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HomeMy WebLinkAboutBUSINESS PLAN 9/22/2003 SITE MAP _(Outside) eFF~ ~ ~ ,~,~ LONGS DRUG STORE #200 COUNTY: KERN 4300 CALIFORNIA AVE BAKERSFIELB, CA 03309 'DATE: AUGUST 2001 COI~F_ROAL OFF1CES PARKING LONGS #200 E HE CRY SUPPLY LPG MSDS FH RE'I'AIL EMPLOYEE EMERGENCY RETAIL MEETING AREA FRESH MERVYN'SPARKING GATEWAY '~ CHOICEr_ CALIFORNIA AVENUE LEGEND NOT TO SCALE EE EMERGENCY EXITS , [E] ENTRANCES/EXITS ~ EVACUATION ROUTES HE HEUUM - LOCATION OF CYLINDERS FE FIRE EXTINGUISHERS LPG PROPANE - STORAGE FH FIRE HOSES FA FIRE ALARM SRU' SILVER RECOVERY UNIT ~' EMPLOYEE EMERGENCY MEETING AREA MSDS PHOTO LAB MATERIAL SAFEI~ DATA SHEETS SD STORM DRAINS HM PHOTO CHEMICAL STORAGE FPC FIRE PROTECTION CONNECTIONS SKIT EMERGENCY EQUIPMENT E ELECTRICAL UTILITY SHUTOFF FSR- SPRINKLER RISER G GAS UTIUTY SHUTOFF '1' FIRST AID W WATER UTIUTY SHUTOFF ACILITY MAP (Inside' LoNGs DRUG STORE #200 COUNTY: KERN 4.500 CALIFORNIA AVE BAKERSFIELD, CA 05509. DATE: AUGUST 2001 EE~ COS CHECK.ANDS I HM_ MSDS I / HM I SKIT I / SK~ EM LO~ LOUNGE M~NINE L~EL FH EMPLOYEE EMERGENCY ME~ING AR~ LEGEND NOT TO SCALE EE EMERGENCY EXITS [E] ENTRANCES/EXITS -'-' EvACUATION ROUTES HE HEUUM - LOCATION OF CYLINDERS FE FIRE EXTINGUISHERS LPG PROPANE - STORAGE - FH FIRE HOSES FA FIRE ALARM SRU SILVER RECOVERY UNIT 3~' EMPLOYEE EMERGENCY MEE-I1NG AREA MSDS PHOTO LAB MATERIAL SAFELY DATA SHEETS SD 'STORM DRAINS HM PHOTO CHEMICAL STORAGE FPC FIRE PROTECTION CONNECTIONS SKIT EMERGENCY EQUIPMENT E ELECTRICAL UTILI'[Y SHUTOFF FSR SPRINKLER RISER G GAS UTILrPf SHUTOFF '{' FIRST AID W WATER UTILFrY SHUTOFF Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This _oermit is issued for the follQwing; [] Hazardous Materials Plan [] Underground Storage of Hazardous Materials Permit ID #:: 015-000-000987 [] Risk Management Program LO N G S D R U G STO R E S #2 0 0 [] .a-~rdo,,s Wast° O.-S~to LOCATION: 4300 CALIFORNIA AVE ]ELD .1715 Chester Ave., 3rd Floor ApprovedUy: ~~?;;~ Issue Bakersfield, CA 93301~~ -~officeofEviro~S~ic~ ~ Voice (661) 326-3~79 F~ (661) 326-0576 Expi~tionDate: ~Un~ ~0~ Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE .··~,~,~,,,~,~;~,~,i~,!ii~,=ii~ii,~,i:i~i~i~i!i:ii;~,.i?.i!!~?~:,,,, This permit is issued for the folloWing: ~,~,~,i~'?~7'~'~/./i~ ~i:i~;:::i~::::~:::;i,~::;i~:::i~:;:iiii::::;i~:i¥':!E~,!Hazardous Materials.Plan ,~ ~,,~,~i? i~ ~! :~'~:~:~;'~*"~:iii il;ili!iiil, ili iiil;;::::ii?iiDi:i~e,[ground Storage of Hazardous Materials PERMIT ID. 015-021000987 ' :,~'~,'~"~ :i~~:' ~ii;i~ i~ ~ ~:.~:.: ?:":·::: ~: ::~ ·:~-"~ .... ~,= :.::i~:~,~ilHa~:~d~s Waste LOCATION ' 4300 .... ", '""~' ~ ' ~:~ ~i~~'' '~'~,~!i~: ¢':~ ~ ~ ~ :~ ................. ~ ~ ~ '~ ~', '",,. '~' ?.., ~...:, ~=),, l.. .-','. ,..~7~~ ,: '¢~ .~ ,. ',,. 'i~ '~.... '-' '"'"'~ .~ ~,' F' ~ ~=.,.',= ,..~,-L,~...L.~.-~":~"-~ '~ ~ ! ~.~-' ~ ~ ~ ~ ~ . ]ssu~ by:  B~er,field Fke Depa~ment Approved by: ' B~ersfiel~ CA Voice (805) 326-3979 F~ (80S)~26-0S76 Expiration Date: d~n~ ~O~ ~O00 CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 ~ z; 4 2)363 FACILITY NAME /--Om, ~, ~ ~0 ~SPECTION DATE //-- /~-0~ . . .~ PHONENO. ~2~1~O FACILITY CONTACT~[~o~ ~o~,'~o~ BUSINESS ID NO.' 15-210- O/~- O'~(. ooo~7 ~SPECTION TIME ~O t~7'~ NUMBER OF EMPLOYEES 30 Section 1: Business Plan and Inventory Program '~.RoUtine [~ Combined ~ Joint Agency 1~ Mu!tbAgency ~.~ Complaint [~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand '" / Business plan contact information accurate (,~....; '/~/]')')O// , /'d/~'flc9/(~ ':_ Visible address Correct occupancy Verification of inventory materials ~" j_/~-'~_~..' ~ __~,/~ Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability !e/ ~, ~ ,ff*c,~ / ,, / Verification of Haz Mat training i/ ~'" / Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand ] .// C=Compliance V=Violation Any hazardous waste on site?: [~] Yes Explain: Questions regarding this inspection? Please call us at (661) 326-3979 [ ~l~ite Responsible Party :, White-Env. Svcs. Yellow - Station Copy Pink- usinessCopy Inspect,,,~....-~'/~-- LONGS DRUG STORES #20 SiteID: 015-021-000987 ~-=[-ik% ~ - BusPhone: (661) 326-1200 Manager : ~~,~._~.~ .... ~ .... ~% Location: 4300 CALIFORNIA AVE ~'~ Map : 102 CommHaz : Low City : BAKERSFIELD % Grid: 35A FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 03 ~ SIC Code: 5912 EPA Numb: DunnBrad: 00-691-0004 Eme.~n_cff~Cont ac t / Title Emergency COntact / Title ~~'~--~'~ ~ ~ / STORE MANAGER STEVE MORRISON / ASSIST MANAGER Busi~'~6ne:24_Hour Phone : (661) (661)3~6-120~,~x Business Phone: (661) 326-1200x ~_~'~x 24-Hour Phone : (661) 589-8680x Pager Phone : (661)~~-ELL~-~: Pager Phone : ( ) - x Hanmar Hazards: RSs Fire Press React ImmHlth DelHlth Contact : ~ ~~'[~ Phone: (661) 326-1200x Mail. Addr: 4300 CALIFORNIA AVE State: CA City : BAKERSFIELD Zip' : 93309 Owner LONGS DRUG STORES CA INC Phone: (925) 937-1170x Address : 141 N CIVIC DR State: CA City : WALNUT CREEK ziP : 94596 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif ' d: RSs: Yes ParcelNo: Emergency Directives: I, '3~'Yo~JEPUT~Jd ... Do hereby csrtify ~ha~ ~ have (Ty~ or ~.! ~me) reviewed me a~ach~d h~ardous rnm~rials manage- mere plan ~or I.o~ ~-~~nd ~,ba~ i~ along ~i~h any' corre~ions consfi~u~ a compl~® ~nd correc~ man- agement plan for my facili[y. SHUN YONEMITSU Store Manager ~ ~~ ~ I 09/o9/2o03 ~ h~altl~. I.i~ happy, ti~ I.ong~. 4300 California Avenue, Bakersfield, Calif. 93309, (661) 326-1200 FAX (661) 326-8326 I General offices: 141 North Civic Drive, RO. Box 5222; Walnut Creek, California 94596, (925) 937-1170 June 20, 2000 Esther Duran OffiCe of Environmental Services 1715 Chester Ave. Bakersfield, CA 93301 RE: Hazardous Materials Business Plan Revisions Enclosed please find the Hazardous Materials Business Plan revisionS for Longs Drag Stores #200, t~204, #239, #267, #270 and #417 located in Bakersfield. Please note that store #269 has closed. If you require any further information, please call me at (707) 745-1654. Sincerely, aqueCframes · Environmental Coordinator LONGS DRUG STORES #200 SiteID: 215-000-000987 Manager :~i~ ~~~ BusPhone: (~5~) 326-1200 Location: 4300 CALIFORNIA AVE · Map : 102 CommHaz : Low City : BAKERSFIELD Grid: 35A FacUnits: i~AOV: CommCode: BAKERSFIELD STATION 03 SIC Code:5912 EPA Numb: DunnBrad:00-691-0004 Emergency Contact / Title ~ Emergency Contact / Title PHIL BELHUMEUR ~ STORE MANAGER ~iCiC ~TEVE~ ~// ASSITANT MGR~ Business Phone: (~) 326-1200x Business Phone: (~) 326-1200x 24-Hour Phone~(J~ 397-0771x 24-Hour Phone~,(~05) ~ 3~5~ ~ Phone : (~(4~) ~O~- ~ Pager Phone :~(~ ) ~ -~x Hazmat Hazards: RSs Fire Press React ImmHlth DelHlth Contact : Phone: (~)' ' 326-1200x MailAddr: 4300 CALIFORNIA AVE State: CA City : BAKERSFIELD Zip : 93309 Owner LONGS DRUG STORES CA INC Phone: (925) 937-1170x Address : 141 N CIVIC DR State: CA City : WALNUT CREEK Zip : 94596 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: Yes Emergency Directives: ~ Hazmat Inventory One Unified List -- As Designated Order Ail Materials at Site Hazmat Comt~n Name ~m ~mm! ~o~az~PA HazardsI Frm DailyMax UnitlMCP ~ o ~ IH L 400 00 GAL INSECTICIDES ~ o~ ~ · ~ . HERBICIDES : ' ~ R ~ U ~ ~ IH S 1200.00 LBS PESTICIDES ~: ' ~ ~ ~ = "' ~ ~ . ~ % m ~. ~ ~ ~ ~ IH S 400.00 LBS ~ ~ ~ ~ooo.oo ~' ~i sop~ ~p'oc~no~ ~] ~ ~ ~ ~ ~ I~ n ~ oo s~ ni ~ONI~ SOLUTION~ ~ O R ~ g ~ ~ R IH L 500.00 G~ MOd ~ = ~ ~ ~ R IH DH S 1500 00~LBS Hi pool aCIDS ~ ~, 2' . MOTOR OIL ~ ~~ ~' ~,U .~ F L 500.00 G~ Min IH 00.00 ,, OO.0O C~ING FUEL · ~ ~ ' 8 ~ ' IH L ~00.00 ~ Low · FERTILIZER ~ R IH ' S 12000.00 LBS o~v~o~ ~ ~ ~ ,, ~5B ~ o ~ ~H ~ ~.00 ~ Hi O~V~O~ ~ ~ j ~ ~ ~ ~ ~ IH~ ~.00 ~ ~ow ~,/ ~~= = _ 0s/0s/2000 _. ~ ~ F LONGS DRUG STORES ~200 SiteID: 215-000-000987 ~ ~ Hazmat Inventory One Unified List ~ -- As Designated order All Materials at Site ~ Hazmat Common Name... ISpooHazlEPA Hazardsl Frm I DailyMax unit'MCP DEVELOPER PART C R IH L 4 00 GM Mod FIXER PART A R IH L 20 00 GM Hi FIXER PART B R IH L 20 00 GAL 'Low DEVELOPER L 5 00 GM Low DEVELOPER PART B F R IH L 5 00 GM Low DEVELOPER PART B F R IH L 5 00 GM' Low DEVELOPER PART C R IH L 5 00 GM Mod PHOTOGRAPHIC BLEACH IH L 5 00 GM Low PHOTOGRAPHIC BLEACH IH L 20 00 GM Low PHOTOGRAPHIC ST~ILIZER IH L 1 00 GM Min HELI~ F P IH G 732 00 FT3 Min WASTE FIXER R L 5 00 GM Min -2- 05/08/2000 LONGS DRUG STORES #200 SiteiD: 215-000-000987 ~ Inventory Item 0001 Facility unit: Fixed Containers on Site ~Uiv~vl~ ~Vl~ / ~1~°~-1~ ~Vl~ INSECTICIDES Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLOOR/WAREHOUSE SALES FLOOR/WAREHOUSE CAS# F.STATE [ TYPE PRESSURE i TEMPERATURE CONTAINER TYPE I Liquid Pure Ambient Ambient GLASS CONTAINER AMOUNTS AT THIS LOCATION' Largest Container ! Daily Maximum Daily Average ~ GALL 400.00 GAL 200.00 GAL HAZARDOUS COMPONENTS 100.00 Insecticides N 0 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EpA Hazards NFPA USDOT# I MCp No N° .' No No/ Curies F IH / / / I .' = Inventory Item 0002 Facility Unit: Fixed Containers on Site ~UIVUVlU~ ~Vl~ / ~± ~--kL~ ~Vl~ HERBICIDES DaYs On Site 365 Location within this Facility Unit Map: Grid: SALES FLOOR/WAREHOUSE SALES FLOOR/WAREHOUSE CAS# F'STATE = TYPE PRESSURE TEMPERATURE CONTAINER TYPE I Ambient 1Pure I Ambient GLASS Solid CONTAINER ,_ ~ AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average ~O LBS 1200.00 LBS 600..00 LBS HAZARDOUS COMPONENTS I %Wt.I N~S CAS# 100.00 Herbicides 0 HAZARD ASSESSMENTS ] TSecret i RS, Bi°HaZNoI 'NO No Radioactive/AmountNo/ Curies EPA HazardsF IH NFPA/// USDOT# MCP 3. 05/08/2000 LONGS DRUG STORES #200 SiteID: 215-000-000987 = Inventory Item 0003 Facility Unit: Fixed Containers on Site -- COMMON NAME'/ CHEMICAL NAME PESTICIDES Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLOOR/WAREHOUSE SALES FLOOR/WAREHOUSE CAS# rSTATE TYPE PRESSURE --~ TEMPERATURE CONTAINER TYPE Solid I Pure Ambient / Ambient GLASS CONTAINER AMOUNTS AT THIS LOCATION I Largest Confiner Daily Maximum Daily Average ~i~-- LBS 400.00 , LBS 200.00 LBS %Wt..I CAS# 100.00 Pesticides N 0 HAZARD ASSESSMENTS I ITSecretl ~RSIBioHazNo No No Radioactive/Amount No/ Curies EPAF Hazards I NFPAIH / / / I USDOT# MCP ~ Inventory Item 0004 Facility~Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME BLEACH Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLOOR/WAREHOUSE CAS# r STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Pure I Ambient I Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average '- 0-¥~,~., GAL 2000.00 GAL 300.00 GAL HAZARDOUS COMPONENTS I wt. II CAS# 100.00 Bleach N 7681529 HAZARD ASSESSMENTS ITSoorotlNo NoRSlBi°HaZNo . Radioactive/Am°unt I EPA~No/ Curies Hazards I NFPAR IH / / / USDOT# MCPHi -4- 05/08/2000 fi LONGS DRUG STORES #200 SiteID: 215-000-000987 = Inventory'Item 0005 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME SODIUM HYPOCHLORITE Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLOOR/WAREHOUSE CAS# 7681529 [ STATE ~ TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Liquid /Pure II Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container . I Daily Maximum I Daily Average '10 GAL s5.oo GAL oo GAL HAZARDOUS COMPONENTS %Wt. ~S CAS# 100 00 Sodium Hypochlorite N 7681529 ' ~ HAZARD ASSESSMENTS ITSecretlNo NoRSIBioHazINO Radioactive/Amount No/ Curies FEPA RHazards I NFPAIH / / / USDOT# I MCPHi- ~ Inventory Item 0006 Facility Uni[: Fixed Containers on Site 9 -- COMMON NAME / CHEMICAL NAME AMMONIA SOLUTION Days On Site 365 Location within this Facility Unit Map: Grid,: SALES FLOOR/WAREHOUSE CAS# 1336216 F STATE/Mixture~ TYPE PRESSURE iAmbientTEMPERA. TURE CONTAINER TYPE --1 /Liquid I Ambient I PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average ';a GAL 500.00 GAL I 100.00 GAL HAZARDOUS COMPONENTS %Wt. ~S CAS# 30.00 Ammonia Solution, Conc. Less Than 20% N 1336216 HAZARD ASSESSMENTS TSecretl RS BioHazl RadioactiVe/Amount EPA HazardsI NFPA USDOT# MCP No No No No/ Curies F R IH / / / ' Mod -5- 05/08/2000 LONGS DRUG STORES #200 SiteID: 215-000-000987 ~ Inventory Item 0007 Facility Unit: Fixed Containers on Site POOL ACIDS~ ~ Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLOOR/WAREHOUSE CAS# Solid Pure Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Con~/~ner' Daily Maximum Daily Average ' ~~.LBS 1500.00 LBS 900.00 LBS HAZARDOUS COMPONENTS %Wt. RSI CAS# 100.00 Muriatic Acid Yes 7647010 HAZARD ASSESSMENTS I TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA UsDoT# MCP No N° No No/ Curies .R IH / / / Hi ~ Inventory Item 0009 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLOOR/WAREHOUSE CAS# F STATE [ TYPE PRESSLTRE i TEMPERATURE I CONTAINER TYPE Liquid Pure Ambient Ambient BOX AMOUNTS AT THIS LOCATION Largest Container_ Daily Maximum I Daily Average 'l~l~ GAL 500.00 GAL 300.00 GAL HAZARDOUS CoMpONENTS 100.00 Motor Oil, Petroleum Based N 8020835 HAZARD ASSESSMENTS FTSecretl oRS BioHaz Radioactive/Amount EPA HazardsI NFPA USDOT# I MCP No N No No/ Curies F DH / / / Min -6- 05/08/2000 LONGS DRUG STORES #200 SiteID: 215-000-000987 ~ Inventory Item 0010 Facility Unit: Fixed containers on Site -- CO~ON NAME / CHEMICAL NAME AUTO ENGINE ~DITIVES Days On Site · 1 365 Location within this Facility Unit Map: Grid: SALES FLOOR/WAREHOUSE CAS# STATE TYPE PRESS~E~ i TEMPE~T~E CONTAINER TYPE Liquid I' Mixture Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL' lOO.OO GAL 30'00 GAL, ~Z~DOUSCOMPONENTS %Wt.~ ~1 S CAS# 60.001Methyl Alcohol N 67561 20.OS,Methyl Ethyl Ketone INo I 78933 20.001Ethylene Glycol No 107211 .,HAZARD ASSESSMENTS TSecret R~IBioHaz' Radioactive/Amount, EPA Hazards' NFPA USDOT# MCP No NOIlliN° . No/ Curies F P R IH / / / Hi ~ Inventory Item 0011 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME ~ ANTIFREEZE Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLOOR/WAREHOUSE CAS# FSTATE TYPE PRESSURE i TEMPERATURE i CONTAINER TYPE Liquid Pure I Ambient Ambient PLASTIC CONTAINER 'AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average f- (~'%~...GAL .- 400.00 GAL 100.00 GAL HAZARDOUS COMPONENTS 100.00 Ethy.lene Glycol N 107211 HAZARD ASSESSMENTS TSecret[ RSIBioHazI Radioactive/Amount I EPA HazardsI NFPA USDOT# MCP No No No No/ Curies F IH / / / Low '7- 05/08/2000 LONGS DRUG STORES #200 SiteID: 215-000-000987 ~ Inventory Item 0012 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME CAMPING FUEL Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLOOR/WAREHOUSE CAS# Liquid /Pure Ambient Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION ~ Largest' Container Daily Maximum Daily.Ave.rage 0-~4~. GAL 200.00 GAL ' 50.00 GAL HAZARDOUS COMPONENTS . %Wt. ~S CAS# 100.00 Kerosene N 70892103 HAZARD ASSESSMENTS ,ITSecretl 'RSIBi. oHaz Radioactive/Amount I EPA Hazards I NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low ~ Inventory Item 0013 Facility Unit: Fixed Containers on Site -- COMMONNAME / CHEMICAL NAME FERTILIZER Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLOOR/ AREHOUSE CAS#  STATE -- TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid Pure I Ambient I Ambient · ,BAG AMOUNTS AT THIS LOCATION { Largest Container I Daily Maximum Daily Average ~ LBSI 12000.00 LBS 2000.00 LBS HAZARDOUS COMPONENTS RS CAS# I HAZARD ASSESSMENTS TSecret' RS'BioHaz' Radioactive/Amount EPA Hazards NFPA USDOT# MCP NoIN°I I No No/ Curies F R IH / / / 8 05/08/2000 LONGS DRUG STORES #200 SiteID: 215-000-000987 = Inventory Item 0014 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME DEVELOPER Days On Site CP-40 FA II PI-SS DEVELOPER STARTER (POTASSIUM CARBONATE) 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# ~ STATE ~ TYPE I PRESSURE TEMPERATURE CONTAINER TYPE Liquid /Mixture Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.15 GAL 6'00 GAL 6.00 GAL HAZARDOUS COMPONENTS %Wt. NiS CAS# 10.00 Potassium Carbonate No 584087 7.00 Sodium Bicarbonate No 144558 5.00 Potassium Chloride 7447407 HAZARD ASSESSMENTS T~ecret ~S BioHaz I Radioactive/Amount EPA HazardsI NFPA USDOT# MCP No N No No/ Curies / / / Low = Inventory Item 0015 Facility Unit: Fixed Containers on Site q -- COMMON NAME / CHEMICAL NAME DEVELOPER PART A Days On Site CP-40 FA II P-1 RS DEVELOPER ,REPLENISHER (TRIETHANOLAMINE) 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 102-71-6 ----LiquidSTATE T TYPE PRESSURE TEMPERATURE .CONTAINER TYPE ! Mixture Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.15 GAL 4.00 GAL 4.00 GAL HAZARDOUS COMPONENTS 10.00 Triethanolamine N 102716 7.00 Hydroxylamine INo I 7803498 5.00 Acetic Acid, Pure No 64197 HAZARD ASSESSMENTS. TSecretNo NoRS BioHazNo Radi°active/Am°unt I EPANo/ Curies HazardsR IH NFPA/// USDOT# MCPHi 9 05/08'/2000 LONGS DRUG ~TORES #200 ~~~~~ SiteID: 215-000-000987 i~ Inventory Item 0016 ~~~ Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME DEVELOPER PART B o Days On Site o CP-40 FA II P1-R DEVELOPER REPLENISHER (P-PHENYLENEDIAMINE) o 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE o CAS# o o 25646-71-30 iE STATE EiE TYPE EEEiEE PRESSURE EEEi TEMPERATURE I ~ ,icl o k/Iixmro, o Ambient o Ambient o PLASTIC CONTAINER o i~~~~i AMOUNTS AT THIS LOCATION ~~~~i o Largest Container o Daily Maximum o Daily Average o o 0.15 GAL o 4.00 GAL o 4.00 GAL o i~i~~ HAZARDOUS COMPONENTS o %Wt. o oRSo CAS# o o 18.00op_Phenylenediamine ONo o . 106503° o 1.00°Sodium Sulfite ONo o 7757837° iE~66E66i566i~66~i6~6~6 HAZARD .ASSESSMENTS oTSecreto RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o o No ONoONo o No/ Curies°F RIH 0 /// o OLow ° Inventory Item 0017 EE~EEEEEEE~EEE Facility Unit: Fixed Containers on Site i i~ COMMON NAME / CHEMICAL NAME DEVELOPER PART C o Days On Site o CP-40 FA II P1-R DEVELOPER (POTASSIUM CARBONATE) o 365 o Location within this Facility Unit Map: Grid: ' PHOTO LAB PRODUCT STORAGE o CAS# o o 111_30_8© STATE ~i~ TYPE ~i~ PRESSURE ~i TEMPERATURE ~i~ CONTAINER TYPE Liquid ? Mixture o Ambient o Ambient o PLASTIC CONTAINER o i~5/~/~/~/~/~5/~/~/~/~i AMOUNTS AT THIS LOCATION Largest Container o Daily Maximum o Daily Average o 0.15GAL o 4.00 GAL o 4.00 GAL o i~i~~ HAZARDOUS COMPONENTS %Wt. o o RS© CAS# o 41.00opotassium Carbonate °No © 584087© 7.00°Potassium Hydroxide ONo o 1310583© 7.00°CARBOXYLIC ACID/ALKANOLAMINE REACTION PRODUCTS ONo o 0© i~i~66i~66~i~666~ HAZARD ASSESSMENTS °TSecret© RS°BioHaz© Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o No ONoONo o No/ Curies° RIH o ///,o OModO -10- 05/08/2000 LONGS DRUG STORES #200 ~~~~~ SiteID! 215-000-000987 i i~ Inventory Item 0018 ~~~ Facility Unit: Fixed Containers on Site i i~ COMMON NAME / CHEMICAL NAME FIXER PART A o Days On Site o CP-40 FA II P2 R BLEACH (AMMONIUM TIOSULFATE) ° 365 o LocatiOn within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE o CAS# o o 7783_18_8© i~ STATE ~i~ TYPE ~i~ PRESSURE ~i TEMPERATURE ~i~ CONTAINER TYPE Liquid o Mixture o Ambient o Ambient o PLASTIC CONTAINER 0 i~6~56~~i AMOUNTS AT THIS LOCATION Largest Container o Daily Maximum o Daily Average o 0.25 GAL o 20.00 GAL o 20.00 GAL o i~i~~ HAZARDOUS COMPONENTS %Wt. o o RS© CAS# o 33.00OAmmonium Thiosulfate, ONo o 7783188© 20.00OAmmonium Sulfite ONo o 10196202© o 7.00oAcetic Acid, Pure °No o 64197© TO&Ammonium Nitrate ONo o 6484522© i~fi~i~fii~5~i~~ HAZARD ASSESSMENTS ~i~~i~~i~i °TSecret© RS°BioHaz© Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o o No ONoONo o No/ Curies° RIH o /// o OHio - 11- 05/08/2000 LONGS DRUG STORES #200 ~~~~~ SiteID: 215-000-000987 i~ Inventory Item 0019 ~~~ Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME ~~~~~i~~~i FIXER PART B o Days On Site o CP-40 FA II P2-R BLEACH (FERRIC AMMONIUM EDTA) o 365 o Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE o CAS# o o 10043-01-3 o iff STATE ~i~ TYPE ~i~ PRESSURE ~i TEMPERATURE ~i~ CONTAINER TYPE Liquid o Mixture o Ambient o Ambient o PLASTIC CONTAINER o i~55~55~5~55~i AMOUNTS AT THIS LOCATION Largest Container ° Daily Maximum o Daily Average o 0.25 GAL o 20.00 GAL ° 20.00 GAL o i~i6~~6~ HAZARDOUS COMPONENTS ~~6~i~i~6~666~¢6~6i %Wt. o ° RS° CAS# o 27.00OFerric Ammonium EDTA °No ° 0° 17.00OAmmonium Bromide .ONo o 12124979° 3.00°Nitric Acid (EPA) ONo o 7697372° iEE~EEE~iEEEi~EEE~iEEEEES~EEEE HAZARD ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP ° No °Yes°No o No/ Curies° RIH o /// o OLow. ° -12- 05/08/2000 LONGS DRUG STORES #200 ~~~~~ SiteID: 215-000-000987 i~ Inventory Item 0020 ~~~ Facility Unit: Fixed Containers on Site i i~ COMMON NAME / CHEMICAL NAME ~~~~~i~~~i DEVELOPER o Days On Site o CN-16Q NQI-S DEVELOPER STARTER (POTASSIUM CARBONATE) o 365 o Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE o CAS# o · o 584_08_7° iE STATE ~i~ TYPE ~i~ PRESSURE ~i TEMPERATURE ~i~ CONTAINER TYPE ~fi~i. Liquid.