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Home My WebLink AboutBUSINESS PLANCOSTC0.~#~,688 ...... SiteID: 0i5-021-002412 Manager : JOE ISLES Location: 3800 ROSEDALE HWY City : BAKERSFIELD CommCode: BAKERSFIELD STATION 06 EPA Numb: CAL000126996 BusPhone: (661) 852-2655 Map : 102 CommHaz : Moderate Grid: 23C FacUnits: 1~ AOV: SIC Code:5199 ~ DunnBrad:10-339-1843 Emergency Contact / Title JOE ISLES / MANAGER Business Phone: (661) 852-2655x 24-Hour Phone : (661) 822-6617x Pager Phone : ( ) - x Emergency Contact / Title MIKE GIBSON / ASST. MANAGER Business Phone: (661) 852-2655x 24-Hour Phone : (661) 664-4924x Pager Phone : ( ) - x Hazmat Hazards: RSs Fire Press React ImmHlth DelHlth Contact : COSTCO WHOLE CORP/RISK MANAGEMENT MailAddr: 999 LAKE DR City : ISSAQUAH Phone: (425) 313-8545x State: WA Zip : 98027-5366 Owner COSTCO WHOLESALE CORP Address : 999 LAKE DR City : ISSAQUAH Phone: (425) 313-8545x State: WA Zip : 98027-5366 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: Yes ParcelNo: Emergency Directives: THIS IS A WASTE TREATMENT SITE AND REQUIRES A JOINT INSPECTION. PLEASE CALL ENV SVCS TO SCHEDULE AN INSPECTION WITH HOWARD WINES & STEVE UNDERWOOD · ~ I,T~ ~? ~"~' .... reviewed the attached mere plan any corrections constitute agemen~ pisn .-1- 03/24/2004 COSTCO #0688 SiteID: 015-021-002412 STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: COSTCO #0688 Cross Street : Business Type: Org Type: Total Tanks : 3 IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : MIKE GIBSON Phone: Address: City : Type : CORPORATION Name : MIKE GIBSON Address: City : Type : State: Zip: TANK OWNER INFORMATION Phone: State: Zip: (661) 852-2655x (661) 852-2655x BOE UST Fee# : 039958 Financ'l Resp: SELF INSURED Legal Notif : Business Mailing Address Date:09~17~0200 Phone: ~ (425) 427-7653x Name:DENNIS BROCK Ttl:COMPLIANCE MGR. State UST # : 1998 Upg Cert#: 2 03/24/2004 COSTCO #0688 ~ Hazmat Inventory --MCP+DailyMax Order Hazmat Common Name... I SpecHaz I EPA HazardsI STAIN REMOVER, HAND CLEANER BATTERIES BATTERY ACID TOILET BOWL CLEANER (HYDROCLORI BLEACH DEODORANT ROOM SPRAY BLEACH PROPANE SULFURIC ACID (BATTERIES) DRAIN OPENER WAX STRIPPER GASOLINE GASOLINE GASOLINE LYSOL GLASS CLEANER CONDITIONER ALL PURPOSE CLEANERS HTH GRANULATED WD-40 PARTS CLEANER TUB & TILE CLEANER OIL EATER GLASS CLEANER CAR WAX INK & TONER CARTRIDGES WASTE GASOLINE LAUNDRY DETERGENTS CHLORODIFLOUROMETHANE SHAMPOO USED LEAD BATTERIES LOTION ROUND UP FLOOR FINISH ANTIFREEZE (COOLANT) SCRUB KLEAN MOTOR OIL CLEANSER HELIUM TANKS DISHSOAP SILICONE OIL ENGINE TREATMENT TIRE CLEANER CARBON DIOXIDE REFRIGERATED LIQ PHOTO CHEMICAL CONTAINING SILVE FERTILIZERS CHARCOAL BRIQUETTES E E E F P IH DH F IH F R IH IH DH F P DH IH F P DH R IH F IH DH F DH F DH IH DH F IH DH F IH F P IH F IH IH DH F DH F IH DH F IH DH DH F P IH R DH F DH IH DH DH F DH IH DH F P IH F F DH DH F P IH IH F SiteID: 015-021-002412 By Facility Unit Fixed Containers on Site Frm I DailyMax IUnitIMcP L L S L S L L L G L L L L L L L L L L S L L L L L L L L S G L S L L L L L L S G L S L L G L S S 182.60 GAL 82.50 GAL 6759.20 LBS 2899 05 LBS 1241 21 LBS 1008 56 GAL 702 48 LBS 444 39 LBS 244 28 LBS 100 00 GAL 98 53 GAL 55 00 GAL 20000 00 GAL 20000 00 GAL 20000 00 GAL 5162 64 GAL 1265 28 GAL 818 05 GAL 801 09 GAL 700 00 LBS 657 94 GAL 500 00 GAL 206.25 GAL 92.13 GAL 90.00 GAL 73.00 GAL 57.00 LBS 55.00 GAL 42779.25 LBS 3400 00 LBS 1261 06 GAL 735 00 LBS 696 72 GAL 287 04 GAL 101 75 GAL 92 40 GAL 55 00 GAL 2384 25 GAL 1324 81 GAL 786 72 779 09 GAL 600 00 LBS 171 60 GAL 150 56 GAL 110 00 LBS 60 00 GAL 16455 34 LBS 14823 60 LBS Ext Ext Hi Hi Hi Hi Hi Hi Hi Hi Hi Hi Mod Mod Mod Mod Mod Mod Mod! Mod Mod Mod Mod Mod Mod Mod Mod Mod Low Low: Low Low Low Low Low Low Low Min Min Min Min Min Min Min Min Min UnR UnR -3- 03/24/2004 COSTCO #0688 ~ Hazmat Inventory --MCP+DailyMax Order Hazmat Common Name... ISpecHazI EPA HazardsI SiteID: 015-021-002412 By Facility Unit Fixed Containers on Site FrmI DailyMax lUnitlMCP BAR SOAP OXI-CLEAN PACE TABS FABRIC SOFTENER AEROSOL DEODORANTS HERBICIDE INSECTICIDES - HOUSEHOLD/GARDEN FIRELOGS FUJI SUNCREEN AEROSOL HAIR SPRAYS SHAVE GEL SPOT REMOVER FLOOR CLEANER SCOTT PEST CONTROL RAID ANT & ROACH E E F IH F P IH DH F IH F P F DH F DH S S S L L L L S L L L L L S L L 9913.01 LBS 3748.80 LBS 1240.00 LBS 804.50 GAL 722.82 LBS 709.50 LBS 679.24 GAL 475.20 LBS 376 88 GAL 267 56 GAL 188 65 LBS 187 65 GAL 169 13 GAL 166 38 GAL 160 00 GAL 100 00 GAL UnR UnR UnR UnR UnR UnR UnR UnR UnR UnR UnR UnR UnR UnR UnR UnR -4- 03/24/2004 COSTCO #0688 = Inventory Item 0067 -- COMMON NAME /CHEMICAL NAME STAIN REMOVER Location within this Facility Unit RETAIL SALES FLOOR SiteID: 015-021-002412 Facility Unit: Fixed Containers'on Site Map: Grid: Days On Site 365 CAS# rSTATE ~ TYPE Liquid I Mixture' PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE Plastic Bottles/Jugs Largest Container 166.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 182.60 GAL Daily Average 182.60 'GAL %Wt. Mineral Oil Propane Isobutane Petrolatum HAZARDOUS COMPONENTS JRSI No Yes Yes I No I CAS# 8020835 74986 75285 8009038 HAZARD ASSESSMENTS Radi°active/Am°unt I EPA HazardsINo/ Curies NFPA/// I USDOT# Ext Ag.Definedl: Ag.Defined5: Ag.Defined8: -- Ag. Definell MISC. LOCAL AGENCY DATA Ag. Defined2: Ag. Defined3: Ag. Defined6: Ag. Definedg: Ag. Defined4: Ag. Defined7: Ag. Definel0~: -5- 03/24/2004 COSTCO #0688 SiteID: 015-021-002412 ~ Inventory Item 0050 Facility Unit: Fixed Containers on Site ~lv~vl~ ~vl~ / ~£~ ~Vl~ HAND CLEANER Days On Site ANTISEPTIC 365 Location within this Facility Unit Map: Grid: RETAIL SALES FLOOR CAS# FSTATE ~ TYPE Liquid I Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 0.50 GAL AMOUNTS AT THIS LOCATION Daily Maximum I 82.50 GAL Daily Average 82.50 GAL I'"IJ-,~UUU~ ~U~U~'£'~ %Wt. RS CAS# 45.00 Isoparaffinic Hydrocarbon Solvent No 0 8.00 MEA No 141435 MEA No 141435 TSecret No HAZARD, ASSESSMENTS RSlBioHazI' Radioactive/Amount EPA Hazards No I NoI No/ Curies F P IH DH Ag. Definedl: Ag.Defined5: Ag. Defined8: -- Ag. Definell MISC. LOCAL AGENCY DATA A~.Defined2: A~.Defined3: Ag.Defined6: Ag. Defined9: Ag.Defined4: Ag. Defined7: Ag. Definel0: -6- 03/24/2004 COSTCO #0688 ~ Inventory Item 0075 -- COMMON NAME / CHEMICAL NAME BATTERIES FORKLIFT/PALLET JACK BATTERIES Location within this Facility Unit RECEIVING AREA SiteID: 015-021-002412 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# rSTATE ~ TYPE Solid /Mixture PRESSURE Ambient -- TEMPERATURE Ambient CONTAINER TYPE OTHER - SPECIFY Largest Container 558.50 LBS AMOUNTS AT THIS LOCATION I Daily Maximum I 6759.20 LBS Daily Average 6759.20 LBS %Wt. 40.00 53.00 HAZARDOUS COMPONENTS Sulfuric Acid (EPA) Lead N 7664939 INo I 7439921 ITSecretRSlBioHazI HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No. No I No No/ 'Curies F IH I N FPA I USDOT# /// MCP Hi Ag. De f inedl: MISC. LOCAL AGENCY DATA Ag. Defined2: Ag.Defined3: Ag.Defined4: Ag. Defined5: Ag.Defined8: Ag.Defined6: Ag.Definedg: Ag.Defined7: Ag. Definel0: -- Ag.Definell -7- 03/24/2004 COSTCO #0688 ~ Inventory Item 0034 -- COMMON NAME / CHEMICAL NAME BATTERY ACID Location within this Facility Unit AUTO/MARINE. LEAD-ACID BATTERY SiteID: 015-021-002412 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# FSTATE --T-- TYPE Liquid I Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 2899.05 LBS AMOUNTS AT THIS LOCATION Daily Maximum 2899.05 LBS Daily Average 2899.05 LBS .Ed.E%.~./-.~UU~ ~U~U~'I'~ %Wt. RS CAS# 40.00 Sulfuric Acid (EPA) No 7664939 53.00 Lead No 7439921 HAZARD ASSESSMENTS TSecret RSlBioHazI' Radioactive/Amount EPA Hazards No INo NoI No/ Curies F R IH NFPA/// I USDOT# MCP Hi Ag. Definedl: Ag. Defined5: Ag. Defined8: -- Ag. Definell MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag. Defined6: Ag.Definedg: Ag.Defined4: A~.Defined7: Ag. Definel0: 8' 03/24/2004 COSTCO #0688 SiteID: 015-021-002412 = Inventory Item 0070 Facility Unit: Fixed Containers'on Site -- COMMON NAME / CHEMICAL NAME TOILET BOWL CLEANER (HYDROCLORIC ACID) Days On Site TABS 365 Location within this Facility Unit Map: Grid: RETAIL SALES FLOOR CAS# rSTATE -T-- TYPE Solid /Mixture PRESSURE Ambient -- TEMPERATURE Ambient Box CONTAINER TYPE Largest Container 36.00 LBS AMOUNTS AT THIS LOCATION Daily Maximum 1241.21 LBS Daily Average 1241.21 LBS %Wt. HAZARDOUS COMPONENTS Sodium Tetraborate Pentahydrate Hydroxyethyl Cellulose Acid Blue 9 Sodium Sulfate Sodium Dodecylbenzene Sulfonate IRSI CAS# No 1330434 No 9004620 No 3844459 No 7757826 No 25155300 HAZARD ASSESSMENTS IRadioactive/Amount I EPA Hazards No/ Curies · NFPA///- I USDOT# MCP Hi Ag.Definedl: Ag. Defined5: Ag.Defined8: -- Ag. Definell MISC. LOCAL.AGENCY DATA Ag. Defined2: Ag. Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag. Definel0: -9- 03/24/2004 COSTCO #0688 SiteID: 015-021-002412 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site BLEACH Days On Site 365 Location within this Facility Unit Map: Grid: RETAIL SALES FLOOR CAS# STATE TYPE PRESSURE Ambient Pure Liquid TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 180.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 1008.56 GAL Daily Average 1008.56 GAL HAZARDOUS COMPONENTS 100.00 Sodium Hypochlorite N 7681529 HAZARD ASSESSMENTS I Radioactive/Amount EPA Hazards I · NO/ Curies IH DH NFPA /// USDOT# IHiMCP Ag. Definedl: -Ag.Defined5: Ag.DefinedS: -- Ag.Definell MISC. LOCAL AGENCY DATA Ag. Defined2: Ag.Defined3: Ag. Defined6: Ag. Definedg: Ag.Defined4: Ag.Defined7: Ag.Definel0: -10- 03/24/2004 COSTCO #0688 SiteID: 015-021-002412 ~ Inventory Item 0041 Facility Unit: Fixed Containers on Site DEODORANT ROOM SPRAY Days On Site 365 Location within this Facility Unit Map: Grid: RETAIL SALES FLOOR CAS# F STATE -- TYPE PRESSURE Liquid Mixture Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 4.00 LBS AMOUNTS AT THIS LOCATION '1 Daily Maximum I 702.48 LBS Daily Average 702.48 LBS ~"'~.~.Z-~.~UU~ %Wt. RS CAS# 3.00 Propane. Yes 74986 2.00 Isobutane Yes 75285 30.00 Ethyl Alcohol No 64175 HAZARD ASSESSMENTS I Radi°active/Am°unt EPA Hazards INo/ Curies F P DH NFPA /// USDOT# IMCPHi Ag.Definedl: Ag. Defined5: Ag.Defined8: -- Ag. Definell MISC. LOCAL AGENCY DATA Ag.Defined2: Ag. Defined3: Ag. Defined6: Ag.Definedg: Ag. Defined4: Ag. Defined7: Ag. Definel0: -11- 03/24/2004 COSTCO #0688 ~ Inventory Item 0037 -- COMMON NAME / CHEMICAL NAME BLEACH BLEACH (SOLID) Location within this Facility Unit RETAIL SALES FLOOR SiteID: 015-021-002412 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# STATE ~ TYPE PRESSURE Liquid /Pure Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 119.70 LBS AMOUNTS AT THIS LOCATION Daily Maximum 444.39 LBS Daily Average 444.39 LBS 100.00 Bleach HAZARDOUS COMPONENTS IRSI CAS# No 7681529 HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies IH NFPA /// USDOT# MCP Hi Ag. Definedl: Ag.Defined5: Ag.Defined8: -- Ag. Definell MISC. LOCAL AGENCY DATA Ag. Defined2: Ag.Defined3: Ag. Defined6: Ag. Definedg: Ag. Defined4: Ag.Defined7: Ag.Definel0: -12- 03/24/2004 COSTCO #0688 ~ Inventory Item 0021 -- COMMON NAk4E / CHEMICAL NAME PROPANE Location within this Facility Unit SEASONAL ISLE SiteID: 015-021-002412 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# 74-98-6 F STATE ~ TYPE PRESSURE Gas /Pure Ambient TEMPERATURE Ambient CONTAINER TYPE I METAL CONTAINR-NONDRUMI Largest Container 14.10 LBS AMOUNTS AT THIS LOCATION Daily Maximum t 244.28 LBS Daily Average 244.28 LBS %Wt. I 100.00 Propane RAZARDOUS COMPONENTS RSI CAS# Yes 74986 HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F P DH NFPA/// I USDOT# MCP Hi Ag.Definedl: Ag. Defined5: Ag.Defined8: -- Ag.Definell MISC. LOCAL AGENCY DATA Ag. Defined2: Ag. Defined3: Ag.Defined6: Ag.Defined9: Ag. Defined4: Ag.DefinedT: Ag. Definel0: -13- 03/24/2004 COSTCO #0688 SiteID: 015-021-002412 ~ Inventory Item 0018 Facility Unit: Fixed Containers on Site SULFURIC ACID (BATTERIES) Days On Site 365 Location within this Facility Unit Map: Grid: HARDLINES - ISLE 223 CAS# STATE TYPE PRESSURE Ambient Mixture Liquid TEMPERATURE Ambient CONTAINER TYPE I PLASTIC CONTAINER I Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum I 100.00 GAL Daily Average 100.00 GAL HAZARDOUS COMPONENTS I%Wt. I 40.00 Sulfuric Acid (EPA) N 7664939 [TSecret[ RSIBioHazI HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards I No IYesl No No/ Curies R IH NFPA [ USDOT# I MCP / / / Hi Ag.Definedl: Ag.Defined5: Ag.DefinedS: -- Ag. Definell MISC. LOCAL AGENCY DATA Ag.Defined2: Ag. Defined3: Ag.Defined6: Ag.Definedg: Ag. Defined4: Ag.Defined7: Ag. Definel0: -14- 03/24/2004 COSTCO #0688 SiteID: 015-021-002412 = Inventory Item 0043 Facility Unit: Fixed Containers on Site ~lv~ ~vl~ / ~l ~ ~Vl~ DRAIN OPENER. Days On Site 365 Location within this Facility Unit Map: Grid: RETAIL SALES FLOOR CAS# rSTATE ~ TYPE Liquid I Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 80.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 98.53 GAL Daily Average I 98.53 GAL HAZARDOUS COMPONENTS %Wt. I 50.00 Sulfuric Acid (EPA) 7664939 HAZARD ASSESSMENTS Radioactive/Am°unt I EPA HazardsINo/ Curies F IH DH NFPA/// I USDOT# I MCPIHi Ag.Definedl: Ag.Defined5: Ag. Defined8: -- Ag. Definell MISC. LOCAL AGENCY DATA Ag. Defined2: Ag.Defined3: Ag.Defined6: Ag.Definedg: Ag.Defined4: Ag.Defined7: Ag.Definel0: -15- 03/24/2004 COSTCO #0688 SiteID: 015-021-002412 ~ Inventory Item 0072 Facility Unit: Fixed Containers on Site WAX STRIPPER Days On Site 365 Location within this Facility Unit Map: Grid: RETAIL SALES FLOOR CAS# FSTATE ~ TYPE Liquid/Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 128.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL Daily Average 55.00 GAL %Wt. RS CAS# 6.00 Sodium Hydroxide, Solution No 1310732 10.00 2-Butoxyethanol No 111762 5.00 2-Hydroxyethylamine No 111422 JNo No HAZARD ASSESSMENTS Radioactive/Amount J EPA Hazards No/ CuriesJ F DH NFPA/// J USDOT# MCP Hi Ag.Definedl: Ag. Defined5: Ag.Defined8: -- Ag.Definell MISC. LOCAL AGENCY DATA Ag. Defined2: Ag.Defined3: Ag.Defined6: Ag.Definedg: Ag.Defined4: Ag.Defined7: Ag.Definel0: -16- 03/24/2004 COSTCO #0688 ~ Inventory Item 0028 ~ COMMON NAME / CHEMICAL NAME GASOLINE UNLEADED Location within this Facility Unit UST.,. SiteID: 015-021-002412 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# 8006619 F STATE -- TYPE PRESSURE Liquid Pure Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 20000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 20000.00 GAL Daily Average 20000.00 GAL I%Wt. I 100.00 Gasoline HAZARDOUS COMPONENTS N 8006619 HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies NFPA /// USDOT# MCP Mod Ag.Definedl: Ag. Defined5: Ag. Defined8: -- Ag.Definell MISC. LOCAL AGENCY DATA Ag. Defined2: Ag.Defined3: Ag. Defined6: Ag. Defined9: Ag.Defined4: Ag.Defined7: Ag. Definel0: -17- 03/24/2004 COSTCO #0688 SiteID: 015-021-002412 ~ Inventory Item 0028 Facility Unit: Fixed Containers~on Site STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: UST TANK DESCRIPTION Tahk ID#: 1 Mfr: .CONTAINMENT SOLUTIONS, Installed: 08/2002 Capacity: Additional Info: Tank Use: MOTOR VEHICLE FUEL Marl'Name:GASOLINE 20000 Gals Compart Tank: N No. Of Comparts: TANK CONTENTS Petrol Type: REGULAR UNLEADED Cas #: TANK CONSTRUCTION Type : DOUBLE WALL Material (p): BARE STEEL Material(s): STEEL CLAD W/FIBERGLASS R. P. Lining : UNLINED Corr Prot: FIBERGLASS REINFORCED PLASTIC Spill Cnt : 2002 Alarm Drop Tube : 2002 Ball Float Striker Plate: 2002 Installed: Installed: : 2002 : Fill Tube S/O: 2002 TANK LEAK DETECTION Wall: 8006619 Exempt: No Dbl Wall: INTERSTITIAL MONITORING Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining:. Was Filled: No -18- 03/24/2004 COSTCO #0688 SiteID: 015-021-002412 ~ Inventory Item 0028 Facility Unit: Fixed Containers on Site STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION UnderGround Piping AboveGround Piping Type : PRESSURE Const: DOUBLE WALL Mfgr : ENVIRON GEOFLEX Mtl ': "FLEX" & : Corr : "FLEX" Prot : PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 08/04/2002 Date: 09/17/2002 Name:DENNIS BROCK, Prmt Number: 2412 TANK/LINE TEST : CP CERT. : MANWAY INSP. : UST MONIT. CERT:08/26/2003 DISPENSER CONTAINMENT Type: DISP. PAN SENSOR W/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE Ttl:COMPLIANCE MGR. Approved: Yes Expiration Date: 06/30/2003 AGENCY DEFINED STORAGE CONTAINER DATA (UST FORM C) Installer Certified by tank/piping manufacturer: No Installation Inspected & Certified by Registered Engineer: No Installation Inspected by Unified Pro~ram Agency: Yes Manufacturer's Checklist Completed: Yes Installer Certified by Contractors' State License Board: Yes Approved Alternate methods: Date: 09/17/2002 Name:DENNIS BROCK Ttl:COMPLIANCE MGR. -19- 03/24/2004 COSTCO #0688 ~ Inventory Item 0029 -- COMMON NAME / CHEMICAL NAME GASOLINE REGULAR UNLEADED Location within this Facility Unit GAS STATOPM SiteID: 015-021-002412 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# 8006619 STATE TYPE PRESSURE Liquid TPure I Ambient -- TEMPERATURE IAmbient CONTAINER TYPE ABOVE GROUND TANK Largest Container 20000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 20000.00 GAL Daily Average 20000.00 GAL %Wt. 100.00 Gasoline HAZARDOUS COMPONENTS IRSI CAS# No 8006619 HAZARD ASSESSMENTS Radioactive/Amount I EPA Hazards No/ Curies NFPA /// USDOT# Mod Ag.Definedl: Ag. Defined5: Ag.Defined8: -- Ag. Definell MISC. LOCAL AGENCY DATA Ag. Defined2: Ag. Defined3: Ag. Defined6: Ag.Definedg: Ag.Defined4: Ag. Defined7: Ag. Definel0: -20- 03/24/2004 COSTCO #0688 SiteID: 015-021-002412 ~- Inventory Item 0029 Facility Unit: Fixed Containers on Site STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: GAS STATOPM TANK DESCRIPTION Tank ID#: 2 Mfr: CONTAINMENT SOLUTIONS Compart Tank: N Installed: 08/2002 Capacity: 20000 Gals No. Of Comparts: Additional Info: Tank Use: MOTOR VEHICLE FUEL Matl Name:GASOLINE TANK CONTENTS Petrol Type: REGULAR UNLEADED Cas #: TANK CONSTRUCTION Type : DOUBLE WALL Material(p): BARE STEEL Material(s): STEEL CLAD W/FIBERGLASS R. P. Lining : UNLINED Corr Prot: FIBERGLASS REINFORCED PLASTIC Spill Cnt : 2002 Alarm Drop Tube : 2002 Ball Float Striker Plate: 2002 Sgl Wall: 8006619 Installed: Installed: : 2002 Exempt: No : Fill Tube S/O: 2002 TANK LEAK DETECTION Dbl Wall: INTERSTITIAL MONITORING Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -21- 03/24/2004 COSTCO #0688 SiteID: 015-021-002412 ~ Inventory Item 0029 Facility Unit: Fixed Containers on Site STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION UnderGround Piping Type : PRESSURE Const.: DQUBLE WALL Mfgr' : ENVIRON GEOFLEX Mtl : "FLEX" & : Corr ~: "FLEX" Prot : PIPING LEAK DETECTION UnderGround Piping AUTOMATIC LEAK DETECTORS AboveGround Piping AboveGround Piping Installed: 08/04/2002 Date: 09/17/2002 Name:DENNIS BROCK Prmt Number: 2412 TANK/LINE TEST : CP CERT. : MANWAY INSP. : UST MONIT. CERT:08/26/2003 DISPENSER CONTAINMENT Type: DISP. PAN SENSOR W/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE Ttl:COMPLAINCE MGR. Approved: Yes Expiration Date: 06/30/2003 AGENCY DEFINED STORAGE CONTAINER DATA (UST FORM C) Installer Certified by tank/piping manufacturer: No Installation Inspected & Certified by Registered Engineer: No Installation Inspected by Unified Program Agency: Yes Manufacturer's Checklist Completed: Yes Installer Certified by Contractors' State License Board: Yes Approved Alternate methods: Date: 09/17/2002 Name:DENNIS BROCK Ttl:COMPLAINCE MGR. -22- 03/24/2004 COSTCO #0688 SiteID: 015-021-002412 ~ Inventory Item 0030 Facility Unit: Fixed Containers on Site GASOLINE Days On Site PREMIUM UNLEADED 365 Location within this Facility Unit Map: Grid: GAS STATION CAS# 8006619 STATE TYPE PRESSURE Ambient Pure Liquid TEMPERATURE Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container 20000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 20000.00 GAL Daily Average 10000.00 GAL %Wt. I 100.00 Gasoline HAZARDOUS COMPONENTS N 8006619 HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies NFPA /// USDOT# I MCP Mod Ag. Definedl: Ag. Defined5: Ag.Defined8: -- Ag.Definell MISC. LOCAL AGENCY DATA Ag. Defined2: Ag. Defined3: Ag.Defined6: Ag.Defined9: Ag.Defined4: Ag.Defined7: Ag. Definel0: -23- 03/24/2004 COSTCO #0688 SiteID: 015-021-002412 ----- Inventory Item 0030 Facility Unit: Fixed Containers on Site STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 1 of 2 Last Action Type: Location In Site: GAS STATION " TANK DESCRIPTION Tank ID#: 3 Mfr: CONTAINMENT SOLUTIONS Installed: 09/2002 Capacity: Additional Info: Tank Use: MOTOR VEHICLE FUEL Marl'Name:GASOLINE 20000 Gals Compart Tank: N No. Of Comparts: TANK CONTENTS Petrol Type: PREMIUM UNLEADED Cas #: TANK CONSTRUCTION Type : DOUBLE WALL Material(p): BARE STEEL Material(s): STEEL CLAD W/FIBERGLASS R. P. Lining : UNLINED Corr Prot: FIBERGLASS REINFORCED PLASTIC Spill Cnt : 2002 Alarm Drop Tube : 2002 Ball Float Striker Plate: 2002 Installed: Installed: : 2002 : Fill Tube S/O: 2002 TANK LEAK DETECTION Sgl Wall: 8006619 Exempt: No Dbl Wall: INTERSTITIAL MONITORING Last Used: TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE Qty Remaining: Was Filled: No -24- 03/24/2004 COSTCO #0688 SiteID: 015-021-002412 ~ Inventory Item 0030 Facility Unit: Fixed Containers on Site STORAGE CONTAINER DATA (UST FORM B and AGENCY-DEFINED) Page 2 of 2 PIPING CONSTRUCTION 'UnderGround Piping AboveGround Piping Type : ~PRESSURE Const: DOUBLE WALL Mfgr : ENVIRON. GEOFLEX Mtl : "FLEX" & : Corr : "FLEX" Prot : PIPING LEAK DETECTION UnderGround Piping AboveGround Piping AUTOMATIC LEAK DETECTORS Installed: 08/04/2002 Date: 09/17/2002 Name:DENNIS BROCK Prmt Number: 2412 TANK/LINE TEST : CP CERT. : MANWAY INSP. : UST MONIT. CERT:08/26/2003 DISPENSER CONTAINMENT Type: DISP. PAN SENSOR W/ POS. SHUTOFF OWNER/OPERATOR SIGNATURE Ttl:COMPLAINCE MGR. Approved: Yes Expiration Date: 06/30/2003 AGENCY DEFINED STORAGE CONTAINER DATA (UST FORM C) Installer Certified by tank/piping manufacturer: No Installation Inspected & Certified by Registered Engineer: No Installation Inspected by Unified Program Agency: Yes Manufacturer's Checklist Completed: Yes Installer Certified by Contractors' State License Board: Yes Approved Alternate methods: Date: 09/17/2002 Name:DENNIS BROCK Ttl:COMPLAINCE MGR. -25- 03/24/2004 COSTCO #0688 ~ Inventory Item 0051 COMMON NAME / CHEMICAL NAME LYSOL CLEANER (LIQUID) Location within this Facility Unit RETAIL SALES FLOOR SiteID: 015-021-002412 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# 64-17-5 r STATE TYPE PRESSURE Liquid Mixture Ambient TEMPERATURE IAmbient CONTAINER TYPE PLASTIC CONTAINER Largest Container 163.00 GAL AMOUNTS AT THIS LOCATION I Daily Maximum I 5162.64 GAL Daily Average 5162.64 GAL 12.00 Ethyl Alcohol HAZARDOUS COMPONENTS CAS# 64175 HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F DH NFPA /// USDOT# I MCP Mod Ag. Definedl: Ag. Defined5: Ag.Defined8: -- Ag.Definell MISC. LOCAL AGENCY DATA Ag.Defined2: Ag. Defined3: Ag.Defined6: Ag.Definedg: Ag. Defined4: Ag.Defined7: Ag.Definel0: -26- 03/24/2004 COSTCO #0688 ~ Inventory Item 0060 -- COMMON NAME / CHEMICAL NAME GLASS CLEANER LIQUID &~AEROSOL Location within this Facility Unit RETAIL SALES FLOOR SiteID: 015-021-002412 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# ~ STATE iTYPEpure AmbientPRESSURE Liquid TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 179.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum I 1265.28 GAL Daily Average 1265.28 GAL HAZARDOUS COMPONENTS 100.00 Ammonium Hydroxide N 1336216 ITSecret No HAZARD ASSESSMENTS NoRS I Bi°HasII, No Radioactive/AmountNo/ Curies EPA HazardsIIH DH NFPA /// USDOT# I MCP Mod Ag. Definedl: Ag. Defined5: Ag.Defined8: -- Ag.Definell MISC. LOCAL AGENCY DATA Ag. Defined2: Ag.Defined3: Ag.Defined6: Ag.Defined9: Ag.Defined4: Ag.Defined7: Ag. Definel0: -27- 03/24/2004 COSTCO #0688 SiteID: 015-021-002412 ~ Inventory Item 0040 Facility Unit: Fixed Containers on Site CONDITIONER Days On Site 365 Location within this Facility Unit Map: Grid: RETAIL SALES FLOOR CAS# F STATE TYPE PRESSURE Liquid Mixture Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-NONMETAL Largest Container 40.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 818.05 GAL Daily Average 818.05 GAL HAZARDOUS COMPONENTS 100.00 Trichloroisocyanuric Acid N 87901 HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies NFPA /// USDOT# I MCP Mod Ag.Definedl: Ag. Defined5: Ag.Defined8: -- Ag.Definell MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag. Defined6: Ag. Defined9: Ag.Defined4: Ag. Defined7: Ag.Definel0: -28- 03/24/2004 COSTCO #0688 = Inventory Item 0031 -- COMMON NAME / CHEMICAL NAME ALL PURPOSE CLEANERS Location within this Facility Unit RETAIL SALES FLOOR SiteID: 015-021-002412 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# F STATE TYPE PRESSURE Liquid Mixture Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 160.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 801.09 GAL Daily Average I 801.09 GAL HAZARDOUS COMPONENTS %Wt. I 7.00 2-Butoxyethanol ~ IRSI CAS# No 111762 HAZARD ASSESSMENTS I Radioactive/Am°unt EPA Hazards [No/ Curies F IH DH NFPA /// USDOT# I MCP Mod Ag.Definedl: Ag. Defined5: Ag. Defined8: -- Ag.Definell MISC. LOCAL AGENCY DATA Ag.Defined2: Ag. Defined3: Ag. Defined4: Ag.Defined6: Ag.Defined7: Ag.Definedg: Ag.Definel0: -29- 03/24/2004 COSTCO #0688 SiteID: 015-021-002412 ~ Inventory Item 0023 Facility Unit: Fixed Containers on Site ~lVUVl~ ~Vl~ / ~£~ ~vl~ HTH GRANULATED Days On Site 365 Location within this Facility Unit Map: Grid: SEASONAL ISLE CAS# STATE -- TYPE PRESSURE Solid' Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 70.00 LBS AMOUNTS AT THIS LOCATION I Daily Maximum 700.00 LBS Daily Average 700.00 LBS HAZARDOUS COMPONENTS I%Wt. I 100.00 Calcium Hypochlorite N 7778543 HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F IH Ag. Definedl: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag. Defined3: INFPA USDOT# I MCP / / / . Mod Ag.Defined4: Ag. Defined5: Ag.Defined6: Ag.Defined7: Ag. Defined8: Ag.Definedg: Ag.Definel0: -- Ag. Definell -30- 03/24/2004 COSTCO #0688 ~ Inventory Item 0073 -- COMMON NAME / CHEMICAL NAME WD-40 LEVEL 3 AEROSOL, IRR, OHH Location within this Facility Unit RETAIL SALES FLOOR SiteID: 015-021-002412 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# 8052-95-1 FSTATE TYPE Liquid Mixture PRESSURE TEMPERATURE ~bove Ambient I Ambient CONTAINER TYPE I METAL CONTAINR-NONDRUMI Largest Container 14.50 GAL AMOUNTS AT THIS LOCATION Daily Maximum I 657.94 GAL Daily Average 657.94 GAL HAZARDOUS COMPONENTS 70.00 Aromatic Hydrocarbon IRSI CAS# No 8030306 HAZARD ASSESSMENTS TSecretlNo~;IN°lNoRslBi°HazI Radioactive/AmountNo/ Curies EPAF P HazardsiH NFPA/// I USDOT# Mod Ag. Definedl: Ag.Defined5: Ag.Defined8: -- Ag. Definell MISC. LOCAL AGENCY DATA Ag. Defined2: Ag. Defined3: Ag. Defined6: Ag.Defined9: Ag.Defined4: Ag.Defined7: Ag.Definel0: -31- 03/24/2004 COSTCO #0688 SiteID: 015-021-002412 ~-- Inventory Item 0011 Facility Unit: Fixed Containers on Site ~lV~Vl~ ~vl~ / ~ ~ ~Vl~ PARTS CLEANER Days On Site 365 Location within this Facility Unit Map: Grid: AUTOMOTIVE AISLE CAS# STATE --TYPE PRESSURE Ambient Pure lLiquid TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest ContainerGAL AMOUNTS AT THIS LOCATION Daily Maximum 500.00 GAL Daily Average 500.00 GAL 100.00 Naphtha HAZARDOUS COMPONENTS N 8030306 HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F IH NFPA /// USDOT# I MCP Mod Ag. Definedl: Ag. Defined5: Ag.Defined8: -- Ag.Definell MISC. LOCAL AGENCY DATA Ag. Defined2: Ag. Defined3: Ag.Defined6: Ag.Defined9: Ag.Defined4: Ag.Defined7: Ag.Definel0: -32- 03/24/2004 COSTCO #0688 ~ Inventory Item 0071 -- COMMON NAME / CHEMICAL NAME TUB~& TILE CLEANER Location within this Facility Unit RETAIL SALES FLOOR SiteID: 015-021-002412 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# STATE ~ TYPE Liquid/Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE Plastic Bottles/Jugs Largest Container 32.