r/:~lNV~ r! / (FT 4eIV/ V ~ ~ ~/~~ B E R S P I D P/RB ARTM T ~~~ CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ~o-w+ ^ NEW ADD ^ DELETE ^ REVISE 200 Dreyer's Grand Ice Cream I. or (one form per material per building ar area) Page _ of _ ;TION CHEMICAL LOCATION 201 Warehouse CHEMICAL LOCATION ^ ~,a ^X No 202 CONFIDENTIAL (EPCRA) FACIDITY II) # I 5 0 2 1 0 0 1 4 0 7 9~ MAP # (optional) 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 Blue Raspberry Flavor EHS* ^ yes 0 No 208 CAS # 209 *IfEHS is"Yes," all amounts below mustbein lbs . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ p p~ Qm MIXTURE RADIOACTIVE ^ Yes 0 No 212 CURIES 213 ^ w WASTE 21l PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER 1 gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES X^ I FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE 220 AMOUNT DAILY AMOUNT 2S DAILY AMOUNT $ UNITS* ^X 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 that npply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG x^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 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 Ethanol 227 ^ yes x ^ No 228 64-17-5 229 33°/a 2 230 231 ^ Yes ^ No 232 233 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 ^ ~ '/ r DATE 246 Guy Moran, Environmental Coordinator ~~~ ~~~~ .G e~.7V ~~ e easrt o F/RB ARiM T -~~~ ~..,< e...,- • ~es CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW ^K ADD ^ DELETE ^ REVISE 200 L. FACII BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream (one form per materia/per building or area) Page _ of _ INFORMATION CHEMICAL LOCATION 20I Warehouse CHEMICAL LOCATION ^ yes 0 No 202 CONFIDENTIAL (EPCRA) FACILITY ID# 1 5 0 2 1 0 0 1 4 0 7 ~ I MAP # (optional 203 ~~ I I I I I I I I GRID # (optionan 204 - - . : : II: CHEMICAL INFORMATION 205 TRADE SECRET ~ ^ Yes ^D No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME Cherry Berry F1aVDr EHS* ^ yes ^X No 208 CAS # 209 'If EHS is"Yes," all amounts below musCbeinlbs . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 2 l0 TYPE ^ P p~ Qm MIXTURE RADIOACTIVE ^ Yes X^ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID X^ I LIQUID LARGEST CONTAINER 1 gallons 21 s ^ g GAS 214 FED HAZARD CATEGORIES ~X 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE 220 ~. AMOUNT DAILY AMOUNT 2S DAILY AMOUNT S 0 UNITS• ~ ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON SITE 222 ' If EHS, amount must be in lbs. 36S STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTIGNONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check al! that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG X^n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SILO ^ t CYLB~IDER ^ 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 %WT HAZARDOUS COMPONENT EHS CAS# 1 226 Ethanol 227 ^ Yes O No 228 64-17-5 229 33% 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 'v ~' ~`]~~ ^ ~~ 3/d ~ DATE 246 Guy Moran, Environmental Coordinator 7 Oar B E R S P I D Piee ARTM T ~.r CITY OF BAKERSFIELD 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 X^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 201 Warehouse CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) FACH:ITY II)-# ~ 1 5 0 2 1 0 0 1 4 0 7 1 ~: MAP # (optional) 203 GRID # (optional) 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ^D No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME Dragonfruit Flavor EHS• ^ yes ^X No 208 CAS # 209 llf EHS is`Yes,".all amounts below must be in Ibs . FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 2 10 TYPE ^ P p~ ^Q m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES ~ 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ^D I LIQUID LARGEST CONTAINER 1 gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 2 17 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE 220 AMOUNT DAILY AMOUNT T$ DAILY AMOUNT $ 0 UMTS" ~ ga GAL ^ cf CU FT ^ lb 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 RAIL CAR 223 (Check all that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^D 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 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# 1 226 Acerie Acid 227 ^ Yes ~ No 228 64-I9-7 229 33% 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 Moran. Environments! Coordinator ~)~~~ ~~~~ ~ J ~' ~ 3,e-~ R a R S P I D P~Re 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 ^X 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 201 Warehouse CHEMICAL LOCATION ^ y~ X^ No 202 CONFIDENTL4L(EPCRA) FACB.ITY:II):#: I I 15 O 12 I 1 ~ O I O I l 14 I O 17 I, ~ . L MAP # (options!) 203 GRID # (optional 204 dI: CHEMICAL INFOR_ MATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME Grape Flavor EHS" ^ y~ X^ No 208 CAS # 209 "If EHS is"Yes," all amoun[sbelow. must bein Ibs . 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 1 allons g 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTNE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE 220 AMOUNT DAILY AMOUNT 2S DAILY AMOUNT S 0 UNITS' ~ ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON SITE 222 " If EHS, amount must be in lbs. 36S STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTICMONIvfETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check all that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^X 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 ^Q a AMBIENT ^ as ABOVE AMI3IENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS# 226 Acetic Acid 227 ^ ves x ^ No 228 64-19-7 zz9 20% 2 230 Acetaldehtde 231 ^ Yes ^ No 232 75-~~-~ 233 l~°/D 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 M~ ~ ~ ~ ~ ~ ` _ DATE 246 Guy Moran, Environmental Coordinator ~~~~J'~/wV / ~ f~l.,~-. a. a31~1 a ease[ o P/RE AR1M T ..,, 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 I. FACILI7 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 201 Warehouse CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTL4L (EPCRA) =FACII,ITY ID #~ l l s l I O 12 I l l O I O I l 14 l 0 17 I I~ MAP # (optional) 203 GRID # (optional) 204 II. CHEMICAL. INFORMATION 205 TRADE SECRET ^ Yes D No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME Paradise Punch Flavor EHS• ^ yes x^ No 208 CAS # 209 •IfEHS.is"Yes," altamounts•below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ p pURE 0m MIXTURE RADIOACTIVE ^ Yes ^X No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID D 1 LIQUID LARGEST CONTAINER 1 gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES Q l FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 2I9 STATE WASTE CODE 220. AMOUNT DAILY AMOUNT 25 DAILY AMOUNT S 0 UNTTS' ~ ga GAL ^ cf CU FT ^ lb LBS ^ to TONS 221 DAYS ON SITE 222 • If EHS, attwunt 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 that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^D 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 QX a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE XQ a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS # 1 zz6 Ethanol ~ 2z7 ^X xo 22s ^ Yea 64-17-5 229 33°/n 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 Guy Moran, Environmental Coordinator n!~~J~UVr/ / / 4~i' (ft~I I/ / Os' ~~ DATE a 6 246 a~~ riuN tv Site and Building Maps A. SiteBuilding Map B. Locations of Stored Chemicals Map SECTIQN V Responding To Chemical Emergencies A. Abatement and Mitigation B. Spill Response .Personnel C. Location of Utility Shut Off Valves .. Hua~euiecu ana tvt~[aganon :uide #116 Acetylene Potential Hazards 'ire or Explosion Extremely flammable. Will be easily ignited by heat, sparks or flames. Will form explosive mixtures with air. Shane 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. [eaith Vapors may cause dizziness or asphyxiation without warning. Sorne maybe 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, basement 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 thick 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). A11 equipment used when handling the product must be Bounded. 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 lealth 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 refrigerated/cryogenic 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 '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 tanks engulfed in fire. ~pili 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. Call 911 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 [caith 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, 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. ;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. Coot 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. ~piil 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. .uide #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, basements 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 CO2. .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. ~pil1 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. :aide #125 Anhydrous Ammonia Potential Hazards lcalth Toxic; maybe 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, basements 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 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 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 COZ. ,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 ar 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 azea 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 maybe delayed. Enstu-e that medical personnel are aware of the material(s) involved, and take precautions to protect themselves. ;uide #127 Lime - 13521550 (W211 O1) Grape Flavor N & A Vantasia Vanilla Flavoring Blue Raspberry Flavor Watermelon Flavor Orange Flavor 2 %z Fold Pure Vanilla Extract • Fruit Punch - 56336 (046698) • Paradise Punch Dragonfruit Flavor Cherry Berry Flavor Fresh Lemon Flavor Artificial Special Vanilla Flavor 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. 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. Iealth 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 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 25 to SO 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 ;action: all these products have a very low flash point; use of water spray when fighting fire maybe inefficient. mall Fires Dry chemical, CO2, water spray or alcohol-resistant foam. ,arge Fires Water spray, fog or alcohol-resistant foam. Use water spray or fog; 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 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 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 maybe 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. Ca11911 or emergency medical service. 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. :uide #128 Diesel Fuei #2 • Waste Oii 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 maybe transported hot. Iealth Inhalation or contact with material may irritate or burn skin and eyes. Fire may produce imtating, corrosive and/or toxic gases. Vapors may cause dizziness or suffocation. Runoff from fire control or dihttion 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 maybe 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 ail 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 maybe 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. Adnunister 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 lealth Toxic; maybe 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 con .fined areas (sewers, basements, tanks). Valor 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. 'ratective 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 (l /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, COQ, 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. Far 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 maybe 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 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. Wash skin with soap and water. Keep victim warm and quiet. Effects of exposure (inhalation, ingestion or skin contact) to substance maybe delayed. Ensure that medical personnel are aware of the material(s) involved, and take precautions to protect themselves. :uide #140 Nalco 2536 Plus Potential Hazards 'ire or Explosion These substances will accelerate burning when involved in a f re. 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. COz 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 Leak 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. 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. 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 lealth 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 maybe delayed. Fire may produce irritating, corrosive and/or toxic gases. Runoff from fire control or dilution water maybe 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 maybe 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. :vaeuation •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 tnick 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, COZ or water spray. .arge Fires Dry chemical, COZ, 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 incase 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. Ca11911 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 maybe delayed. Ensure that medical personnel are aware of the material(s) involved, and take precautions to protect themselves. :uide #154 Phosphoric Acid Solvent Cleaner Quorum Brown Nalco 2896 Liquid Quorum Clear Sodium Hydroxide, Solution Trasaz 23248 Nalco 2548 Oxygen Scavenger • Sulfuric Acid • Quorum Yellow LP • Oxonia Active • Caustic Potash, Liquid, 50% • Exxelerate CIP • Mikroklene DF • 3D Trasaz Stabrex ST40 Potential Hazards Iealth Toxic: inhalation, ingestion, or skin contact with material may cause sever injury or death. Contact with molten substance may cause sever bums 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 maybe 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 azeas. 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 ,azge 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 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, 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 a ane-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. wide #157 Hydrochloric Acid • Foam Shine AC-55-5 Red • Nalco 2560 AC-55-5 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 maybe 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. Structwal 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 ('/z 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 notuse 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 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}. 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 maybe 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. mail 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 wane and quiet. Effects of exposure (inhalation, ingestion or skin contact) to substance maybe delayed. Ensure that medical personnel are aware of the material(s) involved, and take precautions to protect themselves. .. Spill Response Personnel Du Name* Title 1. Notifies The .Plant Manager Guy Moran Env. Coordinator Richard Royer Risk & Safet Manager 2. Notifies The Owner Mark McLenithan Plant Manager Jim Eddleman Business Unit Manager John Reinwald Business Unit Manager Cary Wright Business Unit Manager 3. Initiates Evacuation and Mark McLenithan Plant Manager Head Count Jim Eddleman Business Unit Manager John Reinwald Business Unit Manager C Wright Business Unit Manager 4. Ensures The Correct Mark McLenithan Plant Manager Abatement Procedures Are Jim Eddleman Business Unit Manager Initiated John Reinwald Business Unit Manager Cary Wri t Business Unit Mana er 5. Initiates External Mark McLenithan Plant Manager Notification Procedures 6. Ensures Correct Mitigation Guy Moran Env. Coordinator Procedures Are Followed Richard Royer Risk & Safety Manager Out. Jaek Ramirez Utilities/Facilities Team Mel Balfour Coordinator 7. Decides To Send Employees Mark McLenithan Plant Manager Home Jim Eddleman Business Unit Manager John Reinwald Business Unit Manager Cary Wri t Business Unit Manager 8. Decides If Outside Clean-up Guy Moran Env. Coordinator Company Should Be Called Richard Royer Risk & Safety Manager In 9. Notifies The Insurance Mark McLenithan Plant Manager Company If the listed personnel are not on-site at the time of the spill, the senior management or lead person will take, th pecified action. tia '. Location of Utility Shut-Off Valves 1. Natural Gas: A manual shut-off valve is located on the North side of the plant outside the accumulator room near wastewater. 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 for expansion is on District Blvd, near temporary shipping entrance. 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 far 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 Dreyer's Grand Ice Crean perating companies to notify the appropriate agencies (listed below) in the event of a reportable spill in a timely mannF :his 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. teporting Information ,ocal Emergency takersfield Fire Department ;ity of Bakersfield Office of Environmental Services tote Environmental Agency Tational Response Center oast Guard personnel usually answer) 911 911 661-326-3979 916-323-9723 800-424-8802 ireg Molloy 260-437-0301 117 Section VLI Training Number of Employees Trained: Incident Commander -11 First Responders - 44 CPR/First Aid - 46 Summary of Training Program: The employees that are certified Incident Commander have passed an eight hour coarse that satisfies 29 CFR 1910.120 (q)(6)(v), Incident/Scene Commander. This course is in addition to the forty hour I-iAZWOPER certification coarse which all of our First Responders have successfully taken. The HAZWOPER coarse fulfills the requirements set forth in 29 CFR, Part 1910.120 (q)(6)(i), First Responder Operations. The CPR/First Aid employees have passed a national recognized program (Medic First Aid) which meets workplace regulatory requirements and follows the mast current guidelines for CPR, first aid, and emergency care. MSDS Locations: A complete hard copy maybe found in the following locations or the 3E company may be called for any of our chemicals on site at 1 (800) 451-8346. People Systems Offices Dispensary Material Receiving Office SECTION VIII Certification Certification . Mark Mcl.enithan, 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 2 LS' oS Title Date APPENDIX A Hazardous Material SpilUClean-up Contractors tiuvull~.cu t,lc[ltl-11~J .1 clal[lUIU~'1GJ lI1C. 4548 Wesley Lane Bakersfield, CA 93308 661-392-7765 (24-Hour/Emergency Number) Response time less than 1 hour City of Bakersfield - Fire & Prevention Services Address: ~-~j ~ ~~~~~ ~ Alva . _ Business Name: ~ y-~,~ I.t~ "~i~av1~ Aboveground Tank Business Plan Hazardous Waste Mitigation NLIB Sprinkler & Alarm Plan Underground Tank Other: Delta MicroImaging, Inc 9961 N Lower Sacramento Rd Stockton, CA 95210 1-209-478-3600 (HMMP) , HAZARDOIi;~ MATERIALS MANAGEMENT PLAN yy .n ru .: .~~ .. .. h!. .. .I .4~ d:r. ~;f ygr J.M ... ~USIM~SS ACTIVITIES PAGE (~IAZARDOi~S MATERIALS FACI~.ITY INFORMATIONS ' A~IRIf ARlM ~' BakersfAeld Fire Dept. FIRE PREVENTION 909 Truxtun Ave., Suite 210 Bakersfield, GA 93301 Tel: (661 } 326-3979 ` Fay: {fi61) 852-2171 Page 1 of 1 _ ~1~_~_ ----- ---, I. FACILITY`IDENTIF~ATIAN _ _ ~ _ _ _ -~ ~ ~. ' _ # (For Office use only -please leave blank) ~ ~~~~ FACILITY ID EPA ID # ~ d~.l oot~o"7I G~LbOv~~asg~ DBA !FACILITY NAME p 10 --~,r`~'t~,,[~f' S --G~r'dt,i~ ~-~4. C f2a.~M = ~~ tS ~~d _,__ -~~~~.- -~_~--- ff. ACTfVITfES DECLARATION DOES Your Facility ... 1f Yes, Please Complete ... ~~ A. HAZARDOUS MATERIALS • OES FORM FD2098) Chemical Description Form) 130 1. Have on site (for any purpose) hazardous ~es ^ No • CONSOLIDATED COMPLIANCE PLAN materials at or.above 55 gallons for liquids, Minimum reauired~lanni a elements: • Emergency Response Plan 500 pounds for solids, or 200 cu. ft. for es ^ No Maps com ressed ases rnciude li uids in ASTs and p 9 C q Training USTs)? a Prevention B. - RE~~TED SUBSTANCES fRS) 131 1, Have on site RS at greater than the threshold es ^ No • OES FOAM FD2086) Chemical Description Form) planning quantities established by the California ° Aisk Management Plan (RMP Submit to LISEPA} Accidental Release Prevention program : CONSOLIDATED COMPLIANCE PLAN Incorporating CaIARP Program Elements {CaIARP)? C. 4NDEi~F~QUND STORAGE TANKS (USTsrI t3 1. Own ar operate Underground Storage Tanks? ^ Yes ~o UST FACILITY FORM FD2068b ) • UST TANK FORM (One Per Tank) 2. Intend to upgrade existing or install new USTs? ^ Yes o • UST FACILITY FORM FD2os8b) 133 • UST TANK FORM (One Per Tank} FORM FD2o68d UST INSTALLATION FORM IOne Per ank} FORM FD2oeef D. TAPI,~CL(~SURE /REMOVAL 2. Need to report closing an UST that held hazardOUS ^ Yes ~o • UST TANK FORM (closure ection -one per tank) materlals Or ( / 3. Need to report the closure !removal of a tank that ^ Yes ~o __ UST TANK CLOSURE FORM was classified as hazardous waste and cleaned on- site? ~ ~ ~ E. Asrr)1(E~,CROUND PETROLEUM STORAGE TANKS tASTs) s ^ No • CONSOLIDATED COMPLIANCE PLAN 1. Own ar operate ASTs above these thresholds; • incorporating Federal Spill Prevention Control and any tank capacity is greater than 660 gallons or the Countermeasure (SPCC) Elements pursuant to 40 CFR Part 112. total capacity for the facility is greater than 1,320 n8U4JyS? F. HA2.yLI~DQI~S WASTE EPA ID NUMBER -Provide on 4his pag® 1. Generate hazardous waste? ~es ^ No tttt • To obtain EPA ID Number, please phone (g16) 324-1781 2. Recycle more than 100 kglmo of recyclable es ^ No •- RECYGLING FORM materials at the same location it was generated? 