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HomeMy WebLinkAboutBUSINESS PLAN 3/7/2006- _ - - ,~--~ ,. i .;~'~. ~~ '~~~ i B ~ BRAND DRY ICE dba BRANDCO `~ -- -' __2301 PST -- ---- - - ~. !~~1L 2 4 2x03 ;;. + BRAND DRY ICE INC DBA BRANDCO _______________________ SiteID: 015-021-001906 + Manager MIKE BRAND BusPhone: (661) 322-6001 Location: 2301 P ST Map 102 CommHaz Low City BAKERSFIELD Grid: 30B FacUnits: 1 AOV: CommCode: BFD STA 04 SIC Code:4925 EPA Numb: DunnBrad:02-787-0062 Emergency Contact / Title Emergency Contact / Title MIKE BRAND / PRESIDENT CHARLES WOOD / MANAGER Business Phone: (661) 32.2-6001x Business Phone: (661) 322-6001x 24-Hour Phone (661) 32.2-6001x 24-Hour Phone (661) 322-6001x Pager Phone (661) 428-0900x Pager Phone (661) 428-0907x Hazmat Hazards: Fire Press Reac t ImmHlth Contact MIKE BRAND Phone: (661) 322-6001x MailAddr: PO BOX 1631 State: CA City BAKERSFIELD Zip 93301 Owner MIKE BRAND Phone: (661) 322-6001x Address PO BOX 1631 State: CA City BAKERSFIELD Zip 93301 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 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, nd complete. 3 7 2aa Sig lure Dat~ EN1~ MAC 1 ~ 206 -1- 03/06/2006 UNIFIED PROGRAM INSPECTION CHECKLIST I SECTION 1: Business Plana ventory Program B__ P R S F_I D F/RE ARTM T Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME ~~ INSPECTION DATE / -r ~ C~ INSPECTION TIME /~Y~ ADDRESS Ir - X30 ( ~ ~~ ~ fi PHONE NO. - ZZ gaol NO OF EMPLOYEES FACILITY CONTACT//,, i~Kt°_ tiJ~ BUSINESS ID NUMBER / 15-021-601Q1.1f~ --. Section 1: Business Plan and Inventory Program, ~ t ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ( C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSInBSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ~^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ~ ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL D ,~,/ L~3' ^ 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 & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN ^ YES C~'NO QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1s` In /Shift of Site/Station # usin ss ' e / R onsi rty (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 UNIFIED PROGRAM INSPECTION CHECKLIST ~' .SECTION 1: Business Plan and Inventory Program BAKERSFIEILD FIRE DEPT Prevention Services p ~IRI 900 Trtixtun Ave., Suite 210 ~t1N Bakersfield, CA 9330 : (661) 326-3979 FC Tel . jG Fax: (661} 872-2171 `~~,~ FACILITY NAME L-~ NSPECTION DAT ~z 1 g o5 INSPECTION TIME ~~ i5 r~.>1~~ ADDRESS Z 3©- ~ 5-~re2_ ~ HONE NO. 22 - loon - O OF EMPLOYEES 3 FACILITY CONTACT pp USINESS ID NUMBER /~ 15-021- l~~~ +~.2 ~f a~C~ p 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 / ^ BUSItIASS PLAN CONTACT INFORMATION ACCURATE [ 9 ~ / lJ ^ VISIBLE ADDRESS I`J' ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS G Y ~ / t!~ ^ VERIFICATION OF QUANTITIES LLY ^ VERIFICATION OF LOCATION 0~ ^ PROPER SEGREGATION OF MATERIAL GY ^ VERIFICATION OF MSDS AVAILABILITY G~ ^ VERIFICATION OF HAZ MAT TRAINING @~^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED & Y ^ HOUSEKEEPING , ,. / L`7_ ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE 8 ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES I~ NO EXPLAIN: - •OUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (881) 928-3979 Inspector (Please Print) Fire Prevention / 1" to / Shift of Site/Station # Bus ss ite/ hoot ' _ e Party (Please Prirt~ White - Prwention Sarvicas Yatlow -Station Copy Pink - Buaineae Copy FD2tM9 (Rw. tl~/d5') 7 y BRAND DRY ICE INC DBA BRANDCO Manager 1Y~iCAR~L ilV' ~¢~N~ Location: 2301 P ST City BAKERSFIELD SiteID: 015-021-001906 BusPhone: (661) 322-6001 Map 102 CommHaz Low Grid: 30B FacUnits: 1 AOV: CommCode: BFD STA 04 EPA Numb: SIC Code:4925 DunnBrad:02-787-0062 Emergency Contact / Title Emergency Contact / Title MIKE BRAND' / PRESIDENT / Business Phone: (661) 322-6001x 24-Hour Phone (661) 322-60O1x - _ '=r3~~0~~c Pager Phone (661) 428-0900x ___ _. Hazmat Hazards: Fire Press React ImmHlth Contact MIKE BRAND Phone: (661) 322-6001x MailAddr: PO BOX 1631 State: CA City BAKERSFIELD Zip 93302-1631 Owner MIKE BRAND Phone: (661) 322-6001x Address PO BOX 1631 State: CA City BAKERSFIELD Zip 93302-1631 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ENT'D OCT 12007 ^a^ed on my inquiry of those individMja~s respi?nsibie for obtaining the information, I certify under penalty of lax% that i have personally examined and am familiar with the information submitted and believe the information is true , accurate, and complete r ~~ ~ 2`~''~l Signature Date -1- 10/01/2007 t ,~ F BRAND DRY ICE INC DBA BRANDCO SiteID: 015-021-001906 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP DRY ICE IH S 27000.00 LBS Low CARBON DIOXIDE F P IH G 25000.00 LBS Min HELIUM F P IH G 4500.00 FT3 Min NITROGEN F P IH G 600.00 FT3 Min AIR COMPRESSED F P IH G 300.00 FT3 Min FIRE EXTINGUISHERS R G 4500.00 LBS UnR -2- 10/01/2007 -3- io/oi/aoo~ P BRAND DRY ICE INC DBA BRANDCO SiteID: 015-021-001906 ~ ~ Inventory Item 0005 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME DRY ICE Days On Site SOLID CARBON DIOXIDE 365 Location within this Facility Unit Map: Grid: 36 BLOCK (50LB) BOXES SE FRONT OF BLDG & STORAGE RM W END CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid TPure ~ Ambient ~ Below Ambient BIN AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1800.00 LBS 27000.00 LBS 15000.00 LBS t1AGHKLVU.~ 1,V1~lYV1V~1V 15 %Wt. RS CAS# 100.00 Carbon Dioxide No 124389 t11~GKKL fi. 7.7~.7.71~1~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Low ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME CARBON DIOXIDE Days On Site 365 Location within this Facility Unit Map: Grid: REAR OF BLDG W DOOR & STORAGE RM W END OF BLDG CAS# LIQUID & GAS FORMS IN CONTAINER TYPE 02-04-05 124-38-9 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas TPure ~-Above Ambient Cryogenic INSUL.TANK / CRYOGENIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 14000.00 LBS 25000.00 LBS 3500.00 LB5 HAZARDOUS COMPONENTS %Wt . RS CAS## 100.00 Carbon Dioxide No 124389 t'lEiGEitCL Ei.7.7~J.71~1P~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -4- 10/01/2007 F BRAND DRY ICE INC DBA BRANDCO SiteID: 015-021-001906 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME HELIUM Days On Site 365 Location within this Facility Unit Map: Grid: REAR OF BLDG W DOOR & STORAGE RM W END OF BLDG CAS# 7440-59-7 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 244.00 FT3 4500.00 FT3 1500.00 FT3 HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Helium No 7440597 t1AGHtt1J A 55L~S:i1~1L'1V"15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min ~ Inventory Item 0006 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME NITROGEN Days On Site 365 Location within this Facility Unit Map: Grid: REAR OF BLDG W DOOR CAS# 7727-37-9 STATE T TYPE PRESSURE ~~ TEMPERATURE ~ CONTAINER TYPE ~ ~GaS I Pure Above Ambient I Ambient i PORT. PRESS. CYLINDER I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 255.00 FT3 600.00 FT3 600.00 FT3 1'3tiGL~iLC1lV V.7 IrVL~lY V1V L~1V 1 J %Wt. RS CAS# 100.00 Nitrogen No 7727379 IS1iGEitCLJ HJ ~7 ~.751~1r,1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -5- 10/01/2007 r F BRAND DRY ICE INC DBA BRANDCO SiteID: 015-021-001906 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME AIR COMPRESSED Days On Site AIR PACKS 365 Location within this Facility Unit Map: Grid: STOCK SHELVES S WALL FRONT CAS# 7782-44-7 ~GasATE T TYPE PRESSURE TEMPERATURE CONTAINER TYPE I Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 22.00 FT3 300.00 FT3 If 300.00 FT3 tLE~L,HKLVV~ I,VL~lYV1V~1V1J ~Wt. RS CAS# 100.00 Air No 0 t~~tittL r~5a~5~inr,ivl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME FIRE EXTINGUISHERS Days On Site 365 Location within this Facility Unit Map: Grid: STOCK SHELVES CTR S WALL CAS# STATE T TYPE ~ PRESSURE TEMPERATURE CONTAINER TYPE _ Gas I Mixture I Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 300.00 LBS 4500.00 LBS 4500.00 LBS HAZARDOUS COMPONENTS oWt. RSA CAS# HAZARD AS SESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / UriR -6- 10/01/2007 F BRAND DRY ICE INC DBA BRANDCO SiteID: 015-021-001906 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 01/13/1999 ~ 911. Employee Notif./Evacuation AS PER SITE PLAN POSTED AT EXITS. 