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HomeMy WebLinkAboutBUSINESS PLAN 12/11/2006'~ WW GRAINGER G 3900 EASTON DRIVE UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program • 3.1 Prevention Services H E R s F. D 900 Truxtun Ave., Suite 210 F/RE Bakersfield, CA 93301 D ARTM r Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME W~ C~R.~-Ir~GEz bZ 1 NL D~ INSPECTION DATE 12,-'1 i -06 INSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES 3°100 EAI-s i o n t~ 2.~ 2 ~- b 5 FACILITY CONTACT LO2~~ ~I01-~n~`J~rJ BUSINESS ID NUMBER 15-021-t~Ul~2-Cj -Section 1. Business Pkan and Inventory Program. ~~ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ( C=Compliance OPERATION V=Violation COMMENTS -// L~' ^ APPROPRIATE PERMIT ON HAND C3 ^ BUSIt'1@SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ~ ~ ~ q 2 ~oo~ ,)„ ^ CORRECT OCCUPANCY 1~ ^ ~/ERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES LW ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL -/ L~ ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ,~/ Lr ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED L~ ^ HOUSEKEEPING C~ ^ FIRE PROTECTION ~~^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~- 3~ Inspector (Please Print) Fire Prevention / 1s` In /Shift of Site/Station # ^ YES L X10 White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 ;: ~~ ~_ ~~ , ~.~ , W W GRAINGER INC 054 SiteID: 015-021-001025 Manager BEN WISE Location: 3900 EASTON DR City BAKERSFIELD BusPhone: (661) 327-4651 Map 102 CommHaz High Grid: 35A FacUnits: 1 AOV: CommCode: BFD STA 03 EPA Numb: SIC Code:5063 DunnBrad:00-510-3494 ~~ Emergency Contact / Title Emergency Contact / Title BEN WISE / BRANCH MANAGER ONYX EMERGENCY / RESPONSE CONTR Business Phone: (661) 327-4651x Business Phone: ( ) - x 24-Hour Phone (800) 770-0511x 24-Hour Phone (800) 688-4005x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact WILLIAM E RAVEN Phone: (847) 535-0661x MailAddr: 100 GRAINGER PKWY State: IL City LAKE FOREST Zip 60045 Owner W W GRAINGER INC Phone: (847) 535-1000x Address 100 GRAINGER PKWY State: IL City LAKE FOREST Zip 60045 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif ' d: RSs : No ParcelNo: Emergency Directives: PROG A - HAZMAT EIV~ ~ CJ i1 '!{~ irigUiry Of thi>e Irl~i'ii' ''sS i;i Ei i7 ::C Illr ~~: ~ ~. S'1C, 1?~ iriir ~ ~~' 1 ~ ~ j /]/~ p~ ,P',"IK ~ z~~7 _ ~'~ ~3i1 , . ~ l: : I ~ , L. : [,f~ N~°.r?~~tl G' is:~y ti??f ~ i ii~Elc, ;t.;i,Clrj~,jl}/ , tt ri [''~. q~~Q am ¢a rril ~lar l~~ti( t~i~ iE ti o''„':2 iil~;"} ttec aria ~e;ieve the infiorrr,atian ~; tr~,e, ,te. ' ornplete. .~ ~-ate- o~ u re Date -1- 02/20/2007 F W W GRAINGER INC 054 SiteID: 015-021-001025 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP DISPOSABLE BAGS IH DH S ~eo~ b~ . 00 LBS Hi iI2EFRIGERANT 404A G 369.00 FT3 Hi (ENAMEL SPRAY PAINT E L ag'3 x.00 GAL Hi /PROPANE GAS CYLINDER F IH DH G 3~ ~ x.00 FT3 Hi /VARNISH L ~q~a 2.00 GAL Hi MAPP GAS E F P IH G 226.00 FT3 Hi AGROUND GLASS BEAD BLAST MEDIA DH S aF~~3 .~?-5~.00 LBS Mod ~ANDED OIL SWEEPING MIXTURE S ~ ~s~ l~-rs. 00 LBS Mod ENAMEL F IH DH L i~3 l~".00 GAL Mod (EPOXY COATING F L /rte .k~4'.00 GAL Mod DEGREASER F IH DH L his x.00 GAL Mod ifVELDING RODS/ELECTRODES S y~S~1 4fr~-2'.00 LBS Low REFRIGERANT 22 F P IH G ~N°t~ ~-43.00 FT3 Low GEAR OIL F DH L ~ ~ ~Cr3-. 0 0 GAL Low /LATEX PAINT F L i 3 0 1~ . 0 0 GAL Low lNlOBIL RARUS/EAL ARCTIC OIL L 48 x.00 GAL Low SAND PAPER F P R DH S 15q o 3-~3. 0 0 LBS Min COMPRESSED AIR G 3~oR x.00 FT3 Min /CARBON DIOXIDE F P IH G stirs X3.00 FT3 Min /bISINFECTANT F DH L ! o~ 34Fr. 00 GAL UnR -2- 02/20/2007 -3- 02/20/2007 F W W GRAINGER INC 054 SiteID: 015-021-001025 ~ ~ Inventory Item 0012 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DISPOSABLE BAGS Days On Site 365 Location within this Facility Unit Map: Grid: CAS# STATE Solid TYPE Mixture PRESSURE TEMPERATURE Ambient Ambient CONTAINER TYPE BOX AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average LBS 693.00 LBS 630.00 LBS HAZARDOUS COMPONENTS %Wt• RS CAS# HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / Hi ~ Inventory Item 0019 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME REFRIGERANT 404A Days On Site FORANE 404A/408A 365 Location within this Facility Unit Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas Mixture Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum ~ Daily Average FT3 369.00 FT3 336.00 FT3 HAZARDOUS COMPONENTS oWt. RS CAS# 52.00 l,l,l-Trifluoroethane No 420462 HAZARD ASSESSMENTS TSecret RS BioHaz =Radioactive/Amount=l=EPA Hazards= =NFPA-1 =USDOT##= =MCP= No No No No/ Curies I{ / j / Hi -4- 02/20/2007 F W W GRAINGER INC 054 ~ Inventory Item 0008 COMMON NAME / CHEMICAL NAME ENAMEL SPRAY PAINT ACRYLIC SPRAY ENAMEL/SPRAY LUBE Location within this Facility Unit Days On Site 365 Map: Grid: CAS# STATE T TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid I Mixtur~Above Ambient Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 274.00 GAL 249.00 GAL • riAGEitCL V U .7 l: V 1~1Y V1V ~1V 1 b oWt. RS CAS# 10.00 Isobutane Yes 75285 30.00 Toluene No 108883 10.00 Xylene, Mixed No 1330207 t1HGHKL H~JL".7J1~1L'1V1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Hi ~ Inventory Item 0013 COMMON NAME / CHEMICAL NAME PROPANE GAS CYLINDER DISPOSABLE Location within this Facility Unit STATE TYPE PRESSURE _ Gas TPure Above Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 74-98-6 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average FT3 246.00 FT3 224.00 FT3 HAZARDOUS COMPONENTS %Wt. RS CAS# 99.90 Propane Yes 74986 riHG!-~tCL f-~J ~~.7J1~11;1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Hi SiteID: 015-021-001025 ~ Facility Unit: Fixed Containers on Site ~ -5- 02/20/2007 F W W GRAINGER INC 054 SiteID: 015-021-001025 ~ ~ Inventory Item 0014 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME VARNISH Days On Site SPRAY VARNISH/INK/LUBRICANT 365 Location within this Facility Unit Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Above Ambient Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 235.00 GAL 213.00 GAL HAZARDO C US OMPONENTS %Wt• RS CAS# 14.00 Isopropyl Alcohol No 67630 13.00 Propane Yes 74986 57.00 Heptane No 142825 I1tiL~tilCL tiJ JJ;J J1"1J;1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Hi ~ Inventory Item 0009 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME MAPP GAS Days On Site DISPOSABLE MAPP GAS CYLINDER 365 Location within this Facility Unit Map: Grid: CAS# STATE TYPE -~ PRESSURE TEMPERATURE CONTAINER TYPE Gas TMixture l Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average FT3 226.00 FT3 205.00 FT3 HAZARDOUS COMPONENTS %Wt. 50.00 Methylacetylene 50.00 Propadiene RS CAS# Yes 74997 Yes 463490 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi -6- 02/20/2007 F W W GRAINGER INC 054 SiteID: 015-021-001025 ~ ~ Inventory Item 0016 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME GROUND GLASS BEAD BLAST MEDIA Days On Site 365 Location within this Facility Unit Map: Grid: CAS# ~SolidE TMixture I AmbRent~E ~ AmbientT~E -~STOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average LBS 2759.00 LBS 2508.00 LBS riHGHKUVUa 1:V1~lYV1V~1V1J %Wt. RS CAS# 72.50 Silicon Dioxide No 7631869 9.80 Calcium Oxide No 1305788 13.70 Sodium Oxide No 1313593 ti1~G1'~K1J H~~~JJ1~lYS1VlJ , TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Mod ~ Inventory Item 0015 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME SANDED OIL SWEEPING MIXTURE Days On Site 365 Location within this Facility Unit Map: Grid: CAS# ~SolidE TMixture~ Ambient~E ~ AmbientTURE BOX CONTAINER TYPE - - -- AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average LBS 1375.00 LBS 1250.00 LBS HAZARDOUS COMPONENTS %Wt. RS CAS# 80.00 Sawdust No 65996614 4.00 Hydrotreated, Light Naphthenic No 64742536 5.00 HYDROTREATED LIGHT DISTILLATE No 64742467 I1HGt1tCL Ei. 7JC~~~71~1~1V 1 ~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Mod -7- 02/20/2007 F W W GRAINGER INC 054 ~ Inventory Item 0018 COMMON NAME / CHEMICAL NAME ENAMEL LABOR SAVER INDUSTRIAL ENAMEL Location within this Facility Unit Map: Grid: Days On Site 365 CAS# Liquid TMixture ~mbient~E ~ AmbientT~E METALOCONTAINRTNONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 188.00 GAL _ 171.00 GAL - HAZARDOUS COMPONENTS %Wt. RS CAS# 5.00 Xylene, Mixed No 1330207 15.00 Stoddard Solvent No 8030306 riHGHK1J I~~ J~551~1~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ~ Inventory Item 0020 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME EPOXY COATING Days On Site 9100 HI-PERFORM EPOXY TOPCOAT 365 Location within this Facility Unit Map: Grid: CAS# Liquid TMixture ~ Ambient~E ~ AmbientT~E METALOCONTAINRTNONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 144.00 GAL 131.00 GAL ntic~t~.LV~a ~.vrirvlv~lvt~ oWt. RS CAS# 10.00 Xylene, Mixed No 1330207 10.00 Methyl Ethyl Ketone No 78933 10.00 1-Methoxy-2-propanol No 108656 I1L-]GtltCL ti. 7.7.G.7J1~1~1V 1 c7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Mod SitelD: 015-021-001025 ~ Facility Unit: Fixed Containers on Site ~ -8- 02/20/2007 ~ F W W GRAINGER INC 054 SiteID: 015-021-001025 ~ ~ Inventory Item 0017 Facility Unit: Fixed Containers on Site ~ ,,,.,.,...~.. ~~,,.,t-. ~ ..~r,~,,.,T,,,,r ,.t,,,,.,-~ STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 104.00 GAL 94.00 GAL t1AGA.tCLVUD 1:V1~lYV1V1",1V15 %Wt. RS CAS# 10.00 Sodium Hydroxide No 1310732 5.00 Butyl Cellosolve No 111762 5.00 Sodium Xylene Sulfonate No 1300727 t11iGt1ttL r-~5a~~~rir~ly 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ~ Inventory Item 0007 COMMON NAME / CHEMICAL NAME WELDING RODS/ELECTRODES Location within this Facility Unit STATE TYPE PRESSURE Solid TMixtur~ Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient BOX AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average LBS 4662.00 LBS 4238.00 LBS rif~Gl-1CCLV U 7 1. V1~lY V1V t,1V 1 J %Wt. RS CAS# 86.00 Iron No 7439896 1.00 Manganese No 7439965 4.00 Aluminum No 7429905 ril-~GtitCL ~,~al;~~l~i~ly 1 a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ ~ Curies / / / Low -9- 02/20/2007 F W W GRAINGER INC 054 ~ Inventory Item 0004 COMMON NAME / CHEMICAL NAME REFRIGERANT 22 FOAM SEALER Location within this Facility Unit SiteID: 015-021-001025 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 75-45-6 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas TPure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average FT3 2241.00 FT3 2037.00 FT3 HAZARDOUS COMPONENTS ~Wt. RS CAS# 100.00 Chlorodifluoromethane No 75456 riE~GHtCL H~J.7JJJJ1`11;1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME GEAR OIL Days On Site MOBIL HYDRAULIC/VAC/GEAR OIL 365 Location within this Facility Unit Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 163.00 GAL 149.00 GAL I1tiGtiCCLVUJ 1.U1~lYUlV.C,1V 1 J %Wt. RS CAS# 50.00 Heavy Paraffinic Petroleum No 64742650 45.00 Hydrotreated Distillate, Heavy Paraffin No 64742547 1.90 Chlorinated Paraffin No 63449398 riHGHlCL L-~.7 .