The URL can be used to link to this page

Home My WebLink AboutBUSINESS PLAN 2/26/2007n ~] VICTORY CIRCLE\ U 700 S. MT. VERNON AVENUE VICTORY CIRCLE Manager MARL LUNDGREN Location: 700 S MT VERNON AVE City BAKERSFIELD CommCode: KCFD STA 41 EPA Numb: BusPhone: Map 124 Grid: 04B SIC Code: DunnBrad: SiteID: 015-021-002914 (661) 833-4600 CommHaz Moderate FacUnits: 1 AOV: Emergency Contact / Title Emergency Contact / Title MARL LUNDGREN / GENERAL MANAGER / Business Phone: (661) 833-4600x303 Business Phone: ( ) - x 24-Hour Phone (.661) 366-0552x 24-Hour Phone ( ) - x Pager Phone (661) 978-1773x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact MARL LUNDGREN Phone: (661) 833-4600x MailAddr: 700 S MT VERNON AVE State: CA City BAKERSFIELD Zip 93307 Owner LES DENHERDER Phone: (661) 833-4600x Address 700 S MT VERNON AVE State: CA City BAKERSFIELD Zip 93307 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 l ~~~,U ~ ~ ~ ~ ~ ~l~tJ/ s of those individua used on mY inquiry I certify hlP for oht~:arnn~ the information, e personally respr~nwi of law that I hav under penalty t n I ii rue, s the~nformat o exam! lieve tted and b sud+'nd lete. and comp accurate, ~~ 07 ~- __~- Date Sic:istu~~ -1- 02/20/2007 F~VICTORY CIRCLE SiteID: 015-021-002914 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP WASTE PAINT THINNER F L 55.00 GAL Mod WASTE OIL F DH L 300.00 GAL Low KEROSENE F DH L 55.00 GAL Low BRAKE CLEANER P IH L 20.00 GAL Low ARGON F P IH G 1500.00 FT3 Min NITROGEN F P IH G 330.00 FT3 Min MOTOR OIL F DH L 100.00 GAL Min ARGON/CO2 MIX G 1500.00 FT3 UnR RACING FUEL F IH L 1000.00 GAL UnR -2- 02/20/2007 -3- 02/20/2007 r T F~VICTORY CIRCLE SiteID: 015-021-002914 ~ ~ Inventory Item 0007 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE PAINT THINNER Days On Site 365 Location within this Facility Unit Map: Grid: NE CRNR PAINT BOOTH BAY 600 CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Waste Ambient Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL HAZARDOUS COMPONENTS %Wt• RS CAS# 80.00 Thinner No 8030306 i1liGL~ii'CL HJ JP.~J J1~1P~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Mod ~ Inventory Item 0009 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE OIL Days On Site 365 Location within this Facility Unit Map: .Grid: S SIDE 700 BAY CAS# Liquid TWaste -7 AmbRent~E ~ AmbientT~E ABOVEOGROIINDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 300.00 GAL 300.00 GAL I 300.00 GAL iu~urucLV V J ~.vrlrvlvl,ly 1 S %Wt• RS CAS# 100.00 Waste Oil, Petroleum .Based No 0 rlti[~tilCL ti JJ~JJl"1L~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -4- 02/20/2007 F~VICTORY CIRCLE SiteID: 015-021-002914 ~ ~ Inventory Item 0006 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME KEROSENE Days On Site 365 Location within this Facility Unit Map: Grid: SE CRNR BAY 500 CAS# 8008-20-6 Liquid TMixtur~ Ambient~E ~ T~PeRATURE DRUM/BNARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Kerosene No 70892103 riAGEitCL A~5L~551~1l~1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ~ Inventory Item 0008 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME BRAKE CLEANER Days On Site LOW VOC 365 Location within this Facility Unit Map: Grid: SHOWROOM CAS# 71-55-6 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~ Ambient ~ Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 20.00 GAL 20.00 GAL 20.00 GAL riEiGYitCLV U.7 1.V1~lYV1V~1V l b %Wt. RS .CAS# 40.00 1,1,1-Trichloroethane No 71556 30.00 Perchloroethylene No 127184 30.00 Carbon Dioxide No 124389 riYaGtiKL Y..7 .7>;5.71~1~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies P IH / / / Low -5- 02/20/2007 F~VICTORY CIRCLE SiteID: 015-021-002914 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ARGON Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 7440-37-1 ~GaSATE TYPE T PRESSURE ~~ TEMPERATURE CONTAINER TYPE TPure I Above Ambient I Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 330.00 FT3 1500.00 FT3 1500.00 FT3 nH~HtcL~u~ w1Ylr~lv~ivl5 $Wt. RS CAS# 100.00 Argon No 7440371 tiHGH2CL E1.7 J~J~1~1~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME NITROGEN Location within this Facility Unit SE CRNR BAY 100 STATE TYPE PRESSURE _ Gas TPure ~-Above Ambient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 7727-37-9 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Co330100rFT3 Daily 330100m FT3 I Daily 660r00e FT3 111-1GH1'CLVU~J 1.V1~lYV1VL"1V1.7 °sWt. RS CAS# 100.00 Nitrogen No 7727379 I1.EiGHKL 1-1. 