3, Recycle more than t00 kglmo of recyclable es ^ No • RECYCLING FORM materials at an off-site location different from the point of generation? 4. Treat Flazardous Waste on site? ^ Yes o . TP FACILITY FORM (DTSC FORM 1772} + TP UNIT FOAM (One per unit} 5. Subject to Financial Assurance requirements? ^ Yes o + CERTIFICATION OF FINANCIAL ASSURANCE 6. Consolidate Hazardous Waste generated at a ^ Yes o e REMOTE WASTE /CONSOLIDATION SITE. NOTIFICATION FORM ~' remote site? -- - - Note: if you che~cOced YES to any part of Sections IlA -- IIF above, then im addition to the forms requested above, please Submit OES Farm 2730. !i~ i~~° I e tle Hbagen•Dazs 2007 HAZARDOUS MATERIALS BUSINESS PLAN DREYER'S GRAND ICE CREAM, LLC - BAKERSFIELD 7301 District Boulevard Bakersfield, CA 93313 (661) 398-3500 (661) 398-4860 fax Hazardous Materials Business Plan Sections Contents I Business Identification Data II Emergency Response Plans and Procedures A. External Emergency Notification Procedures d B. Local Emergency Medical Assistance Appropriate for Potential Accident Scenarios C. Emergency Action Plan III Inventory IV Site and Building Maps A. Site/Building Map B. Locations of Stored Chemicals Map V Responding to Chemical Emergencies A. Abatement and Mitigation B. Spill Response Personnel C. Location of Utility Shut Off Valves VI Spill Notification VII Training VIII Certification Appendix A Hazardous Materials Spill/Clean-up Contractors 3 SECTION I Business Identification Data B E R S F I D - F~R~ ~ '' ~ R r~r r ~ , ~ CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 BUSINESS OWNER /OPERATOR IDENTIFICATION FACILITY INFORMATION (are form per mnterinl per 6nildieg or nren) I. FACILITY IDENTIFICATION FACILITY ID # 1 5 0 2 1 0 0 1 4 0 7 1 Year Beginning Year Ending 1.01 January 1, 2006 100 December 31, 2006 BUSINESS NAME (Same as FACILITY NAME or DBA- Doing Business As) 3 BUSINESS PHONE 661-398-3500 -102 Dreyer's Grand Ice Cream -Bakersfield SITE ADDRESS 7301 District Blvd. 103 CITY Bakersfield 104 CA ZIP 93313 105 DUN & N/A cos SIC CODE 2024 ~o~ BRADSTREET (4 Digit #) COUNTY Kern ,108 OPERATOR NAME cos OPERATOR PHONE ~~o II. OWNER INFORMATION OWNER NAME Holdings ~~~ OWNER PHONE 510-652-8187 »z OWNER MAILING ADDRESS 5929 College Avenue 113 CITY Oakland iia STATE CA >>s ZIP 94618 pis 111. ENVIRONMENTAL CONTACT CONTACT NAME Kimberly Lawler ~~~ CONTACT PHONE (661) 201-8824 >>a CONTACT MAILING 7301 District Blvd. its ADDRESS CITY Bakersfield ~zo STATE CA 121 ZIP 93313 122 -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- NAME Kimberly Lawler 123 NAME Sean Carlsen 129 Environmental Manager its TITLE TITLE Health and Wellness Manager X30 BUSINESS PHONE (661) 398-3495 ~2s BUSINESS PHONE (661) 398-3549 3131 24-HOUR PHONE (248) 345-7522 i2~ 24-HOUR PHONE (661) 978-2538 ~3z PAGER # 128 PAGER # 133 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 the information submitted in this inventory and believe the information is true, accurate, and complete. ., SIG A OW FAR R DAT 134 NAME OF DOCUMENT PREPARER 135 Kimberly Lawler NA ES OF OWNE OP T (print) ~3s TI 'LEO OWNER/OPERATOR 137 Mar McLenithan 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. 7 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 releaseposes no significant present orpotential 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 Address: 3838 San Dimas St. Suite B-100 City: Bakersfield, CA Zip Code: 93301 Phone: (661) 326-0088 2. Facility: The Industrial Medical Group Address: 2501 G Street City: Bakersfield, CA Zip Code: 93301 Phone: (661) 327-2225 3. Facility: Bakersfield Memorial Hospital Address: 420 34t" St. City: Bakersfield, CA Zip Code: 92201 Phone: 661-327-4647 4. Emergency Medical Agency (Ambulance): Local Paramedics Phone: 911 C. Emergency Action Plan Forward A basic system of emergency preparedness has been established to meet requirements of state and local codes and Company policy. Dreyer's Grand Ice Cream -Bakersfield Plant makes every effort to meet these requirements and provides for the protection of personnel and property. The effectiveness of any "Emergency Response Plan" is dependent on the participation of employees at all levels in the planning and training activities, which occur prior to an emergency or disaster. The Emergency Response Plan is designed as a ready reference tool for use when an actual emergency occurs. It will enable personnel to know what their responsibility is and what can be expected from other team members. 8 In an actual emergency, the safety of personnel and the protection of property may depend on the ., action taken by those in the area of the emergency. Therefore, all personnel should familiarize themselves with the Emergency Response Plan and be aware of the proper steps to take during an emergency. In this facility, specific personnel are assigned to an Emergency Response Team. This team assists in implementation of the Emergency Response Plan. The team provides guidance during practice evacuations of the facility and during an actual emergency. For their own safety, all personnel must follow the instructions of these individuals. In order to critique the efficiency and effectiveness of the Emergency Response Plan, all plant evacuations will be reviewed and discussed by management within 48 hours of the evacuation. General Evacuation Procedures The following procedures apply to the Team Coordinators/Group Leaders/Lead Operators when it is necessary to evacuate the plant. 1. Team Coordinators are responsible to assure personnel are safely evacuated and assembled in their designated locations. Team Coordinators shall visually inspect their work areas in pairs (buddy system) on their way out of the plant to ensure all employees have evacuated. Team Coordinators shall report to the central assembly area, on the grass outside the cafeteria, immediately upon exit from the building. 2. Group Leaders/Lead Operators shall lead employees on their specific line out of the plant through the closest, safe exit and shall proceed directly to the assembly area on the grass outside the cafeteria. All personnel are to remain at this location until the "all clear" signal has been given by the Incident Commander. 3. Upon assembly of personnel at their designated location, within the assembly area, the Team Coordinator, Group Leader, or Lead Operator shall determine if all personnel are accounted for by making a roll call. The Control Center shall be notified by the Team Coordinator, Group Leader, or Lead Operator of the head count immediately. 4. The Control Center shall immediately notify the Incident Commander if any employee is missing. The Incident Commander will notify the Emergency Response Team or Fire Department. Dreyer's Grand Ice Cream personnel may be assigned to assist the Fire Department. Ammonia Release Procedures A. Purpose The purpose of these procedures is to outline the responsibilities of the management team who will be directing activities in the event of an ammonia release. The protection of employees and Company assets is of the utmost importance. B. Procedures 1. If there is a visible cloud of ammonia present or heavy odor, employees in that local area are to be moved to another area and the Utilities/Facilities Team Coordinator is to be notified immediately. The evacuation alarm should not be activated unless a potentially life threatening situation exists. The decision to totally, or partially, evacuate the plant is to be made by the Incident Commander and/or the refrigeration team, as appropriate. Except in the case of alife-threatening situation, the message to evacuate should be verbally communicated by Management Personnel from all areas as to avoid employee panic. 2. If it is deemed necessary to evacuate and can be done safely without pulling the alarm box, Senior Management members must consider wind direction. If the Central Employee Assembly Area is upwind of the release, employees are to assemble in the designated location as called for in our evacuation procedures. However, if the wind is blowing in the direction of the Assembly area, the most senior management member must decide on an alternate safe assembly location. If an alternate assembly location is necessary, respective Team Coordinators must communicate this. If the fire alarm pull box is activated and the wind is in the direction of the Visitor Parking Lot, employees are to be directed to an alternate location as they evacuate to the visitor parking lot by Team Coordinators, or any member of management available. The person pulling the fire alarm pull box must contact the Security Office immediately by calling extension 3599. 3. Employees must evacuate the plant immediately if the alarm is activated or if instructed to do so by Management or any Utilities/Facilities Technician. Upon evacuation to the Central Employee Assembly Area each employee must stay with his or her specific production line, or department, in order to have an accurate head count conducted. All employees must evacuate except those trained and authorized personnel (with proper protective clothing and breathing equipment). 4. Each Department Manager, or Team Coordinator, in charge must account for each person under his or her responsibility. Team Coordinators must account for the people on the production lines, and then report to the Incident Commander. They must give the Incident Commander a list of the missing employees and location of where they were last seen, if possible. 5. If necessary, the Incident Commander will assign a squad to conduct a search. C. Responsibilities of Utilities/Facilities Personnel 1. The Maintenance Manager is responsible for the ammonia release procedures in the plant. In his/her absence a properly trained, Group Leader on duty is in charge of the ammonia release activities. 10 2. After arriving at the scene of the ammonia release (with proper personal protective equipment), the Utilities/Facilities personnel must assess the situation as quickly as possible, and confer with the Incident Commander. 3. Turn on the fans, blowers, and ventilators as deemed appropriate by the Incident Commander. 4. Utilities/Facilities personnel must not enter a high ammonia concentration (300 ppm or greater) area without an approved SCBA and Level A protective equipment. 5. The Utilities/Facilities personnel must use the "buddy system." Each person must have a "buddy" and is responsible for staying within sight of their "buddy." Each "buddy" must be dressed out at the same level of protection as the entry person. 6. It is the responsibility of the Utilities/Facilities Team Coordinator or Group Leader on duty to contact Risk & Safety personnel to report ,the status of the ammonia release immediately. He/she is also to report as soon as possible if it is safe for the Production Supervisors to re-enter the plant to get the food ingredients off the lines and have them properly stored. D. Responsibilities of the Senior Member of Management 1. On first shift, the Plant Manager is the Senior Member of Management. His alternate shall be a Business Unit Manager. 2. On second shift, the Business Unit Manager is the Senior Member of Management. His alternate shall be a designated Team Coordinator. 3. On third shift, the Business Unit Manager is the Senior Member of Management. His alternate shall be the designated EPSU Team Coordinator. 4. The Senior Member of Management will set up a Control Center in the Administrative Conference Room assisted by the People Systems Manager or his/her designee. The ammonia release activities will be monitored from this location via telephone and two- way radio. If evacuation is necessary this group will follow-up to be sure all employees have evacuated. 5. 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) 437-0301 Risk & Safety Manager 11 6. 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 7. If the media arrives at the plant, the People Systems Manager, or his/her designee, will give the news media the appropriate corporate contact. Should the media arrive at the plant at an hour when the People Systems Manager, or his/her designee, is not present, their names(s), station identification, and phone number will be taken and someone will get back to them. 8. Members of management near the location of the ammonia release are to keep all persons not directly involved with facilities in the discovery and repair of the release away from the scene. Only those employees who are properly trained and equipped to handle an ammonia emergency should be allowed in the immediate area (this includes non-facilities management). The Emergency Medical Service (EMS), or any other outside assistance should be instructed by management to remain at a location several hundred yards from the scene until their services are needed. 9. When the release has been stopped, the most senior member of management will make the decision to allow employees to re-enter the plant and resume production operations, or to terminate the current shift operations for the day. E. Responsibilities of Production When the Incident Commander has given the permission to allow Production Management to re-enter the plant, the Plant Manager and Business Unit Managers shall appoint a team to properly take care of the ice cream on the production lines. This team should consist of Lead Operator, QA Personnel and Production Maintenance Technicians. 12 F. Responsibilities of The Emergency Response Team 1. All Emergency Response Team Members not involved in the repair of the ammonia release shall be on stand-by at the Central Assembly Area. The Emergency Response Team may be asked to assist in the employee search efforts. 2. Emergency Response Team Members shall also be on stand-by to spray water at the ammonia release area. (Only if directed to do so by the Utilities/Facilities Team Coordinator or Utilities/Facilities Group Leader.) G. Authorization to Re-Enter Plant The authorization for employees to re-enter the plant to resume production can only be given by the Incident Commander after he/she consults with the Utilities/Facilities personnel on duty and after the Utilities/Facilities Team Coordinator and Risk & Safety personnel have accessed that the work area is safe for re-entry. Air samples will be taken with the Manning Systems Inc., monitors which are located in the Utilities/Facilities office, and/or the ammonia detectors which are located throughout the Production Floor. H. Medical Treatment For Exposure to Ammonia In the event an employee is exposed to ammonia the following steps are to be followed in order to properly care for the individual:. Ingestion: If ammonia is swallowed in liquid form, keep victim warm and immediately obtain medical attention. If signs of respiratory obstruction develop, immediately transport to the nearest medical facility. Do not induce vomiting. Inhalation: Remove victim to fresh air. Give oxygen if breathing is difficult. If breathing has stopped, perform artificial respiration and obtain immediate medical attention. Contact with Skin: Apply water immediately to exposed areas of skin and continue for at least 30 minutes. Remove contaminated clothing, shoes, and constrictive clothing while continuing to apply water, being careful not to tear the skin. If skin surface is damaged, apply a clean dressing. If skin surface is not damaged, cleanse the affected area thoroughly with mild soap and water. Do not apply salves or ointment to affected areas and obtain immediate medical attention. Contact with Eyes: Remove victim to fresh air and immediately flush with flowing water for at least 30 minutes with the eyelids held apart. Obtain immediate medical attention. Ammonia Spills/Releases Procedures Quick Reference The following procedure should be followed in the event of an ammonia spill or release: 1. Investigate the cause (Maintenance with protective equipment). 13 2. Evacuate affected area. 3. Shut down broken lines or system. 4. Contact Fire Department if any vapors go to outside. 5. Contact the wastewater POTW if any ammonia has gone into the sewer drains. 6. Vent the affected areas. 7. Control and contain the spill and neutralize the ammonia. 8. If more than 100 pounds (18 gallons) was spilled, Risk & Safety personnel or if they are not available, the Business Unit Manager or his/her designee should contact the following immediately (within 15 minutes of the incident): a) National Response Center (get report number and name of person) (800) 424-8802 or (202) 426-2675. b) Local Emergency Response Commission (661) 326-3979 c) State Office of Emergency Services (800) 852-7550 or (916) 427-4341. d) Greg Molloy (260) 437-0301. 9. A written report should be completed by the shift Utilities/Facilities Group Leader stating dates, times, who, what, where, how, and corrective action taken. This should be given to the Risk & Safety Manager. 10. Risk & Safety personnel should be contacted to monitor employee exposure and limits. ChemicaVHazardous Material Release and Notification A. Responsibility of Plant Personnel If you discover achemical/hazardous material spill or threatened spill notify the security office (ext. 3599) and the proper response group will be notified of the situation. B. Responsibilities of Facilities Management 1. After receiving a report of a spill, first identify the spill location and determine what resources are necessary to properly respond to the incident. 2. If additional resources are needed contact the appropriate agency for the additional help (i.e. Fire Department or outside contractor service). 14 3. Risk & Safety personnel will be responsible for notifying the following agencies of the release or threatened release immediately (within 15 minutes of the incident): City of Bakersfield, Office of Environmental Services (661) 326-3979 State Office of Emergency Services (800) 852-7550 or (916) 427-4341 National Response Center (800) 424-8802 or (202) 426-2675 C. Responsibilities of the Emergency Response Team 1. The Emergency Response Team, which consists of a group of specially trained employees on all three shifts, will handle specifically assigned duties delegated by the . Incident Commander on that shift. 2. The Incident Commander will designate a person to begin paging the appropriate personnel. The Emergency Response Incident Commander or senior plant Emergency Team Member shall be responsible for obtaining two-way radios in order to maintain communications. D. Termination of ChemicaUHazardous Materials Release Procedures The Incident Commander shall terminate the Chemical/Hazardous Materials Release Procedures. If the Evacuation Plan was executed, the notification shall be made at the Plant Main Entrance. If the employees were not evacuated, the Department Managers will be contacted to terminate the Chemical/Hazardous Materials Release Procedures. Fire Plan A. Responsibility of Plant Personnel If you discover a fire (regardless of the size), pull the nearest fire alarm immediately. After leaving the fire area, report the nature and location of the fire to the security office (ext. 3599) and evacuate the building. B. Responsibilities of Facilities Management 1. After receiving the report of a fire when the alarm is pulled, first identify the fire location on the alarm zone panel, then check out fire area to ensure the fire exists. If there is a fire, call the fire department to confirm they were alerted by the fire alarm system. If the internal telephone system is out of order, use a pay telephone. 2. After calling the Fire Department, the Utilities/Facilities Team Coordinator or Group Leader must meet the Emergency Response Team at the designated gathering area. The Emergency Response Team should respond to the alarm and meet at the designated area 15 awaiting instruction from the Incident Commander, unless obvious actions should be taken. The group call for the Emergency Response Team is activated by use of radios and/or alarm. 3. After verifying the Fire Department has been contacted the Utilities/Facilities Team Coordinator or Group Leader must notify the Plant Manager, Business Unit Managers, and Risk & Safety personnel. 4. If the fire alarm is pulled, the Security Guard at the main entrance shall stop all incoming traffic with the exception of emergency vehicles (fire truck, ambulance, etc.). The Security Guard will also. be responsible for clearing all non-emergency vehicles from in front of the entrance gates. The Security Guard must be prepared to tell the Fire Department personnel the following: a) Location of the fire. b) The name of the Dreyer's Grand Ice Cream employee to contact in the plant. C. Responsibilities of the Emergency Response Team 1. The Emergency Response Team, which consists of a group of specially trained employees on all three shifts, will handle. specifically assigned duties delegated by the Incident Commander on that shift. 2. The Incident Commander will designate a person to begin paging the appropriate personnel. The Emergency Response Incident Commander or senior plant Emergency Team Member shall be responsible for obtaining two-way radios in order to maintain communications. D. Termination of Fire Plan Procedures The Incident Commander shall terminate the Fire Plan Procedures. If the Evacuation Plan was executed, the notification shall be made at the Plant Main Entrance. If the employees were not evacuated, the Department Managers will be contacted to terminate the Fire Plan Procedures. 16 SECTION III Inventory 17 s`'~~ _"~ a y! D f4» FIRE lARTM 7 ~+.