~1~,J.71~11;1V 1 ~7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -10- 02/20/2007 F W W GRAINGER INC 054 ~ Inventory Item 0010 COMMON NAME / CHEMICAL NAME LATEX PAINT 5200 LABOR SAVER LATEX ENAMEL Location within this Facility Unit SiteID: 015-021-001025 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 125.00 GAL 114.00 GAL rlti~xrcliuu~ wriruivlJivl~ %Wt. RS CAS# 4.00 Methyl Carbitol Acetate No 111773 4.00 1,2-Propylene Glycol No 57556 4.00 Dipropylene Glycol No 29911282 riE~GAtCL 1~~5tS~~1~1L"~1V'1'7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Low ~ Inventory Item 0006 COMMON NAME / CHEMICAL NAME MOBIL RARUS/EAL ARCTIC OIL Location within this Facility Unit STATE TYPE ~ PRESSURE Liquid TMixture I Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient PLASTIC CONTAINER --- AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 74.00 GAL 67.00 GAL nric~e-LC~LV~a ~.vrirvtv~lvt~ %Wt. RS CAS# 95.00 Hydrotreated Heavy Paraffinic Distillates No 64742547 0.10 Diphenylamine No 122394 i7.E~GrittL 1-1J JL~.7 al"lt.,1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low STATE TYPE PRESSURE Liquid TMixture I Ambient -11- 02/20/2007 F W W GRAINGER INC 054 ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME SAND PAPER GRINDING WHEELS/SAND PAPER Location within this Facility Unit STATE T TYPE -~- PRESSURE Solid I Mixture I Ambient SitelD: 015-021-001025 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient BOX AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average LBS 1523.00 LBS 1384.00 LBS HAZARDOUS COMPONENTS %Wt. RS CAS# 90.00 Aluminum Oxide No 1344281 3.00 Calcium Oxide No 1305788 tll-~Gt1KL HJSi',~~1~11:S1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P R DH / / / Min ~ Inventory Item 0011 COMMON NAME / CHEMICAL NAME COMPRESSED AIR CYLINDER Location within this Facility Unit Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# STATE T TYPE T PRESSURE TEMPERATURE CONTAINER TYPE Gas I Mixture I Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Daily Maximum 385.00 FT3 Daily Average 350.00 FT3 ri!-~GH.tC.LUU~ lrV1~lYV1VL"1V1A %Wt. RS CAS# 79.00 Nitrogen No 7727379 21.00 Oxygen, Compressed No 7782447 nrjc,tuxli r, ~~r~a~l~l~ly 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Min Largest Container FT3 -12- 02/20/2007 F w w GRAINGER INC 054 SiteID: 015-021-001025 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME CARBON DIOXIDE Days On Site EXTINGUISHER 365 ithi i hi ilit U i M id G n Locat on w n t s Fac y t ap: r : CAS# 124-38-9 ~GasATE ~ TYPE Pure ~AboveSAmbEent ~ TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average FT3 343.00 FT3 312.00 FT3 nt~~xlu~vua ~:vlnr~lvlJiv 1 a owt. Rs cAS# 100.00 Carbon Dioxide No 124389 tl1~GEiKL H~JL" JJ1~1L"1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DISINFECTANT Days On Site CLEANER/DEGREASER 365 Location within this Facility Unit Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE ~~ CONTAINER TYPE Liquid TMixtur~Ambient ~ Ambient I PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 346.00 GAL 314.00 GAL riLiGL-1LCLVU~J 1.V1~1rV1V1;1V 1 J owt. Rs cAS# 5.00 Butyl Cellosolve No 111762 5.00 Ethoxylated Nonylphenol No 09016459 4.00 Sodium Metasilicate No f'' 6834920 t1Y~GHtCL .H~ JJJ~,.7.7P'1.G1V l.~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / UnR -13- 02/20/2007 F w w GRAINGER INC 054 SiteID: 015-021-001025 ~ ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 05/28/1999 ~ CALL 911. Employee Notif./Evacuation 05/28/1999 VERBALLY. Public No,tif./Evacuation 05/28/1999 VERBALLY. Emergency Medical Plan 04/03/2000 BAKERSFIELD FAMILY MEDICAL CENTER/URGENT CARE CENTER, 4580 CALIFORNIA AVE, 327-4411. -14- 02/20/2007 F W W GRAINGER INC 054 SiteID: 015-021-001025 ~ ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 05/28/1999 ~ ALL HAZARDOUS MATERIALS ARE PACKAGED IN SMALL CONSUMER PACKAGES FOR RESALE. Release Containment 03/10/2000 ALL MATERIAL IS STORED IN SMALL ONE GAL CONTAINERS. ~~~~~ Clean Up 02/12/1993 WE HAVE A SPILL CLEAN UP TEAM THAT USES ABSORBENT PADS. V 1.11C 1. tc~~vur~e r~cLivaLlon -15- 02/20/2007 F w W GRAINGER INC 054 SiteID: 015-021-001025 ~ ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ _, .~Nc~.iai nac~atu~ Utility Shut-Offs 12/12/2006 A) GAS - SE CRNR E WALL B) ELECTRICAL - SE CRNR S WALL C) WATER - SW CRNR S WALL D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 12/12/2006 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. FIRE HYDRANT - CRNR EASTON & CHESTER LN Building Occupancy Level 03/01/2006 13 EMPLOYEES -16- 02/20/2007 F W W GRAINGER INC 054 SiteID: 015-021-001025 ~ Fast Format ~ ~ Training Overall Site ~ Employee Training 12/12/2006 MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: VERBAL TRAINING. C . I! \ ..AG~L%J rays ~ I1C1U LVI t'UI.U.LC U~Er' RG1U 1VJ= L'LLI.ULC U5C -17- 02/20/2007 ATTACHMENT A W.W. Grainger, Inc. Grainger Industrial Supply 3900 Easton Drive Bakersfield, CA 93309 Business Emergency Plan: Emergency Procedures Emergency Response 1 of 3 The employees of this Grainger facility have been trained to respond to "incidental" spills of hazardous materials only. Under no circumstances will the employees respond to anything other than an incidental spill /release. In the event of a chemical spill /release other than incidental, the branch employees would immediately contact Grainger's nationally contracted emergency response contractor, Onyx Emergency Response. who wauld respond to the incident. If the spill /release poses immediate danger to either life safety or negative environmental impact the facility would immediately call 911 for response action. PREVENTION The types of hazards associated with the materials present at this location include flammable (liquids & solids), corrosive, poisons (pesticides), and oxidizers. All newly hired warehouse employees are trained in the following upon hire and annually thereafter: • Hazard Communication -Employee Right-To-Know • MSDS review /location and retrieval • Containers stored in racks must be stable and secure • Block, stack and limit height of product to prevent sliding and/or collapse • Proper and safe distance maintained between incompatible materials (i.e., corrosives and oxidizers, flammables and combustibles.) • Proper loading and unloading of hazardous materials to/from trucks • Storage of packages with markings "This End Up" so that the package remains in the position shown by the marking. • Proper methods to contain, cleanup, and dispose of incidental spilled materials. • Proper methods 1 procedures to recognize and immediately notify emergency contacts for those spills larger than incidental. Branch 054 02/26/07 ATTACHMENT A 2 of 3 Additionally, this facility is equipped with a separate and segregated hazmat / aerosol storage room. MITIGATION Employees are trained to respond to incidental spills only. The employees would identify the released or threatened released material by referring to the MSDS in order to determine its particular hazard. Based on the hazardous nature of the material, the potential threat to life safety and the environment, the employee would either notify the site emergency contact, or clean up and dispose of the spilled material accordingly. All releases or threatened releases, other than incidental spills, will be responded to by either the local fire department /hazmat team or by Grainger's contracted emergency response contractor, Onyx Emergency Response @ 800-688-4005 ABATEMENT Employees would follow the spill procedures as described in the MSDS sheet for the designated released material for incidental spills. If it is recognized that there is an immediate threat to life safety or the environment, the employees are trained to immediately notify the site emergency contact, and the local fire department /hazmat team. Once an incidental release has been contained and controlled, proper disposal as described in the MSDS sheet would be followed. Grainger has a National Service agreement with Onyx Emergency Response Services. This is Grainger's national emergency response contractor. EVACUATION The facility is equipped with both an automatic audio and visual evacuation alarm system. If this system is activated the employees would exit to the outside through their designated emergency exit. Once the employee is outside, they are trained to report to a predetermined gathering area where roll-call can be conducted. PLAN LOCATIONS Complete copies of this plan are maintained in the Branch Manager's Office, and in the Corporate Environmental, Health and Safety file. RECORDS Records of employee training are maintained in the individuals personnel file. • All other records would maintained in the Branch Managers files. Branch 054 02/26/07 ' ATTACHMENT A 3 of 3 EMPLOYEE TRAINING PROGRAM All newly hired warehouse employees are trained in the following upon hire and annually thereafter: • Hazard Communication - Emp{oyee Right-To-Know • MSDS review /location and retrieval • Containers stored in racks must be stable and secure • Block, stack and limit height of product to prevent sliding and/or collapse • Proper and safe distance maintained between incompatible materials (i.e., corrosives and oxidizers, flammables and combustibles.) • Proper loading and unloading of hazardous materials to/from trucks • Storage of packages with markings "This End Up" so that the package remains in the position shown by the marking. • Proper methods to contain, cleanup, and dispose of incidental spilled materials. • Proper methods /procedures to recognize and immediately notify emergency contacts for those spills larger than incidental. Branch 054 02/26/07 W.W. Grainger, Inc. 100 Grainger Parkway take Forest,IL 60045-5201 Tel: 847.535.1000 Fax: 947.535.9214 httpJ/www. prainger. com +CaRAtHG~R® January 29, 2007 >~ehins~` euery,~-ec,~t business.•~~° City of Bakersfield Bakersfield Fire Department Prevention Services Office of Environmental Services 900 Truxtun Avenue, Suite 210 Bakersfield, Ca 93301 Re: 2006 Hazardous Materials Inventory Dear Sir /Madam: ~~ti~ ~ f~ ~5 3 Enclosed you will find a Hazardous Material Inventory Statement. This is an update regarding storage at the Grainger facility located at 3900 Easton Drive, Bakersfield, CA 93309. The data contained on this statement is for the report year 2006 and should be considered the most current information. If you have any questions please feel free to contact me at 847-535-0661 Sincerel William E. Raven EH8sS Manager W.W. Grainger, Inc. Cc: Branch File Corporate Branch File # 054 Attachment: Haz Mat Inventory ~N~~~ m ~R ~ ~QQ7 ~bO~ l HAZARDOUS MATERIALS BUSINESS PLAN CERTIFICATION FORM For Use by Unidocs Member Agencies or where approved by your Local Jul-isdiction Authority Cited.