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Home My WebLink AboutMISC HMBP(I1c, \cv FORM S - SAN LU - BISPO COUNTY CERTIFIED UNIFIED _ GRAM AGENCY (� oqBUSINESS OWNER/OPERATOR IDENTIFICATION I. IDENTIFICATION FACILITY ID# 1 BEGINNING DATE too 1 ENDING DATE 101 1 / 1 /06 12/31 /06 BUSINESS NAME (Same as FACILITY NAME or DBA — Doing Business As) 3 1 BUSINESS PHONEg2'S - -4.7 (aq 102 Hanson Aggregates (805) **3- A BUSINESS SITE ADDRESS 103 131 Suburban Road Ioa CITY CA ZIP CODE 105 San Luis Obispo 93401 DUN & BRADSTREET 106 SIC CODE (4 digit N) 107 3273 COUNTY San Luis Obispo 108 BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE gZ9 ,3 A, I I`j'" Hanson Aggregates (805) 343 Mo II. BUSINESS OWNER OWNER NAME I I I OWNER PHONE Z — 3 7 b 112 Hanson Aggregates (805) 443-0+90-- OWNER MAILING ADDRESS 11 131 Suburban Road CITY 114 STATE 115 ZIP CODE ''6 San Luis Obispo 1 CA 1 93401 III. ENVIRONMENTAL CONTACT CONTACT NAME 117 CONTACT PHONE Z5;Z!+,4+ - (0S; ft118 4414'p-7FIRImp L c, vo, 1 CONTACT MAILING ADDRESS 119 12-00-7 A�-I c is �_-_�. 9__ 1vJ . She 4 00 CITY 120 STATE 121 1 ZIP CODE y469 3 122 &M a Yl I -99936 .g ,l 'Saft CA -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- NAME 123 NAME 128 Hal BradleyCarlos Garcia TITLE 1za TITLE 129 Plant Manager Batchman BUSINESS PHONE 125 BUSINESS PHONE 130 (805) 221-2639 (.895) K6 - 457 _1 b 5 24-HOUR PHONE 126 24-HOUR PHONE 131 PAGER N " " 127 PAGER N / C: 132 G 133 ADDITIONAL LOCALLY COLLECTED INFORMATION: Additinnal Secondary Contact: E, En ' , Business Phone: 805405�'�l; Cell: 80.` �eks Home Chrt� OJWb C%cvi . M&Aa e ✓ 151-117 (o ... Certification: 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. SIGNA�WN O�OR OR DESIGNATED REPRESENTATIVE DATE 134 NAME OF DOCUMENT PREPARER 135 11/20/06 Steve Zacks NAME OF SIGNER (print) 136 TITLE OF SIGNER 137 Steve Zacks Environmental Manager Page__ Of ttrigweFacksft Dowrmn nis+Etti i am,2'(]p `• .s 1,, _.: r ° ( 1-20-06 C , 9 FORM I — SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICAL INVENTORY one page per material per building or area []ADD ❑DELETE ❑Ia vl,tiI I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA — Doing Business As) HAN.SON AGGREGATES CHEMICAL_ LOCATION A, CHEMICAL LOCATION CONFIDENTIAL EPCRA [I ❑NO FACILITY ID # FA0002505 MAP# GRID# (Agency use only) II. CHEMICAL INFORMATION CHEMICAL NAME Daraset 400 TRADE SECRET ❑ Yes ❑ No If Subject toEPCRA,refer toinstructions COMMON NAME Daraset 400 EHS* ❑Yes ❑ No CAS# *If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) Carcinogen (CARC), Irritant (Irr) HAZARDOUS MATERIAL TYPE a. PURE 0 b. MIXTURE ❑ c. WASTE RADIOACTIVE ❑Yes ❑ No CURIES (Checkoneone item only) PHYSICAL STATE a SOLID 0 b. LIQUID 0 c GAS LARGEST CONTAINER 1500.0 (Check one item only) FED HAZARD CATEGORIES a. FIRE ❑ b REACTIVE ❑ PRESSURE RELEASE ❑ c ®d. ACUTE HEALTH ❑ e. CHRONIC HEALTH (Check all that apply) AVERAGE DAILY AMOUNT MAXIMUM DAILY AMOUNT ANNUAL WASTE AMOUNT STATE WASTE CODE 700.0 1 1500.0 