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BUSINESS PLAN 9/28/1993
(CHECK ONE) SITE DIAGRAM ~ FAC:LITY 9[AGR:a.M inspector's Comments): -OFFICIAL USE ONLY- DATE: (CHECK ONE) SIrE DIAGRAM FAC,~ILI?f DIAGR.~'4 , / inspector's Comments): -OFFICIAL q 05'/12/94, rs CO #416 215-000-00133 all Site with 1 Fac. Uni Page 1 General Information 'Location: 2661 OSWELL ST Map: 103 Hazard: Low Community: BAKERSFIELD STATION 08 Grid: 22B F/U: 1AOV: 0.0 COntact Name Title' Business Phone 24-Hour,Phone- DAVID CODD MANAGER (805) 872-5516 x (818) 821-7565 LOCC PREVENTION (818) 821-3933 x (818) 821-7565 Administrative Data Mail Addrs: P O BX 3338 TERMINAL ANNE D&B Number: 00-132-5034 City: LOS ANGELES State: CA Zip: 90051- Comm Code: 215-008 BAKERSFIELD STATION 08 SIC Code: 5411 Owner: VONS CO Phone: (805) 872-5516 Address: P O BX 3338 ATTN: TAX DE State: CA City: LOS ANGELES Zip: 90051- Summary R~O~!V~D HAZ. MA~ Di~ ~, ....... Do hereby certify thai ~ have (Type or ~nt name) reviewed the attached hazardous materials manage- ment plan for and.tha~ i~ along wi~h (Name Of Busine~) any corrections consfi~me a complete am:~ con~:~ n~m,-. ~erner~ plan for my facili~yo 01112/94 Pln-Ref Name/Hazards VONS C0.#416 215-000-001334 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Form Max Qty Page MCP 2 02-018 'LAWN CARE/FERTILIZERS · Immed Hlth, Delay Hlth Solid 15 Extreme LBS 02-007 AEROSOLS, · Fire, Pressure Liquid 250' High GAL 02-001 AQUA CHEM · Reactive, Delay Hlth Liquid 120 High GAL 02-002- BLEACH · Reactive, Immed Hlth, Delay Hlth Liquid 1500 High GAL 02-006 STRIPPER · Delay Hlth Liquid 50 High GAL 02-0'19 POOL CHLORINE (HYPOCHLORITE) · Reactive, Immed Hlth Liquid 20 High GAL · 02-021 POOL ACID (HYDROCHLORIC) · Reactive, Immed Hlth Liquid 15' High GAL 02-0-26 BREAK UP · Fire, Immed Hlth Liquid 40 High GAL 02-011 AMMONIA SOLUTION · Reactive, Immed Hlth, Delay Hlth Liquid 20 Moderate GAL 02-012 CHARCOAL LIGHTER · Fire, Immed Hlth, Delay Hlth Liquid 70 Moderate GAL 02-008 LYSOL' · .Fire, Delay. Hlth Liquid 100 Moderate _GAL 02-014 INSTANT LITE BRIQUETTES/LOGS · Fire Solid 2000 Moderate LBS 02-015 POWDER BLEACH · Fire, Immed Hlth, Delay Hlth Solid 1500 Moderate LBS 02-016 ALL' PURPOSE CLEANERS · Fire, Immed Hlth, Delay Hlth Liquid 150 Moderate GAL 02-020 DRY CHLORINE · Reactive, Immed Hlth, Delay Hlth Solid 250 Moderate LBS 02-022 ALGICIDE Liquid · Fire, Reactive, Immed Hlth, Delay Hlth 20 Moderate GAL 02-025 SCANNER CLEANER · Fire, Delay Hlth Liquid 25 Moderate GAL !01~12/9'4 Pln-Ref Name/HaZards ~S CO #416 215-000-00133~ Haz Inventory List in MCP O 02 - Fixed Containers on Site Form Max Qty Page MCP .3 02-004 ANTIFREEZE · Delay Hlth Liquid 45 Low GAL )2'-009 LAUNDRY DETERGENTS · Delay Hlth Solid 5000 Low LBS 02-00'5 MAINTEX WAX · Delay Hlth Liquid 50 Low GAL 02-023 SODA ASH · Fire, Immed Hlth Solid 10 Low LBS 02-010 MOTOR OIL · Fire, Delay Hlth Liquid 75 Minimal GAL 02-024 CARBON DIOXIDE · Fire, Pressure, Immed Hlth Gas 500 Minimal FT3 02-003. INSECTICIDES (AERSOL) · Fire, Delay Hlth Liquid 55 Unrated GAL 02-013 CHARCOAL BRIQUETTES · Fire Solid 4600 Unrated LBS 02-017 INSECTICIDE (SOLID) ~ Fire, Immed Hlth Solid 35 Unrated LBS 01/12/94 VONS CO #416 215-000-001334 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order Page 02-018 LAWN CARE/FERTILIZERS · Immed Hlth, Delay Hlth 'Solid 15 Extreme LBS CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: OTHER Daily Max LBS 15 I Daily Average 7.00 LBS Annual Amount LBS 15.00 BOX Storage Press T Temp Location I Ambient~AmbientlPRODUCE SOUTHWEST WALL -- Conc Components 11.0% [Dichlorophenoxyacetic Acid 12.0%' Dimethylamine 8.0% Nitrogen MCP --~Guide Minimal I 55 Extreme I 19 Low ~ 21 02-007 AEROSOLS · Fire, Pressure Liquid 250 High GAL CAS #: · Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: AEROSOL/INFLATION Daily Max GAL250 I Daily Average200.00GAL l . Annual Amount250.00GAL Storage Press T Temp Location METAL CONTAINR-NONDRUMIAmbient~AmbientlTHROUGHOUT BUILDING --.Conc 70.0% 10..0% 20.0% COmponents IIsobutane Propane n-Butane Or'Butane MixtUre MCP ~ Guide I Extreme 22 I High 22 01/12/94' VONS CO #416 215-000-00'1334 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order Page 5 02-001 AQUA CHEM · Reactive, Delay Hlth Liquid 120 High GAL CAS #: Trade Secret: No Form: Liquid TYpe: Pure Days: 365 Use: WATER TREATMENT Daily Max GAL Daily Average GAL I 0.00 I Annual Amount GAL -- 1,540.00 Storage PLASTIC CONTAINER Press T Temp Ambient{AmbientlAISLE 2 Location -- Conc 100.0% IMuriatic Acid MCP Guide Components IHigh 15 02-002 BLEACH · Reactive, Immed Hlth, Delay Hlth Liquid 1500 High GAL CAS #: 7681-52=9~ Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: CLEANING Daily Max GAL 1,500 Daily Average GAL 700.00 Annual Amount GAL -- 4,000.00 S{orage PLASTIC CONTAINER LocatiOn Press T Temp Iambient/ambientlAISnE 2, BACKROOM -- Conc 100.0% IBleach Components MCP ---TGuide IHigh } 45 02-006. STRIPPER · Delay Hlth Liquid 50 High GAL CAS #: 9016-45-9 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: STRIPPER Daily Max GAL Daily Average GAL Annual Amount GAL 220.00 Storage PLASTIC CONTAINER Press T Temp ' Location'· I Ambient{AmbientlBACKROOM EAST WALL -- Conc. 0.0% O.0% 0.0% IEthoxylated'NonylphenolC°mp°nents 2-Butoxyethanol 2-Hydroxyethylamine MCP ---TGuide Minimal I 1 ModerateI 26 High.~ } 60 01/12/94 VONS CO #416 215-000-001334 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order Page 6 02-019 POOL CHLORINE (HYPOCHLORITE) · Reactive, Immed Hlth Liquid 20 GAL High CAS #: 7681529 Trade Secret: No Form: Liquid Type: Pure Daily Max GAL '20 I Days: 365 Use: WATER TREATMENT Daily Average GAL [ Annual Amount GAL 12.00I . 20.00 storage PLASTIC CONTAINER Press T Temp Location IAmbient{Ambient IAISLE 4/BACKROOM -- Conc 11.0% ISodium Hypochlorite Components MCP ~Guide IHigh ! 45 02-021 POOL ACID (HYDROCHLORIC) · Reactive, Immed Hlth Liquid 15 High GAL CAS #: 7647010 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: WATER TREATMENT Daily Max GAL Daily Average GAL 10.00 ] Annual AmOunt GAL-- 15.00 Storage PLASTIC CONTAINER Press T Temp Location IAmbient/Ambient {AISLE EAST 4 / BACKROOM WALL -- Conc 32.0% IHydrochloric Acid 34.0% Phosphoric Acid Components MCP ---~Guide High / 15 Moderate{ 60 02-026 BREAK UP · Fire, Immed Hlth Liquid 40 High GAL CAS #: Trade Secret: No ~ Form: Liquid Type: Mixture Days: 365 Use.: CLEANING Daily Max GAL40 I Daily Average10.00GAL Annual Amount GAL 80.00 Storage PLASTIC CONTAINER Press T Temp Location I Ambient{AmbientlSACKROOM EAST WALL -- Conc 2.0% 2.0% 7.0% Components Potassium · Ethylene Glycol Monobutyl Ether Tetrapotassium Pyrophosphate MCP ---/Guide Extreme I 40 ModerateI 26 Minimal { 5 01/12/94 VONS CO #416 215-000-001334 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP order Page 02-011 AMMONIA SOLUTION · Reactive, Immed Hlth, Delay Hlth Liquid 20 Moderate GAL CAS #: 7664-41-7 Trade Secret: No Form: Liquid TYpe: Pure Days: 365 Use: .CLEANING Daily Max GAL 20 I Daily Average GAL 10.00 Annual Amount GAL -- 70.00 Storage PLASTIC CONTAINER Press T Temp AmbientlAmbientlAISLE 5 LoCation -- Conc 100.0% I Ammonia Solution Components MCP yGuide Moderate/ 60 02-012 CHARCOAL LIGHTER · Fire, Immed Hlth, Delay Hlth .Liquid '70 Moderate GAL CAS #: 8030306. Trade Secret: No FOrm: Liquid Type: Pure Days: 365 use: FUEL Daily Max GAL 70 I' Daily Average GAL 30.00 Annual Amount GAL 70.00 Storage PLASTIC CONTAINER Press T Temp Location I AmbientlAmbientlFRONT WINDOW/BACKROOM , Conc 100.0% INaphtha Components MCP --~Guide ModerateI 27. 