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HomeMy WebLinkAboutBUSINESS PLAN · I '~ ~/-E egardicertifyQ(?':~r under penalty of perjury that I have read the information ng Chapter 6.95 of the Health and Safety Code, and that my business is exempt from these requirements. I do understand that random checks may be conducted to insure exemption status. Business Name 'Type of Busfness Address Name (~rinted) Title Phone //Sign~ct~Yffe REH/eg Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE Thie 0ermit is issued for the following: I~ Hazardous Materials Plan [] Underground Storage of Hazardous Materials Permit iD #:: 015-000-001105 [] Risk Management Program [] Hazardous Waste On-Site Treatment COSTCO WHOLESALE LOCATION: 3101 GILMORE AVE :IELD ...... ~,,~.. ;~r~,~m.~; ~:~,~. DISPENSER ~ANS~,MONITORING TANK 015-000-001105-0002 GASOLINE ..: ~ 015-000-001105-0003, GASOLINE ~. ~ '~.~ ,. ,~ .~. ~, ~' ~ ',-., ~ ,'~ ,, .~ ........ ~, .,-- -; .,.~.,, ~ ~ ~* ,Z.~' ' 1715 Chester Ave., 3rd Floor Approved by: " Bakersfield, CA 93301 OfficeofEvko~Smic~~ . ~ ~lpb Huey, D~~ / Issue ~e Voice (661) 326-3979 F~ (661)326-0576 Expiation Date: SI'I-E/FACILITY DIAGRAM DATE:ii./~/ ~FACIL[TY N~E: UNIT ~: ~OF t (CHECK ONE) SITE DIAGR.~! ~ FACILITY DIAGR.~ I (Inspector's Comments): -OFFICIAL USE ONLY- - SA - SITE DIAGRAM items) -~ 1. Address: Identify the 9. Lock (key) Box '~ , ~- principle buildings by the Street numbers. 10. MSDS Storage 8ox 2. Street(s), Alleys, 11. Rallroad Tracks Brlveways, and Parking Areas adjacent to the 12. Fence or Barrier property. Include the a. Wire street names. . b. ~asonry 3. Storm Brains. Culverts, Yard Brains ¢. Wood 4. Drainage Canals, Ditches, d. Gates Creeks. 13. Powerltnes $. Buildings a. Frame construction 14. Guard Station b. ~asonry construction 15. Storage Tanks: Identify the c. Metal construction capacity in gal. a. Above ground d. Access Door b. Underground 6. Utility Controls a. Gas 16. Diking or Berm b. Electricity 17. Bvacuatioa Route c. Water 18. Evacuation Area: Identify the 7. Fire Suppression Systems: location where a. Fire Hydrants e~ployeee will meet. b. Flue Sprinkler 19. Outside Bazardous Connections Waste Storage c. Fire Standpipe 20. Outside Hazardoua Connections Material Storage d. Water Control Valves 21. Outside Hazardous for protection systems ~aterlal Use/Handling e. Fire Pump 22. Type of Hazardous ~aterial/Waste Stored 8. Fire Bepartnent Access or Used (See Below) TYPE OF HAZARDOUS ~ATERIAL F = Flammable g = gxploalve L = Liquid R = Radlologlcal C = Corrosive 0 = Oxidizer G = Gas P = Poison W = Water Reactive T = Toxic S = Solid H = Cryogenic D = Waste B = Etiological Example: Flammable Liquid = FL FACILIW DIAGRAM (Required items in addition to the. abo~e) 1. Risers for Sprinklers 8. Fire Escapes Partitions 9. AlP Conditioning Units 3. Stairways: Indicate the 10. Windows levels served from highest to lowest. 11. Inside Hazardous Waste Storage 4. Escalator: Indicate the levels served from 12. Inside Hazardous highest to lowest. Materials Storage S. Elevator 13. Inside Hazardous Materials Use/Handling 6. Attic Access 14. Sewer Brain Inlets 7. Skylights COSTCO WHOLESALE SiteID: 015-021-001105 Manager : BusPhone: (805) 324-0703 Location: 3101 GILMORE-AVE Map : 102 CommHaz : Moderate City : BAKERSFIELD Grid: 23D FacUnits: 1 AOV: CommCode: COUNTY STATION 66 SIC Code:5199 EPA Numb: CAL000126996 DunnBrad:91-122-3280 Emergency Contact / Title Emergency Contact / Title JOE ISLES / FRANCIS CH~CON / Business Phone: (805) 324-0703x~ Business Phone: (805) 324-0703x 24-Hour Phone : (805) 588-0767x 24-Hour Phone : (805) Pager Phone : ( ) - x Pager Phone : (805) 638-~-1-~x~ Hazmat Hazards: RSs Fire Press React ImmHlth DelHlth Contact : Phone: (425) 313-6312x MailAddr: 999 LAKE DR ~C~j~ State: WA City : ISSAQUAH Zip : 98027-5366 Owner COSTCO WHOLESALE 6~;09~.^ Phone: (425) 313-6312x Address : 999 LAKE DR ~1~0~ ~uuU~l~ State: WA City : ISSAQUAH Zip : 98027-5366 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: Yes Emergency Directives: THIS IS A WASTE TREATMENT SITE AND ~EQUIRES A JOINT INSPECTION. PLEASE CALL ENV SVCS TO SCHEDULE AN INSPECTION WITH HOWARD WINES & STEVE UNDERWOOD · (Type or p~nt name) reviewed the attached haz. ardous materials manage- ment plan for C~( ~m~ o,r"J~u,~,.) -and that it along with any corre~ions constitute a complete and corre~ man- agement plan for my facili~,. -1- 09/28/2000 COSTCO WHOLESALE SiteID: 015-021-00i105 ~ STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: COSTCO WHOLESALE Cross Street : Business Type: Org Type: Total Tanks : 3 IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : FRANCIS CH~CON Phone: (805) 324-0703x Address: City : State: Zip: Type : CORPORATION TANK OWNER INFORMATION Name : FRANCIS CH~CON Phone: (805) 324-0703x Address: City : State: Zip: Type : BOE UST Fee# : 039958 Financ'l Reap: SELF INSURED Legal Notif : Business Mailing Address Date:04/25/2000 Phone: (818) 782-6484x Name:JANET TUBBS Ttl:PROJECT MANAGER State UST # : 1998 Upg Cert#: ---- Hazmat Inventory One Unified List -- As Designated Order Ail Materials at Site Hazmat Common Name... ISpo¢'.HazIEPA HazardsI Frm I DailyMax Iunit MCP BLEACH IH DH L 1500.00 GAL Hi GLASS CLEANER IH DH L 90.00 GAL Mod FERTILIZERS IH S 5000.00 LBS UnR MALATHION IH L 125 00 GAL Hi SILICONE OIL F DH S 600 00 LBS Min BRAKE FLUID F IH DH L 200 00 GAL Low DEGREASER F IH DH S 400 00 LBS Mod CARBORATOR CLEANER F DH S 400 00 LBS Hi WD 40 F IH L 1500 00 GAL Mod PARTS CLEANER F IH L 500 00 GAL Mod MOTOR OIL F DH L 8500 00 GAL Min MURIATIC ACID IH DH L 1000 00 GAL Hi RAID ANT & ROACH F DH L 100 00 GAL UnR SCOTT PEST CONTROL F DH L 160.00 GAL UnR SULFURIC ACID (BATTERIES) R IH L 100.00 GAL Hi BLACK FLAG INDOOR FOGGER F P DH L 100.00 GAL UnR ROUND UP F DH L 800.00 GAL Low PROPANE F P DH G 728.00 FT3 Hi PACE TABS F IH S 200.00 LBS UnR HTH GRANULATED F IH S 100.00 LBS Mod SUPER SOCK IT F IH S 100.00 LBS Mod 2 09/28/2000 F COSTCO ~OLESUE SiteID: 015-021-001105 = Hazmat Inventory One Unified List --As Designated Order All Materials at Site Hazmat Common Name... ISpecHazlEPA Hazardsl Frm I DailyMax UnitlMcP CHLORINATED HYDROC~BON PESTICI F R IH DH L 300 00 GU UnR ORG~IC PHOSPHOROUS PESTICIDES F R IH DH L 200 00 GU UnR INORG~IC PESTICIDES F R IH DH L 125 00 GU UnR GASOLINE L 20000 00 GU Mod GASOLINE L 20000 00 GU Mod GASOLINE L 20000 00 GU Mod 3 09/28/2000 COSTCO WHOLESALE SiteID: 015-021-001105 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site UULV~VlUN N~vi5 / ~ ~_/.-~_L.J N~vi~ BLEACH Days On Site 365 Location within this Facility Unit Map: Grid: NE BACK SIDE OF WAREHOUSE CAS# F STATE I TYPE PRESSURE --,l TEMPERATURE CONTAINER TYPE Liquid Pure Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average GALI 1500.00 GALI 1500.00 GAL HAZARDOUS COMPONENTS 100.00 Sodium Hypochlorite N 7681529 HAZARD ASSESSMENTS TSecretINO NoRS I Bi°HaZNo Radioactive/AmountNo/ Curies EPA HazardsiH DH NFPA/// I USDOT# IMCPHi = InventOry Item 0002 Facility Unit: Fixed Containers on Site GLASS CLEANER Days On Site 365 Location within this Facility Unit Map: Grid: BACK FOOD AISLE CAS# F STATE ~ TYPE i PRESSURE ~T TEMPERATURE I CONTAINER TYPE Liquid 1Pure Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average GALI 90.00 GALI 90.00 GAL HAZARDOUS COMPONENTS 100.00 Ammonium Hydroxide N 1336216 HAZARD ASSESSMENTS TSecretI oRSIBioHaz Radioactive/Amount EPA Hazards NFPA I USDOT# MCP No N No No/ Curies IH DH / / / Mod 4 09/28/2000 COSTCO WHOLESALE SiteID: 015-021-001105 ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site FERTILIZERS Days On Site 365 Location within this Facility Unit Map: Grid: 2ND SEASONAL AISLE CAS# F STATE ~ TYPE I PRESSURE --'I TEMPERATURE CONTAINER TYPE Solid /Pure Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION ~ Largest Container I Daily Maximum I Daily Average LBS I 5000.00 LBS I 5000.00 LBS %Wt. HAZARDOUS COMPONENTS RS CAS# I HAZARD ASSESSMENTS ~ TSecretINO NoRS I Bi°HaZNo Radioactive/AmountNo/ Curies EPA HazardsiH NFPA/// USDOT# I MCPunR ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site MALATHION Days On Site 365 Location within this Facility Unit Map: Grid: LAST SEASONAL AISLE CAS# F STATE ~ TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Liquid /Pure I Ambient . Ambient I METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Daily Average Largest Container I~ Daily Maximum GALI 125.00 GAL 125.00 GAL HAZARDOUS COMPONENTS I I 100.00 Malathion N 121755 HAZARD ASSESSMENTS TSecretINo NoRS I BioHazNo Radi°active/Am°UntNo/ Curies EPA HazardsiH NFPA/// IUSDOT# HiMCP -5- 09/28/2000 COSTCO WHOLESALE SiteID: 015-021-001105 = Inventory Item 0005 Facility Unit: Fixed Containers on Site · ~UlV~VlU~ ~Vl~ / ~£ ~.A.X_L~ ~Vl~ SILICONE OIL Days On Site 365 Location within this Facility Unit Map: Grid: BACK HARDLINES AISLE CAS# F STATE ~ TYPE i PRESSURE --.[ TEMPERATURE i CONTAINER TYPE Solid /Pure Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average LBSI 600.00 LBS I 600.00 LBS HAZARDOUS COM]PONENTS 100.00 Silicone Oil N 9016006 HAZARD ASSESSMENTS TSecretINO NoRS I Bi°HaZNo Radioactive/AmountNo/ Curi~=-s FEPA HazardsDH NFPA/// I USDOT# IMCPMin = Inventory Item 0007 Facility Unit: Fixed Containers on Site ,. ~UXV~Vl~ ~Vl~ / ~ £ ~_/.-~j ~Vl~ BRAKE FLUID Days On Site 365 Location within this Facility Unit: Map: Grid: AUTOMOTIVE AISLE CAS# F STATE ~ TYPE PRESSURE --I TEMPERATURE CONTAINER TYPE Liquid 1Pure ] Ambient Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION ! Largest Container I Daily Maximum Daily Average GAL{ 200.00 GAL 200.00 GAL HAZARDOUS COMPONENTS 100.00 Brake Fluid, Hydraulic (Diethylene Glycol Monob... N 0 TSecret S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No N No No/ Curies F IH DH / / / Low -6- 09/28/2000 COSTCO WHOLESALE SiteID: 015-021-001105 ~ Inventory Item 0008 Facility Unit: Fixed Containers on Site ~lVUVl~ ~v~ / ~£ ~,/*.%_J_l ~vI~ DEGREASER Days On Site 365 Location within this Facility Unit Map: Grid: AUTOMOTIVE AISLE CAS# F STATE ~ TYPE I PRESSURE --[ TEMPERATURE CONTAINER TYPE,- Solid ~Pure Ambient Ambient METAL CONTAINR- NONDRUM AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average LBSI 400.00 LBS 400.00 LBS HAZARDOUS COMPONENTS %Wt. RNO~ CAS# 100.00 Degreaser 71556 HAZARD ASSESSMENTS TSecretI oRSIBioHaz Radioactive/Amount EPA HazardsI NFPA USDOT# } MCP No N No No/ Curies F IH DH / / / Mod = Inventory Item 0009 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME CARBORATOR CLEANER Days On Site 365 Location within this Facility Unit Map: Grid: AUTOMOTIVE AISLE CAS# r STATE ~ TYPE PRESSURE i~ TEMPERATURE CONTAINER TYPE Solid /Mixture I Ambient, Ambient I METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average LBSI 400.00 LBSI 400.00 LBS 1-1~ ~,_~I~JJU U ~ %Wt. RS CAS# 25.00 Dichloromethane No 75092 20.00 Tetrachloroethylene No 127184 10.00 1,3-Dichlorobenzene No 541731 12.00 Cresylic Acid No 1319773 12.00 Naphtha No 8030306 HAZARD ASSESSMENTS TSecretlNRoS Bi°HaZNo No Radi°active/Am°unt I EPA HazardsINo/ Curies F DH NFPA/// USDOT# I MCPHi --7- 09/28/2000 COSTCO WHOLESALE SiteID: 015-021-001105 = Inventory Item 0010 Facility Unit: Fixed Containers on Site ~UiV~VlU~ ~Vl~ / ~I~-~_L~ N~Vl~ WD 40 Days On Site 365 Location within this Facility Unit Map: Grid: AUTOMOTIVE AISLE CAS# F STATE ~ TYPE i PRESSURE [ TEMPERATLTRE CONTAINER TYPE Liquid I Mixture. Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS JRT THIS LOCATION Largest Container I Daily Maximum Daily Average GALI 1500.00 GAL 1500.00 GAL %Wt. RS CAS# 50.00 Mineral Spirits No 8030306 15.00 Petroleum Crude Oil No 8002059 HAZARD ASSESSMENTS ITsecret RS BioHazl Radioactive~Amount I EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Mod = Inventory Item 0011 Facility Unit: Fixed Containers on Site PARTS CLEANER Days On Site 365 Location within this Facility Unit Map: Grid: AUTOMOTIVE AISLE CAS# F STATE -- TYPE PRESSURE --:t TEMPERATURE CONTAINER TYPE Liquid Pure Ambient ~ Ambient PORT. PRESS. CYLINDER AMOUNTS ]%T THIS LOCATION Largest Container I Daii/y Maximum Daily Average GAL I 500.00 GAL 500.00 GAL I o %Wt. S CAS# 100.00 Naphtha N 8030306 HAZARD ASSESSMENTS TSecretINo NoRS I Bi°HasINo Radi°act ire/Amount I EPANo/ Curies F Hazards]iH NFPA/// USDOT# ModMCP 8 09/28/2000 COSTCO WHOLESALE SiteID: 015-021-001105 = Inventory Item 0012 Facility Unit: Fixed Containers on Site MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: BACK HARDLINES AISLE AUTOMOTIVE AISLE CAS# F 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 GAL I 8500.00 GAL 8500.00 GAL %Wt. S CAS# 100.00 Motor Oil, Petroleum Based N 8020835 HAZARiD ASSESSMENTS TSecret ~S BioHaz Radioactive/Amouht EPA HazardsI NFPA USDOT# I MCP No N No No/ Curies F DH / / / Min ~ Inventory Item 0013 Facility Unit: Fixed Containers on Site ~[vUVl~ ~Vl~ / ~£ ~d~ ~Vl~ MURIATIC ACID Days On Site 365 Location within this Facility Unit Map: Grid: BACK FOOD AISLE CAS# F STATE i TYPE PRESSURE .... i TEMPERATURE i CONTAINER TYPE Liquid Pure Ambient Ambient PLASTIC CONTAINER AMOUNTS .AT THIS LOCATION Largest Container Daily Maximum I Daily Average GAL 1000.00 GALI 1000.00 GAL HAZ~DOUS COMPONENTS 100.00 Muriatic Acid 7647010 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# I MCP No N° No No/ Curies IH DH / / / I Hi -9- 09/28/2000 COSTCO WHOLESALE SiteID: 015-021-001105 ~ Inventory Item 0016 Facility Unit: Fixed Containers on Site ~iv~vl~ ~vl~ / ~ ~Z-LI_~ ~Vl~ RAID ANT & ROACH Days On Site 365 Location within this Facility Unit: Map: Grid: SEASONAL ISLE CAS# FSTATE- TYPE i PRESSURE --1- TEMPERATURE i CONTAINER TYPE Liquid Ambient Ambient METAL CONTAINR-NONDRUM AMOfTNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average GAL I 100.00 GAL I 100.00 GAL HAZARD ASSESSMENTS I TSecretI oRSIBioHaz Radioactive/Amount EPA Hazards NFPA I USDOT# MCP No N No No/ Curies F DH / / / UnR ~ Inventory Item 0017 Facility Unit: Fixed Containers on Site ~U/VUVAU~ ~Vl~ / ~£~J.J ~vi~ SCOTT PEST CONTROL Days On Site 365 Location within this Facility Unit Map: Grid: SEASONAL ISLE CAS# FSTATE TYPE PRESSURE :W TEMPERATURE CONTAINER TYPE Liquid Ambient / Ambient PLASTIC CONTAINER I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum 'Daily Average GAL 160 . 00 GAL 160 . 00 GAL RS BioHaz I HAZARiD ASSESSMENTS TSecret Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / UnR -10- 09/28/2000 COSTCO WHOLESALE SiteID: 015-021-001105 ----- InventoryI Item 0018 Facility Unit: Fixed Containers on Site SULFURIC ~CTD (BATTERIES) Days On Site i 365 Location~, within this Facility Unit Map: Grid: HARDLINES i- ISLE 223 CAS# Liquid I iMixture Ambient Ambient PLASTIC CONTAINER I AMOUNTS AT THIS LOCATION Largest Container I Dai:/y Maximum Daily Average I GALI 100.00 GAL 100.00 GAL I' HAZARDOUS COMI?ONENTS 40.00 Su furic Acid (EPA) N 7664939 I HAZARD ASSESSMENTS [TSecretNo Yes:RSI BioHazl Radioactive/Am°unt I EPA HazardsNo No/ Curies R IH NFPA/// USDOT# HiMCP ---- Inventor 'Q Item 0019 Facility Unit: Fixed Containers on Site ~ BLACK FLAC-'~ INDOOR FOGGER Days On Site t 365 Locatio; within this Facility Unit Map: Grid: SEASONAL ],iSLE CAS# 10453-86-8  STATE __~1: TYPE PRESSURE TEMPERATURE CONTAINER TYPE LiquidIIi iMixture Above Ambient ,~_ Ambient METAL CONTAINR-NONDRUM I AMOUNTS AT THIS LOCATION Largest." Container I Daily Maximum Daily Average GALI 100.00 GAL 100.00 GAL HAZARDOUS COMPONENTS %Wt. CAS# HAZARiD ASSESSMENTS TSoorotlNoR~I BioHazI Radioactive/Amount I EPA HazardsI NFPA USDOT# MCP No No No/ Curies F P DH / / / UnR -11- 09/28/2000 COSTCO WHOLESALE SiteID: 015-021-001105 ---- Inventory Item 0020 Facility Unit: Fixed Containers on Site %..;~3~vu. vl%.)i~J JN.