Loading...
HomeMy WebLinkAboutBUSINESS PLAN 11/27/2006 ~" ~ ~~ KRAGEN AUTO PARTS #4290 __~ ,~ io 4500 GOSFORD ROAD #9 u ~, Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST~E e E_R_SF_, 0 90oTruxtunAve.,suite2lo ~~.n,___~_.____ _ _____, -,----,___ ___ ______ ___._^.~ __ ~ s F/RE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ARTM ~ Tel.: .(661) 326-3979 Fax: (661) 872-2171 AGILITY NAM ~~~~~ ~~~T U I ~ P~CTION DATEo~ I ~r C11TtIOvN TIME ADDRESS ~S~ CO 6S~oi~ ~~ PHONE NO. 3 s`- Oda( NO OF EMPLOYEES ,~' FACI CONTACT ~ BUSINESS ID NUMBER 15-021- ~~~~ r Section 1: Business Plan and Inventory Pr©gram d ~U ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V (c=compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ~A~~.F ~y -~~ - ; F, ;, 4 ! ,..,/ I~ ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ~ ^ VERIFICATION OF QUANTITIES ,, ,/ L7 ^ VERIFICATION OF LOCATION Q~ U ^ PROPER SEGREGATION OF MATERIAL ~ \ L7 ^ VERIFICATION OF MSDS AVAILABILITY l~ ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES l~ ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? J~ r EXPLAIN: ~~ 1 Y ~ ~~ r~ rcnr-Dula Cd7'S'ES ^ NO QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 -~-__ ~~ Inspector (Please Print) ~ Fire Prevention / 1~` In /Shift of Site/Station # Bu ss Site /Responsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink- Business Copy FD 2155 (Rev. 09/05 ~, .. ~ - ~; KRAGEN AUTO PARTS 4290-GOSFORD BusPhone: Map 123 Grid: 17D SiteID: 015-021-003416 Manager DEBBIE MABRY Location: 4500 GOSFORD RD 9 City BAKERSFIELD CommCode: BFD STA 09 EPA Numb: SIC Code: DunnBrad: (661) 835-0501 CommHaz High FacUnits: 1 AOV: Emergency Contact / Title Emergency Contact / Title ROBERT WINTERS / DIST SAFETY MGR ADT SECURITY / Business Phone: (559) 739-2726x Business Phone: (800) 848-2872x 24-Hour Phone (559) 270-7824x 24-Hour Phone (800) 848-2872x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact 3E CO/REG DEPT C/O CSK AUTO INC Phone: (760) 602-8700x MailAddr: 1905 ASTON AVE 100 State: CA City CARLSBAD Zip 92008 Owner CSK AUTO INC Phone: (602) 631-7203x Address PO BOX 6030 State: AZ City PHOENIX Zip 85005 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 inquiry of those individuals ~ G~Q7 responsible for obtaining the information, I cer#ify under penalty of law that t have personally examined and am familiar with the information submitte and believe the information is true, accura ,, and complete. 