~ ~ 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 FAC1LffY NAME or Dreyer's Grand Ice Cream ~g R~ 96 (wre form per nmterial per building or area) Page _ of CHEMICAL LOCATION zol Outside Wastewater Neutralization Area CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) FACILITY ID # I I I S I O 12 11 I' O I O I I 14 I O 17 I I MAP # (optional 203 GRID # (oplioua~ 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ^D No 206 CHEMICAL NAME Sodium Hydroxide, SOIUtIOn If Subject to EPCRA, refer to instructions 207 COMMON NAME 'EHS* ^ Yes ~ No 208 CAS # 1310-73-2 209 *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~ QX m MIXTURE RADIOACTIVE ^ Yes ^X No - 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER 1,400 gallons zls ^ g GAS 214 FED HAZARD CATEGORIES ^ I FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HE ALTH ^ 5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 AVERAGE - 219 STATE WASTE CODE 220 AMOUNT DAILY AMOUNT 200 DAILY AMOUNT I O 0 UNITS* ~ ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON SITE 222 * If EHS, amount must be in lbs. 365 STORAGE CONTAINER ^X 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 ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SILO ^ I CYLBQDER ^ 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 z26 Sodium Hydroxide, Solution 227 ^ Yes ^x No zzs 1310-73-2 229 73% 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. I(iNA'1'UKE ~J PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE /' SIGNA RE j ~/ /' ~ ~//(A~~~ 246 Kinvberly Lawler, Fm,ironntenJalMan°ger i~a y7/J~~i/ l/~1////A,(n/'l 18 d l'~ a-f C R s P I D F~ ~ Fine vARfM r ^ NEW ^ ADD ^ DELETE «~ .~. 0 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (nne farm per n:ateria[ per building or area) REVISE 200 Page _ of I. FACILITY INFORMATION tsuatrvnaa rvtuvtn laame as rH~tu I x t~tuvtn or unH - Dreyer's Grand Ice Cream CHEMICAL LOCATION zol Maintenance Shop and Outside Gas Storage Area ct-tEMICaI. LocATION ^ yes ~ ND zoz CONFIDENTIAL (EPCRA) FACILITY ID # I l I S ~ O 12 11 O I O I l 14 I O 17 1 MAP # (optional) 203 GRID # (optionaQ 204 II. CHEMICAL INFORMATION ~ 205 TRADE SECRET ^ yes ^D No 206 CHEMICAL NAME Oxygen If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS* ^ yes 0 No 208 cns # 7782-44-7 209 *If EHS is" Yes," all amounts below must be in lbs. I_ 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 211 PHYSICAL STATE ^ s SOLID -^ I LIQUID LARGEST CONTAINER 249 CU FT 215 g GAS 214 FED HAZARD CATEGORIES X^ I FIRE ^ 2 REACTI VE ^ 3 PRESSURE RELEASE ^ 4 ACUTE H EALTH ^ 5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE 220 AMOUNT DAILY AMOUNT l O DAILY AMOUNT $ 0 UNITS* ^ ga GAL ^X 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 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 ^D 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 CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS# 1 Oxygen, Compressed 227 ^ Yes ^x No zzs 7782-44-7 229 100% 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 24S lll. Sl 'NA'1'UKI; PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE NATUlJR//R~~ 9/p T/E 246 K'nrberly Lmvler, Environmental Mmrager ~ n/)A.!/A~ SLY' ~ ~// Y///~~ 20 .moo ~~' a ~~sE R$ P i 0 U ~< r~ARTM T ~ * ~ A .~.,< ~~-,- ~o.M CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one jnrm per material per bni/ding or area) ^ NEW ^ ADD ^ DELETE ~ REVISE 200 Page _ of _ 1. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION 201 Chemical Storage Area CHEMICAL LOCATION ^ yes ^X No 202 CONFIDENTIAL(EPCRA) - FACILITY ID # I I I S I I O 12 11 O I O I l 14 I O 17 I 1 MAP # (optionan 203 GRID # (aptionan 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME Waste Oil 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 5re chief) ' 2I0 TYPE ^ P pURE ^ m MIXTURE RADIOACTIVE ^ Yes 0 No 212 CURIES 213 ^x w WASTE 211 PHYSICAL STATE ^ s SOLID DI LIQUID LARGESTCONTARVER 1,100 gallons 21s " ^ g GAS 214 FED HAZARD CATEGORIES QX I FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE 220 AMOUNT DAILY AMOUNT I,l OO DAILY AMOUNT SO 221 4000 UMTS* ~ ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON SITE 222 * If EHS, amount must be in lbs. 365 STORAGE CONTABQER ' ^X a ABOVEGROUND TANK ^ e PLASTIC/NON'METALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (C heck 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 AMBIENT 224 STORAGE TEMPERATURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS# I 226 Waste Oil, Petroleum Based 227 ^ yes ^X No 228 229 100% 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 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE Kimberly Lawler, Environmenta(Mmrager III. SIGNATURE 21 B E R S P I D Flee AeiM 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 BUSINESS NAME (Same as FACILITY NAME or Dreyer's Grand Ice Cream I. FACILITY INFORMATION ~~ U ,,.~ (wre jnrnr per material per Mcilding or area) Page _ of CHEMICAL LOCATION 201 Rollo Mold Tables CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) FACILITY lD # 1 5 0 2 I 0 0 I 4 0 7 I MAP # (optional) 203 GRID # (optional 204 ~ ` I II. CHEMICAL INFORMATION ~ 205 TRADE SECRET ^ Yes ^x No 206 CHEMICAL NAME Calcium Chloride If Subject to EPCRA, refer to instructions 207 COMMON NAME Brine EHS* ^ yes ~ No 208 CAS # 7664-41-7 209 *If EHS is" Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE 0 P p~ ^ m MIXTURE RADIOACTIVE ^ Yes ^x No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER 1,400 gallons 21s ^ g GAS 214 FED HAZARD CATEGORIES ^ I FIRE ^ 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 DAILY AMOUNT 7,000 DAILY AMOUNT 99O UNITS* x^ 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 PLASTICMONMETALLIC 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 D c TANK CNSIDE,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 ^x a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 °/BWT HAZARDOUS COMPONENT EHS CAS# I 226 Calcium Chloride zz7 x ^ Yes ^ No 228 7664-41-7 zz9 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 III. GNATURE PRWT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE (GNAT RE ATE 246 Kin:herly Lmvler, Environmental Manager ~~~~ ~~ ~ 3/~~ /~ 22 e~ e n s r t o Z ~ Fiee 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 BUJINESS NAME (Jame as hAGILLL Y NAMY, or Dreyer's Grand Ice Cream I. FACILITY INFORMATION ~_ ~ *~'~.,~ 0 (wre form per material per bnilJing or area) Page _ of _ CHEMICAL LOCATION 201 Maln2enanCe Shop and OUtSIde GaS StOrage~ CHEMICAL LOCATION ^ yes 0 No 202 CONFIDENTIAL (EPCRA) FACILITY ID # I I I S I; I O 12 11 I'~. O I O I I 14 I O 17 I I MAP # (optional) 203 ~ GRID # (optiwra[) 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ^D No 206 CHEMICAL NAME Argon ~ !f Subject to EPCRA, refer to instructions 207 COMMON NAME EHS* ^ Yes D No 208 CAS # 7440-37-1 209 "If EHS is" Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE QX p PURE ^ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ^ I LIQUID LARGEST CONTAINER 336 CU FT zls g GAS 214 FED HAZARD CATEGORIES Q I FIRE ^ 2 REACTIVE D 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 2l7 MAXIMUM 218 AVERAGE ~ 219 STATE WASTE CODE 220 AMOUNT DAILY AMOUNT ISO DAILY AMOUN"I' 7$ 0 LIN7TS* ^ ga GAL ^X 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 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 SILO ^D I 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 HAZARDOUS COMPONENT EHS CAS# I 226 Argon 227 ^ yes ~ No 22s 7440-37-1 229 ]00% 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 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE Kimberly Lawler, Environmwna! Manager III. SIGNATURE DATE 246 23 .. B E R S P 1 D -~ FiRe 6~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 tsu~trvnaa rvmm~ taame as rout.[ t x rvmm~ or Dreyer's Grand Ice Cream I. FACILITY INFORMATION * ~i ~ (one form per ma[eria! per bnilJing or area) Page _ of CHEMICAL LOCATION 201 Outside Chemical Storage Area CHEMICAL LOCATION ^ yes ^X No 202 CONFIDENTIA[. (EPCRA) FACILITY ID # I l I S I, 4 II O 12 I I I O I O I I 14 I O 17 1 MAP # (op[ionan 203 GRID # (optional) 204 11. CHEMICAL INFORMATION 205 TRADE SECRET ^ Yes ^D No 206 CHEMICAL NAME Propylene Glycol -Industrial If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS` ^ yes ~ No 208 CAS # 57-55-6 209 •If EHS is" Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE Q p pURE ^ m MIXTURE RADIOACTIVE ^ Yes 0 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 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 MAXIMUM 21g AVERAGE 219 STATE WASTE CODE 220 AMOUNT DAILY AMOUNT I ~~ DAILY AMOUNT I ~~ UNITS` ^x 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 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 ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BCN ^ d STEEL DRUM ^ h SILO ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE QX 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 I, 2-Propanediol 227 ^ Yes 0 No 228 $~-$$-6 229 I~~% 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 Kinrherly Lawler, Environmere[al Manager III. SIGNATURE DATE 246 25 ~''~ B~ E R S P I D Flee ~erM r CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION II ^ NEW ^ ADD I ^ DELETE ^D REVISE 200 I. FACILITY INFORMATION .~-~...o ~€ ,.. o" (nae jarn: per n:areria! per hailding or area) Page _ of BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Crea m CHEMICAL LOCATION 20 1 Outside Chemical Storage Alea CHEMICAL LOCATION ^ yes ^D No 202 C ONFIDENTIAL (EPCRA) FACILITY ID # I l I S I 0 1 2 I I I-r- 0 0 I 1 1 4 10 1 7 I I MAP # (optional) ~ 203 GRID # (oplionan 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 coMMON NAME Mikroklene DF (Idophor Detergent Disinfectant) EHS* ^ ves ^x No zoa CAS # 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 ^ p p~ 0 m MIXTURE RADIOACTIVE ^ Yes ^X No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER 55 gallons zls ^ g GAS 214 FED HAZARD CATEGORIES ^ I FIAE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 . ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTECODE AMOUNT DAILY AMOUNT I I O DAILY AMOUNT SS 220 UNITS* ~ 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 e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 heck a[! that apply) (C ^ 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 QX a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS# 226 Iodine zz7 ^ ves ~ Nn zza 7553562 zz9 1.75% 2 6.5% 230 Phosphoric Acid 231 ^ Yes ~ No 232 7664382 233 3 2% 234 2-Butoxyethanol 235 ^ Yes 0 No 236 11 1762 237 4 238 ~ 239 ^ Yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE Kimberly Lawler, EnvironnrenralMmrager III. SIGNATURE DATE 246 2/ E R S P I D ~'' vise D~ AR1M 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 ~~ o ~~ (one form per nrateria! per huilding ar area) 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 Chemical Storage Area CHEMICAL LOCATION ^ yes ^X No 202 CONFIDENTIAL (EPCRA) FACILITY ID # I I I S O 12 11 f 0 l 0 I 14 I O 17 I 1 MAP # (optionan 203 II GRID # (aptiona!) 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME QBO1'Um Clear (Quaternary AmmDniBm SanltlZer~ EHS` ^ Yes 0 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 SOLTD ~ I LIQUID LARGEST CONTAINER 55 gallons 21s ^ 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 DAILY AMOUNT I l O DAILY AMOUNT S S 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. 365 STORAGE CONTAINER ^ a ABOVEGROUND TANK ~ e PLASTIC/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 ^ 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 ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS# i 226 Alkyl Dimethybenzylammonium Chloride 227 ^ ves ~ No zz8 8001545 zz9 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_ 111. J1GIVATUKL~ PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE S NATUJRE // DATE 246 Kimfierly Lawler, Environnrarta/Mmrager L,[i"//~~ /i/.tA ~ 3//~~ 28 ~_ a fr. I ', D FlRe 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 .~-~.~, ~~, (one form per material per huilding or area) Page _ of BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Crea m CHEMICAL LOCATION 20 1 Chemical Storage Area CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) FACILITY ID # I l I S I I O 12 I I O I O I I 14 I O 17 I I MAP # (optional) 203 GRID # (optionan 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ^D No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME Quorum Brown (Heavy Duty Alkaljne Cleaner) .EHS* ^ Yes ~ No 208 CAS # 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 ^ p PURE ~ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 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 HE ALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT 1 10 DAILY AMOUNT 55 220 0 UNITS* X^ ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON SITE 222 * If EHS, amount must be in lbs. 365 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^D 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 ^ 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 QX a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 °/nWT HAZARDOUS COMPONENT EHS CAS# I 226 Sodium Hydroxide 227 ^ Yes ^X No zzs 1310732 229 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 PAINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE Kimherly law[er, Fnvironmeetal Manager III. SIGNATURE DAT/E 246 //V/~ 29 ~~~P 1 D f i/RE D ARTM T ^ NEW DADD + CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^DELETE ^REVISE 200 I. FACILITY INFORMATION r"°+,,, _ ~ ~~i ~,..~^ 0 (one form par material per hailding 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 CIP Room 3 & 4 CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) FACILITY ID-# I I I S I I{I{ II O 12 11 i 0 I 0 l l 14 I O 17 I 1 MAP # (optional) 203 II Iili Itlt I1II GRID # (optiouan 204 . II. CHEMICAL INFORMA TION 205 TRADE SECRET ^ yes ^x No 206 CHEMICAL NAME If Subject [o EPCRA, refer to instructions 207 COMMON NAME Mandate (Acid Sanitizer) 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 PURE ~ m MIXTURE RADIOACTIVE ^ Yes 0 No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID D I LIQUID LARGEST CONTAINER 3,000 gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES Q 1 FIRE D 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 3,000 DAILY AMOUNT I,SOO 220 Q 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 ' ^ a ABOVEGROUND TANK D e PLASTIC/NONMETALL[C DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 heck al! that cy~ply) (L ^ 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 Qx a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE x a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 °/nWT HAZARDOUS COMPONENT ~ EHS CAS # 1 226 Phosphoric Acid zz7 ^ yeS x No zzs 7664382 z29 22.$% 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 ^ Na 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE Kinrherly Lawler, F.nvirmtmeNal Mmrager III. SIGNATURE DATE /~ 30 B ~. E R S P I D ~' Fiiae a ~RrM 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. FACILITY INFORMATION ~6 . o,. (one jnm per nrateria! per hailding 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 CIP 5, 6, ceC 7 CHEMICAL LOCATION ^ yes ^X Na 202 CONFIDENTIAL(EPCRA) FACILITY ID # ~ 1 ~ 5 ~ ~ 0 ~ 2 ~ I 0 ~ 0 1 ~ 4 ~ 0 ~ 7 ~. 1 MAP # (nptiona6 203 GRID # (optional 204 , II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME Citric Acid If Subject to EPCRA, refer [o instructions 207 COMMON NAME ~ EHS" ^ yes ~ No 208 CAS # 77-92-9 209 *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 2t3 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID D I LIQUID LARGEST CONTAINER 1,500 gallons 2Is ^ 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,SOO DAILY AMOUNT 220 220 0 UNITS* ~ 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 PLASTICMONMETALLIC 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 ^X c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SILO ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE ^D 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# I 226 Citric Acid 227 ^ Yes ~ No 228 77-92-9 zz9 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 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE Kinrherly Lawler, Environmental Manager III. SIGNATURE DATE 246 31 F/RF 't ARiM 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. FACILITY INFORMATION i`°°°,Rn '~O ,..~^ 0 (one form per mareria! per building or area) Page _ of BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LGCATION 20 1 Maintenance Shop and Compressed Gas Storage Area CHEMICAL LOCATION ^ yes' ^X No 202 CONFIDENTIAL (EPCRA) FACILITY ID # I l I S L... I O 12 11 O I O I I 14 I O 17 I I MAP # (opriona!) 203 GRID # (optional) 204 II. CHEMICAL INFORMATION 20S TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME Acetylene If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS* ^ yes ~ No 208 CAS # 209 *If EHS is" Yes," all amounts below must be in l bs. 74-86-2 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE QX p PURE ^ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ^ I LIQUID LARGEST CONTAINER 18S CU FT 215 0 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 DAILY AMOUNT l O DAILY AMOUNT S ~ 220 0 UIVITS* ^ ga GAL 0 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 a!! (bar 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 ^D 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# I 100% zz6 Acetylene 227 ^ Yes ^x No 2zs 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 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE Kimberly Lawler, Environmental Manager III. SIGNATURE ~/D/ATE 246 c.A /~~ 32 ' B~ E R S P 1 D i/RF ARfM f ~,<..,. ~ . e-.- 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 (one, f rn: per nw[erial per firrilding nr area) Page _ of BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 - Dreyer's Grand Ice Cream CHEMICAL LOCATION 20 1 Boiler Room CHEMICAL LOCATION ^ yes ^X No 202 CONFIDENTIAL (EPCRA) FACILITY ID # I I I S I ;I O 12 11 ~' I O I O I I 14 I O 17 I L MAP # (op/ionan 203 GRID # (optional) 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME Sulfuric Acid If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS" Q yes ^ No 208 CAS # 209 "lf 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 Q P pURE ^ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID D I LIQUID LARGEST CONTAINE R 200 gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ I FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HE ALTH ^ 5 CHRONIC HEALTH (Check all [hat apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT I O DAILY AMOUNT 7.7 220 UMTS* ^ ga GAL ^ cf CU FT ^X 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 lhal 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 ^ 1 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# I 93% 226 Sulfuric Acid 227 0 Yes ^ No 22s 7664-93-9 229 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 Kin:fierly Lawler, Envirarmrenml Manager ATURE 33 DATE 246 B E R S P I D Fine 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 ^D REVISE 200 I. FACILITY INFORMATION ,~"°'.,~ * 6 ~,..~ o (one form per nra[eria! per Mrilding or area) Page _ of BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Crea m CHEMICAL LOCATION 20 1 Throughout Refrigeration System # 1 (Old Construction) cl-tEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) FACILITY ID # I l I S I I O 12 11 O I O I l 14 I O 17 I 1 MAP # (optiwrat) 203 GRID # (op[iaral) 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME Anhydrous Ammonia If Subject to EPCRA, refer to instructions 207 COMMON NAME Ammonia EHS* ^X yes ^ No 208 CAS # 7664-41-7 209 *If EHS is" Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE 0 P pL1RE ^ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ^D I LIQUID LARGEST CONTAINER 44,7101bs. zls 0 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 l O4,S9S DAILY AMOUNT I O4,S9S 220 0 UNITS* ^ ga GAL ^ cf CU FT ^X 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 heck a[! Thar apply) (C ^ c TANK INSIDE BUILDING ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^D r OTHER ^ d STEEL DRUM ^ g CARBOY ^ k BOX ^ o TOTE BIN ThrOUghOnt FaC111Yy ^ h SILO ^X I CYLINDER ^ p TANK WAGON RCfrlgeraYlOn System 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 HAZARDOUS COMPONENT EHS CAS# 1 100% zz6 Ammonia 227 ^X Yes ^ ND zz8 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 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE Kinrherly bawler, Environmeu[al Manager III. SIGNATURE DATE 246 /~~ 36 ~.. B~ E R S P I D [!» ~ ` Flee O ARTM r CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW ^ ADD ^DELETE X^ REVISE 200 I. FACILITY INFORMATION .