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 206.25 GAL Daily Average I 206.25 GAL %Wt. HAZARDOUS COMPONENTS Phosphoric Acid TSecret No HAZARD ASSESSMENTS IRS,BioHazI Radioactive/Amount EPA Hazards No I No No/ Curies NFPA/// I USDOT# Mod Ag.Definedl: Ag.Defined5: Ag. DefinedS: -- Ag. Definell MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag. Definel0: -33- 03/24/2004 COSTCO #0688 ~ Inventory Item 0033 -- COMMON NAME / CHEMICAL NAME OIL EATER Location within this Facility Unit RETAIL SALES FLOOR SiteID: 015-021-002412 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# STATE ~ TYPE : Liquid/Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE Plastic Bottles/Jugs Largest Container 5.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 92.13 GAL Daily Average I ~92.13 GAL %Wt. 5.00 5.00 HAZARDOUS COMPONENTS Sodium Metasilicate Pentahydrate 2-Butoxyethanol S CAS# N 6834920 No 111762 HAZARD ASSESSMENTS Radioactive/Amount I EPA Hazards No/ Curies NFPA/// I USDOT# Mod Ag. Definedl: Ag. Defined5: Ag.Defined8: MISC.~LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined6: Ag. Defined9: Ag. Defined4: Ag.Defined7: Ag.Definel0: -- Ag.Definell -34- 03/24/2004 COSTCO #0688 ~ Inventory Item 0002 -- COMMON NAME / CHEMICAL NAME GLASS CLEANER Location within this Facility Unit BACK FOOD AISLE SiteID: 015-021-002412 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# F STATE ~ TYPE Liquid /Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 90.00 GAL Daily Average I 90.00 GAL %Wt. 100.00 HAZARDOUS COMPONENTS !Ammonium Hydroxide N 1336216 Radioactive/Amount EPA Hazards No · No I No NO/ Curies IH DH NFPA /// USDOT# MCP Mod Ag. De f inedl: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag. Defined4: Ag.Defined5: Ag.Defined8: Ag. Defined6: Ag.Defined9: Ag.Defined7: Ag. Definel0: -- Ag. Definell -35- 03/24/2004 COSTCO #0688 ~ Inventory Item 0038 -- COMMON NAME / CHEMICAL NAME CAR WAX Location within this Facility Unit RETAIL SALES FLOOR SiteID: 015-021-002412 ~acility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# STATE ~ TYPE Liquid/Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 16.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 73.00 GAL Daily Average 73.00 GAL %Wt. I HAZARDOUS COMPONENTS TSecret No HAZARD ASSESSMENTS RS BioHazI Radioactive/Amount EPA Hazards No NoI No/ Curies F DH NFPA/// I USDOT# Mod Ag. Definedl: MISC. LOCAL AGENCY DATA Ag. Defined2: Ag.Defined3: Ag.Defined4: Ag. Defined5: Ag. DefinedS: Ag.Defined6: Ag. Definedg: Ag.Defined7: Ag.Definel0: -- Ag. Definell -36- 03/24/2004 COSTCO #0688 SiteID: 015-021-002412 ~ Inventory Item 0056 Facility Unit: Fixed Containers on Site ~iv~vl~ ~vl~ / ~ £ ~ ~Vl~ INK & TONER CARTRIDGES Days On Site 365 Location within this Facility Unit Map: Grid: RETAIL SALES FLOOR CAS# F STATE TYPE PRESSURE Liquid Mixture Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 16.00 LBS AMOUNTS AT THIS LOCATION Daily Maximum 57.00 LBS Daily Average 57.00 LBS %Wt. RS CAS# 2.00 Carbon Black No 1333864 89.00 Hydrotreated Heavy Naphtha No 64742489 6.00 Wax No 9002884 HAZARD ASSESSMENTS Radioactive/AmountNo/ Curies I EPAF HazardsiH DH NFPA/// { USDOT# { MCP {Mod Ag. Definedl: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag. Defined3: Ag.Defined5: Ag. Defined6: Ag. Defined4: Ag. Defined7: Ag.Defined8: Ag. Definedg: Ag.Definel0: -- Ag.Definell -37- 03/24/2004 COSTCO #0688 SiteID: 015-021-002412 ~ Inventory Item 0077 Facility Unit: Fixed Containers on Site ~1~ N~Vl~ / ~£~ ~vl~ WASTE GASOLINE 'Days On Site INCIDENTAL SPILLS & ABSORBENT 365 Location within this Facility Unit Map: Grid: GAS STATION CAS# 8006-61-9 STATE ~ TYPE Liquid IWaste PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL Daily Average 25.00 GAL %Wt. RS CAS# 5.00 1,2,4-Trimethylbenzene No 95636 14.00 XYLENE-MIXED ISOMERS No 1330-20-7 9.00 Toluene No 108883 5.00 Benzene No 71432 5.00 Ethylbenzene No 100414 HAZARD ASSESSMENTS I Radioactive/Amount I EPA Hazards No/ . Curies F IH DH NFPA/// I USDOT# Mod Ag.Definedl: Ag.Defined5: Ag.Defined8: -- Ag. Definell MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined6: Ag. Defined9: Ag. Defined4: Ag.Defined7: Ag.Definel0: -38- 03/24/2004 COSTCO #0688 ~ Inventory Item 0077 Treated On Si~e No CA Code Treatment UnitID: ~ SiteID: 015-021-002412 Facility Unit: Fixed Containers on Site WASTEDATA US Code GAL Generated/Mo. GAL Generated/Yr. Unit Type: Agency-Defined Text Label -39- 03/24/2004 COSTCO #0688 ~ Inventory Item 0054 -- COMMON NAME'/ CHEMICAL NAME. LAUNDRY DETERGENTS LIQUID AND SOLID,'AND WOOLITE Location within:this Facility. Unit RETAIL SALES FLOOR SiteID: 015-021-002412 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# 7757-82-6 STATE -- TYPE PRESSURE Ambient Pure Solid TEMPERATURE Ambient BOX CONTAINER TYPE Largest Container 696.00 LBS AMOUNTS AT THIS LOCATION Daily Maximum 42779.25 LBS Daily Average 42779.25 LBS %Wt. 12.00 HAZARDOUS COMPONENTS Sodium Sulfate Sodium Silicate N 7757826 No[ 1344098 HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies DH NFPA/// I USDOT# Low Ag. Definedl: Ag. Defined5: Ag.Defined8: -- Ag. Definell MISC. LOCAL AGENCY DATA Ag. Defined2: Ag. Defined3: Ag.Defined6: Ag. Definedg: Ag.Defined4: Ag. Defined7: Ag. Definel0: -40- 03/24/2004 COSTCO #0688 ~ Inventory Item 0074 -- COMMON NAME / CHEMICAL NAME CHLORODIFLOUROMETHANE SiteID: 015-021-002412 Facility Unit: Fixed Containers on Site Location within this Facility Unit RETAIL SALE FLOOR (IN REGRIGERATION SYSTEM) Map: Grid: Days On Site 365 CAS# 75-45-6 STATE ~ TYPE PRESSURE Ambient Pure JGas' TEMPERATURE Ambient CONTAINER TYPE I PORT' PRESS' CYLINDER I Largest Container 850.00 LBS AMOUNTS AT THIS LOCATION Daily Maximum 3400.00 LBS Daily Average 3400.00 LBS %Wt. 100.00 HAZARDOUS COMPONENTS Chlorodifluoromethane 75456 HAZARD ASSESSMENTS Radioactive/Amount I EPA Hazards No/ Curies F P IH NFPA/// I USDOT# Low Ag. Definedl: Ag.Defined5: Ag.Defined8: -- Ag.Definell MISC. LOCAL AGENCY DATA Ag. Defined2: Ag. Defined3: Ag. Defined6: Ag. Defined9: Ag.Defined4: Ag.Defined7: Ag.Definel0: -41- 03/24/2004 COSTCO #0688 = Inventory Item 0064 -- COMMON NAME / CHEMICAL NAME SHAMPOO Location within this Facility Unit RETAIL SALES FLOOR:., SiteID: 015-021-002412 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# FSTATE ~ TYPE Liquid /Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE Plastic Bottles/Jugs Largest Container 40.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 1261.06 GAL Daily Average 1261.06 GAL %Wt. RS CAS# Sodium Laureth Sulfate No 68891383 Citric Acid No 77929 Propylene Glycol No 57556 Laureth No 9002920 Water No 7732185 HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies NFPA/// J USDOT# Low Ag.Definedl: Ag.Defined5: Ag. Defined8: -- Ag.Definell MISC. LOCAL AGENCY DATA Ag. Defined2: Ag.Defined3: Ag.Defined6: Ag. Defined9: Ag.Defined4: Ag. Defined7: Ag.Definel0: -42- 03/24/2004 COSTCO #0688 SiteID: 015-021-002412 ~ Inventory Item 0079 Facility Unit: Fixed Containers on Site ~lv~vl~ ~Vl~ / ~£~ ~Vl~ USED LEAD BATTERIES Days On Site USED LEAD BATTERIES 365 Location within this Facility Unit Map: Grid: TIRE SHOP INSTALLATION AREA CAS# F STATE ~ TYPE PRESSURE Solid I Waste Ambient TEMPERATURE Ambient CONTAINER TYPE OTHER'- SPECIFY Largest Container 10.50 LBS A_MOUNTS AT THIS LOCATION Daily Maximum 735.00 LBS Daily Average 368.00 LBS ~/~/~UU~ ~U~U~'~ %Wt. RS CAS# 40.00 SULFURIC ACID ELECTROLYTE No 7664-93-9 53.00 Lead No 7439921 HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies R DH NFPA /// USDOT# I MCP Low Ag.Definedl: . MISC. LOCAL AGENCY DATA Ag. Defined2: Ag. Defined3: Ag.Defined4: Ag. Defined5: Ag. Defined8: Ag.Defined6: Ag.Definedg: Ag.Defined7: Ag.Definel0: -- Ag. Definell -43- 03/24/2004 COSTCO #0688 ~ Inventory Item 0079 Treated On Site I CA Code No Treatment UnitID: SiteID: 015-021-002412 Facility Unit: Fixed Containers on Site WASTE DATA I US Code I LBS Generated/Mo. LBS Generated/Yr. Unit'Type: ~ Agency-Defined Text Label -44- 03/24/2004 COSTCO #0688 ~ Inventory Item 0052 -- COMMON NAME / CHEMICAL NAME LOTION ,Location within~this Facility Unit RETAIL SALES FLOOR SiteID: 015-021-002412 Facility Unit: Fixed,Containers on Site Map: Grid: Days On Site 365 CAS# rSTATE ~ TYPE Liquid I Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE Plastic Bottles/Jugs Largest Container 48.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 696.72 GAL Daily Average I 696.72 GAL %Wt. 15.90 0.60 HAZARDOUS COMPONENTS Mineral Oil Lanolin Oil Glyceryl Triacetate Propylene Glycol Water Glass IRSI CAS# No 8020835 No No Mixture No 57556 No 7732185 HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies NFPA /// USDOT# I MCP Low Ag.Definedl: Ag. Defined5: A~.Defined8: -- Ag.Definell MISC. LOCAL AGENCY DATA A~.Defined2: A~.Defined3: Ag. Defined6: A~.Defined9: A~.Defined4: A~.Defined7: A~.Definel0: -45- 03/24/2004 COSTCO #0688 SiteID: 015-021-002412 = Inventory Item 0020 Facility Unit: Fixed Containers on Site ROUND UP Days On Site LIQUID HERBICIDE 365 Location within this Facility Unit Map: Grid: SEASONAL ISLE CAS# 1071836 F STATE ~ TYPE Liquid /Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 53.70 GAL AMOUNTS AT THIS LOCATION Daily Maximum 287.04 GAL Daily Average 287.04 GAL %Wt. 100.00 Round Up HAZARDOUS COMPONENTS N 1071836 TSecretl RSlBioHaz I HAZARD ASSESSMENTS Radioactive/Amount I EPA HazardsINO/ Curies F DH NFPA I USDOT# I MCP / / / Low Ag. Definedl: Ag.Defined5: Ag.Defined8: -- Ag.Definell MISC. LOCAL AGENCY DATA Ag.Defined2: Ag. Defined3: Ag.Defined4: Ag.Defined6: Ag. Definedg: Ag.Defined7: : Ag.Definel0:. -46- 03/24/2004 COSTCO #0688 SiteID: 015-021-002412 ~ Inventory Item 0061 Facility Unit: Fixed Containers on Site FLOOR FINISH Days On Site 365 Location within this Facility Unit Map: Grid: RETAIL SALES FLOOR CAS# 107-21-1 F STATE -- TYPE PRESSURE Liquid Mixture Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 160.00 GAL AMOUNTS AT THIS LOCATION I Daily Maximum 101.75 GAL Daily Average 101.75 GAL HAZARDOUS COMPONENTS 1.00 Ethylene Glycol N 107211 HAZARD ASSESSMENTS [ Radioactive/Amount EPA HazardsINo/ Curies IH DH NFPA /// USDOT# { MCP Low Ag. Definedl: Ag.Defined5: Ag. Defined8: -- Ag.Definell MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag. Defined6: Ag. Defined9: Ag. Defined4: Ag.DefinedY: Ag.Definel0: -47- 03/24/2004 COSTCO #0688 ~ Inventory Item 0032 -- COMMON NAME / CHEMICAL NAME AMTIFREEZE (COOLANT) Location within this Facility Unit RETAIL SALES FLOOR SiteID: 015-021-002412 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# 107-21-1 F STATE =--- TYPE PRESSURE Liquid Pure Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 1.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum I 92.40 GAL Daily Average 92.40 GAL , HAZARDOUS COMPONENTS %Wt. I 100.00 Ethylene Glycol 107211 HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies DH / / / Low Ag. Definedl: Ag.Defined5: Ag.Defined8: -- Ag. Definell MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined6: Ag. Defined9: Ag. Defined4: Ag. Defined7: Ag. Definel0: -48- 03/24/2004 COSTCO #0688 ~ Inventory Item 0046 -- COMMON NAME / CHEMICAL NAME SCRUB KLEAN Location within this Facility Unit DELI AREA SiteID: 015-021-002412 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# STATE ~ TYPE Liquid I Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE Steel Drum Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL Daily Average I 28.00 GAL %Wt. 6.00 5.00 HAZARDOUS COMPONENTS Dipropylene Glycol Mether Ether Sodium Metasilicate No No CAS# 34590948 6834920 HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies NFPA /// USDOT# I MCP .Low Ag.Definedl: Ag. Defined5: Ag. Defined8: -- Ag. Definell MISC..LOCAL AGENCY DATA Ag.Defined2: Ag. Defined3: Ag. Defined6: Ag. Definedg: Ag. Defined4: Ag.Defined7: Ag. Definel0: -49- 03/24/2004 COSTCO #0688 ~ Inventory Item 0012 -- COMMON NAME / CHEMICAL NAME MOTOR OIL Location within this Facility Unit BACK HARDLINES AISLE AUTOMOTIVE AISLE SiteID: 015-021-002412 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# STATE -q-- TYPE Liquid/Pure PRESSURE Ambient -- TEMPERATURE rAmbient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION I Daily Maximum I 2384.25 GAL Daily Average 2384.25 GAL %Wt. 100.00 HAZARDOUS COMPONENTS Motor Oil, Petroleum Based IRSI CAS# No 8020835 HAZARD ASSESSMENTS Radioactive/Amount I EPA Hazards No/ Curies F DH NFPA/// I USDOT# Min Ag. Definedl: Ag. Defined5: Ag.Defined8: -- Ag.Definell MISC. LOCAL AGENCY DATA Ag.Defined2: Ag. Defined3: Ag.Defined6: Ag. Defined9: Ag.Defined4: Ag. Defined7: Ag.Definel0: -50- 03/24/2004 COSTCO #0688 SiteID: 015-021-002412 = Inventory Item 0036 Facility Unit: Fixed Containers on Site CLEANSER Days On Site 365 Location within this Facility Unit Map: Grid: RETAIL SALES FLOOR CAS# 7631-86-9 STATE TYPE PRESSURE Solid Mixture Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 1324.81 GAL AMOUNTS AT THIS LOCATION Daily Maximum 1324.81 GAL Daily Average I 1324.81 GAL HAZARDOUS COMPONENTS %Wt. ] 5.00 Calcium Chloride HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies IH DH NFPA /// USDOT# MCP Min Ag. Definedl: Ag.Defined5: Ag.Defined8: -- Ag. Definell MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined6: Ag.Defined9: Ag.Defined4: Ag.Defined7: Ag. Definel0: -51- 03/24/2004 COSTCO #0688 ~ Inventory Item 0058 -- COMMON NAME / CHEMICAL NAME HELIUM TANKS FOR BALLOONS Location within this Facility Unit RETAIL SALES FLOOR SiteID: 015-021-002412 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# 7440-59-7 F STATE ~ TYPE Gas /Pure PRESSURE , TEMPERATURE AboVe Ambient I Ambient CONTAINER TYPE I PORT' PRESS' CYLINDER Largest Container 14.90 AMOUNTS AT THIS LOCATION I Daily Maximum I 786.72 Daily Average 786.72 100.00 Helium HAZARDOUS COMPONENTS IRSI CAS# No 7440597 ITSecret No HAZARD ASSESSMENTS RSlBioHazI' Radioactive/Amount EPA Hazards No I NoI No/ Curies F P IH NFPA I USDOT# I MCP / / / Min Ag. Definedl: Ag. Defined5: Ag.Defined8: -- Ag. Definell MISC. LOCAL AGENCY DATA Ag. Defined2: Ag. Defined3: Ag. Defined6: Ag.Definedg: Ag.Defined4: Ag.Defined7: Ag.Definel0: -52- 03/24/2004 COSTCO #0688 ~ Inventory Item 0042 -- COMMON NAME / CHEMICAL NAME DISHSOAP Location within this Facility Unit RETAIL SALES FLOOR SiteID: 015-021-002412 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# 143191 FSTATE ~ TYPE Liquid I Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 90.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 779.09 GAL Daily Average 779.09 GAL %Wt. 10.00 1.00 Ethanol Subtilisin HAZARDOUS COMPONENTS IRSI CAS# No 64175 No 9014011 ITSe'cret No HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F NFPA /// USDOT# I MCP Min Ag.Definedl: Ag. Defined5: Ag. Defined8: MISC.~LOCAL AGENCY DATA.. Ag.Defined2: Ag. Defined3: Ag. Defined6: Ag. Defined9: Ag. Defined4: Ag.Defined7: Ag. Definel0: -- Ag.Definell -53- 03/24/2004 COSTCO #0688 ~ Inventory Item 0005 -- COMMON NAME / CHEMICAL NAME SILICONE OIL Location within this Facility Unit BACK HARDLINES AISLE SiteID: 015-021-002412 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# STATE ~ TYPE PRESSURE Ambient Pure Solid TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container LBS AMOUNTS AT THIS LOCATION Daily Maximum I 600.00 LBS Daily. Average 600.00 LBS %Wt. 100.00 Silicone Oil HAZARDOUS COMPONENTS RN~oRs CAS#9016006 HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F DH NFPA /// USDOT# I MCP Min Ag.Definedl: Ag.Defined5: Ag. Defined8: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag. Defined6: Ag.Defined9: Ag.Defined4: Ag.Defined7: Ag.Definel0: -- Ag.Definell -54- 03/24/2004 COSTCO #0688 ~ Inventory Item 0044 -- COMMON NAME / CHEMICAL NAME ENGINE TREATMENT Location within this Facility Unit RETAIL SALES FLOOR SiteID: 015-021-002412 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# 8020835 FSTATE ~ TYPE Liquid/Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE Plastic Bottles/Jugs Largest Container 16.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 171.60 GAL Daily Average I 171.60 GAL %Wt. RS CAS# 90.00 Petroleum'Naphtha No 64742478 2.00 1,2,4-Trimethylbenzene No 95636 HAZARD ASSESSMENTS I Radioactive/Amount I EPA Hazards No/ Curies DH NFPA/// I USDOT# Min Ag.Definedl: Ag. Defined5: Ag.Defined8: -- Ag. Definell MISC. LOCAL AGENCY DATA Ag.Defined2: Ag. Defined3: Ag. Defined6: Ag.Defined9: Ag. Defined4: Ag.Defined7: Ag. Definel0: -55- 03/24/2004 COSTCO #0688 SiteID: 015-021-002412 ~ Inventory Item 0069 Facility Unit: Fixed Containers on Site TIRE CLEANER Days On Site 365 Location within this Facility Unit Map: Grid: RETAIL SALES FLOOR CAS# FSTATE ~ TYPE Liquid I Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE Plastic Bottles/Jugs Largest Container 28.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 150.56 GAL Daily Average 150.56 GAL %Wt. RS CAS# Water No 7732185 Silicone Emulsion No Sorbitol No 50704 Armor All Concentrate No HAZARD ASSESSMENTS , Radioactive/Amount I EPA Hazards No/ Curies NFPA I USDOT# I MCP / / / Min Ag. Definedl: Ag. Defined5: Ag. Defined8: -- Ag.Definell MISC. LOCAL AGENCY DATA Ag. Defined2: Ag.Defined3: A~.Defined6: A~.Defined9: Ag.Defined4: Ag.Defined7: Ag.Definel0: -56- 03/24/2004 COSTCO #0688 ~ Inventory Item 0078 -- COMMON NAME / CHEMICAL NAME CARBON DIOXIDE REFRIGERATED LIQUID CARBON DIOXIDE Location within this Facility Unit FOOD SERVICE AREA SiteID: 015-021-002412 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# 124-38-9 F STATE ~ TYPE Gas /Pure PRESSURE TEMPERATURE I Above Ambient I Below Ambient CONTAINER TYPE FIXED PRESS. CYLINDER Largest Container 110.00 LBS AMOUNTS AT THIS LOCATION Daily Maximum 110.00 LBS Daily Average I 55.00 LBS %Wt. 100.00 Carbon Dioxide HAZARDOUS COMPONENTS I24389 HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F P IH NFPA/// I USDOT# Min Ag. Definedl: MISC. LOCAL AGENCY DATA Ag~Defined2: Ag. Defined3: Ag.Defined4: Ag.Defined5: Ag.DefinedS: -- Ag.Definell Ag.Defined6: Ag. Definedg: Ag.Defined7: Ag. Definel0: -57- 03/24/2004 COSTCO #0688 ~ Inventory Item 0047 -- COMMON NAME / CHEMICAL NAME PHOTO. CHEMICAL CONTAINING SILVER Location within this Facility Unit i-HOUR PHOTO PROCESSING SiteID: 015-021-002412 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# STATE -q--TYPE Liquid /Waste PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE ABOVE GROUND TANK Largest Container 30.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 60.00 GAL Daily Average 30.00 GAL %Wt. I 0.50 Silver HAZARDOUS COMPONENTS N 7440224 TSecret No HAZARD ASSESSMENTS IRS,BioHazI Radioactive/Amount EPA Hazards No I No No/ Curies NFPA/// I USDOT# MCP I Min Ag.Definedl: Ag. Defined5: Ag.Defined8: -- Ag. Definell MISC. LOCAL AGENCY DATA Ag. Defined2: Ag.Defined3: Ag. Defined6: Ag. Defined9: Ag.Defined4: Ag. Defined7: Ag. Definel0: -58- 03/24/2004 COSTCO #0688 ~ Inventory Item 0047 Treated On Site I CA Code NoI · Treatment unitID: SiteID: 015-021-002412 Facility Unit: Fixed Containers on Site WASTE DATA US Code I GAL Generated/Mo.I GAL Generated/Yr. Unit Type: Agency-Defined Text Label -59- 03/24/2004 COSTCO #0688 ., SiteID: 015-021-002412 : Inventory Item 0003 Facility Unit: Fixed Containers on Site FERTILIZERS Days On Site 365 Location within:this FacilitY Unit Map: Grid: -2ND SEASONAL AISLE CAS# F STATE ~ TYPE Solid /Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 25.00 LBS AMOUNTS AT THIS LOCATION Daily Maximum 16455.34 LBS Daily Average 16455.34 LBS .H_,~.~UU~ %Wt. RS CAS# Potassium Nitrate No 7757791 Sodium Nitrate No 7631994 Urea No 57136 Monoammonium Phosphate No 7722761 HAZARD ASSESSMENTS IRadioactive/Amount I EPA Hazards No/ Curies IH NFPA/// I USDOT# MCP UnR Ag.Definedl: Ag.Defined5: Ag.Defined8: -- Ag.Definell MISC. LOCAL AGENCY DATA Ag. Defined2: Ag. Defined3: Ag.Defined6: Ag. Defined9: Ag.Defined4: Ag.Defined7: Ag. Definel0: -60- 03/24/2004 COSTCO #0688 ~ Inventory Item 0039 -- COMMON NAME / CHEMICAL NAME CHARCOAL BRIQUETTES Location within this Facility Unit RETAIL SALES FLOOR SiteID: 015-021-002412 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# FSTATE -- TYPE PRESSURE Solid Mixture Ambient TEMPERATURE Ambient CONTAINER TYPE Largest Container 24.00 LBS AMOUNTS AT THIS LOCATION Daily Maximum 14823.60 LBS Daily Average 14823.60 LBS %Wt. I 100.00 Naphtha HAZARDOUS COMPONENTS N 8030306 HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F NFPA /// USDOT# I MCP UnR Ag.Definedl: Ag.Defined5: Ag. Defined8: -- Ag.Definell MISC. LOCAL AGENCY DATA Ag. Defined2: Ag.Defined3: Ag.Defined6: Ag. Defined9: Ag.Defined4: Ag. Defined7: Ag.Definel0: -61- 03/24/2004 COSTCO #0688 SiteID: 015-021-002412 ~ Inventory Item 0035 Facility Unit: Fixed Containers on Site ~vl~ ~vl~ / ~£~ BAR SOAP Days On Site HAND & BODY SOAP (LIQUID) & (SOLID) 365 Location within this Facility Unit Map: Grid: RETAIL SALES FLOOR CAS# FSTATE ~ TYPE Solid /Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE Box Largest Container 9913.01 LBS AMOUNTS AT THIS LOCATION Daily Maximum 9913.01 LBS Daily Average 9913.01 LBS %Wt. HAZARDOUS COMPONENTS IRSI CAS# HAZARD ASSESSMENTS Radioactive/Amount I EPA Hazards No/ Curies NFPA/// I USDOT# UnR Ag.Definedl: Ag.Defined5: Ag. Defined8: -- Ag. Definell MISC. LOCAL AGENCY DATA ,Ag. Defined2: Ag. Defined3: Ag.Defined6: Ag. Definedg: Ag.Defined4: Ag. Defined7: Ag.Definel0: -62- 03/24/2004 COSTCO #0688 = Inventory Item 0062 m COMMON NAME / CHEMICAL NAME OX I - CLEAN Location within'this Facility Unit RETAIL SALES FLOOR SiteID: 015-021-002412 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# FSTATE ~ TYPE Solid I Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE Plastic Bottles/Jugs Largest Container 12.00 LBS AMOUNTS AT THIS LOCATION Daily Maximum 3748.80 LBS Daily Average I 3748.80 LBS %Wt. RS CAS# Sodium Percarbonate No 15630894 Sodium Carbonate (Soda Ash) No 497198 HAZARD ASSESSMENTS I Radioactive/Am°unt IEPA HazardsNo/ Curies NFPA/// I USDOT# MCP UnR Ag.DefinedI: Ag. Defined5: Ag. Defined8: -- Ag.Definell MISC. LOCAL AGENCY DATA Ag.Defined2:' Ag.Defined3: Ag. Defined6: Ag. Defined9: Ag. Defined4: Ag.Defined7: Ag.Definel0: -63- 03/24/2004 COSTCO #0688 SiteID: 015-021-002412 ~ Inventory Item 0063 Facility Unit: Fixed Containers on Site PACE TABS Days On Site 3' CHLORINE TABS 365 Location within this Facility Unit Map: Grid: RETAILS SALES FLOOR CAS# STATE--TYPE PRESSURE Ambient Solid TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 40.00 LBS AMOUNTS AT THIS LOCATION Daily Maximum I 1240.00 LBS Daily Average 1240.00 LBS HAZARDOUS COMPONENTS 100.00 Trichloro-s-triazinetrione CAS# 87901 I TSecret No HAZARD ASSESSMENTS RS BioHazI Radioactive/Amount EPA Hazards No NoI NO/ Curies F IH NFPA /// USDOT# IunRMCP I Ag. Definedl: Ag. Defined5: Ag. Def ined8: MISC. LOCAL AGENCY DATA Ag. Defined2: Ag.Defined3: Ag. Defined6: Ag.Defined9: Ag. Defined4: Ag.Defined7: Ag. Definel0: -- Ag. Definell -64- 03/24/2004 COSTCO #0688 ~ Inventory Item 0045 -- COMMON NAME / CHEMICAL NAME FABRIC SOFTENER Location within this Facility Unit RETAIL SALES FLOOR~. SiteID: 015-021-002412 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# FSTATE -q-- TYPE Liquid I Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE Plastic Bottles/Jugs Largest Container 135.00 GAL AMOUNTS AT THIS LOCATION I Daily Maximum I 804.50 GAL Daily Average 804.50 GAL %Wt. 5.00 Ethanol HAZARDOUS COMPONENTS CAS# 64175 HAZARD ASSESSMENTS I Radi°active/Am°unt IEPA HazardsNO/ Curies NFPA /// IUSDOT# I MCP UnR Ag. Definedl: Ag.Defined5: Ag.Defined8: -- Ag. Definell MISC. LOCAL AGENCY DATA Ag.Defined2: Ag. Defined3: Ag. Defined4: Ag. Defined6: Ag.Defined7: Ag.Defined9: Ag.Definel0: -65- 03/24/2004 COSTCO #0688 SiteID: 015-021-002412 ~- Inventory Item 0053 Facility Unit: Fixed Containers on Site AEROSOL DEODORANTS Days On Site LEMON SPRAY 365 Location within this Facility Unit Map: Grid: RETAIL SALES FLOOR CAS# 0 STATE TYPE PRESSURE Ambient Pure Liquid TEMPERATURE Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Largest Container 17.70 LBS AMOUNTS AT THIS LOCATION Daily Maximum 722.82 LBS Daily Average 722.82 LBS %Wt. RS CAS# 10.00 Isoparaffinic Hydrocarbon Solvent No 68920069 5.00 Propane Yes 74986 5.00 Isobutane Yes 75285 5.00 Butane Yes 106978 7.00 Silicone SUrfactant No 9016006 HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F P / / / UnR Ag.Definedl: Ag.Defined5: Ag.Defined8: -- Ag. Definell MISC. LOCAL AGENCY DATA Ag.Defined2: Ag. Defined3: Ag.Defined6: Ag.Defined9: Ag.Defined4: Ag.Defined7: Ag.Definel0: -66- 03/24/2004 COSTCO #0688 SiteID: 015-021-002412 = Inventory Item 0057 Facility Unit: Fixed Containers on Site HERBICIDE Days On Site SOLID (PREEN) 365 Location within this Facility Unit Map: Grid: RETAIL SALES FLOOR CAS# STATE -- TYPE PRESSURE Ambient Pure Liquid TEMPERATURE Ambient CONTAINER TYPE I METAL CONTAINR-NONDRUMI Largest Container 15.00 LBS D=MOUNTS AT THIS LOCATION I Daily Maximum I 709.50 LBS Daily Average 709.50 LBS 100.00 Trifluralin HAZARDOUS COMPONENTS N 1582098 HAZARD ASSESSMENTS I Radi°active/Amount EPA Hazards INo/ Curies IH DH NFPA /// USDOT# I MCP UnR Ag. Definedl: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag. Defined3: Ag. Defined5: Ag.Defined6: Ag.Defined4: Ag.Defined7: Ag.Defined8: Ag.Definedg: Ag.Definel0: -- Ag. Definell~, -67- 03/24/2004 COSTCO #0688 SiteID: 015-021-002412 = Inventory Item 0055 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME INSECTICIDES - HOUSEHOLD/GARDEN Days On Site INSECTICIDE/INSECT KILLER (BUG-B-GON, LIQUID, AEROSOL 365 Location within this Facility Unit Map: Grid: RETAIL SALES FLOOR CAS# STATE --T-- TYPE PRESSURE Ambient Pure Liquid -- TEMPERATURE Ambient CONTAINER TYPE GLASS CONTAINER Largest Container 23.00 GAL AMOUNTS AT THIS LOCATION I Daily Maximum 679.24 GAL Daily Average 679.24 GAL %Wt. I 100.00 Insecticides HAZARDOUS COMPONENTS CAS# HAZARD ASSESSMENTS Radioactive/Amount I EPA Hazards No/ Curies F IH NFPA /// USDOT# UnR Ag. Definedl: Ag. Defined5: Ag.DefinedS: -- Ag. Definell MISC. LOCAL AGENCY DATA Ag.Defined2: Ag. Defined3: Ag.Defined6: Ag.Defined9: Ag. Defined4: Ag.Defined7: Ag.Definel0: -68- 03/24/2004 COSTCO #0688 ~ Inventory Item 0048 -- COMMON NAME / CHEMICAL NAME FIRELOGS Location Within this Facility Unit RETAIL SALES FLOOR SiteID: 015-021-002412 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# VSTATE ~ TYPE Solid I Mixture PRESSURE Ambient TEMPERATURE Ambient Box CONTAINER TYPE Largest Container 6.00 LBS AMOUNTS AT THIS LOCATION Daily Maximum 475.20 LBS Daily Average I 475.20 LBS %Wt. 60.00 34.00 Petroleum Wax HAZARDOUS COMPONENTS Non-Hazardous Ingredients(Sawdust,etc) RSI CAS# No No HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies NFPA /// USDOT# I MCP UnR Ag. Definedl: Ag. Defined5: Ag. Defined8: -- Ag.Definell 'MISC..LOCAL AGENCY DATA Ag~Defined2: Ag.Defined3: Ag. Defined6: Ag.Defined9: Ag.Defined4: Ag.Defined7: Ag. Definel0: -69- 03/24/2004 COSTCO #0688 SiteID: 015-021-002412 ~ Inventory Item 0076 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME FUJI Days On Site BLEACH 3 STARTER, REPLENISHER,CONDITIONING, STABILIZER 365 Location within this Facility Unit Map: Grid: I-HOUR PHOTO PROCESSING CAS# FSTATE ~ TYPE Liquid/Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE Plastic Bottles/Jugs Largest Container 139.