02-008 LYSOL · 'Fire, Delay Hlth Liquid 100 Moderate GAL CAS #: 64-17-5' Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL100 I Daily Average85.00GAL' Annual Amount GAL -- 1,4~00.00 Storage PLASTIC CONTAINER Press T Temp I~AmbientlAmbient IAISLE 5 Location -- Conc 12.0% IEthyl Alcohol Components MCP ---/Guide IModerateI 26 01/12/94 ? VONS CO #416 215-000-001334 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order Page 8 02-0i4 INSTANT LITE BRIQUETTES/LOGS' '· Fire Solid 2000 Moderate LBS CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: OTHER Daily Max LBS 2,000 Daily Average LBS ---V-- Annual Amount LBS -- 1,000.00] 2,000.00 BAG Storage Press T Temp Location .Ambient/AmbientlFRONT'WINDOW/BACK ROOM -- Conc 100.0% INaphtha Components MCP --~Guide IModerateI 27 02-015 POWDER BLEACH · Fire, Immed Hlth, Delay Hlth Solid 1500 Modera£e LBS CAS #: 497198 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: OTHER Daily Max LBS 1,500 Daily Average LBS 700.00 Annual Amount LBS ~ 1,500.00 BOX Storage Press T Temp Location IAmbient/Ambi.entlAISLE 3/BACKROOM -- Conc 0.0% ISodium Carbonate 0.0% Sodium Perborate Components MCP '-~Guide I 'ow I 60 ModerateI 35 02-016 ALL PURPOSE CLEANERS · Fire, Immed Hlth, Delay Hlth Liquid 150 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: OTHER Daily Max GAL Daily Average GAL Annual Amount GAL -- 150 I 90.00 I 150.00 Storage Press T .Temp PLASTIC CONTAINER AmbientlAmbientlAISLE -- Conc Components 7.0% 12-Butoxyethanol Location MCP ---[Guide I Moderate I 26 01/12/94 VONS CO #416 215-000-001334 02 - FiXed Containers on Site Hazmat Inventory Detail in MCP Order Page 02-020 DRY CHLORINE · Reactive, Immed Hlth, Delay Hlth Solid 250 LBS Moderate CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: OIL TREATMENT Daily Max LBS250 I Daily Average 200.00 LBS Annual Amount LBS -- 250.00 Storage PLASTIC CONTAINER Press T Temp AmbientlAmbientlAISLE 4 Location -- Conc ~ Components 0.0% Trichloro-s-triazine ~ 0.0% Sodium Dichloro-s-triazinetrione 0.0% ICalcium Hypochlorite MCP ---/Guide ModerateI 60 ModerateI 42 ModerateI 45 02-022 ALGICIDE Liquid · Fire, Reactive, Immed Hlth, Delay Hlth 20 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: OTHER Daily Max GAL 20 I Daily Average GAL~-- 12.00 ! Annual Amount GAL -- 20.00 Storage .PLASTIC CONTAINER Press T Temp AmbientJAmbientlAISLE 4 Location -- Conc 10.0% 2.0% 6.0% Components IAlkyl Dimethylbenzylammonium.Chloride Ethanol Polyoxyethylene Low · 26 Moderate I 27 Minimal 01/12/94 VONS CO #416 215-000-001334 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order Page 10 02-02~ SCANNER CLEANER · Fire, Delay Hlth Liquid 25 GAL Moderate CAS #: Trade Secret: No FOrm: .Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL Daily Average GAL I Annual Amount GAL. 110.00 Storage PLASTIC CONTAINER Location Press T Temp Ambient IAmbient I BACKROOM EAST WALL -- Conc ~ Components 0.0%IIs°pr°pan°l . · 0.0% Ethylene Glycol Diethyl Ether MCP ---TGuide ModerateI 26 Low ' I 26. 02-004 ANTIFREEZE · Delay Hlth Liquid 45 Low GAL CAS #: 107-21-1 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: ADDITIVE Daily Max GAL 45 Daily Average GAL 25.00 Annual Amount GAL 280.00 Storage PLASTIC CONTAINER Press T Temp IAmbient~Ambient IAISLE 4 Location -- Conc 100.0% IEthylene Glycol Components MCP ---~uide ILow' I 27 02-009 LAUNDRY DETERGENTS · Delay Hlth Solid 5000 Low LBS CAS #: 7757-82-6 Trade Secret: No FOrm: Solid Type: Pure Days: 365 Use: CLEANING Daily Max LBS 5,000 Daily Average LBS 3,000.00 Annual'AmoUnt LBS 50,000.00 BOX Storage Press T Temp AmbientlAmbientlAISLE 5 Location Conc 12.0% ISodium Sulfate 0.0% Sodium Silicate Components MCP Guide IMinimal I 7 Minimal 60 01/12/94 VONS CO #416 21.5-000-001334 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP order Page 11 02-005 MAINTEX WAx · Delay H!th Liquid 50 Low GAL CAS #: 110-80-5 Trade Secret: No Form: Liquid TyPe: Mixture Days: 365 Use: SEALER Daily Max GAL50 I Daily Average30.00GAL Annual Amount GAL -- 150.00 Storage PLASTIC CONTAINER Press T Temp Ambient IAmbientlBACKROOM Location -- Conc ~ Components 0.0%IEthylene Glycol Diethyl Ether 0.0% Ethylene Glycol MCP ~ Guide Lo~ 02-023 SODA ASH · Fire, Immed Hlth Solid- 10 .Low· LBS CAS #: 497-19-8 Form: Solid Type: Pure Daily Max LBS 10 Trade Secret: No Days: 365 Use: WATER TREATMENT Daily Average LBS T Annual Amount LBS 6.00! 10.00 Location BAG Storage Press T Temp IAmbient/Ambient IAISLE 4 -- Conc 100.0% ISodium Carbonate MCP Guide · Components ILOw ~1 60 02-010 MOTOR OIL · Fire, Delay Hlth Liquid 75 Minimal · GAL CAS #:64742-54-7 Form: Liquid Type: Pure Daily Max GAL Storage PLASTIC CONTAINER ~ Conc 100.0% Trade Secret: No Days: 365. Use: LUBRICANT Daily Average GAL 20.00 Annual -Amount GAL 75.00 press T Temp Location IAmbientlAmbientlSALES FLOOR AISLE 4 Components IMotor Oil, Petroleum Based MCP ---~uide IMinimal I 27 01/12/94 VONS CO #416 215-000-001334 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order page 12 02-024 CARBON DIOXIDE ~ Fire, Pressure, Immed Hlth Gas 500 Minimal FT3 CAS #: 124-38-9 Form: Gas Type: Pure Daily Max FT3 .~ 500 I Storage PreSs T Temp INSUL.TANK / CRYOGENIC Above ~CryogenlSERVICE~DELI -- Conc COmponents 100.0% ICarbon Dioxide Trade Secret: 'No Days: 365 Use: OTHER DailY Average FT3 [ Annual Amount FT3 -- 250.00I 5,000.00 LoCation MCP' Guide Minimal 21. 02-003 INSECTICIDES (AERSOL) ~.Fire, Delay Hlth. Liquid 55 Unrated GAL CAS #: 7757-82-6 Trade secret: No Form: Liquid Type: Pure Days: 365 Use: INSECTICIDE Daily Max GAL55 I Daily Average 40.00 GAL --l-- Annual Amount GAL 120.00 storage ~ Press T Temp L6cation . METAL CONTAINR-NONDRUMIAmbientlAmbientlAISLE 4, BACKR00M -- Conc 100.0% IInsecticides Components MCP ----TGuide Iunratedl 0 02-013 CHARCOAL BRIQUETTES ~ Fire Solid 4600 Unrated LBS CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: OTHER Daily Max LBS 4,'600 Daily Average LBS 2,000.00 Annual Amount LBS 4,600.00 BAG Storage. Press T Temp Location Ambient~AmbientlFRONT WINDOW/BREAKROOM -- Conc Components i MCP --~Guide 01/12/94 .VONS CO #416 21~5-000-001334 02 -~ Fixed Containers on Site Hazmat Inventory Detail 'in MCP Order Page 13 02-017 INSECTICIDE (SOLID) · Fire, Immed Hlth Solid 35 Unrated LBS CAS #: 67-63'0 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: CLEANING Daily Max LBS 35 I Daily Average LBS 25.00 Annual Amount LBs 35.00 Storage PLASTIC CONTAINER Press T Temp IAmbient~Ambient IAISLE 3 Location -- Conc 100.0% IInsecticides Components MCP ----TGuide I Unrated I O' 01/12/94 VONS CO-#416 215-000-001334 00 -. Overall Site <D> Notif./Evacuation/Medical Page 14 <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation ALL DEPARTMENT HEADS WOULD BE NOTIFIED, 911 CALLED, STORE EVACUATED BY USING VOYCALL OR BY VOICE <3> Public'Notif./Evacuation PA SYSTEM <4> Emergency Medical Plan DR. WILLARD CHRISTIANSEN - 327-9617 DR. LARRY CHO -.327-2225 DR. LARRY CHO - 327-2225 01/12/94 VONS CO #416 215-000-001334 Page ? ~ 00 - Overall Site <E> Mitigation/Prevent/Abatemt 15 <1> Release Prevention RETAIL GROCERY ITEMS PACKAGED FOR RETAIL SALES IN SMALL QUANTITIES SHIPPED TRUCK TO SHELF. MINIMAL BACKSTOCK IS MAINTAINED. EMPLOYEE TRAINING MANDATORY FOR NEW HIRES. THIS PROGRAM WAS DEVELOPED BY THE FOOD MARKETING INSTITUTE SPECIFICALLY FOR USE IN THE GROCERY INDUSTRY. MATERIAL SAFETY DATA SHEETS ARE LOCATED IN THE MANAGERS OFFICE IN THE SAFETY AND CLAIMS GUIDE. <2> Release Containment ABSORBANT AVAILABLE AS PART OF SPILL CLEAN UP KIT, FOUND IN MANAGERS OFFICE. <3> Clean Up DEEP INC, CLEAN UP. SPILL. (818) 575-3715, SHOULD BE CONTACTED FOR 24 HOUR EMERGENCY RESPONSE AN ACID SPILL KIT IS ON SITE TO NEUTRALIZE A POOL CARE PRODUCT <4> Other Resource Activation 01/12/94 VONS CO #416 215-000-001334 00 - Overall Site <F> Site Emergency Factors Page 16 <1> Special Hazards <2> Utility Shut-Offs A) GAS - EAST REAR OF STORE B) ELECTRICAL - SOUTH SIDE OF BACK ROOM WEST WALL C) SOUTH .SIDE OF BACK ROOM ON EAST WALL D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - SPRINKLER SYSTEM WITH ALARM ON REAR OF BUILDING FIRE EXTINGUISHERS AT VARIOUS LOCATION THROUGHOUT STORE FIRE HYDRANT - SOUTHWEST OF STORE IN FRONT EAST HILL TRAVEL WEST OF STORE, EAST OF MARIE CALENDARS, REAR OF STORE SOUTH OF STORE <4> Building Occupancy Level 01/12/94~ VONS CO #416 215-000-001334 Page $ 00 -~Overall Site <G> Training 17 <1> Page 1 WE HAVE 90 EMPLOYEES AT THIS FACILITY DO YOU HAVE MATERIAL SAFETY DATA SHEETS-ON FILE? BRIEF SUMMARY OF TRAINING: EMPLOYEES ARE AT FACILITY, WE HAVE SAFETY DATA SHEETS ON FILE IN SAFETY GUIDE BOOKLET IN MANAGERS OFFICE. TRAINING IS DONE BY TRAINING DEPARTMENT REP WHEN HIRED. FILM OF HAZARDOUS WASTE SAFETY IS SHOWN 'AND~HAZARDOUS BOOKLET IS REVIEWED WITH EMPLOYEE. <2> Page 2 as needed <3> Held for-Future Use <4> Held 'for Future Use 01/12/94', VONS CO #416 215-000-001334 00 - Overall Site <H> RMPP DATA Page 18 <1> Release Containment <2> Offsite Consequences <3> In House Capabilities <4> Plant Shutdown Instruction ~ONS CO #416 215-000-00 Overall Site with 1 Fac. Unit General Information Page 1 Location: 2661 OSWELL ST Community: BAKERSFIELD STATION 08 Map: 103 Hazard: Low Grid: 22B F/U: 1AOV: 0,0 Contact Name Title Business Phone ~ 24-Hour Phone Administrative Data F60 ~P ~l~ ' Mail addrs: P O BX 3338 TERMINAL ANNE ,D&B Numbe'r:(~l~Q~.