HomeMy WebLinkAboutBUSINESS PLANN~OLAUS TANK LINES, INC. J
~~OS GULF STREET
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NIKOLAUS TANK LINES INC SiteID: 015-021-001879
Manager DAVID PALMER
Location: 3305 GULF ST
City BAKERSFIELD
BusPhone: (661) 328-9041
Map 102 CommHaz High
Grid: 23B FacUnits: 1 AOV:
CommCode: KCFD STA 66
EPA Numb:
SIC Code:4231
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
DAVID PALMER / VP/GEN MANAGER RICARDO RODRIGUEZ / SHOP FOREMAN
Business Phone: (661) 328-9041x Business Phone: (661) 328-9041x
24-Hour Phone (661) 864-2344x 24-Hour Phone ( ) - x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: Fire Press ImmHlth DelHlth
Contact RICARDO RODRIGUEZ Phone: {661) 328-9041x
MailAddr: PO BOX 81446 State: CA
City BAKERSFIELD Zip 93380-1446
Owner W P DAVIES OIL CO Phone: (661) 864-2344x
Address PO BOX 81446 State: CA
City BAKERSFIELD Zip 93380-1446
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
PROG H - HAZ WASTE GEN
PROG T - ABOVEGROUND STORAGE TANK
Based on my in4u!ry of those individuals
the information, I certify ,
respensihie for obfa.~ning
f iaw that I have personally
under penalty o
xamined and am familiar with the information
e
t
,
e
ru
submitted a.nd believe the information is
accurate, and complete.
~~;~;, '7-a3- o~
Date
S' nature
ENTD J U L ~' 5 2Q07
-1-
07/13/2007
r~ ;
i
F NIKOLAUS TANK LINES INC SiteID: 015-021-001879 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers at Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
ACETYLENE E F P IH G 200.00 FT3 Hi
WASTE .OIL F DH L 300.00 GAL Low
OXYGEN F IH DH G 200.00 FT3 Low
MOTOR OIL F DH L 300.00 GAL Min
WASTE FILTERS S 55.00 GAL UnR
-2-
07/13/2007
~'
`J'. -p
-3-
07/13/2007
F NIKOLAUS TANK LINES INC
~ Inventory Item 0005
COMMON NAME / CHEMICAL NAME
ACETYLENE
Location within this Facility Unit
SiteID: 015-021-001879 ~
Facility Unit: Fixed Containers at Site ~
Days On Site
365
Map: Grid:
CAS#
74-86-2
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
200.00 FT3 200.00 FT3 200.00 FT3
- - riliGHiCLVUJ 1:V1~lYV1V1~,1V 1J
owt. Rs cAS#
100.00 Acetylene Yes 74862
IIHGHYCL liJ JP~JJ1~11;1V1J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Hi
~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
WASTE OIL Days On Site
365
Location within this Facility Unit Map: Grid:
TANK FACING N BET ROLL-UP DOORS OUTSIDE CAS#
221
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid Waste ~mbient ~ Ambient ABOVE GROUND TANK
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum - I Daily Average
300.00 GAL 300.00 GAL 300.00 GAL
ruiuru~LVUJ ~.vl•1rv1.vn1v1S -
%Wt. RS CAS#
100.00 Waste Oil, Petroleum Based No 0
rJl'iutiRL tiJ J l~ J J1.1L' 1V 1 J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
-4- ~ 07/13/2007
J
F NIKOLAUS TANK LINES INC SiteID: 015-021-001879 ~
~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
OXYGEN Days On Site
365
Location within this Facility Unit Map: Grid:
CAS#
7782-44-7
~GaSATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
TPure Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
200.00 FT3 200.00 FT3 200.00 FT3
-• riHGHKLVUS 1:v1~1rv1VL'~1v1~
oWt. RS CAS#
100.00 Oxygen, Compressed No 7782447
tlAY,EittL A55~551~11;1V 1
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Low
~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
MOTOR OIL Days On Site
365
Location within this Facility Unit Map: Grid:
TANK FACING N BET ROLL-UP DOORS OUTSIDE CAS#
8020835
STATE TYPE ~- PRESSURE TEMPERATURE CONTAINER TYPE
Liquid Mixture I Ambient ~ Ambient ABOVE GROUND TANK
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
300.00 GAL 300.00 GAL 300.00 GAL
ntiGtiru~VU.7 ~.vlnr~lvnly 1 ~
°sWt. RS CAS#
100.00 Motor Oil, Petroleum Based No 8020835
riKG!-1.tCL 1~~~~J~1~11;1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Min
-5- 07/13/2007
rc•
b y
F NIKOLAUS TANK LINES INC SiteID: 015-021-001879 ~
~ Inventory Item 0006 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
WASTE FILTERS Days On Site
365
Location within this Facility Unit Map: Grid:
CAS#
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Solid Waste ~ Ambient ~ Ambient DRUM/BARREL-METALLI~
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
55.00 GAL 55.00 GAL 55.00 GAL
HAZARDOUS COMPONENTS -,
~Wt.
