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HomeMy WebLinkAbout2901 MING AVENUE (2)O HAZARDOUS WASTE / ESIM CONTINGENCY PLAN Store #: Z5 Z q s o - we (Il 1li[T.i l Al i : /.Lli i zll' Emergency Coordinator: Leader On Duty (LOD) Telephone #: 6 I— b 1 -7-2660 13YU d Fire Department: Police Department: Local Hospital: External Evacuation Rally Point: ji P- Ln. Tel # — 131 -4yy Tel #b&1-327-1111 Tei # (D1— 32-5275' 93301 In Case of Emergency Call Alert One: 1- 800 - 633 -1609 R+ 0 INSERT DETAILED SITE PLAN HERE o a 0 o! w J M i MING AVENUE a iT MffMf D HMO Qt}#ff3fNfl-HN i0!1 IDEVELOPE TRACT MOO LON SillSIGN STAGING§ AREA, TARGET TRACT PREMISES) talul INN V7A1A21 Q PARCEL OWNED BY SEARS FED ROBIN V19 „ADJACENT j MOVIE DEVELOPER' ' THEATRE TRACT G 1 , LUM AVENUE PYLON SIGN DEVELOPER TRACT J n it PA WIN, 0 Q - L...... .. —.. .... . PARCEL LEASED BY XPENNEY'S T'T PARCEL LEASED BY MA 'S WISRIANA WkOw MOWN! W#//RM QOM” iOR Mftw whwllm wwhym Shopping Center Boundary Tract Boundary Permissible Restaurant Area THE SHOPPING CENTER INCLUDES THE DEVELOPER TRACT, THE ADJACENT DEVELOPER TRACT, THE PREMISES THE PARCEL OWNED BY SEARS AND THE LJ z Q U) W z 0 z Valley Plaza Mall, Bakersfield, CA I PARCELS LEASED BY JCPENNEY'S AND MACY'S. 1 Bakersfield Central, CA T -2524) ® Exhibit X T:\ 20069000.22 \2524 \dwg \5674siteX.dwg 2/18/2010 4:4758 PM CST 140 W Site Plan 0 1.0 Introduction Federal and State hazardous waste regulations (40 CFR §264 Subpart D— Contingency Plan and Emergency Procedures and 22CCR §66265.50 et. sec. Contingency Plan and Emergency Procedures), require that hazardous waste generators (by reference in 40 CFR § 262.34) prepare and implement a Contingency Plan which is designed to minimize hazards to human health or the environment from fires, explosions, or any unplanned release of hazardous waste or hazardous waste constituents to air, soil or surface water. Target Corporation uses the term Environmentally Sensitive Items to describe items that may be harmful to the environment (including Hazardous Waste). This Contingency Plan sets out an organized, planned and coordinated course of action to be followed in case of a fire, explosion, or any unplanned sudden or non - sudden release of hazardous waste or its hazardous constituents which could threaten human health or the environment. The provision of this Plan must be carried out immediately whenever there is a fire, explosion, or release of hazardous waste or hazardous waste constituents which could threaten human health or the environment. The following is a list of some potential incidents that could threaten human heath or the environment: A spill of a hazardous retail product which can be contained on -site but the potential exists for groundwater impacts. A spill of any on -site generated hazardous waste from containers which cannot be contained on -site resulting in off -site soil contamination and /or ground or surface water impacts. A fire which could cause the release of toxic fumes from hazardous waste. If the fire spreads, it could ignite materials at other locations at the Store or cause heat - induced explosions. A fire which could spread to off -site areas. Use of water or water and chemical fire suppressant could results in contaminated run -off. An imminent danger exists that an explosion could occur, resulting in a safety hazard due to flying fragments or shock waves. An imminent danger exists that an explosion could ignite other hazardous wastes at the Store. An imminent danger exists that an explosion could result in release of toxic materials. An explosion has occurred. Severe Weather or natural disaster that has the potential to impact operations. 2.0 Store and General Information 2.1 Description of Generator Activities Target operates as a discount retailer at this location. Target's main operations involve the selling of general merchandise products. This Plan has been developed in the event that the Store becomes a large generator of hazardous waste. This location generates damaged / defective retail products, some of which can potentially be classified as hazardous waste. Below is a table indicating the categories these wastes fall into. Rev. 9/1 /10 0 HAZARDOUS WASTE SUMMARY TABLE Type /Use of Quantity Container Location Disposal /Removal Labels Container Material No. /Size) Type Method & Frequency Condition Flammables 20 gal Plastic Back Licensed transporter / Yes Good Toxics tote Room / 30 Days (CA Stores) Reverse 45 Days (NY Stores) Logistics 60 Days all other Stores Corrosives 20 gal Plastic Back Licensed transporter / Yes Good tote Room / 30 Days (CA Stores) Reverse 45 Days (NY Stores) Logistics 60 Davs all other Stores Oxidizers 20 gal Plastic Back Licensed transporter / Yes Good tote Room / 30 Days (CA Stores) Reverse 45 Days (NY Stores) Lociistics 60 Days all other Stores State 20 gal Plastic Back Licensed transporter / Yes Good Regulated tote Room / 30 Days (CA Stores) Waste Reverse 45 Days (NY Stores) Logistics 60 Days all other Stores 3.0 Emergency Coordinators The Emergency Coordinator at the Target Store is the Leader on Duty (LOD). The Emergency Coordinator is "on site ", i.e. can be reached by telephone, pager, or a "beeper" at all times. If the Store is closed, any emergency will be identified by the Target Alarm Center in Minneapolis, MN. If this is the case, the Emergency Coordinator will be the Alert One Operator until a LOD arrives on site. In the event of an emergency, the LOD contacts Alert One (1- 800 - 633 -1609) to obtain specific information about the emergency and transfers the LOD to an expert when applicable, for Key Responder Support. The Key Responders for chemical spills, fires and explosions are the Assets Protection Group Leader (APGL) and Corporate Compliance and Ethics. Target has a contract with Environmental Products and Services (EPS) of Vermont, an Emergency Response company who has the ability to dispatch an emergency response crew 24/7/365 to all Target locations. The LOD follows the Alert One Emergency Procedures Flipchart (F3544.03) for instructions on handling a wide variety of emergency situations. The LOD is thoroughly familiar with all aspects of the Contingency Plan, all operations and activities at the Store, the location and characteristics of waste handled the location of all records within the Store, and the Store layout. Each Store is responsible for creating site - specific procedures and diagrams (i.e. location of gas and electric shut -off valves, evacuation plans, safe refuge areas, etc.). 4 Rev. 9/1/10 0 4.0 Implementation of the Contingency Plan The Contingency Plan will be implemented if an incident occurs that has the potential to threaten human health or the environment. The LOD has full authority to make this decision and commit the necessary resources. Implementation of the Contingency Plan includes incidents throughout the Store. In addition, the Contingency Plan must be implemented whenever an incident might involve hazardous waste anywhere on the Store property. Depending on the situation, the following potential emergencies might call for the implementation of the Contingency Plan. A spill of.a hazardous retail product which can be contained on -site but the potential exists for groundwater impacts. A spill of any on -site generated hazardous waste from containers which cannot be contained on -site resulting in off -site soil contamination and /or ground or surface water impacts. A fire which could cause the release of toxic fumes from hazardous waste. If the fire spreads, it could ignite materials at other locations at the Store or cause heat - induced explosions. A fire which could spread to off -site areas. Use of water or water and chemical fire suppressant could results in contaminated run -off. An imminent danger exists that an explosion could occur, resulting in a safety hazard due to flying fragments or shock waves. An imminent danger exists that an explosion could ignite other hazardous wastes at the Store. An imminent danger exists that an explosion could result in release of toxic materials. An explosion has occurred. Severe Weather or natural disaster that has the potential to impact operations. 