HomeMy WebLinkAboutBUSINESS PLAN 5/21/2002 Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
This i~ermit is issued for the followin_.:
[]~HA~rdous-Materials Plan
[] Underground Storage of HazardOus Materials
[] Risk Management Program
PERMIT ID # 015-000-001535 D Hazardous Waste On-Site Treatment
BIG K MART
LOCATION: 2749 CALLOWAY ,. ;AKERSF[EI.D CA 93312
·., 6:1
OFFICE OF ENVIRONMENTAL SER VICES' '
1715 Chester Ave., 3rd Floor Approved bY: "Lml,~'nu~y.~! Issue oate
Bakersfield, CA 93301 Omc¢or£vironu~Sen, ices
Voice (661) 326-3979
FAX(661) 326-0576 Expiration Date: ~un~ ~O,. ~OO~
Hazardous Materials/Hazardous Waste Unified Permit
. CONDITIONS:OF~PERM!T..ON REVERSE SIDE
; - '. · ~.i -',~ · "" ~i~?~:i~?'i~ ' ~i:-.-:~ '"
"- , ,. This _Dermit is Issued for the following:
' [] Hazardous Materials Plan
[] Under, round Storage of H~?,~rdous M~i~ls
Permit ID #:: 015-000-001555 ~n Ri~kl~n~l~tPro~mm
K MART CORPORATION [] Hazardous Waste On-Site Treatment
LOC^TION: 2740 C^LLOW^Y DR
... · ~-..i". .¥...... ·
OFFICE OF £NVIRONMENTAL SER VTCES ·
1715 Chester Ave., 3rd Floor Approved by:
Bakersfield, CA 93301 OfficeofEvironm~n~ffServices
Voice {661) 326-3979
FAX {661) 326-0576 ~.. . 'Expiration Dat¢i..
Kmart
2749 CALLOWAY DRIVE
BAKERSFIELD, CA 93312
EMERGENCY SQUAD/FIRE SQUAD
SPORTS 1 NOTIFY OFFICE PERSONNEL, CLEAR
SPORTS, AND ALL STOCKROOMS IN
IMMEDIATE AREA.
AUTOMOTIVE 2 NOTIFY OFFICE PERSONNEL, CLEAR
FLOOR IN A CALM MANNER.
DOMESTICS/LAYAWAY 3 CLEAR CUSTOMER RESTROOMS, NOTIFY
RECEIVING AND 605, HELP CLEAR
FLOOR.
TOYS 4 CLEAR SALES FLOOR OF ALL CUSTOMERS
IN A CALM MANNER.
APPLIANCES/CAMERAS 5 CLEAR SALES FLOOR OF ALL CUSTOMERS
AS QUICKLY AND CALMLY AS POSSIBLE.
RECEIVING/605 6 CHECK AND CLEAR STOCKROOM FROM
MEN'S WEAR THROUGH SPORTING GOODS.
APPAREL/FOOTWEAR 7 NOTIFY STOCKROOM PERSONNEL, CLEAR
LADY ' S AND MEN' S FITTING ROOMS.
HOME IMPROVEMENT 8 CLEAR OUTSIDE STOCK AREA AND ASSIST
IN CLEARING FLOOR.
GARDEN 9 CLEAR SALES FLOOR IN A CALM,
ORDERLY MANNER.
10 OFFICE/POS 10 NOTIFY K-~- AND OTHER OFFICE PERSONNEL,
INCLUDING CAGE, MAKE SURE OFFICE,
LOUNGE AND EMPLOYEE RESTROOMS ARE CLEAR.
********ONE PERSON IN EACH AREA WILL SECURE A FIRE EXTINGUISHER TO USE IN THE EVENT OF A FIRE.
********YOU MUST KNOW WHAT TYPE OF EXTINGUISHER TO USE ON DIFFERENT TYPES
OF FIRES.
EVERY ASSOCIATE IS RESPONSIBLE FOR KNOWING AND DOING HIS/HER
~ART IN THE EVENT OF AN EMERGENCY .......
FIRE EXTINGUISHER ER LIST
STOCKROOM
28 22 23 ~
19 20 21 26 R,S,ROO.S~ 27
FAMILY FOOTWEA~ INFANTS AND TODDLERS TOYS SPORTING GOODS
18
12 i3
GIRLS APPAREL BOYS APPARIL DRY
DOMESTICS MIRRORS DO-IT-YOURSELF
RUGS
FRA~4E D PICTURES
CLOCKS
9 1 ARTIFICIAL FLOWERS
KITCIrlE N KORNER
.ous~A.s 11
8 [OMOTIVE
6 COSME*SCS ~D~E$ APPAREL EN'S APPARE
~NDY IIOME
&
J~ELRY PKG DELI OFFICI
' S~SO~AL SEASONAL
4 5
ELECTRONICS CEN~ER
CHECKOUTS IIEALTH AND BEAU~ AIDS
~ ff~T ICUSTOMER
ON THE MAP
1 AT CUSTOMER SERVICE DESK
3 NEAR CHECKOUT ~1 ON POLE
4 NEAR CHECKOUT ~9 ON POLE ~749GALLOWAYD~IVE
6 IN STOCKROOM IN FASHIONS ACC. DEPT.
7 ON POLE IN FASHION ACC. DEPT.
8 IN LADIES APPAREL ON POLE
9 IN KITCHEN KORNER ON POLE 28 UPSTAIRS STOCKROOM
10 IN KITCHEN KORNER ON POLE NEXT TO ROOF HATCH
11 IN AUTOMOTIVE DEPT. ON POLE
12 ON POLE IN FOOTWEAR DEPT.
13 ON POLE IN FOOTWEAR DEPT.
14 IN READERS MARRET ON POLE
1'5 IN DOMESTICS DEPT. ON POLE
16 IN HOME CENTER DEPT. ON POLE
17 IN PET SUPPLIES ON' POLE
18 IN SPORTING GOODS ON POLE
19 IN STOCKROOM NEAR RECEIVING DOORS
20 IN STOCKROOM UNDER'RECEIVING DESK
21 IN STOCKROOM ON WALL NEAR LUGGAGE DOOR
22 NEAR STAIRWAY ON WALL (DOWNSTAIRS)
23 NEAR STAIRWAY ON WALL (UPSTAIRS)
24 ON WALL NEXT TO PERSONNEL OFFICE
25 ON WALL IN EMPLOYEE LOUNGE
26 ON WALL IN OFFICE
27 IN ELECTICAL ROOM IN LAYAWAY DEPT.
EMERGENCY EXIT DOORS
19 4 STOCKROOM 23 24 '~2
F~,LY FOOTW~R ,NF^NTS A.D ,ODDLERS ROOKS . TOTS SpoR,,.G GOODS
20 SUPPLIES
FAtAlLY LA~PS
HOSIERY
GIRLS APPAREL OYS APPAREL DRY GOODS DO-IT-YOURSELF
DOMESYlCS MIRRORS
~ RUGS
FASHION ARTIFICIAL FLOWERS
ACC~SORIES
i ~OUS~ARES
AU~OMOT,V~ {~ ~
COSMETICS
~DIES APPAREL EN'S APPAREL
~NDY &
J~ELRY
S~ONAL SEASO~L
ELECTRO~ICS CEHTER
CHECKOUTS ~RDS HEALTH AHD BEAU~ AIDS
REST CUSTOMER ~
'~ ..... I ROOMS SERVICE TOBACCO, .
EMERGENCY EXIT DgORS:
CAROLINE DOOR 5 PAPER GOODS ~
CAROLINE DOOR 11 OUTSIDE GARDEN SHOP DOOR
CAROLINE DOOR 12 INSIDE GARDEN SHOP DOOR
CAROLINE DOOR 22 ELECTRICAL ROOM DOOR(BEHIND LAYAWAY)
CAROLINE DOOR 24 OFFICE DOUBLE DOOR
CAROLINE DOOR 23 605 DOOR(SINGLE DOOR NEAR STAIRWAY)
CAROLINE DOOR 19 RECEIVING DOORS(TWO RECEIVING DOORS
AND DOUBLE DOOR NEAR RECEIVING DOORS)
CAROLINE DOOR 20 DOUBLE DOOR IN FOOTWEAR DEPT:..
