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Home My WebLink AboutBUSINESS PLANHazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF .PERMIT ON REVERSE SIDE This hermit is Issued for the followirm: [] Hazardous Materials Plan [] Underground Storage of HazardOus Materials [] Risk Management Program [] Hazardous Waste On.Site PERMIT ID # 015-021-002029~ RITE AID DRUG LOCATION 1.425 Issued by: Bakersfield Fire Departme .~., OFFICE OF ENVIR ONMEN~'AL SER VICES'. 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Exp~tion Date: ·June 30= 2003 ' ' : il~EC UNIFIED PROGRAM ;TION CHI-'CK~iST~~ ~~ '1 ~e' n~o r~'~'~-~(:;g r~a m ~ Bakersfield Fire Dept, Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS PHONE No. No, of Employees FACILITYCONTACT Business ID Number [] Routine :: :' Section l:'Business Plan and InventOry program [] Combined I'1 Joint Agency [] Multi-Agency [] Complaint [] Re-inspection C V { C=Compliance '~ OPERATION ~. v=violation [] APPROPRIATE PERMIT ON HAND ~ [] BUSINESS PLAN CONTACT INFORMATION ACCURATE '~,~' ~ EMERGENCY PROCEDURES ADEQUATE "~ [] CONTAINERS PROPERLY LABELED ~ [] HOUSEKEEPING COMMENTS ............ VISIBLE ADDRESS CORRECT OCCUPANCY VERIFICATION OF QUANTITIEsVERIFICATION OF INVENTORY MATERIALS / ........... ~ ~/'/~ ~ ~'~ ~;;~ ~_~_~_._~__~_._Z~___-/- ...................................................................... ........... ~iJ i' ,'? C' ~ ............................... VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES '~ [] FIRE PROTECTION ~ [] S~TE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: [] YES r"~No EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector Badge No. Business Site Responsible Party /^ White - Environmental Se~ices Yellow - ~ation Copy Pink . Business Copy RITE AID DRUG STORE #5811 SiteID: 015-021-002029 Manager : TODD CRABTREE Location: 1425 S H ST City ~: BAKERSFIELD CommCode: BAKERSFIELD STATION 05 EPA Numb: BusPhone: Map : 124 Grid: 06C (661) 833-1680 CommHaz : Low FacUnits: 1 AOV: SIC Code:5912 DunnBrad: Emergency Contact / Title ~~k~T~W~ / MANAGER Business Phone: (~i)~2 ~74~ 24-Hour Phone : ~L$__~x Pager Phone : ( ) - x Emergency Contact Business Phone: 24-Hour Phone : Pager Phone : / Title / ASSIST MANAGER (661) 322-6073x (661) 664-0297x ( ) - x Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact : TODD CRABTREE MailAddr: 1425 S H ST City : BAKERSFIELD Phone: (661) 322-6073x State: CA Zip : 93304 Owner RITE AID CORP Address : PO BOX 3165 City : HARRISBURG Phone: (717) State: PA Zip : 17105 76x12633 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: ~ Hazmat Inventory ,-~-.Alphabetical Order Hazmat Common Name... MOTOR OIL PHOTOGRAPHIC BLEACH PHOT()GRAPHIC BLEACH PHOT()GRAPHIC DEVELOPERS PHOT()GRAPHIC DEVELOPERS PHOTOGRAPHIC FIXER PHOTOGRAPHIC STABILIZER PHOTOGRAPHIC STABILIZER PROPANE One Unified List Ail Materials at Site ISpecHazlEPA HazardsI Frm F DH L IH L IH L R IH L R IH L IH DH L IH L IH L F P IH G E I DailyMax (UnitlMCP 270 00 GAL 2 00 GAL 5 00 GAL 5 00 GAL 5 00 GAL 5 00 GAL 9 00 GAL 29 0'0 GAL 144 00 FT3 Min Low Low Mod Mod Low Min Min Hi 07/01/2002 FACILITY NAME ~;~e ~J'c~ ADDRESS iqS?