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 376.88 GAL Daily Average 376.88 GAL %Wt. HAZARDOUS COMPONENTS Potassium Acetate Water Potassium Hydroxide Potassium Carbonate Sodium Bicarbonate Aminocarboxylic. Acid Derivative Para-Phenylenediamine Derivative Ferric Ammonium PDTA Ammonium Bromide RS No No No No No No No No No CAS# 127082 7732185 1310583 584087 144558 140012 140012 7732185 12124979 TSecret No I RS I BioHazI HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards INo I No No/ Curies NFPA /// Ag.Definedl: Ag.Defined5: Ag. Defined8: -- Ag. Definell MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined6: Ag. Defined9: Ag. Defined4: Ag.Defined7: Ag. Definel0: -70- 03/24/2004 COSTCO #0688 ~ Inventory Item 0068 -- COMMON NAME / CHEMICAL NAME SUNCREEN Location withi~ this Facility Unit RETAIL SALES FLOOR SiteID: 015-021-002412 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# r STATE TYPE PRESSURE Liquid Mixture Ambient TEMPERATURE Ambient CONTAINER TYPE Plastic Bottles/Jugs Largest Container 12.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 267.56 GAL Daily Average 267.56 GAL %Wt. I HAZARDOUS COMPONENTS IRSI CAS# TSecret No I RS I BioHaz I HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards INo I No No/ Curies NFPA /// USDOT# I MCP UnR Ag. Definedl: Ag.Defined5: Ag.DefinedS: -- Ag. Definell MISC. LOCAL AGENCY DATA AgiDefined2: Ag. Defined3: Ag.Defined6: Ag. Defined9: Ag.Defined4: Ag. Defined7: Ag.Definel0: -71- 03/24/2004 COSTCO #0688 ~ Inventory Item 0059 -- COMMON NAME / CHEMICAL NAME AEROSOL HAIR SPRAYS Location within this Facility Unit RETAIL SALES FLOOR SiteID: 015-021-002412 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# STATE --7--TYPE Liquid/Pure~ PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE METAL~CONTAiNR_NONDRUM Largest Container 14.00 LBS AMOUNTS AT THIS LOCATION Daily Maximum 188.65 LBS Daily Average 188.65 LBS %Wt. 100.00 HAZARDOUS COMPONENTS Aeromatic Hydrocarbons CAS# HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F P NFPA/// I USDOT# UnR A~.Definedl: A~.Defined5: Ag.Defined8: -- Ag.Definell MISC. LOCAL AGENCY DATA A~.Defined2: A~.Defined3: Ag. Defined6: Ag.Defined9: A~.Defined4: A~.Defined7: Ag.Definel0: -72- 0 /24/2004 COSTCO #0688 = Inventory Item 0065 -- COMMON NAME / CHEMICAL NAME SHAVE GEL LOcation within this Facility Unit RETAIL SALES FLOOR SiteID: 015-021-002412 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# STATE TYPE Liquid I Mixture PRESSURE Ambient -- TEMPERATURE [Ambient Can CONTAINER TYPE Largest Container 9.50 GAL AMOUNTS AT THIS LOCATION Daily Maximum 187.65 GAL Daily Average I 187.65 GAL %Wt. 85.00 13.00 10.00 5.00 7.00 Water Palmitic Acid Oleth-20 Isopentane Isobutane HAZARDOUS COMPONENTS RSI CAS# No 7732185 No 57103 No 9004982 Yes 78784 75285 lYes HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies NFPA /// USDOT# I MCP UnR Ag.Definedl: Ag. Defined5: Ag.Defined8: -- Ag.Definell MISC. LOCAL AGENCY DATA Ag.Defined2: Ag. Defined3: Ag. Defined6: Ag.Defined9: Ag. Defined4: Ag.Defined7: Ag.Definel0: -73- 03/24/2004 COSTCO #0688 SiteID: 015-021-002412 = Inventory Item 0066 Facility Unit: Fixed Containers on Site SPOT REMOVER Days On Site 365 Location within this Facility Unit Map: Grid: RETAIL SALES FLOOR CAS# r STATE TYPE PRESSURE Liquid Mixture Ambient TEMPERATURE Ambient CONTAINER TYPE Plastic Bottles/Jugs Largest Container 32.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 169.13 GAL Daily Average 169.13 GAL %Wt. 5.00 5.00 HAZARDOUS COMPONENTS Ethylene Glycol Bury Ether Diprophylene Glycol Methyl Ether 111762 34590948 HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies NFPA /// USDOT# I MCP UnR Ag.Definedl: Ag. Defined5: Ag.Defined8: -- Ag.Definell MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag. Defined6: Ag.Defined9: Ag.Defined4: Ag.Defined7: Ag. Definel0: -74- 03/24/2004 COSTCO #0688 = Inventory Item 0049 -- COMMON NAME / CHEMICAL NAME FLOOR CLEANER Location within this Facility Unit RETAIL SALES FLOOR SiteID: 015-021-002412 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# r STATE TYPE PRESSURE Solid PUre Ambient TEMPERATURE Ambient CONTAINER TYPE IDRUM/BARREL- NONMETAL Largest Container 160.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 166.38 GAL Daily Average 166.38 GAL I%Wt. I HAZARDOUS COMPONENTS IRSI CAS# No NoRS BioHazNo HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies NFPA /// USDOT# I MCP UnR Ag.Definedl: Ag.Defined5: Ag. DefinedS: -- Ag.Definell- MISC. LOCAL AGENCY DATA Ag.Defined2: Ag. Defined3: Ag.Defined4: Ag. Defined6: Ag. Defined7: Ag. Definedg: Ag.Definel0: -75- 03/24/2004 COSTCO #0688 SiteID: 015-021-002412 ~ Inventory Item 0017 Facility Unit: Fixed Containers on Site SCOTT PEST CONTROL Days On Site 365 Location within this Facility Unit Map: Grid: SEASONAL ISLE CAS# STATE -- TYPE PRESSURE Ambient Liquid TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest ContainerGAL AMOUNTS AT THIS LOCATION Daily Maximum I 160.00 GAL Daily Average 160.00 GAL HAZARDOUS COMPONENTS IRSI CAS# HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F DH NFPA /// USDOT# I MCP UnR Ag.Definedl: Ag.Defined5: Ag. DefinedS: -- Ag. Definell MISC. LOCAL AGENCY DATA Ag. Defined2: Ag.Defined3: Ag.Defined6: Ag.Defined9: Ag.Defined4: Ag.Defined7: Ag.Definel0: -76- 03/24/2004. COSTCO #0688 SiteID: 015-021-002412 -- Inventory Item 0016 Facility Unit: Fixed Containers on Site ~Lv~vl~ ~vz~ / ~2~ ~vl~ RAID ANT & ROACH Days On Site 365 Location within this Facility Unit Map: Grid: SEASONAL ISLE CAS# STATE -- TYPE PRESSURE Ambient Liquid TEMPERATURE Ambient CONTAINER TYPE I METAL CONTAINR-NONDRUMI Largest ContainerGAL AMOUNTS AT THIS LOCATION I Daily Maximum 100.00 GAL Daily Average 100.00 GAL I%Wt. I HAZARDOUS COMPONENTS IRSI CAS# I Io l TSecret S BioHaz No N No HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F DH NFPA /// USDOT# I MCP UnR Ag. Definedl: Ag. Defined5: Ag.Defined8: -- Ag. Definell MISC. LOCAL AGENCY DATA Ag.Defined2: Ag. Defined3: Ag.Defined6: Ag.Defined9: Ag.Defined4: Ag.Defined7: Ag.Definel0: -77- 03/24/2004 COSTCO #0688 SiteID: 015-021-002412 Fast Format ~ Notif./Evacuation/Medical --Agency Notification Overall Site 07/03/2003 THE WAREHOUSE MANAGE OR MANAGER ON DUTY WILL NOTIFY EMRGENCY RESPONSE SERVICES, REGIONAL OPERATIONS AND CENTRAL RISK MANAGEMENT. THE WAREHOUSE MANAGER WILL ~COORDINATE EVACUATION ACTIVITIES TO ASSURE MEMBER AND EMPLOYEE SAFETY. THE DECISION TO AVACUATE ANY COSTCO WAREHOUSE WILL REST WITH THE WAREHOUSE MANAGER. HIS PROCEDURES WILL BE FOLLOWED. EMPLOYEES SHOULD PLAN ASSISTANCE FOR PHYSICALLY HANDICAPPED EMPLOYEES, -- Employee Notif./Evacuation 07/03/2003 THE WAREHOUSE MANAGER OR MANAGER ON DUTY WILL NOTIFY EMERGENCY RESPONSE SERVICES, REGIONAL OPERATIONS AND CENTRAL RISK MANAGEMENT. THE WAREHOUSE MANAGER WILL COORDINATE EVACUATION ACTIVITIES TO ASSURE MEMBER AND EMPLOYEE SAFETY. THE DECISION TO EVACUATE ANY COSTCO WAREHOUSE WILL REST WITH THE WAREHOUSE MANAGER. HIS PROCEDURES WILL 'BE FOLLOWED. EMPLOYEES SHOULD PLAN ASSISTANCE FOR PHYSICALLY HANDICAPPED EMPLOYEES, MEMBERS, VISITORS, OR VENDORS WHO~ARE~UNABLE TO LEAVE THE BUILDING OR AREA. -- Public Notif./Evacuation 07/26/1994 A COMMAND POST WOULD BE SET UP AT THE MEMBERSHIP DESK WHICH IS LOCATED NEAR THE MAIN ENTRANCE AND EXIT TO THE BUILDING. SECURITY PERSONNEL WOULD BE DISPATCHED TO EACH EMERGENCY EXIT. THIS WOULD REQUIRE FOUR INDIVIDUALS TO COVER THE SOUTHERN SIDE OF THE BUILDING. TWO INDIVIDUALS WOULD BE DISPATCHED FROM THE COMMAND POST TO ASSIST MEMBERS TO THE NEAREST EMERGENCY EXIT. FORMAL EVACUATION PLAN DISCUSSED AT MONTHLY SAFETY MEETINGS - FRONT DESK TO BE CENTRAL CONTROL AREA IN CASE OF EMERGENCY. Emergency Medical Plan 07/03/2003 THIS FACILITY HAS DESIGNATED INDUSTRIAL MEDICAL GROUP AS THEIR PRIMARY MEDICAL FACILITY IN ASE OF AN ACCIDENT OR INJURY INVOLVING HAZARDOUS MATERIALS. -78- 03/24/2004 COMPANY® June 25, 2003 City of Bakersfield Office of Environmental Services 1715 Chester Ave. Bakersfield, CA 93301 RE: Hazardous Material Business Plan: Costco #0688 To Whom It May Concern: 1905 Aston Avenue Enclosed is the Hazardous Materials Business Plan for the Costco facility listed above. Please accept this disclosure from the 3E Company on behalf of Costco Wholesale Corporation. A copy of this plan has been forwarded to the facility manager to be kept on file and available for inspection at all times. Carlsbad, CA 92008 If you have any questions regarding this matter, please feel free to contact me at (760) 602-8783. 1.800.360.3220 ww~v.3ecompany.com Best Regards, 3E Company - Regulatory Disclosures j shelham~3Ecompany, com Eric. Cc: Minda Romero, Costco #688 MANAGING THE~AZARDOUS. 24/7, WORLDWIDE COMPLIANCE AND INFORMATION SERVICES. CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 BUSINESS OWNER / OPERATOR IDENTIFICATION FACILITY INFORMATION Page 1____ Of ~7_ FACL~ D tI i~ "' ~ ~ 1~l 1 ~t I I Year Beginning 06/26/03 BUSINESS NAME (Same as FACILITY NAME or DBA- Doing Business As) Costco # 0688 SITE ADDRESS 3800 Rosedale Hwy. clXYBakersfield DUN & BRADSTREET 10-339-1843 -Do Year Ending m 06/26/04 BUSINESS PHONE 102 (661) 852-2655 103 104 CA 106 ZIP 93308 SiC CODE lO7 (4 Digit #) 5199 COUNTY Kern T OPERATOR NAME Costco Wholesale Corporation 109 [ OPERATOR PHONE (425) 313-8545 OWNER NAME Costco Wholesale Corporation "~ I OWNER PHONE (425) 313-8545 OWNER MAILING '-ADDRESS 999 Lake Drive CiTY Issaquah ~4 STATE WA ~5 ziP 98027 CONTACT NAME Costco Wholesale Corporation Risk Management Division 117 CONTACT PHONE (425) 313-8545 CONTACT MAILING ADDRESS 999 Lake Drive CITY Issaquah no I STATE WA ~2~ I ZIP 98027 ..... V. EMERGE Y -PRIMARY- I NC ~ ' : ":':'" ' ~:' ............. "' ..... ; " ;.'"~ ~SECONDARY- NAME Joe I]es 123 NAME Mike Gibson 129 TITLE Warehouse Manager 125 TITLE Assistant Warehouse Manager BUSINESS PHONE (661) 852-2655 126 BUSINESS PHONE (661) 852-2655 127 132 24-HOUR PHONE (661) 822-6617 24-HOUR PHONE (661) 664-4924 PAGER # N/A Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penally of law that I have personally examined and familiar with the information submitted in this inventory and believe the information is true, accurate, and complete. ~GNAT~I-R~'-0F o'WNE-~,~0~'~-P,~:i~R ..................... '~-DAT_E--~ .............. 134 I'--I~I-AME ~'F~-C~J'~IENT ~REP,~'I/{ ......... 135 Jessie Shelhamer NAM-"~F-oW~I'~R/O~[RATO. R (print) 136 TIT~E OF ~)WNERJOPERATOR 137 Jessie Shelhamer, Agent for Costco Co~oration ........... ~E_~a_n~.R~gulato~isclos~¢e~ ........................ UPCF (7/99) C:\W I N NT40\Profiles\jtraylor.000\Desktop\O ES2730.wpd BUSINESS NAME (Same as FACILIT~ NAME ~' DBA - Doing Business As) OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979· HAZARDOUS MATERIALS INVENTOI~Y ~--~' l CHEMICAL DESCRIPTION ~ ~' J ~ (one form per mater~all,er buildlng ~' area) ~ REVISE 200 ~ Page ~__ of 7__ Costco #688 201 CHEMICAL LOCATION G Ye~ No 202 CHEMICAL LOCATION Receiving area CONFIDENTIAL (EPCRA) FACILITY ID # I~ ~ 1MAP#(optional) 203lGRID#(optk~neO 204 · '"' '" 205' TRADE SECRET G Yes~ No 206 CHEM'CAL.AME If Subject to EPCRA, refer to instructions 207 COMMON NAmLead_Acid Batteries, Wet (Forklift/Pallet Jack/Floor Scrubber Batteries_ EHB° ~Y*s G No 200 CAS# 209 ::i?!iiiI'l~i~iia~,~i~i;:'i:il~ ':' "::;:: · i FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 WRII, CORR TYPE (~ p PURE ~ m MIXTURE G w WASTE 211 RADIOACTIVE G Yes ~No 212 ICURIES 213 PHYSICAL STATE G s SOLID ~1 LIQUID G g GAS 214 LARGEST CONTAINER 55~.5 215 FED HAZARD CATEGORIES G 1 FIRE ~ 2 REACTIVE G 3 PRESSURE RELEASE ~ 4 ACUTE HEALTH G 5 CHRONIC HEALTH 216 (Chec~ all the! appty~ ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 ~TATE WASTE CODE 22.0 AMOUNT 0 DAILY AMOUNT 6759.2 DAILY AMOUNT 6759.2 N,TS' G *FT , LBS G,nTON · If EHS. amount must be in lbs. STORAGE CONTAINER Ga ABOVEGROUND TANK Ge PLASTIC/NONMETALLIC DRUM G i FIBER DRUM G m GLASS BOTTLE Gq RAIL CAR 223 (Check allthat apply) G b UNDERGROUND TANK G f CAN G j BAG G n PLASTIC BOTTLE ~ r OTHER (~ c TANK INSIDE BUILDING G g CARBOY G k aOX G o TOTE BIN G d STEEL DRUM G h SlED G I CYLINDER (~ p TANK WAGON Battery Case STORAGE PRESSURE ~ a AMBIENT G aa ABOVE AMBIENT G ba BELOW AMBIENT 224 STORAGE TEMPERATURE ~ a AMBIENT e aa ABOVE AMBIENT G ba BELOW AMBIENT G c CRYOGENIC 225 10-30 22~ Sulfuric Acid Electrolyte (37.5% Sulfuric Acid) 227 22~ 60 ~3o Lead 231 GYes~No232 7439-92-1 233 ~(ves G No 22~ F664_93_9 234 235 G YesGNo 238 237 238 239 G Yes ~-~No 240 241 242 243 (~ Yes (~ No 244 245 DATE 246 PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~. ~SIGNATURE JessieShelhamer, Agent for Costco Corporation :UPCF (7/99) C:\WlNNT40\Profiles\jtraylor.000\Desktop\OES2731 .wpd CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form per mater~al per building or area) C~ NEW ~ADD Q OELETE Q REVISE 200 Page ~ of 7 __ '-BUSINESS NAME (Same as FACILITY NAME oe DBA - Doing Business As) 3 Costco #688 201 CHEMICAL LOCATION G Ye~ No 202 CHEMICAL LOCATIONFood Service Area CONFIDENTIAL (EPCRA) FACILITYID#11 }~~ ~ [ 1MAP#(oplionaO 203GRID#(optionai) 204 205 TRADE SECRET G Yes~ No 206 CHEMICAL NAME Carbon Dioxide COMMON NAME Carbon Dioxide for Carbonated Beverages 207 CAS # 209 124-38-9 · FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief} 210 ~FG, OHH, IP,~ TYPE .,~pPURE GmMIXTURE Gw.ASTE ,,, RADIOAC~IVE OYas~;~No 2,2[cuRIEs 2,a PHYSICAL STATE G s SOLID G I LIQUID ~ g GAS 214 LARGEST CONTAINER ] ] 0 215 FED HAZARD CATEGORIES G 1 FIRE G 2 REACTIVE G 3 PRESSURE RELEASE G 4 ACUTE HEALTH G 5 CHRONIC HEALTH 216 C.{Check all Ihat apply) .ANNUALWASTE 217[ MAXIMUM 218 AVERAGE 2191 WASTECODE 220 {'AMOUNT 0 I DAILY AMOUNT 110 DAILY AMOUNT 55 ~T~z~ DAYS ON SITE 222 UNITS'Gga GAL G cf CU ET lb LBS G tn TONS 221 · If EHS, amount must be in lbs. 365 STORAGE CONTAINER G a ABOVEGROUND TANK Ge PLASTIC/NONMETALLIC DRUM Gi FIBER DRUM Gm GLASS BOTTLE Gq RAIL CAR 223 (Check all that apply) G b UNDERGROUND TANK G f CAN G j BAG G n PLASTIC BOTTLE G r OTHER G c TANK INSIDE BUILDING G g CARBOY ~.C~ k aox G o TOTE BIN G d STEEL DRUM G h SILO ,~ I CYLINDER G p TANK WAGON STORAGE PRESSURE G a AMBIENT ~ aa ABOVE AMBIENT G ba BELOW AMBIENT 224 STORAGE TEMPERATURE ~ a AMBIENT G aa ABOVE AMBIENT G ba BELOW AMBIENT (~ c CRYOGENIC 225 %WT ' ':" HAZARDoUs'.COMpoNEN~'i'i.:',": :'??!!::'!":!:.';:i:::i';!'.::ii?::'.:i:','': ::i'"..EHS : :' '' .. CAS:~. 226 227 22g I 1 100 Carbon Dioxide G Yes~No 228 124-38-9 230 231 G Yes GNo232 233 234 235 G Yes GEe 236 237 238 239 G Yes G No 240 241 245 246 5 242 243 G Yes G No 244 :. · .. ..'. ::....:,:i":.i:i.i.;;.:i~i"~;,i i,iisi~u"~i .: .,: ~:~ ;; :: ..f"'? :~ ..' UPCF (719g) C:\WlNNT40\Profiles\jtraylor.000\Desktop~OES2731 .wpd CITY OF BAKERSFIELD~t~ .~~.J/f OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 CHI:bflCAI DESCRIPTION (on~ form p~ or area} (~ REVISE 200 Page 4__ of 7 ___ , ' .;.'.' · '/' · ':~ ': : : ~,',' '~ :~:~:;:rg': '~.-;".'i~ :':' ~,;: ;,~,:~:..' .'.¥~,~ ' !, :; :.:,,. : ~!~:~'~;~ i~ ..;;~ !: .'., BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Costco #688 201 CHEMICAL LOCATION G Ye~ No 20;/ CHEMICAL LOCATION Tire Shop Installation area CONFIDENTIAL (EPCRA) FAClL~',D# ~ ~ ~ ~#<op,~oa0 203 GR,D#(op~o..~ ~0~ 205 TRADE SECRET G Yes~ No 206 If Subject to EPCRA, refer to ins~ctions ....................................... ~7- ............. -~-' ~ ................. EHS' ,,'~,¥e~ G No CHEMICAL NAME COMMON NAM~used Lead Acid Batteries . CAS # FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief} 210 WRII, CORR ,YPE G p PURE G m M,Xl'URE ~ w WASTE 2,, P,~IOACTIVE GYes ~[No m I CURIES m PHYSICAL STATE G s SOLID ~)~l LIQUID G g GAS 2~4 LARGEST CONTAINER 10.5 215 G 1 FIRE \'"~'~ 2 REACTIVE ~.1 3 PRESSURE RELEASE ,/~ 4 ACUTE HEALTH ~ 5 CHRONIC HEALTH 216 FED HAZARD CATEGORIES (Check all thai apply) ANNUAL WASTE 219 ,~T,~E WASTE CODE 220 AMOUNT 217 MAXIMUM 218 AVERAGE 19,000 DAILY AMOUNT DAILY AMOUNT U.,TS' G ga ~AL G =f cu F~ ~;~ ,~ LBS G · If EHS, amount most be in lbs. DAYS ON SITE 365 222 STORAGE CONTAINER G q RAIL CAR (Check all that apply) ~ r OTHER G a ABOVEGROUND TANK G e PLASTIC/NONMETALLIC DRUM G i FIBER DRUM G m GLASS BOTTLE 223 G b UNDERGROUND TANK G f CAN G j BAG G n PLASTIC BOTTLE G c TANK INSIDE BUILDING G g CARBOY G k SOX (~ o TOTE BIN G d STEEL DRUM G h SILO G I CYLINDER G p TANK WAGON Battery Case STORAGE PRESSURE ~ a AMBIENT G aa ABOVE AMBIENT Gba BELOW AMBIENT 224 S~ORAGE TEMPERATURE ~ a AMBIENT G aa ABOVE AMBIENT Gba BELOW AMBIENT G c CRYOGENIC ' 225 -:? %WT HAZARDOUSCOM'PONENT .: i..: ::,'.;."" EHS ?: '. ' ' .... =:~AS~ . ' [0-40 ~ Sulfuric Acid Electrolyte 227 )l~yes G No 228 ~664 93 9 I 230 231 GYes N0232 7439-92-1 233 2 3 Lead 234 235 G Yes (~ No 236 237 238 239 G Yes G No 240 241 242 243 G YesGNo 244 245 UPCF (7/99) C:\WlNNT40\Profiles\jtraylor.000\Desktop\OES2731 .wpd L/' Pe~. 5_ of 7__ CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY ._..~ CHEMICAL DESCRIPTION Q NEw Q ADD Q DELETE ~(~ REV,BE200 ~: ~ .~ ':.':'"'...:::.~.ili:;~i~/' ~ii:L~A~i~i~::i~°~O~i~i:',:i:~'~='.,,:~:~:~':::i!?'~''~?:!!~::ii~:.ii:.' ~i::::::~ 7/ BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Costco #688 201 CHEMICAL LOCATION G Ye~/~ No 20Z CHEMICAL LOCATION Gas Station CONFIDENTIAL (EPCRA) FACILITY ID # I~ ~i~i~:~ I MAP # (optional) 203 GRID # (optional) 204 CHEMICAL NAME Gasoline COMMON NAME Gasoline, Premium Unleaded (93 Octane) CAS # 8006-61-9 205 ] TRADESECRET Gyes~No 20;' If Subject to EPCRA, refer to instructions 207 / EHS' GYes~No 208 2o~ [ ;iilli~?~i,,~=i;,,;i~,~,ii~4,'~?::~= :::: : ::: FIRE CODE HAZARD CLASSES (Complete if requested by local fire chiel) FL-IA, CARC, IRR 210 TYPEpHYSiCAL STATE {~ 0 PUREG s SOL'D'~.~']~ m M,x'rUREL,aU,D G w WASTEs g (SAS 2~,2~1 [ RAD,OACTIVE ~OEST CONTA,.ER GYe. ~No20,000 ~2 I CU~'ES G 2 R~c.,~ G 3 P.ESSU.E .EL~SE ~ 4 ACUTE H~LTH ~ 5 CHRONIC H~LTH 2,6 FED H~RD CATE~RIES .:{Check all that apply) : ~MOUNT 0 DA~LY A~UNT 20,000 DA~LY AMOUNT 10,000 G q ~lL OAR 22~ ~ r OTHER STORAGE CONTAINER (Check all that apply) ABOVEGROUNp TANK G e PLASTIC/NONMETALLIC DRUM G i FIBER DRUM G m GLASS BOTTLE UNDERGROUND TANK G f CAN e j BAG G n PLASTIC BOTTLE TANK INSIDE BUILDING e g CARBOY G k BOX G o TOTE BIN STEEL DRUM G h SILO G i CYLINDER (~ p TANKWAGON STORAGE PRESSURE ~ a AMBIENT G aa ABOVE AMBIENT G ba BELOW AMBIENT 224 STORAGE TEMPERATURE ~ a AMBIENT G aa ABOVE AMBIENT G ba BELOW AMBIENT (~ c CRYOGENIC 225 '~ 3 226 Trimethylbenzene 227 G Yes~No 228 25551-13-7 2 14 230 Xylene - Mixed Isomers 231 G Yes ~No232 1330-20-7 i' 3 9 234 toluene 235 Gves~No 236 108-88-3 !ii'-~ =38 Benzene 239 G Yes o 240 71-43-2 ,t 1:'; i 2~2 Ethylbe~ene 2~3 G v.,~o =~4 100-41-4 i :. ': :, P.INTNAME&TITLEOFAUTHORIZEDCOMPANYREPRESENTATIVE %VCNATT~, Jessie Shelhamer, Agent for Costco Coworation x~ ~t~_X 229 233 237 241 245 DATE 246 UPCF (7/99) C:\WlNNT40\Profiles\jtraylor.000\Desktop\OES2731 .wpd CITY OF BAKERSFIELD ~~ D OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (orle form per mate[iai per building or area) 'QNEw QADD (~ DELETE ~ REVISE 200 Page {~__ of 7___ BUSINESS NAME (Same as FACILITY NAME o~ DBA - Doing Business As) 3 ICostco #688 . 201 CHEMICAL LOCATION G Ye~ No 202 CHEMICAL LOCATION ~Jas Station CONFIDENTIAL (EPCRA} 'FACILITY ID # ~ ~ 1 MAP # (ol)tional) 203 GRID # (opEonal) 204 ..... ~ 205 TRADE S'EC~ET G ;es~ No 206 CHEMICAL NAME Gasoline If Subject to EPCRA, refer to instructions 207 EHS° (~ Yes~ No 208 COMMON NAMEGasoiine' Regular Unleaded (87 Octane) cAB# 8006-61-9 2oo :.: i FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief} 210 FL-IA, CARC, IRR TYPE G p PURE ~ m MIXTURE G w WASTE 2f, ~Z:),OACT,VE GYas ~[No 212 I CUR'ES 2,3 PHYSICAL STATE G s SOLID ~1 LIQUID G g GAS 214 LARGEST CONTAINER 20?000 215 FED HAZARD CATEGORIES ~ HEALTH 216 (Check all that apply) ~1 FIRE G 2 REACTIVE G 3 PRESSURE RELEASE 4 ACUTE HEALTH ~ 5 CHRONIC MAXIMUM .~,~ r~/~ 218 AVERAGE 219 ANNUAL WASTE 21, i DAILY AMOUNT q. tj,tjL/[J ~I?IE WASTE CODE 220 AMOUNT 0 DAILY AMOUNT '~0,000 UN,TS- a AL G CUFT G, LBS t TONSYs°NB'TE ~ ' ' If EH~, amount must be in lbs. ?~TORAGE CONTAINER ~ a ABOVEGROUND TANK G . PLASTICINONMETALLIC DRUM G, FIBE. DRUM G m GLASS BOTTLE G q RAIL CAR 223 (Check all that apply) G b UNDERGROUND TANK G f CAN G j BAG G n PLASTIC BOT[LE G c TANK INSIDE BUILDING G g CARBOY G k BOX G o TOTE BIN G d STEEL DRUM G h SILO GI CYLINDER G p TANKWAGON OTHER STORAGE PRESSURE ~ a AMBIENT G aa ABOVE AMBIENT G ba BELOW AMBIENT 224 STORAGE TEMPERATURE ~ a AMBIENT G aa ABOVE AMBIENT G ba BELOW AMBIENT G c CRYOGENIC 225 %WT HAZARDOUS CoMpONENT:" !.:':'.':' j.'i: : : ::i:": ::':;:i ??:i:'.;' .: :':'""i' EHS ' . CASS. ~ 5 22~ 1,2,4-Trimethylbenzene 227 G Yes~ No 228 95-63-6 ZZ~ ,~ 14 =a0 Kylene- Mixed Isomers :~ Gv~,~No~a2 1330-20-7 s~ 237 3 234 Toluene 235 GYe No 236 108-88-3 4 238 Be~ene 239 G Yes~o 240 71-43-2 5 242 Ethylbe~ene 243 G Yes'No 244 1 00-4 1-4 245 ,-;.~ . .. ~. ~..~:~::~:~ ~:~'~ :; :;~:,:..~:, ,,~i~~:: :: ::, ~ ~:.~:::.~:~::~:::: ::::~': : :;:: :~;:: :~.:. PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE ~ ~IGNATuRE ' DATE 246 Jessie Shelhamer, Agent for Costco Co~oration ~%m~ UPCF (7~99) C:\WlNNT40\Profiles\jtraylor.000\Desktop\OES2731 .wpd Q NEW Q ADD Q O~LETE CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION {one form per mate/iai per building or area) BUSINESS NAME (Same as FACILITY NAME o* DBA - Doing Business As) 3 Costco #688 201 CHEMICAL LOCATION G Ye~l CHEMICAL LOCATION Gas Station CONFIDENTIAL (EPCRA) No FACILITY ,D # I~ ~ I MAP # (optional) 203 GRID #(optionai) 204 CHEMICAL NAME Gasoline COMMON NAME Waste Gasoline from Incidental Spills & Absorbent 205 TRADE SECRET G Yes~!~ No 206 If Subjecl to EPCRA, refer to in$1ructions 207 EHS° G Yes~ No 208 CAS # 8006-61-9 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) FL-IA, CARC, IRR 210 TY.E G p PURE ~:~ m MIXTURE G w WASTE 21, RADIOACTIVE GYes ~[.o m I CUR'ES m PHYSICAL STATE G s SOLID ~1 LIQUID G g GAS 214 LARGEST CONTAINER 55 215 FED HAZARD CATEGORIES ~1 FIRE G 2 REACTIVE G 3 PRESSURE RELEASE ~ 4 ACUTE HEALTH ~ 5 CHRONIC HEALTH 216 . (Check all that apply) ".AMOUNT 660 DAILY AMOUNT 55 DA'LY AMOUNT 25 DAYS ON SITE 222 221 365 UNITS' ~ ga GAL G cf cu FT G lb LBS G tn TONS · if EHS, amount must be in lbs. STORAGE CONTAINER Ga ABOVEGROUND TANK Ge PLASTIC/NONMETALLIC DRUM Gi FIBERDRUM G m GLASS BOTTLE Gq RAIL CAR 223 (Check all that apply) G b UNDERGROUND TANK G f CAN G jBAG G n PLASTIC BOTTLE G r OTHER 5 TANK INSIDE BUILDING (~ g CARBOY G k BOX (~ 0 TOTE BIN STEEL DRUM G h SILO G I CYLINDER G p TANK WAGON STORAGE PRESSURE ~ a AMBIENT G aa ABOVE AMBIENT G ba BELOW AMBIENT 224 STORAGE TEMPERATURE ~a AMBIENT G aa ABOVE AMBIENT G ba BELOW AMBIENT G c CRYOGENIC 225 %WT :' HAZARDous.~oM'PONENT 5 226 14 230 9 234 1,2,4-Trimethylbenzene ×ylene - Mixed Isomers Toluene CAS:'~ 227 G Yes~ No 228 231 G Yes ~N0 232 235 G Yes~No 236 239 G Yes ~klqo 240 243 G Yes~[~No 244 95-63-6 1330-20-7 108-88-3 71-43-2 229 233 237 238 241 Benzene 242 Ethylbenzene 100-41-4 2~s PRINT NAME & TITLE OF AUTH6~IZ-ED CO~-P~-'~Y'I~EPR~EN~AT-~"~' ~ ' ";- -- DATE 246 Jessie Shelhamer, Agent for Costco Corporation ~~[~ ~I~ X UPCF (7/99) C:\WlNNT40\Profiles\jtraylor.000\Desktop\OES2731 .wpd CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: 2. 3. 4. 5. 