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Home My WebLink AboutBUSINESS PLAN 6/5/2006UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Hazardous Materials Business Plan Inspection BAKERSFIELD FIRE DEPT. a, ,a Prevention Services iB E'' R s F 1," 1) 2101 H Street *0 FIRIff Bakersfield, CA 93301 A RTH F Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY ME (` '/ INSPECTION DATE INSPECTION TIME LA 'i - ei 'tr 1 '✓1 APPROPRIATE PERMIT ON HAND (BMC:15.65.080) ADDRESS r ` 6-V3 I PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER 1010008 124th Consent to Inspect Name/Title .e?5 F :ix, 1 u+L.s�Y1na..�.K4f",;r «S S k .¢ ,f ..�Aa 4 .,,y. �1I 11A ; �■.y��■t i`..; k'. J F C:' S � £i � �q t f II ■. T !' II�+ III �11Y @Itl: O i II. O. x:�.11 ��! A � ;f � q i t. ❑ ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V = omphance OPERATION V =Violation; 1,11 Minor CERS Violation # COMMENT APPROPRIATE PERMIT ON HAND (BMC:15.65.080) 3010001 BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008 VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020) CORRECT OCCUPANCY (CBC: 401) VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004 VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006 VERIFICATION OF LOCATION (CCR: 2729.2) PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b)) VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002 VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010 CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 3030007 HOUSEKEEPING (CFC: 304.1) FIRE PROTECTION (CFC: 903 & 906) 3030032 SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005 ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Signature ofRecei t Explain: Inspector: POST INSPECTION INSTRUCTIONS: • Correct the violation(s) noted above by • Within 5 days of correcting all of the violations, sign and return a copy of this page to: Signature (that all violations have been corrected as noted) Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 Date Pink — Prevention Services White — Business Copy Yellow — Station Copy FD2155 (Rev 8H14) BAKERSFIELD FIRE DEPT. UNIFIED PROGRAM INSPECTION CHECKLIST irire' Prevention Services 2101HStreet �erM Bakersfield, CA 93301 HaI Business Plan and Inventory Program Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME _ v INSPECT I DYE INSPECTION TlNX K / (�(i �7 I' G n /j /U ADDRE S� 2 ` / / HOj-)E NO. _ t O OF EMPLOYEES . �C�s// L„ J —/J FACILITrTNT CT /O✓� BUSINESS ID NUMBER onsent to Inspect Name/Title Section 1: Hazardous Materials Business Plan and Inventory Program �❑ ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V c C= Compliance OPERATION v= violation COMMENTS ❑ ❑ VISIBLEADDRESS (CFC:505.1,BMC:15.52.020) El ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ' ❑ ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) ❑ ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR:2729.1) G I ❑ ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑ ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) ❑ ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) ❑ ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (1); CFC: 5003.5) ❑ HOUSEKEEPING (CFC: 304.1) lb ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) _ ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Explain: Sianature of Recei t: POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE: • Correct the violation(s) noted above by • Within 5 days of correcting all of the violations, sign and return a copy of this page to: Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 White - Busimss Copy Yellow - Business Copy m be Sent Nafter rem. to Compliance Signature (that all violations have been corrected as noted) Date Pick Prevention Services Copy M2155 (Rev 1114) ;'~. ~~ s # ~.~ vvv+r. ~5 , oz 9 r,a~~~.~~~u~ h~r- ~~a UNIFIED PROGRAM INSPECTION CHECKLIST ~` .~ SECTION 1: Business Plan and Inventory Program BA-KERSFIELD FIRE DEPT Prevention Services ~~~~ 900 Truxtun Ave., Suite 210 ~wrn r Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME NSPECTION TE INSPECTION TIME ~lo~ .t ~v ~CgT~a/ !o i/ o~ J~I+'!.ri9 ADDRESS ~S Lo cH~~~ HO E N 39G-8832 O OF EMPLOYEES $ . FACILITY CONTACT USINESS lD NUMBER 15-021- 6o'~+~v $ 6YF q c n/C, Section 1: Business Plan and Inventory Program Q"' ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION r I• J C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ~f/ . ^ BUSIII@SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ~ 200 ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL -/ f~' ^ VERIFICATION OF MSDS AVAILABILITY VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND P R OCEDURES i / 6d' EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN. ^ YES ^ NO .QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention ! t°` In /Shift of Site/Station # Business Sit ool Site n (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02/05) SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FAC~TY NAME ~)~ ~1~, ~,(~, INSPE~i~ION [~ATE INSPECTION TIME [~t [,~[' .... x' t~/~ ;~J~-' ' i PHO~'E-~o. ' NO. of Employees FACiLiTYCONT~C~,,~ ~- lusiness ID Number 15-021-00o~054 qt · Section 1' Business Plan and Inventory Program Routine Combined ~3 Joint Agency O Multi-Agency ~1 Complaint ~! Re-inspection V ( C=Compliance '~ OPERATION COMMENTS · ~, V=Violation ~ BUSINESS P~N CONTACT INFORMATION ACCURATE ~ VISIBLE ADDRESS ~ CORRECT OCCU~A.C~ -~ VERIFICATION OF INVENTORY BATtRIALfi ........... ~ VERIFICATION OF QUANTITIES ~ V~m~ca~os o~ coca~o~ _~m~ ~4~ :__¢2: ........ i .......................................... fl VERIFICATION OF MSDS AVAILABILIWE fl VERIFICATION Of HAT MAT T~INING ~.