~' City: LOS ANGELES State: CA Zip: 90051- Comm Code: 215-008 BAKERSFIELD STATION 08 SIC Code: 5411 Owner: VONS CO Phone: (805) 872-5516 Address: P O BX 3338 ATTN: TAX DE State: CA City: LOS ANGELES Zip: 90051- Summary RECEIVED MAR 0 5 1992 HA7.. MAT. DIV. / lJ,"J'gYY'cl ~ Do' hereby csr~i~ ~h~ ~ ~y~ = print ~) ] ' ~vlewed ~he a~ached hazardous materials manage- - /~fl~band men~ plan for~OK~, I~_ _ ibm it ~long, ~y ~rre~ion~ constitute a ~mple~e and corro~ plan for my facility. 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order- Page 02-018 LAWN CARE/FERTILIZERS Immed Hlth, Delay Hlth Solid 15 Extreme LBS CAS #: Form: Solid Trade Secret: No Type: Mixture Days: 365 Use: OTHER Daily Max LBS Daily Average LBS 7.00 Annual Amount LBS -- 15.00 BOX Storage Press T Temp Location Ambient[Ambient[PRODUCE SOUTHWEST WALL -- Conc 11.0% 12.0% 8.0% Components IDichlorophenoxyacetic Acid Dimeth¥1amine Nitrogen MCP [List Minimal Extreme Minimal 02-007 AEROSOLS Fire, Pressure Liquid 250 High GAL CAS #: Form: Liquid ~ Trade Secret: No Type: Mixture Days: 365 Use:.AEROSOL/INFLATION Daily Max GAL250 [ Daily Average200.00GAL Annual Amount GAL 250.00 Storage P~ess T Temp Location METAL CONTAINR-NONDRUMIAmbient[AmbientlTHROUGHOUT BUILDING -- Conc 70.0% IIsobutane 10.0% Propane 20.0% n-Butane Or Components Butane Mixture MCP IHigh Extreme High List '01/21/92 VONS CO #416 215-000-001 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order Page 02-001 AQUA CHEM Reactive, Delay Hlth LiqUid 120 High GAL CAS #: Form: Liquid Trade Secret: No Type: Pure Days: 365 Use: WATER TREATMENT Daily Max GAL 120 Daily Average GAL 70.00 Annual Amount GAL 1,540.00 Storage PLASTIC CONTAINER Press T Temp IAmbientJAmbientlAISnE 2 Location -- Conc 100.0% IMuriatic Acid Components MCP IHigh List 02-002 BLEACH 4' Reactive, Immed Hlth, Delay Hlth Liquid 1500 High GAL CAS #: 7681-52-9 Trade Secret: No ~ Form: Liquid Type: Pure Days: 365 Use: CLEANING Daily Max1,500GAL I Daily Average700.00GAL Storage Press T Temp ' Location PLASTIC CONTAINER IambientlAmbientlaxsnE 2, BACKROOM Annual Amount GAL 4,000.00 -- Conc 100.0% IBleach MCP List Components IHigh I 02-006 STRIPPER Delay Hlth Liquid 50 High GAL CAS #: 9016-45-9 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: .STRIPPER Daily Max GAL 50 I Daily Average GAL ---r---- Annual Amount GAL -- 20.00J 220.00 Storage PLASTIC CONTAINER Press T Temp Location AmbientJAmbientlBACKROOM EASTWALL -- Conc Components 0,0% IEthoxylated Nonylphenol 0.0% 2-Butoxyethanol 0.0% 2-Hydroxyethylamine , MCP I MinimalI Moderate High List "01/21/~2 VONS CO #416 215-000-001 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order Page 4 02-019 POOL CHLORINE (HYPOCHLORITE) Reactive, Immed Hlth Liquid 20 High GAL CAs #: 7681529 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: WATER TREATMENT Daily Max GAL Daily Average GAL Annual Amount GAL 20.00 Storage PLASTIC CONTAINER Press T Temp Location IAmbient{Ambient AISLE 4/BACKROOM -- Conc 11.0% ISodium Hypochlorite MCP List Components IHigh I 02-021 POOL ACID (HYDROCHLORIC) Reactive, Immed Hlth Liquid 15 High GAL CAS #: 7647010 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: WATER TREATMENT Daily Max GAL15 I Daily Average 10.00 GAL ] Annual Amount GAL 15.00 Storage PLASTIC CONTAINER Press T Temp . Location. [AmbientlA~bient AISLE EAST 4/BACKROOM WALL -- Conc 32.0% Hydrochloric Acid . 34.0% IPhosphoric Acid . Components MCP High Moderate List 02-026 BREAK UP Fire, Immed Hlth Liquid 40 High GAL CAS #: Form: Liquid Trade Secret-: No Type: Mixture Days: 365 Use: CLEANING Daily Max GAL 40 I Daily Average GAL 10.00 Annual Amount GAL 80.00 Storage PLASTIC CONTAINER Press T Temp · Location Ambient~AmbientlBACKROOM EAST WALL -- Conc 2.0% 2.0% 7.0% Potassium Components Ethylene Glycol Monobutyl Ether Tetrapotassium Pyrophosphate MCP Moderate Low List ON;S CO #416 215-000-001 02 - Fixed Containers on Site' Hazmat Inventory Detail in MCP Order Page 5 02-011 AMMONIA Reactive, Immed Hlth, Delay Hlth Liquid 20 ' Moderate GAL CAS #: 7664-41-7 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: CLEANING Daily Max GAL20 I Daily Average10.00GAL Annual Amount GAL -- 70.00 Storage PLASTIC CONTAINER' Press T Temp AmbientlAmbientlAISLE 5 Location -- Conc 100.0% IAmmonia Solution Components MCP List IModerateI 02-012 CHARCOAL LIGHTER Fire, Immed Hlth, Delay Hlth Liquid 70 Moderate GAL CAS #: 8030306 Trade Secret: No Form: Liquid Type: Pure .Days: 365 Use: FUEL Daily Max'GAL 70 Storage PLASTIC CONTAINER -- Conc 100.0% INaPhtha I Daily Average GAL ] Annual Amount GAL I 30.00 { '70.00 Press T Temp Location IAmbient/AmbientlFRONT WINDOW/BACKROOM MCP ~List Components iModeratel 02-008 LYSOL Fire, Delay Hlth Liquid 100 Moderate GAL CAS #:.64-17-5 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL Daily Average GAL I 100 85.00 { AnnUal Amount GAL 1,400.00 Storage PLASTIC CONTAINER Press T Temp IAmbient~Ambient {AISLE 5 Location -- Conc 12.0% {Ethyl Alcohol Components MCP IModerateI List VONS CO #416 215-000-001 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order Page 6 02-014 INSTANT LITE BRIQUETTES/LOGS Fire Solid 2000 Moderate LBS CAS #: Form: Solid Trade Secret: No Type: Mixture Days: 365 Use: OTHER Daily Max LBS 2,000 Storage BAG -- Conc 100.~0% INaphtha Daily~Average LBS I Annual Amount LBS 1,000.00 2,000.00 Press T Temp Location IAmbient~AmbientlFRONT WINDOW/BACK ROOM'~ MCP ---FList ~ Components iModeratel 02-015 .POWDER BLEACH Fire, Immed Hlth, Delgy Hlth Solid 1500 Moderate LBS CAS #.: 497198 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: OTHER Daily Max LBS 1,500 Daily Average LBS 700.00 Annual Amount LBS 1,500.00 BOX Storage Press T Temp Location I Ambient~AmbientlAISLE 3/BACKROOM -- Conc 0.0% Isodlum Carbonate 0.0% Sodium Perborate Components MCP Moderate List 02-016 ALL PURPOSE CLEANERS Fire, Immed Hlth, Delay Hlth' Liquid 150 Moderate' GAL CAS #: Form: Liquid Trade Secret: No Type: Mixture Days: 365 Use: OTHER Daily Max GAL 150 'Daily Average GAL 90.00 Annual Amount GAL 150.00 Storage PLASTIC CONTAINER Press T Temp Ambient~AmbientlAISLE 3 Location - Conc 7.0% 12-Butoxyethanol Components MCP List ] Mode.rateI OvoNs CO #416 215-000-001~ 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order Page '7 02-020 DRY CHLORINE Reactive, Immed Hlth, Delay Hlth Solid 250 LBS Moderate CAS #: Form: Solid Trade Secret: No Type: Mixture Days: 365 Use: OIL TREATMENT Daily Max LBS 250 I Daily Average LBS 200.00 Annual Amount LBS 250.00 Storage PLASTIC CONTAINER Press I Temp AmbientlAmbientlAISLE 4 Location -- Conc 0.0% 0.0% 0.0% TriChloro_s_triazine Components Sodium Dichloro-s-triazinetrione Calcium Hypochlorite MCP iList Moderate Moderate Moderate 02-022 ALGICIDE Fire, Reactive, Immed Hlth, Delay Hlth Liquid 20 Moderate GAL CAS #: Form: Liquid Trade Secret: No Type: Mixture Days: 365 Use: OTHER Daily Max GAL 20 I Daily Average GAL 12.00 Annual Amount GAL 20.00 Storage PLASTIC CONTAINER Press I Temp Ambient{AmbientlAISLE 4 Location -- donc 10.0% 2.0% 6.0% Components Alkyl Dimethyl Benzyl Ammonium Chloride Ethanol Polyoxyethylene LowMCP iList Moderate Minimal VONS CO #'416 215-000-0011 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order Page 02-025 SCANNER CLEANER Fire, Delay Hlth Liquid 25 Moderate GAL CAS #: Form: Liquid Trade Secret: No ~' Typ~: Mixture. Days: 365' Use: CLEANING Daily Max GAL Daily Average GAL 18.00 Annual Amount GAL 110.00 Storage PLASTIC CONTAINER Press T Temp LOcation IAmbient~ambientlSACKmOOM EAST WALL -- Conc Components 0.0% 'lIsopropanol 0.0% Ethylene Glycol Diethyl Ether MCP Moderate Low iList 02-004 ANTIFREEZE Delay Hlth Liquid 45 GAL ~ Low CAS #: 107-21-1 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: ADDITIVE Daily Max GAL Daily Average GAL 25.00 Annual Amount'GAL 280.00~ Storage PLASTIC CONTAINER Press T Temp Ambient{AmbientlAISLE. 