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 as brief and concise as possible. You may also attach Business Owner / Operator Form and Chemical Description Form(s) to the front of this plan instead of completing SECTION I. below for initial submission. SECTION I: BUSINESS IDENTIFICATION DATA BUSINESS NAME: Costco # 0688 LOCATION: 3800 Rosedale Hwy. MAILING ADDRESS: 3800 Rosedale Hwy. CITY: Bakersfield STATE: CA ZIP: 93308 PHONE: (661)852-2655 PRIMARY ACTIVITY: Wholesale trade- nondurable goods NEC OWNER: Costco Corporation MAILING ADDRESS: 999 Lake Drive, Issaquah, WA 98027 PHONE: (425) 313-8545 EMERGENCY NOTIFICATION CONTACT 1. Joe Iles, Warehouse Manager TITLE BUS. PHONE (661) 852-2655 24 HR. PHONE (661) 822-6617 2. Mike Gibson, Assitant Warehouse Manager (661) 852-2655 (661) 664-4924 HAZARDOUS MATERIALS MANAGEMENT PLAN This Costco facility operates three 30,000 gallon double-walled fil~erglass unde~und storage tanks for gasoline. The USTs are monitored by an electronic leak detection monitoring system, ~hich is~aged by Vertex Services. The system alarm and monitoring panel is typically located in the "data hut" near th~ g~ is a~r.elease, leak or other emergency, system alarms will sound at the gas station. The alarms will auto/tragically notify Vertex of the emergency, and the gas - station will automatically shut down. Costco employees will evacuate the area, and the Warehouse Manager and Operations Manager will be notified. The appointed waste contractor will then ~ity to assess the spill or leak and will take proper steps to remedy the situation. ~, B. EMPLOYEE AND AGENCY NOTIFICATION: The Warehouse Manager or Manager on duty will notify emergency response services, Regional Operations and Central Risk Management. The Warehouse Manager will coordinate evacuation activities to assure member and employee safety. The decision to evacuate any Costco Warehouse will rest with the Warehouse Manager procedures will be followed. Employees should plan assistance for physically handicapped employee,s, members, visitors, or vendors· who are unable to leave the building or area. ? ENVIRONMENTAL RESPONSE MANAGEMENI: ~ The Warehouse Manager or Assistant Warehouse Manager will[befe'sponsible for notifying the appropriate agencies and corporate officials in case of a spill or release of hazardous matd-d'al. EMERGENCY MEDICAL PLAN: /~//7 This facility has designated Industrial Medical Group as their prim/fy medfa'l facility in case of an accident or injury involving hazardous materials. The phone number for Industrial ~cafGroup is (661) 327-2225. HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION II.2: RELEASE RESPONSE PLAN A. HAZARD ASSESSMENT AND PREVENTION MEASURES: In order to prevent a release from occurring, all employees are trained on pro. p~r'liazardous materials handling and storage Hazardous materials are kept in their original contain~rs~rchandise is appropriately fled off procedures. or shrink-wrapped. Department personnel visually inspect products/,mfh daily basis. Bo RELEASE CONTAINMENT AND/OR MITIGATION: i / In the event of a spill, the Warehouse Manager and the Supervisor/Department Manager will immediately be notified. The release area will be immediately marked and cleared of customers and non-essential personnel. The product will be identified, and if safe to do so, the release will be stopped at the source. Drainage into sewers or storm drains will be blocked. Emergency response services (i.e. fire department) will be notified and evacuation procedures will be implemented as the situation warrants. In this event, Costco Regional Operations and Central Risk Management will also be notified. CLEAN-UP AND RECOVERY PROCEDURES: ~ If it is determined that in-house employees have the knowledge and PP~ t~'ff~ly clean up the spill, then the Spill Cart will be obtained, and 3E will be contacted for chemical-specific clean up and PPE advisement. Trained employees will then clean the spill per Material Safety Data Sheet guidelines. Hazardous waste will be placed into sealable, non-reactive containers and properly labeled as "hazardous waste." All wastes are disposed of in accordance with local, state and federal regulations. UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY) NATURAL GAS/PROPANE: outside, southeast comer ~ uilding ELECTRICAL: South wall of facility (Recei~ WATER: Southwest wall of facility (Receiving) t~ J~ SPECIAL: N/A LOCK BOX: (~0 IF YES, LOCATION: Above mai ~ ~n~ance door 3 PRIVATE FIRE PROTECTION/WATER AVAILABILITY to Bo PRIVATE FIRE PROTECTION: ~ A uv~oAm; t; CRS p;~lk/~ri~ ,Afii~i~ ~tTm¢~i?~erR~ ~stem. Fire hydrants are located on all sides of facility HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION III: TRAINING NUMBER OF EMPLOYEES: Approx. 320 MATERIAL SAFETY DATA SHEETS ON FILE: Yes BRIEF SUMMARY OF TRAINING PROGRAM: ~ Employees receive appropriate safety training during new hir~'orientation, when expose~ew substances, processes, procedures or equipment which pose new or additional hazards, and on a recurren~j,b~ needed based on the type of job/hazard exposure. Training topics include, but are not limited to the foll.,q.v,~g'~n procedures, hazardous materials identification, using Material Safety Data Sheets,.imderst~nnication Standard, ability to recognize labels and markings, familiarity with e t erge response plan and procedures. Training takes place on an annual basis and during monthly safety meetings. All tra' mg is documented. CERTIFICATION I, Jessie Shelhamer, Agent for Costco Corporation CERTIFY THAT THE ABOVE INFORMATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL 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. N~~N~~ ~N~~, ~ 3E Company/Regulatory Disclosures '~ ~IG-NA'Tq!JRE ' ' TITLE DATE 4 0 Rug O1 02 04:13p p.1 E~NV~ROflHENTAL INC. ,~6~"~/. Jennifer, Suiu= i&J., Fresno,'CA 9~22 (559} 277-9378 ! Fax (559) 277-0106 License No. 605142 A-Haz FAX COVER LETTER DATE: TO: COMPANY: FAX NO: FROM: NUMBER OF PAGES (*rNCLUDES COVER SHEET): REFERENCE: ["~F'~ ~_.)"'~'X,..~ '-"T'(~ ~ T/ME SENT: SENDER: BAKERSF/ELD · BAY AREA · FRESNO · LOS ANGELES · MODESTO · SACRAMENTO ~u~ O1 O~ O~:13p p.~ ******* C U S T O M E R D A T A ******** JOB NUMBER : 001460 CUSTOMER (COMPANY NAME) : WESTSTAR PET. CO. CUSTOMER CONTACT(LAST, FIRST): DENISE ADDRESS - LINE 1 : ADDRESS - LINE 2 : 4688 W. JENIFFER ST. ~101 CITY, STATE : FRESNO,CA- ZIP CODE (XXXXX-XXXX) : 93722 PHONE NUMBER (XXX)XXX-XXXX : 276-5410 ******* C O M M E N T L I N E S ******* BILLY 351-4499 ******* S I T E SITE NAME (COMPANY NAME) SITE CONTACT(LAST, FIRST) ADDRESS - LINE 1 ADDRESS - LINE 2 CITY, STATE ZIP CODE (XXXXX-XXXX) PHONE NUMBER (XXX)XXX-XXXX GROUND WATER LEVEL (FT) NUMBER OF TANKS LENGTH OF pRE-TEST (MIN) LENGTH OF TEST (MIN) D A T A ******** : COSTC0 FUEL FACILITY : : : 3800 ROSEDALE HWY. : BAKERSFIELD,CA- 93301 : : : 0 : 3 : 30 : 240 Ru~ O1 02 0~: 13p TANK DIAMETER (IN) LENGTH (FT) VOLUME (GAL) TYPE FUEL LEVEL (IN) FUEL TYPE dVOL/dy (GAL/IN) CALIBRATION ROD 1 2 3 4 5 TANK NOo 1 118 36.84 20000 SG 97 REG UNLD 177.41 DISTANCE 10.65625 26.95313 41.93750 56.93750 74.93750 TANK DATA TANK NO o 2 118 38.48 20000 SG 97 REG UNLD 162.04 TANK NO. 3 118 36.84 2O0O0 SG 113 SUP UNLD 86.53 p.3 TANK NO. 4 Ru.~ O1 0~' 0~: 14p INVOICE ~sw001460 BOB SMITH TANK TESTING P.O. BOX 3710 VISALIA,CA. 93278 TEST DATE: 07/31/03 TANK STATUS EVALUATION REPORT ***** CUSTOMER DATA ***** WESTSTAR PET. C0. 4688 W. JENIFFER ST. #101 FRESNO,CA. 93722 CONTACT: DENISE PHONE #: 276-5410 BILLY 351-4499 ***** SITE DATA ***** COSTC0 FUEL FACILITY 3800 ROSEDALE HWY. BAKERSFIELD,CA- 93301 CONTACT: PHONE ~: ***** COMMENT LINES ***** CURRENT EPA STANDARDS DICTATE THAT FOR UNDERGROUND FUEL TANKS, THE MAXIMUM ALLOWABLE LEAK/GAIN RATE OVER THE PERIOD OF ONE HOUR IS .05 GALLONS. TANK $1: REG UNLEADED TYPE: SPHERICAL GLASS RATE: .039075 G.P.H. GAIN TANK IS TIGHT. TANK ~2: REG UNLEADED TYPE: SPHERICAL GLASS TANK IS TIGHT. RATE: .010064 G.P.H. GAIN TANK #3: SUPER UNLEADED TYPE: SPHERICAL GLASS TANK IS TIGHT. RATE: .0465417 G.P.H. GAIN OPERATOR: BOB SMITH SIGNATURE: DATE: 7/31/02 ,AuC O1 O~ 04:14p INVOICE 9sw001460 BOB SMITH TANK TESTING P.O. BOX 3710 VISALIA,CA. TEST DATE: 07/31/00 TANK STATUS REPORT -- ULLAGE TEST ***** CUSTOMER DATA ***** WESTSTAR PET. C0. 4688 W. JENIFFER ST. 9101 FRESNO,CA. 93722 ***** SITE DATA ***** COSTC0 FUEL FACILITY 3800 ROSEDALE HWY. BAKERSFIELD,CA- 93301 CONTACT: DENISE PHONE $: 276-5410 BILLY 351-4499 CONTACT: PHONE 9: ***** COMMENT LINES ***** CURRENT EPA STANDARDS DICTATE THAT FOR UNDERGROUND FUEL TANKS, THE MAXIMUM ALLOWABLE LEAK/GAIN RATE OVER THE PERIOD OF ONE HOUR IS .05 GALLONS. TANK $1: REG UNLEADED TYPE: SPHERICAL GLASS TANK IS TIGHT. SN: -1.54 TANK $2: REG UNLEADED TYPE: SPHERICAL GLASS TANK IS TIGHT. SN: -. 54 TANK #3: SUPER UNLEADED TYPE: SPHERICAL GLASS TANK IS TIGHT. SN: -.54 OPERATOR: BOB SMITH SIGNATURE: ~/~____~~ DATE: 7/31/02 BOB SMITH TANK TESTING P.O. BOX 3710 VISALIA CA. 93278 PIPING TIGHTNESS DETERMINATION:. PL400 FORMAT TEST LOCATION: · TE ST OPERATOR: DATE: -~-.~/- ~ BOB SMITH TANK TESTING TEST INITIAL FINAL VOLUME LEAK RATE LEAK RATE PASS FAIL SPLACED REG UNLD 'P~UNLD SUP UNLD DIESEL 2 COMMENTS: - - . -.. ~n C .LE,~,,v. r~r-rr'r-"r,'~ ~c, =, ,, .u~+?, ,','~.1~. NG HHUPf"HL¥ YES ........ '-----'R~-' Au~ O1 02 O~:l~p p.7 PLOT PLAN JOBSITE LOCATION TANK SIZE PRODUCT #1 #2 #3 LEGEND FILL ~i TURBINE TURBINE WITH LEAK DETECTOR OVERSPILL CONTAINER ON FILL REMOTE FILL #4 .,E_~ EXTRACTOR VALVE #5 ~M] MONI?OR SYSTEM MANIFOLD SYSTEM COSTCO WHOLESALE SiteID: 015-021-001105 Manager: · '~10~~ ~/~/~'~musPhone· (661) 324-0703 Location: 3101 GILMORE AVE ~~0c~b~ap : 10~ CommHaz : Moderate City : BAKERSFIELD ~D~~,~ ~rid: 23D FacUnits: 1 AOV: CommCode: COUNTY STATION 66 ~2A;%IC~ Code:5199 EPA Numb: CAL000126996 DunnBrad:91-122-3280 Emergency Contact JOE ISLES Business Phone: 24-Hour Phone : Pager Phone : / ~ Title (661) 324~0703X (661) 588-0767X ( ) - x Emergency Contact / Title ness -~-none: (661) 324-0703x 24-Hour Phone : (661) Pager Phone : ~) Hazmat Hazards: RSs Fire Press React ImmHlth DelHlth Contact : MailAddr: 999 LAKE DR City : ISSAQUAH Phone: (425) 313-6312x State: WA Zip : 98027-5366 Owner COSTCO WHOLESALE Address : 999 LAKE DR City : ISSAQUAH Phone: (425) 313-6312x State: WA Zip : 98027-5366 Period : hill07.- to ~[0~ TotalASTs: = ¢ Gal ' Preparer: TotalUSTs: = ~0, O C~ Gal Certif'd: RSs: Yes Emergency Directives: THIS IS A WASTE TREATMENT SITE AND REQUIRES A JOINT INSPECTION. PLEASE CALL ENV SVCS TO SCHEDULE AN INSPECTION WITH HOWARD WINES & STEVE UNDERWOOD Do hereby certify ~hat ~have ~,.,..~,,,em hazardous .matsdat$ mai~age- for and '.~' it ~-~.--. ; ~ agement plan for ,~y facility. -1- 05/02/2002 (Pro,iected) Hazardous Materials Chemical Inventory #688 Joe Isles, General Manager Bakersfield, CA. 3800 Rosedale Hwy. Bakersfield, CA. 93308 Relocation date: August 8, 2002 [] 99% of chemicals are mixtures packaged for small quantity retail sale. ' : -';- :?-:i ;~:"'-. :.: '- UNIFIED PROGRAM CONSOLIDATED FORM · . ~_..HAZARDOUS ~FEI~IALS · . HAzARDous MATERIALS 'INVENTORy CHEMICAL DESCRIPTION:':/::: · .' (o.. [,afl. ~r mat.~, [] ADD [] .DELETE [] REVISE 2oo'I Page ,l~-of/.~0 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME oi DBA - Doing Business As) Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION. zoL CHEMICAL LOCATION CONFIDENTIAL zoz. "~ :' EPCRA FAC1LITY ID # i!'~ L MAP # ~o~. GRID # ~o~. (Agency Use Only) II. CHEMICAL INFORMATION CHEMICAL NAME zos. TRADE SECRET [] Yes [] No ~o6. If Subject to EPCRA. refer to instructions COMMON NAME 2o7. ~oa. ALL PURPOSE CLEANER EHS* [] Yes [] No CAS# 20~. · if ElIS is "Yes," all amounts below lllUS! be ill lbs. FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210. CL-IIIB, IRR HAZARDOUS MATERIAL I 213. TYPE (Check one item only) [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES I PHYSICAL' STATE 215. (Check one item only) ' ' [] a. SOLID [] b. LIQUID [] c. GAS 214. LARGEST CONTAINER '~60 OZ FED HAZARD CATEGORIES 216. (Check all lhat apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DALLY AMOUNT 217. MAXIMUM DALLY AMOUNT 2~8. [ ANNUAL WASTE AMOUNT 219. STATE WASTE CODE 22o. 801.09 801.09 IlN/A 2~1. DAYS ON SITE UNITS* [] a. GALLONS' [] b. CUBiC FEET ' [] c. POUNDS [] d. TONS .' (Check 6ne'item only) ' ' * If EllS, amounl must be in pounds. - . . · · 3 ~ STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN []j. BAG [] n. PLASTIC BOTTLE [] r. OTHER · [] c. TANK'INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN ' · ' ' .. [] d. 'STEEL DRUM [] h. SILO [] L CYLINDER [] p. TANK WAGON . - · 223. STORAGE PRESSURE','':: . [:RI a. AMBIENT [] b. ABOVE AMBIENT . [] c. BELOW AMBIENT . . '~ ' "' · .,.:... - · . ... , . , : .~ . :,...: 224. STORAGE TEMPERATURE. ' , [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC - ' :~:.,: 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) . EHS CAS # 1.5 2~6. Ethylene glycol monobutyl ether 227. [] Yes [] No 228. 1 1 1-76-2 zzg. 2. 230. 231. [] Yes [] No z3z. 233. 3. 234. 235. [] Yes [] No z36. 2av. 4. 238. ' ' 239. [] Yes [] No 240. 241. 5. 242. 243. [] Yes [] No ' 244. 245. If more hazardous components are present at greater than I% by weight ff non-carcinogenic, or 0.1% by weight If carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: · If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one ~a~e ~er material ~er buildin~ or area) [] ADD [] DELETE [] REVISE 200. I Page z of /O I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION 20t. CHEMICAL LOCATION CONFIDENTIAL 2o2. EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME 2os. TRADE SECRET [] Yes [] No 2o(~. If Subject to EPCRA, refer to lnslrucllons COMMON NAME 207. 208. ANTIFREEZE/COOLANT EHS* [] Yes [] No CAS# *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES {Complete ff required by local agency) 210. CL-IIIB, IRR, OHH HAZARDOUS MATERIAL [ 213. TYPE (Check one item only) [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 2t2. CURIES PHYSICAL STATE 215. 214. LARGEST CONTAINER 1 GAL (Check one itetn only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 21 (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 2t7. MAXIMUM DALLY AMOUNT 2t8. ANNUAL WASTE AMOUNT 2t9. STATE WASTE CODE 220. 92.4 92.4 N/A 221. DAYS ON SITE 222. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] 1. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1.96 226. Ethylene glycol 227. [] Yes [] No zzs. 107-21-1 zzo. 2. 230. 231. [] Yes [] No 232. 233. 3. 234. zss. [] Yes [] No zap. 237. 4. 23s. 239. [] Yes [] No 240. z4t. 5. 242. 243. [] Yes [] No 244. 245. If more hazardous components are present at greater than 1% by weight ff non-carcinogenic, or 0.1% by weight ff carelnogedic, attach additional sheets of paper capturing the required Information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one ~a~e ~er material ~er buildin~ or area) [] ADD [] DELETE [] REVISE 2oo. I Page _44 of /o I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION 2Ol. CHEMICAL LOCATION CONFIDENTIAL zoz. EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION 'CHEMICAL NAME 205. TRADE SECRET [] Yes [] No 206. If Subject to EPCRA, refer to instructions COMMON NAME zo?. zos. OIL EATER EHS* [] Yes [] No CAS# 2os. *If EHS is "Yes,' all amouuls below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210. IRR I 213. HAZARDOUS MATERIAL [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE, ["1 Yes [] No 212. CURIES TYPE (Check one ilem only) PHYSICAL STATE 215. (Check one ilem only) [] a. SOL1D [] b. LIQUID [] c. GAS 214. LARGEST CONTAINER 5 QT FED HAZARD CATEGORIES 216. (Check all 1hal apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 2I?. MAXIMUM DAILY AMOUNT 218. ANNUAL WASTE AMOUNT 219. STATE WASTE CODE 220. 92.13 92.13 N/A 221. DAYS ON SITE 222. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1.5 226. Sodium Metasilicate-Pentahydrate 227. [] Yes [] No zza. 6834-92-0 zzs. Z. 5 230. 2-Butoxyethanol zal. [] Yes [] No 232. 1 11-76-2 233. 3. 23¢. 23s. [] Yes [] No 23~, 237. 4. z3s. z3s. [] Yes [] No 240. 241. 5. 242. 243. [] Yes [] No 244. 245. If more hazardous components are pre,ut at greater than I% by weight ff non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required Information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM ~ 'HAZARDOUS MATERIALS ' ' ' '" ':~ ' ~'-'!' .... "'~," HAZARDOUS MATERIALS INVENTORY- CHEMICALDESCRIPTION ' [] ADD [] DELETE [] REVISE 20o.I '" 'Page I. FACILITY INFORMATION BUSINESS NAME {Same as FACILITY NAME or DBA - Doing Business As) 3. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION 201. CHEMICAL LOCATION CONFIDENTIAL · ~- EPCRA Retail sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME zos. TRADE SECRET [-] Yes [] No If Subject to EPCRA. refer to I~mmcttons COMMON NAME z0?. AUTO/MARINE LEAD-ACID BATTERY EHS* [] .Yes [] No CAS# zos. · if EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES {Complete if required by local agency) 210. CORR, WR-II HAZARDOUS MATERIAL TYPE {Check one item only) [] a. PURE [] b. MIXTURE [] c. WASTE Zll. RADIOACTIVE [] Yes [] No ZlZ. cuRIES 215. PHYSlCAL STATE m. LARGEST CONTAINER 10.5 lb. Electrolyte " {Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES ~15. {Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH []'e. CHRONIC HEALTH AVERAGE DALLY AMOUNT Z~?.. MAXIMUM DAILY AMOUNT 218. ANNUAL WASTE AMOUNT ZlO. STATE WASTE CODE ZZ0. 2899.05 ' 2899.05 N/A ~ , 221. DAYS ON SITE IJNIT$* [] a. GALLONS [~] b. CUBIC FEET L~ c. POUNDS [] d. TONS {Check one item only) * If EHS, amount must be in pounds. 365 . . STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAILCAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. oTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] It. BOX [] o. TOTE BIN ', BaReD' Case [] d. STEEL DRUM [] h. SILO I'-[ I. CYLINDER ' [] p. TANK WAd0N - · STORAGE PRESSURE. [] a. ·AMBIENT [] b.' ABOVE AMBIENT · · [] c. BELOW AMBIENT ' ~ . 221. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC . % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1.40 22~. Sulfuric Acid zz,. [] Yes [] No 2~8. 7664-93-9 Z. 53 230. Lead zal. []Yes [] No zaz. 7439-92-1 zaa. 3. 231. 235. [] Yes [] No Z3tL 23;'. 4. 238. zao. [] Yes [] No z~0. 5. Z4Z. 243. [] Yes [] No 244. z4s. If more hazardous components are present at greater than 196 by weight If non-carcinogenic, or gL 1% by weight if carelnogedie, attach additional sheets of paper eapturhlg the required Information. ADDITIONAL LOCALLY COLLECTED INFORMATION DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12/15/99 COSTCO WHOLESALE STOP_AGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: COSTCO WHOLESALE Cross Street : Business Type: Org Type: Total Tanks : 3 IndnRes/Trust: No PA Contact: PROPERTY OWNER INFORMATION Name : FRANCIS CHACON Phone: Address: City : Type : CORPORATION Name : FRANCIS CF_ACON Address: City : Type : State: Zip: TANK OWNER INFORMATION Phone: State: Zip: SiteID: 015-021-001105 661) 324-0703x 661) 324-0703x BOE UST Fee# : 039958 Financ'l Resp: SELF INSURED Legal Notif : Business Mailing Address Date:04/25/2000 Name:JANET TUBBS State UST ~ : Phone: 818) 782-6484x Ttl:PROJECT NDANAGER 1998 Upg Cert#: Hazmat Common Name... BLACK FLAG INDOOR FOGGER BLEACH BRAKE FLUID CARBORATOR CLEANER CHLORINATED HYDROCARBON PESTICI DEGREASER FERTILIZERS GASOLINE GASOLINE GASOLINE GLASS CLEANER HTH GR3LN-ULATED INORGANIC PESTICIDES MALATHION MOTOR OIL MURIATIC ACID ORGANIC PHOSPHOROUS PESTICIDES PACE TABS PARTS CLEANER PROPANE RAID ANT & ROACH ISpecHazI F P DH L 100.00 GAL UnRI IH DH L ..... -150~.00 GAL Hi I 200 00 GAL Low' F IH DH F DH F R IH DH F IH DH IH IH DH F IH F R IH DH IH F DH IH DH F R IH DH F IH F IH F P DH F DH L S 400 L 300 S 400 S 5000 L 20000 L 20000 L 20000 L 90 S !00 L 125 L 125 L 8500 L t000 L 200 S 200 L 500 G 728 L 100 00 LBS Hi 00 GAL UnR 00 LBS Mod 00 LBS UnR 00 GAL Mod 00 GAL Mod 00 GAL Mod 00 GAL Mod 00 LBS Mod 00 GAL UnR 00 GAL Hi 00 GAL Min 00 GAL Hi 00 GAL UnR 00 LBS UnR 00 GAL Mod 00 FT3 Hi 00 GAL UnR 2 05/02/2002 ROUND UP SCOTT PEsT CONTROL y SILICONE OIL SULFURIC ACID (BATTERIES) SUPER"SOCK IT WD 40 ,.~" · F DH F DH :': F DH ' ~ R IH F IH F IH L L S L S L 800.00.GAL Low 160.00.GAL UnR 600.0.0 LBS Min 100.00 GAL Hi 100.00 LBS' Mod 1500.00 GAL Mod , 05/02/2002 COSTCO WHOLESALE ~ Inventory Item 0019 -- COMMON NAME / CHEMICAL NAME BLACK FLAG INDOOR FOGGER Location within this Facility Unit SEASONAL ISLE SiteID: 015-021-001105 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# 10453-86-8 STATE --g- TYPE Liquid/Mixture PRESSURE , TEMPERATURE Above Ambient I Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum i00.00 GAL DailyAverage 100.00 GAL %Wt. HAZARDOUS COMPONENTS ,RS CAS# ITSecretI ~S BioHaz No N No HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F P DH NFPA/// I USDOT# MCP UnR ----- Inventory Item 0001 -- COMMON NAME / CHEMICAL NAME BLEACH Location within this Facility Unit NE BACK SIDE OF WAREHOUSE Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# r STATE --~ TYPE PRESSURE Liquid Pure Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum ------~, -1-~Q~.00 GAL Daily Average /----i -1-¢~%.00 GAL %Wt. !00.00 HAZARDOUS COMPONENTS Sodium Hypochtorite S CAS# N .7681529 TSecret No S BioHaz N No HAZARD ASSESSMENTS I Radioactive/Amount I EPA Hazards No/ Curies IH DH NFPA /// USDOT~ MCP Hi -4- 05/02/2002 COSTCO WHOLESALE ~ Inventory Item 0007 -- COMMON NAME / CHEMICAL NAME BRAKE FLUID -~- Location within this Facility Unit AUTOMOTIVE AISLE SiteID: 015-021-001105 Facility Unit: Fixed Containers on-Site Map: Grid: Days On Site 365 CAS# Liquid ~Pu~e , .PRESSURE. Ambient TEMPERATURE Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Largest Container .GAL AMOUNTS AT THIS LOCATION Daily Maximum 200.00 GAL Daily Average 200.00 GAL %Wt. 100.00 HAZARDOUS COMPONENTS Brake Fluid, Hydraulic (Diethylene Glycol Monob... CAS# HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F IH DH NFPA /// USDOT# MCP Low Inventory Item 0009 COMMON NAME / CHEMICAL NAME CARBORATOR CLEANER Location within this Facility Unit AUTOMOTIVE AISLE Facility Unit: Fixed Containers on 'Site ~ Map: Grid: Days On Site 365 CAS# STATE ~ TYPE Solid /Mixture PRESSURE Ambient TEMPERATURE Ambient~ CONTAINER TYPE METAL CONTAINR-NONDRUM · AMOUNTS AT THIS LOCATION Largest Container I ' Daily Maximum LBS [ 400.00 LBS 'Daiiy'Average't;{}' '1400..00 LBS %Wt. 25.00 20.00 10.00 12.00 12.00 HAZARDOUS COMPONENTS Dichloromethane Tetrachloroethylene 1,3-Dichlorobenzene Cresylic Acid Naphtha N 75092 N~ 127184 No 541731 No 1319773 8030306 TSecret No I oRSIBi°Haz N No HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curie's F DH NFPA/// '1USDOT# MCP Hi -5- 05/02/2002 COSTCO WHOLESALE ~ Inventory Item 0025 -- COMMON NAME / CHEMICAJ~ NAME CHLORINATED HYDROCARBON PESTICIDES Location within this Facility Unit LAST SEASONAL· AISLE ? SiteID: 015-021-001105 · _Facility Unit: Fixed Containers on Site Days On Site 365 Map: Grid: CAS# ~ STATE [ TyPE Liquid MiXtur..e PRESSURE· Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container. GAL AMOUNTS AT THIS LOCATION Daily Maximum I 300.00 GAL Daily Average 150.00 GAL HAZARDOUS COMPONENTS I%Wt. I 100.00 Chlorinated Hydrocarbons CAS# No/ Curies F R IH DH NFPA USDOT# MCP / / / Una Inventory Item 0008 COMMON NAME / CHEMICAL NAME DEGREASER Location within this Facility Unit AUTOMOTIVE AISLE. Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# r STATE TYPE PRESSURE Solid [ Pure I Ambient --.TEMPERATURE Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Largest Container LBS AMOUNTS AT THIS LOCATION Daily Maximum I 400.00 LBS D,.aily Average. 400~00 LBS %Wt. 100.00 Degreaser HAZARDOUS COMPONENTS No SI CAS# 71556 HAZARD ASSESSMENTS IRadioactive/Amount EPA Hazards No/ Curies F IH DH NFPA /// IUSDOT# MCP Mod -6- 05/02/2002 COSTCO WHOLESALE = Inventory Item 0003 -- COMMON NAME'/ CHEMICAL NAME FERTiLiZERS ·~ Location within this Facility Unit 2ND SEASONAL AISLE ~ SiteID: 015-021'-001105 Facility Unit: Fixed Container.s on Site Map: Grid: DaYs On Site 365 CAS#. FSTATE TYPE t .PRESSURE~. Solid· Pu~e . Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container ·LBS AMOUNTS AT THIS LOCATION Daily Maximum 5000.00 LBS Daily Average 5000.00 LBS %Wt. I HAZARDOUS COMPONENTS IRSI CAS# H3%ZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies IH INFPA I USDOT# I MCP / / / UnR = Inventory Item 0028 -- COMMON NAME / CHEMICAL NAME GASOLINE UNLEADED Location within this Facility Unit UST Facility Unit: Fixed Containers on Rite Map: Grid: Days On Site 365 CAS~ 800'6619 F STATE TYPE PRESSURE Liquid Pure Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK AMOUNTS AT THIs LOCATION Largest Container ii Daily. Maximum ~20000.·001GAL I ~ 20000~00 GAL ·Daily.Average 20000.00-GAL %Wt. I 100.00 Gasoline · HAZARDOUS COMPONENTS N 8006619 TSecrel No S BioHaz N No HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies NFPA /// USDOT# I MCP Mod -7- ·05/02/2002 'COSTCO WHOLESALE = Inventory Item 0029 -- COMMON NAME / CHEMICAL NAME GASOLINE .... REGULAR UNLEADED Location within this Facility Unit UST SiteID: 015-021:-001105 ::t Facility Unit: Fixed Containers on. Site ~ Map: 'Grid: Days On Site 365 CAS# 8006619 STATE TYPE PRESSURE pu~e I Liquid' I Ambient TEMPEP~ATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 20000.00 GAL AMOUNTS AT THIS LOCATION Daily .Maximum I 20000.00 GAL · Daily Average 20000.00 GAL %Wt. I 100.'00 Gasoline HAZARDOUS COMPONENTS INoRs CAS# 8006619 HAZARD ASSESSMENTS ! TSecretINO NoRS I Bi°HasINO Radi°active/Am°untNo/ Curies EPA Hazards NFPA /// USDOT# MCP 1 Mod ~ Inventory Item,0030 COMMON NAME / .CHEMICAL NAME GASOLINE PREMIUM UNLEADED. Location within this Facility Unit -usT Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS#' 8006619 = STATE.= TYPE PRESSURE Liquid Pure Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest C°ntainer' '20000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum. 20000.00 GAL DailY'.'AVerage .:'' 20000.00 'GAL %Wt. 100.00 Gasoline HAZARDOUS COMPONENTS N 8006619 TSecret No HAZARD ASSESSMENTS I oRSlBi°HaZlN No . Radi°active/Am°unt I EPANo/ Curies Hazards NFPA /// IUSDOT# I MCP Mod 05/02/2002 COSTCO WHOLESALE ~ Inve,ntory Item 0002 -- COM~ON NAME / CHEMICAL NAME GLASS CLEANER SiteID: 015-021-001105 Facility Unit: Fixed containers on... Site Location within this Facility Unit BACK FOOD AISLE Map: Grid: Days On Site 365 CAS# STATE I TyPE I PRESSURE- Liquid Pure Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container .GAL AMOUNTS AT THIS LOCATION Daily Maximum 90.00 GAL Daily Average 90.00 GAL HAZARDOUS COMPONENTS I' t 100.00 Ammonium Hydroxide t RS ! CAS# No 1336216 HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies IH DH NFPA I USDOT# I MCP / / / Mod Inventory Item 0023 Facility Unit: Fixed· Containers on .Site HTH GRANULATED Days On Site 365 . Location within this Facility. Unit Map:· Grid: SEASONAL ISLE CAS#.... rSTATE TYPE PRESSURE Solid t Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC _CONTAINER LargeSt Container LBS AMOUNTS *AT 'THIS LOCATION Daily Maximum !00.00 LBS Daily AVerage2l~' ' 100~00 LBS HAZARDOUS COMPONENTS %Wt. I 100.00 Calcium Hypochlorite 7778543 TSecret No I oRSIBi°Haz N No HAZARD ASSESSMENTS Radioactive/Amount I EPA Hazards No/ Curies F IH NFPA II'I USDOT# I MCP Mod -9- 05/02/2002 COSTCO WHOLESALE · = Inventory Item 0027 -- COMMON NAME·i/-CHEMICAL NAME siteID: 015- 02__1C-6·01105 Facility Unit: Fixed Containers on Site INORGANIC PESTICIDES Location within this Facility Unit LAST SEASONAL AISLE Map: Grid: DaYs One'Site 365 CAS#· TYPE PRESSURE' STATE Liquid [ Mixture .I Ambient TEMPERATURE IAmbient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 125.00 GAL Daily Average · 75.00 GAL %Wt. t00.00 HAZARDOUS COMPONENTS INORGANIC PESTICIDES CAS# 0 ITSecret No HAZARD ASSESSMENTS I oRSIBioHazl Radioactive/Amount EPA Hazards N No · No/ Curies F R IH DH NFPA/// I USDOT# '1 unRMCP = Inventory Item 0004 -- COMMON NAME / CHEMICAL NAME MALATHION Location within this Facility Unit LAST SEASONAL AISLE Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# STATE -- TYPE PRESSURE Pure I Ambient Liquid . TEMPERATURE Ambient CONTAINER TYPE I METAL CONTAINR-NONDRUMI Largest Container GAL AMOUNTS AT THIS LOCATION · 'Daily Maximum Daily 'Average. 