° Mixture o Ambient o Ambient o PLASTIC CONTAINER o i~~-~~i AMOUNTS AT THIS LOCATION o Largest Container o Daily, Maximum o Daily Average o o 0.08 GAL o 5.00 GAL o 5.00 GAL o o %Wt. o oRSo CAS# o o 18.00opotassium Carbonate ONo.O 584087° o 7.00°Sodium Bicarbonate ONo o 144558° o 3.00°Potassium Bromide ONo o 7758023° o 3',.00°Sodium Bisulfite ONo o .7631905° o 3.00°Potassium Hydroxide ONo o 13105830 .......... i~i~i~i~~ HAZARD ASSESSMENTS oTSecretO RS°BioHaz° Radioactive/Amount o EPA Hazards ° NFPA. o USDOT# o MCP ° o No ONoONo o No/ Curies° o /// o OLow -13- 05/08/2000 LONGS DRUG STORES #200 ~8~8~88~~~ SiteID: 215-000-000987 i~ Inventory Item 0021 ~~~ Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME DEVELOPER PART B ° Days On Site o CN~16Q NQI-RS DEVELOPER PART A (POTASSIUM CARBONATE) °' 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE,' o CAS# o o 74_19_7° ~ STATE 5i~ TYPE ~55i~ PRESSURE ~i TEMPERATURE ~i55~ CONTAINER TYPE Liquid ° Mixture o Ambient o Ambient ° PLASTIC CONTAINER o i~~~~i AMOUNTS AT THIS LOCATION Largest Container ° Daily Maximum ° Daily Average o 0.13GAL o 5.00 GAL o 5.00 GAL o i888~88i8~888~888~88 HAZARDOUS COMPONENTS %Wt. o o RSo CAS# o 33.00opotassium Carbonate ONo o .584087° 3.00°Sodium Sulfite ONo o 7757837° 1.000CARBOXYLIC ACID/ALKANOLAMINE REACTION PRODUCTS ONo o oTSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# ° MCP o o No ONoONo o No/ Curies°F RIH o /// o -14- 05/08/2000 i LONGS DRUG STORES #200 ~~~~~ SiteID: 215-000-000987 · i~ Inventory Item 0022 ~~~ Facility Unit: Fixed Containers on Site i · i~ COMMON NAME / CHEMICAL NAME o DEVELOPER PART B o Days On Site o o CN-16Q NQI-RS DEVELOPER (HYDROXYLAMINE SULFATE) · o 365 o Location within this Facility Unit Map: Grid: o PHOTO LAB PRODUCT STORAGE o CAS# o o o 74_19_7° i~ STATE ~i~ TYPE ~i~ PRESSURE ~i TEMPERATURE ~i~ CONTAINER TYPE o Liquid o Mixture o Ambient o Ambient, o PLASTIC CONTAINER o~ ~~~~ AMOUNTS AT THIS LOCATION o Largest Container o Daily Maximum o Daily Average o o 0.06GAL o 5.00 GAL o 5.00 GAL o ~~~ HAZARDOUS COMPONENTS o %Wt. o ~ oRSo CAS# o . o 5.00°Hydroxylamine Sulfate ONo o 10039540° o 5.00°Phosphoric Acid ONo o 7664382° o 3.00°Potassium Hydroxide °No ° 1310583 o o 3.00°CARBOXYLIC ACID/ALKANOLAMINE REACTION PRODUCTS ONo o i~i~i~i~~ HAZARD ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o o No '°No°No .o No/ Curies°F RIH o /// o OLowO Inventory Item 0023 EEEE~EEEE~EEEEE Facility Unit: Fixed Containers on Site'i i~¢ COMMON NAME / CHEMICAL NAME DEVELOPER PART C o Days On Site o CN_16Q NQI RS DEVELOPER (P PHENYLENEDIAMINE) o 365 o Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE o CAS# o o 28020_34_0° ~ STATE ~ TYPE ~ PRESSURE ~ TEMPERATURE ~ CONTAINER TYPE Liquid o Mixture o Ambient o Ambient o PLASTIC CONTAINER o iE~EEE~E~EE~EEE~EE~i AMOUNTS AT THIS LOCATION Largest Container o Daily Maximum o Daily Average o 0.06GAL o 5.00 GAL o , 5.00 GAL o i~i~~ HAZARDOUS COMPONENTS %Wt. o o RSo CAS# o 16.00 op_Phenylenediamine ONo o 106503° 1.00°Sodium Sulfite ONo o 7757837° i~~~i~5~ HAZARD ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCp.o No ONoONo o No/ Curies° RIH o./// o OModO - 15- 05/08/2000 LONGS DRUG STORES #200 ~~~~¢~ SiteID: 215-000-000987 i~ Inventory Item 0024 ~~~ Facility Unit! Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC BLEACH o Days On Site o CN-16Q NQ2 RS BLEACH (AMMONIUM BROMIDE) o, 365 o Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE o CAS#· o o 12124_97_9© i~ STATE eie TYPE eeeiee PRESSURE ~i TEMPERATURE ~i~ CONTAINER TYPE ~i Liquid o Mixture o Ambient o Ambient o PLASTIC CONTAINER o i~555~555~~i ·AMOUNTS AT THIS LOCATION Largest Container o Daily Maximum o Daily Average o 0.09GAL o 5.00 GAL o 5.00 GAL o i~i~~ HAZARDOUS COMPONENTS %Wt. o o RS© CAS# o 30.00OAmmonium Bromide ONo o 12124979© 10.00ODisodium EDTA ONo o 139333© i~8~i~i~i~~ HAZARD ASSESSMENTS ~i~~i~~i~i °TSecret° RS°BioHaz© Radioactive/Amount o EPA Hazards © NFPA o USDOT# o MCP o No ONoONo o No/ Curies° IH o /// o OLowO iE Inventory Item 0025 EEEEEEEEEEEEEEE Facility Unit: Fixed Containers on Site iEE COMMON NAME / CHEMICAL NAME EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEiEEEEEEEEEEEEEEEEi o PHOTOGRAPHIC BLEACH o Days On Site o o CN-16Q NQ3 RS BLEACH (AMMONIUM THIOSULFATE) o 365 o o Location within this Facility Unit Map: Grid: o PHOTO LAB PRODUCT STORAGE o CAS# ° o o 12124_97_9© i~ STATE ~ifi TYPE ~i~ PRESSURE ~i TEMPERATURE ~i~fi~ CONTAINER TYPE o Liquid o Mixture o Ambient o Ambient o PLASTIC CONTAINER o i~~~~i AMOUNTS AT THIS LOCATION o Largest Container o Daily Maximum o Daily Average , o o 0.50 GAL o 20.00 GAL o ' 20.00 GAL o i~i~~ HAZARDOUS COMPONENTS o %Wt. o oRS© CAS# o o 49.00OAmmonium Thiosulfate ONo o 7783188© · o 3.00°Sodium Sulfite ONo o 7757837© o 3.00°Sodium Bisulfite ONo o 7631905© i~i~i~i~~ HAZARD ASSESSMENTS ~i~~i~~i~i °TSecret° RS°BioHaz© Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o o No °No°No o No/ Curies° IH o /// o OLowO -16- 05/08/2000 i LONGS DRUG STORES'//200 ~~~~~ SiteID: 215-000-000987 i~ Inventory Item 0026 ~~~ Facility Unit: Fixed Containers on Site i~'COMMON NAME / CHEMICAL NAME o PHOTOGRAPHIC STABILIZER o Days On Site o ° CN-16Q NQ4 RS SAFER STABILIZER (1,2,4 TRIAZOLE) ° 365 o o Location within this Facility Unit Map: Grid: o PHOTO LAB PRODUCT STORAGE ° CAS# o O O O i~ STATE ~i~ TYPE ~i~ PRESSURE ~5~i TEMPERATURE ~i~5 CONTAINER TYPE o Liquid o Mixture o Ambient o Ambient o PLASTIC CONTAINER o i~5~5~5~5~5~i AMOUNTS AT THIS LOCATION ° Largest Container o Daily Maximum o Daily Average o ° 0.05 GAL o 1.00 GAL o 1:00 GAL ° i~i~~ HAZARDOUS COMPONENTS o %Wt..° oRS°.CAS# o o 15.00ol,2,4_Triazole ONo o 288880° . i8~8~i~i~8~i~5~ HAZARD ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount ° EPA Hazards ° NFPA o USDOT# o MCP ° o NO °No °No o No/ Curies° IH o /// o °Min° Inventory Item 0027 ~ee~ Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME HELIUM ° Days On Site ° o 365 o Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE OR JANITORIAL AREA o CAS# o 7440_59_7° STATE ~i~ TYPE ~i~ PRESSURE ~i TEMPERATURE ~i~ CONTAINER TYPE Gas o Pure o Above Ambient ° Ambient ° PORT. PRESS. CYLINDER ° i~~~~i AMOUNTS AT THIS LOCATION Largest Container o Daily Maximum ° Daily Average ° 244.00FT3 ° 732.00 FT3 o 732.00 FT3 ° i~i~8~ HAZARDOUS COMPONENTS. %Wt. ° ~ RS° CAS# o 100.00OHelium oNo o 7440597° i~ifi~i~i~~ HAZARD ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount ° EPA Hazards ° NFPA o USDOT# o MCP o No °No°No o No/ Curies°FP IH o /// o °Min° '-17- .- 05/08/2000 LONGS DRUG STORES #200 ~~~~~ SiteID: 215-000-000987 i~ Inventory Item 0028 ~~~ Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME WASTE FIXER o Days On Site o SPENT PHOTOG~PHIC FIXER o 365 o Location within this Facility U~t Map: Grid: PHOTO DEPT o CAS~ o O O ~5 STATE ~i~ TYPE ~5i~ PRESSURE ~5~ TEMPE~TURE Liquid o Waste o Ambient o Ambient o PLASTIC CONTAINER o Largest Container o Daily Maximum o Daily Average o o 5.00GAL° 5.00 GAL o. 5.00 GAL o o %Wt. o °RS° CASff ' o o OSilver ~ ONo o 7440224° i~5~i~i~i~~ HAZARD ASSESSMENTS oTSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o. USDOT~ o MCP o o No ONoONo o No/ Curies° R o /// o OMinO -18- 05/08/2000 LONGS DRUG STORES #200 ~~~~~ SitelD: 215-000-000987 i i~ Notif./Evacuatio~Medical ~~~~~~ Overall Site i i~ Agency Notification ~~~~~~~ 09/22/1993 i o CALL 911 o i~ Employee Notif./Evacuation ~E~fi~~E~E~E~~ 09/22/1993 i o MEMBER OF MANAGEMENT WILL BE INFORMED AND WILL CALMLY EVACUATE CUSTOMERS o AND CO-WO~RS TO NEAREST EXITS. 911 WILL BE DIALED IN EMERGENCY. MEMBER MANAGEMENT WILL TA~ ATTENDENCE AT MEETING AREA. PHARMACIST WILL BE NOTIFIED TO ADMINISTER FIRST AID. ALL EMPLOYEES WILL LISTEN AND RESPOND TO o INSTRUCTIONS ON CALMLY EVACUATING THE BUILDING. o o i~ ~blic Notif./Evacuation ~~~6~~~ 09/22/1993 i o CUSTOMERS/VISITORS: APPROP~ATE SIGNS ARE POSTED IN PUBLIC AREAS AS o REQUI~D BY'PROP. 65. ANY NECESSARY EVACUATION INSTRUCTIONS WILL BE GIVEN o OVER THE INSTORE SPEA~R SYSTEM INFORMING ALL CUSTOMERS AND VISITORS HOW o TO SAFELY EVACUATE THE PREMISES IN THE EVENT OF AN EMERGENCY. o o NEIGHBORS: EVERY EMPLOYEE RECEIVES T~INING ON HOW TO RESPOND AND CLEAN UP A CONSUMER PRODUCT SPILL. CONSUMER PRODUCT SPILLS DO NOT PRESENT A o HAZARDOUS SITUATION FOR OUR NEIGHBORS. NO SPECIAL NOTICES ARE NECESSARY TO o INFORM SU~OUNDING NEIGHBORS AS ALL NEIGHBORS A~ AWARE OF THE NATURE OF o OUR BUSINESS. O i~ Emergency Medical Plan 66~~6~e~fi~6~6~6~ 09/22/1993 i o MERCY HOSPITAL - 2215 TRUXTUN AVE - 327-3371 FAMILY MEDICAL - 4580 CALIFORNIA AVE - 327-4411 FIRE STATION 3 - 3400 PALM ST - 326-3963 o, o AMBULANCE -'1001 21ST ST - O -19-" 05/08/2000 i LONGS DRUG STORES//200 ~~~~~ SiteID: 215-000-000987 ~eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee Fast Format i~ Mitigatio~Prevent/Abatemt ~~~~~ Overall Site i i~ Release Prevention ~~e~ee~~6~6~66~ 06/14/1991 o ~EP CU~ENT INVENTORY LIST AND UPDATE AS NEW PRODUCTS ARE INTRODUCED TO o o THE PUBLIC. ~EP EMPLOYEES T~INED IN CLEANING UP HAZARDOUS PRODUCT SPILLS. o o ~EP FIRE EXTINGUISHERS WO~NG. INFORM ALL EMPLOYEES OF MEETING PLACE IN o o THE EVENT OF EVACUATION. KEEP CLEAN-UP SUPPLIES IN ORDER. o O o i~ Release Comai~e~t ~~~~~~~~ o LARGE ~T FOR CLEAN UP IS ~PT IN RECEIVING BY THE EXIT DOOR USED FOR LARGE 'o · o SPILLS AND CONTAINMENT OF ANY SUCH SPILLS. -20- 05/08/2000 i LONGS DRUG STORES #200 ~~~EE~fi~fi~fi~ SitelD: 215-000-000987 iE Site Emergency Factors EEEEEEEEEEEEEEEEEEEEEEEE~E~EEEEEEEEE Overall Site lEE Special· Hazards EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE~EEEEEEEEEEEEEEEEEEEEEE o o ieee Utility Shut-Offs EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE 01/07/1990 o o o A) GAS - NONE o B) ELECTRICAL - NORTHEAST ~CORNER OF BUILDING OUTSIDE o ° C) WATER - NORTH SIDE OF BUILDING CENTER ° ,o D) SPECIAL - NONE o o E) LOCK BOX -,~,NO o i~EEE Fire Protec./Avail. Water EEEEEEEEEEE~EE~EEEEEEEEE~EEEEEEEEEE 01/07/1990 o PRIVATE FIRE PROTECTION - WE HAVE OVERHEAD FIRE SPRINKLER SYSTEM THROUGHOUT o o STORE. FIRE EXTINGUISHER ARE STRATEGICALLY LOCATED THROUGHOUT THE STORE. ° o o o o O o o o o o o FIRE HYDRANT - FRONT OF, THE STORE WEST SIDE ENTRANCE ° O O 'i~E~E Building Occupancy Level O O O O -21- ~ 05/08/2000 LONGS DRUG STORES #200 ~~~~~ SiteID: 215-000-000987 ~ i~ Training ~~~~~~~~ Overall ~Site i i~ Employee Trai~ng ~~~~~~~ 06/14/1991 i WE HAVE 36 EMPLOYEES AT THIS FACILITY o WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE o ALL INFOR~TION IS POSTED, REVIEWED PROCEDURES WITH EMPLOYEES AT MONTHLY MEETINGS. ALL NEW EMPLOYEES ARE T~INED ON DANGERS OF MATERIALS AND EVACUATION PROCEDURES. DEPARTMENT MANAGER HAS BEEN ASSIGNED TO OVERSEE AND o UP~EP CHEMICAL SPILL EMERGENCY SUPPLY BOX. o i~8 Held for Fumre Use i~ Held for Fumre Use ~~~~~~~~i o -22- 05/08/2000 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY-'CHEMICAL DESCRIPTION. [-]ADD '- ["]DELETE ['-]REVISE , 200 I Page__of__ · ',,- I. FACILITY INFORMATION II. CHEMICAL INFORMATION CHEMICAL NAME ~o5 TRADE SECRET [] Yes C.~-I{oL IMI-S De.' ooe_ ,fs j..... £PCRA, refertoiustmctions COMMON NAME I 20? 2os CAS# I 2o9 ---- .~L~i - v,,a(~'~ '-'-'] 'If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 HAZARDOUS MATERIAL . TYPE (Che0k one item only) F]a. PURE ~b. MIXTURE l-lc. WASTE 211 RADIOACTIVE I-]Yos ~No 212 CURIES PHYSICAL STATE 215 (Check one item only) [] a. SOLID [~ b. LIQUID ' [] c. GAS 214 LARGEST CONTAINER ~ ,~.~ FED HAZARD CATEGORIES 216 (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [~ d. ACUTE HEALTH [] c. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ] ANNUAL WASTE AMOUNT 219 ] STATE WASTE CODE 220 . zzt I DAYS ON SITE: UNITS* '~l a. GALLONS [] b. CUBIC FEET [] c. POUNDS [-I'd. TONS STORAGE CONTAINER [] a. ABOVE GROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [~ n. PLASTIC Bo'FrLE [] r. OTHER {-}c. TANK1NSIDEBUILDING -[--Ig. CARBOY [] k. BOX F-lo. TOTEBIN [] d. STEEL DRUM [] h. SILO [] L CYLIIqDER [] p. TANK WAGON 223 STORAGE PRESSURE I~, a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224 STORAGE TEMPERATURE [~j].a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 22~ %WT HAZARDOUS COMPONENT (For mixture or Waste only) · EHS CAS # 4 ~a 239 [] Yes [] No 24o 241 5 242 243 [] Yes [] No 244 245 If more hazardou~ eomponent~ are present at greater than 1% by weight if non-carcinogenic, or 0.1% by weight if carclnogenie, altaeh additional sheets of paper eapturlng the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA~ Please Sign Here UPCF (1/99) · 6,. OES Form2731 UNIFIED PROGRAM CONSOLIDATED FoRM ' HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEiVHCAL DESCRH'TION [-]ADD .: [--IDELETE l-]REVISE ~ 200 ] Page -- of__ .7 7: . I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA- Doing Business As) : ' i ,.' ~ . . FACILITY ID # ~ # {~i~l ~0~ -. c~mcAL INrOm~AT~O~ CHEMICAL NAME 203 TRADE sECRET [] Yes ~ No zo~ COMMON NAME I 2o~ 2o8 CAS// 2o9 ~C~L-{ __ C)~ ~'1 *if EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Compl*t* ifrequa~dt,y COPA) ' 210 Ffi ce' t-) .; ' o HAZARDOUS MATERIAL ~ I 213 TYPE (Check one item only) I-la. PURE [~b. MDCTURE r-Ia. WASTE 211 RADIOACTIVE I-'lYes [~No 212I CURIES PHYSICAL STATE FED HAZARD CATEGORIES 216 (Check all t~a! apply) . [] a. FHLE I-1 b, REACTIVE [] c. PRESSURE RELEASE ~] d. ACUTE HEALTH I--I ~. CHRONIC HEALTH AVI~RAOE DAILY AMOUNT 21'/ MAXIMUM DAILY AMOUNT I ANNUAL WASTE AMOUNT 219 I STATE WASTE CODE 22o IO I 0 A~f A/Iq UNITS* I~]a. GALLON$ I-lb. CUBICFEET r-I c. POUNDS I-id. TONS 221 j DA¥S ON SITE: 222 (Check one i~em o~1~) * Il'El-IS, amount m~t ~e in pound~.I STORAGE CONTAH, i~, ma. ABOVE GROUNDTANK I--Ic. PLASTIC/NONMETALLICDRUM [] i. FIBERDRUM I--Im. GLAS$floI'rLE [] q. RAILCAR E]b. UNDERGROUND TANK r"l f. CAN El j. BAO ~rL PLASTICBOITLE [] F. OTH~R [] c. TANK INSID£ BUILDING [] 8. cAP'BoY [] lc BOX I-I o. TOTE Eld. STEELDRUM F~h. SILO [-I L CYLINDER [-Ip. TANKWAGON STORAGE PRESSURE ~. a. AMBIENT [] b. ABOVE AMBIENT I--) c. ~ELOW AMBIENT 224 STORAGE TEMP£RATURE I~] a. AMBIENT I--I b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC %WT HAZARDOUS COMPONENT (For mixture o~ waste only) EH$ CAS # ~-q°~' ~9o~iu,.,'~ c-o~bo~qo~-e ~ []Yes,No ~ ,~6~i_~__ 4 238 239 [] Yes [] NO 240 241 ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Sign Here UPCF (!/99) 6 OES Form 2731 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION ['3ADD [-]DELETE [-]REVISE 2oo I Page__of__ · I. FACILITY INFORMATION: BusINESS NAME (Same as~FACILITY NAME °r DBA - D°ing Business As) II. CItEMICAL INFORMATION CHEMICAL NAME 20s TRADE SECRET [] Yes [] No 2o0 COMMON NAME I 2o~ CAS# *If EHS is "Yes", all amounts below must be in lbs. Ioo"~q []l~J~ CODE ~L~-,AB CLASSES (Compl~t~ if r~l~i~ed by CUP^) ~10 HAZARDOUS MATERIAL 211 RADIOACTIVE OYes ~No 212 [ CURIES TYPE (Check one item only) O a. PURE ~[~ b, MIXTURE [] c. WASTE 215 ~s~cA~sTATE (Check one item only) O a. SOLID ~ b. LIQUID O c. GAS FED HAZARD CATEGORIES 216 (Check all that apply) [-[ a. FIRE [] b. REACTIVE O ¢- PRESSURE RELEASE [~ d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DA/~LY Ai~OUNT~ 217 I IVIAXIMUIVI DAILY AlVlOUNT~. 2ts [ ANNUAL WASTE AMOUNT~)~f 219 ] STATEWASTEGODE~)~ 220 221 I DAYS ON SITE: 222 UNITS* [] a. GALLONS O b- CUBIc FEET O ¢, POUNOS O d. TONS[ ~,,~ (Check oho itm only} * If EHS, amount must be in [~oonds. STORAGE · CONTAINER [] a. ABOVE GROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FLIER DRUM Om. GLASS BOTTLE [] q. RAIL CAR [--]b. UNDERGROUND TANK O£CAN [] j. BAG [~n. PLASTIC BOTTLE [] r. OTHER O ¢. TANK INSIDE BUILDING O g. CARBOY [] lc BOX [] o. TOTE BIN O d. STEEL DRUM [] h. SILO O L CYLINDER [] p. TANK WAGON 223 STORAGE PRESSURE ~] a. AMBIENT O 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 # S 242 243 [] Yes [] No 244 245 ADDITIONAL LOCALLY COLLECTED INFORMATION ~46 If EPCRA~ Please SiRn Here UPCF (I/99) 6 OES Form 2731 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY -. CHEMICAL DESCRIPTION [-]AbD [-]DELETE ['-}REVISE 20o ] Page__ of~ ._ ~ ., · i. FACILITY INFORMATION ., BUSINESS NAME (Samc as FACILITY NAME or DBA- Doing Busincss As) I .'' ":. ': '.'~ ' , ~ ,..~_~, " 3 ~.~ ':i CHEMICAL EOCAT!ON . . . ' · "-._, :~ · ] CHEI~I~AL LOCATION CONFIDENTIAL EPCRA 2o2' it111 I111111'-' II. CItEI~'IICAL INFORM~TIOI~ CHEMICAL NAME lo~ TRADE SECRET [] COMMON NAME } 2o~ CAS# 209 Z ~ {.~ q ~p - '-~'-~ ~ q *If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Completo if requlred by CUPA) , 210 ItAZARDOUS MAI'E]PJAL T¥~E(Ch~un*ilem~M¥) Fla.?UI~ ~i~b, MJXtui~. I--I¢.W^STE ~11 I~M)IOACTIV~ I-1¥~ ~N* ~1]I CL/R~S ?N~$ICAL STATE (Ch¢ckoneit~munly) [] a. SOLID J~b. LIQUID [] c. GAS :'14 LARGEST CONTAINER . I ES FED HAZARD CATEGORIESL.J-- 216 (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE ~ d. ACUTE HEALTH [] e. CHRONIC HEALTH (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. RAIL CAR []b. UNDERGROUND TANK [] f..CAN [] j. BAG 0~n. PLASTICBO'FI'LE [] r. OTHER [] c. TANK INSIDE, BUILDING [] g. CARBOY [] k. BOX [-} o. TOTE BIN [-I d. STEEL DRUM [] h. SILO [-]' L CYLINDER [] p. TANK WAGON 223 STORAGE PRESSURE ~ a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224 STORAGE TEMPERATURE ~ a. AMBIENT [] b. )kBOVE AMBIENT [] ¢. BELOW AMBIENT [] d. CRYOGENIC 22~ %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # · ~ 227 2 2~0 231 [] Yes [] No 2~2 3 2a4 23s [] Yes [] No m 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 2~4 245 ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA~ Please Sign Here UPCF (1/99) ., 6 OES Form 2731 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - Cm~M~CAL DESCRIPTION -' [='lADD [-]DELETE [-[REVISE 2oo I Page of : I. FACILITy INFORMATION · · ~ BUSINESS NAME (Same as FACILITY NAME or DBA - Doing BusinessAs) ' i .... ~ ,--, ~ , I ~.e~-,e~, ...... ; CHEMICAL LOCATION (3t % t ~ { "t ' ~ ~ ~ r ~ ' : ~ (~ [ CH~AL LOCATION CONFIDENTIAL EPCRA' ' · .} · ~_ ' :; ! . MAP# (optiam) 203 GR1D# (eptleaal) · 1I. CtIEMICAL INFORMATION : CHEMICAL NAME 2o5 TRADE SECRET [] Yes [~ No COMMON NAME 'f 207 -~w/~'ic. O.r~rvaonlix_nn POT t-~ Et[S* [] Yes ~ No 2O9 CAS# :i I I ~:~'"~-- 53~ - {D *IfEHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Comp~t~ if ~q~i~a by Cra'A) Zl0 J 213 HAZARDOUS MATERIAL 211 RADIOACTIVE r-[Yes [~No 212 CURIES i TYPE (Check on~ item only) [] a. PURE [~ b. MIXTURE [] c. WASTE PHYSICAL STATE 215 (Check one item only) [] •.SOLID {~b. LIQUID [] ¢.GAS 214 LARGESTCONTA1NER *,.~ FED HAZARD CATEGORIES~-) 216 (Check all that apply) f-] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE ~ d. ACUTE HEALTH [] e. CHRONIC HEALTH UNITS* ~a. GALLONS [] h. CUBIC FEET [] ¢. POUNDS [] d. TONS ~21 I DAYS ON SITE: ~Check one item only? ' IfEHS .... t mu~t b~ in potmd~.! ~..~ ~ STORAGE COI~rrAINER [] a. ABOVE GROUND TANK [] ~. PLASTIC/NON~dETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] h. UNDERGROUND T.