3 1 ZvO"'~-- Si nature Oa.e -1- 02/02/2007 u F KRAGEN AUTO PARTS 4290-GOSFORD SiteID: 015-021-003416 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP USED BATTERIES F IH L 1050.00 LB5 Hi LEAD ACID BATTERIES S 500.00 LBS Low WASTE MOTOR OIL F DH L 220.00 GAL Low MOTOR OIL F DH L 500.00 GAL Min -2- 02/02/2007 -3- 02/02/2007 F KRAGEN AUTO PARTS 4290-GOSFORD SiteID: 015-021-003416 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME USED BATTERIES Days On Site 365 Location within this Facility Unit Map: Grid: STOCKROOM CAS# Liquid Twaste ~ Ambient~E ~ AmbientT~E OTHER NTSPECIFYYPE AMOUNTS AT THIS LOCATION Daily Average 525.00 LBS Largest Container. Daily Maximum 10.50 LBS 1050.00 LBS riHGL-1tCLV V J ~V1~irVlvrJly l a %Wt. RS CAS# 35.00 Sulfuric Acid (EPA) No 7664939 34.00 Lead No 7439921 31.00 Lead Dioxide No 7.309600 tiHLIHKL 1~J .7.C;JJ1~11:,1V 1_J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME LEAD ACID BATTERIES Location within this Facility Unit E END STORE STATE TYPE PRESSURE Solid TMixture ~mbient AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 30.00 LBS 500.00 LBS 500.00 LBS ritiLIHICLJV V IJ l.Vl"1rV1V~IlV 1 J °sWt. RS CAS# 30.00 Sulphuric Acid No 7664939 60.00 Lead No 7439921 r1L'~LJYJ.CCIJ4717 x117 J1Y1r11V j-7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient OTHER - SPECIFY -4- 02/02/2007 F KRAGEN AUTO PARTS 4290-GOSFORD SiteID: 015-021-003416 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: STOCKROOM CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TWaste -Ambient ~ Ambient ~VE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 22.00 GAL 220.00 GAL 110.00 GAL titlGt1K11VU~ 1:V1~1rUlVI;1V1~ %Wt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 t1a'~Gf~1L[1J A5,5~5,51~1~1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME MOTOR OIL Location within this Facility Unit E END STORE STATE TYPE PRESSURE Liquid TMixture Ambient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 8020835 TEMPERATURE CONTAINER TYPE Ambient -~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily~Maximum I Daily Average 1.00 GAL 500.00 GAL 500.00 GAL I11~G1'LK11U U .7 lLU1~lY V1V 1" 1V l a oWt. RS CAS# 100.00 Motor Oil; Petroleum Based No 8020835 YJ.E~GHtC11 1~.7J~J.71°11;1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min -5- 02/02/2007 ~ ~(~ F KRAGEN AUTO PARTS 4290-GOSFORD SiteID: 015-021-003416 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification ~",~ ~ E~E^r -~n-tar A~d~.,~~ -~rn~,~-,~~ ~s '~o~.~~~7 ~ its -~ln,,,aw~,c.. o~ ~i~ O~ t:-tJ~'~P-,F~"~ ~~2.SonhtNL~~ W~~.L 1~1~d1'~~/ '~1 t GAQI.E ~C~6P.-~~.~ S~^E,. 1Wn W~t_ ~4v-i t'~ A ~ jZE 5 ' i 'ft~. -f't ZE 1~ tT t.J t ~.~. T31~ Cv^~'~--~~"l ( MM.EC7./hS"~`../ ~v~ /h.L 5~~.,~5 O~E~. s v~ ~- l Employee Notif./Evacuation 07/17/2006 THE MANAGER ON DUTY OR APPLICABLE STAFF MEMBER WILL NOTIFY ASSOCIATES AND CUSTOMERS VERBALLY OR WITH A BULLHORN. CORPORATE PERSONNEL WILL NOTIFY APPLICABLE FEDERAL, STATE, AND LOCAL AGENCIES. THE FIRE DEPT WILL BE CONTACTED IMMEDIATELY FOR ALL SPILLS OVER FIVE GALLONS. FOR SMALL SPILLS, THE MANAGER ON DUTY WILL CONTACT 3E CO FOR ASSISTANCE IN CLEAN-UP PROCEDURES. _,_ , ,,, r LL1J11~. LVV Vtt~L,VQI~LLCLL1V11 Tom, J1AMJ itv~ mt~1 ~ LJ, ~.