~-U.vI~'~; / %..:l-J.l'q.Vl.L t..:_-~.L~ JN.,~-U.vII'~; ROLTND UP Days On Site 365 Location within this Facility Unit: Map: Grid: SEASONAL ISLE CAS# 1071836 V STATE -- TYPE PRESSURE --[ TEMPERATURE CONTAINER TYPE Liquid Pure Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container I Dail/y Maximum Daily Average GALJ 800.00 GAL 800.00 GAL HAZARDOUS COMPONENTS 100.00 Round Up N 1071836 HAZARD ASSESSMENTS lTSecret RS BioHazl Radioactive/Amount EPA Hazards NFPA f USDOT# MCP No No No No/ Curies F DH / / / Low : Inventory Item 0021 Facility Unit: Fixed Containers on Site PROP~E Days On Site 365 Location within this Facility Unit: Map: Grid: SEASONAL ISLE CAS# 74-98-6 Gas Pure Ambient Ambient METAL CONTAINR-NONDRUN AMO~TS AT THIS LOCATION Largest Container J Dai]Ly Maximum Daily Average FT3J 728.00 FT3 728.00 FT3 HAZARDOUS COMPONENTS I%Wt.I RSI CAS# 100.00 Propane Yes 74986 HAZARD ASSESSMENTS TSecretNo NoRS Bi°Hat I Radi°active/Am°untNo No/ Curies FEPA Hazardsp DH NFPA/// USDOT# HiMCP --12- 09/28/2000 COSTCO WHOLESALE SiteID: 015-021-001105 ~ Inventory Item 0022 Facility Unit: Fixed Containers on Site PACE TABS Days On Site 365 Location within this Facility Unit Map: Grid: SEASONAL ISLE CAS# ~ STATE i TYPE i PRESSURE --,I TEMPERATURE i CONTAINER TYPE Solid Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily AverageILBS 200.00 LBS 200.00 LBS HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/AmouI~lt EPA Hazards NFPA I USDOT# MCP No N° No No/ Curies F IH / / /I UnR = Inventory Item 0023 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME HTH GRANULATED Days On Site 365 Location within this Facility Unit Map: Grid: SEASONAL ISLE CAS# r STATE TYPE PRESSURE r- TEMPERATURE CONTAINER TYPE Solid Ambient I Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average LBS I 100.00 LBS 100 . 00 LBS %Wt. S CAS# 100.00 Calcium Hypochlorite N 7778543 TSecret S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No N No No/ Curies F IH / / / Mod -13- 09/28/2000 COSTCO WHOLESALE SiteID: 015-021-001105 ~ Inventory Item 0024 Facility Unit: Fixed Containers on Site SUPER SOCK IT Days On Site 365 Location within this Facility Unit Map: Grid: SEASONAL ISLE CAS# STATE TYPE PRESSURE .i TEMPERATURE CONTAINER TYPE Solid Ambient Ambient BAG AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average LBSI 100.00 LBS 100.00 LBS HAZARDOUS COMPONENTS %Wt.I ~S CAS# 100.00 Calcium Hypochlorite N 7778543 HAZARD ASSESSMENTS [TSecret RS BioHazl Radioactive/Amount I EPA HazardsI NFPA USDOT# MOP No No No No/ Curies F IH / / / Mod = Inventory Item 0025 Facility Unit: Fixed Containers on Site ~UlV~IU~ ~Vl~ / ~i~b ~vl~ CHLORINATED HYDROCARBON PESTICIDES Days On Site 365 Location within this Facility Unit Map: Grid: LAST SEASONAL AISLE CAS# STATE [ TYPE PRESSURE --,[ TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average GAL I 300.00 GAL ] 150.00 GAL HAZARDOUS COMPONENTS %Wt. RN~oRS CAS# 100.00 Chlorinated Hydrocarbons 0 HAZARD ASSESSMENTS ~ TSecretI oRSIBioHaz Radioactive/Amount EPA Hazards I NFPA USDOT# I MCP No N No No/ Curies F R IH DH / / / UnR *-14- 09/28/2000 COSTCO WHOLESALE SiteID: 015-021-001105 ~ Inventory Item 0026 Facility Unit: Fixed Containers on Site ORGANIC PHOSPHOROUS PESTICIDES Days On Site 365 Location within this Facility Unit Map: Grid: LAST SEASONAL AISLE CAS# rSTATE TYPE PRESSURE --I TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient / Ambient PLASTIC CONTAINER I AMOUNTS AT THIS LOCATION I Largest Container Dai2[y Maximum Daily Average GAL 200.00 GAL 100.00 GAL %Wt. HAZARDOUS COMPONENTS I I 100.00 ORGANIC PHOSPHOROUS PESTICIDtgS N~S CAS# 0 S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No N No No/ Curies F R IH DH / / / UnR = Inventory Item 0027 Facility Unit: Fixed Containers on Site ~lV~Vl~ ~Vl~ / ~ ~Z-{.~ ~Vl~ INORGANIC PESTICIDES Days On Site 365 Location within this Facility Unit Map: Grid: LAST SEASONAL AISLE CAS# F STATE I TYPE PRESSURE 'TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient PLASTIC CONTAINER I AMOUNTS A.T THIS LOCATION Largest Container Daily Maximum Daily Average GAL 125.00 GAL 75.00 GAL HAZARDOUS COMPONENTS 100.00 INORGANIC PESTICIDES N 0 HAZARD ASSESSMENTS TSecret, RS[BioHaz, Radioactive/Amount I EPA Hazards[ NFPA USDOT# MOP NoI ° I I I IN No No/ Curies F R IH DH / / / UnR -15- 09/28/2000 COSTCO WHOLESALE SiteID: 015-021-001105 = Inventory Item 0028 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME GASOLINE Days On Site UNLEADED 365 Location within this Facility Unit Map: Grid: UST CAS# 8006619 Liquid Pure Ambient Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 20000.00 GALI 20000.00 GAL 20000.00 HAZARDOUS COMPONENTS 100.00Gasoline N 8006619 I TSecret RS Bi°Has I HAZ~LRD AiSESSMENTS Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Mod = Inventory Item 0029 Facility Unit: Fixed Containers on Site ~ GASOLINE Days On Site REGULAR UNLEADED 365 Location within this Facility Unit. Map: Grid: UST CAS# 8006619  STATE I TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Liquid Pure Ambient Ambient UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 20000.00 GALI 20000.00 GAL 20000.00 GAL HAZARDOUS COMPONENTS %Wt. RN~oRS CAS# 100.00 Gasoline 8006619 HAZARD, ASSESSMENTS TSecretI ~SIBioHazI Radioactive/Amount I EPA HazardsI NFPA USDOT# MCP No N No No/ Curies / / / Mod -16- 09/28/2000 COSTCO WHOLESEE SiteID: 015-021-001105 ~ Inventory Item 0030 Facility Unit: Fixed Containers on Site GASOLINE Days On Site PREMIUM UNLE~ED 365 Location within this Facility Unit Map: Grid: UST CAS# 8006619  STATE ~ TYPE PRESS~E --~I TEMPERAT~E CONTAINER TYPE Liquid }Pure { A~ient~ A~ient I UNDER GROUND TANK AMOUNTS AT THIS LOCATION Largest Container { Dai].y Maximum I Daily Average 20000.00 GEI 20000.00 GEI 20000.00 GAL 100.00 Gasoline N~S CA8#8006619 HAZARD ~SESSMENTS TSecret ~SIBioHaz Radioactive/Amount EPAHazards NFPA IUSDOT# MOP No N No No/ Curies / / / Mod -2[7- 09/28/2000 F COSTCO WHOLESALE SiteID: 015-021-001105 Fast Format ~ Notif./Evacuation/Medical Overall Site --Agency Notification 07/26/1994 CALL 911 -- Employee Notif./Evacuation 07/26/1994 COMMAND POST SOUNDS ALARM. EMPLOYEES HAVE BEEN TRAINED TO EVACUATE THEMSELVES AND ALL CUSTOMERS FROM BLDG. MANAGERS ON HAND ARE RESPONSIBLE FOR QUARANTEEING CLEARANCE OF SPECIFIC AREAS OF WAREHOUSE. SUPERVISING MANAGER DETERMINES SERIOUSNESS OF SPILL OR FIRE. CALL 911 AND ACTIVATE ELECTRONIC SUMMONS PAD (FIRE, MEDI~%L AND POLICE) IF DEEMED NECESSARY. -- Public Notifo/Evacuation 07/26/1994 A COMMAND POST WOULD BE SET UP AT THE MEMBERSHIP DESK WHICH IS LOCATED NEAR THE MAIN ENTRANCE AND EXIT TO THE BUILDING. SECURITY PERSONNEL WOULD BE DISPATCHED TO EACH EMERGENCY EXIT. THIS WOULD REQUIRE FOUR INDIVIDUALS TO COVER THE SOUTHERN SIDE OF THE BUILDING. TWO INDIVIDUALS WOULD BE DISPATCHED FROM THE COMMAND POST TO ASSIST MEMBERS TO THE NEAREST EMERGENCY EXIT. FORMAL EVACUATION PLAN DISCUSSED AT MONTHLY SAFETY MEETINGS - FRONT DESK TO BE CENTRAL CONTROL AREA IN CASE OF EMERGENCY. Emergency Medical Plan 07/26/1994 SAN JOAQUIN COMMUNITY HOSPITAL - 2615 EYE ST - 327-1711 MERCY HOSPITAL - 2215 TRUXTUN AVE - 632-5000 -18- 09/28/2000 COSTCO WHOLESALE SiteID: 015-021-001105 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site -- Release Prevention 03/23/1990 MITIGATION: HAZARDOUS ITEMS ARE GENERALLY SMALL UNITS PACKAGED FOR RESALE; NOT OPEN OR "IN USE". PREVENTION AAIDABATEMENT: CUSTOMERS AND EMPLOYEES PREVENTED FROM EXPOSIIRE TO HAZARDOUS SITUATION; IF NECESSARY EVACUATION IS EXECUTED. CLEAN-UP DEPENDS ON NATURE OF VOLATILITY OF SPILL. ABOVE ALL, ENSURE PREVENTION OF SPREAD OF PROBLEM. COMPANY ALSO ALREADY HOLDS MONTHLY SAFETY COMMITTEE MEETINGS WHICH ADDRESS POTENTIAL HAZARDS AND SEES TO CORRECTING THEM. Release Containment Clean Up Other Resource Activation -19- 09/28/2000 F COSTCO WHOLESALE SiteID: 015-021-001105 Fast Format F Site Emergency Factors Overall Site Special Hazards --Utility Shut-Offs 03/23/1990 A) GAS - OUTSIDE WAREHOUSE AT SOUTHWEST CORNER B) ELECTRICAL - INSIDE WAREHOUSE IN RECEIVING SOUTHEAST CORNER C) WATER - OUTSIDE WAREHOUSE NORTH MIDDLE PART OF BUILDING D) SPECIAL - NONE E) LOCK BOX - MANAGERS OFFICE WALL NORTHWEST (KEYS ONLY) -- Fire Protec./Avail. Water 03/23/1990 PRIVATE FIRE PROTECTION - THERE ARE HEAT SENSORED OVERHEAD SPRINKLERS EXHAUST FANS (AUTOMATIC) THAT BLOW SMOKE OUT OF THE WAREHOUSE. SEVERAL FIRE EXTINGUISHERS THROUGHOUT THE WAREHOUSE, AUTOMATIC ALARM TO PRIVATE COMPANY AND THE SAME MANAGER SUPERVISED EVACUATION PROCEDURES APPLY. FIRE HYDRANT - 40FT SOUTH AND WEST OF SW CORNER OF WAREHOUSE Building Occupancy Level -.20- 09/28/2000 COSTCO WHOLESALE SiteID: 015-021-001105 Fast Format = Training Overall Site ~ Employee Training 07/26/1994 WE HAVE 200 EMPLOYEES AT THIS FACILIY WE HAVE MATERIAL SAFETY DATA SHEETS AVAILABLE MSDS ON FILE IN TWO AREAS OF THE STORE. MONTHLY SAFETY MEETINGS ON ALL TOPICS, REGULARLY DISCUSS HAZ MAT. ALL EMPLOYEES ARE REQUIRED TO REVIEW TEACH II HAZARDOUS COMMUNICATION. -- Page 2 --Held for Future Use Held for Future Use -21- 09/28/2000 Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE ........ ,,,,~,~,,~¢,~,,,~,,~:~,,~,~,~,~ ......... This permit is issued for the following: ¢i¢~"??'!~i;i!ii!i~ii:ili:;:i::::~;iii~ili;i~:~:ii !:.!' ?~Hazardous Materials Plan ERMIT ID# 015-0214)01105 A'~i'"i, ~ i~/~iii,~,~=~;~!~iiiii!~ ...2;: i!!i!;i~::~:%c:~.:~!!:.:i~:~i!!!~ii~i~S~iiM~agement Program i "--""~ .... ~ .... ~'~ ~i,m,,,,,,,,~i~'" '~; ~ ~i~,¢¢~¢~ ~[~i~i~ ~4 ,.:;;,!~:~ :~ ~ ¢ ~, ',...."!ii' - %~%-....:*?; ~' ..,:'~,,~ a~k~.~~ ,;.~ ....... .a,? W '"~:,,~ ~'"-."-..]~ Issu~ by: OB~er~field Fke Depa~ent1715 Chewer Approved by: ~~~' Ave., 3rd [loot ~c B~ers6el& CA ¢~301 Voice (805) ,' F~ (805) 32~0576 Expiration Date: . June 30, 2000 12/09/98 16:17 ~805 326 0576 BFD HAZ MAT DIV ~005 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 H~ZARDOUS MATERIALS INVENTOR~~ .-- FACILITY DESCRIPTION /~_~. '.--<...~ / CHECK IF BUSINESS IS A FARM [ ] BUSnVESS N~ ~o54~ ~hvl6sa~, FACILITY NAME ~cCv SITE ADDRESS Blol ~'~' }.m 0~-~ CITY ~ak.~qq'~l ti' STATE C~ ZIP NATURE OF BUSINESS ~asol,k4.. s~c COD~. 55~ S DUN a: BaXDS~T mJMS~-~ OWNE~OP~TOR (0o_~-(.~o PHONE CITY .~ ~,,~9~jc STATE ~J/~ ZIP EMERGENC'Y CONTACTS BUSINESS PHONE ~5~5') :~Z~-~.~/~ 24 HOURPHONE NAME 'O. ~'- ,//~..~(/,,s ~ TITLE 1 , 12/09/98 16:17 8805 326 0576 BFD HAZ MAT DIV ~006 aAZA OOS ,V,A:r mA S mV TOaV I)~ORYSTA~:N~A~on[ ]R~[ ]~1,~[ ] C~~~NONT~~[ ]T~~[ 5) WAS~ C~8~CA~ON ~ & (3~t ~ fio~, D~ F~ ~22) USE CODE ~[ ~ 6) P~SIC~STA~ So~d[ ] .~d[ ] ~[~] ~[ ] ~~ W~[ ] ~~[ ] 7) ~O~ ~ ~ AT FAC~ ~ OF ~~ 8) STO~6E COD~S. 9) ~: L~ CO~~ C~ ~ ~ v) ~o~ ~ ~ ~T F~C~ ~ OF ~~ S) STO~ COD~ 10)L~A~QN ...... 12/09/98 16:18 8805 326 0576 BFD ItAZ MAT DIV [~]007 [I~Z&RDOUS MAIIgRIALS ~VENTORY Pase of ClmlC. I~ilCAL DE, SCRIPTION I)INVENTORYSTATUS:Nm%~,.IAddition[ ]Revision[ ]Del~i~n( ] Ch~'.kifchgmicalisaNONTrad~Secr~t[ 2) Common N~un.: tl~ O~/' ~p ;r~r~ 3) DOT # (optional) 4) Physical A H~lfl~ PHYSICAl, HEALTH Haza~¢at~ori,, Fir,[}Zilt~ve[ ]Sua~ll~l~ofl~g~[ ] t-,,-,-q;-,-H~lth(Amt~)[ ]I:~l~y~lH~dth(Clmafic)[ 5) WASTE CLAssn~ICATION B I ~' (]-disil cod~ ~ l)m Form 8022) USE CODE 6) Ph'YSICAL STATE SoUd[ ] Li._~.'d[ 1 o~'bFl ~[ I Mixtu~tX/f W~[ I ~o.~i,[ 1 ?) AMOUNT AND TIMA AT FAClLrrY ~ OF M~,~UltE 8) STORAGE CODES Maximum D~ily Amount. 5:;1o, oar> Lb~ [ ] C~I [ ] fi3 [ ] ~,) Contains. Av~$eDiilyAmomil ,.~o.'opo Ctll'i~[ ] b)Pr~sm'~: Aunual Amount gil~O;0oo c) T~ai~alm~. D& .. l. azS~ Size ContOur ',~o. Ooo ~ # D,y, on Sim ~ C~e ~ ~: ~. l. F. ~ ~ ~ L L ~ S. O. N. D 9) ~: Li~ CO~~ C~ 10~A~ON . ~ 2) C~on N~c: 3) ~T ~ (~fi~) Ch~N~e: ~[ ] C~ $) W~ C~CA~ON (3~t ~ ~ D~ F~ S~) USE CODE ~)P~S~C~STA~ ~d[ ] ~q~d[ ] ~[ ] ~[ ] ~[ ] W~[ ] ~.[ ] 7) ~O~ ~ ~ AT FAC~ ~ OF ~~ S) STOOGE COD~ ~D~ly~t L~[ ]~[ ]~[ ] a) C~ Av~c D~y ~o~ Cm~ [ ] b) ~: ~ Days ~ Sim C~le ~ ~: ~ Y~, J, F. ~ ~ ~ I, ~, ~ S, O, N, D 9) ~: Li~ CO~~ C~ % · ~ ~ mo~ ~ i). [ ] ch~ ~m~ or 2) [ ] ~y ~ ~m~ ~) [ ] 10 )L~A~ON t ~ ~ ~ of~w, ~ve ~y i ~ ~ ~ ~ ~ ~fi~ ~ ~s ~ ~ ~ a_~,. I ~licve ~c ~b~ ~~~ ~ ~ ~pl~. P~ N~e & Tifl~Au~ Comfy R~mfive Si~c COSTCO WHOLESALE SiteID: 215-000-001105 Manager : BusPhone: (805) 324-0703 Location: 3101 GILMORE AV Map : 102 CommHaz : Moderate City : BAKERSFIELD Grid: 23D FacUnits: 1 AOV: CommCode: COUNTY STATION 66 SIC Code:5199 EPA Numb: DunnBrad:91-122-3280 Emergency Contact / Title Emergency Contact / Title Business Phone: (805) 324-0703x Business Phone: (805) 324-0703x 24-Hour Phone : (805) 8-22-5700x~976~ 24-Hour Phone : (805) 66-~=1~2~x~7/-~ Pager Phone : ( ) - x Pager Phone : ( ) ~$~'-57~x Hazmat Hazards: Fire Press React ImmHlth DelHlth Emergency Directives: = Hazmat Inventory One Unified List -- MCP+DailyMax Order Ail Materials at Site Hazmat Common Name... ISpecHazlEPA Hazards] Frm DailyMax IUnit MCP BLEACH IH DH L 1500 GAL Hi MURIATIC ACID IH DH L 1000 GAL Hi PROPANE F P DH G 728 FT3 Hi CARBORATOR CLEANER F DH S 400 LBS Hi MALATHION IH L 125 GAL Hi SULFURIC ACID (BATTERIES) R IH L 100 GAL Hi WD 40 F IH L 1500 GAL Mod ,. DEGREASER F IH DH S 400 LBS Mod HTH GRANULATED F IH S 100 LBS Mod SUPER SOCK IT ~ 00 ~Jji F IH S 100 LBS Mod GLASS CLEANER I 10 ~9~7 IH DH L 90 GAL Mod ROUND UP F DH L 800 GAL Low BRAKE FLUID ~,, __~_~. F IH DH L 200 GAL Low MOTOR OIL F DH L 8500 GAL Min SILICONE OIL F DH S 600 LBS Min FERTILIZERS IH S 5000 LBS UnR CHLORINATED HYDROCARBON PESTICID F R IH DH L 300 GAL UnR PACE TABS F IH S 200 LBS UnR ORGANIC PHOSPHOROUS PESTICIDES F R IH DH L 200 GAL UnR SCOTT PEST CONTROL F DH L 160 GAL Un~ INORGANIC PESTICIDES F R IH DH L 125 GAL UnR RAID ANT & ROACH F DH L 100 GAL UnR BLACK FLAG INDOOR FOGGER F P DH L 100 GAL UnR --1- 09/24/1997 reviewed ~hs a~ached h~rd~s m~is any corrections constitute, a complete ~nd corm~ man- ~gemsn~ p~ ~or my ~ci~i~. COSTCO WHOLESALE SiteID: 215-000-001105 ~ Inventory Item 0001 Facility Unit: Overall Site BLEACH Days On Site 365 Location within this Facility Unit Map: Grid: NE BACK SIDE OF WAREHOUSE CAS~  STATE ~ TYPE I PRESSURE · TEMPERATURE CONTAINER TYPE Liquid /Pure I Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average GALI 1500.00 GAL 1500.00 GAL HAZARDOUS COMPONENTS %Wt. I EHS CAS# 100.001Sodium Hypochlorite No 7681529 HAZARD ASSESSMENTS TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / Hi ~ Inventory Item 0013 Facility Unit: Overall Site -- COMMON NAME / CHEMICAL NAME MURIATIC ACID Days On Site 365 Location within this Facility Unit Map: Grid: BACK FOOD AISLE CAS# r STATE -- TYPE PRESSURE I TEMPERATURE CONTAINER TYPE --~ Liquid Pure Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average GALI 1000.00 GAL 1000.00 GAL HAZARDOUS COMPONENTS %Wt. EHS CAS# 100.00 Muriatic Acid No 7647010 HAZARD ASSESSMENTS TSecret EHS BioHazl Radioactive/Amount I EPA HazardsI NFPA USDOT# [ MCP No No No No/ Curies IH DH / / / Hi -2- 09/24/1997 COSTCO WHOLESALE SiteID: 215-000-001105 ~ Inventory Item 0021 Facility Unit: Overall Site PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: SEASONAL ISLE CAS# 74-98-6  STATE TYPE PRESSURE --i TEMPERATURE CONTAINER TYPE Gas Pure Ambient Ambient METAL CONTAINR- NONDRUM AMOUNTS AT THIS LOCATION Largest Container I Dai.'