~ ~ VERIFICATION OF ABATEMENT SUPPLIES AND PR~EDURES ............................. ~ EMERGENCY PROCEDURES ADEQUATE HOUSEKEEPING fl FIRE PROTECTION fl SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: [~ YES ~No .-.,~/.~'%xJ ' .~"/]~.."-20 /~ EXPLAIN: / \ ,/Q RDI G THIS INSPECTION? P.I~E~SE-:CALL US AT (661) 326-3979 ' ~ , tx', .: ~ ~ White -~En~ronmental Se~i~s Yellow - ~alion ~py MATERIAL SAFETY DATA SHEET ( Dow AgroSciences CHLOROPICRIN [1. PRODUCT AND COMPANY IDENTIFICATION: PRODUCT: Chloropicrin COMPANY IDENTIFICATION: Dow AgroSciences 9330 Zionsville Road Indianapolis, IN 46268-1189 12. COMPOSITION/INFORMATION ON INGREDIENTS: Chloropicrin CAS # 000076-06-2 Trace quantities of water and HCI 96% 4% This document is prepared pursuant to the OSHA Hazard Communication Standard (29 CFR) 1910.1200). In addition, other substances not 'Hazardous' per this OSHA Standard may be listed. Where proprietary ingredient shows, the identity may be made available as provided in this standard. 3. HAZARDOUS IDENTIFICATIONS: EMERGENCY OVERVIEW Hazardous. Colorless liquid with intensely irritating tear gas odor. May cause severe eye irritation with corneal injury which may result in permanent impairment of vision, even blindness. Painful irritation of the eyes at 1 ppm or less; a concentration of 15 ppm for longer than 1 minute is intolerable to humans. Single prolonged exposure may result in the material being absorbed in amounts which could cause death. LDo0 for skin absorption in rabbits is 62 mg/kg. Oral LDs0 for male rats is 250 mg/kg. Single brief (minutes) inhalation exposure to easily attainable concentration may cause serious adverse effects, even death. Toxic to fish and aquatic organisms. DOT Classification is CHLOROPICRIN, 6,1, UN1580, I, POISON-INHALATION HAZARD, HAZARD ZONE B. EMERGENCY PHONE NUMBER: 800-992-5994 POTENTIAL HEALTH EFFECTS: This section includes possible adverse effects which could occur if this material is not handled in the recommended manner. Emergency Phone: 800-992-5994 Dow AgroSciences LLC Indianapolis, IN 46268 Effective Date: 7/22/99 Product Code: 16651 MSDS: 006416 EYE: May cause pain. May cause severe eye irritation with corneal injury which may result in permanent impairment of vision, even blindness. Vapors cause lacrimation, and painful irritation of the eyes at 1 ppm or less; a concentration of 15 ppm for longer than 1 minute is intolerable to humans because of the intense irritation produced. SKIN: Short single exposure may cause severe skin burns. A single prolonged exposure may result in the material being absorbed in amounts which could cause death. The LDs0 for skin absorption in rabbits is 62 mg!kg. Vapors may irritate skin. May cause more severe response if skin is abraded (scratched or cut). Vapors may increase susceptibility to infections. INGESTION: Single dose oral toxicity is moderate. The oral LDs0 for male rats is 250 mg/kg. Small amounts swallowed incidental to normal handling operations are not likely to cause injury; however, swallowing larger amounts may cause serious injury, even death. May cause severe burns of the mouth and throat. Ingestion may cause gastrointestinal irritation or ulceration. In animals, effects have been reported on the following organ: liver. INHALATION: A single brief (minutes) inhalation exposure to easily attainable concentrations may cause serious adverse effects, even death. Excessive exposure may cause lung injury. May cause respiratory sensitization in susceptible individuals. Excessive exposure may cause methemoglobinemia, thereby impairing the blood's ability to transport oxygen. In humans, effects have been reported on the following organs: heart, kidney, and liver. Signs and symptoms of excessive exposure may include cyanosis, nausea, vomiting, diarrhea, abdominal cramps, and/or central nervous system effects. Initial symptoms due to Iow-level exposure may not seem severe but death may ensue due to delayed effects of lung injury and/or infection. DOT Classification is CHLOROPICRIN, 6.1, UN1580, I, POISON-INHALATION HAZARD, HAZARD ZONE B. SYSTEMIC (OTHER TARGET ORGAN) EFFECTS: Effects have been reported on the following organ: stomach. MATERIAL SAFETY DATA SHEET ( Dow AgroSciences CHLOROPICRIN CANCER INFORMATION: Available data are inadequate to evaluate carcinogenicity. TERATOLOGY (BIRTH DEFECTS): Birth defects are unlikely. Exposures having no effect on the mother should have no effect on the fetus. Did not cause birth defects in animals; other effects were seen in the fetus only at doses which caused toxic effects to the mother. REPRODUCTIVE EFFECTS: In animal studies, has been shown not to interfere with reproduction. 4. FIRST AID: Emergency Phone: 800-992-5994 Dow AgroSciences LLC Indianapolis, IN 46268 EYES: Immediate and continuous irrigation with flowing water for at least 30 minutes is imperative. Prompt medical consultation is essential. SKIN: In case of contact, immediately flush skin with plenty of water for at least 15 minutes while removing contaminated clothing and shoes. Call a physician if irritation persists. Call a physician if irritation persists. Destroy and dispose of leather items which cannot be decontaminated (i.e. shoes, watchbands, belts). INGESTION: Do not induce vomiting. Call a physician and/or transport to emergency facility immediately. INHALATION: Remove to fresh air. If not breathing, give artificial respiration. If breathing is difficult, oxygen should be administered by qualified personnel. Call a physician or transport to a medical facility. NOTE TO PHYSICIAN: Methemoglobinema may aggravate any pre-existing condition sensitive to a decrease in available oxygen, such as chronic