*******EMERGENCY DOORS ARE LOCATED AND NUMBERED WHERE
THE DOTS ARE PLACED ON THE MAP*******
EMERGENCY EXITS PER SECTION OF STORE
****IF FASTER, USE A DIFFERENT ROUTE***
4 3 PET I
19 STOCKROOM : 24 22
IB,STROOMS I '-^,AWAY
**SECTION ~ 4,*x **SEC' **
HOSIERY
OYS APPAREL DRY GOODS
DOMESTICS MIRRORS DO-IT-YOURSELF
RUGS
FR~ED PI~URES
CLOCKS
/
ARTIFICIAL FLOWERS
KITCHEN KORHER
HOUS~ARES
AUTOMOTIVE
COSMET,CS ~D,~S APPAREL MEN'S APPARE~
~..~ .o~. 12
J ~ELRY PKG DELI OFFICE
S~ONAL SEASO~L
**SECTION g 1'* I **SECTION g 2**
ELECTROHICS CEHTIR
GREETING
CHECKOUTS ~RDS LTfl AND BEAU~ AIDS.~
TOBACCO ~
,' 5 11
1
EMERGENCY EXIT ~OORS:
CAROLINE DOOR 1 FRONT GLASS ENTRANCE 'DOORS(VESTIBLE)
CAROLINE DOOR 5 PAPER GOODS
CAROLINE DOOR 11 OUTSIDE GARDEN SHOP DOOR
CAROLINE DOOR 12 INSIDE GARDEN SHOP DOOR
CAROLINE DOOR 22 ELECTRICAL ROOM DOOR(BEHIND LAYAWAY)
CAROLINE DOOR 24 OFFICE DOUBLE DOOR
CAROLINE DOOR 23 605 DOOR(SINGLE DOOR NEAR STAIRWAY)
CAROLINE DOOR 19 RECEIVING DOORS(TWO RECEIVING DOORS
AND DOUBLE. DOOR NEAR RECEIVING DOORS)
CAROLINE DOOR 20 DOUBLE DOOR IN FOOTWEAR DEPT:..
*******EMERGENCY DOORS ARE LOCATED AND NUMBERED WHERE THE DOTS ARE PLACED ON THE MAP*******
.**SECTION ~ 1 SHOULD EXIT VIA THE MAIN ENTRANCE(¢AROLINE~ 1) **SECTION ~ 2 SHOULD EXIT VIA CAROLINE 5,12, or.ll **SECTION ~ 3 SHOULD EXIT VIA CAROLINE 22, 23, or 24 **SECTION ~ 4 SHOULD EXIT VIA CAROLINE 19 or 20 ********IF ANY CAROLINE DOOR IS CLOSER TO YOUR LOCATION THAN
THE ONES LISTED ABOVE, THE CLOSER DOOR SHOULD BE
USED IN CASE OF AN EMERGENCY*********************
BusINESS PLAN MAP
[~] SITE MAP-Form5 [ ] AREA MAP-Form5A
Business Name:
If FOrm 5A Box is Checked: Area Map # of
Paul D. ,Gowen Kmart Corporation
S~ore Mon'ager Store 3653
2749 Calloway Drive
~ Bakersfield CA 93312
661 589 1550
Fax 661 589 8495
CITY ENVIRONMENTAL OF BAKERSFIELD
OFFICE OF SERVICES
1715 Chester Ave., Bakersfield, CA (661) 326-3979
HAZARDOUS MATERIALS MANAGEMENT PLAN
INSTRUCTIONS:
1. To avoid further action, remm this form within 30 days of receipt.
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.
5. You may also attach Business Owner / Operator Form and Chemical Description Form(s)
to the front of this plan instead of completing SECTION I. below for initial submission.
sEcTION I: BUSINESS IDENTIFICATION DATA
BUSINESS NAME: 'bio, tqmad- ',3t06,
LOCATION: c~tTqq O-O,_/~~,t ~C'~q~
ClTY~k*(S~t%kd STATE: O~ ZIP:
P~Y ACTIVITY~e~d'I ~rC
OWNER:
EMERGENCY NOTIFICATION
CONTACT TITLE BUS. PHONE 24 HR. PHONE
1
HAZARDOUS MATERIALS MANAGEMENT PLAN
Section II1.1 - FACILITY AND LOCALITY INFORMATION
UTILITY SHUT-OFFS
LOCATION OF SHUT-OFFS AT YOUR FACILITY:
NATURAL GAS / PROPANE:
SPECIAL:
LOCKBOX:
' PR~ATE F!RE.I~RO~ECTIO" IWATER A~Ai'LABIL~ .'. ' ' ' '*
A.PRIVATE FIRE PROTECTION: ~(~V]~'t ~k.. ~-~'("~._ ~.~-~
B. WATER AVAILABILITY (FIRE HYDRANT): i - ',. '~j~r~ ~ ~ ~ '~ 0 ~ ~
i~C~,.~d ;~_ ~<¢ ~o~'ki% to-r,
A. NUMBER OF EMPLOYEES:
B. MATERIALS DATA SHEETS ON FILE:
C. BRIEF SUMMARYOF T~INING
. CERTIFICATION
Based on my im:lulry of those indivMual$ restxmsible f~' obtaining the infon~aUon, I ce~lfy und~ penalty of law that I have personnaly examined and am familiar with the Infol'matJon submitted and betleve ~
Inf(x'rnatJon Is Irue, accurate, and ¢eml~ete.
SIGNATURF~ OWNER I OPERATOR OR DESIGNATED REPRESENTATIVE DATE 477.
NAME OF SIGNER (p,~t) 478. TITLE OF SIGNER 479.
UPCF [7,,9g) $:~ROCEDURE MANUAL'~# HMMP fom~.wixl
~~, CITY OF BAKERSFIELD~
,' OF$~E OF ENVIRONMENTAL SERVICES
1715 Chester Ave., CA 93301 (661) 326-3979
""'"'~~"~"~"--" BUSINESS OWNER / OPERATOR IDENTIFICATION
FACILITY INFORMATION
· .. ~" ": *'~ii' '.i";::,,; ,~ I. FACILITY IDENTiFiCATiON
FACILITY 'P # '~ i' f~i!: ~1¢'~' ~ii ' Year Beginning ~oo Year Ending
103
DUN & lO6 SIC CODE ~o7
B~DSTREET (4 Digit ~)
cou.~ ~ ~ ~o~
OPE~TOR NAME ~o9 OPE~TOR PHONE ~1o
· :',: %~:~rlI~'~,~OWNER INFORMATION:E,. ',~%~ :'.~ ~:~-~:: ',~¢-~': ::'
OWNER MAILING
~ 119
CONTACT ~ILING
, .....~.~.. ,..~- -~ ~ .~,' ~, ~'~'~ ..~, ~./.:~;{~ ~ .,.. ~:,,~,.~;,~.. ~ - ~,... ,. . ~.~.,
24-HOURPHONE Ub~ ~Sfl I 5~ 127 24-HOURPHONE ~0~ ~b~ ~0OO 132
PAGER g O 128 ] PAGER g ~ 133
Cedification: Based on my inquiw of those individuals responsible for obtaining the info~ation, I cedi~ under penal~ of law that I have personally examined
and am familiar with the information submiffed in this inventow and believe the info~ation is tree, accurate, and ~mplete.
~~(" ~~~~W~R DATE~ ~~0~134 ' NAME OF DOCUMENT PREPARER~~ ~~135
NAMES OF OWNE~OPE~TOR (pdnt) 136~TITLE O~ OWNE~OPE~TOR
UPCF (7/99) S:\CU PAFORMS\OES2730.TV4.wpd
HAZ~OUS MATERIALS MANAGEME~ PLAN
Section 11.2 - RELEASE RESPONSE PLAN
PRELIMINARY ASSESSMENT
A. HAZARD ASSESSMENT AND PREVENTION MEASURES:
REsPONs'E AcTIONS ".i .. :;""." .---'i.: .;!; ....
B.RELEASE CONTAINMENT AND MITIGATION:
.... · ' ' ~FO'LLOw,uP ACTIONS
C. CLEAN-UP AND RECOVERY PROCEDURES:
UPCF (?~) S:~ROCEDURE I~ANUAL~Iew H~I~,P ~m.v~
OFF OF ENVIRONMENTAL SERVICES
1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979
HAZARDOUS MATERIALS MANAGEMENT PLAN
Section I1.1 - DISCOVERY AND NOTIFICATIONS
I. FACILITY IDENTIFICATION
I~,USINESS NAME (Same as FACILITY NAME o~ O~ - Doing B~,ness As} 3
ADDRESS (Fo"fl~al use' only) 476.
., DISCOVERY
A. LEAK DETECTION AND MONITORING PROCEDURES: I~0~*~{'~
"?:~','"':; " : 'NOTIFICATIONS - ' .... *:
· ' .... *. ..'~ r'* '!?.. , '~.: -L.' * ' ' '' .' .- -- , · . * * '- ....
e. EMERGENCY AND AGENCY NOTIFICATION PROCEDURES: No~i~1 +h~
' ' ~, .?',,~,...:, .... *v.~,¢ -,. , -.', ENVIRONMENTAL MANAGEMENT '
C. SPECIFIC RESPONSIBILITIES OF EMPLOYEES: ~O~ ~&
-": EMERGENCY MEDICAL PLAN ':'".,v -;:""-::,'.;:,::,Lb':"%"
D.CLOSEST LOCAL MEDICAL FACILITY:
UPCF (7/99) S:LoROCEDURE MANUAL~Iew HMMP fonn.wpd
--- CITY OF BAKERSFIELD
OFFICE OF ENVIRONMENTAL S ,/ICES
1715 Chester Ave., CA 93301 (661) 326-3979
*' HAZARDOUS MATERIALS INVENTORY
CHEMICAL DESCRIPTION
... (one form per material per bud~ing or area)
~ NEW I"1 ADO [] DELETE [] REVISE 200 Page ~ of ,,~
ii .I. FACILITY INFORMATION
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business ,a~) ~' 3
CHEMICAL LOCATION 201~ CHEMICAL LOCATION [] Yes ~No 202
~ CONFIDENTIAL (EPCRA)
FACILITY ID # ,3i1! :~::i~'~:[?~ ~_... i ,.~_,..] ~ ~.'~;'[~ .! i, i !i 1~ MAP # (optionaO 203 GRID # (optional) 204
.... .. Ii. CHEMICAL INFORMATION
205 TRADE SECRET [] Yes [~'~o 206
EHS' [] Yes [~'"No 208
CAS # 209
FIRE CODE/I~AZARD CLASSES (Complete if requested by local fire c~ie0 210
¢'oupl
TYPE [] p PURE {~m MIXTURE [] w WASTE 211 RADIOACTIVE [] Yes [] No 212 CURIES 213
PHYSICAL STATE [] s SOLID r-Il LIQUID [~g GAS 214 LARGEST CONTAINER 215
FED HAZARD CATEGORIES ~1 FIRE [] 2 RE_ACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216
(Chec~ all that apply)
ANNUAL WASTE 217 I MAXIMUM 218 AVERAGE 219 STATE WASTE CODE 220
I DAILY AMOUNT ,~ ; DALLY AMOUNT
AMOUNT ~
OAYS ON SITE 222
UNITS' [] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221
* ff EHS. amount must be in lbs.
STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BO'I-rLE [] q RAIL CAR 223
(Check all ~at apply)
[] b UNDERGROUND TANK [] f CAN [] j BAG [] n PLASTIC BOTTLE ~'~r OTHER
~C TANKINSIDE BUILDING Dg CARBOY •k BOX
[] d STEEL DRUM [] h SILO [] I CYLINDER []
STORAGE PRESSURE [~a AMBIENT [] aa ABOVE AMBIENT [] ba 8ELOWAMBIENT 224
STORAGE TEMPERATURE [~aAMBIENT r-1 aa ABOVE AIV~IENT [] ba BELOWAMBIENT [] c CRYOGENIC 225
%WT ,. ". '1., ~." .:,' ~ ]/?:.~':?'. '5.~",.' . .;':. ''~ .:'. - 'i. '!' HAZARDOUS. .. · COMPONENT.~ ... ':,. ' . . .. '~ EHS'.. ] CAS #
2 230 ! 231 [] Yes [] No 232 233
3 234 I 2:35 [] Yes [] No 2'36 237
4 238 I 239 [] Yes [] NO 240 241
I
5 242 243 [] Yes [] No 244 245
· :: .. :.~,., ~. -....: .:. · ,,;... ~ · .!<..!~ ~.,~!~ :;~- ..,.,-..);~;:,.~ ~ ,., :-..
':' ~' ' ":" ]ii:;~ ...... · "':'"; "':' . 7 .':.'.;.?:: III. SIGNATUR "'.' ?,; · ,
*. , . ,. ,: , · :;:,' '.':,.;.:.;, ,.. ?..,.,,,/. :, .
PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~NATURE DATE 246
UPCF (7/99) S:\CUPAFORMS\O.ES2731 .TV4.wpd
CITY OF BAKERSFIELsDi~
'/~ OFI~E OF ENVIRONMENTAL ICES
1715 Chester Ave., CA 93301 (661) 326-3979
HAZARDOUS MATERIALS INVENTORY
~-~(i~ ~_..~.I/,~ ~, CHEMICAL DESCRIPTION
(one fo~ per material per building or ama)
~ NEW D ADD D DELETE ~ REVISE 2~ Page ~ of
BUSINESS ~ME (Same as FACILITM NA~E ~ DBA - Doing Busin~ ~) 3
CHEMI~L LOCATION 201~ CHEMICAL LO~TION ~ Y~ ~o 202
' ~.:JDE.:~ (E.C~)
FACILI~ID~ 'O~1 i~;~'~l~l ~]~ ~ ~ I 1~ ~p~(op~naO 203 GRID~(o~na~
....... .~.. ,.:: ::'.' '. :.' ~'.:~:~:: ;=::~:~'..,~: :,. ~.: ::~ CHEMIC~:INFoRM N~., '"
205 T~DE SECRET ~ Y~
CHEMICAL ~ME ~ ~[mO~ ~~ "Subj~ tO EPC~. refer ,o inst~ions
207
FIRE CODE ~O C~S~ES (Complete if r~u~t~ by I~1 fire ~i~ ~'~'~ ~ '~ ~ ~ O-- ~ -~'
CURIES 213
~PE ~ p PURE ~ m MIX. RE ~ w WASTE 211 ~DIOACT~E ~ Y~ ~ No 212
~RGEST CO~AINER 215
PHYSI~L STATE ~ s SOLID ~1 LIQUID ~ g ~S 214
FED H~RD ~TEGORIES ~ I FIRE ~ 2 R~CT~ ~ 3 PRESSURE REL~SE ~ ACU~ H~L~ ~ 5 CHRONIC H~LTH 216
(Ch~ all that apply)
UNITS* ~ ga GAL ~ d CU ~ ~ LBS ~ ~ TONS 221 [~ DAYS ON SITE
* ~ EHS. am~nt must be in lbs.
STOOGE CONTAINER ~ a ABOVEGROUND TANK ~ e P~STI~NONMETALLIC DRUM ~ i FIBER DRUM ~ m G~SS BO~LE ~ ~IL ~R 2~
(Check afl ~at apply)
~ b UNDERGROUND TANK ~ f ~N ~ j BAG ~ n P~STIC BO~LE ~r OTHER
~ d STEEL DRUM ~ h SILO ~ I CYLINDER ~ ~ TANK WA~N
STOOGE PRESSURE ~a AMBIE~ ~ aa ABOVE AMBIE~ ~ ba BELOW A~IE~
STOOGE TEMPE~TURE ~A~IENT ~ aa A~VE A~IE~ ~ ba BELOW AMBIE~ ~ c CRYOGENIC ~5
235 ~Y~ 236 ~7
4 ~ 38 239 DY~ DNo 2~ ~
5 242 243 ~ Y~ ~ No 2~ 245
..-':: :.?::' '.:-~. ~..~: ~:::::' ~:. '~;~.~,~: .'~ ~,:~:,~':.~,q;'.?~":~ =~'~: ~::.'~. · :::;~'~..~.~:~;~'~'~..~,~?,.~ IlL SIG~TURE.:',.~.:~,:; ;.~:~.- :". ,,"~. ' ? · ,: · .,~.
'..'' .:.... :,',':~ ' :=' .'~ :~%~;L L, 'W '::.' '-.'.'",),~>~-/~b:',' . ; .... . '.. ," '. ~
PRINTNAME&TI.EO. AUTHORIZEDCOMPANYREPRESENTATIVE~ ~- ~O~ ~'~ ~. ~~:UR~. _. ~ ~~ DATE 246
UPCF (7/99) S:\CUPAFORMS\O.ES2731 .TV4.wpd
~ ~ E R S ~ ,~ ~ ,OFFICE OF ENVIRONMENTAL SEI~VICES flvT-~
~~~~, ~ 1715 Chester nve., Cn 93301(661) 326-3979
"'~ ~' H~RDOUS MATERIALS INVENTORY
:~ ~3 ~-q ~ CHEMICAL DESCRIPTION
(one fo~ per matedal per bugding or ama)
~ NEW ~ ADD 'D DELVE D REVISE 200 Page ~ of
BUSINESS ~ME (~me as FACILI~ ~ME ~ DBA - ~ng Busin~ ~) 3
CHEMI~L LOCTION 20a; CHEMICAL LOCATION ~ Y~ ~o 202
~ ~NFIDENTIAL (EPC~)
FACILI~ ID ~~ '~ I ~.Fa~ ~ ~' ~.~ ~ ~, ~ " I~ 1~ ~P ~ (op~naO 203 GRID ~ (opt~na~
." . ~. :~... :.. ~.'..... . '--. }~.,;:~ :: :. ":.:...::..~ ..,:~ . . . .
..... ~.-'::"; . :": : ...'.:, '" :h' 7.. ::"*~ ,:IL=~,,..~..CHEMICALINFORMATION.:,~, ..... .. .,,...:--. *:
205 T~DE SECRET ~ Y~
CHEMI~L ~E ~ ,~ 207
CAS~
FIRE COD~ ~D C~SSES (~m~lete if ~u~t~ by I~1 fire ~i~ 210
~PE ~ p PURE ~ m BIXTURE ~ w WASTE 211 ~DIOACT~E ~ Y~ ~ No 212
~RGEST CO~A~NER 2~ 5
PHYSICAL STA~ ~ s SOUD ~ L~QU~D ~ g ~S 2~4 -,
FED H~RD ¢IEGORIES ~ I FIRE ~ 2 R~CT~ ~3 PRESSURE REL~SE ~ 4 ACU~ H~L~ ~ 5 CHRONIC H~LTH 216
(Ch~ all ~at
ANNU~WASTE 217 ~ ~I~M 218 ~ AVENGE 219 STA~WAS~CODE 220
A~U~ ~ DAILY A~U~ ,~ DA~LY A~U~
DAYS ON SITE
UNITS' ~ ga ~L ~[~ ~dCU~ ~ lb LBS ~ tn TONS 221
* ~ EHS, am~nt must be in lbs.