[y Maximum Daily Average FT3I 728.00 FT3 728.00 FT3 HAZARDOUS COMPONENTS %Wt. I EHS CAS# 100.00I Propane No 74986 HAZARD ASSESSMENTS TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# I MCP No No No No/ Curies F P DH / / /I Hi = Inventory Item 0009 Facility Unit: Overall Site ~lVUVlU~ ~Vl~ / ~ ~ ~Z-kJ.u ~Vl~ CARBORATOR CLEANER Days On Site 365 Location within this Facility Unit Map: Grid: AUTOMOTIVE AISLE CAS#  STATE TYPE PRESSURE - TEMPERATURE CONTAINER TYPE Solid Mixture Ambient Ambient METAL CONTAINR-NONDRUM I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average LBS 400.00 LBS 400.00 LBS %Wt. EHS CAS# 25.00 Dichloromethane No 75092 20.00 Tetrachloroethylene No 127184 10.00 1,3-Dichlorobenzene No 541731 12.00 Cresylic Acid No 1319773 12.00 Naphtha No 8030306 EHS I HAZARD AiSESSMENTS I TSecret BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Hi -3- 09/24/1997 COSTCO WHOLESALE SiteID: 215-000-001105 = Inventory Item 0004 Facility Unit: Overall Site MALATHION Days On Site 365 Location within this Facility Unit: Map: Grid: LAST SEASONAL AISLE CAS#  STATE -- TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Pure Ambient [ Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container I Dai[[y Maximum Daily Average GAL I 125.00 GAL 125.00 GAL HAZARDOUS COMPONENTS %Wt. EHS CAS# 100.00 Malathion No 121755 EHS I HAZARD AiSESSMENTS I I TSecret BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Hi = Inventory Item 0018 Facility Unit: Overall Site -- COMMON NAME / CHEMICAL NAME SULFURIC ACID (BATTERIES) Days On Site 365 Location within this Facility Unit Map: Grid: BACK ~Y TI~E$ ~,~- ~_ ~ CAS# STATE i TYPE PRESSURE --[ TEMPERATURE I CONTAINER TYPE Liquid Mixture Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average GAL I 100.00 GAL I 100.00 GAL HAZARDOUS COMPONENTS %Wt. EHS CAS# 40.00 Sulfuric Acid (EPA) Yes 7664939 HAZARiD ASSESSMENTS I TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA I USDOT# MCP No No No No/ Curies R IH / / / Hi -4- 09/24/1997 COSTCO WHOLESALE ~~~&~~&~&~A~A SiteID: 215-000-001105 i~ Inventory Item 0010 ~~~~~~ Facility Unit: Overall Site i~ COMMON NAME / CHEMICAL NAME WD 40 o Days On Site o 365 Location within this Facility Unit Map: Grid: AUTOMOTIVE AISLE o CAS# O aeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeueeeeeeeeeeeeeeeef i& STATE &%& TYPE &&~%&& PRESSURE ~5~ TEMPERATURE ~i&&&~ CONTAINER TYPE Liquid o Mixture o Above Ambient o Ambient o PORT. PRESS. CYLINDER Largest Container o Daily Maximum o Daily Average GAL o 1500.00 GAL o 1500.00 GAL aeeeeee~eeeeeeeeeeeeeee~~eeue~eeeee~e~e~ee~~eee~eee~eue~eee~eee~ee~ee~eeee~eeee~ %Wt. o °EHS° CAS# 50.00°Mineral Spirits ONo o 8030306 15.00°Petroleum Crude Oil ONo o 8002059 °TSecret°EHS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP No ONo o No o No/ Curies o F IH o / / / o o Mod PARTS CLEANER o Days On Site o 365 Location within this Facility Unit: Map: Grid: AUTOMOTIVE AISLE o CAS# O i8 STATE 8i& TYPE &8~iS& PRESSURE &S&5: TEMPERATURE &Si&&88 CONTAINER TYPE Liquid o Pure o Ambient ¢' Ambient o PORT. PRESS. CYLINDER Largest Container o Daily Maximum o Daily Average GAL o 500.00 GAL o 500.00 GAL ~eeeeeeeeeeee~eeeeeeeeeeeeeueeeeeeeee6~eee~e~eeeeeeee~ue~ee~~e~eeeeeeeeeeeeee~ee~ %Wt. o °EHS° CAS# 100.00ONaphtha ONo o 8030306 aeeeeeeeueeeeeeeeeeeeeeeeeeeeeeeeeeeee.eeeeeeeeeeeeeeeeeeeeeueeeueeeeeeeeeeeeeee~ °TSecret°EHS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP No ONo o No o No/ Curies o F IH o / / / o o Mod -5- 09/24/1997 i COSTCO WHOLESALE &&&~&&&&&&~&~&&&&~&&&~&&&&&~&&& SiteID: 215-000-001105 i~ Inventory Item 0008 ~~~~~~ Facility Unit: Overall Site i~ COMMON NAME / CHEMICAL NAME o DEGREASER o Days On Site o o 365 o Location within this Facility Unit: Map: Grid: o AUTOMOTIVE AISLE o CAS# O O ~e~eeeeeeeee~~eeeeeeeeeee~eeeee~eeeeeeeee~eeeee~eeeeeueeeeeeeeeeeee~eef i& STATE &i& TYPE &&&%&& PRESSURE &&&~: TEMPERATURE &&%&&&& CONTAINER TYPE o Solid o Pure o Ambient ¢' Ambient o METAL CONTAINR-NONDRUM o Largest Container o Daily Maximum o Daily Average o LBS o 400.00 LBS o 400.00 LBS aeeeeeeeeeeeeee~e~eeeeeeeeeueeeeeeeee6~e~eeeeee~eeeeeeueeeeeeeeeeeeeeeeeeeeeeeee~ o %Wt. o °EHS° CAS# o 100.00ODegreaser ONo o 71556 ~~~~~eeeu~e~~~e~e~ee~~~e~ee~~~eeee~e~6~~~~e~~~~e~~~~~~~~~ee~uee~ue~~e~~e~eee~~~~~ °TSecret°EHS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o No ONo o No o No/ Curies o F IH DH o / / / o o Mod a~~~e~eeuee~u~~~~~~u~~~e~~e~~e~~~e~~ee.e~u~~~e~~eeee~e~uee~~~~~eeue~~~~~eeu~~~~~~ i& Inventory Item 0023 &&&&&~&&&&&&&&g~&&~&&&&&~&~& Facility Unit: Overall Site i i~ COMMON NAME / CHEMICAL NAME ~~~~~~i~~~~i HTH GRANULATED o Days On Site o o 365 o Location within this Facility Unit, Map: Grid: ~~~~ SEASONAL ISLE o CAS# o O O STATE &~& TYPE &&&~&& PRESSURE ~&&i TEMPERATURE &&~&&&& CONTAINER TYPE &&&&&i Solid o o Ambient o Ambient o PLASTIC CONTAINER o Largest Container o Daily Maximum o Daily Average o LBS o 100.00 LBS o 100.00 LBS o %Wt. o °EHS° CAS# o 100.00°Calcium Hypochlorite ONo o 7778543° °TSecret°EHS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o No ONo o No o No/ Curies o F IH o / / / o o Mod o -6- 09/24/1997 COSTCO WHOLESALE ~~~~i~~~~ SiteID: 215-000-001105 Inventory Item 0024 ~~~i~~~ Facility Unit: Overall Site i~ COMMON NAME / CHEMICAL NAME SUPER SOCK IT o Days On Site o 365 Location within this Facility Unit Map: Grid: SEASONAL ISLE o CAS# O ~~~~eeeeeeee~eeee~eee~ec~eee~ee~ee~e~~e~ueeeeeeeeeee~eeeef STATE ~ TYPE ~%~ PRESSURE ~]~ TEMPERATURE ~%~ CONTAINER TYPE Solid o o Ambient o Ambient o BAG Largest Container o Daily Maximum o Daily Average LBS o 100.00 LBS o 100.00 LBS aeeeeeeeeeeeeeeeeeeeeeeeeee~eeeeeeeee~eeeeeeeeeeeeeee~eeeeeeeeeeeeeeeeeeeeeeeeef %Wt. o °EHS° CAS# 100.00OCalcium Hypochlorite ONo o 7778543 aeeeeeeeueeeeeeeeeeeeeeeeeeeeeeeeeeeeceeeeeeeeeeeeeeeeeeeeeueeeueeeeeeeeeeeeeee~ °TSecret°EHS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP No ONo o No o No/ Curies o F IH o / / / o o Mod aeeeeeeeueeeu~eeeeeueeeeeeeeeeeeeeeeeceeu~eeeeeeeeeeeeueeeeeeeeeueeeeeeeeu~ee~ i~ Inventory Item 0002 ~~~~~&~&~ Facility Unit: Overall Site i~ COMMON NAME / CHEMICAL NAME &~~~&~~~~&~~~i GLASS CLEANER o Days On Site o 365 Location within this Facility Unit Map: Grid: ~RRRRRRRRRRRRRRRR~ BACK FOOD AISLE o CAS# .-' O ~' aeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee(~eeeeeeeeeeeeeeeeeeeeeeeeueeeeeeeeeeeeeeeef STATE ~ TYPE ~~ PRESSURE ~% TEMPERATURE ~~ CONTAINER TYPE &~i Liquid o Pure o Ambient o Ambient o PLASTIC CONTAINER Largest Container o Daily Maximum o Daily Average GAL o 90.00 GAL o 90.00 GAL %Wt. o °EHS° CAS# 100.00°Ammonium Hydroxide ONo o 1336216 ~e~eeeeu~e~e~ee~e~e~e~e~ee~e~e~e~eee~eue~u~~e~e~ °TSecret°EHS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP No ONo o No o No/ Curies o IH DH o / / / o o Mod ~e~e~eueeeu~e~ue~e~e~e~ee~e~uee~ee~e~e~e~eu~e~e~u~eeee~e~u~ee~ -7- 09/24/1997 COSTCO WHOLESALE &&&~&&&&~~&&&~,~~~~ SiteID: 215-000-001105 i~ Inventory Item 0020 ~~~,~~~ Facility Unit: Overall Site i~ COMMON NAME / CHEMICAL NAME ROUND UP o Days On Site o 365 Location within this Facility Unit Map: Grid: SEASONAL ISLE o CAS# o 1071836 aeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeueeeeeeeeeeeeeeee~ i~ STATE ~i~ TYPE ~i~ PRESSURE ~[ TEMPERATURE ~i~&~ CONTAINER TYPE Liquid o Pure o Ambient o Ambient o PLASTIC CONTAINER Largest Container o Dai[Ly Maximum o Daily Average GAL o 800.00 GAL o 800.00 GAL %Wt. o °EHS° CAS# 100.00°Round Up ONo o 1071836 a~eeeeeeueeeeeeeeeeeeeeeeeeeeeeeeeeee~eeeeeeeeeeeeeeeeeeeeeueeeueeeeeee~eeeeeeef i~~~~~~ HAZARD ASSESSMENTS oTSecretOEHS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP No ONo o No o No/ Curies o F DH o / / / o o Low a~e~eu~eu~eeu~eeeee~ee~eee~eue~e~eeee~eeeuee~e~e~u~eeee~eeueeeeef i~ Inventory Item 0007 &~~~i~~~ Facility Unit: Overall Site i~ COMMON NAME / CHEMICAL NAME o BRAKE FLUID o Days On Site o o 365 o Location within this Facility Unit Map: Grid: o AUTOMOTIVE AISLE o CAS~ O O i& STATE &~& TYPE &&&~&& PRESSURE &&&i TEMPERATURE &&~&&&& CONTAINER TYPE o Liquid o Pure o Ambient =' Ambient o METAL CONTAINR-NONDRUM i~~&~~~~ AMOUNTS AT THIS LOCATION o Largest Container o Daily Maximum o Daily Average o GAL o 200.00 GAL o 200.00 GAL o %Wt. o °EHS° CAS# o 100.00OBrake Fluid, Hydraulic (Diethylene Glycol Monob...°No o °TSecret°EHS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o No ONo o No o No/ Curies o F IH DH o / / / o o Low 8 09/24/1997 COSTCO WHOLESALE ~&~&~~&&&~A&&~&~&&~&&~&&&&~ SiteID: 215-000-001105 Inventory Item 0006 ~AA~A~AA~,&~A~A~AA~A Facility Unit: Overall Site iAA COMMON NAME / CHEMICAL NAME R~RIGEF~Ai~T R 1~ hoe 6~o ~D~ C~ ~t_ ~rg~'~ o Days On Site o 365 Location within this Facility Unit Map: Grid: BACK ~DLINES AISLE o CAS~ O aee~e~ee~eee~e~eee~eee~eee~e~e~e~e~eee~e~ee~ee~e~eeeeeee~ue~e~eeeeeee~ STATE &%~ TYPE &&&%&~ PRESagE ~&&~ TEMPE~T~E ~i&&&& CONTAINER TYPE Gas o Pure o ~ove A~ient o A~ient o PORT. PRESS. CYLINDER Largest Container o Daily Maximum o Daily Average FT3 o 30242.00 FT3 o 30242.00 FT3 %Wt. o °EHS° CAS~ 100.00ODichlorodifluoromethane ONo o 75718 °TSecret°EHS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT~ o MCP No ONo o No o No/ Curies o F P IH o / / / o o Min seeeeeeeueee~eeeeee~eeeeeeeeeeeeeeeee~ee~eeeeeeeeeee~eue~eeeee~e~eeeeeeeeueeeeef i& Inventory Item 0012 AAAAA~AAAAAA&A&~AA&AAAAAAA& Facility Unit: Overall Site iA~ COMMON NAME / CHEMICAL NAME A~A~!~A~AA~AA~A~AA~AA~iAA~AAA~A~AA~Ai MOTOR OIL o Days On Site o 365 Location within this Facility Unit Map: Grid: ~~~~ BACK HARDLINES AISLE AUTOMOTIVE AISLE o CAS# O a~e~ee~ee~eeeee~e~e~ee~ee~e~ee~eee~eeeeeeee~e~u~e~eeeeeeeeee~e~ iA STATE ASA TYPE AAAiAA PRESSURE AA&~i TEMPERATURE AASAAAA CONTAINER TYPE AAA&Ai Liquid o Pure o Ambient o Ambient o PLASTIC CONTAINER Largest Container o Daily Maximum o Daily Average GAL o 8500.00 GAL o 8500.00 GAL %Wt. o °EHS° CAS# 100.00OMotor Oil, Petroleum Based ONo o 8020835 oTSecret°EHS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP No ONo o No o No/ Curies o F DH o / / / o o Min -9- 09/24/1997 COSTCO WHOLESALE ~~~~,~~~~ SiteID: 215-000-001105 Inventory Item 0005 ~~~,~~~ Facility Unit: Overall Site i~& COMMON NAME / CHEMICAL NAME SILICONE OIL o Days On Site o 365 Location within this Facility Unit Map: Grid: BACK HARDLINES AISLE o CAS# O aeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeueeeeeeeeeeeeeeeef STATE ~%~ TYPE ~~ PRESSURE ~f[ TEMPERATURE ~~ CONTAINER TYPE Solid o Pure o Ambient o Ambient o PLASTIC CONTAINER aeeeeeeeeeueeeeeeeeeeueeeeeeeeeeeeeeeueeeeeeeeeeeeeeeueeeeeeeeeeeeeeeeeeeeeeeeef i~~~~~~ AMOUNTS AT THIS LOCATION ~~~~~i Largest Container o Dai].y Maximum o Daily Average LBS o 600.00 LBS o 600.00 LBS %Wt. o °EHS° CAS# 100.00°Silicone Oil ONo o 9016006 aeeeeeeeueeeeeeeeeeeeeeeeeeeeeeeeeeeee.eeeeeeeeeeeeeeeeeeeeeueeeueeeeeeeeeeeeeee~ i~~%~%~~~&~&~ HAZARD ASSESSMENTS °TSecret°EHS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP No ONo o No o No/ Curies o F DH o / / / o o Min Inventory Item 0003 ~&~&~~~~ Facility Unit: Overall Site i~ COMMON NAME / CHEMICAL NAME FERTILIZERS o Days On Site o 365 Location within this Facility Unit Map: Grid: 2ND SEASONAL AISLE o CAS# O STATE &~& TYPE &&~&& PRESSURE &&&~ TEMPERATURE &~&&&& CONTAINER TYPE Solid o Pure o Ambient o Ambient o PLASTIC CONTAINER Largest Container o Daily Maximum o Daily Average LBS o 5000.00 LBS o 5000.00 LBS %Wt. o °EHS° CAS# oTSecretoEHSOBioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP No ONo o No o No/ Curies o IH o / / / o o UnR -iL0- 09/24/1997 COSTCO WHOLESALE ~~~~,~~~~ SiteID: 215-000-001105 CHLORINATED HYDROCARBON PESTICIDES o Days On Site o 365 Location within this Facility Unit Map: Grid: LAST SEASONAL AISLE o CAS# O aeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeueeeeeeeeeeeeeeee~ STATE &i& TYPE &&&i&& PRESSURE ~&~ TEMPERATURE ~&~&&&& CONTAINER TYPE Liquid o Mixture o Ambient o Ambient o PLASTIC CONTAINER Largest Container o Daily Maximum o Daily Average GAL o 300.00 GAL o 150.00 GAL a~~~eeee~eeeeeeeuee~eeeeeeeeeeeeeeeeeeeeeeueeeee~eeeeeeeeeeeeeeeeeee~ %Wt. o °EHS° CAS# 100.00°Chlorinated Hydrocarbons ONo o 0 aeeeeeeeueeeeeeeeeeeeeeeeeeeeeeeeeeee(~eeeeeeeeeeeeeeeeeeeeeueeeueeeeeeeeeeeeeee~ °TSecret°EHS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP No ONo o No o No/ Curies o F R IH DH o / / / o o UnR Inventory Item 0022 &~&~&&&~&&~&~:&~&~&&&&&&~ Facility Unit: Overall Site i&& COMMON NAME / CHEMICAL NAME &&&~&~..~&&&~&&&&&&&&&&&~&&&&A&&~&&&&&&&&&&&&&&&&i PACE TABS o Days On Site o 365 Location within this Facility Unit Map: Grid: ~~~~ SEASONAL ISLE o CAS# O STATE &~& TYPE &&&~&& PRESSURE &&&~ TEMPERATURE &&£&&&& CONTAINER TYPE &&&&~i Solid o o Ambient o Ambient o PLASTIC CONTAINER Largest Container o Daily Maximum o Daily Average LBS o 200.00 LBS o 200.00 LBS %Wt. o °EHS° CAS# °TSecret°EHS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP No ONo o No o No/ Curies o F IH o / / / o o UnR -11- 09/24/1997 COSTCO WHOLESALE ~~&~&~,~~~~&~ SiteID: 215-000-001105 Inventory Item 0026 ~~~,~~~ Facility Unit: Overall Site i~ COMMON NAME / CHEMICAL NAME ~,~~~~~%~&~&~&~&~&~[ ORGANIC PHOSPHOROUS PESTICIDES o Days On Site o 365 Location within this Facility Unit Map: Grid: ~~~~ LAST SEASONAL AISLE o CAS# O aeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeueeeeeeeeeeeeeeeef i~ STATE ~£~ TYPE ~~ PRESSURE &~![ TEMPERATURE ~i~ CONTAINER TYPE ~~ Liquid o Mixture o Ambient o Ambient o PLASTIC CONTAINER i~~~~~~i AMOUNTS tiT THIS LOCATION ~~~~~[ Largest Container o Daily Maximum o Daily Average GAL o 200.00 GAL o 100.00 GAL %Wt. o °EHS° CAS# 100.00OORGANiC PHOSPHOROUS PESTICIDES ONo o 0 °TSecret°EHS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP No ONo o No o No/ Curies o F R IH DH o / / / o o UnR i~ Inventory Item 0017 ~&~~~&~&~ Facility Unit: Overall Site i~ COMMON NAME / CHEMICAL NAME SCOTT PEST CONTROL o Days On Site o 365 Location within this Facility Unit Map: Grid: SEASONAL ISLE o CAS# O STATE &~& TYPE &&&~&& PRESSURE &&&~ TEMPERATURE &&~&&&& CONTAINER TYPE Liquid o o Ambient o Ambient o PLASTIC CONTAINER Largest Container o Daily Maximum o Daily Average GAL o 160.00 GAL o 160.00 GAL %Wt. o °EHS° CAS# °TSecret°EHS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP No ONo o No o No/ Curies o F DH o / / / o o UnR -12- 09/24/1997 COSTCO WHOLESALE ~R~~~~~~~ SiteID: 215-000-001105 Inventory Item 0027 ~RRR~RR~R~R~R~RRR~ Facility Unit: Overall Site i~ COMMON NAME / CHEMICAL NAME INORGANIC PESTICIDES o Days On Site o 365 Location within this Facility Unit Map: Grid: LAST SEASONAL AISLE o CAS# O STATE R~ TYPE ~RRi~ PRESSURE ~RR~ TEMPERATURE ~RiR~ CONTAINER TYPE Liquid o Mixture o Ambient o Ambient o PLASTIC CONTAINER Largest Container o Daily Maximum