7.7 tS.7.71~1tS1V 1 ~7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -6- 02/20/2007 F VICTORY CIRCLE ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME MOTOR OIL Location within this Facility Unit SHOWROOM & STOCKROOM STATE TYPE PRESSURE Liquid TMixture ~ Ambient SiteID: 015-021-002914 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 8020835 TEMPERATURE CONTAINER TYPE Ambient -~STIC CONTAINE~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 100.00 GAL I 100.00 GAL r~~t~rcliuu~ ~ui~iruiv~,i~la °sWt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 titi~r~tcL r~~a~aain~lvt~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min ~ Inventory Item 0004 COMMON NAME / CHEMICAL NAME ARGON/C02 MIX Location within this Facility Unit SE CRNR BAY 100 Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# ~GasATE ~Mixture~-AboveSAmbEent AmbientT~E PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 330.00 FT3 1500.00 FT3 1500.00 FT3 HAZARDOUS COMPONENTS °sWt . RSA CAS# nr~ZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / UnR -7- 02/20/2007 F~VICTORY CIRCLE SiteID: 015-021-002914 ~ ~ Inventory Item 0005 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME RACING FUEL - Days On Site 365 Location within this Facility Unit Map: Grid: N SIDE OF LOT IN SEATRAIN CAS# Liquid TMixtur~ Ambient~E ~ AmbientT~E DRUM/BARRELEMETALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 1000.00 GAL 1000.00 GAL HAZARDOUS COMPONENTS , oWt. RS CAS# HAZARD AS SESS1~iaiV 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / UnR -8- 02/20/2007 F`VICTORY CIRCLE SiteID: 015-021-002914 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ tigency Notisication ~~-~~ 9 r~lll~JlVyCC 1VVl.1L . / ~VdCUcLl.1Ui1 rUiJ11(.: 1VVL11 .--/ r,VdCUdG1VI1 ~uici.ycii~y riCUl.~:al r.idtt - s~o --~ ~l ~.~5~ oN ~~~ ~~ -9- 02/20/2007 F VICTORY CIRCLE SiteID: 015-021-002914 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention I~?~i~-c 5~~~ i c~~ 1~zY r~l~~-s 1CC1Cd.7"C 1.V11LC1111L 11C11L M~~ ~5 -~ ~,.1CQ11 V~J ~ l-~~ I~~tov~ ~ ~GC_ V1.11CL LCC~~'VULC:C t1C;l.1Vdl.lVil -10- 02/20/2007 _ ;~ F`VICTORY CIRCLE SiteID: 015-021-002914 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~ Special Hazards 01/17/2007 ~ OVERHEAD GAS LINE FOR HEATERS. RACE CARS AND AUTOS IN BUILDING 100 BAY TO 800 BAY. 300-GAL WASTE OIL CONTAINER ON SOUTH SIDE OF 700 BAY. Utility Shut-Offs 07/11/2006 GAS: S SIDE OF BLDG ELECTRIC: 100 BAY Fire Protec./Avail. Water BUILDING SPRINKLERS FRONT TO REAR FOUR FIRE HYDRANTS IN YARD 07/11/2006 Building Occupancy Level 01/17/2007 25 TO 50 EMPLOYEES -11- 02/20/2007 ~, F~VICTORY CIRCLE SiteID: 015-021-002914 ~ Fast Format ~ ~ Training__ _____ Overall Site ~ -~ P~LLl~J1 Vy CC 11_CL111111y - ~' rayc c. nclu 1Vl rUI.UlC UDC nclu 1Vl ruuure use -12- 02/20/2007 t; _~ -,;; VICTORY CIRCLE SiteID: 015-021-002914 Manager MARL LUNDGREN Location: 700 S MT VERNON AVE City BAKERSFIELD BusPhone: (661) 833-4600 Map 124 CommHaz Moderate Grid: 04B FacUnits: 1 AOV: CommCode: KCFD STA 41 EPA Numb: CAL000223209 SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title MARL LUNDGREN / GENERAL MANAGER / Business Phone: (661) 833-4600x303 Business Phone: ( ) - x 24-Hour Phone (661) 366-0552x 24-Hour Phone ( ) - x Pager Phone (661) 978-1773x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact MARL LUNDGREN Phone: (661) 833-4600x MailAddr: 700 S MT VERNON AVE State: CA City BAKERSFIELD Zip 93307 Owner LES DENHERDER Phone: (661) 833-4600x Address 700 S MT VERNON AVE State: CA City BAKERSFIELD Zip 93307 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 ENT q ~~ p 1 2007 °~~ .