The URL can be used to link to this page

Home My WebLink AboutBUSINESS PLAN H~aazardous Materials/Hazardous Waste Unified Permit . CON OF PERMIT ON REVERSE SIDE This ~ermit is issued for the followina: [] Hazardous Materials Plan [] Underground Storage of HazardOus Materials Permit ID #:: 015-000-000824 ' [3 Risk Management Program [] Hazardous Waste On-Site Treatment ALBERTSONS #6373 LOCATION: 1621 COLUMBUS ST -'LD Issued by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES II./~~~~ 1715 Chester Ave., 3rd Floor Approved by: Bakersfield, CA 93301 ....~, ~" Issue Date r Voice (661) 326-3979 FAX(661) 326-0576 Expiration Date: June 30.. 2003 ~'"----' STATEMENT OF ACCOUNT CITY OF BAKERSFIELD P 0 BOX 2057 ~AKERBFIELD, CA ~03-2057 DATE: 9/01/00 TO: ALBERTSONS #6373 LICENSING DEPT P 0 BOX 20 BOISE, ID 837~ CUSTOMER NO: 31S& CUSTOMER TYPE: ES/ 3136 --'-C-H-A~--- DkT~ D~SCRiPT["~'~,. REF-~UM~ER ~/Oi/O0 BEGINNING ~ALANCE 161.50 FOR QUESTIONS OR CHANGES TO YOUR PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. CURRENT OVER 30 OVER ~0 OVER 90 170. O0 8. 50- DUE DATE' 10/0~/00 PAYMENT DUE: l&l. 50 TOTAL DUE: $1~=i.50 ., ,,, ..... ..R~,:,'T':'-'AND.-.~A~E..CHE_K PAYABLE TO: CUSTOMER NO: 3136 ~USTOMER TYPE: E~/ TOTAL DUE: Location: 1621 COLUMBUS ST Map : 103 CommHaz : Low City : BAKERSFIELD ~B¥: ~_~ Grid: 16D FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 08 SIC Code: 5411 EPA Numb: DunnBrad .-~--~33~-~-7~i~ 0 0~9~; 90 Emergency Contact / Title ~;~'~o,- Emergency Contact /~e~Title ~IL~,.~.~ET~f~uc~I~/ STORE ~ ~~ / ~ ~AGER Business Phone~',., (~) 872-5232x Business Phone: (~05) 872-5232x 24-Hour Phone : (~) ~ 24-Hour Phone : (~) ~ Pager Phone : (&~)~-c~%~ Pager Phone : (~) ~ - gZ~x Hazmat Hazards: Fire React Im~lth DelHlth Contact : ~~ ~~% Phone: (~o~) ~9~ - gZ~Sx MailAddr: ~~0. ~ ~ ~% ~q/~ State: ~ [~ City : ~ ~o~%~ Zip : 93309 ~~ O~er ~UCKY STORES iNC--~[~~5 ~n~ Phone: (~5 ~ Address : ~5S5 IQ:OTT AVE g. 0. ~ %O State: ~ ~ City : B~}L~ ~~ Zip : ~ ~ 3qZ~ Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif' d: RSs: No Emergency Directives: = Hazmat Inventory One Unified List -- MCP+DailyMax Order Ail Materials at Site Hazmat Common Name... ISpooHazlEPA HazardsI Frm DailyMax IUnitlMcP BLEACH R IH L 55.00 GAL Hi AMMONIA SOLUTION R IH L 55.00 GAL Mod MOTOR OIL ~, C. Lee Mumford DO b~b~ ~i~ ~ ~ ~ L 200.00 GAL Min (T~pe or p~n! name) reviewed ~he a~ached h~ard~s ma~s~sgs manags- mere plan for 'Al bertson' s ~d ~hal i~ al0O~ wl~h agemem plan for my ~c~. C. Lee Mumford 1 12/1~/1999 · ~ .... e~=~ INC "~" SiteID: ~.. , 8 215-000-000824 ---- Inventory Item 0002 Facility Unit: Fixed Containers on Site ~UlVUVtt)J.