125.00 GAL 125.00 GAL %Wt. 100.00 Malathion HAZARDOUS COMPONENTS N~oRS · 7551 RS CAS# 121 HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies IH NFPA/// I USDOT# I MCPHi -10- 05/02/2002 COSTCO WHOLESALE = Inventory Item 0012 -- COMMON NAME / CHEM] dAL .NAME MOTOR OIL ..... SiteID: 015-02'i-001105 Facility Unit: Fixed Containers .on. Site Location within this FaciLity Unit BACK HARDLINES AISLE AUTOMOTIVE AISLE Map: Grid: Days On. Site 365 CAS# FSTATE ~ TyPE Liquid /pure... PRESSURE Ambient -- TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 8500.00 GAL Daily Average 8500.00 GAL HAZARDOUS COMPONENTS wt. 100.00 otor Oil, Petroleum Based IRS! CAS# No 8020835 HAZARD ASSESSMENTS I Radi°active/Am°unt EPA Hazards INo/ Curies F DH NFPA /// USDOT# MCP Min = Inventory Item 0013 -- COMMON NAME / CHEMICAL NAME MURIATIC ACID .Location within this Facility Unit BACK FOOD AISLE- ~ Facility Unit: Fixed Containers on Site Map:. Grid: Days On Site 365' CAS# F STATE ~ TYPE Liquid .I Pure pRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC-CONTAINER Largest Container GAL AMOUNTS AT,THIS~LOCATION Daily Maximum 1000.00 GAL Daily Averag~' 1000.00 GAL %Wt' I 100.00 Muriatic Acid HAZARDOUS COMPONENTS RSI CAS# . Yes 7647010 HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies IH DH NFPA /// IUSDOT# MCP Hi -11- 05/02/2002 COSTCO WHOLESALE -- Inventory Item 0026 -- COMMON NAME / CHEMICAL NAME ORGANIC PHOSPHOROUS PESTICIDES Location within this Facility ·Unit· LAST SEASONAL AISLE ~ SiteID: 015-021-001105 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365' CAS# f STATE TYPE . PRESSURE, Liquid MiXture - Ambient TEMPEP~ATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest ContainerGAL· AMOUNTS AT THIS LOCATION Daily Maximum 200.00 GAL Daily Average. 100.00 GAL I' %Wt. 100.00 HAZARDOUS COMPONENTS ORGANIC PHOSPHOROUS PESTICIDES CAS# HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F R IH DH / / / ' UnR ~ Inventory Item 0022 COMMON NAME / CHEMICAL NAME PACE TABS Location within this Facility Unit SEASONAL ISLE Facility. Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# STATE TYPE PRESSURE Solid I Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER LargeSt Container LBS AMOUNTS AT THIS' LOCATION I"." 'Daily Maximum 200.00 LBS DailY'Average::'/ 200~00 'LBS %Wt. HAZARDOUS COMPONENTS RS CAS# TSecret No N No HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F IH I NFpA I USDOT# /// MCP UnR -12- 05/02/2002 COSTCO WHOBESALE '' SitelD: 015-021"001105 ---- Inventory Item 0011- Facility Unit: Fixed Containers,on. Site -- CO~ON N~E / CHEMIC~ N~E . ,~ PARTS CLEANER.' ~ Location within this Facility Unit AUTOMOTIVE AISLE Map: Grid: Days OnSite 365 CAS# STATE T~YPE PRESSURE.- LiqUid [ Pu~e .. I Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 500.00 GAL Daily Average 500.00 GAL %Wt. t 100.00 Naphtha HAZARDOUS COMPONENTS CAS# N 8030306 HAZARD ASSESSMENTS -Radioactive/Amount,,No/ Curies IEPAF HazardsiH NFPA I USDOT# I MCP // / Mod ~ Inventory Item 0021 COMMON NAME / CHEMICAL NAME PROPANE LoCation within this Facility Unit SEASONAL ISLE Facility Unit: Fixed. Containers on-Site Map: Grid: Days On Site 365 CAS~ 74-98-6 STATE -q-- TYPE Gas .IPure PRESSURE Ambient TEMPERATURE IAmbient CONTAINER TYPE METAL CONTAINR-NONDRUM LargeSt 'container FT3 AMOUNTS.AT THIS LOCATION Daily Maximum 728.00 FT3 Daily'Average.. 728~00 FT3 %Wt. I 100.00 Propane HAZARDOUS COMPONENTS RS cAs# yes 7498 HAZARD ASSESSMENTS Radioactive~Amount EPA Hazards No/ Curies F P DH 'NFPA /// USDOT#IHiMCP -13- 05/02/2002 COSTCO WHOLESALE ' -~- Inventory Item 0016 -- COMMON NAME / CHEMICAL .NAME'.' RAID ANT & ROACH Location within this .Facility Unit SEASONAL ISLE SiteID: 015-02't-001105 Facility Unit: Fixed Containers on .Site Map: Grid: Days On Site 365 CAS# STATE TYPE PRESSURE Liquid '~ ~1 Ambient TEMPERATURE Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Largest Container . GAL AMOUNTS AT THIS LOCATION I.. Daily Maximum ' 100.00 GAL 'Daily Average 100.00 GAL %Wt. HAZARDOUS COMPONENTS IRSI CAS# HAZARD ASSESSMENTS Radioactive/AmOunt EPA Hazards No/ Curies F DH NFPA ///. USDOT# IunRMCP ~- Inventory Item 0020 -- COMMON NAME / CHEMICAL NAME ROUND UP Location within this Facility Unit, SEASONAL ISLE Facility Unit: Fixed Containers on Site -Map: Grid: Days On Site 365 CAS# 1071836 STATE ~--TYPE PRESSURE Liquid Pure Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER ..,.Largest.Container " GAL AMOUNTs AT THIS LOCATION · Daily Maximum I ' 800. O0 GAL' Daily.Average .~ 800.00' GAL ,%Wt. I 100.00 RoUnd Up HAZARDOUS COMPONENTS N · 1071836 HAZARD ASSESSMENTS Radioactive/Amount I EPA Hazards No/ CuriesI F. DH NFPA /// IUSDOT# I MCP 'Low -14- 05/02/2002 CosTCo WHOLESALE = Inventory Item 0017 -- COMMON NAME / CHEMICAL NAME SCOTT PEST CONTROL, ~' Location within this Faqility Unit SEASONAL ISLE ~'r~,~ ,k SiteID: 015~021-001105 ~ Facility Unit: Fixe~ containers on Site Days on'site 365 CAS# Map: Grid: FSTATE -- TYPE PRESSURE Liquid ~ '1 Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest ContainerGAL AMOUNTS AT THIS LOCATION Daily Maximum 160.00 GAL Daily Average 160.00 GAL I' %Wt. HAZARDOUS COMPONENTS IRSI CAS# HAZARD ASSESSMENTS IRadioactive/Amount [ EPA Hazards No/ Curies F DH NFPA /// USDOT# UnR = Inventory Item 0005 -- COMMON NAME / CHEMICAL NAME SILICONE.OIL Location within this Facility Unit BACK'HARDLINES AISLE Facility Unit: Fixed Containe~ on Site ,Map: Grid: Days ~On Site 365 CAS# F STATE TYPE Solid I Pure PRESSURE IAmbient TEMPERATURE Ambient CONTAINER TYPE pLASTIC.CONTAINER .. ,.Largest Co.ntainer LBS AMoUNTs AT THIS LOCATION .Daily Maximum .. 600.00 LBS Daily Average . 600.00 ~LBS %Wt. 100.00 Silicone Oil HAZARDOUS COMPONENTS NoRS CAS# 9016006 HAZARD ASSESSMENTS Radi°active/Am°Unt I EPA Hazards'I'No/ Curies F DH NFPA /// USDOT# Min -15- 05/02/2002 COSTCO WHOLESALE = Inventory Item 0018 -- COMMON NAME / CHEMICAL NAME SULFURIC ACID (BATTERIES) -~ Location within this Facility Unit HARDLINES - ISLE 223 .. SiteID: 015-021-001105 Facility Unit: Fixed Containers:on Site Map: Grid: Days .On' ~Site 365 C~S# .~ STATE TYPE PRESSURE Liquid I M~kture Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 100.00. GAL Daily Average 100.00 GAL HAZARDOUS COMPONENTS %Wt. 1 40.00 Sulfuric Acid (EPA) IRSt CAS# No 7664939 TSecretINo YesRSIBi°HaZN° HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies R IH NFPA /// USDOT# IHiMCP ~ Inventory Item 0024 -- COMMON NAME / CHEMICAL NAME SUPER SOCK IT Location within this Facility Unit SEASONAL ISLE Facility Unit: Fixed Containers on. Site Map: Grid: Days On Site 365 CAS# STATE TYPE Solid T PRESSURE Ambient TEMPERATURE Ambient BAG CONTAINER TYPE .... Largest~C~ntainer · LBS AMOUNTS AT THIS LOCATION ' Daily MaXimum 100.00 LBS DaLly iAVerageI' 100.00., LBS %Wt. 100.00 HAZARDOUS COMPONENTS Calcium Hypochlorite IRSI CAS# No 7778543 TSecret No HAZARD ASSESSMENTS I RSIBioHazl Radioactive/Amount I EPA Hazards IN° INO I No/ Curies F IH NFPA /// IUSDOT# Mod -16- 05/02/2002 COSTCO WHOLESALE ~ Inventory Item 0010 -- COMMON NAME / CHEMICAL NAME WD 40 Location within this Facility Unit AUTOMOTIVE AISLE SiteID: 015-021-001105 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# STATE [ TYPE Liquid Mixture PRESSURE TEMPER3tTURE Above Ambient I Ambient CONTAINER TYPE PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average GAL I 1500.00 GALI 1500.00 GAL %Wt. RS CAS# 50.00 Mineral Spirits No 8030306 15.00 Petroleum Crude Oil No 8002059 TSecretNo NoRS BioHazNo HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F IH NFPA /// USDOT# IModMCP I -17- 05/02/2002 COSTCO WHOLESALE SitelD: 015-021-001105 Fast .Format ~ Notif./Evacuation/Medical --Agency Notification CALL 911. Overall Site 10/10/2000 -- Employee Notif./Evacuation 07/26/1994 COMMAND POST SOUNDS ALARM. EMPLOYEES HAVE BEEN TRAINED TO EVACUATE THEMSELVES AND ALL CUSTOMERS FROM BLDG. MANAGERS ON HAND ARE RESPONSIBLE FOR QUA3UkNTEEING CLEARANCE OF SPECIFIC AREAS OF WAREHOUSE. SUPERVISING MANAGER DETERMINES SERIOUSNESS OF SPILL OR FIRE. CALL 911 AND ACTIVATE ELECTRONIC SUMMONS PAD (FIRE, MEDICAL AND POLICE) IF DEEMED NECESSARY. Public Notif./Evacuation 07/26/1994 A COMMAND POST WOULD BE SET UP AT THE MEMBERSHIP DESK WHICH IS LOCATED NEAR THE MAIN ENTRANCE AND EXIT TO THE BUILDING. SECURITY PERSONNEL WOULD BE DISPATCHED TO EACH EMERGENCY EXIT. THIS WOULD REQUIRE FOUR INDIVIDUALS TO COVER THE SOUTHERN SIDE OF THE BUILDING. TWO INDIVIDUALS WOULD BE DISPATCHED FROM THE COMMAND POST TO ASSIST MEMBERS TO THE NEAREST 'EMERGENCY EXIT. FORMAL EVACUATION PLAN DISCUSSED AT MONTHLY SAFETY MEETINGS - FRONT DESK TO BE CENTRAL CONTROL AREA IN CASE OF EMERGENCY. Emergency Medical Plan SAN JOAQUIN COMMUNITY HOSPITAL - 2615 EYE ST - 327-1711 OR MERCY HOSPITAL - 2215 TRUXTUN AVE - 632-5000. 10/10/2000 -18- 05/02/2002 COSTCO WHOLESALE SiteID: 015-021-001105 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site Release Prevention 10/10/2000 ITIGATION: HAZARDOUS ITEMS ARE GENERALLY SMALL UNITS PACKAGED FOR RESALE; OT OPEN OR "IN USE". PREVENTION AND ABATEMENT: CUSTOMERS AND EMPLOYEES PREVENTED FROM EXPOSURE ,TO HAZARDOUS SITUATION; IF NECESSARY EVACUATION IS EXECUTED. CLEAN UP DEPENDS ON NATURE OF VOLATILITY OF SPILL. ABOVE ALL, ENSURE PREVENTION OF SPREAD OF PROBLEM. COMPANY ALSO ALREADY HOLDS MONTHLY SAFETY COMMITTEE MEETINGS WHICH ADDRESS POTENTIAL HAZARDS ~ SEES TO CORRECTING THEM. -- Release Containment Clean Up Other Resource Activation -19- 05/02/2002 COSTCO WHOLESALE SitelD: 015-021-001105 Fast Format Site Emergency Factors Special Hazards Overall Site -- Uti!ity Shut-Offs A) GAS - OUTSIDE WA_REHOUSE AT SW CORNER B) ELECTRICAL - INSIDE WAREHOUSE IN RECEIVING SE CORNER C) WATER - OUTSIDE WAREHOUSE N MIDDLE PART OF BLDG D) SPECIAL - NONE E) LOCK BOX - MANAGERS OFFICE WALL NW (KEYS ONLY) 10/10/2000 Fire Protec./Avail. Water 10/10/2000 PRIVATE FIRE PROTECTION - THERE ARE HEAT SENSORED OVERHEAD SPRINKLERS EXHAUST FANS (AUTOMATIC) THAT BLOW SMOKE OUT OF THE WAREHOUSE. SEVERAL FIRE EXTINGUISHERS THROUGHOUT THE WAREHOUSE, AUTOMATIC ALARM TO PRIVATE COMPANY AND THE SAME MANAGER SUPERVISED EVACUATION PROCEDURES APPLY. FIRE HYDRANT - 40FT S AND W OF SW CORNER OF WAREHOUSE. Building Occupancy Level -20- 05/02/2002 COSTCO WHOLESALE SiZeID: 015-021-001105 Fast Format Training Employee Training Overall Site zo/lo/2ooo WE HAVE 200 EMPLOYEES. AT THIS FACILIY. WE HAVE MATERIAL SAFETY DATA SHEETS AVAILABLE. BRIEF SUMMARY OF TRAINING PROGRAM: MSDS ON FILE IN TWO AREAS OF THE STORE. MONTHLY SAFETY MEETINGS ON ALL TOPICS, REGULARLY DISCUSS HAZ MAT. ALL EMPLOYEES ARE REQUIRED TO R~EVIEW TECH ii HAZARDOUS COMMT/NICATION. Page 2 Held for Future Use Held for Future Use -21- 05/02/2002 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION [] ADD [] DELETE [] REVISE 2oo. ] Page ~4 of /o I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION zoi. CHEMICAL LOCATION CONFIDENTIAL zo2. EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME z05. TRADE SECRET [] Yes [] No z06. if Subject to EPCRA. refer to instructions COMMON NAME 20?. zog. AUTOMATIC DISH DETERGENT (LIQUID) EHS* [] Yes [] No CAS# 209. *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete ffrequired by local agency) 210. [RR 213. HAZARDOUS MATERIAL [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES TYPE (Check one item only) 215. PHYSICAL STATE 214. LARGEST CONTAINER 155 OZ (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216. (Check all Ihat apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DALLY AMOUNT Zt?. MAXIMUM DALLY AMOUNT 218. ANNUAL WASTE AMOUNT 219. STATE WASTE CODE 22O. 807.67 807.67 N/A 221. DAYS ON SITE 222. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one ite~n only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. CLASS BOTTLE [] q. RAIL CAR [] h. UNDERGROUND TANK [] f. CAN []j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1. 226. 227. [] Yes [] No z2s. No Hazardous Ingredients Listed Z. 230. zai. [] Yes [] No zaz. 233. 3. 234. 235. [] Yes [-] No za6. 237. 4. zas. z39. [] Yes [] No 240. 241. 5. 242. Z43. [] Yes [] No 244. 245. ir more hazardous components are present at greater than 1% by weight ff non-carcinogenic, or 0.1% by weight if earcinogeuic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION [] ADD [] DELETE [] REVISE zoo. ] Page 3_._ of /.__~_O I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION ,. z0i. CHEMICAL LOCATION CONFIDENTIAL 202. EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME z0s. TRADE SECRET [] Yes [] No z06. If Subject to EPCRA. refer to inslruction$ COMMON NAME 207. z0s. AUTOMATIC DISH DETERGENT (SOLID) EHS* [] Yes [] No ~ CAS# 209. *If EHS is "Yes," all amounts below must be in lbs. 210. FIRE CODE HAZARD CLASSES {Complete if required by local agency) IRR 213. HAZARDOUS MATERIAL [] a. PURE [] b. MIXTURE [] c. WASTE 21L RADIOACTIVE [] Yes [] No 2i2. .CURIES TYPE (Check one item only) 215. PHYSICAL STATE 214. LARGEST CONTAINER 1 10 OZ {Check one item only) [] a. SOLID [-1 b. LIQUID [] c. GAS 216, FED HAZARD CATEGORIES (Check all 1hal apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DALLY AMOUNT 217. MAXIMUM DALLY AMOUNT 218, ANNUAL WASTE AMOUNT 219. sTATE WASTE CODE 22o. 5526.48 5526.48 N/A 221. DAYS ON SITE 222. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM I-'} i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC ZZS. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 227. [] Yes [] No 228. 9014-01-1 zzg. 1. 226. Subtilisin 2. 230. 231. [] Yes [] No z3z. 233. \ Z37. 3. zan. z:~. [] Yes [] No z~. 4. zas. za9. [] Yes [] No 24o. 24~. S. 242. zna. [] Yes [] No ~44. 245. If more hazardous components are present at greater than 1% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: __ If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY- CHEMICAL DESCRIPTION (one ~a~e [~er material [let buildinfi or area) [] ADD [] DELETE [] REVISE 200. J Page o of /O I, FACILITY INFORMATION BUSINESS NAME {Same as FACILITY NAME or DBA - Doing Business As) 3. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION 2Ol. CHEMICAL LOCATION CONFIDENTIAL 202. EPCRA Retail Sales Floor [] YES [] NO II, CHEMICAL INFORMATION CHEMICAL NAME 205. TRADE SECRET [] Yes [] No z06. If Subject to EPCRA, refer to instructions COMMON NAME z0?. 2og. BAR SOAP EHS* [] Yes [] No CAS# 209. *If EHS is "Yes,' all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete ii required by local agency) 210. IRR 213~ HAZARDOUS MATERIAL [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES TYPE (Check one item only) . PHYSICAL STATE Z15. 214. LARGEST CONTAINER 4.75 OZ (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216. (Check all that apply} [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DALLY AMOUNT 211, MAXIMUM DAILY AMOUNT 218, ANNUAL WASTE AMOUNT 219. STATE WASTE CODE 220. 7936.09 7936.09 N/A 221. DAYS ON SITE 222. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 22s. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1. 226. Stearic Acid 227. [] Yes [] No 2zg. 57-11-4 zzg. Z. 230. Sodium Stearate 231. [] Yes [] No zaz. 822-16-2 3. 234. SodiumCocoate z3s. [] Yes [] No aa6. 61789-31-9 4. 238. SodiumTallowate 239. [] Yes [] No 240. 8052-48-0 24x. 5. 242. Sodium Isothionate z~3. [] Yes [] No z~4. 61789-32-0 If more hazardous components are present at greater than 1% by weight if non-carcinogenic, or O. 1% by weight if carcinogenic, attach additional sheets of paper capturing the rz, qnired information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: , If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12115/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one [~a~e ~er material ~er I~il~ln~ m' area) [] ADD [] DELETE [] REVISE zoo.] Page / of /0 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) :Costco Wholesale #688 - Bakersfield CHEMICAL LOCAT1ON z01. CHEMICAL LOCATION CONFIDENTIAL EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME 205. TRADE SECRET [] Yes [] No z06. If Subject to EPCRA. refer to instructions COMMON NAME 207. 208. BATHROOM CLEANSER (LIQUID) EHS* [] Yes [] No CAS# zos. *If EHS is "Yes," all amounts below must be in lbs. 210. FIRE CODE HAZARD CLASSES (Complete if required by local agency) IRR I 213. HAZARDOUS MATERIAL TYPE (Check one item only) [] a. PURE [~1 b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES 215. PHYSICAL STATE 214. LARGEST CONTAINER 136 OZ (Check one item only) [] a. SOLID [~ b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216. (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DALLY AMOUNT :*i?. MAXIMUM DALLY AMOUNT :.18. ANNUAL WASTE AMOUNT :*tS. STATE WASTE CODE 1003.06 1003.06 N/A 2:*t. DAYS ON SITE 222, UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d, TONS (Check one ite~n only) * If EHS, amount must he in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN []j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BU1LDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON :*23. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT :*:*4. STORAGE TEMPERATURE . [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1.75 226. Calcium Carbonate 227. [] Yes [] No 22s. 1317-65-3 zzs. 2. :.3o. 23t. [] Yes [] No z3z. :*33. 3. 234. z3s. [] Yes [] No 23~. 4. zas. 239. [] Yes [] No 240. z41. 5. 242. :*43. [] Yes [] No 244. 245. If more hazardous components are present at greater than I% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one [~a~e ~er material ~er buildin~ ..... ) [] ADD [] DELETE [] REVISE zoo. I Page 5 of /0 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION 2ot. CHEMICAL LOCATION CONFIDENTIAL 2oz. EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME 20s. TRADE SECRET, [] Yes [] No If Subject to EPCRA. refer to inslroctioo$ COMMON NAME 207. 208. BLEACH (LIQUID) EHS* [] Yes [] No CAS# 209. *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210. IRR 213. HAZARDOUS MATERIAL [] a, PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES TYPE (Check one item only) ZI5. PHYSICAL STATE 214. LARGEST CONTAINER 180 OZ (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216. (Check all thaI apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217. MAXIMUM DAILY AMOUNT . 2t8. ANNUAL WASTE AMOUNT 2t9. STATE WASTE CODE 22o. I008.56 1008.56 N/A 221. DAYS ON SITE 222. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS. amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # I.5.25 zz~. Sodium Hypochlorite 227. [] Yes [] No zzs. 7681-52-9 zzs. 2. 23o. z3t. [] Yes [-'] No z3z. 233. 3. za4. z3s. [] Yes [] No z~. z~?. 4. 238. 239. [] Yes [] No 240. 241. 5. 242. z43. [] Yes [] No 244. z4s. If more hazardous components are present at greater than I% by weight if non-carcinogenic, or 0.196 by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12/15~99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one [~a~e ~er malerial ~er buildln/~ .... a) [] ADD [] DELETE [] REVISE zoo.] Page ~' of /0 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION zo1. CHEMICAL LOCATION CONFIDENTIAL zo2. EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME zo5. TRADE SECRET [] Yes [] No 206. If Subject to EPCRA. refer to instructions COMMON NAME zo7. zos. BLEACH (SOLID) EHS* [] Yes [] No CAS# zo9. *If EHS is "Yes," all amounts below must be in lbs. FiRE CODE HAZARD CLASSES (Complete ffrequired by local agency) ZI0. IRR HAZARDOUS MATERIAL 213. TYPE (Check one item only) [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES PHYSICAL STATE 215. 214. LARGEST CONTAINER 119.70Z (Check one itetn only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 21 (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DALLY AMOUNT 217. MAXIMUM DALLY AMOUNT Zlg. ANNUAL WASTE AMOUNT Zig. STATE WASTE CODE 220. 444.39 444.39 N/A 221. DAYS ON SITE 222. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS. amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PI~ESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1.75 226. Sodium Carbonate 227. [] Yes [] No zzs. 479-19-8 229. Z. 15 230. Sodium Perborate 23~. [] Yes [] No 232. 10486-00-7 3.10 234. Sodium Silicate z3s. [] Yes [] No z~s. 6834-92-0 237. 4.5 z3s. Sodium alkylbenzene sulfonate 239. [] Yes [] No 240. 68081-81-2 5. 2 z4z. Subtilisin Protease z~a. [] Yes [] No 244. 9014-01-1 If more hazardous components are present at greater than 1% by weight ff non-carcinogenic, or O. 1% by weight ff carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 24~. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12115/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one Fa~e [}er material ~er buildin~ or area) [] ADD [] DELETE [] REVISE 200. t Page IU of /0 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION 2ot. CHEMICAL LOCATION CONFIDENTIAL 202. EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME zos. TRADE SECRET [] Yes [] No 206. If Subject lo EPCRA. refer to instructions COMMON NAME 207. 2og. CAR WASH EHS* [] Yes [] No CAS# 209. *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210. CL-IIIB, IRR 213. HAZARDOUS MATERIAL [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No Z12. CURIES TYPE (Check one item only) PHYSICAL STATE 215. 214. LARGEST CONTAINER 1 GAL (Check one iletn only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 2{6. (Check all that apply} [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DALLY AMOUNT 217. MAXIMUM DAILY AMOUNT Zlg. ANNUAL WASTE AMOUNT 219. STATE WASTE CODE 220. 264 264 N/A 221. DAYS ON SITE 222. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. FOUNDS F'"[ d. TONS (Check one item only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [-I I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1. 226. No hazardous ingredients listed 227. [] Yes [] No 228. zzg. 2. zao. zal. [] Yes [] No 232. 233. 3. za4, zas. [] Yes [] No 4. zas. zaa. [] Yes [] No 240. 241. 5. 242. 243. [] Yes [] No 244. 245. If more hazardous components are present at greater {him I% by weight if non-carcinogenic, or fl. 1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION DOT Hazard Class: If EPCRA, Please Sign Here. UN-OEO - 7/15 http://www.unidocs.org Rev. 1:~/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one [~a~e ~er material [~c buildin{~ or area) [] ADD [] DELETE [] REVISE zoo.] Page 11 of /O I. FACILITY INFORMATION BUSINESS NAME {Same as FACILITY NAME or DBA - Doing Business As) Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION 2Ol. CHEMICAL LOCATION CONFIDENTIAL 2oz. EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME zo5. TRADE SECRET [] Yes [] No z06. If Subjt~t to EPCRA. refer to inslmctions COMMON NAME 207. 208. EHS* [] Yes [] No CAR WAX CAS# 209. *If EHS is "Yes," all amounts below must be in lbs, FIRE CODE HAZARD CLASSES {Complete if required by local agency) 210. CL-II, IRK, OHH 213. HAZARDOUS MATERIAL [] a. PURE [] b. M1XTURE [] c. WASTE ZI1. RADIOACTIVE [] Yes [] No 212. CURIES TYPE (Check one item only) 215. PHYSICAL STATE 214. LARGEST CONTAINER 16 OZ (Check one ite~n only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 21 (Check all that apply) [] a. FIRE [-I b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DALLY AMOUNT ztT. MAXIMUM DAILY AMOUNT ZtS. ANNUAL WASTE AMOUNT 219. STATE WASTE CODE 22O. 73.43 73.43 N/A 221. DAYS ON SITE zzz. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1.30 226. Petroleum Distillates 227. [] Yes [] No zzs. 64742-47-8 2.30 aao. Petroleum Distillates Zal. [] Yes [] No zaz. 8052-41-3 23a. 234. 235. [] Yes [] No za$. 86402-88-4 z~7. 3.10 Calcined Kaolin Clay 4.5 zag. Wax Emulsion zag. [] Yes [~ No 240. N/A 24i. 5. 5 242. Polydimethylsiloxanes 243. [] Yes [] No 244. N/A z4s. If nmre hazardous components are present at greater than 1% by weight ff non-carcinogenic, or O. I% by weight if carcinogenic, attach additional sheets of paper capturing the required Information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: __ If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12115199 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION [] ADD [] DELETE [] REVISE 2°°.I Page IZ of /o I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) a. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION 2or. CHEMICAL LOCATION CONFIDENTIAL 202. EPCRA Retail Sales Floor [] YES [] NO ~AAggCenlcLyiTu~lonDly~] [i~:1 II ]ii~!i~l I [] ] [ I. [ MAP# 203. GRID# 204. II. CHEMICAL INFORMATION CHEMICAL NAME 2os. TRADE SECRET [] Yes [] No 2o6. If Subject 1o EPCRA. refer to instructions COMMON NAME 20?. 208. CHARCOAL EHS* [] Yes [] No CAS# 209. *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if o~quired by local agency) 210. IRR 213. HAZARDOUS MATERIAL [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES TYPE (Check one item only) 215. PHYSICAL STATE 214. LARGEST CONTAINER 24 LB (Check one item only) . [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216. (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DALLY AMOUNT 2t7. MAXIMUM DAILY AMOUNT 218. ANNUAL WASTE AMOUNT Ztg. ST'ATE WASTE CODE 22O. 14823.60 14823.60 N/A 22L DAYS ON SITE zzz. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1.Varies 226. Char Dust zzT. [] Yes [] No zzs. 16291-96-6 2.15 230. Limestone zal. [] Yes [] No z3z. 1317-65-3 233. 3.20 za4. Hydrocarbon Solvent zas. [] Yes [] No zap. 8052-41-3 z~. 4.20 z3s. Hydrocarbon Solvent zaa. [] Yes [] No za0. 64742-47-8 z41. 5. 20 2n2. Hydrocarbon Solvent z~a. [] Yes [~] No 244. 64742-88-7 If more hazardous compenents are present at greater than I% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 24~. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12115/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (ooe pa~e jnr ma:erial lnr b,,ildln~ or area) [] ADD [] DELETE [] REVISE 2oo. J Page 15 of /0 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION 2:or. CHEMlCAL LOCATION CONFIDENTIAL 2o2. EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME z0s. TRADE SECRET [] Yes [] No z0e. If Subject to EPCRA. refer to instructions COMMON NAME z0?. z0g. CLEANER/DEGREASER EHS* [] Yes [] No CAS# 209. *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete ff required by local agency) Zl0. CL-IIIB, IRR 213. HAZARDOUS MATERIAL [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES TYPE (Check one item only) PHYSICAL STATE 21s. (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS 214. LARGEST CONTAINER 1 60 OZ FED HAZARD CATEGORIES 21~. (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DALLY AMOUNT 2t?. MAXIMUM DAILY AMOUNT 218. ANNUAL WASTE AMOUNT 219. STATE WASTE CODE 22O. 123.75 123.75 N/A 221. DAYS ON SITE ZZZ. uNITs* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN []j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225, % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1. 226. No Hazardous Ingredients Listed 2:z?. [] Yes [] No 228. 229. 2. 230. 2al. [] Yes [] No zaz. zaa. 3. 234. 235. [] Yes [] No z~e. 23?. 4. 238. 239. [] Yes [] No 240. 2:41. 5. 242. 243. [] Yes [] No 244. 245. If mare hazardous components are pre~ent at greater than 1% by weight ff non-carcinogenic, or 0.156 by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. IZ/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one ~a~e ~er material [~r buildin~ or area) [] ADD [] DELETE [] REVISE 2°°.I Page 14 Of /0 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) Costco Wholesale #688 - Bakersfield CHEMlCAL LOCATION 201. CHEMlCAL LOCATION CONFIDENTIAL 2o2. EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME 2os. TRADE SECRET [] Yes [] No 206. If Subject to EPCRA. refer to inslructions COMMON NAME 207. z08. CONDITIONER EHS* [] Yes [] No CAS# 209. *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES [Complele if required by local agency) 210. IRR I 213. HAZARDOUS MATERIAL [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [--[ Yes [] No 212. CURIES TYPE (Check one item only) PHYSICAL STATE 215. (Check one item only) [] a. SOL1D [] b. LIQUID [] c. GAS 214. LARGEST CONTAINER 40 OZ FED HAZARD CATEGORIES 216. (Check all 1hat apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT Zl?. MAXIMUM DAILY AMOUNT 2iS. ANNUAL WASTE AMOUNT 2~0. STATE WASTE CODE 220. 818.05 818.05 N/A 221. DAYS ON SITE 222. UNITS' [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS {Check one item only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN []j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. sTORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # I. 226. Propylene Glycol 22?. [] Yes [] No 22g. 57-55-6 220. Z. 7'3o. Isopropyl Alcohol 23L [] Yes [] No 232. 67-63-0 233. 3. 234. Ethoxydiglycol ns. [] Yes [] No z~6. 111-90-0 4. z3s. Glycerin 230. [] Yes [] No 240. 56-81-5 24~. S. 242. Stearalkonium Chloride 243. [] Yes [] No 7,44. 122-19-0 z4s. If more hazardous components are present at greater than 1% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http:llwww.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one ~a~e ~er material ~er buildia~ oc area> [] ADD [] DELETE [] REVISE 2oo. ] Page ~ of /o I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION zoi, CHEMICAL LOCATION CONFIDENTIAL 2oz. EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME zos. TRADE SECRET [] Yes [] No z06. If Subject to EPCRA. ~efer to instructions COMMON NAME 207. 208, DEODORANT EHS* [] Yes [] No CAS# zos. *If EHS is "Yes,' all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210. IRR HAZARDOUS MATERIAL [ 213, TYPE (Check one ilem only) [] a. PURE [] b, MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES I PHYSICAL STATE 215. 214, LARGESTCONTA1NER 40Z (Check one itesn only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216. (Check all thai apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 2i7. MAXIMUM DAILY AMOUNT elS. ANNUAL WASTE AMOUNT 2t9. STATE WASTE CODE 220. 702.48 702.48 N/A 221. DAYS ON SITE ZZZ, UNITS* [] a. GALLONS [] b. CUBIC FEET [] c, POUNDS [] d. TONS (Check one item only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b..UNDERGROUND TANK [] f. CAN [] j. BAG 1~ n. PLASTIC BOTTLE [] r. OTHER [] c, TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1. 226. Aluminum Zirconium Trichlorohydrex Gly 227. [] Yes [] No zzs. zzs. 2. 230. Cyclopentasiloxane 231. [] Yes [] No z3z. 233. 3. 234. Dimethicone zas. [] Yes [] No 235. 9016-00-6 za;. 4. zas. Tribehenin 239. [] Yes [] No 240. 18641-57-1 24i. 5. z4z. C18-36AcidTriglyceride. 243. [] Yes [] No 244. 245. If more hazardous components are present at greater than I% by weight if non-carcinogenic, or O. !% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs,org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION [] ADD [] DELETE [] REVISE zoo. [ Page lo of /o I, FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION 20t. CHEMICAL LOCATION CONFIDENTIAL EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME z0s. TRADE SECRET [] Yes [] No 2o6. If Subject to EPCRA, refer to instructions COMMON NAME 207. 208. DISHSOAP EHS* [] Yes [] No CAS# 20~. *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES IComplete if required by local agency) 210. CL-IIIB, IRR, OHH 2:13. HAZARDOUS MATERIAL [-I a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES TYPE (Check one item only) 2:15. PHYSICAL STATE 214. LARGEST CONTAINER 90 OZ (Check one item only) [] a. SOLID [] b. LIQU1D [] c. GAS FED HAZARD CATEGORIES 216. (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DALLY AMOUNT 2:17. MAXIMUM DALLY AMOUNT 218. ANNUAL WASTE AMOUNT 219. STATE WASTE CODE 22o. 779.09 779.09 ' N/A 221. DAYS ON SITE 222. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] h. UNDERGROUND TANK [] L CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [-'[ g. CARBOY [] k. BOX [] o. TOTE BIN [] d, STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1.10 226. Ethanol 227. [] Yes [] No 2:28. 64-17-5 229. 2.0.01 23o. Subtilisin 23t. [] Yes [] No 232. 9014-01-1 233. 3. 23,~. zas. [] Yes [] No z:~. 237. 4. 2:38. Z39. [] Yes [] No 24o. z4L 5. 2:42. 243. [] Yes [] No 244. If more hazardous components are present at greater than I% by weight if non-carcinogenic, or O. I% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one [}a{~e ~er material ~er building or area) [] ADD [] DELETE [] REVISE z00. ] Page 1/ of /o I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION eot. CHEMICAL LOCATION CONFIDENTIAL zoz. EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME z0s. TRADE SECRET [] Yes [] No z0g. if Subject to EPCRA. refer to inslructions COMMON NAME Z0?. 20g. DRAIN OPENER EHS* [] Yes [] No CAS# 209. *If EHS is "Yes,' all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete ff required by local agency) 210. CORR HAZARDOUS MATERIAL ] Z13. TYPE (Check one item only) [] a, PURE [~ b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES I PHYSICAL STATE ZlS. (Check one itetn only) [] a, SOLID [] b. LIQUID [] c. GAS 214. LARGEST CONTAINER 80 OZ FED HAZARD CATEGORIES 216. (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e, CHRONIC HEALTH AVERAGE DAILY AMOUNT 2t7. MAXIMUM DAILY AMOUNT 218. ANNUAL WASTE AMOUNT Zig. STATE WASTE CODE 220. 98.53 98.53 N/A 221. DAYS ON SITE 222. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one ite~n only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # I.10 zz6. Sodium Hypochlorite zz?. [] Yes [] No 2zg. 7681-52-9 Z. 2 23o. Sodium Hydroxide 231. [] Yes [] No 232. 13 1 0-73-2 233. 3. 1 234. Hydrogen Peroxide 235. [] Yes [] No 235. 7722-84-1 4. z3g. 239. [] Yes [] No 240. z4t. 5. 242. 243. [] Yes [] No 244. 245. If more hazardous components are present at greater than I% by weight if non-carcinogenic, or O. 1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12115199 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION [] ADD [] DELETE [] REVISE 200. ] Page 1~ of /0 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION 201. CHEMICAL LOCATION CONFIDENTIAL 2o2. EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME zos. TRADE SECRET [] Yes [] No 2og. If Subject 1o EPCRA. refer to instructions COMMON NAME z07. z0g. ENGINE TREATMENT EHS* [] Yes [] No CAS# z0s. *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210. CL-II, IRR, OHH 213. HAZARDOUS MATERIAL [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES TYPE (Check one ilem only) 215. PHYSICAL STATE 214. LARGEST CONTAINER 16 OZ (Check one item only) [] a. SOLID [~ b. LIQUID [] c. GAS FED HAZARD CATEGORIES 218. (Check all that apply) [] a. FIRE [-I b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217. [ MAXIMUM DALLY AMOUNT 218, ANNUAL WASTE AMOUNT 219. STATE WASTE CODE 220. 171.601 171.60 N/A 221. DAYS ON SITE 222. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BU1LDING I'-] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] 1. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1.90 226. Petroleum Naphtha 227. [] Yes [] No zzs. 64742-47-8 2zs. 2.2 230. 1,2,4-Trimethylbenzene zaL [] Yes [] No 232. 95-63-6 233. 3. 234, z3s. [] Yes [] No za6. 23?. 4. z3s. zas. [] Yes [] No 240. 241. 5. 242. 243. [] Yes [] No 244. z4s. If nmre hazardous components are present at greater than 196 by weight if non-carcinogenic, or 0.196 by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION [] ADD [] DELETE [] REVISE 200-I Page IY of /0 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3. Costco Wholesale #688.- Bakersfield CHEMICAL LOCATION 201. CHEMICAL LOCATION CONFIDENTIAL 2o2. EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME 2os. TRADE SECRET [] Yes [] No zo6. If Subject to EPCRA, refer to instroctions COMMON NAME 207. 20S. FABRIC SOFTENER EHS* [] Yes [] No CAS# 209. *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requin~d by local agency) 210. CL-II, IRR 213. HAZARDOUS MATERIAL [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES TYPE (Check one item only) PHYSICAL STATE 215. (Check one ite~n only) [] a. SOLID [] b. LIQUID [] c. GAS 214. LARGEST CONTAINER 135 OZ FED HAZARD CATEGORIES 216. (Check all 1hal apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DALLY AMOUNT Zl?. MAXIMUM DALLY AMOUNT 218. ANNUAL WASTE AMOUNT 2t9. STA;FE WASTE CODE 220. 804.50 804.50 N/A 221. DAYS ON SITE ZZZ. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1.5 226. Ethanol 227. [] Yes [] No z2s. 64-17-5 zzg. 2. 230. 231. [] Yes [] No 232. 233. 3. 23¢. 23~. [] Yes [] No 236. 237. 4. zas. zaa. [] Yes [] No 240. 241. ,5. 242. 243. [] Yes [] No 244. 24s. If more hazardous components are present al greaier Ihan 1% by weight if non-carcinogenic, or 0.1% by weight If carcinogenic, attach additional sheels of paper capturing the required informaflom ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one ]}a~e ~er material [~r buildin~ or area) [] ADD [] DELETE [] REVISE 200. ] Page zO of /0 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) $. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION zot. CHEMICAL LOCATION CONFIDENTIAL z02. Retail Sales Floor EPCRA [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME z0s. TRADE SECRET [] Yes [] No If Subject to EPCRA. refer to instructions COMMON NAME .... zo7. z0s. FERTILIZER EHS* [] Yes [] No CAS# 209. *If EHS is "Yes," all amounts below must be in lbs, FIRE CODE HAZARD CLASSES {Complete ffrequired by local agency) ZI0. IRR I 213, HAZARDOUS MATERIAL [] a. PURE [] b, MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No ZlZ. CURIES TYPE (Check one item only) PHYSICAL STATE ZlS. (Check one ite~n only) [] a. SOLID [] b. LIQUID [] c. GAS 214, LARGEST CONTAINER 25 LB FED HAZARD CATEGORIES 21IL (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT Zt?, MAXIMUM DALLY AMOUNT 2t8. ANNUAL WASTE AMOUNT ztg. STATE WASTE CODE zzo. 16,455.34 16,455.34 N/A 221. DAYS ON SITE 222. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS {Check oue item only) * If EHS, amount must be in pounds. STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1. 226. Potassium Nitrate 227. [] Yes [] No zzg. 7757-79-1 zzs. Z. zao. Sodium Nitrate zat. [] Yes [] No 2az. 7631-99-4 zaa. 3. za4. Urea zas. []Yes [] No zap. 57-13-6 4. zas. Monoammonium Phosphate 239. [] Yes [] No z40. 7727-76-1 z4t. 5. 242. 243. [] Yes [] No 244. 245. If more hazardous components are present at greater than 1% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sh~ts of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-0Z0 - 7/15 http://www.unidocs.org Rev. 1~./15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one [~a~e ~ .... terial ~er building ..... ) [] ADD [] DELETE [] REVISE 200. I Page /3 of /0 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION zot. CHEMICAL LOCATION CONFIDENTIAL EPCRA DeliArea [] YES [] NO FACILITY ID # 1. MAP # 203. GRID # 204. II. CHEMICAL INFORMATION CHEMICAL NAME 2os. TRADE SECRET [] Yes [] No 206. If Subject to EPCRA. refer to instructions COMMON NAME 207. 2os. Scrub Klean EHS* [] Yes [] No CAS# 209. *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if ~'quired by local agency) 210. CLIIIB, IRR 213. HAZARDOUS MATERIAL TYPE (Check one item only) [] a. PURE IR! b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES 215. PHYSICAL STATE Zt4. LARGEST CONTAINER 55 (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216. (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 2t?, MAXIMUM DALLY AMOUNT 218. ANNUAL WASTE AMOUNT 219. STATE WASTE CODE 220. 28 550 N/A ZZl. DAYS ON SITE 222. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one ite~n only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN ~] d. STEEL DRUM [] h. SILO [] 1. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only)' EHS CAS # 1.6 z~6. Dipropylene GlycolMether Ether 227. [] Yes [] No 228. 34590-94-8 229. Z.5 230. SodiumMetasilicate 231. [] Yes [] No 232. 6834-92-0 233. 3. 2~4. z~s. [] Yes [] No 2~6. 4. 238. 239, [] Yes [] No 240. 241, 5. 242. 243. [] Yes [] No 244. 245. If more hazardoua components ale present at greater than t% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, atlach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one ~a~e ~er material ~er buildio~ ..... ) [] ADD [] DELETE [] REVISE 200.] Page /~0 of/~0 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION 20t. CHEMICAL LOCATION CONFIDENTIAL 202. EPCRA il-Hour Photo Processing [] YES [] NO F(~AgCe~cLyITuYseIonD]Y~ I t [!ii~'/'' i t!~!~[ [ i I i[ 1.[MAP# 203. GRID# 204. II. CHEMICAL INFORMATION CHEMICAL NAME 205. TRADE SECRET [] Yes [] No 206. If Subject to EPCRA. refer to instruclions COMMON NAME 2o7. 2o8. Spent photo solutions containing silver EHS* [] Yes [] No CAS# 2os. *If EHS is "Yes,' all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete ff required by local agency) ZI0. 213. HAZARDOUS MATERIAL TYPE (Check one item only) [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES 215. PHYSICAL STATE 214. LARGEST CONTAINER 30 (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216. (Check all thai apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DALLY AMOUNT 2t?. MAXIMUM DAILY AMOUNT 21g. ANNUAL WASTE AMOUNT 218. STATE WASTE CODE 220. 30 60 ]1200 lbs 541 ZZl. DAYS ON SITE zzz, UNITS' [] a. GALLONS [] b. CUBIC FEET [] c. FOUNDS ' [] d, TONS (Check one item only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1. 226. 227, [] Yes [] No zz8. 228. 2. z30. 231. [] Yes [] No 232. 233. 3. 234, 23~. [] Yes [] No 23~, 237. 4. 238. 238. [] Yes [] No 240. 24~. 5. 242. 243. [] Yes [] No 244. 248. If more hazardou~ components are present at greater Ihan I% by weight if nowcarclnogenic, or 0.1% hy weight if carcinogenic, attach addiUonal sheets of paper capturing the reqnired Information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7115 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION ~ (one Da~e ~er material [~er buildin~ ..... ) [] ADD [] DELETE [] REVISE 2oo. ] Page Zl of /0 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION z01. CHEMICAL LOCATION CONFIDENTIAL 2o2. EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME 205. TRADE SECRET [] Yes [] No 2oa. If Subject to EPCRA. refer to inslructions COMMON NAME zo7. 2os. FERTILIZER (IRONITE) EHS* [] Yes [] No CAS# 2os. *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210. IRR HAZARDOUS MATERIAL I 213. TYPE (Check one item only) [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES I PHYSICAL STATE 215. (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS Z14. LARGEST CONTAINER 50 LB FED HAZARD CATEGORIES 210. (Check all that apply) [] a. FIRE [-I b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGEDAILY AMOUNT 217. MAXIMUM DAILY AMOUNT 218. ANNUAL WASTE AMOUNT 219. STATE WASTE CODE 22o. N/A 221. DAYS ON SITE 222. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one itetn only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN []j. BAG [] n. PLASTIC BOTTLE. [] r. OTHER [] c. TANK INSIDE BUILDING [] g, CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] 1. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1.10 226. Sulfuric Acid 22?. [] Yes [] No 228. 7664-93-9 220. 2. 23o. 231. [] Yes [] No 232. 233. 3. za4. 2aS. [] Yes [] No 4. zas. 2as. [] Yes [] No 240. 5. 242. Z43. [] Yes [] No 244. 245. If more hazardous components are present at greater than 196 by weight ff non-carcinogenic, or 0,1% by weight ff carcinogenic, attach additional sheets of paper capturing the required Information, ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: ~ If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one I)a~e ~er material ~er buildin~ or area) [] ADD [-] DELETE [] REVISE zoo. I Page 7...~_ of /0 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION eot. CHEMICAL LOCATION CONFIDENTIAL zo2. EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME z0~. TRADE SECRET [] Yes [] No If Subject to EPCRA. refer to insmlction$ COMMON NAME z0?. z08. FIRELOGS EHS* [] Yes [] No CAS# 209. *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES {Complete ff required by local agency) el0. IRR 213. HAZARDOUS MATERIAL [] a. PURE [~ b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes ~] No 212. CURIES TYPE (Check one item only) PHYSICAL STATE 215. 214. LARGEST CONTAINER 6 LB (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216. (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DALLY AMOUNT 217. MAXIMUM DALLY AMOUNT 218. ANNUAL WASTE AMOUNT ztg. STATE WASTE CODE 220. 475.20 475.20 N/A 221. DAYS ON SITE 222. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1. 60 226. Petroleum Wax 22~. [] Yes [] No 228. 2z9. 2.3'4 zao. , Non-Hazardous Ingredients (Sawdust, etc.) 2al. [] Yes [] No 232. 23a. 3. za4. z35. [] Yes [] No z3~. z37. 4. zas. zag. [] Yes [] No 240. z41. 5. 242. 243. [] Yes [] No 244. 245. If more hazardous components ar~ pre~nt at greater than 1% by weight ff non-carcinogenic, or 0.1% by w~lght ff carcinogenic, attach additional she~l$ of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 240. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12115/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one [~a~e ~er ma,erial ])er buildin~ ..... ) [] ADD [] DELETE [] REVISE 2oo. ] Page 23 of /o I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) a. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION 2Ol. CHEMICAL LOCATION CONFIDENTIAL 2oz. EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME 2os, TRADE SECRET [] Yes [] No If Subject ~o EPCRA. refer to inslroclions COMMON NAME 207. FLOOR CLEANER EHS* [] Yes [] No CAS# 2o9. *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete ff required by local agency) 210. CL-IIIB, IRR 213. HAZARDOUS MATERIAL [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES TYPE (Check one item only) 215. PHYSICAL STATE 214. LARGEST CONTAINER 160 OZ (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216. (Check all thai apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217. MAXIMUM DALLY AMOUNT ~'18. ANNUAL WASTE AMOUNT 219. STATE WASTE CODE 220. 166.38 166.38 N/A 221. DAYS ON SITE 222, UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one ite~n only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM r-I i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1. 226. 227. [] Yes [] No zzs. No Hazardous Ingredients Listed 2. Z30. 231. [] Yes [] No 232. 233. 3. za4, 2as. [] Yes [] No z~, 4. zas. z~s. [] Yes [] No z40. 241. 5. 242. 243. [] Yes [] No 244. 245. If more hazardous components are present at grealer than 1% by weight ff non-zarcinagedie, or 0.1% by weight if carcinogenic, attach additional sheets o£ paper capturing the reqdi~d lnformalion. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 hnp://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one pa~e fir material fir building or area) [] ADD [] DELETE [] REVISE zoo. ] Page I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION 201. CHEMICAL LOCATION CONFIDENTIAL 202. EPCRA Retail Sales Floor [] YES [] NO iI II. CHEMICAL INFORMATION CHEMICAL NAME zos. TRADE SECRET [] Yes [] No If Subject to EPCRA. refer to inslructions COMMON NAME 207. Z0$. ORANGE HAND CLEANER · EHS* [] Yes [] No CAS# 209. · If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES IComplete ff required by local agency) 210. CL-IIIB 213. HAZARDOUS MATERIAL [] a. PURE [] b. MIXTURE [] c. WASTE Zll. RADIOACTIVE [] Yes [] No 212. CURIES TYPE (Check one ilem only) PHYSICAL STATE 2~4. LARGEST CONTAINER 0.5 GAL (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 21§. (Check all that apply) ~1 a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DALLY AMOUNT 217. MAXIMUM DAILY AMOUNT 218. ANNUAL WASTE AMOUNT 2~9. STATE WASTE CODE 22o. 823 82.5 N/^ 2Zl. DAYS Obi SITE 2Z2. UNITS' [] :~. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS {Check one item only) * It' EHS. amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] r. TANK INSIDE BUILDING [] §. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 2~4. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1.5 226. Acrylic Acid Polymer z27. [] Yes [] No 228. 9003-01-4 2. ~o. d-Limonene 2at. [] Yes [] No 2~. 5989-27-5 233. 3.5 2~4. Monionic Surfactant ~s. [] Yes [] No z*~. 68154-97-2 4.5 2a8. Propylene Glycol 2~9. [] Yes [] No 24o. 57-55-6 2~. 5. 15 242. Terpenes & Terpenoids, Sweet Orange Oil 2~' [] Yes [] No ~4. 68647-72-3 If more ha2ardou~ components ar~ pre,rtl at greater th~ I~ by wel~l ff non-~ardnog*nl~, or 0.1~ by ~ight ff {ar~lnog~, attach ad~tlo~l *h~l~ of pa~r {a~t~g the ~ulr~ ADDITIONAL LOCALLY COLLECTED INFO~ATION 2~' DOT Hazard Class: If EPC~, Plea~ Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one ~)a~e ~er material ~er building or area) [] ADD [] DELETE [] REVISE zoo. ] Page 43 of /o I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -r Doing Business As) 3. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION zot. CHEMICAL LOCATION CONFIDENTIAL 2o2. EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME 2os. TRADE SECRET [] Yes [] No 20G. If Subj,! to EPCRA. refer to inslruclions COMMON NAME zo?. z0s. EHS* [] Yes [] No MOTOR OIL CAS# ~o9. .*If EHS is "Yes," all amounts below must be in lbs. :~1o. FIRE CODE HAZARD CLASSES (Complete if required by local agency) CL-IIIB, IRR 213. HAZARDOUS MATERIAL [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES TYPE (Check one item only) 215. PHYSICAL STATE 214. LARGEST CONTAINER 1 QT (Check one item only) [] a. SOLID [] b. L~IQUID [] c. GAS FED HAZARD CATEGORIES zl6. (Check all Iha! apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217. MAXIMUM DAILY AMOUNT 2t8. ANNUAL WASTE AMOUNT 219. STATE WASTE CODE 22O. 2384.25 2384.25 N/A 221. DAYS ON SITE 222, UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one ite~n only) * If EHS, amounl must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC(NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] h. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1.100 zz6. Severely Refined Petroleum Base Stocks 22?. [] Yes [] No 22s. 64742-41-2 zzo. Z. 100 230. Severely Refined Petroleum Base Stocks zat. [] Yes [] No 232. 64741-88-4 233. 3. 100 2a4. Severely Refined Petroleum Base Stocks 2~s. [] Yes [] No 2~. 64742-01-4 237. 4. 238. 239. [] Yes [] No 240. 241. 5. 242. 243. [] Yes [] No 244. z45. If nmre hazardous components are present at greater than I% by weight ff non-carcinogenic, or 0.1% by weight ff carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one ~a~e ~er material ~er buildln~ .... ) [] ADD [] DELETE [] REVISE 2oo. J Page 42 of /o I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION Z0L. CHEMICAL LOCATION CONFIDENTIAL 2o2. EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME z0s. TRADE SECRET [] Yes [] No 206. If Subject to EPCRA, refer to instructions COMMON NAME 20?. zo8. LYSOL CLEANER (LIQUID) EHS* [] Yes [] No CAS# 2o9. *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES {Complete ff required by local agency) ZI0. IRR HAZARDOUS MATERIAL [ 213. TYPE (Check one item only) [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE I"l Yes [] No 212. CURIES [ PHYSICAL STATE z15. 214. LARGEST CONTAINER 144 OZ (Check one ite~n only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216. (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217. MAXIMUM DALLY AMOUNT 218. ANNUAL WASTE AMOUNT ztg. STATE WASTE CODE zzo. 558.11 558.11 N/A 221. DAYS ON SITE 222. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e, PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN []j. BAG [] n. PLASTIC BOTTLE I-I r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d, CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1.5 226. Diethylene Glycol Monobutyl Ether 227. [] Yes [] No 228. 1 12-34-5 zzg. Z. 0.25 23o. Dialkyl (C8-10) Dimethyl Ammonium Chlorides 231. [] Yes [] No 232. 68424-95-3 233. 3.2.7 za4. Alkyl Dimethyl Benzyl Ammonium Chlorides 235. [] Yes [] No za$. 8001-54-5 23?. 4. 238. 239. [] Yes [] No 240. 241. 5. 242. 243. [] Yes [] No 244. 245. If more hazardous components are present at greater than 1% by weight if non-carcinogenic, or O. 1% by ,,~ight ff carcinogenic, attach additional sheets of paper capturing the required information, ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN~0~0 - 7/15 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one Da~e per material per buildin~ or area) [] ADD [] DELETE [] REVISE 2oo. I Page 41 of I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION 20t. CHEMICAL LOCATION CONFIDENTIAL 2o2. EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME zos. TRADE SECRET [] Yes [] No 206. Il' Subject to EPCRA. refer to instrections COMMON NAME 207. 208. LYSOL (AEROSOL) EHS* [] Yes [] No CAS# zos. *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210. LEVEL 1 AEROSOL, IRR, OHH 213. HAZARDOUS MATERIAL TYPE (Check one item only) [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES 215. PHYSICAL STATE 2t4. LARGEST CONTAINER 19 OZ (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 2i?. MAXIMUM DAILY AMOUNT 2iS. ANNUAL WASTE AMOUNT zt9. STATE WASTE CODE 220. 