• Health and Safety Code ~25503.3(c); 19 CCR ~'2729.5(c) To: Agency Name: Bakersfiled Fire DEpartment-Environmental Services Agency Mailing Address: _1715 Chester Ave _Bakersfield, CA 93301 Pursuant to Section 25503.3(c) of California Health and Safety Code (HSC), the Hazardous Materials Business Plan (HMBP) certification described below is hereby submitted for the following facility: Facility Name: Grainger Facility Street Address: 3900 Easton Drive City: Bakersfiled Date of Current HMBP: February 9, 2006 I certify that: (check the appropriate box.) ^ I have personally reviewed the Hazardous Materials Business Plan currently on file with your agency and certify that the HMBP is complete and accurate. (See bottom of page for details.) If this facility is subject to Federal Emergency Planning and Community Right to Know Act (EPCRA) reporting requirements, I have submitted the following documents with this Certification Form: Unified Program Consolidated Form (UPCF) Business Activities page; UPCF Business Owner/Operator Identification page with current signature and date; Hazardous Materials Inventory Statement page(s) with an original signature, photocopy of an original signature, or signature stamp on each page for all Extremely Hazardous Substances (EHS) handled at or above their Federal Threshold Planning Quantity (TPQ) or 500 pounds, whichever is less. or ® Revisions to the Hazardous Materials Business Plan are necessary. The HMBP as revised is being implemented. A copy of the revisions is enclosed with this Certification along with a signed Unified Program Consolidated Form (UPCF} Business Owner/Operator Identification page and UPCF Business Activities page if the HMBP revision include changes to the Hazardous Materials Inventory Statement. OWNER/OPERATOR CERTIFICATION: I hereby certify under penalty of law that, based upon my inquiry of those individuals responsible for obtaining the information reported above, I believe that the submitted information is true, accurate, and complete. I understand that a revised HMBP must be submitted within 30 days of any change in this facility's storage or handling of hazardous materials which would require updating of the HMBP. Name of Owner/Operator (Print): William E. Title: EHS Manager Signature of Owner/Operator: ~ Date: January 29, 2007 By checking the upper box on this form, you are certifying that: • The information contained in the HMBP most recently submitted is complete, accurate, and up-to-date; and • There has been no change in the quantity of any hazardous material as reported in the most recently submitted Hazardous Materials Inventory forms; and • The facility has not begun handling any hazardous material in a HMBP reportable quantity which is not currently listed in the Hazardous Materials Inventory; and • The most recently submitted HMBP contains the information required by Section 11022 of Title 42 of the United States Code; and • There have been no substantial changes in the facility's hazardous materials operations which would require revision of the current HMBP. UN-039 - 1/t www.unidocs.org Rev. 07/24/06 01/26/2007 CITY of BAKERSFIELD HAZARDOUS MATERIALS INVENTORY Farm and Agriculture ^ Standard Business ® NON -TRADE SECRETS Page 1 of 6 BUSINESS NAME: W. W. GRAINGER Branch #054 OWNER NAME: W. W. GRAINGER.INC. NAME OF THIS FACILITY: LOCATION: 3900 Easton Drive ADDRESS: 100 Grainger Parkway STANDARD IND. CLASS CODE: 5063 CITY, ZIP: Bakersfield California 93309-1083 CITY, ZIP: Lake Forest, Illinois 60045-5201 DUN AND BRADSTREET NUMBER: PHONE #: (661) 327-4740 PHONE #: (847) 535-1000 r~rrrr-i r~ ~ninrr~~ ~i+r~~nin r~r~ r-~r~~r~rn ~nnr_"c~ 0 0- 5 1 0- 3 4 9 4 0~4 l'l"" ~O L ~L 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Trans Type Max Average Annual Measure # Days Cont Cont Cont Use Location Where % by Names fo Mixture /Components Code Stored in Facilit C e Code Amt Amt Est Units on Site T e Press Tem Wt. See Instructions I _ -M ! -1_,~9D 1.4_46___1 x,350 h3b 5 U I ] 4 ~ GRINDING WHEELS/SAND PAPER C A N b S 90 0 ~ id Al i O j 01344 28 1 . um er Component #1 Name & C.A.S. Number . . . um num x e - - Physical and Health Hazards (Check all that apply) Component #2 Name & C.A.S. Number 3.0 Calcium Oxide 01305-78-8 ^ Fire Hazard ^ Reactivity ^Delayed ^Sudden ^Immediate Health Release Health Component #3 Name & C. A. S. Number 7.0 Fiberglass 60676-86-0 IS[NFECTANT CLEANER/DEGREASER C. A. S. Number Component #1 Name & C.A.S. Number 5.0 Butyl Cellosolve 00 1 1 1-76-2 Physical and Health Hazards (Check all that apply) Component #2 Name & C.A.S. Number 5.0 Ethoxylated Nonyl Phenol 1 09016-45-9 ^ Fire Hazard ^ Reactivity ®Delayed ^Sudden ®Immediate Health Release Health Component #3 Name & C. A. S. Number 4.0 Sodium Metasilicate ___ 06834-92-0 I P I 245! 223 I 2,70 ft3 3654 2 1 4 i - CARBON DIOXIDE EXTINGUISHER C. A. S. Number Component #1 Name & C.A.S. Number 99.5 Carbon Dioxide 00124-38-9 Physical and Health Hazards (Check all that apply) Component #2 Name & C.A.S. Number ^ Fire Hazard ^ Reactivity ^Delayed ®Sudden ^Immediate Health Release Health Component #3 Name & C. A. S. Number C-22 REFRIGERANT/FOAM SEALER C. A. S. Number Component #1 Name & C.A.S. Number 99.9 Chloro Difluoromethane 00075-45-6 Physical and Health Hazards (Check all that apply) Component #2 Name & C.A.S. Number ^ Fire Hazard ^ Reactivity ^Delayed ®Sudden ®Immediate Health Release Health Component #3 Name & C. A. S. Number EMERGENCY CONTACTS #I Benjamin Wise Branch Manager (661) 327-4740 #2 Chris Towers Assistant Manager Name Titl 24 Hr Phone N m .Title Certification (Read and sign after completing all sections) I certify under penalty of law that I have personally examined and am familiar with the information submitted in this and all attached documents, and that based on my inquiry of those individuals responsible for obtaining the information, I believe that the submitted information is true, accurate, and complete. Name and official title of owner/operator OR owner/operator's authorized representative Signature Date Signed w o~i2s/ZOO7 CITY of BAKERSFIELD HAZARDOUS MATERIALS INVENTORY Farm and Agriculture ^ Standard Business ® NON -TRADE SECRETS Page 2 of 6 BUSINESS NAME: W. W. GRAINGER Branch #054 OWNER NAME: W. W. GRAINGER, INC. NAME OF THIS FACILITY: LOCATION: 3900 Easton Drive ADDRESS: 100 Grainger Parkway STANDARD IND. CLASS CODE: _5063 CITY, ZIP: Bakersfield California 93309-1083 CITY, ZIP: Lake Forest, Illinois 60045-5201 DUN AND BRADSTREET NUMBER: PHONE #: (66t) 327-4740 PHONE #: (847) 535-1000 0 0- 5 1 0- 3 4 9 4 nr_ccn r~ /AI[~Tn11/'~TI/lA/f~ can nnnncn n~ncc 1 2 3 4 5 6 7 8 9 10 ll 12 13 14 Trans Type Max Average Annual Measure # Days Cont Cont Cont Use Location Where % by Names fo Mixture /Components Code Code Amt Amt Est Units on Site T e Press Tem Code Stored in Facilit Wt. See Instructions ~ -U M-135 123 1.4.73 ~ gal 6 1~~ a MOBIL HYDRAULIC/VAC/GEAR OIL C. A. S. Number Component #1 Name & C.A.S. Number 50.0 Heavy Dewaxed Paraffinic 64742-65-0 Physical and Health Hazards (Check all that apply) Component #2 Name & C.A.S. Number 45.0 Hydrotreated Heavy Paraffinic 64742-54-7 ^ Fire Hazard ^ Reactivity ^Delayed ^ Sudden ^ Immediate Health Release Health Component #3 Name & C. A. S. Number 1.9 Chlorinated Paraffin Wax 63449-39-8 M 66 ~ RUSTLICK/COOLEDGE OIL/COOLANT C. A. S. Number Component #1 Name & C.A.S. Number 40.0 Heavy Naphthenic Distillate 64741-96-4 Physical and Health Hazards (Check all that apply) Component #2 Name & C.A.S. Number 30.0 Hydrotreated Heavy Naphthenic 64742-52-5 ^ Fire Hazard ^ Reactivity ^Delayed ^ Sudden ^ Immediate ___ _Health Release Health Component#3 Nam & C. A. S. Number e ~ ~ Poly-l-butene X003-28-5 - --U-~M- i -98 ' --89 Z--1-,070 ~ gal-~-_3.65- ~ _1D_-1_1- _ _ -~- 4=-w- ~- ' ---~ ---- -- ----- --' ---- MOBIL RARUS/EAL ARCTIC OIL C. A. S. Number Component #1 Name & C.A.S. Number ~ i 95.0 ~ Hydrotreated Heavy Paraffinic 64742-54-7 Physical and Health Hazards (Check all that apply) Component #2 Name & C.A.S. Number 0.1 Diphenylamine 00122-39-4 ^ Fire Hazard ^ Reactivity ®Delayed ^ Sudden ^ Immediate Health Release Health Component #3 Name & C. A. S. Number 4,5.5_4 4, 1_ 4 WELDING RODS/ELECTRODES C. A. S. Number Component #1 Name & C.A.S. Number 86.0 Iron 07439-89-6 Physical and Health Hazards (Check all that apply) Component #2 Name & C.A.S. Number 1.0 Manganese 07439-96-5 ^ Fire Hazard ^ Reactivity ^Delayed ^ Sudden ^ Immediate Health Release Health Component #3 Name & C. A. S. Number 4.0 Aluminum 07429-90-5 EMERGENCY CONTACTS #1 Benjamin Wise Branch Manager (661) 327-4740 #2 Chris Towers Assistant Manager N m Title 24 r Ph n Name Title Certification (Read and sign after completing all sections) I certify under penalty of law that I have personally examined and am familiar with the information submitted in this and all attached documents, and that based on my inquiry of those individuals responsible for obtaining the information, I believe that the b 'ttd'fr t' t t d It su mi a in o ma ion Is rue, accura e, an comp a e. W J6l :/?.,.~ ~ . i~,_,y, s =4A`~ - ~-h aoz ~.