~IK [] f. ~ [] j. BAG [~ PLASTIC BOTrLE [] ~r. OTHER [-I ¢. TANK B~ISlDE BUILDING [-]g.C. ARBO¥ [] k. BOX I-Io. TOTEEIN [] d. STEEL DRUM [] h. SILO ~ [] I. CYLINDE~R f-I p. TAI~ WAGON STORAGE PRESSURE {~ a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224 STORAGE TEMPERATURE {~a. AMBIENT [] b. ABOVE AMBIENT [] ¢. BELOW AMBIENT [] d. CRYOGENIC %WT HAZARDOUS coMpONENT (For mixture or waste only) EHS CAS # 5 242 243 [] Yes [] No 244 ADDITIONAL LOCALLY COLLECTED INFORMATION 2,us If EPCRA~ Please Sign Her~ UPCF (1/99) 6 OES Form 2731 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY- CHEMICAL DESCRIPTION J--lADD [-]DELETE ' J'~ REVISE 200 [ :,. Pa#c__ of__ L FACILITY INFORMATION . : ':i. · BUSINE$S NAME (Same as FACILITY NAME o~DBA - Doing BusineSS As) -- ~ ~...' i' CHEMICAL LOCATION ~ ,,, ' , . ~ . d.~. ? . . kY 2ol I CHEMICK~L LOCATION CONFID£I~ITL~ EpcRA FACILITY ID # Il. CHEMICAL UNFORMATION CHEMICAL NAME 20s TRADE SECRET [] Yes ~ No 2o6 COMMON NAME 2o? 20~ CAS# 2o9 FIRE COUE HAZARD CLASSES (Compla~ if ~.quired by CUP^) HAZARDOUS MATERIAL 213 TYPE (Check one it~m only) r'I~PURE ~b. MIXTURE I~c. WASTE 211 RADIOACFIVE [-]Yes l-INn 212 CURIES PHYSICAL STATE FED HAZARD CATEGORIES ' 216 (Check all that apply) [] a. FIRE ri b. REACTIVE [] c. PRESSURE RELEASE {~d. ACUTE HEALTH [-I e. CHRONIC HEALTH UNITS*Ch~k it*m ~ a. GALLONS []. b. CUBIC FEET be[] e. POUNDS [] d. TONS I DAYS ON SITE:~'~ ~- 222 one only} If EftS, mount mu.~t in pound~.I STORAGE CON'T~cll. [] a. ABOVE GROUND TP~IK [] e. PLASTIC4qONMETa~_J~¢ DRtJ~ [] i. FreER DRI. J1M ri m. GLASS BOTTLE [] q. P~IL CAR [] b. UNDERGROUND T~[K [~ £ CAN [] j. BAG [~n. PLASTIC BOTTLE [] r. OTHER I'-I ¢. TANK INSIDE BUILDING [] g. CARBOY [] lc BOX I-I o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] L CYLINDER [] p. T,4JqK WAGON STORAGE PRESSUI~ [~ a. AMBIENT [] b. ABOVE AMBIENT [-I ¢. BELOW AMB1L~'qT STORAGE TEMPERA'llJRE ~ a. AMBIENT [] b. ABOVE AMBIENT [] ¢. BELOW AMBIENT [] d. CRYOGENIC %WT HAZARDOUS COMPONENT {For mixture or waste only) EHS CAS # ;al []Yes [] No ;a~ 5 242 243 [] Yes [] No 244 24S If more hazardous components are present at greater than { % by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, &~ach additional sheets of paper capturing the required informatiom ADDITIONAL LOCALLY COLLECTED INFORMATION If EPCRA~ Please Si~n Here U?CF 0/~9) ~ OES Form 273~ UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION .. ;; . I. FACILiTY INFORMATioN ~ ': ..: . ' CHEMICAL LOCATION '~ ~ LJ 2ol ] CHEI~ICAL LOCATION CONFIDENTIAL EPCRA · n. c}li mcA 'ORMATmr CHEMICAL NAME 205 TRADE SECRET [] Yes [~ No 2o6 COMMON NAME 20T '~! ~- I ~S ~ ~i C'A~..Ol~, EHS* [] Yes ~No CAS# 2o9 ~'-~ -- ~ --O *If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complet= if r~lulrcd by CUPA) HAZARDOUS MATERIAL TYPE (Check un~ item unly) I-la. PURE ~b.MIXTURE I-lc. WASTE 211 RADIOACTIVE I-lYes ~No S FED HAZARD CATEGORIES 2~6 (Check aH ~hat apply) [] a. FIRE I-Ih. REACTIVE C] c. PRESSURE RELEASE I-Id. ACUTE HEALTH [] ~. CHRON~CHEALTH UNIIS* [~a. GAL[ONS [] b. CUBICFEET ID ¢.POUNDS I-la. TONS ~Check on* it~m'onl~t~ * If EHS, amount mu~t b~ in pounds. STORAGE CONTAINER [] at. ABOVE GROUND TANK [] ~. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTL£ [-I q. RAIL CAR [] b. UNDERGROLrNDTANK I-'I£CAN [] j. BAG {~n. PLASTICBOTrLE [] r. OTHER rlc. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BEN [] d. STEEL DRUM [] h. SILO [] L CYLINDER [] p. TANK WAGON 223 STORAGE PRESSURE [j~ a. AMBIENT [] b. ABOVE AMBIENT r] c. BELOW AMBIENT 224 STORAGE TEMPERATUPJE ~a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 22~ %WT HAZARDOUS COMPONENT (For mixture' Or waste only) EHS CAS # 4 2as za~ [] Yes [] No 240 24~ $ 242 z4~ {--I Yes [] No ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Sign Here ' UPCF (!/99) 6 OES Form 2731' UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION [-~ADD ' I--IDELETE:' I--]REVISE 2oo ]~.~ ,!:~,~i, · Page__of ! I. FACILITY INFORMATION : BUSINESS NAME (Same as FACILITY NAME,or. DBA.- Doing Business As) ~ CHEMICAL LOCATION ~..~ _ i .~ .:, · <.. ,'~,~,: :,..., . . , - ~ J 201 ] CI~L~ICAL LOCATION,CONFIDENTIAL EPCRA 202 II. CHEMICAL INFORMATION CHEMICAL NAME . , 205 TRADE SECRET [] Yes ~ No 2o6 If Subject to EPCRA, refer to instructiofl$ COMMON NAME! 207 208 Cb~z~s-~.~ ~..~-v-~ C_.¼~o~-ic~e~ E.S*' [] Yes tXNo CAS# I 209 '"/~ ~"-l- ~ O ~ "1 *it EaS is "Yes", a, amo~.t~ ~elo~, must ~ in ms. FIRE CODE HAZARD CLASSES (Compl~ ifr~q~ir,d by CUPA) 210 HAZARDOUS MATERIAL ] 213 TYPE (Check one item only) I-la. PURE [~b. MIXTURE I'-]c. WASTE 211 RADIOACTIVE E-~Yes [-]No 212I CURIES PHYSICAL STATE 215 (Check on¢ item only) r-I a. SOLID [~b. LIQUID [] c. GAS 214 LARGEST CoNTAINER , FED HAZARD CATEGORIES (Check all that apply) [] a. FIRE [] b. REACTIVE r-] c. PRESSURE RELEASE ]ii] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 ] MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 219 I STATE WASTE CODE 220 UNITS* ~ a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS 22~ } DAYS ON SITE: 222 (Check one item only) * If EHS, amount must be in pounds.] STORAGE CONTAINER [] a. ABOVE GROUND TANK [] e. PLASTICYNONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG ~ n. PLASTIC BOTrLE [] r. OTHER I--I c. TANK INSIDE BUILDING [] g. CARBOY []' k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] 1. CYLINDER [] p. TANK WAGON 223 STORAGE PRESSURE [~s a. AMBIENT }'-] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224 STORAGE TEMPERATLrlLE ~a. AMBIENT [] b. ABOVE AMBIENT [] ¢. BELOW AMBIENT [] d. CRYOGENIC 2.2.s %WT HAzARDous COMPONENT (For mixture or waste only) EHS CAS # $ :N2 243 [] Yes [] No 244 245 ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA~ Please Sifin Here UPCF (1/99) .6 OES Form 273 1 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION I--lADD ~,~"f:' [-1DELETE [-~REVISE - ~ ~ g~,,.. '200 [ Page of ,. ~ , I. FACILITY INFORMATION BUSINESS NAME (Same as FACIL. ITY NAME or DBA - Doing Business As) ..... ~ ,; ~ -~:)~ .; - -. · ' :' - · , s- or , CHEMICAL LOCATION ~_ 3 ~:~,'~.,:..i- -. '~ A . ' 201., l. C~I~M!C~L:~OCATION CONFIDENTIAL EPCRA 202 II. CHEMICAL INFORMATION cHEMICAL NAME ' 2o~ TRADE SECRET [] Yes P~] No 2o6 CP--H7 L Pl-6g 'De.ve. lo~/ge?lew;~i~,,', CHg I£$ubjectto£PCRA. r~£~toinstn~tiens COMMON NAME 207 208 CAS# 209 i0'2.. - '7 ~ - t.,a *if EHS is "Yes". all ~mo.nt, ~,elow must ~,e in n,,. FIRE CODE HAZARD cLAssEs (Complete ifroqmred by CUPA) 210 ~¢~lfh: ~. lq're: 0 HAZARDOUS MATERIAL [ 213 TYPE (Cheek one item only) Ua. PURE [~b. MIXTUR~ I--lc. WASTE 211 RADIOACTIVE [-lYe~ ~lNo 212 CURIES I 21~ PHYSICAL STATE ' 214 LARGEST CONTAINER ~ (Check one ~tem only) [] a. SOLID [~ b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216 (Clieck all that apply) [-] a. FIRE [] b. REACTIVE [] ¢. PRESSURE RELEASE ~ d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNTs 217 { MAXIMUM DAILY AMOUNT~. 218 ANNUAL WASTE AMOUNT J~,} ~1r , 219 [ STATE WASTE CODE~,~_ 220 22~ UNITS* . [~ a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS I DAYS ON SITE: 222 (Check one item only)' * If EHS~ mount must be in pounds. STORAGE CONTAn'~ER [] a. nO•YE GgOUN~ TA~ [] e. PLASTIC/~ONMETALLIC nrta4 [] i. FmEg DgUM [] m. GLASS BOTTLE [] q. RAm CA~ []~.UNDEI~GROUNDTANK []f. CAN [] j. BAG ~n. ~LAST~CBOTTLE [] £.OTHEg [] ¢. TANK INSIDE BU1LD1NG [] g. CARBOY [] k. Box [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO · [] L CYLINDER [] p. TANK WAGON 223 STORAGE PRESSURE ~ a. AMBIENT [] b. ABOVE AMBIENT [] ¢. BELOW AMBIENT 224 STORAGE TEMPERATURE l~] a. AMBIENT [] b. ABOVE AMBIENT [] ¢. BELOW AMBIENT [] d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 3 - 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 244 ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA~ Please Sign Here UPCF (1/99) 6 •ES Form 2731 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS . HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION lone pa~e per material ~'z b~ildi.~ or area1 I. -FACILITY INFORMATION BUSINESS.NAME (Sarhe'as'FACILITY NAME or DBA'- Doing Business As), c ~-.~_ ~, '-~ .... ,~..~. ~ . ! 3 CHEMICAL LOCATION.~ '~..... - ~ _ . ,, . . .~o~,~', CHEMICAL LOCATION CONFIDENTIAL EPCRA 2o2 ~ .II. CItEMICAL INFORMATION CHEMICAL NAME 2o5 TRADE SECRET [] Yes [~ No lo~ COMMON NA~E ' ~o? ~o~ CAS# '~ 20~ Z ~ ~0 ~ ~ ~ '--~ ~ .'~ *If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete ifrequi~ed by CUPA) 230 I~_ZARDOUS MATERIAL [ 2~3 TYPE (Check one item only) I--la. PURE ~b. MIXTURE F'Ic. WASTE 211 RADIOACTIVE I-lYes "~No 212 CUR~ES ~sicAL STA~ 21~ ~C~e~kon~i~monly~ [] ~ SOLm ~b. LI~D [] c. GAS :14 LA~GESTCO~AI~ o I 2~% ~O- ~ FED HAZARD CATEGORIES 216 (Check all that apply) [] a~ FIRE [] b. REACTIVE [--I c. PRESSURE RELEASE ~ d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 I MAXIMUM DAILY AMOUNT 218 I ANNUAL WASTE AMOUNT 219 I STATE WASTE CODE 220 22~ DAYS ON SITE: 222 UNITS* [~a. GALLONS I-Ih. CUBICFEET [] c. POUNDS I-Id. TONS STORAGE CONTAINER [] a. ABOVE GROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] 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 [] L CYLINDER [] p. TANK WAGON 223 STORAGE PRESSURE [~ a. AMBIENT ' [] ,b. ABOVEAMBIENT [] 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 # 2 ~o =~ []Yes []No =~ =~ 3 234 235 [] Yes [] No 2~6 2]7 4 238 239 [] Yes [] No 24o 241 5 242 243 [] Yes [] No 244 245 ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA~ Please Sign Here UPCF (1/99) 6 OES Form 2731 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS . HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION Ion~ ~ ~ m~ i~ ' ,~ ,i.~ I~]ADD [-[DELETE ~IREVISE, ~ 2o0 I Page__o£ I. FACILITY INFORMATION -'BUSINESs'i/' ', NAME,.~ .(Same- as FACILITY NAME or DBA - .Doing Business As)~-.~, sL~'~.~':: ' ' ~e-~ ' c~-j,..~}r~ ~~ '' · CHEMICAL:LOCATION ,, ' ' ' -* ':~ 3; ~.~J ;, 201 I (~IEMICAL LOCATION CONFIDENTIAL EPCRA . ,~ ': ~- . [] YES [:~CNO · ~ IL CHEMICAL INFORMATION COMMON N~E / I ' 207 2~ CAS~ ' --v '~[ -- O~ --~ *If EHS is "Yes", all ~o~ts below must be in lbs. FI~ CODE HA~ CLASSES (Compile if re.ed by C~A) 210 ~OUS ~ . , J 213 ~E(Checkon~itemon~) Da.P~b.~ ~c. WAS~ 211 ~IOA~ ~Yes ~No 212 CU~S I P~SIC~ STATE 215 (Check one item o~y) ~ a. SOL~ ~b. LIQ~D ~ c. GAS 214 ~GESTCOm~R , j~ FED ~A~ CA~GO~S 216 (~eekaH~tapply) ~ a. ~ ~b. ~A~ ~ e.P~SS~LEASE ~d..AC~ALTH ~ e. C~o~cHEALTH A~GE D~LY ~MO~ 217 ~ ~ DMLY ~O~ 218 J ~ WASTE ~O~ 219 [ STATE WASTE CODE 220 ~1 DAYS ON SITE: 2~ ~ITS' ~ a. G~LONS ~ b. C~IC FEET' ~ c. PO~S · ~ d. TONS (Check one it~ offi~) * IfEHS, am0~t must be M ponds. STOOGE CO~ER ~ a. ~OZ GRO~ TANK ~ e. PLASTICmO~TALLIC DR~ ~ i. FreER DR~ ~ m. GLASS BO~LE ~ q. ~CAR ~ b. ~ERGRO~ TA~ ~ f. C~ ~ j. BAG ~ n. PLASTIC BO~LE ~ r. O~R ~ e. T~ ~S~E B~LD~G ~ g. CA~OY ~ k. BOX ~ o. TOTE B~ ~ d. STEEL DRUM - ~ h. S~O ~ L ~DER ~ p. T~ WAGON STOOGE P~SS~ ~ m A~IE~ , ~ b. ABO~ ~ ~ e. BELOW ~I~ ' STOOGE ~E~ ~a. ~IE~ ~ b. '~O~ ~I~ ~ c. BELOW ~IE~ ~ d. CRYOGE~C %~ ~OUS CO~ONENT (For ~x~e or w~te oMy) EHS CAS ~ ~ ~ ~s ~Yes~No ~s 4 ~s ~9 ~ Yes D No 2~ 241 5 242 243 ~ Y~S ~ NO 2~ 245 If more h~nr~ou~ eompon~n~ ~re pr~ent at ~eJter th~n 1% by weight if non~nreinogeni~ or 0.1% by wei~t if enreinogeni~ J.aeh ~ddifional shee~ of paper e~p~fing the required informJtion. ADDITIONAL LOCALLY COLLECTED ~FO~ATION If EPC~, Please Si~n Here ~CF'(1/99) 6. OES Fo~ 273i UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION · .... ~--IADD r-[DELETE .t? [r-]REViSE 200 I , !~e,~_ of__ I, FACILITY INFORMATION · t } BUSINESS,, NAME (Same as FACILITY NAME or DBA - Doing Business~ ':'As)':.~ ~,)V')C~ )' :' ' j~rbt~,>~ ~'~-~'7'/~ '.,, - '- ;.~ ,;CHEMICAL LOCATION : ' ' "if -.':;- -~: ~J 201 ]~IEMICAL LOCATION CONFIDENTIAL EPCRA ,-~202 II. CItEMICAL INFORMATION CHEMICAL NAME~J't~----O..C'J'l 205 TRADE SECRET [] Yes )~j~J No 206 Ca- H1 t. p2_- 12. Co~- - I'~ IZ~.-q¢~;~l,~r Po.r! lq COMMON NAME ' 2o? CAS# 209 LI ~ g - ~O" ~' *If EHS is "Yes", all mounts below must be in lbs. FIRE CODE HAZARD CLASSES (Compile ifr~quired by CUPA) 210 HAZARDOUS MATERIAL TYPE (Check one item only) Da. PURE ~]b. MIXTURE I--lc. WASTE 211 RADIOACTIVE I-lYes [~]No 212 CURIES PHYSICAL STATE 215 (Check one item only) [-I a. SOLID [~ b. LIQUID [] c. GAS 214 LARGEST CONTAINER FED HAZARD CATEGORIES "J'- ' 216 (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH UNITS* '~a. DALLONS []b. CUBICFEET [] c. POLrNDS r'ld. TONS (Check one item onl~l * If EHS, mount must he in pounds. STORAGE CONTAINER []a, ABOVE GROUNDTANK []¢.PLASTI~N'ON~ALLICDR~ [] i. FIBERDRUM []m. GLASSBOTI'LE [] q. RAILCAR [] b. UNDERGROLrND TANK [] f. CAN [] j. BAG ~ n. PLASTIC BOTFLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 22~ 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 # I io_Zo ~ J~e_,rrio ammt:~iu, rv~ V~OTR ~' nYe, l~No 3 234 235 [] Yes [] No 236 237 4 238 239 [] Yes [] No 240 241 5 242 243 [] Yes [] No 24~ 245 If more hazardous eomponents are present at greater than 1% by weight if non-careinogeni¢, or 0.1% by weight if eareinogenie, ~ltach additional sheets of paper ¢apturlng the required informa6on. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA~ Please Sign Here UPCF (1/99) 6 OES Form 2731 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION [-]ADD [-]DELETE ",¢ i-]REVISE 200 I " : Page__of__ I. FACILITY INFORMATION ' ~" ] ':'/:'':: ;:; ~' ' ~ 20i CI-~MICAL LOCATION CONFIDENTIAL EPCRA 202 II. CltEMICAL INFORMATION CHEMICAL NAME ~o~ TRADE SECRET [] Yes m No 2o~ COMMON NAME ~ 207 208 CAS# ~1 P '~ '~ ~ i ~ - ~ *If EHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Compl~ta if required by CUPA) 210 HAZARDOUS MATERIAL J 213 TYPE (Check one item only) f"l a. PURE ~b. MIXTURE [] c. WASTE · 211 RADIOACTIVE [] Yes ~ No 212I CURIES 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 I STATE WASTE CODE 220 (Check one item onl},) * If EHS, amount must be in pounds. STORAGE CONTAINER [] a. ABOVE GROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [~ n. PLASTIC BOq-FLE [] r. OTHER [] c. T,~NK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN []d. STEELDRUM ' []h. SILO [] 1. CYLINDER f-lp. TANg. 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 # ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Sign Here UPCF 0/99) 6 OCS Form 2731 LONGS'DRUG STORES # ' SiteID: 215-000-000987 / / Manager : ~/ BusPhone: (805) 326-1200 Location: 4300, CALIFORNIA AVE Map : 102 CommHaz : Low City : BAKERSFIELD Grid: 35A FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 03 SIC Code:5912 EPA Numb: DunnBrad:00-691-0004 Emergency Contact / Title ~ Emergency Contact' / Title PHIL BELHIIMEUR~6~/' ~/ STORE MANAGER ~R~--~ ~6~ / ASSITANT MGR Business Phone: ~4~_) 326-1200x Business Phone: (~) ,326-1200x 24-Hour Phone : ~ 397-0771x 24-Hour Phone : (805)~ Pager Phone : i~&[i - x Pager Phone : (~[) ~~~0x Hazmat Hazards: Res Fire Press ,React ImmHlth DelHlth Contact : Phone: ~Q~) 326-1200x MailAddr: 4300 CALIFORNIA AVE State: CA City :, BAKERSFIELD Zip : 93309 Owner LONGS DRUG STORES CA INC Phone: (925) 937-1176x Address : 141 N CIVIC DR State: CA City : WALNUT CREEK ,Zip : 94596 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: Yes Emergency Directives: ~ Hazmat Inventory One Unified List --As Designated Order Ail Materials at Site Hazmat Common Name... JSpooHazIEPA HazardsI Frm I DailyMax IUnitlMCP INSECTICIDES ,' F IH L 400 00 GAL, HERBICIDES F IH S 1200 00 LBS PESTICIDES F IH S 400 00 LBS BLEACH ~ R IH L 2000 00 GAL Hi SODIUM HYPOCHLORITE F R IH L 55 00 GAL Hi AMMONIA SOLUTION F R IH L 500 00 GAL Mod POOL ACIDS R IH S 1500 00 LBS Hi MOTOR OIL F DH L 500 00 GAL Min AUTO ENGINE ADDITIVES F P R IH L 100 00 GAL Hi ANTIFREEZE F IH L 400 00 GAL Low CAMPING FUEL F P IH L 200 00 GAL Low FERTILIZER F R IH S 12000 00 LBS DEVELOPER L 6 00 GAL Low R IH L 4 00 GAL Hi DEVELOPER PART A ~ DEVELOPER PART B F R IH L 4 00 GAL Low 1 ~ 06/09/2000 F LONGS DRUG STORES~#200 SiteID: 215-000-000987 ~ = Hazmat Inventory One Unified List ~ -- As Designated Order All Materials at Site ~ Hazmat Common Name... ISpecHazlEPA Hazards Frm DailyMax Unit MCP DEVELOPER pART, C R IH L 4.00 GAL Mod FIXER ~PART A R IH L 20.00 GAL Hi FIXER PART B R IH L 20.00 GAL Low DEVELOPER L 5.00 GAL ,Low DEVELOPER PART B F R IH L 5.00 GAL Low DEVELOPER PART B F R_IH L 5 00 GAL Low DEVELOPER PART C R IH L 5 00 GAL Mod PHOTOGRAPHIC BLEACH IH L 5 00 GAL Low PHOTOGRAPHIC BLEACH IH L 20 00 GAL Low PHOTOGRAPHIC STABILIZER IH L 1 00 GAL Min HELIUM F P IH G ~732 00 FT3 Min WASTE FIXER R L 5 00 GAL Min I, ~H-Ici t)' ~:)%::l~'k)~t~J~.Do hereby certify that I have ~y~ or print n~e) reviewed ~he aEached h~ardous mmeHals manage- ment plan for ~o~ ~o and thru i~ along wi~h (Name of Bus~,e~) any corrections constitute a complete and corre~ man- agemen~ plan for my faCili~. ,~te~ -2- 06/09/2000 LONGS DRuG STORES' #200 SiteID: 215-000-000987 ~ Inventory Item 0001 Facility Unit: Fixed Contai~ners on Site -- COMMON NAME / CHEMICAL NAME INSECTICIDES Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLOOR/WAREHOUSE SALES FLOOR/WAREHOUSE CAS# r STATE -- TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Pure Ambient I Ambient GLASS CONTAINER AMoUNTs AT THIS LOCATION Av~ I Largest c°ntainer I, GAL Daily Maximum400.00 GAL Daily 200.00 GAL , HAZARDOUS COMPONENTS 100.00 Insecticides N HAZARD ASSESSMENTS 'TSecret' RS'BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP IINo NoI No No/ Curies F IH. / / / ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME HERBICIDES Days On Site 365 Location within this Facility Unit. Map.: Grid: SALES FLOOR/WAREHOUSE SALES FLOOR/WAREHOUSE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid [ Pure [ Ambient I Ambient GLASS CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average ~ ~ LBS 1200.00 LBS' 600.00 LBS HAZARDOUS COMPONENTS 1%waI oRS CAS# 100.~0 Herbicides N 0 HAZARD ASSESSMENTS I ITSecretNo NoRS BioHazNo Radioactive/AmountNo/ ~ Curies EPAF Hazards NFPA I USDOT# MCPIH / / / -3- 06/09/2000 LONGS DRUG STORES #200 SiteID: 215-000-000987 ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME PESTICIDES Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLOOR/WAREHOUSE SALES FLOOR/WAREHOUSE CAS# STATE -- TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Solid Pure Ambient Ambient GLASS CONTAINER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average ~-~LBSI 400.00 LBS 200.00 LBS HAZARDOUS COMPONENTS I %Wt.' ~S CAS# 100.00 Pesticides N 0 HAZARD ASSESSMENTS ] TSecret I RS IBiOHazNo No No Radi°active/Am°untNo/ Curies EPA HazardsF IH NFPA/// I USDOT# MCP ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME BLEACH Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLOOR/WAREHOUSE CAS# r STATE ~ TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid /Pure I Ambient I Ambient I PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average I GAL. 2 oo.oo GAL HAZARDOUS COMPONENTS '%Wt. ~S CAS# 100.00 Bleach N 7681529 HAZARD ASSESSMENTS TSecret" RsIBioHaz' Radioactive/Amount' EPA Hazards' NFPA USDOT# MCP NoIIIIIN° No No/ Curies R IH / / / Hi -4- 06/09/2000 LONGS DRUG STORES #200 SiteID: 215-000-000987 9 = Inventory Item 0005 Facility Unit: Fixed Containers on Site ~ -- COMMON NAME / CHEMICAL NAME SODIUM HYPOCHLORITE Days on Site .365 Location within this Facility Unit Map: Grid: SALES FLOOR/WAREHOUSE CAS# 7681529  STATE TYPE PRESSURE i TEMPERATURE CONTAINER TYPE -- Liquid I Pure Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum ~. Daily Average GALI 55.00 GAL 45.00 GAL HAZARDOUS COMPONENTS %Wt. . ~_. 