~' FACILITY CONTACT INSPECTION TIME__..~o ~ ~..__. CITY OF BAKERSFIELD.FIRE DEPAIRTMENT OFFICE OF ENVIRG,NMIENTAL SEIRVIlCES UNIFIED PROGRAM[ IINSPECTION CHECKLIST 1715 Chester Ave., 3rd Flloor, Bakersfield, CA 93301 INSPECTION DATE ~' i ~ t "~. o 'z... PHONE NO. b~ t ~'33 -i BUSINESS ID NO. 15-210-OrA. o.~.q NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program Routine [~ Combined [~l Joint Agency [-II Multi-Agency [,~ Complaint [2} Re-inspection OPERATION C V COMMENTS Appropriate permit on hand /k< Business plan contact information accurate /,~ Visible address _ /~ m Correct occupancy ~ ~ Verification of inventory materials Ver,. at o o. -X" Verification of location .~ m ¢dF.~r.~.~.4, Proper segregation of material _ ~" Verification of MSDS availability _ ~. ~ Verification of Haz Mat training _ ~ ~ Verification of abatement supplies and procedures _~ __ Emergency procedures adequate ~: Containers properly labeled ~ Housekeeping .- ~ ~ Fire Protection ~ Site Diagram Adequate & On Hand - 5 ~ C=Compliance V=Violation hazardous waste on site?: [21 Yes ~])No Any Explain: Questions regarding this inspection? Please call us at (66 i ) 32,6-39'/9 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Bustness itc Responsible Party .- ~lnspector: ~,O'~''9'~-~---~-~ 'CITY OF BAKERSFIIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVIICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME "'~, ~ g~ t,~~'~'-l>fl'~ rTZ INSPECTION DATE ADDRESS / t4' ~. ~- ~ ..I_d. · PHONE NO. FACILITY CONTACT_ ~-o-r~t, ~:~'~..~,,,r BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program "~outine [21 Combined [2] Joint Agency [21 Multi-Agency [,~ Complaint [~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Verification of inventory materials Verification of quantities ~< .- ( ~ ~ ~ ~r~,~,~2_~.~ Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate ~<~ Containers properly labeled Housekeeping ~.. Fire Protection Site Diagram Adequate & On Hand ..~ C=Compliance V=Violation Any hazardous waste on site?: Explain: Yes ~ No Questions regarding this inspection? Please call us at (661) 326-3979 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Busifiess S~t~'Responsible Party Inspector: DO~' RITE AID DRUG STORE #5811 Manager : TODD CRABTREE Location: 1425 S H ST City : BAKERSFIELD CommCode: BAKERSFIELD STATION 05 EPA Numb: SiteID: 015-021-002029 BusPhone: (661) 322-6073 Map : 124 CommHaz : Low Grid: 06C FacUnits: 1 AOV: SIC Code:5912 DunnBrad: Emergency Contact / Title Business Phone: (661) ~%~n--~ 24-Hour Phone : (661) 833-3983x Pager Phone : ( ) - x oEmergency Contact Business Phone: 24-Hour Phone : Pager Phone : / Title / ASSIST MANAGER (661) (661) ( ) - x Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact : TODD CRABTREE MailAddr: 1425 S H ST City : BAKERSFIELD Phone: (661) 322-6073x State: CA Zip : 93304 Owner RITE AID CORP Address : PO BOX 3165 City : HARRISBURG Phone: (717) State: PA Zip : 17105 76x12633 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: = Haz~at Inventory --As Designated Order Hazmat Common Name... MOTOR OIL PROPANE PHOTOGRAPHIC DEVELOPERS PHOTOGRAPHIC BLEACH PHOTOGRAPHIC FIXER PHOTOGRAPHIC STABILIZER PHOTOGRAPHIC DEVELOPERS PHOTOGRAPHIC BLEACH PHOTOGRAPHIC STABILIZER [SpecHaz[ One Unified List Ail Materials at Site DailyMax ~nit MCP EPA HazardsI Frm E F F P DH L IH G R IH L IH L IH DH L IH L R IH L IH L IH L 270.00 GAL Min 144.00 FT3 Hi 5.00 GAL Mod 2.00 GAL Low 5.00 GAL Low 9.00 GAL Min 5.00 GAL Mod 5.00 GAL Low 29.00 GAL Min -1- 02/27/2001 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 May 3, 2001 Mr. Todd Crabtree Rite-Aid Drug Store #5811 1425 S. H Street Bakersfield, CA 93307 Dear Mr. Crabtree: Enclosed, please find the Site,, and Facility Diagram Instructions packet.. When your Hazardous Materials Management Plan and Inventory were submitted it was lacking the diagram portion. Please draw and sUbmit the diagram(s) of your facility by June 8, 2001. The diagram should include the following: 1) 2) 3) 4) 5) 6) 7) 8) 9) name of your business; business address; indicate which direction is North; the cross streets neighboring business addresses (within 300 feet) entrances and exits location of utility shut~offs; location of the neares~L fire hydrant; portions of the building protected by automatic sprinkler system; and most importantly the location of the hazardous material(s). If you have any questiOns, please feel free to call me at (661) 326-3658. Thank you for your assistance. Sincerely, RALPH E. HUEY~ DIRECTOR OFFICE OF ENVIRONMENTAL SERVICES Esther Duran, Accounting Clerk II Office of Environmental Serv!ices ED\db Enclosures RITE AID DRUG STORE #5811 ./ SiteID: 215- 000- QJ3.l~r~6 Manager : TODD CRABTREE Location: ~_~9~7~ ~ ~-~ City : BAKERSFIELD ~330~ BusPhone: Map : 102 Grid: 36D (~/) 322-6073 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 06 EPA Numb: SIC Code:5912 DunnBrad: Emergency Contact TODD CRABTREE Business Phone: 24-Hour Phone : Pager Phone : / Title / MANAGER (~/) 322-6073x (&&/) 833-3983x ( ) - x Emergency Contact / Title MITCH LATEY / ASSISTANT MGR Business Phone: (~/) 322-6073x 24-Hour Phone : ~) 664-0297x Pager Phone : ~ ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : MailAddr: 2305 BRUNDAGE LN City : BAKERSFIELD Phone: (805) 322-6073x State: CA Zip : 93304 Owner RITE AID CORP Address : PO BOX 3165 City : HARRISBURG Phone: (717) 761-2633x State: PA Zip : 17105 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: ~ Hazmat Inventory --As Designated Order Hazmat Common Name... ISpecHazlEPA MOTOR OIL F PROPANE F P One Unified List Ail Materials at Site HazardsI FrmI DailyMax Unit MCP DH L 270.00 GAL Min IH G 144.00 FT3 Hi I,/3fl~ ®. ~~ Do hereby certify that I have merit plan ~or~i'~ ~¢ cO~' and lha~ i~ along with ' (Na~ of ~s~o~) any corrections consiituts a c°mple~ and correct man- agement plan ~or my ~acili~y. Signature/' \ -].- 05/08/2000 RITE AID DRUG STORE #5811 SiteID: 215-000-001156 ---- Inventory Item 0001 ]Facility Unit: Fixed Containers on Site ~UIVUVlU~ ~Vl~ / ~£ ~_/--X_..~ ~Vl~ MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid:' AISLE 20 CAS# 8020835 FSTATE ~ TYPE Liquid /Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest ContainerGAL AMOUNTS AT THIS LOCATION Daily Maximum 270.00 GAL Daily Average 100.00 GAL HAZARDOUS COMPONENTS 100.00 Motor Oil, Petroleum Based ITSecret ~S BioHaz No N No HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F DH NFPA /// USDOT# MCP Min ----- Inventory Item 0002 -- COMMON NAME / CHEMICAL NAME PROPANE Location within this Facility Unit MIDDLE OF STORE AISLE 16 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# 74-98-6 FSTATE ~ TYPE Gas /Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Largest ContainerFT3 AMOUNTS AT THIS LOCATION Daily Maximum I 144.00 FT3 Daily Average 48.00 FT3 I%Wt. I 100.00 Propane HAZARDOUS COMPONENTS 74986 TSecretINO N~S BioHazNo HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards' No/ Curies F P IH NFPA /// IUSDOT# ' -2- 05/08/2000 RITE AID DRUG STORE #5811 SiteID: 215-000-001156 Fast Format ~ Notif./Evacuation/Medical --Agency Notification CALL 911 Overall Site 04/12/1995 -- Employee Notif./Evacuation 04/12/1995 CLERKS ARE TRAINED TO EVACUATE THEMSELVES & CUSTOMERS THROUGH OUR EXIT DOORS. MANAGERS ARE TO NOTIFY FIRE DEPT, TURN OFF AIR VENTS AND EXIT -- Public Notif./Evacuation 04/12/1995 WILL EVACUATE BY LOUDSPEAKER SYSTEM A~ WALK STORE, TIME PERMITTING. Emergency Medical Plan MEMORIAL HOSPITAL 04/12./1995 -13- 05/08/2000 RITE AID DRUG STORE #5811 SiteID: 215-000-001156 Fast Format ~ Mitigation/Prevent/Abatemt --Release Prevention Overall Site 04/20/1992 SINCE THIS IS A'RETAIL STORE, WE HAVE ONLY OCCASIONAL MINOR SPILLS OF MOTOR OIL WHICH ARE WIPED UP, MATERIALS ARE STORED IN SMALL QUANTITIES WHICH ARE PACKAGED FOR RETAIL. WE TRY TO PREVENT ACCIDENTS BY HAVING SAFETY TOPICS EACH MONTHLY MEETING. CUSTOMER BREAKAGE OF CONTAINERS OF HAZARDOUS MATERIALS ARE HANDLED BY A MANAGER OR