STOOGE CO~AINER ~ a ABOVEGROUND T~K ~ e P~STI~NONMETALLIC DRUM ~ i FIBER DRUM ~ m G~SS BO~LE ~ q ~IL ~R
(Check all ~at app,)
~ ~ UNDERGROUND TANK ~ f ~N ~ j BaG ~ n P~STtC 80~LE ~ r OmER
~c TANK INSIDE BUILDING ~ g CRSOY ~ k BOX ~ o TOTE ~IN
~ d STEEL DRUM ~ h SILO ~ I CYLINDER ~ p TANK WA~N
STOOGE PRESSURE ' ~a A~IE~ ~ aa ABOVEAMBIE~ ~ ba 8ELOWA~IE~
STO~GE~MPE~TURE ~AMBIENI ~ aa ABOVEAffilENT ~ ba BELOWAMBIE~ ~ c CRYOGENIC ~5
~ :: ';'":~AS'~'
' 2~
1 226 227 ~ ~y~ ~No 228
2 230 ~1 t ~Y~ ~No 232 ~3
~ 237
3 234 235 ~ ~y~ 236
4 238 239 ~ ~y~ ~No 240 24a
I 24s
5 242 243 ~ Y~ ~ No 2~
PRINT ~ · TIKE OF AUTHORIZED COMPANY REPRESENTATIVE SI$~RE DATE 246
UPCF (7/99) S:\CUPAFORMS\O.ES2731 ,TV4.wpd
FACII,1TY DL~GRAM [ I
SITE DIAGRAM L_--J
Business Name: ~-~'~ ~
Business Address: ~'~, (~\\
SITE DIAGRAM FACILFI'Y DIAGRAM
ausinm Namo: i.,
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 .~ do~ /
FACILITY NAME ~ ~'~/~"'&T :~3~,5"~ INSPECTION DATE _.~--/2!
ADDRESS ?_. ~ 44c9 CA--coot,~6~, c~ PHONE NO. ~'-~"~-
FACILITY CONTACT BUSINESS ID NO. 15-210-
INSPECTION TIME NUMBER OF EMPLOYEES
Section 1: Business Plan and Inventory Program
_ Routine Combined [21 Joint Agency ~ Multi-Agency ~ Complaint [21 Re-inspection
OPERATION C V COMMENTS
Appropriate permit on hand t.,.J,cc- 5~5-vr) i>L. ro~,,.r
Business plan contact information accurate
Visible address
Correct occupancy
Verification of quantities l~ ~ /~. ~
Proper segregation of material
Verification of MSDS availability
Verification of Haz Mat training
Verification of abatement supplies and procedures
Emergency procedures adequate
Containers properly labeled
Housekeeping
Fire Protection
Site Diagram Adequate & On Hand
C=Compliance V=Violation
Any hazardous waste on site?: [~ Yes
Questions regarding this inspection? Please call us at (661) 326-3979 l~usifi'ess Site Responsible Party
White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector:
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACiLITY NAME ~ ~T ~7', ~SPECTIONDATE
ADD~,SS ~4~ CA-cto~ ~ PHONE NO.
FACIEI~Y CONTACT. BUSINESS ID NO. 15-210-
~SPECTION TIME NUMBER OF EMPLOYEES
Section 1: Business Plan and Invento~ Program
Routine ~ Combined ~ Joint Agency ~ Multi-Agency ~ Complaint ~ Re-inspection
OPERATION C V COMMEN~S '
Appropriate pe~it on hand
Business plan contact info~ation accurate
Visible address .
Coffect occupancy .
Verification of quantities
Verification
of location
Proper segregation of material ,
Verification of MSDS availability
Verification of Haz Mat training
Verification of abatement supplies and procedures
Emergency' procedures adequate
Containers properly labeled
Housekeeping
Fire Protection
Site Diagram Adequate & On Hand
C=Compliance V=Violation
Any hazardous waste on site?: ~ Yes '~o
Explain:
Questions reg~ding ~is ~sp~efion? Pl~as~ ~all us at (661) 326-3979 ' Business S~te Responsible Pa~y
White - Env. Svcs. Yellow - Station Copy Pink - Business Copy IBsp~toE
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME ~' ~O~'~ t~Ot-O· INSPECTION DATE lalaol0o
ADDRESS O"/qq _t~0ll0ula~ .tk,. ' PHONE NO. ,~q-
FACILITY CONTACT BUSINESS ID NO. 15-210-
INSPECTION TIME NUMBEROF EMPLOYEES /'
Section 1: Business Plan and Inventory Program
~ Routine {~ Combined [~ Joint Agency [~ Multi-Agency ~.] Complaint [~ Re-inspection
OPERATION C V COMMENTS
Appropriate permit on hand
Business plan contact information accurate
Visible address
/
Correct occupancy
Verification of inventory materials
Verification of quantities~'/
Verification of location
/
Proper segregation of material
Verification of MSDS availability
Verification of Haz Mat training
Verification of abatement supplies and procedures ~,,
Emergency procedures adequate
/
Containers properly labeled
/
Housekeeping l./,/
Fire Protection
Site Diagram Adequate & On Hand
C=Compliance V=Violation
Any hazardous waste on site?: [~] Yes [~ No ~ ~rt
Explain:
Questions regarding this inspection? Please call us at (661) 326-3979 Bus
Wh~t~- E.v. S~,c~. ¥~,ow- St~t~on Cory ~'mk- ~-~mcss Copy Inspector:
q 7
K MART CORPORATION ~e. SiteID: 015-021-001535
Manager: ~~~.t BusPhone: (805) 58~9-1550
Location: 2749 CALLOWAY DR S~%C~ Map : 102 Core, az : Low
City : B~ERSFIELD ~%~0~' Grid: 20C FacUnits: 1 AOV:
CommCode: CO~TY STATION 65 SIC Code: 6512
EPA Nu~: DunnBrad:
Emergency Contact, / Title Emergency Contact / Title
~:~Z?~.fl / STORE ~ANAGER ~~~?~ / O~~O~S
Business Phone: (805) 589-1550x Business Phone: (805) 589-1550x
24-Hour Phone : (805) 245-8281x 24-Hour Phone : (805) 588-6764x
Pa~er Phone : ~ )~/~x Pa~er Phone :
Hazmat Hazards: Fire Press React Im~lth DelHlth
Contact : ~/~ ~~ Phone: (~1) ~ -/~x /~
MailAddr: 2749'C~LOWAY DR State: CA
City : B~ERSFIELD Zip : 93312
O~er K ~T CORPO~TION Phone: (805) 589-1550x
Address : 2749 C~LOWAY DR State: CA
City : B~ERSFIELD Zip : 93312
Period : //~ /- ~ to TotalASTs: = Gal
Preparer: ~ ~~ TotalUSTs: = Gal
Certif 'd: RSs: No
I Emergency Directives:
= Hazmat Invent6ry//
--As Designated Order All Materials at Site
Hazmat Common Name... ISpecHazlEPA Hazards)Frm I DailyMax Unit~MCP
MOTOR OIL F DH L 110.00 G~ Min
FERTILIZER R IH DH S 1000.00 LBS Min
CHLORINE F P IH L 126.00 G~ Ext
I, ~J ~~. Do hereb~ codify ~ha~ I have
~ ~ ~r print name)
reviewed the attached h~ardous mmeHals manage-
mere plan for / ~ ~ and ~hat i~ along wi~h
(Na~ of Busine~)
any corre~ions constitute a complete and corre~ man-
agement plan for my facili~.
· ...,. ~ ~2~3 ; ,.'~';~' '".~
Sig~mre
- - ~0/25/2000
K MART CORPORATION SiteID: 015-021-001535
~ Inventory Item 0001 Facility Unit: Fixed Containers at Site
MOTOR OIL Days On Site
365
Location within this Facility Unit Map: Grid:
SALES FLOOR CAS#
8020835
STATE i TYPE PRESSURE i TEMPERATURE CONTAINER TYPE
Liquid Pure Ambient Ambient PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum Daily Average
GALI 110.00 GAL 90.00 GAL
HAZARDOUS COMPONENTS
100.00 Motor Oil, Petroleum Based N 8020835
HAZARD ASSESSMENTS
[TSecretNo NoRS Bi°Hazl Radi°active/Amount I EPA HazardsINo No/ Curies F DH NFPA/// USDOT# I MCPMin
= Inventory Item 0002 , Facility Unit: Fixed Containers at Site
~[VUVlU~ ~Vl~ / ~1 ~Z-LI_~ ~Vl~
FERTILIZER Days On Site
365
Location within this Facility Unit Map: Grid:
OUTDOOR GARDEN/SHOP CAS~
STATE i TYPE PRESSURE i TEMPERATURE CONTAINER TYPE
Solid Mixture Ambient Ambient PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum Daily Average
1000.00 LBS I 1000.00 LBS 400.00 LBS
HAZARD ASSESSMENTS
No No No/ Curies R IH DH / / / Min
-2- 10/25/2000
K MART CORPORATION ~iii~i~ii~ii~i~ii~i~i~ SitelD: 015-021-00
Invento~ Item 0003 ~~~ Facility Unit: Fixed Containers at Site
i~ COMMON NAME / CHEMICAL NAME ~~~~~i~~~
CHLO~NE o Days On Site
o 365 o
~cation within this Facility U~t Map: Grid:
INDOOR GARDEN SHOP o CAS~ o
o 7882_50_5°
STATE ~i~ TYPE 8~i~ PRESSURE ~i TEMPE~TU~
Liquid o Mixture o Ambient o Ambiem o PLASTIC CONTAINER o
Largest Container o Daily Maximum o Daily Average o
1.00 GAL o 126.00 GAL o 100.00 GAL
%Wt. o o RSoCASg o
13.00OSodium Hypochlorite ONo o 7681529°
l~00°Sodium Hydroxide ONo o 1310732°
°TSecret° RS°BioHaz° Radioactive2Amount o EPA Hazards o NFPA o USDOT~ o MCP o
No °No°No o No/ Curies°FP IH o /// o OExt
-3- 10/25/2000
K MART CORPORATION ~~~~~ SitelD: 015-021-001535
Notif./Evacuatio~Medical ~'~~~~~ Overall Site i
i~ Agency Notification ~~~~~~~ 02/13/1995 i
O
9-1-1 FIRST STEP. THEN ACTIVATE CHAIN CALL COM~ND LIST. CALL APPROP~ATE
PUBLIC SERVICE AGENCIES NOTIFY CORPO~TE COMMUNICATIONS.