%l l%J_,t-U.VlJc5 / t:l'/.l~lVl3. ~Z*-~J_~ £~d_,q.l. Vl~ BLEACH /~0~u~ ~POC~E~/7-~ Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLOOR CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid ~~._ I Ambient I Ambient I PLASTIC CONTAINER AMOUNTS AT THIS LOCATION I Largest Container I Daily Maximum I 'Daily Average GAL 55.00 GAL 25.00 GAL HAZARDOUS COMPONENTS ~~ ~Bp0ckL~rC ~_ N 7681529 ~ %0A{~wv. ~N~-o ~.~'~ ~_ HAZARD ASSESSMENTS ~ ~ ~ 0~ E TSoorot oRS Bi°Has] Radi°active/Am°unt I EPA HazardsNo N No No/ Curies R IH NFPA/// IUSDOT# Hi MOP ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site AMMONIA SOLUTION Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLOOR 'CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid i Mixture I Ambient~ I Ambient I PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average GAL[ 55.00 GAL[ 25.00 GAL HAZARDOUS COMPONENTS %Wt. R[NoRS[ CAS# 30.00 Ammonia Solution, Conc. Less Than 20% 1336216 HAZARD ASSESSMENTS TSoorotI~sIBioHaz Radioactive/Amount EPAHazardsI NFPA USDOT# MCP No N No No/ Curies R IH / / / Mod 2 12/14/1999 ~T-UCKV'~ ~v.,~~m~° ~,~ ~.~,~ SiteID: 215-000-000824 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~lV~Vl~ ~./-MVl~ / ~ ~ ~A_I~ ~Vl~ MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: SALESFLOOR CAS# Liquid /Pure Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average GALI 200.00 GAL 100.00 GAL HAZARDOUS COMPONENTS 100.00 Motor Oil, Petroleum Based N ~qq%-~~l HAZARD ASSESSMENTS TSecretINO N~S I Bi°HaZNo Radioactive/AmountNo/ Curies FEPA HazardsDH NFPA/// USDOT# I MCPMin -3- 12/14/1999 T~CKY STOP--~S INC--~2-t8 siteID: 215-000-000824 Fast Format = Notif./Evacuation/Medical Overall Site ----~cu\Agency Notification 11/03/1993 IN SITUATIONS IN WHICH A HAZARDOUS MATERIAL SPILL OR LEAKAGE OCCURS, NOTIFY THE ~IVT~I~.~ S~FETY OFF. iCE (7i4) 739-~I0, DURING NORMAL BUSINESS HOURS (8 A.M. - 5 P.M., MONDAY - FRIDAY), FOR FURTHER INSTRUCTIONS ON NOTIFICATION OF APPROPRIATE AGENCIES. . DURING NON-OPERATIONAL HOURS TELEPHONE THE DUTY ~AFETY XEPRESENTATI%~-BY- ~_~T__.T.T~JG (7]4) 739-S7,~. ~K THE DL~Y REPRESENTATIVE TO CJALL TIIE ~ET¥ Y MANAGER DIANA SINCLAR. THE 'SAFETY REPRESENTATIVE SHALL NOTIFY THE LOCAL FIRE DEPARTMENT-~ ~ OF THE INCIDENT. AFTER CONTACTING THE~IVISION S~FETY :;~/~AG.