Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
ES-BUSINESS PLAN 8/16/2006
'~ '-~ SOUTH CENTRAL POOL SUPPLY J --Y-- `~ `' 4601 GRISSOM STREET lu°w~ ~. ~' CITY OF BAKIERSFIELD FIRE DEPARTMENT 1' /%y,~LD F!~ • ~~ ~ OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST °-""r~ ''~ ti i~~t 1715 Chester Ave. 3'd ~ IOOr Bakersfield CA 93301 F. r1.Rd. > > > • FACILITY NAME S C ~ ~! 5-r Q t ~T~S INSPECTION DATE ~ ° I~ - ~~ ADDRESS ~D / G r~s s or-~ S T PHONE NO. 8 3 ? - 83 4 4 FACILITY CONTACT 1W11~-e-. ~Ya uso~ BUSINESS ID NO. 15-210- y n I t a c~ INSPECTION TIME`( ~ o Nt1MBER OF EMPLOYEES i ~L Section 1: Business Plan and Inventory Program ~ J ~~ (~ Routine ^ Combined ^ Joint Agency ^Multf-Agency ^ Complaint ~ Re-inspection OPERATION C V COMMENTS Appropriate perntit on hand Business plan contact information accurate ~ Qf<~; Visible address Correct occupancy Verification of inventory materials ~ ~ pJ ~ % ~ ZNf/~r 7z~r Verification of quantities )( Verification of location `~( Proper segregation of material X Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled x Housekeeping X Fire Protection Site Diagram Adequate & On Hand 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 Y~ Bu iness Site sponsible Party Inspector:~ie ~ry„~-=-----~ ~ ~ Street Address: Q Ci Q ~. A c~ Y 1 z 0 N W I N (~ W 3 W m O SCP DISTRIBUTORS LLC. / SUPERIOR POOL PRODUCTS, LLC. ~/~ Q~ State: Zi C `~ / Branch Name & #: B C D E F G 3 ~, , ~ L~ • ~ i i py' F. ..._... ....... ~... .., ... ...._. ... ...E... ..i... :... 4 1 i ~ ~ E 0! s ....................... f ............._........ E +~ L g x f ~O ' ~ i N Q ..................................................... ~..............•...................................;......................,.••.......,.••..•.. ,........~........................ . t =~J s f ~~' ~ ~- ~, ..._... .......................................................................~..............•..•........•..........................i............•..........•...... .......... .................. ~ ~;~ . ~ T i L I U ins i 8 ' 't ~ i f i O .....................•..........•....... •............ i....................._.........,...................~......................................................:......•..,..•....................~. N 9 iJ o s ~ ' S o ............._........._............................~......................................................4.........._.............................._........................................_.....................~.L ~~ ~ i I certify that this map is accurate and up to date to the best of my knowledge. Signature ........•...~..1m+n1...•.,..4wR ..................._... ..i..•.......... .•.•.............. ~........ f f , R A I ~, L I , i i ~ I-~•-i i I ~~ o ~ ` M i ............._~......._..................._. l....... A ~ I I P j ~ i NOT ! ~ i TO SCALE `t o 4 18 ~~~~~ ,,//// SCP D(STRISUTORS, LLC. ! SUPERIOR POOL PRODUCTS, LLC. 2004 51TE MAP Street Address. `t{f=~~ ~ ~'- SS asp ~ 1 ~% Cit Stato: (.~, ZkA: ci 3~~ 5 Branch Name & #: (,l~ ~~ y"'i ~G~~ ~ A B ~ p E F G ~ R t~ ~`' i ~• A~ n-? ~8 ...._:,~:.~_ ..,... w,.,~. ~~ ~ z ~~ 1 C~ 7 s r ~ T i =. ~ i i € E ... .... ... ... .. ... ,..u ...• .............~............•......... •....... ~•_•........~...............................~ ..y..........•.•................~.................• .......................r.......... i............ ~ .....•...........••............. i tit f M 4, ~ s `' q _ , k P t i .......................................«..~ .~..................... ~....... ,.......~.......~...............~.........._..............~.. ........,......,............................ ..l.. ........._.......... ... • i I i ~ i i ~ 5 , ~ i ~ ` ........_.._ ....................__.,.... ..........~........,......................~ ......,...................._............ ......................._............,........,..~......_...................... NOT 6 ~ ~ _ ~ ` TO E i = i ~ r ............................_................... ..,....................,.......,..................._.i...,..........__.......................................................................................................:.....,........~... CALF S 7 ~ i s i i ~ ~ Q' C. ....._ .................a....._................. i i l ..................._.._...........,......... .................~................_...~...... ~.. ...................... ..f.. _..................~. .............. .. ..~i~. i.......~.,............ ~~ n ............................................ ............................................ ..... ........................f.....................,.... ................ 0 i 7 'l0 4 ~ b? n~ ' U I certify that this map is accurate and up to dake to the best of my knowledge, Si nafu ~ D ., treet Address: City: ~~//.~~/ S 1 .. 2 ~/I~ „, ~/ tl N S 3 T E M A P -- ~ NOT TO - r ~, :, SCALE ~- vF~CeS. r SCP DISTRIBUTORS, LLC. / SUPERIOR POOL PRODUCTS, LLC. 2005 SITE MAP State: Zip: ~ Branch Name & #:~~ B C D E F G 1 ~ ~a~Y HAZARDOUS MATERIAL LEGEf~D Legend common Symbol ether EquipmentJNon-Hazardous Items Trade Chemical Name for use Le end Name on Site 9 Man Sewer floor drains ~ Storm drains Electrical shut-off Gas shut-off ® Emergency assembly area Trichlor Trichloroisocyanuric acid, dry 1Q Tablets Dy-chlor Dichloroisocyanuric acid, dry (~ Litho Lithium hypochlorite, dry {~j Shock Bromine 1-bromo-3-chloro-5,5-dimethyl Q Tablets hydantion Cal-hypo Calcium hypochlorite, hydrated ~ shock I 67°/° 02 Shock Potassium peroxymonosulfate ~ Metal Out 1-Hydroxyethylidene-1,1- ~ diphosphonic PVC Methyl ethyl ketone, ~ Cement Tetrahydrofuran Epoxy Epoxy resin, Xylene (~} Solvents, Aromatic naphtha light, ~ Primers Propoxy propanol Cal-hypo Caicium hypochlorite, hydrated ~ Shock II a7°~° Colorseal, Propolene glycol, Butoxy Z Primers dipropanol Bleach Sodium hypochlorite ~ Calcium Calcium chloride $ Increaser Stabilizer Cyanuric acid R Alkalinity Sodium hydrogren carbonate P Plus pH Sodium bisulfate N Decreases Algae Plus Copper-Triethanolamine ~ complex Sand Silicon dioxide Si02 H D.E. Diatomaceous earth ~ Muriatic ..; .~ Hydrochloric acid ~( Ammonia ~ L Vermiculite) Vermiculite I Q r-,"" I Propylene Glycol I G Freeze ~ (Personal Protection Equipment ~- Medical & First Aid Equipment Safety Showers & Eyewashes Spill Containment & Mitigation MaterialslEquipment MS MSDS & Emergency Response Plan • I Fire Extinguishers Fire Hydrants & Connections Sprinkler System Valves Emergency shut-off(i.e. gas pump etc. AC Air Conditioning Shut-off Water Shut off '~ ' - -r ~. -~ a~UNIFIED PROGRAM INSPECT~I®N CHECKLIST~~~ „ . . -~ . t .~~ ..,, .a - . ,.. .. , _.. ~, -._. #..d'~. ,,,c°._ 733 ., .,'^Ec:a' a r-. ~ .G.:u 3F:' - -:i"-.: ~- • S E CT t O N 1: Business Plan and Inventory Program BAKERSFIELD FIRE DEPT Prevention Services B rIRI I n 900 Trtixtun Ave., Suite 210 ~srAr s Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME SC S ~ ~ D~S INSPECTION ATE f ~(/ INSPECTION TIME ~ /~ ADDRESS d o 2~ssa,,,~ S~ ON O. ~ ~ 7- 3~ O OF EMPLOYEES / 2 FACILITY CONTACT ~, }..~ ~` USINESS ID NUMBER 15-021- Oo (l D O Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION • C V ~ C=Compliance OPERATION V=Violation COMMENTS _ _ ___ ___ __ _ _ ____ ~ ^ APPROPRIATE PERMIT ON HAND ~ / $!~ ^ BUSIf12SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ 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 RO DURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES ~ NO ~c ~-~ l : _._c~~_~--~- ' ` -- ` ` --fie. c ~ _ « ~ ~~`Z 9 ~ IGIUES IONS EGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3879 Inspector (Please int) ire Prevention / 1s' In /Shift of Site/Station # Bu n s e ch o i e po ibl rty ( lease t) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02105) ' BUSINESS ACTIVITIES KERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMENT Unified Program Consolidated Form (UPCF) 2700 M STREET, SUITE 300 FACILITY INFORMATION BAKERSFIELD, CA 93301 661 862-8700 Fax 661 862-8701 ` Page 1 of I. FACILITY IDENTIFICATION FACILITY ID # 1 EPA ID # (Hazardous Waste Only) z BUSINESS NAME (Same as Facility Name of DBA-Doing Business As) 3 ' + ' b Lt_ II. ACTIVITIES DECLARATION NOTE: If you check YES to any part of this list, please submit the Business Owner/Operator Identification page (KC Form 2730). Does your facility... If Yes, lease com lete these ages of the UPCF.... A. HAZARDOUS MATERIALS Have on site (for any purpose) hazardous materials at or above 55 gallons for liquids, 500 pounds for solids, or 200 cubic feet for compressed gases (include liquids in ASTs and USTs); or the ~I'ES ^ NO 4 HAZARDOUS MATERIALS INVENTORY- applicable Federal threshold quantity for an extremely hazardous CHEMICAL DESCRIPTION (xc Form z731) substance specified in 40 CFR Part 355; Appendix A or B; or handle radiological materials in quantities for which an emergency plan is required pursuant to 10 CFR Parts 30, 40 or 70? B. UNDERGROUND STORAGE TANKS (USTs) UST FACILITY (KC Fortn A) 1. Own or operate underground storage tanks? ^ YES [ENO 5 UST TANK (one page per rani:) (KC Form B) 2. Intend to upgrade existing or install new USTs? ^ YES [~'~O 6 UST FACILITY UST TANK (one per