~, (a+e form per malenal per hnilding or area) Page _ of BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Crea m CHEMICAL LOCATION 2o I Boiler Room CHEMICAL LOCATION ^ yes OX No 202 CONFIDENTIAL (EPCRA) FACILITY [D # I 1 I S ,. I O 12 11 O I O I l 14 10 7 I 1 MAP # (op+ionan 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 ~ TranSpOr[ PIUS 2800 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 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 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 I I O DAILY AMOUNT ~ S S 220 0 UNITS* ~ 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 e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check all 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 Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 °/nWT HAZARDOUS COMPONENT EHS CAS # I 226 None 227 ^ Yes ^ No 228 229 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 Kimberly Lawler, Favirann:ental Mm+ager III. SIGNATURE 3% DATE 246 37 ,,/, B ~- E R S F I D f Flee D~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 „~. (one Earn: per material per fivilding or area) Page _ of I 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 D No 202 CONFIDENTIAL (EPCRA) FACILITY 1D # I I I S i 0 II l 2 l l I_,; I O I O I I 14 10 7 I 1 MAP # (optianaQ 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 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 p~ Q m MIXTURE RADIOACTIVE ^ Yes ^x No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER 3,000 gallons ~ zls ^ g GAS 214 FED HAZARD CATEGORIES ^ I FIRE ^x 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE H EALTH ^ 5 CHRONIC HEALTH (Check all [hat apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT 3,000 DA[LY AMOUNT 2OO 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 ^ a ABOVEGROUND TANK - ^ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check afl that apply) x^ 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 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 . Sodium H droxide y 227 x ^ Yes ^ No 228 1310-73-2 zz9 10°/D 2 3% 230 Sodium Hypochlorite ~ - 231 ^ Yes ~ No 232 7681-52-9 233 3 234 235 ^ yes ^ No 236 237 4 238 239 ^ yes ^ No 240 241 6 ~ ~ 242 243 ^ Yes ^ No 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE Kimberly Lawler, Envirmmletita! Manager III. SIGNATURE DATE 246 38 f B ~.:.' E 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 ^REVISE 200 I. FACILITY INFORMATION U ~~.,~ (are jornv per material per hvifdiag ar area) Page of BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION 20 1 Outside Chemical Storage Alea CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) FACILITY ID # I I I S I II 0 1 2 11 1'i'. O I O I I 14 I O 17 I 1 MAP # (oplionan 203 GRID # (ap(iaran 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer [o instructions 207 COMMON NAME AC-55-5 EHS* Qyes ^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~ ^x m MIXTURE RADIOACTIVE ^ Yes ^x No 212 CURIES - 213 ^ w WASTE 211 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 H EALTH ^ 5 CHRONIC HEALTH (Check aN that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT 2,327.27 DAILY AMOUNT 41 220 UMTS* ^ ga GAL ^ cf CU FT 0 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 SILO ^ I 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 C.AS # 1 226 Phosphoric Acid 227 ^ yeS X ^ No zzs 7664-38-2 z29 4% 2 37% 230 NItCIC ACId 231 ^x 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 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE Kinrherly Lawler, FnPironnrealaf Manager III. SIGNATURE DATE 39 .., 6~~ E R S P I D ~ ', Fine D~ARTM T -;~.,< «z-,- CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW ^ADD ^ DELETE O REVISE 200 I. FACILITY INFORMATION f O ~,.~ o , (one form per material per hnilding nr area) Page _ of BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~Dreyer's Grand Ice Crea m CHEMICAL LOCATION 20 1 Wastewater Neutralization Plant CHEMICAL LOCATION ^yes ^x No 202 CONFIDENTIAL (EPCRA) FACILITY ID # I l I S I I II` O 12 11 I'. O I O I I 14 I O 17 I 1 MAP # (optional) 203 GRID # (optional) 204 [I. CHEMICAL INFORMATION ~ 205 TRADE SECRET ^yes ~ No 206 CHEMICAL NAME SUIfUCIC Acid If Subject to EPCRA, refer to instmctions 207 COMMON NAME EHS' ^x Yes ^ No 208 CAS # 209 'If EHS is" Yes," all amounts below must be in l bs. 7664-93-9 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ P pURE ^x m MIXTURE RADIOACTIVE ^ Yes 0 No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ^x I LIQUID LARGEST CONTAINER 1,000 gallons 21s ^ 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 DAILY AMOUNT 10,600 DAILY AMOUNT $O 220 UMTS' ^ ga GAL ^ cf CU FT ~ Ib LBS ^ to TONS 221 DAYS ON SITE ` If EHS, amount must be in lbs. 36$ 222 STORAGE CONTAINER ^X a ABOVEGROUND TANK ^ e PLASTICMONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check a!! that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ~ ^ n PLASTIC $OTTLE ^ 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 ^x a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT- EHS CAS# I 226 36% ~ Sulfuric Acid 227 x Yes No 2za 7664-93-9 zz4 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 Kimberly Lawler, Euvironmenta/Manager III. SI~nNATURE 246 40 B E R 5 ~ 1~_LL 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 I. FACILITY INFORMATION ~( G '~9 ORS (one form per material per hnilding or area) Page _ of BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Crea m CHEMICAL LOCATION 20 1 Materials Requisition Office CHEMICAL LOCATION ^ yes 0 No 202 CONFIDENTIAL (EPCRA) FACILITY ID #, ( I I S O 12 11 O I O I I 14 I O 17 I 1 MAP # (opriaran 203 GRID # (<priona!) 204 II. CHEMICAL INFORMA TION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME JAX Magna-Plate 220 FG, 460 FG EHS* ^ ves 0 No tog 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 ^X p PURE ^ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID D I LIQUID LARGEST CONTAi1VER 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 DAILY AMOUNT 55 DAILY AMOUNT 55 220 ' UNITS* ~ 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 PLASTICMONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check a!! Thar aPP1Y~ ^ 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# , 1 100% 226 White Mineral Lubricating Oils 227 ^ Yes ~ No 228 229 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 Kimherly Lawfer, Environmental Mmrager III. SIGNATURE ~f'L* ~~ DATE 246 41 /~.--- ~ B~ E R S P I D F/RF ARiM T CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester AYe., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW ^ ADD ^ DELETE ~ REVISE 200 I. FACILITY INFORMATION o~p (oue form per ma(erial per building or area) Page _ of BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Crea m CHEMICAL LOCATION 20 1 Wastewater Building CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) FACILITY ID # I I I S I""I O 12 11 I'. O 10- I I 14 I O 17 I 1 MAP # (opliona!) 203 GRID # (optional) 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME DleSel FUeI #2 If Subject to EPCRA, refer to instmchons 207 COMMON NAME EHS' ^ Yes ^D Na 208 CAS # 68476-34-6 209 *If EHS is" Yes;' all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE Q p pURE ^ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER 300 gallons 2ts ^ 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 300 DAILY AMOUNT 2SO 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/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check all (hat 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 ~ 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 zz6 Diesel Fuel #2 227 ^ Yes ^X No z2s 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 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE Kimherly Lawler, Environmental Manager IH. SIGNATURE 246 42 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. FACILITY INFORMATION ~~ `' ,..~^ OR (one form per n:ateria/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 Outside Chemical Storage Area CHEMICAL LOCATION ^ yes ^x No 202 201 CONFIDENTIAL (EPCRA) FACILITY ID # I 1 I S I O 12 I I I" O I O I 14 I O 17 I 1 MAP # (optional) 203 GRID # (optional) 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME Calcium Chloride If Subject to EPCRA, refer to instructions 207 COMMON NAME Brine EHS* ^ Yes ^x No 208 CAS # 7664-41-7 209 `If EHS is" Yes," all amounts below must be in l bs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ~ P pllRg ^ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID x^ I LIQUID LARGEST CONTAINER 330 gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTI VE ^ 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 99O DAILY AMOUNT 33O 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 PLAST[C/NONMETALLIC DRUM ^ i FIBEA DAUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check all 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 SILO ^ I CYLINDER PIaStIC TDte ^ 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 %WT HAZARDOUS COMPONENT EHS CAS# 1 226 Calcium Chloride 227 x ^ Yes ^ No 228 7664-41-7 zz9 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 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE Kimher[y Lawler, Environmental Manager 246 43 ~~,. B ~~E R S P I D Flee QBpAA'TM 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. FACILITY INFORMATION .~*.2, a ~~ ~,,. o a (one form per maleria! per building ar area) Page _ of BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION G lycol System CHEMICAL LOCATION ^ yes 0 No 202 201 CONFIDENTIAL (EPCRA) FACILITY ID # I l I S ( I O 12 11 I• I O I O I I 14 I O 17 I 1 MAP # (optional) 203 GRID # (optianan 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME Propylene Glycol -Industrial If Subject to EPCRA, refer [o instructions 207 COMMON NAME EHS* ^ Yes ~ No 208 Glycol . CAS # 209 *If EHS is" Yes," all amounts below must be in lbs. 57-55-6 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE Q P pURg ^ m MIXTURE RADIOACTIVE ^ Yes 0 No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER 1,100 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 2I9 STATE WASTE CODE AMOUNT DAILY AMOUNT 1,100 DAILY AMOUNT 1,101) 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 .y ^ a ABOVEGROUND TANK ^ e PLASTIC/NONIvIETALLIC 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 D r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BCN ^ d STEEL DRUM ^ h SILO ^ I CYLINDER Piping ^ 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 22S %WT HAZARDOUS COMPONENT EHS CAS# I 226 1, 2 - Propanediol 227 ^ Yes ~ No zza 57-55-6 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 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE Kimfierly Lawler, Environmental Mmrager III. 246 44 B f E R D -_~ FiRe ARTM T u o~ 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 (one form per n:alerial per building or area) Page _ of I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand [ce Cream CHEMICAL LOCATION Outside Chemical Storage Area CHEMICAL LOCATION ^ yes ~ No 202 201 CONFIDENTIAL (EPCRA) FACILITY ID # I I I S I O 12 11 ~`- O I O I I 14 I O 17 I 1 MAP # (optional) 203 1111 GRID # (optiona!) 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 PL7RE ^X 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 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 DAILY AMOUNT 22O DAILY AMOUNT I I O 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/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check all Thar apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG _ ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE B(N ^ d STEEL DRUM ^ h SILO ^ 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 COMPONENT EHS CAS# Phosphoric Acid 227 ^ Yes ~ No 228 7664-38-2 2z9 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 IIT. SIGAIATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~f//_ SIGNAT RE / ~ JDATE 246 Kimberly /.aw[er, Envirarmental Manager ~~~~~~/n ~j/t0/!l~ 45 B ~ 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 ~ REVISE 200 I. FACILITY INFORMATION ~,R ~ * o~.~^ (one form per material per hnildiug nr area) Page _ of BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION W afehOUSe CHEMICAL LOCATION ^ yes ^JC No 202 201 CONFIDENTIAL (EPCRA) FACILITY ID # I l I S I O 12 11 ~~"` O I O I I 14 I O 17 I I MAP # (optional) 203 GRID # (opiiaran 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 CDCOnut 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 PURE ^ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 t PHYSICAL STATE ^ s SOLID ^D I LIQUID LARGEST CONTABNER 5 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 1,048 DAILY AMOUNT 76O 220 UNITS* ^X 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/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check all (hat apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^D r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BM ^ d STEEL DRUM ^ h SILO ^ I CYLINDER Steel Pail ^ 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# I 226 None 227 ^ yes ^ No 228 229 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 REPRESENTATf VE Kinrherly Lawler, Envir°nmenla[Maaager III. SIGNATI SIGNATURE DATE 246 3// 46 /'~''.'""`~r' B E R S P 1 D Flee ~erM 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. FACILITY INFORMATION a (one form per material per hnilding or area) Page _ of BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION WarChOIISC ~ CHEMICAL LOCATION ^ yes 0 No 202 201 CONFIDENTIAL (EPCRA) FACILITY ID # I I I S ("" O 12 11 I`. I O I O I l 14 I O 17 I 1 MAP # (opliwralJ 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 Soybean Oil /Vegetable Oil EHS* ^ Yes 0 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 0 No 212 CURIES 2i3 ^ w WASTE 211 PHYSICAL STATE ^ X LARGEST CONTAINER s SOLID ^ 1 LIQUID 5 allons g 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 I,O4H DAILY AMOUNT 7ZO " 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 ^ 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 D r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SILO ^ I CYLINDER Steel Pail ^ 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 None 227 ^ Yes ^ Na 228 229 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 Kimberly /,owlet, Envirnnntental Manager III. SIGNATURE SIGNATURE DATE 246 47 B y ~ D CClF++ F/RP v ~ a rlx r 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 I. FACILITY INFORMATION * ~~, ,.,~ 0 (oue jnrm per mnJeria! per building or area) Page _ of _ BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Crea m CHEMICAL LOCATION CIP Room 3 & 4 CHEMICAL LOCATION ^ yes 0 No 202 201 CONFIDENTIAL (EPCRA) FACILITY ID # I I I S ( O 12 I I Ii1' 10 I 0 I 1 1 4 10 1 7 I 1 MAP # (oplionan 203 Il GRID # (opti°na~ 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject [o EPCRA, refer [o instructions 207 COMMON NAME EHS* Q yes ^ No 208 AC-55-5 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~ X^ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER 55 gallons ~ zts ^ g cns zla 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 1,163.635 DAILY AMOUNT $ g 1.8175 220 UNITS* ^ 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 ^D 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 ^ I CYLINDER ^ p TANK WAGON r 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 37% 226 Nitric Acid 227 ^x Yes ^ No 22s 7697-37-2 zz9 2 4% 23o Phosphoric Acid 231 ^ ve5 ^x No 232 7664-38-2 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 Kimberly Lawler, Environmental Manager III. 246 48 .,r~' ~wI-'' B a R S P l D ' Fine ~Rr~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 I. FACILITY INFORMATION .~..-.,~ 6 ~. ~~~ 0 (one jornr per material per hni[Jing or area) Page _ of BUSINESS NAME (Same as FACILITY 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) FACILITY ID # I l I S ( O 12 I I ~" O I O I I 14 I O 17 I 1 MAP # (optionan 203 GRID # (optionan 204 IL CHEMICAL INFORMATION 205 TRADE SECRET ^ yes D No 206 CHEMICAL NAME If Subject ro EPCRA, refer [o instructions 207 COMMON NAME Oxonia Active (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 ~ m MIXTURE RADIOACTIVE ^ Yes ~No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID D 1 LIQUID LARGEST CONTAINER 55 gallons 216 ^ g GAS 214 FED HAZARD CATEGORIES ^ I FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HE ALTH ^ 5 CHRONIC HEALTH (Check all that apply) 2I6 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT I OO DAILY AMOUNT SO 220 UMTS" ~ ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 22I 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 that aPPIY~ ^ 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 0 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# t 226 Acetic Acid zz7 Yes ~ No 226 64-19-7 229 8°~D 2 2~.$% 230 Hydrogen Peroxide 231 ^ Yes 0 No 232 ~~22-84-1 233 3 234 PCCOX acetic Acid ~ y z3s X Yes ^ No 236 79-2I-~ 237 5 8% 4 238 239 ^ Yes ^ No 240 241 5 242 243 ^ yes ^ No 244 245 IIL SIGNATURE // PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~~G ATUR$ [ // / ~ ~//~ DATE 246 Kimberly Lawler, Envirnnmenta[Manager / ,1>~r) l/J~, i~ L//li" 49 .f".-~,' B ~L E R S P I D "! F/R6 ~' ARTM f ~~ L ,,,,,RMa 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 (ane j rnr per maleria! per huild ng ar area) Page _ of BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) ~ 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION Outside Chemical Storage Area CHEMICAL LOCATION ^ yes ~ No 202 201 C ONFIDENTIAL (EPCRA) FACILITY ID # I I I S I O 12 11 I'" I O I O I I 14 I O 17 I 1 MAP # (optional) 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 OXOnIa Aetlve (ACId SanltlZer~ ~ 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 ONo 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID D I LIQUID LARGEST CONTAINER 55 gallons 21s ^ 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 100 DAILY AMOUNT 5O 220 UNITS* ^x ga GAL ^ cf CU FT ^ Ib LBS ^ m TONS 221 DAYS ON SITE * If EHS, amount must be in lbs. 365 222 STORAGE CONTAB~'ER ^ a ABOVEGROUND TANK ^x e PLASTIC/NONMETALLIC DRUM ' ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 ((. heck a![ that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUILDBVG ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SILO ^ I CYLBQDER ^ 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 %WT HAZARDOUS COMPONENT EHS CAS# I zz6 Acetic Acid 2z7 x ^ Yes ^ No 228 64-19-7 ~ zz9 g% 2 27.5% 230 Hydrogen Peroxide 231 ^ Yes ^x No 232 ~~22-84-1 233 3 234 PCCOXyaCehC ACId 235 ^ yes ~ No 236 79-21-~ 237 5.8% 4 238 239 ^ yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 III. SIG~'ATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~ S[GNAT,i7RE/ / / ,n ~ j~ / ~ DATE ~ 246 Kimherly Lawler, Environmental Manager ~/f~~f/// ~ /~~CI//i-iw./1~ b 50 B~ 8 R S P 1 D Ilse DL' ABTA/ 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. FACILITY INFORMATION ~ ~6 ~,.. o , (one form per material per hnilding or area) Page _ of BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Crea m CHEMICAL LOCATION CIP Room 5, 6, & 7 CHEMICAL LOCATION ^ yes ~ No 202 201 CONFIDENTIAL (EPCRA) FACILITY ID # 'I l 15 I I O 12 I 1 ~" O I O I I 14 I O 17 I I MAP # (optional) 203 GRID # (optional) 204 II. CHEMICAL INFORMATION ~ 205 TRADE SECRET ^ yes D No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME Foam Shine (High Foaming Acid Cleaner) 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 DI 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 219 STATE WASTE CODE AMOUNT DAILY AMOUNT SS DAILY AMOUNT SS - 220 UMTS* ~ 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 ^D e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check all that aPPIY) ^ 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 QX a AT,{gIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS# I 226 Phosphoric Acid 227 ^ yes ~ No zzs 7664-38-2 - zz9 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 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE Kimherly Lawler, Environmental Manager III. SIGNATURE SS~GNATURE DATE 246 51 ~~ j.-~" B E R S P I D Flee a~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. FACILITY INFORMATION ~G (one form per material per huilding nr area) Page _ of BUSINESS NAME (Same as FACILITY 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 (2 I l IM..,.. 0 O I I 14 I O 17 I I 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 con~u.-ION NAME Foam Shine (High Foaming Acid Cleaner) EHS ^ Yes ^x No zos 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 pIJRE ~ m MIXTURE RADIOACTIVE ^ Yes x^ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID D 1 LIQUID LARGEST CONTAINER 55 gallons zls ^ 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 DAILY AMOUNT SS DAILY AMOUNT 55 220 UNITS" x^ 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 ^x e PLASTIC/NONIVIETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Cheek 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 ^ 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 °/aWT HAZARDOUS COMPONENT EHS CAS # I 226 Phosphoric Acid zz7 ^ ye5 X No 2z8 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 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE Kimherly Lawler, Environmental Manager SIGNATURE 52 DATE 246 B ;F~ E R S P I D pine O' ARTM f -.K-.«. .,z...,- 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 U ~ (one form per maleria! per building nr area) Page _ of BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream a ' CHEMICAL LOCATION CIP Room 3 & 4 CHEMICAL LOCATION ^ yes ^x No 202 201 CONFIDENTIAL (EPCRA) FACILITY ID # I l I S! I O 12 11 !'