RSA CAS#
HAZARD AS SESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / UnR
-6- 07/13/2007
,:
F NIKOLAUS TANK LINES INC SiteID: 015-021-001879 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification 04/13/2007 ~
VICE PRESIDENT OR SHOP FOREMAN IS NOTIFIED. ACTI IS NOTIFIED IF DETERMINED
BY VICE PRESIDENT OR SHOP FOREMAN.
Employee Notif./Evacuation 04/16/2001
EMPLOYEES ARE NOTIFIED BY SHOP WORKERS IF NECESSARY. SHOULD BE LIMITED
BECAUSE WE ONLY HANDLE MOTOR OIL OR WASTE MOTOR OIL.
Public Notif./Evacuation
VICE PRESIDENT OR SHOP FOREMAN WILL NOTIFY.
04/13/2007
Emergency Medical Plan 04/13/2007
CENTRAL VALLEY OCCUPATIONAL, 4100 TRUXTUN AVE 200, 63.2-1540
-7- 07/13/2007
r
n
F NIKOLAUS TANK LINES INC SiteID: 015-021-001879 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 04/07/2006 ~
MOTOR OIL IS STORED IN 200-GAL BULK TANK IN SAFE WORK AREA. USED MOTOR OIL
IS STORED IN LOCKED AREA, ACCESSABLE ONLY TO SHOP EMPLOYEES.
Release Containment 05/28/1998
PRODUCT IS STORED IN AREA WHERE IT IS SAFELY CONTROLLED TO CLIMATE ANY
CONTAINMENT PROBLEMS.
Clean Up
04/07/2006
ABSORBANT MATERIAL IS STORED BY OIL TANKS. AND WE KEEP DRUMS TO PUT ANY
CONTAMINATED OIL IN THEM.
v~.iici rccavui~c ri~;i.lva~.lvii
-8- 07/13/2007 ~,
_ ~.
F NIKOLAUS TANK LINES INC SiteID: 015-021-001879 ~
Fast Format ~
~~ Site Emergency Factors Overall Site ~
.7~JCC:1d1 nd~di u5
Utility Shut-Offs 01/03/2007
ELECTRICAL: E ENTR TO SHOP
WATER: AT ST BY ORANGE TREES
LOCK BOX: NO
Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - NO
NEAREST FIRE HYDRANT - W CRNR OF PROP AT ST
04/07/2006
Building Occupancy Level 03/02/2006
6 EMPLOYEES
-9- 07/13/2007
- > !p
~) 1.
F NIKOLAUS TANK LINES INC SiteID: 015-021-001879 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 01/03/2007 ~
MSDS SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: SHOP PERSONNEL ARE TRAINED TO BE AWARE
OF ANY HAZARDOUS MATERIALS THEY WORK WITH AND HOW TO HANDLE THEM. WE MEET
THE GUIDELINES SET BY THE STATE.