tank) UST INSTALLATION - CERTIFICATE OF COMPLIANCE (one page per tank) (KC Form C) 3. Need t0 report closing a UST? ^ YES ~NO 7 UST TANK (closure portion-one page per tank) C. ABOVE GROUND PETROLEUM STORAGE TANKS (ASTs) Own or operate ASTs above a total capacity for the facility of greater than 1,320 gallons? ^ ygS ^~O g NO FORM REQUIRED TO KCEHSD D. HAZARDOUS WASTE 1. Generate hazardous waste? ^ YES [3" CIO 9 EPA ID NUMBER - provide at the top of this page 2. Recycle more than 100 kg/month of excluded or exempted recyclable materials (per HSC 25143.2)? ^ YES ~fQO 10 RECYCLABLE MATERIALS REPORT (one - per recycler) (KC Form 2732) 3. Treat hazardous waste on site? ^ YES ~'1~0 11 ONSITE HAZARDOUS WASTE TREATMENT -FACILITY (KC Form n7zt) ONSITE HAZARDOUS WASTE TREATMENT -UNIT (one page per unit) (xC Form 4. Treatment subject to financial assurance requirements (for ^ YES JO 12 1772u) CERTIFICATION OF FINANCIAL Permit by Rule and Conditional Authorization)? ASSURANCE (xe Form Iz3z) 5. Consolidate hazardous waste generated at a remote site? ^ YES ~ NO ] 3 REMOTE WASTE /CONSOLIDATION SITE ANNUAL NOTIFICATION (xC Fotm l tvs) 6. Need to report the closure/removal of a tank that was classified as ^ YES ~'O 14 HAZARDOUS WASTE TANK CLOSURE hazardous waste and cleaned onsite? CERTIFICATION (KC Form izav) E. LOCAL REQUIREMENTS is A copy of the facility's Contingency/Emergency Response Plan is to be included with the original submission of the Business Plan. KCEHSD is to be informed of any revisions to the plan. Please contact KCEHSD at the above number for assistance in completing the plan. (7/02 revised) ~~~~ KC Form 2729 ~F ?~~~"~ ~~~~n BUSINESS OWNER/OPERATOR IDENTIFICATION KERN COUNTY ENVIItONMENTAL HEALTH SERVICES DEPARTMENT Unified Program Consolidated Form (UPCF) 2700 M STREET, SUITE 300 FACILITY INFORMATION BAKERSFIELD, CA 93301 (661)862-8700 Fax 661 862-8701 Page '~pf _ I I. IDENTIFICATION FACILITY ID# t BEGINNING DATE too ENDING DATE tot ~ t- - 2-3i- BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) ~ 3 BUSINESS PHONE 102 - 3 BUSINESS SITE ADDRESS Io3 t n Sk CITY 104 ZIP CODE ~t CA '1 ~ aK r • ~ I J ~ 3 t DUN & BRADSTREET tob SIC CODE (4 digit #) 1°~ 50 COUNTY toe t BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE t to ~ (0 1 - 7 -8 II. BUSINESS OWNER OWNER NAME 111 OWNER PHONE I tz i r. . ~ L 8 - 2 -S'-S 2.1 OWNER MAILING ADDRESS t t3 0 l vcl. tl ~" CITY tta STATE 11s ZIP CODE 116 ~ S III. ENVIRONMENTAL CONTACT CONTACT NAME 117 CONTACT PHONE I18 era . Ss- - 2- .~ CONTACT MAILING ADDRESS 119 C ~ CITY 120 STATE t21 ZIP CODE 1zz U -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- NAME t23 NAME tee TITLE tea TITLE 129 n ~ 3 BUSINESS PHONE 125 I- BUSINESS PHONE 130 _ 24-HOUR PHONE 126 24-HOUR PHONE t 3I 3 c~ i- n _aa PAGER # 127 PAGER # 132 ADDITIONA LL OCALLY COLLECTED INFORMATION: 133 APN: ~..~~-~~-L-lz ~ - ©~-~ Environmental Contact E-Mail Address: (~ ,~,--~! ~ , ~~~' ~ ; Q r ~ s ~-~ ors I'. rnrrl Certification: Base n my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiaz wit a information submitted and believe the information is true, accurate, and complete. SIGNA RATO NATED REPRESENTATIVE DATE 13a NAME OF DOCUMENT PREPARER 135 ` r . t~ -oG , , E OF SIGNER (print) - 136 N TITLE OF SIGNER l37 / l~ ' r ra ~ (11/02 revised) KC Form 2730 HAZARDOUS MATERIALS INVENTORY - cxEMICAL nESCR>rPTION KERN COUNTY ENVII20NMENTAL HEALTH SERVICES DEPARTMENT Unified Program Consolidated Form (UPCF) 2700 M STREET, SUITE 300 HAZARDOUS MATERIALS BAKERSFIELD, CA 93301 661) 862-8700 Fax (661 862-8701 (one page per materiel per buildmg or area) ^ADD [~BELETE ^REVISE zoo Page _ of I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~i ( ~tlf5 CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA zo2 Q'"YES ^ NO t r _ - l MAP# (optional) 203 GRID# (optional) 204 FACILITY ID # II. CHEMICAL INFORMATION CHEMICAL NAME zos TRADE SECRET ^ Yes 8'No zoe -~' ~ jt. If Subject to EPCIL4, refer to instructions COMM AME zo7 zoo EHS* ^ Yes gDio dui 209 CAS# *If EHS if "Yes", all amounts below must be in pounds b 5 - O FIRE CODE HAZARD CLASSES (Not currently required by KCEHSD) 210 HAZARDOUS MATERIAL TYPE (Check one item only) ^ a PURE (]'6. MIXTURE ^ c. WASTE 211 RADIOACTIVE ^ Yes ~0 212 213 CURIES PHYSICAL STATE 2t4 (Check one item only) ^ a. SOLID ~~(i. LIQUID ^ c. GAS 21s LARGEST CONTAINER FED HAZARD CATEGORIES 2t6 (Check all that apply) ^ a. FIRE ~'b. REACTIVE ^ c. PRESSURE RELEASE [~'d. ACUTE HEALTH ^ e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 ASTE CODE 220 STATE W An / tit 1/'r 221 DAYS ON SITE: zzz UNITS* ^ a GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS Check one item onl * If EHS, amount must be in ounds. ~' STORAGE CONTAINER ^ a, ABOVE GROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ^ n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ^ I. CYLINDER ^ p. TANK WAGON zz3 STORAGE PRESSURE mss. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 224 STORAGE TEMPERATURE .®'a AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # I ^ zzb zz7 ^ Yes [~.3do zzs zz9 1 r f 2 2 ''1J 230 231 ^ Yes ~NO 232 233 l ' K 2 - $S- 3 234 ~ 235 ^ Yes ^ NO 236 237 4 z3s 239 ^ Yes ^ No zoo zal 5 zaz za3 ^ Yes ^ No za4 zas If more hazardous components ere present at gresur than 1 % by weight if non-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional shcefs of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION za6 ~~ ~ If EPCRA lease i Here (7/02 revised) KC Form 273I HAZARDOUS MATERIALS INVENTORY -CHEMICAL DESCRIPTION KERN COUNTY ENVIItONMENTAL HEALTH SERVICES DEPARTMENT Unified Program Consolidated Form (UPCF) 2700 M STREET, SUITE 300 HAZARDOUS MATERIALS BAKERSFIELD, CA 93301 (661) 862-8700 Fax (661 862-8701 (one page per material per building or area) ^ADD ^DELETE ^REVISE zoo Page _ of_ I. FACILITY INFORMATION BUSINESS NAME (Same as FACII,ITY NAME or DBA -Doing Business As) 3 S CHEMICAL LOCATION zol CHEMICAL LOCATION CONFIDENTIAL EPCRA zoz ®' YES ^ NO Q a v I MAP# (optional) zo3 GRID# (optional) 2oa FACILITY ID # > «~ II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yes [.~No zo6 S If Subject to EPCRA, refer [o insWC6ons COMMON NAME 207 zos EHS* ^ Yes ,0'No ~LL CAS# 209 'If EHS if'7es", all amounts below must be in pounds FIRE CODE HAZARD CLASSES (Not currently required by [cCEBSD) zlo HAZARDOUS MATERIAL r-,/ 21t TYPE (Check one item only) tYa. PURE ^ b. MIATURE ^ c. WASTE RADIOACTIVE [~Io 212 ^ Yes CURIES 213 PHYSICAL STATE ,~,~ z14 (Check one item only) ttd a. SOLID ^ b. LIQUID ^ c. GAS LARGEST CONTAINER ~ 215 FED HAZARD CATEGORIES 2t6 (Check all that apply) ^ a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ^ d. ACUTE HEALTH ®'~ CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT z19 STATE WASTE CODE 220 ~ ~~ ~ a~ r~ z21 DAYS ON SITE: 22z UMTS* ^ a. GALLONS ^ b. CUBIC FEET ^,.e-. POUNDS ^ d. TONS Check one item onl * If EHS, amount must be in ounds. STORAGE CONTAINER ^ a. ABOVE GROUND TANK []'e. PLASTIC/NONMEI'ALLICbRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG 8- n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h SILO ^ 1. CYLINDER ^ p. TANK WAGON 2z3 STORAGE PRESSURE ~ AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 27A STORAGE TEMPERATURE ~ AMBIENT ^ b. ABOVE AMBIEAIT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 2z5 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1 z2b z27 ^ Yes ^ No zzs zz9 2 230 231 ^ Yes ^ NO 232 233 3 234 235 ^ Yes ^ NO 236 237 4 z3s z39 ^ Yes ^ No 2ao zal 5 za2 zo3 ^ Yes ^ No zaa zas It more hazardous components are present at greater than 1 % by weight if non-careiaogeniq or O.I % by weight if carcinogenic, attach additional sheets of paper capturing the required intormatioo. ADDITIONAL LOCALLY COLLECTED INFORMATION 24G ®~ ~~ ~ If E Here (7/02 revised) KC Form 2731 HAZARDOUS MATERIALS INVENTORY -CHEMICAL DESCRIPTION KERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMENT Unified Program Consolidated Form (UPCF) 2700 M STREET, SUITE 300 HAZARDOUS MATERIALS BAKERSFIELD, CA 93301 661 862-8700 Fax (661) 862-8701 (one page per material per building or area) ^ADD ^DELETE ^REVISE 200 Page _ of_ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~ L CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA zo2 ]'YES ^ NO ` ` ~ ~ 1 MAP# (optional) 203 GRID# (optional) zoa FACILITY ID # 'i II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yes o zo5 S ~ If Subjec[ to EPCRA, refer to instmclions COMMON NAME z°~ EHS" ^ Yes IQo zos CAS# 209 *If EHS if "Yes", all amounts below must be in pounds b t- a- R FIRE CODE HAZARD CLASSES (Not currently required by KCEHSD) 210 HAZARDOUS MATERIAL TYPE (Check one item only) ^ a PURE 0'ri. MIXTURE ^ c. WASTE 2tt RADIOACTIVE ^ Yes ~o ztz CURIES 213 PHYSICAL STATE 21a (Check one item only) ^ a. SOLID ~ LIQUID ^ c. GAS LARGEST CONTAINER , ~ zts FED HAZARD CATEGORIES 215 ~,~ (Check all that apply) ^ a. FIRE ~ REACTIVE ^ c. PRESSURE RELEASE tsa. ACUTE HEALTH ^ e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 D 'DO N zzl DAYS ON ITE: 222 UNITS* ~ GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS Check one item onl * If EHS, amount must be in ounds. STORAGE CONTAINER ^ a ABOVE GROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG 0~n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h SILO ^ 1. CYLINDER ^ p. TANK WAGON 223 STORAGE PRESSURE [.