~ O I O l 14 l 0 l 7 l 1 MAP # (optiona~ 203 I GRID # (oplionan 204 [I. CHEMICAL INFORMATION - 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer [o instructions 207 coMMON NAME AC-$$-$ Red (High Acid CIP Cleaner) EHS• ~ Yes ^ ND 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 0 No 212 CURIES 2l3 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID D I LIQUID LARGEST CONTAINER $$ gallons zts ^ 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 STATE WASTE CODE '4MO~T DAILY AMOUNT IZ,OO3.20 DAILY AMOUNT l,O$B.ZO 220 UNITS• ^ ga GAL ^ cf CU FT ^x Ib LBS ^ to TONS 221 DAYS ON SITE • If EHS, amount must be in lbs. 36$ 222 STORAGE CONTAINER ~ ^ a ABOVEGROUND TANK ^x e PLASTICMONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RA[L 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 ^ 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 HAZARDOUS COMPONENT EHS CAS# 1 226 Nitric Acid 227 x ^ Yes ^ No 228 7697-37-2 zz9 37% 2 23o phosphoric Acid 231 ^ ves ~ No 232 7664-38-2 z33 4% 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 Kimherly Lmvler, Enviroemenlal Manager III. SIGNATURE 246 53 `%' B E R S P l( D arse ~er~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 ^D REVISE 200 I. FACILITY INFORMATION o,.w (one form per ntaleria! per hnilJing nr area) Page _ of BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Crea m CHEMICAL LOCATION O utside Chemical Storage Area CHEMICAL LOCATION ^ yes ~ No 202 201 C ONFIDENTIAL (EPCRA) FACILITY ID # I l I S ( O 12 1 (. • .I O I O I l 4 0 (7 I ~ I MAP # (op(iara!) 203 '• Y GRID # (oplinnan 204 X„ . , IL CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ^D No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME AC-55-5 Red (High Acid CIP Cleaner) '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 55 gallons 21s ^ g GAS 214 FED HAZARD CATEGORIES ^ I FIRE ^ 2 REACTI VE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH ' (Check all [hat apply) 216 . ANNUAL WASTE 217 MAXIMUM 218 AVERAGE STATE WASTE CODE AMOUNT DAILY AMOUNT 12,()()3.2() DAILY AMOUNT 1,()58.2() 220 UNITS' ^ ga GAL ^ cf CU FT 0 Ib LBS ^ to TONS 221 DAYS ON SITE * If EHS, amount must be in lbs. 365 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK D 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 ^ 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 AMBIENT ~ ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS# t 226 Nitric Acid zz7 ^x ye5 ^ No zza 7697-37-2 zz9 37°/D 2 23o phosphoric Acid 231 ^ ves ~ No z3z 7664-38-2 z33 4°/D 3 234 235 ^ yes ^ No 236 237 4 238 239 ^ yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 PRBYT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE Kimberly Lmvler, Environmental Mmiager III. SIGNATURE TE 246 54 ~"` ^ NEW ^ ADD B - E R S P I D Fine ARTM T - w-. .... v..,- u ~~ ~..~ CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ DELETE ^D REVISE 200 I. FACILITY INFORMATION (one jornr 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 M aterials Requisition Office CHEMICAL LOCATION ^ yes ^X No 202 201 CONFIDENTIAL (EPCRA) FACILITY 1D # I I I S O 12 11 I,. I O I O I I 14 I O 17 I 1 MAP # (optiona0 203 GRID # (optiona0 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS" yes 0 No zos JAX Magna-Plate 76 (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 PURE ~ m MIXTURE RADIOACTIVE ^ Yes 0 No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID D I LIQUID LARGEST CONTAINER S8 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 DAILY AMOUNT S 8 DAILY AMOUNT S 220 UMTS' ~ 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 ^ e PLASTIC/NONMETALLIC DR[JM ^ 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 0 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 AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS# I 226 White Mineral Lubricating Oils 227 ^ yes ^x No zzs 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 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE Kimberly Lawler, Environnrenta! Manager III. SIGNATURE DATE 246 ~i/~r~ SS e a s r o F/RE ~ARTM i y 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 ~~ (one form per material per hvilding ar area) Page of BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION MaterlalS RegUlSltlOn Off CC ~ CHEMICAL LOCATION ^ yes 0 No 202 201 ~ CONFIDENTIAL (EPCRA) FACILITY [D # I I I S I O 12 11 I''- O I O I l 14 l 0 l 7 l I MAP # (optional) 203 GRID # (optiatan 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 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 pURE ~ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID D I LIQUID LARGEST CONTAINER 58 gallons zls ^ 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 DAILY AMOUNT S S DAILY AMOUNT S 220 UMTS' ~ ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 22] 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 RAIL CAR 223 (Check all that aPPIY) ^ 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 ~ 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# t 226 White Mineral Lubricating Oils 227 ^ Yes ^X No 228 229 100% . 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 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE Kimberly Lawler, Environmental Manager III. SIGNATURE DATE 246 56 a ~.. ~$E 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 200 I. FACILITY INFORMATION U o~.M (one form per n:alerial per building or areal Page _ of BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION MateflalS ReCIlllSltlOn OfflCe CHEMICAL LOCATION ^ yes ~ No 202 201 CONFIDENTIAL (EPCRA) FACILITY ID # l 15 l I O 12 I 1 ~"` O I O I 14 I O 17 I I MAP # (apliana[) 203 GRID # (oplioual) 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject [o EPCRA, refer [o instructions 207 COMMON NAME EHS" ^ Yes ~ No 208 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 pURE ^X m MIXTURE RADIOACTIVE ^ Yes ^x No 212 CURIES 213 ^ w WASTE 211 - PHYSICAL STATE ^ s SOLID D I LIQUID LARGEST CONTAINER $$ gallons z1s ^ 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 DAILY AMOUNT $ $ DAILY AMOUNT $ 220 CJNITS* ^X ga GAI, ^ 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/NONIvffiTALLIC 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 D c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SILO ^ I CYLBdDER ^ 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 Synthetic Lubricating Oil 227 ^ Yes ^X No 228 229 100% 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 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE Kimberly Lawler, F.nvironnren(al Manager III. SIGNATURE DATE 246 57 .,~,~.`~ B~ E R S P I D Fine D ARIM T ~.~-,<<-. ,rv., .~-~ ~6 ~,,.~ 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 (one form per material per huilding or area) Page _ of BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION M aterials Requisition Office CHEMICAL LOCATION ^ yes ^X No 202 201 CONFIDENTIAL (EPCRA) FACILITY ID # I l I S~ O 12 11 }"-~ O I O I 1 14 I O 17 I I MAP # (optionan 203 GRID # (opiiona!) 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ^X No 206 CHEMICAL NAME If Subject to EPCRA, refer [o instructions 207 COMMON NAME EHS" Yes x ND 2os JAX Cryoguazd PIuS 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 MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 2I3 ^ w WASTE 211 PHYSICAL STATE - ^ s SOLID ~ I LIQUID LARGEST CONTAINER $$ gallons 21 s ^ 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 2l9 STATE WASTE CODE AMOUNT DAILY AMOUNT $ $ DAILY AMOUNT $ ~ 220 UMTS" 0 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 RAIL CAR 223 (C heck a!! rhaa aPPlY) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^D c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BM ^ 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 AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS# I 226 Hydrotreated Petroleum Paraffinic Mineral Lubricating Oil 227 ^ Yes ^x No zza 8042-47-$ 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 NATURE DATCE~ 246 Kin:her[y Lmvler, Environmental Manager ~ ~/~/r ~/U _r) 58 .~, ., B E 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 ~ REVISE 200 I. FACILITY INFORMATION ~6 U ~..°" 0 (one form per nraleria! per hvilJing or area) Page _ of BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Crea m CHEMICAL LOCATION ASKS - Cranes CHEMICAL LOCATION ^ yes ^D No 202 201 CONFIDENTIAL (EPCRA) FACILITY ID # I l I S O 12 11 ~ O I O I I 14 I O 17 I I MAP # (op(iorralJ 203 GRID # (optional 204 IL CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME ~ EHS* ^ Yes D N° zos JAX Magna-Plate 80, 86, 88 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 ^X No 2I2 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~1 LIQUID LARGEST CONTAINER 15 gallons z1s ^ g GAS 214 FED HAZARD CATEGORIES ^ l FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNIJAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT 7O DAILY AMOUNT 6 220 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/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check al[ tharapp/y) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK CNSIDE 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 COMPONENT EHS CAS# t 226 Synthetic Lubricating Oil 227 ^ Yes ^X No 228 229 ]00% 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 Kimberly Lawler, Environmental Manager III. SIGNATURE DGAT~E 246 60 s°~'------- y ~< E R S P I D t', siee 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 ,~~ ~',~,~ (one form per maleria! per huilding ar area) Page _ of BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Crea m CHEMICAL LOCATION Outside Chemical Storage Area CHEMICAL LOCATION ^ yes ^X No 202 201 CONFIDENTIAL (EPCRA) FACILITY ID # I l I S ~ I O 12 11 ~-- O I O I I 14 I O 17 I 1 MAP # (optional) 203 GRID # (oplioaaO 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ^D 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 r 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 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 440 DAILY AMOUNT 440 220 UNITS* 0 ga GAL ^ cf CU FT ^ Ib LBS ^ In 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 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 d STEEL DRUM ^ h SILO ^ I 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 %WT HAZARDOUS COMPONENT EHS CAS# I 226 None 227 ^ Yes ^ No 228 229 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 PAINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE Kimberly Lawler, Environmental Manager III. SIGNATURE DATE 246 61 p F/RF OARTM 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. FACILITY INFORMATION ~.°°'" e '~ o,.n (one form per materia/per huiTding or area) Page _ of BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION Engine Room # 1 -Ammonia Compressors CHEMICAL LOCATION ^ yes ~ No 202 201 CONFIDENTIAL (EPCRA) FACILITY ID # I I I S I O 12 11 ~---- O I O I l 14 I O 17 ( I MAP # (optional) 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 ~ No 208 Camco 717 Series (Semi-Synthetic Hydrocazbon) CAS # 209 `If EHS is" Yes," all amounts below must be in l bs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ p pIJRg ~ m MIXTURE RADIOACTIVE ^ Yes ^x No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLTD ~ I LIQUID LARGEST CONTABNER 182 ga-lons 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 3,460 DAILY AMOUNT 3,460 z2o UNITS` 0 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/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 ^D r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SILO ^ I CYLINDER Compressors ^ 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 CA5# 1 226 None ~ zz7 ^ Yes ^ No 228 229 2 230 231 ^ Yes ^ No 232 233 3 234 235 ^ yes ^ No 236 237 4 238 239 ^ yes ^ No 240 1 ~ 241 5 242 243 ^ Yes ^ No 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE Kimherly Lawler, Environmental Mmtager III. SLGNATURE DATE 246 62 B E R S P I D Fine ~pARiM 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 - b ~ ~~ o "~ (one form per mater/a/per brilding or area) Page _ of _ BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION Outside Chemical Storage Area CHEMICAL LOCATION ^ yes ~ No 202 201 C ONFIDENTIAL (EPCRA) FACILITY ID # I l I S I I O 12 11 ~''' O I O I I 4 I O 17 I 1 MAP # (oplionaO 203 GRID # (opli°na~ 204 II. CHEMICAL 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 l bs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ P p?IRg ~ 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 ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all chat apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT I I O DAILY AMOUNT S S 220 UNITS* 0 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 ^D e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check al! Thal aPPIY) ^ 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 CYLRVDER ^ p TANK WAGON STORAGE PRESSURE X 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# 1 226 Sodium Hydroxide 227 ^ Yes X ^ No z2s 1310-73-2 z29 10°/D 2 230 Sodium Hypochlorite ~ 231 ^ Yes ~No 232 7681-52-9 233 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 Kimberly Lawler, Etlvironmealal Manager 246 64 ,a B E R S N I D F/ee 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. FACILITY INFORMATION (one jorna per material per handing or area) Page _ of BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream CHEMICAL LOCATION Engine Room # I -Water Treatment CFfEM[CAL LOCATION ^ yes ~ No 202 201 CONFIDENTIAL (EPCRA) FACILITY ID # I l I S I O 12 11 1,: 0 I 0 I 1 1 4 10 1 7 I 1 MAP # (op[iwian 203 GRID # (oplionan 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes D No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME NalCO 2536 PIUS EHS* ^ Yes ~ No 208 CAS # ~ 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 ^ P p~ X^ m MIXTURE RADIOACTIVE ^ Yes ^X 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 ^ 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 DAILY AMOUNT SS DA[LY AMOUNT SS 220 UNITS* ^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 ^D 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 ^ c TANK INSIDE BUILDMG ^ 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 COMPONENT EHS CAS# 1 1% zz6 Sodium Mercaptobenzothiazole 227 ^ yes ^x No 2zs 2492-26-4 zz9 2 S% 230 Sodium Nitrite 231 ^ Yes ~ No 232 7632-00-0 233 3 S% z3a Sodium Tetraborate z3s ^ yes ~ No z36 1330-43-4 z37 4 238 239 ^ yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 III. IGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATZ~ J ~ ~~j~ D~7',E 246 Kintherly Lawler, F.nviranmen[al Manager ~ ~j r I ~~ 65 B ^~~ a R 5 P 1 D Fine D 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 XO REVISE 200 I. FACILITY INFORMATION * _ ~, o~M (wre jarnr per ma(eria! per huilJing nr area) Page _ of BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Dreyer's Grand Ice Cream exEMICAL LocATION Engine Room # 1 -Water Treatment cHEMICAI. LOCATION ^ Yes ~ No zoz 201 CONFIDENTIAL (EPCRA) FACILITY ID # I I I S I O 12 11 I'+ O I O I I 14 I O 17 I 1 MAP # (optional) 203 GRID # (°ptianan 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ^D No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME Nalco 2$48 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 PURE ~ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID D I LIQUID LARGEST CONTAINER $$ 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 DAILY AMOUNT I I ~ DAILY AMOUNT $ $ 220 UMTS* ^X 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/NON'METALLIC 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 ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE ^X 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# 1 40% z26 Sodium Bisulfate 227 ^ Yes ^x No zza 7631-90-$ zz9 2 $% 230 Potassium Bisulfate 231 ^ Yes X^ 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 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE Kimherly Lawler, Environmental Mmrager III. SIGNATURE 246 66 /~'~,~. B F F< 1 1i D F/RE DARTM i ~. CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW ^ ADD ^ DELETE DREVISE 200 I. FACILITY INFORMATION -c ~6 R~ ne jorm per ma(eria! per building or area) Page _ of tUSIDIESS 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 ^X No 202 CONFIDENTIAL (EPCRA) 'AGILITY ID # ~ I ~ 5 _.., ~ 0 ~ 2 ~ I ~ ,,~ 0 ~ 0 ~ 1 ~ 4 ~ 0 ~ 7 ~ 1 . MAP # (op(iona~ 203 GRID # (op(iona!) 204 II. CHEMICAL INFORMATION .205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME - Activated Alumina If Subject [o EPCRA, refer to instructions 207 COMMON NAME EHS' ^ yes D 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) 210 TYPE QX p PURE ^ m MIXTURE RADIOACTIVE ^ Yes 0 No 212 CURIES 213 ' ^ w WASTE 211 PHYSICAL STATE Q s SOLID ^ 1 LIQUID LARGEST CONTAINER $$ gallons ~ 21s ^ g GAS 214 FED HAZARD CATEGORIES ^ I FIRE ^ 2 REACTI VE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT 1,200 DAILY AMOUNT $$ 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 ^ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check al! shat apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER . ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^O d STEEL DRUM ^ h SILO ^ I 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 %WT HAZARDOUS COMPONENT EHS' CAS# 1 100% 226 Alumina 227 ^ Yes ^x Nn 2z8 1344-28-1 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 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE Kimberly Lawler, Environmental Manager III. 69 ,,%%` B ~ F V~ F l u D '' F/RE Q 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 a ~6 ~~.,r 0 (rnrc form per material per hailJing or area) Page _ of I. FACILITY INFORMATION tUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Crea m ;HEMICAL LOCATION 20 1 Outside Chemical Storage Area CHEMICAL LOCATION ^ yes ^X No 202 CONFIDENTIAL (EPCRA) 'AGILITY ID # I I I S I O 12 11 I O I O I l 14 (O 17 I 1 MAP # (optionan 203 GRID # (optiaran 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME [f Subject to EPCRA, refer to instructions 207 COMMON NAME EHS* ^ yes ^X No 208 Trasar 23248 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 x^ 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 1 ~ DAILY 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 e PLASTIC/NONIvIETALLIC 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 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 %WT HAZARDOUS COMPONENT EHS CAS# 1 1 - $% 226 Phosphoric Acid 227 ^ Yes ~ No zzs 7664-38-2 229 2 230 Zlnc Chloride 231 ^ ye5 x ^ No 232 7646-8$-7 233 1 - $% 3 234 Organic Sulfonic Acid Salt z3s ^ yes X^ No 236 Proprietary 237 1-$% 4 238 239 ^ yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 III. SIGNATURE / PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SiGNAT,URE~ ~~tic..C~ y~/~ j~E 246 Kinrherly La°der, Eirvirwrmenral Manager ~~> /~ °°~." / r- ~ _ B B R S F 1 t:~L 0 F/RE ~K ARTA/ 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. FACILITY INFORMATION ~~ ~6 V (one form per raaleria! per hnilding nr area) Page _ of WSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Crea m ;HEMICAL LOCATION 20 1 Outside Chemical Storage Area CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL(EPCRA) 'AGILITY ID # I I I S l 0 1 2 11 O I O I I 14 I O 17 I l MAP # (optional) 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 No 208 Nalco 2896 Liquid 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 2Il PHYSICAL STATE ^ s SOLID D 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 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT I O DAILY 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 ^D e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check al/that apP1Y~ ^ 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 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 1 - $°/n 226 Sodium Hydroxide 227 ^ Yes x^ N° zza 1310-73-2 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 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE Kimberly Lawler, Environmenta[Manager III. 246 71 ~I B E r 1 D F/RE ARTAl~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. FACILITY INFORMATION ~q@o ~ I ~~ w..,,. OR (one j~rm per material per building or area) Page _ of SUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Cream ;HEMICAL LOCATION 20 1 Warehouse CHEMICAL LOCATION ^ yes 0 No 202 CONFIDENTIAL (EPCRA) 'AGILITY ID # I l I S I O 12 11 O I O I I 14 I O 17 I 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 ~ No 208 N & A Vantasia Vanilla Flavoring 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 ~ I LIQUID LARGEST CONTAINER 1 gallon 21s ^ 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 ~~ DAILY AMOUNT $~ 220 UNITS" 0 ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON SITE " If EHS, amount must be in lbs. 3fi$ 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTICMONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check a!I that aPP1Y) ^ 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 D 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# I > 1% 226 Ethyl Alcohol 227 ^ Yes ~ No z2s Mixture z29 2 >1% z3o Nulomoline 11 231 ^ Yes ©No 232 Mixture 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 Kimberly Lawler, Environmenta[Manager III. SIGNATURE TE 246 72 r'"d~` B I V L D F/RE DARTM4T CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW ^ ADD ^ DELETE DREVISE 200 I. FACILITY INFORMATION ~~ a ~~ OR~ (wee farm per maleria! per building ar area) Page _ of 4USINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Crea m ;HEMICAL LOCATION 20 1 Outside Chemical Storage Area CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) ~ACIL[TY ID # I I I S `..I O 12 I I O I O I l 14 I O 17 I 1 MAP # (optional) 203 GRID # (optiwtaQ 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 ^x 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 MIXTURE RADIOACTIVE ^ Yes 0 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 ^ 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 ~ 1 ~ DAILY AMOUNT S 220 UNITS* ^x 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 D e PLASTIC/NONMETALLIC DRUbI ^ 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 ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE ^x 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 25% 226 Acetic Acid 227 ^ yes ^x No 228 64-19-7 ~ 229 2 7% 23o Hydrogen Peroxide z3I ^ Yes ~ No z3z 7722-84-1 233 3 234 Perox acetic Acid y z3s x ^ Yes ^ No 236 79-21-0 z37 5% 4 238 239 ^ yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE Kimberly Lawler, Environments! Manager III. 246 73 ,+t B I R S P I 1_D F/RE ,. DI!PARTM T CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW ^ ADD ^ DELETE DREVISE 200 I. FACILITY INFORMATION a _ ~~ ~~; ~.,, OR~ (one jornt per material per building or area) Page _ of tUSBQESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Crea m ;HEMICAL LOCATION 20 1 Materials Requisition Office CHEMICAL LOCATION ^ yes ~ No 202 - CONFIDENTIAL (EPCRA) ~ACILITY ID #~ I I I S I1 0 12 I'1 I 0 I 0 I 1 14 I 0 17 I I MAP # (optiwralJ ~ 203 GRID # (oprionat) 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer [o instructions 207 COMMON NAME EHS" ^ Yea x ND 2os JAX Magna-Plate 22 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 X^ I LIQUID LARGEST CONTAINER 55 gallons ~ z15 ^ 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 2l9 STATE WASTE CODE AMOUNT DAILY AMOUNT l O DAILY AMOUNT S 220 . UMTS* Oga 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[! 