4 Location -- Conc 100.0% mEthylene Glycol Components MCP iList ILow 02-009 LAUNDRY DETERGENTS Delay Hlth Solid 5000 Low LBS CAS #: 7757-82-6 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: CLEANING Daily Max LBS 5,000 Daily Average LBS 3,000.00 Annual Amount LBS 50,000.00 BOX Storage Press T Temp IAmbientlAmbientlAISLE 5 Location -- Conc 12.0~ ISodium Sulfate 0'0% Sodium Silicate Components MCP IMinimal Minimal iList CO #416 215-000-0013~~ 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order Page 02-005 MAINTEX WAX Delay Hlth Liquid 50 Low GAL CAS #: 110-80-5 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: SEALER Daily Max GAL Daily Average GAL Ann~al Amount GAL 150.00 Storage Press T Temp PLASTIC CONTAINER IAmbient/AmbientlBACKROOM -- Conc Components 0.0% Ethylene Glycol. Diethyl Ether 0.0% Ethylene Glycol Location MCP ILow Low List 02-023 SOD~ ASH Fire, Immed Hlth Solid 10 Low LBS CAS #: 497-19-8 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: WATER TREATMENT --'Daily Max. LBs Daily Average LBS 10 { 6.00 Annual Amount LBS 10.00 BAG Storage Press T Temp AmbientlAmbientlAISLE 4 Location -- Conc 100.0% ISodium Carbonate Components MCP --~List ILow 02-010 MOTOR OIL Fire, Delay Hlth Liquid 75 Minimal GAL CAS #: 64742-54-7 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max GAL75 I Daily Average20.00GAL Annual Amount GAL-- 75.00 Storage PLASTIC CONTAINER 'Press T Temp Location Ambient~AmbientlSALES FLOOR AISLE 4 -- Conc{ Components 100.03 IMot°r Oil, Petroleum Based MCP List IMinimal I S CO #416 215-000-00 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order Page 10 02-024 CARBON DIOXIDE Fire, Pressure, Immed Hlth Gas 500 Minimal FT3 CAS #: 124-38-9 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: OTHER Daily Max FT3 Daily Average FT3 500 I 250.00 Annual Amount FT3 5,000.00 Storage- Press i'Temp Location INSUL.TANK / CRYOGENICIAbove ,~CryogenlSERVICE DELI --.Conc 100.0% ICarbon Dioxide Components MCP List IMinimal I 02-003 INSECTICIDES (AERSOL) Fire, Delay Hlth Liquid 55 Unrated GAL CAS #: 7757-82-6 Trade Secret: No Form: Liquid' Type: Pure Days: 365 Use: INsECTIcIDE Daily Max GAL55 I DailyAverage40.00GAL Annual Amount GAL 120.00 Storage Press T Temp Location METAL CONTAINR-NONDRUM Ambient~AmbientlAISLE 4, BACKROOM -- Conc 100.0% IInsecticides Components MCP iList Unrated 02-013 CHARCOAL BRIQUETTES Fire Solid 4600 Unrated LBS CAS #: Form: Solid Trade Secret: No Type: Mixture Days: 365 Use: OTHER BAG -- Conc Daily Max LBS. 4,600 Daily Average LBS 2,000.00 Annual Amount LBS 4,600.00 Storage Press T Temp Location IAmbientlAmbientlFRONT WINDOW/BREAKROOM Components ~ MCP ~List oJ./21/ 2 OVONS CO #416 215-000-00 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order Page 11 0.2-017 INSECTICIDE (SOLID) Fire, Immed Hlth Solid 35 Unrated LBS CAS #:'67-63-0 Form: Solid Trade Secret: No Type: Pure Days: 365 Use: CLEANING Daily Max LBS 35 Daily Average LBS 25.00 Annual Amount LBS 35.00 Storage PLASTIC CONTAINER Press T Temp IAmbient~AmbientlAISLE 3 Location -- Conc 100.0% Ilnsecticides Components MCP List IUnrated I CO #416 215-000-001~ 00 - Overall Site <D> Notif./Evacuation/Medical Page 12 <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation ALL DEPARTMENT HEADS WOULD BE NOTIFIED, 911 CALLED, STORE EVACUATED BY USING VOYCALL OR BY VOICE <3> Public Notif./Evacuation PA SYSTEM <4> Emergency Medical Plan DR. WILLARD CHRISTIANSEN - DR. LARRY CHO - 327-2225 DR. LARRY CHO - 327-2225 327-9617 VONS CO #416 215-000-0013~3~ 00 - Overall Site <E> Mitigation/Prevent/Abatemt Page 13 f!> Release· pr_evention <2> Release Containment A~K~A'P% AvA~I~A.?sp~ A5 PART O~ ©?ll~b ©b6AiO · ~o~b I'~ kqA-k~ALqE~ OFF oP <3> Clean Op > <4> Other Resource. Activation ~'01/2f/~2 CO #416 215-000-00 00 - Overall Site <F> Site Emergency Factors Page 14 <1> Special Hazards <2> Utility Shut-Offs A) GAS - EAST REAR OF STORE B) ELECTRICAL - SOUTH SIDE OF BACK ROOM WEST WALL C) SOUTH SIDE OF BACK ROOM ON EAST WALL D), SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - SPRINKLER SYSTEM WITH ALARM ON REAR OF BUILDING FIRE EXTINGUISHERS AT VARIOUS LOCATION THROUGHOUT STORE FIRE HYDRANT - SOUTHWEST OF STORE IN'FRONT EAST HILL TRAVEL WEST OF STORE, EAST OF MARIE CALENDARS, REAR OF STORE SOUTH OF STORE <4> Building Occupancy Level ~ONS CO #416 215-000-001 00 - Overall Site <G> Training Page 15 <1> Page 1 WE HAvE ?? EMPLOYEES AT THIS FACILITY DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? BRIEF SUMMARY OF TRAINING: EMPLOYEES ARE AT FACILITY, WE HAVE SAFETY DATA SHEETS ON FILE IN SAFETY GUIDE BOOKLET IN MANAGERS OFFICE. TRAINING. IS DONE BY TRAINING DEPARTMENT REP WHEN HIRED. FILM OF HAZARDOUS WASTE SAFETY IS SHOWN AND HAZARDOUS BOOKLET IS REVIEWED WITH EMPLOYEE. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use '06 / 1:8/91 ~ONS CO #416 215-000-00 Hazmat Inventory List in Reference Number Order Page 02 - Fixed Containers On Site Pln-Ref Name/Hazards Form Quantity MCP AQUA CHEM Reactive, Delay Hlth Liquid 120' GAL High 02 -002 ,/ BLEACH Reactive, Immed Hlth, Delay Hlth Liquid 700 GAL High INSECTICIDES (AERSOL) Fire, Delay Hlth Liquid 55 GAL Unrated ANTIFREEZE Delay Hlth MAINTEX WAX Delay Hlth Liquid 45 Liquid 50 GAL Low GAL Low 02J06 STRIPPER Delay Hlth Liquid 50 GAL High 02~7 AEROSOLS Fire, Pressure Liquid 250 GAL High 0~___~LYSOL Fire, Delay Hlth Liquid 100 GAL Moderate 02-1 02-0 LAUNDRY DETERGENTS ?~ Delay Hlth Solid 5,000 LBS MOTOR OIL Fire, Delay Hlth Liquid 75 GAL Low Minimal 02-~0~1 AMMONIA Reactive, Immed Hlth, Delay Hlth 02-01~ CHARCOAL LIGHTER %/ Fire, Immed Hlth, Delay Hlth Liquid 20 GAL Moderate Liquid 70 .GAL Moderate 02-0~ CHARCOALFire BRIQUETTES .Solid 4,600 LBS Unrated 02-01~ INSTANT LITE BRIQUETTES/LOGS %/. Fire Solid 2,000 LBS Moderate 02r0~ POWDER BLEACH Fire, Immed Hlth, Delay Hlth Solid 1,500 LBS Moderate 02-01~ ALL PURPOSE CLEANERS Fire, Immed Hlth, Delay Hlth 'Liquid 150 GAL Moderate 02-0~ INSECTICIDE (SOLID) Fire, Immed Hlth Solid 35 LBS Unrated ~ONS CO #416 215-000-001 Hazmat Inventory List in Reference Number Order Page 2 02 - Fixed Containers on Site Pln-Ref Name/Hazards Form Quantity MCP LAWN CARE/FERTILIZERS Immed Hlth, Delay Hlth Solid 15 LBS Extreme POOL CHLORINE (HYPOCHLORITE) Reactive, Immed Hlth Liquid 20 GAL High DRY CHLORINE Reactive, Immed Hlth, Delay Hlth Solid 250 LBS Moderate POOL ACID (HYDROCHLORIC) Reactive, Immed Hlth Liquid 15 GAL High '~ 02~22 02-0~3 ALGICIDE Fire, Reactive, Immed Hlth, Delay Hlth Liquid 20 GAL SODA ASH Solid 10 Moderate Low Fire, Immed Hlth LBS CARBON DIOXIDE Fire, Pressure, Immed Hlth Gas 500 FT3 Minimal 02-0 SCANNER CLEANER Fire, Delay Hlth Liquid_ 25 GAL BREAK UP Liquid 40 Moderate High Fire, Immed Hlth GAL Hazardous Mate:-ials E~ion TO' BUILDING DEPT. BUSINESS NAME LOCATION STATUS CF HAZ MAT REGULATIONS r'-t Required to complete a Hazardous Materials Business Plan Hazardous Materials Business Plan Complete 11. [~1 Risk Mcnagement & Prevention Program Required [--1 Risk Mcncgement & Prevention Program Requirements are being met - OK to issue permit F"I Risk Mcncgement and Prevention Program has been approved. OK to issue Certificate of Occupancy, III. IV. r--] No Hazardous Material Requirements. crocus Materials Reporting Requirements Complete, Comments: Date FD 1655 Rev It9C ~?~ ~, ..,~~-~ ,,?,.,,,. , , , .. .... ' H~dous Maten~s Di~slon ' ' ' ....... _ .(Te ~e eem~leted by ~ul~lng Prompt Av~1oanl aha Igr ~ite Plan PL~II AEAD ALt OF ~E IN~ORMATON CAR~ULLY, FAILURE TO COMPkY WITH THE H~RDOUI MATERIAL~ . ~AY A~8ULT ~N C~V&[ UAmUT~40~ UP TO S~.m ~ eACH DAY ~N W.~CH T~[,VIOLA~?N OCCUns, Mate~iu/~heu Plan? " h~ataOus suDst~nce, you are m~u~rea ~ Ccl~cmi~ Law Io complete a RECEIVED H~a~ou~ M~ed~ lUS~eg Plan. Form~ con ~e obfalne~ flora lhe Bakersfle~ Fife DeDa~ent, H~ar~o~ Moterlo~ O~1~fl. 2t~ · S~tee1. :JU~ 1 7 1991 Typical evew ~ay hazaraou~ mafet'la~ you'mav ~nd in your fac~es ~ey ,nc~ude, HAZ. MAT. DIV. b~ not ~n.