o Daily Average GAL o 125.00 GAL o 75.00 GAL %Wt. o °EHS° CAS# 100.00oINORGANiC PESTICIDES ONo o 0 °TSecret°EHS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP No ONo o No o No/ Curies o F R IH DH o / / / o o UnR Inventory Item 0016 &&&&&~&R&&RR&&&&&&&&R~&R&~ Facility Unit: Overall Site i~& COMMON NAME / CHEMICAL NAME RAID ANT & ROACH o Days On Site o 365 Location within this Facility Unit Map: Grid: SEASONAL ISLE o CAS# O STATE R~& TYPE &&&~RR PRESSURE &RR~ TEMPERATURE RR~&~&R CONTAINER TYPE Liquid o o Ambient o Ambient o METAL CONTAINR-NONDRUM Largest Container o Daily Maximum o Daily Average GAL o 100.00 GAL o 100.00 GAL %Wt. o °EHS° CAS# oTSecret°EHS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP No ONo o No o No/ Curies o F DH o / / / o o UnR aeee~eeeueeeueeeeeeueeee~eeeeeeeeeeeee~eu~ee~ee~e~eu~~u~e~u~e~f --13-- 09/24/1997 COSTCO WHOLESALE ~~~~~~~&~ SiteID: 215-000-001105 Inventory Item 0019 ~~&~~~~ Facility Unit: Overall Site i~ COMMON NAME / CHEMICAL NAME BLACK FLAG INDOOR FOGGER o Days On Site o 365 Location within this Facility Unit Map: Grid: SEASONAL ISLE o CAS# o 10453-86-8 ~eee~eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee~eeeeeeee~eeeeeeee~eeeeueeeeeeeeeee~eeee~ i~ STATE ~£~ TYPE ~%~ PRESSURE ~5] TEMPERATURE ~%~ CONTAINER TYPE Liquid o Mixture o Above Ambient o Ambient o METAL CONTAINR-NONDRUM Largest Container o Daily Maximum o Daily Average GAL o 100.00 GAL o 100.00 GAL aeeeeeeeeeeeeeeeeeeeeee~eeeu~~ee~eeee6~eeeee~e~eeeeeeeu~eeeeeeeeeeeee~eeeeeeeeeef i~~i~~~& HAZARDOUS COMPONENTS %Wt. o °EHS° CAS# oTSecret°EHS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP No ONo o No o No/ Curies o F P DH o / / / o o UnR -14- 09/24/1997 COSTCO WHOLESALE ~~~&&&~~&~~ SiteID: 215-000-001105 i~ Notif./Evacuation/Medical ~~~~~&~~&&& Overall Site i~& Agency Notification ~~&~&~&~~&~~&~~&~ 07/26/1994 CALL 911 COMMAND POST SOUNDS ALARM. EMPLOYEES HAVE BEEN TRAINED TO EVACUATE THEMSELVES AND ALL CUSTOMERS FROM BLDG. MANAGERS ON HAND ARE RESPONSIBLE FOR QUARANTEEING CLEARANCE OF SPECIFIC AREAS OF WAREHOUSE. SUPERVISING MANAGER DETERMINES SERIOUSNESS OF SPILL OR FIRE. CALL 911 AND ACTIVATE ELECTRONIC SUMMONS PAD (FIRE, MEDIC~ AND POLICE) IF DEEMED NECESSARY. A COMMAND POST WOULD BE SET UP AT THE MEMBERSHIP DESK WHICH IS LOCATED NEAR THE MAIN ENTRANCE AND EXIT TO THE BUILDING. SECURITY PERSONNEL WOULD BE DISPATCHED TO EACH EMERGENCY EXIT. THIS WOULD REQUIRE FOUR INDIVIDUALS TO COVER THE SOUTHERN SIDE OF THE BUILDING. TWO INDIVIDUALS WOULD BE DISPATCHED FROM THE COMMAND POST TO ASSIST MEMBERS TO THE NEAREST EMERGENCY EXIT. FORMAL EVACUATION PLAN DISCUSSED AT MONTHLY SAFETY MEETINGS - FRONT DESK TO BE CENTRAL CONTROL AREA IN CASE OF ]EMERGENCY. SAN JOAQUIN COMMUNITY HOSPITAL - 2615 EYE ST - 327-1711 MERCY HOSPITAL - 2215 TRUXTUN AVE - 632-5000 -15- 09/24/1997 COSTCO WHOLESALE ~~~~i~~~~ SiteID: 215-000-001105 iS Mitigation/Prevent/Abatemt ~~~~~~~ Overall Site i~ Release Prevention ~~~~~~~~~ 03/23/1990 MITIGATION: HAZARDOUS ITEMS ARE GENERALLY SMALL UNITS PACKAGED FOR RESALE; NOT OPEN OR "IN USE". PREVENTION AND ABATEMENT: CUSTOMERS AND EMPLOYEES PREVENTED FROM EXPOSURE TO HAZARDOUS SITUATION; IF NECESSARY EVACUATION IS EXECUTED. CLEAN-UP DEPENDS ON NAT~[E OF VOLATILITY OF SPILL. ABOVE ALL, ENSURE PREVENTION OF SPREAD OF PROBLEM. COMPANY ALSO ALREADY HOLDS MONTHLY SAFETY COMMITTEE MEETINGS WHICH ADDRESS POTENTIAL HAZARDS AND SEES TO CORRECTING THEM. i~ Release Containment ~~&&~i~~&~~~~~&~&~~ -16- 09/24/1997 COSTCO WHOLESALE ~&~&~&~&~&~&&~&~&~&&~&&~&~& SiteID: 215-000-001105 i~ Site Emergency Factors ~~~~~~~~ Overall Site A) GAS - OUTSIDE WAREHOUSE AT SOUTHWEST CORNER B) ELECTRICAL - INSIDE WAREHOUSE IN RECEIVING SOUTHEAST CORNER C) WATER - OUTSIDE WAREHOUSE NORTH MIDDLE PART OF BUILDING D) SPECIAL - NONE E) LOCK BOX - MANAGERS OFFICE WALL NORTHWEST (KEYS ONLY) i&~&& Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - THERE ARE HEAT SENSORED OVERHEAD SPRINKLERS EXHAUST FANS (AUTOMATIC) THAT BLOW SMOKE OUT OF THE WAREHOUSE. SEVERAL FIRE EXTINGUISHERS THROUGHOUT THE WAREHOUSE, AUTOMATIC ALARM TO PRIVATE COMPANY AND THE SAME MANAGER SUPERVISED EVACUATION PROCEDURES APPLY. FIRE HYDRANT - 40FT SOUTH AND WEST OF SW CORNER OF WAREHOUSE ~eeeeeeeeee~e~eeeeee~eeeeee~eeeeeeee~6~eeeeeeee~eeeeeeeeeee~eeeeeeeeeeeeeeeeee~e~ i~ Buildin9 Occupancy Level -17- 09/24/1997 COSTCO WHOLESALE ~&~~~RR~~~~ SiteID: 215-000-001105 Training ~R~~RRRRR~RR~RR~RRR~R~RR~RR~~R~~ Overall Site iRR Employee Training ~R~RR~RR~RRRRR~R~R~RRR~RRRRRRRRRRRRRRR 07/26/1994 WE I-I~VE 200 EMPLOYEES AT THIS FACIL]2Y WE HAVE MATERIAL SAFETY DATA SHEETS AVAILABLE MSDS ON FILE IN TWO g_REAS OF THE STORE. MONTHLY SAFETY MEETINGS ON _~LL °TOPICS, REGHLARLY DISCHSS HAg MAT. ALL EMPLOYEES A.RE REQHIRED TO REVIE~ TEACH II I--l~g.~DO~S COMMUlXlICATION. -18- 09/24/1997 STATEMENT OF' ACCOUNT CITY OF BAKERSFIELD 1501TRUXTUN AVE BAKERSFIELD, CA 93301-0000 '~" '~:~"."! 1080~ 1AOTH AVE,NE~ CUSTOMER NO: ?~3~7~zt CUSTOMER~:YPE: ES1 327~ FINANCE DEPARTMENT CITY OF BAKERSFIELD ~ t~ --~ ~.~.~'~' I- P.O. BOX 2057 BAKERSFIELD, CALIFORNIA 93303 ' ' , ~, ADDRESS CORRECTION REQUESTED / /'~.:, RETURN TO SENDER , ;. .......... ~._ *.___.~ .... ~ '.-_ ~~' .-.. ~ , . ihh,,,H,,,h,tl,,,,,Ih,,htih,,,hhh,,hhhh,, ,lh,i OFFICE OF ENVIIRONMENTAL iSIEIRVICE 1715 CHESTER AVENUE, 3RD FLOOR BAKERSFIELD, CA 93301 ~ . ~ //)~ FACILITY DESCRIPTION CHECK tF BUSINESS IS A FARM FAC[L~T'v, NAME SiC CODE DUN & B~DSTREET NUMBER OWNER/CFEFATC R PHONE C ;Tf STATi-- ZiP -Z:M E.'"qG ENCY CONTACTS ~USiNESS FHONE ,,¢0,5' -, ~,::P, /--./ 0 '"/ 0 "~ 2,4..-HOUR i-HONE NAME TITLE E~USINESS ,=HONE 24-HOUR PHONE BAKERSFIF D CI'i ' FIRE DEPAi: MENT HAZARi31 US MATERIALS INVENTOI ' Page_of_. .~U!-*' :siness Name Addres~ -~,-L · ' CHEMICAL DESCRIPTION ~';-~" ." ~ ) INV-~,NTORY ,~TATIJS: N~ ( ] ~ [ ] Re~ [ ~ ~n ( ] Ch~ ~che~ ~ a NON ~ S~'[ ~) Co~ N~: 3) ~T · (o~. C~ N~: AHM [ ] C~ H~D CA~RIES Fire [ ] Re~e{ ] Sudden Rele~e of Pressure [ ] Immeai~eHe~ (Ac~e) [ ] ~He~ (Chmnml ~) WAS~ C~SSIRCA~ON (3~ig~ ~de ~m DHS Fo~ 80~ USE CODE 5) PH~IC~STA~ Sol~ [ ] ~u~ [ ] G~ [ ] Pure [ ] M~re [ ] W~tl [ ] ~ [ ] ~. ~) AMOUNT AN~ ~ME AT FACIU~ ~NITS OF M~SURE 8) STOOGE CODES M~mumOaN Amount: ',~ [ ~ ~'a [ ] ~3 [ ] ~l Con~ A~e DaN A~un~: :unes [ ] b) Pres=ute: Annu~ Amount: c) Tem~r~m: ~es~ 5ize'Contmne~ ~ Oa~ On Site C~rcte ~ich Momhs: All Ye~, J, F, M, A, M, J, J, A, S, O, N, 9) MITRE: ~st COMPON~ CAS ~ % ~ ~M ~he t~me most n~aous ~ ) [ c~em~ com~nen~ or ~y AHM com~nen~ 2} [ ] ~ 0) Lo~on CHEMICAL ;)~N~NTQRYSTA~S: Hew[ ~ ,~d~on[ ~ ~e~sion( ] ~eletion{ ~ Che~cnem~eNON~DES~ [ ] ~ESECR~ [ ~) Common N~e: 3) ~T · Chem~ca N~e: AHM [ ] CAS ~ PHYSICAL & H~L~ PHYSICAL H~ ~O CA~GORIES F~re [ ~ ~ea~ve( ] Su~en Rele~eof Pressure ( ] ~mme~i~eHe~ (Accel [ ] ~ He~ (Chmnm) [ ] ~) WAS~ C~SSIFICA~CN ,~ig,t co~e ~HS Fo~ ~02~ .......... USE COC~ 5) PHYSICAL STA~ Eolid [ ~ iJ~u~d [ ] G~ { ] Fure [ ] M~ure [ ] W~te [ ] 7) AMOUNT ANO ~ME AT FAC:U~ UNITS OF M~SURE 8) STOOGE CCDES M~mum Caiy Amount: ~ { ] ~U [ ] ~3 ( ] a) Contane~ Average OaN Amount: c~nes ( ] b) Annu~ Amoun(: c) Tem~[~m: ~gest Size Contanec ~ O8~OnSite C;r~e~icnMont~s: ~lYe~, J. F, M. A, M, J, J, A. S, O, N, D 9) MITRE: ~st CCMPON[~ CAS · % :~e three mos~ ~aous I ) [ cnem~ com~nen~ or ~y ~M ~m~nents 21 1 O) ~n ?~ u~er pe~ ot ~aw, ~az ~ nave =e~ ex~m~ ~ ~ t~m~ w~m ~e ~nio~n~ueml~ on ~= ~ ~J ~ ;m~ info.on is ~e, accu~, ~ com=tem. " f~ N~e & ~e Of ~nz~ Com~ Re~s~m~e Sig~m RETURN!PAYMENTS TO: ~ / "~'~?~" ' PLEASE MAKE CHECKS PAYABLE TO: , CITY OF BAKERSFIELD HAZARDOUS MATE!~IALS DI VISION ·. P.O. BOX 2057 . v : '-- CITY OF BAKERSFIELD ·- :" BAKERSFIELD,'CA 93303-2057 AccOUNT NO. HH' 6S1?0k:': ' '! ." . .... s~te':'AO~r' :5[01~ GILMORE AVE ' PERMIT FEEs FOR'X~[.y'1. [99~ T0 .'P'AY~ENIS. . AFTER. 1'2/3i'/94 ARE .. :., ,- 03/03/94 Payment'"'.'-".'Tg~'[g':'O~' ,.:},:... . .. ., . .~AZ ~AT HANDLING FEE -''~ 8.00. ,"' .~.,; , .,.- · . . .... , . . . . ... ,., . '. : . :.. ~:...';:.'~'.,~;--,:".' " , ......... ' ~, o j u's t'~-~-'nt-7--T'7-"'-~T'7r'';~"~'~-i S":: .~.'~ .::.,...::~.t · ..: ~,~.. :,~ ' . - '. · ';.~ :' ,' ?'-'...'.' ': ":~ "::" ' -? '":'": , ,~,i ~.~ , .~:~..,. .... . iN '1 cE~NI :is 81L~j ~L~SE'PHoNE~" - ';J : : .... -,s .: . :... ..... . .... ' :~, ;.;;';INVOICE NUMBER' ":."' ,B022.011-11117 '~r"": 218''00 ';..r~O.'h&~Ce-~>, last ~ Co." ~,~J ' ..... .... . ..... '{'f:::':;':'"'"." MUST RETURN THIS coPY'wITH PAyMI J L ~1t ' '- ()',.~e.~a'li ,Sfite with '1 \wkA]' I !...ocatfion: 310'i (:;]:!...Ivl()l:~E AV Nlap: 102 Hazard: Unrated ............ ~..,on ,. ~,, .... · .......................... "~" ~ t '~ e ........................ I.,.,.I :-',:-,:",., ,... ::: ~q,~m~ . . . ()(:)n~e~ h),~m~ .......................... .~ ~e .................... "' ~"".. E z ~..)~":'~', ..... (.:,A ~, Y (";O L. / II ................ ~/ ' E~usfin~ss Phone: (805) ::.)'~"~.~--..~,'~'Z03x .......... / [ ~ ['t~r, ess ,-"'~-~,.,,.... (805) :~'~".-..0'z0:~x,.,~. . . 24--..Houn Phone : (~ .... ~x ~ ~ 2~--i"~oun Phone ,, (~) Pager Phon~ ~ (~05, .:::5~x (i Pa~er' Phone ........................................................................................................ Admfi nfl s'~at ire [:)a~ t ~ ....................................................................................................... ivlafil Addrs,, :3101 (~;IL. iv!()I:~E AV l:)&8 Numbep: .... q ~. y ~ [.~ A ~ L. I.~,..> ~ ............. , ,.., I, 5 t ~ ...... ~. ~: ," f~ ~..'7 .i. ~ ~ ~$~ ''~ ':~ ~ ~.~ ,, ,,.. .... .,,= ,... C: o m m C: o d e ,, 0 '15 ..-. 660 t... A,~ I..) (...,..) A l.~ ,... A ..-- S T A 58 ..) .~. ( ....... o .... ~ ............. [::)~ne~ ,, COS'T'CO NHOS!{SALE Phone,, (~~):3 C:fit~z: [3AKERSI::::[EI...D Zfip', 93308 .... 5umm~ P y RECEIVED KCFD HMCU ---~ype dr Print Name) reviewed the attached hazardou~ materials management pla~ ~or_ ~'~,C) ,,, - and that it, along with any ~ions. ~nstitutes a ~mplete~ and co~e~ p~~cility. 0Ai2..5/94 Rfight--.to-...Kno'w~J~u3q i..qst/b? C;omm(':ode 8nd rite ID Page 2 C 0 S'T' C: 0 N H 0 .... E S A .... E 015 --.. 010 --.- 00 ! 264 (,~. .... F:ixed Containens at Si'~e · -.- 0 0 i EJ. I... E A C: t.'t L i q LJ J ,., ~ 'l 5 0 0 J"{. ~ g h > '.[mined J"~q~h, [)e'lsy H'l~h GAL CAS '~: 788'1529 'T'pade :~3ecpe~: No ' '.) a ... ,... ,:: A 41 N G l:::opm: Liquid Type: Pupe ys: 385 L.Jse~ CTM ....~" ........ ~uc, I Amou~ ]''.~... · ....... ............................... · . ~.,,&, [)ai'~y Mc~X (;AL. j !.)cqj'ly Avepage GAL . ...... j ........ '~ .... " i , b,,0 . 00 J t , 500 . 00 j 1 , 500 , 00 · ..),.upage .......................... j Ppe~ J "J"emp .... j ........................................... ........................ . .. Ok.,cq k. I (.)~ ...................................... P L A.5;'T' :[ C; C: O N "i"A :[ N E R J A m b i e n ~ j A m b ~ e n ~ j .... ()onG .... j .................................................................................... ()ompon6~n~ ................................................ j--MC:P ....... · -002 CARE~t;)f~AT()f~ .... t ..... ANIEER So] fid Al) f) l"lfi gh > t::: fir e, 0 e 'i a V t"1 q ~: h L.. i~'.~ S Form: Soq i d Type: Ivli X~L.lPe~ I])8~S ; :;')85 Use: S'TRI PPER ,..'"~4 '1 yo . Ivsx ',... r:. ..:)q ('' ................ ~ ........ ")~4 'i y Average ' "" ~': ......... ................ . .... ~.~c~ ~ AmoLir, t I [:JS:; ....... 400.00 J ~ '~q "~q ' ~.00 O0 ........................ Sto~age ........................... ~ P~ess ~ '""-, ~,m:., ..... j' ............................................. ',_.oca' ~",. ~on- ....................................... I., k I... L .... N (')N M I:: TA L j Arab1 eh,. jAmbient J I;) R U M/EJ A '" "' '::: ....... ~ .. .... , ...... ,,(., - ........................................................................................ ,..,om,.,onents .............................................. j -.. MC:P ........ j'" "de ~.5 ()~ I"~i chq o~omet bane j i"ti g h j '74 ~0, ~ .... ~ =~ ' "'' ' ~obenzene JLow j ~'" 10 ¢~ ~ i 3...-L,~chlo ..~5 (,-o C:resy'lic Ac4d Jlv,oc,~:.,, a,.ej 5 '12 ' ~ h t h a 2 '7 , ,)~ Nsp j Ivloderate j 0~.z ~.-.~z 9'z. ,.~,,~..-..~.~....Kno u ,1 L ,s~z b:~ L.~.~mm[..od~ o~,~.,; ,.?~ ,.~ .t.!..~ ~age .. L, ~..~,.,> f L, ~.,, N H O L E ,% A L E 015 --- 010 -,-- 001264, l../azmat :l:nventony.. l),.:..tafii fir,. R.m..f.e..rence Number Or 02..--003 I~AI_ A'i"H ]: ()N Liquid t 25 High > :I: mm~ed H i t h (:;A !... ,':::A.*.':~ ~: 'I 2. 17,55 Trade Secret: No · ' Form: Liqu-,d 'T'~'D~: Pur.r.-.. Days: 36.5 Us~: ... · ...................... _ ,.:~,A k. '"" ~ i")ai q Aver~ge ,.:,A,... . .............. .............. r'~afi 'iy tviax ,.:,/At... I Y '"' ! Annual Amount '"'" ....... 't 2..5,00 ! 25,00 I '! 2~, 00 ........................ · %t:orage .......................... i Press ! "F~mp .............................................. l..ocatio~ ...................................... l~l E "1" A L C () N "i" A ]: N R -- N O N D R U tvl I A m b fi ,,.:.. n t I A m b -; ~n t .... ,...one., ...-j ................................................................................... Components .............................................. I .... I~I(::.P ....... ! ...... ~, d<.~ i00,()~ I tvlalathfion i lVfoderate 02.,.. 004 tvlU R ]: A'l" ]: (:: A(:: :[ l:) I... fi qL~fi d t000 High CAS ~: 76470'I0 'l"r~de E~(~or~: .Form,, .Lfiqufi. u ~ 'Typer Pt.l~e l::)~'s: :385 Use: ................ [)afi!~i Ivlax (:;AL - .............. ~ ........ [)a~y Av~ag~ GAL · ...... j ....... An~ua'l Amount (:;A,.. · ....... 't , 0J~ , 00 I 't , ~00 , 00 ~ 't , 000 , 00 ....................... · ..)~.u. <:' ~-r'~g~. ........................... j ~P~E;~ ~ "J"~P" . ............................................ ~ J..OC~O~ ...................................... PL"C'""'"C' {.,)N I A, NER ~ Ambfi e,r,t ~ Ambfi ent ~ ~,.:~ ~ ...... '.:' ,:: ~..-. .... (::onc .................................................................................... (:ompon~nts ............................................... I '" I~i(: P ....... ~ Gu i d~ t00,0~ IVlurfiatfic Acrid II"lfigh J 15 )~/25/94 k. 3 .... to....Kno J I , ,...3~t/b',j .... ommUo,..,,.~ .~nu ...>~.te .I.!..~ ,-ag.e.. ,..,,.., c ........... S A I.. I!!! 0 '1 5 ..-- 0 'I 0 .--- 0 0 '1 2 6 4 ~..,~..,...) I ~..,(..) ~.ikl,"~ i::: ()~ .... l::ix~d ,'.::on'tafinens at Site 0 "~ .... (, 05'e:~...~.~ J ~...,. ~ '::' H R I [": .......... A C I r') ( [3 A'T' T E R I E S ) I ~ q u ~ d i 00 ' ' ~ g h CAS ~; 76649:3~ "l"nade ...,~cn~.: No "' ~' ' .... ~' [::~ A'T"T' E "' ~ ~ .... ~" . .:-)~..~ t~se: I., fz i::I...ECTR[")i Y ... l:::oPm; I...~qu~d "r'yp~: i~l~xtun~ I..,~s; ............ .... :~A !.. . ....... ............... !:)a~'iy ~lax (~;AL - ............... ! ........ "'~'~'] 100,00 i '100,00 ! i 00,00 ..................... ..~.ona~.~ ........................... i Pness i l emp .... ! .......................................... · PLASTIC CON"r'AINER IAmb~ntlAmb~entl .... ,..,on c .... i .................................................................................. (::omponen~s ................................................ i--- !~ ~" P ........ 02 006 '" "'")'" .... P t-cl..) t A N I~:~ Gas ?28 I"1 ~ g h ........ ) ~ ,..) !'