100.00 Sodium Hypochlorlte N 7681529 HAZARD ASSESSMENTS TSecret' RS'BioHazl Radioactive/Amount EPA Hazards NFPA USDOT# MCP No~IN°I IN° . No/ Curies F R IH / /. / Hi ---- Inventory Item 0006 Facility Unit: Fixed Containers on Site ---- COMMON NAME / CHEMICAL NAM'E AMMONIA SOLUTION Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLOOR/WAREHOUSE CAS% 1336216 F STATE --U- TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid /Mixture Ambient I Ambient I· PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum. I Daily Average  . GAL 500.00 GAL 100.00 GAL %Wt. S CAS# 30.00 Ammonia Solution, Conc. Less Than 20% N 1336216 HAZARD ASSESSMENTS TSecretl I Radioactive/Amount IRS BioHaz EPA Hazards I NFPA USDOT# MCP No No No No/ Curies F R IH / / / -Mod -5- 06/09/2000 LONGS DRUG STORES #200 SiteID: 215-000-000987 ~ Inventory Item 0007 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME POOL ACIDS Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLOOR/WAREHOUSE CAS# F STATE ~ TYPE PRESSURE ITEMPERATURE I CONTAINER TYPE Solid /Pure Ambient ~Ambient PLASTIC CONTAINER ~ AMOUNTS AT THIS~LOCATION Largest Container I~ Daily Maximum Daily Average ~ LBS · 1500.00 LBS 900.00 LBS ! HAZARDOUS COMPONENTS %Wt. ~1 RS CAS# .100.001Muriatic ACid Yes 7647010 HAZARD ASSESSMENTS ITSecret' RS'BioHazI Radioactive/Amount EPA Hazards NFPA USDOT# MCP IINo NoliN° No/ Curies R IH / / / Hi ~ Inventory Item 0009 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME MOTOR OIL Days On Site 365 Location within.this Facility Unit Map: Grid: SALES FLOOR/WAREHOUSE CAS~ STATE TYPE PRESSURE --~ TEMPERATURE' CONTAINER TYPE --~--Pure Liquid Ambient Ambient BOx AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 500.00 3o9.00 HAZARDOUS COMPONENTS %Wt. S CAS# 100.00 Motor Oil, Petroleum Based N 8020835 HAZARD AS S ESSMENTS TSecretl RSIBioHaz Radioactive/Amount I EPA HazardsI NFPA USDOT#I MCP No No No No/ Curies F DH / / / Min -6- 06/09/2000 F·LONGS DRUG STORES #200 ~SiteID: 21~-000-000987 ~ Inventory Item 0010 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME AUTO ENGINE ADDITIVES Days On Site 365. Location within this Facility Unit Map: Grid: SALES FLOOR/WAREHOUSE CAS# rSTATE ~ TYPE PRESSURE --~ TEMPERATURE CONTAINER TYPE Liquid ~Mixture· Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Container I Daily Maximum Daily Average Largest ~/~ GAL 100.00 GAL 30.00 GAL %Wt. I RS CAS# 60.00 Methyl~Alcohol No' . 67561 20.00 Methyl Ethyl Ketone No~ 78933 20.00 Ethylene Glycol . No 107211 HAZARD ASSESSMENTS I ITsecretl RSIBiOHaz-NO No No Radioactive/Amount No/ Curies EPA HazardsF P R IH NFPA/// I USDOT# MCPHi ~ Inventory Item 0011 Facility ·Unit: Fixed Containers on Site ~ -- COMMON NAME / CHEMICAL NAME I ANTIFREEZE Days On Site 365 Location within this Facility Unit Map: Grid: ' I Pure Ambient Ambient PLASTIC CONTAINER Liquid AMoUNTs AT THIS LOCATION Largest C°ntain-DrGAL~ II Daily Maximum400.00 GAL Daily Averagel00.00 GAL HAZARDOUS COMPONENTS· I I io S 100.00. EthYlene Glycol - N 107211 HAZARD ASSESSMENTS I TSecretl RslBioHazl Radioactive~Amount' EPA Hazards NFPA I USDOT# MCP · No No No No/ Curies F IH / / / Low 7 06/09/2000 LONGS DRUG STORES #200 SiteID: 215-000-000987 ~ Inventory Item 0012' Facility Unit: Fixed C6ntainers on Site -- COMMON NAME / CHEMICAL NAME CAMPING FUEL -~. Days On site 365 Location within this Facility Unit Map: Grid: SALES FLOOR/WAREHOUSE CAS# ~ STATE -- TYPE PRESSURE, TEMPERATURE .~ CONTAINER TYPE Liquid Pure Ambient I Ambient I METAL CONTAINR- NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 200.00 GAL 50.00 GAL HAZARDOUS COMPONENTS 100.00 Kerosene 70892103 HAZARD ASSESSMENTS ITSecretI RSIBioHazI Radioactive/Amount EPA Hazards I NFPA USDOT# I MCP No No No No/ Curies F P IH / / / Low ~ Inventory Item 0013 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME FERTiLiZER.· Days On Site 365 Location within~this Facility Unit Map: Grid: SALES FLOOR/WAREHOUSE CAS# ~ STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE I Solid Pure Ambient Ambient BAG~ AMOUNTS AT TH~S LOCATION ~ Largest Container I Daily Maximum Daily Average ~O LBSI 12000.00 LBS 2000.00 LBS · HAZARDOUS COMPONENTS RS" CAS# %Wt. HAZARD ASSESSMENTS TSecretINo NoRSIBi°HaZNo Radioactive/Amount No/ Curies EPAF Hazards·R IH NFPA/// I USDOT# I MCP -8- 06/09/2000 LONGS DRUG STORES #200 SiteID: 215-000-000987 = Inventory Item 0014 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME DEVELOPER ' Days On Site CP-40 FA II PI-SS DEVELOPER STARTER (POTASSIUM CARBONATE) 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCTSTORAGE CAS# Liquid Mixture Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 0.15 GALI 6.00 GAL 6.00 GAL HAZARDOUS COMPONENTS %Wt . t RS CAS # 10.00 Potassium Carbonate ' N° 584087 7.00 Sodium Bicarbonate INo I 144558 5.00 Potassium Chloride No 7447407 HAZARD ASSESSMENTS I TSoorotl RslBioHaz Radioactive/Amount EPA Hazards NFPA I USDOT# MOP No No No NO/ Curies / ~/ / Low = Inventory Item 0015 Facility Unit: Fixed Containers on Site COMMON NAME / CHEMICAL NAME DEVELOPER PART A J' Days On Site CP-40 FA II P-1 RS DEVELOPER REPLENISHER (TRIETHANOLAMINE) 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT ·STORAGE CAS# 102-71-6 FSTATE ~ TYPE PREssURE TEMPERATURE CONTAINER TYPE I Ambient I Ambient pLAsTIC CONTAINER Liquid /Mixture AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 0 15 GAL 4.00 GAL ] 4.00 GAL HAZARDOUS COMPONENTS 10.00 Triethanolamine N 102716 7.00 Hydroxylamine INo I 7803498 , 5.00 Acetic Acid, Pure No 64197 HAZARD ASSESSMENTS TSecret, RS,Bi°Has Radi°active/Am°unt, EPA HazardsINO' ' ' 'No No No/ Curies R IH NFPA/// USDOT# MCPHi '9- 06/09/2000 LONGS DRUG STORES #200 EEEEEEEEEEEEEEEEEEEEEEEEEEEEEE SitelD: 215-000-000987 /6 Inventory Item 0016 ~~~ Facility Unit: Fixed Containers on Site iEE COMMON NAME / CHEMICAL NAME DEVELOPER PART B o Days On Site o CP-40 FA II P1-R DEVELOPER REPLENISHER (P-PHENYLENEDIAMINE) o 365 Location within this Facility Unit Map: Grid: fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi ~ PHOTO LAB PRODUCT STORAGE o CAS# o o 25646_71_3° i~ STATE ~i~ TYPE ~i~ PRESSURE ~i TEMPERATURE ~ CONTAINER TYPE Liquid o Mixture o Ambient o Ambient o PLASTIC CONTAINER o i~~~~i AMOUNTS AT THIS LOCATION Largest Container o Daily Maximum o Daily Average o 0.15GAL o 4.00 GAL o 4.00 GAL o i~5~5i~~ HAZARDOUS COMPONENTS %Wt. o °RS° CAS# o 18.000p_Phenylenediamine ONo o 106503° 1.00°Sodium Sulfite ONo o ~ 7757837° i~6~i~i~i~~ HAZARD ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o No ONoONo o No/ Curies°F RIH o /// o OLowO Inventory Item 0017 EE~EEEEE~EEEEEE Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME DEVELOPER PART C o Days On Site o CP-40 FA II P1-R DEVELOPER (POTASSIUM CARBONATE) o 365 o Location within this Facility .Unit Map: Grid: PHOTO LAB PRODUCT STORAGE. o CAS// o o 111_30_8° i~ STATE ~i~ TYpE ~i~ PRESSURE ~i TEMPERATURE ~i~ CONTAINER TYPE. Liquid o Mixture O.Ambient o Ambient o PLASTIC CONTAINER o i~~~6~i AMOUNTS AT THIS LOCATION Largest Container o Daily Maximum o Daily Average o 0.15GAL o 4.00 GAL o 4.00 GAL ~o i~i~~ HAZARDOUS COMPONENTS %Wt. o °RS0 CAS// o 41.00°Potassium Carbonate ONo o 584087° 7.00°Potassium Hydroxide ONo o 1310583° 7.00°CARBOXYLIC ACID/ALKANOLAMINE REACTION PRODUCTS ONo o ifi~i~i~i~~ HAZARD ASSESSMENTS oTSecret° RS°BioHaz° Radioactive/Amount ° EPA Hazards o NFPA ° USDOT# 0 MCP ° No ONoONo o No/ Curies° RIH o /j/ o .OModO -10- 06/09/2000 i LONGS DRUG STORES//200 ~~~~~ SiteID: 215-000-000987 i ~ Inventory Item 0018 ~~~ Facility Unit: Fixed Containers on Site i i~ COMMON NAME / CHEMICAL NAME o FIXER PART A o Days On Site o o CP-40 FA II P2 R BLEACH (AMMONIUM TIOSULFATE) o 365 o o Location within this Facility Unit Map: Grid: o PHOTO LAB PRODUCT STORAGE o CAS// o o o 7783_18_8© ~ STATE ~i~ TYPE ~ PRESSURE ~i TEMPERATURE ~]~ CONTAINER TYPE ~i o Liquid o Mixture o Ambient o Ambient o PLASTIC CONTAINER o i~~~~i AMOUNTS AT THIS LOCATION o Largest Container o Daily Maximum o Daily Average o o 0.25 GAL o 20.00 GAL o 20.00 GAL o i~i~~ HAZARDOUS COMPONENTS ~~i~i~~~i o .%Wt. o o RS© CAS// o 0 33.00OAmmonium Thiosulfate ONo o 7783188© o 20.00OAmmonium Sulfite ONo o 10196202© .o 7.00°Acetic Acid, Pure ONo o 64197© o 7.00°Ammonium Nitrate °No © 6484522© i~~~5~~ HAZARD ASSESSMENTS °TSecret° RS°BioHaz© Radioactive/Amount o EPA Hazards o NFPA o USDOT//o MCP o o No 0No©No o No/ Curies° RIH o /// o OHio -11- 06/09/2000 LONGS DRUG STORES #200 ~~~~~ SiteID: 215-000-000987 i~ Inventory Item 0019 ~~~ Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME ~~~~~i~~~i FIXER PART B o Days On Site o CP-40 FA II P2-R BLEACH (FERRIC AMMONIUM EDTA) ° 365 ° Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE o CAS# o o 10043-01-3 o ie STATE e]e TYPE e~eiaa PRESSURE ~i TEMPERATURE ~ai~aa~ CONTAINER TYPE ~i Liquid o Mixture o Ambient o Ambient o PLASTIC CONTAINER o Largest Container o Daily Maximum o Daily Average o 0.25 GAL o 20.00 GAL 0 20.00 GAL' o ~~~ HAZARDOUS COMPONENTS o %Wt. o oRSo CAS# o 27.00OFerric Ammonium EDTA ONo o 0o 17.00OAmmonium Bromide ONo o 12124979° 3.00°Nitric Acid (EPA) ONo o 7697372° i~5~i~i~i~~ HAZARD ASSESSMENTS ~ie~~i~6~i~i °TSecret° RS°BioHaz0 Radioactive/Amount o EPA Hazards o NFPA ° USDOT# o MCP o No °Yes°No o No/ Curies° RIH o /// o OLowO - 12- 06/09/2000 · LONGS DRUG STORES//200 E~~~~~ SitelD: 215-000-000987 i i~ Inventory Item 0020 ~~~ Facility Unit: Fixed Containers on Site i i~ COMMON NAME / CHEMICAL NAME DEVELOPER ° Days On Site o CN-16Q NQI-S DEVELOPER STARTER (POTASSIUM CARBONATE) o 365 ,o Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE o CAS// o o 584_'08_7° i~ STATE ~i~ TYPE ~8~i~ PRESSURE ~i TEMPERATURE ~i~8 CONTAINER TYPE Liquid o MixtUre o Ambient o Ambient o PLASTIC CONTAINER o i~~E~~i AMOUNTS AT THIS LOCATION Largest Container o Daily Maximum o Daily-Average o 0.08 GAL o 5.00 GAL o 5.00 GAL o o %Wt. o oRSo CAS# o o 18.00opotassium Carbonate ONo o 584087° o 7.00°Sodium Bicarbonate ONo o 144558° o 3.00°Potassium Bromide °No.° 7758023 o o 3.00°Sodium Bisulfite ONo o 7631905° ~ 3.00°Potassium Hydroxide ONo o 1310583° oTSecreto RSOBioHaz° Radioactive/Amount ° EPA Hazards o NFPA' o USDOT# o MCP o o No ONoONo o No/ Curies° o /// o OLowO - 13- 06/09/2000 LONGS DRUG STORES//200 ~E~~~E~ SiteID: 215-000-000987 i~ Inventory Item 0021 ~~~ Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME DEVELOPER PART B o Days On Site o CN-16Q NQi-RS DEVELOPER PART A (POTASSIUM CARBONATE) o 365 Location within this Facility Unit Map: ~ Grid: PHOTO LAB PRODUCT STORAGE o CAS# ° . o .~ 74_19_7° ~ STATE ~ TYPE ~ PRESSURE ~i TEMPERATURE ~i~ CONTAINER TYPE Liquid o. Mixture o Ambient o Ambient o PLASTIC CONTAINER o i~~~~i AMOUNTS AT THIS LOCATION Largest Container o Daily Maximum o Daily Average o 0.13GAL o 5.00 GAL o 5.00 GAL o i~i~~ HAZARDOUS COMPONENTS ~~i~i~~~i o %Wt. o oRSo CAS# o o 33.00opotassium Carbonate ONo 0 584087° o 3.00oSodium Sulfite ONo o 7757837° o 1.00°CARBOXYLIC ACID/ALKANOLAMINE REACTION PRODUCTS ONo o iE~E~6EEiE~EiEE~EEEiEEEEEEEEEEE HAZARD ASSESSMENTS oTSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o o No ONoONo o No/ Curies°F RIH o /// o OLowO · -14- 06/09/2000 LONGS DRUG STORES #200 ~~~fi~fi~ SiteID: 215-000-000987 i~ Invento~ Item 0022 ~g~~ Facility Unit: Fixed Containers on Site i i~~ COMMON NAME / CHEMICAL NAME DEVELOPER PART B o Days On Site .o CN-16Q NQI-RS DEVELOPER (HYDROXYLAMINE SULFATE) o 365 Location wi~in this Facility U~t Map: Grid: PHOTO LAB PRODUCT STOOGE o CAS~ o 74_19_7© iE STATE cie TYPE eeeiee P~SSURE EEEi TEMPE~TURE eeieeee CONTAINER TYPE Liquid o Mixture o Ambient o Ambient o PLASTIC CONTAINER - Largest Container o Daily Maximum o Daily Average o 0.06 GAL o 5.00 GAL o 5.00 GAL o %Wt. o o RS© CAS~ o 5.00°Hydroxylamine Sulfate ONo o 10039540© 5.00°Phosphoric Acid ONo o 7664382~ 3.00°Potassium Hydroxide ONo o 1310583© 3.00oCA~OXYLiC ACID/AL~NOLAMINE REACTION PRODUCTS ONo o i~i~i~i~5~ HAZARD ASSESSMENTS °TSecret© RS°BioHaz© Radioactive/Amount o EPA Hazards o NFPA o USDOT~ No ONoONo o No/ Curies°F RIH o /// o OLowO Inventory Item 0023 5~~5~ Facility Unk: Fixed Containers on Site i¢~ COMMON NAME / CHEMICAL NAME DEVELOPER PART C ° Days On Site o CN-16Q NQI RS DEVELOPER (P PHENYLENEDIAMINE) o 365 o Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE o CAS# o o 28020_34_0© STATE 5i~ TYPE 55~i~ PRESSURE 555i TEMPERATURE 5~i~ CONTAINER TYPE Liquid o Mixture o Ambient o Ambient o PLASTIC CONTAINER o iS~~~a~5~i AMOUNTS AT THIS LOCATION Largest Container~ o Daily Maximum o Daily Average o 0.06GAL o 5.00 GAL o 5.00 GAL o i~i~~ HAZARDOUS COMPONENTS %Wt. o o RS© CAS# o 16.00op_Phenylenediamine ONo o 106503 o 1.00°Sodium Sulfite ~- ONo o 7757837© i~ia~i~i~~ HAZARD ASSESSMENTS ~i~56~i6~fi6~i~fi~5~i °TSecret° RS°BioHaz© Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o No ONoONo o No/ Curies° RIH o /// o OModO -15- 06/09/2000 LONGS DRUGSTORES #200 ~~g~~~ SitelD: 215-000-000987 i~ Invento~ Item 0024 ~~~ Facility U~t: Fixed Containers on Site i i~ COMMON NAME / CHEMICAL NAME ~~~~~i~~~i PHOTOG~PHIC BLEACH o Days On Site o CN-16Q NQ2 RS BLEACH (AMMONIUM BROMIDE) o 365 Location within ~is Facility U~t Map: Grid: PHOTO LAB PRODUCT STOOGE o CAS~ o o 12124_97_9°. i~ STATE ~i~ TYPE ~i~ PRESSURE ~i TEMPE~TURE ~i~ CONTAINER TYPE Liquid o Mixture o Ambient o Ambient o PLASTIC CONTAINER o i~~~~i AMOUNTS AT THIS LOCATION Largest Container o Daily Maximum o Daily Average 0.09 GAL o 5.00 GAL o 5.00 GAL o i~i~~ HAZARDOUS COMPONENTS %Wt. o o RSo CAS~ o 30.00OA~onium Bromide ONo o 12124979° 10.00ODisodim EDTA ONo o 139333° i~E~i~i~ig~~ HAZA~ ASSESSMENTS °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT~ o MCP No ONoONo o No/ Curies° IH o /// o OLowO Inventory Item 0025 EEEEEE~EEEEEEEE Facility Unit: Fixed Containers on Site iEE COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC BLEACH ~ o Days On Site o CN-16Q NQ3 RS BLEACH (AMMONIUM THIOSULFATE) o 365 o Location within this Facility Unit . Map: Grid: PHOTO LAB PRODUCT STORAGE o CAS# ° o 12124_97_9° STATE ~i~ TYPE ~i~a PRESSURE ~i TEMPERATURE ~]~ CONTAINER TYPE Liquid o Mixture o Ambient o Ambient o PLASTIC CONTAINER o i~~~~i AMOUNTS AT THIS LOCATION Largest Container o Daily Maximum o Daily Average o 0.50 GAL o 20.00 GAL o 20.00 GAL o 18E~EEEiE~EEE~5 HAZARDOUS COMPONENTS %Wt. o o RSo CAS# o 49.00OAmmonium Thiosulfate ONo o 7783188° 3.00°Sodium Sulfite ONo o 7757837° 3.00°Sodium Bisulfite ONo o 7631905° i~i~i~i~8~E~ HAZARD ASSESSMENTS ~i~~i~~i~i °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o No ONoONo o No/ Curies° IH o /// o OLowO -16- 06/09/2000 LONGS DRUG STORES//200 ~~~~~ SitelD: 215-000-000987 i~ Inventory Item 0026 ~~~ Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC STABILIZER o Days On Site o CN-16Q NQ4 RS SAFER STABILIZER (1,2,4 TRIAZOLE) o 365 o Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE o CAS# o o o i¢ STATE ~i~ TYPE ~i~ PRESSURE eeei TEMPERATURE eeieeee CONTAINER TYPE Liquid© Mixture o Ambient o Ambient~ o PLASTIC CONTAINER o Largest Container o Daily Maximum o Daily Average o 0.05 GAL o 1.00 GAL o 1.00 GAL © i~i~fi~~ HAZARDOUS COMPONENTS· %Wt. o o RS© CAS# o 15.00o 1,2,4_Triazole ONo o 288880© i~i~i~i~~ HAZARD ASSESSMENTS °TSecret° RS°BioHaz© Radioactive/Amount o EPA. Hazards o NFPA o USDOT# o MCP o No ONoONo o No/ Curies° IH o ///.° OMinO i~ Inventory Item 0027 ~~~ Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME HELIUM o Days On Site o o o 365 o Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT.STORAGE OR JANITORIAL AREA o CAS# .o 7440_59_7© i~ STATE ~i~ TYPE ~i~ PRESSURE ~i TEMPERATURE ~i~55 CONTAINER TYPE o Gas o Pure o Above Ambient o Ambient o PORT. PRESS. CYLINDER o i~~~~i AMOUNTS AT THIS LOCATION o Largest Container o Daily Maximum o Daily Average o o 244.00FT3 o 732.00 FT3 o 732.00 FT3 o o %Wt. o °RS° CAS# o o 100.00OHelium eno o 7440597© oTSecret© RS°BioHaz© Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o o No ONoONo o No/ Curies°FP IH o /// o OMinO · -17- 06/09/2000 LONGS DRUG STORES #200 ~~~~~ SiteID: 215-000-000987 i~ Inventory Item 0028 ~~~ Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME WASTE FIXER o Days On Site © SPENT PHOTOGRAPHIC FIXER o 365 ° Location within this Facility Unit Map: Grid: PHOTO DEPT o CAS# o o O ig STATE ~i~ TYPE ~i~ PRESSURE ~i TEMPERATURE ~i~ CONTAINER TYPE Liquid o Waste o Ambient o Ambient o PLASTIC CONTAINER o ~~~~i AMOUNTS AT THIS LOCATION Largest Container ° Daily Maximum o Daily Average o 5.00GAL o 5.00 GAL o 5.00 GAL o i~i~~ HAZARDOUS COMPONENTS %Wt. o o RS© CAS# o oSilver ~ ONo o 7440224© °TSecret© RS°BioHaz© Radioactix;e/Amount o EPA Hazards o NFPA o USDOT# o MCP o No ONoONo o No/ Curies° R o /// o OMin,O -18- 06/09/2000 LONGS DRUG STORES #200 i~ Notif./Evacuation/Medical i~ Agency Notification CALL 911' ° i~ Employee Notif./Evacuation ~~~~~ 09/22/1993 i ~. · MEMBER OF MANAGEMENT WILL BE INFORMED AND WILL CALMLY EVACUATE CUSTOMERS o AND CO-WORKERS TO NEAREST EXITS. 911 WILL BE DIALED IN EMERGENCY. MEMBER o MANAGEMENT WILL TAKE ATTENDENCE AT MEETING'AREA. PHARMACIST WILL BE ° NOTIFIED TO ADMINISTER FIRST AID. ALL EMPLOYEES WILL LISTEN AND RESPOND TO ° INSTRUCTIONS ON CALMLY EVACUATING THE BUILDING. ° O i~ Public Notif./Evacuation CUSTOMERS/VISITORS: APPROPRIATE SIGNS ARE POSTED IN PUBLIC AREAS AS o REQUIRED BY PROP. 65. ANY NECESSARY EVACUATION INSTRUCTIONS WILL BE GIVEN o OVER THE INSTORE SPEAKER SYSTEM INFORMING ALL CUSTOMERS AND VISITORS HOW ° TO SAFELY EVACUATE THE PREMISES IN THE EVENT OF AN EMERGENCY. ° NEIGHBORS: EVERY EMPLOYEE RECEIVES TRAINING ON HOW TO RESPOND AND CLEAN o UP A. CONSUMER PRODUCT SPILL. CONSUMER PRODUCT SPILLS DO NOT PRESENT A o HAZARDOUS SITUATION FOR OUR NEIGHBORS. NO SPECIAL NOTICES ARE NECESSARY TO © INFORM SURROUNDING NEIGHBORS AS ALL NEIGHBORS ARE AWARE OF THE NATURE OF o OUR BUSINESS. i~/~i~ Emergency Medical Plan MERCY HOSPITAL - 2215 TRUXTUN AVE - 327-3371 ° FAMILY MEDICAL - 4580 CALIFORNIA AVE - 327-4411 o FIRE STATION 3 - 3400 PALM ST. - 326-3963 o AMBULANCE - 1001 21ST ST o O -19- 06/09/2000 LONGS DRUG STORES #200/~fi~6/~/~5~6~5~/~/~/~/~ SiteID: 215-000-000987 i~ Mitigation/Prevent/Abatemt ~~~~~ Overall Site i~ Release prevention ~~~~~~~ 06/14/1.991 o KEEP CURRENT INVENTORY LIST AND UPDATE AS NEW PRODUCTS ARE INTRODUCED TO o THE PUBLIC. KEEP EMPLOYEES TRAINED IN CLEANING UP HAZARDOUS PRODUCT SPILLS. o KEEP FIRE EXTINGUISHERS WORKING. INFORM ALL EMPLOYEES OF MEETING PLACE IN o THE EVENT OF EVACUATION. KEEP CLEAN-UP SUPPLIES IN ORDER. o o i~ Release Containment ~~~~~~~~i .O O i~ Clean Up ~6~~66~~~~fi6~ 06/14/1991 o LARGE KIT FOR CLEAN UP IS KEPT IN RECEIVING BY THE EXIT DOOR USED FOR LARGE o SPILLS AND CONTAINMENT OF ANY SUCH SPILLS.' o o i~ Other Resource Activation o o -20- 06/09/2000 LONGS DRUG STORES//200 ~i~i5i~i5i5~i5i5i~i~i5~i~i5i5i5~i5i5i5i5~i5i5 SiteID: 215-000-000987 i i~ Site Emergency Factors ~~~~~~ Overall Site i~ Special Hazards O o i~ Utility Shut-Offs ~~~~~fi~~ 01/07/1990 o A) GAS - NONE B) ELECT~CAL - NORTHEAST CORNER OF BUILDING OUTSIDE o C) WATER - NORTH SIDE OF BUILDING CENTER D) SPECIAL - NONE E) LOCK BOX - NO O i~ Fire Protec./Avail. Water ~e~~~~e~ 01/07/1990 o P~VATE FIRE'PROTECTION - WE HAVE ovERHEAD FIRE SPRIN~ER SYSTEM THROUGHOUT STO~. FIRE EXTINGUISHER ARE ST~TEGICALLY LOCATED THROUGHOUT THE STORE. o o o o o O FIRE HYD~NT - FRONT OF THE STORE WEST SIDE ENT~NCE · o O i6~ Building Occupancy Level -21- 06/09/2000 i LONGS DRUG STORES #200 i~ Training ~~~~~~~~ Overall Site i~ Employee Training ~~~~~~~ 06/!4/1991 ° WE HAVE 36 EMPLOYEES AT THIS FACILITY ° o o o WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE ° o o ° ALL INFORMATION IS POSTED, REVIEWED PROCEDURES WITH EMPLOYEES AT MONTHLY ° ° MEETINGS. ALL NEW EMPLOYEES ARE TRAINED ON DANGERS OF MATERIALS AND ° ° EVACUATION PROCEDURES. DEPARTMENT MANAGER HAS BEEN ASSIGNED TO OVERSEE AND ° o UPKEEP CHEMICAL SPILL EMERGENCY SUPPLY BOX. o O . O O O O O i~ Held for Fumre Use o o o o ii~ Held for Fumre Use o o o o 222- 06/09/2000 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 HAZARDOUS MATERIALS INVENTORY ~ FACILITY DESCRIPTION CHECK IF BUSINESS IS A FARM [' ] BUSINESS NAME ~ ~)C,a~ ~.