lung disease, coronary artery disease or anemias. If burn is present, treat as any thermal burn, after decontamination. May cause tissue destruction leading to stricture. If lavage is performed, suggest endotracheal and/or esophageal control. No specific antidote. Supportive care. Treatment based on judgment of the physician in response to reactions of the patient. Persons receiving a significant exposure to this material by inhalation should be observed 24-48 hours for delayed pulmonary edema. Effective Date: 7/22/99 Product Code: 16651 MSDS: 006416 15. FIRE FIGHTING MEASURES: FLASH POINT: Not combustible METHOD USED: Not applicable FLAMMABLE LIMITS LFL: Not applicable UFL: Not applicable EXTINGUISHING MEDIA: All conventional extinguishing media are suitable. FIRE & EXPLOSION HAZARDS: Not a combustible. Heated material decomposes violently at 233°F (112°C) especially when in contact with metals. Toxic and irritating gases will emit. FIRE-FIGHTING EQUIPMENT: Wear self-contained breathing apparatus and protective clothing, evaluate area, cool containers with water spray from remote location. 16. ACCIDENTAL RELEASE MEASURES: ACTION TO TAKE FOR SPILLS/LEAKS: Evacuate immediate area of spill or leak. Use a NIOSH approved air purifying respirator approved for organic vapors, self contained breathing apparatus, or an air supplied respirator. Move leaking or damaged containers outdoors or to an isolated location. Allow spilled material to evaporate into dry sand, earth or similar absorbent material, which may be disposed on site, or at an approved disposal facility. Do not permit entry into spill area or clean-up area by unprotected persons until concentration of chloropicrin is determined to be less than 0.1 ppm. Contact Dow AgroSciences at 800- 992-5994 for large spills. 2 MATERIAL SAFETY DATA SHEET ( Dow AgroSciences CHLOROPICRIN 17. HANDLING AND STORAGE: I PRECAUTIONS TO BE TAKEN IN HANDLING AND STORAGE: Avoid any possible contact with liquid or vapor. Measure chloropicrin concentration with a Matheson- Kitagawa detection device using tube 172. Store upright in a cool, dry, well ventilated area under lock and key. Post as a pesticide storage area. Do not contaminate water, food, or feed by storage or disposal. Persons moving or handling containers should wear protective clothing. Open container only in a well ventilated area wearing protective clothing and respiratory protection if necessary. 18. EXPOSURE CONTROLS/PERSONAL PROTECTION: These precautions are suggested for conditions where the potential for exposure exists. Emergency conditions may require additional precautions. EXPOSURE GUIDELINE(S): Chloropicrin: ACGIH TLV and OSHA PEL are 0.1 ppm. ACGIH classification is A4. ENGINEERING CONTROLS: Provide general and/or local exhaust ventilation to control airborne levels below the exposure guidelines. Lethal concentrations may exist in areas with poor ventilation. RECOMMENDATIONS FOR MANUFACTURING, COMMERCIAL BLENDING, AND PACKAGING WORKERS: RESPIRATORY PROTECTION: Atmospheric levels should be maintained below the exposure guideline. When respiratory protection is required, use a NIOSH approved positive-pressure supplied-air respirator for organic vapors. Emergency Phone: 800-992-5994 Dow AgroSciences LLC Indianapolis, IN 46268 Effective Date: 7/22/99 Product Code: 16651 MSDS: 006416 SKIN PROTECTION: Use protective clothing impervious to this material. Selection of specific items such as faceshield, gloves, boots, apron, or full body suit will depend on operation. Use gloves, impervious to this material, at all times. Safety shower should be located in immediate work area. Remove contaminated clothing immediately, wash skin area with soap and water, and launder clothing before reuse. Items which cannot be decontaminated, such as shoes, belts and watchbands, should be removed and destroyed. EYE/FACE PROTECTION: Use chemical goggles. Wear a face-shield which allows use of chemical goggles, or wear a full-face respirator to protect face and eyes when there is any likelihood of splashes. Eye wash fountain should be located in immediate work area. APPLICATORS AND ALL OTHER HANDLERS: Please refer to the product label for personal protective clothing and equipment. 19. PHYSICAL AND CHEMICAL PROPERTIES: BOLLING POINT: 233°F (112°C) VAPOR PRESSURE: 18.3 @ 20°C VAPOR DENSITY: Approximately 5.7 (Air = 1.0) SOLUBILITY IN WATER: 0.2 gl100 g SPECIFIC GRAVITY: 1.66 APPEARANCE: Colorless liquid ODOR: Intensely irritating tear gas odor I10. STABILITY AND REACTIVITY: STABILITY: (CONDITIONS TO AVOID) Unstable under fire conditions. Avoid temperatures above 140°F (60°C) INCOMPATIBILITY: (SPECIFIC MATERIALS TO AVOID) Organic amines, reducing agents and sulfuric acid. Incompatible with containers or equipment made of aluminum, magnesium or their alloys. HAZARDOUS DECOMPOSITION PRODUCTS: Highly toxic phosgene and toxic nitrogen oxide. HAZARDOUS POLYMERIZATION: Not known to occur. 3 MATERIAL SAFETY DATA SHEET AgroSciences CHLOROPICRIN 111. TOXICOLOGICAL INFORMATION: MUTAGENIClTY: Has been shown to have mutagenic activity in bacteria. Animal mutagenicity studies were inconclusive. 