4604.53 4604.53 N/A Z2t. DAYS ON SITE 222. UNITS' [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS. amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1,4 zz6. Carbon Dioxide 227. [] Yes [] No zz8. 124-38-9 2~9. Z. 79 23o. Ethanol 231. [] Yes [] No 232. 64-17-5 3. 2a4. z3s. [] Yes [] No z~. 23?. 4. zas. 239. [] Yes [] No 240. 241. 5. 242. 243. [] Yes [] No 244. 245. If more hazardous components are present at greater than I% by weight if non-carcinagenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 245. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one ra~e ~er material ~er buildinR 0 .... ) [] ADD [] DELETE [] REVISE 2oo.] Page gu of /b I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION z01. CHEMICAL LOCATION CONFIDENTIAL 2o2. EPCRA Retail Sales Floor [] YES [] NO I I I 11"1 II. CHEMICAL INFORMATION CHEMICAL NAME 205. TRADE SECRET [] Yes [] No 206. If Subject lo EPCRA, l'~fer [o inslructions COMMON NAME 207. Zog. LOTION EHS* [] Yes [] No CAS# 205. *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete il' required by local agency) 210. IRR 213. HAZARDOUS MATERIAL [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES TYPE (Check one item only) 215. PHYSlCAL STATE 214. LARGEST CONTAINER 48 OZ (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216. (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DALLY AMOUNT 217. MAXIMUM DAILY AMOUNT 218. ANNUAL WASTE AMOUNT 2t9. sTATE WASTE CODE 220. 696.72 696.72 N/A 221. DAYS ON SITE ZZZ. UNITS' [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item onb/) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING r-] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 2~3. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 22s. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1.15.9 226. Mineral Oil 227. [] Yes [] No 228. 8012-95-1 229. 2.0.6 230. Lanolin Oil 231. [] Yes [] No 232. N/A 233. 3. 234. Glyceryl zap. [] Yes [] No zap. Mixture 23v. 4. z3a Propylene Glycol 239. [] Yes [] No 240. 57-55-6 24t. 5. 242. Water 24a. [] Yes [] No 244. 7732-18-5 245. If more hazardous components are present at greater than I% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the ~'~lnired information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one ~a~e ~er material per buildin~ or area) [] ADD [] DELETE [] REVISE zoo.] Page 39 of /o I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION 201. CHEMICAL LOCATION CONFIDENTIAL 2o2. EPCRA I Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME 2o5. TRADE SECRET [] Yes [] No If Subject to EPCRA. refer to instructions COMMON NAME 207. 208. LEMON SPRAY EHS* [] Yes [] No CAS# 2o~. *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES {Complete ff required by local agency) 210. LEVEL 1 AEROSOL, IRR HAZARDOUS MATERIAL I 213. TYPE (Check one item only) [] a. PURE [] b, MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES I ZlS. PHYSICAL STATE 214. LARGEST CONTAINER 17.70Z (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216. (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217. MAXIMUM DALLY AMOUNT 2t8. ANNUAL WASTE AMOUNT 2t0. STATE WASTE CODE 220. 722.82 722.82 N/A ZZt. DAYS ON SITE zzz. UNITS' [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one itezn only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] h. UNDERGR~OUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIbE BUlLDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1.7 226. Silicones ZZT. [] Yes [] No zzs. 63148-62-9 229. 2.5 230. Butane 231. [] Yes [] No 232. 106-97-8 233. 3. 5 234. 'Isobutane ns. [] Yes [] No 23~,. 75-28-5 4.5 z3a. Propane 239. [] Yes [] No 240. 74-98-6 24]. 5. 10 z4z. Isoparaffinic Hydrocarbon Solvent 243. [] Yes [] No 244. 68920-06-9 z4s. If more hazardous comlmnents are present at greater than 196 by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 24~. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12/15i99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one ra~e ~er material ~er buildin~ .... ) [] ADD [] DELETE [] REVISE 2oo.] Page 3~of/~0 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3. Costco Wholesale #688 - Bakersfield CHEMlCAL LOCATION 201. CHEMICAL LOCATION CONFIDENTIAL 202. EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME 20s. TRADE SECRET [] Yes [] No 206. If Subject 1o EPCRA. refer to instructions COMMON NAME 2o?. 208. LEMON CLEANER EHS* [] Yes [] No CAS# zoo. *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210. CL-II, IRR I 213. HAZARDOUS MATERIAL [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES TYPE (Check one item only) PHYSICAL STATE 215. (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS 214. LARGEST CONTAINER 144 OZ FED HAZARD CATEGORIES 216. (Check all 1hat apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 21L MAXIMUM DAILY AMOUNT 218, ANNUAL WASTE AMOUNT 219. STATE WASTE CODE 220. 321.75 321.75 N/A 221. DAYS ON SITE 222. UNITS' [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS {Check one item only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e, PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1.20 226. Pine Oil 227. [] Yes [] No 228. 8002-09-3 220. 2.7 2ao. Isopropyl Alcohol 231. [] Yes [] No 232. 67-63-0 233. 3.6 234. Alkyl Alcohol Ethoxylates 23s. [] Yes [] No 235. 66455-15-0 237. 4. 238. 239. [] Yes [] No 240. 241. 5. 242. 243. [] Yes [] No 244. 245. If more hazardous components are present at greater than !% by weight if non-carcinogenic, or 0.1% by weight ff carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one ~a~e ~er material [~r building .... a) [] ADD [] DELETE [] REVISE 2oo. ] Page .5/ of /O I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) a. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION z01. CHEMICAL LOCATION CONFIDENTIAL 2oz. EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME zo5. TRADE SECRET [] Yes [] No z0a. If Subject to EPCRA. refer to instructions COMMON NAME 207. Z08. LAUNDRY DETERGENT (SOLID) EHS* [] Yes [] No CAS# 209, *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES {Complete ffrequired by local agency) 210. IRR 213. HAZARDOUS MATERIAL [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 2tz. CURIES TYPE (Check one item only) 215. PHYSICAL STATE 214. LARGEST CONTAINER 300 O7~ (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216, (Check all that apply) [] a, FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT Zl?, MAXIMUM DAILY AMOUNT Zt8, ANNUAL WASTE AMOUNT Ztg. STATE WASTE CODE 220. 18018.54 38018.54 N/A 221. DAYS ON SITE 222. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] t, FIBER DRUM [] m. GLASS BOTTLE [] q, PAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d, CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1. 226. Sodium Carbonate zzT. [] Yes [] No z2s: 497-19-8 zzg. Z. 230. Subtilisin zat. [] Yes [] No zaz. 9014-01-1 233. 3. 234. Linear Alkyl Benzene Sulfonate zas. [] Yes [] No zas. 68081-81-2 2~7. 4. zas. zag, [] Yes [] No 240. 241. 5. 242. Z43. [] Yes [] No 244. 245. if more hazardous components are present at greater than i% by w~ight ff non-carcinogenic, or fl. 1% by weight ff carcinogenic, attach additional sh~ts of paper capturing the required Information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one ~a~e ~er material ~er buildin~ oc area) [] ADD [] DELETE [] REVISE zoo.] Page 30 of /0 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION 201. CHEMICAL LOCATION CONFIDENTIAL 2o2. EPCRA RetailSales Floor [] YES [] NO F(AAgCelncLylTuYselOD~ly~l[ Ii'i'll [ [!?i?l I [ ] I ] I '.[MAP# 203. GRID# 20,. II. CHEMICAL INFORMATION CHEMICAL NAME 2os. TRADE SECRET [] Yes [] No 2o6. If Subject to EPCRA, refer to instructions COMMON NAME 2o?. ' zog. LAUNDRY DETERGENT (LIQUID) EHS* [] Yes [] No CAS# *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210. EL-IIIB, IRR 213. HAZARDOUS MATERIAL [] a. PURE [] b, MIXTURE [] c, WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES TYPE (Check one item only) 215. PHYSICAL STATE 214. LARGEST CONTAINER 300 OZ (Check one item only) [] a, SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216. (Check all that apply) [] a. FIRE [] b. REACT1VE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 2t7. MAXIMUM DALLY AMOUNT 218, ANNUAL WASTE AMOUNT 219. STATE WASTE CODE 220. 4645.21 4645.21 N/A 221. DAYS ON SITE 222. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c, POUNDS [] d. TONS (Check one item only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a, ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q, RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 227. [] Yes [] No z2s. 229. 1. 226. Sodium Alkyl Benzene Sulfonate 68411-30-3 2. 23o. AlcoholEthoxylate zat. [] Yes [] No 2a2. 68131-39-5 23a. 3. z~. Sodium Silicate z~s. [] Yes [] No ~. 1344-08-5 4. 238. 239. [] Yes [] No 2~0. 5. z~z. z~3. [] Yes [] No 2~. If nmre hazardous components are present at greater than I% by weight if non-carcinogenic, or 0,1% by weight if cardnogenk, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one [~a~e ~er material ~er building o .... ) [] ADD [] DELETE [] REVISE 200. I Page 3~ of /o I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION z01. CHEMICAL LOCATION CONFIDENTIAL EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME 205. TRADE SECRET [] Yes [] No 206. I1' Subject to EPCRA. refer to instructions COMMON NAME 207. 208. INSECTICIDE/INSECT KILLER (BUG-B-GON) EHS' [] Yes [] No CAS# 2o9. *If EHS is "Yes,' all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210. IRR, OHH 213. HAZARDOUS MATERIAL TYPE (Check one item only) [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES 215. PHYSICAL STATE (Check one Rein only) [] a. SOLID [] b. LIQUID [] c. GAS 214. LARGEST CONTAINER 0.42 GAL FED HAZARD CATEGORIES 216. (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217. MAXIMUM DAILY AMOUNT 21g. ANNUAL WASTE AMOUNT 219. STATE WASTE CODE 22o. 77.94 97.94 N/A 221. DAYS ON SITE 222. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [~ n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1. -226. Diazinon zz?. [] Yes [] No z2s. 333-41-5 Z. 99.92 230. Inert Ingredients 231. [] Yes [] No 232. 233. 3. 2a4, 23S. [--~ YeS [] No 236, 237. 4. 238. z3o. [] Yes [] No 240. z4i. 5. 242. 243. [] Yes [] No 244. If more hazardous components ar~ present at greater than 1% by weight ff non-carcinogenic, or 0.196 by weight ff carcinogenic, attach additional sheets of paper capturing the r~uired information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION ) (one pare per material per building or area) [] ADD [] DELETE [] REVISE ZOO.] Page 34 of /o I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION 201. CHEMICAL LOCATION CONFIDENTIAL zoz. EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME zos. TRADE SECRET [] Yes [] No z06. If Subject 1o EPCRA. refer to instructions COMMON NAME Zo?. Z0S. INSECTICIDE (LIQUID) EHS* [] Yes [] No CAS# z0~. *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210. [RR, OHH 213. HAZARDOUS MATERIAL [] a. PURE [] b. MIXTURE [] c. WASTE Zlt. RADIOACTIVE [] Yes [] No 212. CURIES TYPE (Check one item only) 215. PHYSICAL STATE 214. LARGEST CONTAINER 6 L (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216. (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT zl?. MAXIMUM DAILY AMOUNT z18. ANNUAL WASTE AMOUNT 219. STATE WASTE CODE zzo. 347 347 N/A 221. DAYS ON SITE 222. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. S;FORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1.0.05 226. Bifenthrin 22?. [] Yes [] No 228. 82657-04-3 zzg. 2.99.95 23o. Other Ingredients zaL [] Yes [] No 232. zaa. 3. 234. z3s. [] Yes [] No z~6. 4. zas. za9. [] Yes [] No 240. zqi. 5. 242. 243. [] Yes [] No 244. 245. If more hazardous components are pre.~nt at greater than 1% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of pop~r capturing the r~quired information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidoc$.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one ~a~e ~er material ~r buildin~ or area) [] ADD [] DELETE [] REVISE zoo. I Page _33 of /o I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION 20t. CHEMICAL LOCATION CONFIDENTIAL 202. EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME zos. TRADE SECRET [] Yes [] No zo6. If Subject to EPCRA, refer to instructions COMMON NAME 207. 208. INSECTICIDE (AEROSOL) EHS* [] Yes [] No CAS# 20~. *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210. LEVEL 1 AEROSOL, IRR, OHH I 213. HAZARDOUS MATERIAL [-I a. PURE [] b. MIXTURE [] c. WASTE 2il. RADIOACTIVE [] Yes [] No 2t2. CURIES TYPE (Check one item only) PHYSICAL STATE 215. (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS 214. LARGEST CONTAINER 1 50Z FED HAZARD CATEGORIES 2t6. (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217. MAXIMUM DALLY AMOUNT 218. ANNUAL WASTE AMOUNT 2t0. STATE WASTE CODE 22O. 234.3 234.3 N/A 221. DAYS ON SITE 222. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS, amounl must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j/BAG I'-] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g, CARBOY [] k. BOX [] o. TOTE BIN [-I d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1.0.05 226. Pyrethrum zzT. [] Yes [] No zzs. 8003-34-7 229. 2.0.4 230. Permethrin 231. [] Yes [] No z3z. 52645-53-1 23a. 3.99 z~4, Inert Ingredients 23s. [] Yes [] No 236. z~?. 4. z3s. 239. [] Yes [] No 240. 241. 5. 242. 243. [] Yes [] No 244. 245. If more hazardous components are present at greater than 1% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the ~Xlnired information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 hltp://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one [~a~e ~er material ~er buildln~ or area) [] ADD [] DELETE [] REVISE 2oo. } Page 31 of /o I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3. :Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION 2or. CHEMICAL LOCATION CONFIDENTIAL 2o2. EPCRA Retail Sales Floor [] YES [] NO '' I'll[I I'IMAP# 2o3. I GRiD# 2o4. II. CHEMICAL INFORMATION CHEMICAL NAME zos. TRADE SECRET [] Yes [] No zo6. If Subject Io EPCRA. refer to instructions COMMON NAME 207. 20s. HTH GRANULAR EHS* [] Yes [] No CAS# zos. *If EHS is "Yes,' all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210. OXY~3, WR-I, CORR HAZARDOUS MATERIAL [ 2t3. TYPE (Check one item only) [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES I PHYSICAL STATE 215. 2t4. LARGEST CONTAINER 70 LB (Check one item only} [] a. SOLID f-I b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216. (Check all Ihat apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 2t?. MAXIMUM DALLY AMOUNT 218, ANNUAL WASTE AMOUNT 219. STATE WASTE CODE 220. 700 700 N/A 221. DAYS ON SITE 222. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS, amount must be in pounds. 180 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO ['-I I. CYLINDER [] p. TANK WAGON STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1.80 226. Calcium Hypochlorite 227. [] Yes [] No 228. 7778-54-3 Z. 20 23o. Sodium Chloride . Zal. [] Yes [] No 232. 7647-14-5 233. 3. 23¢. 23s. [] Yes [] No 2~. 237. 4. 23s. 23s. [] Yes [] No 24o. 241. 5. 242. 243. [] Yes [] No 244. 245. If more hazardous components are present at greater than 196 by weight ff non-carcinogenic, or 0.196 by weight If carcinogenic, attach additional sheets of paper capturing the m:lnircd information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12115199 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION [] ADD [] DELETE [] REVISE zoo.] Page 3z of /0 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION zol. CHEMICAL LOCATION CONFIDENTIAL zoz. EPCRA Retail Sales Floor [] YES [] NO FACILITY ID # L MAP # z03. GRID # z04. II. CHEMICAL INFORMATION CHEMICAL NAME zos. TRADE SECRET [] Yes [] No 206. If Subject to EPCRA, refer {to instructions COMMON NAME 2o7. 208. INK & TONER CARTRIDGES EHS* [] Yes [] No CAS# 2o9. *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by local agency) ZI0. CL-II, IRR HAZARDOUS MATERIAL 2~3. TYPE (Check one item only) [] a, PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No ZlZ. CURIES PHYSICAL STATE Z15. (Check one ilem only) [] a. SOLID [] b. LIQUID [] c. GAS 214. LARGEST CONTAINER 16 OZ (VARIES) FED HAZARD CATEGORIES 216. {Check all thai apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DALLY AMOUNT Zt?. MAXIMUM DALLY AMOUNT 218. ANNUAL WASTE AMOUNT Z~9. STATE WASTE CODE 220. 57 57 N/A ZZl. DAYS ON SITE zzz, UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [--[ i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BU1LDING [] g. CARBOY [] k. BOX [] o. TOTE BIN In Cartridges [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d, CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1.2 226. Carbon Black zz?. [] Yes [] No 22a. 1333-86-4 2.89 230. Hydrotreated Heavy Naphtha z31. [-I Yes [] No zaz. 64742-48-9 233. 3.6 za4. Wax zas. [] Yes [] No 235, 9002-88-4 4. 238. 239. [] Yes [] No 240. 241. 5. 242. Z43. [] Yes [] No z44. 245. If more hazardous componenls are present at greater than 196 by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, atlach additional sheels of paper rapturing the reqdired Information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-0Z0 - 7/15 http://www.unidocs.org Rev. 1Z115199 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one page per material per building or area) [] ADD [] DELETE [] REVISE z°°.I Page 3_.~0 of /0 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION 2Ol. CHEMICAL LOCATION CONFIDENTIAL zo2. EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME 2o5. TRADE SECRET [] Yes [] No 206. 1[ Subject to EPCRA. refer to instructions COMMON NAME 20?. 208. HERBICIDE - SOLID (PREEN) EHS* [] Yes [] No CAS# 2o~. *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210. IRR I 213. HAZARDOUS MATERIAL [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES TYPE (Check one item only) 215. PHYSICAL STATE 214. LARGEST CONTAINER 15 LB (Check one item only) [] a, SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216. (Check all thai apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT Zl?. MAXIMUM DALLY AMOUNT 2IS. ANNUAL WASTE AMOUNT Zl9. STATE WASTE CODE 22o. 709.5 709.5 N/A 221. DAYS ON SITE 222. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS. amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b, UNDERGROUND TANK [] f. CAN []j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1. 226. Trifluralin 227. [] Yes [] No zzg. 1582-09-8 2. 230. z31. [] Yes [] No z3z. 233. 3. 234. z3s. I-I Yes [] No 2~. 4. 238. 239. [] Yes [] No 240. Z4l. 5. 242. 243. [] Yes [] No 244. 245. If more hazardous components are present at greater than 196 by weight ff non-carcinogenic, or 0.196 by weight ff carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN -020 - 7/15 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one Fa~e ~er material ~er buildin~ ..... ) [] ADD [] DELETE [] REVISE 2oo.I Page 2~ of /0 I. FACILITY INFORMATION i BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3. Costco Wholesale #688 - Bakersfield ~ CHEMICAL LOCATION 201. CHEMICAL LOCATION CONFIDENTIAL 2o2. EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CllEMICAL NAME 2o5. TRADE SECRET [] Yes [] No 206. Helium If Subject to EPCRA, refer to tnstmctlofl$ COMMON NAME 207. 208. HELIUM TANKS FOR BALLOONS EHS* [] Yes [] No CAS# 208. 7440-59-7 *If Ells is "Yes,' all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (complete if required by local agency) 210. NF COMPRESSED GAS, OHH 213. HAZARDOUS MATERIAL [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES TYPE (Check one item only) 215. PHYSICAL STATE 214. LARGEST CONTAINER 14.9 CUFT (Check one item only) [] a, SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216. (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DALLY AMOUNT 2t?.' MAXIMUM DALLY AMOUNT 218. ANNUAL WASTE AMOUNT 219. STATE WASTE CODE 220. 786.72 786.72 N/A 221. DAYS ON SITE 222. UNITS* ' [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c, TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1. 226. 227. [] Yes [] No 228. 228. 2. 23o. 2al. [] Yes [] No 232. 233. 4. zag. 238. [] Yes [] No 240. 24i. 5. 242. 243. [] Yes [] No 244. 245. if niore hazardous components ar~ present at greater than 1% by weight if non-carclnagedic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required Information, ADDITIONAL LOCALLY COLLECTED INFORMATION 240. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION [] ADD [] DELETE .[] REVISE 2oo-I Page 2_~_~ of/O I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION 2ot. CHEM1CAL LOCATION CONFIDENTIAL zoz. EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME 2os. TRADE SECRET [] Yes'[] No If Subject lo EPCRA. refer to instructions COMMON NAME 207. zo8. HAND & BODY SOAP (LIQUID) EHS* [] Yes [] No CAS# *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES {Complete ff required by local agency) 210. IRR 213. HAZARDOUS MATERIAL [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES TYPE (Check one item only) 215. PHYSICAL STATE 214. LARGEST CONTAINER 144 OZ (Check one item only) [] a. SOLID [~ b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216. (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DALLY AMOUNT 217. I MAXIMUM DAILY AMOUNT 2tg. ANNUAL WASTE AMOUNT 2t9. STATE WASTE CODE 22O. 1976.92I 1976.92 N/A 22t. DAYS ON SITE 222. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d, TONS (Check one item only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX ['-I o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1.5 226. Ammonium Laureth Sulfate 22?. [] Yes [] No z2s. 67762-19-0 229. 2.95 23o. Water 23~. [] Yes [] No 232. 7732-18-5 233. 3. za4. za5. [] Yes [] No z:~. z~?. 4. zas. 239. [] Yes [] No 240. 241. 5. 242. 243. [] Yes [] No 244. 245. If more hazardous components are present at greater than 1% by weight if non-carcinogenic, or 0.1% by weight if carcluogedic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 hltp://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION , (one ~a~e ~er malerial ]~er buil~ln~ .... a) [] ADD [] DELETE [] REVISE :'0o. t Page 2/ of /0 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION 2at. CHEMICAL LOCATION CONFIDENTIAL 2o2. EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME 20s. TRADE SECRET [] Yes [] No 2o6. If Subject to EPCRA. refer to iostroctlons COMMON NAME 201. 208. HAIRSPRAY (AEROSOL) EHS* [] Yes [] No CAS# *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete ff required by local agency) 210. LEVEL 2 AEROSOL, IRR 213. HAZARDOUS MATERIAL [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 21:'. CURIES TYPE (Check one item only) 215. PHYS1CAL STATE 214. LARGEST CONTAINER 14 aZ (Check one item only) [] a, SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216. (Check all that apply) I~ a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DALLY AMOUNT 2t?. [ MAXIMUM DALLY AMOUNT 218~ ANNUAL WASTE AMOUNT 2t9. STATE WASTE CODE :'2O. 188.65I 188.65 N/A 221. DAYS ON SITE 222. UNITS" [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] h. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUlLDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # I. 226. Water 22?. [] Yes [] No 228. 7732-18-5 229. Z. 23o. Dimethyl Ether :'al. [] Yes [] No 232. 1 15-10-6 233. 3. 234. Sodium Benzoate 23s. [] Yes [] No n~. 532-32-1 4. 238. Cyclohexylamine 23~. [] Yes [] No 2~0. 108-91-8 ~l. 5. < 25 242. SD-Alcohol 40-B 243. [] Yes [] No 244. 245. If nmre hazardous components are present ai greatl,r than 1% by weight ff non-carcinagenic, or 0.1% by weight ff carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION [] ADD [] DELETE [] REVISE zoo.] Page I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) a. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION z01. CHEMICAL LOCATION CONFIDENTIAL 2o2. EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME zos. TRADE SECRET [] Yes [] No 206. If Subject to EPCRA. r~fer to instructions COMMON NAME 207. 208. GLASS CLEANER (LIQUID) EHS* [] Yes [] No CAS# 209. *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete ff reiluired by local agency} 210. CL-IIIB HAZARDOUS MATERIAL [ TYPE (Check one item only) [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No z12. CURIES I 215. PHYSICAL STATE 214. LARGEST CONTAINER 160 OZ {Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216. (Check all that apply} [] a. FIRE [] b. REACTIVE ' [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217. MAXIMUM DALLY AMOUNT 21S. ANNUAL WASTE AMOUNT. Z19. STATE WASTE CODE 220. 173.25 173.25 N/A 221. DAYS ON SITE ZZZ. UNITS' [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS {Check one item only) * If EHS, amounl must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER I'-I c, TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] 1. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d, CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1. 5 226. Isopropanol 227. [] Ye~ [] No zzs. 67-63-0 222. 2.95 zao. Water 2at. [] Yes [] No 2az. 7732-18-$ 3. za4. z3s. [] Yes [] No z:s~. 4. za8. 239. [] Yes [] No 240. 241. 5. z4z. z4a. [] Yes [] No 244. 245. If more hazardous components are present at greater than I% by weight ff non-carcinogenic, or 0.1% b)' weight ff carcinogenic, attach addilional sheets of paper capturing the requital information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12115199 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one [}a~e ~er material [}er building ..... ) [] ADD [] DELETE [] REVISE 2oo. I Page Z:~ of /0 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION zol. CHEMICAL LOCATION CONFIDENTIAL 2o2. EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME 2os. TRADE SECRET [] Yes [] No If Subject Io EPCRA, refer to hlslnlctioo-~ COMMON NAME 207. zos. GLASS CLEANER (AEROSOL) EHS* [] Yes [] No CAS# zoo. *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210. LEVEL 1 AEROSOL, OHH, IRR 213. HAZARDOUS MATERIAL [] a. PURE (RI b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 21z. CURIES TYPE {Check one item only) 215. PHYSICAL STATE 214. LARGEST CONTAINER 19 OZ (Check one ilem only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 21 §. (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DALLY AMOUNT 217, MAXIMUM DAILY AMOUNT 218. ANNUAL WASTE AMOUNT z19. STATE WASTE CODE 220. 