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Home My WebLink AboutBUSINESS PLAN~,`~~ ~\ TARGET #614 3401 MALL VIEW ROAD ~i • - ---~ ~„~ ~~ `J ~~'~; ~ ~ ~' ~ ~ ~ w ,~ ~ e1 ~. n ~l, ,! ~l "~~ =~ .~_ ~~~ /- c~.~- s~ ~r~-, .r~~ ems. ~~ ~ ~ ~~ ~ ~ ~ PleasE and Post-It'"routing request pad 7~ w"o ~ ROUTING -REQUEST ~ READ HANDLE APPROVE FORWARD RETURN KEEP OR DISCA ^ REVIEW WITH I Date~r~~"' =- rood ~ ~ ~~ ~, ,. + TARGE'T' T-614 ________________________________________ SiteID: 015-021-000534 + Manager RANDY LEMONS Location: 3401 MALL VIEW RD City BAKERSFIELD CommCode: BFD STA 08 EPA Numb: BusPhone: (661) 872-9929 Map 103 CommHaz High Grid: 22B FacUnits: 1 AOV: SIC Code:5399 DunnBrad:41-084-8441 Emergency Contact / Title Emergency Contact / Title " ~ / MANAGER / _ Business Phone: (661) 87.2-9929x Business Phone: ( ) - x 24-Hour Phone (~~Q~ ~~~ ^''"--~ 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire React ImmHlth DelHlth Contact JENNIFER RYMANOWSKI Phone: (612) 304-4417x MailAddr: PO BOX 111 State: MN City MINNEAPOLIS Zip 55440-0111 Owner TARGET CORP Phone: (612) 304-4417x Address PO BOX 111 State: MN City MINNEAPOLIS Zip 55440-0111 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif ' d: RSs : No ParcelNo: Emergency Directives • 2mevguncy ~o~tfaafi ~ PROG A - HAZMAT PROG C - COMM HOOD ~~~ o~~ ~ C l-uvlcs W; ~kq ~7'i..- ~1 ~ 2 iebl- ~~Z- 9 qty 2y-houv p<7o~it : (o (o! - Zoe ~ 3 43 $ Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and helieve the information is true, accurate :and complete. ~/ Z~ ~ ~ Signat Date ptn ~~~~~ ENT'D ,1 U L ~ 4 2Ofifi -1- 03/22/2006 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business .Plan and Inventory Program C] FACILITY NAME - WSPECTION DATE INSPECTION TIME -------~~~-----------_ _._-__ .- ------._ ---- ------ - __..- -___.__ ... -_-..-._._...-_.- ---__ -__._. /~-../_a_.-o~ 13ao ADDRESS PHONE No. No. of Employees FACILITYCONTACT Business ID Number ~~ ~G. 15-021- ®aac3~ Bakersfield Fire Dept. ' Environmental Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel: (661)_326-3979 _ _ _ Section 1: Business Plan and Inventory Program ^ Routine ^ Combined ^ Joint Agency ^Mnlti-Agency ^ Complaint O Re-inspection C V OPERATION t n~ COMMENTS IV=Vioa on l ^ APPROPRIATE PERMIT ON HAND ~' - ^ .BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ - VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ .VERIFICATION OF LOCATION `~ ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITYE ^ VERIFICATION OF HAT MAT TRAINING I' ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ~ ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING '~ ^. FIRE PROTECTION ~ ^ SITE DIAGRAM ADEQUATE ~ ON HAND ANY HAZARDOUS WASTE ON SITE?: ^ YES ~ NO EXPLAIN: • QUESTIONS REGARDING THIS INSPECTIONZ PLEASE CALL US AT ~G6'I ~ 326-3979 1 - -__ Inspector (Ple se Print) ~ Fire Prevention tst-IMShift of Site White -Environmental Services Yellow - Stettin Copy Business Site Responsible Ay (Please Print) Pink -Business Copy ~~~Y,. ~'r~ CITY OF BAKERSFlEI,D FIRE DEPARTMENT OFFICE OF ENVIRUNMF,NT'AL SERVICES °° ~ UNIFIED PROGRAM INSPECTION CHECKLIST y ~ry ~a~r~ 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~ •'4IZG ~ ~ ~o I ADDRESS 3`EO I M 4t-~- V 1 C'W FACILITY CONTACT INSPECTION TIME ~n M t.~ INSPECTION DATE ~ `~O `~ ~ _ PHONE NO. 8'7 L_ `~y L9 BUSINESS ID NO. I5-210- ~ 0053 ~ N[,tMBER OF EMPLOYEES _ Section 1: Business Plan and Inventory Program ~' Routine ^ Combined ^ Joint Agency ^Mutti-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: ^ Yes ~No Explain: Questions regarding this inspection? Please call us at (661) 326-3979 Whirr • Env. Svcs. Yellow -Station Copy Pink -Business Copy V Business Site Responsible Party Inspect ~ Hazardous Materials/Hazardous Waste Unified. Permit CONDITIONS OF ,PERMIT ~ON REVERSE SIDE Permit ID #:: 015-0004)00534 TARGET T-614 LOCATION: 3401 MALL VIEW RD --LD Issued by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Approved by: Expiration Date: This .errnit is Issued for the following: [] Hazardous Materials Plan E1 Underground Storage of H==,-rdous Materials El Risk Management Program · El Hazardous Waste On-Site Treatment Customer Service Manager (~) TARGET ~/~~B 01 Mall View Road . akersfield, California 93306 805-872-9929 Fax: 805-872-0987 Office of Evh-onme~Services ~ June 30. 