~~ AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 22a STORAGE TEMPERATURE ~ AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1 zw zz7 ^ Yes ^~1Qo zzs zz9 f +~ 1 _c~- 2 230 231 ^ Yes ^ NO 232 233 3 23a z3s ^ Yes ^ No z36 z37 q z3s z39 ^ Yes ^ No zao eat g 2az za3 ^ Yes ^ No zaa zas If more hazardous components are present at greater than 1 % by weight if non-carcinogenic, or 0.1 % by weght if carciuogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION za6 ~~ ~ If E CRA ease t Here (7/02 revised) KC Form 2731 HAZARDOUS MATERIALS INVENTORY - CHEMICAL nESCRIrTION KERN COUNTY ENVII20NMENTAL HEALTH SERVICES DEPARTMENT Unified Program Consolidated Form (UPCF) 2700 M STREET, SUITE 300 HAZARDOUS MATERIALS BAKERSFIELD, CA 93301 (661 862-8700 Fax (661) 862-8701 (one page per material per building or area) ^ADD ^DELETE ^REVISE 200 Page- of- L FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 r` c CHEMICAL LOCATION 20t CHEMICAL LOCATION CONFIDENTIAL EPCRA zoz 0' YES ^ NO C.f f 1 MAP# (optional) 203 GRID# (optional) 204 FACILITY ID # H. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yes o zob ~ IFSubject to EPCRA, refer to inslrucliona COMMON NAME 207 zos ' EHS* ^ Yes [~No ' m cf-~e c CA$# 209 •ll' EHS if "Yes", all amounu below must be in pounds i ~ 3- '" FIItE CODE HAZARD CLASSES (Not currendy inquired by [cCEHSn) 210 HAZARDOUS MATERIAL TYPE (Check one item only) ^ a PURE (~ MIXTURE ^ a WASTE 21t RADIOACTIVE ^ Yes ~No z12 CURIES - ryl, CCTT 213 PHYSICAL STATE 214 (Check one item only) SOLID ^ b. LIQUID ^ c. GAS LARGEST CONTAINER z15 FED HAZARD CATEGORIES 216 (Check all that apply) ^ a. FIRE ~ REACTIVE ^ c. PRESSURE RELEASE ^ d ACUTE HEALTH ~. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MA}GMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 27A ~O N ~ ~ 221 DAYS ON SITE: 222 UNITS* ^ a GALLONS ^ b. CUBIC FEET ®! POUNDS ^ d. TONS (Check one item onl * If EHS, amount must be in ounds. STORAGE ,~ CONTAINER ^ a ABOVE GROUND TANK }' e. PLASTIGNONMSfALLIC DRUM ^ i. FIBER DRUM ^ m GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ~n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d STEEL DRUM ^ h. SILO ^ 1. CYLINDER ^ p. TANK WAGON 223 STORAGE PRESSURE C-l"~ AMBIENT ' ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT n4 , STORAGE TEMPERATURE l~ a AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC z25 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # I zzb zz7 ^ Yes ®~IQ'o zzs zz9 ~ `~ i u / _ S - 2 z3o zit ^ Yes ^ No z3z 233 3 234 235 ^ YaS ^ NO 236 237 [} 238' 239 ^ Yes ^ No zoo zal 5 242 243 ^ Yes ^ NO 244 245 If more hazardous wmponents are present at greater than 1 % by weight if non-carcinogeniq or 0.1 % by weight if carcinogeniq attach additional sheets of paper capturing the mquircd informe6on. ADDITIONAL LOCALLY COLLECTED INFORMATION ',/~~ z46 IfEPCRA Please Si Here (7/02 revised) KC Form 2731 HAZARDOUS MATERIALS INVENTORY -CHEMICAL DESCRIPTION KERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMENT Unified Program Consolidated Form (I TPCF) 2700 M STREET, SUITE 300 HAZARDOUS MATERIALS BAKERSFIELD, CA 93301 (661) 862-8700 Fax (661 862-8701 (one page per materiel per bwlding or area) ^ADD ^DELETE ^REVISE 200 Page _ of I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 CHEMICAL L CATION zot CHEMICAL LOCATION CONFIDENTIAL EPCRP. 202 ~ [YES ^ NO ~ f 1 MAP# (optional) 203 GRID# (optional) zoa FACILITY ID # 1 1 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yes [J-iGo zo6 ,,~_ ` t„ ' ~ "~ If Subject to EPCRA, refer to inst[uctioas COMMON NAME zo7 zos EHS* ^ Yes ~No G G. CA$# 209 *If EHS if `7es", all amounts below must be in pounds ~~ ~~ ~~ FIRE CODE HAZARD CLASSES (Not currently required by [cCEHSD) z1o HAZARDOUS MATERIAL TYPE (Check one item only) ^ a PURE [~lS. MIXTURE ^ c. WASTE z11 RADIOACTIVE ^ Yes Boo 212 CURIES 213 PHYSICAL STATE 214 (Check one item only) [~fi. SOLID ^ b. LIQUID ^ c. GAS LARGEST CONTAINER 215 FED HAZARD CATEGORIES 216 (Check all that apply) ~ a. FIRE ~ifREACTIVE ^ c. PRESSURE RELEASE ~~ ACUTE HEALTH ^ e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 2ls ANNUAL WASTE AMOUNT 219 STATE WASTE CODE zzo "? D 00 t zzl UNIT'S* ^ a GALLONS ^ b. CUBIC FEET ~ c POUNDS ^ d. TONS DAYS ON SI E: zzz Check one item onl * If EHS, amount tmtst be in ounds. 3 STORAGE CONTAINER ^ a ABOVE GROUND TANK 0 e. PLASTIC/NONMEl'ALLIC DRUM ^ i. FIBER DRUM ^ rn GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG 8~n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d STEEL DRUM ^ h. SILO ^ 1. CYLINDER ^ p. TANK WAGON 2z3 STORAGE PRESSURE [}~ AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT z2a STORAGE TEMPERATURE ~a AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC zzs %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1 zz6 zr7 ^ Yes [~^No zzs 2z9 r'' 7 2 ,~ 230 231 ^ Yes ~ ~v0 232 233 ' ci ro S- 3 234 ~ 235 ^ Yes [~'l~0 236 237 f Y1 ~ l 4 23s 239 ^ Yes ^ No 2ao zal 5 242 243 ^ Yes ^ No zaa zas If more hazardous components are present at greater than t % by weight if non-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheeLS of paper rap ring the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION ~~~~ 2a6 If EPCRA Please Si Here (7/02 revised) KC Form 2731 HAZARDOUS MATERIALS INVENTORY - cxENIICAL DESCItrnTION KERN COUNTY ENVII20NMENTAL HEALTH SERVICES DEPARTMENT Unified Program Consolidated Form (iJPCF) 2700 M STREET, SUITE 300 HAZARDOUS MATERIALS BAKERSFIELD, CA 93301 (66l) 862-8700 Fax (661 862-8701 (one page per material per building or area) ^ADD ^DELETE ^REVISE 200 Page _ of_ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 L CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA zoz YES ^ NO r 1 MAP# (optional) 203 GRID# (optional) 204 FACILITY ID # ~i II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yes [rNo 2os ~ ]f Subject to EPCRA, refer to iastructions COMMON NAME 207 EHS* ^ Yes ~~o zos . ~. CAS# 209 "If EHS if `Yes", a(I amounts below must be in pounds s- 't - 9 FIRE CODE HAZARD CLASSES (Not currently required by xCEHSD) 210 HAZARDOUS MATERIAL ,~ TYPE (Check one item only) p a PURE ^ b. MIXTURE ^ c. WASTE 211 RADIOACTIVE ^ Yes ~~ z1z CURIES {~' u3 PHYSICAL STATE 2t4 (Check one item only) (~a. SOLID ^ b. LIQUID ^ c. GAS LARGEST CONTAINER ~C1 ~~, z15 FED HAZARD CATEGORIES zl6 (Check all that apply) ^ a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ^ d. ACUTE HEALTH ~i. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 o~ i ~ z2t DAYS ON SITE: 222 UNITS• ^ a. GALLONS ^ b. CUBIC FEET [yYE POUNDS ^ d. TONS (Check one item onl * If EHS, amount must be in ounds. STORAGE CONTAINER ^ a ABOVE GROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CAN ~. BAG ^ n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ^ 1. CYLINDER ^ p. TANK WAGON 223 STORAGE PRESSURE ~ AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 2za STORAGE TEMPERATURE [] a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1 zw 227 ^ Yes ^ No 2zs zz9 2 230 231 ^ yes ^ NO 232 233 3 234 235 ^ Yes ^ NO 236 237 4 238 239 ^ Yes ^ No zao ~ zal 5 zaz za3 ^ Yes ^ No zaa zas If more hazardous Components are present at greater thau 1% by weight if non-carcinogenic, or 0.1% by weight if Carcinogenic, attach additional sheets Of paper Capturing fhe rtquired information. ADDITIONAL LOCALLY COLLECTED INFORMATION za6 ~~ ~ e Si Here (7/02 revised) ~ KC Form 2731 HAZARDOUS MATERIALS INVENTORY - cxENIICAL DESCRrrTION KERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMENT Unified Program Consolidated Form (UPCF) 2700 M STREET, SUITE 300 HAZARDOUS MATERIALS BAKERSFIELD, CA 93301 (661) 862-8700 Fax (661) 862-8701 (one page per material per building or area) ^ADD ^DELETE ^REVISE zoo Page _ of I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 a- L CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA zoz t''YES ^ NO l MAP# (optional) 203 GRID# (optional) 2oa FACILITY ID # II. CHEMICAL INFORMATION CHEMICAL: NAME 205 TRADE SECRET Yes ~IQo 206 r G i d If Subject to EPCRA, refer to instructions COMMON NAME zo7 zos EHS* ^ Yes ~To ~l CAS# 209 *If EHS if `7es", ell amounts below must ix in pounds G '~ FIRE CODE HAZARD CLASSES (Not currently required by KCEFISD) zto HAZARDOUS MATERIAL TYPE (Check one item only) ^ a PURE [.~If. MIXTURE ^ c. WASTE 211 ,~" RADIOACTIVE ^ Yes n rvo zlz zl3 CURIES ,~'" PHYSICAL STATE (Check one item only) [tea SOLID ^ b. LIQUID ^ c. GAS 214 215 LARGEST CONTAINER FED HAZARD CATEGORIES ,,.~,, ~~ 2l6 (Check all that apply) i~'a.. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE [~C . ACUTE HEALTH ^ e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAII,Y AMOUNT 218 ANNUAL WASTE AMOUNT zi9 STATE WASTE CODE zzo D iS oot~ N 22t DAYS ON S E: 222 UMTS* ^ a GALLONS ^ b. CUBIC FEET (j~c. POUNDS ^ d. TONS (Check one item onl * If EHS, amount must be in otmds. STORAGE CONTAINER ^ a ABOVE GROUND TANK ~;t- e. PLASTICJNONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CAN - ^ j. BAG [~}n. PLASTIC BOTTLE ^ r, OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d STEEL DRUM ^ h. SILO ^ 1. CYLINDER ^ p. TANK WAGON zz3 STORAGE PRESSURE ~. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT zza STORAGE TEMPERATURE [a a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC zzs %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # i zw 2z7 ^ Yes [~fQo zzs zz9 2 230 ~ 231 ^ Yes ^ NO 232 233 3 234 23s ^ Yes ^ NO 236 237 4 z3s z39 ^ Yes ^ No zao gal 5 zaz za3 ^ Yes ^ No zaa Zas If more hazardous components are present at greater than 1 % by weight if non-carcinogeniq or 0.1 % by weight if s:arcinogenic, attatL additional sheets of paper rap g fhe required information. ~ za6 ADDITIONAL LOCALLY COLLECTED INFORMATION ~~ +/ If EPCRA Please Si Here (7/02 revised) KC Form 2731 HAZARDOUS MATERIALS INVENTORY - cxENIICAL llESCRIPTION KERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMENT Unified Program Consolidated Form (i JPCF) 2700 M STREET, SUITE 300 HAZARDOUS MATERIALS BAKERSFIELD, CA 93301 (661) 862-8700 Fax (661) 862-8701 (one page per materiel per building or area) ^ADD ^DELETE ^REVISE 200 Page _ of_ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 5 CHEMICAL LOCATION zol CHEMICAL LOCATION CONFIDENTIAL EPCRA 2oz YES ^ NO r2 i ! ,... 1 MAP# (optional) 203 GRID# (optional) 204 FACILITY ID # II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET Yes o zo5 r ~ . If Subject to EPCRA, refer to instructions COMM NAME 20~ EHS'~ ^ Yes ®'No zos ur'a;{~-t' i CAS# 209 *If EHS if "Yes", all amounts below must be in pounds {' Q FIRE CODE HAZARD CLASSES (Not currendy required by KCEHSD) ~ 210 HAZARDOUS MATERIAL , TYPE (Check one item only) ^ a PURE tyU. MIXTURE ^ c. WASTE 211 r-~.~ RADIOACTIVE ^ Yes [a1Qo 212 CURIES zt3 PHYSICAL STATE 214 (Check one item only) ^ a. SOLID [~i LIQUID ^ c. GAS LARGEST CONTAINER 215 FED HAZARD CATEGORIES 215 ,,~ (Check all that apply) ^ a. FIRE ~ o. REACTIVE ^ c. PRESSURE RELEASE [j~d ACUTE HEALTH ^ e. CHRONIC HEALTH AVERAGE DAILY AMOUN'T' 217 MAXIMUM DAILY AMOUNT 218 ANN[JAL WASTE AMOUNT 219 STATE W STE CODE A zzo '' AA +V zzt UMTS' (GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS DAYS ON SI E: zzz Check one item onl • If EHS, amount must be in ounds. STORAGE CONTAINER ^ a ABOVE GROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CAN ^ j, BAG ~n. PLASTIC BOTTLE ^ r. OTHI-R ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ h. SILO ^ 1. CYLINDER ^ p. TANK WAGON 2z3 STORAGE PRESSURE [tea AMBII,NT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 224 STORAGE TEMPERATURE ~a AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC zzs %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1 zz5 zzy ^ Yes ~"No 2zs 2z9 l i/ ~ - 2 230 231 ^ Yes [~1~T0 232 233 ~ 2- 3 z3a zas ^ Yes ^ No z35 z3~ 4 238 239 ^ Yes ^ NO 240 241 5 2az za3 ^ Yes ^ No 2aa zas if more hazardous components are present at greater than 1 % by weight ifnon-carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION zas If PCRA Please SI Here (7/02 revised) KC Form 2731 HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIrTION I{ERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMENT Unified Program Consolidated Form (I 7PCF) 2700 M STREET, SUITE 300 HAZARDOUS MATERIALS BAKERSFIELD, CA 93301 (661 862-8700 Fax (661) 862-8701 (one page per mateual per building or area) ^ADD ^DELETE ^REVISE 200 Page _ of_ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 G ~ r [. CHEMICAL LOCATION zol C MICAL LOCATION CONFIDENTIAL EPCRA 202 YES ^ NO a ~r 1 MAP# (optional) 203 GRID# (optional) zoo FACILITY ID # ~ II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yes ~3Vo zo5 1~~ . 5 s r i.1 ~ ~ If Subject to EPCIt~ refer to instructions COMMON NAME zo7 EHS* ^ Yes l~ loo 2os CAS# 209 *If EHS if "Yes", all amounts below must be in pounds b -~3- FIRECODE HAZARD CLASSES (trot currently required by KCEHS~) 210 HAZARDOUS MATERIAL 211 TYPE (Check one item only) ^ a PURE [a'b. MIXTURE ^ a WASTE RADIOACTIVE Yes ,,,! ^ L7 No 212 CURIES 213 PHYSICAL STATE ,~ ~ 214 (Check one item only) tea. SOLID ^ b. LIQUID ^ c. GAS LARGEST CONTAINER 1~ eJ-~ 215 FED HAZARD CATEGORIES 215 (Check all that apply) ^ a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE []mod. ACUTE HEALTH ^ e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXQvfIJM DAILY AMOUNT 218 ANNiJAL WASTE AMOUNT 219 STATE WASTE CODE 220 '1 D N /-~ N zzl DAYS ON ITE: zz2 UMTS* ^ a GALLONS ^ b. CUBIC FEET [r~'c. POUNDS ^ d. TONS Check one item onl * If EHS, amount must be in ounds. STORAGE CONTAINER ^ a. ABOVE GROUND TANK [[tie. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG ['~}' n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d STEEL DRUM ^ h. SILO ^ 1. CYLINDER ^ p. TANK WAGON 223 'a. AMBIENT ^ b. ABOVE AMBIENT' ^ c. BELOW AMBIENT STORAGE PRESSURE Q 22a , / STORAGE TEMPERATURE ~y a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1 22b zz7 ^ Yes [~F1o zzs zz9 r + c 2 230 231 ^Yes [-}'IVO 232 233 t ! ~ ~ ._~ 3 234 235 ^ Yes ©~NO 236 237 ~ ~ _ d - r J 238 Q 239 r ^ Yes ~0 240 241 ~ + ~-~ ' 5 242 243 ^ Yes ~O 244 245 n ~ C ~ S ^~ If more harardous components are p t at greater than 1 % by weight if non-carcinogenic, or 0.1 % by weight if rarcinogeni4 attach additional shcets of paper capNring the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION za5 ~~ ~~,~ . If PCRA Please Sl Here (7/02 revised) KC Form 2731 HAZARDOUS MATERIALS INVENTORY -CHEMICAL DESCRIPTION KERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMENT Unified Program Consolidated Form (UPCF) 2700 M STREET, SUITE 300 HAZARDOUS MATERIALS BAKERSFIELD, CA 93301 (661 862-8700 Fax (661) 862-8701 (one page per materiel per building or area) ^ADD ^DELETE ^REVISE 200 Page _ of_ I. FACILITY INFORMATION ~ BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 ~ ~ CHEMICAL LOCATION ' 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA 202 ~ fe k~ ~ O~ [~ YES ^ NO 1 MAP# (opfionaq 203 GRID# (optional) 204 FACILITY ID #1 II. CHEMICAL INFORMATION , CHEMICAL NAME 2os TRADE SECRET ^ Yes [~~2Vo 206 ~ ,~ If Subject to EPC1L4, refer to instructions COMMON N z°~ zos EHS* ^ Yes ^iPd'o J~ "' ,~ 209 CAS# *If EHS if `7es", all amounts below must be in pounds ,.~j ~+ CJ I~ -I ~~ FIRE CODE HAZARD CLASSES (blot currency required by xCEHSn) 210 HAZARDOUS MATERIAL TYPE (Check one item only) ^ a. PURE [~} b. MIXTURE ^ c. WASTE 21t RADIOACTIVE ^ Yes [~1Go 212 CURIES 213 PHYSICAL STATE (Check one item only) ^ a. SOLID ['J~b. LIQUID ^ c. GAS 214 LARGEST CONTAINER 215 FED HAZARD CATEGORIES 216 (Check all that apply) ^' a. FIRE [;~i. REACTIVE ^ c. PRESSURE RELEASE ~ ACUTE HEALTH ^ e. CHRONIC HEALTH AVERAGE DAILY AMOUNT' 21 ~ MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 zn DAYS ON SITE: zzz UNITS* ~ GALLONS ^ b. CUBIC FEET ^ c. POUNDS ^ d. TONS Check one item onl * If EHS, amount must be in ounds. ~ (p STORAGE CONTAINER ^ a. ABOVE GROUND TANK ^ e. PLASTIGNONMETALLIC DRUM ^ i. FIBI~ DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK B~f. CAN ^ j. BAG Sri. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d STEEL DRUM ^ h SILO ^ I. CYLINDER ^ p. TANK WAGON 2z3 STORAGE PRESSURE ~ AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 2z4 STORAGE TEMPERATURE E3"a AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC zzs %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1 ~ y ~S~ zz6 i ~ ~ r zz~ ^ Yes [~No zzs f ~ ~ ' ~ - zz9 2 230 231 ^ yes Q'NO 232 233 S- ~ '1 n'~ 3 234 23s 1 ^ Yes ~NO 236 237 ~1 oC n 1 Q 238 239 ^ yeS u NO 240 241 ~ ( ~ n ~~ 5 zaz za3 ^ Yes ~'`No 2aa zas ( _ i _~ ',~ If more hazardous components a present at g r than 1 % by weight if non-carcinogenie, or 0.1% by weight if carcinogeniq attach additional sheets of paper capturing the required information. - ADDITIONAL LOCALLY COLLECTED INFORMATION za6 ~~ If EP ere (7/02 revised) KC Form 2731 0 . u~-F ~ a7..CZ ~ coo u S ~ r~ nr- ~e ri,-~ ~ -~-I S G ,~ 5 .~ c~- IiAZARDOUS MATERIALS INVENTORY - cIIEMICAL DESCRIPTION KERN COUNTY ENVIRONMENTAL I3EALTH SERVICES DEPARTMENT Unitied Program Consolidated Form.