~ 1.1uT1~.~ Ate ~E~E-.CJNN ~~ /~J'(~ Gxa~ UM ~2 S 'V ~L1,. ~,/ , ~//1r7Lc7 ~~-°5 Wft tr A'"S S ~ ST ~!f'p7~M~~S T~vvLo~ T.~ /l/ ~4/L~Si EM~~a~-CN~~/ ~x~ ~ $ . Emergency Medical Plan 07/17/2006 IF A MEDICAL SITUATION SHOULD ARISE AT KRAGEN, THE MANAGER ON DUTY WILL ASSESS THE SITUATION AND DETERMINE WHETHER TO ADMINISTER FIRST AID. IF IMMEDIATE MEDICAL TREATMENT IS REQUIRED, 911 WILL BE CONTACTED. IN THE EVENT OF AN EXPOSURE TO A PRODUCT OR POISONING, THEY WILL CONTACT 3E CO TO RECEIVE ASSISTANCE FROM POISON CONTROL. -6- 02/02/2007 ,~ F KRAGEN AUTO PARTS 4290-GOSFORD SiteID: 015-021-003416 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention 07/17/2006 IN ORDER TO PREVENT A RELEASE FROM OCCURRING, ALL EMPLOYEES ARE TRAINED ON PROPER HAZARDOUS MATERIAL HANDLING AND STORAGE PROCEDURES. ALL HAZARDOUS MATERIALS ARE KEPT IN THEIR ORIGINAL CONTAINERS AND WHENEVER POSSIBLE, SMALLER ITEMS ARE STORED IN LIP-CUT CONTAINERS SO AS TO PRECLUDE ANY ACCIDENTAL SPILLS. STORE PERSONNEL VISUALLY INSPECT PRODUCTS ON A DAILY BASIS. 9 = Release Containment 07/17/2006 IN THE EVENT OF A SPILL, THE AREA WILL BE IMMEDIATELY ISOLATED AND THE MANAGER ON DUTY WILL BE NOTIFIED. TH MATERIAL WILL BE IDENTIFIED, THE MSDS WILL BE REVIEWED IF NEEDED AND THE SPILL CLEAN-UP EQUIPMENT WILL BE OBTAINED. TRAINED ASSOCIATES WILL DON THE PROPER PPE AND CLEAN UP THE SPILL UTILIZING ABSORBENT MATERIALS. Clean Up 07/17/2006 TRAINED ASSOCIATES WILL DON THE PROPER PPE AND CLEAN UP THE SPILL UTILIZING THE SPILL CLEAN-UP EQUIPMENT. STORM AND SEWER DRAINS WILL BE DIKED OR BLOCKED. THE SPILLED MATERIALS WILL BE PUT IN A FIVE-GALLON BUCKET AND PLACED IN DOT-APPROVED CONTAINERS. THESE CONTAINERS WILL BE PROPERLY LABELED AND STORED ACCORDING TO LOCAL, STATE, AND FEDERAL REGULATIONS. DISPOSAL CONTAINERS MUST BE KEPT IN GOOD CONDITION AND STORED AWAY FROM HIGH TRAFFIC AREAS, ELECTRICAL HAZARDS, DRAINS AND FIRE EXITS. ALL HAZARDOUS WASTE MATERIALS WILL BE RECYCLED OFF-SITE OR DISPOSED OF BY OUTSIDE CONTRACTORS AT RCRA-APPROVED FACILITIES. Other Resource Activation -7- 02/02/2007 F KRAGEN AUTO PARTS 4290-GOSFORD SiteID: 015-021-003416 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ •7~lC 1L 1011 ncl c. cli u5 Utility Shut-Offs 07/17/2006 ELECTRICAL: OUTSIDE SE SIDE OF FAC WATER: NE SIDE OF FAC INSIDE CLOSET BY EMER EXIT LOCK BOX: NO -- Fire Protec./Avail. Water 02/02/2007 ~~ PRIVATE FIRE PROTECTION: SPRINKLER SYSTEM. FIRE HYDRANT: FRONT ENTR ALONG GOSFORD Building Occupancy Level 12/11/2006 8 EMPLOYEES -8- 02/02/2007 F KRAGEN AUTO PARTS 4290-GOSFORD SiteID: 015-021-003416 Fast Format ~ Training Overall Site ~ Employee Training 