~ to: compre.ea 0asa,: ~e~ · a~ ~ei: ~o~en~s: ot~ (new ana ~te): ~hnef~: Ca.tic or tOrranCe mate,~; po/onou~ of toxic materm~: aha Will the applicant of' future bui~l~n~ occupant 1~e reClulmd tO Cgmplete a Rttk Manage. menl aha Prevention Program9 ' (NOT~ tf yeu hanale. ,tote, u~e at ~lbpo~e at ~epo~table e~meN hm~om su~tance you mint aeve~op a R~k Management aha ~event~n Proaram, mis PLAN MUST EE APPROVED BY ~E'LOCAL ADMi~ST~ING A~INCY ~EFO~E YOU COMMENCE OPE~A~ONS AT FACtLI~, The list efmgulatea Cnem~cal~ ~ oont~ned Iff Appenaix A of Part 355 the applicant Of I'UtUte building occupant be cequl~ecl to oblain a Defrost from'the Kern County A[~ Polution Conffot D~rict? L~atlon w~ll~ln I0__n00 feet QP outer boun~lly of the lo,owing: ~o( .(any IchOOI, pub,c or P~ate usaa for the DurDoseS of educati°n of ~ren' Kinderga,en o~ any at graae ! lo 12. ~lu~e) Long I'etm Cq,. Fc~e/~tV · '1 s~anea:/ (~wner. PdAl~te O~ Officer Qt ~'~iiness'~ " YEI · PO2 Bakersflel F re Dept. HAZARDOUS MATERIALS INFORMATION GUIDE sotew C~ae.. . ~ODt~r 6,9~ fNulfll D~l~ea lnlt ~Q~tl ~l~f~l mat~e., at ~e CgllfQfn~o F~re~ng/~ ~eoort~ng QuGnnt~e~, tll~ Q 'H~r~Ou~ Motet~ ~emOnll lus~n~u ~lan ~n~ Inv~, w~t~. I~ LoG~t. A~m~,iterng · e C~l#orn~ Government Co~e ~le reDO ~e ItQtement ~elow PLEAS~ iNOICAt~ WITH A CHECK IN ~ *YES* IiX ON ~[ BUILDING PERMIT APPLICATION iF tHE APPLICANT OR ~UtURE ~UILD~G OCCUPANT WILL HANDLE A HA~RDOUS MAXELL ~ A'Mi~ CONTAINING A NA~RDOU~ MA~ER~AL: A, In o qugn~ at any g~a& or a t~tal volume or ~ ga~, ~r ~ cu~ fNf ~ II--agra tem~eta~re . i..~ any auant~w' of the Ac~ H~raou, Mat~a~ I~ ~ vo~ ~2 No. 17 O~ the ~eaetai R~t~ (L~t ava,lo~le ~t the H~araoul Mate,a~ 0~v~ Office, 2130 G mor~ Of ~ ~rC~BOGi~ ~ O ~Oz~r~ous mQt~L · aha ~tevem~on Program as pet 8ec~on aef~nea ~ the N~tn Q~ ~e~ ~ucat~On it Children ~ ~e~gaCen or an~ gf graaes I to 12 Inc~we, THE FAit THAT THE BUILDING' FO~ WHICH THiS PERMIT IS BEING APPLIED DOE~ NOt HAVE A T~NANT AT THIS TIME. DOES NOT ~ELIEVE TN90WNE~ O~ HIS AUTHO~iZED AGENT F~OM THE RESPONS~ILt~ UNOE~ ~ALIFO~NIA LAw TO tNOICATE WHETHER FUTURE OO~UPANT~ WILL NEED TO ~OMPLY W~TH THE ~EPO~TiNG ~EQUI~MENT~ FOQ THE HANDLING O~ ANY HA~ROOUS MA~ERIAL~. ;F AT A LATER DATE YOU ~ETE~MINE THAT A TENANT WILL 0E$~fl[BEO IN THI~ GUIDE ~HEET YOU MUST IN~O~M THE ~!~ OF BAKERSFIELD, HA~DOUS MATE~IALS DIVISION AT (8~) 326-3979. · NON--TRADE SECRETS . Page ..... of . BUS(NESS NAHE' ~G~ ~ ~ ' OWNER NAHE:~ ~ (~~~NAHE OF TH~S FACILITY: ~Q~TIQ~; ~ ~ ADDRESS;~3~~ ~~~N~D~. HHUNE ~: ~TZ- ~5/~ ' ' P N ~' ~ ~ o .... . · - R~Y~ r~~UC~R~ROP~ CODES -- I 2 3 4 5 $ 1 8 9 l0 II 12 ~i!y 'Nares of t~ixture/Cc~Donents 1rahs !yl~e Nix Av.erHe Annual Heasure I~[e Cont Cont Cont Us locatjon.~heH. Code Loam Act · Aec Est Un,ts on Type. Press Temo Co~e Stored ~n. eac~:y . 5em Instructions Physical and ~ealth Hazard C.A..S. Number Coegonent II Name I C.A.S. Number (Check all that apply) Component 12 Name I C.A.S. Number .i~re Hazard ~ Reactivity( ~ Delayed ~ Sudden Release ~ Immediate ,__~ Health of Pressure Health Component 13 Name ~ C.A.S. Number ~hysic~l mod ~ealth Palard . C.A.S. Number Component I1 Name I C.A.S. Number tCheck ~11 that APP/H HazardReactivityi ~ Oelayed ~ Sudden Release ~ )m~i~ Component t~ Name I C.A.S. Number , Health of Pressure ~ Component 13 Name~l C.A.S. Number ~ysicai and ~HIth Ualard ~ C.A.S. Number ~T'~ -~g~ Component II Name I C,A.S. Number ~ire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~ [m~i~ C°mp°nenC 12 Name ~ C.A.S. Number . .. Health of Pressure Component 13' Name I C.A.S. Number Physicll'lod Health PaTard : C.A.S. Number Component II Name t C.A.S. Number : Component 12 Name I C.A.S. Number ~e Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~ ]m~i~ ' Health of Pressure ., Component 13 Name ~ C.k.S. Number EHERGENCY 'CONTACTS ~1 LOSS ~c~~ HUe ~ ~zt'Y~Phone :erti.fi~;atioq .(Re~tit a..nd.s~fgn afti, f~r' cornplct:,f.ng.~alT..~, ,cCi.ons.) ~ cer~..y unoer peflalt~ ol!al~ tnqt lnavepecsonHly, examlnq~aqolm tamillar.litb'~te..inlormatlon aul~mitte~l in this.and all . ~t.tacned.d~cgment.s, anl t.hat oaseo, on.my inquiry 9(.those ~nolv~oua/s responsio/e for ~ta~ning the information. I be~eve that the I~~'I~11: leo!;uomltteO~ lfllormatlOll..~_. _~ .-:~-\lS r. rue,o,nerl/perltor uH o'~n:~r/~accurate'~ ~Ano ~comp/ete,operator~_.~o..~.]X,...~_.C:~s autnorlzea"r',~oresentat tve-- ~'x. :. ? ~~_ ... ; CI'I'Y r]HAZARDOUS 0t BAKI:_H I'- 11'"-LU MATERIALS T. NVENTORY Farm and Agriculture 1'1 -Standard Business NON--TRADE SECRETS . Page ~-- of.~ ' NAMe ?'F THIS FACTLTTY:~::)~'%s~H/C ....... BUS[NESS NAHE: ~ OWNER NAHE: ' ' LOCATION; ADDRESS: .- ' STA~DXRo IND. CLASS CODE, .... ' CITY. ZIP: ~T~. ~IP~ . DUN AND BRADSTREEI NUMBER ............. TrelnS !Ylle Hax Av.erpge Annual Heasure I I~e Coat Coat' Coat Use Local . Code CODe AmC . Amc Est ' Un~ts on Type Press Temp Code Stored In hacl/tCy Physical arid ~ellth Hazard C.A.S. Number Component II Hame I C.A,S. Number" (Check all [ha[ apply) ~ Fire Hazard ~ Reactivity~ ~ Belayed ~ Sudden Release [ Health of Pressure Component.13 Name t C,A.S. Number I Component 12 Name'l C,A.S, Number D Fire Hazard. D Reactivity~ ~ Belayed D Sudden Release , H~alth - of Pressure ' ~ Component 13 Name t C.A.S, Number Physical and ~ealth Hazard ~ C,A.S. Number Component II Name & C,A.S. Number ~Check all that apply) ~ ~i~ ComponenL ,2 Name, C.A.S. Number D Fire. Hazard D Reactivity D Belayed D Sudden Release Hem ich of Pressure- Componen~ 13 Name I C,A.S. Number Physical'~nd HeHth ~a~ard ' C.A.S. ~uaber Co=portent II ~am~ t C.A.S. Nu~er =, ~ Component 12 Name S C.A,S. Number ~re Hazard ~ Reactivity' ~ OelayedHea/th ~g~ ~ .~. Co~ponen[ 13 ~aae I C,A,S. Number EHERGENCY' CONTACTS ~1 ~2 ertifi arid Re and i naf r com 1 ting all sect ions) cer~l!y.unter Benal~, o~a~ that ]~av~ pe[son;~.examlnq~,q~ ~m famil,ar.~it~ the j:[~lat]In Submitted in this ,nd all t~acneo.oOc~menc~, an~ t~at oase~ on.my ~nqu~ry 9t.cnose ~notvtoua~s responsio~e tor nbc ' g t e Information, ! believe that the uomltted lnlormatlofl IS true, accurate, and complete, . ~i~ e~d 'ofi~ili [itie of o.ner/operator uH o.nerioperator?~ Authorized reDr~sen[attve ST~T[ure : CI'I'Y utBAKEH PIPLU DHAZARDOUS TNVENTORY Farm and Agticultuis I-1 Standard Business , NON--TRADE SECRETS . , Page ..... ~ of BU'SINESS NAHE: i OWNER NAHE: ' ' NAHE' OF THIS FACILITY: ~0 LOCATION; ADDRESS: ' ----~-- STANDARD ~ND. CLASS CODE.; ...... CITY. ZIP: ~T~. ~IP:' __. ~__ DUN AND BRADSTREET HUMBERT I 2 3 4 5 $ ? 8 g lO 11 12 Trans !y~e Paax Av.erage Annual ~easure I ~e Con[ Con: Conk Us Location?eke. Code code. Aa[ Act Est Un,ts on . Type Press lemp Co~e . Stored tn eac]~cy Component 12 Name ~ HealLh of Pressure HealLh ' I Component 13 Name A C.A.S. Number P~xsic~l eod Health ~zerd [ C.A,S, Number ComgonenL ~1 Name (Check ali that apply) ~ ' ~i~ ComponenL ,, Name, I~ Fire Hazard ~ Reac~ivi~yl ~ Delayed ~ Sudden Release ~ Hea/Lh of Pressure ~ ~ysical and Health Uazard ; C.A.S. Number Componen~ l1 Name (Check ali Lha~ agHH . ' ~ ~2~ Component 12 Name I C.A,S. Number ~e Hazard ~ Reactivity ~ Oelayed Health ~~ Component 13 Name I C.A.S. Number ICheck.atl that aPP/y.I ' ~ Compoflen~ 12 Name I C.A,S. Number H..d Oe .ed Sudd , Rei... . . · Health of Pressure .~ Component 13 Name I C.A.S, Number EHERGEHCY CONTACTS ~1 Name TTtle "' ~r Phone fertifi;at ioq , .(Rep~ a.nd.~ign afCf~r cornpl~'ti.ng.all..,s~,c~i.on~) ' certify un,er penllcX 9I~IW tnqt I navepeEsonal.~y, examlnqHqo tm lamillaC.VltO one iHormaclon ~u~mitke~ in this and all at~ached.d~c~ment~, 4hQ tgat Based on.my INqUiry ~t.tnose lnelVlOUa/s responslo/e tot obtaining khe INformatioN.'! believe that khe sUOmltteolntOrmatlon IS true, accurlte, aND complete. ~~tT~ll'T~le of o,ner/operetor u~ ounerloperatolm~'i~F~r1T~?