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 ^D 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 None 227 ^ Yes ^ No 228 229 2 230 231 ^ yes ^ ND 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 Kimberly Lawler, Environmental Mm:ager III. SIGR~ATURE DATE 246 ~~! 75 ~< n ,~~ R S P D ~ p- F/RE CARTM F r CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (are form per maleria! per building or area) ^ NEW ^ ADD ^ DELETE ^x REVISE 200 Page _ of I. FACILITY INFORMATION __ tUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 - ~reyer's Grand Ice Cream ;HEMICAL LOCATION 20 1 Outside Chemical S[Orage Alea & CIP Rooms CHEMICAL LOCATION ^ Yes ^x No 202 CONFIDENTIAL (EPCRA) 'AC1L[TY ID # I l I S I O 12 11 l 0 l 0 l l 14 I O 17 I 1 MAP # (optiona!) 203 II GRID # (optional) 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instmctions 207 COMMON NAME EHS* ^ ves x No zos Exxelerate 320 CAS # ~ ~ 209 *lf 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 ^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 ~ DAILY AMOUNT 100 DAILY AMOUNT 2O 220 UNITS* x^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 ^x e PLASTIClNONMETALLIC 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 BCN ^ 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 AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS# 1 zz6 Chelating Agents z27 ^ ye5 X ^ No zzs Misture 229 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 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE Kimberly Lawler, Fnvironmenlal Manager III. SIGNATURE 246 76 ~ _ e E R S F I ,: L D F/RE AR1M~ 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 ~~ -_~ ~6 OR~ (one j<rrnr per maieria! per hnildiug nr area) Page _ of 3USINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Crea m ;HEMICAL LOCATION 20 1 CIP Room 3 & 4 CHEMICAL LOCATION Q No 202 Yes CONFIDENTIAL (EPCRA) 'AGILITY ID # I I I S I `` II` 0 1 2 11 L...... I O I O I l (4 I O 17 I I •MAP # (optional) 203 ` I1` 1 GRID # (optiana!) 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instntctions 207 COMMON NAME EHS* ^ Yes x ND 2os 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 ~ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID D I LIQUID LARGEST CONTAINER 3,000 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 ANNI)AL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT I OO DAILY AMOUNT 2O 220 C UMTS* ^x ga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON S[TE * If EHS, amount must be in lbs. 36$ 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTIC/NONIvIETALLIC 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 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 ^ yes ~ No 22s 1310-73-2 zz9 8°/n 2 3% 230 Sodium Hypochlorite 231 ^ Yes ~ No 232 7681-52-9 233 3 1 - $ % 234 Chelating Agent 235 ^ yes ^X No 236 9003-04-7 237 4 1 - 5% 238 Anionle SllrfaCtarlt 239 ^ yes ^X No 240 1300-72-7 241 5 242 243 ^ Yes ^ No 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE r~ III. SLt1N~ ~~//ATE 246 77 9~ i R$ P 1 '. D "Cc ~ F/R~ D1!'jtARTMf CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES ° 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW ^ ADD ^ DELETE DREVISE 200 I. FACILTI'Y INFORMATION =~ FOR ~ (one form per ma(eria[ per building ar area) Page _ of SUSINESS 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 C ONFIDENTIAL (EPCRA) ~ACILITY [D # I I I S O 12 I I O I O I I 14 I O 17 I 1 MAP # (op(innat) 203 GRID # (opJionan 204 II. CHEMICAL INFORMA TION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS` ^ yes ~ No 208 Caustic Potash Liquid, 50% 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~ ^x m MIXTURE RADIOACTIVE ^ Yes ^x No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ^x I LIQUID LARGEST CONTAINER 55 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 DAILY AMOUNT I OO DAILY AMOUNT I O 220 UNITS" x^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/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check aA (hat 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 Qx 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# t 226 Potassium H droxide y 227 x ^ Yes ^ No 228 1310-58-3 229 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 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE Kimherly Lawler, Environmen(al Mmrager III. SIGNATURE \~//~ DATE 246 78 B R S P 1 i. D F/RE „ Q AR1M / »..,< ~ K..., 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 ~5 (one form per nraleria! per building or area) Page _ of I. FACILITY INFORMATION IUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Crea m ;HEMICAL LOCATION 20 1 Warehouse CHEMICAL LOCATION ^ yes 0 No 202 CONFIDENTIAL (EPCRA) FACILITY ID # l 15 "~ O 12 I 1 >-_; O I O I l 14 I O 17 I 1 MAP # (optional) 203 IiIE GRID # (optianan 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 Carbon Dioxide (Solid) CAS # 209 `lf EHS is" Yes," all amounts below must be in l bs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE - 0 P PURE ^ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE Q s SOLID ^ I LIQUID LARGEST CONTAINER 50 pounds 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 DAILY AMOUNT 2O DAILY AMOUNT I ~ 220 UMTS` ^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 PLASTICMONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check all that apply) ^ b UNDERGROUND TANK ^ f CAN D 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 QX a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 22S %WT HAZARDOUS COMPONENT EHS CAS# 1 zz6 Solid Carbon Dioxide zz7 ^ Yes ^D No zzs 124-38-9 zz9 99°/n 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. S GNATURE /~ PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE IGNAT~~ ~ ,~/ J ~ >~ATE 246 Kimher[y Lawler, Environmental Manager / ~/ ,,.`~ B li a E i L D vine a,~~ a ~~ ' ~ ~ ,~~ ~ OR 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 (ane form per nmteria! per building or area) Page _ of I. FACILITY INFORMATION tUS(NESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~reyer's Grand [ce Crea m ' :HEMICAL LOCATION 20 1 Outside Chemical Storage Alea CHEMICAL LOCATION ^ yes ^D No ~ 202 CONFIDENTIAL (EPCRA) 'AGILITY ID # I l I S I I O 12 11 I O I O I l 14 I O 17 I 1. MAP # (optiatalJ 203 GRID # (optiatan 204 II. CHEMICAL INFORDATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME ~ If Subject to EPCRA, refer to inswctions 207 ~ COMMON NAME EHS" ^ Yes ~ No 208 2171 General Cleaner 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 0 No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ~ s SOLD ^ I LIQUID LARGEST CONTAINER 2 pounds zls ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE D 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 2O DAILY AMOUNT l O 220 UNITS" ^ga GAL ^ cf CU FT ~ Ib LBS ^ In 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[! tha! apply) ^ b UNDERGROUND TANK ^ f CAN ~ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BCN , ^ 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 Sodium Carbonate z27 ^ Yes X No 228 497-19-8 zz9 36% 2 9% 230 SOdIUm MetaSlheate 231 ^ Yes ^x No 23z 6834-92-0 233 3 1~% 234 Sodium Linear Alkyl Benzene Sulfonate 235 ^ yes ^X No 236 25155-30-~ 237 4 3% z3g Sodium Tripolyphosphate z39 ^ yes ~ No zao 7758-29-4 zal 5 242 243 ^ Yes ^ No 244 24S III SfGNATURE ~~~/// PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNA E / ~'//r~ ~//~~ATE 246 Kimberly Lawler, Enviratmenlal Manager ~L! iJ V 8~ a ~ ~ _ B 1 I. D F/RE DA~PIM 7 °.~.. ..+~e...,~ 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 "~ ~~ w..,~ OR (one form per material per huilding or area) Page _ of tUS1NESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Crea m :HEMICAL LOCATION 20 1 MateCIaIS IZCCIUISItIOn OffICC CHEMICAL LOCATION ^ yes ^X No 202 CONFIDENTIAL (EPCRA) 'ACiLTTY ID # I I I S I O 12 11 10 I 0 I I 1 4 10 1 7 I I MAP # (optiona0 203 k GRID # (optionan 204 . II. CHEMICAL INFORMATION 205 TRADE SECRET - ^ yes D No 206 CHEMICAL NAME If Subjec[ to EPCRA, refer [o instructions 207 COMMON NAME EHS* ^ Yes x ND zoa 16-7400Q Make Up Fluid CAS # 209 *If EHS is" Yes,' all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local 5re chief) 210 TYPE ^ p pURg JC^ m MIXTURE RADIOACTIVE ^ Yes ^X No 212 CURIES 2t3 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ^D I LIQUID LARGEST CONTAINER 1 liter 215 ^ g GAS 2I4 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 DAILY AMOUNT S.ZH DAILY AMOUNT 2.64 220 UNITS* ~ga GAL ^ cf CU FT ^ Ib LBS ^ In 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 . heck al! chat apply) (C ^ b UNDERGROUND TANK ^ f CAN ^ j BAG D 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 QX a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS# Methanol 227 ^ ves ~ ND z2a 67-56-1 zz9 60 - 100% 2 230 ~ 23] ^ 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 REPRESENTATI VE Kimher[y Lawler, Environmental Ma+ager III. SIGI~'ATURE 246 81 ~~ B I I t 1, D ~~ F/RE DARTM , 1 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 cT r - ~,. G OR.< (one form per material per building or area) Page _ of tUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 heyer's Grand Ice Cream ;HEMICAL LOCATION 20 1 Materials Requisition Office CHEMICAL LOCATION ^ yes ^x No 202 CONFIDENTIAL (EPCRA) AGILITY ID # I I I S 'I O 12 11 O I O I I 14 I O 17 I 1 MAP # (optia~an 2D3 GRID # (apliona!) 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ Yes ~ No 206 CHEMICAL NAME [f Subject to EPCRA, refer to instmctions 207 COMMON NAME EHS' ^ yes ~ No 208 16-74000 Ink 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 ^x No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ^x I LIQUID LARGEST CONTAINER 1 liter 215 ^ g GAS 214 FED HAZARD CATEGORIES ^X I FIRE ^ 2 REACTI VE ^ 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 5.28 DAILY AMOUNT 2.64 zzo 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/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 BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SILO ^ I CY[,INDER ^ 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 %WT HAZARDOUS COMPONENT EHS CAS# I zz6 ]-Methoxy-2-Propanol z27 ^ Yes ^x No 22a 107-98-2 229 1-5% 2 230 2-(2-Ethoxyethoxy) Ethanol 231 ^ Yes ^x No 232 111-90-0 233 1 - 5% 234 Basic Viole[ 3, CI 42555 235 ^ yes ~ No 236 548-62-9 z37 0.1 - 1% 4 1 - 5% 238 Ethanol 239 ^ Yes ~ No 240 64-17-5 241 s zaz Methanol za3 x ^ Yes ^ No z44 67-56-1 245 60 - 100% PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE Kimherly Lawler, Environmental Manager III. 246 82 B ~ L D F/RE 11i~'pARTM 7 I~ ~ ~ ORy 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 (one j<rrm per material per hnilding or area) 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 OU1SIde Chemical $tOrage Area ~ CHEMICAL LOCATION ^ yes ^X No 202 CONFIDENTIAL (EPCRA) 'AGILITY ID # I I I S I ...,:I O 12 11 O I O I I 14 I O 17 I 1 MAP # (opliona~ 203 GRID # (optional) 204 IL CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject ro EPCRA, refer to instructions 207 COMMON NAME EHS' ^ Yea D ND zos Nalco 2560 - CAS # 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 ^ P pURE ~ m MIXTURE RADIOACTIVE ^ Yes ^x No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID D 1 LIQUID LARGEST CONTAINER 55 gallons 21s ^ 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 $O DAILY AMOUNT 1 220 UNITS• ^x 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/NONMETALL[C 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 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 %WT HAZARDOUS COMPONENT EHS CAS# Hydrochloric Acid zz7 ^ vea ~ No 228 7647-01-0 zz9 30 - 60°/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. IGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE " SIGNAT~~~~t~ri d~~ `~ j/~~HA,TE 246 Kinrherly Lawler, Environmental Manager r~ (/ , / 83 e ~~ F/RF t ..=o 0,~7tA/PfM l 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 ~~ a_ 0 „~ OR (°ae form per material per building or area) Page _ of I. FACILITY INFORMATION tUS1NESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 heyer's Grand Ice Crea m ;HEMICAL LOCATION 20 1 Outside Chemical Storage Area CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) 'AGILITY ID # I l 15 'I O 12 I l l I O I O I l 14 l 0 l 7 l 1 MAP # (optional) 203 GRID # (optiarra!) 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ^D No 206 CHEMICAL NAME 1, If Subject to EPCRA, refer to instructions 207 COMMON NAME ~ EHS* ^ Yes ^D No 208 Nalprep 2$78 C.4S # 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 pURg X^ m MIXTURE RADIOACTIVE ^ Yes ^X No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ^D I LIQUID ' LARGEST CONTAINER $$ gallons 21s ^ 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 $ $ DAILY AMOUNT I 220 UNITS' ^x 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/NONIvfETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 heckal[ that apply) (L ^ 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 AME[ENT ^ 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 Sodium Hexametaphosphate 227 ^ Yes 0 No 22s 10124-$6-8 zz9 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 III. SIryNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE -A~~ : ~J /' ~//~~~DATE 246 Kimberly /.awler, Environmental Manager /f~ J 1(1\//N.r-/.l-~ 84 ~:~ _ B I R S P I D Fine Q ARTM 1 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 ~-°~ ~-' ~ __ ,.~ OR (one form per material per huilding or area) Page _ of IUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Cream :HEM1cAL LocnrloN zo l Maintenance Shop & Outside Storage Area ~ CHEMICAL LocATION ^ yes ~ N° zoz CONFIDENTIAL (EPCRA) 'AGILITY ID # I I I S L.',I'I O 12 11 I I O I O I l 14 I O 17 I 1 MAP # (optional) 203 GRID # (optional) 204 II. CHEMICAL INFORMA TION 205 TRADE SECRET ^ yes D No 206 CHEMICAL NAME If Subject to EPCRA, refer to inswcti ons 207 COMMON NAME EHS" ^ Yes X No 208 Hellstar SS CAS # 209 *lf 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 ^ I L[QUID LARGEST CONTAINER 336 CF 215 ^X g GAS 214 FED HAZARD CATEGORIES ^X 1 FIRE ^ 2 REACTI VE D 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 100 DAILY AMOUNT SO 220 UMTS" ~ ^ga GAL 0 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 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 SILO ^D I CYLINDER ^ p TANK WAGON STORAGE PRESSURE ^ a AMBIENT ^D 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 zz6 Argon 227 ^ Yes ^x Na z2s 7440-37-1 229 >50% Helium 231 ^ Yes ^X No 232 7440-59-7 233 G49% 3 234 Carbon Dioxide z3s ^ yes ^x No z36 124-38-9 237 G1% 4 238 239 ^ yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE Kimberly Lawler, Environmental Manager III. SIGNATURE TE 246 85 B~ I R S P I D ~iee 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 ~~~ ,.,~ ~6 OR (one form per material per building or area) Page _ of _ I. FACILITY INFORMATION tUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Cream ;HEMICAL LOCATION 20 1 Warehouse CHEMICAL LOCATION ^ yes ^X No 202 CONFIDENTIAL (EPCRA) FACILITY ID # I l I S ~I O 12 11 L,,.. I O I O I l 4 O 17 I 1 MAP # (aptiana!) 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 Fruit Punch - 56336 (046698) 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 D 1 LIQUID LARGEST CONTAINER 1 gallon zls ^ g GAS 214 FED HAZARD CATEGORIES Q 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ S CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM ~ 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT I ~~ DAILY AMOUNT SO - 220 UMTS* ^X 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/NONIVIETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check a/! Thal apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^D 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 ^D a AMBIENT ~ ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ~ 224 STORAGE TEMPERATURE ^ a AMBIENT ^ as ABOVE AMBIENT ^D ba BELOW AMBIENT ^ c CRYOGENIC - 225 %WT HAZARDOUS COMPONENT EHS CAS# 1 226 Ethyl Alcohol 227 ^ ye5 X ^ ND zza 64-17-5 zz9 75 85°/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. 1GNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNA ~ r~C~~ ci~~ /DATE ~ 246 Kimberly Lawler, Environmental Manager / JCS- v /~~ f ^rl!" *I 1~ L D FIRE D~'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. FACILITY INFORMATION A * ~~ ~R ~ (rnte form per nrateria! per hnilding or area) Page _ of iUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 )reyer's Grand Ice Crea m ;HEMICAL LOCATION 20 1 Warehouse CHEMICAL LOCATION ^ yes ^X No 202 CONFIDENTIAL (EPCRA) 'AGILITY ID # I I+ 5 1 I 0+ 2 (1 i + 0 I 0 I I 1 4 10 1 7 I I MAP # (oplianan 203 I I GRID # (opliona!) 204 H. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes D No 206 CHEMICAL NAME [f Subject io EPCRA, refer to instructions 207 COMMON NAME EHS* ^ yes ~ No 208 Lime - 13521550 (W21101) CAS # ~ 209 *If EHS is" Yes," all amounts below must be in l bs. 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 1 gallon 215 ^ g GAS 214 FED HAZARD CATEGORIES ^X 1 FIRE ~ ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 A, IDRJAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT SO DAILY AMOUNT TS 220 UNITS* ^X 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/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check a/l/hat apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG D 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 ^ a AMBIENT ^ as ABOVE AMBIENT ^O ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS# 1 226 Ethyl Alcohol 227 ^ Yes ~ No zza 64-17-5 zz9 45 - 55% 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 Kinrherly /.awler, Enviratnrenta! Manager III. ~~/ /~ ('BATE 246 87 ~~_=` _ B - E I I~ L D ' F/R£ ARTM T ~~~ a ~ ~~ ~w.R m 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 (rote farm per maleria! per banding nr area) Page _ of _ L FACILITY INFORMATION f USINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Crea m ;HEMICAL LOCATION 20 1 EBglne r00m I CHEMICAL LOCATION ^ yes ^x No 202 CONFIDENTIAL (EPCRA) FACILITY ID # I I I S I_...-..I O 12 11 O I O I I 14 I O 17 I 1 MAP # (optianan 203 GRID # (apli°nan 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instmctions 207 COMMON NAME 3D Trasar 3DT247 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 pIJRg ~ ~ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID D I LIQUID LARGEST CONTAINER 400 gallons 21s ^ g GAS 214 FED HAZARD CATEGORIES ^ I FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ~ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 AMQl1AL WASTE 2l7 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT 4OO DAILY AMOUNT 2OO 220 UMTS` ^x 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 a/! 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 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# 7664-38-2 1 226 Phosphoric Acid 227 ^ Yes ^x No 22g 1-5% 230 232 2 ~ 229 ^ Yes ^No 231 3 233 t ~ 234 ^ yes ^ No 235 ~ 236 4 237 238 ^ Yes ^ No 239 ~ 240 5 - 241 242 ^ Yes ^ No 243 244 III SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTAT[VE STGNtjg~'URE J ~ ~ ~ `/~~~E 245 Kimberly Lawler, Environn:enlal Manager ~ ~~~`~ ~~~ / gg F/RE OARTM~1 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 INFORMATION ~ `6 o~~ (one farm per material per building or area) Page _ of )USINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Crea m :HEMICAL LOCATION 20 1 MRO ~ CHEMICAL LOCATION ^ yes ^D No 202 CONFIDENTIAL (EPCRA) 'AGILITY ID # I I I S k ,I II 0 1 2 11 0 I 0 I I 1 4 10 1 7 I 1 MAP # (optiara~ 203 GRID # (options!) 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instmetions 207 COMMON NAME _ EHS* ^ Yes ~ No zos JAX Magna Plate 460 FG CAS # 209 "lf 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 0 No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAINER 60 gallons zls ^ g GAS 214 FED HAZARD CATEGORIES ^ FIRE ^ A TIVE ^ 3 PRES E RELEA E ~ 4 ACUTE H EALTH ^ 5 CHRONIC EALTH (Check all that apply) 1 2 RE SUR C S 216 H ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT 48O DAILY AMOUNT 240 220 UMTS" X^ga GAL ^ cf CU FT ^ Ib LBS ^ In 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 al[ Jhat apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER c TANK INSIDE BUILDBQG ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SILO ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE ^D 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 White Mineral Oil 227 ^ Yes ^x No zzg 8042-47-5 229 1-100% 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 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE Kin:herly Lawler, Frrvirnnnrenta/Manager III. SIGNATURE 3 246 89 B E R S P I D riRe c ~er~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. FACILITY INFORMATION .,~-~,.,~kr - ~ ~~ ,.