~,_~ FACILITY NAME ~~ ~f~ SITE ~D~SS q~O C~;~~ CITY ~~d~ STATE SIC CODE ~ql~ D~& B~S~ET~ER OO- OWNER/OPEKATOR ~Do,~gb~'~, (__M~l~,T-nc.. PHONE (_qz~') ~$7- 11'70 MAILING ADDRESS Iq t Iq. (.~ ViC. ~C; CITY Lk)o,]~ ~x"e..elc- STATE C~ ZIP EMERGENCY CONTACTS tlAZARDOUS MATERIALS INVENTORY page ~ of CI~MICAL I}ZSCRIPTION l ) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON Trade Secret [ ] Trade Secret 2) Common Name: 3) DOT # (optional) Chemical Name: AHM [ ] CAS # 4) Physical & Health PHYSICAL HEALTH Hazard Categories Fire [ '] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) 5) WASTE CLASSIFICATION (3-digit code fi~m DHS Form 8022) USE CODE 6) PHYSICAL STATE Solidi ] Liquid[ ] Gas[ ] Pure[ ] Mixture[ ] Waste[ ] Radioactive[ ] 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE $) STORAGE CODES Maximum Daily Amount Lbs [ ] Gal [ ] il3 [ ] a) Container:. Average Daily Amount Curies [ ] b) Pressure: Annual Amount c) Temperature Larg~ Size Container # Days on Site Circle Which Months: All Year, J, F, M, A, M, J, J, .4, S, O, N, D 9) MIXTURE: List COMPONE2Cr CAS# % WI' AHM the three most baT~rdous 1) [ chemical components or 2) [ any AHM components 3) [ '))LOCATION 1) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON Trade Secret [ ] Trade Secret 2) Common Name: 3) DOT # (optional) Chemical Name: AHM [ ] CAS # 4) Physical & Health PHYSICAL HEALTH Hazard Categories Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) 5) WASTE CLASSIFICATION O-digit code fi.om DI-IS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] Liquid [ ] Gas [ ] Pure [ ] Mixture [ ] Waste [ ] RedioaCdve [ ] 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE $) STORAGE CODEs Maximum Daily Amount Lbs [ ] Gal [ ] fi3 [ ] a) Contain~ Average Daily Amount Curies [ ] b) Pressure: Annual Amount c) Temperature Largest Size Container # Days on Site Circle Which Months: All Year, J, F, M, A, M, 1, J, A, S, O, N, D 9) MIXTURE: List COMPONENT CAS# % WI' AHM the three most hazardous 1) [ chemical components or 2) [ any AHM components 3) [ )LOCATION I certify undo' l~nalty of law, that I have I~rsenally examined and am familiar with the doc'mm~. I believe the ~uimUtted accurate and complete. · PRI/~ Name & Title of^uthorized Company Repre.%~ntative California Code of Regulations Title 19 Division 2 Chapter 4 California Hazardous Materials Inventory Reporting Forrn- Chemical Description Page CHEMICAL NAME H~RD C~SSES' I' '~OMPLETE BLOCK (1~} IF REQUESTED BY THE LOCAL FIR~ ~HIEF - REFER TO INSTRUCTIONS. ~PE (,4i[OPURE ~IXTURE OWA$TE ] RADIOAOTIVE {:"jOY ~il {1~)[} PHYSICAL STATE {I~}[O$OLID ~LIQUID OGA$ } CURIES FED~RD (Iai{~FIRE ~REACTIVE ~PRESSURE RELEASE ~ACUTE HEALTH ~'CHRON.IC HEALTHI CATEGORIES ' ' CoDESTATE WASTE (19),, NA I~LBS DTONS] STO~AGE {~}~A~OVE GROUND TANK ~CAN ~BOX ~TANK WAGON CONTAINER I~UNDER GROUND TANK ~CARBOY ~CYLINDER ORAIL CAR STORAGE PRESSURE (:?) ~ AMBIENT ~ABOVE AMBIENT ~BELOW AMBIENTS. STOOGE (=S)~AMBIENT ~ABOVE AMBIENT ~BELOW AMBIENT ~CRYOGENIC ] TEMPE~RE ~9) ./.~ O0) H~RDOUS COMPONE~ {3 l) EHS {3:~CAS~ ~Y ~N , ~ADDITIONAL LOCALLY COLLECTED INFORMATION PAGE21 California Code of Regulations Title 19 Division 2 Chapter 4 ,\ I'I'I'~NI) IX California Hazardous Materials Inventory Reporting Form - Chemical Description Page iT~DE SECRET (11)~ i EHS BOX IS ALL ~OUNTS MUST eE ~N LBS FIRE CODE H~RD C~SSES' "COMPLETE BLOCK {13} IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER ~0 INSTRUCTIONS. PHYSlCALSTATE (~OSOLID ~LIQUID OCAS j CURIES FED~RD (isIi~FIRE BREACTIVE ~PRESSURE RELEASE ~ACUTE HEALTH CCHRON.IC HEALTH ~ CATEGORIES ' ' ' CoDESTATE WASTE (l,),~ ~ I UNITS' (~)~, G A L~LBS ~ TONS [~CU FT, ~ DALLY AMT (33)I, ~ ~RGEST CONTAINER , O. 15~ I ' ~ STO~GE (36) j~ABOVE GROUND TANK OCAN ~BOX ~TANK WAGON' CONTAINER I~UNDER GROUND TANK ~CARBOY ~CYLINDER ~RAIL CAR PLASTIC/NONMETALLIC DRUM ~BAG ~TOTE BIN STORAGE (Z?)~AMBIENT OABOVE AMBIENT ~BELOW AMBIENT~ PRESSURE STOOGE TEMPE~RE f~) %~ (30) H~RDOUS COMPONE~ (3~) EHS (3Z~CAS~ o~ADDITIONAL LOCALLY COLLECTED INFORMATION Ol'Lq F. rm 2731 : ' P^GE21 California Code of Regulations Title 19 Division 2 Chapter 4 AI'I'ENI)IX C California Hazardous Material. s Inventory Reporting Form - Chemical Description Page BUSINESS r AME (.I; Lo 9 bra3 n ~ }TRAD[ SECRET(III~ [ ' 'IF EHS BOX CAS~ (101 ~6~ ~ ~l" ~ J ALL ~OUNTS MUST BE IN LEsIS FIRE CODE (]3~ ' H~RD C~SSES' 'COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. ~PE ,14}iOPU"E ~MIXTURE OWASTE I RADIOACTIVE HSI[C. PHYSICAL STATE (z~)[OSOLID ~LIQUID OGAS i CURIES FED~RD (Is){OFIRE ~REACTIVE ~PRESSURE RELEASE ~ACUTE HEALTH ~'CHRON,IC HEALTH I CATEGORIES ' STATEWASTE (l~)~' ~ ] UNITS'(22)J~GAL O CU FT[ M~DAILYAMT CODE ' [~LBS OTONS] ~RGEST (2D ~ STOOGE (36) [~ ABOVE GROUND TANK OCAN ~BOX ~TANK WAGON CONTAINER I~UNDER GROUND TANK ~CARBOY ~CYLINDER ~RAIL CAR I~TANK INSIDE BUILDING ~SILO ~GLASS BOTTLE ~__ J~STEEL DRU~ ~FIBER DRUM .~PLASTIC BO~LE ]~PLASTIC/NONMETALLIC DRUM ~BAG ~TOTE BIN STO~G E PRESSURE (~7)~AMBIENT ~ABOVE AMBIENT ~BELOW AMBIENTI STOOGE (18)~AMBIENT OABOVE AMBIENT OBELOW AMBIENT OCRYOGENIC TEMPE~RE (~) %~ (3o) H~RDOUS COMPONE~ (31)EHS ~3~ADDITIONAL LOCALLY COLLECTED INFORMATION ()l~q F. rm 2731 Hl~Jfi} ' PAGE 21 California Code of Regulations Title 19 Division 2 Chapter 4 California Hazardous Materials Inventory Reporting Form - Chemical Description Page L ~ i 'IF EHS BOX IS ~ FIRE CODE (~) [ H~RD C~SSES' · COMPLETE BLOCK (13) IE REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. PHYSIOALSTATE (]~}[OSOLID ~LIQUID OGAS j CURIES FED~RD (~s)[OFIRE OREACTIVE OPRESSURE RELEASE ~CUTE HEALTH OCHRON.I'C HEALTH ~ CATEGORIES STATE WASTEco~E (I,)], ~A 1 UNITS' (")]~G AL~o LB~ o~CU~oNs!FT' M~ D~ILY AMT (~3)I ~RGEST (=]) ~ , ~NUAL W~TE ~T STORAGE (26) '~ ABOVE GROUND TANK O CAN ~ BOX ~ TANK WAGON CONTAINER J~UNDER GROUND TANK ~CARBOY ~CYLINDER ~RAIL CAR PLASTiC/NONMETALLIC DRUM~BAG~FIBER DRUM ~PLASTIC~oTE BINBO~LE ' STO RAG E PRESSURE ([7)~AMBIENT ~ABOVE AMBIENT ~BELOW AMBIENTI STOOGE '(~S)~AMBIENT ~ABOVE AMBIENT ~BELOW AMBIENT ~CRYOGENIC ~ TEMPE~RE (29) %~ (30) H~RDOUS COMPONE~ (3 ]) EHS (32)CAS~ 4 { I I I ICY ON ~ADD[T[ONAL LOCALLY COLLECTED INFORMATION (H':.~ F.rm 2731 (IJ4/9¢Q PAGE 21 California Code of Regulations Title 19 Division 2 Chapter 4 California Hazardous Materials Invenlory Reporting Form - Chemical Description Page CAS" (101 ~ ~3 - j ~--a J ALL ~AOUNTS MUST BE IN LER FIRE CODE (1~)I H~RD C~SSES' ~PE (14'lid PURE ~MIXTURE ~ WASTEI RADIOACTIVE (15) l~ Y '~N ] (16)j PHYSICAL STATE (17)J~SOLID ~LIQUID ~GAS JJ i { CURIES FED~RD (IS)j~FIRE ~REACTIVE ~PRESSURE RELEASE ~ACUTE HEALTH ~CHRON.IC HEALTH ~ CATEGORIES ' STOOGE (3~){~ABOVE GROUND TANK ~CAN ~BOX ~TANK WAGON CONTAINER J~UNDER GROUND TANK ~CARBOY ~CYLINDER ~RAIL CAR 'mJ~TANK INSIDE BUILDING ~SILO ~GLASS BOTTLE J~STEEL DRU~ ~FIBER DRUM ~PLASTIC BO~LE J~PLASTIC/NONMETALLIC DRUM ~BAG ~TOTE BIN STORAGE (~?)~AMBIENT ~ABOVE AMBIENT ~BELOW AMBIENT] PRESSURE STOOGE (:S)~AMBIENT ~ABOVE AMBIENT ~BELOW AMBIENT ~CRYOGENIC J TEMPE~RE (29) %~ (30) H~RDOUS COMPONE~ (3~) EHS (3~ICAS~ m~ADDITIONAL LOCALLY COLLECTED INFORMATION PAGE21 California Code of Regulations Title 19 Division 2 Chapter 4 California Hazardous Materials Inventory Reporting Form - Chemical Description Page CHEMICAL NAME tx, C¢~O F~ffb~ a!~c,,k FiX ~fg jTRAOE SECRET(II)~ CAS 8 (10) ~{~GS-- 50 ~ q J ALL ~AOUNTS MUST BE IN LEg FIRE CODE H~RD C~SSES' 'COMPLETE BLOCK (13)IF REQUESTED BY THE LOCAL FIRE CHIEF- REFER TO INSTRUCTIONS. ~PE (14)l~PURS ~MIXTURE ~WASTE I RADIOACTIVE PHYSICAL STATE (Z~)IDSOLID ~LIQUID ~GAS j i I CURIES FED~RD (is)[~FIRE ~REACTIVE ~PRESSURE RELEASE ~ACUTE HEALTH ~CHRONI.C HEALTH] CATEGORIES · STATE WASTE CODE STOOGE (!6Ii. ABOVE GROUND TANK OCAN ~BOX OTANK WAGON CONTAINER ~UNDER GROUND TANK ~CARBOY ~CYLINDER ~RAIL .CAR ! PLASTIC/NONMETALLIC DRUM ~BAG ~TOTE BIN STORAGE PRESSURE (1?II. AMBIENT OABOVE AMBIENT OBELOW AMBIENT] STOOGE (~s)~AMBIENT OABOVE AMBIENT OBELOW AMBIENT ~CRYOGENIC] TEMPE~RE (~¢) %~ (3ol H~RDous COMPONE~ (31) EHS (3=~CAS~ m~ADDITIONAL LOCALLY COLLECTED INFORhlATION Form 2731 104/96! PAGE2I California Codc of Regulations Title 19 Division 2 Chapter 4 ,\ I'I'I'.'NI) I X California Hazardous Materials Inventory Reporting'Form - Chemical Description Pa~e ~I,~ADD ~DELETE ~REVISEI. PAGE,:,~ OF CHEMICALL~ATION (5)i ~o I~¢ Y¢og.~ CHEMICAL NAME (~}. C~-~¢ ~ ~01-~ Bev~l~ ~~ ~TRADE. SECRET(III~ CAS~ (Jo~, ~g~ O~'-~ i 'iF EHSBOX IS~ -- I ALL ~JOUNTS MUST BE IN' LaS FIRE CODE (~3) ' 'COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS, PHYSICAL STATE {]~)IOSOLID ~LIQUID DGAS CURIES FED~RD (Is)~FI~[ ~REACTIVE ~PRESSURE RELEASE ~AOUTE HEALTH ~CHRONJC. HEALTH] CATEGORIES ' - - ~RGEST (31) ] com,. , o. I · STOOGE (~6}~DABOVE GROUND TANK OCAN ~BOX . ~TANK WAGON CONTAINER ]~UNDER GROUND TANK ~CARBOY ~CYLINDER ~RAIL CAR !~TANK INSIDE BUILDING. DSILO DGLASS BOTTLE ~STEEL DRU~ DFIBER DRUM ~PLASTIC BO~LE sTOOGE [DPLASTIC/NONMETALLIC DRUM OBAG DTOTE BIN PRESSURE (IT)[~AMBIENT OABOVE AMBIENT ~BELOW AMBIENTI STOOGE (~8)~AMBIENT ~ABOVE AMBIENT ~BELOW AMBIENT ~CRYOGENIC] TEMPE~RE (zg) %~ (3o) H~R~US ~MPONE~ (31) EHS ~)ADDITIONAL LOCALLY COLLECTED INFOR~ATION P^GE21 California.C°dc of Regulations Title 19 Division 2 Chapter 4 ,\ I'I'I.;NI)IX (.' California Hazardous Materials Inventory Reportincj Form - Chemical Description Page CHEMICAL LOCATION {51~ . P K~ [~b .~e~oc+ CHEMICAL NAME . (s) 'OW- I~ q ~Q I- A~ Dev~l~ ~+A ~TRAOE SECRET(II) COMMONNAME (91 . ' [ CAS ~ (]o~ i 'IF EHS BOX IS~ FIRE CODE 'COMPLETE BLOCK (13)IF REQUESTED BY THE LOCAL FIRE CHIEF- REFER TO INSTRUCTIONS. I PHYSICAL STATE .(];){O SOLID ~LmQUmD ~GAS ( CURIES FED~RD (]s)j~FIRE ~REACTIVE ~PRESSURE RELEASE ~ACUTE HEALTH ['CHRONIC HEALTH I CATEGORIES ' CONTAINER O, I ~Y~ ! STO~GE (361'~ ABOVE GROUND TANK ~CAN ~BOX ~TANK WAGON CONTAINER ~UNDER GROUND TANK ~CARBOY ~CYLINDER ~RAIL CAR TANK INSIDE BUILDING, ~SILO ~GLASS BOTTLE  sTEEL DRU~ ~FIBER DRUM ~PLASTIC BO~LE PLASTIC/NONMETALLIC DRUM OBAG ~TOTE BIN STORAGE PRESSURE (~?))~AMBIENT OABOVE AMBIENT ~BELOW AMBIENT) STO~GE (zB)~AMBIENT ~ABOVE AMBIENT ~BELOW AMBIENT ~CRYOGENIC ) -TEMPE~RE (~g) %~ (3o) H~R~US ~MPONE~ (3~) EHS ~3~ADDITIONAL LOCALLY COLLECTED INFORMATION ¢)I'Z~ F. rm 1731 PAGE21 California Code of Regulations Title 19 Division 2 Chapter 4 ,\ I'I'I':NI)IX (.' California Hazardous Materials Inventory Reportin9 Form - Chemical Description Page BUSINESS NAME (4) Lon3 c o O- "Zoo ' i 'IF EHS BOX IS CAS ~ (10} I 00~ff - ~ -- O I ALL ~OUNTS MUST BE IN FIRE CODE (]3) F~rc: o 'COMPLETE BLOCK (13)IF REQUESTED BY THE LOCAL FIRE CHIEF- REFER TO INSTRUCTIONS, ~PE (14)~ PURE ~MIXTURE ~ WASTE I RADIOACTIVE 115)~ y. ~N i~ ('16)[~ PHYSICAL STATE (~q~SOLID ~LIQUID OGAS j CURIES FED~RD Us);OFIRE ~REACTIVE ~PRESSURE RELEASE ~ACUTE HEALTH ~CHRON.IC HEALTH ~ CATEGORIES ' ' STATE WASTE (1¢)i I~LBS STOOGE (~bl ~ABOVE GROUND TANK ~CAN ~BOX ~TANK WAGON CONTAINER ~UNDER GROUND TANK ~CARBOY ~CYLINDER ORAIL CAR ~TANK INSIDE BUILDING· ~SILO ~GLASS BOTTLE  STEEL DRU~ ~FIBER DRUM ~PLASTIC BOTTLE ~PLASTIC/NONMETALLIC DRUM ~BAG ~TOTE BIN STOOGE PRESSURE (]?)~AMBIENT OABOVE AMBIENT DBELOW AMBIENT~ STOOGE (~s)~AMBIENT ~ABOVE AMBIENT ~BELOW AMBIENT ~CRYOGENIC ~ TEMPE~RE (=9) %~ (20) H~R~US ~MPONE~ (31) EHS IY ~N 4 ·o~ADDITIONAL LOCALLY CObLECTED INFORMATION · (11"-% F. rm 27.~1 PAGE 21 C?lifornia. Code of Regulations Title 19 Division 2 Chapter 4 California Hazardous Materials Inventory Reportin§ Form - Chemical Description Page I J 'IF EHS BOX IS CAS # (J01 ~Z-8 o~o -~ u(_ f~' I ALL AMOUNTS MUST BE IN LES FIRE CODE (131 [ HAZARD CLASSES' Ht._¢<I ~: "L- 'F~re '- O p''~ / 'COMPLETE BLOCK (13)IF REQUESTED BY THE LOCAL FIRE CHIEF- REFER TO INSTRUCTIONS. TYPE (]4)I~IPURE "~MIXTURE ~WASTE J RADIOACTIVE tl.qJU, y I~N PHYSICAL STATE (I?I[I-ISOLID-~LIQUID I--IGAS j ' CURIES FEDHAZARD (ls)ii-iFIRE I-iREACTIVE I-}PRESSURE RELEASE .,~.ACUTE HEALTH r-'CHRONIC HEALTH ~ CATEGORIES ' LARGEST STORAGE (!,} ii-; ABOVE GROUND TANK I-] CAN l-J BOX [] TANK WAGON CONTAINER ICUNDER GROUND TANK I-3 CARBOY F-~CYLINDER ~RAIL CAR !.~TANK INSIDE BUILDING. r3SlLO I~GLASS BOTTLE ii-; STEEL DRUM I-I FIBER DRUM 1~ PLASTIC BOTTLE I1-1 PLASTIC/NONMETALLIC DRUM I-] BAG I-~ TOTE B~N STORAGE PRESSURE (2?) ~[~) AMBIENT 1-1 ABOVE AMBIENT I-t BELOW AMBIENT I STORAGE (aS)~AMBIENT I-]ABOVE AMBIENT [~BELOW AMBIENT [-I CRYOGENICI TEMPERATURE (29) %WT (30) HAZARDOUS COMPONENT (31) EHS ¢3Z~CAS# o.~ADDITIONAL LOCALLY COLLECTED INFORMATION PAGE 21 California Codc of Regulations Title 19 Division 2 Chapter 4 ,\ I'l'l.~NI) I N (.' California Hazardous Materials Inventory F:eportincj Form - Chemical Description Page BUSINESS NAME (4) i._ S ])~vt~) g~t-~¢¢._ gOO COMMON NAME (91 'EHS (12)~ CAS ~ (io~ i 'IF EHS BOX [~l~q-- ff~- ~ I ALL ~AOU~S MUST BE IN LES FIRE CODE 'COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. (]41~PURE ~MIXTURE ~WASTE ~ 'RADIOACTIVE (]S)~y ~N PHYSICAL STATE (I;)I~SOLID ~LIQUID ~GAS ~ I FED ~D CU~ES CATEGORIES H~){~FI~E ~EACTIVE ~P~ESSU~E ~ELEASE ~GUTE 8EALTH ~CH~ONIG, HEALTH ' i UNITS' (llII~GAL ~ OU FTJ M~DAILYAMT . STATE WASTE (~)~ CODe , I~ t~s D~ONS] N~GEST (~)j STOOGE (~ jg ABOVE GROUND TANK ~ CAN ~ BOX O TANK WAGON CONTAINER jg UNDER GROUND TANK g CA~BOY g CYLINDER ~ RAIL CA~ JgTANK INSIDE BUILDING. gSlLO gGLASS BOTTLE Jg STEEL DRU~ g FIBER DRU~ ~ PLASTIC jg PLASTIC/NONmETALLIC DEU~ ~Blg ~TOTE BIN STOOGE PRESSURE (:TJJ~A~BIENT OABOVE A~BIENT DBELOW A~BIENTJ STO~fiE (~)~A~BIENT gABOVE A~BIENT g BELOW A~BIENT ~CRYOGENIC] TEMPE~RE (~9) "/o~ (301 H~R~US ~MPONE~ (31) EHS (3=ICAS~ ~ADDITIONAL LOCALLY COLLECTgD INFORMATION (H'-~; F'.rm 2731 PAGE 21 California Code of Regulations Title 19 Division 2 Chapter 4 ,\ I;I'I'.'NI) I X C Cali[ornia Hazardous Materials Inventory Reporting Form - Chemical Description Page BUS,N SSN^ E Lo,,5 3 CHEMICAL LOCATION (5)i P~f, t~b ~rO~-vc~ CAS~ (]o) ~ ~ ~_ ~O~ ~ i 'IF EHSBOX IS~ ~ ALL MAOU~S MUST BE FIRE CODE H~RDC~SSES' Re~l~k' I F~ce, o Ke.c4',~+~: o 'COMPLETE BLOCK 03)IF .EOUESTED BY THE LOCAL FI"E CHIEF- nEFER TO 'NSTRUCT,ONS. (]4){OPURE ~MIXTURE ~WASTE ] RADIOACTIVE (IS)ICY ~Nii (16)l PHYSICAL STATE (]~)IOSOLID ~LIQUID ~GAS i ' CURIES FED~RD (Is)i~FIRE DREACTIVE ~PRESSURE RELEASE ~ACUTE HEALTH ~'CHRONJC. HEALTH1 CATEGORIES ' ' ' ~DE ' ' lO LBS O ~RGEST (3i) STOOGE (36) i~ ABOVE GROUND TANK 0 CAN ~ BOX ~ TANK WAGON CO~AINER j~UNDER GROUND TANK ~CARBOY ~CYLINDER ~RAIL CAR ]~TANK INSIDE BUILDING. ~SILO ~GLASS BOTTLE J~STEEL DRU~ ~FIBER DRUM ~PLASTIC BO~LE ]~PLASTIC/NONMETALLIC DRUM OBAG ~TOTE BIN STOOGE PRESSURE (~7)~AMBIENT OABOVE AMBIENT OBELOW AMBIENT] STOOGE (28)~AMBIENT O ABOVE AMBIENT O BELOW AMBIENT ~CRYOGENIC ] TEMPE~RE (2s) %~ (30) H~R~US ~MPONE~ (31) EHS (3=ICASg ~'.~ADDITIONAL LOCALLY COLLECTED INFORMATION f H'L"; F.rm 273I PAGE 21 California Code of Regulations Title 19 Division 2 Chapter 4 ,\ I'I'I-.'NI) I X (.' California Hazardous Materials Inventory Reporting Form - Chemical Description Page tl~ ADD [~DELETE I-'~REVISE PAGE(:~ OF ALL M~OUNTS MUST BE IN LES FIRE CODE 'COMPLETE BLOCK (13) IF REOUESTED BY THE LOCAL FIRE CHIEF - REFER ~0 INSTRUCTIONS. ~PE (]4IIOPURE ~MIXTURE DWASTEI RADIOACTIVE d~)JCY ~N PHYSICAL STATE (~}[~SOLID ~LIQUID ~GAS i , i [ FED ~RD CURIES CATEGORIES (Isl~FIRE ~REACTIVE ~PRESSURE RELEASE OACUTE HEALTH C'CHRONIC.HEALTH ~DE , IDLaS D~ONS! ~RGEST (=D i STOOGE (36} ~ ABOVE GROUND TANK OCAN ~BOX DTANK WAGON CO~AINER J~UNDER GROUND TANK ~CARBOY ~CYLINDER . ~RAIL CAR I~TANK INSIDE BUILDING· ~SILO ~GLASS BOTTLE J ~ STEEL DRU~ ~ FIBER DRUM ~ PLASTIC BO~LE [~PLASTIC/NONMETALLIC DRUM OBAG ~TOTE BIN STOOGE PRESSURE (~?)~AMBIENT OABOVE AMBIENT OBELOW AMBIENTI STOOGE (2S)~AMBIENT O ABOVE AMBIENT ~BELOW AMBIENT ~CRYOGENIC] TEMPE~RE (~¢) %~ (30~ H~R~US ~MPONE~ (3D EHS (3=)CAS¢ 4 ~Y ~N o~}ADDITIONAL LOCALLY COLLECTED INFORMATION · CH'~.c; F'~rm 2731 HI4/')&I PAGE21 California Code of Regulations Title 19 Division 2 Chapter 4 California Hazardous Materials Inventory Reporting Form - Chemical Description Page COMMON NAME tg) I ~ L H~ ~ rf ~ O ~¢ 'EHS CAS ~ (J0) ~ - ~ ~ O J ALL ~OU~S MUST BE ~N LaS FIRE CODE (l-*~ ] 'COMPLETE BLOCK {12} IF REOUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. ~PE (14)IOPURE ~MIXTURE ~WASTEI RADIOACTIVE (I~)~CY ~N PHYSICAL STATE (3~)~SOLID ~LIQUID ~GAS ~ i ! CURIES FED~RD (IS){~FIRE DREACTIVE ~PRESSURE RELEASE ~ACUTE HEALTH ~CHRONJC.HEALTH CATEGORIES ' DAYSONS~E (:0)I 36¢ [ 'If EHS, amoun~ .Mst b, ia lbs. AVGDAILY~tT .(z4g STOOGE (~ABOVE GROUND TANK ~0AN ~BOX. ~TANK WAGON CONTAINER I~UNDE~ GROUND TANK OOARBOY ~OYLINDER ORAIL CAR !~TANK I~SIDE BUILDING OSILO ~6LASS BOTTLE ~STEEL DRU~ ~FIBE~ DRU~ ~PLASTIC BO~LE I~PLASTIC/NON~ETALEIC DRU~ OBA6 ~TOTE BIN STOOGE PRESSURE (~)~AMBIENT OABOVE AMBIENT OBELOW AMBIENTI STOOGE {~8)~AMBIENT OABOVE AMBIENT ~BELOW AMBIENT ~CRYOGENIC] TEMPE~RE · (29) %~ (30) H~R~US ~MPONE~ (311 EHS (32~CAS~ ~ADDITIONAL LOCALLY COLLECTED INFORMATION PAGE 21 " ' · "' · ~California.Codc of Regulations ' ~ . .... . Division 2 -. ' ' ' . : Chapter 4 '. California Hazardous' Materials Ihventor¥.R~portin9 Form - Chemical Description Pa§e coMMON NAME. (~1 ~ e (( ~ ~ 'EHS -' I ALL ~OUNTS MUST BE IN LES FIRE CODE ~COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTNUCTIONS. ' ~PF (14,~PURE ~MIXTURE ~WASTE ! RA~I~A~TIV,_ 115, iC Y_ --.-~" i PHYSICAL STATE (17)[~SOLID ~LIQUID ~GAS j FED ~RD CUR~ES CATEGORIES (]s)~FIRE ~REACTIVE ~PRESSURE RELEASE ~ACUTE H. EALTH ~CHROmC HEALTH] *' CoDESTATEWASTE (1')~, ~ I UNITS'(:'){~GAL, LBS ~TONs'~CU F'I M~DAILYAMT CONTAINER g q q - ' ANNUAL WASTE mT STORAGE (36) ~ABOVE: GROUND.TANK ~CAN ~BOX ~TANK WAGONj CONTAINER ~UNDER GROUND TANK.· ~CARBOY ~CYLINDER ~RAIL' CAR ' ~TANK INSiDE·BUILDING ~SILO ~GLASS BOTTLE .' - ~STEEL DRU~ ~FIBER DRUM ~PLASTIC BOTTLE _. STORAGE :~PLASTIC/NONMETALLIC DRUM ~BAG ~TOTE BIN PRESSURE (27) ~AMBIENT. ~ABOVE AMBIENT ~BELOW AMBIENT~ STO~GE (28) ~AMBIENT ~ABOVE AMBIENT O BELOW 'AMBIENT ~cRyOGENIC] TEMPE~RE fZg) %~ . . . (30) H~RDOUS COMPONE~ (3D EHS f3nCAS¢ ~3.