07/17/2006 MSDS IN STORE MANAGERS AREA AS WELL AS AT 3E CO. BRIEF SUMMARY OF TRAINING PROGRAM: IN COMPLIANCE WITH OSHA HAZARD COMMUNICATION STANDARD, CSK AUTO PROVIDES EMPLOYEES WITH HAZARDOUS MATERIALS TRAINING, MATERIALS SAFETY DATA SHEETS, AND LABELING OF ALL PRODUCTS. CHECKER AUTO PARTS EMPLOYEES ARE INSTRUCTED IN IDENTIFICATION AND HANDLING OF HAZARDOUS MATERIALS IN THE WORKPLACE. ADDITIONALLY, EMPLOYEES ARE TRAINED IN THE CONTAINMENT AND MITIGATION OF SMALL CHEMICAL RELEASES. THIS TRAINING IS PROVIDED IN THREE WAYS: 1) THE WORKPLACE INJURY & ILLNESS PREVENTION PROGRAM MANUAL; 2) HAZARDOUS MATERIAL/WASTE TRAINING MANUAL; AND 3) MONTHLY SAFETY MEETINGS. rayG ~ Held for Future Use -9- oa/o2/aoo7 ,+ ; =N F KRAGEN/AUTO PARTS 4290-GOSFORD SiteID: 015-021-003416 Fast Format ~ Tr-aining Overall Site ~ Held for Future Use -lo- 02/02/200 ,. 5" + KIM DDS PETER _______________________________________ SiteID: 015-021-002279 + Manager Location: 2520 H ST City BAKERSFIELD BusPhone: (661) 324-1200 Map 103 CommHaz Minimal Grid: 30A FacUnits: 1 AOV: CommCode: BFD STA Ol SIC Code:8021 ` EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title / / Business Phone: ( ) - x Business Phone: ( ) - x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React Contact Phone: (661) 324-1200x MailAddr: 2520 H ST State: CA City BAKERSFIELD Zip 93301 Owner Phone: (661) 324-1200x Address 2520 H ST State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~ PROG H - HAZ WASTE GEN Based on my inquiry of those individuals responsible for obtaining the information, 1 certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, ar~i complete. ENT Jv ~ ~ ~ 20 06 ~~ Signat~ Date -1- 06/26/2006 %= ~ _ BAKERSFIELD FIRE DEPT. Prevention Services r ~~' FIRE PREVENTION INSPECTION B sP/RE I D 90o Truxtun Ave., ste. 210 /I ( 1 ARTAI T Bakersfield, CA 93301 Tel.: (661) 326-3979 ^ Fax: (661) 852-2171 DISTRICT BLOCK NO. DATE ~ ~~ R/ ~Jt' EE FACILITY ADDRESS ~~,.1 ~~r ~~ I CJIL ~ CITY, STATE, ZIP i~ ~ ~~ ~ FACILITY NAME MANAGER'S NAME FACILITY PHONE NO. BUSINESS OWNER'S NAME AND ADDRESS CITY, STATE, ZIP OWNER'S PHONE NO. BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO. OCC TYPE OCC LOAD N0. OF FLOORS HIGH RISE BLDG ^ YES ^ NO ~ RISE DATE CORRECT ALL VIOLATIONS VIOLATION CHECKED BELOW No. REQUIREMENTS COMBUSTIBLE WASTE /DRY 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) VEGETATION 2 Provide non-combustible containers with tight fitting lids for the storage of combustible waste and rubbis safe disposal. (U.F.C.) n i COMBUSTIBLE STORAGE 3 Relocate combustible storage to provide at least 3 feet clearance around motor fuse box/fire door (N.E.C.) .C 4 Relocate fire extinguisher(s) so that they will be in a conspicuous location, hanging on brackets