5.0 Emergency Response Procedures A Team Member discovering a spill, fire, or imminent danger of explosion of hazardous waste must contact the LOD. The LOD will immediately respond to the call and assess the situation. Upon Discovery Whenever there is an immediate or actual emergency situation, the LOD must immediately conduct the following: Activate internal Store alarms or communication systems, where applicable, to notify all Store personnel; and Notify appropriate State or local agencies with designated response roles if their help is needed. Contact Alert One for engagement of the Emergency Response vendor. The Emergency Response vendor will dispatch the appropriate size crew to handle the emergency and will notify regulatory agencies in accordance with local reporting requirements. Rev. 9/1/10 0 Should evacuation be necessary, the LOD will follow the Emergency Procedures Flipchart F3544.03) for evacuation procedures. All Team Members hearing the evacuation alarm or tone must shut down their equipment and proceed to the Rally Point outside of the building. The LOD must assess possible hazards to human health or the environment that may result from the spill, fire or explosion. This assessment must consider both the direct and indirect effects of the spill, fire or explosion (e.g. the effects of any toxic, irritating, or asphyxiating gases that are generated, or the effects of any hazardous surface water run -off from water or chemical agents used to control the fire and heat - induced explosions). If the LOD determines that the Store has had a spill, fire or explosion that could threaten human health or the environment outside the Store the LOD must report the findings to Alert One as follows: If the assessment indicates that evacuation of local areas may be advisable, the following must be notified immediately; The LOD must be available to help officials decide whether local areas should be evacuated; and The LOD must immediately notify the local emergency responders (fire and police departments) and call Alert One to ensure the appropriate State and National notifications are made. The notification must include: Name and address of Store; Time and type of incident (e.g. spill, fire); Name and quantity of material(s) involved, to the extent known; The extent of injures, if any; and The possible hazards to human health, or the environment, outside the Store. A Team Member (designated by the LOD) will conduct a roll call for all Team Members who reported to the one of the meeting points outside the building. During the Emergency During the emergency, the LOD will take all reasonable measures necessary to ensure that spills, fires, explosions do not occur, recur, or spread to other hazardous wastes at the Store. These measures include, where applicable: Stopping processes and operations; Collecting and containing spill waste; and Removing or isolating containers. The LOD will also follow the Emergency Procedures Flipchart (F7439.03) for instructions on handling a fire, spill or explosion. Following Control of the Emergency Rev. 9/ 1 /10 0 Following containment and control of the emergency, the LOD and Emergency Response Contractor (EPS) will provide for collection, treatment and disposal of the waste and impacted soil or surface water, or any other material by the emergency personnel or outside contractor, as appropriate. The LOD will ensure the following in the affected area(s): No waste that may be incompatible with the spilled material is collected, treated or disposed of until cleanup procedures are completed; and All emergency equipment listed in the Contingency Plan is cleaned and ready for its intended use before operations are resumed. The LOD, in partnership with HQ, will investigate the cause of the emergency and take steps to prevent a recurrence of such incidents. Refer to flip chart identifying safe entry process. Resume activities after following the steps in the emergency flip chart. 6.0 Emergency Equipment The following is a list of emergency equipment that is located at the Store. 6.1 Internal Communication /Alarm System The Store is equipped with an audible paging system with alarm tones. This system will broadcast any evacuation orders throughout the Store. 6.2 External There is no external audible paging system. Team Members working outside will be contacted using the same hand held radio system that is used to communicate routine business communications. Outside telephones are located throughout the building. Emergency Response telephone numbers are displayed prominently near all the telephones. 6.3 Fire Control Equipment To provide rapid response to fires, wall- mounted, hand -held type ABC fire extinguishers are located in strategic locations throughout the Store. An automatic sprinkler system runs throughout the Store. The sprinkler system is of the wet -pipe type except in freezer areas where a dry pipe system it utilized. Capabilities: Response to small fires. 6.4 Spill Control Equipment Spill stations are located throughout the sales floor and in back room areas. These kits /absorbents are used to clean up small spills and contain larger spills pending cleanup by a contractor. Rev. 9/1 /10 0 Iteriri # Quanta Descriptibn v 1 Three (3) F Large ESIM Bags Y Target U0502 2 Twelve (12) Zip Ties Target U0502 One (1) Bag of Absorbent Material Target AX6684 Hand Broom / Dust Pan Target 20145 One (1) Box Non -latex Gloves Target G0002 EOiE Roll of Paper Towels Target P0028 7 F-- One (1) Flashlight Target C0004 One (1) Mounted Wet Floor Caution Sign Target C0071 Capabilities: Response, containment, and clean up of "incidental spills" as defined in OSHA under 29 CFR 120. 6.5 First Aid The Store houses a fully stocked first aid station. Capabilities: To provide first aid for minor injuries which occur during normal situations or during emergencies. 7.0 Coordination Agreements 7.1 Police Department In the event that the Store becomes a large quantity generator, the Police Department will be provided with a copy of this Contingency Plan, a layout of the Store, a list of the types of hazardous waste handled, places where Team Members are normally working, entrances, and evacuation routes. 7.2 Fire Department In the event that the Store becomes a large quantity generator, the Fire Department will be provided with a copy of this Contingency Plan. The Fire Department may conduct both announced and unannounced inspections of the Store. 8 Rev. 9/1 /10 0 7.3 Local Hospital In the event that the Store becomes a large quantity generator, the closest hospital will receive a special briefing on the type of health hazards at the Store. Standard procedure will be to field decontaminate victims to prevent the contamination of ambulances and the exposure of emergency medical personnel. 