~~~ - ~-cZ,~-O'7 _ Name and official title of owner/operator ORowner/operator's authorized representative Signature Date Signed 01/26/2007 CITY of BAKERSFIELD HAZARDOUS MATERIALS INVENTORY Farm and Agriculture ^ Standard Business ® NON -TRADE SECRETS Page 3 of 6 BUSINESS NAME: W. W. GRAINGER Branch #054 OWNER NAME: W. W. GRAINGER, INC. NAME OF THIS FACILITY: _______ LOCATION: 3900 Easton Drive ADDRESS: 100 Grainger Parkway _ STANDARD IND. CLASS CODE: _ 5063 CITY, ZIP: Bakersfield __ California _ 93309-1083 CITY, ZIP: -Lake Forest, Illinois 60045-5201_ DUN AND BRADSTREET NUMBER: PHONE #: _(661) 327-4740 __ _ __ PHONE #: _(847) 535-1000 _ 0 0 - 5 1 0 - 3 4 9 4 OCLL~ T/l /Alf'~TP]I //'~TI/l~/f~ C!'l l'] 1'7!7/llJCO /'~/'1 /"1CC` V 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Trans Type Max Average Annual Measure # Days Cont Cont Cont Use Location Where % by Names fo Mixture /Components Code Code Amt Amt Est Units on Site T e Press Tem Code Stored in Facility Wt. See Instructions 2S8 II9D gal ACRYLIC SPRAY ENAMEL/SPRAY LUBE C. A. S. Number Component #1 Name & C.A.S. Number 10.0 Isobutane 00075-28-5 Physical and Health Hazards (Check all that apply) Component #2 Name & C.A.S. Number 30.0 Toluene 00108-88-3 ® Fire Hazard ^ Reactivity ®Delayed ®Sudden ^ Immediate Health Release Health Component #3 Name & C. A. S. Number 10.0 Xylene 01330-20-7 - 1 al ~ 5200 LABOR SAVER LATEX ENAMEL C. A. S. Number Component #1 Name & C.A.S. Number 4.0 Methyl Carbitol 001 I 1-77-3 Physical and Health Hazards (Check all that apply) Component #2 Name & C.A.S. Number 4.0 Propylene Glycol 00057-55-6 ^ Fire Hazard ^ Reactivity ®Delayed ^Sudden ^ Immediate Health Release Health Component #3 Name & C. A. S. Number 10.0 Dipropyleneglycol Butyl Ether i 2991 1-28-2 U M 4 4.60 ga 6 I I I PVC PRIMER/CEMENT C. A. S. Number Component #1 Name & C.A.S. Number 25.0 Methyl Ethyl Ketone 00078-93-3 Physical and Health Hazards (Check all that apply) Component #2 Name & C.A.S. Number 45.0 Tetrahydrofuran 00109-99-9 ® Fire Hazard ^ Reactivity ®Delayed ^Sudden ^ Immediate Health Release Health Component #3 Name & C. A. S. Number 10.0 Cyclohexanone 00108-94-1 M 36~ I 336 4, 3 _4 OMPRESSED AIR CYLINDER C. A. S. Number Component #1 Name & C.A.S. Number 79.0 Nitrogen 07727-37-9 Physical and Health Hazards (Check all that apply) Component #2 Name & C.A.S. Number 21.0 Oxygen 07782-44-7 ^ Fire Hazard ^ Reactivity ^Delayed ®Sudden ®Immediate Health Release Health Component #3 Name & C. A. S. Number EMERGENCY CONTACTS #1 Benjamin Wise Branch Manager (661) 327-4740 #2 Chris Towers Assistant Manager N m i le 24 Hr Ph n am Title Certification (Kead and sign alter completing all sections) I certify under penalty of law that I have personally examined and am familiar with the information submitted in this and all attached documents, and that based on my inquiry of those individuals responsible for obtaining the information, I believe that the submitted information is true, accurate, and complete. ~- ~--iJ'-~~'~ Name and official title of owner/operator OR owner/operator's authorized representative Signature Date Signed 01/26/2007 CITY of BAKERSFIELD HAZARDOUS MATERIALS INVENTORY - Page 4 of 6 Farm and Agriculture ^ Standard Business ® NON -TRADE SECRETS r~ BUSINESS NAME: W. W. GRAINGER Branch #054 OWNER NAME: W. W. GRAINGER, INC. NAME OF THIS FACILITY: __ ___ LOCATION: 3900 Easton Drive __ADDRESS: 100 Grainger Parkway ___ STANDARD IND. CLASS CODE: ._5063_., CITY, ZIP: Bakersfield California 93309-1083 _ CITY, ZIP: __ Lake Forest, I111nois 60045-5201 DUN AND BRADSTREET NUMBER: PHONE #: __(661)_327-a?4o ____.___________ ______ __ PHONE #: ___ _(847) 535_1000 __________ 0 0 - 5 1 0 - 3 4 9 4 OCCC~ T/l /A/OTOI I/`TI/IAIC` C/l0 0011000 /'`/lllCC` 1 2 3 4 5 6 7 8 9 10 11 12 13 ~ 14 Trans Type Max Average Annual Measure # Days Cont Cont Cont Use Location Where % by Names fo Mixture !Components ~ Code Code Amt Amt Est Units on Site T e Press Tem Code Stored in Facility ~ Wt. See Instructions ~ -U~-P I 6A6 55.1 6,6.1.2 lt~ ~ 3-65 1_ I I DISPOSABLE BAGS C. A. S. Number Component #1 Name & C.A.S. Number 99.0 Polyethylene Copolymer 60785-1 1-7 Physical and Health Hazards (Check all that apply) Component #2 Name & C.A.S. Number ^ Fire Hazard ^ Reactivity ^Delayed ^Sudden ^ Immediate Health Release Health Component #3 Name & C. A. S. Number P .3-45 36 36 I DISPOSABLE PROPANE CYLINDER C. A. S. Number Component #1 Name & C.A.S. Number 99.9 Propane 00074-98-6 Physical and Health Hazards (Check all that apply) Component #2 Name & C.A.S. Number ® Fire Hazard ^ Reactivity ®Delayed ®Sudden ^ Immediate Health Release Health Component #3 Name & C. A. S. Number - M ~ 1~6 1~82r1~ al I SPRAY VARNISH/INK/LUBRICANT C. A. S. Number Component #1 Name & C.A.S. Number 13.0 Propane 00074-98-6 Physical and Health Hazards (Check all that apply) Component #2 Name & C.A.S. Number 14.0 Isopropyl Alcohol 00067-63-0 ® Fire Hazard ^ Reactivity ®Delayed ®Sudden ^ Immediate Health Release Health Component #3 Name & C. A. S. Number 57.0 Heptane 00142-82-5 l,OSD 6 I SANDED OIL SWEEPING MIXTURE C. A. S. Number Component #1 Name & C.A.S. Number 80.0 Sawdust 65996-61-4 Physical and Health Hazards (Check all that apply) Component #2 Name & C.A.S. Number 4.0 Hydrotreated Light Naphthenic 64742-53-6 ^ Fire Hazard ^ Reactivity ^Delayed ^Sudden ^ Immediate i Health Release Health Component #3 Name & C. A. S. Number 5.0 Hydrotreated Middle Distilate 64742-46-7 EMERGENCY CONTACTS #1 Benjamin Wise Branch Manager (661) 327-4740 #2 Chris Towers Assistant Manager N Titl 24 Hr Ph a Nam Title Certification (Kead and sign after completing all sections) 1 certify under penalty of law that I have personally examined and am familiar with the information submitted in this and all attached documents, and that based on my inquiry of those individuals responsible for obtaining the information, I believe that the submitted information is true, accurate, and complete. Name and official title of owner/operator OR owner/operator's authorized representative Signature Date Signed 01/26/2007 CITY of BAKERSFIELD HAZARDOUS MATERIALS INVENTORY Farm and Agriculture ^ Standard Business ® NON -TRADE SECRETS Page 5 of 6 BUSINESS NAME: W. W. GRAINGER Branch #054 OWNER NAME: W. W. GRAINGER, INC. NAME OF THIS FACILITY: ___ _ LOCATION: 3900 Easton Drive ADDRESS: 100 Grainger Parkway STANDARD IND. CLASS CODE: 5063 CITY, ZIP: Bakersfield California 93309-1083 CITY, ZIP: Lake Forest, Illinois 60045-5201 DUN AND BRADSTREET NUMBER: PHONE #: _(661) 327-4740 PHONE #: (847) 535-1000 0 0- 5 1 0- 3 4 9 4 OCLCO T!l /AIOTOI I/~TI/l AlO C/lC 1']C/l rlCC !'~/l/'1CC' V J 1 2 3 4 5 6 7 8 9 10 11 12 13 14 I Trans Type Max Average Annual Measure # Days Cont Cont Cont Use Location Where % by Names fo Mixture /Components Code Code Amt Amt Est Units on Site T e Press Temp Code Stored in Facility Wt. See Instructions ~ 3 ,55 ~ 2 GROUND GLASS BEAD BLAST MEDIA C. A. S. Number Component#1 Name & C.A.S. Number 72.5 Silicon Dioxide 07631-86-9 Physical and Health Hazards (Check all that apply) Component #2 Name & C.A.S. Number 9.8 Calcium Oxide 01305-78-8 ^ Fire Hazard ^Reactivity ®Delayed ^ Sudden ^Immediate Health Release Health Component #3 Name & C. A. S. Number 13.7 Sodium Oxide j 01313-59-3 _1 nR ~ ~8 ~ 1,1_7_4 gal 0 I 1 - -- -- CLEANER/DEGREASER/D[SINFECTANT C. A. S. Number Component #1 Name & C.A.S. Number 10.0 Sodium Hydroxide 01310-73-2 Physical and Health Hazards (Check all that apply) Component #2 Name & C.A.S. Number 5.0 Buty] Cellosolve 00 1 1 1-76-2 ^ Fire Hazard ®Reactivity ®Delayed ^ Sudden ®Immediate Health Release Health Component #3 Name & C. A. S. Number 5.0 Sodium Xylene Sulfonate Ol 300-72-7 M 1~0 1,67 LABOR SAVER INDUSTRIAL ENAMEL C. A. S. Number Component #1 Name & C.A.S. Number 15.0 Stoddard Solvent 08052-41-3 Physical and Health Hazards (Check all that apply) Component #2 Name & C.A.S. Number 35.0 Isoparm 64742-47-8 ® Fire Hazard ^Reactivity ®Delayed ^ Sudden ^Immediate Health Release Health Component #3 Name & C. A. S. Number 5.0 Xylene 01330-20-7 ~2 FRIGERANT R401a/R409a C. A. S. Number Component #1 Name & C.A.S. Number 25.0 Tetrafluoro Chloroethane 02837-89-0 Physical and Health Hazards (Check all that apply) Component #2 Name & C.A.S. Number 15.0 Chloro Difluoroethane ~ 00075-68-3 ^ Fire Hazard ^Reactivity ^Delayed ®Sudden ®Immediate Health Release Health Component #3 Name & C. A. S. Number 1 60.0 Chloro Difluoromethane ` 00075-45-6 EMERGENCY CONTACTS #1 Benjamin Wise Branch Manager (661) 327-4740 #2 Chris Towers Assistant Manager Name Titl Hr Phon Nam Title Certification (Kead and sign after completing all sections) I certify under penalty of law that I have personally examined and am familiar with the information submitted in this and all attached documents, and that based on my inquiry of those individuals responsible for obtaining the information, I believe that the submitt d information is true accurate and com lete e p Name and official title of owner/operator OR owner/operator's authorized representative Signature Date Signed 01/26/2007 CITY of BAKERSFIELD HAZARDOUS MATERIALS INVENTORY Page 6 of 6 Farm and Agriculture ^ standard Business ® NON -TRADE SECRETS V V BUSINESS NAME: W. W. GRAINGER Branch #054 OWNER NAME: W. W. GRAINGER, INC. NAME OF THIS FACILITY: _ LOCATION: 3900 Easton Drive ADDRESS: 100 Grainger Parkway STANDARD IND. CLASS CODE: 5063 CITY, ZIP: Bakersfield California 93309-1083 CITY, ZIP: Lake Forest, Illinois 60045-5201 DUN AND BRADSTREET NUMBER: PHONE #: _(661) 327-4740 _ PHONE #: ~) 535-1000 0 0 - 5 1 0 . - 3 4 9 4 OCCCO T/'1 IAIQTC7II('TIlIAIQ Cl10 ~O/l~C~ /'`/I/lCC 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Trans Type Max Average Annual Measure # Days Cont Cont Cont Use Location Where % by Names fo Mixture !Components Code Code Amt Amt Est Units on Site T e Press Tem Code Stored in Facilit Wt. See Instructions HFC-134A/CONTACT CLEANER C. A. S. Number Component #1 Name & C.A.S. Number 25.0 Tetrafluoroethane 00811-97-2 Physical and Health Hazards (Check all that apply) Component #2 Name & C.A.S. Number 40.0 Dichloro Fluoroethane i 01717-00-6 ^ Fire Hazard ^ Reactivity ^ Delayed ®Sudden ®Immediate ~ ~ Health Release Health Component #3 Name & C. A. S. Number 5.0 Methanol ~ 00067-56-1 _ -U~M ~ 369 336_ 4,D~ ift3 365 ~ ©4 _2_~L~_~0~!~ I ~ -- -- ' ---- ORANE 404a/408a REFRIGERANT C. A. S. Number Component #1 Name & C.A.S. Number ~ 52.0 ~ , Trifluoroethane ( I 00420-46-2 Physical and Health Hazards (Check all that apply) Component #2 Name & C.A.S. Number 44.0 Pentafluoroethane 00354-33-6 ^ Fire Hazard ^ Reactivity ^ Delayed ®Sudden ®Immediate Health Release Health Component #3 Name & C. A. S. Number 4.0 Tetrafluoroethane 0081 1-97-2 50 137 1~6_ g I 100 HI-PERFORM EPOXY TOPCOAT C. A. S. Number Component #1 Name & C.A.S. Number 10.0 Xylene 01330-20-7 Physical and Health Hazards (Check all that apply) Component #2 Name & C.A.S. Number 10.0 Methyl Ethyl Ketone 00078-93-3 ® Fire Hazard ^ Reactivity ®Delayed ^Sudden ^Immediate Health Release Health Component #3 Name & C. A. S. Number 10.0 Methoxy-2-Propanol Acetate i 00108-65-6 EMERGENCY CONTACTS #l Benjamin Wise Branch Manager (661) 327-4740 #2 Chris Towers Assistant Manager Nam itle 24 r h ne Nam Titl Certification (Kead and sign after completing all secfions) I certify under penalty of law that I have personally examined and am familiar with the information submitted in this and all attached documents, and that based on my inquiry of those individuals responsible for obtaining the information, I believe that the submitted information is true, accurate, and complete. Name and official title of owner/operator OR owner/operator's authorized representative Signature Date Signed + W W GRAINGER INC 054 =__-~____________________________ SiteID: 015-021-001025 + Manager BEN WISE Location: 3900 EASTON DR City BAKERSFIELD CommCode: BFD STA 03 EPA Numb: Emergency Contact / '7C'itle Emergency Contact / Title ~ws~ / BRANCH MANAGER R oo~~y~. / Business Phone: (661) 32'T-4651x Business Phone: (~)-~~-~ *x 2 4 -Hour Phone - 2 4 -Hour Phone (~'ov) ~g8' -~~~ x Pager Phone (~~ ) zoo - o5i~ x Pager Phone ( ) - x ~ Hazmat Hazards: Fire Press React ImmHlth DelHlth ~ 6 Contact WILLIAM E RAVEI~If Phone: (847) 535-0661x MailAddr: 100 GRAINGER PKWY State: IL City LAKE FOREST Zip 60045 Owner W W GRAINGER INC' Address 100 GRAINGER PKWY City LAKE FOREST BusPhone: (661) 327-4651 Map 102 CommHaz High Grid: 35A FacUnits: 1 AOV: SIC Code:5063 DunnBrad:00-510-3494 Phone: (847} 535-1000x State: IL Zip 60045 U d E + ~j Period to Preparers Certif'd: ParcelNo: TotalASTs: _ TotalUSTs: _ RSs: No Gal Gal Emergency Directives: PROG A - HAZMAT Based on my inquiry of those individuals responsible for obtaining the information, I certify exam ned anld am familiaa with ahe Info oration submitted and believe the information is true, accurate, and complete. 