2003 Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE PERMIT ID# 015-0214)00534 TARGET LOCATION 3401 Issuedby: This permit is issued for the following; rdous Materials Plan Bund Storage of Hazardous Materials agement Program Waste Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 g^X (805) 326-0576 Approved by: Expiration Date: J~1~3~, 2000 MMP PLAN MAP SITE DIAGRAM Business Name: Business Address: FACILITY DIAGRAM For Office Use Only First In Station: inspection Station: Area Map # of L FACILITY NAME ADDRESS J>q'0 } FACILITY CONTACT INSPECTION TIME.. _"~ ~ I,.-> CITY OF BAKERSFIELD FIRE DEPARTMENT -OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 INSPECTION DATE PHONE NO. BUSINESS ID NO. 15-210-000.7'$) NUMBER OF EMPLOYEES Section I: Business Plan and Inventory Program ,/,~ Routine {~ Combined 1~ Joint Agency {~ Multi-Agency ~.~ Complaint {~1 Re-inspection OPERATION C VI COMMENTS Appropriate permit on hand ~" Business plan contact information accurate ' Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location ,~ Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping 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 Business Site Responsible Party Inspect&~/'~,.,~ STATEMENT OF ACCOUNT PA~E 1 ~ CITY OF BAKERSFIELD ; )'k P 0 ~OX ~0~7 TARGET CO'OPTION W-~tq ~8 ~ 4 ~nv~ro~ntM S~s - TPN 0725 ~ DATE: 8/1D/04 CUSTOMER NO' 3590/3590 TYPE' ES - ENVIRONMENTAL SERVICES l[Karen Cra~': Re: business info Page ! From: Ralph Huey To: Alan Neumann Date: 6/11/03 8:56AM Subject: Re: business info Alan; Karen Crawford is now responsible for the Haz mat inventory program. I will foreword these to her. In the future please have the businesses contact us direct, we may have other questions on their business plan. Ralph, >>> Alan Neumann 06/10/03 07:55PM >>> Ralph, I am sending this to you because I am not sure who is in charge of entering info for the Haz Mat inspections since Esther, Dana, & Betty are gone to other places, so please forward this to whoever does it. The following businesses have these changes in Emergency contacts: Target T-6~I 4 Site ID 015-021-000534 Randy Lemons Manager No assist Manager Vons #2505 Site ID 015-021-001334 Bernard Alvarez Manager Big 5 Sporting Goods #272 Site ID 015-021-000846 Darin Meyer Manager Business Phone 872-4947 ,~.,~ 24 Hour Phone 665-0882 Phil Hernandez Assist manager Thanks, A. Neumann CC: Karen Crawford 3-- COMPANY December 10, 1999 Environmental Services 1715 Chester Ave. Bakersfield, CA 93301 Dayton Hudson Corporation Target Store #614 3401 Mall View Rd. Bakersfield, CA 93306 To Whom It May Concern: Enclosed is the Hazardous Materials Business Plan Update for the facility listed above, as required by your agency. 3E Company, hazardous materials consultants for Dayton Hudson Corporation, has completed this disclosure. A copy of this disclosure has been forwarded to the facility and will be maintained by the facility manager. 1905 Aston Avenue Carlsbad, CA 92008 1.800.360.3220 If you have any questions, or require any further information regarding this submittal please feel free to call me at (760) 602-8825. Thank You, 3E Company www.3ecompany.com~.---.-~,----__..