(IIPCF) 2700 M STREET, SUITE 300 HAZARDOUS MATERIALS BAKERSFIELD, CA 93301 (66l 862-8700 Faz 661) 862-8701 (one page per material per building or area) ^ADD ^DELETE ^REVISE zoo Page _ of_ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 rs L CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPC12A 202 `YES ^ NO f• ~ 1 MAP# (optional) 203 GRID# (optional) 2oa FACILITY ID # II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yes [~1Qo 206 s, >f Subject to EPCRA, refer to irumrctions COMMON NAME 207 2os EHS* ^ Yes L~1Qo 209 CA$# •If EHS if'7es", ell amounts below must be in pounds -1 °' I FIRE CODE HAZARD CLASSES (Not currently required by KCEHSD) 210 HAZARDOUS MATERIAL TYPE (Check one item only) 8's PURE ^ b. MIXTURE ^ c. WASTE z11 RADIOACTIVE ^ Yes ~0 212 CURIES 213 PHYSICAL STATE z1a (Check one item only) [~'~a SOLID ^ b. LIQUID ^ c. GAS LARGEST CONTAINER J-~ 215 FED HAZARD CATEGORIES 216 (Check all that apply) ^ a FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ^ d ACUTE HEALTH ~. CHRONIC HEALTH AVERAGE DAILY AMOUNT z17 MAXIMLIM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT zl9 STATE WASTE CODE 2z0 l~ z21 DAYS ON SITE: z2z UNITS* ^ a GALLONS ^ b. CUBIC FEET (POUNDS ^ d. TONS (Check one item onl " If EHS, amount must be in ounds. STORAGE CONTAINER ^ a ABOVE GROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CAN (~ BAG ^ n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d. STEEL DRUM ^ b. SILO ^ 1. CYLINDER ^ p. TANK WAGON 223 STORAGE PRESSURE ~ . AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 22a ,. / STORAGE TEMPERATURE L'7 a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC zz5 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1 226 227 ^ Yes ^ No zze zz9 2 230 231 ^ yes ^ NO 232 233 3 234 235 ^ Yes ^ NO 236 237 4 z3g z39 ^ Yes ^ No zao 2a1 5 zaz za3 ^ Yes ^ No 244 zas if more hazardous components are present at greater than 1 % by weight if non-rarcinogeviq or 0.1 % by weight if carciuogeniq attach additional sheets of paper c raring the required informafion. ADDITIONAL LOCALLY COLLECTED INFORMATION ~~'/~ za6 If EPCRA Piease Si Here (7/02 revised) KC Form 2731 HAZARDOUS MATERIALS INVENTORY - cxEMlcaL nESCRIrTION I{ERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMENT Unified Program Consolidated Form ('UPCF) 2700 M STREET, SUITE 300 HAZARDOUS MATERIALS BAKERSFIELD, CA 93301 (661) 862-8700 Fax (661) 862-8701 (one page per material per building or area) ^ADD ^DELETE ^REVISE 200 Page_ of_ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 r' LZC CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA zoz [U'S'ES ^ NO R `e_ f 1 MAP# (optonal) 203 GRID# (optional) zoa FACILITY ID # II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET Yes ©~Qo 206 ' ~. f [f Subject to EPCRA, refer to instructions COMMON NAME 207 EHS* ^ Yes zoa lv2n-I-" ~~ CAS# t 209 •If EHS if "Yes", all amounts below must be in pounds L~ FIRE CODE HAZARD CLASSES (Not cunently required by xCEHSD) zl0 • HAZARDOUS MATERIAL TYPE (Check one item only) ^ a PURE []'6 MIXTURE ^ c. WASTE 211 RADIOACTIVE ^ Yes ~Io 212 CURIES 213 PHYSICAL STATE 214 (Check one item only) ^ a. SOLID [J~U!LIQUID ^ c. GAS LARGEST CONTAINER i 215 FED HAZARD CATEGORIES 216 (Check all that apply) ~a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ^ d. ACUTE HEALTH fie. CHRONIC HEALTH Y AMOUNT 217 AVERAGE DAI L MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 ~ ,t l ~ ,~~ UNITS` i~ a GALLONS ^ b. CUBIC FEEL' ^ c. POUNDS ^ d. TONS z'-i DAYS ON SITE: 2z2 (Check one item onl * If EHS, amount must be in ands. S STORAGE CONTAINER ^ a ABOVE GROUND TANK" ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ~ f. CAN ^ j. BAG Own. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d STEEL DRUM ^ h. SILO ^ L CYLINDER ^ p. TANK WAGON 223 STORAGE PRESSURE ~'g AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 22a , STORAGE TEMPERATURE tea. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # I zz6 Lt, ~ zz7 ^ Yes [~-2do zz8 - S zz9 2 230 f ~ 231 L ^ Yes b iv0 232 9-01- 233 3 234 - 235 [] Yes ^ NO 236 237 Q 238 239 ^ Yes ^ NO 240 241 5 zaz 243 ^ Yes ^ No z4a z4s If more hazardous components are present at greater than i% by weigh[ ifnon-Carcinogenic, or 0.1 % by weight if carcinogeniq attach additional sheets of er Capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION za6 IfEPCRA Please Si Here (7/02 revised) KC Form 2731 HAZARDOUS MATERIALS INVENTORY -CHEMICAL DESCRIPTION KERN COUNTY ENVIRONMENTAL IIEALTH SERVICES DEPARTMENT Unified Program Consolidated Form (UPCF} 2700 M STREET, SUITE 300 HAZARDOUS MATERIALS BAKERSFIELD, CA 93301 (661) 862-8700 Fax (661 862-8701 (one page per material per building or area) ^ADD ^DELETE ^REVISE 200 Page _ of_ I. FACILITY INFORMATION ~ BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 { 4 CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL EPCRA 202 [~ES ^ NO ~ _~ 1 MAP# (optional) 203 GRID# (optional) 204 FACILITY ID # ~ , II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET Yes o zo6 11 -~~I, l Y O v ~ f IISubject to EPCRA, refer to inshuctions COMMON NAME zoo ~ zos ~- ~„ l_ EHS* ^ Yes [j~Ido CA$# 209 *If EHS if "Yes", all amounts below must be in pounds FIRE CODE HAZARD CLASSES (Not cunently required by xc>1-isn) 210 HAZARDOUS MATERIAL TYPE (Check one item only) ~ PURE ^ b. MIXTURE ^ c. WASTE 211 ~-,~~ RADIOACTIVE ^ Yes V~~'°O 212 CURIES 213 PHYSICAL STATE ,.., ~ (Check one item only) tai- a. SOLID ^ b. LIQUID ^ c. GAS 21a LARGEST CONTAINER - 215 FED HAZARD CATEGORIES - / ~,~ (Check all that apply) [tea. FIRE ~'b. REACTIVE ^ c. PRESSURE RELEASE (tea. ACUTE HEALTTi ^ e. CHRONIC HEALTH 216 AVERAGE DAILY AMOUNT zi'7 MAXIMUM DAILY AMOUNT zls ANNUAL WASTE AMOUNT 219 STATE WASTE CODE zzo ~~ N UNITS* ^ a GALLONS ^ b. CUBIC FEET C'~ c POUNDS ^ d. TONS 221 DAYS ON ITE: 222 (Check one item onl * If EHS, amount must be in ounds. STORAGE ~ ~ CONTAINER ^ a. ABOVE GROUND TANK .dye. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m. GLASS BOTTLE ^ q. RAIL CAR ~ / ^ b. UNDERGROUND TANK ^ f. CAN ^ j. BAG t~ n. PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ^ d STEEL DRUM ^ h SILO ^ 1. CYLINDER ^ p. TANK WAGON 223 STORAGE PRESSURE~id. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT 22a STORAGE TEMPERATURE t.7 a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC zz5 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # I zz6 zz~ ^ Yes ^ No zzs zz9 2 230 231 ^ Yes ^ NO 232 233 3 z3a z3s ^ Yes ^ No z3e z3~ 4 238 239 ^ Yes ^ No zao zal 5 za2 za3 ^ Yes ^ No zaa zas if more hazardous componenta are present at greater than 1 % by weight if non-carcinogenic, or 0.1 % by weight if earciaogenic, attach additional chcets o aper rupturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION /~ ~G~ ~-~~ TT za6 IfEPCRA Please Si Here (7/02 revised) KC Form 2731 2 3 4 ~-~ 6 7 8 9 10 i I~ NV S I T E M A' P NOT TO CALE SCP DISTRIBUTORS, LLC. / SUPERIOR POOL PRODUCTS, LLC. 2005 SITE MAP Street Address: f ~~~s~'~ Cit i State: Zip: Branch Name & #:~~ A B C D E F G HA~ARDQUS MATERIAL LEGEND Legend Common Symbol Trade Chemical Name for use Name on Site Map Trichlor Tnchloroisocyanuric acid, dry Q Tablets Dy-chlor Dichloroisocyanuric acid, dry ~ Litho Lithium hypochlorite, dry ~ Shock Bromine 1-bromo-3-chloro-5,5-dimethyl ~ Tablets hydantion Ca{-hypo Calcium hypochlorite, hydrated ~ shock I 67% 02 Shock Potassium peroxymonosulfate ~ Metal Out 1-Hydroxyethylidene-1,1- ~ diphosphonic PVC Methyl ethyl ketone, ~ Cement Tetrahydrofuran Epoxy Epoxy resin, Xylene (~} Solvents, Aromatic naphtha light, ~ Primers Propoxy propanol Cal-hypo Calcium hypochlorite, hydrated ~ ShOCk II 47% Colorseal, Propolene glycol, Butoxy Z Primers dipropanol Bleach Sodium hypochlorite Y Calcium Calcium chloride $ Increaser Stabilizer Cyanuric acid R Alkalinity Sodium hydrogren carbonate P Plus pH Sodium bisulfate N Decreaser Algae Plus Copper-Triethanolamine M complex Sand Silicon dioxide Si02 H D.E. Diatomaceous earth B, Muriatic Hydrochloric acid ~( Acid Aqua Ammonia L Ammonia Vermiculite Vermiculite ~ Anti- Propylene Glycol G Freeze Other Equipment/Non-Hazardous Items Legend Sewer floor drains ~ Storm drains Electrical shut off Gas shut-off EA Emergency assembly area ~ . Personal Protection Equipment -~- Medical & FirstAid Equipment Safety Showers & Eyewashes Spill Containment & Mitigation MaterialslEquipment MS MSDS & Emergency Response Plan • Fire Extinguishers Fire Hydrants & Connections (~ Sprinkler System Valves i~ Emergency shut-off(i.e. gas pump etc. AC Air Conditioning Shut-off. V1~ater Shut-off lr r1 + SCP DISTRIBUTORS LLC ________________________________ SiteID: 015-021-001100 + Manager KIRK HALL Location: 4601 GRISSOM ST City BAKERSFIELD CommCode: BFD STA 13 EPA Numb: BusPhone: (661) 837-8344 Map 123 CommHaz High Grid: 15D FacUnits: 1 AOV: SIC Code:5091 DunnBrad:066142225 Emergency Contact / Title Emergency Contact / Title KIRK HALL / BRANCH MANAGER MICHAEL FERGUSON / ASST MANAGER Business Phone: (661) 837-8344x Business Phone: (661) 837-8344x 24-Hour Phone (661) 717-4793x 24-Hour Phone (661) 201-2280x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: ~ Fire React ImmHlth DelHlth Contact GERALD OLIVIER Phone: (985) 893-0648x MailAddr: 109 NORTHPARK BLVD 4TH FL State: LA City COVINGTON Zip 70435 Owner SCP DISTRIBUTORS LLC Phone: (985) 892-5521x Address 109 NORTHPARK BLVD 4TH FL State: LA City COVINGTON Zip 70435 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: ~ Emergency Directives: ~ PROG A - HAZMAT Based on my inquiry of those individuals responsible for obtairnng the information, !certify under penalty of law that I have personally examined and m familiar w' the information cuhmittAfl ar(~ali~a t formation is true, ~p~ 24 ?b06 t______________________________________________________________________________+ -1= 03/14/2006 ~- ~ l"~ ` 1 ~s~~ SCA DISTRIBUTORS LLC SiteID: 015-p21-001100 Manager ; KIRK HALL Location: 4601 GRISSOM ST Cit~t $AICERSFIELD BusPhone: (661) 837-8344 Map 123 CommHaz High Grid: 15D FacUnits: 1 AOV: CommCode: SFD STA 13 EFA Numb: Emergency Contact / Title Emergency Contact / Title KIRK HALL / BRANCH MANAGER MICHAEL FERGUSON / ASST' MANAGER Business Phone:. (661) 837-8344x Business Phone: (661) 837-$344x 24-Hour Phone (661) 717-4793x 24-Hour Phone (661) 201-2280x Pager Phone : ( ) - ]C Pager phone ( } ~ x ~ Hazmat Hazards: Fire React ImmHlth DelHlth ~ Contact (~,; I•C~-I~~~r~•~~ Phone: (985) 8~3-~'8x MailAddr: 109 NORTHPARK BLV~ 4TH FL State LA ~9~~55 ~) City COVZNGTON Zip 70435 STC Code:5091 DunnBrad:066142225 Owner SCF DISTRYBUTORS LLC Phone: (985} 892-5521x Address 1.09 NORTHFARK BLVD 4TH FL State: LA City : COVINGTON Zip 70435 Period ~- ~~ o~ to 12-31-0 (o Preparers c+n:c~tlY gwdd Certif'd: ParcelNO: TotalASTs: - TotalUSTs: RSs: No Gal Gal Emergency Directives: PROD A - HAZMAT ~~t~ ^~,^.