7.4 Hazardous Waste Contractor Target has contracts in place with licensed hazardous waste contractors to manage any hazardous waste that is generated. In the event that the Store becomes a large quantity generator, Target will activate these contracts to manage, transport and properly dispose of these materials. 8.0 Evacuation Plan Should evacuation be necessary, the LOD will follow the Emergency Procedures Flipchart F3544.03) for evacuation procedures; which include the following: Immediate Actions Call 911 for emergency services support. Store Leadership Call Alert One 1- 800 - 633 -1609 for key responder support. Ensure team member and guest safety. The LOD /Store Team Leader directs the operator to order an evacuation of the building. ERT sweeps all areas of store for guest and team members. A member of the ERT should be at the door, directing guest and team members to the predetermined Rally Point (listed on cover). ERT should provide assistance to guests and team members who might need special assistance. A member of the ERT should be at the Rally Point to assist guests and account for team members. Evacuation Procedures Assign a team member to every emergency exit. Check all coolers and freezers to verify that team members have been evacuated from these areas. Order an evacuation of the building three times. Here is simple announcement "May I have your attention, please. An emergency in the store makes it necessary to evacuate the store immediately. Please take any merchandise you have purchased with you." Order an evacuation of the building in Spanish. Either read text to the best of your ability or have a Spanish speaking team member make the announcement. "Su atencion por favor. Se ha presentado una emergencia en la tienda, por to tanto es necasario evacuar el lugar immediatamente. Por favor dirijase a la salida de emergencia Mas cercana y Ileve cualquier mercancia que hays comprador con usted." Meet at your Rally Point outside of the building. Move team members well away from the store and exterior widows /doors. Verify fire department has been contacted if alarm has not been activated. Rev. 9/ 1 /10 0 Make sure building doors are closed. Do not allow any person to enter building. If there are injuries, turn to Medical Emergency section. Ask team members to stay with any injured individuals until emergency services arrive. Clear driveway to allow access and exit of emergency vehicles. Move team members and guests away from exposure of media and distressing sights. If a crime is suspected, protect the scene from outsiders and do not move any articles. Establish a receiving area for arriving family members. Secure the building perimeter. Keep people out of the affected area. If necessary, have someone guard the driveways or entrance to prevent anyone from entering the property. Refer to Store Closure Protocols for assistance in determining whether to close or not. Post signs if the store is to be closed for any length of time. If dangerous weather (severe storm with high winds and /or lightning) or excess heat/cold exist outside the store, the evacuating team members should go to the nearest exit door, gather at the interior of the exit door, and wait for further direction. Team members must immediately exit the building if smoke and /or fire is present — regardless of severe weather or excess heat/cold. 9.0 Required Reports Within fifteen (15) days of any incident requiring implementation of this Contingency Plan, the LOD in partnership with Headquarters will file a report with the United States Environmental Protection Agency (USEPA) regional administrator and the local environmental regulatory agency. The report will include the following information: Name, address, and telephone number of owner /operator. Name, address and telephone number of Store. Date, time, and type of incident. Name and quantity of material involved. An assessment of actual or potential hazards to human health and the environment. Estimated quantity and disposition of recovered material that results from the incident. The information on the incident is required by Target to be added to the Risk Management Software Target utilizes for spill reporting. The spill information is to be entered into the Incident Report Form. This form can be accessed through the Safety Site at: htto: / /insidetat.tarciet.com/ portal- target/Target/Safety /safety home 10. Amendment of Contingency Plan Target will review, and amend, this Contingency Plan whenever the following situations apply: Applicable regulations are revised; The Plan fails in an emergency; The Store changed in its design, construction, operation, maintenance, or other circumstances in a way that materially increases the potential for fires, explosions, or spills; Emergency coordinators or managers change; The Store permit changes or is revised; and The list or location of emergency equipment changes. 10 Rev. 9/ 1 /10 UNIFIED PROGRANI CONSOLIDATED FORM FACILITY INFORNIATION BUSINESS ACTIVITIES I. FACILITY IDENTIFICATION FACILITY ID /i I EPA ID 11 (Hazardous Waste Onl)') '- Agency Use Only) I BUSINESS NAME (Same as Facility Name of DBA -Doing Business As) Target #T2524 3 BUSINESS SITE ADDRESS 2901 Ming Avenue 103 BUSINESS SITE CITY Bakersfield 161 CA ZIP 93304 0S CONTACT NAME Target Corporation 106 800 -587 -2228 107 II. ACTIVITIES DECLARATION NOTE: If you check YES to any part of this list, please submit the Business Owner /Operator Identification page. Does your facility... If Yes, please complete these pages of the UPCF.... A. HAZARDOUS MATERIALS Have on site (for any purpose) at any one time, hazardous materials at or above 55 gallons for liquids. 500 pounds for solids, or 200 cubic feet for HAZARDOUS MATERIALScompressedgases (include liquids in ASTs and USTs); or the applicable YES NO a INVENTORY - CHEMICAL Federal threshold quantity for an extremely hazardous substance specified in DESCRIPTION 40 CFR Part 355, Appendix A or B: or handle radiological materials ill quantities for which an emergency plan is required pursuant to 10 CFR Parts 30. 40 or 70'? B. REGULATED SUBSTANCES Have Regulated Substances stored onsite in quantities greater than the threshold quantities established by the California Accidental Release YES ® NO 4a Coordinate with your local agency prevention Program (CaIARP)'? responsible for CaIARP. C. UNDERGROUND STORAGE TANKS (USTs) UST FACILITY (formed) SWRCI3 Fore„ A) Own or operate Underground storage tanks? YES ® NO 5 UST TANK (one page per tank) (Formerly Form 13) D. ABOVE GROUND PETROLEUM STORAGE Own or operate AS'I"s above these thresholds: Store greater than 1,320 gallons of pen-oleum products (new or used) in YES ® NO s NO FORM REQUIRED TO CUPAs aboveground tanks or containers. E. HAZARDOUS WASTE Generale hazardous waste'? YES NO y EPA ID NUMBER - provide at the top of this page Recycle more than 100 kg /month of excluded or exempted recyclable materials (per HSC 25143.2)? YES ® NO 10 RECYCLABLE MATERIALS REPORT one per recycler) Treat hazardous waste on- site'? YES ® NO 11 ON -SITE HAZARDOUS WASTE TREATMENT - FACILITY ON -SITE HAZARDOUS WASTE TREATMENT-UNIT (one page lxrunio Treatment subject to financial assurance requirements (for Permit by Rule and Conditional Authorization)'? YES ® NO 12 CERTIFICATION OF FINANCIAL ASSURANCE Consolidate hazardous waste generated at a remote site'? REMOTE WASTE / CONSOLIDATIONYES ® NO 3 SITE ANNUAL NOTIFICATION Need to report the closure /removal of a tank that was classified as hazardous waste and cleaned on- site'? YES ® NO 14 