~r-~t'it-T~ Farm and Agriculture ri Standard Business FIHAZARDOUS HATERTALS iNVENTORY _~_ ~) NON--TRADE SECRETS Page. __ of_ BUSINESS NAME: i OWNER NAME: , NAME.OF THIS FACILITY: ~O~s~L~,J~2_. LOCATION: ADDRESS: STANDARD IND. CLASS CODE~--'- PHONE ~: ' ~STRUCT~O~S FUN PROP~ CODES - - - - - 1 2 :) 4 5 0 1 8 9 10 Il 12 l~l~y ,qaeesof ~ixture/CceDonents Trans .TyRe Iqax Av.erage Annual Heasure I gy.s Cent Cent Cent Use Locatjon. Whece. Code Loam AmC Rat Est Un,ts on 51ce lype Press Temp Code Stored tn ~acl/lCyw~. See Instructions IZOD I I lol I IH Physical and Health Hazard C.A.S. Number ComponenC II Name & C.A.S. N~mber ' ~T.-~o (Check all that apply) ~ire Hazard ~eacCivityi O Delayed U Sudden Release ~ediate __ [ Health of Pressure Health Component 13 Name A C.A.S. Number Physical Rod ~ealth Hazard [ C.A.S. Number Coagonen: II Name ~ C.A.S~ Number (Check al/ that apply) ' Component t2 Name I C.A.S. Number ~ Fire Hazard-~J~eactivityi ~ Delayed ~ Sudden Release ~ Heaffh of Pressure ~ Component 13 Name I C.A,S. Number Physical and Health Hazard ~ C.A.5. Number Component I1 Name & C.A.S. Number . (Check al1 that apply) / Component 12 Name ~ C.A,S. Number ~e Hazard ~ReactivitY ~ Delayed a Sudden ,elease . Hem ICh of Pressure Component 13 Name I C,A,S. Number Ph~sicH'and Health ~a~ard ' C,A,S, Nuaber Co=portent I1 Na=e t C.A,S, Nuaber / I Check all that app/H ~ Fire Hazard ~ Reactivity~ ~ 0elayed ~ Sudden Release ' Health of Pressure Co~ponent 13 Naae ~ C,A,S, Nu~ber ~2 EMERGENCy CONTACTS fll~me T%le ~~ NEe ;er((fi aCiD Re and f naf r corn 7 ting all sections)' cer 1fy unler ~enal~, o~a~, thqt l~,v~/ person;~y, exam,nq~aq~,, famillar..~it~ the' ,nformat,on this and al, i't~acfed.docvment), anQ t~at oaseo on.ay inquiry 9(.those inDiviDUalS responsio/e cdr obtaining the Su~mitt?d in Information. I believe that the ;uomltteo intormmuon IS true, accurate, and complete. . ' . , GIIY Ot AAbH PILLU HAZARDOUS MATERIALS INVENTORY Farm and Agticu,lture [] Standard Business 0NON--TRADE SECRETS . Paqe __5... BUSINESS NAME: i OWNER NAME: _' NAM 9F THIS FACILITY: ~'{'"~ I 2 3 4 5 6 7 8 9 10 11 12 ii!y ,qaees of Pixt. ure/C:eponents Irons !yqe HaH Av.erage Annual Neasure I ~Y~e {ertl Cent Cent Us Location3heEe. ' Stored ~n ~a~ty Code CODe Ama Ret Es: Units on ~ype Press lemp Co~e See Instructions Physical and Health Hazard C.A.S. Number Component II Name S C.A.a. Number . g Fire Hazard ~ Reactivityi ~ Delayed ~ Sudden Release ~i~ COmponent 12' Name I C.A.a. NUmber ' ~ Health of Pressure Component 13 Name I C.A.a. Number P~y;icAI I~d Health Hazard [ C.A.a. Number Component I1 Name I C.k.S. Nu,ber I Component I~ Name I C,A.a. Number J0 Fire Hazard 0 fleactiv'ity, 0 Delayed O Sudden Release ~i~ - ~-~ Heal~h of Pressure I ' ' co,on.t.N. C.A.S. ,.,or ~ysical and Health Ualard j C,A.a. Number ~~ ¢omponen~ II Hame & C,A.S, Humber '// ~Check al! that apply) , / t Component 12 Name I C.A.a. Number ' / ~ Fire Hazard ~ Reactivity ~ Delayed ~ Sudden Release ~ ]m~i~ Health of Pressure Component 13 Name I C.A.a. Number Physical Ipd Hellth UeTerd ' C.A.a. Number Component II Name I C.A.a. Number (Check a11 that app/yJ ~ O Fire Hazard O Reactivity O Belayed 0 Sudden Release ~ lm~i~ Component 12 Name. t C.A.a. Number ~c~L ~r ~.~.~ · Health of Pressure ~ Componen~ i3 N~me I C.A,S. Number ~2 EHERGEHCY CONTACTS ~1 ~me Title 24 Hr Phone .fl~e TITle ere(fi arid Re and f naf r corn 1 ti g all c ions) f'¢er[,f, u,lar periled! O~ thqt J~av~/ pe($on;~y, elamJnq~lq~ la fllmJJlar.~Jt~e ~n[ormat]pn ,u~mitt~d in this.lnd ami at~acned.dQcgmenTh eno t~at BaSel On.my Inquiry Of.those inOlVlOUl/S responsio, e tor obtaining the lfltormlcIon, 'l believe that'the LsuomtttedlntormlcIOn la True, iccurate, eno complete. . q~T:-.TT~TTLTll cilia of ovner/operlTor uR ouner/operator's authorized r~~ ~ute farm and Agriculture 'ri CI-I-¥ 01' ~ARE~I ~LU Standard Business 0HAZARDOUs' MATERIALS INVENTORY . NON--TRADE sECRETS U~I~SNS NAME: ~ OWNER NAME: NAME OF THIS FACILITY: .... ........ .. CZT~. ZzP~ .....-- Du. A.D B~ADS~REE~ .U~.ER ............. . ..... ilrans !y~e Hex Avgrage Annual Heasure I t~e ~ont tent' Cent Us Location Whe(e. Stored ~n .'Code LoDe Amt AmC Est Units off type Press Tamp cole see Instructions Physical end ~e,lt~ Hazard C.A.S. Number Componen~ II Name I C.A.S. Number ,~ Fir, H,z,rd, OReactivityi .Delayed O Sudden Release, Health ofPressure ~,,~ Component ,2 NamelC.A.,.Numb,r __~~~. P~ysical IPd Health Hazard ~ C.A.S. Number Component II Name I C.A.S. Number (Check 411 that apply) J Name C,A.S. Number I~ Fir; H~zlrd e RelctivitY~ ~ O~layed e Sudden Relea;e ~ ]mq~di~eC°mp°nenL ' . He,lth of Pressure Hea~tn I ~ Component 13 Name I C.A.S. Number ~ysical and Hellth ~alard ~ C.A.S. Number Component II Name I C.A.S. Number (Check a11 that aPplyl , ?. Component 12 Name I C.A.S. Number '0 Fire Hazard 0 Reactivity 0 Delayed 0 Sudden Release ~ Heal~h of Pressure Component 13 Name I C.A.5. Number Physical led Health Plilrd ' C.A.S. Number Component I1 Name I C.A.S. Number lCheck '1/1 &hat apply) Component 12 Name I C.A.S. Number ~ Fire Hazard 0 Reactivity 0 Belayed 0 Sudden Release ~ ' Health . of Pressure . Componenk 13 Name I C.A.S. Number EHERGEHCY CONTACTS ~1. '~me Title z4 Hr Phone ~{~e . Title ertifi ~tio Re and i naf rcom 7 Cf g all s c ions) f cert,fy un3er penal~, o~a~W that ' ~av~7 pe[son;f~.examlnq~,q~ ~m ~,il,,r.~itb ~ge ~nformat,on Su~,i~ted in this ,nd all at~a~hed.d~c]~en~ an] t~]~ o~seo on.my inquiry ~t.~nose ~no~vloua~s responsio/e tot obtaining th~ information. [ believe that the suomlLCeO information IS crum, iccurl~e, and comp/e~e. ' q~~lclal [tole of ovnerloperlcor.'uN ovn~rloperaLor's auth~rizeO r~~ ~]~¢e VONS CO ~$416 215-000-0(e34 Overall Site with 1 Fac. Ur, it Page General Information iLocation: 2661 OSWELL ST. Map:· 103 Hazard: Low I ldent Nurnber: 215-000-001334 Grid: 22B Area I of Vul BRIAN KALER Administrative Data Mail Addrs: P'O BX 3338 TERMINAL ANNEX City: LOS ANGELES Corm Code: 215-008 BAKERSFIELD STATION 08 Owner: VONS CO Address: P 0 BX 3338 ATTN: TAX DEPT City: LOS ANGELES ~ Tit~e .... - Business Phone ---F 24 Hour Phone] (805) 872-5516 x~ 805) 399-7804! (805) 872-5516 x ((805) 746-340i~ D&B Number: St ate: CA Zip: 9005i- SIC Code: 5411 Phor, e: (8(:)5) 872-5516 State: CA Zip: ~.)0~1- iS urnr,lary I, ~3 Do hereby certify that ~ have (Type or print name) reviewed the attached .~ ,,~-,~ .... .*.~ materials manage- ment plan for ~S Z./)~ ~r~d that it along with any correc~bns con .... ,u,~ a complete and corre~ man- agement plan fo~iity. Signature Dato P 1 n-Ref Name/Hazards 'VONS CO #416 215-000-001334 Hazmat Ir~ventory List in MCP Order 02 - Fixed Cor, tainers t_-tn Site F o r r,1 Quant ity Page MCP 2 )~-007 AEROSOLS Fire,, Pressure ~ Liquid 75 GAL High 02-001 AQUA CHEM · Reactive, Delay Hlth Liquid 120 GAL High 02-002 BLEACH , Immed Hlth,( Delay Hlth Liquid 200 GAL High 02-006 ST R I PPE R Delay Hlth Liquid 20 GAL Hi gh 02-011 AMMON I A Reactive, Immed Hlth, Delay Hlth Liquid 20 GAL Moderate ¢~--012 CHARCOAL LIGHTER Fire, Immed Hlth, Delay Hlth L i q u i d 40 GAL Moderate 02-008 LYSOL Fire, Delay Hlth Liquid 100 GAL Moderate (~ ~-01 C> MOTOR OIL Fire,~ Delay Hlth L i q u i d 50 GAL Moderate 02-004. ANTIFREEZE Delay Hlth Liquid 45 GAL O.