~ A t: Form: ~];as 'Type: Pure Days: 365 Use: f3TORA[':;F:/~.iN c~--.,.- .., .... ::: ................!:)~' 'l y lvie~x ~':'""':'.3 ................ ,i ....... I]a i ~ ~ Aver~ag~ F:"I":3 ........ ~ ........ Amnu~'l. Amc)un't: i:::T:] ........ 728 . 00 ! ?~8 , 00 i 728 , 00 ........................ · .:~,.ora9~. ............................ ! Pre~s. ~ "['emp .--~ ............................................ ,..oc~,'t' ..................................... d Ivl E T A L. C () N T A i N R .... N O N D R U Ivl ~ A m b fi (~ r, t 1 A m b fie r, t ~ .... (::one; .... ~ ....... : ............................................................................ Components ............................................... I -' ivi(::P ........ lGu'i de 10'~,,.()A !r,'''~opar,e IE~xt'reme ! 22 .... 04f~..)/94 I.,, ,~..jht..--t,...,..--!~.no ., I , L.. ,st./by L.~..,mmL. od~ ~,,d/ ,.:~]~e .I.I.) COS'I"C:O tN H () L. I!~ .% A !... I!!! 01 S--.- 010--0012.64 ·" . ~ ,,. .% i t: ~ 0~. "-- J:::iXe,ilj (::on'tanners 1.4~zmat Invent. or~' Detail in Reference Number Order 0'2....- .,,,? I:)E(i;iREASE I:R ,..>o, fid 400 Ivioder a > F:Ire, .... Tmmed i"l'ith, !:)e'!a~ I"t'i. ~.~, ~ i .... :.'~,% (::AS ~: ?'1556 Trade Secret: No F:orm.. .%olid "J"ype', Pure [)ays,, 385 Use: ,..>IkIPP...IR ................ [)ai'Jy i~lax I...[-;t,!!~ ............... J ........ [)ai'ly Average !...8S ...... J ....... Annual Amount L.E~S ........ 400. O0 J ~O0. O0 j 400. O0 ........................ Storage... .......................... J r;r~'.~,. ,.....,,.. j Temp ................................................. J...o,.,a,. i~.~n ..................................... Iv! !!".: T A L C () N 'T' A ]; N IR .--- N 0 N [) IR U fyi J A m b i e r~ t J A m b i e n t. .... ([;omc .... I ................................................................................... Components ............................................... j -.- HC:P ........ j~.:;uide 100.()~ J[)egreaser JLow J 74 02....008 GLASS CL EANE{IR J...i qui d 90 !vloderat e > immed I-i'lth, Delay l.i'ith GAL C;AS ~,, '13362'18 Trade Secret,, No l:::o~m: Liquid Type: Pure !)ays: 385 Ltse: C:I...EAN;[NG ................ ()8i'ly ivtax GAL · ............... J ....... l]ai'ly Average (;iA!... . ....... j ........ Annual Amoun~ (~;Ai.. · ....... 90, O0 j gO, O0 J 90, O0 ........................ S~orage ............................ j P~ess j Temp -.j .............................................. l_.oc;8~don ....................................... PLAST];C CONTA;[NER JAmbient JAmbient J .... Cone ................................................................................... C;omponer, ts ................................................ J --. ~I(::P ........ jOuide i00 ()~ Ammonium !l~,.,~oxide Jlvtodep~tej J 0~/ (~5/9~ ,~q,..jh~....-to.-.-J:,,o .~] I I...~st/by L. omm(...od~ C:O~!~'T'C:O Ni"!OI...I!!!.'.'!;AL.I!~ 0 '15.--. 010-.-. 00 '1284 02 009 P A I:~"J"S ~"' ~ "' ~... rPL.. Jz:opJ~ ~ J._~ qt.J~ d Type: ................ [)8~1y !vje~x (;;Al... - .............. j ........ ()aJ'Jy Avepcqge (;~;AI.. · ..... J ....... AnnL.Ja'J Amountz GAl... ...... 500, O0 j 500. O0 j 500, O0 ........................ ~Copsge .......................... j Ppe..~ j "['emp .... j ............................................. i..oc;8'b'~on ................................... .... C:onc .... j ...................................................................................... 100 ~'~ , ,~ [Naphtha J!vloderstei 2'7 02---.0i0 MD AO L..fi qLlfi d 'JSOO J"Jfi g h > [-::ripe, ]:mined J"i]~h (~;AL. ............... [)~d'Jy }vi~x GAL. - .............. J ....... [)~'Jy Aver'~ge GAL.. - ...... j ....... AnnL.~'J AmoLJnt GAL. · ....... 'i , ~00. O0 j 'J , ..,0,). O0 j 'i , 500. O0 ...................... ~'~op~g~ .......................... j Ppes~3 J "['emp ..-J ............................................ L..oc;eq~'ic)n ........................................ POJ:~"J". PI~J]~, C:¥1... ]~N[)I}~I:~ j Above J AmbJ .... (~:onc ................................................................................. 50,()~ Jvliner~q ~]~pfirits jjvloder~%e ,,;4.; ,-b/9,~ i:~.fig,,t~-.-to-.-,(n,~ L,'i '~ i JSt'.Z ,.,.¥ .... omm,..,ode ,~,,,.t,. .'S'it:~ ]1i3 Page ?' ,.,1.) t ......... .... I INt '"',,31 .......... ' (''~)!A ... f:: 0 I 5..-010 ..-00 '1 02'---0'1'I !"!"I"H "' ~ ~ '~' > !:::ripe, :i;mmed I--I]th LE~S CAS ~: Trade Secret~ No (") T ..~ ~::: J:':orm: ~o]. i d Type: Unknown "'.)a~/s'; :t65 Use: .. , ...R ................ [)afi]b' Ivlax I...SS ................ j ........ [)ai]y Avepage l...[;J~{~ ........ j ........ Annual Amount' L..EJ~ ........ I00, O0 J '1 O0, O0 ...................... ..)t~,pmge .......................... j Ppe~s j "['~mp .... j .............................................. J...ocation ....................................... P L A S'T' ;ii '"' ..... "' L, (.., N 'T A ;1~ N I::: ........ J:~ J Arab1 ~nt j Arab1 ent J Conc J .... ~ ................................................................ ............................................................................................... (..,omponen ~ .... 0 Z .--- 0 '12 ~t.l P E I:~ ~'' '" "' ' ..:>,3L, K ;[T Soq 'i d '1 O0 !vioder, e~te CAS ~: 'T'rade Secret: No ~::of*m: ~:~o~id 'T'ype: Unknown Days: ..,05 ................ "'~- '.o~]y tvlax J...(;~S ................ I' ........ [)84]y. Avepmge l...U,..)::c' ........ j ........ Ac, nuB] Amount ..ES ........ 1 O0 , O0 j '1 O0 , O0 j 'I O0 , O0 ........................ ...)top ag e ............................ J ~'pess J 'T'emp .... J ............................................... l...ocat i on ........................................ BAG J Ambfi en'~ [ Amb~ em ~. j .... Conc .... J ........................................................................................ ComponenCs ........................................................ !viC: P ........ jGulde i00 ....... ()~ J(';,~'1C'iLim J"Jygoch']or'1'~e. · -,~ g · .,/9~ " ht:.-..t:o-...~n, ] l...fi~:.~./[.~:~ L,~.~mm.,..,od~ c~,'~.d/ ...)lt~ .!.~..) Page 02 .... I:::fi'. xe~.~ (]:ontafinePs.. at 02 -'.' 0 '1 :~)[3IxA'"' ' ~"~,~ ........... i::: I... U T I"] [.. '~ (:t Li ~ d ~ ~¢0 ~ i .... ow > F fin e, :[ rome d H ] t h, i) e 3 a y I--t 'J t h (~;A L C:AS ~: '1'12:345 'T'eade Secnet: No ~:::, opm: .......... I fiqufi d "!"i/pe: Pure !:)8ys: :})(55 LJse: i ,.,,..~".:'~I~'i:,...AN.-... '"' ................ i)afiqy ivlax GA!... · ............... i ........ i:)afi3S¢ Average ()AL. · ....... I ........ Anr, ua9 Amount (:~;A!.... ....... 200,00 i 200,00 I 200.00 ..................... ~3torage ........................ ~ P~es;s ~ "f'emp --.-~ ........................................... L. oc~tfior, Iv. F~"f'A !... C:ON TA ......... T N i:~--.-NON "" 1-,,., .'"' 'l~l lAmbfi ~r, t ~ Amb fier, t i .... ,.,on c, ..--[ ....................................................................................... C:omponents .................................................... [ .... Iv (": P ........ [ (~u fi (. ~--..~ 'I z[~ ....... I:~C)UNi"] (.IP I...~ qL~ ~ d 8()~, ) I:::~re, De~a~' i--t~th ,.:,AL. C:AS ~'. 'i071836 Trad~ Secret: No ....... L, ~.~ ~: .... I c: t:~ I I T '*' ': "', ................ l) afi]~' tVlax (];AI... · ............... j ........ i:)afi]y Av~page (~;A!... · ....... j ........ Annuaq Amour',t (~;A!.. · ....... 800. 00 J 800.00 j 800. 00 ........................ ~topage ........................... j Ppee',s J "l"emp .-.j ................................................ t...o~atfion ........................................ P L A~)"I" ]: (': (':ON "I"A T N '- "' · -- C:onc .... J ....................................................................................... Components .................................................... j .... IvlC: P ........ JGufi 'i 00,0 ~ J [~ o u n d L.i ,o J ,... o~' · ,I ~.~.. OzL/2~I~¢;. I:~i h~-.-~o-..-Kno ll'i 4~/b~,' ~';omm("nd~ mn¢~/ Sit~ Tr) Page C()S¥CO ~HOL.~SAL.~ 015..--0 i 0-..-00! 284 l--tezmat ];nven~ory De'tai'J in I:~e'fepence Numbep Ocdep 02...-015 IvK)'T'O f-~ O;!iL Liquid 8500 > Fire, Delay High GAL CAS ~: 80~08:75 "l"rade Secret,, No ~::orm,, [..1quid Type', Pure Days: 365 Use: LUBf.~;f. CAN'T' ................ D81qy tvl~x GAL · ............... I ........ I)8i~y Averege GAL - ....... i ........ Anr, ua~ Amount GA!... ....... ........................ Storage ............................ t Press I 'T'emp ................................................... i...ocation ....................................... P l... A S T' ;[ C C O N 'T'A ;i; N ¢:~ I:;'. ] A m b i e n t j A m b i e n ~ P L A S'T' ;!: C C O N 'T' A ]; N E R j A m b i e n ¢ j A m b i e n t .... Cone .... [ ................................................................................... ComponenCs ................................................ ~ .... iviCP ........ I00,0~ !tvlotor ()1~, Petroleum Dased j!vtinJmsq i 2'7 0 ~ ..-. 0 'l 8 llt I~ !:: R :[ G E llt A N 'T' 17 .--. 12 G ~ s 30 ~ 42 > i:::i~e, PPessu~e, :[mined !"l!th F:'T'3 CAS ~: '75'7'l(;~ "f'psde Secret: No i::opm: (~;ss "f'~'pe: Puce 1:)sys: 365 Use: COOLAN'T'/AN'T']:!:::i~EI~ZI~ ................ :'~afi~y Ivtax F"f'3 ................ ~ ........ I:)~fi'~)/ AvePage I:::'T3 ...... ~ ....... An~u4~'] Amount: ~::"i'3 ........ .,0, ~.4~.. 00 ~ 30,2z~2,00 ~ 30,242,00 ...................... Sto~age ........................... ! P~ess I "f'emp '"! ......................................... !...o<:;8tion .................................... PORT, PI:!i};:SS, CYL;[NDEI:! !AmbfientlAmbfient! .... Conc --.! ..................................................................................... Components ................................................ ! .... !v!CP ........ 100,0~ I I)fi ch] orodfi f ] uonomet bane !lVlfinfim81 CO.<3'T'(;:() ~l-iO L I!!!,<.!;A L. i!!! 0 '15 .-.. 0 ! 0 -... 00 'i ~ 64 0 '~ ' <' ~ ... '"' . . ,..,O~ l-t~- ~ . ,.;~,.c,~3 fin Reference Number 02..-. 0 i '~ S~ ]~ I... ]: C:ON I:~ OZL SoiJd 600 IvlJ n j mai i:) e '1 q <:~ (:: A S ~ '. g 0 '1 ~ 008 'i" r' a d ~ <:: = = '~ · ..~..~ P ~... ~. : Form', Solid "l":~pe: Pure Days: :365 Use: ............... [)~fi 'jy ...... Ivla~X L..[:I<:~, ............... I, ........ .i::)~fi '} )/ AV~p~OG ~...d~::~:~ .................... ! A~,~ua'] Am,.~u~. [..~' '":..t..~ ....... ~00,00 ! 600,00 ! 600.00 ........................ Storage ........................... ! Press I 'Temp .... I ............................................. Location ...................................... ,_A...~ :lC: "'"'' .... . L,C,N IA:i'NE:I7 jAmbfier, t JAmbfient j .... (::omc; .... j .................................................................................... (.'.:om pon ~n ~ ~ ................................................ 100.0% jSilicone 0i3 0" . , l::: ... <~ - ' ~. '"' 0 'i 8 E R'!" :[ I... T Z I::: R ...> ,., ~: d > :[tamed !'-I'J'- ~ I (::A S J~: 0 'l" p a d e ..:>~.. c : ~ e~. No . "'- ' ' '"'=R i:::opm: So, fid 'T'ype: Pupe I..,~:~s: 365 L, se: ~AfL.. TREATM!:::N'T' ................ ,..:~ . y :" <" · ...... j ....... a Amoun~ L .:-:~:~: ........ [)8~'Jy Ivl~x LOS ............... j ........ "'~fil Aver'age Ldo A~nL. 5,000.00 J 5,000.00 j 5,000.00 ...................... ~onage, ............................ j Pp~s~ ,i 'i"emp .... ] ............................................. :,...o,.,a"' ~qon. ...................................... P L A ~:~"1" :[ C: C: O N '!"A :[ N i::: R J A m b fi~: n t j A m b ~ e n t j .... ,..,on ~., "' - j ~ (::ompon en its ................................................. ~ ' . ' J2--.0'i9 RA:[() AN"f' & R()AC:H K.[L.L. ER L. iqu':d U > F:ire, [)eqay Hlth t::;AL. F= o r m: I... i q u i d '"" ~: .. . ... 365 U ~ e: ") ~':: %"I" T C: T , ~'p~ [.J~OW~ I")~}/~; r ~ ............... ................ i:]afi3y Max GAL · .............. J ........ [)~qy' Average GA!.. - ....... J ........ Annual Amoun~ GAL - ....... '16(. O0 I 'I00 O0 ~ 't00 '~0 ........................ ~oPsge ............................ j ~'Pe~ ~ 'l"emp .... J ................................................ !...oca~fion ........................................ I:)i:kLIIvi/(:JAr"F":::ir,.~ .................... '" N("]N ViF:-I"A I ,I Ambfi ~:n~ l, Ambfi ~n'~ l, · - O o n c .... ~ ....................................................................................... (:: o m p o n e r, t s .................................................... J .- M (:: P ........ j (::u fid e .... ~..~...> I t. U N I'-I O 1... E S A I... I!!! 01..~ ~' .--. ::~' '10 .-.. 00126 A. 02 Fixed '"' - .... ,...o~ ,t~ . .~,. Site Hazm~t ][nvento~ 02..--020 F~f;f¥'l"T PEST f':f'lN"i"Ftf'~l,.. ............. ~ ~. ~.~ ) I:::~e, i~)e'1~/ i"lqth GAL CAS ~¢', "f'n~de © ~ · l"-oem,, L. JquJd Type~ Unkno~ l~axxs', ~"' ...... :, A L. ................ 13aJ'iy Ivl~x ,.:,AL - ............. ! ........ !])~J'iy Ax~n~ge GAL . ...... I ........ Annua'l Amount ""' · ...... 'i. 80 ,80 ,I 80 .00 I 1. 8,, '~ , 00 ....................... Sto~,~qe. ...~. .......................................................................... ~ Peeves ~ "f'emp ~..~..~.,~"~t'i on ....................................... P I... A ST ]; C C 0 N 'f' A ~[ N E !:i J A m b J e n t j A m b ~ e n t .... Con~ i "' ....................................................... .................................................................................. ~..,~.~ 02....02'i LI !-,.,.:,AN .t. l ....! I ,.),..> P~ I L~ .~,..l L, ,..> ... > I:Jre, I-~e~c~.Jx~e .... mined I-'lqth, i])e]ax/ l--t~th ,.:,AL. ... c, . "t"r~de Secret: No L. A,..> ti', . "' l:::orm: !...~ quJ d Type: IviJ x'tu~e l..i8y~: 38S U~e: PF:F~'";['"'r · ................ i)aJ3y IVlax ....I... [ ........ ~ Average I':~AI. · ....... [ ........ Annuaq Amount t"'~'l ........ 200,00 ....................... Sto~age ............................ J Pres~ ] Temp ................................................... I...ocatJon ........................................ 0 2 -..- 0 2 ............. 2 T N t"~ I:~ (:; A N ]; (;: P E S T ;I; (:; ;i; ,..,'" '"'::: ..:> ~'' i... fi q u i d 1 2... 5 U n n a t e d > i:::fi~e, l:!e8ctJve, ;i;mmed Hi'th, Da'lay f--i'I'~ (:iAI CAS ~: Tr'ade Secret: No ..~ .. l:::orm: L. qquqd "i"ype: ivl .............. l:)8'i'i~y I~la~x GAL. , 2 ..~ .) 00 't 25,00 . ........................ Stonage ........................... ! P~ess I "f'emp .... i ................................................................................ PLAS"f' ]; C CON'I"A ;!; N E i:t . ,.,mpon~,nt~ ................................................. [ .... ~i(:P I"" , ' ' 04/¢f!:.5/94 Right ...... ~.o Know,~.i''l COST(],'O ~H()L.!.:."!:.!~AL i:!! 0 i S...-O '10-.-00 't 2.64 O0 .... Ove..na ~ ] Site .. t,tu,. ,fica'tion CAL. t... 91i <2> Employee Notif,/E!vacuation COHIv!AND POS'T' SC)UN[) AI..AR!v!, ElvlP!...OYI~I~S HAVE E;i:~!EN TRA];NE~I;) TO I~VACLJA"I"E 'I"HEIvlSIEL. V!]~S AFII:) Al..!... C:US'I"OIvI(~;I:;tS I:::I:~.()N i.3!...I)G. IvlANAGEI:;~5 ON I"!AN[) ARE !:~[~}SPC]NSC[[:C~Li~:~ f:()R QUAt:;~AN'I"!~E]:N(; C:LE~AI:~ANC:E .... I S:::::L]:F:iC AI-,I...A...> ()F: MI"iSIE SUPERV]:S()I~S Iv!ANAGEt~ [)ETER~vlINES SER][OLISNESS OF SP]:LL. OR F:]:R~;~. CAL. L. 91t ANO ACTIVA"I'(~ E~i...I~C'f'RONiC ::3LJivlIv!()NS PAD (i::::[IRE, tvI !;J l;) ]: C: A I_. , AND POI..]:(:;I~() :[1::: l) t]~lqlvl!