~.R A DECISION WILL BE MADE AS TO WHETHER THE STATE O~FICE OF EMERGENCY SERVICES WILL BE NOTIFIED (800) 852-7550.~,/~[~c4~5~$ ~'~0~n~u~4~ -- Employee Notif./Evacuation 11/03/1993 IF IN STORE MANAGEMENTS OPINION IS THE STORE MUST BE EVACUATED OR YOU'RE INSTRUCTED TO EVACUATE BY LOCAL AUTHORITIES (FIRE DEPT/POLICE DEPT) DO SO ACCORDING TO ESTABLISHED POLICY AND PROCEDURE. REFER TO RED/GRAY EMERGENCY PROCEDURE BULLETIN FOR INSTRUCTIONS. MANAGEMENT SHALL WALK THROUGH STORE INFORMING ASSOCIATES TO LEAVE THE STORE IMMEDIATELY THROUGH SAFEST EXIT. PUBLIC ADDRESS SYSTEM SHALL ONLY BE USED IN SITUATIONS THAT REQUIRE IMMEDIATE EVACUATION, TO MINIMIZE PANIC AMONG CUSTOMERS AND ASSOCIATES. -- Public Notif./Evacuation 11/03/1993 REFER TO RED/GRAY EMERGENCY PROCEDURE BULLETIN FOR INSTRUCTIONS. STORE MANAGEMENT AND ASSOCIATES SHALL WALK THROUGH STORE INFORMING CUSTOMERS TO LEAVE PURCHASES IN STORE AND EXIT THROUGH SAFEST EXIT. PUBLIC ADDRESS SYSTEM SHALL ONLY BE USED IN SITUATIONS THAT REQUIRE IMMEDIATE EVACUATION, TO MINIMIZE PANIC AMONG CUSTOMERS AND ASSOCIATES. Emergency Medical'Plan 11/03/1993 ASSOCIATES OR CUSTOMERS WHO SUSTAIN INJURY OR ILLNESS DUE TO HAZARDOUS MATERIAL SPILL OR LEAKAGE SHALL BE REFERRED TO COMPANY DESIGNATED MEDICAL CLINIC FOR TREATMENT. IF INJURY OR ILLNESS IS SERIOUS OR LIFE THREATENING NOTIFY PARAMEDICS'OR EMERGENCY SERVICES IMMEDIATELY. 12/14/1999 f J-T~CKY STORES INC ~278- SiteID: 215-000-000824 Fast Format = Mitigation/Prevent/Abatemt Overall Site --Release Prevention 11/03/1993 ITEMS ARE PACKAGED IN SMALL CONTAINERS FOR RESALE.. ITEMS ARE SAFETY SEALED AND DISPLAYED ON A LEVEL, SECURE SURFACE IN A MANNER TO pREVENT ACCIDENTAL DISLODGMENT. CERTAIN CHEMICALS KEPT AT DIFFERENT LOCATIONS TO PREVENT MIXING. ABATEMENT PROCEDURES ARE TO EFFECT CLEAN-UPS WITHOUT CONTACT WITH SKIN AND TO REMOVE ANY TRACES FROM THE EXPOSED SURFACE. IT IS THEN DISPOSED OF IN A SAFE MANNER TO AVOID FURTHER CONTACT. --Release Containment 11/03/1993 PUT UP "CAUTION WET FLOOR" SIGNS OR ROPE OFF AREA TO PREVENT CUSTOMERS/ASSOCIATES FROM ENTERING SPILL AREA. IF STRONG OR IRRITATING ODORS ARE PRESENT, WARN OTHERS TO MAINTAIN SAFE DISTANCE FROM SPILL AREA. IF MATERIAL IS DRY, KEEP ASSOCIATES/CUSTOMERS FROM WALKING THROUGH MATERIAL, SPREADING IT TO OTHER AREAS. IF MATERIAL IS WET OR LIQUID, SPRINKLE ABSORBENT MATERIAL AROUND EDGE OF SPILL TO CONTAIN LIQUID. -- Clean Up 11/03/1993 USE APPROPRIATE PROTECTIVE EQUIPMENT AS REQUIRED BY MATERIAL SAFETY DATA SHEET (MSDS). IF SPILL IS GREATER THAN