UNITS* Q a. GALLONS Q b. CUBIC FEET ❑ c. POUNDS ❑ d. TONS DAYS ON SITE: 365.0 (Check one item only) *If EHS, amount must be in pounds. STORAGE a. ABOVE GROUND TANK ❑ e. PLASTIC/NONMETALLIC DRUM ❑ i FIBER DRUM ❑ m. GLASS BOTTLE CONTAINER ❑ b. UNDERGROUND TANK ❑ f. CAN ❑ j. BAG ❑ n. PLASTIC BOTTLE ❑ q. RAIL CAR ❑ c TANK INSIDE BUILDING ❑ g, CARBOY ❑ k BOX ❑ o. TOTE BIN ❑ r OTHER ❑ d. STEEL DRUM ❑ h. SILO ❑ 1. CYLINDER ❑ p TANK WAGON STORAGE PRESSURE 10 a. AMBIENT ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBIENT STORAGE TEMPERATURE 0 a. AMBIENT 0 b. ABOVE AMBIENT ❑ c. BELOW AMBIENT ❑ d. CRYOGENIC %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # I 50.0 Calcium nitrate ❑ Yes ® No 10124-37-5 2 5.0 Calcium nitrite ❑ Yes ® No 13780-06-8 3 5.0 Sodium thioeyanate ❑ Yes ❑ No 540-72-7 4 ❑ Yes ❑ No 5 ❑ Yes ❑ No If more hazardous components are present at greater than 1 % by weight if non -carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION If EPCRA. Please Sign Here FORM I — SAN LUIS OBISPO COUNTY CERTIFIED UNIFIED PROGRAM AGENCY (CUPA) CHEMICAL INVENTORY E: one page per material r buildingor area []ADD ❑DELETE REVISE I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA— Doing Business As) HAN.SON AGGREGATES CHEMICAL LOCATION CHEMICAL LOCATION CONFIDENTIAL EPCRA ❑ YES ❑ NO FACILITY ID # FA0002505 MAP# GRID# (Agency use only) H. CHEMICAL INFORMATION CHEMICAL NAME Da rava i r 1000 TRADE SECRET ❑ Yes ❑ No If Subject to EPCRA, refer to instructions COMMON NAME Daravair 1000 EHS* ❑Yes ❑ No CAS# *ITEHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (complete if required by CUPA) HAZARDOUS MATERIAL TYPE 0 a PURE M b. MIXTURE 0 c WASTE RADIOACTIVE ❑ Yes ❑ No CURIES (Check one item only) PHYSICAL STATE ❑ a. SOLID b. LIQUID 0 c GAS LARGEST CONTAINER 500.0 O 0 (Check one item only) . FED HAZARD CATEGORIES a. FIRE ❑ b. REACTIVE ❑ PRESSURE RELEASE ❑ CHRONIC HEALTH c. d. ACUTE HEALTH e. (Check all that apply) AVERAGE DAILY AMOUNT MAXIMUM DAILY AMOUNI' ANNUAL WASTE AMOUNT STATE WASTE CODE 400.0 1 500.0 UNITS* Qi a. GALLONS Q b. CUBIC FEET ❑ c. POUNDS ❑ d. TONS DAYS ON SITE: 365.0 � 0 (Check one item only) *tf EHS, amount must be in pounds. . STORAGE a. ABOVE GROUND TANK e PLASTICINONMETALLIC DRUM i. FIBER DRUM 0 m. GLASS BOTTLE CONTAINER ❑ b. UNDERGROUND TANK ❑ f. CAN [1j, BAG ❑ n. PLASTIC BOTTLE ❑ q RAILCAR ❑ c. TANK INSIDE BUILDING ❑ g. CARBOY ❑ k- BOX ❑ o. TOTE BIN ❑ r. OTHER ❑ d. STEEL DRUM ❑ h. SILO [11. CYLINDER ❑ p. TANK WAGON STORAGE PRESSURE 0 a, AMBIENT ❑ b. ABOVE AMBIENT ❑ c. BELOW AMBIENT STORAGE TEMPERATURE 0 a AMBIENT ❑ b, ABOVE AMBIENT ❑ c. BELOW AMBIENT 0 d. CRYOGENIC %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # I N/A ❑ Yes ® No z ❑ Yes ® No 3 ❑ Yes ❑ No 4 ❑ Yes ❑ No 5 ❑ Yes ❑ No tf more hazardous components are present at greater than 1 % by weight if non -carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets orpaper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION If EPCRA. Please Si n Here