12. ECOLOGICAL INFORMATION: ENVIRONMENTAL FATE MOVEMENT & PARTITIONING: Bioconcentration potential is Iow (BCF <100 or Log Pow <3). Potential for mobility in soil is high (Koc between 50 and 150). Measured log octanol/water partition coefficient (Log Pow) is 2.09. Log octanol/water partition coefficient (Log Pow) is estimated using a structural fragment method to be 1.32. Soil organic carbon/water partition coefficient (Koc) is estimated to be 36.05-62. Log air/water partition coefficient (Log Kaw) is - 1.15. Henry's Law Constant (H) is estimated to be 2.15E-03 arm-M3 mole. DEGRADATION & PERSISTENCE: Tropospheric half-life is estimated to be 4.8 hours. Theoretical oxygen demand (ThOD) is calculated to be 0.10 pip. ECOTOXlCOLOGY: Material is highly toxic to fish on an acute basis (LC$o is between 0.1 and 1.0 mg/L). Acute LC5o in fathead minnow (Pimephales promelas) is 0.3 mg/L. 13. DISPOSAL CONSIDERATIONS: DISPOSAL METHOD: Do not contaminate food, feed, or water by storage or disposal. Wastes are toxic. Improper disposal of excess waste is a violation of federal law. If wastes cannot be used according to the label directions, dispose of in accordance with all applicable local, state or federal requirements. Contact your state pesticide or environmental control agency, or the hazardous waste representative at the nearest EPA regional office for guidance. Emergency Phone: 800-992-5994 Dow AgroSciences LLC Indianapolis, IN 46268 Effective Date: 7/22/99 Product Code: 16651 MSDS: 006416 14. TRANSPORT INFORMATION: For DOT regulatory information, if required, consult transportation regulations, product shipping papers or contact your Dow AgroSciences representative. DOT Classification is CHLOROPICRIN, 6.1, UN1580, I, I POISON-INHALATION HAZARD, HAZARD ZONE B. 15. REGULATORY INFORMATION: NOTICE: The information herein is presented in good faith and believed to be accurate as of the effective date shown above. However, no warranty, express or implied, is given. Regulatory requirements are subject to change and may differ from one location to another; it is the buyer's responsibility to ensure that its activities comply with federal, state or provincial, and local laws. The following specific information is made for the purpose of complying with numerous federal, state or provincial, and local laws and regulations. U.S. REGULATIONS SARA 313 INFORMATION: This product contains the following substances subject to the reporting requirements of Section 313 of Title III of the Superfund Amendments and Reauthorization Act of 1986 and 40 CFR Part 372: iCHEMICAL NAME CAS NUMBER CONCENTRATION Chloropicrin 000076-06-2 96% SARA HAZARD CATEGORY: This product has been reviewed according to the EPA "Hazard Categories" promulgated under Sections 311 and 312 of the Superfund Amendment and Reauthorization Act of 1986 (SARA Title III) and is considered, under applicable definitions, to meet the following categories: An immediate health hazard A delayed health hazard 4 MATERIAL SAFETY DATA SHEET AgroSciences CHLOROPICRIN TOXIC SUBSTANCES CONTROL ACT (TSCA): All ingredients are on the TSCA inventory or are not required to be listed on the TSCA inventory. STATE RIGHT-TO-KNOW: The following product components are cited on certain state lists as mentioned. Non-listed components may be shown in the composition section of the MSDS. CHEMICAL NAME CAS NUMBER LIST Chloropicrin 000076-06-2 NJ2 NJ3 NJ2=New Jersey Environmental Hazardous Substance (present at greater than or equal to 1.0%). NJ3=New Jersey Workplace Hazardous Substance (present at greater than or equal to 1.0%). OSHA HAZARD COMMUNICATION STANDARD: This product is a "Hazardous Chemical" as defined by the OSHA Hazard Communication Standard, 29 CFR 1910.1200. NATIONAL FIRE PROTECTION ASSOCIATION (NFPA) RATINGS: Health 4 Flammability 0 Reactivity 3 COMPREHENSIVE ENVIRONMENTAL RESPONSE COMPENSATION AND LIABILITY ACT (CERCLA, or SUPERFUND): To the best of our knowledge, this product contains no chemical subject to reporting under CERCLA. 16. OTHER INFORMATION: MSDS STATUS: Revised Sections 3, 9, 10 & 15 Reference: DR-0001-6375 Replaces MSDS Dated: 7/20/99 Document Code: D03-000-002 Replaces Document Code: D03-000-001 The Information Herein Is Given In Good Faith, But No Warranty, Express Or Implied, Is Made. Consult Dow AgroSciences For Further Information. Emergency Phone: 800-992-5994 Dow AgroSciences LLC Indianapolis, IN 46268 Effective Date: 7/22/99 Product Code: 16651 MSDS: 006416 5 YOUR WAY FUMIGATION Manager Location: 6201 SCHIRRA CT 5 City : BAKERSFIELD CommCode: BAKERSFIELD STATION 09 EPA Numb: BusPhone: Map : 123 Grid: 15C SIC Code: DunnBrad: SiteID: 015-021-002084 (661) 396-8832 CommHaz : High FacUnits: 1 AOV: Emergency Contact PETE SALANGE Business Phone: 24-Hour Phone : Pager Phone : / Title / (661) 396-8832x (&6~) 3~ -/CTOx ( ) - x Emergency Contact Business Phone: 24-Hour Phone : Pager Phone : / Title / ( ) - x ( ) - x ( ) - x Hazmat Hazards: Contact : MailAddr: 6201 SCHIRRA CT 5 City : BAKERSFIELD Phone: (661) 396-8832x State: CA Zip : 93313 Owner YOUR WAY FUMIGATION Address : 6201 SCHIRRA CT 5 City : BAKERSFIELD Phone: (661) 396-8832x State: CA Zip : 93313 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: ---- Hazmat Inventory , One Unified List --Alphabetical Order Ail Materials at Site Hazmat Common Name... ISpecHazlEPA HazardsI Frm ] DailyMax IUnitlMcP mere plan ~oE~, ~z.h )~t/~nd that ~ ~O~O ~h -~- Ol/28/2oo3 YOUR WAY FUMIGATION SiteID: 015-021-002084 Fast Format ~ Notif./Evacuation/Medical Agency Notification Overall Site -- Employee Notif./Evacuation Public Notif./Evacuation Emergency Medical Plan 2 01/28/2003 YOUR WAY FUMIGATION SiteID: 015-021-002084 Fast Format F Mitigation/Prevent/Abatemt Release Prevention Overall Site -- Release Containment -- Clean Up Other Resource Activation 3 01/28/2003 YOUR WAY FUMIGATION SiteID: 015-021-002084 Fast Format Site Emergency Factors Special Hazards Overall Site --Utility Shut-Offs Fire Protec./Avail. Water Building Occupancy Level 4 01/28/2003 YOUR WAY FUMIGATION SiteID: 015-021-002084 Fast Format Training, Employee Training Overall Site -- Page 2 --Held for Future Use Held for Future Use -5- 01/28/2003 FAX '~ransmittal B A K £ R $ F I E L D Cover Sheet CALIFORNIA Bakersfield Fire Dept. O~ce of Environmental Services 1715 Chester Ave. · Bakersfield, CA 93301 FAX No. (,.6.