with the top extinguisher not more than 5 feet above the floor. (N.F.P.A. No. 10) ExTINGUISHERS 5 Provide and install (amount) _____ approved (type 8 size) __________________ portable fire extinguisher to be immediately accessible for use in (area) _____________________________ (U.F.C.) g Re-charge all fire extinguishers. Fire extinguishers shall be serviced at least once each year, and/or after each use, by a person having a valid license or certificate. (U.F.C.) SIGNS 7 Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit (door/window) to fire escape. (U.F.C.) g Provide and maintain appropriate numbers on a contrasting background and visible from the street to indicate the correct address of the building. (B. M.C.) (U.F.C.) FIRE DOORS/ FIRE SEPARATIONS g Repair all (cracks/holes/openings) in plaster in (location) ______________________________________. Plastering shall return the surface to its original fire resistive condition. (U.B.C.) j 10 Remove/repair (item & location) _____________________________________________ _ __ __ Self-closing doors shall be designed to close by gravity, or by the action of a mechanical device or by an approved smoke and heat sensitive device. Self-closing doors shall have no attachments capable of preventing the operation of the closing device. (U.F.C.) EXITS 11 Remove all obstruction from hallways. Maintain all means of egress free of any storage. (U.F.C.) 12 Provide a contrasting colored and permanently installed electric light over or near required exit (location) ______________________________ to clearly indicate it as an exit. (U.F.C.) STORAGE 13 Remove all storage and/or other obstructions from fire escape landings and stairways stair shafts. (Fire escapes/stair shafts are to be maintained free from obstructions at all times.) (U.F.C.) ELECTRICAL APPLIANCES 14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets where needed. (N.E.C.) (U.F.C.) 15 Remove multiple attachment cords from specific electrical convenience outlet (one plug per outlet) (N.E.C.) (U.F.C.) OUTDOOR BURNING 16 Violation of Section 1102 dealin with recreational fires or o en burnin U.F.C. FIREWORKS 17 Violations of Section 7802 U.F.C. or 8.49.040 of the Bakersfield Munici al Code B.M.C. re ardin fireworks. OTHER 1g Mv~tNt. 4f L ~~ ~ r>p>a~'ZG,~) ~ ~-~ yr TIC 1~~~ ~ cs Sbc~ c.~35 r~na~-~ ~. f UsG-~ ~'in.