HAZARDOUS WASTE TANK CLOSURE CERTIFICATION Generate in any single calendar month 1.000 kilograms (kg) (2,200 pounds) Obtain federal EPA ID Number, file or more of federal RCRA hazardous waste. or generate in any single YES ® NO 14a Biennial Report (EPA Form 8700 calendar month, or accumulate at any time, 1 kg (2.2 pounds) of RCRA 13A/B), and satisfy requirements foracutehazardouswaste; or generate or accumulate at any time more than 100 RCRA Large Quantity Generator. kg (220 pounds) of spill cleanup materials contaminated with RCRA acute hazardous waste. Household Hazardous Waste (HHW) Collection site? YES ® NO 14b See CUPA for required forms. F. LOCAL REQUIREMENTS 1s You may also be required to provide additional information by your CUPA or local agency.) UPCF Rev. (12/2007) OFFICIAL USE ONLY UP Form HW HM ARP AST UST TP CUPA PA OCT 2 8 2010 Revised Complete Plan: 10/1/2010 1 of 20 UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS OWNER /OPERATOR IDENTIFICATION NEW BUSINESS OUT OF BUSINESS REVISE/UPDATE (EFFECTIVE 10 /01 / 2010 ) 1. IDENTIFICATION BEGINNING DATE u ENDI/NG DA`rEFACILITYID# 10/1/2010 11 BUSINESS NAME (S:n „e as F-ACn.rrY NAME or DBA - Doing, Boslness As) 3 BUSINESS PHONE 612 Target #T2524 800 -587 -2228 BUSINESS SITE ADDRESS 163 BUSINESS FAX 102a 2901 Ming Avenue NA BUSINESS SITE CITY IO4 CA ZIP CODE 105 COUNTY 108 Bakersfield 93304 Kern DUN & BRADSTREET 106 PRIMARY SIC 107 PRIMARY NAILS 107a 196461180 5311 BUSINESS MAILING ADDRESS 108, PO Box 111 BUSINESS MAILING CITY 108b STATE lose ZIP CODE 1084 Minneapolis MN 55440 BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE 110 Target Cor oration. 800 -587 -2228 11. BUSINESS OWNER OWNER NAME III OWNER PHONE 112 Target Cor oration. 800 -587 -2228 OWNER MAILING ADDRESS 113 PO Box I I 1 OWNER MAILING CITY 114 STATE 115 ZIP CODE 116 Minneapolis MN 55440 III. ENVIRONMENTAL CONTACT CONTACT NAME 117 CONTACT PHONE 118 Target Environmental Services 800 -587 -2228 CONTACT MAILING ADDRESS I lv CONTACT EMAIL I Iva PO Box I 1 1 NA CONTACT MAILING CITY 120 STATE 121 ZIP CODE 17- Minneapolis M N 55440 PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY - NAME 123 NAME 128 Steven DaJong Lead on Duty TITLE 2d TITLE 179 Store Team Leader LOD BUSINESS PHONE 12' BUSINESS PHONE 130 800 -587 -2228 800 -587 -2228 24 -HOUR PHONE 126 24 -HOUR PHONE 31 800 - 633 -1609 800 - 633 -1609 PAGER # 127 PAGER # 132 ADDITIONAL LOCALLY COLLECTED INFORMATION: 133 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. SIGNATURE OF OWNER /OPERATOR O GN TATIVE DATE 34 NAME OF DOCUMENT PREPARER 135 Shaw NAME OF SIGNER (print) 136 TITLE OF SIGNER 137 Pat Perry Corporate Compliance- Senior Group Manager OFFICIAL USE ONLY UP Form HW HM ARP AST UST TP CUPA PA INSPECTOR DISTRICT DATE OF INSPECTION DIVISION BATTALION STATION Revised Complete Plan: 10/ 1/2010 2 of 20 Revised Complete Plan: 10/1/2010 3 of 20 Program (UP) Form CONSOLIDATED CONTINGENCY PLAN COVER PAGE FACILITY IDENTIFICATION BUSINESS NAME 3 FACILITY ID # 1 Target t/'r2524 Hazardous Waste Generator (HWG) SITE ADDRESS 103 1 CITY 104 ZIP CODE 105 2901 Ming Avenue Bakersfield 93304 The Consolidated Contingency Plan provides businesses a format to comply with the emergency planning requirements of the following three written hazardous materials emergency response plans required in California: Hazardous Materials Business Plan (HSC Chapter 6.95 Section 25504 (b) and 19 CCR Sections 2729 - 2732), Hazardous Waste Generator Contingency Plan (22 CCR Section 66264.52), and, Underground Storage Tank Emergency Response Plan and Monitoring Program (23 CCR Sections 2632 and 2641). This format is designed to reduce duplication in the preparation and use of emergency response plans at the same facility, and to improve the coordination between facility response personnel and local, state and federal emergency responders during an emergency. Use the chart below to determine which sections of the Consolidated Contingency Plan need to be completed for your facility. If you are unsure as to which programs your facility is subject to, refer to the Business Activities Page. PROGRAMS SECTION(S) TO BE COMPLETED Hazardous Materials Business Plan (HMBP) Cover Page, Section I, and Site Map(s) Hazardous Waste Generator (HWG) Cover Page, Section I, and Site Map(s) Underground Storage Tank (UST) Cover Page, Sections I and ll, and Site Map(s) HMBP, HWG, UST Cover Page, Sections I and ll, and Site Map(s) A copy of the plan shall be submitted to your local CUPA and at least one copy of the plan shall be maintained at the facility for use in the event of an emergency and for inspection by the local agency. Describe below where a copy of your Contingency Plan, including the hazardous material inventories and Site Map(s), is located at your business: The Hazardous Materials Business Plan is filed in the Store Team Leader Office PLAN CERTIFICATION I certify under penalty of law that / have personally examined and I am familiar with the information provided by this plan and to the best of my knowledge the information is accurate, complete, and true. Printed Name of Owner/ Operator Pat Perry Title of Owner /Operator Corporate Compliance-Senior Group Nlana er Signature of Owner/ Operator Date / a /z, //v We appreciate the effort of local businesses in completing these plans and will assist in every possible way. If you have any questions, please contact your local CUPA or PA. OFFICIAL USE ONLY DATE RECEIVED REVIEWED BY DIV I BN STA I OTHER DISTRICT I CUPA PA Revised Complete Plan: 10/l/2010 4 of 20 Unified Program (UP) Form CONSOLIDATED CONTINGENCY PLAN SECTION I: BUSINESS PLAN AND CONTINGENCY PLAN I. FACILITY IDENTIFICATION BUSINESS NAME 3 FACILITY ID # 1 Target #T2524 REVIEWED BY SITE ADDRESS 103 J CITY 104 ZIP CODE 105 2901 Ming Avenue Bakersfield 93304 II. EMERGENCY CONTACTS PRIMARY SECONDARY NAME 123 NAME Steve DaJong Lead on Duty TITLE 124 TITLE 129 Store Team Leader LOD BUSINESS PHONE 125 BUSINESS PHONE 130 800 -587 -2228 800 - 587 -2228 24 -HOUR PHONE 126 24 -HOUR PHONE 131 800 633 -1609 800 633 -1609 PAGER # 127 PAGER # 132 III. EMERGENCY RESPONSE PLANS AND PROCEDURES A. Notifications Your business is required by State Law to provide an immediate verbal report of any release or threatened release of a hazardous material to local fire emergency response personnel, this Unified Program Agency (CUPA or PA), and the Office of Emergency Services. If you have a release or threatened release of hazardous materials, immediately call: FIRE /PARAMEDICS /POLICE /SHERIFF PHONE: 911 AFTER the local emergency response personnel are notified, you shall then notify this Unified Program Agency and the Office of Emergency Services. Local Unified Program Agency: (213) 978 -3685 State Office of Emergency Service: (800) 852 -7550 or (916) 262 -1621 National Response Center: (800) 424 -8802 Information to be provided during Notification: Your Name and the Telephone Number from where you are calling. Exact address of the release or threatened release. Date, time, cause, and type of incident (e.g. fire, air release, spill etc.) Material and quantity of the release, to the extent known. Current condition of the facility. Extent of injuries, if any. Possible hazards to public health and/ or the environment outside of the facility. B. Emergency Medical Facility List the local emergency medical facility that will be used by your business in the event of an accident or injury caused by a release or threatened release of hazardous material HOSPITAL /CLINIC: PHONE NO: Kaiser Permanente Medical Center 800 253 -5400 ADDRESS: 3501 Stockdale Highway CITY: ' ZIP CODE: Bakersfield 93309 OFFICIAL USE ONLY I DATE RECEIVED REVIEWED BY DIV I BN STA I OTHER DISTRICT I CUPA PA Revised Complete Plan: 10/1/2010 5 of 20 CONSOLIDATED CONTINGENCY PLAN SECTION I: BUSINESS PLAN AND CONTINGENCY PLAN C. Private Emergency Response DOES YOUR BUSINESS HAVE A PRIVATE ON -SITE EMERGENCY RESPONSE TEAM? Yes ® No If :yes, provide an attachment that describes what policies and procedures your business willfollow to notifjyyour on -site emergency response team in the event of a release or threatened release of hazardous materials. CLEANUP /DISPOSAL CONTRACTOR List the contractor that will provide cleanup services in the event of a release. NAME OF CONTRACTOR: PHONE NO: Alert One 800 - 633 -1609 ADDRESS: CITY: ZIP CODE: D. Arrangements With Emergency Responders If you have made special (i.e. contractual) arrangements with any police department, fire department, hospital, contractor, or State or local emergency response team to coordinate emergency services, describe those arrangements on the lines below: No special arrangements have been made. E. Evacuation Plan 1. The following alarm signal(s) will be used to begin evacuation of the facility (check all which apply): Verbal Telephone (including cellular) Alarm System ® Public Address System Intercom Pagers ® Portable Radio Other (specify): 2. ® Evacuation map is prominently displayed throughout the facility. 3. ® Individual(s) responsible for coordinating evacuation including spreading the alarm and confirming the business has been evacuated: Leader on Duty or Store Team Leader F. Earthquake Vulnerability Identify areas of the facility where releases could occur or would require immediate inspection or isolation because of the vulnerability to earthquake related ground motion. Hazardous Waste/ Hazardous Materials Storage Areas Production Floor Process Lines Bench/ Lab Waste Treatment ® Other: Sales Floor Identify mechanical systems where releases could occur or would require immediate inspection or isolation because of the vulnerability to earthquake related ground motion. Utilities ® Sprinkler Systems Cabinets ® Shelves Racks Pressure Vessels ® Gas Cylinders Tanks Process Piping Shutoff Valves Other: Revised Complete Plan: 10/ 1/2010 6 of 20 Unified Program (UP) Form CONSOLIDATED CONTINGENCY PLAN SECTION I: BUSINESS PLAN AND CONTINGENCY PLAN G. Emergency Procedures Briefly describe your business standard operating procedures in the event of a release or threatened release of hazardous materials: 1. PREVENTION (prevent the hazard) - Describe the kinds of hazards associated with the hazardous materials present at your facility. What actions would your business take to prevent these hazards from occurring? You may include a discussion of safety and storage procedures. The kind of hazards associated with the hazardous materials present at the facility includes spills. Hazardous products used for in -house activities are stored in designated areas, away from the general public and foot traffic. Some of these products are less frequently used, are stored in locked areas. Eye wash stations and protective gloves are conveniently located where these materials are stored. Best Management Practices are used to minimize the risk of spills and loss of merchandise. 2. MITIGATION (reduce the hazard) - Describe what is done to lessen the harm or the damage to person(s), property, or the environment, and prevent what has occurred from getting worse or spreading. What is your immediate response to a leak, spill, fire, explosion, or airborne release at your business? Small spills that are of minimal quantities are contained and mitigated by onsite employees. The area of the spill is first blocked off and guarded, and assistance is requested. The spill is identified and depending on the nature of the spill, specific clean up procedures are undertaken, such as by using absorbent materials to contain the spill, and gloves in the event is a chemical spill. If it is a chemical spill, the store leadership is notified and the Alert One Emergency system is contacted (1- 800- 633 - 1609). Alert One will provide a walk- through of clean up procedures, depending on the chemical. In the event of a large spill where employees are unable to contain and mitigate, and where safety is threatened, 911 is called and the building is evacuated immediately. 3. ABATEMENT (remove the hazard) - Describe what you would do to stop and remove the hazard. How do you handle the complete process of stopping a release, cleaning up, and disposing of released materials at your facility? In the event of spill, immediate actions are to block off and guard the spill. Assistance is called if required, and the Store Leader is notified if it is a chemical spill. One the nature of the spill is identified, the proper clean up procedures are untaken. This is may include wearing proper personal protective equipment, such as rubber gloves and safety glasses, using the appropriate absorbent materials, and identifying which chemicals to avoid mixing the spill with. The hazardous waste is then placed in a leak -tight container, labeled as hazardous waste, and properly disposed of by the designated Hazardous Waste Coordinator. Revised Complete Plan: 10/1/2010 7 of 20 Unified Program (UP) Form CONSOLIDATED CONTINGENCY PLAN SECTION I: BUSINESS PLAN AND CONTINGENCY PLAN IV. EMERGENCY EQUIPMENT 22 CCR, Section 66265.52(e) [as referenced by Section 66262.34(a)(3)] requires that emergency equipment at the facility be listed. Completion of the following Emergency Equipment Inventory Table meets this requirement. EMERGENCY EQUIPMENT INVENTORY TABLE 1. Equipment Category 2. Equipment Type 3. Location " 4. Descri tion " Personal Cartridge Respirators Protective, Chemical Monitoring Equipment describe Equipment, Chemical Protective Aprons /Coats Various Apron Safety Chemical Protective Boots Equipment, and Chemical Protective Gloves Various Rubber gloves at spill stations and photo lab First Aid Chemical Protective Suits describe Equipment Face Shields First Aid Kits /Stations describe various Available in stock areas and employee areas Hard Hats Plumbed Eye Wash Stations Portable Eye Wash Kits i.e. bottle type) Various Bottle type affixed to wall Respirator Cartridges (describe) Safety Glasses/Splash Goggles Various Splash goggles Safety Showers Self- Contained Breathing Apparatuses SCBA Other (describe) Spill Stations Caution Tape and Flashlight Fire Extinguishing Automatic Fire Sprinkler Systems Storewide Ceiling mounted sprinklers stem Systems Fire Alarm Boxes /Stations Fire Extinguisher Systems (describe) Storewide ABC /CO2 rated extinguishers throughout Other describe Spill Control Absorbents (describe) Spill Stations Absorbent powder Equipment and Berms /Dikes describe Decontamination Decontamination Equipment describe Equipment Emergency Tanks describe Exhaust Hoods Gas Cylinders Leak Repair Kits (describe) Neutralizers (describe) Overpack Drums Sumps describe Other describe Communications Chemical Alarms describe and Alarm Intercoms/ PAS stems Various Through phones, Control Room Systems Portable Radios Various Two-way radios Telephones Storewide Underground Tank Leak Detection Monitors Other describe Additional Equipment Hazardous Waste Accumulation Area E6 Hazardous Waste Accumulation Area with bin system, cabinet, and have been placed in the back of the store to manage hazardous wastes generated