~ R (one form per material per building or area) Page _ of _ SUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Cream ;HEMICAL LOCATION 201 N1trOgen tan1C farm CHEMICAL LOCATION ^ yes ^X No 202 CONFIDENTIAL (EPCRA) ~ACILITY ID # I I (S al O 12 I 1 I I O I O I I 14 I O 17 I ] MAP # (optional) 203 GRID # (optional) 204 II. CHEMICAL INFORMATION ~ 205 TRADE SECRET ^ yes ^D No 206 CHEMICAL NAME Nitrogen If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS" ^ yes ^X No 208 Liquid Nitrogen CAS # 209 'If EHS is" Yes," all amounts below must be in lbs. 7727-37-9 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE QX P per, ^ m MIXTURE RADIOACTIVE ^ Yes ^X No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ^D I LIQUID LARGEST CONTAINER 11000 gallon 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 DAILY AMOUNT 36600 DAILY AMOUNT 36600 220 UMTS' ~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/NONMETALLIC DRUb9 ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (C'heck al[ tha[ apP1Y) ^ 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 D as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE ^ a AMBIENT ~ ^ as ABOVE AMBIENT ^ba BELOW AMBIENT D c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS# I Nitrogen 227 ^ Yes ~ No 228 7727-37-9 z29 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 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE Kinrherly Lawler, Environmental Manager III. 90 //~ ~y~246 f"~-.p" B = E P ~ 1 -_ L D FIRE ARTM 1 ^NEW D ADD CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 ' HAZARDOUS MATERIALS INVENTORY ' ~ CHEMICAL DESCRIPTION ^ DELETE ^REVISE 200 I. FACILITY INFORMATION ~.,~ ~6 oe (one jorn: per material per hnilrling 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 Ware}IOnSe CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) FACILITY-ID # I 1 15, L I O 12 I.1 I l 0 I 0 l 1 14 I O 17 I 1 MAP # (opliona!) 203 GRID # (oplioua~ 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME Peanut Butter (Butterfinger) - 42738 (464508) EHS" ^ 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 pIJRE ~ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^ w WASTE 211 PFIYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAMER I gallon 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ~ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all [ha[ apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT ISO DAILY AMOUNT 2S 220 UMTS' ^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 ^ 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 ^D 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 ^X a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS# I 226 227 ^ Yes ^ No 228 229 2 230 231 ^Yes ^ No 232 233 3 234 235 ^ yes ^ No 236 23'7 4 238 ~ 239 ^ Yes ^ No 240 _ 241 5 242 243 ^ Yes ^ No 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE Kinrherly Lawler, F,nvira+menta[Manager III. SIGNATURE 91 246 /"~= 6 E P 11 '. D FIRE ARIM 1 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 J ~~ ~~ . OR (one fimm per nlalerial per bni/ding nr area) Page _ of SUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Crea m ;HEMICAL LOCATION 20 1 WarehOUSC ~ CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) 'AGILITY ID # I I I S I I O 12 I l l I O O I I 14 I O 17 I I MAP # (op(iona!) 203 GRID # (optional) 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME [f Subject to EPCRA, refer to instmctions 207 COMMON NAME ~ EHS• ^ Yes ~ No 208 2 % Fold Pure Vatulla Ex[rac[ CAS # - 209 •If EHS is" Yes," all amounts below must be ih lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 TYPE ^ p p~ X^ m MIXTURE RADIOACTIVE ^ Yes ^X No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~ 1 L[QU[D LARGEST CONTAINER 1 gallon zls ^ g GAS 214 FED HAZARD CATEGORIES ^X 1 F[RE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE FIEAL TH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT ISO DAILY AMOUNT I OO 220 UNITS• Oga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON SITE • If EHS, amount must be in lbs. 36$ ~ 222 STORAGE CONTAB~'ER ^ 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 ^D n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUILDBQG ^ 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 ^X a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS# 1 zz6 Ethyl Alcohol 227 ^ ye5 x ^ No 2zs 64-17-$ zz9 36.8 - 41.8% 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 Kimberly !.owlet, Eirviranmenta[Manager III. SIGNATURE DATE 246 3i/~~~ 9^ B ~ E R S F IW 1, 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 I. FACILITY INFORMATION ~~so ~ ~ ,,. OR ~ (one form per materia/per hnildiug or ureuJ Page _ of _ SUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Crea m ;HEMICAL LOCATION 20 1 Outside Chemical Storage Area CHEMICAL LOCATION ^ yes ~ No 202 C ONFIDENTIAL (EPCRA) 'AGILITY [D # I I I S i.........:i 0 (2 I I I I O O I I (4 I O 17 I I MAP # (oplionan 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 Quorom Clear V 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 ^X No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID X^ I LIQUID LARGEST CONTAINER 55 gallons 2l5 ^ 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 220 DAILY AMOUNT I I ~ 220 UNITS• Oga 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 ^D 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 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 °/nWT HAZARDOUS COMPONENT EHS CAS # I 226 ° Quaternary ammonium compounds, benzyl-c12-e16-alkyldimethyl, chlorites 227 ^ Yes 0 No 22s 68424-85-1 3 /n 2 229 2.25% 1-decanaminum, n, n-dimethyl-n-octyl-, chloride ^ Yes ~ xo z3o 32426-11-2 z31 3 232 ^ Yes ^X No 233 64-17-5 234 1-$% ethanol 4 235 Didceyldimethylammoniumchloride 236 ^ Yes ©No 237 7173-51-5 238 1.35% s 0.9% 239 1-octanaminium, n, n-dimethayl-noctyl-, chloride 240 ^ Yes ONo z41 5538-94-3 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE Kin:her/y Lawler, Environmental Manager III. 242 93 B E R L D Flee 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. FACILITY INFORMATION ~~~ ~6 ~R (one form per ma(eria! 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 20 1 Waiel70USe CHEMICAL LOCATION ^ yes ^X No 202 . CONFIDENTIAL (EPCRA) AGILITY ID # I I I S O 12 I I I O I O I l 14 I O 17 ( 1 MAP # (opiiona~ 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 ~ No 208 Spent Ground Vanilla Beans 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 0 No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE Q s SOLID ^ I LIQUID LARGEST CONTAINER $~ 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE D 4 ACUTE HEALTH D 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AD90UNT DAILY AMOUNT $~~ DAILY AMOUNT I ~~ 220 IINITS* ^ga GAL ^ cf CU FT ^X 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 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 CA5# 229 I 226 Dust 227 ^ Yes X ^ No 228 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 Kimherly Lawler, Envirwmienta! Manager II[. SIGNATURE 246 94 ° ~y~ I~ R . ~. D '~ vise D+ITS~'ARTM 1 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 au°"^+~ r F~. OR (one fium per nm4ria! per baildiug or area) Page _ of IUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Crea m ;HEMICAL LOCATION 20 1 Outside Chemical Storage CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) AGILITY [D # ~ I ~ 5 ~ ~ 0 ~ 2 ~ 1 ~ ~ 0 ~ 0 ~ t ~ 4 ~ 0 ~ 7 ~ 1 MAP # (aptiona~ 203 GRID # (oplionaT) 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes D No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME - - ~ EHS' ^ Yes ~ No 208 Conquest 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 0 No 212 CURIES 213 ^ w WASTE 211 PHYSICAL STATE ^ s SOLID ~I LIQUID LARGEST CONTAINER 55 gallons zls ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE D 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check aVV that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT 660 DAILY AMOUNT 440 zzo 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(NONMETALL[C DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check al/ (hal aPP/YI ^ 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 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 ~ 226 Sodium H droxide y zz~ x ^ Yes ^ No 228 1310-73-2 zz9 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 III. SIG ATURE //// PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE AT G / //. / S// ~D T~246 Kimherly Lawler, Envimumrenlal Manager y~+~f.~/(~'/~, ,~ .( / . 95 ~,/%~J'~ B ~E R 5 F _D F/RB AR fM~f ..w< .. ~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 ~~ ~~ `6 OR . (one form per nrareria[ per huilding or area) Page _ of I. FACILITY INFORMATION 3USINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Crea m :HEMICAL LOCATION 20 1 Outside chemical storage CHEMICAL LOCATION ^ yes ^x No 202 CONFIDENTIAL (EPCRA) 'AGILITY ID # I I I S ) O I O I I 14 I O 17 I I MAP # (opiionan 203 O 12 1 I GR[D # (npliona!) 204 mo 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 Lift RT 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 ^x I LIQUID LARGEST CONTAINER $$ gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ ~3 PRESSURE RELEASE ^x 4 ACUTE HEALTH ~ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT 2()~ DAILY AMOUNT 16$ 220 UNITS* ^x 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^ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check all rhar 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 []x a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS# 1 226 2-buthox ethanol y zz7 x ^ Yes ^ No 228 111-76-2 zz9 9% 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 II SIGNATURE PRINT NAME & TITLE OP AUTHORIZED COMPANY REPRESENTATIVE `SIGN UR~ ~ ~ ~//~ ),%T^ 246 Kimberly /_awler, Envinurmental Mm+ager yj ~~ Ati,* n / X / B - E R S F l t'. D F/RF ~` 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 ~~ ~R~ (one form per material per hnilding or area) Page _ of BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Crea m :HEMICAL LOCATION 20 1 Warehouse CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) ~ACILITY ID # I l I S I 0~ 2 I 1 O I O I I 14 I O 17 I 1 MAP # (opGona!) 203 GRID # (oprionan 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject [o EPCRA, refer to instructions 207 COMMON NAME EHS* ^ yes ~ No 208 Waste video Jet Ink CAS # 209 *If EHS is" Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local 5re chief) 210 TYPE ^ P p~ ^m MIXTURE RADIOACTIVE ^ Yes ^X No 212 CURIES 213 ~w WASTE 211 PHYSICAL STATE ^ s SOLID ~ I LIQUID LARGEST CONTAMER $$ gallons zts ^ 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 DAILY AMOUNT 8O DAILY AMOUNT 2 220 13S UNITS* ^x 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 aA 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 0 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# I zz6 Methanol 227 ^ ves ^x No zzs 67-$6-1 zz9 6$ - 8$% 2 3-7% z3o Propylene Glycol monomethyl ether 231 ^ Yes No ~ z3z 107-98-2 z33 3 234 Ethanol z3s ^ Yes ~ No z36 64-17-$ 237 3-7% 4 1-3% 238 Ethanol, 2-(2-ethoxyehoxy)- 239 ^ Yes ~ N° zao 111-90-0 zal PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE Kinrherly Lawler, Environmenla! Manager III. SIC.AiATURE 3 )/~/ATE 242 97 B ~ E R 1 Y. I. D FIRE - AR,r~iM ~ 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 4~*V~ .~~ O t7 `~ C q OR p (one fiunr per ma(erial per building or area) Page _ of tUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Crea m :HEMICAL LOCATION 20 1 OU[SIdC Chemical SYOrage CHEMICAL LOCATION ^ yes ^X No 202 CONFIDENTIAL (EPCRA) ~ACILITY ID # I l I S I I I1 O- 12 11 O I O I I 14 10 .I 7 I 1 MAP # (optional) 203 GRID # (aptiona0 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes D No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS* ^ Yes ^D No 208 Waste Paint Related Material 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 Ow WASTE 211 PHYSICAL STATE ^ s SOLID ^D I LIQUID LARGEST CONTAINER 55 gallons 215 ^ g GAS 214 FED HAZARD CATEGORIES ^X I FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANTIUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT $$ DAILY AMOUNT 1 220 343 UNITS* ^X ga GAL ^ cf CU FT ^ Ib LBS ^ In 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 al! that app/yJ ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN D 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 Oil Based Paint 227 ^ Yes ~ No 228 229 40 - 100% 2 230 Mineral spirits 231 ^ Yes ^ No 232 233 0-50% 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 Kimhedy bawler, Environmental Manager HI. 246 98 _. B E R 5 P 1 -- -- I_D i/RF .. ~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 „r R (rme farm per nlaieria! per banding ar area) Page _ of IUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Crea m ;HEMICAL LOCATION 20 1 Outside Chemical Storage CHEMICAL LOCATION ^ yes ^X No 202 CONFIDENTIAL (EPCRA) 'AGILITY ID # I I I S O 12 11 I I O I O I 14 I O 17 I MAP # (°pli°nnn 203 GRID # (optional) 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subjec[ to EPCRA, refer to instructions 207 COMMON NAME EHS* ^ yes ~ No 208 Waste Sodium Hydroxide Solution 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 50 gallon 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ I FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE D 4 ACUTE H EALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 2l7 MAXIMUM 2I8 AVERAGE 219 STATE WASTECODE AMOUNT DAILY AMOUNT $~ DAILY AMOUNT I 220 141 UNITS* Oga GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON SITE " If EHS, amount must be in lbs. 36$ 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check 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 d STEEL DRUM ^ h SILO ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE ^D 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 Sodium Hydroxide 227 ^ ve5 ~ ND zza 1310-73-2 zz9 3$% 2 230 I 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 Kimberly Lawler, Envir°nmenia[Manager III. SI~NA 246 99 ~.._ ~:~~ B I I I G D rare DAR7MI 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. FACILITY INFORMATION ~~~ ~ 6 .,. ~ .. (nne jornr per maleria! per building or area) Page _ of SUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~reyer's Grand ]ce Cream :HEMICAL LOCATION 20 I Outside Chemical Storage Area CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) FACILITY ID # I l I S I: I O 12 I I"°` O I O I I 14 I O 17 I 1 MAP # (oplionan 203 ~ GRID # (opliouan 204 II. CHEMICAL INFORMA TION . 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS" ^ yes ~ No 208 Waste EcoCare 250/360 CAS # 209 "If EHS is" Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) zlo T1 PE ^ p PURE ^ m MIXTURE RADIOACTIVE ^ Yes 0 No 212 CURIES 213 0w 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 D 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTECODE AMOUNT DAILY AMOUNT ISO DAILY AMOUNT ~ 2 220 343 UMTS" ~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 ^ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check aff 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 ^x a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE ^X a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 °/nWT HAZARDOUS COMPONENT EHS CAS # I 226 Eth I Alcohol y zz7 x ^ Yes ^ No 228 64-17-5 zz9 S - 20% 2 5-20 % 230 Glycerin z31 ^ Yes ^x No 232 233 Acetic Acid 3 234 ^ Yes ^X No 235 64-19-7 236 1-5% 4 237 238 ^ Yes ^ No 239 240 5 _ 241 242 ^ Yes ^ No 243 244 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE Kiniherly Lawler, F,nvironmental Manager III. 245 100 "~ _ B E R S P I D ~_•~ F/RE ARTMI/ .+-...4 . w-..,. 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 ~*~~ ~ . u Rµ ,(one form per materia/per hailJing or area) Page _ of IUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 . ~reyer's Grand Ice Crea m ;HEMICAL LOCATION 20 1 Outside Chemical Storage Area CHEMICAL LOCATION ^ yes ~ No ~ 202 CONFIDENTIAL (EPCRA) 'AGILITY ID # I I I S i II 0 1 2 I I 0 I 0 I 1 1 4 10 1 7 I 1 MAP # (options!) 203 GRID # (aplionan 204 - II. CHEMICAL INFORMATION u 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS* ^ Yes D No 208 Empty Metal Drums 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 T}'pE ^ 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 ^ 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 DAILY AMOUNT 6OO DAILY AMOUNT Z 220 l S I UNITS* ^ 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 FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check a!! that aPPIY) ^ 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 ^D a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE ^X a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 °/nWT HAZARDOUS COMPONENT EHS CAS # Last Contained ammonia zz7 1 226 ^ Yes ~ No 228 229 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 Kimberly Lawler, Environmental Manager III. 246 10] B E R S F I 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 D ADD ^ DELETE ^REVISE 200 F'OR. w (one form per material per huilch7~g nr areal Page _ of I. FACILITY INFORMATION IUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 heyer's Grand Ice Cream ;HEMICAL LOCATION 20 1 Outside Chemical Storage area CHEMICAL LOCATION ^ yes 0 No 202 CONFIDENTIAL (EPCRA) 'AGILITY ID # I I I S O 12 I] I O I O I I 14 I O 17 11 MAP # (optionan 203 GRID # (optional) 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ^D No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS* ^ Yes ~ No 208 Waste oily food grade grease w/muratic acid 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 Ow WASTE 211 PHYSICAL STATE ^ s SOLID ~ 1 LSQUID LARGEST CONTAINER 330 gallons vs ^ g GAS 214 FED HAZARD CATEGORIES ^ I FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^D 4 ACUTE HE ALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AhIOUNT DAILY AMOUNT 2500 DAILY AMOUNT 7 220 352 UNITS* ^ ga GAL ^ cf CU FT ~ Ib LBS ^ to TONS 221 DAYS ON SITE * [f EHS, amount must be in lbs. 365 222 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ e PLAST[C(NONMETALLIC DRUM ^ i F[BER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Cheek alf Thal apptYl ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^X 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 Food Grade Grease 227 ^ Yes ^X No 228 229 90-100% 2 ~-10 % 230 MnratlC ACId 231 ^ Yes ~ No 232 7647-01-0 233 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 REPRESENTATI VE SIGNATJdRE / ~jf~ j~~ w~~~ pgTE 246 Kinaherly Law/er, Enviroumenlal Manager ~ ~ jj'7 /,J /~l r,,-?`_ B E R S N I P. "_D F/RE - AR1M 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. FACILITY INFORMATION ~~ o~~ F ~ ~ ORw (one form per maleria[ per building or area) Page _ of tUSINESS 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 ~ C ONFIDENTIAL (EPCRA) ~ACILITY 1D # I l I S I O 12 11 O I O I I 14 I O 17 I 1 MAP # (oplionan 203 GRID # (aplionan 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME Waste Ammonia Oil EHS' ^ Yes ~ No 208 CAS # 209 *[f EHS is" Yes," all amounts below must be in l bs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 2I0 TYPE ^ p pURE ^ m M[XTURE RADIOACTIVE ^ Yes 0 No 212 CURIES 213 ^x w WASTE 211 PHYSICAL STATE ^ s SOLID O 1 LIQUID LARGEST CONTAEVER 1000 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 21 7 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT .DAILY AMOUNT $OO DAILY AMOUNT 2 220 22I UMTS* ^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 ^ e PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Chock 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 SILO ^ 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 # I 226 Ammonia Oil 227 ^ Yes ^X No 228 229 100% 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 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE Kimberly Lawler, Environmenia! Manager III. /~~~ DATE 246 103 B E R S Y I n F/RE ARTM T •.~ < . ...,n.,,,• 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 _~~ ~ ~6 OR (one fium per nrateria! per building ar arcaJ Page _ of W SINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~reyer'S Grand Ice Crea m :HEMICAL LOCATION 20 1 Outside Chemical Storage Area CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) 'AGILITY ID # I I I S ! If O 12 11 O I O I l 4 O 17 I 1 MAP # (optianat) 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 - EHS* ^ yes ~ No 208 Waste Propylene Glycol 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 Ow WASTE 211 PHYSICAL STATE ^ s SOLID D I LIQUID LARGEST CONTAINER 925 gallons 216 ^ g GAS 214 FED HAZARD CATEGORIES Q 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 AIvfOUNT DAILY AMOUNT 925 DAILY AMOUNT 3 220 331 UNITS* ^X 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 that apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^D 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 ^ a AMBIENT ^ as ABOVE AMBIENT ^D ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS# I 226 Propylene Glycol 227 ^ ves ^x No zzs 57-55-6 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 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE Kimherly Lawler, Environmental Manager III. S~GNATU DATE 246 104 :w _ B E E S F I D Fine ARfM 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 ~.