~)ADDITIONAL LOCALLY COLLECTED INFORMATION Ol';q F. rm 2731 {04/9&1: 06329/94 LONGS DRUG STORES #200 215-000-00098 OVerall Site with 1 Fac Unit r /By.._ ~ General Information ~ Location: 4300 CALIFORNIA AV 'Map:102 Hat:2 Type: 3 City : 'Grid: 35A F/U: 1 AOV: 0.0 Contact Name Title Contact Name Title RICHARD WiENS / AREA MANAGER DA%~E--~A~h~N ~CrO~ M~N~TORE MANAGER Business Phone: (805) 872-3444x Business Phone: (805) 326-1200x 24-Hour Phone ': (805) 83'6-1536x 24-Hour Phone : (805) ~x Pager Phone : ( ) - x Pager Phone : ( ) ~7 --1~1 X Administrative Data Mail Addrs: 4300 CALIFORNIA AV D&B Number: 00-691-0004 City: BAKERSFIELD State: CA Zip: 93309- Comm Code: 215-003 BAKERSFIELD STATION 03 SIC Code: 5912 Owner: LONGS DRUG STORES CA INC Phone: (415) 937-1170 Address: 141N CIVIC DR State: CA City: 'WALNUT CREEK Zip: 94596- Summary. ~, ~eCTo~ Iq, e~3~,,o~ Do hereby certify that ~ have (Type or print name). reviewed the attached ha;_"ardous mmeriats rnanage- merit plan for kOl~Cc. ~tZ~o and that,i~ along wi~h (Name qf'Business) ~Y c~rmcfions.cons~i~ute a complete andcorrec~ man= ~®~®~ p~an for ~ f~;~y. 0~Y29/'94 LONGS DRUG STORES #200 215~000-000987 Page 2 ~ . Hazmat Inventory List in MCP. Order 02 - Fixed Containers on Site .Pln-Ref Name/Hazards ~Form. Max Qty MCP .02-010 AUTO*ENGINE ADDITIVES Liquid 100 High · Fire, Pressure, Reactive, Immed Hlth GAL 02-004 BLEACH Liquid 2000 High · Reactive, Immed Hlth GAL 02-005 SODIUM HYPOCHLORITE Liquid 55 High · · Fire, Reactive, Immed Hlth GAL 02-007 POOL ACIDS. Solid 1500 High · Reactive,. Immed Hlth LBS 02-006 AMMONIA SOLUTION Liquid 500 Moderate · Fire, Reactive, Immed Hlth GAL* 02-008 ~SUSF~LD--~A~TS ~o~-¢c~c~ I~ ~6~?o~y Liquid 150 Moderate · Fire, Pressure, Reactive, Immed Hlth GAL .02-011 ANTIFREEZE Liquid 400 Low · Fire, Immed Hlth GAL 02-012 CAMPING FUEL Liquid 200 Low ,.Fire, Pressure, Immed Hlth- GAL 02-009 MOTOR OIL " Liquid 500 Minimal · Fire, Delay Hlth GAL 02-013 FERTILIZER Solid 12000 unrated ~ Fire, *ReaCtive, Immed Hlth LBS 02-002' HERBICIDES solid 1200 Unrated · Fire', Immed Hlth LBS 02-001 INSECTICIDES Liquid 400 Unrated · Fire, Immed Hlth GAL 02-003. PESTICIDES Solid 400 unrated · Fire, Immed Hlth LBS 6'6~29~9% LONGS DRUG STORES #200 215-000-000987 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order' 02-010 AUTO ENGINEADDITIVES Liquid ~ 100 High · Fire, Pressure, Reactive, I~ed Hlth GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: ADDITIVE Daily Max GAL100 · Daily Average 30.00 GAL ~ Annual Amount 300.00 GAL Storage Press T Temp.. Location pLASTIC CONTAINER IAmbient~AmbientlSALES FLOOR/WAREHOUSE -- Conc Components MCP Guide 60.0% Methyl Alcohol IHigh I 28 20.0% Methyl Ethyl Ketone Moderate 26 20.0% Ethylene Glycol Low 27 02-004 BLEACH Liquid 2000 High · Reactive, Immed Hlth GAL CAS #: Trade Secret: No Form: Liquid Type: Pure. Days: 365 Use: CLEANING Daily Max GAL Daily Average GAL I Annual Amount GAL 2,000 · I 300.00 25,000.00 Storage Press T Temp.I Location PLASTIC CONTAINER AmbientlAmbientlSALES FLOOR/WAREHOUSE -- Conc Components MCP ---~uide 100.0% IBleach {High { 45 02-005 SODIUM HYPOCHLORITE Liquid 55 High · Fire, Reactive, Immed Hlth GAL CAS #: 76.81529 Trade secret: No Form: Liquid Type: Pure Days: 365 Use: WATER TREATMENT Daily Max GALI Daily Average GAL I Annual Amount GAL 55 ~ ·45.00 350.00 StorageIIPress T Temp Location PLASTIC CONTAINER IAmbient]AmbientlSALES FLOOR/WAREHOUSE -- ConcI Components I MCP Guide· 100.0% ISodium Hypochlorite IHigh 45 66~29/9~ LONGS~DRUG STORES #200 215-000-000987 Page 4 02 ~ Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-007 POOL ACIDS Solid 1500 High ~ Reactive, Immed Hlth LBS CAS #: Trade Secret: No Form: Solid Type: Pure Days: 365 Use: WATER TREATMENT Daily Max LBS Daily Average LBS 1 Annual Amount. LBS 1,500 I '~ 900.00 _ 7,500.00 Storage ~lPress T Temp ' Location PLASTIC CONTAINER Iambient~ambientlsanEs FLOOR/WAREHOUSE~ -- Conc Components MCP Guide 100.0% [Muriatic Acid IHigh I 15 02-006 AMMONIA SOLUTION Liquid 500 Moderate ~ Fire, 'Reactive, Immed Hlth GAL CAS #: 1336216 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL Daily Average GAL Annual Amount GAL 500 ] 100.00 I 1,200.00 Storage Press T Temp Location. PLASTIC CONTAINER I ambient~lAmbient I SALES FLOOR/WAREHOUSE -- Conc ' Components MCP ~1 Guide 30.0% IAmmonia Solution, Conc. Less Than 20% IModeratel 60 02-00~ HOUSEHOLD PAINTS Liquid 150 Moderate ~ Fire, Pressure, Reactive, Immed Hlth GAL CAS : Trade Secret: No ~/ Form~ Liquid Type: Mixtur~ ~~~Uso: PAINTING L -- Daily Max GAL ' ~ l~_~ai-t~ Average GAL ~ Annual Amount GA -- · 150.. 75.00 / 600.00 ~ S.torage /..t. Press T Temp Location METAL CONTAI~NR--NONDRUMIAmbient~Ambient I SALES FLOOR/WAREHOUSE --Con~~l ' " ' Comp°nents I MCP I Guide ~5~0% IMineral Spirits · IModeratel 27 ~- 15.0% INaphtha IModeratel 27 5.0% IMethyl Ethyl Ketone IModeratel 26 3.0% IEthylene Glycol ' I Low ~ 27 66Y2 9~ LONGS DRUG STORES #200 215-000-000987 Page 5 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order ~ 02-011 ANTIFREEZE Liquid~ 400 Low · Fire, Immed Hlth GAL CAS #: Trade Secret: No Form: Liquid Type: Pure' Days: 365 Use. ADDITIVE Daily Max GAL ~ Daily Average GAL --] AnnUal Amount GAL'-- 400 I .100.00 ~ 800.00 Storage IIPress T Temp Location PLASTIC CONTAINER Iambient{ambientlsanEs FLOOR/WAREHOUSE -- Conc Components. MCP ---[Guide 100.0% IEthylene Glycol' ILow ~ 27 ~02-012 CAMPING FUEL Liquid 200 Low · Fire, Pressure, Immed Hlth GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: HEATING Daily Max GAL 'Daily Average GAL Annual Amount GAL- 200 ~ { 50.00 I 500.00 : Storage I Press T Temp Location METAL CONTAINR-NONDRUMIAmbient{Ambient SALES FLOOR/WAREHOUSE -- Conc ~ Components MCP ~Guide 100.:.0% _lKerosene IModerate! 27 02-009 MOTOR OIL Liquid 500 Minimal · Fire, Delay Hlth GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max GAL . Daily Average GAL Annual Amount GAL I . oo.oo I ,ooo.oo Storage' 'Press /Temp Location BOX -Ambient/AmbientlSALES FLOOR/WAREHOUSE ~- Conc iMotor Components {~MCP Guide 100,0% Oil, Petroleum Based IMinimal I 27 0'6/29/9~ LONGS DRUG STORES #200 215-000-000987 Page 6 02 - Fixed Containers. on Site Hazmat Inventory Detail in MCP order 02~013 FERTILIZER Solid 12000 Unrated · Fire, Reactive, Immed Hlth LBS CAS #: Trade Secret: NO Form: Solid Type: Pure Days: 365 Use: FERTILIZER Daily Max LBS Daily Average LBS~ ~ Annual Amount LBS 12,000 I 2,000.00 , 24,000.00 Storage Press T Temp Location ~. BAG IAmbient~AmbientlSALES.FLOOR/WAREHOUSE .-- Conc ~ Components ~ MCP ~uide 02-002 HERBICIDES Solid 1200 unrated · Fire, Immed Hlth. LBS CAS #: Trade Secret: No Form: Solid Type: Pure Days: 365 Use: HERBICIDE Daily Max LBS Daily AVerage LBS ~ Annual Amount LBS 1,200 I ' 600.00__ 1,800.00 StorageI Press T Temp I Location GLASS CONTAINER IAmbient~AmbientI SALES FLOOR/WAREHOUSE BAGIAmbient|Ambient SALES FLOOR/WAREHOUSE -- Conc Components MCP Guide 100.0% IHerbicides ' IUnrated I 0 02-001 INSECTICIDES Liquid 400 Unrated ~ Fire, Immed Hlth GAL CAS #: Trade Secret: No FOrm: Liquid Type: Pure Days: 365 Use: INSECTICIDE Daily Max GAL Daily Average GAL Annual Amount GAL 400 J 200.00 [ 600.00 Storage · Press T Temp j Location GLASS CONTAINER AmbientJAmbient SALES FLOOR/WAREHOUSE METAL CONTAINR-NONDRUM AmbientJAmbientJ SALES FLOOR/WAREHOUSE -- Conc Components MCP --~Guide 100~0% JInsecticides JUnrated J 0 0~6/29/9~ LONGS DRUG STORES #200 215-000-000987 Page 7 02 - Fixed Containers on Site · Hazmat·Inventory Detail in MCP Order 02-003 PESTICIDES Solid 400 Unrated · Fire, Immed Hlth LBS. CAS #: Trade Secret: No Form: Solid Type: Pure Days: 365 Use: PESTICIDE Daily Max LBS I Daily Average LBS I Annual Amount ·LBS 400 I 200.00 .· 600~.00 Storage . Press T Temp I Location GLASS CONTAINER Ambient~AmbientI SALES FLOOR/WAREHOUSE BAG Ambient{Ambient SALES FLOOR/WAREHOUSE -- Conc Components MCP-' Guide· 100.0% {Pesticides IUnrated I 0 0~]29/9~ LONGS DRUG STORES #200 215-000-000987 Page 8 ~ 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notify/Evacuation MEMBER OF MANAGEMENT WILL BE INFORMED AND WILL CALMLY EVACUATE CUSTOMERS AND CO-WORKERS TO NEAREST EXITS. 911 WILL BE DIALED IN EMERGENCY. MEMBER MANAGEMENT WILL TAKE ATTENDENCE AT MEETING AREA. PHARMACIST WILL BE NOTIFIED TO ADMINISTER FIRST AID. .ALL EMPLOYEES WILL LISTEN AND RESPOND TO INSTRUCTIONS ON CALMLY EVACUATING THE BUILDING. <3> Public Notif./Evacuati°n CUSTOMERS/VISITORS: APPROPRIATE SIGNS ARE POSTED IN PUBLIC AREAS AS REQUIRED BY PROP. 65. ANY NECESSARY EVACUATION INSTRUCTIONS WILL BE GIVEN OVER THE INSTORE SPEAKER SYSTEM INFORMING ALL CUSTOMERS AND VISITORS HOW TO SAFELY EVACUATE THE PREMISES IN THE EVENT OF AN EMERGENCY. NEIGHBORS: EVERY~ EMPLOYEE RECEIVES TRAINING ON HOW TO RESPOND AND CLEAN UP A CONSUMER PRODUCT SPILL. CONSUMER PRODUCT SPILLS DO. NOT PRESENT A HAZARDOUS SITUATION FOR OUR NEIGHBORS. .NO SPECIAL NOTICES ARE NECESSARY TO INFORM SURROUNDING NEIGHBORS AS ALL NEIGHBORS ARE AWARE OF THE NATURE OF OUR BUSINESS. <4> Emergency Medical Plan MERCY HOSPITAL - 2215 TRUXTUN AVE - 327-3371 FAMILY MEDICAL - 4580 CALIFORNIA AVE - 327-4411 FIRE STATION 3 - 3400 PALM ST - 326-3963 AMBULANCE -~1001 21ST ST - 0~/29/9'~ LONGS DRUG STORES #200 215-000-000987 Page 9 00 - Overall Site <E> Mitigati°n/Prevent/Abatemt <1> Release'Prevention KEEP CURRENT INVENTORY LIST AND UPDATE AS NEW PRODUCTS ARE INTRODUCED TO THE PUBLIC. KEEP EMPLOYEES TRAINED IN CLEANING UP HAZARDOUS PRODUCT SPILLS. KEEP FIRE EXTINGUISHERS.WORKING. INFORM ALL EMPLOYEES OF MEETING PLACE IN THE EVENT OF EVACUATION. KEEP CLEAN-UP SUPPLIES IN ORDER. <2> Release Containment <3> Clean. Up LARGE KIT FOR. CLEAN UP IS KEPT IN RECEIVING BY THE EXIT DOOR USED FOR LARGE SPILLS AND CONTAI'NMENT OF ANY SUCH SPILLS. <4> Other Resource Activation 0~M29/~4 'LONGS DRUG STORES #200 215-000-000987 Page 10' 00 ~ Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS . NONE B) ELECTRICAL -. NORTHEAST CORNER OF BUILDING OUTSIDE C) WATER - NORTH SIDE OF BUILDING CENTER D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION .-'WE HAVE oVERHEAD FIRE SPRINKLER SYSTEM THROUGHOUT STORE. FIRE EXTINGUISHER ARE STRATEGICALLY LOCATED THROUGHOUT THE. STORE. FIRE HYDRANT - FRONT OF THE STORE WEST SIDE ENTRANCE <4> Building Occupancy Level' ~6~2~/~4 LONGS DRUG STORES #200 215-000-000987 Page 11 O0 - Overall Site <G> Training <1> Page 1 WE HAVE.36 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE ALL INFORMATION IS ~POSTED, REVIEWED PROCEDURES WITH EMPLOYEES AT MONTHLY MEETINGS. ALL NEW EMPLOYEES ARE TRAINED ON DANGERS OF MATERIALS AND EVACUATION PROCEDURES. DEPARTMENT MANAGER HAS BEEN ASSIGNED TO OVERSEE AND UPKEEP CHEMICAL SPILL EMERGENCY SUPPLY BOX. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use $ $£P 2 ~ 1995 09/-~0/9-3 LONGS DRUG S~O~ES ~200 2~5-000-000987 ~age Z Ove~aZZ S~te w~th ~ ~ac. Unit HAZ. MA~:DiV. ~ General Informat'ion ~ Location: 4300 CALIFORNIA AV Map: 102 Hazard: Low Community: BAKERSFIELD STATION 03 Grid: 35A F/U: 1AOV: 0,0 Contact Name Title Business Phone 24-Hour Phone- RICHARD WIENS AREA MANAGER (805) 872-3444.x (805) 836-1536 DAVE GANNON STORE MANAGER (805),326-1200 x (805)~ Administrative Data ~' Mail Addrs: 4300 cALIFORNIA, AV D&B Number: 00-691-0004 City: BAKERSFIELD State: CA Zip: 93309- Comm Code: 215-003 BAKERSFIELD STATION 03 SIC.Code: 5912 Owner: LONGS DRUG STORES CA IN~ phone: (415) 937-1170 Addresg: 141N CIVIC DR State: CA City: WALNUT CREEK Zip: 94596- Summary I,~"]~,,~v[b ' ~/"/~,J,J~)} _ Do hereby certify that I have (TyPe or print name) reviewed'.the attached hazardous materials manage- ment plan for/--o,,/~ "~'~.-~/..~ and that it along with (N~me o! Busine~s) any correcti°nsconstitute a complete and correct man, agement plan for my facility. 09/~0/93 LONGS. DRUG STORES #200 2,15-000-000987 Page 2 Hazmat Inventory List in~MCP'Order 02 - Fixed Contaihers on Site Pln-Ref Name/Hazards Form Max Qty MCP 02-010 AUTO ENGINE ADDITIVES Liquid 100 High · Fire, Pressure,' Reactive, Immed Hlth GAL 02-004 BLEACH Liquid 2000 High · .Reactive,' Immed Hlth GAL 02-005. SODIUM HYPOCHLORITE Liquid 55 High · Fire, Reactive, Immed Hl~h .GAL 02-007 POOL ACIDS Solid '1500 High · Reactive, Immed Hlth LBS 02-006 AMMONIA SOLUTION Liquid 500 Moderate · Fire, Reactive, Immed Hlth GAL 02-008 HOUSEHOLD PAINTS Liquid 150 Moderate ' · Fire, Pressure, Reactive, immed Hlth GAL 02-01.1 ANTIFREEZE Liquid 400 Low · Fire, Immed Hlth GAL 02-012 CAMPING FUEL Liquid 200 Low · Fire, Pressure, Immed Hl.th GAL 02-009 MOTOR OIL, Liquid 500 Minimal · Fire, Delay Hlth' GAL '02-0.13 FERTILIZER Solid 12000 Unrated · Fire, Reactive, Immed'Hlth 'LBS 02-002 HERBICIDES Solid 1200 Unrated · Fire, Immed Hlth LBS 02-001 INSECTICIDES Liquid 400 Unrated '· Fire, Immed Hlth GAL 02-003 PESTICIDES Solid 400 Unrated · .Fire, Immed Hlth LBS 09/10/93 LONGS DRUG STORES #200 215-000-000987 Page 3 02 - Fixed Containers on Site Hazmat Inventory Detail'in MCP Order ~ 02-~010 AUTO ENGINE ADDITIVES J Liquid 100 High · Fire, Pressure, Reactive, Immed Hlth GAL. CAS #: Trade Secret: No Form: Liquid Type: Mixture DaYs: 365 Use: ADDITIVE Daily Max GAL · Daily Average GAL I Annual Amount GAL 100 I 30.00 300.00 Storage Press T Temp Location PLASTIC CONTAINER IAmDientlAmbientlSALESFLOOR/WAREHOUSE -- Conc Components MCP ---TGuide 60.0% IMethyl Alcohol ' · IHigh I 28 20.0% IMethyl Ethyl Ketone IM°derateI 26 20.0% IEthylene Glycol Low ! 27 02-004 BLEACH . Liquid· 2000 High · Reactive, Immed Hlth ? · GAL CAS #: Trade Secret: NO Form: Liquid Type: Pure Days: 365 Use: CLEANING Daily Max GAL Daily Average GAL Annual Amount GAL 2,000 [ 300.00 ] 25,000.00 Storage Press T.Temp Location PLASTIC CONTAINER IAmbientlAmbientlSaLES FLOOR/WAREHOUSE -- Conc Components . MCP ---TGuide 100.0% [Bleach IHigh ! 45 02-005 SODIUM HYPOCHLORITE Liquid 55 High · Fire, Reactive, Immed Hlth GAL CAS #: 7681529 Trade Secret: No Form: Liquid. Type: Pure Days: 365 Use: WATER TREATMENT Daily Max GAL55 I~ Daily Average45.00GAL.I . Annual· Amount'GAL350.00 Storage~lPress T Temp Location PLASTIC CONTAINER 'lAmbient[AmbientlSAnES FLOOR/WAREHOUSE -- Conc .~ Components I MCP -~Guide 100.0% [Sodium Hypochlorite [High ~ 45 09/10/93 LONGS DRUG STORES #200 215-0'00-000987 Page 4 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order SOlid 1500 High 02-007 POOL ACIDS · Reactive, Immed Hlth LBS CAS'#: ~ Trade Secret:. No Form: Solid Type: Pure Days: 365 Use: WATER TREATMENT --'Daily Maxl,500LBs I Da.ily Average900.00LBS _l Annual Amount7,500.00LBS Storage ~lPress T TemP Location FLOOR/WAREHOUSE PLASTIC CONTAINER IAmbient~AmbientlSALES -- Conc Components ~MC --~Guide 100.0% Muriatic Acid ,HighP ! 15 02-006 AMMONIA SOLUTION Liquid 500 Moderate · Fire, Reactive, Immed Hlth GAL CAS #: 1336216 Trade Secret: No. Form: Liquid Type: MixtUre Days: 365 Use: CLEANING -- Daily Max GAL I Daily Average GAL I Annual Amount GAL 500 ~ 100.00 1,200.00 Storage Press T Temp Location PLASTIC cONTAINER Iambient~AmbientlsanEs FLOOR/WAREHOUSE -- Conc; Components ~ MCP ---~uide 30.0% I Ammonia SolUtion IModeratel - 60 02-008 HOUSEHOLD PAINTS Liquid 150 Moderate · Fire, Pressure, Reactive, Immed Hlth GAL CAS #: ~rade secret: No Form: Liquid Type: Mixture Days: 365 Use: PAINTING Daily Max GAL Daily Average GAL Annual Amount GAL -- 150 I 75.00 [ 600.00 Storage Press T Temp Location METAL CONTAINR-NONDRUMAmDiontlAmDiontlSALES FLOOR/WAREHOUSE - Conc~ Components ~ MCP -~Guide 25.0% ~Mineral SpiritsIM°deratel. 27 15 0%'INaphtha Moderatel.~ 27 510% MethYl Ethyl Ketone ModerateI 26 3 0% Ethylene Glycol. Low ! 27 09/10/93 LONGS DRUG STORES~#200 215-000-000987 Page 5 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-011 ANTIFREEZE Liquid 400 Low · Fire, Immed Hlth GAL CAS #: Trade Secret: No Form: Liquid Type: Pure DaYs: 365 Use: ADDITIVE Daily Max'GAL400 I Daily Averagel00.00GAL I Annual Amount800.00GAL Storage Press T Temp Location PLASTIC CONTAINER IAmbient~AmbientlSALES FLOOR/WAREHOUSE -- Conc Components ---~uide 100.0% IEthylene Glycol ILo~cP ~.27 · 02-012 CAMPING FUEL Liquid 200 Low · Fire, Pressure, Immed Hlth GAL CAS #: Trade Secret: No. Form: Liquid TyPe: Pure 'Days: '365 USe: HEATING Daily Max GAL Daily Average GAL AnnUal Amount GAL 200 I '~ 50.00 I 500.00 ~ Storage Press T Temp~ Location : ..METAL CONTAINR-NONDRUM Ambient~AmbientlSALES FLOOR/WAREHOUSE --.Conc Components MCP yGuide 100.0% IKerosene ' IModerate! 27' 02-009 MOTOR OIL Liquid. 500 Minimal · Fire, Delay Hlth GAL CAS #: Trade Secret: No Form:-Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max GAL500 I Daily Average300.00GAL I Annual Amount3,000.00GAL Storage PressI Temp Location BOX IAmbientlAmbientlSALES FLOOR/WAREHOUSE -- Conc Components MCP ---TGuide 100.0% IMotor Oil, Petroleum Based IMinimal I 27 09/10/93 LONGS DRUG STORES #200· 215-000-000987 Page 6 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-013 FERTILIZER · .Solid 12000 Unrated · Fire, ~Reactive, Immed Hlth · LBS CAS #: Trade Secret: No ~ FOrm: Solid Type: Pure Days: 365 Use: FERTILIZER Daily Max LBS Daily Average LBS --~-- AnnUal Amount LBS 12,000 I 2,000.00 24,000.00 Storage Press T Temp Location BAG IAmbientlAmbientlSALES FLOOR/WAREHOUSE -- Conc , ~. .:~ Components , MCP ---rGuide 02'002 HERBICIDES Solid 1200 Unrated · Fire, Immed Hlth LBS CAS #: Trade Secret: No Form: Solid Type: Pure Days: 365 Use: HERBICIDE Daily Max LBS Daily Average LBS I Annual Amount LBS 1,200 I ' . 600.00 1,800.00 Storage Press T Temp~ Location GLASS CONTAINER Ambient~AmbientlSALES FLOOR/WAREHOUSE BAG I Ambient~AmbientI SALES FLOOR/WAREHOUSE -- Conc Components ~ MCP ---TGuide 100.0% IHerbicides . IUnrated I 0 02-001 INSECTICIDES Liquid 400 Unrated · Fire, Immed Hlth GAL CAS #: Trade Secret: No Form: Liquid -TYpe: Pure Days: 365 Use: INSECTICIDE Daily Max GAL Daily Average' GAL Annual Amount GAL 400 I 200.00 I 600.00 · Storage . Press T Temp ~ Location GLASS CONTAINER Ambient/AmbientI SALES FLOOR/WAREHOUSE METAL CONTAINR-NONDRUM Ambient~Ambient SALES FLOOR/WAREHOUSE -- Conc Components ~ MCP ~ui 100.0% IlnsectiCides IUnrated-- ~e 09/10/93 LONGS DRUG STORES #200 215-000-000987· Page 7 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order '02-003 PESTICIDES Solid 400 Unrated. LBS ~ Fire, Immed Hlth .~ CAS #: ~Trade Secret: No Form: Solid Type: Pure Days: 365 Use: PESTICIDE '- Daily Max LBSI Daily Average LBS r Annual Amount 600.00 LBS 400 ~ 200.00 Storage Press -- Temp ~ ' Location .GLASS CONTAINER Ambient Ambient sALEs FLOOR/WAREHOUSE BAG Ambient Ambient SALES FLOOR/WAREHOUSE -- ConC Components MCP Guide 100.0% IPesticides Unrated I' 0 09/10/93 LONGS DRUG STORES #200 215-000-000987 Page 8 00 - Overall Site <D> N0tif./Evacuation~Medical <1> Agency Notification. CALL 911 <2> Employee Notif./Evacuation MEMBER OF MANAGEMENT WILL BE INFORMED AND WILL CALMLY EVACUATE CUSTOMERS AND CO-WORKERS TO NEAREST EXITS. 911 WILL BE DIALED IN EMERGENCY. MEMBER MANAGEMENT WILL TAKE ATTENDENCE AT MEETING AREA. PHARMACIST WILL BE NOTIFIED TO ADMINISTER,FIRST AID. AbL EMPLOYEES WILL LISTEN AND RESPOND TO INSTRUCTIONS ON CALMLY EVACUATING THE BUILDING. <3> Public N°tif./,Evacuation , CUSTOMERS/VISITORS: APPROPRIATE SIGNS ARE POSTED IN PUBLIC AREAS AS REQUIRED BY PROP. 65. ANY NECESSARY EVACUATION. INSTRUCTIONS WILL BE GIVEN OVER THE INSTORE SPEAKER SYSTEM INFORMING ALL CUSTOMERS AND VISITORS HOW TO SAFELY EVACUATE THE PREMISES IN THE EVENT OF AN EMERGENCY. NEIGHBORS: EVERY EMPLOYEE RECEIVES TRAINING ON HOW TO RESPOND AND CLEAN UP A CONSUMER PRODUCT SPILL. CONSUMER PRODUCT'SPILLS DO NOT PRESENT A HAZARDOUS SITUATION FOR OUR NEIGHBORS. NO SPECIAL NOTICES ARE NECESSARY TO INFORM SURROUNDING NEIGHBORS AS ALL NEIGHBORS ARE AWARE OF THE NATURE OF OUR BUSINESS'. <4> Emergency Medical Plan · ' MERCY HOSPITAL - 221-5 TRUXTUN AVE - 327-3371 FAMILY MEDICAL - 4580 CALIFORNIA AVE - 327r4411 FIRE STATION 3 - 3400 PALM ST - 326-3963 AMBULANCE - 1001 21ST 'ST. - 09/10/93 LONGS DRUG STORES #200 215-000-000987 Page 9 ~00 -OVeralI Site <E> Mitigation/pre~ent/Abatemt <1> Release Prevention ~ KEEP CURRENT INVENTORY LIST AND UPDATE AS NEW PRODUCTS ARE INTRODUCED TO THE PUBLIC. 'KEEP EMPLOYEES TRAINED IN CLEANING UP HAZARDOUS PRODUCT SPILLS. KEEP FIRE EXTINGUISHERS WORKING. INFORM ALL EMPLOYEES OF MEETING PLACE IN THE EVENT OF EVACUATION. KEEP CLEAN'UP SUPPLIES IN ORDER. <2> Release containment · <3> Clean Up LARGE KIT FOR CLEAN UP IS KEPT IN RECEIVING BY THE EXIT DOOR USED FOR LARGE · SPILLS AND CONTAINMENT OF ANY SUCH SPILLS. <4> Other Resource Activation 09/10/93 LONGS DRUG STORES'#200 215-000-000987 Page 10 · 00 - O~rall Site <F> Site Emergency Factors <1> SPecial Hazards <2> Utility Shut-Offs A) GAS - NONE B) -ELECTRICAL - NORTHEAST CORNER OF BUILDING OUTSIDE C) WATER -'NORTH SIDE OF'BUILDING CENTER D) SPECIAL - NONE · E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - WE HAVE OVERHEAD FIRE SPRINKLER SYSTEM THROUGHOUT STORE. FIRE EXTINGUISHER ARE STRATEGICALLY LOCATED THROUGHOUT THE STORE. 'FIRE HYDRANT - FRONT OF THE STORE wEST SIDE ENTRANCE <4> Building Occupancy Level 09/10/93 LONGS DRUG STORES #200 215-000-000987 Page 11 00 - Overall Site <G> Training <1> .page 1 WE HAVE 36 EMPLOYEES AT THIS FACILITY ~. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE ALL INFORMATION IS POSTED, REVIEWED PROCEDURES WITH EMPLOYEES AT MONTHLY MEETINGS. ALL NEW EMPLOYEES ARE TRAINED ON DANGERS OF MATERIALS AND EVACUATION PROCEDURES. DEPARTMENT MANAGER HAS BEEN ASSIGNED TO OVERSEE AND UPKEEP CHEMICAL SPILL EMERGENCY SUPPLY BOX. <2>.Page 2 as needed <3> Held for Future Use <4> Held for Future Use HAZARDOUS MATERIALS DIVISION " ~'~"' Date Completed BUsiness Identification No. 21~000 ~00 ?~ ? Cop of Business Plan) HAZ. MAT. S~ation No. ~ Shi~ ~ Inspector ,~, 'Adequate Inadequate Verifica{ion of Invento~ Materials ~ ~ · Ver"ication of Ou--tities ' VerEication of Locaion  " :;' Proper S~regation of Materi~ Verification of MSDS Availabli~ Number Of Employees` 3 ~ Verification of H~ Mat Training Comments:'· Verification'of Abaeme~ Supplies'& Procedures Comments: Emergency Procedures Posted Containers ProPerly Labeled· Comments: Verification of Facility Diagram Special H~ards Associated with this Facility: '~~~~~~ ~ 'C°rrecti°nNeeded ..~ k03/27/91 ',LONGS DRUG STORES ~200 215-000-000~87~ Page OYerall Site with 1 'Fa,c. Unit Ger, era 1 I r,fC, rrnat i or~ Lc, cat ion: 43(])(3 CALIFORNIA AV Map: 1(])2 Hazard: Lc, w I lder, t Number: 215-000-000987 Grid: 35A Area of Vul: 0.0~ Cor~tact N~e/ 1- . 'Title I Busir, ess Phone "I 24 Hc, ur Phor,.e] DAVE GANNON ~ ~ , .......(805) 326'1200 x (805 Administr~ative Data ~-~ Mail Addrs: 4300 CALIFORNIA AV D&B Number: 00-691-0004~ City: BAKERSFIELD Stat~: CA Zip: 9330S~ Address: 141 N CIVIC DR State: CA . City: WALNUT CREEK Zip: 94596- Summary ' ~ any corrections constitut6 a complete and correct man- agement plan for my facility. "'*~ - :~ Sigl~tum [)3/27/91 LONGS .DRUG STORES ~$2(Z)(I) 215-O(Z)(z)-00(1)987 Page 2 'Hazr,lat Irfverstory List ir, MCP Order '~ Fixed Cor~tair, ers orJ Site Pln-Ref Nar~e/Hazards . Fc, rrsl Quar~t ity MCP [)2-0i0 AUTO ENGINE ADDITIVES Liquid 100 ,,High Fire, Pressure, Reacti~e,~ Ir~r~ed Hlth GAL 02-004 BLEACH Liquid 2,000 High React ive, Ir~r~ed Hlth GAL 02-005 CHLORINE Sol id 500 Hi gh Fire, Reactive, Ir~r~ed Hlth~ LBS 02-007 POOL ACIDS Solid 1,'500 High Reactive, !r~r~ed Hlth LBS 02-006' AMMONIA Liquid 500 Moderate Fire, Reactive, Ir~r~ed Hlth . GAL 02-008 HOUSEHOLD PAINTS Liquid 150 Moderate Fire, Pressure, Reactive, Ir~r~ed Hlth GAL 02-011 gNTIFREEZE Liquid 400 Low Fire, Ir~r~ed Hlth '. GAL 02-012 CAMPING FUEL Liquid 200 Low. Fire, Pressure, Ir~r~ed Hltln GAL 02-009 MOTOR OIL Liquid 500 Mir~ir~a 1 Fire, Delay Hlth GAL 02-013 FERTILIZER Sol id 12,000 Ur~rat ed. Fire, Reactive, Imr~ed Hlth LBS 02~002 HERBICIDES Sol id 1,200 .Ur~rat ed Fire, Ir~r~ed Hlth LBS 02-001 INSECT I C I DES L i q u i d 400 Ur~rat ed Fire, Ir~r~ed Hlth GAL 02-003 PEST I C I DES Sc, 1 i d 400 Ur~rat ed Fire, Ir~r~ed Hlth ~ LBS ~03/%27/91 LONGS DRUG STORES~$200 215 )' 000 87 Page 3 O0 - Overall Site <D> Not i f. /Evacuat ior,/Medical <1> Agency Notification CALL <2> Employee Not if./Evacuation MEMBER OF MANAGEMENT WILL ,BE INFORMED .AND WILL CALMLY EVACUATE CUSTOMERS AND CO-WORKERS TO NEAREST EXITS. 911 WILL BE DIALED IN EMERGENCY. MEMBER MANAGEMENT WILL TAKE ATTENDENCE AT MEETING AREA. PHARMACIST WILL BE NOTIFIED TO ADMINISTER ,FIRS]' AID. ALL EMPLOYEES WILL.LISTEN AND RESPOND TO INS]'RUCTI, ONS ON CALMLY EVACUATING THE BUILDING. <3Y','Public Notif./Evacuation CUS~FOMERS/~tSITORS: , APPROPRIATE SIGNS ARE POSTED-IN PUBLIC AREAS AS REQUIRED BY PROF'. 65. ANY N~--CESSARY EVACUATION INSTRUCTIONS WILL BE GIVEN OVER THE INSTORE SPEAKER SYSTEM INFORMING ALL CUSTOMERS .AND VISITORS HOW TO SAFELY EVACUATE ]'HE PR~EMISES IN THE EVEN]' OF AN EMERGENCY. NEIGHBORS: EVERY EMPLOYEE R~--CEIVES '[RAINING ON HOW TO RESPOND AND CLEAN UP' A CONSUMER PRODUCT 'SPILL. CONSUMER PRODUCT SPILLS DO NOT PRESENT A HAZARDOUS SITUATION FOR OUR NEIGHBORS. NO SPECIAL NOTICES ARE NECESSARY TO INFORM SURROUNDING NEIGHBORS AS ALL NEIGHBORS ARE AWARE OF THE NATURE OF OUR BUSINESS. <4> Emergency Medical Plan MERCY HOSPITAL - 2215 TRUXTUN AVE - 327-3371 FAMILY MEDICAL - 4580 CALIFORNIA AVE - 327-44il FIRE STATION 3 - 3400 PALM ST - 326-3963 AMBULANCE - 1001 21ST ST - 03/27/91 LONGS DRUG STORES ~200 215-0~]0-000987 Page 4 00 - Overall ~Site~ , <E> Mit igat ior~/Prever, t/Aba~er~lt <1>' Release Prevent i or, KEEP' CURRENT INVENTORY LIS'[ AND UPDATE AS NEW pRODUCTS ARE INTRODUCED TO THE PUBLIC. KEEP' EMPLOYEES TRAINED IN CLEANING UP' HAZARDOUS PRODUCT SPILLS. KEEP' FIRE EXTINGUISHERS WORKING. INFORM ALL EMPLOYEES OF MEETING PLACE IN THE EVENT OF EVACUATION. KEEP' CLEAN-UP SUPPLIES IN ORDER. <2> Release~ Cor, tair,~er, t <4> Other Resource Act i vat i or, 03/27/91 LONGS DRUG STORES $~200 21= -~)- .-,.--r ~,-(.)~~ 0-~)..)0 ~87 Page 5 00 - Overall Site <F> Site E~erger~cy Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NONE ' B) ELECTRICAL - NORTHEAST CORNER OF BUILDING OUTSIDE C) WATER - NORTH SIDE OF BUILDING CENTER D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec. /Avail. Water PRIVATE FIRE PROTECTION - WE HAVE OVERHEAD FIRE SPRINKLER SYSTEM THROUGHOUT STORE. FIRE EXTINGUISHER ARE STRATEGICAI_LY LOCATED THROUGHOUT ]'HE STORE. FIRE HYDRANT - FRONT OF THE STORE WEST SIDE ENTRANCE <4> Held fc, r Future use 03/27/91 LONGS DRUG STORES ~$200 215-000-000987 'Page 6 O0 - Overall ,Site <G> Trair, irJg WE HAVE~ EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY'DATA SHEETS ON FILE ALL INFORMATION IS'POSTED, 'REVIEWED PROCEDURES WITH EMPLOYEES AT MONTHLY MEETINGS. ALL NEW EMPLOYEES ARE TRAINED ON DANGERS OF MATERIALS AND EVACUATION PROCEDURES. .DEPARTMENT MANAGER HAS BEEN ASSIGNED TO OVERSEE AND UPKEEP CHEMICAL SPILL EMERGENCY SUPPLY BOX. <2> Page 2 as r~eeded <3> Held for Future Use ~ ~ <4> Held for .Future Use ,,~... -~.,':.- ~,~. CITY of BAKERS?I£LD ~.;:'~ ~., 7.! "I'VE C.4 RE . . RECEIVED OlV. Do herebs' cert~ ~" - . _~ that I have ~eviewed the HAZ'MAT' attached Hazardous F~aterials business olan for ~'( ~~Ud s'i ne?'7 and that it along with the attached additions or corrections constitute a comDlete and correct Businesa Plan fo~7 my facili.ty. _~- / .si_~ha~ur-e te ' "'?': ...... '"':'. ?~' . . CITY o.f'BAKERSFIELD '-~o -~Y. z[~:}~.f.,~ e~ ~.~..'-.' '. .' ":.'cZ~. zzt~~~ ~yG~. ca DUN AND B~S~m .' .... ,- ,' ~.,... ~ · ¥,.. /, - . , , , ~l.~.l..ao~..l~D. ~:nn.'~ ~,../)~t.'~,~'~' h~ ~., l a' I~ aal,~.~-.~o=/w~=.h~ ~,.. ~..~t~a~a..-.~,,.~/~-. ~' ,~.,~,t ~ ~ ~,~ :~ .. ~c.A.S. ~ I~ ~ l c.i.S. ~ 1 O0 Insecticides ,-, ._ =, ,-. __, .,,.,.,.__ ~ ~ ~1~ ..... ~ ............ ~--- l...t0.t t l~oo~i~k ~H~; ~ i I a 123 Isai~s gloo=/~a=ehca,e He=bicides-flouse/6arde · ~c,, ~ ~l,~ ~,~ C.A.I. ~ ~ I~ ~ & C.A.S. ~ 1 0 0 fle~bicides iltk~' ' d ~ ittk ~. ~ ~ ~&C.A.S.~ ~L~_I"~LI 2oo L ~oo:..~?i~[ ~i_~'i I ~ I%o l~,~" .... ~ " , Floo~/War eho ~se ~ic ide s-Hou s 9/Garden ~,n,m,~l~l -'. ...-- LQO Pesticides .... , ~ . ~lth' ,~ ~ ~1~ ............ ':", ~t ~ ~ & C.i.t. ~ '""'~ t t~.~itt t~~!~~ t'i 't~t ..... a z .... ' ....... r.U-~.. F1 or W~ehoase Household k .11 tm ~ly) ',,. 100 Sodi~.Hypochlorite I~'] .... v? ............. -":~-' ..... ~T]i ........... ~ .......... 21-~-~ ..... i' ~I1F ~ ..... .OCATION: ..... ~DRESS: ':" ~ ST~N6Ak6 X'~; C~SS COD~ 5912 ~ ~ ~I{N ' ' '~', ' .... ...... ~w,~ M ~ ~ c.a.s. ~ ~ m~ M l c.i.s. ~ ~ 0 ( ~u~:ia~c Ac id ~lth of ~ ~ltk :::' ' ' ::::~ ..... ,,. ~~ ~ & C.I.S. ~ . · r-- ~1~ ~&C.A.S. ~ CITY of BAKERSFIELD . ~0~ 'HONE t: .... PNONE e: - ...... ,,,,.~ ~ ~i~ ~ ~.~.s. ~ ' ~ ~-~ 1 ~J.s. ~ 10~ KeroS~ne ' ~ltk il ~ ~lt~ i [ ~ 1 C.1.1. ~ ., :,"?~'~ .,' 9[ ~"]'i"2 °00[' 2; ! L~ ~ i21 14 I I ' ' " ' ........ ' '" ~: 000 24,000 '36 1 : 17 Sales Floor/WarehCuse Garde'h'.F~tilizers ..- ~..-- ~-~ .............. . ...... . ....................... . .... <-~ , --~]~ · . ......... , ,, . ~C~k ell t~t ~ly} ~: ,, ,,,': ~'- ...... ~'~ ~.&C.I.$. ~' · ~::.. - :_.L-i' '" I I l I I I' I 1' I ..... k ell ffi ~ly) · ~2 ,W~:, ~ I t ._ ,- ~i,, r' . '- ~ ~t~ ~1~ ~ ~i~ ~.: ...... T .......................... ni~i ....................... ~'~-'~ ~ ~~~~ ~ .... .,.,c.~,~ (Se~d ~ s~ after c~pl~(ln~ ail ~ectlons) ~, ·.' ~ ' BUSINESS NAME LO~ DRUG STORES ~2~G dUMBER LOCRTION 4~CALIFORNIR AU HIGH HAZARD RAZING 1. OVERVIEW L~ST CHRN~iE OFI./~O/I~S BY ESTER JURIS CODE Z15'-~3 JURIS 'BRKERSFIELD STRI'ION M~ PRGE 102 GRID ~SP~SE SUMMARY " Z~ SEC ~) ~LL PERSONNEL HAVE RECEIVED T~I'NI~ IN HO~ TO RESPOND TO EHE~ENCY SITUflTIONS INVOLVING FIRE ~ND CHEHIC~L SPILLS, ~LL STORES H~VE ~S~GN~TED ~ MEETING PLACE IN ~E EVENT OF EVaCUaTION. ~LL PERSO~EL ~RE ~RE OF ~HERE THE FIRE EXTINGUISHERS ~RE ~ND HO~ TO USE THEM S ~HERE CLE~N-d~ EQUIPMENT IS KEPT. ]~ ~ILL fiE C~LLED. E~RGENCY CONTACTS SflN DONALDSON - ~ILITY SHUTOFFS A) 6RS - ? 8) ELECTRICAL, - NE CORNER OF BL~ OUTSIDE C) ~TER - N SIDE OF BL~ CENTER D) SPECIAL - NQ~ E) LOCK BOX - NO ~ BUSINESS NAME DRUG STORES ~200 NUMBER 215-00~0008@7 · ~ ~"~ LOCATION 4300 CALIFORNIA AV HIGH H~ZARD R~TING Z H~Z MAT T~AINING SUMMARY LAST CHANGE / / < NO INFORMATION RECORDED FOR THIS SECTION > SEC S) MERCY HOSPITAL - ZZ15 TRUXTUN AVE .FAMILY MEDICAL - 4580 CALIFORNIA ~VE '- ~27-4411 FIRE STATION 3 - 34~> PALM ST - AMBULANCE - 1001 21ST ST - MATERIAL SAFETY DATA SYSTEMS, INC. (805> G48-'GB00 BUSINESS NAME RUG STORES ~Z00 ID 8ER ZlS-0~4~-~ · LocATION' 43~ CBLIFORNIA AV HIGH HAZARO RRTI~q~ Z · FRC'iLITY UNIT 01 A. OVERALL HAZARDOUS MATERIALS INVENI'ORY [~ST'CHANGE i0/0G/88 8Y ESTER ID TYPE NAME MAX AMT UNIT HAZARO LOCATION CONTAINMENT - USE ! PURE INSECTICIOES 400 GAL UNKNOWN SALES FLOOR/WAREHOUSE GLASS CONTAINER, S] INSECTICIOE ID pERCENT COMPONENTS HRZARD LIST -10S8.~0 1'~.~ INSECTICIDES UNKNOWN Z PL~E HERBICIDES ;~8 LBS UNKNOWN SALES FLOOR/WB~EHOUSE .GLASS CONT~INER~S~ HERBICIDE I0 PERCEN~ CO~ONEN~S HAZ~RO LIST ~I~57.~ ;88.8 HERBICIOES UNKNOWN 3 PURE HERBICIOES Z88 GBL UNKNOWN SRL, ES'FLOOR/W~REHOUSE GLBSS CONTBINER[S) HERBICIOE ID PERCENT CO~ONENTS HAZRRO LIST -18S?.88 188~8 HERBICIDES UNKNOWN ~ pURE '.PESTICIDES ~ LBS UNKNOWN BALES FEOOR/WRREHOUSE ~X[ES] PESTICIDE ID PERCENT COMPONENTS HAZED LIST -1858,~) 1~.~ PESTICIOES UNKNOWN ,~ PURE BLEBCH Z~GBL UNKNOWN S~LES FLOOR/WAREHOUSE PLASTIC CONTAINER[S) cLEENI~ ID PERCENT-COMPONENTS HRZ~RO LIST I~G5.83 1~.8 8LEACH UNKNOWN .:G~/ PURE CHLORINE 5~ LBS uNKNowN ~' SALES FLOOR/W~REHOUSE BOX(ES) CLERNtNG ID PERCENT COMPONENTS ~Z~RD LIST 11GS.~ 188.8 SOOIUM HYPOCHLORITE. UNKNOWN ~ PURE 8MMONIA S88 GAL MO~R~TE SALES FLoo~w~REHOUSE PLASTIC CONTAINER[S) CLEANING ID PERCENT COMPONENTS HAZARD LI~T ;Q~4.BZ ~0,0 LIQUID AMMONIA MODERATE EP ~ PURE POOL CHLORINE ~S~ LBS HIGH SALES FLOOR/W~REHOUSE PLASTIC CONTBINER~S~ CLEANING ~ID PERCENT COMPQNENTS HBZARD LIST ~878.~ ~.0 HYOROCHLORIC ~CIO HIGH' ~ PURE 800L RCIOS 400 LBS HIBH SALES FLOOR/W~REHOUSE PLASTIC CONT~INER~S~ CLEANING ID~ PERCENT COMPONENTS HAZARD LIST PAGE 3 '.MATERIAL ~A~ETY DRTR SYSTEMS, INC. (8~) BUSINESS NRMELON~RUG 'STORES ~ , ID 3ER Z1S-~-~BB7 LOCATION 43~ CALIFORNIA ,AV HIGH HAZARD R~TI~G'~ FACILITY UNIT A. OVERRLLH~ZARDOUS M~TERI~LS INVENTORY ( * CONTINUED * ) LAST CHANGE t0/06/88 BY EBTER iD TYPE NAME MAX AMT UNiT H~ZARD LOCATION· ~ ,, CONTAINMENT USE · ~' PURE POOL ACIDS 400 LBS HIGH ~9 ( ,~ CONTINUED * ) ID PERCENT COMPONENTS HAZARD LIST 1~78.~Z'I~.~ MURIRTtC ACID HIGH ~ MIXTURE HOUSEHOLD PRINTS 15~ GAL EXTREME 5ALES FLOOR/WAREHOUSE ~ETRL CONTAINERS PRINTING ID PERCENT CO~ONENTS HAZARD LIST ~Z~3.~7 ZG.e MINERAL SPIRITS EXTREME 1Z~3,~ 15.e NAPHTHA EXTREME 114~.~ 5.~ METHYL ETHYL KETONE HIGH ZGOZ.~ 3~ ETHYLENE GLYCOL UNKNOWN ~ PURE MOTOR OIL 5~ GAL UNKNOWN SALES FLOOR/~RREHOUSE BOX[ES] LUBRICANT ID PERCENT C~PONENTS HAZARD LIST ~808.ee 1~.e MOTOR OIL UNKNO[~ ~ MIXTURE AUTO ENGINE R~ITIVES tee GAL HIGH SALES FLOOR/WAREHOUSE PLASTIC CONTAINER[SI LUBRICANT ID PERCENT COnJOiNTS HAZED LIST tt4S,01 ~0~ METHYL ALCOHOL HIGH tI4e,~ Z~.~ METHYL ETHYL KETONE HIGH 280Z.0~ 2~.0 ETHYLENE GLYCOL UNKNOWN ~ PURE ANTIFREEZE 4ee GAL UNKNOWN SALES FLOOR/WAREHOUSE PLASTIC CONTAINER[SI COOLANT ID pERcENT CO~ONENTS " HAZARD LIST zsez.ee t~.e ETHYLENE GLYCOL UNKNODN -~ PURE CAMPING FUEL Z~ GAL MODERATE SALES FLOOR/~AREHOU~E HETAL CONTAINERS FUEL ID PERCENT COMPONENTS HAZARD LIST 1178.~ 1~.~ FUEL OIL NO, i MODERATE R~6E 4 12/1G/88 t1:51 M~TERI~L SAFETY DATA SYSTEMS, INC. (805) 648-~8~ BUSINESS NAME LONGE STORES ~2~ ID N R Zt5-~0--~00~,~87 ~ LOCATION 4300 CALIFORN!~ AY HIGH HAZARD RATIN~'Z' ® B. FIRE PROTECTION t WATER SUPPLIES LAST (:FlaNGE I / BY . < NO INFORMt~TION RECORDED FOR THiS SECTION > EMPLOYEE NOTIFICATION / EVACOATIO~ LAST CHANGE ~/~/88 BY EstER sec Z) MEMBER OF MANagEMENT ~ILL BE INFORMED AND WILL CALMLY EVACUATE CUSTOMERS aND CO-WORKERS TO NEAREST EX'ITS. ~ll WILL BE DIALED IN EMERGENCY. 'MEMBER.OF MaNaGEMENT WILL T~KE ATTENDENCE AT MEETING AREa. PHaRMRCIST gILL BE NOTIFIED TO ADMINISTER FIRST AID. ALL EMPLOYEES gILL LISTEN aND RESPOND TO INSTRUCTIONS ON CALMLY EVACUATING THE BLDG, P~GE S 12/tB188 1t:SI MATERIAL SAFETY DATB SYSTEMS, INC. (805) B48-G8~O BUSINESS NAME LONGS STORES ~Z00 ID N R Z1S~O~OOB87 LOCATION 4~ CAL. IFORNIA AV HIGH HAZARD R~TING'"Z E. MITIGATION / PREVENTION / ABATEMENT ' LAST ~HRNGE 09/30/88 BY ESTER 3R SEC 1)'I<EEP CURRENT INVENTORY LIST AND UPDATE AS NEW PRODUCTS ARE INTRODUCED 'FO THE PUBLIC. KEEP EMPLOYEES 'TRAINED iN CLEANING UP .: HAZARDOUS PRODUCT SPILLS, KEEP FIRE EXTINGUISHERS WORKING, INFORM ALL EMPLOYEES OF MEETING PLACE IN THE EVENT, OF EVACUATION. KEEP CLEANLUP SUPPLIES IN' ORDER. PAGE G 1~/1G/88 ll:S1 MATERIAL SAFETY DATA SYSTEMS, I. NC. (805) G48-GBC'~ .~'~_.~_~'ti~i''Ly/~ BAKERSFIELDBAKERSFiELD,2130CITYFIRE,,6. STREETcA DEP~TI~ENT93301 000987 _ USINESS N~E ' ~AZARDOU~ ~T~I ~U~XN~S~ ~A~ AS A-~OL~ FO~ 2A INSTRUCTIONS: 1. To avoid further action, return this form by . 2. TYPE/PRINT ANSWERS IN ENGLISH. " 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA A..BUSINESS NAME: LONGS DRUG STORES #200 B. LOCATION / STREET ADDRESS: 4300 California CITY: Bakersfield ZIP: 93309 BUS.PHONE: (805) 32~-1200 SECTION 2: EI~ERGENCY NOTIFICATIONS In case of an emergency involving the release or threatened release of a h~.h.f~dpus material, call 911 and 1-800-852-75§0 or 1-916-427-4341.. This will notify Four local fire department and the State Office of Emergency services as required by law. EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME AND TITLE DIJRING BUS. HRS. AFTER BUS. HRS. A. SAM DONALDSON Ph#(805)872-3444', Ph~(805)822-7389 B. AL GIBSON Ph~(805)326-1200' Ph# (805) 323-5882 SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT GAS/PROPANE: SEE ATTACHED .......... ~e B. ELECTRICAL: /k/, <4'~.. ~_..e,v'-,~/ <:)-K'~~-,~ ~./'"'~ C. WATER: NO~. ~C~f, ~~/~. ~g~ ' D. SPECIAL: ~ ~ E. LOCK BOX: YES / NO IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS9 YES / N0 ~SDSS? YES / N0 FLOOR PLANS? YES / NO KEYS? ~S / N0 - 2A - LONGS DRUG STO~E -~200 TO.- June Obmehta .4300 CALIFORNIA AVE. FROMj' '.' " BAKERSFIELD, CA 9330~ DATE: The Distrtet Area Manager and the Store Manager' will have authority to make decisions for the store in the event of an emergency. List the following information; (Store Manager) (24-hour phone number) ?lease review the attached store plan and f~)llow the directil ~ - . ' 1. Mark in bold leg,hie print the locatiolms of the attached product families. -'. 2. Mark the locations of the following shut-offs: a. Water b. Electrical Name and address of two medical facilities near your store: Approximately how many miles are you from: 1. Local fire station:ik5 J miles Address of Fire Station 2. Local ambulance service: 7. miles Address of Ambulance Service BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL USE ONLY ID# BUSINESS NAME: BUS I NESS PLAN SINGLE FACILITY UNIT FORM 8A INSTRUCTIONS 1. To avoid further action, this form must be ref,urned by: .. 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the-questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as possible. SECTION 1: MITIGATION, PREVENTION, ABATEMEN~r PROCEDURES 1. Keep current inventory list and update as new products . are introduced to the public. 2. Keep employees trained in cleaning up hazardous product spills. 3. Keep fire extinguishers working. 4. Inform all employees of meeting place in the event of evacuation. 5. Keep,clean-up Supplies'in order. SECTION 2: NOTIFICATION ~ND EVACUATION PROCEDL~RES AT THIS b~IT ONLY 1. Member of management will be informed and will calmly evacuate customers and' co-workers to nearest exits. 2 911 will be dialed in emergency. 3. Member of management will take attendence at meeting . area. 4. Pharmacist will be notified to administer, first aid. 5. Ail employees will listen and respond to instructions on calmly evacuating the building. . -3A. BAKERSFIELD CITY, FIRE DEPARTMENT I.D. # FORM 4A-1 " 'Page i o,f 2 .... NON--TRADE SECRETS HAZARDOUS .-'NATERI ALS I NV'ENTORY BUSINESS NAME: ·LONGS DRUGS · OWNER NAME: LONGS DRUG STQ~S CA INC. FACILITY UNIT ADDRESS:. 4SOO California· Ave, ADDRESS: 141 N.Civi~ Drive_ FACILITY UNIT NAME: BKF CITY, ZIP: Bakersfield, CA 93309 CITY,ZIP: Walnu~ ~eek? CA 94596 p~ONE ~:.. (805) 326-1200 PHONE ~: (415) 937-1170 OFFICIAL USE CFIRS CODE ~, 2 3 ? 9 10 TYPE MAX ANNUAL LOCATION IN THIS HAZARD D.O.T CODE AMOUNT AMOUNT FACILITY UNIT CHEMICAL OR COMMON NANE CODE 6UIDE Sales F~oor/~ Garden.Fer~ilizers FLSL 400 Sales Floo~/Narehoul ~nsec~c~des-Household C~LQ 1000 Floor Herbicides-Household/Garden FLSL ~00 Sales Floor Herbicides-Househ'o id/Garden FLLQ 200 ~ ~ales Floor Pesticides-Household/Garden FLSL 2000 Sales P~oor/~ Cleaning-Household B~eacn CENT 2000 sa~es ~oor/~arehou~ Ciea'ning-ffousehoid Deterge 500 '~ Sales Floor Cleaninq-Ammonia' Pro~~ Cleaninq-Pool Acid~6 . CRMT 150 /~ Paints-Household 500 ~ Sales Floor 1~0 /~ Sales Floor ~E: June Obrochta TIT~E:OSHA'Spec~a]~f. SIGNATURE: DATE: 7/31/87 EMERGENCY CONTACT: gAM n~Mar.n~O~ TITLE:~ RNA~RR PHONE t BUS HOURS: (805)872-3444 AFTER BUS HRS:-(805)822-7389 EMERGENCY CONTACT: A1 Gibson TITLE: Store Manaqer . PHONE ~ BUS HOU~S:(~0~)326-1200 PRINCIPAL BUSINESS ACTIVITY: Retail Dr,~ Chain ~t~re AFTER BUS HRS: (805) 323-5882 · . BAKERSFIELD CITY FIRE DEPARTMENT I.D. # FORM 4A-1 Page 2 of _2__ ,NON--TRADE SECRETS ~ HAZARDOUS "MATERIALS INVENTORY BUSINESS NAME:j~).]~z~,.DRUGS O#NER NAME: LONGS DRUG STORES CA INC, FACILITY UNIT #:200 ADDRESS:_ 4300 ~alif~rnia Ave. ADDRESS: 141 N, Civic Drive FACILITY UNIT NAME: BKF CITY, ZIP: Bakersfie]d~ CA 93309 CITY,ZIP:Walnut Creek, CA 94596 PHONE ~:_(ROS) 326-1200 PRONE #: (415)937-1170' IOFFICIAL USE CFIRS. CODE 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN THIS · BY HAZARD D.O.T ~ODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE ~) 200 ZC~ GAL 13 19 Sales Floor/Wareho~ se Fuel-Campin~ //7~ FLGS --- / NAME June Obrochta TITLE: OSHA Specialist SIGNATURE: (~ ~ DATE: 7/31/87 EMERGENCY CONTACT: SAM DONALDSON TITLE: AREA MANAGER · PHONE # BUS HOURS: '(805)872-3444 'AFTER BUS MRS: (805)822-7389 EMERGENCy'CONTACT: A1 Gibso~ TITLE: Store Manager PHONE # BUS HOURS: (805) 326-]2(;I] PRINCIPAL BUSINESS ACTIVITY: Retail Drug Chain Store AFTER BUS HRS: (8()5) 323-5~2 LONGS DRUG STORES BAKERSFIELD BUSINESS PLAN RESPONSIBILITY It is the responsibility of the Store Manager to designate a member of management to ensure the inventory list is current. The inventory list may be updated by the Receiver when new products are'received. However, a member of management must ensure compliance by the Receiver.. Updated inventory lists must contain the product name and the supplier. These updated lists 'should be given to the Store Manager every quarter. Any new product that may contain hazardous substances must be added to the list. The Store Manager is responsible to provide firefighters or any emergency response personnel current flOor plans showing where products containing hazardous substances are displayed or stored. The Store Manager will be contacted in the event of a fire.or other emergency situations. If there is a phone number change, the Store Manager must contact: BAKERSFIELD CITY FIRE DEPARTMENT HAZARDOUS MATERIALS CONTROL UNIT 2130 "G" ST. BAKERSFIELD, CA 93301 (805) 326-3979 The Store Manager is responsible for ensuring all personnel are trained in how to respond to emergency situations. The training memos and packets can be obtained from the Personnel Department. Emergency medical phone numbers for hospitals and ambulances should be po~ted. The store manager will designate a member of management to: 1. Call the emergency center to notify how many people are coming in for treatment. If due to a chemical spill; the empty bottle will be taken in. ..2. In the event of a fire, the designated person will take attendence at the meeting spot to ensure all employees have evacuated the building. NOTE: Copies each quarter of inventory lists must be forward to the area manager. TO: Management Members .