~..) 326-0576 · Bus No. (:6~.t) 326-3979 Today's Date ~-l~/d ] Time No. of Pages TO: FAX CC 04/20/01 11:58 8661 326 0576 BFD HAZ MAT DIV ~001 ACTIVITY REPORT TRANSMISSION OK TX/RX NO. CONNECTION TEL CONNECTION ID START TIME USAGE TIME PAGES RESULT 9657 04/20 11:53 05'17 11 OK 3969046 For Ultimate Termite Solutions fumes, Thermal }teal 8, Bolanicals Pete Salange Fax: To Fax Cf: Date: Time' Attention' Number of Pages _Sen t.. bye_ ..... Special lnst ructions YOUR WAY FUMIGATION ~~ '~ 6201 SCHIRRA CT STE_5_ __. ~~\ "~~ ' Sp ~ \~ 4~ ~1 + YOUR WAY FUMIGATION _________________________________ SiteID: 015-021-002084 + Manager PETE SALANGE Location: 6201 SCHIRRA CT 5 City BAKERSFIELD CommCode: BFD STA 09 EPA Numb: BusPhone: (661) 396-8832 Map 123 CommHaz Extreme Grid: 15C FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title PETE SALANGE / MANAGER JOSE ORTEGA / ASST MANAGER Business Phone: (661) 396-8832x Business Phone: (661) 396-8832x 24-Hour Phone (661) 343-1524x 24-Hour Phone (661) 201-0871x Pager Phone ( ) - x Pager Phone ( ~ ) - x Hazmat Hazards: Fire React ImmHlth DelHlth Contact Phone: (661) 396-8832x MailAddr: 6201 SCHIRRA CT 5 State: CA City BAKERSFIELD Zip 93313 Owner YOUR WAY FUMIGATION Phone: (661) 396-8832x Address 27574 COMMERCE CENTER DR 130 State: CA City TEMECULA Zip 92590 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: ~ Emergency Directives: ~ PROG A - HAZMAT ~~°~d Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. / ~!~ ture Da e £IVT~ ~~N ®9 2006 j Structural Agricultural I ~ I Vim, r~, I For Ultimate Termite'E_ olutions Fumes, Thermal Heat & Botanicals Jim Mc Carthy Vice President Phone: 800-526-8194 • Fax: 951-699-2606 27574 Commerce Center Drive #130 • Temecula. CA 92590 I email: jmccarthy.ywfume@sbcglobal.net i - - - -- i -1- 05/31/2006 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program BAKERSFIELD FIRE DEPT Prevention Services H ~IRr r 900 Truxtun Ave., Suite 210 ARta T Bakersfield, CA 93301 Tel.: (661) 326-3979 DEC , Fax: (661) 872-2171 ~ ~~~ I~ FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS G;Z o ~ Sc ~~ 2z .~ C~ - .~ ~ HONE NO. ~' ' ~l~'~ O OF EMPLOYEES FACILIT((Y~~CONTACT YC Y~ ~~G ~q,vC~~ USINES ID NUMBER 1~ 15-021- 0~~0~ I Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION r C V (c=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUS~f1eSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PRO CEDURES / M ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES !~l NCB EXPLAIN ~~~QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~~~ Inspector (Please Print) Fire Prevention / 1°~ Sh' I e/Station # ~ ~ ustness ite/School Site Responsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02/05) UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program AC1LI Y NAME ADDRESS ~ Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Te): (661)326-3979 I ,,~G G> _ I s~,~u 5 ___. PHONE No. No. of Employees Business ID Number I s-o21-Oo~vx 4 Section 1: Business Plan and Inventory Pn~gram Routine ^ Combined O Joint Agency ^MultI-Agency O Complaint ^ Re-inspection V ~V=VioaplonnCel OPERATION COMMENTS ^ APPROPRIATE PERMIT ON HAND ~j ^ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ---- ~j ~ I~-----------------°~---....------------- ~ V,LJ Ll - -------- --- VISIBLE ADDRESS - ^ CORRECT OCCUPANCY ~ D O • ~ ~L O ~ a p-Z-C ~T ~ ~t} ~C. VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES a ~. ~ .v LI LJ VERIFICATION OF LOCATION V. ^ PROPER SEGREGATION OF MATERIAL !~ /} ^ ^ VERIFICATION OF MSDS AVAILABILITYE ~ ~• • E S ~ ~~:rCXJ4'~p ` V M ~ ~ LJJ U ERIFICATION OF HAT AT TRAINING ~r ,'~}} _ ]`` .~-_- ~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURE S ~ ~ .O "~ ~~ ~- ^ EMERGENCY PROCEDURES ADEQUATE _ '- --------- --- ^ CONTAINERS PROPERLY LABELED --_--- -- - --------_ ^---- \ /_--(--~~ ~r ^ HOUSEKEEPING ~ ~ '^I - ^ _---- -_ FIRE PROTECTION - .% ^ SITE DIAGRAM ADEQUATE 8c ON HAND v ANY HAZARDOUS WASTE ON SITE?: ^ YES lJ NO :`Y' ~~% v .'~ ~) EXPLAIN: -•- _.. QUEST ARDING THIS INSPECTION? PLEASE,EALL US AT ~GG') ~ 326-3979 r ., -- -----.---- -..-- -- - ~_ ~ __ . /,, --~ •- Igstiectorl %~'~ I• Badge No.;' '~ t B Site Resp 1 I hrte -•Envlronmental Services Yellow • Slalan Copy Pink -Business Copy ~ Ir / ,~,...-~ 00 •c..3 S i ti .,~ ~J .%"- iT' ~::: D'~ -~ .~~ ~ HAZARDOUS MATERIALS MANAGEMENT PLAN-FORMS Section Discovery and Notification Page 1 of 2 B B R 9 P 1 D f~e~ ARIA/ r INSTRUCTIONS 1. To avoid further action, return this form within 30 days of receipt. 2. TYPE/PRINTANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. Bakersfield Fire Dept. Environmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 ~~ a pp "~ii7,,, 11 ,,,,,,~~ 3£]"r' --r~~ ,p •r~i~ ~"° k~'~' , ~ `! y~ e"+ I Y ~~ +~ •n~i P 1 ~ ~ R J~ ~~~ : ~~~~ " ~ ~ ~ ~~ ~ • - ~ fr,,~~,,~~ii a " ~ ~~ ' ~. x8 }w.::... 4 LA'3~ k 1:'3k4a., ~. .~J i rf ., ' l;'~Y.r ~? ,R~ i _ BUSINE ME (Same as FACILITY N or DBA -Doing Business As i ~ CjZ2J ~U ADDRESS (For local use only) t I \ FACILITY ID No. ~ ~ . A. LEAK DETECTION AND MONITORING PROC UR ED ES: ~ ~ ^ Q^ ~/' ~ ' r!~ ~- •~., ~/y~ o~` , vi s~~ ~ SoJc~ B. EMPLOYEE AND AGENCY NOTIFICATION: X111 C. ENVIRONMENTAL RESPONSE MANAGEMENT: Iv/ D. EMERGENCY MEDICAL PLAN: ~'~~~rl~ JVbS~~'~'~'' m `~t~y~"~ w.~" ' ;, r• Ys ~~+ ~ , ~ `"`E'rg L ~y' : I + ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~r. ~dis . F~'r~ ESYa:,. H~tt'"4 'c..t• YJ' .:.a~ f o :~~' w~ iNilx '~a~ ~~ , 4,"'~k' '" .a 'st..F:':tm"~i r«~ F:1 .'~ q.