~,~,~ ~ Devin Caringella ~ Regulatory Disclosures Hazardous Materials Services Enc: Hazardous Materials Business Plan cc: Guadelupe Franco, Store Manager Jennifer Rymanowski, Dayton Hudson Corporate Office LE' THE HAZARDOUS MATERIAL INFORMATION MANAGEMENT A Safoty-Kleen Company TARGET Manager : Location: 3401 MALL VIEW RD BusPhone: Map : 103 SiteID: 215-000-000534 (805) 872-9929 CommHaz : Low City : BAKERSFIELD CommCode: BAKERSFIELD STATION 08 EPA Numb: GU~delupeFranco/Manager Grid: 22B FacUnits: SIC Code:5399 DunnBrad:41-084-8441 1 AOV: Jaime Smith/Assistant Manager Emergency Contact / Title ~~~ / MANAGER Business Phone: (805) 872-9929x 24-Hour Phone : ~X~5~ : (559) 539-0110 X ~~~tact / Title / ASSISTANT MANAG Business Phone: Pager Phone : (661) 871-0860 x Hazmat Hazards: Fire React ImmHlth DelHlth Contact : StoreManager MailAddr: 3401 MALL VIEW RD City : BAKERSFIELD Phone: (661) 872-9929 x State: CA Zip : 93306 Owner DAYTON RTTDSON CORP Address : 33 S 6TH (P O BOX 1392) ST City : MINNEAPOLIS Phone: (805) 872-9929x State: MN Zip : 554401392 Period : Preparer: Certif'd: to TotalASTs: = TotalUSTs: = RSs: No' Gal Gal Emergency Directives: l, Jennifer Rymanowski DO hereby certify the, l I have reviewed the attached hazardous materials manage- mertt plan for Target Stor~ ~614 and that it along with any corrections constitute a complete and correct man- agement plan for my facility. -1- 09/28/1999 TARGET Hazmat Inventory Designated Order Hazmat Common Name... I SpecHaz I EPA HazardsI BLEACH MOTOR OIL ANTIFREEZE ADDITIVES PAINT PAINT THINNER FERTILIZER HERBICIDE PESTICIDES POOL ACIDS POOL CHLORINE SOLIDS POOL CHLORINE SODIUM HYPOCHLORITE F F F F F IH DH DH IH DH IH R IH DH DH IH IH IH R IH SiteID: 215-000-000534 By Facility Unit Fixed Containers on Site Frm L 20O GAL Hi L 250 GAL Min L ..300 GAL Low L 500 GAL Mod L 390 GAL Mod L 40 GAL Hi S 3500 LBS Min L 75 GAL UnR L 3~ GAL UnR L 150 GAL Hi S 300 LBS Mod L 150 GAL Hi L 250 GAL Hi -2- 09/28/1999 TARGET ~ Inventory Item 0001 -- COMMON NAME / CHEMICAL NAME BLEACH Location within this Facility Unit N END OF STOCKROOM MID S SIDE STORE SiteID: 215-000-000534 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# 7681-52-9 STATE ~ TYPE JLiquid /Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 200.00 GAL Daily Average 40.00 GAL HAZARDOUS COMPONENTS %Wt. ] 100.00 Sodium Hypochlorite IRSI CAS# No 7681529 ITSecret[ IBioHaz No N~S No HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies IH NFPA/// I USDOT# MCP Hi -- Inventory Item 0002 -- COMMON NAME / CHEMICAL NAME MOTOR 0 IL Location within this Facility Unit MIDDLE E SITE STORE/W WALL RECEIVING Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 8020835 r STATE -- TYPE PRESSURE Liquid Pure I Ambient { TEMPERATURE IAmbient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 250.00 GAL Daily Average 175.00 GAL %Wt. 100.00 HAZARDOUS COMPONENTS Motor Oil, Petroleum Based 8020835 ITSecret No INo RSIBi°Haz No HAZARD ASSESSMENTS Radi°active/Am°unt I EPA HazardsINo/ Curies F DH NFPA /// USDOT# ] MCP I -3- 09/28/1999 TARGET = Inventory Item 0003 ,.---- COMMON NAME / CHEMICAL NAME ANTIFREEZE Location within this Facility Unit MIDDLE STORE E SIDE/W RECEIVING WALL SiteID: 215-000-000534 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 107-21-1 r STATE ~ TYPE Liquid JPure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION I Daily Maximum I 300.00 GAL Daily Average 200.00 GAL HAZARDOUS COMPONENTS %Wt. I 100.00 Ethylene Glycol HAZARD ASSESSMENTS I Radi°active/Am°unt I EPA HazardsINO/ Curies F DH NFPA /// USDOT# MCP Low = Inventory Item 0004 -- COMMON NAME / CHEMICAL NAME ADDITIVES Facility Unit: Fixed Containers on Site Location within this Facility Unit MID STORE E MID W RECEIVING WALL Map: Grid: Days On Site 365 8052-41-3 LSTATE TYPE PRESSURE iquid Mixture I Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 500.00 GAL Daily Average 400.00 GAL %Wt. 70.00 30.00 HAZARDOUS COMPONENTS Stoddard Solvent Mineral Oil RSI CAS# No 8030306 No .8020835 ITsecret No IRSiBioHaz No I No HAZARD ASSESSMENTS Radioactive/AmountNo/ Curies I EPA HazardsiH NFPA /// USDOT# I MCP Mod -4- 09/28/1999 