~ Informational FROM: Store Manager DEVELOPING A WORKPLACE SAFETY AND HEALTH PROGRAM Introduction Taking risks is a part of operating any business. You take risks in product marketing or advertising in order to stay competitive. But there are some risks that are just not worth the gamble. One of these is risking the safety and health of those who work for and with you. Accidents Cost Money The actual cost of a lost workday injury.is, substantial. For every dollar we spend on the direct costs of a worker's injury or illness,, we will spend much more to cover the indirect and hidden costs. Consider what one lost workday injury could cost us in terms of: o Productive time lost of an injured employee; o Productive time lost by personnel and supervisors attending the accident victim; o Clean-up or start-up of operations interrupted by the accident; o Time to hire or to retrain other individuals to replace the injured worker until his or her return; o .The cost of continuing all or part of the emploYee's wages; o Reduced morale among your workers and perhaps lower efficiency; o Increased workers' compensation .insurance rates; and o The costs of completing the paperwork generated by the incident. M ,ana~ement Commit ~m ~ent Your attitude toward safety and health shows in every decision you make and every action you take. Your employees respond, to that attitude. You can demonstrate your commitment through Your personal concerns for employee safety and health and by the priority you place on safety and health .issues. " You and every employee must know that they are accountable for their safety and health responsibilities. We must: o Identify potential hazards; o Purchase personal protective equipment; -o Promote and train employees about safety. Developing a Workplace Safety and Health Program Page 2 Let your employees know of your concern for safety by: o Including safety and health topics in meetings and conversations with employees. o Encouraging employees to develop and display a positive attitude toward safety. o Taking any necessary corrective action after inspections, accidents, or responses to employee suggestions; or forwarding all safety suggestions to June Obrochta in Personnel. o Providing feedback on their safety concerns and pert~ormance. Most important--you as manager must ,s,e,t, a good examp!e! wpc:122/Bla (08/10/87) Attachment WRI,T~', .EN HAZA, RDOUS COMM. UNICATION INFORMATION As a companY, we intend to provide information about products with hazardous substances and the control of hazards via our comprehensive 'Hazard Communication Program, which includes container labeling, Material Safety Data Sheets (MSDS), and training. The following information outlines how we can acc°mplish this objective: 1. Container Labeling -- for use of industrial cleaning products and for products sold ~{,~the cOUnter to the public. Products with hazardous substances will be reviewed prior to use to verify the following label information: ".~ a. Containers are clearly labeled as to the contents b. Appropriate hazard warnings are noted '~ ' c. The name and address of the manufacturer are listed This responsibility h~s been assigned to: 2. .~aterj.a.1. S.afety Data Sheets (MSDS) Copies of MSDS for hazardous producers to which employees of this company may be exposed should be kept in the office. The store manager will be responsible for obtaining and maintaining these sheets. New sheets received will be reviewed by the store manager for significant health/safety information, which will be passed on to affected employees. · ~ MSDS are available to all employees for review when requested. If MSDS are not available or new hazardous substances in use do not have MSDS, please notify the store manager immediately. 3. Employee Information and Training \ will conduct a health and safety orientation with each new employee prior t'o their starting work. Training and information will be given regarding: (a) Caution concerning any presence of hazardous substances in any specific work areas of the store. (b) Description, location, and availability of the Chemical Spills Emergency Supply Box and First Aid Kit. (c) Discussion of how to respond to emergencies. (f) Discussion on how to lessen or prevent exposure to hazardous spills through use of work practices and personal protective equipment. (g) Description of the steps the company has taken 'to lessen or prevent exposure to these substances. (h) Emergency and first aid procedures for employees to follow in the event of hazardous substances spills. (i) Discussion on how to read labels and review Material Safety Data sheets (MSDS) to obtain appropriate hazard information. NOTE: It is important that everyone understand the training. If you have any additional questions, please contact the store manager. 4. -List of Hazardous Sub.stances The following is a list of all known hazardous substances present in our store. Specific information on each noted hazardous substance can be obtained by reviewing the Material Safety Data Sheets. Hazardous Substances Ar~a Found Garden Chemicals and Pesticides Warehouse & Sales Floor Industrial Cleaners Wai'ehouse Pool 'Chlorines warehouse & Sales Floor Commercial Bleaches Warehouse & Sales Floor Book Matches Warehouse & Sales Floor Stove and Lantern Fuels Warehouse & Sales Floor Lamp Oils Warehouse & Sales Floor Propane. for Buffer Warehouse Automobile Fuel Additives Warehouse & Sales Floor Motor Oil Warehouse & Sales Floor Pesticides (Pet Products) Warehouse & Sales Floor Ammunition Warehouse & Sales Floor Various Aerosol Products Warehouse & Sales Floor Paints and Solvents Warehouse & Sales Floor Controlled Drugs Pharmacy Denatured Alcohol ' · Pharmacy & Sales Floor wpc:121/23 (08/10/87) · To be reviewed when ~eading GENERAL DEF[NrrIONS Hazardous Substance: Any substance designated or listed below to which exposure results or may result in adverse safety or health effects: -- Any substa'nce defined under section i0i (I4) of CERCLA; any biological agent and other disease-causing agent as defined in section 10b, (al (2) of CEF~CLA; -- Any substance listed by the Department 'of Transportation and regulated as hazardous material under 49 CFR 172.101 and appendices; and, -- Hazardous waste. Health Hazard: A chemical, mixture of chemicals or a pathogen for'which there is statistically significant evidence that acute or chronic health effects may occur in exposed employees. This includes chemicals which are carcinogens, toxic or highly toxic agents, reproductive toxins, irritants, corrosives, sensitizers, hepatotoxins, nephrotoxins, neurotoxlns, agents which act on the hematopoietic system, and agents which damage the lungs, skin, eyes or mucous membranes. [DLH or Immediate Danger to Life or Health: Any condition that poses an immediate threat to life, or which is likely to result in acute or immediate severe' health effects. This includes oxygen deficiency conditions. Ensure manager is aware of all labels on any product that carry this notice. Ma),: This term is used to state a permissive use or an alternative method to a specific requirement. Must: This term indicates a mandatory requirement. Oxygen Deficiency: That concentration of oxygen by volume be[ow which air supplying respiratory protection must be provided. It exists in atmospheres where the, percentage of oxygen is less than PtoLecLive CloLhinq: Any material or combination of materials used in an item of clothing for the purpose of isolating parts of the body from direct contact wiLh potentially hazardous liquid or gaseous chemicals. Safety Officer: The individual who is responsible to the emplOyer and h~s the authority and knowledge necessary to implement a safety plan and verify compliance with applicable safety and health requirements. Shall: 'This term indicates a mandatory requirement. ° [~ENERAL DEFINI S should: This term indicates a recommendation or that which is advised buf!~not required. Unstable (Reactive) Liquid: A liquid which in its pure state or as commercially produced or transported will vigorously polymerize, decompose, condense, or become self-reactive under conditions of shocks, pressure, or temperature. Ensure manager is aware of all labels on any product that carries this notice. Ventilation: ' For the prevention of' fire and explosion, ventilation is considered adequate if it is sufficient to prevent accumulation of significant quantities, of vapor-air mixtures in concentrations Over one-fourth of the lower flammable limit. wpc:121/t (o8/87) TO: Receivers Informational. FROM: Store Manager ~WAREHOUSE SAFETY The attached booklet, "Safe Practices In Warehousing Garden Chemicals" is for you to read and understand, A copy is to be'posted permanently in your work area and you are to ensure every new receiver reads and understands the information. Aside from the important role you play in proper warehousing of chemicals; overall safe warehouse practices are your responsibility. Please review and pos.t this memo. Add any other safety measures and let a manager know-or better ~et, tell them yourself--if a clerk is not using a ladder properly or following unsafe practices. Remember--it's your job to set an example by practicing safe warehousing procedures. Smoking is not allowed in any area of the warehouse. ProPer storage procedures must be practiced 'to minimize the risk of fire, including spontaneous combustion with paints, fertilizers, and other combustible products. Store these items away from furnaces. Know how to use a fire extinguisher. Remember: Fire kxtinguishers are selected and provide for specific types of products: Class A: Ordinary combustible material fires Class B: Flammable liquid, gas, or grease fires Class C: Energized-electrical equipment fires Do not stack merchandise or tools to block fire extinguishers. If you see a fire extinguisher that has not been serviced for a maximum of one year, report it to a manager. Do not allow an untrained person to operate industrial forklifts and pallet jacks. Never overstack merchandise. Never stack merchandise on an unsturdy shelf. Report all shelves in need of repair to a manager. Never lift more than is comfortable for you. Ensure proper lifting procedures are used. Never climb on merchandise or use shelving as a ladder. Always use a ladder Or stool to get to merchandise that is overhead. Use the bailer properly. Wherever you place merchandise you are moving, make sure it is in a secure place. Make certain it won't fall, tip over, roll, or block someone's way. wpc:122/B7 (08/10/87) Attachments TO: stOre Employees Informational FROM: Store Manager EMERP-.,ENCY RESPONSE PROGRAM L'ongs Drug Stores has developed an Emergency Response Program to enhance your health and safety in the workplace. We want to ensure that you are aware of how to respond in emergency situations. By being prepared, each one of us can contribute to the safety and well-being of your co-workers~and our customers. The attached memo gives you information on how to respond in the following kinds of emergencies.' Medical Power Outage Earthquake Fire Bomb Threat Chemical Spills and Cleanup , Spend some time and familiarize yOurself with how to safely respond to some of these more common emergencies, wpc:122/B6 . EMERGENCY PROCEDUF EVACUATION Should an evacuation of part or ali of the building be required, it will be announced by a manager via the PA system. AVOID PANIC, BE CALM, EVACUATE AS' DIRECTED. Advise customers to follow clearly marked exits, Do not use elevator. Stay clear until directed otherwise, MEDICAL EMERGENCY " Notify a manager immediately. Avoid moving victim. Dial 911 if situation in any way appears life-threatening. Ask loudly for assistance, ask nearest person to please nOtify a pharmacist. POWER OUTAGE . Remain at your workstation until told otherwise. Ask customers to remain calm and not Lo move. Remember you are familiar with the store floor plan; however, a customer is not and may injure themself. Wait until you receive further instructions from a manager. . EARTHQUAKE Be .calm. Stay inside. Move away from windows and cabinets. Assist customers in taking cover and staying away from windows, ' Take cover under tables or cash stands. ' Extinguish open flames, Do not run through building, FIRE ,,.. Minor: NOTIFY FIRE DEPARTMENT~ Dial 911. Give exact location of fire and your name. Notify manager for assistance. In a loud, clear voice order all personnel clear of the area. Major= NOTIFY FIRE DEPARTMENT. Dial 911. Give exact location of fire and your name, Notify manager for assistance. Move clear of the fire area and in a loud, clear voice, .ask everyone to' immediately leave the store. BOMB THREAT Be calm. Listen, be alert and businesslike. F<eep caller on the line, signal someone for help to notify a manager. Repeat instructions, take detailed notes. Ask for. bomb location and when it is to go off. Inform caller that building is occupied. Note caller's voice, bael<ground noise, etc. DO NOT ToucH ANYTHING SUSPICIOUS. wpc: 121/26 EI~ERGENCY PROCEDURES Chemical Spills and Cleanup Pi'ocedutes Chemical spills can be dangerous. F-or this reason, in the event of a chemical' spill~ immediately set Up a barrier to 'keep other employees or customers away. Have another employee or customer call for a manager. Ventilate the area of a Spill by opening doors or by setting up a fan. Chemical fumes may catch fire~ therefore~ do not store flammable products near a furnace/water heater. Do not light matches when fumes are present! Under the directions of a manager~ begin cleaning up a spill as soon as possible to minimize health exposure and possible problems with stains and odors, When cleaning up~ wear rubber or neoprene gloves~ keeping the rest of your body covered, and avoiding inhalation of the vapors, If the vapors are overwhelming, leave the area immediately and in a clear~ loud voice direct other employees and customers to leave the store. ',, Sweep spilled solids into a plastic bag, Spilled liquids should first be soaked up with an absorbent material such as Kitty /itter~ paper towels~ or old rags~ then placed in a plastic bag~ sealed~ and put in the trash can. Scrub wood~ cement~ or tile surfaces with a water solution of strong household detergenl~ applied with a scrub brush or old rags~ repeat cleansing with detergent until traces of the chemical are gone. Absorb each time with absorbent material. All cleanup materials should be thrown out in disposable containers such as sealed plastic bags. Fimt Aid for Chemical Exposure Most products carried in our store are labeled with pertinent first aid instructions. In the event of exposure to chemical spills, employees should follow the directions listed on the label. Additional information may be available in the office on the Material Safety Data Sheets (MSDS). Following emergency first aid treatment, it may stilt be necessary to follow up these procedures with professional medical attention. Should this be necessary, employees should remember to take the container with its label to the doctor so that he or she will know exactly to which product you were exposed. This will help the physician begin proper treatment as soon as possible. In all such cases of chemical spills and exposure~ employees must notify a member of management immediately. wpc:121/2i TO: EMPLOYEE SAFETY UNDERSTANDING STATEMENT Remember, safety is up to you. Our safety policy can protect you only if you protect yourself. You are the only person who can keep you safe every day on the job. I have read the Emergency Response memo and pamphlet-and understand about the chemical substances this store sells. I know emergency procedures and will practice sensible, safe work habits. Signature Date wpc:t21/p . COPY TO BE GIVEN TO EMPLOYEE PRODUCT FAMILIES (]ARDEN Insecticide (agent that destroys insects) Herbicide (agent that destroys/inhibits plant growth) Pesticide (agent that destroys pests) #'~. Fertilizer (chemical mixtures only such as ammonium sulfate; no natural fertilizer) CLEANING PRODUCTS Ammonia products ~ Chlorine products Bleach products ~ ~ S~R~O FLUIDS Lighter fluids Chlorine products ~ Acid products ~ ~_~ PAiNTS/STAiNS Paints (spray or · Paint thinners ~r ~. B Faint solvents ~' Paint re movers ~ ~3 AUTO Motor oil ~ ~ Engine additives ~f Antifreeze ~' PHOTO SUPPLIES Developer Stopper CAMPING wpe:121/25 (07/15/87) PRODUCT FAMILIES GARDEN Insecticide (agent that destroys insects) Herbicide (agent that destroys/inhibits plant growth) Pesticide (agent that destroys pests) Fertilizer (chemical mixtures only such as ammonium sulfate; no natural fertilizer) CLEANING PRODUCTS Ammonia products Chlorine products Bleach products S~RTING FLUIDS ... Charcoal fluids Lighter fluids POOL CHEMICALS Chlorine products Acid products pAINTS/STAINS Paints (spray or can) Paint thinners Paint solvents Paint removers AUTO Motor oil Engine additives Antifreeze PHOTO SUPPLIES Developer Stopper CAMPING Propane gas wpe:121/25 (07/15/87) PHOTO Fuji Film Eastman KOdak Company Film Poloriod Film STARTING FLUIDS/CAMPING Coleman Coleman Stove Gas Disposable Prop.ane Solvoil Camplite Camp Fuel Hickory Farm Charcoal Starter Fluid Boyle Midway Gulf Lite Charcoal Starter Fluid LONGS DRUG STORES purchases a variety of starting fluids and charcoal from various suppliers. AUTO Coast Oil Co. 4250 Williams Road· San Jose, CA 94129 (408) 252-7720 Bay Area Oil 300 Castro S~.' Oakland, Ca 94607 (415) 893-8161 Inter-State Oil Co. 8221 Alpine Ave. Sacramento, CA .95826 (916) 457-6572 -BASF Corp 100 Cherry Hill Parsippany, N.J. 07054 (201)-263-3400 First Brands Corp 1600 Riviera, Suite #380 Walnut Creek, CA 94596 (415)-938-2148 LONGS DRUG STORES purchases the following types of auto Products · from the above supplies: MOTOR OIL ENGINEADDITIVES ANTIFREEZE CLEANING PRODUCTS DIAL CORPORATION Parsons' Ammonia Sudsy Parsons' Ammonia Clear Parsons' Ammonia Pine Parsons' Ammonia Lemon Bo Peep Ammonia Cldy Bo Peep Ammonia Sprkl Bo Peep Ammonia Lemon Sno-Bol Auto Sno-Bol - Dutch Cleanser Cameo Copper Cleanser Cameo Alum. & Stainless Steel Cleanser Bab-O Cleanser Purex Liquid Bleach Purex Dry Bleach THE CLOROX COMPANY Clorox Bleach Fresh Scent Clorox Bleach Liquid-Plumr Drain Opener Tackle Cleaner Disinfectant Tilex Mildew Stain Remover COLGATE PALMOLIVE Ajax Cleanser Ajax M-S-C Palmolive Auto Dish Detergent BRADSHAW INCORPORATED Glass Plus X-14 '~ 2000 Flushes FRENCH'S/AIRWICK Copper Scouring Copper Knob Plastic Puff Bronze Scouring Stainless Steel Nylong Scouring Dishscrub Silverstone Bathscrub Heavy Duty Drain Power Brasso Silvo Bully Singles Bully Twins Bully Plus Blue Bully Power] Swish Blu-Boy KIWI Miracle White LEHN & FINK Lysol Laundry Sanitizer Perk for No-Wax Floors Mop & Glo