at the store for pick up within 90 days by a licensed CA transportation hauler for proper disposal. Revised Complete Plan: 10/1/2010 8 of 20 Unified Program (UP) Form CONSOLIDATED CONTINGENCY PLAN SECTION I: BUSINESS PLAN AND CONTINGENCY PLAN IV. EMPLOYEE TRAINING All facilities which handle hazardous materials must have a written employee training plan. A blank plan has been provided below for you to complete and submit. The items listed below are required per Health and Safety Code Section 25504 (c) and Title 19 Section 2732. raanty personnel are uainea as roiiows Familiarity with all plans and procedures specified in the Contingency Plan. Methods for Safe Handling of Hazardous Materials. Safety procedures in the event of a release or threatened release of a hazardous material. Use of Emergency Response equipment and supplies under the control of the business. Procedures for Coordination with local Emergency Response Organizations. Training shall be provided: Initially for all new employees. Annually, including refresher courses, for all employees. Note: These training programs may take into consideration the position of each employee. Additional training should include: Internal alarm /notification procedures. Evacuation /re -entry procedures and assembly point locations. Material Safety Data Sheet (MSDS) training including specific hazard(s) of each chemical to which employees may be exposed, including routes of exposure (i.e. inhalation, ingestion, absorption). VI. HAZARDOUS WASTE GENERATOR TRAINING If your business is a hazardous waste generator, you are required to provide training in hazardous waste management for all workers who handle hazardous waste at your site (22 CCR §66265.16). You are also required to document training. The items hPlnw arP ranidmd EMPLOYEE TRAINING Facility personnel will successfully complete training within six months after the date of their employment or assignment to a facility or to a new position at a facility. Employees will not handle hazardous wastes without supervision until trained. TRAINING DOCUMENTATION The owner or operator must maintain the following documents and records at the facility: Job title for each position at the facility that is related to hazardous waste management, and the names of the employee(s) filling the position(s). Description for each position listed above (must include required skill, education, or other qualifications as well as duties of employees assigned to the position. Description of type and amount of both introductory and continuing training given to each employee. Records that document that the requirements for training or job experience have been met. Current employees' training records (to be retained until closure of the facility). Former employees' training records (to be retained at least three years after termination of employment). Revised Complete Plan: 10/l/2010 9 of 20 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION one page per material pet buildwy, or area) ADD DELETE REVISE 200 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Target #T2524 CHEMICAL LOCATION 2201 CHEMICAL LOCATION CONFIDENTIAL 202 Food Service EPCRA YES Z NO 1 optional) 203 GRID# (optional) 204 FACILITY ID # II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET Yes Z No 206 Carbon dioxide Ifsubject to EPCRA. refer to instructions COMMON NAME 207 208 EHS* Yes Z NoCarbondioxide CAS# guy If EHS is "Yes ", all amounts below must be in Ibs. 124 -38 -9 FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 213 HAZARDOUS MATERIAL 21I RADIOACTIVE Yes Z No 212 CURIES NATYPE (Check one item only) Z a. PURE b. MIXTURE c. WASTE 215 PHYSICAL STATE 214Checkoneitemonly) a. SOLID b. LIQUID Z c. GAS LARGEST CONTAINER 3845 FED HAZARD CATEGORIES 216 Check all that apply) a. FIRE b. REACTIVE Z c. PRESSURE RELEASE Z d. ACUTE HEALTH c. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 1920 3845 NA NA 22221 DAYS ON SITE: 222 UNITS* a. GALLONS Z b. CUBIC FEET c. POUNDS d. TONS 365 days Check one item only) * If EHS, amount must be in pounds. STORAGE CONTAINER a. ABOVE GROUND TANK e. PLASTIC /NONMETALLIC DRUM i. FIBER DRUM m. GLASS BOTTLE q. RAILCAR b. UNDERGROUND TANK f. CAN i. BAG it. PLASTIC BOTTLE r. OTHER c. TANK INSIDE BUILDING g. CARBOY k. BOX o. TOTE BIN d. STEEL DRUM h. SILO Z I. CYLINDER p. TANK WAGON 223 STORAGE PRESSURE a. AMBIENT Z b. ABOVE AMBIENT c. BELOW AMBIENT 224 STORAGE TEMPERATURE Z a. AMBIENT b. ABOVE AMBIENT c. BELOW AMBIENT d. CRYOGENIC 225 WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1 226 227 Yes No 228 229 2 230 231 Yes No 232 233 3 234 235 Yes No 236 237 4 238 239 Yeti No 240 241 5 242 243 Yes No 244 245 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 or palxr capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA. Please Sign Here Revised Complete Plan: 10/ 1/20 10 10 of 20 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION one page r material •r buildin or area) ADD DELETE REVISE 20 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA — Doing Business As) Target #T2524 CHEMICAL LOCATION 2201 CHEMICAL LOCATION CONFIDENTIAL 202 Outdoor Generator Enclosure EPCRA YES ® NO MAP# (optional) 203 GRID# (optional) 204 FACILITY ID # I D6, E6 11. CHEMICAL INFORMATION CHEMICAL NAME 2205 TRADE SECRET Yes Z No 206 Propane If Subject to EPCRA. refer to instructions COMMON NAME 207 208 EFTS* Yes ® No Pro are CAS# 209 If EFIS is "Yes ", all amounts below must be in lbs. 74 -98 -6 FIRE CODE HAZARD CLASSES (Complete if required b) CUPA) 2210 213 HAZARDOUS MATERIAL 211 RADIOACTIVE Yes ® No 212 FCURIES NATYPE (Check one item only) a. PURE ® b. MIXTURE c. WASTE 215 PHYSICAL STATE Check one item only) p a. SOLID b. LIQUID ® c. GAS 4 LARGEST CONTAINER 120 FED HAZARD CATEGORIES 216 Check all that apply) ® a. FIRE b. REACTIVE ® c. PRESSURE RELEASE Z d. ACUTE HEALTH e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILI' AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 240 240 NA NA 221 DAYS ON SITE: 727 UNITS* O a. GALLONS b. CUBIC FEET ® c. POUNDS d. TONS 365 Check one item only) * 11' EHS, amount must be in pounds. STORAGE CONTAINER a. ABOVE GROUND TANK e. PLASTIC /NONMETALLIC DRUM i. FIBER DRUM nt. GLASS BOTTLE q. RAILCAR b. UNDERGROUND TANK f. CAN I. BAG n. PLASTIC BOTTLE r. OTHER c. TANK INSIDE BUILDING g. CARBOY k. BOX o. TOTE BIN d. STEEL DRUM It SILO ® 1. CYLINDER p. TANK WAGON 273 STORAGE PRESSURE a. AMBIENT ® b. ABOVE AbIBIENT c. BELOW ANIBIEN "f 224 STORAGE TEMPERATURE ® a. AMBIENT b. ABOVE AMBIENT c. BELOW AMBIENT d. CRYOGENIC 225 WT HAZARDOUS COMPONENT (For fnixtwre or waste only) EHS CAS # 1 85 -100 226 Propane 227 Yes ® No 228 74 -98 -6 719 2 0 -15 230 Propylene 231 Yes Z No 232 115 -07 -1 233 3 234 235 Yes No 236 237 4 238 239 Yes No 240 241 5 242 243 Yes No 244 245 If more hazardous components are present at greater than 19 by %eight if nun - carcinogenic, or 0.I`7r by weight if carcinogenic. attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 2246 For backup generator. Conversion factor for propane 8.45 cf / lb If EPCRA, Please Sign Here Revised Complete Plan: 10/1/2010 11 of 20 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY — CHEMICAL DESCRIPTION one prc per material per building or area) ADD DELETE REVISE 200 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Target #T2524 CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL 202 Roof EPCRA YES Z NO MAP# (oplionap 203 GRID# (optional) 204 FACILITY ID # 1 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET Yes