TARGET ~~&~~~~~~~~ SiteID: 215-000-000534 ~ i~ Inventory Item 0005 ~~~ Facility Unit: Fixed Containers on Site ~ i~ COMMON NAME / CHEMICAL NAME ~~~~~~~~~~ PAINT ~ Days On Site ~ o 365 o Location within this Facility Unit Map: Grid: ~~~~ NE CORNER STOCKROOM/MID NE SALESFLOOR o CAS# o O O STATE &~& TYPE &&&~ PRESSURE &&&~ TEMPERATURE &&~&&& CONTAINER TYPE &&&&&i Liquid o Mixture o Ambient o Ambient o METAL CONTAINR-NONDRUM o Largest Container o Daily Maximum o Daily Average o GAL o 300.00 GAL o 550.00 GAL o %Wt. o o RSo CAS# o 40.10°Mineral Spirits ONo o 8030306o 2.70oXylol ONo o 1330207o oTSecretO RSOBioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP o No ONo o No o No/ Curies o F DH o / / / o o Mod o i~ Inventory Item 0006 A~~~ Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME ~~~~~~~~~~i PAINT THINNER o Days On Site o 365 Location within this Facility Unit Map: Grid: fi~~~~ NE CORNER STOCKROOM/MID NE SALESFLOOR o CAS# o 75-09-2 STATE g~& TYPE g~g PRESSURE ~g~ TEMPERATURE gg~ CONTAINER TYPE ~~ Liquid o Mixture o Ambient o. Ambient o METAL CONTAINR-NONDRUM £~~~~~~ AMOUNTS AT THIS LOCATION ~~~~~i Largest Container o Daily Maximum o Daily Average GAL o 40.00 GAL o 20.00 GAL %Wt. o o RSo CAS# 20.00OToluene ONo o 108883 20.00OMethanol . ONo o 67561 oTSecret° RSOBioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP No ONo o No o No/ Curies o F IH o / / / o o Hi -5- 09/28/1999 i TARGET ~~&~&&&&~~&~&~~~ SiteID: 215-000-000534 £8 Inventory Item 0007 ~~&~ Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME o FERTILIZER ~ Days On Site o o 365 o Location within this Facility Unit Map: Grid: o SE RECEIVING/NE CORNER SALESFLOOR ~ CAS# o o 7098-14-8 xe STATE ~ TYPE ~&~ PRESSURE ~&~ TEMPERATURE g&~g& CONTAINER TYPE o Solid o Mixture o Ambient o Ambient o BAG o Largest Container o Daily Maximum o Daily Average o LBS o 3500.00 LBS o 500.00 LBS o %Wt. o o RSo CAS# o OUrea ONo o 57136 o °Potassium Chloride ONo o 7447407 °TSecretO RSOBioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP ~ No ONo o No ~ No/ Curies o R IH DH o / / / o o Min i~ Inventory Item 0008 &6&&&&&&&&&~&&& Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME HERBICIDE o Days On Site o 365 Location within this Facility Unit Map: Grid: NE CORNER SALESFLOOR o CAS# o 94-75-7 STATE ~& TYPE &&~ PRESSURE &&&~ TEMPERATURE &&~&&~ CONTAINER TYPE Liquid o Mixture o Ambient o Ambient o GLASS CONTAINER Largest Container o Daily Maximum o Daily Average GAL o 75.00 GAL o 50.00 GAL %Wt. o o RSo CAS# 9.00ODimethylamine ONo o 124403 28.00°Dichlorophenoxyacetic Acid ONo o 94757 °TSecret° RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP No ONo o No o No/ Curies 0 DH o / / / o o UnR -6- 09/28/1999 TARGET ~~~~~&~&~&~~~~ SiteID: 215-000-000534 i~ Inventory Item 0009 ~~~&~ Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME PESTICIDES o Days On Site o 365 Location within this Facility Unit Map: Grid: NE CORNER SALESFLOOR o CAS# o 10453-86-8 aeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeueeeeeeeee eeeeeef STATE ~ TYPE ~~ PRESSURE ~ TEMPERATURE ~~ CONTAINER TYPE Liquid o Mixture o Ambient o Ambient o GLASS CONTAINER i~~~&&~~~ AMOUNTS AT THIS LOCATION ~~~~~i Largest Container o Daily Maximum o Daily Average GAL o 30.00 GAL o 20.00 GAL %Wt. o o RSo. CAS# 20.00opropane ONo o 74986 8.80OMineral Spirits ONo o 8030306 0.50oCyclopropane ONo o 75194 oTSecreto RSOBioHaz° 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 i~ Inventory Item 0010 ~A~~~ Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME ~~~~~~~~~~i POOL ACIDS o Days On Site o 365 Location within this Facility Unit Map: Grid: NE CORNER SALESFLOOR/NW WALL RECEIVE o CAS# o 7647-01-0 STATE ~ TYPE ~&~ PRESSURE ~ TEMPERATURE ~&&& CONTAINER TYPE Liquid o Mixture o Ambient o Ambient o PLASTIC CONTAINER Largest Container o Daily Maximum o Daily Average GAL o 150.00 GAL o 50.00 GAL %Wt. o o RSo