¢~[) NEC:I~SSARY. <3> Publ'ic Not:if,/Evacv,,.la't:ion A C:OHIVt. AN[) P()ST ~()UL.[) B!!!! SET LiP A't .... I"HE Ivf!:!!IvI(~:~I!!!RSH:[P DESK '.41"! ]: () !"! iS I...OCA'!"!]!:I:) NEAF,'. T!-'t E r,,I A :[ N I!.:.' N T R A N C i:!! 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High ..:~ <3> E'lemen'ta~/ ,<3choo'Is <~> PeivaCe & P~e Schoo'is HM451701 Account Number ACCOUNTS RECEIVABLE ADJUSTMENT March 14~ 1994 Date New A=count New Address Esther Duran Close Account From Service Change Other AdJuntmentsi X Fire Department - Hazardous Materials Division Department/Division COSTCO VENTURES BAKERSFIELD Billing Name 3101 GILMORE AVE Billing Addre88 Site Address Parcel # (if Applicable) Landlord Name & Address (If Applicable) ADJILJSTMENT Last Billed Correct Billing Adjustment to Effective Date of Billing Change <26.18> 1-1-94 Remarks: WE HAVE AGREED TO WRITE OFF THE FINANCE CHARGES ON THIS ACCOUNT. Page: 1 Account Billing/Collection Activity Inquiry SUTL108 Acct : 451701 Cyc St: CL Bill St: NO Cyc: 5 'Rt: Seq: SSN : Parcel: ..... Svc Cls :e Name : COSTCO VENTURES BAKERSFIELD Svc Add: 3101 GILMORE AVE Amt due: 26.18 Current Period Postings Lst Pmt: -218.00 Type Desc Date Amount Receipt # Pmt Dte: 03/03/94 B91 PENALTY 03/01/94 21.80 -- Prior Bills -- B92 FINANCE CHARGE 03/01/94 4.38 Date Balance 99. PAYMENT 03/03/94 -218.00 86213 01/01/94 0.00 01/01/93 0.00 01/01/92 0.00 01/01/91 0.00 02/15/90 0.00 Enter '/' For Billing History, 'P' To Print Report, 'D' For Detail Page, or '/C' For Credit and Deposit History or 'XX' To Exit 07/01/93 COSTCO WHOLESALE 215-000-001105 Page 1 Overall Site 'with 1 Fac. Unit General Information Location: 3101 GILMORE AV Map: 102 Hazard: Moderate I Community: COUNTY STATION 66 Grid: 23D F/U: 1 AOV: 0.0 iContact Name Title i Business Phone ~124-Hour Phone~ GARY COLE (805).324-0703 x 805) 839-7932! ~ (805) 324-0703 x 805) .834-6869l Administrative Data Mail Addrs: 10809 120TH NE D&B Number: 91-122-3280 City: KIRKLAND State: WA Zip: 98033- Comm Code: 215-066 COUNTY STATION 66J SIC Code: 5311 Owner: COSTCO WHOLESALE Phone: (805) 324-0703 Address: 10809 120TH NE State: WA City: KIRKLAND Zip: 98033- Summary RECEIVED JUL 1 9 1993. HA7_ MAT. DIV. I,~ ~ ~. F__~"'(Ty~, 0r ~..., ''~'~-,l~ % ---- Do he~:eby certify that I have reviewed the attached hazardous materials ms~,age- ment plan f°r~~and' ' that it along with any corrections constitute a complete and correct man- agement plan for my facility, 07/01/93· COSTCO WHOLESALE 215-000-001105 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Max Qty MCP 02-001 BLEACH Liquid 1500 High · Immed Hlth, Delay Hlth GAL 02-009 CARBORATOR CLEANER Solid 400 High · Fire, Delay Hlth LBS 02-004 MALATHION Liquid / 125. High · Immed Hlth GAL 02-013 MURIATIC ACID Liquid 1000 High · Immed Hlth, Delay Hlth GAL 02-018 SULFURIC ACID (BATTERIES) Liquid 100 High · Reactive, Immed Hlth GAL 02-021 PROPANE Gas 728 High · Fire, Pressure, Delay Hlth FT3 02-008 DEGREASER Solid 400 Moderate · Fire, Immed Hlth, Delay Hlth LBS 02-002 GLASS CLEANER Liquid 90 Moderate · Immed Hlth, Delay Hlth GAL 02-011 PARTS CLEANER Liquid 500 Moderate · Fire, Immed Hlth GAL 02-010 WD 40 Liquid 1500 Moderate · Fire, Immed Hlth GAL 02-023 HTH GRANULATED Solid 100 Moderate ~ · Fire, Immed Hlth LBS 02-024 SUPER SOCK IT Solid 100 Moderate · Fire, Immed Hlth LBS 02-007 BRAKE FLUID Liquid 200 Low ~ Fire, Immed Hlth, Delay Hlth GAL 02-020 ROUND UP Liquid 800 Low ~ Fire, Delay Hlth GAL 02-012 MOTOR 'OIL Liquid 8500 Minimal · Fire, Delay Hlth GAL 02-006 REFRIGERANT R-12 Gas 30242 Minimal · Fire, Pressure, Immed Hlth FT3 02-005 SILICONE OIL Solid 600 Minimal · Fire, Delay Hlth LBS 07/01/93 COSTCO WHOLESALE 215-000-001105 Page 3 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Max Qty MCP 02-003 FERTILIZERS Solid 5000 Unrated · Immed Hlth LBS 02-016 RAID ANT & ROACH Liquid 100 Unrated · Fire, Delay Hlth GAL 02-017 SCOTT PEST CONTROL Liquid 160 Unrated · Fire, Delay Hlth GAL 02-019 'BLACK FLAG INDOOR FOGGER Liquid 100 Unrated · Fire, Pressure, Delay Hlth GAL 02-022 PACE TABS Solid .200 Unrated · Fire, Immed Hlth LBS 02-025 CHLORINATED HYDROCARBON PESTICIDES Liquid 300 Unrated ~ · Fire, Reactive, Immed Hlth, Delay Hlth GAL 02-026 ORGANIC PHOSPHOROUS PESTICIDES Liquid 200 Unrated · Fire, Reactive, Immed Hlth, Delay Hlth GAL 02-027 INORGANIC PESTICIDES Liquid 125 Unrated · Fire, Reactive, Immed ~Hlth, Delay Hlth GAL ~ 07/01/93 COSTCO WHOLESALE 215-000-001105 Page 4 02- Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-001 BLEACH Liquid 1500 High ~ Immed Hlth, Delay Hlth GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: CLEANING Daily Max GALI Daily Average. GAL I Annual Amount GAL 1,500 I 1,500.00_ 1,500.00 Storage Press T TempI Location PLASTIC CONTAINER AmbientlAmbientlNE BACK SIDE OF WAREHOUSE -- Conc Components MCP ---TGuide 100.0% ISodium Hypochlorite IHigh ! 45 02-009 CARBORATOR CLEANER Solid 400 High ~ Fire, Delay Hlth LBS cAs #: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: STRIPPER Daily Max LBSI Daily Average LBS ] Annual Amount LBS 400 I 400.00 400.00 Storage Press T TempI Location METAL CONTAINR-NONDRUM Ambient]Ambient{AUTOMOTiVE AISLE --ConsI Components i MCP ---TGuide 25.0% Dichloromethane High ! 74 20.0% Tetrachloroethylene Low ! 74 . 10.0% 1,3-Dichlorobenzene Low ! 55 12.0% Cresylic Acid ModerateI 55 12.0% Naphtha Moderate{ 27 07/01/93 COSTCO WHOLESALE 215-000-001105 Page 5 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-004 MALATHION Liquid 125 High · Immed Hlth GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: INSECTICIDE Daily Max GAL125I~ Daily Average125.00GAL I Annual Amount125.00GAL -- Storage Press T Temp~ Location METAL CONTAINR-NONDRUM AmbientlAmbientlLAST SEASONAL AISLE -- Conc Components MCP ~Guide 100.0% IMalathion IModerate~ 55 02-013 MURIATIC ACID Liquid 1000 High · Immed Hlth, Delay Hlth GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: CLEANING Daily Max GALI Daily Average GAL I Annual Amount GAL -- 1,000 ~ 1,000.00 1,000.00 Storage~lPress T Temp Location PLASTIC CONTAINER Iambient[ambientlBaCK FOOD AISLE -- Conc .Components MCP ---~uide 100.0% IMuriatic Acid IHigh ! 15 02-018 SULFURIC ACID (BATTERIES) Liquid 100 High · Reactive, Immed Hlth GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: BATTERY/ELECTROLYTE Daily Max GALI Daily Average GAL I Annual Amount GAL 100 ~ 100.00 100.00 StorageIIPress T Temp Location PLASTIC CONTAINER 'lambientlAmbientlSaCK BY TIRES -- ConcI Components I MCP ---~uide 40.0% ISulfuric Acid (EPA) ~High ~ 39 07/01/93 COSTCO WHOLESALE 215-000-001105 Page 6 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-021 PROPANE Gas 728 High · Fire, Pressure, Delay Hlth FT3 CAS #: 74-98-6 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: STORAGE/IN STORAGE Daily Max FT3 I Daily Average FT3 I Annual Amount FT3 728 I 728.00 _ 728.00 Storage Press T Temp~ Location METAL CONTAINR-NONDRUM AmbientlAmbientlSEASONAL ISLE -- Conc Components MCP ---TGuide 100.0% Ipropane IExtreme I' 22 02-008 DEGREASER Solid 400 Moderate · Fire, Immed Hlth, Delay Hlth LBS CAS. #: Trade Secret: No Form: Solid Type: Pure 'Days: 365 Use: STRIPPER Daily Max LBsI Daily Average LBS I Annual Amount LBS -- 400 ' ~ 400.00 400.00 Storage Press T TempI Location METAL CONTAINR-NONDRUM Ambient~AmbientlAUTOMOTIVE AISLE -- Conc Components MCP ---/Guide 100.0% IDegreaser ILow ~ 74 02-002 GLASS CLEANER Liquid 90 Moderate · Immed Hlth, Delay Hlth GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 'Use: CLEANING Daily Max GALI Daily Average GAL I Annual Amount GAL 90. ~ 90.00 90.00 Storage~~Press T Temp Location PLASTICCONTAINER IambientlAmbientlSaCK FOOD AISLE -- Conc~ Components ~ MCP ---~uide 100.0% IAmmonium Hydroxide IModeratel ~ 60 07/01/93 COSTCO WHOLESALE 215-000-001105 Page 7 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-011 PARTS CLEANER Liquid 500 Moderate · Fire, Immed Hlth GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: STRIPPER Daily Max GAL I Daily Average GAL [ Annual Amount GAL -- 500 I 500.00 . 500.00 £ StorageIIPress T Temp Location PORT. PRESS. CYLINDER Iambient~AmbientlaUTOMOTIVE AISLE -- Conc Components MCP ---~uide 100.0% INaphtha IModeratel' 27 .02-010 WD 40 Liquid 1500 Moderate · Fire, Immed Hlth GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: LUBRICANT Daily Max GALI Daily Average GAL I Annual Amount GAL -- 1,500 ~ 1,500.00 1,500.00 Storage Press T Temp Location PORT. PRESS. CYLINDER Iabove IAmDiontlAUTOMOTIVE AISLE -- Conc Components MCP ---/Guide 50.0% IMineral Spirits IModeratel 27 15.0% Petroleum Crude Oil Low ~ 27 02-023 HTH GRANULATED Solid 100 Moderate · 'Fire, Immed Hlth LBS CAS 9: Trade Secret: No Form: Solid Type: Unknown Days: 365 Use: OTHER Daily Max LBSI Daily Average LBS I Annual Amount LBS 100 ~ 100.00 100.00 Storage I Press T Temp~ Location PLASTIC CONTAINER IAmbient~AmbientlSEAS'ONAL ISLE -- Conc Components MCp -~Guide 100.0% ICalcium'Hypochlorite IModeratel 45 07/01/93 COSTCO WHOLESALE 215-000-001105 Page 8 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-024 SUPER SOCK IT Solid 100 Moderate · Fire, Immed Hlth LBS CAS #: Trade Sesret: No Form: Solid Type: Unknown Days: 365 0se: OTHER Daily Max LBS I Daily Average LBS --~-- Annual Amount LBS -- 100 ~ 100.00__ 100.00 Storage I Press T Temp LoCation BAG IAmbientlAmbientlSEASONAL ISLE -- Cons Components MCP ---TGuide 100.0% ICalcium Hypochlorite IModeratel 45 02-007 BRAKE FLUID Liquid 200 Low · Fire, Immed Hlth, Delay Hlth GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max GAL200I~ Daily Average200.00GAL I Annual Amount200.00GAL -- Storage I Press T Temp Location METAL CONTAINR-NONDRUMIAmbientlAmbientlAUTOMOTIVE AISLE -- Cons Components MCP ---TGuide 100.0% IBrake Fluid, Hydraulic ILow I ~27 02-020 ROUND UP Liquid 800 Low · Fire, Delay Hlth GAL CAS #: 1071836 Trade Secret: No Form: Liquid .Type: Pure ~Days: 365 Use: STERILIZER -- Daily Max GAL I Daily Average GAL 1 Annual Amount GAL 800 ~ 800.00 800.00 Storage IIPress T Temp Location PLASTIC CONTAINER IambientJambientlSEaSONaL ISLE - ConsI Components I MCP ---~Gui~e 100.0% IRound Up ~Low 07/01/93 COSTCO WHOLESALE 215-000-001105 Page 9 02 - Fixed Containers on Site Hazmat InVentory Detail in MCP Order 02-012 MOTOR OIL 'Liquid 8500 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 , oo.oo storage ~ Press T Temp I Location PLASTIC CONTAINER I Ambient~AmbientI BACK HARDLINES AISLE PLASTIC CONTAINER IAmbient~Ambient AUTOMOTIVE AISLE -- Conc '"I Components MCP ---TGuide 100.0% IMotor Oil, Petroleum Based Minimal I 27 02-006 REFRIGERANT R-12 Gas 30242 Minimal · Fire, Pressure, Immed Hlth FT3 CAS #: Trade Secret: No Form: Gas Type: Pure Days: 365 Use: COOLANT/ANTIFREEZE Daily Max FT3 Dally Average FT3 Annual Amount FT3 30,242 I 30,242.00 I 30,242.00 Storage Press T Temp~ ' Location PORT. PRESS. CYLINDER Above ~AmbientlBACK HARDLINES AISLE -- Conc Components MCP ---~Guide 100.0% IDichlorodifluoromethane IMinimal I 12 02-005 SILICONE OIL Solid 600 Minimal · Fire, Delay Hlth LBS CAS #: Trade Secret: No' ~ Form: Solid Type: Pure Days: 365 Use: SEALER Daily Max LBSI Daily Average LBS I Annual Amount LBS 600 ~ 600.00 600.00 StorageliPress T Temp Location PLASTIC CONTAINER IAmbientlAmbientlBACK HARDLINES 'AISLE -- ConcI Components I MCP ~Guide 100.0% ISilicone Oil ' ~Minimal ~ 27 07/01/93 COSTCO WHOLESALE 215-000-001105 Page' 10 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-003 FERTILIZERS Solid 5000 Unrated · Immed Hlth LBS CAS ~: Trade Secret: No Form: Solid Type: Pure Days:~365 Use: WATER TREATMENT Daily Max LBS I Daily Average LBS I Annual Amount LBS 5,000 ~ 5,000.00 5,000.00 Storage IIPress T Temp Location PLASTIC CONTAINER IAmbientlAmbientl2ND SEASONAL AISLE -- Conc ~ Components , MCP ---TGuide 02-016. RAID ANT & ROACH Liquid 100 Unrated · Fire, Delay Hlth GAL CAS #: Trade Secret: No Form: Liquid Type: Unknown Days: 365 Use: PESTICIDE Daily Max GAL I DaJ. ly Average GAL I Annual Amount GAL 100 ~ 100.00 100.00 Storage Press T TempI Location METAL CONTAINR-NONDRUM Ambient~AmbientlSEASONAL ISLE -- Conc ~ Components , MCP ~uide 02-017 SCOTT PEST CONTROL Liquid 160 Unrated · Fire, Delay Hlth GAL CAS #: Trade Secret: No Form: Liquid Type: Unknown Days: 365 Use: INSECTICIDE Daily Max GAL I Daily Average GAL I Annual Amount GAL -- 160 ~ 160.00 160.00 Storage IIPress T Temp Location PLASTIC CONTAINER IAmbient~AmbientlSEASONAL ISLE -- Conc , Components ~ MCP --iGuide 07/01/93 COSTCO WHOLESALE 215-000-001105 Page. 11 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-019 BLACK FLAG INDOOR FOGGER Liquid 100 Unrated · Fire, Pressure, Delay Hlth GAL CAS #: 10453-86-8 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: INSECTICIDE Daily Max GAL I Daily Average GAL I Annual Amount GAL 100 ~ 100.00 100.00 Storage Press T Temp Location METAL CONTAINR-NONDRUMIADovo /AmbientlSEASONAn ISLE -- Conc ~ Components ~ MCP ---TGuide 02-022 PACE TABS Solid 200 Unrated · Fire, Immed Hlth LBS CAS #: Trade Secret: No Form: Solid Type: Unknown Days: 365 Use: OTHER Daily Max LBS I Daily Average LBS [ Annual Amount LBS 200 ~. 200.00 _ 200.00 Storage ~lPress T Temp Location PLASTIC CONTAINER Iambient~ambientlSEaSONaL ISLE -- Conc ~ Components ~ MCP '--~uide 02-025 CHLORINATED HYDROCARBON PESTICIDES Liquid 300 Unrated · Fire, Reactive, Immed Hlth, Delay Hlth GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: PESTICIDE Daily Max GAL I Daily Average GAL ----~ Annual Amount GAL 300 ~ 150.00 3,000.00 Storage Press T Temp~ Location pLASTIC CONTAINER Ambien't~AmbientlLAST SEASONAL AISLE -- Conc Components MCP -~Guide 100.0% ICHLORINATED HYDROCARBON PESTICIDES Iunrated I 0 07/01/93 COSTCO WHOLESALE 215-000-001105 Page 12 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order 02-026 ORGANIC PHOSPHOROUS PESTIdIDES Liquid 200 Unrated · Fire, Reactive, Immed Hlth, Delay Hlth GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: PESTICIDE Daily Max GAL I Daily Average GAL I Annual Amount GAL '.. 