~, (") r-,r~ ""-- - ,-, ~. LAUNDRY DETERGENTS Delay Hlth Sol i d 5,000 LBS Low 02-005 WAX Delay Hlth Liquid 30 GAL Low 02-003 RAID DEFOGGER/ANT SPRAYS Fire, Delay Hlth Liquid 90. GAL UrJrat ed ~)3/27/91 VONS CO 0416 215-000-()d~34 00 - Overall Site <D> Not if. /Evacuat iota/Medical Page <1> Agency Notificatiors CALL 911 <2> Employee Notif. /Evacuation ALL DEPARTMENT HEADS WOULD BE NOTIFIED, 911 CALLED, STORE EVACUATED BY USING VOYCALL OR B.Y VOICE <3> Public Notif./Evacuation PA SYSTEM <4> Er~erger~cy Medical Plan DR. WILLARD CHRISTIANSEN - 327-9617 DR. LARRY CHO ~.7 DR. LARRY CHO- VONS CO #416 215-000.001334, '00 -:Overall Site <E> Mit igat iors/Prever, t/Abatemt Page <1> Release Prever, t'ior, pOOL CHLORINE & POOL ACID ARE STOCKED SEPERATLY AND SHIPPED ON SEPERATE PALLETS <2> Release Cor, tairm~er, t <3> Clear, Up <4> Other Resource Activatior, VONS CO ~416 215-000-0(J34 00 - Overall Site <F> Site Eme~ger~cy'Factors Page 5 <1> Special Hazards <2> Utility Shut-Offs A) GAS - EAST REAR OF STORE B) ELECTRICAL - SOUTH SIDE OF BACK ROOM WEST WALL C) SOUTH SIDE OF BACK ROOM ON EAST WALL D) SPECIAL - NONE E> LOCK BOX - NO <~>~ Fire Protec./Avail. Water PRIVATE FIRE PROTECTION~ - S~,RINKLER SYSTEM WITH ALARM ON REAR OF BUILDING FIRE EXTINGUISHERS AT VARIOUS LOCATION THROUGHOUT STORE · .FIRE HYDRANT - SOUTHWEST OF STORE ~IN FRONT EAST HILL TRAVEL WEST OF STORE~ EAST OF MARIE CALENDARS~ REAR OF STORE SOUTH OF STORE <4> Held for Future use ("$3/27/r~1 VONS CO ~416 215-000-001334 Page O0 - Overall Site <G> Training <1> Page 1 WE HAVE ?? EMPLOYEES AT THIS FACILITY DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? BRIEF SUMMARY OF TRAINING: <3,> Held for Fut'ure Use <4> Held ~fc, r Future Use i, CTTY of BAKERSFIELD . y . . " _ _HAZARDOUS t, aAT ERTALS I NV EN-I'-OR . Parm and A9cicul[ure [J Staqdard Business [ev . NON--'TRADE SECRETS / BUSIN S NA - ~/~,~' . c7 , - ~ / ' STANDARD IND CLASS CODEf- L CAT~ N ~ ~( ' /~./~UN AN . r ..... ~ C TY Z~ ~~ -~ PHONE .: ~ ~g/~ ~ ~ g~/7 - ~ ?O~~T~~ROP~ CODES I 2 3 4 i 5 ' 6 7 8 Stored in FaCility rqns !yqe Max Avgragel. Annual Measure I ~y) Cont Cont Cont Us Location.Whe(e. :ODe coae Am( ^mt Est Un,ts on ~lce Type Press Temp cole i C.A,S, Humber Component Physical and Health Hazard (Check all that apply) ! Component 12 ~r"Fire Hazard J~"Reactivityi [] Delayed Fl Sudden Release Health of Pressure ' -Component 13 13 of ~ixture/Com~on'ents W~y HaeeSsee Instruct. Ions !' '. Physical add Health Hazard (Check al1 that apply) Name & C.A,S. Humber Name & C.A.S. Number Name & C.A.S. Number C,A,$. Number Component II Name t C,A,S. Number ffl/iire Hazard I~ReactivityI ri Delayed Health Physical and Health Hazard [Check all that apply) I-] Fire Hazard [] Reactivity e~k 811that apply), 19 Fire Haza[d I-1 Reactivit!. C,A.S. Number · [] Delayed [] Sudden Release Health of Pressure C.A.S. Humber' [] Oelayed I-] Sudden Release Health of Pressure Component 12 Name & C.A.a. Number Component 13 Name & C.A.S. Number EHERGENCY CONTACTS Component I1 Component 12 Component 13 Component II Component 12 Component ~3 ~ Hr Phone Name & C,A,S, Number Name & C.A,S. Number Name I C,A.S. Humber Name & C,A,S, Number Name & C,A.S. Number Hame & C,A.S, Number · · ' ' Re an'd f n at~ r corn I 1Cf g. ~17. sections) ,rtlfl at,o · h t l lay ersona ~ examln ?a~ m~amiltar. ,t the ln[oEmatton ,ntorma~,on. [ bel,eve th,~ ~,~[[ya~.~na[~ ~a[e~' on my [~uiry ~?[hose ,n~,vl~ua~s respons,b~e ~or obta,n,ng the Submitted in this.and a11 ..~ ~d"~on IS tru~ecc~rata, eno complete. . · ' i; , ~. : Business Name: ~o~< INSPECTION SUMMARY: HAz~Dous MATERI A INSPECTION F BUREAU ID'~iS~ DATE ANNUAL INS~CTION4__ EXEMPTION RE-INSPECTION ALL ITEMS ~.' [/~1 VIOLATIONS NOTED: [ ] Location:c~66/ 0 5U~S'[ [ S-xl-'' COMPLAINT 0 - Does Not Apply 1 - In Compliance 2 - Correction Needed .3 - Verbally Warned 4 - N.O.V § - Citation 6 - Referred To (Specify) EMERGENCY PROCEDURES (CCR TITLE 19-2729 & 31) A. Agency Notification Plan (O.E.S., FD) B. Employee Notification & Evac. Plan C. Emergency Responder Notification D. Medical Assistance E. Private Response Team Procedures TRAINING REQUIREMENTS (CCR TITLE 19-2732) F. Training Records' I G. MSDS Available to Employees H. Employees Familiar with'MSDS --I- I. Use of Personal Protective Equipment J. Waste Material Permits & License K. Employees Familiar with Evacuation Plan. Comments: PREVENTION & CLEANUP PROCEDURES (CCR TITLE 19-2731) L. Work Area Safety M. Clean-up Materials Placement/Availability N. Clean-up Equipment 0. Fire Protection Systems P. Waste Handling & Storage Q. Availability of Protective Equipment INV. & DIAGRAM VERIFICATION'(CCR TITLE 19-2729) R. Inventory Quantities S. Storage, Container Cond., & Labeling T. Location in Facility Unit U. Emergency Water Supply V. Evacuation Plan & Area W. Surrounding Exposures X. Utility Shut-offs Y. Other {/ N o'7-£ Clearance Granted [~ Co ,e ea ! 'OU Inspector ~ Re-Inspection Required [ ] On / / D.E. Total Time /~er/Manager Miles on Insp Fire 580 2415 HMCU 414 (Revised 1/89) Business Name: z~Dous MATER'r AP~RMBURE~U I NSPEOTI ON' INSPECTION SUMMARY: ANNUAL INSPECTION EXEMPTIO~ RE-INSPECTION ALL ITEMS bK]' [/~] VIOLATIONS NOTED: [ ] 0 - Does Not Apply 1 - In Compliance 2 - Correction Needed $ - Verbally Warned 4 - N.0.V 5 - Citation 6 - Referred To (Specify) COMPLAINT EMERGENCY PROCEDURES (CCR TITLE 19-2729 &. 31) A.- Agency Notification Plan (O.E.S., FD) ' B. Employee Notification & Evac. Plan C. Emergency Responder Notification ~,./'Medical Assistance Ek Private Response Team Procedures, "TR~!NING REQUIREMENTS (CCR TITLE 19-2732) F. ~raining Records G. MSDS Available to Employees H. E~ployees Familiar with MSDS I. U~e of Personal Protective Equipment J. Waste Material Permits & License K. Employees Familiar with Evacuation Plan. Comments: PREVENTION & CLEANUP PROCEDURES (CCR TITLE 19-2731) L. Work Area Safety M. Clean-up Materials Placement/Availability _~_ N. Clean-up Equipment O. Fire Protection Systems P. Waste Handling & Storage' Q. Availability of Protective Equipment INV. & DIAGRAM VERIFICATION (CCR TITLE 19-2729) R. Inventory Quantities S. Storage, Container Cond., & Labeling T. Location in Facility Unit U. Emergency Water Supply V. Evacuation Plan & Area W. Surrounding Exposures X. Utility Shut-offs Y. Other Clearance Granted [y] Started 17 : ~Y~ Completed ,;?specSor Re-Inspection Required [ Total Time On / / D.E. Miles on Insp 580 2415 HMCU 414 (Revised 1/89) KERN COUNTY FIRE DBPAR~IENT 5642 VICTOR STREET. BAKERSFIELD, CA 93308 INSPECTOR QUEST, IONNAIRE BUSI NEss PLAi~ AS A ~rI-IOLE .FOR USE WITH THOSE BUSINESSES COMPLETING A BUSINESS PLAN (2A). INSTRUCTIONS: 1. Complete this form only once for each occupancy. 2. Attach this form to BUSINESS PLAN (2A) and forward to Data Entry. BUSINESS PLAN VERIFIED ON: [ C) / ~ ~ / ~'~ SECTION 1: RESPONSE SUNNY [Limit to 4-5 lines) SECTION 2: NOTIFICATION [ EVACUATION OF AFFECTED PUBLIC (Limit to 13 lines) H~CU-5_ 07106/89 VONS CO ~416 .Site as a Whc, le Ger, eral Informat ic, n [:.'age 001 Lc, catior,: 2661. Oswell St I dent Nur,lber: ;--' 15-000-001334 Map: 1(:)3 Hazard: Low Grid:22B Area of Vul: Administrative Data Mail Addrs: P 0 BX 3338 TERMINAL ANNEX City: LOS ANGELES GeoSubdiv: BAKERSFIELD STATION 08 D&B Number: State: CA Zip: 90C)51- SIC Code: Owner: VONS CO Addrs: P 0 BX 3338 City: LOS ANGELES Cont act JIM MAY Summary: 2A SEC 4) ATTN: TAX DEPT Phone: (805) 872-5516 State: CA Zip: 90051- Title Business Phone ( ) 872-5516 ( ) 872-5516 24 Hour Phc, ne ( ) 399-7804 ) ~88, JIM MAY, MARTY COMAIANNI, H~, RICHARD WANNORE, M~C; ..... ~nn~,~n~ JEFF PRINCE - ALL WOULD BE CALL IN CASE OF EMERGENCY 2A SEC 2) 07/06/89 VONS CO #416 ~verall Site HAZMAT INVENTORY - LIST Page (:)(:)2 01-001 Muriatic Acid >~ 1 O0 High GAL 01-002 Bleach > 200 High GAL 01-C)03 Raid Defogger/ant Sprays > 100 GAL Ur~rat ed 07/06/89 VONS CO ~416 Overall Site HAZMAT INVENTORY DETAILS Page 003 01-001 Muriatic Acid > 100 GAL High Form: Urlknc, wrJ Type: Pure Days ir,' use: Use: --- Daily Max Amt 100 ........... Cc, retainer PLASTIC CONTAINER Daily Average Amt A r, re u a I A r~l o u r,t 5,200 ----fUn i t -- I AL ~lF'ress~-Temp iAISLE 2 Locat i on -- Cc, rlc.~ C,-,mpc, r~ent s 1OO. 0% I Hydrochloric Acid .... MCP Ti st-- High 01-002 Bleach > 200 High GAL Fc, r~n: Ur, kr, own Type: Pure Days ire use: Use: Daily Max Amt 200 T-- Daily Average Amt Areree.ta 1 ArelO;.tr, t 10,400 --FUr, i t - ImAL ...... Cont a i net PLASTIC CONTAINER I PressTTen~P t AISLE5 Lc, cat i c,r~ ! 100.0% IBleach I Cor,a por, eret s 07/06/89 ~ VONS CO #416 OVerall Site HAZMAT INVENTORY DETAILS 01-003 Raid Defogger/ar~t Sprays page 004 > Form: Ur~knc, wr~ 100 Ur~rated ' GAL Type: Pure Days in use: Use: -- Daily Max Amt 100 ........ Cor, tainer - PLASTIC CONTAINER 100.0% jNot Four~d --~--- Daily Average Amt ---T__/Ari'nual Ar~ount -.