CAS# 27.90OHydrochloric Acid ONo o 7647010 oTSecretO RSOBioHazo Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP No ONo o No o No/ Curies o IH o / / / o o Hi -7- 09/28/1999 TARGET ~~~~~~~~~~ SiteID: 215-000-000534 Inventory Item 0011 ~~~ Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME ~~~~~~~~~~ POOL CHLORINE SOLIDS o Days On Site o 365 Location within this Facility Unit Map: Grid: ~h~~hh~hh~ NE CORNER SALESFLOOR/NWWALL RECEIVE o CAS# o 87-90-1 STATE ~ TYPE ~~ PRESSURE ~ TEMPERATURE ~~ CONTAINER TYPE ~i Solid o Mixture o Ambient o Ambient o PLASTIC CONTAINER Largest Container o Daily Maximum o Daily Average LBS o 300.00 LBS o 100.00 LBS %Wt. o o RSo CAS# 96.00OTrichloro-s-triazinetrione ONo o 87901 4.00ODichloroisocyanuric Acid ONo o 2782572 oTSecreto RSOBioHazo Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP No ONo o No o No/ Curies o o / / / o o Mod Inventory Item 0012 ~~~ Facility Unit: Fixed Containers on Site i~ COMMON NAME / CHEMICAL NAME ~~~~~~~~~~i POOL CHLORINE o Days On Site o 365 Location within this Facility Unit Map: Grid: ~hhhh~h~hhh~ NE CORNER SALESFLOOR/NWWALL RECEIVE o CAS# o 7681-52-9 STATE ~ TYPE ~i~ PRESSURE ~ TEMPERATURE ~$~ CONTAINER TYPE eeeeei Liquid o Pure o Ambient o Ambient o PLASTIC CONTAINER i~~~~~~ AMOUNTS AT THIS LOCATION ~~~~~i Largest Container o Daily Maximum o Daily Average GAL o 150.00 GAL o 50.00 GAL %Wt. o o RSo CAS# 12.50oSodium Hypochlorite ONo o 7681529 1.00oSodium Hydroxide ONo o 1310732 oTSecreto RSOBioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT% o MCP NO ONo o NO o NO/ Curies o IH o / / / o o Hi -8- 09/28/1999 TARGET ~~~&~~~a~a~~~ SitelD: 215-000-000534 i~ Inventory Item 0013 ~~~ Facility Unit: Fixed Containers on Site i~8 COMMON NAME / CHEMICAL NAME SODIUM HYPOCHLORITE o Days On Site o 365 Location within this Facility Unit Map: Grid: END OF STOCKROOM MIDDLE SOUTH SIDE OF STORE o CASS o 7681-52-9 STATE ~ TYPE ~~ PRESSURE ~ TEMPERATURE ~~ CONTAINER TYPE ~i Liquid o Pure o Ambient o Ambient o PLASTIC CONTAINER i8~~8~8~8888~88~881 AMOUNTS AT THIS LOCATION ~8888~88~8~8~88~8~i Largest Container o Daily Maximum o Daily Average GAL o 250.00 GAL o 150.00 GAL %Wt. o o RSo CAS# 52.50°Sodium Hypochlorite ONo o 7681529 °TSecretO RS°BioHaz° Radioactive/Amount o EPA Hazards o NFPA o USDOT# o MCP No oNo o No o No/ Curies o R IH o / / / o o Hi -9- 0 /2 /1999 TARGET ~~~~&~~&&~~&~~&~ SiteID: 215-000-000534 i~ Notif./Evacuation/Medical ~&&~&~&~&~&&~&&~&&&~&&&~ Overall Site i~ Agency Notification ~~~~~~~~~ 07/14/1992 CALL 9-1-1. WE HAVE A PROGRAM WITH THE COMPANY THAT WE MAIL IN INFORMATION VIA THE COMPUTER. WE ARE THEN SENT BACK INSTRUCTIONS ON HOW TO DEAL WITH THE PROBLEM. PA SYSTEM. TEAM. THEY ARE TRAINED TO GUIDE THE PUBLIC SAFELY IN ANY KIND OF AN i&&&&~ Emergency Medical Plan ~&&&&~&~&&&~&&~~&&~&~&~&~ 07/14/1992 MERCY MEDI CENTER, AMBULANCES WILL BE CALLED IF NECESSARY. -10- 09/28/1999 TARGET ~&~&~&&&~&&&~&~&~&&~&~&&&~&~&~ SiteID: 215-000-000534 £eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee~ Fast Format i~ Mitigation/Prevent/Abatemt ~&&~&~&&&&&&&&&&~&&~&&&~~ Overall Site i~ Release Prevention ~~~~~~~~~ 07/14/1992 MAKE SI/RE THAT ALL PRODUCT IS STORED SAFELY. WE DON'T STACK TOO HIGH TO PREVENT SPILLING OR BREAKING. ~~e~eee~e~eeeeeeeeeeeee~ee~e~e~e~e~ee~eee~e~eee~e~e~eeee~e~e~ zeee Release Containment ~&~~&~&~&~&~&~&~~ 07/14/1992 O ~ WE MAKE SURE THAT THE PRODUCTS ARE NOT STORED TOO CLOSELY TO CONTAIN BETTER. O aeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee&~&~&~&~&~f i~ Clean Up ~~~~~~A~&~~&~~ 07/14/1992 O ~ WE HAVE FLIP CHARTS DISTRIBUTED THROUGHOUT THE STORE THAT GIVE INFORMATION o ON HOW TO CLEAN UP ANY TYPE OF SPILL. O zeeeee Other Resource Activation O O -11- 09/28/1999 TARGET eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee SiteID: 215-000-000534 · eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee Fast Format i~ Site Emergency Factors ~&~~~&~~~~~ Overall Site i~ Special Hazards Utility Shut-Offs $~$$~$~~~$~$~$$~~$~$~ 07/14/1992 A) GAS - E SIDE OF BLDG, SE CORNER B) ELECTRIC3~ - E SIDE OF BLDG IN REaR OF STORE C) WATER - MAIN, NE CORNER OF STORE, SW CORNER OF STORE, LAWN & GARDEN AREA CORNER/SW CORNER. SPECI/~ - ~ONE E) LOCK BOX - NO PRIVATE FIRE PROTECTION - OVERHEAD SPRINKLER SYSTEM, 2 FIRE HOSES, SNACK BAR HA8 DRY C"HEMICJ~ FIRE SUP~RESSIONUNIT. NEAREST FIRE HYDRANT - LOCATED AT THE ENTRANCE OF RECEIVING SE CORNER AND ENTR.