3 ~ ®~ Signature ~ Dat G P I~' `3 ~Z- -1- 03/02/2006 m 411 f r o '7~ m o 1n II G ~ ,, ~Y c ~5 ~1~~~ ~l ?i jl 22,913 SOFT I~ 11,084 SO/FT AODIAON 6oo1-solo eeu wau --- 18U28 18U28 giBU28 18U28 18D28 18U28 5501 02 03 04 J05 06 04 O6 OB 10 12 , ~ „ ~` 8 ='7 12IIS15 12IL515 I12TSI 12ILS19 12ILS15 lzusis 4'-0° 2001 03 05 07 09 11 2002 04 O6 OS 10 12 12BLU7 12BLU7 12TU 12BLU7 12BLU10 izaur7 oos ,~ 1901 4 -0„ 03 05 07 09 11 N U1 M 1902 04 O6 08 10 12 ~ 12BLU7 12BLU7 12TU 12ILU15 12BLU7 lzew7 7ooe 4'-0" 1801 03 05 07 09 11 1802 04 O6 08 10 12 _g" BLU10 12BLU10 12T 12BLU7 12BLU7 lzaw7 7007 ~ 4~-0° 1701 03 05 07 09 11 1702 04 O6 08 10 12 12BLU7 12BLU7 12TU 12BLU7 12BLU7 128LU7 7006 4'-0° 1601 03 05 07 09 11 1sa2 as o6 oa to 12 12AHIt04 12BLU4 2TU 12BLU4 12BLU7 12BLU7 7005 1501 4'-0 03 OS 07 09 11 ~ N 1502 04 06 08 10 12 ~ ,°~ 12AKR04 12BLU4 12TU 12BLU4 12BLU4 izaul8 7004 ~ " 4'-0" 1401 03 05 O1 09 it 1402 04 O6 08 10 12 ~ ,. 12BLU10 12TU 12ILU15 12ILU18 lznule 7003 1301 4'-0' 03 05 07 09 11 d 1302 04 06 0 08 10 12 12ILU18 12ILU18 12TU 12ILU18 12ILU18 1zaale 7002 4~-0„ 1201 03 OS 07 09 11 1202 04 O6 08 10 121I.Si5 12IIS15 12TS 12ILS19 12IIS15 na1 1 4'-~„ a3 os o7 os 1102 04 11-tCAl1 SHIPPING 1001 03 r„~~;_ g'~~, 11'= P! rn N N N .a N .~ '" o M I i} DESCRIPTION ~qoO ~U28 I IBU26 118U35 08 09 10 a r - - - - 1 FUTURE ~ EXPA SION ~ 6702 04 06 08 7114 7214 7113 7213 shot o3 os o7 5'-0" 6602 04 06 08 7112 i6U58 i6U58 i6U58 i6U58 7212 ~ ~~27'-~` 7111 i6U58 i6U58 18U56 i6U58 7211 ~ ~~ ssol 03 os o7 4'-4'• ~ 6502 04 O6 08 710 18U50C 18U50C 18U50C i6U58 7210 71as 18U50C 16U50C 18U50C i6U58 72os saol 03 ~ 05 07 4'-4" 6402 04 os oe 7106 18`U41 18U41 16U41 i6U58 7206 20'-5" 7107 16U41 18U41 18U41 i6U58 7207 6301 03 OS 07 „ I 6302 oa ~ Og 71os 18U41 18U41 18U41 18U56 7zos 23' -7„ j 71os 16U41 18U41 18U41 18U56 72os ~ 6201 I 03 OS 4 -4 07 g,_4„ 18514 N O g 0 +~' V~ ~ `~i ovs~;y 054-BKER 03-12-92 12" SPACERS 71041 17204 7103 7203 6101 03 O5 07 4~-4~~ 6102 04 O6 OB 7102 18538 18538 18538 16538 7202 30' SPACERS 7101 18538 18538 18536 16536 7201 soot a3 os o7 -1 9 - 211 7305 o~ ~~ o] m 7303 o] m o] m 0 o ~ m ~~ o] m 0 om 0 o ~ m 7302 f- o m n m .. ~~ '18514 18520 16520 18520 18528 i8S28 1BS28 18528 18514 18520 IBS20 18520 16S28 IBS28 16526 18528 30"'SPACERS 7301 V' v ~~Y/ I1~ v 4~ m DATE:aIay J~ BRANCH NG. r~. C ~~A.~~~L_~~~ REV / ECN i ,~ s szol 18S14 u ~ ~ to 1 to N ~° ro4 e .I "~ 16U85 18U56 16U50C 18U50C ~ 30 SPACERS 16U65 i6U58 18U50C 16U50C G~1tM AA M. Ni i6U80 16U65 i6U58 18U50C 30 SPACERS 18U80 16U85 i6U58 16U50C 054 TOTAL nLDG. Sq/Ft CLEAR CEIIJNG HCHT. 22,954 17'/24' TOTAL xHSE. Sq/1't PROOUCr roP of LOAD (Ft.) 18,665 15'/22' DBOM APPROVAL APPROVAL DATE JOHN BECK ~. D RAINNG NAME . " , LocanoN: DRAxN er: Bakersfield, California D. Williams G~N~•R DRAWING SCALE: InduetHd and Canmercid Equlpmmt and Supplba 333 Knightsbridge Parkway NT$ Lincolnshire, Illinois 60069 054BKER1 REN50N: 00 sHEEr: 1 of 1 UNIFIED PROGRAM INSPECTION CIiECKLIST~' iE:~'!3'1.P-%'?.':~.4.'4f£'xk~ff..ah.h^,:si+:£.tsv+4T .':'r"ex^r .., f~.-..,.,':v,.;~c~, n.._ .:. r ., s.~!-.. .4-,,. - ,--,~i .°Y.-., "..,. ~ ;:.a:~~: - :t; q': ~~;.- SECTION 1: Business Plan and Inventory Program BAKERSFIELD FIRE DEPT Prevention Services e arr ~tR~ 900 Truxtun Ave., Suite 210 ~Rrr r Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILI~NAMI; ~~~j~ t~~~ N1J,\J~ •V NS~+TI~DATE~ 2 INSPECTION~IME L Z ADDRESS 390 ~Eft-57-oev ~~ - HONE NO. 32.E-K(~5~ OF EM PLOYEES O FACILITY CONTACT USINESS ID NUMBER 15-021- 0 01 b25 L.01~~ ~ J ot}oJ50~ Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C~ J C V (c=Compliance OPERATION V=Violation COMMENTS _ __ __ ^ APPROPRIATE PERMIT ON HAND ^ BUSItI@SS PLAN CONTACT INFORMATION ACCURATE C'1 ~ ^ VISIBLE ADDRESS ~ , / Lsd" ^ CORRECT OCCUPANCY ~ ^ VERIFICATION OF INVENTORY MATERIALS ,_ / la ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ~V ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE ~ ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES LY NO EXPLAIN: .QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1s In /Shift of Site/Station # u i ss - /S ool o Ible arty (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02105) Q`E1,D p~~E' CITY OF BAKF,RSFlE1.D FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES ~.~ UNIFIED PROGRAM INSPECTION CHECKLIST ~~a,,~~' 1715 Chester Ave., 3~`' F'loor, Bakersfield, CA 93301 FACILITY NAME rj~/,(~ C~,~ ~ ~ti [NSPECTION DATE ll-ZU ~~ ~ ~~ ADDRESS 3g ~ b ~ R. - PHONE NO. ~ 2 - ~ s'- FACILITY CONTACT~I~•~~ ~ Qusl, l`~~-o BUSINESS (D NO. 15-21U- /S-DL1-00102s~ INSPECTION TIME Nt1MBER OF EMPLOYEES /~ Section 1: Business Plan and Inventory Program Routine ^ Combined ^ Joint Agency ^Mu1ti-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate //~~ e+FC Visible address l~~~ Correct occupancy Verification of inventory materials Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection /~%~r~ L 5 ~a3~ t/ Site Diagram Adequate & On Hand ~ ~ ~' f C=Compliance V=Violation Any hazardous waste on site?: Explain: Questions regarding this inspection? Please call us at (661) 326-3979 ^ Yes ~ No White -Env. Svcs. Yellow -Station Copy Pink -Business Copy ~~ Business Site Re onsible Party Inspector. ~" ~J W.W. Grainger, Inc. 100 Grainger Parkway Lake Forest,IL 60045-5201 Tel: 847.535.1000 Fax: 847.535.9214 httpJMrww.prainger.com ~~~i~ Behirirl every great busitzess. ,M February 11, 2006 City of Bakersfield Bakersfield Fire Department Prevention Services Office of Environmental Services 900 Truxtun Avenue, Suite 210 Bakersfield, Ca 93301 Re: 2005 Hazardous Materials Inventory Dear Sir /Madam: Enclosed you will find a Hazardous Material Inventory Statement. This is an update regarding contact information and chemical storage at the Grainger facility located at 3900 Easton Drive, Bakersfield, CA 93309. The data contained on this statement is for the report year 2005 and should be considered the most current information. If you have any questions please feel free to contact me at 847-535-0661 Sincerely, ., -~ William E. Raven EH&S Manager W.W. Grainger, Inc. Cc: Branch File Corporate Branch File # 054 Attachment: Haz Mat Inventory ~J~'`J~ ,y~v C' ~~~~ ~~ ~~~ ~~~~~ ENt'D F E B 16 2006 HAZARDOUS MATERIALS BUSINESS PLAN CERTIFICATION FORM For Use by Unidocs Member Agencies or where approved by your Local Jurisdiction Authority Cited: H&SC §25503.3(c) To: Agency Name: ~. ~~~~ ~ ~t-~ r - ~-~ ~ ~~ . - c , ~..~' z.-o ~~. ~--..:z, .r_ a., ~ =~ %cs~- ~ Agency Mailing Address: e `l ~ 5 c ta:`~ ~~ ~~~ Pursuant to Section 25503.3(c) of California Health and Safety Code (H&SC), the Hazardous Materials Business Plan (HMBP) certification described below is hereby submitted for the following facility: Facility Name: Facility Street Address: 3°~®'O r A~~ ~, y ~~- • City: ~~~s~%:-~-'a Date of Current HMBP: ~ / a "!'/ ~ ~ 1 certify that: (Check the appropriate box.) ^ I have personally reviewed the Hazardous Materials Business Plan currently on file with your agency and certify that the HMBP is complete and accurate. (See bottom of page for details.) or Revisions to the Hazardous Materials Business Plan are necessary. The HMBP as revised is being tmplemented. A copy of the revisions is enclosed with this Certification. OWNER/OPERATOR CERTIFICATION: I hereby certify under penalty of law that, based upon my inquiry of those individuals responsible for obtaining the information reported above, I believe that the submitted information is true, accurate, and complete. I understand that a revised HMBP must be submitted within 30 days of any change in this facility's storage or handling of hazardous materials which would require updating of the HMBP. Name of Owner/Operator (Print): LJr~~~A•-~ ~• ~-'~-~> Title: ~~s ~`'~~~' Signature of Owner/Operator: c~~ Date: a / °~ / ©/P By checking the upper box on this form, you are certifying that: • The information contained in the HMBP most recently submitted is complete, accurate, and up-to-date; and • There has been no change in the quantity of any hazardous material as reported in the most recently submitted Hazardous Materials Inventory forms; and • The facility has not begun handling any hazardous material in a HMBP reportable quantity which is not currently listed in the Hazardous Materials Inventory; and • The HMBP most recently submitted HMBP contains the information required by Section 11022 of Title 42 of the United States Code; and • There have been no substantial changes in the facility's hazardous materials operations which would require revision of the current HMBP. UN-039 http://www.unidocs.org Rev. 04/30/98 ~- Bakersfield Fire Dept. HAZARDOUS MATERIALS FACILITY INFORMATION B ' ~"E YR s F ~~~ ~ D Environmental Services :: _ BUSINESS OWNER /OPERATOR FORM Fief 1715 Chester Ave ~RrM r Bakersfield, CA 93301 Page 1 of Tel: (661)326-3979 L FACILITY IDENTIFICATION FACILITY ID No 1 Year Beginning 1C0 Year Ending tOt ~_~_ o~ 07- ,_oca BUSINESS NAME (Same as FACILITY NAME or DBA- Doing Business As) 3 BUSINESS PHONE iCP W , ~. ~n2A=r.,G.E2_ Tr ~,c. ~c~~ - 3a~ _ "'1051 SITE ADDRESS t03 Q CITY toa ZIP tos DUN 8 BRADSTREET tae SIC CODE 107 o~ _ ~ ~ c - ~'1`~'`~ l4 Digit #) ~ c ~ 3 COUNTY Tae (~i~~ OPERATOR NAME t~ OPERATOR PHONE Ito II. OWNER INFORMATION OWNER NAME it7 ER PHONE OW N 772 1y/~ ~./..