-.,.5 .i $F3. A. HAZARD ASSESMENT AND PREVENTION MEASURES: ~v, ~-~,-- a ~`-~- c~.t 1'- cad, e~-S a~- ~ e~ esz.c~. use . B. RELE ASE CONTAINMENT AND/OR MITIGATION: ~~ >> ,v~~ C. CLEAN-UP AND RECOVERY PROCEDURES: C ~ \ ~`~ \ t~ \ ~C.~ fd2085 Page 2 of 2 r.. .~ ~, ` ~.~ ..7 _~ 4 • f 1ii~~ i`~'~+%~.~ 3 ...- `,~ l.` ~ ^,i{~t ".t^ wF _, 1 t /. V'~' s ~y V'i' _#'v'C. ,~~ y~j,~ ~ ~r ~JVa 4 t`~~~k ELE~SE RESPONSE PLAN ~COI~'T.'', f°~ t~ `~ '''Y ~' a x= ' "~~ ~$ECT IQN 11.2~~R { q.+. ~ Y { {{ ~ ~ w I ri: ~7^ '3 ~ fk ~v. Y ~3~ S:r { 9~ ~ ~ ! ~~h `-•~i- 4 l ~ ~ ~-4'~Mt1`'1~',~F ~t. 1 ~~ ~ ~i ~ r~. 1 ~ N'h~~~, < u-,...i "..L. hR .. .ncx» .r.. ~ r rura 3t.l ek.,.'~;'~w' ,. ..w.. . rw.,.,w ~..w „r ., _ Y SY~~;C~:, . w ..'~.....i'.,." ,~..... ~ ~, UTILITY SHUT-0FFS (LOCATION OF SHUT-O FS AT YOPR FACILITY) 1' /F -~ (`y 1\ 1/~ t r [ y q \'[" NATURAL GAS/PROPANE: ~~~ \ ~oDG~/V~C _ D'R • b` `~"' ~ ~ ~' ~ ~ ~ 1 I ~L~ ~ ELECTRICAL: ~ ~ rt GL° L G ` WATER: J ~ W~~~ ~ S~ C ~~ / ~ ~~ c ~ ~Z ~ ~ ~ SPECIAL: C~-~. ~ C.J J ~ , `"'~ , ' ` - - ~ LOCK 80X: OYES ~p NO IF YES, LOCATION: PRIVATE FIRE PROTECTIONNVATER AVAILABILITY A. PRIVATE FIRE PROTECTION: (FI HYD RANT): B. WATER AVAILABIL ITY RE ~ ~/~ ^ ^ ~ -,p ~ ~ , ~~ _ _ °._,~, ac ., ,~ ~ ~ ~ ~. , ¢~~ ~.x. NUMBER OF EMP OY S: MATERIAL SAFE ATA SHEETS ON FILE: ,,pp l.~-~ BRIEF SUMMARY OF TRAINING PROGRAM: Based on my inquiry of those individuals responsible for obtaining the information, l certify under penalty of law that I have personnaly examine d am familiar with the i ation s miffed and believe the information is true, accurate, and complete. SIGNATU OF WNER /OPERATOR R D (GNAT REPRESENTATIVE DATE 477 ,LIUI~'JST 3 , 2G~ N E OF SI E (pAnt) 478 TITLE OF SIGNER 478 f~lNiS ~U,!/,OS orvR/~/L P HAZARDOUS MATERIALS FACILITY INFORMATION a 8 R S P 1 D BUSINESS OWNER /OPERATOR FORM ~iR~ ~Rrr ~ Page 1 of Bakersfield Fire Dept. Environmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 I. FACILITY IDENTIFICATION FACILITY ID No t Year Beginning ipp Year Ending tot BUST S NAME (Same as FACILIT AME or OBA- Doing Business As ~ ~ ~ ' BUSINESS PHONE toe o nd en ~ n e SITE ADDRESS ~ ao ~ tta , ~ r CITY t01 ZIP t05 DUN & BRADSTREET t~ SIC CODE tm (4 Digit #) COU TY ~~ tos OPE R NAME t~ OPERpAT.OR PHONE 2 ~~ ~ tto ~ `(11 l~ J O J - ~ ~' ,II,OWNERINFORMATION - - "- OWy~NAM~E^ ~1 S O ~ ~~ ~ R -'I ttt OWN~P~N~ ~~~ ~ tt2 OWN A IL IPjC A DDRES~ I ~ ~ ~ tts Q~ CITY ~~ ~ ~ to STATE ns ZIP ~~~ tta - - ~ - - -~' III. ENVIRONMENTAL CONTACT ~ - - ~ ~` CO ME m CONT CT PHONE ~J` ~ na i OJf1 j ~Lh.'- CONTACT MAILING ADDRESS looZO '~ (' r ~ ~ tts CITY^ ~ /~ , ~ ~ G -` ~ tzo STATE /]~ tzt (\_ ZIP~~~ ~ to ~- =PRI MA RY- :'~ ~' ,IV.',EMERGENCY CONTACTS ' . -SECONDARY- NAME `` ,, ' OV 123 NAME 129 TITLE 125 TITLE 130 ^ 1 `'~~ BUSINESS PHONE ~~ 126 BUSINESS PHONE 131 24-HOUR PHONE 3b ~ 3~ ~- 127 24-HOUR PHONE 132 PAGER No 128 PAGER No 133 - ~ ~ V. CERTIFICATION - Certification: Based on my inquiry of those intlivitluals responsible iw obtaining the information, I certi/y under penalty of law that 1 have personally examined and am familiar with the information submitted in this inventory and bellev infwmalio is We, accurate, and complete. SIGNATU OF OWNER/OPERATOR DATE 134 NAME OF DOCUMENT PREPARER 135 S- 3- - NA ER/OPERATOR (p t) ~ LADS 138 TITLE OF OWNER/OPERATOR H/N~/L, 137 fd2090 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ^ NEW ^ ADD ^ DELETE ^ REVISE 200 Bakersfield Fire Dept. a B R s P, o Environmental Services ~/R~ 1715 Chester Ave ~Rrr t Bakersfield, CA 93301 Tel: (661)326-3979 (one form per material per building or area) Pagel of I. FACILITY INFORMATION BUSINE$&i~Aj~AE (Same es FACILITY NAME o -Doing Business As) U 3 CHEMICAL OCATION \ ~ ~ ~~ /~ ` ~,..~ A ~ ~ (' ~ I `.•JY \ 1 201 CHEMICAL LOCATION 202 CONFIDENTIAL (EPCRA) ^ Yes ^ No FACILITY ID No, 1 MAP No. (optionaq ~ 203 GRID No. (opUOnaQ 204 II. CHEMICAL INF CHEMI ME /1 TRADE SECRET ^ Yes ^ No 2~ `- O ~ Q C If Subject to EPCRA, refer to insWCtions COMMON NAME O t \ , ,, EHS' ^ Yes ^ No ~G t , 208 CAS No. ~~ ~Z~ ~ 209 •If EHS is'Yes,' all amounts below must be in lbs . FIRE CODE D LASSES (Complete it requestetl by local fire chief) 210 TYPE ^ p PURE ^ m MIXTURE ^ w WASTE 211 RADIOACTIVE ^ Yes ^ No 212 CURIES 213 214 PHYSICAL STATE ^ 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 218 (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE 220 AMOUNT DAILY AMOUNT DAILY AMOUNT CODE UNITS' ^ ge GAL ^ cf CU FT ^ Ib LBS ^ to TONS 221 DAYS ON SITE 222 7f EHS, amount must be in lbs. 223 STORAGE CONTAINER ^ a ABOVEGROUND TANK ^ f CAN ^ k BOX ^ p TANK WAGON (Check all That appy) ^ b UNDERGROUND TANK ^ g CARBOY ^ 1 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 PIASTIGNONMETALLIC DRUM ^ j BAG ^ o TOTE BIN STORAGE PRESSURE ^ a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE ^ a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUSCOMPONENT~~, EHS ~ :CAS# ; . , ,r 1 .228 227 ^ Yes O No 228 229 2 230 231 O Yes O No 232 233 3 234 235 ^ Yes O No 238 237 4 238 239 O Yes O No 240 241 5 242 243 O Yes O No 244 245 111: SIGNAT RE ~ ~- r ` ~ ~ 3 f .. ~~ , ~: PRINT NAME 8 TITLE OF AUTHORIZED COMPANY REPRESENTATI N URE DATE 248 ~CKiiS SOS ou/rt(2 ~ , 3. r CD 00 N ~~ tl 8_ 0._Y_ F 1 D r/RL ARfM f .--. - ~ ~ v...- CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 FACILITY INFORMATION Business Activities Page of I. FACILITY IDENTIFICATION FACILITY ID # (For office use only -please leave blank) EPA ID # DBA/FACILITY NAME II. ACTIVITIES DECLARAT ION Does Your Facility... If Yes, Please Complete... A. HAZARDOUS MATERIALS ES NO _ OES FORM 2731 (chemical Description Form) 1. Have on site (for any purpose) hazardous materials at or CONSOLIDATED COMPLIANCE PLAN above 55 gallons for liquids, 500 pounds for solids, or _ Minimum required planning elements: 200 cu ft for compressed gases (include liquids in ASTs and ,`. _ Emergency Response Plan USTs)? 