o
iEeE Employee Notif./Evacuation E~EEEEE~EEEEEEEEEEEEEEEEEEEEEEEEEEE 02/13/1995 i
O
USE OF CAROLINE CODES AND EVACUATION TEAM & MAP.
o
iE¢~E ~blic Notif./Evacuation EEEEEEEEEEEEEEEEEEEEE~EEEEEEEEEEEE 02/13/1995 i
O
USE OF INTERCOM AND HELPED BY SAFETY TEAM & EVACUATION MAPS.
O
iE~EEE Emergency Medical Plan EEEEEEEEE~EEEEEEEEEE~EEEEEEEEEEEEEEE 02/13/1995 i
o
CALL APPROP~ATE PUBLIC SERVICE. o
O
-4- 10/25/2000
K MART CORPORATION E~EEEE~EE~EEEEEE~EE~EE~E~EeEEE~ SiteID: 015-021-001535
Mitigatio~Prevent/Abatemt ~~~~~ Overall Site i
i~ Release Prevention ~~~~~~~ 02/13/1995 i
SAFETY FIRE SQUAD.
i~ Release Contai~ent ~~g~~~~~ 02/13/1995 i
UN~OWN o
i~6 Clean Up ~~6~6~g~~~~6~~ 02/13/1995 i
CAT LITTER WITH BROOM WEA~NG RUBBER GLOVES. THEN PUT IN SEALED BAG AND o
DISPOSE OF PROPE~Y THEN SANTITIZE WITH MOP AND DETERGENT.
o
i~ O~er Resource Activation ~~6~e~eeeeeeeeeeeeeeeeeeeeeeeeeeeei
-5- 10/25/2000
i K MART CORPORATION ~6~66E~66~E~E~66~6 SiteID: 015-021-001535
iE Site Emergency Factors EEEEEEEEEEE~E~EE~EEEE~EE~EEE~E Overall Site i
i~E Special Hazards
o o
o O
iEEE Utility Shut-Offs EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE 02/13/1995
o o
o A) GAS - NONE
o B) ELECTRICAL - ROOM BEHIND LAYAWAY NW CORNER
o C) WATER - NW CORNER BEHIND LAYAWAY °
o D) SPECIAL - NONE °
° E) LOCK BOX - NO o
O O
iE888 Fire Protec./Avail. Water EEEEtSEES~ESEESESEESEEES~EEE88EE~ESE 02/13/1995
O o
o PRIVATE FIRE PROTECTION - SPRINKLERS, FIRE EXTINGUISHERS
O O
o o
o O
o NEAREST FIRE HYDRANT - PRIVATE, NO HYDRANT o
O O
iEEEEE Building Occupancy Level EEEEEEE~EEE~EEeeeeeeeeeeeeeeeeeeeeeeeeeeeeeei
O o
O o
-6- 10/25/2000
K MART CORPORATION ~~~.~a~~ SitelD: 015-021-001535
Tra~ng ~~~~~~~~ Overall Site i
i~ Employee Trai~ng ~~~~~~~ 12/11/1997
o
WE HAVE 125 EMPLOYEES AT THIS FACILITY.
O
WE DO HAVE MSDS SHEETS ON FILE.
o
B~EF SUM~RY OF T~INING PROG~M: "~GHT TO ~OW" VIDEO & T~INING GUIDE. o
SAFETY MEETING WITH T~INING MONTHLY. o
O
~eee Page 2 ~8~8~8~~88~8~88eeS~ee~eeeee~eeeeeeeeeeeeeeeee
O
i~8~ Held for Fumre Use
O
O
-7- 10/25/2000
CITY Of BAKERSFIELD
CLAIM VOUCHER
IVendor No. I certify that this claim is correct and valid, and is a proper
charge against the City Agency and account indicated.
CLAIMANT'S NAME AND ADDRESS:
K Mart Corporation (AUTHORIZED SIGNATURE OF CITY AGENCY)
2749 Calloway Dr
Bakersfield, CA 93312 Date: 04-01-99 Initials of Preparer:
CITY DEPARTMENT: FINANCE
PLEASE PROVIDE SHORT EXPLANATION OF PAYME (Including Contract Number if Applicable)
This customer made a duplicate payment on this years Haz Mat bill in the amount of $178.50.
We have since made an adjus[ment to the California State surcharge in the amount of $8.50
leaving them with a credit of $1,'87.00.
Dept. Project # Invoice # Amount Date of Invoice
0000 7900 $187.00
VOUCHER TOTAL $187.00
SECTION 72, PENAL CODE FINANCE DEPT. USE ONLY
Section 72, Presenting False Claims. Every person who with intent to defraud,
presents for allowance or for payment to any state board or officer, or any
county, town, city district, ward or village board or officer, authorized to allow
or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, Examined & Approved for Payment Amount
or wdting, is guilty of a felony. ·
STATEMENT OF ACCOUNT
CITY OF bAKERSFIELD
1501 TRUXTUN AVE
~A½ERSFIELD, CA ~3301-5~01
F~-" L-. DATE: 4/01
TO: K MART CORPORA ~'~
;D_.74'-7' CALLOWA'
BAKERSF i ELD,,
ii
,~ ,,.. CUSTOMER:T:' TYP ' ES/ 3c204
CUSTOMER NO: ~: ~,
CHARGE DATE UMBER;,, DUEi '~DATE TOTAL AMOUNT
3/01/c2c2 ~ ,. ~,,..o >, ,.~ 178. 50-
9900i 9/9i/~ 4/9'.0Y~ 8. 50-
FOR QUESTIONS OR"C !S'TO YOUR ACCOUNT PLEASE
CALL THE NUMBER AT THE TOP OF THIS STATEMENT.
CURRENT OVER 30 OVER 60 OVER 90
8.50-
DUE DATE: 5/03/~ PAYMENT DUE: 187.00-
TOTAL DUE: $187.00-
MISCELLANEOUS RECEIVABLES ADJUSTMENT
ADDRESS CHANGE
CLOSE ACCT
FINANCE CHARGE I
OTHE. ADJ i '~/ !
./-
CUSTOMER NAME
SITE ADDRESS
PARCEL NUMBER
(IF APPUCABL~'~
ADJUSTMENT
! CHG DATE CHARGE CODE IADJUSTMENT AMOUNT
,/-/~-?? ~$~4;~r [
REMARKS:
Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
.............. ,~,,,,~,~,,,~,,~ ................. This permit is issued for the following:
~?i'~i~? !~,ii~ ~'~:'~'~'~"~"~'!!~ii i i ~,iii!!!!i~i,. iiii?:il i',::,ia:~:~iU~e,[ground Storage of Hazardous Materials
Waste
MART CORPO~TION
~5 ~J: ¢%~;--"'~i~:.:%~ ~ ~i~:~ .... ' ~ .~ . %:5.~¢~'' ...~ ~5
-'~=,,,......' .............. :~?~?~i~,?? .:, ... ,.' ,- j ' ~ ~ ,~' ' .... ~:~.=.., ..,,' ..' ..,-,..-..,' .,-.... ,,. ~ ~' .~, ~'.,~=,~i[~~'
B~ersfield Fire Depa~ment Approv~ by:
OFFICE OF E~R O~AL S~ ~CES ~ ~ph Huey~
1715 Chewer Ave., 3rd Floor Office of ~en~l
B~emfiel~ CA
Voice (805)~26-~70 Expiration Date: dun~ ~O~ ~OO0
F~ ¢05) ~2~576
K MART CORPORATION SiteID: 215-000-002535
DEC 0 1997
Manager : kJ ~usPhone: (805) 589-1550
Location: 2749 CALLOWAY DR 8y r- 4ap : 102 CommHaz : Low
City : BAKERSFIELD , ]rid: 20C FacUnits: 1 AOV:
CommCode: COUNTY STATION 65 SIC Code:6512
EPA Numb: DunnBrad:
Emergency Contact / Title Emergency Contact / Title
DEAN MEER / ERIN BRADY /
Business Phone: (805) 589-1550x Business Phone: (805) 589-1550x
24-Hour Phone : (805) 245-8281x 24-Hour Phone : (805) 588-6764x
Pager Phone : ( ) - x Pager Phone : ( ) - x
Hazmat Hazards: Fire DelHlth
Emergency Directives:
NEED TO ADD FERTILIZER AND CHLORINE TO INVENTORY.