~ Cd'? rn`f ii~°..,°!r1f C}S rBSC.;,.,~i `."' f;,r o~„~air:=,n~a the ti14.5G' Ind.,,,°:~ infarn~ation, P cnptifY Ut1r~Ur F%°n~lty Of ia'~1 that ~ f?aY£~ (JEr~OE~aiiV e,~?minea anti am farniiiar with the intcrmatiori suNn'iitted anc+ ve,ievp the information is true accurate, and complete. , s- -. a~° ~: a 7 3G O~ Ciaf~ -1- 07/16/2007 t 'T' 1~ F VICTORY CIRCLE SiteID: 015-021-002914 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP WASTE PAINT THINNER F L 55.00 GAL Mod WASTE OIL F DH L 300.00 GAL Low KEROSENE F DH L 55.00 GAL Low BRAKE CLEANER P IH L 20.00 GAL Low ARGON F P IH G 1500.00 FT3 Min NITROGEN F P IH G 330.00 FT3 Min MOTOR OIL F DH L 100.00 GAL Min ARGON/CO2 MIX G 1500.00 FT3 UnR RACING FUEL F IH L 1000.00 GAL UnR -2- 07/16/2007 ~ t~ -3- 07/16/2007 i ~, F VICTORY CIRCLE SiteID: 015-021-002914 ~ ~ Inventory Item 0007 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE PAINT THINNER Days On Site 365 Location within this Facility Unit Map: Grid: NE CRNR PAINT BOOTH BAY 600 CAS# Liquid TWaste ~mbient~E ~AmbientT~E DRUM/BARRELEMETALLI~ AMOUNTS AT THIS LOCATION - Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL ru~GtattLVU~ cVi~irviv~lvl~ %Wt. RS CAS# 80.00 Thinner No 8030306 tYHGLitCL Aa~~5.71~1L',ly 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Mod ~ Inventory Item 0009 COMMON NAME / CHEMICAL NAME WASTE OIL Location within this Facility Unit S SIDE 700 BAY STATE TYPE PRESSURE Liquid TWaste -~ Ambient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 300.00 GAL 300.00 GAL 300.00 GAL ril-~GHtCLVVA 1.V1~lYV1VL"1V1~ oWt. RS CAS# 100.00 Waste Oil, Petroleum Based No 0 I1L-~GHKL H. 7.7P~.7~1~1L"1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -4- 07/16/2007 ]' ~~ . ~~ F VICTORY CIRCLE SiteID: 015-021-002914 ~ ~ Inventory Item 0006 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME KEROSENE Days On Site 365 Location within this Facility Unit Map: Grid: SE CRNR BAY 500 CAS# 8008-20-6 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~mbient ~ 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 oWt. RS CAS# 100.00 Kerosene No 70892103 ril-~Gl-~tCL HJ~7L" JJ1~1L" 1V 1 w7 ' TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ~ Inventory Item 0008 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME BRAKE CLEANER Days On Site LOW VOC 365 Location within this Facility Unit Map: Grid: SHOWROOM CAS# 71-55-6 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~ Ambient ~ Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 20.00 GAL 20.00 GAL 20.00 GAL ru~c~rucLVV a L.vrlr V1V riv t .J %Wt. RS CAS# 40.00 1,1,1-Trichloroethane No 71556 30.00 Perchloroethylene No 127184 30.00 Carbon Dioxide No 124389 i7t~4riRL Ciw 7 aP~J~71.1.G1V 1 ~7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies P IH / / / Low -5- 07/16/2007 ;; ~r F VICTORY CIRCLE SitelD: 015-021-002914 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ARGON Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 7440-37-1 ~GasATE T TYPE PRESSURE ~~ TEMPERATURE CONTAINER TYPE I Pure Above Ambient I Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 330.00 FT3 1500.00 FT3 1500.00 FT3 rir~~KtcL~u~ t.~inr~ivr;~vl~ %Wt. RS CAS# 100.00 Argon No 7440371 riHY,KtCL A~J~5b1~1L"1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME NITROGEN Location within this Facility Unit SE CRNR BAY 100 STATE TYPE Gas TPure Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 7727-37-9 = PRESSURE TEMPERATURE CONTAINER TYPE Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Co330100rFT3 Daily 330100m FT3 I Daily 660r00e FT3 t1HGt1tCLV U 5 1.:V1~SYV1V L'i1V 1 A °sWt. RS CAS# 100.00 Nitrogen No 7727379 tlE~G1~iCL HJ.7~J.71~1L"1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -6- 07/16/2007 F VICTORY CIRCLE SitelD: 015-021-002914 ~ ~ 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: SHOWROOM & STOCKROOM CAS# 8020835 STATE TYPE PRESSURE TEMPERATURE ~~ CONTAINER TYPE Liquid TMixture ~ Ambient ~ Ambient I PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 100.00 GAL 100.00 GAL I1HGKttLVUJ 1.U1~lYUlVJJ1VIJ %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 riEiGEitG1J I~iJ JJ;JJ1~11;1V-1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min ~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ARGON/CO2 MIX Days On Site 365 Location within this Facility Unit Map: Grid: SE CRNR BAY 100 CAS# ~GasATE ~Mixtur~-AboveSAmbEent AmbientT~E PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 330.00 FT3 1500.00 FT3 I 1500.00 FT3 awt. RSA CAS# riti4ti[CL EiJ JL~JJl"1P~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / UnR HAZARDOUS COMPONENTS -7- 07/16/2007 f- ~ F VICTORY CIRCLE SiteID: 015-021-002914 ~ ~ Inventory Item 0005 