-i-~~~+`-s ~ uo ~5 ~~ ~ s tom: cam' CUSTOMER: ~ 6, ~ ~ ~ ~N (SI ure) (Please Print Name Legibly, Title) 2 INSPECTOR: ~ t N~S ~ NO.: J ~,` (Signature) ti V LEGEND: C.F.C. C LIFORNIA FIRE CODE U.B.C. UNIFORM BUILDING CODE B.M.C. BAKERSFIELD MUNICIPAL CODE N.F.P.A. NATIONAL FIRE PROTECTION ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE PO y`~~, I, ,~j~ - Custgm~d~i>~M Yellow -,$tatjon Copy Pink -Prevention Services FD 2022 (Rev. 09/05) :/ v- -~ ~ (HMMP) HAZARDOUS MATERIALS MANAGEMENT PLAN UNIFIED PROGRAM CONSOLIDATED FORMS CHEMICAL DESCRIPTION FORM HAZARDOUS MATERIALS INVENTORY ~PIEW ^ ADD ~ ^ DELETE C REVISE 200 A a rt._s_ r._i. n FN~I ABTAI T BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 i0ne form per material. per building. or area.) o..,.,., ,..., I. FACILITY INF RMATION or DBA -Doing Business As) BUSINESS NAME (Same as FACILITY NAM E ~ / ~l~dy~sJ ~ l-FZ~O CHEMICAL LOCATION 201 CHEMICAL LOCATION 20 ANSI ~~ p ~`nA ,,,C ~~n~ 6_ `-~` CJ~ +~-l~ CONFIDENTIAL (EPCRA) ^ Yes ^ N FACILITY ID No. 1 MAP No. (optional) 203 GRID N0. (aptlonat) 2 ORMATION II. CHEMICAL INF CHEMICAL NAME • ~ __ 205 2 ~'~.~l1 ~i1.~.•.-~J'}.y~ ~ tt~'``// (j''~~''tt ~t ~t ~~--_- ``'' ~~ TRADE SECRET ^ Yes ^ No COMMON NAME 207 EHS• C Yes ^ No 20 CAS No. 209 •!f EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 21 TYPE 211 212 CURIES 21 ^ p PURE ^ m MIXTURE WASTE RADIOACTIVE: ^ Yes G No LARGEST CONTAINER 21 PHYSICAL STATE SOLID ^ I LIQUID ^ g GAS 214 ~ Q 21 FED HAZARD CATEGORIES ^ 1 FIRE ~ REACTIVE ^ 3 PRESSURE RELEASEACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE 22 AMOUNT DAILY AMOUNT ; Q~ DAILY AMOUNT l ~D CODE 221 222 ^ UNITS ^ ga GAL " ^ cf CU FT ^ Ib LBS ^ to TONS DAYS ON SffE If EHS, amount must be in lbs. 22 STORAGE CONTAINER ~ ~pL BOX ^ p TANK WAGON (Check ell Chet apply) ^ a ABOVEGROUND TANK ^ f CAN ~ 0 b UNDERGROUND TANK G g CARBOY ^ I CYLINDER ^ q RAI L CAR ^ c TANK INSIDE BUILDING ^ h SILO ^ d STEEL DRUM ^ i FIBER DRUM ^ n PLASTIC BOTTLE ^ e PLASTIC/NONMETALLIC DRUM ^ j BAG ^ o TOTE BIN 22 STORAGE PRESSURE ~+ a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT STORAGE TEMPERATURE ~s AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT C c CRYOGENIC 22 %WT HAZARDOUS COMPONENT EHS CAS # 1 226 227 ^ Yes ^ No 228 22 2 230 231 ^ Yes ^ No 232 23 3 234 235 L, Yes ^ No 236 237 4 238 239 ^ Yes ~ No 240 241 5 242 243 G Yes ^ No 244 24 III. SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 2 d~J ~312 z ~06 ru 144 (ttev. oyfu5) ~NT'~ MAY 0 ~. ~QQ~ (HMMP) ~' HAZARDOUS MATERIALS MANAGEMENT PLAN UNIFIED PROGRAM CONSOLIDATED FORMS CHEMICAL DESCRIPTION FORM HAZARDOUS MATERIALS INVENTORY A A_R._S.._P.._T. D FUrI AATAI 1 KNEW ^ ADD ^ DELETE ^ REVISE 200 BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 lone form per material. per building. or area.) o.,,.,., ,.. 1. FACILITY NFORM TI N BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) CHEMICAL LOCATION 201 CHEMICAL LOCATION 20 ~~ '~Q Ar-- ~.~_,_,n /_ G V Y ' ~ "tom CONFIDENTIAL (EPCRA) ^ Yes ^ N FACILITY ID No. 1 MAP No. (optionaq 203 GRID N0. (optional/ 2 II. CHEM CAL INF ORM TION _ __ CHEMICAL NAME ~ ~ 205 2 L~~~ ~~Ct~ ~f1 ~jZ~~~ !'