~ct on r~)r °t;;;ulr1r G? ;hOS~• IC1~Ill~G~.le.l5 f~aj]Ci1SSi?iE? 1'U° C~'t2~!'I~i~ ;~1G ir1~Cl'1"1~'iV~^, i C;l:IftlF)r ur?GAr ~gr~±ty ~,~: la~,^~ that I nave persc~r?rally exat!',ineG ~i;n nm Famil,~r with tha intc;mcrtion submitted ar~~ belkeve inA infhrY~l~tiert is true, d Cl~~~t8, FiC1Cl C~]m,C?IPi~. .. ig ure Dat ~N~°D A ~ R 17 2~D1 -1- 02/06/2007 a~~s ~ 'd b8fi8 '°N Wb'OZ ~ 0l L00~ 'S 'a ~W ~: P sCP DISTRIBUTORS LLC Sitelb; 015-021-001100 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+bailyMax Order Fixed Containers an Site ~ Hazmat Gammon Name... $pecHaz EPA Hazards Frm DailyMax Unit MCP SODIUM HYPOCHLORITE MURIATIC ACID HYDROCHLORIC E TRICHLORQ-S-TRIAZINERTRxONE SODIUM DICHLORO-S-TRIAZINETRION CALCIUM HYFOCHLORITE c~-~~a METHYL ETHYL KETONE ACETONE AROMATIC NAPHTHA TRIETHANOLAMINE POTASSIUM PEROXYMONOSULFATE SILICON DIOXIDE PROPYLENE GLYCOL DIATOMACEOUS EARTH CALCIUM C~iLORIDE SOD1 IUM HYDROGrrEN I'C,ARBONATE ~,C'titL'~llrrr ~pOCi.iGri 7"i ~{~~~] I-(na.~drux~~~47(,d,cHr~l~ 1--~~~7~e5~+oJ~;~c ac,d R I$ L i( ~' ~` ~•3~6fl . 0 0 GAL Hi L ~ `~ 7'7 ~fl . 00 GAL Hai IH DH S ~sut~U~-gp , 00 LBS' Mod S ~ ~`O -~-b.~A-0.00 LBS Mod R IH S ~i5~OC~ 49.0.00 LBS Mod L ~ z, ~ ~2-56.0 0 GAL Mod F R IH G 2 0 0. 0 0 ~'T3 Mod F DH L ~ ~ -88.0 0 GAL Mod L h~ ~ ~-0. 0 0 GAL Mod S 3L~ ~ 7..Q.~~O.O 0 LBS Low F F IH DH S L ~~•0.00 ~~ ~~A4 LBS GAL Lots' Low DH S 34 i; ~~F3~8~@~0.00 LBS Min, DH S y~~~~ 3~-8-0.00 LBS Min S ~~0 411A-0.00 LBS UnR ~ ~ u S r, 4 c~'7 G.13 S ~' u ~. ~ ~ Ll L-~AG ~1 '~ S ~ oc~i C~ B S -~- 0~/QZ 'd 6868 '~N 02/06/200 Wdoz ~ o < <ooz ~5 ,, ~~ Mar, 5. 2007 10:20AM No. 8989 P. 21/40 coot/so/zo _E_ F SCP DISTRIBUTORS LLC SitelD: 015-021-001100 ~ ~ Inventory Item 0016 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME SODIUM HYPOCHLORITE Days On Site BLEACH 365 Location within this Fa,ciiity Unit Map: Grid: WHSE CAS## 7681-52-9 STATE TYPE -~ PRESSURE TEMPERATURE ~------ CONTAINER TYPE Liquid ~Mixtur~-Ambient ~ Ambient I PLASTIC CON'Y'AINFR AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL .00 GAL 0.00 GAL nnarsic-t~V V ~ ~.vrlrvlvxiv 1 ~7 ~'Wt . R$ CAS# 13.00 Sodium Hypochlor~.te No 7681529 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount FPA Hazards NFpA USDOT# MCP No No No No/ Curies R IH 3 /p/,~l~xy !~ R f Hi ~ Tn~rentory Item 0013 - Facility Unit: Fixed Containers an Site ~ COMMON NAME / CHEMICAL NAM$ MURIATIC ACID - HYDRQCHLORIC Days On Site 365 Location within this Facx~,ity Unit Map: Grid: WHSE CASE 7647-01-0 STATE TYPE - PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient -~LASTIC CONTAINER AMOUNTS AT THIS LQCATTON Largest Container Daily Maximum I.0 0 GAL ~ ~r9fl , 0 0 GAL HAZARDOUS COMPONENTS ~Wt. 35.00 Hydrochloric Acid 65.00 Watex Daily Average ~ -7""1 8~?-0.0 0 GAL RS CAS# Yes 7647010 Na 7732185 HAZARD ASSESSMENTS TSeeret RS BioHaz Radioactive/Amount I EFA Hazards NFPA USDOT# MCP Na No No No/ Curies ~,/~/~ /n,/ i ,.3 ~~ Hi -4- 0~/ZZ 'd 6868 '~N 02/06/2007 WdOZ~OI LOOZ 'S 'a~W F SCP DIS'T'RIBUTORS LLC -- - SiteID: 015021-007.7.00 ~ ~ Inventory Item 0015 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME TRICHLORO-S-TRII~INERTRIONE Days On Site TRICHLOR TABLETS 365 Location within this Facility Unit Map:- Grid: '6~lITSE CAS# 87901 ~SalidE TMixtur~Ambient~ ~ AmbPentT~E DRUM/$,~,RRE~NONMETAL~ p,MOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 2 5 0 . 6 0 LBS l ~ , c~ c>C7 ~-A-$-4p . 0 0 LSS rrag ( -3~A~F}9~0.0 0 LBS liHGAH1JVUS C:VMYQ~V~,1VZ',5' ~Wt . RS CAS## 99.00 Triohlvra-s-triazinetriane No 87907. 1.1AGAKl) P,SSESSMEN'~'S TSecret RS BiaHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP Na No No No/ Curies IH DH ,~/p/,2/ z ~b~ Mod ~ Inventory Item 0007 Facility Unit; Fixed Containers an Site ~ COMMON NAME / CHEMICAL NAME SODIUM DICHLORO-S-TR7AZINETRIONE Days On Site DY-CHLQR 365 Location within this Facility Unit Map: Grid: WHSE CAS# 2893-78-9 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid ~Mixture~Ambient ~ Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average ~~ •~8' . 0 0 LBS ! S,~ l~a-8.8-0. 0 0 LBS I 1 S G` -5-5.9-x. 0 0 S ~Wt. 97.00 Sodium Dichloro-s,triazin;etrione HAZARDOUS COMPONENTS RS` CAS# No ! 2893789 li.4GAlZD .ASSESSMENTS TSecret No RS No BioHaz No Radioactive/Amount EFA Hazards Na/ Curies NFPA ~ /~/~ /~Xy USDOT# 2 b5~ MCF Mad -'~ - 02/06/zoo7 O~b/8~ 'd b8b8'~N Wb'l~~Ql t00Z 'S 'a~W F SCP DISTRIBUTORS LLC 5itexD: 01.5-02X-001100 ~ ~ Ynventory Item 0003 - Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME CAi'•GIUM HYPOGHLORITE ~(~ -`7 ~°~ Days Ori Site CAL-HYPO, SHOCFC 365 Location within this Facility Unit Map: Grid: WHSE CAS# 7778-54-3 STATE ~ TYPE --- PRESSURE TEMPERATURE Solid, Mixture Ambient ~ Ambient CONTAINER TYPE _ DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daz1.y Maximum Daily Average 10 0.0 0 LBS ~{ ors 0 '~k-6{fi0.0 0 LBS ;3 C'~ ~ U ~$f1.0 0 LB S HAZARDOUS COMPONENTS $Wt• RS CAS# 57.00 Calcium Hygochlorite Nq 7778543 7.00 Calcium Hydroxide No 1305620 3.00 Calcium Carbonate No 1317653 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Antqunt EPA Hazards NFPA USDOT# MCP No No Na Na/ Curies ~ R 1H /p/~ / . Mqd ~ ~ ,y~~,n ~ Inventory Item 0010 - Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME METHYL ETHYL KETONE Days On Site PVG CEMENT 365 Location within this Facility Unit Map: Grid: WHSE CAS# 109-99-9 STATE TYPE PRESSURE TEMPER.A,TURE Liquid Mixture Ambient ~ A.rnbient AMOUNTS AT THIS LOCATION Largest Cgzztainer Daily Maximum 1.0 0 GAL l S p^~~{) . Q O GA,L ~Wt. 36.00 Methyl Ethyl Ketone 40.00 Tetrahydroturan 9.14 Cyelohexanane ---- CONTAINER TYPE =-~ Gf~i'U Daily Average ~ ~ ~@ . 0 0 GAL HAZARDOUS COT~PONENTS RS CAS# Nq 78933 Nq 109999 No 108941 HAZARD ASSESSMENTS - TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA No No Na Nq/ Curies ~ 2 /~ /~ / -5- USl]OT# ~ MCP 1 r33 Mod oa/o6/~00~ Oti/tiZ 'd b868 '~N W~ l Z ~ O l LOOZ 'S '" ~W F SCP DISTRIBUTORS LLC SitelD; 015-021-001140 ~ ~ znventary 2tem 0018 - - Facility Unit: Fixed Containers an Site ~ COMMON NAME / CHEMICAL NAME ACETONE Days Oxx Site 365 Location within this Facility Unit Map: Grid: CAS# 200-6622 STATE TYPE --W PRESSURE TEMPERATURE --~ CONTAINER TYPE ~ Gas TPUre ~-Above Ambient Ambient, FORT. PRESS. CYLINDER I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 200.00 FT3 200.00 FT3 200.Q0 PTA HAZARDOUS COMPONENTS ~--_ .,-_-., ~kWt . 100.00 Acetone RS~ CAS# PTO 6764, TSecret RS $ioHaz nnalatci, .e+~« Radioactive/Amount ~aL+~~rirlv~1~5 EPA Hazards NFPA USDOT# MCP No No NO No/ Curies F R IH / / / Mad ~ Inventory Item 0014 -~~ Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL N,A,ME AROMATIC NAPHTHA Days On Site SOLVENTS, PRIMERS 365 Location within this Facility Unit Map: Grid: WHSE # 6742-95-6 STATE -TYPE PRESSURE TEMPERATURE ~----- CONTAINER TYPE Liquid Mixture Ambient Ambient C,,q~t1 AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1. 0 0 GAL ~- p 80.0 0 GAL ~ ~ 4-0.0 0 GAL HAZARDOUS COMPONENTS ~Wt . 1tS CAS# 13.00 Aromatic Naphtha No 6742956 4.00 1, 2Propyl.ene Glycol No 15690~,~ HAZARD ASSESSMENTS TSecret No RS No BioHaz No Radioactive/Amount No/ Curies EPA Hazards F DH NFPA ~ /~/~ / USDOT# I~~d~ MCP Mod -7- a~isz ,d 6s~a ~~N a2/06/ZO07 w~~z~o~ caoz ~s .apW ~ SCP DISTRIBUTORS LLC SiteID: 015-021-001100 q ~ Inventory Item pp17 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHE`MZCAL NAME TRIETHAN'OLAMINE Days On Site COPPER TRIET~iANOLAMINE COMPLEX - ALGAE PLUS 36S Location within this Facility Unit Map: Grid: WHSE ~# 7758-98-7 STATE TYPE PRESSURE --- TEMPERATURE - - CONTAINER TYPE Liquid Mixture .Ambient ~ Ambient ~~LASTIC CQNxA,INER AMQUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Avexage i . o p cAL ~ ~ ~ .~~ . p o GAL ~ 4~ -5~e . q o GAL HAZARDOUS COMPONENTS ~Wt. RS CAS# 7.00 Copper (Y) Chloride NCs 1012513q 3.q0 Alkyl Dimethylbenzylammonium Chloride No 68424851 HAZARD ASSESSMENTS TSecret No RS No BioHaz No Radioactive/Amount No/ Curies EPA Hazards NFPA ~ /) /p / USDOT# ~, ~. MCP Mad _g_ Oti/9Z 'd b8b8 '~N 02/06/2087 WdZZ~OI COOZ 'S ,,~W F SCF DISTRIBUTORS LLC SiteTD: 015-021-001100 ~ ~ Inventory Item 0009 Facility Un~.t: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME POTASSIUM PERO%YMONpSULFATE Days On Szte 02 SHOCK 365 Location within this Facility Unit Mai: Grid; WHSE CAS## 10058-23-8 STATE - TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid ~Mixtur~Ambient ~ Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum ~ Daily Average `l~° ~s - 0 0 LB5 ~ K ~ 3-9-9.0 0 LBS ~ ~,~~ 7-§~ . 