Z No 206 If Subject to EPCRA, refer to instructions COMMON NAME 207 208 R -410A EHS* Yes Z No CAS# 209 If EHS is "Yes ", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 HAZARDOUS MATERIAL TYPE (Check one item only) a. PURE ® b. MIXTURE c. WASTE 211 RADIOACTIVE Yes ®No 212 213 CURIES NA PHYSICAL STATE Check one item only) a. SOLID b. LIQUID ® c. GAS 214 215 LARGEST CONTAINER 150 FED HAZARD CATEGORIES 216 Check all that apply) a. FIRE b. REACTIVE ® c. PRESSURE RELEASE d. ACUTE HEALTH ® e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE- CODE 220 625 625 NA NA 22I DAYS ON SITE: 222 UNITS* a. GALLONS b. CUBIC FEET ® c. POUNDS d. TONS 365 (lays Check one item only) * If EHS, amount must be in pounds. STORAGE CONTAINER a. ABOVE GROUND TANK e. PLASTIC /NONMETALLIC DRUM i. FIBER DRUM m. GLASS BOTTLE q. RAILCAR b. UNDERGROUND TANK f. CAN 1. BAG n. PLASTIC BOTTLE ® r. OTHER c. TANK INSIDE- BUILDING g. CARBOY k. BOX o. TOTE BIN d. STEEL DRUM h. SILO I. CYLINDER p. TANK WAGON 223 STORAGE PRESSURE a. AMBIENT ® b. ABOVE AMBIENT c. BELOW AMBIENT 224 STORAGE TEMPERATURE ® a. AMBIENT b. ABOVE AMBIENT c. BELOW AMBIENT d. CRYOGENIC 225 WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1 50 226 Pentafluoroethane 227 Yes Z No 228 354 -33 -6 729 2 50 2 0 Difluoromethane 231 F] Yes Z No 232 75 -10 -5 233 3 234 235 Yes No 236 237 4 238 239 Yes No 240 241 5 242 243 Yes No 244 245 If more hazardous components are present at greater than 19 by weight if nun - carcinogenic, or 0.1% br weight if carcinogenic. attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 R -410A =72.79 cf / 30 Ibs If EPCRA, Please Sign Here Revised Complete Plan: 10/ 1/2010 12 of 20 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION one page per material per building or area ADD DELETE REVISE 200 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA — Doing Business As) 3 Target #,x2524 CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL 202 Coolers and Freezers EPCRA YES ® NO 1 MAP# (optional) 203 GRID# (optional) 204 FACILITY ID # r G2/3N1 11. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET Yes ® No 206 Refrigerant If Subject to EPCRA, refer to instructions COMMON NAME 207 208 EHS" Yes ® NoR -404A CAS# 209 If EHS is "Yes ", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 HAZARDOUS MATERIAL TYPE (Check one item only) a. PURE Z b. MIXTURE El c. WASTE 211 RADIOACTIVE Yes ®No z12 213 CURIES NA PHYSICAL STATE Check one item only) El a. SOLID b. LIQUID 21 c. GAS 214 215 LARGEST CONTAINER 650 FED HAZARD CATEGORIES 216 Check all that apply) a. FIRE b. REACTIVE ® c. PRESSURE RELEASE d. ACUTE HEALTH e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 900 900 NA NA DAYS ON SITE: 22z a. GALLONS b. CUBIC FEET Z c. POUNDS d. TONSUNITS' El a. 365Checkoneitemonly) If EHS, amount must be in pounds. STORAGE CONTAINER [3a. ABOVE GROUND TANK e. PLASTIC /NONMETALLIC DRUM i. FIBER DRUM m. GLASS BOTTLE q. RAILCAR b. UNDERGROUND TANK f. CAN j. BAG n. PLASTIC BOTTLE ®r. OTHER c. TANK INSIDE BUILDING g. CARBOY k. BOX o. TOTE BIN d. STEEL DRUM h. SILO I. CYLINDER p. TANK WAGON 223 STORAGE PRESSURE a. AMBIENT IH b. ABOVE AMBIENT c. BELOW AMBIENT 224 STORAGE TEMPERATURE ® a. AMBIENT b. ABOVE AMBIENT c. BELOW AMBIENT d. CRYOGENIC 225 WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1 44 226 Pentafluoroethane 227 Yes ® No 228 354 -33 -6 229 2 52 230 1,1,1- Trifluoroethane 231 Yes ® No 232 420 -46 -2 233 3 4 234 1,1,1, 2- tetrafluoroethane 235 Yes ® No 236 811 -97 -2 237 4 238 239 Yes No 240 241 5 242 243 Yes No 244 245 If more hazardous components are present at greater than 1% by weight if non - carcinogenic, or 0.11% by weight if carcinogenic, attach additional sheets of paper capturing the required ADDITIONAL LOCALLY COLLECTED INFORMATION 246 R404A = 72.63 cf / 30 Ibis If EPCRA. Please Sion Here Revised Complete Plan: 10/l/2010 13 of 20 Revised Complete Plan: 101112010 14 of 20 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION one page per material per buildiog or area) ADD DELETE REVISE 200 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA — Doing Business As) 3 Target tt7'2524 CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL 202 Receiving Area EPCRA YES ® NO MAP11 (optional) 203 GRID# (optional) 204 FACILITY ID N'' I E6 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET Yes ® No 206 IfSubject to EPCRA, refer to instructions COMMON NAME 207 20 EHS* Yes ® No Miscellaneous Flammable Waste CASH 209 If EHS is "Yes ", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 213 HAZARDOUS MATERIAL 211 RADIOACTIVE O Yes ® No 212 CURIESTYPE (Check one item only) a. PURE b. MIXTURE ® c. WASTE 215 PHYSICAL STATE 214Checkoneitemonly) a. SOLID ® b. LIQUID c. GAS LARGEST CONTAINER 25 gallon storage bin99 FED HAZARD CATEGORIES 216 Check all that apply) ® a. FIRE b. REACTIVE c. PRESSURE RELEASE ® d. ACUTE HEALTH O c. CHRONIC HEALTH AVERAGE DAILY ANIOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 5 10 220 lbs 213 221 DAYS ON SITE: 272 UNITS* ® a. GALLONS O b. CUBIC FEET c. POUNDS d. TONS 365 days Check one item only) ' If EHS, amount must be in pounds. STORAGE CONTAINER a. ABOVE GROUND TANK O e. PLASTIC /NONMETALLIC DRUM O i. FIBER DRUM O m. GLASS BOTTLE O q. RAILCAR b. UNDERGROUND TANK f. CAN i. BAG O n. PLASTIC BOTTLE ® r. OTHER O c. TANK INSIDE BUILDING g. CARBOY O k. BOX O o. TOTE BIN d. STEEL DRUM O h. SILO O I. CYLINDER O p. TANK WAGON 2,3 STORAGE PRESSURE ® a. AMBIENT b. ABOVE AMBIENT c. BELOW AMBIENT 224 STORAGE TEMPERATURE ® a. AMBIENT b. ABOVE AMBIENT O c. BELOW AMBIENT O d. CRYOGENIC 225 a WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1 70 276 Aliphatic Hydrocarbons 227 Yes ® No 728 64741 -84 -0 229 2 57 230 Methylene Chloride 231 Yes ® No 232 75 -09 -2 233 3 23 234 Methyl Alcohol 235 Yes Z No 236 67 -56 -1 237 4 238 239 Yes No 240 241 5 242 243 Yes No 244 245 If more hazardous components are present at greater than 1% br Nreight if nun- carcinogenic, or o.1% hr weight if carcinugenic, attach additional sheets of paper capturing the required informatinn. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 Revised Complete Plan: 10/1/2010 IS of20 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION one page per material per building or area) ADD DELETE REVISE 200 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA — Doing Business As) 3 Car et #T2524 CHEMICAL LOCATION 201 C14EMICAL LOCATION CONFIDENTIAL 202 Receiving Area EPCRA1YES Z NO MAP# (optional) 2U3 GRID# (optional) 204 FACILITY ID # E6 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET Yes Z No 206 It Subject to ITCRA. rcter to instructions COMMON NAME 207 208 EHS* Yes Z NoMiscellaneousAerosolWaste CAS# 209 Hf EHS is "Yes ", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete ifrequired by CUPA) 210 HAZARDOUS MATERIAL 211TYPE (Check one item only) a. PURE b. MIXTURE Z c. WASTE RADIOACTIVE Yes ® No 212 213 CURIES PHYSICAL STATE Check one item only) a. SOLID Z b. LIQUID c. GAS 4 215 LARGEST CONTAINER 25 gallon storage bin FED HAZARD CATEGORIES 216 Check all that apply) ® a. FIRE b. REACTIVE ® c. PRESSURE RELEASE Z d. ACUTE HEALTH c. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 5 10 220 lbs D003 221 DAYS ON SITE: 222 UNITS* ® a. GALLONS b. CUBIC FEET c. POUNDS d. TONS 365 days Check one item 0111 y) * If EHS, amount must be in pounds. STORAGE CONTAINER a. ABOVE GROUND TANK e. PLASTIC /NONMETALLIC DRUM i. FIBER DRUM m. GLASS BOTTLE q. RAILCAR b. UNDERGROUND TANK f. CAN J. BAG n. PLASTIC BOTTLE ® r. OTHER c. TANK INSIDE BUILDING g. CARBOY k. BOX o. TOTE BIN d. STEEL DRUM h. SILO 1. CYLINDER p. TANK WAGON 113 STORAGE PRESSURE a. AMBIENT ® b. ABOVE AMBIENT c. BELOW AMBIENT 224 STORAGE TEMPERATURE ® a. AMBIENT b. ABOVE AMBIENT c. BELOW AMBIENT d. CRYOGENIC 225 WT HAZARDOUS COMPONENT (For mixture or waste only) EFIS CAS # 1 37 226 Acetone 227 Yes Z No 228 67 -34 -1 229 2 8 230 Methyl Ethyl Ketone 231 Yes ® No 232 78 -93 -3 233 3 234 235 Yes No 236 237 4 238 239 Yes No 240 241 5 242 243 Yes No 244 245 If more hazardous components are present at greater than 1% br weight if nun - carcinogenic, or 0.1>< br rceighI i1' carcinogenic, attach additional sheets of pater capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 46 Revised Complete Plan: 10/1/2010 16 of 20 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION one page per material per building or area) ADD DELETE REVISE 2a) I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA — Doing Business As) 3 Target #T2524 CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL 202 Receiving Area EPCRA YES ® NO MAP# (optional) 203 GRID# (optional) 704 FACILITY ID // l E6 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET Yes ® No 206 If Subject to EPCRA. refer to instructions COMMON NAME 207 208 EHS* Yes ® No Miscellaneous Oxidizer Waste CAS/{ 209 If EHS is "Yes ", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required br (,'UPA) 210 HAZARDOUS MATERIAL 211TYPE (Check one item only) a. PURE b. MIXTURE ® c. WASTE RADIOACTIVE Yes Z No 212 213 CURIES PHYSICAL STATE Check one item only) a. SOLID ® b. LIQUID El c. GAS 4 215 LARGI.ST CONTAINER 25 gallon storage bin FED HAZARD CATEGORIES 216 Check all that apply) a. FIRE E b. REACTIVE c. PRESSURE RELEASE d. ACUTE HEALTH Z e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 0.5 0.5 220 lbs 1135 J21 DAYS ON SITE: 222 UNITS" ® a. GALLONS b. CUBIC FEET c. POUNDS d. TONS 365 Check one item only) It EHS. amount must be in pounds. STORAGE CONTAINER a. ABOVE GROUND TANK e. PLASTIC /NONMETALLIC DRUM i. FIBER DRUM m. GLASS BOTTLE q. RAILCAR b. UNDERGROUND TANK f. CAN J. BAG n. PLASTIC BOTTLE ® r. OTHER c. TANK INSIDE BUILDING g. CARBOY k. BOX o. TOTE BIN d. STI -EL DRUM h. SILO I. CYLINDER p. TANK WAGON 123 STORAGE PRESSURE ® a. AMBIENT b. ABOVE AMBIENT c. BELOW AMBIENT 224 STORAGE TEMPERATURE ® a. AMBIENT b. ABOVE AMBIENT c. BELOW AMBIENT d. CRYOGENIC 225 WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1 90 226 Trichloro- triazinetrione 227 O Yes M No 228 87 -90 -1 279 2 230 231 Yes No 232 233 3 234 235 Yes No 236 237 4 238 239 Yes No 240 241 5 242 243 Yes No 244 245 If more hazardous components are present at greater than 117. br aright it non- carcinogenic, or 0.17 hr aright if carcinogenic, attach additional sheets or paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Sign Here Revised Complete Plan: 10/1/2010 17 of 20 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION torte page per material per building or arc:) ADD DELETE REVISE 200 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA — Doing Business As) Tar et #T2524 CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL 202 Receiving Area EPCRA YES NO MAP# (optional) 203 GRID# (optionai) 204 FACILITY ID # E6 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET Q Yes ® No 206 Ammonia, Bleach If Subject to I:PCRA. refer to hutroctions COMMON NAME 207 z08 EHS* Yes ® No Miscellaneous Corrosive Waste CAS# 209 If EHS is Yes ", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required b) Ct1PA) 210 HAZARDOUS MATERIAL 211TYPE (Check one item only) a. PURE b. MIXTURE ® c. WASTE RADIOACTIVE Yes No 212 FCURIES 213 PHYSICAL STATE Check one item only) a. SOLID Z b. LIQUID c. GAS 4 LARGEST CONTAINER 25 gallon storage bin 215 FED HAZARD CATEGORIES 216 Check all that apply) a. FIRE ® b. REACTIVE c. PRESSURE RELEASE d. ACUTE HEALTH e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE- CODE 220 0.5 0.5 220 Ibs 135 221 DAYS ON SITE: 222 UNIT ® a. GALLONS b. CUBIC FEET c. POUNDS d. TONS 365 days Check one item 0111) " If EHS, amount nwst be in pounds. STORAGE CONTAINER a. ABOVE GROUND TANK e. PLASTIC /NONMETALLIC DRUM i. FIBER DRUM in. GLASS BOTTLE q. RAILCAR b. UNDERGROUND TANK f. CAN J. BAG n. PLASTIC BOTTLE ® r. OTHER c. TANK INSIDE BUILDING g. CARBOY k. BOX o. TOTE BIN d. STEEL DRUM h. SILO I. CYLINDER 01). TANK WAGON 223 STORAGE PRESSURE ® a. AMBIENT b. ABOVE AMBIENT c. BELOW AMBIENT 224 STORAGE TEMPERATURE ® a. AMBIENT b. ABOVE AMBIENT c. BELOW AMBIENT d. CRYOGENIC 225 WT HAZARDOUS COMPONEN "r (For mixture or waste only) EHS CAS # 1 2 -3 226 Ammonia Hydroxide 227 Yes ® No 228 1336 -21 -6 229 2 1 -3 730 Aqueous Ammonia 231 Yes ® No 232 7664 -41 -7 233 3 1 -5 234 Hydrogen Peroxide 235 Yes ® No 236 7722 -84 -1 237 a 6 -10 23s Alkylbenzene Sulfonic Acid 239 Yes ® No 240 68584 -22 -5 241 5 1 -6 247 Triethanoamine 243 Yes ® No 244 102 -71 -6 245 If more hazardous components are present at greater than I% by weight if non- carcinogenic, or 0.1% hr weight if carcinogenic, attach additional sheets of paper capturing the required inlbrruation. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA. Please Sign Here Revised Complete Plan: 10/ l /2010 18 of 20 Kern County Hazardous Materials Division Annotated Consolidated Facility Map # 1 Hazardous Materials Plan Business Name: TARGET STORE #T2524 Site Address: 2901 Ming Avenue, Bakersfield, CA 93304 4 0 A B C D E 133872 -A51 -2524 G H NOT TO SCALE Legend i j The exd door y fire hydrants & ! conneclbns I FOQD_COURT -. . -. _. _.__ PHARMACY, __ _ STORAGE ? electrical shutoffd _ __ i EXIT E gas shin C i j water shutoff OW OFFICES j I carbondioxide a E EXfT STARBl1CItS PHOTO i T propane P MSDS & Contingency Plan LAB COOLERS & mitigation equipmentFREEZERS 1 eyewashers Q EXT Target Store ON MARKED COLUMNS T2524 THROUGHOUT I ruse old STORE equipment personalprotecliye equipment SALES FLOOR 1 amereenry j r essemtdy area TjR I fire extinguisher j, E EJ(IT acwmulatbn area HWAChazardouswaste fl la panelreapa COLD STORAGE iii I I t I STOCK ROOM BaT iREE]MIN i W j HWAC EXIT FART i j E i jGENERATORI UNIFIED PROGRAM (UP) FORM HAZARDOUS WASTE GENERATOR BUSINESS NAME: 3 Target #2524 FACILITY ID # 1 NUMBER OF EMPLOYEES: 133b EPA ID # 2 I. TYPE OF GENERATOR A PLEASE CHECK THE FOLLOWING BOXES THAT APPLY OWNER /OPERATOR TITLE Corporate Compliane- Senior Group Manager RCRA GENERATOR FEDERAL WASTE ) NON RCRA GENERATOR CALIFORNIA WASTE ONLY) LARGE QUANTITY GENERATOR 1000 KG HAZARDOUS WASTE PER MONTH) SMALL QUANTITY GENERATOR 100 KG BUT <1000 KG HAZARDOUS WASTE PER MONTH) CONDITIONALLY EXEMPT SMALL QUANTITY GENERATOR 100 KG HAZARDOUS WASTE PER MONTH) II. WASTE STREAM IDENTIFICATION PLEASE COMPLETE THE TABLE BELOJV. SEE INSTRUCTIONS FOR CODES AND EXPLANATION. PROCESS 8 WASTE DESCRIPTION C WASTE ID D AMOUNT E PER YEAR DISPOSAL F METHOD STORAGE G METHOD ESIM Retail Waste Flammable, Aerosols, Toxic D002, 001, 035 5000lbs A =Drums B= Treatment Offsite ESIM Retail Waste Oxidizers D001 100lbs A =Drums B= Treatment Offsite ESIM Retail Waste Corrosive Liquids D002. 001, 035 2000lbs A =Drums B= Treatment Offsite ESIM Retail Waste California Only D0002, 004,011 2500lbs A =Drums B= Treatment Offsite I certify that the information provided herein is true and accurate to the best of my knowledge. OWNER /OPERATOR NAME H Pat Perry OWNER /OPERATOR TITLE Corporate Compliane- Senior Group Manager OWNER /OPERATOR SIGNAT DATE M OFFICIAL USE ONLY DATE RECEIVED REVIEWED BY CUPA PA DISTRICT INSPECTOR Revised Complete Plan: 10/ 1/2010 20 of 20