~ ~ ~ ~~ '',,. Rw (one jornr per nrareria! per bnilJing or area) Page _ of _ SUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Crea m :HEMICAL LOCATION 20 1 Outside Chemical Storage Alea CHEMICAL LOCATION ^ yes 0 No 202 CONFIDENTIAL (EPCRA) ~ACILITY ID # I I I S I I O 12 11 L,;:;t I O I O I l 14 I O 17 I 1 MAP # (oprirnral) 203 GRID # (optinna~ 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 Soil with unused hydraulic 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 PURE ^m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^X w WASTE 211 PHYSICAL STATE ^Q s SOLID ^ I LIQUID LARGEST CONTAINER I SOO I65 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ I FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE D 4 ACUTE HEAL TH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT HSOO DAILY AMOUNT Z4 220 611 UMTS" ^ga GAL ^ cf CU FT ^X 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 Thal apply) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^n PLASTIC BOTTLE ^ r OTHER ^ c TANK MSIDE BUILDING ^ g CARBOY ^D 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 AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS# \ 229 I 98-99% 226 SOII 227 ^ Yes ^X No 228 2 I-2% 230 Hydraulic Oil 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 Kimberly Lawler, Environmental Manager III. SIGNATURE 246 I~S ~~ B I 1 _D F/RE ARIM 7 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. FACILITY INFORMATION ~ ~6 ,,. oe (one j<ornr per malerial per hui[tling °r area) Page of IUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Crea m ;HEMICAL LOCATION 20 1 Outside Chemical Storage Atea CHEMICAL LOCATION ^ yes ^X No 202 CONFIDENTIAL (EPCRA) 'AGILITY ID # I I I S `,I O 12 11 I O I O I I 14 I O 17 I 1 MAP # (oplionan 203 - GRID # (opliouan 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME [f Subject [o EPCRA, refer to instructions 207 COMMON NAME Waste De$$jeant Beads 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 p~ ^m MIXTURE RADIOACTIVE ^ Yes ^X No 212 CURIES 213 ~w WASTE 211 PHYSICAL STATE ^Q s SOLID ^ I LIQUID LARGEST CONTABNER ZSO I65 215 ^ g GAS 214 FED HAZARD CATEGORIES ^ I FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE D4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE CODE AMOUNT DAILY AMOUNT 500 DAILY AMOUNT Z 220 1 S 1 UNITS* ^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 PLASTICMONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check al(!ha! aPPIY) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ~ k BOX ^ o TOTE BM ^ 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 AMBIENT ^ c CRYOGENIC 225 °/DWT HAZARDOUS COMPONENT EHS CAS # I 226 Dessicant Beads 227 ^ Yes ~ No 228 229 100% 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 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE Kircher/y Lawler, F.nvironnrenlal Manager III. SIGNATURE ~~~/ DATE 246 106 B E R S F I Y I_D Fine ,,~~App R~~,~1,,~M 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 L FACILITY INFORMATION e _`~~~ ~ ~ ,.~ ~R (ane jarnr per maferia! per bnildiug or area) Page _ of SUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Crea m ;HEMICAL LOCATION 20 1 OUtSlde ChemlCal SYOrage area CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) . ~ACILITY ID # I l I S I I O 12 11 O I O I I 14 I O 17 I 1 MAP # (opriona!) 203 11 GRID # (opriona!) 204 II. CHEMICAL INFORMATION 205 TRADE SECRET ^ yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions , 207 COMMON NAME EHS* ^ Yes D No 208 Waste absorbents w/Quorom Yellow II 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 ^X No 212 CURIES 213 ~w WASTE 211 PHYSICAL STATE ^ s SOLID ^ I LIQUID LARGEST CONTAINER SOOIbS 215 ^x 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 SOO DAILY AMOUNT Z. 220 3SZ UNITS* ^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 FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check aQ thal aPPIY) ^ 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 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 HAZARDOUS COMPONENT EHS CAS# i 226 Sodium Hydroxide 227 ^ Yes ~ No 228 1310-73-2 zz9 0-5% 2 230 Sodium Hypochlorite 231 ^ Yes ~ No 232 7778-54-3 233 0-3% 3 95-99% 234 Clay absorbent 235 ^ yes 0 No 236 237 4 238 239 ^ yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE Kimber/y Lawler, Environmenra[Manager III. SIG3~ATURE 246 107 B '~ D Fine ARTM T .w-., w ., w~...,- 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 v+nn°+r6 ~~. SRN (one form per material per huilding or urea) Page _ of _ SUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~reyer's Grand Ice Cream :HEMICAL LOCATION 20 1 Battery Charge areas CHEMICAL LOCATION ^ yes ~ No 202 CONFIDENTIAL (EPCRA) 'AGILITY ID # I I I S I O 12 11 ~ O I O~ l 14 l 0 l 7 l 1 MAP # (optiona<) 203 II GRID # (optional) 204 II. CHEMICAL INFORMA TION - 205 TRADE SECRET ~ ^ Yes ~ No 206 CHEMICAL NAME If Subject to EPCRA, refer to instructions 207 COMMON NAME EHS" Yes X No zo8 Lead Acid Forklift Batteries 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 pURg ~ m MIXTURE RADIOACTIVE ^ Yes ~ No 212 CURIES 213 ^w WASTE 211 - PHYSICAL STATE Q s SOLID ^ i LIQUID LARGEST CONTAINER 2450 lbs 21 s ^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 DAILY AMOUNT 71OSO DAILY AMOUNT - 7IOSO 220 3S2 UMTS* ^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 FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check al[ Thai aPPIY) ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^n PLASTIC BOTTLE ^D r OT[-IER ^ c TANK INSIDE BUILDING ^ g CARBOY ^k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SILO ^ I CYLINDER baUery ^ 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 %WT HAZARDOUS COMPONENT EHS CAS# Sulfuric Acid 227 ^ ves ~ N° z28 7664-93-9 zz9 15-20% 2 230 Lead 231 ^ Yes ~ No 232 7439-92-1 233 75-85% 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 Kimberly Lawler, Fnviranmenra/Manager III. DATE 246 108 SECTION IV Site and Building Maps A. Site/Building Map B. Locations of Stored Chemicals Map 109 City of Bakersfield - Fire & Prevention Services Address : ~~` ~~~~~ $~y ~ , - Business Name: Aboveground Tank uslness P an Hazardous Waste Mitigation NLIB . Sprinkler & Alarm Plan Underground Tank Other: Delta MicroImaging, Inc _ 9961 N Lower Sacramento Rd Stockton, CA 95210 1-209-478-3600 SECTION V Responding To Chemical Emergencies A. Abatement and Mitigation B. Spill Response Personnel C. Location of Utility Shut Off Valves i io A. Abatement and Mitigation Guide #116 • Acetylene Potential Hazards Fire 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. Health • 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. Protective Clothing • Wear positive pressure self-contained breathing apparatus (SCBA). • Structural firefighters' protective clothing will only provide limited protection. Evacuation Large Spill • Consider initial downwind evacuation for at least 800 meters (1/2 mile). Fire • 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. 111 Emergency Response Fire • Do not extinguish a leaking gas fire unless leak can be stopped. Small Fire • Dry chemical or C02. Large Fire • Water spray, fog or regular foam. • Move containers from fire area if you can do it without risk. Fire 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. Spill 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. 112 • Guide #120 • Carbon Dioxide ,(Solid) Potential Hazards Health • 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. Fire • 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, basements, tanks). • Keep out of low areas. • Ventilate closed spaces before entering. Protective 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 refrigerated/cryogenic liquids or solids. Evacuation Large Spill • Consider initial downwind evacuation for at least 100 meters (330 feet). Fire • 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. Fire 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. 113 • Always stay away from tanks engulfed in fire. Spill 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. 114 • Guide #121 • Argon Potential Hazards Health • 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. Fire 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. Protective Clothing • Wear positive pressure self-contained breathing apparatus (SCBA). • Structural firefighters' protective clothing will only provide limited protection. Evacuation Large Spill • Consider initial downwind evacuation for at least 100 meters (330 feet). Fire • If tank, rail car or tank truck is involved in a fire, isolate for 800 meters (i/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. Fire 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. l~s Spill 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. 116 Guide #122 • Oxygen Potential Hazards Fire 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. Health • Vapors may cause dizziness or asphyxiation without warning. • Contact with gas or liquefied gas may cause burns; severe injury andJor 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, basements, tanks). • Keep out of low areas. • Ventilate closed spaces before entering. Protective 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. Evacuation Large Spill • Consider initial downwind evacuation for at least 500 meters (1/3 mile). Fire • 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. 117 Emergency Response Fire • Use extinguishing agent suitable for type of surrounding fire. Small Fires • Dry chemical or CO2. Large 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. Fire 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. Spill 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. 118 Guide #125 • Anhydrous Ammonia Potential Hazards Health • .Toxic; maybe 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. Fire 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, basements, tanks). • Keep out of low areas. • Ventilate closed spaces before entering. Protective 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 situations. Evacuation 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." Fire • 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 Fire Small Fires • Dry chemical or CO2. 119 Large 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. Fire 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. Spill 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. 120 Guide #127 • Lime -13521550 (W21101) • Grape Flavor • N & A Vantasia Vanilla Flavoring • Blue Raspberry Flavor • Watermelon Flavor • Orange Flavor • 2'/2 Fold Pure Vanilla Extract • Fruit Punch - 56336 (046698) • Paradise Punch Dragonfruit Flavor Cherry Berry Flavor Fresh Lemon Flavor Artificial Special Vanilla Flavor Potential Hazards Fire 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. • 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. Health • 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 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 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. Protective Clothing • Wear positive pressure self-contained breathing apparatus (SCBA). • Structural firefighters' protective clothing will only provide limited protection. Evacuation Large Spill • Consider initial downwind evacuation for at least 300 meters (1,000 feet). Fire • 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. 121 Emergency Response Fire Caution: all these products have a very low flash point; use of water spray when fighting fire may be inefficient. Small Fires • Dry chemical, C02, water spray or alcohol-resistant foam. Large Fires • Water spray, fog or alcohol-resistant foam. • Use water spray or fog; do not use straight streams. • Move containers from fire area if you can do it without risk. Fire 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 • 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. Large 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. • Ca11911 or emergency medical service. • 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. 122 Guide #128 • Diesel Fuel #2 • Waste Oil • Camco Oil Potential Hazards Fire 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. Health • 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. Protective Clothing • Wear positive pressure self-contained breathing apparatus (SCBA). • Structural firefighters' protective clothing will only provide limited protection. Evacuation Large Spill • Consider initial downwind evacuation for at least 300 meters (1,000 feet). Fire • 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 • Caution: All these products have a very low flash point: Use of water spray when fighting fire may be inefficient. 123 Small Fires • Dry chemical, C02, water spray or regular foam. Large Fires • Water spray, fog or regular foam. • Do not use straight streams. • Move containers from fire area if you can do it without risk. Fire 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. Spill 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. Large 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. 124 Guide #131 • 16-7400Q Ink • 16-7400 Make Up Fluid Potential Hazards Health • 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. Fire 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. Protective 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. Evacuation 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." Fire • 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. 125 Emergency Response Fire Caution: All these products have a very low flash point: Small Fires Use of water spray when fighting fire may be inefficient. • Dry chemical, CO2, water spray or alcohol-resistant foam. Large 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 riot use straight streams. Fire 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 (rio 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. Small 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. Large 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. • Ca11911 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. 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. 126 Guide #140 • Nalco 2536 Plus Potential Hazards Fire 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. Health • 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. Protective Clothing • Wear positive pressure self-contained breathing apparatus (SCBA). • Structural firefighters' protective clothing will only provide limited protection. Evacuation Large Spill • Consider initial downwind evacuation for at least 100 meters (330 feet). Fire • 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 l Small Fires • Use water. 'Do not use dry chemicals or foams. CO2 or Halon may provide limited control. Large 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. 127 • 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 • ,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. Small Dry Spills • With clean shovel place material into clean, dry container and cover loosely; move containers from spill area. Small Liquid Spills • Use anon-combustible material like vermiculite, sand or earth to soak up the product and place into a container for later disposal. Large Spills • Dike far ahead of liquid spill for later disposal. • Following product recovery, flush area with water. 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. • 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. • Keep victim warm and quiet. • Ensure that medical personnel are aware of the material(s) involved, and take precautions to protect themselves. 128 Guide #153 • Matrixx Potential Hazards Health • 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. Fire 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. Protective 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. Evacuation 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." Fire • 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. 129 Emergency Response Fire Small Fires • Dry chemical, CO2 or water spray. Large 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. Fire 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. Spill 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. • Ca11911 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. 130 Guide #154 • Phosphoric Acid • Solvent Cleaner • Quorum Brown • Nalco 2896 Liquid • Quorum Clear • Sodium Hydroxide, Solution • Trasar 23248 • Nalco 2548 Oxygen Scavenger • Sulfuric Acid • Quorum Yellow LP • Oxonia Active • Caustic Potash, Liquid; 50% • Exxelerate CIP • Mikroklene DF • 3D Trasar Stabrex ST40 Potential Hazards Health • 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 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. Fire 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. Protective 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. Evacuation Large 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." Fire • 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. 131 Emergency Response Fire Small Fires • Dry chemical, COZ or water spray Large 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. Fire 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. Spill 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. 132 Guide #157 • Hydrochloric Acid • Foam Shine • AC-55-5 Red • Nalco 2560 • AC-55-5 Potential Hazards Health • 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. Fire 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. Protective 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. Evacuation Large 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." Fire • 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 133 Fire • Note: Most foams will react with the material and release corrosive/toxic gases. Small Fires • CO2 (except for Cyanides), dry chemical, dry sand, alcohol-resistant foam. Large 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. Fire 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. Spill 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. Small 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. 134 B. Spill Response Personnel Du Name* Title 1. Notifies The Plant Manager Kimberly Lawler Environmental Coordinator Sean Carlsen Health & Wellness Coordinator 2. Notifies The Owner Mark McLenithan Plant Manager Clint Wickensheimer Business Unit Manager Kurt Redner ~ Business Unit Manager Scott Peters Business Unit Manager 3. Initiates Evacuation and Mark McLenithan Plant Manager Head Count Clint Wickensheimer Business Unit Manager Kurt Redner Business Unit Manager Scott Peters Business Unit Manager 4. Ensures The Correct Mark McLenithan Plant Manager Abatement Procedures Are Clint Wickensheimer Business Unit Manager Initiated Kurt Redner Business Unit Manager Scott Peters Business Unit Manager 5. Initiates External Mark McLenithan Plant Manager Notification Procedures 6. Ensures Correct Mitigation Kimberly Lawler Environmental Manager Procedures Are Followed Sean Carlsen Health & Wellness Manager Out. Jack Ramirez Utilities/Facilities Team Mel Balfour Coordinator 7. - Decides To Send Employees Mark McLenithan Plant Manager Home Clint Wickensheimer Business Unit Manager Kurt Redner Business Unit Manager Scott Peters Business Unit Manager 8. Decides If Outside Clean-up Kimberly Lawler Environmental Manager Company Should Be Called Sean Carlsen Health & Wellness Manager In 9. Notifies The Insurance Mark McLenithan Plant Manager Company * If the listed personnel are not on-site at the time of the spill, the senior management or lead person will take the specified action. 135 C. Location of Utility Shut-Off Valves 1. Natural Gas: A manual shut-off valve is located on the North side of the plant outside the accumulator room near wastewater. 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 for expansion is on District Blvd, near temporary shipping entrance. 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. 136 SECTION VI Spill Notification 137 Environment.Policy -Guidance on Spill Reporting Reporting 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 Superfund Amendments and Reauthorization Act, SARA Title -III). Requirements for reporting under these acts are similar in that listed substances are assigned reportable quantities who's exceeding during a spill event triggers reporting. Unfortunately, the reportable quantities are not always the same between lists, and certain States require reporting of all spill events regardless of size,of locations. Compliance with these spill reporting provisions is mandatory, and it shall be the policy of Dreyer's Grand Ice Cream, operating companies to notify the appropriate agencies (listed below) in the event of a reportable spill in a timely manner (this should be as soon as possible after discovery of the spill). If questions arise, you should contact one of the individuals listed below using your best judgment. It is safer to report anon-reportable spill than to not report a spill that is later deemed reportable. The list of reportable substances is extremely lengthy, and most of the substances are of no concern to our operations, however you need to be aware of the entire listing. Reporting Information Local Emergency Bakersfield Fire Department City of Bakersfield Office of Environmental Services State Environmental Agency National Response Center (Coast Guard personnel usually answer) 911 911 661-326-3979 916-323-9723 800-424-8802 Greg Molloy 260-437-0301 138 SECTION VIII Certification 139 Certification I, Mark McLenithan, certify the above information will be used to fulfill my business' obligations under the law and inaccurate information constitutes perjury under the law. Plant Manager 3/16/07 Title Date 140 APPENDIX A Hazardous Material SpilUClean-up Contractors 141 Advanced Clean-Up Technologies Inc. 4548 Wesley Lane Bakersfield, CA 93308 661-392-7765 (24-Hour/Emergency Number) Response time less than 1 hour 142 ''/1[ ~ RDC BATTERY CHARGING ROOM SULFURIC ACID Y N89°08' ~~ Y DISTRICT BL_~/D~ Y ENGINE ROON N2 SULFURIC ACID CIP ROOM R2 UM, MANDATE CIP ROOM NITROGEN ACID DA PROCESS LAB SUIF'URIC ACID 189°12'44"W 15 3,85 SE ~ n ESEL MRa PROPANE, SULFURIC ACI WATER TREATMENT ~ ~ SULFURIC ACID O CAUSTIC ACID i ~/ / ~ ~ iI ° ~ ,/ '\ . ~ ~0 ~,AA / ~ ~ \ TTT ' ~ 4p^ ~. ` p ~ ~ \ ~ ° ° ~ • ~ ~ ; ~ • ~ ,~`H. ~ ~ ~ s ,t~.• . A ~e ~' ~~ ~~`~x`` i •, a0 ~ ,~C•. ~? ~ y"+~ ,,, ~ ~ */. ~ ~ ,. ®i b ~ . P, • v r p e / `• ~ ~ ~ 0 r''~~'~,, '~i a ~~ ' s/ / 00 .n • o ~~ ~®^G ,~ ~° ~r/ • ~` "( 0•~4 s ~( n ~ ~,~~ ~ ~ E <<~;, ;, , . ~ 0 ~' ' '' ~~ ~~ ~ ,`~~• ®' • c3 ~~ ~ ~~' ~~ ~ ®4 .-~ ~ ~ ~~ 0 D ~ ~~ ~ , a~_ ~ (~~b ~~~y ~ 1 ~ 0 ~ ~. 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