2. Have any amount of an explosive material (other than ~7 YES _N „!(,~55e Ma s - Tra Wing ammunition) on site? ~-tV D(~ _ Prevention Certifications B. REGULATED SUBSTANCES (RS) _YES O _ OES FORM 2731 (Chemical Description Form) Have onsite RS at greater than the threshold planning quantities _ RISK MANAGEMENT PLAN (RMP submit to usEPA) established by the California Accidental Release Prevention _ CONSOLIDATED COMPLIANCE PLAN ro ram CaIARP ? Incur oratin CaIARP Pro ram Elements C. UNDERGROUND STORAGE TANKS~USTs) _YES O _ UST FACILITY FORM 1. Own or operate Underground Storage Tanks? UST TANK FORM one per tank 2. Intend to upgrade existing or install new USTs? _YES _NO _ UST FACILITY FORM _ UST TANK FORM UST INSTALLATION FORM one per tank D. TANK CLOSURE /REMOVAL _YES NO. _ UST TANK FORM (Gosure section-ane per tank) 1. Need to report closing a UST that h~I hazardous materials or waste? 2. Need to report the closure/removal of a tank that was _YES _NO _ TANK CLOSURE FORM Gassified as hazardous waste and cleaned onsite? E. ABOVE GROUND. PETROLEUM STORAGE TANKS (ASTs~ YES 0 CONSOLIDATED COMPLIANCE PLAN Own or operate ASTs above these thresholds: any tank capacity is _ _ _ Incorporating Federal Spill Prevention Control and greater than 660 gallons or the total capacity for the facility is greater . Countermeasure (SPCC) Elements pursuant to 40 CFR than 1,320 allons. Part 112 F. HAZARDOUS WASTE: EPA ID number---provide on this page 1. Generate hazardous waste? _YES ,1~V0 _ To obtain EPA ID#, lease hone 916 324-1781 2. Recycle more than 100 kg/mo of recycable materials at the _YES _ O _ RECYCLING FORM same location it was enerated? 3. Recycle more than 100 kg/mo of recyclable materials at an _YES O _ RECYCLING FORM offsite location different from the oint of eneration? 4. Treat Hazardous Waste on site? _YES 0 _ TP FACILITY FORM (DTSC Fonn 1772) TP UNIT FORM one er unit 5. Sub'ect to Financial Assurance re uirements? YES O CERTIFICATION OF FINANCIAL ASSURANCE 6. Consolidate Hazardous Waste generated at a remote site? _YES _ O _ REMOTE WASTE /CONSOLIDATION SITE NOTIFICATION FORM G. PERMIT CONSOLIDATION ZONE: _YES NO _ CONSOLIDATED COMPLIANCE PLAN Intend to consolidate other CaUEPA agency permits? _ Incorporating all other environmental permit requirements per If es, lease cum lets Section III and attach 27 CCR 10410 NOTE: If ou checked YES to an art of Sections IIA-IIG above, then in addition to the forms re nested above, lease Submit OES Form 2730. UPCF (7/99) S:\CUPAFORMSWCTIVITY.$wpd.wpd a :. ~r a7 8 R P I D GIRL ARfM f -`°""'~` '"`"- CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 FACILITY INFORMATION Business Activities Addendum Pa e . FACILITY IDENTIFICATION FACILITY ID # (For ofrce use only -please leave blank) EPA ID # DBA/FACILITY NAME III. CONSOLIDATED PERMIT ACTIVITIES Is our Facili Com liance Plan sub'ect to review b ... for satis in the conditions of these ermits? H. DEPARTMENT OF TOXIC SUBSTANCES CONTROL YES O STANDARDIZED PERMIT _ _ _ All Modifications YES AIO _ ! _ Non-RCRA HAZARDOUS WASTE FACILITY YES l'iV0 _ RCRA HAZARDOUS WASTE FACILITY I. SAN JOAQUIN VALLEY UNIFIED AIR POLLUTION _YES O _ AUTHORITY TO CONSTRUCT CONTROL DISTRICT _YES _NO _ PERMIT TO OPERATE J. STATE WATER RESOURCES CONTROL BOARD YES O WASTE DISCHARGE RE UIREMEN DR CENTRAL VALLEY REGIONAL WATER QUALITY CONTROL YES O GENERAL PERMITS BOARD _ _ YES ~VO - SPECIFIC PERMITS G _ NATIONAL POLLUTION DISCHARGE _YES z 10 ELIMINATION SYSTEM NPDES K. CALIFORNIA INTEGRATED WASTE MANAGEMENT BOARD YES O REGISTRATION PERMIT L. KERN COUNTY RESOURCE MANAGEMENT AGENCY ENVIRONMENTAL HEALTH SERVICES PERMITS _YES ~VO _ Domestic Water Well Permit ~ _YES ~YVO _ Haz Mat Monitoring Well Permit -- YES NJO _ _ Septic System Permit _YES ~'NO _ Public Swimming Pool Permit _YES ~p _ Food Facility Construction Permit _YES ~10 Solid Waste Local Enforcement Agency (LEA) Related Permits _YES ~NO Medical Waste Related Permits M. CITY OF BAKERSFIELD WASTE WATER DIVISION YES O INDUSTRIAL WASTE WATER DISCHARGE _ _ PERMIT NOTE: If ou checked YES to an art of Sections III-H to III-M above, then lease address all a licabfe ermit re uirements in the Facili Com liance Plan. UPCF (7/99) S:\CUPAFDRMSWCTIVITY.Swpd.wpd f .~~ q 1~ ,l HAZARDOUS MATERIALS MANAGEMENT PLAN SITE & FACILITY DIAGRAM Pglofl B B R S P I D ~~R~ ~Rr~r r Bakersfield Fire Dept. Environmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 SITE DIAGRAM FACILITY DIAGRAM Business Name: ~ ~~ S ~ ~ ~ t Business Address: ~ ~ ~~~~~Y ~~ ~ a ~- 2 3 C J ~~ ~ Z `~ O ~ ~N ~ Q ~ ~ ~ ~ 3 lg ~S 3 ~i X o A ~~ ~~ h., r NORTH Please indicate direction ofNorth ~: . ~..~ . r YOUR WAY FUMIGATION SiteID: 015-021-002084 Manager PETE SALANGE Location: 6201 SCHIRRA CT 5 City BAKERSFIELD BusPhone: (661) 396-8832 Map 123 CommHaz Extreme Grid: 15C FacUnits: 1 AOV: CommCode: BFD STA 09 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title PETE SALANGE / MANAGER JOSE ORTEGA / ASST MANAGER Business Phone: (661) 396-8832x Business Phone: (661 ) 396-8832x 24-Hour Phone (661) 343-1524x 24-Hour Phone (661) 201-0871x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire React ImmHlth DelHlth Contact 'i~~~;S.°.~-R~Jt.'