STOCKMAN USING A MOP. -- Release Containment 04/20/1992 MOTOR OILS ARE IN 1 QUART PLASTIC BOT?LES. SINGLE BOTTLE SPILLS WOULD BE CONTAINED BY USING PAPER TOWELS. MUL?IPLE BOTTLE SPILLS WOULD BE CONTAINED BY USING KITTY LITTER AS AN ABSORBENT AND LEAKING PROPANE BOTTLES WOULD BE TAKEN OUTSIDE TO VENTILATE IN THE OPEN AIR. THESE BOTTLES ONLY HOLD 16 OZ.. -- Clean Up 04/20/1992 WOULD CONTACT A LICENSED WATE DISPOSAL COMPANY SPECIALIZING IN HAZARDOUS MATERIALS. Other Resource Activation -~:- 05/08/2000 RITE AID DRUG STORE #5811 SiteID: 215-000-001156 Fast Format Site Emergency Factors Special Hazards Overall Site --Utility Shut-Offs 04/12/1995 A) GAS - ALLEY WAY BETWEEN STORE AND DINER B) ELECTRICAL - BACK HALL DIRECTLY BEHIND OFFICE 15-20 FT FROM BACK DOOR C) WATER - SAME AS GAS D) SPECIAL - NONE E) LOCK BOX - NO -- Fire Protec./Avail. Water 07/23/1997 PRIVATE FIRE PROTECTION - SPRINKLERS, FIRE "(HEAT) SENSORS ON CEILING AND FIRE EXTINGUISHERS THROUGHOUT PREMISES. FIRE HYDRANT - LOCATED NORTHEAST CORNER OF BRUNDAGE & A ST AND SOUTH CORNER OF HUGHES LN & ROBBIN RD. Building Occupancy Level -5- 05/08/2000 RITE AID DRUG STORE #5811 SiteID: 215-000-001156 Fast Format ~ Training -- Employee Training WE HAVE 17 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: W~[LL GO OVER HAZARDOUS MATERIAL HANDLING BY STORE MEETING ONCE A MONTH. THE STOCKMEN WILL GET ONE-ON-ONE TRAINING. Overall Site 07/23/1997 -- Page 2 --Held for Future Use Held for Future Use -6- 05/08/2000 Section II1: Inventory INVENTORY SUMMARY ,-'ACILiTY NAME: Inventory Summary Item ~lame of Hazardous Material or Waste Maximum Unit o! ~ ~ Quantity Measure 1 I~ Kodak Flexicolor Developer Repilnlsher LORR 4 gallons 2 Kodak Flexicolor RA Bleach Reptinleher NR 1 gallons ~ ' 3 Kodak Flexicolor RA Fixer & Repiinlsher 4 gallons 4 Kodak Flexicolor Stabilizer & Reptlnlahsr LF 8 gallons 5 Kodak Ektacolor RA Developer Reptiniaher 14 gallons 6 Kodak Ektacolor RA Bleach Fix & Replinlsher 14 gallons 7 I Kodak Ektacotor Prtme Stabilizer & Rel~linisher 28 gallons gate Prepared: Summarize the bu~tn$~ plan inventory on ~1. page. Place In front c~f Inventory .ectJon of bu~4ne~ I>tan. Make co=tea of thta sl~ll~ or (replicate on a coml~ute~) aa HAZARDOUS MATERIAl. INVENTQRY FORM FlfoT Non-Trade Se=ret Page FACILITY NAME:r~.iT~: ~ I 0 _~/I rrna# Chemical Name: Keda~ FlexJc~ler Develooe~ RepliaJa~a' LORR CAS a- Common Name: ~ ~ DOT ~- Physical HazerS: FIRE: PRESSURE: R~CTNE: . Health Hazard: IMMEDIATE HEALTH: DE~YED HEALTH: __ Phym~lState: FORM: Solld:~ Liquid: x Gas: Dust: ~PE: Pure: Ml~um: x ~ Day,Year on-aRe: 385 Unit of Measure: Amount and ~me at Facili~: M~lmum Amount: ~ ~1~ gala: ~ Average Amount: ~s lbs: ~ Confiner Type: ~ ~e Storage Pressure: ~em SamIie Tamp: ~t Lo~tlon(a): (Provide ~d coordinates from ~mpleted facill~ map.