---- Hazmat Inventory One Unified List
-- MCP+DailyMax Order Ail Materials at Site
Hazmat Common Name... ISpecHazlEPA HazardsI Frm DailyMax Unit MCP
MOTOR OIL F DH L 110 GAL Mit
1 10/28/1997
K MART CORPORATION SiteID: 215-000-001535
~ Inventory Item 0001 Facility Unit: Fixed Containers at Site
MOTOR OIL Days On Site
365
Location within this Facility Unit Map: Grid:
SALES FLOOR CAS#
8020835
Liquid Pure Ambient Ambient PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container ! Daily Maximum Daily Average
GALL 110.00 GAL 90.00 GAL
HAZARDOUS COMPONENTS EHS
%Wt. CAS#
100.00 Motor Oil, Petroleum Based No 8020835
HAZARD ASSESSMENTS
iTSecret EHS BioHazl Radioactive/Amount I EPA Hazards I NFPA USDOT# I MOP
No No No No/ Curies F DH / / / Min
-2- 10/28/1997
f K MART CORPORATION SiteID: 215-000-001535
Fast Format
~ Notif./Evacuation/Medical Overall Site
--Agency Notification 02/13/1995
9-1-1 FIRST STEP. THEN ACTIVATE CHAIN CALL COMMAND LIST. CALL APPROPRIATE
PUBLIC SERVICE AGENCIES NOTIFY CORPORATE COMMUNICATIONS.
Employee Notif./Evacuation 02/13/1995
USE OF CAROLINE CODES AND EVACUATION TEAM & MAP.
-- Public Notif./Evacuation 02/13/1995
USE OF INTERCOM AND HELPED BY SAFETY TEAM & EVACUATION MAPS.
Emergency Medical Plan 02/13/1995
CALL APPROPRIATE PUBLIC SERVICE.
-3- 10/28/1997
f K MART CORPORATION SiteID: 215-000-001535
Fast Format
= Mitigation/Prevent/Abatemt Overall Site
--Release Prevention 02/13/1995
SAFETY FIRE SQUAD.
-- Release Containment 02/13/1995
UNKNOWN
-- Clean Up 02/13/1995
CAT LITTER WITH BROOM WEARING RUBBER GLOVES. THEN PUT IN SEALED BAG'AND
DISPOSE OF PROPERLY THEN SANTITIZE WITH MOP AND DETERGENT.
Other Resource Activation
-4- 10/28/1997
K MART CORPORATION SiteID: 215-000-001535
Fast Format
Site Emergency Factors Overall Site
Special Hazards
--Utility Shut-Offs 02/13/1995
A) GAS - NONE
B) ELECTRICAL - ROOM BEHIND LAYAWAY NW CORNER
C) WATER - NW CORNER BEHIND LAYAWAY
D) SPECIAL - NONE
E) LOCK BOX - NO
-- Fire Protec./Avail. Water 02/13/1995
PRIVATE FIRE PROTECTION - SPRINKLERS, FIRE EXTINGUISHERS
NEAREST FIRE HYDRANT - PRIVATE, NO HYDRANT
Building Occupancy Level
-5- 10/28/1997
o WE DO HAVE MSDS SHEETS ON FILE.
O
o BRIEF SUMMARY OF TRAINING PROGRAM: "RIGHT TO KNOW" VIDEO & TRAINING GUIDE.
o SAFETY MEETING WITH TRAINING MONTHLY.
O
aeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee
O
O
0
0
O
O
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 [ ]
usn ss NAm
FACILITY NAME
SITE ~D~SS
NA~ OF BUS--SS
SIC CODE (. ,~J
OWNER/OPERATOR "~_.,~xtO /"¥h.~,~? PHONE ~cO-.q''''~ ,_~':'/-/g'g'O
CITY r~p,l].~_.._q ~-2~lcJ STATE ('_,Pr ZIP ~/~'~[ '~
EMERGENCY CONTACTS
NAME ~,~to t~"~e,,-~ r'- TITLE -~Trgc-e~ /~.,-,~.-er-
BUS.SS PHO~ ~ -,~g ~- ~.~.~D 24 HO~ PHO~ ~ ~ ~ ~- ~ff ~
BUS.SS PHO~ ~- .~-/~C~ 24 HO~ PHO~ ff~C ~g- g~ g~
I)~ORy,~TA~S:N~[ ]A~fion[~Re~[ ]~lefi~[ ] Ch~kifch~isaNONTm~S~t T~S~[ ]
2) Co~yn Nme: C~'. ~, ~ C A~ 3) ~T ~ (opfiom)
I CAS
4) Physi~ & H~ P~SIC~ .... .
H~dCamgofies Fke[ ]R~five[ ~!dd~ReI~of~es~m~a~H~
6) P~SIC~STA~ SoUd[d Liq~d[ I ~[ I ~[ I ~e~l W~[ I ~five[ l
7) ~o~ ~ ~ AT FACm~ ~ ~ ~S OF ~~ 8) STOOGE CODES
~ Days on Site ~ (~ ~ C~le ~ch M~: ~ F, ~ & ~ J, J, & S, O, N, D
9) ~: List
~ ~ mo~ ~do~ 1) [ ]
ch~ ~n~m or 2) [ ]
~y ~ ~m~n~m 3) [
10)L~A~ON
I
1)~ORYSTA~S:New fion[ ~si~[ ]~lefion[ ] Ch~kffch~isaNONT~~[ ]T~~[ ]
2) Co~on Nme: ~ ~t~rs~i ~ ~ 3)~T$ (opfi~)
4) Physi~ & H~ [ P~SIC~
~dCa~gmes F~[ ]R~five[q ]Sudd~Rel~of~[ ] lmm~a~H~(Acu~)[~hy~H~(C~c)[ ]
6) P~SIC~ STA~ Sold [ ] Liq~d [
7) ~O~ ~ ~ AT FAC~ ~S OF ~~ 8) STOOGE CODES
Av~e D~ly ~omt
~ ~o~t
~ Days on Site ~ ~ ~ C~le ~ch Mon~:~, F, ~ & ~ J, J, & 8, O, N, D
0) ~: Li~ CO~~ C~
10 )L~A~ON
[ c~i~ ~d~ ~W of law, ~t I ~v~ ~ly ~ ~d ~f~ m~ ~e ~omfion on ~s ~d ~1 a~h~ ~. I
STATEMENT OF ACCOUNT
CITY OF BAKERSFIELD
1501TRUXTUN AVE
BAKERSFIELD, CA 93301-0000
(805) 326-3979
DATE: 9/01/95
TO: K MART CORPORATION
CUSTOMER NO: 3904 CUSTOMER TYPE: ES/ 3904
CHARGE DATE DESCRIPTION REF-NUMBER DUE DATE TOTAL AMOUNT
6/01/95 BEGINNING BALANCE .00
8/09/95 PAYMENT 110.00-
NEW STATEMENTS! Please call 326-3979 if you have
questions or changes regarding your account.
CURRENT OVER 30 OVER 60 OVER 90
DUE DATE: 9/01/95 PAYMENT DUE: 110.00'
TOTAL DUE: $110.00-
PLEASE DETACH AND SEND THIS COPY WITH REMITTANCE
9/01/95 DUE DATE: 9/01/95
REMIT AND MAKE CHECK PAYABLE TO:
CITY OF BAKERSFIELD
P.O. BOX 2057
BAKERSFIELD CA 93303-2057
CUSTOMER NO: 3904 CUSTOMER TYPE: ES/ 3904
TOTAL DUE: $110.00-
[I " BAKERSFIELD CITY FIRE DEPARTME~[
1. To avoia further action, return this form within 30 days of receipt.
-2. ~PE/PRINT ANSWERS IN ENGLISH.
3. Answer the questions below for the business as a whole.
4. Be brief and conc~e as po~ibie.
SECTION 1' BUSINESS IDENTIFICATION DATA
BUSINESS NAME' ~/-'- ¢'V~"~-
LOCATION: ~-"7 ~ ~
MAILING ADDRESS:
CITY: ~ S~ ~k& STATE:
DUN & BRADSTREET NUMBER: SIC CODE:
P'RIMARY ACT'IVJTY:
owN :
MAILING ADDRESS:
SECTION 2: EMERGENCY NOTIFICATION:
CONTACT TITLE BUS. PHONE 24 HR. PHONE
Kmart Discount~r~?es
2749 Calloway Dr e
Bakersfield, CA 93312
(805) 589-1553
' BA FIELD CITY FIRE D ARTMENT
~_~;¢',~ ),-'e~,-~ HAZARDOUS MATERIALS DIVISION
;. . ..~ BAKERSFIELD,
CA.