~-%~ ~ Phone: (661) 396-8832x MailAddr: 6201 SCHIRRA CT 5 State: CA City BAKERSFIELD Zip 93313 Owner YOUR WAY FUMIGATION Phone: (800) 526-8194x Address : 27574 COMMERCE CENTER DR 130 State: CA City TEMECULA Zip 92590 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ENT ~ ~' B ~ ~ 2007 Based on my inquiry of those individuals responsible for obtaining the information, I rerti$y under penalty of law that I have personally " son examined and am familiar with the informat submitted and believe the information is true, accurate, and complete. ~~f ,~, ~~ D e ~ fY Si re gna -1- 02/06/2007 .~ ~ ~~ F YOUR WAY FUMIGATION ~ Hazmat Inventory = ~ MCP+DailyMax Order = SiteID: 015-021-002084 ~ By Facility Unit ~ Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP VIKANE (SULFURYL FLOURIDE) CHLOROPICRIN G F R IH DH G 2280.00 200.00 FT3 FT3 Ext Ext -2- 02/06/2007 -3- 02/06/2007 ;A ~ F YOUR WAY FUMIGATION SitelD: 015-021-002084 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ ,.,..~...~.. _t,,,,.,-. ~ ..,rr.,r,,,,,. ~t,,,,,r AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 2280.00 FT3 2280.00 FT3 2280.00 FT3. I11~G1~ICLVUw7 1..V1~lYV1VLSIV 1.7 %Wt: RS CAS# 100.00 Sulfuryl Fluoride No 2699798 tit~~tilcL t-~~ ~~~arlrJivla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Ext ~ Inventory Item 0002 COMMON NAME f CHEMICAL NAME CHLOROPICRIN Location within this Facility Unit Facility Unit: Fixed Containers at Site ~ 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 200.00 FT3 200.00 FT3 200.00 FT3 nnatu~cuvu~ ~.v1~1rUlvlJtvta %Wt. RS CAS# 96.00 Chloropicrin No 76062 4.00 trace quantities of water and HCI No L3[iLtiTCL H AJP~~7.71Y1L~1V 1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH DH / / / Ext -4- 02/06/2007 ~GasATE TpureE -~AboveSAmbEent AmbientT~E METAL CONTAINRTNONDRUM a F YOUR WAY FUMIGATION SiteID: 015-021-002084 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ 1-~ycll~y 1VV1.1111:d1.1V11 rlll~llVyCC 1VV1.11. / rJVdC:Udl~1Vi1 r U1J11C: 1VV L11 / rJVdC LLdl,1VI1 r~uiclyvuuy 1"1CC11C:d1 Y1di1 -5- 02/06/2007 c~ ~ F YOUR WAY FUMIGATION SiteID: 015-021-002084 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ _, i~cica~c rtcvcLtt,tvti 1CC1Cd~C l.Uill.dlill[lCill. Clean Up = v~.•.-ci n.cw LL.L IBC tiC: l.lVdl.1 U11 -6- 02/06/2007 is ~i F YOUR WAY FUMIGATION SitelD: 015-021-002084 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ aNc~:1a.1 nc«ca1u~ ~_ -. L'ltc r1Vl..CV~tiVQ11 YV C1 l.C1 ~~A~~~s~.c, ~ kc ~~ sy~ , -~- oa/o6/200~ i ..,. F YOUR WAY FUMIGATION SiteID: 015-021-002084 ~ Fast Format ~ ~ Training Overall Site ~ Employee Training ~A-i2LY !l~~~wN6 ~o,uLr I N ~-fo~S~ / AR~~'T ~~~'~• ~iCoDr~c i~ rays ~ nciu ivi ru~.uic vac nciu ivi ru~.utc vac -8- 02/06/2007 C, .f YOUR fnTAY FUMIGATION Manager PETE SALANGE Location: 6201 SCHIRRA CT 5 City BAKERSFIELD SiteID: 015-021-002084 BusPhone: (661) 396-8832 Map 123 CommHaz Extreme Grid: 15C FacUnits: 1 AOV: CommCode: BFD STA 09 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title PETE SALANGE / R: ~r-'~'"'~ iz- JOSE ORTEGA / MANAGER Business Phone: (661) 396-8832x Business Phone: (661) 396-8832x 24-Hour Phone (661) 343-1524x 24-Hour Phone (661) 201-0871x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire React ImmHlth DelHlth Contact PETE SALANGE Phone: (661) 396-8832x MailAddr: 6201 SCHIRRA CT 5 State: CA City BAKERSFIELD Zip 93313 Owner YOUR WAY FUMIGATION Phone: (800) 526-8194x Address 27574 COMMERCE CENTER DR 130 State: CA City TEMECULA Zip 92590 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ~N~i'D D C ~ 9 ~Q07 D?svd an !?'1y inquiry of thOSesndividu:pis , responsible for obfaining the information, !certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. S~gnatur ..--- D e -1- 10/04/2007 ~r5 -i~ F YOUR WAY FUMIGATION SitelD: 015-021-002084 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP VIKANE (SULFURYL FLOURIDE) CHLOROPICRIN G F R IH DH G 2280.00 200.00 FT3 FT3 Ext Ext -2- 10/04/2007 -3- 10/04/2007 ~; P YOUR inTAY FUMIGATION SiteID: 015-021-002084 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME VIKANE (SULFURYL FLOURIDE) Days On Site 365 Location within this Facility Unit Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas TPure -Above Ambient Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 2280.00 FT3 2280.00 FT3 2280.00 FT3 tiEiGl~itCUVUJ ~.~1~1r~lvrJlvlJ %Wt. RS CAS# 100.00 Sulfuryl Fluoride No 2699798 t1AGL~tCL HJJl"~JJL~1J"~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Ext ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME CHLOROPICRIN Days On Site 365 Location within this Facility Unit 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 200.00 FT3 200.00 FT3 200.00 FT3 ruyc~ru~LV~a L.v1"1rv1va1v1.7 %Wt. RS CAS# 96.00 Chloropicrin No 76062 4.00 trace quantities of water and HCI No Lltil~riRL HJ J P~ J a71"1.G1V 1 .7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH DH / / / Ext -4- 10/04/2007 _, F YOUR WAY FUMIGATION SiteID: 015-021-002084 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency. Notification L'lll~J1V~/CC 1VV 1.11 ~ P~VdU Udl.1U11 _ ~_ ~ i ,-. r WJ11V lVV VLt/P.~V0.V UCi l.1V11 P~IIICLyC11C:y 1.1CU1Ud1 Y1dI1 -5- 10/04/2007 F YOUR (nTAY FUMIGATION SiteID: 015-021-002084 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention Release Containment l...LC0.11 V~l V 1.11Ct 1CC.7-CJ UI (.:C 1-1C: 1..1VdL1Oi1 -6_ 10/04/2007 F YOUR fnTAY FUMIGATION SitelD: 015-021-002084 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ JjJ~C:1d1 ncl.GdluS Utility Shut-Offs 02/21/2007 BOTH GAS AND WATER ON N SIDE OF BLDG FACING SCHIRRA CT Fire Protec./Avail. Water ALARM/SPRINKLER SYSTEM 02/21/2007 Building Occupancy Level 02/21/2007 ~, EMPLOYEES -7- 10/04/2007 F YOUR GTAY FUMIGATION SiteID: 015-021-002084 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 02/21/2007 ~ YEARLY TRAINING DONE IN HOUSE/TARGET SPEC PRODUCTS rayc c. riclu 1V1 rul~uLC 1.1~C iaciu tvi ruI, ULC IJSC -8- 10/04/2007