~ . Percent Con~ntmaon & Componen~ % , ~ ,, NOTES; Tm~ n~a) / a~en~"(~) ~ e~ mffi~n mm~ m ~i(e) I~a. ' I M A T E R ! A L DATE PREPARED: MAKE COPIES OF THIS FORM A8 NEEDED REMEMBER TO ATTACH MGD$ TO THIS FOI~M IF THE MATERIAL IS NOT LISTED IN APPENDIX 1, HAZARDOUS MATERIAL INVENTORY FORM Non-Trade Secret Page FACILITY NAME: ~1'1~ I~!1~ ,..~g~/] , ITEM~t Chemical Name: K~lek FI~ RA ~ Rll~llllk~lr NE CA6 Common Name: ~ e~ DOT Physical Hazer~: FIRE: PRESSURE: _ R~CTNE: Health Hazard: IMMEDIATE HEALTH: DE~YED H~LTH: , Physical S~: FORM: Solid:~ Liquid: x GlJe: ~ Dus~ ~ ~PE: Pure: ~ Ml~um: x ~ Days/year on-e~e~ 365 Unit of Measure: Amount and ~me at Fecili~: M~imum Amount: 2 ~,~ , gels: Average Amount: ~ ~m lbs: Container ~pe: ~9o~ cu · S~mge P~u~:' ~nt S~mge Tamp: ,~t Lo~on(s): (Provide ~ri~ coor~inatea from compla~= faclll~ ma~.) Percent con~ntmtlon & com~nent~ ,, ~ NOTES: T~o nm(l~ I iy~ (I) or o~ ~J~n m~ to ml~l) I~ted. M A T -E R A DATE PREPARED:, ,, MAKE COPIE6 OF THIS FORM AS NEEDED REMEMBER TO ATTACH MSDS TO THIS FORM IF THE MATERIAL tS NOT USTED IN APPENDIX 1. HAZARDOUS MATERIAL INVENTORY FORM Non.Trade 8~ecret Page 3 FACILITY NAME; IZ.I '1~_ RIP ~-// ITEM# , Chemical Name: Km:lak Flexloolm' RA Fixer & Repllni~her CAS #- Common Name: I:lla I~ DOT #- Physical Hazard: FIRE: PRESSURE: REACTIVE: ..... Health Hazard: IMMEDIATE HEALTH: DELAYED HEALTH: Physical State: FORM: Solid: Liquid: x Gas: Dust: TYPE: Pure: Mixture: x # Dayatyear on-site: 38E Unit of Measure: Amount and Tlme at Facility: Maximum Amount: s~m , gals: r~ Average Amount: 4 gaa~ , · lbs: r'l Container Type: cuft: Storage Pressure: Ambient_ Storage Tamp: Storage All chemlcala am atc~cl la We pfiotola~ erl~or ~emlc~ e~'age area Location(e): (Provi.de grid cOon:ii'nates f-'r~-r'n"~omplata~l facl}l~ map.) , Percent Concentration & CompOnents 75-80 Water 10-15 -.----- % Ammonium S-10 % Anlm~llum 1~ ~c~um 8uat~ % ¢1 Amm~tk~1 $~ .....--.--% % NOTES: Traee nm~i[s) I mynonym (e) or other Intormltfgm relevant ~ matenaKa) I~l~l. DATE PREPARED; MAKE COPIED OF THIS FORM AS NEEDED REMEMBER TO ATTACH MSDS TO THIS FORM IF THE M~TERIAL 18 NOT LISTEn IN APPENDIX 1. M A T E R I A L HAZARDOUS MATERIAL INVENTORY FORM FACILITY NAME: Non-Tra~le 8~lcret Page ~.~ '~ ~ ,,5--~-// ITEM~ Kodak Flexlmtor 81al3111z~ & Rapll~her LF Chemical Name: CAS Rim 8~r Common Name: DOT Physical Hazard: FIRE:~ PRESSURE: R~CTIVE: Health Hazard: IMMEDIATE HEALTH: DTE~YED HEALTH: Physical Sta~; FORM: Solid:~ Liquid: x ~PE: Pure: ~ Mixture: x ~ Days/year on-site: 385 ~nit of Measure: Amount and ~me at Facili~: Maximum Amount: Average Amount; Container ~pe: ~a: Borne cu~ S~mge Premium: ~t StomgB Tamp: (Provide ~dd ~ordinatea from comp~ete~ ~ctll~ ma~) , Pement Con~ntraUon & Componen~ % % % NOTES: T~ n~) / ~n~ym (a) M A T E R i A L DATE PREPARED: MAKE COPIES OF THIS FORM AS NEEDED REMEMBER TO ATTACH MSDS TO THIS FORM IF THE uA'rERIAL IS NOT METED IN APPENDIX 1, HAZARDOUS MATERIAL INVENTORY FORM Non-Trlde ~ie(:rIt Plgl FACILITY NAME: . 