01/13/1999 Public Notif./Evacuation AS PER SITE PLAN POSTED AT EXITS. 01/13/1999 Emergency Medical Plan 01/13/1999 911. -7- 10/01/2007 F BRAND DRY ICE INC DBA BRANDCO SiteID: 015-021-001906 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 10/13/2006 ~ ALL INERT GASES. Release Containment 10/13/2006 ALL INERT GASES. Clean Up NONE REQUIRED FOR INERT GAS. 03/15/2007 Other Resource Activation -8- 10/01/2007 f F BRAND DRY ICE INC DBA BRANDCO SiteID: 015-021-001906 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ aYCC.la.L na~aiu~ Utility Shut-Offs GAS - NG W END IN COVERED AREA ELECTRICAL - N/W INSIDE BLDG BY SLIDING DOOR WATER - W YARD SW GATE 03/15/2007 Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - HAND-HELD FIRE EXTINGUISHERS. NEAREST FIRE HYDRANT - CRNR 24TH ST & P ST. 10/13/2006 Building Occupancy Level 11/29/2006 3 EMPLOYEES -9- 10/01/2007 F BRAND DRY ICE INC DBA BRANDCO SiteID: 015-021-001906 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 10/13/2006 ~ MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: MONTHLY SAFETY MEETINGS. HM 126 TRAINING/DOT TRAINING/IN-HOUSE SAFETY MANUALS/NAFED TRAINING/BOC TRAINING. rayc ~ nciu tvi ru4uic u~c ncit,t tvi ru~uiC ~5C -10- 10/01/2007 .. n BRAND DRY ICE INC DBA BRANDCO Manager CHARLES WOOD Location: 2301 P ST City BAKERSFIELD CommCode: BFD STA 04 EPA Numb: a~ ~a~ SiteID: 015-021-001906 BusPhone: (661) 322-6001 Map 102 CommHaz Low Grid: 30B FacUnits: 1 AOV: SIC Code:4925 DunnBrad:02-787-0062 Emergency Contact / Title Emergency Contact / Title MIKE BRAND / PRESIDENT CHARLES WOOD / MANAGER. Business Phone: (661) 322-6001x Business Phone: (661) 322-6001x 24-Hour Phone (661) 322-6001x 24-Hour Phone (661) 322-6001x Pager Phone (661) 428-0900x Pager Phone_ (661) 428-0907x Hazmat Hazards: Fire Press React ImmHlth Contact MIKE BRAND Phone: (661) 322-6001x MailAddr: PO BOX 1631 State: CA City BAKERSFIELD Zip 93302-1631 Owner -MIKE BRAND Phone: (661) 322-6001x Address PO BOX 1631 State: CA City BAKERSFIELD Zip 93302-1631 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ~~~~ Based on my inquiry of those individuals onsible for obtaining the information, I certify resp under penalty of law that I have personalty examined and am familiar with the information submitted and believe Ih information is true, d co pletP . accurat , an _ _ 2 ~ a ure Dat i ~o~ g -1- 01/26/2007 F BRAND DRY ICE INC DBA BRANDCO SiteID: 015-021-001906 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP DRY ICE IH S 27000.00 LBS Low CARBON DIOXIDE F P IH G 25000.00 LBS Min HELIUM F P IH G 4500.00 FT3 Min NITROGEN F P IH G 600.00 FT3 Min AIR COMPRESSED F P IH G 300.00 FT3 Min FIRE EXTINGUISHERS R G 4500.00 LBS UnR -2- 01/26/2007 -3- 01/26/2007 f. ~ F BRAND DRY ICE INC DBA BRANDCO SiteID: 015-021-001906 ~ I It 0005 t Fi F ilit U it d at Site t i r C nven ~ ory em xe ac n : y a ne s ~ on COMMON NAME / CHEMICAL NAME DRY ICE Days On Site SOLID CARBON DIOXIDE 365 ithi hi F ilit L ti U i id M G oca on w n t ac s y n t r ap: : 36 BLOCK (50LB) BOXES SE FRONT OF BLDG & STORAGE RM W END CAS# E E ~E CONTAINER TYPE ~Solid T Pure ~ Ambient ~ BelowAmbient BIN AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1800.00 LBS 27000.00 LBS 15000.00 LBS t1AGE~tCLVUD 1.V1~lYV1VJ;1V1J %Wt. RS CAS# 100.00 Carbon Dioxide No 124389 t11jGKK1J H.75L` .7.71Y1L` 1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Low ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME CARBON DIOXIDE Days On Site 365 Location. within this Facility Unit Map: Grid: REAR OF BLDG W DOOR & STORAGE RM W END OF BLDG