~ICE OF STOCKROOM ~ CORN'ER OF STORE. ~&~&~&~e~eeee~eeeee~eeeeeeeeeeeeeeeeee~e~e~eee~eeeeeeeeeeeeee~eeeeeeeee~f i&&~&~ Building Occupancy Level o o o o ~eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee~eeeeeeeeeeeeeeeeeeeeeee~eeeeeeee~f -12- 09/28/1999 TARGET ~~&&&~&~&~~~~&&&~&~&&~ SiteID: 215-000-000534 i& Trainin~ ~~~~~~~~~~~ Overall Site i~ Employee Trainin~ ~~~~~~~~~ 07/14/1992 WE HAVE 113 EMPLOYEES AT THIS FACILITY. WE HAVE 3 VOLUMES OF MSDS SHEETS ON FILE. BRIEF S~Y OF THAINING PROGRgM: EMPLOYEES NEW HIRE TRAINING COVERS THIS TOPIC. ~E J~LSO HAVE ~ RISIC~TCH CHEmiCAL I~2q'~EME~T ~RO~RAM I~ THE STORE. ~E BRI~ ~P J~-Y ~E~ ISSUES I~ OUR SJ~ETY ME~TI~ ~ THE~ I~FORM THE EMPLOYEES OF ~ CP._hlq'~ES. -13- 09/28/1999 STATEMENT OF ACCOUNT CITY OF BAKERSFIELD 1501 TRUXTUN AVE BAKERSFIELD, CA 9GGOi-5~Oi (805> 325-3979 TO: TARQET STORES 614 EXPENSE DEPT ~. PO BOX 1296 MINNEAPOLIS, MN,55440 CUSTOMER NO: DATE: 9/01198 CUSTOMER TYPE: ES/ 3590 CHARGE DATE DESCRIPTION REF-NUMBER DUE DATE TOTAL AMOUNT REFND 8/01/98 BEGINNING BALANCE 7/21/98 PAYMENT 8/19/98 MR INT REFUND VCHRS .00 178. 50- 178.50 FOR QUESTIONS OR CHANGES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. CURRENT OVER 30 OVER 60 OVER DUE DATE: 10/01/98 BOX 2037 'PAYABLE TO: CA 93303-~057 PAYMENT DUE: TOTAL DUE: 178.50-- $178.50-- CUSTOMER NO: CUSTOMER TYPE: ES/ TOTAL DUE: 3590 $I78. 50- CITY OF BAKERSFIELD CLAIM VOUCHER Ivendor No. CLAIMANT'S NAME AND ADDRESS: Target Stores~14 P O Box 1296 Minneapolis, MN 55440 1 certify that this claim is correct and valid, and is a proper charge against the City Agency and account indicated. (AUTHORIZED SIGNATURE OF CITY AGENCY) Date: 08-12-98 Initials of Preparer: CITY DEPARTMENT:FINANCE PLEASE PROVIDE SHORT EXPLANATION OF PAYME (Including Contract Number if Applicable) This business double paid their Hazardous Materials bill. For that reason they now have a credit of $178.50 which we will be refunding. Dept. 0000 El/Objt 7900 Project # Invoice # Amount Date of Invoice VOUCHER TOTAL $178.50 $178.50 SECTION 72, PENAL CODE Section 72, Presenting False Claims. Every person who with intent to defraud, presents for allowance or for payment to any state board or officer, or any county, town, city district, ward or village board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is guilty of a felony. FINANCE DEPT. USE ONLY Examined & Approved for Payment Amount BAKERSFIELD FIRE DEPARTMENT MEMORANDUM DATE: August 5, 1998 TO: Susan Chichester FROM: Esther Duran SUBJECT: Claim Voucher Please issue a Claim Voucher to refund over payment of $178.50 paid by Target Stores #614. They made a payment .on 6/30/98 of $178.50 and again on 7/21/98. The second payment created the credit of $178.50. Please send a refund of $178.50 to: Target Stores #614 P O Box 1296 Minneapolis, MN 55440 Thank you, /ed ~-~ T ,", T ~ N'I 'ET ;~ ~ T OF ACCOUNT CITY OF BAKERSFIELD l~l) l ItffUX lIJPl AV~' BAKERSFIELD, CA 9330i-520i TO: TARGET STORES 614 EXPENSE DEPT PO BOX 129& MINNEAPOLIS, MN 55440 DATE: 8/'01/98 CUSTOMER NO: 3590 CUSTOMER TYPE' ES,/ 3590 CHARGE DATE DESCRIPTION 6/30/98 BE~INNIN~ BALANCE 6/30/98 PAYMENT .... 98 PAYMENT REF-NUM~ER DUE DATE TOTAL AMOUNT 178. 50 178. 50- 178. 