0 0 LB5 HAGAtZUUiJ~ COMPONENTS ~Wt. RS CAS# 43.00 Potassium Peroxymonosulfate No 10058-23-8 23.00 Potassium Bisulfate No 7646937 29.00 Potassium Sulfate No 7778805 3.00 POTASSIUM PEROXYDISULFATE Na 77Z7-21-1 Z.00 Magnesium Carbonate No 546-93-0 rsAZAxD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT## MCP Na No No No/ Curies 3 /p/~ / ~~~~ Lpw -9- o~~~z ,d ~s6s ~~N OZ/06/2007 wdzz ~ o ~ coaz .~ ~a ~W p SCP DISTRIBUTORS LLC SiteID: 01.5-021-001100 ~ ~ Inventory Item 0011 ~ Facility Unit: Fixed Containers on Site ~ COMMON NAME / CH}sN1ICAL NAME SILICON DIOXIDE Days On Site SAND X65 LpGation within this Facility Unit Map: Grid: wxs~ eAS# 14808-50-7 = STATE TY'pE PRESSURE TEMPERATURE CONTAINER TXPE - Solid Mixture Ambient Ambient BAG AN[OUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 50.00 LBS ~~p .x}0.00 LBS G -73 ~~0. 00 LBS HAZARDOUS COMPONENTS ~Wt. RS CAS# 50.00 SiliGOn Dioxide No 7631859 50.00 Sulfur No 7704349 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCF No No No No j Curies F DH L's /~ /~ / ~, ~ ,~ r,ow ~ Inventory Item 0012 - - ... Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME PROPYLENE GLYCOL Days On Site COLORSEAL, P~tIMERS 365 Location within this Facility Unit Map: Grid: '~ !Vo lenaSz r ~-~~''~~ CAS# 57-55-6 STATE TYPE PRESSURE TEMPERATURE Liquid Mixture Ambient ~ Ambient AMOUNTS AT THIS LOCATION Largest Container Daily Maximum ~ ~' -~ ~ fir. 0 0 GAL CONTAINER TYPE -~-~ Daily Average (~ 55'. 0 0 GAL HAZARDOUS CON(PQNENTS ~Wt. 30.00 1,2-Propylene G7.yco1 70.00 Water RS CAS# No 57556 No 7732185 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount ( EPA Hazards No Na Na No/ Curies I F IH -10- Oti/8~ 'd 6868 '~N NFPA USDOT# MCP / / / Low 02/06/2007 W~~Z ~ Q l LOOZ 'S 'a ~W F SCP DISTRI$UTORS LLC - SitelD: 015-02Z-001100 ~ ~ Imcrent~oxy Item 0006 k'acility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DIATOMACEOUS EARTH Days On Site 365 Location within this Facility Unit Map: Grid: WHSE CASE 68855-54-9 STATE TYPE ~- PRESSURE 'TEMPERATURE ~ CONTAINER TYPE ~Soiid Mixture I Ambient ~ Ambient 1 8AG AMOUNTS AT 'THIS LOCATIQN Largest Container Daily Maximum Daily Average 50.00 LSS 3~yly 380.00 LBS ;3~15~ ~@fi'6'.00 L,BS ,,..,~...~ ^,u~. 4uiir~ivairi~ ~Wt. RS CAS# 100.00 Diatomaceous Earth No 6$$55549 HAIAKU ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFFA USDOT# MCF No No No Na/ Curies DH ~ ,(~ /p/ ~, ~~q. Min ~ Inrrentory Item 0004 -~~ - Facility Unit: Fixed Cont~.iners on Site q COMMON NAME J CHEMICAL NAME CALCIUM CHLORIDE Days On Site CALCIUM INCREASER ,365 Location r~ithin this Facility Unit Map: Grid: WHSE CAS# J.0043 -52,4 STATE TYPE PRESSURE TEMPERATURE --- CONTAINER TYPE ~Solid~Mixtur~Amba.ent ~ Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS I,,QCATION Largest Container Daily Maximum Daily Average ,~ O ~ . 0 0 LBS 5 :~ t{ (~ .3.Q1J.~-. 0 0 LBS ~ ,~. °7 U {15.0 0.0 0 L]3S QdWt +zc-~aruc.uvU~ 4Vl"IYVL~L''1V'1'S . RS CAS# 78.00 Calcium Chloride No 10043 52-4 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EFA Hazards NFFA No No .NO No/ Curies I DH ~„ ~ /l / ,11- USDOT# I MCP ~ ~ ~ Ma.n 02/46/2007 0~/6Z 'd 6868 '°N W~Z~ ~ O l L00~ 'S 'a pW ~ SCP DIST~tIBUTORS LLC ~ SitelD: 015-021-001100 ~ ~ Inventory Item 0002 -- - Facility Unit; Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME SODIUM HYDROGEN CARBONATE Days On Site ALKALINITY PLUS 365 LpCatian within, this Facility Unit Map: Gx'id: wxs~ cAS# 144-55-8 STATE TYPE PRESSURE ~ TEMPERATURE CONTAINER, TYPE Solid Mixture Ambient Ambient - _ [_11~: r~ r r ri ~ 1 ~^ T ~U ~~ AMOUNTS AT THIS Y,C7CATION Largest Container Daily Maximum Daily Average 1 ;~ ~ . 0 0 LBS s p~ .,4.8$$.0 0 LBS ~ S~ .3.0.0-4. 0 0 LBS HAZARDOUS COMPONENTS -, ~Wt. RS CAS# HA?pRn ASSESSMEN'T'S TSeGret RS SioHaz Radioactive/Amount EPA Hazards NFPA UNDO # MCP No No No No/ Curies ~/ p~[~ ~l~ ~i7nR -~.2~ 02/06/2007 Oti/08 'd b8b8 '°N WdBZ~OI LOOZ '~ ''pW UN~I~D pItQGRAM CONSOLIDAT~T1 NOYtM - IIAT.ARDUUS 1V~ATE~2YAY,S ~IAZARD4US 11~A,TE~,IAI1S TNVENT4R~.' --CHEMYCAL DESCR~I?TI4N (om or maneriat buildenp or nrea} ADD ^ D~T.1?'f`F? ^ IiFi'V'T$E ~' page _ of,.._ ~. T~ACYLTT'Y' YNx'ORIV~ATION BUSINT?SS NAi~ (Same as P'ACIt.TI'3' NAME as DBA Doing T3uaiaaag As) ,. s. .. , CE3EMICAL LOCATIOI+1 ~t• . CI~A~CAL LOCATION CONF'IDT3NTIAT, • ... • ' ., xo2. EPCRAi , FACILITY TL7 # ~ ~: MAP.# xo3-' ~ GTLID, # xo4. f~rancy U.se Only) II. CIILNIYCA~. TNFQfi1V,iATxO N CHEM:ICAT. NAME a ~• TRADE SECRET Yc9 ~ o aoe. e~r ~ ~a Tf suhlrot m F:2Cylti rt'tat to;ngauctio~m COMMON NAME. zo7. ~+~* ^ Ye8 ~0 z08, CAS# 209. .. , . ... "If EH5 is "Yeg,",elj amounts below must be in lbs. ~~ COAE TjAZARD CLASSES (compete t~ ~Ra by ~ ~) ' .. z i o. HAZARDOUS MATERL4I. [~ a. PCIRE [~. MIXTURE ^ G, WASTE zi 1. TYPE {Check one item only) RAOTPACTTVE ©Yes o zlz. CURIES zis. AHYSICAL SPATE 215. 214. {Check one itan only) [~ SOLID ^ h- LIQUID ^ 0. C)AS LARGESI'CON'fAINER FED HAZATtTa CATTAORIffi xtb• (Check aI! that appty) ^ a. FIRE ,ACTTV'S ^ a PRESSURE RBLEA$E 8"Q, ACUTE HEALTH ^ e- CHRONIC HEALTCrI AVERAGE DAILY AMOCIN`E x17. MAXIMUM DAILY AMp1UN? 218. ANNUAL WASTE AMpYJiJT 2t9• SI'A'l E w,45TE CODE zzo. ~~ ,.. zzt. UNITS" ^ a. GALLONS ^ b. CUBIC JFfiT'T, t[a'c., POCINY)S ^ d TONS .,D,A,YS OI+C SI ~ zzz. Check one item on • If EFTS, ainotmt muel be m ands.: COta i'AChtER ©a ABOVEGROUND TANK [] e. PLASTlC/NONMETALLIC DRUM ^ t, T•'II9ETL DRUM ^ m GLASS BOTTLE ^ q. RRIL CAR ^ b. UNDERGROC1Nb TAI~ITG ©£ . CAN ^ } EAG [~'h. PLASTIC BOTI'T.$ ^ t. OTHER ^ c. TANK INSTT?Is T9C7ILT)TNG d g CARBOY ^ k. BOX ^ a 7076 BTI~I ^ ~ STEEL DTtUM ^ h SILO ^' L CYLINDER ^ p. TANK WAOON ~, STORAGE PRESSURE ~ AMBIENT ^ b. ABOVE AMBTIENT ^ c. T3BLOw AMeBT V'T' zu. sraRAGE TEMPERATURE a, AhffiTENT ^ h. ABOVE AMBIL'NT ^ °. EELOw AMBIENT ^ ~ clz~ooi:rrTC 2zs. WT FXA~ARUp'()'S COMPONENT (For mixttn•e aa' waste ox~V) E~iS CAS # 1, zas. t ~ zxv. ^ Yes (~'No xxa. zxe. z. ~_ x3a mot- , d ^Yes Q'No zzz xaa. ~ r 130 ~ ~ 3. ,~ zsa. ~ z3s. ^ Yes [!]'No x3R, x5r. r 1- 4. 23s. z3s. ^ 'Ycs ^ No u0. 24I. 5. z42. 243, []'Y'es ^ No zqa. ., z4s. Cf more ~7atdaas components en p~pt at Ereatee than l% by tve4ght [t ew~.mscinopentc, or 0.1% by w~gat irtSttSnopgoiC, ettoc4 addktlosa! cheats of pape,'r captur`u>Q the tegiriRd in(armatioa ADl]1TTONAT, T,OCALLY CQLLECTFD ~'O1tMATTON 244, N ~QR ~.t~l ~ 1 ~y ~ N ~ I~] S g TPEPCItA, Fleaae Si~'liere. FSazardous Material Iuvtzrtory 2007.doc 5 Rcv 12!06 otii~ ~ ,d b868 ~~N W'd~Z ~ 0l LOOZ ~S ~1 pw t<)N1FI~b PRpGRAM CONSQLIDATED ~QRM ' HAZ,ARA4US MATERYAT~S HAZARDOUS 1V~A.xER.IALS INV'ENTORY' -CY3EIVIICAL DESC~~'TZON (one materiel r bvildin or area) ADD ^ DELIr'I"E [] ~VLSE 200. Page ` of _ T. ~'ACrLIT'Y' INFORMAT~QN BUSIN.I;SS NAMP, (Same as ;FAC'1Y.Y!'Y NAME or T)I3A -Dying Business As) .. - ,. , 3. G>:IEMICAT. T.OCATION 201. . C~EM~C.A~. TACATTON CONFIDENTIAL .... 202: • EpCRA ...: , .... ,. :. RAGII.TTY ID # ~. MAF # 203. : GRID ~ 2oa. {Agency Use Dnly) . II. CII~1lIICA~, YNFORMA'T74 N CHEMICAL. NAM1r a ~5• TRADE SECRET 'Ycs ~ No ~. r ~ ~ t t 2f Subject to 1•PL1ttti Mier t°p~stuctions COMMO NAME w~. ETiS" ~ Yea [~No tog. CA5# ao9. ~ •Tf $I~5 is "Yts,",all amounts below must be in lbs. F]RE COD7;'We~eun CLASSES (Compkt<~rroncwbYwcalaeen4r? 2111. HAZARDOUS MATERIAL TYPE (Check one item only) ^ a PURE e'b. MIXTURE ^ c. 'WASTE zl 1. RADTOACTT'VE ^ 'Yeas ~'1Qo 212. CURIES ~ 213. PHYSICAL STATE 214. (Check one item only) ^ s, SQ1G1D~ ~. I,IQUfD ^ c. frA5 LARCrESC CONTAINER 1 1 215. P`ED }lAZA1tD CATEGORIES 2t6. (Check aII that'ap~ly) ^ a. FIRE ^ b. R>~,ACTIVI; ^ c. FItESSURE I(rI.EASE Ind. ACUTE FIEALTH ^ e. CT~ROMC HEALTH A'V$RAQE DAILY AMOUNT 21i, MAXIMUM DAILY AMOUNT' 21e. q~U,a,Y, ~rqg~ ~p~• 2t9, STATE WASTE CODE zz1Y. '' 221: UNITS* ~s. aALj,ONS ^ b. C(7BIC EE$'f ©c. FOYINDS ^ ti TONS . T)A'Y•S 0,1~ [TE' . ~ ~ 222. , , Clleok one item and • If EHS amount must be in otmda.' ~ ' 3ri~ STORAGE CDriITAINER ^ a. ABOVEORDUIVD TANXC. ^ G FLASTIC/NONMETALLIC DRUM. ©i PIBER DRUM ©ta GLAS&BOTTLE ^ q. rr ntr. CAR, ^ b. UNDERC#ROUNll TANl~ ^ ~ , CAN ^ j. BAG ~ . PLASI7C BOTTLE ~] r, OTHEIz ^ c. TANK ~15IDE BUILDING ^ g, CA~O'Y ^ k, B07C ©o. TOTE BIN ©d STEEL DRUM ^ h. SII.A ^ L C1'L~INUBR ^ p, TANK gJAQbN 22y. STORAGE PRESSfYRE[ ~ a AMBIENT ^ b, A80VE AMBIENT ^ a~ BEI.O'W AMBIENT 224. . .r ~ S'rORAG18'i'EMFERP,TT7RE ~.I La AMEISN'T ^ b. ABpvE AMB]EN1' ^ c, 81F.T,0'W AMBTE]JT ^ LL CR'YOCr~TTC zz9. %'WT HAZARDOUS COMPONENT (Far tnixtw~e ar waste pnly) fi~-rS CAS # I . a26. ~a , t ^ Yta [~No z2a. i24. L t ~~f~ 2. ~0• 23t. ^ Yes ^ NO 232. 233. 3. '..3a. 235. ^ Yes ^ No 236. ]37. 4. 236. 239. ^ Yes ^ No 240.' ' a41, 5. ~z. za3. ^ Yes ^ No zaa. ' t4s. Yi tucrg t1aTAYd0p6 C6mpOb2ntl 9hh present 9L arelrlr khan ! h by t1xtE4r if pOp-C0.1Cla4peaft, e! 0,1% D~'w4igfat it tanYpegenlt, mtteeh ad8fueaal eheetc of papal cepfucing tbo rRgplrpe l°Larmadop, ADI7TI'IONAL EOCAJLIGY COI.T,EC'L'Eb TN'FORMATION 2a6, una~ s~~o ](f EpCItA, please Sign Tiero. HLlr~do'OS Material Invcntory 2007.doe 5 Rev 12106 Ob/Z8 'd 68b8 '~N W`dBl~Ol LOQZ 'S 'jpW Uk~k7EJ) PR4~RAM CUNSO~,IDATED ~`ORM ' HAZARDOUS MATERYAY~S HAZARDOUS N~TERIAX,S INVENTORY -C$~IV~ZCAL bESCRIPTION one ~ ~> a>a~m ors [~ ADD Q D&LETE [~ REV75E ~o• Page ,~ oF_ T. FACTLITX AVFORMA'I'ION )3DSII~SS NAME (same as FAGII-PPS' NAME ar DMA Laoiag Business Ae} 3. ~. , . CHEMICAL LOCATION , ~[• • CT~MICAT LOCATION CONFIDENTIAL ~. ,' .. ~ ,.. 