93301
~,,;,~ (805) 326-3979
Hg~.ARDOUS MATERIALS INVENTORY
FACILITY DESCRIPTION
FACILI~ NAME ~~ ~f~ ~~3 ~
SITE ADDRESS ~~ C~o~ ~ 6, ~
Cl~ ~~~~ STATE ~ ZiP ~35/~ ~:
NATURE OF BUSINESS' ~'~ ~'
SIC COD~ DUN ~ B~DSTREET NUMBER
OWNER/OPERATOR K-~'~,~'"~ Core,. PHONE 0O,.~"") '~ ~-/5'5'0
MAILING ADDRESS ~'7~ ¢_.._r_~.\~.6¢~, "~'(',
EMERGENCY CONTACTS
NAME ~c'"~ ~go,'~ TITLE ~"~"'~--
BUSINESS PHONE (BO5) .~¢'~-/SSo 24-HOUR PHONE
BAKERSFI D Cl'i' FIRE DEPAIFiMENT
HAZAR'D'OUS MATERIALS INVENTORY Page_.kof__t
~usinessName Jl~l~'-r"~' ~.~,t~)~ Address ..~'7~ 0___o.-\[o~7 "~f. ~-~rs~~-_.~ CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ]
2) common Name: r \ 3) DOT*
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 from DHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] I.Jquid [v'r' Gas [ ] Pure [ ] Mixture [vi"" Waste [ ] Radioactive [ ]
7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES
Maximum Daliy Amount: I/O o~ lbs [ ] gal [v1'"'~3 [ ] a) Contaner:
Average Omly Amount: '~O ~'~. curies [ ] b) Pressure:
Annual Amount: ~lo~'~'~--------------~,~ c) Temperature:
Laxgest Size'Container:
# Days On Site ~)o-[\c~ Circle Which Months: AII Yeer, J, F, M, A, M, J, J, A, S, O, N, D'
the three most hazardous 1 ) ~ ---, rk' ~"/~F"~' <'""- [ ]
chemical components or ~--X~ ¢ r'~----°'3
any AHM components 2) ~ ~ ~.~)~u~£ t._.. ~ ~ O [ ]
3) ~ [ ]
ocation
CHEMICAL DESCRIPTION
1) INVENTORY STATUS: New[ ] Addition[ ] Revision[ ] Deletion[ ] Check if chemical is aNON 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 (Acme) [ ] Delayed Health (Chronic) [ ]
5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE
6) PHYSICAL STATE Solid [ ] Liquid [ ] Gas [ ] Pure [ ] Mixture [ ] Waste [ ] Radioactive [ ]
7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES
Maximum Dmly Amount: lbs [ ] gaJ [ ] /t3 [ ] a) Container:
Average Oaily Amount: curies [ ] b) Pressure:
Annual Amount: c) Temperature:
Largest Size Container:
# Days On Site CircteW~ich Months: All YeaL J, F, M, A, M, J, J, A, S. O, N, D
9) MIXTURE: List COMPONENT CAS # % WT AHM
the three most hazardous 1) [
chemicat components or
any AHM components 2) "~ [ ]
3) [ ]
10) Location
~ ca.fy unoer penaJ~y of law, ~at I have personally exam~neo and am fam~tiar w~th ~e inioma~on submitted on this and a~l attache~ documents. I believe
submitted information is ~e, accurate, and complete. "
PRINT Name & 77ifle of Authorized Company ~epresentative ~ ' Date
HAZARD S MAIl=RIALS MANAGl=M PI.AN
:
SECTION 3: TRAINING:
NUMBER OF EMPLOYEES: ~'
MATERIAL SAFE~ DATA SHE~S ON FILE:
BRIEF SUMMARY OF TRAINING PROGRAM: ~ )/---,,,,.o ,Z) U '~A_..~..~ -~'"-~,,3..,,.~
SECT[ON 4: EXEMPTION REQUEST:
t CERTIFY UNDER PENALTY OF PERJURY THAT' MY BUSINESS IS EXEMPT FROM THE
REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH &
SAFETY CODE" FOR THE FOLLOWING REASONS:
WE DO NOT HANDLE HAZARDOUS MATERIALS.
WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO
TiMEEXCEED THE MINIMUM REPORTING QUANTI'I'.IES.
OTHER (SPECIFY REASON)
SECTION 5: CERTIFICATION:
I, '~'~'~c,,/ .~. ~~'..,_% CERTIFY THAT THE ABOVE INFOR-
MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL'BE USED TO
FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE"
ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND TH~,T
INACCURATE INFORMATION. CONSTITUTES PERJURY.
E TITLE DATE -., '-
~,~,,. , ~.. Bakersf~elct Fire Dept.
" Hazardous Materials Division
HAZARDO LIS. MATERIALS MANAGEMENT' PLAN
Fc~cility Unit Name: ~-c+ Corf), "
SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES:
8. EMPLOYEE NOTIFICATION AND EVACUATION:
' E~ e
Hazardous Materials D~visi~T
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION 7: MITIGATION, PREVENTION AND ABATEMENT' PLAN:
B. RELEASE'CONTAINMENT AND/OR MINIMIZATION'
c. ct.~AN-UP PROC, SOURES: C.~ L,,+t-~ ¢/~r~ ¢-,.-,,-,.~
SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY)'
NATURAL GAS/PROPANE: '----
~L~CTRICAL: ¢l,..d~f,~\ ~ ~4 L,,_y..~.ff ¢~
SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY:
A. PRIVATE FIRE PROTECTION: ~Z~r;~,~.~r3
B. WATER AVAILABILITY (FIRE HYDRANT):
~. 1 'i / '1 :.:5 / 9 ~. ~ Ivl A R'T' .... 3 ~ 53 01 .5 .... 0 '10 .-.. 0000: P ~ g e '1
~ ~];ene~ 1 :l:nform~t i on
!...ocatJon: 2?49 CALL.()NAY Dt:~ Ivlap: '102 I"taz: 0 "l"ype: 'i
Ofity : BAKE~RSF:I:!ELD (~;nfid,, 19 : 1 AOV: 0,0
........... (::ont~ct N~me ........................... "l"itle ................................. Contact N~me ............................ "l"it]e ........................
c, I '"" . ...,~... J()N~]~S /
· ..> I L A,~ A N D 1~:~ I:~SON / Ivl T'"
E~usfiness Phone: ({-~05) 589-...1550x Dustiness Phone,, (805) 589....'155()x
24..--Houn Phone : (805) 664.-.-'1058x ~4...-l"!oun Phone : (805) 8::')5--.-8::')45x
P~gen Phone ,, ( ) ....x P~gen Phone : ( ) ....x
............................................................................................................ AdministP~tive I:)~t a ................................................................................................................
Ivla'i'l AddPs: 2'?49 ()AI...L()NAY [)1:~ l)&~{~ Numb%..n:
(::ity: I{-?AKEI~SI:::[ELD State,, C:A Zip: 93312 ....
(::omm C:od~: 015----6.50 (~;[tEENA(::I:~i~S AI:~EA...-S"FA 65 ~:~]:(:: (::ode: 5::')1 'I
~'~ .~ .... '1550
()~ne~: KlvlAR"I"--.-:?65:3 Phone: (805) 5''~'
Addness,, 2'?49 OAL. L()NAY Di:~ St~t~: CA
(:: 'i t y: i:{i A K E R S F:: 'J: E L. D Z i p: 9:3:3 '12 ....
Su mm~ ~ ~
Hazmat :Inventory i:)etafi~ fin i:Zef~rence Number Order
02 .... 001 Ivl O"f' O R O :[ L. L. fi q u fid 1500 ivl fin fi m 8 q
> Ffire, [)e!ay H!th ,.:,A ....
C:AS ~,, 8020835 'l"rad~ S~cre't: No
FoPm: L.i qufi d Type: Pure Days: 365 Use: I...UBR]ZCAN'I"
............... [)ai'ly Iqax GAL · ............... I ........ i:)a'i']y Average GAL . ....... t ....... Annua~ Amoun't GAL · .......
! , 500 ! 1 , 500,00 I 9,000.00
........................ Storaqe .................. : ......... I Press ! "l"emp .... ! ........................................... I...oca'~fion .......................................
P I.. A S"f' 1[ C C: O N "f' A 1[ N IE I'~ I A m b i e n t ! A m b fi ~ n t ! 1[ N S ][ D E N N A L. L.
.... C:onc .... I .............................................................................. Compon em ~s ............................................... I .... IVlC: P ....... 1(3u 'i d~
02---.002 AN"I' :[ F IRE EZ E~ I...fi qu~ d 1000 Low
> 13e'~ay H'~th GAl..
CAS ~: 'f 0'72'J 't Trade Secret: No
F:opm', Lfiqufid Type: Pune Days: :3fi5 Use: L,,.)(..,LANI/ANI:[I:::REEZE
............... t;)afi]y ~lax GAL. - ............... J ........ [)afi'Jy Average GAL . ....... J ...... Annua') Amount GAL. - .......