50-- FOR GUESTIONS OR CHAN~ES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. CURRENT OVER 30 OVER 60 OVER 90 DUE DATE: 8/31/98 PAYMENT DUE: TOTAL DUE: 178.50- $178.50-- DATE: PLEASE DETACH AND SEND THIS COPY WITH REMITTANCE 8/01/98 DUE DATE' 8/31/98 REMIT AND MAKE CHECK PAYABLE TO: CITY OF BAKERSFIELD PO BOX 2057 BAKERSFIELD CA 93303-2057 CUSTOMER NO' 3590 CUSTOMER TYPE: ES/ TOTAL DUE: 3590 $178.50- / ')~ Fa~ and ~cul~ure ~ Standard Business ns Type Max Average Annual Measure # Days Cont 'i~ COn= C0nt Use LOcation Where % by ' Names of Mixture/Cc~gonents /~ Co/~e Am~.~xAmt Amt Units on Site Type Press T~ Code Stored in Facility wt See InstructionI I F I m'OI ~?,o~l e~c I 3~s;I Yo I ;/I Io/ I ~ °~ -~~'~ ' and Health .azard C ,--- Component: # I Name ~ C.A.S. ~- Fire .azard ~ Sudden Release ~ Reactivity ~ Immediate 1 o~ P--sure ,ea:th ..,..:th .,, compon~t ,, ,,~., ~.A.S. 'sical and Health Hazard C.A.S. Number i ~ . ~ Fire Sazard [] Sudden Release ']-~ Reactivity [] Imnediate '. mponent ~ 2 Name & C.A.S. Number of Pressure Health i I Component # 3 Name & C.A.S. Number , mlcal and Health Hazard C.A.S. Number Component # 1 Name & C.A.S. Number i Check ~].Z t~t eppZy) I I " i' : ' ' : I ? .j ... Component , 2 Name & C.A.S. Number -~ Fire Hazard [] Sudden Release ~ Reac i~ity I-~ediate j~ ~el&yed j I , I of Pressure Health I Health Compon?nt # 3 Name & C.A.S. Number I I I I I '1 I I:il I I :~ I , 's~cal and Health Hazard C.A.S. Number . ~' Component ~ I Name & C.A.8. Number C.eo~ a~Z ~= a~y) .- I I ! ! Component # ~ .~ ~ C.A.S. of PressureiJ Health II ~e~hj Component # 3 Name i C.A.S. Number :MERGENCY CONTACTS #1(~r~,e ~y~%~ ~4~(. fl ~g~7-~qD% #2 C~LcDo %o~+t~,! ~.~ rna( 3q~-~q£6~,, ification (READ AND SIGN AFTER COMPLETING ALL'S~.,CTIONS) I ' £tify under peanlty of law that I hayer personally examined ~d am famil Lar with the information submitted in this ~d all attached documents and that bassd on my inquiry of those AND OFFICIAL TITLE OF OWNER/OPERATOR OR C~dI~ER/OPERATOR'S A~T::ORI ?REGP~N'kaT~VE ~I~ ! ~'J~'E'I Bakersfield Fire Dept. Hazardous Materials Division 2130 "G" Street Bakersfield, CA. 93301 JUL 6 1992 By HAZARDOUS MATERIAL'S MANAGEMENT PLAN INSTRUCTIONS: 2. 3. 4. To avoid further action, return this form within 30 days of receipt. TYPE/PRINT ANSWERS IN ENGLISH. Answer the questions below for the business as a whole. Be brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA BUSINESS NAME' LOCATION' MAILING ADDRESS' '~t~O [ DUN & BRADSTREET NUMBER: PRIMARY ACTIVITY: .~.~."~. ( SECTION 2: EMERGENCY NOTIFICATION: STATE: ~-Jfl¢ ZIP: (~.~'PHONE: /~ [~' 6~;~C/-'' S ffci l SiC CODE', CONTACT TITLE BUS. PHONE 24 HR. PHONE FD15~ Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION ,.!,: TRAINING: NUMBER OF EMPLOYEES', [I MATERIAL SAFETY DATA SHEETS ON FILE: ~.~ V0 BRIEF SUMMARY OF TRAINING PROGRAM' SECTION 4: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE "CALIFORNIA HEALTH & SAFETY CODE" FOR THE FOLLOWING REASONS: WE DO NOT HANDLE HAZARDOUS MATERIALS. WE DO HANDLE HAZARDOUS MATERIALS, BUT THE QUANTITIES AT NO TIMEEXCEED THE MINIMUM REPORTING QUANTITIES. OTHER (SPECIFY REASON) SECTION 5: CERTIFICATION: I, ~~' f~~ CERTIFY THAT THE ABOVE INFOR- MATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WlLL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. SIGNATURE TIILE DATE FD1590 Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: AGENCY NOTIFICATION PROCEDURES: EMPLOYEE NOTIFICATION AND EVACUATION: PUBLIC EVACUATION: EMERGENCY MEDICAL PLAN' FD1890 Bakersfield Fire Dept. Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: [3, RELEASE CONTAINMENT AND/OR MINIMIZATION: CLEAN-UP PROCEDURES: SECTION 8: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY)' NATURAL ®AS/PROPANE: SPECIAL: LOCK BOX: YES/NO IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: A. PRIVATE FIRE PROTECTION: .hoscs. Snar ho.S W,ATER AVAILABI.LITY,(FIRE HYDR ~ANT): CITY OF! BAKERSFIELD HAZAm U S Farm and Agriculture tandard Business NON - Page, / of,~' .1 ~. 