~ . C'~~T 1..Sr~~ Tl .S• C. p . O y'~'~I ~ ~~~ •~ ~ ~ ~~ OWNER MAILING ADDRESS 113 6 ~ CITY 11~" II ~ ~ ii4 STATE 775 ZIP 116 III. ENVIRONMENTAL CONTACT CONTACT NAME m ~ CONTACT PHONE {'l g ns ,ra-~ G,,~ ~„ 1:11;a, w~ ~ , _ 53'j _ O caccZl •- CONTACT MAILING ADDRESS tts CITY 72o STATE 127 ZIP 122 -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- NAME 123 NAME 129 C ~ TITLE •~ ~ ( 125 _- 1. "C TITLE 130 G ~'~~ !v`J S'C~. Z C ~..!'S'L ~ ~l .Sf. JZ-4C 8 F~~ BUSINESS PHONE 126 BUSINESS PHONE 131 24-HOUR PHONE 127 24-HOUR PHONE 132 y _ y~ ~I PAGER No 128 PAGER No 133 V. CERTIFICATION Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penally 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. SIGNATURE OF OWNER/ RATOR DATE 134 NAME OF DOCUMENT PREPARER 135 /I i- ^~ - NAMES OF OWNER/OPERATOR (print) 136 TITLE OF OWNER/OPERATOR 137 fd2090 ~~ 01 /28/2006 ~:~ Farm and Agriculture ~ Standard Business CITY of BAKERSFIELD HAZARDOUS MATERIALS INVENTORY NON -TRADE SECRETS . " Page 1 of 5 BUSINESS NAME: W. W. GRAINGER Branch #054 OWNER NAME: W. W. GRAINGER, INC. NAME OF THIS FACILITY: LOCATION: 3900 Easton Drive ADDRESS: 100 Grainger Parkway STANDARD IND. CLASS CODE: 5063 CITY, ZIP: Bakersfield California 93309-1083 CITY, ZIP: Lake Forest, Illinois 60045-5201 DUN AND BRADSTREET NUMBER: PHONE #: (661) 327-4651 PHONE #: (847) 535-1000 0 0- 5 1 0- 3 4 9 4 RFFFI? Tn IALCTRI I(_TInAIC FnR P!?nDFR r~nn~.c 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Trans Type Max Average Annual Measure # Days Cont Cont Cont Use Location Where % by Names fo Mixture /Components Code Code Amt Amt Est Units on Site Type Press Temp Code Stored in Facility Wt. See Instructions U M 15 1 4 1 1 1 4 1 GRINDING WHEELS/SAND PAPER C. A. S. Number Component #1 Name & C.A.S. Number 90.0 Aluminum Oxide 01344-28-1 Physical and Health Hazards (Check all that apply) Component #2 Name & C.A.S. Number 3.0 Calcium Oxide 01305-78-8 Fire Hazard ~ Reactivity ~ Delayed ~ Sudden ~ Immediate Health Release Health Component #3 Name & C. A. S. Number 7.0 Fiberglass 60676-86-0 U M 346 314 3 769 a 10 1 4 08 DISINFECTANT CLEANER/DEGREASER C. A. S. Number Component #1 Name & C.A.S. Number 5.0 Butyl Cellosolve 00111-76-2 Physical and Health Hazards (Check all that apply) Component #2 Name & C.A.S. Number 5.0 Ethoxylated Nonyl Phenol 09016-45-9 Fire Hazard ~ Reactivity ®Delayed ~ Sudden ®Immediate Health Release Health Component #3 Name & C. A. S. Number 4.0 Sodium Metasilicate 06834-92-0 U P 343 312 3 738 t3 04 2 4 03 CARBON DIOXIDE EXTINGUISHER C. A. S. Number Component #1 Name & C.A.S. Number 99.5 Carbon Dioxide 00124-38-9 Physical and Health Hazards (Check all that apply) Component #2 Name & C.A.S. Number Fire Hazard ~ Reactivity ~ Delayed ®Sudden ~ Immediate Health Release Health Component #3 Name & C. A. S. Number U P 2 241 2 037 24 442 ft3 04 2 4 09 CFC-22 REFRIGERANT/FOAM SEALER C. A. S. Number Component #1 Name & C.A.S. Number 99.9 Chloro Difluoromethane 00075-45-6 Physical and Health Hazards (Check all that apply) Component #2 Name & C.A.S. Number Fire Hazard ~ Reactivity ~ Delayed ®Sudden ®Immediate Health Release Health Component #3 Name & C. A. S. Number enlamin ise rant anager ris owers ssis an anager Name it e r one Name Title Certification (Keaa ana sign arter competing au sect-onsJ I certify under penalty of law that I have personally examined and am familiar with the information submitted in this and all attached documents, and that based on my inquiry of those individuals responsible for obtaining the information, I believe that the submitted information is true, accurate, and complete. ame an o icia i e o owner opera or owner opera or s au orize represen a ive igna ure a e igne 01 /28/2006 CITY of BAKERSFIELD HAZARDOUS MATERIALS INVENTORY Page 2 of 5 :,t- Farm and Agriculture ~ Standard Business ® NON -TRADE SECRETS BUSINESS NAME: W. W. GRAINGER Branch #054 LOCATION: 3900 Easton Drive CITY, ZIP: Bakersfield PHONE #: (661) 327-4651 OWNER NAME: W. W. GRAINGER, INC. NAME OF THIS FACILITY: ADDRESS: 100 Grainger Parkway ~ STANDARD IND. CLASS CODE: 5063 California 93309-1083 CITY, ZIP: Lake Forest, Illinois 60045-5201 DUN AND BRADSTREET NUMBER: PHONE #: (847) 535-1000 0 0- 5 1 0- 3 4 9 4 l7GG~R Tn IAICTC?I1(`TInNC Gn!? DRnP~R r,nn~c 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Trans Type Max Average Annual Measure # Days Cont Cont Cont Use Location Where % by Names fo Mixture /Components Code Code Amt Amt Est Units on Site Type Press Temp Code Stored in Facility Wt. See Instructions U M 1 14 1 7 3 a 10 1 4 2 MOBIL HYDRAULIC/VAC/GEAR OIL C. A. S. Number Component #1 Name & C,A.S. Number 50.0 Heavy Dewaxed Paraffinic 64742-65-0 Physical and Health Hazards (Check all that apply) Component #2 Name & C.A.S. Number 45.0 Hydrotreated Heavy Paraffinic 64742-54-7 Fire Hazard ~ Reactivity ~ Delayed ~ Sudden ~ Immediate Health Release Health Component #3 Name & C. A. S. Number 1.9 Chlorinated Paraffin Wax 63449-39-8 U M 74 67 802 a 10 1 4 2 MOBIL RARUS/EAL ARCTIC OIL C. A. S. Number Component #1 Name & C.A.S. Number 95.0 Hydrotreated Heavy Paraffinic 64742-54-7 Physical and Health Hazards (Check all that apply) Component #2 Name & C.A.S. Number 0.1 Diphenylamine 00122-39-4 Fire Hazard ~ Reactivity ®Delayed ~ Sudden ~ Immediate Health Release Health Component #3 Name & C. A. S. Number U M 4 662 4 238 50 860 11 1 4 42 WELDING RODS/ELECTRODES C. A. S. Number Component #1 Name & C.A.S. Number 86.0 Iron 07439-89-6 Physical and Health Hazards (Check all that apply) Component #2 Name & C.A.S. Number 1.0 Manganese 07439-96-5 Fire Hazard ~ Reactivity ~ Delayed ~ Sudden ~ Immediate Health Release Health Component #3 Name & C. A. S. Number 4.0 Aluminum 07429-90-5 U M 274 249 2 992 a 13 2 4 29 ACRYLIC SPRAY ENAMEL/SPRAY LUBE C. A. S. Number Component #1 Name & C.A.S. Number 10.0 Isobutane 00075-28-5 Physical and Health Hazards (Check all that apply) Component #2 Name & C.A.S. Number 30.0 Toluene 00108-88-3 ® Fire Hazard ~ Reactivity ®Delayed ®Sudden ~ Immediate Health Release Health Component #3 Name & C. A. S. Number 10.0 Xylene 01330-20-7 enlamin ise rant anager - ris owers ssis an anager Name it e r one Name Title Certitication (r<eaa ana sign arrer comptermg an secr-ons~ I certify under penalty of law that I have personally examined and am familiar with the information submitted in this and all attached documents, and that based on my inquiry of those individuals responsible for obtaining the information, I believe that the submitted information is true, accurate, and complete. ame an o icia i e o owner opera or owner opera ors au ooze represen a ive Signature ~ a e igne s 01 /28/2006 ;, Farm and Agriculture ~ Standard Business BUSINESS NAME: W. W. GRAINGER LOCATION: 3900 Easton Drive CITY, ZIP: Bakersfield California PHONE #: (661) 327-4651 CITY of BAKERSFIELD HAZARDOUS MATERIALS INVENTORY ® NON -TRADE SECRETS Page 3 of 5 Branch #054 OWNER NAME: W. W. GRAINGER, INC. NAME OF THIS FACILITY: ADDRESS: 100 Grainger Parkway STANDARD IND. CLASS CODE: 5063 93309-1083 CITY, ZIP: Lake Forest, Illinois 60045-5201 DUN AND BRADSTREET NUMBER: PHONE #: (847) 535-1000 0 0- 5 1 0- 3 4 9 4 l7~F~l7 Tn IAICTGI IrTInAIC FnR DgnD~L7 nnn~c 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Trans Type Max Average Annual Measure # Days Cont Cont Cont Use Location Where % by Names fo Mixture /Components Code Code Amt Amt Est Units on Site Type Press Temp Code Stored in Facility Wt. See Instructions U M 205 2 4 t3 2 4 1 DISPOSABLE MAPP GAS CYLINDER C. A. S. Number Component #1 Name & C.A.S. Number 50.0 Methyl Acetylene 00074-99-7 Physical and Health Hazards (Check all that apply) Component #2 Name & C.A.S. Number 50.0 Propadiene 00463-49-0 ® Fire Hazard ~ Reactivity ®Delayed ®Sudden ~ Immediate Health Release Health Component #3 Name & C. A. S. Number U M 125 114 1363 a 13 1 4 29 5200 LABOR SAVER LATEX ENAMEL C. A. S. Number Component #1 Name & C.A.S. Number 4.0 Methyl Carbitol 00111-77-3 Physical and Health Hazards (Check all that apply) Component #2 Name & C.A.S. Number 4.0 Propylene Glycol 00057-55-6 Fire Hazard ~ Reactivity ®Delayed ~ Sudden ~ Immediate Health Release Health Component #3 Name & C. A. S. Number 4.0 Dipropyleneglycol Butyl Ether 29911-28-2 U M 385 350 4195 ft3 04 2 4 03 COMPRESSED AIR CYLINDER C. A. S. Number Component #1 Name & C.A.S. Number 79.0 Nitrogen 07727-37-9 Physical and Health Hazards (Check all that apply) Component #2 Name & C.A.S. Number 21.0 Oxygen 07782-44-7 Fire Hazard ~ Reactivity ~ Delayed ®Sudden ®Immediate Health Release Health Component #3 Name & C. A. S. Number U P 693 630 7 560 11 1 4 37 DISPOSABLE BAGS C. A. S. Number Component #1 Name & C.A.S. Number 99.0 Polyethylene Copolymer 60785-11-7 Physical and Health Hazards (Check all that apply) Component #2 Name & C.A.S. Number Fire Hazard ~ Reactivity ~ Delayed ~ Sudden ~ Immediate Health Release Health Component #3 Name & C. A. S. Number enlamin ise ranc anag er - ris owers ssis an anager Name it e r one Name Title Certification (rceaa ana sign arrer complermg an secuons~ I certify under penalty of law that I have personally examined and am familiar with the information submitted in this and all attached documents, and that based on my inquiry of those individuals responsible for obtaining the information, I believe that the submitted information is true, accurate, and complete. ame an o icia i e o owner opera or owner opera ors au orize represen a ive igna ure a e igne ` 01/28/2006 CITY of BAKERSFIELD HAZARDOUS MATERIALS INVENTORY Farm and Agriculture ~ standard Business ® NON -TRADE SECRETS BUSINESS NAME: W. W. GRAINGER Branch #054 LOCATION: 3900 Easton Drive CITY, ZIP: Bakersfield California 93309-1 PHONE #: (661) 327-4651 O Page 4 of 5 OWNER NAME: W. W. GRAINGER, INC. NAME OF THIS FACILITY: ADDRESS: 100 Grainger Parkway STANDARD IND. CLASS CODE: 5063 083 CITY, ZIP: Lake Forest, Illinois 60045-5201 DUN AND BRADSTREET NUMBER: PHONE #: (847) 535-1000 0 0- 5 1 0- 3 4 9 4 CLCO T/'1 I~IQTOI I/'~T/ll Alf? CllO 00/'1~C0 /ill l'1CQ v 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Trans Type Max Average Annual Measure # Days Cont Cont Cont Use Location Where % by Names fo Mixture /Components Code Code Amt Amt Est Units on Site Type Press Temp Code Stored in Facility Wt. See Instructions U P 4 224 2 t3 04 4 19 DISPOSABLE PROPANE CYLINDER C. A. S. Number Component #1 Name & C.A.S. Number 99.9 Propane 00074-98-6 Physical and Health Hazards (Check all that apply) Component #2 Name & C.A.S. Number ® Fire Hazard ~ Reactivity ®Delayed ®Sudden ~ Immediate Health Release Health Component #3 Name & C. A. S. Number U M 235 213 2 559 a 13 2 4 26 SPRAY VARNISH/INK/LUBRICANT C. A. S. Number Component #1 Name & C.A.S. Number 13.0 Propane 00074-98-6 Physical and Health Hazards (Check all that apply) Component #2 Name & C.A.S. Number 14.0 Isopropyl Alcohol 00067-63-0 ® Fire Hazard ~ Reactivity ®Delayed ®Sudden ~ Immediate Health Release Health Component #3 Name & C. A. S. Number 57.0 Heptane 00142-82-5 U M 1 375 1 250 15 000 11 1 4 08 SANDED OIL SWEEPING MIXTURE C. A. S. Number Component #1 Name & C.A.S. Number 80.0 Sawdust 65996-61-4 Physical and Health Hazards (Check all that apply) Component #2 Name & C.A.S. Number 4.0 Hydrotreated Light Naphthenic 64742-53-6 Fire Hazard ~ Reactivity ~ Delayed ~ Sudden ~ Immediate Health Release Health Component #3 Name & C. A. S. Number 5.0 Hydrotreated Middle Distilate 64742-46-7 U M 2 759 2 508 30 101 10 1 4 21 GROUND GLASS BEAD BLAST MEDIA C. A. S. Number Component #1 Name & C.A.S. Number 72.5 Silicon Dioxide 07631-86-9 Physical and Health Hazards (Check all that apply) Component #2 Name & C.A.S. Number 9.8 Calcium Oxide 01305-78-8 Fire Hazard ~ Reactivity ®Delayed ~ Sudden ~ Immediate Health Release Health Component #3 Name & C. A. S. Number 13.7 Sodium Oxide 01313-59-3 enlamin ise ranc anager - ris owers ssis an anager Name it e r one Name Title Certification (rceaa ana sign arter comp-ermg an sect~ons~ I certify under penalty of law that I have personally examined and am familiar with the information submitted in this and all attached documents, and that based on my inquiry of those individuals responsible for obtaining the information, I believe that the submitted information is true, accurate, and complete. ame an o icia i e o owner opera or owner opera ors au orize represen a ive Cigna ure a e igne (1 ,, 01 /28/2006 a~ Farm and Agriculture ~ Standard Business CITY of BAKERSFIELD HAZARDOUS MATERIALS INVENTORY NON -TRADE SECRETS Page 5 of 5 BUSINESS NAME; W. W. GRAINGER Branch #054 OWNER NAME: W. W. GRAINGER, INC. NAME OF THIS FACILITY: LOCATION: 3900 Easton Drive CITY, ZIP: Bakersfield PHONE #: (661) 327-4651 California ADDRESS: 100 Grainger Parkway STANDARD IND. CLASS CODE: 5063 93309-1083 CITY, ZIP: Lake Forest, Illinois 60045-5201 DUN AND BRADSTREET NUMBER: PHONE #: (847) 535-1000 0 0- 5 1 0- 3 4 9 4 RFFFR T(1 l~l_CTRI l(`TI(IALC F(~R PR(1PFR !'