rays ~
Held for Future Use
nclu iui ruLUiC u~~
-10- 07/13/2007
.~~~
NIKOLAUS TANK LINES NC
Manager ,~frr/GA ~~~~`~
Location: 3305 GULF ST
City BAKERSFIELD
CommCode: KCFD STA 66
EPA Numb:
BusPhone: (661) 328-9041
Map 102 CommHaz High
Grid: 23B FacUnits: 1 AOV:
SIC Code:4231
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
- "'' / RICARDO RODRIGUEZ / SHOP FOREMAN
Business Phone: (661) 328-9041x Business Phone: (661) 328-9041x
24-Hour Phone (661) 864-2344x 24-Hour Phone ( ) - x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: Fire Press ImmHlth DelHlth
- Contact %~rCa~~a ~ ~ ~ Phone (661) 328-9041x
MailAddr: PO BOX 81446 ,Qod~~gue~- State: CA
City BAKERSFIELD Zip 93380-1446
Owner - Phone: (661) 864-2344x
Address PO BOX 81446 State: CA
City BAKERSFIELD Zip 93380-1446
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
PROG H - HAZ WASTE GEN
~~ EN`T'D ~ P R. ~. 3 ~,~D7
PROG T - ABOVEGROUND STORAGE TANK
cased on my inquiry of those individuals ~~-~~~11/~ (~/vI~/~i / /~
responsible for obtaining the information, (certify - ff
under penalty of law that I have personally
~~l Q
~'~~~
examined and am familiar with the information ~ '
submitted and b pave the information is true,
accurate, and , m late.. , /~r~ /)~! n~/~ / ~~~"~ ~~?~
U b' ~~j ~
u
U
~~~~
ignature Da l/
/
®~N~~
W
-1-
I ~5$~I
SiteID: 015-021-001879
02/05/2007
_ ;..
~. - 1
F NIKOLAUS TANK LINES INC SiteID: 015-021-001879 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers at Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
ACETYLENE E F P IH G 200.00 FT3 Hi
WASTE OIL F DH L 300.00 GAL Low
OXYGEN F IH DH G 200.00 FT3 Low
MOTOR OIL F DH L 300.00 GAL Min
WASTE FILTERS S 55.00 GAL UnR
_.-._ - -•
-2- 02/05/2007
t
i.
-3-
02/05/2007
F NIKOLAUS TANK LINES INC
~ Inventory Item 0005
COMMON NAME / CHEMICAL NAME
ACETYLENE
Location within this Facility Unit
STATE TYPE PRESSURE _
Gas TPure ~-Above Ambient
SiteID: 015-021-001879 ~
Facility Unit: Fixed Containers at Site ~
Days On Site
365
Map: Grid:
CAS#
74-86-2
TEMPERATURE CONTAINER TYPE
Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Co200100rFT3 Daily 200100m FT3 I Daily 200r00e FT3
riAGE1tCLVU~ 1;V1~lYV1VL'~1V"1~
°sWt _
_
-
- _ RS CAS#
_
8100 O _
Acetylene ~~^ ~ ~ ~ ~
~
--- -- - ~-- Yes _~ 74862
t1HL,E~KL F~S ~~~~1~1L',1Vla
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Hi
~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
WASTE OIL Days On Site
365
Location within this Facility Unit Map: Grid:
TANK FACING N BET ROLL-UP DOORS OUTSIDE CAS#
221
Liquid TWaste ~ Ambient~E ~ AmbientT~E ABOVEOGROIUNDRTANKE
Largest Container
300.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
300.00 GAL
Daily Average
300.00 GAL
r1H~titcl~VUa ~V1~irViv~iv-la
•°sWt . RS CAS#
100.00 Waste Oil, Petroleum Based No 0
t1HGE~t<L AS ~l;aJ1~1C;1V1~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
-4- 02/05/2007
~.