200 I 100.00 2,000.00 Storage I Press T TempI Location PLASTIC CONTAINER IAmbient]Ambient]LAST SEASONAL AISLE -- Conc~ Components I MCP --~Guide 100.0% IORGANIC PHOSPHOROUS PESTICIDES IUnrated I 0 02-027 INORGANIC PESTICIDES LiqUid 125 Unrated · Fire, Reactive, Immed Hlth, Delay Hlth GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: PESTICIDE Daily Max GALI Daily Average GAL I Annual Amount GAL 125 I 75.00 1,250.00 Storage Press T TempI Location PLASTIC CONTAINER AmbientlAmbientlLAST SEASONAL AISLE, -- Conc Components MCP -~uide 100.0% IINORGANIC PESTICIDES [Unrated I 0 07>01/93 COSTCO WHOLESALE 215-000-001105 Page 13 00 - Overall Site <D> Notif./Evacuation/Medical <1>' Agency Notification CALL 911 <2> Employee Notif./Evacuation COMMAND POST SOUNDS ALARM. EMPLOYEES HAVE BEEN TRAINED TO EVACUATE THEMSELVES. AND ALL CUSTOMERS FROM BLDG. MANAGERS ON HAND ARE RESPONSIBLE FOR QUARANTEEING CLEARANCE OF SPECIFIC AREAS OF WAREHOUSE. SUPERVISING MANAGER DETERMINES SERIOUSNESS OF SPILL OR FIRE. CALL 911 AND ACTIVATE ELECTRONIC SUMMONS PAD (FIRE, MEDICAL, AND POLICE) IF DEEMED NECESSARY. <3> Public Notif./Evacuation A COMMAND POST WOULD BE SET UP AT THE MEMBERSHIP DESK WHICH IS LOCATED NEAR THE MAIN ENTRANCE AND EXIT TO THE BUILDING. SECURITY PERSONNEL WOULD BE DISPATCHED TO EACH EMERGENCY EXIT. THIS WOULD REQUIRE FOUR INDIVIDUALS TO COVER THE SOUTHERN SIDE OF THE BUILDING. TWO INDIVIDUALS WOULD BE DISPATCHED FROM THE COMMAND POST TO ASSIST MEMBERS TO THE NEAREST EMERGENCY EXIT. FORMAL EVACUATION PLAN DISCUSSED AT MONTHLY SAFETY MEETINGS - FRONT DESK TO BE CENTRAL CONTROL AREA IN CASE OF EMERGENCY. <4> EmergenCy Medical Plan SAN JOAQUIN COMMUNITY HOSPITAL - 2615 EYE ST - 327-1711 07/01/93 COSTCO WHOLESALE 215-000-001105 Page 14 O0 - Ow~rall Site <E> Mitigation/Prevent/Abatemt <1> Release Prevention MITIGATION: HAZARDOUS ITEMS ARE GENERALLY SMALL UNITS PACKAGED FOR RESALE; NOT OPEN OR "IN' USE". PREVENTION AND ABATEMENT: CUSTOMERS AND EMPLOYEES PREVENTED FROM EXPOSURE TO HAZARDOUS SITUATION; IF NECESSARY EVACUATION IS EXECUTED. CLEAN-UP DEPENDS ON NATURE OF VOLATILITY OF SPILL. ABOVE ALL, ENSURE PREVENTION OF SPREAD OF PROBLEM. COMPANY ALSO ALREADY HOLDS MONTHLY SAFETY COMMITTEE MEETINGS WHICH ADDRESS POTENTIAL HAZARDS AND SEES TO CORRECTING THEM. <2> Release Containment <3> Clean Up <4> Other Resource Activation 0~/01/93 COSTCO WHOLESALE 215-000-001105 Page 15 O0 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - OUTSIDE WAREHOUSE AT SOUTHWEST CORNER B)~ELECTRICAL - INSIDE WAREHOUSE IN RECEIVING SOUTHEAST CORNER C) WATER - OUTSIDE WAREHOUSE.NORTH M][DDLE PART OF BUILDING D) SPECIAL - NONE E) LOCK BOX - MANAGERS OFFICE'WALL NORTHWEST (KEYS ONLY) <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - THERE ARE HEAT SENSORED OVERHEAD SPRINKLERS EXHAUST FANS (AUTOMATIC) THAT BLOW Sg[OKE OUT OF THE WAREHOUSE. SEVERAL FIRE EXTINGUISHERS THROUGHOUT THE WAREHOUSE, AUTOMATIC ALARM TO PRIVATE COMPANY AND THE SAME MANAGER SUPERVISED EVACUATION PROCEDURES APPLY. FIRE HYDRANT - 40FT SOUTH AND WEST OF SW CORNER OF WAREHOUSE <4> Building Occupancy Level O REGI RATION FORM ACUTELY I-IA ,M q3OUS MATERIALS This form MUST be completed by the owner or operator of EACH business in California which, at · any time, handles' :Acutely Hazardous Material in quantifies, or in a mixture, equal to or greater than the Federal Threshold Planning Quantities for'Extremely I4a~ardous Substances. Submit this completed form to your local Administering Agency..'({}25533 & 25536 Health & Safety Code) ' Note instructions on reyer~e .. '~ "'~ ".:i ~CIr~LYHAZARDoUs"MATERIALsHANOLEr.p :?'/USEADD1TiONALPAGF_.SlFNECESsARY. .?:~,'v,:-'::' ::" !. C!qEMICAL NAME . GENERAL DESCRIPTION OF PROCF_qSF_q AND PRINCIPAL California. Office ot Emergency Services FORM HM 3777 (ll. - 12 - 89)' 1-3 INSTRUCTION ; Superscripts: .. 1. Please contact your local Administering Agency ff you handle quantifies of Acutely Hazardous Materials above st,am thresholds and have not submitted a btt~ineas plan (Remember that California Acutely Hamrdous Material.nam identical to EPA Extremely I4ayardous Substances). 2. "Process Designation" is provided for facilities that, with Administering Agency approval, would most easily be reported by process.._For a business that reports the: business plan dam by process, this will allow subdivision.of_ facility RMPP registration dam in similar format tc~ the business plans.' This format could simplify facility inspections and future emergency response. 3. Use the EPA list of Extremely I4ayardous SubstallCes from the Federal Register, 40'CFR 355 (Sections 302 and 304) (Note: This list may change on a yearly basis. Be sure the list used for compliance is the updated list. .An updated list can be obhained from EPA or the State of California Environmental Affairs Agency.) If appropriate, a~tae, h a copy of the inventory (submitted to your Adminiatexing Agency in your business plan) with all Acutely -- -~. Do not include Tmil~ Secm*infortaarion'inthea~:-~riptiom. General: For emergency response purposes, if these elemena am appropriate, it would be desirable to describe the following to the Administering Agency: 'a. What raw materials? b. What operating prem range? c. What operating temperature range? d. Batch capacity, taxing? e. Product characmristics? (e.g., chemical state, flammability, toxicity, etc.) f. Critical process points and characteristics.9 2. Continuous process: (similar ilIformarintl as above.) NOTE: "Pursuant to §25534, the Administering Agency au~y require the submission of a Risk Management Prevention Program (RMPP), if the Administering Agency detea'mines that the handler's' opea'ation may present an acutely hazardous materials accident risk. The handler shall prepare the RMPP in accordance with §25534 (c) of the Health and Safety Code.' The RMPP_ shall be prepared within. 12 months following th~ request marle by the Administering Agency pttrsuant to this section." (§ 25534 (c) Hea~tth and Safety Code) Aa.amendment to the RMPP must be submitted to the Administering Agency within 30 days of: 1. Any-additional .handling of acutely ha:,ardott3 mamriais. 2. Any m~oa-ial or. substantial alterations to business activities. .............. ' 3._ Change_ofaddm~ business ownership, or business name. _(§_25533_(c).Health & Safety :Code)..~.._. ....................... · EVERY BUSINESS REQUIRED TO SUBMIT AN RMPP SHALL· IMPLEMENT THE APPROVED RMPP - CITY of BAKERSFIELD "WE CARE" 2101 H STREET S. D. JOHNSON January 16, 1992 BAKERSFIELD, 93301 FIRE CHIEF 326-3911 / Franc:is Chacon Cost~;o Wholesale 3101 Gillmore Ave. Bake:."s field, CA 93308 Francois: Please complete the enclosed acutely hazardous material (AHM) regi:~tration form and the facility information form regarding the use .~nd/or. storage of the products listed below which contain the acut.~ly hazardous materials noted. Please include percentage comp,)sition of the acutely hazardous ingredient next to the quan';ity on the AHM registration. Instructions for completing the rest of the AHM registration are on the back of the form. 100 GAL, 60 % SULFURIC ACID (BATTERY ELECTROLYTE) This information is necessary due to the acutely hazardous natu;e of sulfuric acid solutions. Please return these forms to 2130 G St. Bakersfield 93301 by February 20., 1992. Call me at 326-3979 if you have any questi°ns. Sincerely, Barbara Brenner Hazardous Materials Planning Technician cc: Ralph Huey " CITY of BAKERSFIELD Farm and Agriculture U Standard Business ~HAZARDOUS MAT ERIALS INVENTORY 1 1991 NON--TRADE SECRETS: Page of BUSINESS NAME: C~O ~0~l~ OWNER.NAME:~D ~/~.&~ NAME OF THIS FACILITY: fla~es of ~ixture/~oe~onents 1rahs ]y~e ,ax Average Annual ~a~re I {ont ~ont ~on~ Os Code LoDe AeL Aec Est units on /tm,ype ~ress tem~ CooeStore~ In facility See lnstrucUons :omponen~ 12 N~me I :,A,5. Number ~' Fire Hazard B Reactivity ~ Delayed ~:Sudden Release ~ Immediate Health of Pressure Health Component 13 Name I C.A.S. Number Phy~ic~l 10d Health Hazard C.A.S. Humber Component I1' NiBe I C.A.S. Number tCheck ali that apply} Component 13 Hame I C.A.S. Humber Physical(check alland that ,ealthapply)Hazard C.A.S. Number Component Im~ ~mber ~0~' /~ / CoeponenL 12 Naee I C.A.5, Nueber Component 13 Hame I C,A.S. Number Physical end Health Ualard C,A.S. Humber. Component II Hame I C.A.S. Number (C'heck all that applyl , ~__ ,_ ~ Fire Hazard .O Reactivity 0 0elayed 0 Sudden Release ~,,,edi,~,c°.p°nentl2 Name lC.A.,.Number fleal:h of Pressure~ Health Component 13 Hame t C.A,S. Number / ~ Z4 Hr Phon~ , ertifi ariD Re and i n af r corn 1 ting all c ions) this.~ndall~.. ~ cerL,~, un3er pen, l~, o?~ that ] ~av? pe~sona~.examlnq?eq~,m famil,aL,iL¢~e ~nformatlon ,u~mitted in at~ached.d0cvment~, an~ tpa~ cased on.my ~nqu~ry gt.~nose ~no~v~ou~s responsible tot obtaining ihe In,ore,Lion. [ believe L~e ~[~1~1~ ct o~ner/ooer~tor O~ o~n~r/o~erator's authorized reoresen~atlve ~9na~ure ' CITY of BAKERSFIELD HAZARDOUS MATERIAL8 INVENTORY Farm and Agriculture Fi Standard NON--TRADE SECRETS PAge of BVSI_N~S_.S NAME: ~~ ~L~O/~5~/P~NER NAME:. ~-~O ~O~. d~C.~ ~r~ NAME OF THIS FACILIIY: ' / / ]yqe Wax Aver)ge Annual Looe Amt Am~ Est units on rte lnstru:t~O~ Co~e See S~oreo ~n ,, , ~ress Component I~ Name I C.A.S. Number ~ Fire Hazard ~ Reactifitr ~ Oelayed ~Sudden Release ~ lmmedi.ateHealth Health '~ of Pressure Physical 8pd Pealth Hazard C,A.S. NuAber ' Com~onen~ 11 Name I C.A.5. Number . ICheck a]/ that app]~) .. Component t~ Name I C,A.I. Number Fire Hazard B Reactivity ~ Delayed B Sudden Release B Immediate , ' ~ Health of Pressure Health Component 13 Name I C.A.S. Number Phfsic~l 8nd ~esl~h Hszsrd C,A.S, Number Co~¢onenC Physical and HeaRth ~aTard C,A.S. Number. (Check all that appl~l ~ire Hazard ~ealth of Pressure Component 13 Name I C.A.S. Number jL~ .~cV~ent~, inforAaClon. I believe ' su~]tteo imor~mtlon Is true, accurate, Ina co,piece. ~ /,, ~. c~r~cle ~t o(ner/oo~tor o~ owner/o~eP~tor~s authorized representative ~...'~- ' CITY of BAKERSFIELD ~ .... HAZARDOUS MATERIALS INVENTORY and Agriculture S~andard Business ~-J NON--TRADE SECRETS Names of Nixture/Coeoonents 1rahs Naa Averpge Annual NRa~pre I Gont Gont {on( Us toqtion.~he(e. Code e Am( Amc Est un,ts on Ire,ype Press ,emp ComeStoree In ~acll~ty (Check allthat apply) Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release M ]mmediateCOmponent U Name I C.A.S. Number Health of Pressure Health I . Component 13 NAme I C.A.S. Number / %~ p 'Physical Ifld Hellkh HAzArd C,A.S. Number ' Componen~ II '~ I/C.A,S, Number ~ e,re ,azard ~ Reactivity ~ Belayed O Sudde, *elease ~ ,m~%%,¢¢~ I- - Health o¢ Pressure . Component 13 Name I C.A.S. Number Ph,;ical(check a/land thatHealthapply)Hazard C.A.S. Number Component I I~a~ i C.A.S. Number ~ Fire Hazard Baeactivity B0elayed aSuddenReleaSeHealth of Pressure ~im~%~i¢¢~ Component 13 NAme I C.A.S. Number /_" Physical'and Health Hazard C.A.5. Number.~ Component II~m¥1 C.A.S. Number~~ ~ ~v {Check all that ,pplyl , Component 12 Name I C.A.S. Number Health of Pressure~/ Health Component 13 Name I C.A.S. Number ? rtifj~atioq ,(Ref~ ¢.nd.~ign after complcti¢]g.,all.¢ec~f~n~) certify un~er pena~t~ pl~a~ [nqt i navepeEsonal~Lexamln~lqole ~am~l~aC.vitothe]n~oreaupn ~u~mitt~ in this lnd all at~ached.d0cgeent5, anO (pat oaseo on.my ~nqu~ry ~[.tnose ~na~v~aua~s responsible for obtaining the ~nTormat~on. I belzeve that t~ // CITY' of BAKERSFIELD · LOCATION: ~/~,/ ~ /r)~/~ /'(, ~ ADDRESS: I~ J:~(~4X ~'~, '~'' STANDARD IND' CLASS CODE c~¥. zzv~Z IL ;C ~14 ~ CITY, ZZP: ~l~t'~'~ ,~)~- ~i~0~3 DUN AHD BRADSTREET ,UHBER f ' ~ ~ ~S~U~O~ ~ ~OF~ COD~ Irans Iy~ ~x A~ige ~1 ~aSu~ I ~ Cmt ~t ~t he L~ttm ~ I ~ ~ of Rlxt~/~ts (~e C~e ~t ~t Est Un~ts m Site l~ ~l I~ ~ .. St~ in FKllity ~ ~ Inlt~ti~ [ire Kizard ~--a Reactivity ~le~ L--a ~ ~lHse i~tite Health of P~re ~lth P~ical ~d )teilth HIIi~ C.A.S. ~ W~t~v6-- ~t Il ~ & C.I.S. ~ (C~ck all t~t apply) ' ~lth of P~ ~lth ~t I] ~ ~ C.A.S. ~ .... 1 .... 1~'~,'/5 ....... ~ ~-~~7:~;::' flea Ith of P~surt HN Ith ~t 13 ~.& C.A.S. ~ P~ic.I ~ ~lth~.r~ C.A.S. ~ ~ C*~: ~t I1 ~ & C.A.S. ~ (C~K iii t~t Health of ~r~surl Health ............... ,,~-G~.-~h-~d_~ ........... ~..[~[m_~_~ ............... ~-2~ "" ' " ...................... Ce: :if~c~t~ (~ead and s~gn after completing all sections) I certify under ~lty o( 1~ CMO I ~ve ~rsmelly e,amin~ end am feiiliir vith t~ tnforMtim suMitt~ in this ~ li1 IttKM ~ts. a~ tMt ~s~ m W inwi~ of ~l (~lvi~als (or eb~n~n~ ~M inl~Mti~. I ~lieve t~C tM su~itt~ into~Mti~ is t~. accurate, and c~aletl~ ' ' ~i-~i~ ...... : ..................... CITY of BAKERSFIELD ~ ~ ~S~O~ ~R ~0~ COD~ ~lth of P~m ~lth all t~t apply) fledlth of Pr~surm Health ~ ............ certtiV under ~tty ~ im t~t ! ~ve ~rsmiily e=lmin~ ~d lB familiar vJth t~ (nforMtim lu~Jtt~ Iff this ~ 411 att~ ~ts. CITY of BAKERSFIELD LOCATION:--/~i(DI ~, ]/t~O/t' ~qf ADDRESS: I~Oq I~}~'L ~tJt~.. ~.- STANDARD IND. CLASS CODE ~-~lf '~ ~ ~~0~ ~R ~OP~ - -- r n r~ ~t I~ ~&C.A.S. ~ ~lth of P~ ~lth Health of Pr~suel HHlth ((~k all t~t a~ly) Fire Hazard L--Jl~tivity ~--J ~Ta~ ~ ~dd~ReTeise ~J Heai th of Fr~SUrl Hal lib C.::it,cat~ (Read and sign after coJpJeting all sections) Certify ur, der ~)ty of 1~ t~t,I ~ve ~rsmmlly e.amin~ end am familiar eith t~ IMor~t(~ subitt~ iff this ~ 411 IttK~ ~tS. aM t~t ~S~ ~ ~ in~i~ of t~l (~lvl~l)i (o~ obtaining t~ inl~Nti~. I ~lilve t~t t~ Su~ittK infor~ti~ is t~. accurate. ~nd c~a~. ' " ' CITY of BAKERSFIELD ~ ~ gms~xo~ ~oz ~oP~ co~ ~ · Health Of r~iczl end HlaithHazlrd ,. ~lth of Pm~ ~hh .................. (C~k all t~t ap~ly) Health of Pr~sure H~lth ......... Health of Pv~sure Health " ............ [e::ilicat~ /Read and sign after compJeling aJ] sections/ I craftily under ~lty of i~ t~t I ~ve ~rs~llly e~mmin~ end am fmmilimr .tth t~ lnformttm su~ttt~ in this ~ ell ett~ ~ts. a~ t~t Ms~ ~ ~ inqui~ of t~m t~ivt~als r~sible " "'' CITY of BAKERSFIELD LOCATION:_ A/Ct .... ,,~,z=,.f:. ,.,~ ADDRESS: I~q I~C,~ ~ &) STANDARD IND. CLASS CODE ~{I ~,~/q I f'ire ~azard ~--3 Reactivity L_ --~ ~ aei~s I~late ' flea I th of PrflsurI NH Ith ' ~ ........ P~icaJ ~ H~Ich KiZI~ C.A.S. ~ at Ii Nm & C.l.S. ~ ~-~ -- r--~ -- r-~ C~t 12 N~&C.A.S. ~ Co. :~Iicat~ (~ead ~nd sign after co.pleCin~ aJl sections) certify under ~lty of lee t~t I ~e ~rs~oily examin~ and aa f~iJior etth tM tnfor~ti~ su~jtt~ tn this ~ ill IttK~ ~tI. ~ t~t ~sK ~ ~ in~i~ of t~g iMivi&lis r'~siblo io~ ob(Gm~a6 t~ i~t~uttm. I ~lieve t~t t~ su~ittK iatorNti~ is t~ accurate and c~aiete~{ ~, /,/ O~Bakersfield Fire Dept. HAZARDOUS MATERIALS DIVISION Date Completed Business Name: ~'"~ oS ~ 0 [~(,.,)~'~ol~.~/"~ Location: ~ lO ~ ~, I ~'vtor' ~ Business Identification No. 215-000a0~1~ (Top of Business Plan) DEC 1 2 1990 Station No. ~ Shift ~ Ilnspector P--~ ~¢,r'7/5 A0s'd ............ ~,-~//rl ~ Adequate Inadequate ~,~/~ Verification of Inventory IVlaterials ~ Verification of Quantities ~ ,., Verification of Location ~ Proper Segregation of' Material ~ Comments: Cw,,' , o o o 'Or, o ~o c ~5 0:..,r" /'c e¢/ n o '~I on Verification of,MSDS/~,vailablity Number of Employees '~O/5','f/'f/~>~,oO Verification of Haz Mat Training ~ Comments: Verification of Abatement Supplies & Procedures ~ Comments: Emergency Procedures Posted ~ Containers Properly' Labeled ~ Comments: Verification of Facility Diagram ~ Special Hazards Associated with this Facility: Violations: Correction Needed ~ Business Owner/Manager FD 1652 (Rev. 1.90) White-Haz Mat Div. Yellow-S~ation Copy Pink-Business Copy MAR 2 7 1989 (TO~ ~SHT ADEqUaTE COMMENTS UERIF~CAT~O. OF HRZ MAT TRR~HI.6 UER[FICATZON OF ABRT~EHT COMMENTS: UERIFICRTIO. Or FRCILITY OIRGRR,I SPEC]RL HRZREDS RSSOCZ~TED ""'~ CITY .... -"~- .... I Do hereby certify that I have reviewed the 1989 ~'~ ..... ~tt~ched Hez~rdous H~%eri~ls business ~l~n RECEIVED ~o~ (name of business) HAZ. MAT. D~. and that it along with the attached additions or corrections constitute a comDlete and correct Business Plan for my facility. s ~gna~ure x date Costco .o .. - 3]0! (~IL~ORE AVFi M~ ? ~ BAKERSFIELD, CA 93308 HAZ. ~AT. ~IV, January 16. 1989 EVACUATION In the event that evacuation of the building was necessary, the following guidelines would be followed: A_~omma~d_po.~t~_uld _ke ~_.Bp.a~___t~.