(~I~FC s, 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Trans Type Max Average Annual Measure # Days Cont Cont Cont Use Location Where % by Names fo Mixture /Components Code Code Amt Amt Est Units on Site Type Press Temp Code Stored in Facility Wt. See Instructions M 1 94 1129 a 10 1 4 0 CLEANER/DEGREASER/DISINFECTANT C. A. S. Number Component #1 Name & C.A.S. Number 10.0 Sodium Hydroxide 01310-73-2 Physical and Health Hazards (Check all that apply) Component #2 Name & C.A.S. Number 5.0 Butyl Cellosolve 00111-76-2 Fire Hazard ®Reactivity ®Delayed ~ Sudden ®Immediate Health Release Health Component #3 Name & C. A. S. Number 5.0 Sodium Xylene Sulfonate 01300-72-7 U M 188 171 2 047 a 13 1 4 29 LABOR SAVER INDUSTRIAL ENAMEL C. A. S. Number Component #1 Name & C.A.S. Number 15.0 Stoddard Solvent 08052-41-3 Physical and Health Hazards (Check all that apply) Component #2 Name & C.A.S. Number 35.0 Isoparm 64742-47-8 ® Fire Hazard ~ Reactivity ®Delayed ~ Sudden ~ Immediate Health Release Health Component #3 Name & C. A. S. Number 5.0 Xylene 01330-20-7 U M 369 33 4 027 t3 04 2 4 09 FORANE 404a/408a REFRIGERANT C. A. S. Number Component #1 Name & C.A.S. Number 52.0 Trifluoroethane 00420-46-2 Physical and Health Hazards (Check all that apply) Component #2 Name & C.A.S. Number 44.0 Pentafluoroethane 00354-33-6 Fire Hazard ~ Reactivity ~ Delayed ®Sudden ®Immediate Health Release Health Component #3 Name & C. A. S. Number 4.0 Tetrafluoroethane 00811-97-2 U M 144 131 1 569 a 13 1 4 29 9100 HI-PERFORM EPOXY TOPCOAT C. A. S. Number Component #1 Name & C.A.S. Number 10.0 Xylene 01330-20-7 Physical and Health Hazards (Check all that apply) Component #2 Name & C.A.S. Number 10.0 Methyl Ethyl Ketone 00078-93-3 ® Fire Hazard ~ Reactivity ®Delayed ~ Sudden ~ Immediate Health Release Health Component #3 Name & C. A. S. Number 10.0 Methoxy-2-Propanol Acetate 00108-65-6 enlamm ise ranc anager - ns owers ssis an anager Name Title r one Name Title Certification (Keaa ana sign arter comp~etmg au sect~ons~ I certify under penalty of law that I have personally examined and am familiar with the information submitted in this and all attached documents, and that based on my inquiry of those individuals responsible for obtaining the information, I believe that the submitted information is true, accurate, and complete. ame an o icia i e o owner opera or owner opera o s au onze represen a ive igna ure a e igne err `~-< ~~~ _.°:.\ F GRAINGER INC 054 W W SiteID: 015-021-001025 Manager BEN WISE Location: 3900 EASTON DR City BAKERSFIELD CommCode: BFD STA 03 EPA Numb: BusPhone: (661) 327-4651 Map 102 CommHaz High Grid: 35A FacUnits: 1 AOV: SIC' Code:5063 DunnBrad:00-510-3494 Emergency Contact BEN WISE Business Phone: 24-Hour Phone Pager Phone Hazmat Hazards: / Title / BRANCH MANAGER (661) 327-4651x (800) 770-0511x ( ) - x Contact WILLIAM E RAVEN MailAddr: 100 GRAINGER PKWY City LAKE FOREST Phone: (847) 535-0661x State: IL Zip 60045-5201 Owner W W GRAINGER INCA Phone: (847) 535-1000x Address 100 GRAINGER PKWY State: IL City LAKE FOREST Zip 60045-5201 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ~r0 ~~~ 2 ~ ZD07 L. 3:~i'Gf :?r ;~% ~,.~:.~i. iJ' t.'i ~i C):ir Itt ~i. ii7 i:i l,!<:i :i re~ru:ns;'~~:`~ ;Jl. Cr:t'c,r;;`r;y_ Fn,~ . ;j.;;~tr~wii~r; { ;r:k-rtity un:fie ~'.~alty ~, €:.. ..~~t i ?xave ~?F3:3 ;~a{ly (3Xc1iY}!RY ~ .. 'F?cl 31r: `"-iiri7ii'c+r ''.iii? CV:~ ili~^rrTi~tlOi? SUL"' "'i .,-s : ~~i !-;•`,~irr1~. i~,f? !('i~ftlff~l~tl0~1 iS iYUB~ aCGt~r3t?. ~<i G OrT.~ai~:t€:. f f^!~'~ Signature ~.. Oate Emergency Contact ONYX EMERGENCY Business Phone: 24-Hour Phone Pager Phone / Title / RESPONSE CONTR ( ) - x (800) 688-4005x ( ) - x Fire Press React ImmHlth DelHlth -1- 07/11/2007 F GRAINGER INC 054 W W SiteID: 015-021-001025 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP DISPOSABLE BAGS IH DH S 606.00 LBS Hi DISPOSABLE PROPANE CYLINDER E F IH DH G 379.00 FT3 Hi FORANE 404A/408A REFRIGERANT G 369.00 FT3 Hi ACRYLIC SPRAY ENAMEL/SPRAY LUBE E L 283.00 GAL Hi SPRAY VARNISH/INK/LUBRICANT E L 196.00 GAL Hi GROUND GLASS BEAD BLAST MEDIA DH S 2813.00 LBS Mod SANDED OIL SWEEPING MIXTURE S 1155.00 LBS Mod LABOR SAVER INDUSTRIAL ENAMEL F IH DH L 153.00 GAL Mod 9100 HI-PERFORM EPOXY TOPCOAT F L 150.00 GAL Mod CLEANER/DEGREASER/DISINFECTANT F IH DH L 108.00 GAL Mod PVC PRIMER/CEMENT L 42.00 GAL Mod WELDING RODS/ELECTRODES S 4554.00 LBS Low CFC-22 REFRIGERANT/FOAM SEALER F P IH G 1494.00 FT3 Low REFRIGERANT R-401A/R409A E L 191.00 FT3 Low MOBIL HYDRAULIC/VAC/GEAR OIL F DH L 135.00 GAL Low 5200 LABOR SAVER LATEX ENAMEL F L 130.00 GAL Low MOBIL RARUS/EAL ARCTIC OIL L 98.00 GAL Low RUSTLICK/COOLEDGE OIL/COOLANT L 66.00 GAL Low GRINDING WHEELS/SAND PAPER F P R DH S 1590.00 LBS Min COMPRESSED AIR CYLINDER G 369.00 FT3 Min CARBON DIOXIDE EXTINGUISHER F P IH G 245.00 FT3 Min HFC 134A/CONTACT CLEANER G 371.00 FT3 UnR DISINFECTANT CLEANER/DEGREASER F DH L 275.00 GAL UnR -2- 07/11/2007 -3- 07/11/2007 F GRAINGER INC 054 W W SiteID: 015-021-001025 ~ ~ Inventory Item 0012 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DISPOSABLE BAGS Days On Site 365 Location within this Facility Unit Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid TMixture ~ Ambient ~ Ambient BOX AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average LBS 606.00 LBS 551.00 LBS HAZARDOUS COMPONENTS °sWt . riAGayYCL E~7a~.7J1"1tS1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / Hi ~ Inventory Item 0013 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DISPOSABLE PROPANE CYLINDER, Days On Site 365 Location within this Facility Unit Map: Grid: CAS# ~ ~ STATE TYPE PRESSURE - TEMPERATURE CONTAINER TYPE Gas TMixture I Above Ambient Ambient PORT. PRESS. CYLINDER RSA CAS# AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average FT3 379.00 'FT3 345.00 FT3 HAZARDOUS COMPONENTS sWt. RS CAS# 99.90 Propane Yes 74986 I1HL~H[CL HJ .7~.7.71~1r,1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Hi -4- - 07/11/2007 F GRAINGER INC 054 W W SiteID: 015-021-001025 ~ ~ Inventory Item 0019 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME FORANE 404A/408A REFRIGERANT Days On Site 365 Location within this Facility Unit Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Gas TMixture ~-Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average FT3 369.00 FT3 336.00 FT3 nr-~~tiecLVUS ~c~1~ir~1V1~;lv~t~5 ~Wt. RS CAS# 52.00 l,l,l-Trifluoroethane No 420462 riAGHKL ASal";~J51~11'~1V"1~5 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Hi ~ Inventory Item 0008 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ACRYLIC SPRAY ENAMEL/SPRAY LUBE Days On Site 365 Location within this Facility Unit Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Li id Mixture Above Ambient Ambient METAL CONTAINR-NONDRUM T ~ -T ~___ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 283.00 GAL 258.00 GAL ruic~r~rcLVUa ~.vl~irvivrlvt~ oWt. RS CAS# 10.00 Isobutane Yes 75285 30.00 Toluene No 108883 10.00 Xylene, Mixed No 1330207 I1L~iGt1KL tiJ J1;5~71~11;1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Hi -5- 07/11/2007 ~ GRAINGER INC 054 W W SiteID: 015-021-001025 ~ ~ Inventory Item 0014 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME SPRAY VARNISH/INK/LUBRICANT Days On Site 365 Location within this Facility Unit Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Above Ambient Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 196.00 GAL 178.00 GAL HAZARDOUS COMPONENTS %Wt. ~ RS CAS# 14.00 Isopropyl Alcohol No 67630 13.00 Propane Yes 74986 57.00 Heptane No .142825 riAGHKL 1~JJL' ~S1~1tti1V"1-5 TSecret RS BioHaz RadioactivejAmount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Hi ~ Inventory Item 0016 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME GROUND GLASS BEAD BLAST MEDIA Days On Site 365 Location within this Facility Unit Map: Grid: CAS# ~SolidE TMixtur~AmbRentURE ~ ATmEhMPeRATURE ~-LASTICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average LBS 2813.00 LBS 2557.00 LBS t1E'~GHKLVV~ 1:V1~lYV1ViS1V1-:> %Wt. RS CAS# 72.50 Silicon Dioxide No 7631869 9.80 Calcium Oxide No 1305788 13.70 Sodium Oxide No 1313593 t1EiGHtCL f15 J1;.7~Lw1L'1V15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Mod -6- 07/11/2007 F GRAINGER INC 054 W W SiteID: 015-021-001025 ~ ~ Inventory Item 0015 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME SANDED OIL SWEEPING MIXTURE Days On Site 365 Location within this Facility Unit Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid TMixture I Ambient ~ Ambient BOX AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average LBS 1155.00 LBS 1050.00 LBS tu~~t~ttl~v~a ~~rirvlvl;ly l5 oWt. RS CAS# 80.00 Sawdust No 65996614 4.00 Hydrotreated, Light Naphthenic No 64742536 5.00 Hydrotreated Middle Distillate ~ No 64742467 t1AG1~1[L A~~1;5~1~1r;1V 1-5 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Mod ~ Inventory Item 0018 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME LABOR SAVER INDUSTRIAL ENAMEL Days On Site 365 Location within this Facility Unit Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~Ambient ~ Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average GAL 153.00 GAL 140.00 GAL nxZARDOUS COMPONENTS °sWt. RS CAS# 5.00 Xylene, Mixed No 1330207 15.00 Stoddard Solvent No 08052413 ns~~~-uu~ .