20z •. EPQtA , Q~YES'•- ^ •NO FACII.TTY ID # ' ~ MAP # zaa. . QRIb, # 2oa, (.4gsncy Use Only) T1. CHEMICAL INFQRMATYOIV CHEMICAL]3AM'E , ~5• TR.ADESECI~sT Yes 0 2tr6 gSObj6et t0 J3'CItA, Hera to instnctiooa COMM N NAME w7, ~H(S°' ^ Yes (~No a $, ~r CAS# 209• 0 ~ .. , . ,. *Xf ];HS is "Yes,».all amounts be[oW must be in lba- FIl2]/ CODE IdA7,ATtb GLASSES (CofttylautrnputreabgtoWLsgeacy} ~ ~ zoo. HAZARDOUS MATERIAL TYPI? (Check one item anty) ~ PURE ^ b. MCXTURE ^ a WASTH 2f t. RADIOACTIVE ^ Yea [a'f1o s12. CURIES ~' 213. PHYSICAL STATE (Check ono item only) ^+a: SOLID ^ b. LIQUID ^ a GAS 2k4• LATtpf?ST CONTAINER t C~t~ 215, F1;D HAZARb CATEGORIES 2k6. (Chock all that'eppty) (~a FIRE ^ b. REACTTVH Q c. PRHSSiJRE RELEASE ^ d. ACl7I'E HBALTFI ©e. CHRONIC HEALTH AVF.RAC3E nA1L'Y' AMOUNT 217. MAXIMUM I?AIL'Y AMOUNT 216. ANNUAL WASTE AMOUNT , 219, STATE WASTE CODE 220. . 221: UN1TS• ^ o. QALLONS ©h. CUBIC F&ET [}g POUNDS [] d TONS ..DAYS 0)q CTE „ 222. Check one itemooz •IfHHS amovntJSwstbeia ands,, STORAGE ~ ~ , CONTAATER ^ s, ABD'vLGR4UI~ID TANK. I~• PLASTIC/NONMHTALLIC DRUM ^ i, 1FIA1:R bRUM D m GLA5S BOTTLE ^ 4, RAIL CAR ^ b. UNDEItAItOUt~ TAN(f ^ f . -CAN ^ j, 8A(3 L~"~. • PLASTIC BATTLE ^ r. OTI~R ^ a TANK INSID8l3UlP~ING . ^ g. CARBOY ^ k, BOX ©o. TOTE BIN © d. STHEL DRUM ^ h. SIIA ^ t, GYLINDI;R ^ p. TANK WAGON ~, STORACrE PRESSURE ~ AMBIENT ^ b. ABOVE AMBIHbTf ^ a BELOW AMBIENT ~ 224. STORAb'I< TL'MPERATI]RE ~ AMBIENT ^ b. ABOVE AMBIENT ^ c BELOW AMEILN'T ^ d. CRYOGENIC 225. WT HA7,ARTaOY,)'S G"dMPQNENT {For mixttffc ar wasEe only) EHS . CAS # I . 226, 237, ^ Yes [~ No uB, 229. 2. 230. 23t. [] Yes ^ NO xis, 233. 3. 234. ~~ ~ 235. ^ Yes ^ NO 236. ~ 23 T. 4. zas, gas. ]'Y'ea ^ No' aaa. ear. 5. 242. 243, ^ YCS ^ No 244. 245, u more eo:4rdona co~osesis are prne~ of gRfiterfbaq !.°k by weipltt>! nos-urcfnogeafq oro,l ~ by avdehclcm.mmogon>c, ~cp aaaiaoaal aLeats orpaprs rap+uaag k5e ~oyo3rea infnrmatlun. ADDITIQNA>r I,OCA,LL'Y COT LECTED INF4RMATIOIV~ 246. t'~ ~ ~r - IfEPCItA, Please S4g n Flete. ~Iazardous Marerisl Inaetttory 2007. doc 5 ReW I2/06 0/88 'd b868 '°N W~'BZ~OI COOZ 'S 'apW ~ sC~ DISTRIBUTORS LLC SitelD: 015021-001100 - -• Fast Format ~ Notif /Evacuation/Medical ~~ Overall Site Agency Notification 05/05/1992 IN THE CASE OF A SMALL SPILL, ONE HUNDRED POUNDS OR LESS, THE EMPLOYEES WILL NOTIFY THE BRANCH MANAGER, ONCE THE SPILL IS CONTAINED THE BRANCH MANAGER WILL NOTIFY THE SAFETY COORDINATOR FOR CONFIRMATxON OF PROPER DISPOSAL PROCEDURE. IN THE CASE OF A LARGE SPILL, THE EMPLOYEE WIL2, NOTIFY THE BRANCH MANAGER WHO zN TURN WILL INITIATE EVACUATION AND NOTIFY THE FIRE DEPARTMENT. AFTER SECURING THE AREA AND ACCOUNTING FOR PERSONNEY, THE BRANCH MANAGER WILL, NOTIFY THE SAFETY COORDINATOR AND THE AREA MANAGER. THE AREA MANAGER WILL Employee Notif./Evacuation - - ~~~• 05/05/1992 OUR OPERATIOI~T IN BAKERSFYELp WILL ONT,Y HAVE FOUR EMPLOYEES. xHE BRANCH MANAGER WILL HAVE ALL RESPONSIBILITY OF EMPLOYEE NOTIFICATION AND EVACUATION BY MEANS OF WORD OF MOUTH. IN THE EVENT OF HIS ABSENCE THE SECOND LN COMMAND ASSUMES THESE RESPONSIBILITIES. Public Notif./Evacuation 03/28/2000 THE Ci7STOMERS OR ANY NON EM1~I,pYEES ARE RESTRICTED TO THE COUNTER AREA. EVACUATION'OF THESE PEQPLE WOULD BE EASILY ACCOMPLISHED AND WOULD FALL ON THE BRANCH MANAGER OR HIS SECOND IN COMMAND, WE WOULD RELY ON THE' FIRE DEPT OR OTHER EXTERNAL AGENCIES FOR THE EVACUATION OF THE GENERAL PUBLIC. Emergency Medical Plan 02/14/2006 EYETnIASH STATIONS HAVE BEEN SET UP AT' W END OF BLDG AND AT E END OF BLDG. IN MEDICAL EMERGENCIES NOT REQUIRING IMMEDIATE TRANSPORTATION TO A HOSPITAL WE WILL USE THE SERVICES OF MERCY SQUTHWEST HOSPITAL, 400 OLD RIVER ROAD, BAKERSFIELD, 666-6000. SEVERE EMERGENCIES WILL HAVE THE PROPER AUTHORITIES CONTACTED, -13- 02/06/2007 4ti/ti8 'd b8b8 '~N WdtiZ ~ O l L00~ 'S 'a pW ~ SCP DISTRIBUTORS LLC - - SiteID: 015-021-00110Q ,._,,.. _. Fast Format ~ Mitigation/Prevent/Abat,emt Overall Site ~ Release Prevention ~ _. 02/04/2003 NEW HIRE ORIENTATIQN, ONGOING DOCUMENTED SAFETY.MEETING, ANNUAL HAZ COM REFRESHER TRAINING COURSE. TRAINING GIVEN IN PROPER SEGREGATION AND STACKING OF CHEMICALS. - Release Containment .. 02/04/2003 DOCUMENTED MONTHLY SAFETY MEETINGS AND FACILITY INSPECTIONS ARE DESIGNED TO IDENTIFY POTENTIAL HAZARpS. IN CASES OF A RELEASE, ALL EMPLOYEES ARE TRAINED TO IMMEDIATELY NOTIFY THE MANAGER, TN OUR WAREHOUSE, A HAZARDOUS SPILL WOULD PROBABLY BE A SMALL LIGQUID SPILL. A SMAx,L'HAZARDOUS CHEMICAL SPILL CLEAN UP KIT IS PROVIDED 'AT THE BRANCH. THE CHEMICAL SPILL KIT CONSISTS OF A NONPOROUS CONTAINER, P7~ASTIC SHOVEI, GOGGLES, RUBBER BOOTS, CHEMICAL RESISTANT GLOVES, AND AN APRON. THE BRANCH MANAGER IS TRAINED TO IDENTIFY THE SPILL AND IN CASES OF A LARGE SPILL TO CALL THE FIRE DEPT. "911" - Clean Up 02/04/2003 IN THE CASE OF A SMALL SPILL, WE HAVE VERY SPECIFIC $R.OCEDURES FOR CLEAN UP. THEY INCLUDE TRAINING, PERSONAL PROTECTION (IE GLOVES, GOGGLES, AND RESPIRATORS), AND CLEAN iJP EQUIPMENT (IE SHOVELS, CONTAINERS AND BROOMS). WE ALSO HAVE STRINGENT PROCEDURES FOR DISPOSAL, WHICH ARE CLOSELX SUPERVISED AND RECORDED--LARGE SPILL TO CALL THE FIRE DEPT °911" ..1.110 1. ~at~c~ur-ce 1-ic L~vaLlol7 -14- o2/os/2oo~ 0/58 'd b868 '~N W~tiz ~ o ~ taaz 'S 'a ~W p SCP DISTRIBUTORS LLC SiteID: 015-021-001X00 ~ ~. Fast Format ~ ~ Site Emergency Factors overall Site ~ u~+c4.iai nctxci.rus Utility snot-offs - 02/06/2007 A) GA$ - ONE VALVE IN THE CTR Ok' BLDG B} ELECTRICAL - PANEL QN E WALL S OF OFFICES C) WATER - VAX,VE IN MANAGERS OFFICE D) LACK BOX - NO Fire protec./Avail. Water 02/06/2007 PRIVATE FIRE QROTECTION - SPRINKLER SYSTEM AND FIRE EXTTNGUZSHERS. NEAREST' FIRE HYDRANT - 25YDS SE OF FRONT D40R. Building Occupancy Level 12/08/2006 13 EMFLpYEES -15- 02/06/2007 ot~~s .d ~a6s ~~N W~ti~ ~ Q l COOZ 'y ,, ~~ ~ SCP DISTRIBUTORS I,LC - SiteID: 015021-Od~.100 ~ Fast F'armat ~ ~ Training - - Overall Site ~ ~ Employee Training - 02/052007 ~ MSDS SHEETS ON FILE. BRIEF Si]MMARY OF TRAINING PROGRAM; OUR EMPLOYEE TRAINING BEGINS WITH HAZARD COMMUNICATION STANDARD INCLUDING MSDS CONTENT AND LOCATION, CHEMICAL PROPERTIES AND INCOMPATIBILITIES, AND EXPOSURE TREATMENT. TO INSURE PROPER USE OF THE EQUIPMrNT USED IN HANDLING AND STORING THE CHEMICALS, WE HAVE A FULL RESPIRATOR PROGRAM INCLUDING A PULMONARY FUNCTION TEST AND INSTRUCTION ON THE USE AND CARE OF OUR RESPIRATQRS. WE ALSO HAVE OUR EMPLOYEES FORKLIFT CERTIFIED AND INSTRUCT THEM ON PROPER OPERATION OF A FIRE EXTINGUISHER. WE HAVE VE~2Y SPECIFIC PROCEDURES IN OUR SPILL CONTAINMENT AND CLEAN UP PROGRAM. W'E EMPHASIZE WHAT NOT TO DO AS WELL AS WHAT TQ DO IN THESE SITUATIONS. THESE CHEMICALS ARE INCOMPATIBLE AND REACTIVE AND THEREFORE REQUIRE CERTAIN CONSIDERATIONS DURING CLEAN UP. rays c 0 17~~1.L 1Vi 1'LLLLLrC UCF~' ,16- a2/o6/200~ atr~~s .d ds~s ~~N wd5~ ~ o ~ ~ooz ~S ~a ~W Mar. 5. 2007 10:25AM ~ooz/go/~o -L'~- No, 8989 P. 38/40 ~sn a~n~n.a~ .xos z~r~u ~~zs ~Z~.zano Butuz~.zy ~ ~~iuzo3 ~ s'p3 - - ,~ .. ,. ' oo~zoo-too-szo =a~a~~s -- ~'~t s~o.T,nsZ'~LS2d ~~S ~ 4 3 7 U 1 dress: sc:N ui5TR1BUTORS, LLC. i SUPERIOR POOL PROiaUCTS, LLC. 200+C~SlTE MAp ~~- ~ jj ~ State: Zf : Branch Name 8. #:Y ~ _ ¢' B C D E ~ G ti Q ~, S f T E NI ~. P JOT T'~ ~~~..~ z 0 v w i ;, ~- a HAZAF~pOUS 111iATERJAI. LEGENp Legend Comrnan Symho! rode ~ Chemical aflame for use Ofher EquipmentfNon-Hazardous ltetl7s Name on Site Legend Mso Trichlor . Triahloroisocyanuric acid, dry ~ Tablets Dy-chlar DichforoisoCyenuric acid, dry t~? Litho ~ Lithium hypachlorits, dry (~ Shock Bromine 1-bromo-3-ehloro-5,5-dimethy ~ Tablets h dantian Cal--hYPo Calcium hypochlorite, hydrated ~ Shock I 67% 02 Shock Po#as5ium peroxymdnosulfste t~? Mete! Out 1-Hydroxyethylidene-1,1- ~ diphosphonic PVC Methyl ethyl ketone, Cement Tetrahydrr~~uran Epoxy >;poary resin, Xylsne ~ Solvents, 'Aromatic naphtha light, ~ Primers Propoxy propanol Cal-hypo Calcium hypochlarite, hydrated ~ ShoC>{ li 4776 Colorseal, Propdisne glycol, Butoxy ~ Primers di ropanol Bleach Sodium hypochlorite }( Calcium Calcium chloride $ Increaser Stabilizer Cyanuric acid ~ ~ Alkalinity Sodium hydrogren carbonate p Plus ~c Severer Hoar drains [] Storm drains Electrical shut-off V~S Shut Off Emergency assembly area ~ Personal Protection Equipment *-~- Medical & Fast P,id Equipment ,~, Safety Showers & Eyewashes Spil) Containment $ Mitigation t^J Materi®IsfEquipmant MS MSDS & Emergency Response Plan ~ Fire Exiinguishers Fre Hydrants $ C4nnec~gn5 Sprfnkler System Valves [) Emergency shut off(i,e. gas pump etc. A~C Air Conditioning Shut off Water Shut off pH Sodium bisulfate ~{ Decreaser Algae Plus Copper-Triethanolanvne ~ complex Sand Silicon dia~ad8 Si02 W D.E. 17iatAmaceou5 eQrth ~ Muriatic Hydrochloric acid ~ Acid 'p`Qua Ammonia ~ AmmarSa , Vermiculite Vermiculite '~~^ Propylene Glycol ~ ~ Grua Otr~Otr 'd 6868'°N Wa~i,~41 LDOZ 'S ,a~W