12. t'~'~ J~ I1~ ,~'/./ ITEMit ~ _ _ Chemical Name: Kcl~lk EklaOOIg~ RA Dm~JOlSer Re~tlnlsh~ CAS Pa~r ~ Common Name: DOT Physical Hazard: FIRE: PRESSURE: __ R~CTNE: -- Health Hazard: IMMEDIATE H~LTH: DELAYED H~LTH: PhysicaiSta~: FORM: Solid: Liquid: x Gis: ,, Dust: i ~PE: Pure: Mix. m: x ~ Days/year on-site: 386 Unit of Measure: Amount anO ~me at Facili~: Maximum Amount: s ~a gala: Average Amount: 4 ~ ., lbs: C~ntainer Type; ~ue~ cu · S~mge P~um: ~ S~nage Tamp: ~t Storage NI 3~I ~ I~ ~ ~l p~ Ir~ Etm~ m~ aa Lo~tlon(e): (Provide grid ~oralnltel ~m c~mplemd faall~ map.) Percent Concentration & Componen~ ~1oo <1 T~~ <1 N,N~~ % NOTES: T~e nlme(I) II~Ofl~ (I) or ~r mffl~l~n m~ B me. haKe) Iliad. M A T E R I A L DATE PREPARED: MAKE COPIES OF THIS FORM AS NEEDED REMEMBER TO ATTACH MSDS TO THI~ FORM IF THE MATERIAL IS NOT USTED IN APPENDIX 1. HAZARDOUS MATERIAl. INVENTORY FORM Non.Trada Si, erst Paga FACILITY NAME; ~t'T'~ F~ 1 9 .~3'-'-~c~// ITEM Chemical Name: Korea E~tacek~' IRA Bleam Flx& Repllnleher CAS Common Name: ~r e~ ~ DOT Physical Hazard: FIRE: , PRESSURE: _ R~CTNE: Health Hazard: IMMEDIATE HEALTH: DRAYED H~LTH: Physi~i S~te: FORM: Solid:~ Liquid: x Glib: ~ Dust: ~ ~PE: Pure: ~ Mixture: x · Days/year on-site: 385 Unit of Measure: Amount and Time at Facility: Maximum Amoun~ 6 oe~8 gala: Average Amount: 4 ~ lbs: Container Type: ~~ cu fl: D S~mge Pressure: ~t S~mgs Tamp: ~l~t Lo.flea(s): (Provide ~fid coor~lnitee from a3mpieted ~clllt~ maD.) Percent Con~ntm{lon & Componentl ~1o ~1~ ~% % NOTES: T~I nm(i) i~n~ (I) Or o~r In~U~ reievlnt to mltenll(i)~d. M A T E R I A L 'DATE PREPARED: MAI[E COPIES OF THIS FORM A8 NEEDED REMEMBER TO ATTACH MaDS TO THIS FORM IF THE MA'IF. RIAL iS NOT LISTED IN APPENDIX 1. HAZARDOUS MATERIAL INVENTORY FORM Non.Trade Sec;ret Page 7 FACILITY NAME: ~tT~. RIO 3--~11 ~# · Chemical N ama: Kodak Eklacolor Prime Stabliiz~ & Common Name: Pa~r Physical Hazard: FIRE; PRESSURE: R~CTIVE: Health Hazard: IMMEDIATE HEALTH: DELAYED H~LTH: Physl~tState: FORM: Solid: .. Liquid: x Gmc ~ Dust: ~PE: Pure: Ml~m: x ~ Days/year on-site: 385 Unit of Measure: Amount and ~me at Facility: Maximum Amount: Average Amount: Con.inet Type:., S~mge Pmaure: ~ant S~ga Tamp: Lop, on(s): {proVide ~fld coorOlnatea from ~mpleteo faali~ map.) Percent con~n~n & com~nent~ <1 ~% <o.1 ~ .% 5-10 ~ni~m n~ NOTES: Tm~ na~l) I Wfl~ym (~) or o~r ln~fl m~m ~ ~tl~(I) ~d. I M A T E R I A L DATE PREPARED:. MAKI" COPIES OF THIS FORM AS NEEDED REMEMBER TO ATTACH MSDS TO THI8 FORM IF THE IV~TI:'RIAL I$ NOT LISTED IN APPENDIX 1.