~,~~1,aarilJlyla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -7- 07/11/2007 F GRAINGER INC 054 W W SiteID: 015-021-001025 ~ ~ Inventory Item 0020 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME 9100 HI-PERFORM EPOXY TOPCOAT Days On Site 365 Location within this Facility Unit Map: Grid: CAS# Liquid TMixture ~-AmbRent~E ~ T~EMbPeRATURE METALOCONTAINRTNONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average GAL 150.00 GAL 137.00 GAL ris~~~u~vu~ c.:vrnrulvr;N-1~5 %Wt. RS CAS# 10.00 Xylene, Mixed No 1330207 10.00 Methyl Ethyl Ketone No 78933 10.00 1-Methoxy-2-propanol No 108656 rif~L,L-ll[L HJJL'' 7J1~1t;1V~1'S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Mod ~ Inventory Item 0017 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME CLEANER/DEGREASER/DISINFECTANT Days On Site 365 Location within this Facility Unit Map: Grid: CAS# Liquid TMixtur~Ambient~E ~ AmbientT~E -T PLASTCICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum - I Daily Average GAL 108.00 GAL 1 98.00 GAL I1t~GtiCCLVVA 1,V1~lYV1VI;1V1b %Wt. RS CAS# 10.00 Sodium Hydroxide No 1310732 5.00 Butyl Cellosolve No 111762 5.00 Sodium Xylene Sulfonate No 1300727 rltic~t~tcl~ ti~ a ~ ~ ~1n.Giv 1 a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / j Mod -8- 07/11/2007 F GRAINGER INC 054 W W SiteID: 015-021-001025 ~ ~ Inventory Item 0022 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME PVC PRIMER/CEMENT Days On Site 365 Location within this Facility Unit Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture Ambient ~ Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 42.00 GAL 38.00 GAL nx~ruu~vu~ wlwirvlv~ly 1 sWt. RS CAS# 45.00 Tetrahydrofuran No 109999 Dimethylformamide No 68122 t1AGE~KIJ A5~1;~51~11;1V"1"5 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Mod ~ Inventory Item 0007 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WELDING RODS/ELECTRODES Days On Site 365 Location within this Facility Unit Map: Grid: CAS# ~SolidE TMixtur~Ambient~E ~ AmbientT~E BOX CONTAINER TYPE AMOUNTS AT THIS LOCATION Largest ContainerLBS Daily4554100m LBS I Daily4140r00e LBS ritiGHKLV U.7 1.V1~lYV1V ~1V 1 J gWt. RS CAS# 86.00 Iron No 7439896 1.00 Manganese No 7439965 4.00 Aluminum No 7429905. nxc~riru~ ~~~~a~l~ir ly i TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low -9- 07/11/2007 F GRAINGER INC 054 W W SiteID: 015-021-001025 ~ ~ Inventory Item 0004 Facility Unit: Fixed,Containers on Site ~ COMMON NAME / CHEMICAL NAME CFC-22 REFRIGERANT/FOAM SEALER Days On Site 365 Location within this Facility Unit Map: Grid.: CAS# STATE Gas TYPE PRESSURE TEMPERATURE Mixtur~-Above Ambient Ambient CONTAINER TYPE _ PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily-Average FT3 1494.00 FT3 I 1358.00 FT3 ru~Gt~tcLVU~ ~V1~irVivrrlvi~ %Wt. RS CAS# 99.90 Chlorodifluoromethane No 75456 l1HGHKL H7 7~571~1t'~1V1J T5ecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low ~ Inventory Item 0023 'Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME REFRIGERANT R-401A/R409A Days On Site 365 Location within this Facility Unit Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~-Above Ambient Ambient PORT. PRESS. CYLINDER 'AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average FT3 191.00 FT3 174.00 FT3 I1tiGEiKLVU.7 1.V1~lYV1VI;1V l~ %Wt. RS CAS# 60.00 Chlorodifluoromethane No 75456 15.00 Difluoroethane Yes 75683 25..00 Chlorotetrafluoroethane No 02837890 riHGKKL f~7J1';Jal~li'~1V 1.~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low- ~ -10- 07/11/2007 it ~ GRAINGER INC 054 W W SiteID: 015-021-001025 ~ ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME MOBIL HYDRAULIC/VAC/GEAR OIL Days On Site 365 Location within this Facility Unit Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~ Ambient ~ Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION - Largest Container Daily Maximum Daily Average GAL 135.00 GAL I 123.00 GAL ruyc,ruci.vva COMPONENTS oWt. RS CAS# 50.00 Heavy Paraffinic Petroleum No 64742650 45.00 Hydrotreated Distillate, Heavy Paraffin No 64742547 1.90 Chlorinated Paraffin No 63449398 11riGtiLCL H~ 7~~.7.71~1P~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ~ Inventory Item 0010 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME 5200 LABOR SAVER LATEX ENAMEL Days On Site 365 Location within this Facility Unit Map: Grid: CAS# STATE -TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum ~ Daily Average GAL 130.00 GAL 118.00 GAL ruic~rutLVVa COMPONENTS %Wt• RS CAS# 4.00 Methyl Carbitol Acetate No 111773 4.00 1,2-Propylene Glycol No 57556 10.00 Dipropylene Glycol No 29911282 11Hl~tiKL t'-1A aL" 7J1~11";1V 1~5 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Low -11-~ 07/11/2007 F GRAINGER INC 054 W W SiteID: 015-021-001025 ~ ~ Inventory Item 0006 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME MOBIL RARUS/EAL ARCTIC OIL Days On Site 365 Location within this Facility Unit Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~ Ambient ~ Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 98.00 GAL 89.00 GAL ri1~GHKIJVUJ 1:V1~lYV1VL'1V"1-~ oWt. RS CAS# 95.00 Hydrotreated Heavy Paraffinic Distillates No 64742547 0.10 Diphenylamine No 122394 nt~~r-~tct~ x~~~aain~iv 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 66.00 GAL 60.00 GAL nr.c,tucLVUa ~vrlrvivr,lyt~ ~Wt.. RS CAS# 40.00 Heavy Naphthenic Petroleum No 64741964 30.00 Hydrotreated, Heavy Naphthenic No 64742525 3.00 Poly (1-butene) No 9003285 riEil~titCL 1~i.7 b ~ J ~1~1L' 1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low -12- 07/11/2007 ~ Inventory Item 0021 Facility Unit: Fixed Containers on Site ~ . ~ i F GRAINGER INC 054 W W SiteID: 015-021-001025 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME GRINDING WHEELS/SAND PAPER Days On Site 365 Location within this Facility Unit Map: Grid: CAS# ~SolidE I Mixture I Ambient~E ~ AmbientTURE BOX CONTAINER TYPE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average LBS 1590.00 LBS 1446.00 LBS tir~~EircLVU~ ~.:umrviv~;lv~t-~ ~Wt. RS CAS# 90.00 Aluminum Oxide No 1344281 3.00 Calcium Oxide No 1305788 riAGEiK.11 L~JSL'' AJ1~1t51V l5 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No Noj Curies F P R DH j / / Min ~ Inventory Item 0011 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME COMPRESSED AIR CYLINDER Days On Site 365 Location within this Facility Unit Map: Grid: CAS# ~GasATE Mixture ~-AboveSAmbient AmbientT~E PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average FT3 369.00 FT3 336.00 FT3 t1liGEi.CCLVU•7 1.V1~lYV1Vr,1V1.7 %Wt. RS CAS# 79.00 Nitrogen No 7727379 21.00 Oxygen, Compressed No 7782447 r1EiGt1tC1J H.7.7L" ~.71~1L" 1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Min -13- 07/11/2007 F GRAINGER INC 054 W W ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME CARBON DIOXIDE EXTINGUISHER Location within this Facility Unit SitelD: 015-021-001025 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# I I I ~GasATE Mixture ~AboveSAmbEent AmbientT~E PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average FT3 245.00 FT3 `I 223.00 FT3 riAGE~llCLVUJ 1:V1~lYV1Vt'~1V17 aWt. RS CAS# 99.50 Carbon Dioxide No 124389 riAGKK11 H551;SS1~1J;1V'1'S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min ~ Inventory Item 0024 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME HFC 134A/CONTACT CLEANER Days On Site 365 Location within this Facility Unit Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas TMixture ~-Above Ambient Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest ContainerFT3 Daily 371100m FT3 I Daily 337r00e FT3 I31iGfiICLVU~J 1.V1~lYV1VL'1V1.7 $Wt. RS CAS# 25.00 TALE No 00811972 40.00 Dichlorodifluoroethene ,No 01717006 5.00 Methanol No 67561 nr~~silcL t~a~r;~al~irJlvla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / UnR -14- 07/11/2007 F GRAINGER INC 054 W W SiteID: 015-021-001025 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DISINFECTANT CLEANER/DEGREASER Days On Site 365 Location within this Facility Unit Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixtur~Ambient ~ Ambient ~LASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 275.00 GAL 250.00 GAL ru~~t~tcLVUa ~vinr~iv~iv~l~a °sWt. RS CAS# 5.00 Butyl Cellosolve No 111762 5.00 Ethoxylated Nonylphenol No 09016459 4.00 Sodium Metasilicate No 6834920 ru~c~~~ ti~a~aarnr:lvt~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / UnR -15- ~ 07/11/2007 F GRAINGER INC 054 W W SiteID: 015-021-001025 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 05/28/1999 ~ CALL 911. Employee Notif./Evacuation 03/02/2007 SEE ATTACHED. Public Notif./Evacuation SEE ATTACHED. 03/02/2007 Emergency Medical Plan 04/03/2000 BAKERSFIELD FAMILY MEDICAL CENTER/URGENT CARE CENTER, 4580 CALIFORNIA~AVE, 327-4411. -16- 07/11/2007 F GRAINGER INC 054 W W SiteID: 015-021-001025 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 03/02/2007 ~ SEE ATTACHED. Release Containment 03/02/2007 SEE ATTACHED. Clean Up 03/02/2007 SEE ATTACHED. V1~11G1 iCG w7V Ul l.C t11. 1.1VQ1.1 V11 -17- 07/11/2007 F GRAINGER INC 054 W W SiteID: 015-021-001025 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~7EJ~(r1ci1 ric1GdLUS Utility Shut-Offs 03/02/2007 GAS - SE CRNR E WALL ELECTRICAL - SE CRNR S WALL WATER - SW CRNR S WALL Fire Protec./Avail. Water 12/12/2006 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. FIRE HYDRANT - CRNR EASTON & CHESTER LN. Building Occupancy Level 03/01/2006 13 EMPLOYEES -18- 07/11/2007 F GRAINGER INC 054 W W SiteTD: 015-021-001025 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 03/02/2007 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF. TRAINING PROGRAM: SEE ATTACHED. rciyc ~ Held for Future Use . 1 _1' t. 17G 11L 1V1 L'LL{.. 1.1 L,C Vn7C -19- 07/11/2007 REECE HOMECARE SERVICES Manager CINDY REECE Location: 4000 EASTON DR 10 City BAKERSFIELD CommCode: BFD STA 03 EPA Numb: BusPhone: Map 102 Grid: 26C SIC Code: DunnBrad: SiteID: 015-021-002893 (661) 323-1843 CommHaz Low FacUnits: 1 AOV: Emergency Contact / Title Emergency Contact / Title MARK REECE / PRESIDENT/OWNER / Business Phone: (661) 323-1843x Business Phone: ( ) - x 24-Hour Phone (661) 323-1843x 24-Hour Phone ( ) - x Pager Phone (661) 496-0903x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact CINDY REECE Phone: (661) 323-1843x MailAddr: 4000 EASTON DR 10 State: CA City BAKERSFIELD Zip 93309 Owner CINDY REECE Phone: (661) 323-1843x Address 4000 EASTON DR 10 State: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ENT°~ ,~ ~ ~, ~ ~ ~Q~1 I3as~d On my inquiry of those individuals btaEning the informs#ion, !Certify - - resGor,siblg for o enalty o§ lavw that I have pQrsonally tion s ci - p e un d ar?d am §amiiiar with the Informa e:tamine submitted and hel~e~'P the information is true, accurate, and compiete. ~ 13 ~='- w _._.. Date Signature -1- 07/13/2007