2 3 4 5 6 7 8 ~ 9 ~ 10 11 12 13 14 ~ns Type Max Average Annual Measure # Days Cont Cont Cont Use Location Where % by Names of M~xture/C~-ponents (Check all that apply) ~ Fire Haz=d ~ Sudden Release ~ R~ctivity ~ Im~iat. ~ O~lay~ ~ Fire Hazud ~ Sudden ~lease '~ R~ctivity ~ I{~tate ~ Deiay~ , Co~on~t { 2 N{ & C.A.B. N~er of Pressure ~ H~lth H~lth Co~on~ of Pressure H~lth H~lth , CO. ghent of Pressure U.lth Health Co~onent Na~ ~Tftle 24 ~. Phone N~e / ~ Title 24 Hr Phone t:Lfication (READ AND SIGN AFTER COMPLETING ALL SECTIONS') ertify under peanlty of law that I hayer personally examined and am famil~iar with the information submitted in this and all attached documents and that based on my inquiry of those ividuale responsible for obtaining the information. I believe that the submitted information is true, accurate, and oo~p re. AND OFFICIAL TITLE OF OWNER/OPERATOR OR OWNERTOPERATOR'S ~ ~IZED REPRESENTA~TVE ~IG~ATURE ' ..... DATE ~IGN~D Farm and Agriculture ~ Standard Business CITY OF BAKERSFIELD HAZARDOUS [ N ATERIALS NON - TRADE SECRET OWNER, N~.AM~:~~)~ & D ALly'I ' DUN ANn h~DSTREET NUMBER/~EDE~L ID ~ · REFNR TO INSTRUCTIONS FOR PROPER CODES 1 2 3 4 5 6 7 8 ~ i 9' ' 10 11 12 13 14 ans T~pe Max Average Annual Measure # Days Cunt t Cunt 1' Cunt : Use Location Wher[e' % by ' Names of Mixture/Components ysica! and Health Hazard C.A.S. Number t] ',' Component # ! Na~e '& C.A.S. Number ~k all that apply' ~Dela Component # 2 Name & C.A.S. Number ~--' Fire Hazard U Sudden Release '~ Reactivity m I.~diate yeti ~.e~ :WV/O/ Of Pressure Health ~ Health : Component # 3 Name & C.A.S. Number t/I I .ZjOl Zo I I D s-I II 'd, la41 Hz L _.n az re Hazed ~ Sudden ~lease ~ R~ctivity ediate ~ Deiay~' Co~onent ~ 2 N~ & C.A.S. N~er of Pressure H~lth H~lth Co~onent * S N-- & C.A.S. N~ ~ical and H~lth Haza~ C.A.S. N~er , , Co~onent ~ 1 N~ & Che=k a~l that apply) · 7 "' Co~onent ~ 2 N~ & C.A.S. U Fire "az~d ~ Sudden ~lease ~ R~ctivity ~ Im~iat. ~ Delay~ ~ of Pressure Health Health , Co~onent 9 S N-- & C.A.S. N~ 'sical and ~lth Hazard C.A.S. N~er Co~onent 8 1 N~ m C.A.S. N~er ~O{C~O~d Check aX1 t~t apply) ," q Fire aaz=d ~ Sudden Release ~ ~mctivity ~ Imedtate lay~ of Pressure H~lth S~lth co~onent . s .~ ~ c.~.s..~ Na~ Title 24 ~. Phone N~e ~ Tltld ' '/ ~ ~4~Hr~gon~ ) :tify under peanlty of law that I haver personally examined and am familiar with the information submitted in this and all attached documents and that based on my inquiry of those viduale respensible fo~ obtaining the information. I believe that the submitted information is true~ accur,~te, and complete. ~ i(ND OFFICIAL TITLE' OF OWNER/OPERA/DR ~ OWNER/OpERA~" '"~HOKIZED REPRRS~k~TATIVE SIGNATURE ; DATE SIGNED ~ll~Z S MATERIALS II.FErRY Farm and Agriculture tandard Business !. .? Page.~ of ! I NONi - TRADE SECRET FY, ZIP: ~iP,45~[J~ ~- /~%~{W CITY, ~~ F ~ REFEI~ TO: . INSTRUCTIONS FOR PROPER CODES: 1 2 3 4 ' ~ ..... 6 7 8 I' 9 .10' 11 12 ...... 13 14 ~ns Type Max Average Annual Measure # Days Cent Cent Cent 'Use Location Where % by / Names of Mixture/Cc~ponents I I :~ I ~0 I po 16~l,%~gl~,~ /sical and H~lth Hazard C.A.S. Nu~er , . h Co~ent ~ Fire Hazed ~udden ~elease ~ R~ctivity ~ I~ediate of Pressure Health ,~. :Check all t~t apply) : ~ Fire Haz~d ~ Suddsn ~lease ~ R~ctivity of Pressu~ H~lth ' H~l/h Cornet ~ 3 N~ & C.A.B. N~er ~ ~1~ool 700 '1 ~1 ~_~l~l'/ol ~Check all t~t apply) of Pressure ~lth H~lth [Check all ~t apply) of Pressure H~lth H~lth Co~onent ~ 3 N~ & C.A.S. N~ Na~ Title~ 24 ~. Phone N~e Title ~ Hr Phon~ _'irication (READ AND SIGN AFTER COMPLETING ALL SECTIONS) ~rtify under psanlty of .law that I haver personally examined and am familiar with the information submitted in this and all attached docum~ts and that based ion my inquiry of those tviduals responsible fo~ obtaining the info tion. I believe that the submitted information is true, a~ccura~,, and c°mp~te. ',