~embe,.rs.h__ip,,desk which is '1 located near the main entrance ,and exit to the building. II. Security personnel would be dislpatghed to each emergency exit. This would require four individuals to cover the southern side of the building. III. Two individuals would be dispatched from the command post to assist members to the nearest emergency exit. BUSINESS NAME COSTCO ESALE ID ~15-0(~q~-001105 LOCATION 3101 GILMORE HIGH HAZARD RATING I. OVERVIEW LCt'ST~'C,'H~NGE 0tS/~9/88 8Y ESTER JURIS COOE 21S-(,Y~l JURIS BAKERSFIELD STATION 01 MAP PAGE 102 GRID Z3D ..... FR'C'I'LIT~""UNT, TS T HAZARD RRTtNG Z RESPONSE SUMMARY " ZA SEC 4) SUPERVISING HAi~RGER"ON HA'NO' sOLrNOS' A'EC{RF[ B[!ZZER BEHIND COMMAND POST ( MEMBERSHIP "I]£SK ) '~NO~TRE'N "SEES--FReT "R'L.L EMPEOYEES- EVACUATE THE WAREHQUSE t MME'D'[~TEE'¢ THROUGHNEAREST"OF- ;7-E'MERGENC¥ EXIT DOORS. HE THEN SUMMONS NECES-SARY'EHERGENCY SERVICES" VIA ELECTRONIS PAD LINKED TO PRIVATE ALARM COMPANY (FIRE, MEDICAL AND POLICE), EMERGENCY CONTACI; " r. , GRRY COLE - ~r~-,~,,.,.,,;, OR SPENCE WEIGAND - ~Z4-070~ OR UTILITY SHUTOFFS ZA SEC A) GAS - OUTSIDE WAREHOUSE Al' SW CORNER B) ELECTRICAL - INSIDE WAREHOUSE IN RECEIVING SE CORNER C) WATER - OUTSIDE WAREHOUSE N MIDDLE PART OF 8LDG D) SPECIAL - NONE E) LOCK BOX - MANAGERS OFFICE WALL NW (KEYS ONLY) NOTIFICATION / PUBI_IC E~ACUATION ...... L~ST' C~RNGE / / BY < NO INFORMATION RECORDED FOR I'HIS SECTION > PAGE 1 TZ/19/88 11:43 MATERIAL SAFETY"D'AT~'SYSTEMS,'INC."l'805) B48-'B800 BL!$~,N~C"""J,S NPIHE CO.S'I'CO I,,IHO~SPtLE TD NUMBEI!S"000-001105 :~. HAZ M~T TRPIINlrNG SUHMi:~RY LI%'T C:I'-IPiNGE " / / BY 4. L. OC~L. EMERGENCY HEDICflL flSSISTflNCE .... LAST CHANGE 0~/ZB/88 BY ESTER ZA SEC .S) SAN JOr'IQUIN COHMU~I'TY H'OSP'I'Tt~L - ZB1S EYE'ST- 3Z7-1'7il PFIGE Z " 12119188 ' MFITERI-/~L "Si~ETY 'OPiTPi 'S?S'TEISS ~' "IlXlC. (805) "Gz~'B-qSB(/Y~ BUSINESS NAME COSTCO L~ESRL. E ID ZiS-OOO-(ZJq)1105 LOCATION 3101 GILMORE HIGH HAZARD RAT'ING Z FACILITY UNIT R. OVERALL HAZARDOUS MATERIALS INVENTORY L'RST" CF{R~~ I'~/3;'/-88"BY VRL ID TYPE NAME "~ ~AX A~T UNIT H~ZBRD i_OC AT I ON C'O~F~ ~NT-' OSE 1 PURE CL. OROX"BEE'RCH i588 GAL UNKNOWN BACK FOOD RISEE'" PL'RSTIC- CON~'I~R[S]" CEERNING ID PERCENT 'CO'~ONE~S "HAZARD LIST 1165. ~8 1 ~, 8 SODIUM' HYFO'CREORI~ UNI( NOWN Z 'MIXTURE WINDEX GLASS CLEANER B~ GAL MODERATE BACK FOOD AISLE PLASTIC CONTAINER[S] CLEANING ID PERCENT COMPONENTS HAZARD LIST 1154.8~ 48.8 AMMONIUM HYDROXlOE MODERATE 3 PURE VANISH/LIQUID PLU~MER 1~8~ GAL HIGH BACK FOOD RIDLE PLASTIC CONTAINER[S] CLEANING ID PERCENT COMPONENTS HAZARD LIST 1~78,8Z 1~8,8 MURIATIC ACIO HIGH 4 PURE CAL. PRO BOWL CLEANER ...... ZS8 GAL UNKNOWN BACK FOOD AISLE PLASTIC CONt'RI'~R[S] CLEANING ID PERCENT COMPONENTS HAZARD LIST 5 PURE CRL PRO FLOOR'"F~!'~ ZB~ GAL UNKNOWN BACK FOOD AISLE "'PCRSTIC 'CONT'AI~R['S] ....... CLEANING ID PERCENT COMPONENTS HAZARD LIST 6 PURE ROUND~JP LAWN E GARDEN S~ GAL UNKNOWN BACK HRRDLINE AISLE PLASTIC CONTAINER[S] HERBICIDE ID pERCENT COMPONENTS - H~ZRRD LIST -18S7.~8 188,8 HERBICIDES ' ' UNKNOWN '7 PURE DEADLINE - SLUG KILLER lIS GAL UNKNOWN BACK HRRDLINES RIL~ PE'R'STIC"~'COf~R~NER[S7' HERBICIDE ID PERCENT COMPONENTS " HAZARD LIST -- 1856,~ 1~8,8 INSECTICIDES UNKNOWN 8 PURE ORTHO MALATHION ' ' lIS GAL HIGH BACK HRRDLINES AISLE GLASS CONTAINER[S] INSECTICIDE ID PERCENT COMPONENTS ......... HAZARD LIST I14,4,88 1~8,8 MALATHION HIGH 9 PURE CRL CHLOR 5~8 LBS HIGH BACK HRRDLINES AISLE PLASTIC CONTAiNER[SI WATER TREATMENT ID PERCENT COMPONENTS HAZARD LIST PAGE 3 1Z/19/88 11:43 MATERIAL SAFETY DATA SYSTEMS, INC. (80S> G48-G800 BUSINESS NAME COSTCO IiSALE ID NUMBEI s- ' -e l14S LOCATION 3101 GILMORE HIGH HAZARD RATING 2. FACILITY UNIT 01 FI, OVERRL. L HHZflRDOUS MATERIALS INVENTORY ( * CONTINUED * > L-FIST'CHRNGE~. f'~I31/'88'EDF'VRL' ID TYPE NAME MAX RMT UNIT HAZARD t. 0£ AT I ON C ONTFt'I'NMENT' USE B PIJRE CRL CHL, OR S4~X~) LBS HIGH ( * CONTINUED * ) ' IO PERCENT COMR~T~ HAZARD LIST 1S3B,~0 10'4~O'CRLtTI'OM 'HYPOCHIZORITE HIGH PURE GE SILTCONE"IT' Gee LBS UNKNOWN BAKC HARDLINES AISLE PLRE~IC CONT~INER[S]''ADHE. SIVE ID PERCENT COMPONENTS .... HAZARD LIST 2~98.01 1~.0 SILICONE'OIL UNKNOWN PURE ZEREX ANTIFREEZE ......... t404 G~L UNKNOWN ~UTOMOTIVE ~ISLE PL~'IC CONTaINER[SI COOLANT ID PERCENT COMPONENTS HAZARD LIST 2808.00 100.0 MOTOR OIL UNKNOgN IZ PURE COLA SHET"RE_FRIGERFYNT"' R-T'Z .... 9SZS LBS LOW ~UTOMOTIVE RI SLE FI~'D ~PRESS.'TANKS C(]OLANT ID PERCENT COMPONENTS ........ HAZARD LIST 108G. 00 ; 40.0 OI CHLORODIFLOOROMgETHRNE LOW P[JRE GUNK BRAKE FLUID '- 200 GAL UNKNOWN 8U'TOMOTIVE AISLE METi~L"CONT~INERS' 'LUBRICANT ID PERCENT COMPONENTS ..... HAZARO LIST 1224.00 100,0 BRAKE 'FLUID, RYDR~UCI'C UNKNOWN 14 PURE GUNK ENGINE'~EGRERSER" 400 LBS HIBH AUTOMOTIVE AISLE "MET.RL'CONTRI'NERS '~ CLEANING ID PERCENT COMPONENTS ........ HAZARD LIST )146.07 10e.0 DEGREASER HiGH 15 MIXTURE G~JNK CRRBORRTOR"C'LERNER 400 LBS EX'rREME ~UTOMO'FIVE AISLE '~ETRL'CONT~INERS CLEANING iD PERCENT COMPONENTS H~ZARD LIST 2~4,(De 2S.0 METHYLENE CHLORIDE MODERATE Z580,41 20.0 TETRACHLOROETHYLENE HIGH 1061.01 lZ,O CRESYLIC R~IO HIGH lZe3,~ iZ.O"NAFF~TH'R EXTREME 1759.04 10,0 'I,~DICltUDROB£NTENE HIGH PURE GUNK PUNCTUFTE SEAL '' 600 LBS UNKNOWN AUTOMOTIVE RI'SLE ' MET'AL CONTRINERS SEALER ID PERCENT COMPONENTEF' HAZARD LIST PRGE 4 '" IZ/19188 11:43 MRTERIHL'SAFE-FY' DRTR' SYS'TEM~, INC'. C80SJ'G~B'-G800 BUSINESS NAME COSTCO ~ALE ID NUMB S-0~-001105 LOCATION 31(~1 GILMORE HIGH HAZARD R~TING Z FACILITY UNIT 01 OVERALL HAZ'AROOUS MATERIALS INVENTORY ( * CONTINUED * ) LAST"CRAT~IGE'" ~OT3T/88"'BY"~rF~'~' ID TYPE NAME MAX AMT UNIT HAZARD LOC AT I ON CONT~'I'[~Ir~E~IT' USE I? MIXTURE WD 40 1500 GAL EXTREME AUTOMOTIVE AISLE ..... P[.AST~C"COFITCl'INEI~£ S] LUBRICANT ID PERCENT COMPO~NTS HAZARD LIST 1~0~.07 50.~ MINER~"SFI'~TS' EXTREME Z?~G.~ 15.~ PETROLEUM CRUDE OIL UNKNOWN 18 PURE MECHANICS PARTS CLEANER S00 GAL EXTREME AUTOMOTIVE AISLE DRUMS OR BARRELS ~E'I'.~ CLEANING ID PERCENT COMPONENT~ HAZARO LIST tZ03,00 100~0 NAPHTHA EXTREME 19 PURE VAL. VOLENE OIL. (MOTOR OIL) 7500 GAL UNKNOWN BACK BULK W~LL PLASTIC CONTAINER[S] LUBRICANT ID PERCENT COMPOlqENTS" HAZARD LIST Z808.04~ 1(~0,0 MOTOR OIL UNKNOWN B, FIRE PROTECTION / WATER SUPPEI'ES" L. AST"CHANGE OG/Zg/88 BY ESTER SEC 4) THERE ARE HEAT SENSORED OVERHEAD SPRINKLERS EXHAUST FANS (AUTOMATIC) THAT BLOW SMOKE OUT OF THE WAREHOUSE-..' SEVERAL FIRE EXTINGUISHERS THROUGHOUT THE W'AREHOUSE~ ~OTO'M~I'C ALARM TO PRIVATE COMPANY AND THE SAME MRNRGER'SUFERg'I'SED'EV~CUATION PROCEDLIRES APPLY. SEC 5) 4OFT SOUTH AND WEST OF SW CORNER OF WAREHOUSE PAGE S IZ/19/88 11:4~ MATERIAL S~FETY DA'FA SYSTEMS~ INC. (805) B48-B800 BUSINESS NAME COSTCO WF~I~ESALE ID 15-000-00110~ LOCATION 3181 GILMORE HIGH HAZARD RETING Z O~ EMPLOYEE NOTIFICATION / EVACUATION "[~'~"'CFi~NGE"'~'~G/Zg/88 By ESTER,' .... ~R SEC Z) COMMAND P'OST ~l~DS 'RL~'~.' E'~LOY~S ~VE BEEN" 'TRAINED TO EV~CUA'rE THEMSELVES' ~"REE"CUS~MERS' 'FROM' BEOG'. ffR'NRG~S' ON HAND ARE RESPONSIBLE"FOR Q'URRR~EEING"CL'ERRR-~E" OF-SPECIFIC- AREAS OF WAREHOUSE. SUPE'~'TS'ING~'T~ER'~DE~'~TN~' SERIQUSNESS OF SPILL OR FIRE. C'RL'L"B'I l' "R~ "RC'I~gATE "ELE'CTRONIC SUMMONS 'PAD ( FIRE, MEDICAL E. MITIGATION / PREVENTION '/""ABATEI'IENT ..... [AST"CH~N6E'OG/Z9/88 BY ESTER SEC 1) MITIGATION: HAZARDOUS ITEMS'"ARE'GENERALL, Y SMALL UNITS PACKAGED FOR R~S~EE~ NOT'OPEN'OR-'fIN"USE", PREVENTION AND"ABRYE~ENT:'"~USTORE~S A~D EMP[;OYEES PREVENTED FROM EXPOSURE TO"RAZAROOUS'S~TU~TION~ IF NECESSARY EVACUATION IS EXECUTED." CLEAN-UP DEPENDS ON NATURE OF ~ ~OC~T~'E~T~'OF"SPIC[T. ~BOV~'RLL', ENSURE' PREVENTION OF SPREAD'OF PROBLEM, COMPANY ALSO ALREADY HOLDS MONTHLY SAFETY COMHITTEEMEETTNGS'UHICH ADDRESS POTENTIAL HAZARDS AND SEES TO CORRECTING THEH. PAGE G " tZ/IB/B8 11;~3 MATERIAL SAFETY"'DATR'S¥STEMS,'INC."(-8~S)"G4B~'G'800 . CITY of BAKERSFIELD LOCATION:_ 3tOt~;--'/,.>,crC, ~U~ ADDRESS:, ((~k all t~ ~ly) ~ ~-' - ~-' '~ ~" "~'"" ~ ~lth of Pm~m , ~lth ,' ,,, (C~k ell t~ ~ly) ~lth of P~ ~lth .... Helth of P~re N~lth P~ical ~ blth ~z~ C.A.S. ~ at II Health. of Pr~sure Health ......... 21'~'P~ ? --':' lii-~ · -' - ~ ........ ~1t ....... Ce;':ificat~m (Head and sJ~ after compJe(JnK aJJ sections/ fo~ obtaining t~ int~ttm. I ~;~eve t~t t~ sumitt~ info. tim ~s t~. accurate. ~ CITY of BAKERSFIELD LOCATIO":- ' ,/),/Of(, ~e ADDRESS: l~ I~C~k ~V~ ~,~, ·STANDARD IND. CLASS CODE ~3),l CITY. ZIP: I~' ~1~ ~)~ CITY. ZIP: <{~i~ i~-- q'~O~ DUN AND BRADSTREET NUMBER · blth of Pmm blth .... Health of P~su~ H~lth ..... (C~k oll t~t a~ly} ~t I1 hiC.A.S, i ~--~ r--~ -- -- C~t I~ ~&C.A.S. ~ Xeelth of Pr~sure Health ........... Ce: :ificat~ (R~B~ and si~ after completing all secCJonsJ : certify ~de~ ~lty of 1~ t~t I ~ve ~rs~illy e.~min~ .nd ~m femililr vith t~ tnfo~wtim su~itt~ in this ~ ell ~tt~ ~ts. ~ t~t ~s~ m ~ in~i~ of t~l i~{vt~ls ~sible CITY of BAKERSFIELD .CITY, ZIP: ~)d O~ ci~(~ CITY, ZIP: ~lgU~ . ~)~. C~/3B~ ' DUN AND BRADSTREET (~e C~e bt ~t Est Un,tS m Site I~ P~ IW ~ St~ tn F~Slfty~' Physical ~lth of P~ ~ith ......... (C~k ~11 t~t apply) H~lth of P~su~ HNIth ........ C~;:~(ic~t~ tRead a~.sJgn after compJetJng aJJ sectlons) I certtfy ~dee ~ty ~ 1~ t~t ! ~ve ~rs~elly e~pin~ ~d aa f~il~ar elth t~ tnformt~m su~itt~ tn thts ~ eli att~ ~ts. a~ t~t ~s~ m W in~iW of t~e ~tvt~ls ~sible for obtamsnn t~ int~ti~ J ~lieve t~t t~ su~itt~ info--tim is t~ accurate ~d c~ple~ CITY of BAKERSFIELD '- CITY, ZIP:_ (~ k:~l['} ~ ~ ~.~ CITY, ZIP: ~ ~e C~ ~ ~t Est U~tts ~ Site T~ ~ T~ '- r--~ r--~ r--~ r--~ ~t itek ~11 t~t ~IY} - r--a r--~ ~--~ r--~ ~t ~ith ol Prom ~lth P~ical ~ ~lth ~z4~ C.I.S. ~ ./o'6'~~ IC~k M~ t~t - -- r -- ~ -- -- r -- ~ ~ ~ F~ee Hazed ~--~ R~tivity ~ ~ ~la~ [ ~ ~dm qelHse ~_d I~iate H~lth of P~su~ 8~lth ~ ............... (C~k all t~t a~ly) ;-~ ~ ' ~-~ E-] ~-~ c~t,~ N~IC.A.S.~ Health . of Pr~sure Health Ce; :ificat1~ (Read a~ sJ~ after compJetJnE aIJ sections/ Io, obtaining t~ interim. I ~li~e t~t t~ sumitt~ infor~tim is t~. accurate, end ~9,atu~e " ' .......... ~i~i~ ....... CITY of BAKERSFIELD NUMbeR ~e C~e Mt Mt Es~ ~ts ~ S4t~ i~ ~g TW ~ St~ ~n FKtlttyK ~ Inst~tiW (C~k ~11 t~t apply) fl~lth of P~su~ NNtth (C~k 411 t~t l~y) Health of 9r~sure ' Health ' ........... Ce:':if~cat~ (Read and sJRn after compJet~nE ail sections) '~ I certtfv ~dee ~lty of 1~ tMt I ~ve ~rs~ally exai~n~ and aa familiar etth t~ Jnfor~tJ~ su~ttt~ tn thts ~ ill ettKM ~wCs. a~ t~t ~s~ ~ ~ in~ of t~e tMtv1~als r~s~ble fo~ obtaininq t~ tnf~Mt~. I ~lieve :~: t~ su~itt~ intoeMt~ is t~, accurate, and (T~P ~IGHT CORNER ~US ~L,~N~ - ~D~OU~TE ~OMMENTS: .? COHMENTS: UERIrICRTIOH OF fACILITY OIAGRA. ~ m SPECIRC HRZR~DS RSSOCIRTED UITH 1:HIS FRCiCiTY: UIOL~T~OHS: ~ ,,-q 0 Bakersfield Fire De~. -' Hazardous Materials Inspection Date Completed Business Name: _(~,5'/c°~,O Location: ,~/~// ~/3/,,,~~ Plan ID # 215-000 ~ (Top right corner Business Plan) Station No. Shift Inspector Adequate Inadequate Verification of Inventory Materials 71 Verification of Quantities [--] Verification of Location Proper Segregation of Material · ' ua,>'/ '--'/'~ -~' Verification of MSDS Availabilit~ Number of Employe~ ./]~ Verification of Haz Mat Trainning Emergency Procedures Posted ~ntainers Properly ~bled Comments: Verification of Facility Diagram [---] [~ Special Hazards Associated with this Facility: Violations: FO 1652 (Rev. 3-89) ~ " ( ~ BAXERSFIELD CITY FIRE DEPARTMENT ~.$ BAKERSFIELD, CA 93301  OFFICEAL USE ONLY US :NESS HAZ ARDO:US ~TER: ALS INSTRUCTIONS: 1. To avoid further action, return this form by 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for tile business as a whole. 4. Be as brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA B. LOCATION / STREET ADDRESS: CITY: ~ ~(e'~F'7~f~ ZIP: ~?~PS BUS.PHONE: (~f~) SECTION 2: EMERGENCY NOTIFICATIONS In case of an emergency involving the release or threatened release of a hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4341. This will notify your local fire department and the State Office of Emergency Services as required by law. EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME/AND TITL~ DURING BUS. HRS. AFTE~ BUS. HRS. / SEgTION 3: LOgATION OF ~ILI~ S~-OFFS FOR BUS~SS AS A ~OLE B. ELECTRICAL: ~'~ ~;~ D. SPECIAL: ~ Lock sox : ~,/ ~'o IF YES, DOES IT CONTAIN SITE PLANS? YES /~ MSDSS? YES ./~ FLOOR PLANS? YES/~ KEYS? ~ N0 - 2A - SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOL~ BUSINESS AS A WHOLE SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND C. PROPER USE OF SAFETY EQUIPMENT: .................. ~ NO YES D. EMERGENCY EVACUATION PROCEDURES: ................. -~ NO YES.-. E. DO YOU :MAINTAIN EMPLOYEE TRAINING RECORDS: ....... YES (~ YES SECTION ?: HAZARDOUS MATERIAL CIRCLE YES -. NO - NONE , DOES YOUR BUSINESS HANDLE HAZARDOUS ~{TERIAL IN' QUANTITIES LESS THAN 500 POU~0F A SOLID, $$ GALLONS OF A LIQUID," OR 200 CUBIC FEET OF A COMPRESSED GAS: ..... I, ~Cf~ ~/~ , certify that the above information is accurate. I understand that this information will-be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25500 Et Al.) and that inaccurate information constitutes perjury. SIGNATUR ~ TITLE ~re~a~fe ~'e~Z. DATE //-~'' BAKERSFIELD CITY FIRE DEPART3. IENT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFiCiAL USE ONLY ID# BUSINESS NAME: BUSIIqESS. PLAN SINGLE FACILITY UNIT F(DRM 3A INSTRUCTIONS 1. To avoid further action, this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN F. NGLISH. 3. Answer the. questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as possible. FACILITY UNIT~' FACILITY UNIT NAME: SECTION 1: MITIGATION, PREVENTION, ABATEMEN'r PROCEDL~ES ~,~ ~' Ore, . a ; ,,~ laS~" .... SECT[ON 8: NOTIFICATION A~ EVACUATION PROCEDL~ES AT THIS 5~IT ONLY SECTION 3: HAZARDOUS MATERIALS FOR THIS IF~IT 0NIY A. Does tills Facility Unit contain Hazardous >[ate:'i~!s? ...... ~ NO If YES, see B. If NO, continue with SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secret YES If No, complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form ~4A-1) If Yes, complete'a hazardous materials inventory form marked: TRADE SECRETS ONLY (~'ello~ form ~4A-2) in addition to the non-trade secret form. List only the trade secrets on form 4A-2. SECTIOM 4: PRIVATE FIRE PROTECTION SECT~O~ 5: ~OCAT~ON OF WA~R S~PLY FOR USE BY E~RGENCY RESPO~ERS SECTION 6: LOCATION OF UTILITY SHIo~r-.OFFS AT THIS b~IT ONLY. A. .~'AT. GAS/PROPANE~ B. ELECTRICAL: C. WATER: O. SPECIAL: E. LOCK BOX: YES / "O~IF YES, LOCAT!05:: TF YES, STTE PLANS? '¢ES /~ .',ISD.qs? g,Z9 .~ FLOOR PLANS? YES F,E¥S? YES , NON--TRADE SECRETS HAZARDOUS MATE:RI ALS' I NVENTORY /~USINES,~ NADIR: ~'5[~ ~)~o(~5~(~ OHNER NANE: FACILITY UNIT Al)PRESS:__ '~/ ~'/~-, ~, , ADDRESS: FACILITY UNIT NANE: I ONLY BAKI~RSFIlf, I,U (;I'I'Y l"li~g ,D. :I FORH 4A-! P~ge NON--TRADE SECRETS IIAZ ARDOUS MATERI ALS' INVENTORY BUSINESS N^ME: ~:75/~e..-· ~Ao//~$~'ff~ OWNER NAME: FACILITY UNIT Al)DRESS:. '~;o'l ~,'/~kO,,-e. ~. AUDRESS~ FACILITY UNIT NAME: CITY. ZIP: ~ ~e~r ~.'e~ ~7~ CITY,ZIP: PI1ONE ~: ]&O-~ PIlONE ~: [OFFICIAL USE C~iRs' I ONLY (~ AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. ClIEMIUAL OR COMMON NAME. ~ CODE ....... ~ ~[~ D , tt ' ~ " ," ~,o~ 3~ , ,, . ~ 1 ~ . ,, IAME: ~ ~ ~__~ f~ TITLE: ~,~.. ~ SIGNATURE:. - .4a-I -