F NIKOLAUS TANK LINES INC
~ Inventory Item 0004
COMMON NAME / CHEMICAL NAME
OXYGEN
Location within this Facility Unit
STATE TYPE PRESSURE =
Gas TPure Above Ambient
SiteID: 015-021-001879 ~
Facility Unit: Fixed Containers at Site ~
Days On Site
365
Map: Grid:
CAS#
7782-44-7
TEMPERATURE CONTAINER TYPE
Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container, Daily Maximum ` Daily Average
200.00 FT3 200.00 FT3 I 200.00 FT3
t1AGF1tCLVUS lrV1~lYV1VL'1V 1J
oWt_. __ RS CAS#
_
100.00 _ _ ~ _ _
_ _ __ _ _ _ _
Oxygen, Compressed J ~ ~ ~ ~ _ ~ No 7782447
ttAG.'ittL ~~aL~51~1L'~1v1~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No Noj Curies F IH DH / / / Low
~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
MOTOR OIL Days On Site
365
Location within this Facility Unit Map: Grid:
TANK FACING N BET ROLL-UP DOORS OUTSIDE CAS#
8020835
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid Mixture Ambient Ambient ABOVE GROUND TANK
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
300.00 GAL 300.00 GAL 300.00 GAL
T ATTTIlT Tl1 !Y /~TdT P'».TnwTT ll
t1HGtiRLVUJ l.Vl"!t'V1Vr,1V1J
owt. Rs cAS#
100.00 Motor Oil, Petroleum Based No 8020835
t1HGE'itCL HS~LJ51~1~1V'1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Min
-5- 02/05/2007
~.
F NIKOLAUS TANK LINES INC SiteID: 015-021-001879 ~
~ Inventory Item 0006 Facility Unit: Fixed Containers at Site ~
,.,....,,.~. ~~,,..~ ~ ,...,-,..~..,,r ~_,,.....
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
55.00 GAL 55.00 GAL 55.00 GAL
HAZARDOUS COMPONENTS
t ._ - - - - - - - - -- RS
CAS#
_ _ ~\
t1E~GHKL A~~L'~5~l~lt';1V1a
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / UnR
-6- 02/05/2007
STATE TYPE T PRESSURE TEMPERATURE CONTAINER TYPE
Solid Waste I Ambient ~ Ambient DRUM/BARREL-METALLIC
;, ~ `
F NIKOLAUS TANK LINES INC SiteID: 015-021-001879
Fast Format
~ Notif./Evacuation/Medical Overall Site
A ency Notification 04/16/2001
PRES ~ NT OF SHOP FOREMAN IS NOTIFIED. ACTI IS NOTIFIED IF DETERMINED BY
PRESIDENT OF SHOP FOREMAN.
~l~
9
9
= Employee Notif./Evacuation
EMPLOYEES ARE NOTIFIED BY SHOP WORKERS IF NECESSARY. SHOULD BE
BECAUSE WE ONLY HANDLE MOTOR OIL OR WASTE MOTOR OIL.
04/16/2001
LIMITED
- ,~ -
UIC~~~S~D~T
~ ~vci~ua~lvii
®~L 5tfn,~ ~J~vf/~/v ull~ ~l/vn~~
Emergency Medical Plan 04/16/2001
~A~Y IrmrTeTUTnr ~ga£~~a~; ~~~-~~--a -.,~.,~.
C2h~ra I Vt~ tky Occ~~fior-a~
~f /A~ ~~k'~ ~~. • Suite Z~0
~3~~h~~, ~~~,~ 93 30 9
~O~l ~J1~1~~
-7- 02/05/2007
F NIKOLAUS TANK LINES INC SiteID: 015-021-001879 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 04/07/2006 ~
MOTOR OIL IS STORED IN 200-GAL BULK TANK IN SAFE WORK AREA. USED MOTOR OIL
IS STORED IN LOCKED AREA, ACCESSABLE ONLY TO SHOP EMPLOYEES.
Release Containment 05/28/1998
PRODUCT IS STORED IN AREA WHERE IT IS SAFELY CONTROLLED TO CLIMATE ANY
CONTAINMENT PROBLEMS.
Clean Up
04/07/2006
ABSORBANT MATERIAL IS STORED BY OIL TANKS AND WE KEEP DRUMS TO PUT ANY
CONTAMINATED OIL IN THEM.