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME RACING FUEL Days On Site 365 Location within this Facility Unit Map: Grid: N SIDE OF LOT IN SEATRAIN CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Liquid ~Mixture~mbient ~ Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 1000.00 GAL 1000.00 GAL -, HAZARDOUS COMPONENTS r owt. RSA CAS# ru~~r~tc~ xaa~a~ri~lvl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / UnR -$- 07/16/2007 f~ i F.t1 F VICTORY CIRCLE SiteID: 015-021-002914 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 02/28/2007 ~ CALL 911. Employee Notif./Evacuation WORK-OF-MOUTH. MEET IN FRONT OF SHOP. 02/28/2007 Public Notif./Evacuation 911 02/28/2007 Emergency Medical Plan 02/28/2007 KAISER PERMANENTE ON STOCKDALE HWY. -9- 07/16/2007 jl .;K~ F VICTORY CIRCLE SiteID: 015-021-002914 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 02/28/2007 ~ METAL STORAGE, COOL DRY AREAS. Release Containment 02/28/2007 METAL BINS. Clean Up 02/28/2007 DRY SWEEP AND HAVE REMOVED BY PCL. Other Resource Activation -10- 07/16/2007 ~ t' :a P VICTORY CIRCLE SiteID: 015-021-002914 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~ Special Hazards 01/17/2007 ~ OVERHEAD GAS LINE FOR HEATERS. RACE CARS AND AUTOS IN BUILDING 100 BAY TO 800 BAY. 300-GAL WASTE OIL CONTAINER ON SOUTH SIDE OF 700 BAY. Utility Shut-Offs GAS: S SIDE OF BLDG ELECTRIC: 100 BAY 07/11/2006 Fire Protec./Avail. Water 07/11/2006 BUILDING SPRINKLERS FRONT TO REAR FOUR FIRE HYDRANTS IN YARD Building Occupancy Level 25 TO 50 EMPLOYEES 01/17/2007 -11- 07/16/2007 {, FK,~ ~~ F VICTORY CIRCLE SiteID: 015-021-002914 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 02/28/2007 ~ BRIEF SUNIl~IARY OF TRAINING PROGRAM: IN-HOUSE AND DONE BY SISTER COMPANY SAFETY TEAM. rc~yC L Held for Future Use ric.~u ivi ru~..uic roc -12- 07/16/2007 ~'~`~11 ~' ~ Prevention Services UNIFIED. PROGRAM- LNSPECTION SHE `KLIST, e A FRS,: _, D 9oolYuxtunAve., suite2lo FIRE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ° "RT'" Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME INSPECTION TE INSPECTION TIME ADDRESS '710 ~_ M-~- 62 N oN PHONE NO. x'33' µba~ NO OF EMPLOYEES t Z FACILITY CONTACT BUSINESS ID NUMBER 15-021- ~g 1 Section 1: Business Plan and Inventory, Program - _- -_ _ _ ^ ROUTINE ~OMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V (C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY A 2007 ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~~ ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE 8 ON HAND ANY HAZARDOUS WASTE ON SITE? ~'^YES ^ NO EXPLAIN: i/'7 a'S~'h. C~Oi ~ ~ c ,S~ Q ~"~ ~~ ~' ~~ 1 r r , QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 / Inspector (Please Print) Fire Prevention / 1" In /Shift of Site/Station # usi ess Site /Responsible Party (Please Print) _ - White -Prevention Services Yellow -Station Copy Pink -Business Copy ~ - FD 2155 (Rev. 09/05 ,f ` CITY OF BAKERSFIELD FIRE DEPARTMENT b~ OFFICE OF ENVIRONMENTAL SERVICES •y UNIFIED PROGRAM INSPECTION CHECKLIST ~tt~,`~gti,~~ 1715 Chester Ave., 3~d Floor, Bakersfield, CA 93301 FACILITY NAME ~ ~ ~`toQ- `~ ~-I +~ L ~ ~ INSPECTION DATE ~ / ~ Section 4: Hazardous Waste Generator Program EPA ID # ~ ~ to O~ z-L3 20 } ^ Routine L~8 Combined D Joint Agency ^Mufti-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Hazardous waste detetmination has been made ~ EPA ID Number Authorized for waste treatment and/or storage Reported release, fire, or explosion within 15 days of occurrence Established or maintains a contingency plan and training Hazardous waste accumulation time frames ~ry ~ ~~ S~ E }• ~ d o s-, elks Containers in good condition and not leaking OL Containers are compatible with the hazardous waste Containers are kept closed when not in use Weekly inspection of storage area Ignitable/reactive waste located at least 50 feet from property line ~,,,d o ~ .R,~ a u-„ • Secondary containment provided Conducts daily inspection of tanks Used oil not contaminated with other hazardous waste Proper management of lead acid batteries including labels Proper management of used oil filters Transports hazardous waste with completed manifest Sends manifest copies to DTSC Retains manifests for 3 years ~ fa hQ Retains hazardous waste analysis for 3 years ' Retains copies of used oil receipts for 3 years Determines if waste is restricted from land disposal ~,=~,ompnance v=vtotanon Inspector: G ~`''u^~`''"'~ Office of Environmental Services (661) 326-3979 White -Env. Svcs. c Busin nsible Party Pink -Business Copy + VICTORY CIRCLE ______________________________________ SiteID: 015-021-002914 + Manager ! • `~4 ~~. ~c,~1 ~f ~j (,2~/~ Bu s Phone : ( 6 61) 8 3 3 - 4 6 0 0 Location: 700 S MT VERNON AVE Map 124 CommHaz Moderate City BAKERSFIELD Grid: 04B FacUnits: 1 AOV: CommCode: KCFD STA 41 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title Business Phone: (toc~1 )833 -~-I(oDbx 303 Business Phone: ( ) - x 24-Hour Phone (fotol ) 3bb -aS5¢x 24-Hour Phone ( ) - x Pager Phone ~E.r~: ((o(vl )~J78 -/~73 x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth --------------- Contact d4/l~Qe. ~NO~GcI~ Phone: (661) 833-4600x MailAddr: 700 S MT VERNON AVE State: CA City BAKERSFIELD Zip 93307 --------------- ----------------------- --------------------------------- Owner ~s ~EN~~pC~ Phone: (661) 833-4600x Address 700 S MT VERNOl'~T AVE State: CA City BAKERSFIELD Zip 93307 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif~d: RSs: No ParcelNo: Emergency Directives: ~~ PROG A - HAZMAT ~~ c PROG H - HAZ WASTE GEN ~ ~' ENrp J ~~DC~T A51~ Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally submitted and believe lithe informationois tr en accurate, and complete, Signature Oate ~t vu~ _11 ~A~s ~1~ ~ 5`~~ -1- 06/07/2006 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program ~~~,,~-- Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME ~ INSPEFTION D TE INSPECTION TIME ADDRESS PHONE No. No. of Employees ~~~ s n~T i/E~n~.l _ X33 - 14- ---- - ---------------- FACILITYCONTACT Business 10 Number ~~G- .~.~J 15-021- ~-~ Section 7 : Business Plan and Inventory Pn~gram ^ Routine ombined D Joint Agency ^Mutti-Agency ^ Complaint ^ Re-inspection C ~ nce) OPERATION t \V=Voa on ^ ^ APPROPRIATE PERMIT ON HAND ^ ^ BUSINESS 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 AVAILABILITYE ^ ^ VERIFICATION OF HAT MAT TRAINING ^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ ^ EMERGENCY PROCEDURES ADEQUATE ^ ^ CONTAINERS PROPERLY LABELED ^ ^ HOUSEKEEPING ^ ^ FIRE PROTECTION ^ ^ SITE DIAGRAM ADEQUATE ~ ON HAND COMMENTS - --- - Craig Raudman _ _____ ~ 700 So. Mt. Vernon Ave. Bakersfield, CA 93307 ICTORY CIRCLE Tel: 661/833-4600 - -------~ www.victorycircFe.coin Fax: 661/833-4606 7LLc~ysC t1S~ ~j,,fp~.J(r ~t12+~Rs ,Ftl~z. 172~5F~ ANY HAZARDOUS WASTE ON SITE: YES ^ NO EXPLAIN: ~~~ P~~ ~rT" ~jt-~i ~tln/[2 ~tL cS~`~ ~ ~ rl QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT ~66~~ 326-3979 Inspector Badge No., White -Environmental Services Yellow - Statbn Copy ~---- Business Site Responsible Party Pink -Business Copy HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ,~-AIEW ^ ADD O DELETE O REVISE 200 Bakersfield Fire Dept. a ti It 5 P t o Environmental Services ~,1Rt 1715 Chester Ave ~Rrr r Bakersfield, CA 93301 Tel: (661)326-3979 (one form per material per building or area) Pagel of I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 i!"t~~v <<ru~c CHEMICAL LOCATION 201 CHEMICAL LOCATION 202 f~~t~~ SL~a+.~lLcx~:v1 ~ ST(~-bGl~1k7/~ CONFIDENTIAL(EPCRA) ^ Yes ^ No FACILITY ID No. 1 MAP No. (optional 203 GRID No. (optional 204 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yea ^ No 206 n/L211 U2 C''( (~ Ir subJeet to EPCRA, refer to inswctions COMMON NAME 207 EHS• ^ Yes ^ No 208 CAS No. 209 •If EHS is'Yes,' all amounts Delow must De in Ibs. FIRE CODE HAZARD CLASSES (Complete it requested by local fire chief) 210 TYPE ~t 211 LCtip_PURE ^ m MIXTURE ^ w WASTE RADIOACTIVE ^ Yes 212 ^ No CURIES 213 PHYSICAL STATE 1 214 ^ s SOLID ~LIOUID ^ g GAS LARGEST CONTAINER l 215 FED HAZARD CATEGORIES ~ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH 216 (CheGc all that apply) ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE 220 AMOUNT GAILY AMOUNT } ~ ~l DAILY AMOUNT r ~~ CODE UNITS' ~ge GAL ^ d CU FT ^ ID L8S ^ to TONS 221 DAYS ON SITE 222 'll EHS, amount must be in IDs. 223 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ f CAN ^ k BOX ^ p TANK WAGON (CAeCX all that appy) ^ b UNDERGROUND TANK ^ g CARBOY ^ I CYLINDER ^ q RAIL CAR ^ c TANK