-__FUr~it - 1,00(') j GAL Ccml por, er, t s MCP ?ist-- 07/06/89 <D VONS CO ~$416 i f./Evacuat ion/Medical Page 005 <1> Agency Notificati,z, rj <2> Er~lployee Notif./Evacuation 3A SEC 2) ALL DEPARTMENT HEADS WOULD BE NOTIFIED, 911 CALLED, STORE EVACUA]'ED BY USING VOYCALL OR BY VOICE <3> Public Notif. /Evacuatiorl 07/06/89 VONS CO ~416 if-/Evacuation/Medical Page 006 <4> Emergency Medical Plan 2A SEC 5) DR. WILLARD CHRISTIANSEN - 32'7-9617 DR. LARRY CHO - 327-2225 DR. LARRY CHO ~'~ 07/06/89 (E> VONS CO #416 i gat i,_-,n/Prever, t/Abat erJ~t [:'age 007 <1> Release Prevention 3A SEC 1) POOL CHLORINE & POOL ACID ARE STOCKED SEPERATLY AND SHIPPED ON SEPERATE PALLETS <2> Release Cor, tainmer~t <3> Clean Up <E> VONS CO ~$416 i gat i,-,r,/Prever, t/Abat emt ;:'age OOB <4> Other Res,:,urce Act i vat i or, 07 / 06 / 89 ~ ~ <~W~ S VONS CO ~416 i'te Er~ergerJcy Factors Page [)[)9 <1> Special Hazards <2> Utility Shut-Offs <3> Fire P~otec. /Avail. Water 3A SEC 4) SPRINKLER SYSTEM WITH ALARM ON REAR OF BLDG FIRE EXTINGUISHERS AT VARIOUS LOCATION THROUGHOUT STORE 3A SEC 5) 3A SEC 5) FIR HYDRANT - SW OF STORE IN FRONT EAST HILL 'TRAVEL FIRE HYDRANT' - W OF STORE, E OF MARIE CALENDARS, REAR OF STORE S OF STORE PHONE ,:~~.~. ~ -- ~DU" AND BRADSTREET NUHBgR ~lth of P~ ~lth ........... . ' H~lth of Pr~suee Health ~ ' C-,rtlficltion (Reed end sign after comp/etJn£ ell sections) lfercprtffVo~' uflder ~e~lty Of lev t~t l: ~vLe ~PsmlllygalmJn~ ~d Il f~lililr vlth t~ tnfor~tim su~itt~ In thtl ~ ell I~ ~ts. ~ t~t ~ m W i~t~ of t~e I~tvlhll r~slble ' ".'~ ':-. ..... . CITY, ZIP:.L%% .quos} -'- ~DUN AND BRADSTREET NUMBER fll~lth of PmlUtl. HHIth -~ F~re Hazard L--J ~cttvi~y ~ J ~la~ [ ~ ~dd~ ~el~e ~ J H~lth . of Pr~sure Health L,. ; ' ........... (Read and sign after coapletln£ all sec, tlons) ~dee ~lty of lee t~t I ~ve mrs~illye,eain~ ~ la f~iltlr vlth t~ tflf~tim,su~itt~ t~(htg ~ II~lttK~ ~tl. K t~t ~s~ ~ ~ t~t~ of t~e l~vt~ll rH~sible Farm end Aoricultur! BUSINESS NAME: .\vv~.. k)Oh~ .~.-,('&.,.v~t.~ '- OWNER NAME: CITY, ZIP: - :r~. ' 'a ..... ~ ~ ? 1' '4 S' S 'l ! { 10 I1 lrsfis lV~ ' ~ i--rm~e ~l. ~aJu~ I ~ ~t. ~t ~t ~ L~ttm ~ ~ ~ ~ Of Nl~t~/~tS [~, ' 6~e bt ~t . Est . .Units ~ Site l~ ~s m~ -. ~olth of P~ ~Jth ((~k ell t~t apply) . - ' ' - ....... - fZ" ' r.~ ~lth of Pm~ ((~k. ll{ tMt apply) . . , , ~ .... Health of P~sure aNlth~t - ~ & c.i.s. ~ . m ..,,~,,,c,,,c,, ,,,~ .,....., ~ ...... _.._. Sa4-':-~% ,,, _., ............. ,,,,, ..... =~ ............ ,,,.~, ...... AI:IURE$S: VO i'~04_ ..~,5~c~ "~ c~,~ ~ ~n~,~,,.~ANDARD IND.. CLASS CODE · ' ~ :' '~" " ' . ~ ~ I~$~0~I0~ ~R ~OP~ COD~ - .... :..3~.: .... I,_L.SL._ 0 L~J~i' . go~ .~:~ ...... ~._' ..... r~ical ~ HNIth Nailed .C.A.S. ~ ~t Il ~ I C.A.S. i I '.-. .... ' t, o gt~zard [ ctlvfty h[ , ~ ~ ~1~ [--J I*tltl ' ' ~ ' L~L ~f,' P~" "~th . ' · " ~t I] ~ & C.a.S. _ . ':Health' ' of P~lure ' 'HNIth . ' : ...... .. '" " ~t~] ~Ac.A.s.~ . . .' '7 ':':?'=-7'7 ........ : ' 7-.--'-~ .... ~., ~ ' -- - , --,-- (Reed sign after ColpJetJn£ all sections/ . . . eenalty of lA. that I have aersoflally lmaiined ~d l. fNiHIr .tth t~ lflfor~tl~ su~tt~ Iff tht. I I [ m~;:,~-~::m~,,~-;.~.m,'. ,, ................ , ........ ~, .................. BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 (805) 326-3979 OFFICKAL USE ONLY . i/~ ~ C o US'[NESS · HAZARDOUS BUS 'r N~:SS MATERI ALS PLAN AS A WH°LE FORM 2A INSTRUCTIONS: 1. To avoid further action, return this form by 2. TYPE/PRINT ~VSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. ~. 4. Be as brief and concise as.'possible. -- SECTION l: BUSINESS IDENTIFICATION DATA VOA)s ~,(.) ~ ~//~'~ .. j-.~_~,.,~.~ ,.-_,--~,o~ ~ ._/~,~. ~ ~. ~OCA~IO~ / ST~EE~ AD~RSSS=~ O~Z.d~--~ ~'T- c,~: ~~~/~ z,~: ¢'~'~ ,~,.~o~: '(~') ~ $7~';~/~ SECTION 2: EMERGENCY NOTIFICATIONS. In case of an emergency involving the release or threatened release of a hazardous materlal~, call 911 and 1-800-852-7550 or 1-916-427-4341' This will notify your local fire department and the State 0fftce of Emergency Services as required by law. EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: DURING BUS. HRS. N~ME AND TITLE ~. /-/~'(d4 ~/~..ey _~,h,, oc7~--¢y/~ ,F-T~ 8us. m~s. Sl~CTIoN 3:~LOCATION 01~ DTILI1T SR1~-O1~$ FOR 8USINESS::As A ~OL~. A. NAT. GAS/PROPA~:~'~/ ~~' .~ D. SPECIAL: E LOCK BOX~ IF YES, LOCATION: IF YES, DOES IT CONTAIN~SITE~ PLANS? ~S / NO FLOOR PLANS9 ~S / NO :',,'.. '.~k'~?~. RSDSS? ~S ./ NO' KEYS? YES / NO SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE SECTION §: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOb~ BUSINESS AS A WHOLE SECTION 6: E.~LOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH iNITIAL AND REFRESHER TRAI~ING IN THE FOLLOWING AREAS. INITIAL CIRCLE YES OR NO A. METHODS FOR SAFE HANDLING OF HAZARDOUS MATER IALS: ....................................... B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: ............... , ............. ~ NO C. PROPER. USE OFSAFETY EQUIP~MENT: ................ "'.~'6'-~ vr~NO D. EMERGENCY EVACUATION PROCEDURES: ................. E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... YES 'N~ REFRESHER Lssss E NO YES ~ SECTION 7: HAZ~LRDOUS .~TERIAL CIRCLE YES - NO - NONE DOES YOUR BUSINESS HANDLE HAZARDOUS ~TERIAL IN QUANTITIES LESS THAN 500 POL'~F A SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS:./ .... I, '~/z/~/~' ~ Cb~--/ . certify that the above information is accurate. I understand that th~$ information will. be used to fulfill my firm's oblizations under the new California Health and:Safety code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. Z5500 Et Al.) and t~at~accurate information.constitutes perjury. 'SIGNATL~E BAKERSFIELD CITY FiRE SEPAR1T.!E?;T .1~0 "G" STREET BAKERSFIELD, CA 93301 '\ .XA>:,:: BUSINESS ' '" US.-' ONLY.. BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS I. To 'avoid further action, this' form must be returned by: 2:' T~.~E/PRI'NT YOUR ANSWERS IN ENGLISH. · 3. 'Answer the questions below for THE FACILITY UNIT LISTED BELOW ~. Be as BRIEF and CONCISZ as possible.' S~10N I: MITIGATION, PR~ION, ABA~ PROC~b~ES ,risc. ....... ""mN PROCEDL.~ES AT THIS L~."iT ONLY SECTION 2: NOTTF!CATiON AND SECTIO~ 3: RAZARCOUS ~ATER[ALS FOR T~TS A.. Does ~.hts Eacilit¥ Unit'conr. ain'Hazardous }la~eria!s? ...... If YES, see B. If SO. ¢ont:inue with SEC?lOX 4. B. Are any of the hazardous materials a bona fide Trade Secret YES NO If No, complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form e4A-1) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS OXLY (Fellow form :4A-2) in addition to ~he. non-trade secret form. List only the trade secrets on form 4A-2. SECTION $: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDER$ s~O~o~ s: ~ocmoN o~ m~ s~~s .~ ~s m~ o~v. .-% XAT. GAS,'PROPANE': ,~,~ S '7- S/~'- op'J'~'~oz~r"2- ~,,,,~,~,,,,,u &_. B. ELECTRICAL: C. WATER: O. SPECIAL: LOCK BOX: YE~iF.YES, LOCATIOX:' r . %' 0 FLOOR P..A.~S. YES .' >:0 KEYS? ..... - 3B- I.D. / BAKERSFIELD CITY FIRE/ DEPARTMENT FORM 4A-1~ NON--TRADE SECRETS HAZARDOUS I~ATERI ALS INVENTORY BUSINESS NAME: ADDRESS: C I TY, Z I P: Page OWNER NAME: ADDRESS: CITY,ZIP: ~ FACILITY FACILITY UNIT NAME: OFFICIAL USE UNIT 6f PHONE ~: ~?O-~b--~/5-"" ~Z,~'7,~ 5":%--'/7 PHONE #: ,.,~-"/A" .... ~ ONLY 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE' LOCATION IN THIS ~; BY " HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE EMERGENCY NAME: ~&~.~ ~ tL'~";" TITLE: S ONATURE: ~ CONTACT: (~./%q ~/~--/ TITLE:~7~W' /W6/g~- PHONE # BUS HOURS: BUSINESS ACTIVITY: ~0~ 3~~ .' AFTER BUS HRS: EMERGENCY PRINCIPAL - 4A-1 - -' RRE OEPARTMEHT O. S. NFr. E~HAM RRE CHIEF CITY o~ 2101 H STREET BAKERS,ClEI.D. 93,1~1 ;128-~11 Dear Business Owner: Enclosed please find a copy of your response to the Hazardous Materia! Business Plan request. We have found it necessary To reject your pian for the following reason(s) as checked below. Illegible Business Plan (please print or type infomation ir Form 2A ~ Missing or ~-'~[~ncomplete - ~ /~) Form 3A ~ Missing or ~-~ Incomplete Form CA F-Z~ssing or ~ Incomplete - Fora 5A ish). Site Diagram ~ Missing or ~ I. .)lete Facilities Diagram ~ Missing Incommlete This is to be corrected and-:resubmi thin 30 days to: Bakersfield City Fire Oepartme Hazardous Materials Division 2130 "G" Street Bakersfield, CA g3!I01' If additional copies of Hazardous Materials are needed they can be picked up from the 2130 "G" Street in person. Sincerely Yours, / /Ralph E. Hazardous Materials Coordinator REH/eg