~ I 1 C' TRADE SECRET ^ Yes ^ No COMMON NAME 207 EHS' C Yes ^ No 20 CAS No. 209 '!f EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 21 TYPE 211 RADIOACTIVE: ^ Yes G No 21 CURIES 21 ^ p PURE I~~m MIXTURE C w WASTE LARGEST CONTAINER 21 PHYSICAL STATE ~s SOLID ^ I LIQUID ^ g GAS 214 ~~ FED HAZARD CATEGORIES .^ 1 FIRE `~ 2 REACTIVE ^ 3 PRESSURE RELEASE ACUTE H EALTH ^ 5 CHRONIC HEALTH 21 (Check all that apply) ANNUAL WASTE AMOUNT 217 MAXIMUM 218 DAILY AMOUNT ~ ~ AVERAGE DAILY AMOUNT ~'7' A~ ...•,vV 219 STATE WASTE CODE 22 221 222 ^ UNITS ^ ga GAL - ^ cf CU FT ~Ib LBS ^ to TONS DAYS ON SRE If EHS, amount must be in lbs. 22 STORAGE CONTAINER (Check all friar apply) ^ a ABOVEGROUND TANK ^ t CAN k BOX ^ p TANK WAGON ^ b UNDERGROUND TANK G g CARBOY ^ I CYLINDER ^ q RAI L CAR ^ c TANK INSIDE BUILDING ^ h SILO ^ d STEEL DRUM ^ i FIBER DRUM ^ n PLASTIC BOTTLE ^ e PLAST{ClNONMETALLIC DRUM ^ j BAG ^ o TOTE BIN STORAGE PRESSURE ~a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 22 STORAGE TEMPERATURE ~a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT I~ c CRYOGENIC 22 %WT HAZARDOUS COMPONENT EHS CAS # 1 3 ~ 226 s tJL~t/12 t tv, ~~ (f~ 227 ^ Yes ^ No 228 22 2 230 231 ^ Yes ^ No 232 23 3 234 235 V Yes ^ No 236 237 4 238 239 ^ Yes ~ No 240 241 5 242 243 ^ Yes ^ No 244 24 "' III. SIGNATURE PR1N7 NAME 8 TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE ~ 2 3 zZ ,(, 1'U 1144 (K2V. UylUb) ENT'D MAY 012006 '~~ ~~ (HMMP) HAZARDOUS MATERIALS MANAGEMENT PLAN UNIFIED PROGRAM CON50LIDATED FORMS CHEMICAL DESCRIPTION FORM HAZARDOUS MATERIALS INVENTORY 'NEW ^ ADD ^ DELETE C REVISE 200 R A.R._S._.F.._?. R F/R~ ARTAI T B.AKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 i0ne form per material. per building. or area.) I. FACIL N ORMATION BUSINESS NAME (Same as FACILITY NAME or OBA -Doing Business As) ~~~1 `~- ~ Z~ Q CHEM CAL LOCATION 201 CHEMICAL LOCATION 20 ~_~~ ~.~ ~.T~ 2~ CONFIDENTIAL (EPCRA) ^ Yes ^ N FACILITY ID No. 1 MAP No. (optional) 203 GRID N0. (optional) 20 II. CHEMICAL INF ORMATION CHEMICAL NAME ~~ __ _ 205 2 ~%Z).2 Q t ~ ~.a r TRADE SECRET C Yes ^ No COMMON NAME 207 EHS• C Yes ^ No 20 CAS No. 209 •lf EHS is "Yes,° all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 21 TYPE 211 212 CURIES 21 (`PURE C m MIXTURE C w WASTE RADIOACTNE: ^ Yes ^ No LARGEST CONTAINER 21 PHYSICAL STATE ^ s SOLID .r~CL~f_QUID ^ g GAS 214 21 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) ANNUAL WASTE 217 MAXIMUM P1g AVERAGE 219 STATE WASTE 22 AMOUNT DAILY AMOUNT ~ Q DAILY AMOUNT 5 0 ~ CODE /' 2 21 2 2 2 ~ ^ UNITS ~ga GAL " ^ cf CU FT ^ Ib LBS ^ to TONS DAYS ON SITE If EHS, am unt ust be in lbs. 22 STORAGE CONTAINER (Check e// mar apply) ^ a ABOVEGROUND TANK ^ f CAN ^ k BOX ^ p TANK WAGON ^ b UNDERGROUND TANK G g CARBOY ^ 1 CYLWDER ^ q RAIL