INSIDE BUILDING ^ h SILO ^ m GLASS BOTTLE ^ r OTHER ^ d STEEL DRUM ^ i FIBER DRUM ~.n PLASTIC BOTTLE ^ e PLASTIGNONMETALLIC DRUM ^ j BAG ^ o TOTE BIN STORAGE PRESSURE ;Q a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE ~I. a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS # 1 228 227 17 Yes O No 228 2T9 2 230 231 O Yes O No 232 233 3 234 235 ^ Yea ^ No 238 237 4 236 239 ^ Yes 0 NO 240 241 5 242 243 O Yes O No 244 245 III. SIGNATURE _ PRINT NAME 8 TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 248 t0 oO N ~O HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ~PIEW ^ ADD ^ DELETE ^ REVISE 200 Bakersfield Fire Degt. 9 8 R ~ P 1 D Environmental Services ~/R~ 1715 Chester Ave ~RTr t Bakersfield, CA 93301 Tel: (661)326-3979 (one /onn per material per building or area) Pagel of I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or OBA -Doing Business As) J CHEMICAL LOCATION 201 CHEMICAL LOCATION 202 C G ~1~2 c2_ n _5J j~~ 1~ f CONFIDENTIAL (EPCRA) ^ Yes ^ No FACILITY ID No. 1 MAP No. (op6onaQ 203 GRID No. (optlonaQ 204 II. CHEMICAL INFORMATION CHEMICAL NAME ~ / ~~ (/~/ rT ~` U' 205 TRADE SECRET ^ Yes ^ NO 206 If S in t t EPCRA f t W ti b ~ - , re er o s C u jec o ons COMMON NAME 207 EHS' ^ Yes ^ No 208 CAS No. 209 'If EHS is'Yes,' al! amounts Delow must be in Ibs. FIRE CODE HAZARD CLASSES (Complete d requested by bcal fire chieQ 210 TYPE ;~ PURE ^ m MIXTURE ^ w WASTE 211 RADIOACTIVE ^ Yes ^ No 212 CURIES 213 PHYSICAL STATE ,~{ 214 ^ s SGLID ^ I LIOUIO L7'q GAS LARGEST CONTAINER 3 3 215 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ~ PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 AMOUNT MAXIMUM 216 DAILY AMOUNT 3 3~ AVERAGE 219 DAILY AMOUNT ~ / /~ ~} V STATE WASTE CODE 220 UNITS' ^ pa GAL ~ CU FT ^ Ib LBS ^ to TONS 221 DAYS ON SITE 222 'If EHS, amount must t>e in Ibs. 223 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ f CAN ^ k BOX ^ p TANK WAGON (Check all that appy) ^ b UNDERGROUND TANK ^ 9 CARBOY ~ CYLINDER ^ q RAIL CAR ^ e TANK INSIDE BUILDING ^ h SILO ^ m GLASS BOTTLE ^ r OTHER ^ d STEEL DRUM ^ i FIBER DRUM ^ n PLASTIC BOTTLE ^ e PLASTIGNONMETALLIC DRUM ^ j BAG ^ o TOTE BIN STORAGE PRESSURE ^ a AMBIENT ~a ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE ,~'a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS # 1 228 227 O Yes O No 228 229 2 230 231 O Yes ~ No 232 233 3 234 235 ^ Yes O No 238 237 a 238 239 O Yes O No 240 241 5 242 243 O Yes O No 244 245 III. SIGNATURE PRINT NAME 8 TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 248 tD 00 O N ~O HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION t, NEW ^ AOD ^ DELETE ^ REVISE 200 Bakersfield Fire Dept. a B tt , P , D Environmental Services f~rRir 1715 Chester Ave ~Rrr r Bakersfield, CA 93301 Tel: (661)326-3979 (one form per material per building or area) Paget of I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME w DBA -Doing Business Aa) 3 ~! ctC^.~ C.I (iGZ~ CHEMICAL LOCATION 201 CHEMICAL LOCATION 202 CONFIDENTIAL (EPCRA) ^ Yes ^ No FACILITY 10 No. t MAP No. (optionap 203 GRID No. (optional) 204 II. CHEMICAL INFORMATION CHEMICAL NAME /~ ,, I 205 TRADE SECRET ^ Yes ^ No 206 L \l `G O J /~' It Subject to EPCRA, refer to insWctions COMMON NAME 207 EHS' ^ Yes ^ No 208 CAS No. 209 •If EHS is'Yes.' all amounts below must be in IDs. FIRE CODE HAZARD CLASSES (Complete if requested by kxal fire chief) 210 TYPE 277 t.~p PURE ^ m MIXTURE ^ w WASTE RADIOACTIVE ^ Yes 212 ^ No CURIES 213 PHYSICAL STATE r~ 214 ^ s SOLID ^ I LIpUID g GAS LARGEST CONTAINER `~`~ ~ 215 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ~3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH 278 (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE 220 AMOUNT DAILY AMOUNT / ~~ r DAILY AMOUNT ~~ ~ CODE UNITS' ^ ge GAL (~ CU FT ^ Ib LBS ^ m TONS 227 DAYS ON SITE 222 'If ENS, amount must be N Ibs. 223 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ f CAN ^ k BOX ^ p TANK WAGON (Check all that apply) ^ b UNDERGROUND TANK ^ g CARBOY ~ CYLINDER ^ q RAIL CAR ^ e TANK INSIDE BUILDING ^ h SILO ^ m GLASS BOTTLE ^ r OTHER ^ d STEEL DRUM ^ i FIBER DRUM ^ n PLASTIC BOTTLE ^ e PLASTIGNONMETALLIC DRUM ^ j BAG ^ o TOTE BIN STORAGE PRESSURE ^ a AMBIENT ~aa ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE Lea AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS # 1 228 227 ^ Yes ^ No 228 229 2 230 231 ^ Yes ^ No 232 233 3 234 235 ^ Yea ^ No 238 237 4 238 239 ^ Yes ^ No 240 241 5 242 243 ^ Ves ^ No 244 245 IIh SIGNATURE . PRINT NAME S TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 248 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION NEW ^ ADD O DELETE ^ REVISE 200 Bakersfield Fire Dept. a B R, P, D Environmental Services fi-R~ 171 S Chester Ave ~Rrr r Bakersfield, CA 93301 Tel: (661)326-3979 (one Iorm per material per building or area) Pagel of I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or 08A - Odnq Business As) 3 rGij](ul G' 4~CLG CHEMICAL LOCATION 201 CHEMICAL LOCATION 202 S ~ G21~ f(T~ 3~~ ~ ~-~ CONFIDENTIAL (EPCRA) ^ Yes ^ No FACILITY ID No. 1 MAP No. (optionaQ 203 GRID Na. (ophonaQ 204 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yes ^ No 206 ( ~/ ~,'`` , ~YC.JN ~ t -'/t 1 ~ If Subject to EPCRA, refer to instnutions COMMON NAME 207 EHS' ^ Yes ^ No 208 CAS No. 209 •If EHS is'Yes.' all aR10Unts Delow must De in Ibs. FIRE CODE HAZARD CLASSES (Complete A requested by kxal fire chief) 210 TYPE s'ppyy 211 ^ p PURE /vm MIXTURE ^ w WASTE RADIOACTIVE ^ Yes 212 ^ NO CURIES 213 PHYSICAL STATE 214 ^ s SOLID ^ I LIOUID U~q GAS LARGEST CONTAINER ~ 3~ 215 FED HAZARD CATEGORIES (Check all that apply) ^ 1 FIRE ^ 2 REACTIVE ~3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH 218 ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE 220 AMOUNT DAILY AMOUNT , ~GV DAILY AMOUNT ` ~~j.. 1 V CODE UNITS' ^ ge GAL ,,~~J/ Ld'cf CU FT ^ ID LBS ^ N TONS 221 GAYS ON SITE 222 'If EHS, amount must be in tDS. 223 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ t CAN ^ k BOX ^ p TANK WAGON (Check all that apply) ~, ^ b UNDERGROUND TANK ^ q CARBOY ~I CYLINDER ^ q RAIL CAR ^ c TANK INSIDE BUILDING ^ h SILO ^ m GLASS BOTTLE ^ r OTHER ^ d STEEL DRUM ^ i FIBER DRUM ^ n PLASTIC BOTTLE ^ e PLASTICMONMETALLIC DRUM ^ j BAG ^ o TOTE BIN STORAGE PRESSURE .~~,// ^ a AMBIENT 'E5Ls7a ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE -~ AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS # 1 ~ 228 /~~.J 227 ~ Yes O No 228 229 2 230 231 ~ Yes ^ No 232 233 ~~ .`.1, v v Zi 3 234 235 O Yea O No 238 237 4 238 239 17 Yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 IIh SIGNATURE . PRINT NAME 8 TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 248 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ,~1 1~EW O ADO O DELETE ^ REVISE 200 Bakersfield Fire Dept. s e x s P l D Environmental Services ~iR~ 171 S Chester Ave ~Rrr t Bakersfield, CA 93301 Tel: (661)326-3979 (one form per material per building or area) Pagel of I. FACILITY INFORMATION NESS NAME (Same as FACILITY NAME Or DBA • Ooing eusinesa As) SI BU 3 p ~ V (Ci~[~i.~ ~` t ~~ CHEMICAL LOCATION 201 CHEMICAL LOCATION 202. ~ AJ S , ~(` G ~,[S.~•~-(Z,t~ 1~ ~J S 1 ~~ ~~ ~j ~ J CONFIDENTIAL (EPCRA) ^ Yes ^ No FACILITY ID No. 1 MAP No. (opbonan 203 GRID No. (optionan 204 I II. CHEMICAL INFORMATION CHEMICAL NAME i ~ 1 ~ ~ 205 TRADE SECRET ^ Yes ^ No 206 ~t ~ ~. Q v t. i /k /i„ lh~L 1 If Subject t0 EPCRA, refer to in3Wtt1 0ns COMMON NAME 207 EHS' ^ Yes ^ No 208 CAS No. 209 •If EHS is'Yes; all amounts below must be in IDs. FIRE CODE HAZARD CLAS S (Complete H requested by k7cal fire Ctie~ E S 210 , ~ / TYPE t'~PURE ^ m MIXTURE ^ w WASTE 211 RADIOACTIVE ^ Yes ^ No 212 CURIES 213 PHYSICAL STATE 214 ^ s SOLID ~IOUID ^ g GAS LARGEST CONTAINER ~~ 215 FEO HAZARD CATEGORIES rry-f~ ~~ Le-~ FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE - ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE 220 AMOUNT DAILY AMOUNT , ~~, ri ') DAILY AMOUNT ~ ,~I _,,, CX/~ CODE UNITS' ~ye GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 GAYS ON SITE 222 7f EHS, amount must De of Ibs. 223 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ f CAN ^ k BOX ^ p TANK WAGON (Check el! that apply) ^ b UNDERGROUND TANK ^ g CARBOY ^ I CYLINDER ^ q RAIL CAR ^ c TANK INSIDE BUILDING ^ h SILO ^ m GLASS BOTTLE ^ r OTHER /~ STEEL DRUM ^ i FIBER DRUM ^ n PLASTIC BOTTLE ^ e PLASTIClNONMETALLIC DRUM ^ j BAG ^ o TOTE BIN STORAGE PRESSURE ~a AMBIENT ^ ae ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE .~-a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS # t 228 227 ~ Yes ~ No 228 229 2 230 231 O Yes O No 232 233 3 234 235 O Yea ~ No 238 237 4 238 239 ^ Yes ^ No 240 241 5 242 243 ^ Yes ^ No 244 245 ill. SIGNATURE PRINT NAME 8 TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 248 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION NEW ^ ADD O DELETE ^ REVISE 200 Bakersfield Fire Dept. 8 B R 9 P 1 ° Environmental Services fiR~ 1715 Chester Ave ARTM T Bakersfield, CA 93301 Tel: (661)326-3979 (one form per material per building or area) Pagel of I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA • Doing 8ustness As) 3 CHEMICAL LOCATION 201 CHEMICAL LOCATION 202 , r ~~ ,1~r N7~~L 5~:~ L.1 n v ,sU~ CONFIDENTIAL (EPCRA) ^ Yes ^ No FACILITY ID No. 1 MAP No. (opfionaq 203 GRID No. (opfiona~ 204 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yes ^ No 206 ~~,~'~J 7~~..'°'~~ It SubjeC to EPCRA, refer to insWttions COMMON NAME 207 EHS' ^ Yes ^ No 208 CAS No. 209 •II EHS is'Yes,' all amounts Delow must be in Ibs. FIRE CODE HAZARD CLASSES (Compete if requested by kxal fire Ciie~ 210 TYPE 211 ~P.URE ^ m MIXTURE ^ w WASTE RADIOACTIVE ^ Yes 212 ^ No CURIES 213 PHYSICAL STATE ^ s SOLID L~LIOUIO ^ g GAS 214 LARGEST CONTAINER ~~~ 215 FED HAZARD CATEGORIES ,p5-i-+IRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 "~ AVERAGE 219 STATE WASTE 220 AMOUNT ~ DAILY AMOUNT ~ GAILY AMOUNT ~~ CODE UNITS' GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 GAYS ON SITE 222 'll EHS, amount must be in Ibs. 223 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ f CAN ^ k BOX ^ p TANK WAGON (Check all that appy) ^ b UNDERGROUND TANK ^ g CARBOY ^ I CYLINDER ^ q RAIL CAR ^ c TANK INSIDE BUILDING ^ h SILO ^ m GLASS BOTTLE ^ r OTHER ~d STEEL DRUM ^ i FIBER DRUM ^ n PLASTIC BOTTLE ^ e PLASTIC/NONMETALLIC DRUM ^ j BAG ^ o TOTE BIN STORAGE PRESSURE ~ AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 p~ ~ STORAGE TEMPERATURE JU3AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS # 1 228 227 ^ Yes ^ No 228 229 2 230 231 O Yea ^ No 232 233 3 234 235 ^ Yea O No 238 237 4 238 239 ^ Yea ^ No 240 241 5 242 243 ^ Yea ^ No 244 245 ill. SIGNATURE . PRINT NAME 8 TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 248 00 O N HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION NEW O ADD O DELETE O REVISE 200 - Bakersfield Fire Dept. a B a , P , ° Environmental Services f/Rt 1715 Chester Ave ~Rrr T Bakersfield, CA 93301 Tel: (661)326-3979 (one form per material per building or area) Paget of I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME ar OBA • Doinq Business As) 3 CHEMICAL LOCATION 207 CHEMICAL LOCATION 202 ,,/ '~~/1 .1~^ [ pV-~~ ~G i/vC C~'~NR cW P~I'~`l i~~'1 1~ 1~"~ ~l~ CONFIDENTIAL(EPCRA) ^ Yes ^ Na FACILITY ID No. 1 MAP Na. (opGOna~ 203 GRID No. (opfionan 204 II. CHEMICAL INFORMATION . CHEMICAL NAME 205 TRADE SECRET ^ Yes ^ No 206 ~~`~ P~, ~/T ~ti..E i/~N~.2 If Subject to EPCRA, refer to insvugions COMMON NAME 207 EHS' ^ Yes ^ No 208 CAS No. 209 'If EHS is'Yes,' a8 anaunts below must be in IDs. FIRE CODE HAZARD CLASSES (Complete if requested by kxal fire chief) 210 211 TYPE ^ p PURE ^ m MIXTURE ~~+v WASTE RADIOACTIVE ^ Yes 212 ^ No CURIES 213 PHYSICAL STATE ~~,~~qq 214 ^ s SOLID bl.l LIQUID ^ q GAS LARGEST CONTAINER ~S 215 FEO hIAZARO CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH 216 (Check all Nat apply) ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE 220 AMOUNT L'~ J OAILY AMOUNT r~~ J DAILY AMOUNT ~ ~ CODE ^ cf CU FT ^ Ib LBS ^ to TO NS UNI7S' ~'~° GAL 221 DAYS ON SITE 222 7t EHS, amount must t>a in IDs. 223 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ 1 CAN ^ k BOX ^ p TANK WAGON (Check a!1 fhaf appy) ^ b UNDERGROUND TANK ^ q CARBOY ^ I CYLINDER ^ q RAIL CAR ^ c TANK INSIDE BUILDING ^ h SILO ^ m GLASS BOTTLE ^ r OTHER r~ STEEL DRUM ^ i FIBER DRUM ^ n PLASTIC BOTTLE ^ e PLASTIClNONMETALLIC DRUM ^ j BAG ^ o TOTE BIN STORAGE PRESSURE ,~a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE ~ AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS # 1 228 227 O Yes O No 228 229 2 230 231 O Yes ^ No 232 233 3 234 235 0 Yea 0 No 238 237 4 238 239 ^ Yes O No 240 241 5 242 243 ^ Yes ~ NO 244 245 III. SIGNATURE PRINT NAME 8 TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 248