1 , 000 ~ ! , 000.00 J 6,000.00
..................... Stonage .......................... j Pness j "l"emp .... J .............................................. L. oca'tfion ......................................
P 1... A S"f' :( C L..) N J A .I. N I::: k t A m b fie r, t J A m b fie n t j :1: N S :[ I1) E N N A L L
.... C o n c ....j ....................................................................................... C: o m p o n e n t s .................................................... J .... IvJ C: P ........ j G u fid e
100, ()~ JEthy3ene O~yco~ IL. ow J ~'7
02....003 !...A~N I:::ERT]:L.]:ZEI~ K---.Gf.~O So31d 7500 Iqoderat:e
> ]:mined Hl't:h LI3S
CAS ~: Trade Secret: No
F:orm,, Soq fid "f'ype: ivlfixture Days: 1'7 Use: I:::E;RT]:L.]iZER
................ [)aily ~lax LBS ................ ! ........ [)afily Average LBS ....... ! ........ Annual Amoun~ I...~3S ........
~, 500 I ~, 500,00 ! '10,000,00
........................ S~orsge ......................... t Press ! "f'emp .... i ............................................ · .... I..ocatfion .......................................
I3AG IAmbfientlAmbientlOU"f'DOOR GARDEN SHOP
.... Conc ......................................................................................... Component:s ..................................................... IqC:P ........
29, ()~ Nfit rogen L.o~ I 12
4, ()~ Potash Low
3.0% Phosphorfic Acrid Ivloderate~ 60
.. ---. i:::~xed C:ontadners at.
I--tazma~ ]inventory ll)et:a~-i ~n Reference biumber Order
0 2 --.. 0 0 ~ P A ]; N 'T' I... i q u i d '7 0 0 I... o
> ]:mined H~th GAL
CAS ~: 0 "l"r~de Secret: No
Form: Liquid Type: Pure :)ays: 365 Use: PA]iNT:.:i~I(~;
............. !:)~fi]y IAax (~;AL . ............... ~ ........ [)airy Average GAl_. - ..... ~ ........ Annua~ Amount GAL . .......
'100 ! '700,00 ! '1 , 400,00
...................... Storage ......................... ~ Press ~ 'l"emp .... ~ ............................................... Location .......................................
.... Conc .... ~ ........................................................................................ Components .................................................... ~ .... IVI(:: P ....... ~3uide
't00,0~ lPaint, Etc, , (::orrosfive Lfiqu~d ll..-ow ~ 60
02 .... 005 S T A ]: N S L. fi q u fid 800 U n r ,~ t e d
> :[mm~d H~th GAL
CAS ~: 0 Trade Secret: No
Form: t...fiqufid Type: Pure Days: 365 U~e: PA]:N'T']:N(~;
.............. !:)~fi]y Ivl~x (~;AI.. - ............... [ ........ Daily Average GAL . ....... ~ ........ Annua~ Amount GA/. - .......
800 ~ 800,00 ~ '1 , 600.00
......................... Storage ........................... ~ Press ~ "l"emp .... ~ ................................................ Location ........................................
.... Cor, c .... ~ ..................................................................................... Components ................................................... ~ ....
02 .... 008 !vi O"1" O i:~ V A T O I:~ B A"I" T E. R Y S o ~ i d 1400 U n r a t e d
F:orm., ~;oqfid Type', Pure Days., 365 Use: L, IHLI?
................ !.., a. ~ ~.: c, . ..
I , 400 [ 1 , 400.00 I 2,800,00
....................... ~}~tonag~ ........................... ! Pn~ss ! 'T'emp .... 1 .............................................. L. ocatfion ......................................
PI_AIrY'['ItC CON"I"A:[NEi'~ 1 Above ! Ambfi ent I N WALL ]:NS:I: I)E ALS() S"I"C)C:K
.... Conc .... I .................................................................................... Components ................................................... [ ....
50,0~ ISu~furfic Acrid (EPA) IH~gh I 39
'I '1 / '~ 5 / 9 A I'~ Iv!A R T .--. :3 6 5:3 0 '1.5 .--. 0 1 0 ..-- 0 0 0 0 ::-~ :3 P
2 .... ~=ixed (::or, trainers ~
~ !--~azmat :l:nventory I:)e~i~ in Reference Number Order
02 .-. 00 ? A~Lt A C:I-'~ E Ivl C:I"~ L O R :1: N E S o ~ d d 500 I"~ ~
Form: So~dd "t"yp~: Ivl~x~.~re D~ys: :365 Use: C:LEAN:I:N
................ 138~'1y ~18x !...8S ............... [ ........ i3~3y Average !...E~S ........ [ ........ Annu~'l Amount
500 [ 500.00 I 't , 0
........................ S~or~ge ............................ I Press [ "l"emp .... ! ............................................... I...oc~qon .......................................
PI...AST~i: C GON"i"A:[NER ~ Ambq en~ [ Amb~ en~ ~ OLJ"I"S]: DE t~;ARDEN AREA
.... C:onc .... [ ....................................................................................... (::ompon~n~s ................................................. [ .... IvIC:R ........
'10,0~ [Sodlum I--typoch~or~e ll-~q9h
'i 'I/15/94 lC ~tAi:;~'f'....:365:3 0 't 5---0 '10...-0000 Page 5
00 .... Overall Sfite
<
<1> Agency
............ L A ... I::: ,:> A
ALL p.-{r')NI::S A
I!... I:~ONT PAI:~K]:h,(.:, [..O"1" Ahli;) PAi:~K];NB LO"i .... f'O "I'I"IE I:~EAI:~ O1:: "f'HE S"f'(')l:~::,
<2> Employee Notif,/Evacuation
E Ivl P L O Y I:.'-! E S A I~ I!': N O T :[ I::: ;[ I!!! [) V ]1; A P, A, S Y S T I;!! Ivl,
<:3> Pub']ic Notif,/!;'~vacu.a.t. ion
<4> Emergency tvleclica~
I::: iii I;~ I!!! I;i~ i~!! P"f' H A L !... A
942_0 !:~O.!!~l!!![:~AI...i!!! I..~t~Y 10031 I~OSE[)ALi~ t"{~Y
8 A K E RS I::: ;i: E L 0, O A ~':~ A K E I:~ S I::: 'J; E I... I;), O A
(805) 861-.-.2565 (805) :32'7....4111
/!5/.9Z~ K MART..-3(~53 0i5..-.0'i0.-0000 O0 .... Overall Sit~
SHELF'S ARE RIEQLIIRED TO HAVE A GUARD TO PREVENT 'l"l"~E PRODUCT FROM FALL
OFF:, AL. SO PR()!3UC'i" IS I..O(]:A!"EI]) A'T' BO'T"T'()M SHELF: "i"O PR~:~VI~N'I"
FAL. L. OI=F:,
<2> Release Containment
,~") ~ ,. > i" . ..:) :S ..
I.,.[..A :I:S CLOSED OI=F: SPiI...L IS PUT BA(::I< INTO ORIGINAl_ CC)N'T'A]:NIER AND I:) I ~" '"' (')~ ....... )
0 I::: P R () P E R... Y,
<4> Othen Resource Ac~.ivmtion
11 / 15 / 94 K Ivl A I:~"1" ..-. :3653 0 '15 ---- 010 .... 000
00 -.- Ovena]l' Site
<F:> Site Emergency Factors
<1> Special Hazards
<:3> F:ire Protec,/Avail , 1~8. ter
1'3 E H ]i N D S TO I~ E AN D A L SO I N F RON"I" 0 I::: 'T'H E s"r'o I:~ i!!!,
<4>. Earthquake Vulnerability
..5 / 9 g K lvl A I::~"1" -.-- :3 6 .:5:3 0 'J .'.5 .... 0 1 0 -... 0 0 0 0 P a g e 8
Training Record Locmtion
L. RE(::ORI},.~ ARE I<EPT ]:N ~I::RSONNEL OI:::F:I:CE ~H:I:CH :I:S I..OCATED A"I .... r'HE (3A(::K O1:::
FF'i"C~RF PLAN ~I~$ POS"I"[~I:) N.::AK "l"]:iviF~ C: (')C:]< I:::C)R AI...L. f::lvP[~"]YF:l~ TO $[~E
<2.> Describe Training Program
V;!:E~i~:NG HAZARDOUS Iv~A"I"ERIAL
P L. AS"f' ]: C (::ON TA ]: N [!! R
THI!!!Y ARI!!! NO'T':[I::::[ED 8Y ~:'.:ALL:I:NG OVER P,A, SYSTEIvl (CAROL]:NI!!! YELI...O~) TO 'T'HE AREA
O[':: TH E~ SP ]: I... L. ,
<3> Emer, Agency
<4> I!!!mer. Response I!!!quipment
1 1 / ! 5 / 9 4 K tvl A R"f' -..- 3 6 5 3 0 1 5 ..-. 0 1 0 -... 0 0 0 P a g e 9
O0 .... Over,~ll Site
<H> <" "'.:>L.l'-,Ut.),_,.)' .... ' <'' ~'f... TH ]:N 1/2. tvl]: LE.
<1> ~'~figh, Schools
,.Jr, l..~igh Schools
.Private & Pre Schooqs