CAR - ,, ^ c TANK INSIDE BUILDING ^ h SILO ^ d STEEL DRUM ^ i FIBER DRU M n PLASTIC BOTTLE ^ e PLASTIC/NONMETALLIC DRUM C j BAG G o TOTE BIN STORAGE PRESSURE ~a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 22 22 STORAGE TEMPERATURE ~' a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT I~ c CRYOGENIC %WT HAZARDOUS COMPONENT EHS CAS # 1 226 227 ^ Yes ^ No 228 22 2 230 231 C Yes C No 232 23 3 234 235 G Yes ^ No 236 23 4 238 239 ^ Yes ~ No 240 241 5 242 243 ^ Yes ^ No 244 24 `` III. SIGNATURE PRINT NAME 8 TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 2 3 ~z 2~OC FD 2144 (Rev. 09105) ENT°D SAY p ~ X006 "'' ~ " (HMMP) HAZARDOUS MATERIALS MANAGEMENT PLAN UNIFIED PROGRAM CONSOLIDATED FORMS CHEMICAL DESCRIPTION FORM HAZARDOUS MATERIALS INVENTORY NEW ^ ADD ^ DELETE ^ REVISE 200 A n x._s...r._?. ,.n F/RI ARTAI f BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 tone form per material. per building. or area.) o., ....~ ..s n I. ACILI FORMATIO or DBA -Doing Business As) (Same as FACILITY NAM BUSINESS N E E nn / ~ ~!`~~9 ~~`^~ ~ GF 2~'T CHEMICAL LOCATION 201 CHEMICAL LOCATION 20 ~ ~ 5 ~ ~ ~ (~ L"~Z.. ~ 5~~~ Q ` CONFIDENTIAL (EPCRA) ^ Yes D N FACILITY ID No. 1 MAP No. (optional) 203 GRID NO. (opttonaq 2 ORMATION Il. C EMICAL INF CHEMICAL NAME ~ _ - 205 2 - . R ~ „ ,~ ~ ~ ~ ~ •- ~N ~~7 TRADE SECRET C Yes ^ No COMMON NAME ZD7 EHS' C Yes ^ No 20 CAS No. 209 •lf EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete iT requested by local fire chief) 21 TYPE 211 RADIOACTIVE: C Yes 21 G No CURIES 21 ^ p PURE C m MIXTURE ~w WASTE LARGEST CONTAINER 21 PHYSICAL STATE ^ s SOLID ~I LIQUID ^ g GAS 214 ^-~ 2 G. 21 FED HAZARD CATEGORIES ,FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE H EALTH ~5 CHRONIC HEALTH (Check all that apply) ANNUAL WASTE 217 MAXIMUM 21g AVERAGE 219 STATE WASTE 22 AMOUNT DAILY AMOUNT 2 Z~ DAILY AMOUNT p l ~ / CODE ~ 221 222 ~ ^ UNITS }Q ga GAL . ^ cf CU FT ^ Ib LBS ^ to TONS DAYS ON SRE rc EHS, amoun ust be in lbs. 22 STORAGE CONTAINER /cneck an that eppry) ~a ABOVEGROUND TANK ^ f CAN ^ k BOX ^ p TANK WAGON ^ b UNDERGROUND TANK G g CARBOY ^ I CYLINDER Y ^ q RAIL CAR ;.-„ ^ c TANK INSIDE BUILDING ^ h SILO 0 d STEEL DRUM ^ i FIBER DRUM C n PLASTIC BOTTLE ~ e PLASTICINONMETALLIC DRUM C j BAG ^ o TOTE BIN STORAGE PRESSURE ~a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 22 22 STORAGE TEMPERATURE ~a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT C c CRYOGENIC %WT HAZARDOUS COMPONENT EHS CAS# 1 226 227 ^ Yes ^ No 228 22 2 230 231 D Yes C No 232 23 3 234 235 G Yes ^ No 236 237 4 238 239 ^ Yes !_: No 240 241 5 242 243 G Yes 'J No 244 24 M III. SIGNATURE PRINT NAME 8 TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE OATE 2 ~ 3 fiz~6 ru 144 (rcev. valo5) ENT MAY O l ,gyp 06