CAS# LIQUID & GAS FORMS IN CONTAINER TYPE 02-04-05 124-38-9 ~GasATE ~pureE -~AboveSAmbEent CryogenicRE INSULOTANK jRCRYOGENIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 14000.00 LBS 25000.00 LBS 3500.00 LBS HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Carbon Dioxide No 124389 I1HGEiKL 1-~.7J~JD1~1J;1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -4- 01/26/2007 F BRAND DRY ICE INC DBA BRANDCO $iteID: 015-021-001906 ~ ~ Inventory Item 0004 Facility Unit: Fixed 'Containers at Site ~ COMMON NAME / CHEMICAL NAME HELIUM Days On Site 365 Location within this Facility Unit Map: Grid: REAR OF BLDG W DOOR & STORAGE RM W END OF BLDG CAS# 7440-59-7 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Gas TPure ~-Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 244.00 FT3 4500.00 FT3 1500.00 FT3 t11~GKtCLVU.7 1.V1~lYV1Vl;,1V l.7 oWt. RS CAS# 100.00 Helium No 7440597 t1E~GEi2CL 1.1~7 .7~.7.'~1~1~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min ~ Inventory Item 0006 COMMON NAME / CHEMICAL NAME NITROGEN Location within this Facility Unit REAR OF BLDG W DOOR Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 7727-37-9 ~GasATE -r-PureE ~-AboveSAmbEent AmbientT~E PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATION Largest Co255100rFT3 Daily 600100m FT3 I Daily 600r00e FT3 I1tiGEiRLVU~J l.Vl"lYV1V~1V 1.7 ~Wt. RS CAS# 100.00 Nitrogen No 7727379 I1HGti[CL H.7 J1;~J.71~1tS1V1~7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No Noj Curies F P IH j / j Min -5- .01/26/2007 F BRAND DRY ICE INC DBA BRANDCO SiteID: 015-021-001906 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME AIR COMPRESSED Days On Site AIR PACKS 365 Location within this Facility Unit Map: Grid: STOCK SHELVES S WALL FRONT CAS# 7782-44-7 ~GaSATE TYPE PRESSURE ~ TAE~MPeRATURE ~ CONTAINER TYPE TPure Above Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 22.00 FT3 300.00 FT3 300.00 FT3 t1AGHKLVUA 1:V1~lYV1VtS1V1~ %Wt. RS CAS# 100.00 Air No 0 riAGKK1J EiJ ~1;~51~1~1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME FIRE EXTINGUISHERS Location within this Facility Unit STOCK SHELVES CTR S WALL Facility Unit: Fixed Containers at Site ~ s ~ Days On Site 365 Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas TMixture Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 300.00 LBS 4500.00 LBS 4500.00 LBS HAZARDOUS COMPONENTS ,- , %Wt. RSA CAS# HAZARD AS SESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / r UnR -6- 01/26/2007 F BRAND DRY ICE INC DBA BRANDCO SiteID: 015-021-001906 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 01/13/1999 ~ 911. Employee Notif./Evacuation 01/13/1999 AS PER SITE PLAN POSTED AT EXITS. Public Notif./Evacuation AS PER SITE PLAN POSTED AT EXITS. 01/13/1999 Emergency Medical Plan 01/13/1999 911. -7- 01/26/2007 F BRAND DRY ICE INC DBA BRANDCO SiteID: 015-021-001906 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention 10/13/2006 ALL INERT GASES. Release Containment 10/13/2006 ALL INERT GASES. - ~...~Cdii vY N U~l~ U 112~D ~DT1-- '~i~l ~l'LT~ G ~s v~.iiCt iCC.SVUiI:C LiUl.lVdl.lVil -8- 01/26/2007 {. 6 F BRAND DRY ICE INC DBA BRANDCO SiteID: 015-021-001906 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .7~JCC:1dl Lld'Gdlli.7- Utility Shut-Offs 11/29/2006 A) GAS - NG W END IN COVERED AREA B) ELECTRICAL - N/W INSIDE BLDG BY SLIDING DOOR C) WATER - W YARD SW GATE D) SPECIAL - N/A E) LOCK BOX - NO Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - HAND-HELD FIRE EXTINGUISHERS. NEAREST FIRE HYDRANT - CRNR 24TH ST & P ST. 10/13/2006 Building Occupancy Level 11/29/2006 3 EMPLOYEES -9- 01/26/2007 F BRAND DRY ICE INC DBA BRANDCO SiteID: 015-021-001906 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 10/13/2006 ~ MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: MONTHLY SAFETY MEETINGS. HM 126 TRAINING/DOT TRAINING/IN-HOUSE SAFETY MANUALS/NAFED TRAINING/BOC TRAINING. Ydl,, C G Held for Future Use _, t_ aac .LU ivt L' u~..utc vac -lo- 0l/26/200~