V 411C1 .RG.7VU1 l~G C]1..LIVCLL1V11
-8- 02/05/2007
.r:
F NIKOLAUS TANK LINES INC SiteID: 015-021-001879 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
-, -,-
Utility Shut-Offs 01/03/2007
ELECTRICAL: E ENTR TO SHOP
WATER:. AT ST BY ORANGE TREES
LOCK BOX: NO
Fire Protec./Avail. Water 04/07/2006
PRIVATE FIRE PROTECTION - NO
NEAREST FIRE HYDRANT - W CRNR OF PROP AT ST
Building Occupancy Level 03/02/2006
6 EMPLOYEES
-9- 02/05/2007
,;., *~
F NIKOLAUS TANK LINES INC SiteID: 015-021-001879 ~
Fast Format ~
Training Overall Site ~
~ Employee Training 01/03/2007 ~
MSDS SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: SHOP PERSONNEL ARE TRAINED TO BE AWARE
OF ANY HAZARDOUS MATERIALS THEY WORK WITH AND HOW TO HANDLE THEM. WE MEET
THE GUIDELINES SET BY THE STATE.
Page 2
Held for Future Use
_, , r_
iicl.u ivi r u~uic vac
-10- 02/05/2007
+ NIKOLAUS TANK LINES INC =~___________________________ SiteID: 015-021-001879 +
Manager BusPhone: (661) 328-9041
Location: 3305 GULF ST Map 102 CommHaz High
City BAKERSFIELD Grid: 23B FacUnits: 1 AOV:
CommCode: BFD STA Ol SIC Code:4231
EPA Numb: DunnBrad:
Emergency Contact / 't'itle Emergency Contact / Title
BILL BURGEMASTER / PRESIDENT RICARDO RODRIGUEZ / SHOP FOREMAN
Business Phone: (661) 32'8-9041x Business Phone: (661) 328-9041x
24-Hour Phone (661) 864:-2344x 24-Hour Phone ( ) - x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: Fire Press ImmHlth DelHlth
Contact Phone: (661) 328-9041x
MailAddr: PO BOX 81446 State: CA
City BAKERSFIELD Zip 93380-1446
Owner BILL BURGEMASTEEt: Phone: (661) 864-2344x
Address PO BOX 81446 State: CA
City BAKERSFIELD Zip 93380-1446
Period to
Preparers
Certif' d:
ParcelNo:
TotalASTs: _
TotalUSTs: _
RSs: No
Gal
Gal
Emergency Directives:
PROG A - HAZMAT
PROG H - HAZ WASTE GEN
RECD MAR 0 2 2006
Based on my inquiry of those individuU's
responsible for obtaining the information, I certify
under penalty of law that 1 have personally
examined and am familiar with the information
submitted and believe the information is true,
accurate, and complete.
~n 2 _ L ~--0 ~
ignature Date
-1- 02/27/2006
+ NIKOLAUS TANK LINES INC =___=====I___________________ SiteID: 015-021-001879 +
Manager BusPhone: (661) 328-9041
Location: 3305 GULF ST Map 102 CommHaz High
City BAKERSFIELD ; Grid: 23B FacUnits: 1 AOV:
CommCode: KCFD STA 66 SIC Code:4231
EPA Numb: DunnBrad:
+=g_____________________________________+______________________________________+
Emergency Contact / Title ~ Emergency Contact / Title
BILL BURGEMASTER / PRESIDENT RICARDO RODRIGUEZ / SHOP FOREMAN
"Business Phone: (661) 328-9041x ~ Business Phone: (661) 328-9041x
24-Hour Phone (661) 864-2344x ~ 24-Hour Phone ( ) - x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: ~ Fire Press ImmHlth DelHlth
Contact Phone: (661) 328-9041x
MailAddr: PO BOX 81446 State: CA
City BAKERSFIELD Zip 93380-1446
Owner BILL BURGEMASTER Phone: (661) 864-2344x
Address PO BOX 81446 ~ State: CA
City BAKERSFIELD ~~ Zip 93380-1446
Period to TotalASTs: = Gal
Preparers ~ TotalUSTs: = Gal
Certif' d: ~ RSs : No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT j
PROG H - HAZ WASTE GEN
PROG T - ABOVEGROUND STORAGE TANKi A'
e'1T~ A ~~
'
`
C
p
~
ZO
~6
Baud cln my in ulr
4 y of those individuals
respons-bfe for obtaining the Information, I certify
under Penalty of law that I have
examined ,and am famlllsr with h personally
submitt®d anq heneve the informatlonois t ue,
a urate, and complete,
Signature ~ - ~ - oc 'Q
Date
-1- 03/27/2006
-- i