ONE GALLON NOTIFY THE~A~E-T~ DEPARTMENT IMMEDIATELY FOR CLEAN UP INSTRUCTIONS. IF MATERIAL SPILLED IS DRY, SCOOP OR GENTLY SWEEP UP DRY MATERIAL AND PLACE IN DOUBLE BAGGED PLASTIC TRASH BAG. DO NOT SWEEP VIGOROUSLY AS YOU MAY SPREAD MATERIAL. IF MATERIAL SPILLED IS WET OR LIQUID, SPRINKLE ABSORBENT MATERIAL AROUND EDGE OF SPILL. GENTLY SWEEP ABSORBENT TO CENTER OF SPILL .TO ABSORB LIQUID. GENTLY SWEEP UP USED ABSORBENT AND PLACE IN DOUBLE BAGGED PLASTIC TRASH BAG. LABEL TRASH BAG AS "HAZARDOUS MATERIAL" AND PLACE IN WAREHOUSE TEMPORARILY. WET MOP AREA OF SPILL WITH MILD DETERGENT AND WATER. SAVE USED ABSORBENT, MOP, PRODUCT CONTAINER AND WASH WATER'. CONTACT THE ~A~DTY DEPARTMENT ~A~ ~'a =~n ~ PROPER DISPOSAL INSTRUCTIONS THOROUGHLY WASH HANDS/ARMS WITH SOAP AND WATER AFTER CLEAN-UP. 5 12/14/1999 LUCKY STQRES INC 9278. SiteID: 215-000-000824 Fast'Format ~ Mitigation/Prevent/Abatemt Overall Site Other Resource Activation -6- 12/14/1999 LUCKY STORES~]~~, g SiteID: 215-000-000824 Fast Format = Site Emergency Factors Overall Site --- Special Hazards 07/03/1991 PROPANE TANKS ARE STORED OUTSIDE BUILDING FOR USE BY FLOOR BUFFER. REFRIGERATION SYSTEM USES FREON #'S 12,22,502 FOR COOLING OF FOOD PRODUCT THROUGHOUT STORE. --Utility Shut-Offs 07/03/1991 A) GAS - NONE B) ELECTRICAL - SOUTH BACK SIDE OF STORE C) WATER - BACKROOM CENTER SOUTH WALL D) SPECIAL - FIRE SPRINKLER AND ALARM SYSTEM E) LOCK BOX - NO -- Fire Protec./Avail. Water 07/03/1991 PRIVATE FIRE PROTECTION - STORE IS EQUIPED WITH A AUTOMATIC SPRINKLER PROTECTION SYSTEM, ALARM SYSTEM, AND FIRE EXTINGUISHERS FIRE HYDRANT - ?????????? Building Occupancy Level 7 12/14/1999 F ~NC~ SiteID: 215-000-000824 Fast Format ~ Training Overall Site -- Employee Training 07/03/1991 WE HAVE 94 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: MATERIAL SAFETY DATA SHEETS ARE ON FILE FOR ALL HAZARDOUS MATERIALS USED IN THE STORE. ALL ASSOCIATES RECEIVE INITIAL HAZARD MATERIAL COMMUNICATIONS TRAINING AT THE TIME OF THEIR INITIAL ASSIGNMENT. TRAINING INCLUDES BUT IS NOT LIMITED TO 1) VIDEO ENTITLED "CHEMICAL SAFETY", 2) DISCUSSION OFHAZARDOUS MATERIALS IN THE DEPARTMENT, 3) LOCATION OF MSDS, 4) QUESTION/ANSWER PERIOD. ASSOCIATES RECEIV RE-FRESHER TRAINING ON HAZARDOUS MATERIALS ON AN ANNUAL BASIS. EMERGENCY PROCEDURES ARE RANDOMLY CONVERED WITH ASSOCIATES AND ARE POSTED THROUGHOUT THE STORE ON EMERGENCY PROCEDURE BULLETINS (RED/GRAY POSTER) -- Page 2 Held for Future Use Held for Future Use I -8- 12/14/1999