1092.03 1092.03 N/A 221. DAYS ON SITE 222. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS,1365 {Check one item only) * If EHS, amount must be in pounds. STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN []j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO ~ [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # I. 5 22~. EthylAlcohol zz?. [] Yes [] No z2g. 64-17-5 Z. 5 230. 2-Butoxyethanol zaL [] Yes [] No z3z. 1 1 1-76-2 2aa. 3. za4. Propane zas. [] Yes [] No za$, 74-98-6 237. 4. zas. n-Butane 230. [] Yes [] No 240. 106-97-8 z41. 5. 242. 243. [] Yes [] No 244. 245. If more hazardous components are present at greater than 196 by weight ff non-carcinogenic, or 0.1% by weight ff carcinogenic, atlaeh additional sheets of paper capturing the reqdi~nl information. ADDITIONAL LOCALLY COLLECTED INFORMATION z46. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one {,~,~e ~,,' ma,e,a, ~,r ~,,,'~,-~ [] ADD [] DELETE [] REVISE z0o. J Page 24 of /O I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION zot. CHEMICAL LOCATION CONFIDENTIAL z0z. EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME zos. TRADE SECRET [] Yes [] No .z06. If Subject to EPCRA, refer to instructions COMMON NAME 207. 208. FLOOR FINISH EHS* [] Yes [] No CAS# zos. *If EHS is "Yes," all amounts below must be in lbs. FiRE CODE HAZARD CLASSES (Complete if required by local agency) ZI0. CL-IIIB, IRR HAZARDOUS MATERIAL ] z13. TYPE (Check one item only) [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES I PHYSICAL STATE 215. (Check one itesn only) [] a. SOLID [] b. LIQUID [] c. GAS 214. LARGEST CONTAINER 160 OZ FED HAZARD CATEGORIES 2:16. (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT Zl?. MAXIMUM DALLY AMOUNT zig. ANNUAL WASTE AMOUNT zig. STATE WASTE CODE 101.75 101.75 N/A zzI. DAYS ON SITE 222. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS, amount must be in pounds. '365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN []j. BAG , [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k, BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT ZZ4. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1. 226. Glycol Ether 227. [] Yes [] No 22s. 111-77-3 2. 230. 2at. [] Yes [] No zaz. 233. 3. 234. z3s. [] Yes [] No z~. 2~?. 4. za8. 239. [] Yes [] No 240. 241. 5. 242. 243. [] Yes [] No z44. 245. If more hazardous components are pre~nt al greater than I% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional aheet$ of paper capturing the required information, ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one pa~e per material ~er buildin~ ..... [] ADD [] DELETE [] REVISE 200. I Page 40 of /0 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As} Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION z0i. CHEMICAL LOCATION CONFIDENTIAL zoz. EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME 205. TRADE SECRET [] Yes [] No z06. if Subject io EPCRA, refer to instructions COMMON NAME 207. 208. OXI-CLEAN EHS* [] Yes [] No CAS# 209. *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES {Complete if required by local agency) 210. IRR HAZARDOUS MATERIAL I 2t3, TYPE (Check one ilem only) [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES I 215. PHYSICAL STATE 214. LARGEST CONTAINER 12 LB (Check one ite~n only) [] a. SOLID I--I b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216. (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DALLY AMOUNT Zl?. MAXIMUM DALLY AMOUNT Z18. ANNUAL WASTE AMOUNT 219. STATE WASTE CODE ~20. 3748.80 3748.80 N/A 2Zl. DAYS ON SITE 2zz. UNITS' [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BU1LDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO I-I 1. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE · [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOV~E AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS'# 1. 226. Sodium Percarbonate zzT. [] Yes [] No 229. 15630-89-4 zz~. 2. 230. Sodium Carbonate (Soda Ash) 23~. [] Yes [] No zaz. 497-19-8 zaa. 3. 234, zas. [] Yes [] No 23~. 4. zas. zas. [] Yes [] No 240. z4t. 5. 242. z4a. [] Yes [] No 244. z4s. If more hazardous components are preaent at greater than I% by weight ff non-carcinogenic, or O. 1% by weight if carcinogenic, attach additional sheets of paper capturing the required Information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12115199 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION [] ADD [] DELETE [] REVISE zoo. ] Page 4/ of /o " I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION 201. CHEMICAL LOCATION CONFIDENTIAL z02. EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME zos. TRADE SECRET [] Yes [] No Il' Subject lo EPCRA. refer to instructions COMMON NAME 207. zog. DACE Y' CHLORINE TABS EHS* [] Yes [] No CAS# *If EHS is "Yes," all amounts below mus! be in lbs. , FIRE CODE HAZARD CLASSES (Complete ff required by local agency) 210. OXY-l, COP.R, WR-I, UNSR-1 213. HAZARDOUS MATERIAL [] a. PURE [~ b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES TYPE (Check one item only) 215. PHYSICAL STATE 214. LARGEST CONTAINER 40 LB (Check one item only) [] a. SOL1D [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216. (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT - 217, MAXIMUM DALLY AMOUNT 218. ANNUAL WASTE AMOUNT 219. STATE WASTE CODE 22O. 1240 1240 N/A 221. DAYS ON SITE UNITS' [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS, amount must be in pounds. 1 80 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. dAN [] j. BAG [] n. PLASTIC BOTTLE [] L OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1.100 zz6. Trichloro-s-triazinetrione zzT. [] Yes [] No 228. 87-90-1 zzs. 2. 230. 231. [] Yes [] No zaz. 233. 3. 234. zz5. [] Yes [] No za6. Z~'t. 4. z3g. 239. [] Yes [] No 240. 241. 5. :~42. z43. [] Yes [] No 244. 245. if more hazardous components are preaant at greater than I% by weight ff non-carcinogenic, or 0.1% by weight ff carcinogenic, attach additional sheets of paper capturing the ~nrluired information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one [~a~e ~er material ~er buildln~ ..... ) [] ADD [] DELETE [] REVISE 2oo.t Page 4~ of /o I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION zot. CHEMICAL LOCATION CONFIDENTIAL EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME 2os. TRADE SECRET [] Yes [] No z06. If Subject 1o EPCRA. refer to instructions COMMON NAME 207. 208. PROPANE EHS* [] Yes [] No CAS# .._ 209. *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete ff required by local agency) 210. FLAMMABLE GAS, IRR HAZARDOUS MATERIAL I 213. TYPE (Check one item only) [] a. PURE [] b. MIXTURE [] c. WASTE Zll. RADIOACTIVE [] Yes [] No ZlZ. CURIES I 215. PHYSICAL STATE 214. LARGEST CONTAINER 14.10Z (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 218. (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217. MAXIMUM DAILY AMOUNT 2tS. ANNUAL WASTE AMOUNT ztg. STATE WASTE CODE 22o. 244.28 244.28 N/A 22I. DAYS ON SITE 222. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS, amount must be in pounds. 1 80 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. ' CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g, CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. S'~ORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1.9.4 226. Propane in air 22~. [] Yes [] No 228. 74-98-6 zzg. 2. 230. 2al. [] Yes [] No zaz. 233. 3. 2a4. 2as. [] Yes [] No 236. 4. zas. zas. [] Yes [] No 240. 241. 5. 242. 243. [] Yes [] No 244. 245. Ir more hazardous components are present at greater Ihan 1% by weight if non-¢ar¢inageni¢, or O. i% b)' welsht if car¢lnosenic, attach additional sheets of paper capturing the ~nluired information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY- CHEMICAL DESCRIPTION (one page per ma{efta] per building or area) [] ADD [] DELETE [] REVISE zoo. I Page 49 of /o I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION 201. CHEMICAL LOCATION CONFIDENTIAL 2o2. EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME zos. TRADE SECRET [] Yes [] No 2o6. If Subject to EPCRA. refer to instructions COMMON NAME 207. 208. ROUNDUP LIQUID HERBICIDE EHS* [] Yes [] No CAS# 209. *If EHS is "Yes,' all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210. IRR I 213. HAZARDOUS MATERIAL TYPE (Check one item only) [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES 215. PHYSlCAL STATE ICheck one item only) [] a. SOLID [] b. LIQUID [] c. GAS 214. LARGEST CONTAINER 53.70Z FED HAZARD CATEGORIES 216. (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DALLY AMOUNT 217. MAXIMUM DALLY AMOUNT 218. ANNUAL WASTE AMOUNT 219. sTATE WASTE CODE 22o. 287.4 287.4 N/A 221. DAYS ON SITE 222. UNITS* [] a. GALLONS [-] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] t. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1.0.96 226. Glyphosphate, isopropylamine salt 227. [] Yes [] No zzs. 38641-94-0 229. 2. 23o. 231. [] Yes [] No zaz. 233. 3. Z~. z35. [] Yes [] No Z~. Z~?. 4. zas. 239. [] Yes [] No 240. 241. 5. 242. 243. [] Yes [] No 244. 245. If more hazardous components are present at greater than 1% by weight if non-eardnogenic, or 0. !% by weight if carcinogenic, attach additional sheets of paper capturing the ~Xlnired Information. ADDITIONAL LOCALLY COLLECTED INFORMATION 24s. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one ~a~e ~er material [mr buildin~ .... ) [] ADD [] DELETE [] REVISE zoo. ] Page :~O of /O I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION 2ol. CHEMlCAL LOCATION CONFIDENTIAL zo2. EPCRA Retail Sales Floor [] YES [] NO I t I [ II l'[MAP# Z03. GRID# 204. II. CHEMICAL INFORMATION CHEMICAL NAME 2o5. TRADE SECRET [] Yes [] No z06. If Subject to EPCRA. refer to tnslrucflons COMMON NAME 2o?. z0s. SHAMPOO EHS* [] Yes [] No CAS# 2o~. *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210. IRR HAZARDOUS MATERIAL I 213. TYPE (Check one item only) [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES I PHYSICAL STATE 215. (Check one item only} [] a. SOLID I~ b. LIQUID [] c. GAS 214. LARGEST CONTAINER 40 OZ FED HAZARD CATEGORIES 216. (Check all that apply} [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DALLY AMOUNT 217. MAXIMUM DAILY AMOUNT zxs. ANNUAL WASTE AMOUNT ztg. STATE WASTE CODE 22o. 1261.06 1261.06 N/A 221. DAYS ON SITE 222. UNITS' [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only} * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. CLASS BOTTLE [] q. RAIL {2AR [] h. UNDERGROUND TANK [] f. CAN [] j. BAG ~] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [-I I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1. 226. Sodium Laureth Sulfate 227. [] Yes [] No zzs. zzg. Z. 230. Citric Acid z31. [] Yes [] No z3z. 233. 3. 234. Propylene Glycol zas. [] Yes [] No 4. z3s. Laureth 23 239. [] Yes [] No 2~0. 241. 5. 242. Water 243. [] Yes [] No 244. 7732-18-5 24s. If more hazardous components are present at greater than 1% by weight if non-carcinogenic, or 0.1% by weight ff carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one Da~e ~er material ~er building ...... ) [] ADD [] DELETE [] REVISE 200. ] Page ~1 of /o I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION zot. CHEMICAL LOCATION CONFIDENTIAL zoz. EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME z05. TRADE SECRET [] Yes [] No z06. If Subject to EPCRA. refer to instructions COMMON NAME 207. zoo. SHAVE GEL EHS* [] Yes [] No CAS# zoo. *If EHS is "Yes,' all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210. LEVEL 1 AEROSOL, IRR 213. HAZARDOUS MATERIAL [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES TYPE (Check one item only) 215. PHYSICAL STATE 214. LARGEST CONTAINER 9.50Z (Check one itesn only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES z16. (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 2t?. ] MAXIMUM DALLY AMOUNT Zig. ANNUAL WASTE AMOUNT zl9. STATE WASTE CODE ZZ0. 1 87.65] 1 87.65 N/A 221. DAYS ON SITE 222. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN []j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g, CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO ["1 I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1. 85 226. Water zz?. [] Yes [] No zzs. 7732-18-5 zzg. 2.13 zao. Palmitic Acid 231. [] Yes [] No zaz. 57-10-3 233. 3.10 234. Oleth-20 235. I-lYes [] No 4.5 238. Isopentane 239. [] Yes [] No 240. 78-78-4 z4t. 5. 7 242. Isobutane 243. [] Yes [] No 244. 75-28-5 z4s. If more hazardous components are present at greater than I% by weight if non-carcinogenic, or O. 1% by weight ff carcinogenic, attach additional sheets of paper capturing the reqnired information. ADDITIONAL LOCALLY COLLECTED INFORMATION DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one Fa~e [~r material ~r buildin~ or area) [] ADD [] DELETE [] REVISE 200. ] Page _3z of /O I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION 2ol. CHEMICAL LOCATION CONFIDENTIAL zoz. EPCRA Retail Sales Floor [] YES [] NO FACILITY ID # ~. MAP # z03. GRID # 204. II. CHEMICAL INFORMATION CHEMICAL NAME 2os. TRADE SECRET [] Yes [] No z06. If Subject to EPCRA. refer to instrections COMMON NAME 207. 20s. SPOT REMOVER EHS* [] Yes [] No CAS// 209. *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by local agency) Zl0. IRR, OHH 213. I~AZARDOUS MATERIAL [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES TYPE (Check one item only) PHYSICAL STATE 215. 214. LARGEST CONTAINER 32 OZ {Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 21~.. (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DALLY AMOUNT zt?. MAXIMUM DALLY AMOUNT 218. ANNUAL WASTE AMOUNT 2~9. STATE WASTE CODE 220. 169.13 169.13 N/A 2ZI. DAYS ON SITE 222. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d, CRYOGENIC 225, % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1.5 226. Ethylene Glycol Butyl Ether zz?. [] Yes [] No zzs. 1 1 1-76-2 zzg. 2.5 za0. Dipropylene Glycol Methyl Ether 23t. [] Yes [] No zaz. 34590-94-8 zaa. 3. 234. 2~s. [] Yes [] No z~. z~;. 4. z.~s. 239. [] Yes [] No 240. 241. 5. 242. Z4a. [] Yes [] No 244. 245. If more hazardous components alz present at greater than 1% by weight if non-carcinogenic, or 0,1% by weight if carcinogenk, attach additional sheets of paper capturing the o~qulred information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http:llwww.unidocs.org Rev. 12115/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one p~e [~r ma,e,~ l~r ~ldin~ [] ADD [] DELETE [] REVISE zoo. ] Page 33 of I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) a. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION 2ot. CHEMICAL LOCATION CONFIDENTIAL 202. EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME zos. TRADE SECRET [] Yes [] No 206. If Subject to EPCRA. refer to instructions COMMON NAME 207. 208. ;TAIN REMOVER EHS* [] Yes [] No CAS# 209. *If EHS is "Yes,' all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by local agency} 210. LEVEL 2 AEROSOL, IRR ' HAZARDOUS MATERIAL 213. TYPE (Check one item only) [] a. PURE [] b. MIXTURE [] c. WASTE Zll. RADIOACTIVE I-] Yes [] No 212. CURIES PHYSICAL STATE Zi5. Z14. LARGEST CONTAINER 166 OZ {Check one item only) [] a, SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216. (Check all that apply} [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DALLY AMOUNT 2t?. MAXIMUM DALLY AMOUNT 218. ANNUAL WASTE AMOUNT 219. STATE WASTE CODE 220. 1 82.60 1 82.60 N/A 221. DAYS ON SITE ZZZ. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUlLDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a, AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1. 226. Mineral Oil 227. [] Yes [] No zz8. 8042-47-5 22~. 2. 230. Propane Zal. [] Yes [] No 232. 74-98-6 zaa. 3. zap. Isobutane z3s. []Yes [] No z:~. 75-28-5 4. 23~. Petrolatum zag. [] Yes [] No 240. 8009-03-8 2~1. 5. 242. z43. [] Yes [] No 244. 245. If more hazardous components are pre~ent at greater Ihan 196 by weight if non-carcinogenic, or 0.196 by weight if ca~tnogedic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 hltp://www.unidocs.org Rev. 12115/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (ooe [~a~e ~r ma{erial ~er buildin~ or area) [] ADD [] DELETE [] REVISE zoo.] Page 3_~_4 of/_.9_0 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION 201. CHEMICAL LOCATION CONFIDENTIAL 202. EPCRA Retail Sales Floor [] YES [] NO I I r ll"l II. CHEMICAL INFORMATION CHEMICAL NAME 2o5. TRADE SECRET [] Yes [] No If Subject to EPCRA. refer to instructions COMMON NAME 207: zos. SUNSCREEN EHS* [] Yes [] No CAS# 20e. *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210. [PR 213. HAZARDOUS MATERIAL [] a. PURE [] b. M1XTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES TYPE (Check one item only) PHYSICAL STATE 216. (Check one item only) [] a. SOLID [] h. LIQUID [] c. GAS 214. LARGEST CONTAINER 12 OZ FED HAZARD CATEGORIES 216. (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH 'AVERAGE DAILY AMOUNT 217. MAXIMUM DAILY AMOUNT 2t8. ANNUAL WASTE AMOUNT 219. STATE WASTE CODE 220. 267.$6 267.$6 N/A 221. DAYS ON SITE 222. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] al. TONS {Check one item only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] cl. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1. 226. No Reportable OSHA Hazardous Ingredients 22?: [] Yes [] No 228. zze. 2. 230. 231. [] Yes [] No 232. 233. 3. 234. z3s. [] Yes [] No zap, 4. zag. 239. [] Yes [] No 24o. 241. 5. 242. 243. [] Yes [] No 244. z4s. If more hazardous components are present at greater than 1% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sht~t$ of paler capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 24~. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one [~a~e ~er material ~er buildin~ .... ) [] ADD [] DELETE [] REVISE 200. ] Page I. FACILITY INFORMATION BUSINESS NAME (s~me as FACILITY NAME or DBA - Doing Business As) 3. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION z01. CHEMICAL LOCATION CONFIDENTIAL 2o2. EPCRA Retail Sales Floor [] YES [] NO F(/AgCelncLylTu~lonDly~l I.ii'i.:[ [ I }iii:!ii!l [ I [ [ ][ 1. I MAP# z03. GRID# 204. II. CHEMICAL INFORMATION CHEMICAL NAME zos. TRADE SECRET [] Yes [] No 2o6. If Subject to EPCRA. refer to instructions COMMON NAME 207, 2o8. FIRE CLEANER EHS* [] Yes [] No CAS# zoo. *If EHS is "Yes," all amounts below mus! be in lbs. FIRE CODE HAZARD CLASSES (complete if required by local agency) 210. IRR I 213. HAZARDOUS MATERIAL [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES TYPE (Check one item only) 215. PHYSICAL STATE 214. LARGEST CONTAINER 28 OZ (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216. (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DALLY AMOUNT 217. MAXIMUM DALLY AMOUNT 218. ANNUAL WASTE AMOUNT 219. STATE WASTE CODE 220. 150.56 150.56 N/A 221. DAYS ON SITE 222. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1.100 226. Water 227. [] Yes [] No zzs. 7732-18-5 zzg. 2.50 23o. Silicone Emulsion 231. [] Yes [] No z3z. N/A 233. 3. 10 234. Sorbitol zap. [] Yes [] No 23~. 50-70-4 4.5 238. Armor All Concentrate 239. [] Yes [] No 240. N/A 24~. 5. 242. 243. [] Yes [] No 244. 245. If more hazardous comlmnents ar~ pre.ne at greater 1hah I% by weighl ff non-carcinogenie, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 24~. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12115/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one page per material per building or area) [] ADD [] DELETE [] REVISE 200.] Page :~o of /o I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) : 3. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION 2or. CHEMICAL LOCATION CONFIDENTIAL z02. Retail EPCRA ~ Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME zos. TRADE SECRET [] Yes [] No zo6. If Subject to EPCRA. refer to inslructlons COMMON NAME 207. zos. TOILET BOWL TABS EHS* [] Yes [] No CAS# 209. *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210. IRR I 213. HAZARDOUS MATERIAL TYPE (Check one item only) [] a. PURE [] b. MIXTURE [-]'c. WASTE 2H. RADIOACTIVE I'"l Yes [] No 212. CURIES 215. PHYSICAL STATE (Check one itesn only) [] a. SOLID [] b. LIQUID [] c. GAS 214. LARGEST CONTAINER 3.50Z FED HAZARD CATEGORIES 21 (Check all lhat apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 2i?. MAXIMUM DAILY AMOUNT 218. ANNUAL WASTE AMOUNT 219. STATE WASTE CODE 220. 697.81 697.81 N/A 2zt. DAYS ON SITE 2zz. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS {Check one item only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BU1LDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON z23. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [-I d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1.7 226. Sodium Tetraborate Pentahydrate zz?. [] Yes [] No zzs. 1330-43-4 2.10 23o. Hydroxyethyl Cellulose 23~. [] Yes [] No 232. 9004-62-0 233. 3.13 za4. Acid Blue #9 z3s. [] Yes [] No z~. 3844-45-9 4.30 z3s. Sodium Sulfate z3s. [] Yes [] No 240. 7757-82-6 5.45 242. Sodium Dodecyl' Benzene Sulfonate 243. [] Yes [] No 244. 25 1 55-30-0 If more hazardous components are present at greater than I% by weight ff non-carcinogenic, or 0.1% by weight ff carcinogenic, attach additional sheets of paper rapturing the required informatian. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one ~a~e ~er material ret building ..... ) [] ADD [] DELETE [] REVISE 200. I Page 3/ of /O I. FACILITY INFORMATION 'BUSINESS NAME (Same as FACILITY NAME or DBA ' Doing Business As) 3. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION 201. CHEMICAL LOCATION CONFIDENTIAL 2o2. EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME 205. TRADE SECRET [] Yes [] No 206. If Subject to EPCRA. refer to instructions COMMON NAME 207. zos. TOILET CLEANER EHS* [] Yes [] No CAS# 2os. 'If EHS is "Yes," all amonnts below musl be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210. CORR 213. HAZARDOUS MATERIAL [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES TYPE (Check one item only) 215. PHYSICAL STATE 214. LARGEST CONTAINER 32 OZ (Check one ilem only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 215. (Check all lhat apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DALLY AMOUNT 217. MAXIMUM DAILY AMOUNT 218. ANNUAL WASTE AMOUNT 219. STATE WASTE CODE 220. 543.40 543.40 N/A zzt. DAYS ON SITE 222. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one itetn only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1.9.5 zzs. Hydrochloric Acid 227. [] Yes [] No 228. 7647-01-0 22s. Z. 230. z3t. [] Yes [] No 232. 233. 3. z~4. z3s. [] Yes [] No z~. z37. 4. zss. 239. [] Yes [] No 240. 241. 5. 242. . 243. [] Yes [] No 244. 245. If more hazardous components are pre~ent at greater than I% by weight if non-carcinogenic, or 0.1% by weight if cacelnogenic, attach additional sheets of paper capturing the required Information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7115 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION [] ADD [] DELETE [] REVISE 200.I Page 2~5 of /._.~_0 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION 201, CHEMICAL LOCATION CONFIDENTIAL zo2. EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME z0a. TRADE SECRET [] Yes [] No z06. If Subject to EPCRA. refer lo instructions COMMON NAME 207. 208. FUB & TILE CLEANER EHS* [] Yes [] No CAS# z09. *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210, CORR 213. HAZARDOUS MATERIAL [] a, PURE [:R]b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES TYPE (Check one item only) PHYSICAL STATE Zl$. 2t4. LARGEST CONTAINER 32 OZ (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216, (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e, CHRONIC HEALTH AVERAGE DALLY AMOUNT 217, MAXIMUM DAILY AMOUNT 218, ANNUAL WASTE AMOUNT ztg. STATE WASTE CODE 220. 206.25 206.25 N/A zzt, DAYS ON SITE zzz, UNITS* [] a, GALLONS [] b. CUBIC FEET [] c. POUNI~S [] d. TONS (Check one item only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q, RAIL CAR [] b. UNDERGROUND TANK [-['f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a, AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224, STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1.28 226. Phosphoric Acid 227. [] Yes [] No 228. 7664-38-2 2.' '230. zal. [] Yes [] No zaz, zaa. 3. 234. 23~. [] Yes [] No 23~, Z~?. 4. zas. zas. [] Yes [] No 240. z4L 5. 242. 243. · [] Yes [] No 244. 245. If more hazardous components art present at greater than I% by weight if non-carcinogenic, or 0. I% by weight if carcinogenic, atlach additional $heel$ of paper capturing the required information, ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION ioee [] ADD ["'] DELETE [] REVISE 2oo. ] Page ~9 of /o I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION ZOl. CHEMICAL LOCATION CONFIDENTIAL zoz. EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME z0s. TRADE SECRET [] Yes [] No z0G. If Subject to EPCRA, refer to instructions COMMON NAME 2o?. z0g. EHS* [] Yes [] No WAX STRIPPER CAS# zos. *If EHS is "Yes." all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210. CORR I 213. HAZARDOUS MATERIAL TYPE (Check one item only) [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES 215. PHYSICAL STATE (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS 214. LARGEST CONTAINER 128 OZ FED HAZARD CATEGORIES 216. (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT ZtT. MAXIMUM DALLY AMOUNT Zig. ANNUAL WASTE AMOUNT 219. STATE WASTE CODE 220. 55 55 N/A 22t. DAYS ON SITE 222. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g, CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT zz4. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1. 226. Glycol Ether 22?. [] Yes [] No 228. 1 1 1-76-2 22s. Z. zao. Potassium Hydroxide 231. [] Yes [] No z3z. 1310-58-3 233. 3. z~4. z~s. [] Yes [] No z~. 4. ZSg. Z39. [] Yes [] No z~o. z4i. 5. 242. 243. [] Yes [] No 244. 215. If nmre hazardous components are present at greater than I% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, atlach additional sheets of paper capturing the required Informatlan. ADDITIONAL LOCALLY COLLECTED INFORMATION 24~. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one ~a~e ~er material ~er buildin~ .... a) [] ADD [] DELETE [] REVISE zoo.I Page oo of I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) Costco Wholesale #688 - Bakersfield CHEMICAL LOCAT1ON z0i. CHEMICAL LOCATION CONFIDENTIAL EPCRA Retail Sales Floor [] YES [] NO ~'~C::TZ':'~ I [ ~'~.1 [i?~l [ I I [ I"[MAP# 203. [GRID# 204. II. CHEMICAL INFORMATION CHEMICAL NAME 2o5. TRADE SECRET [] Yes [] No 206. Il' Subject to EPCRA. refer to instructions COMMON NAME 207. 208. WD-40 AEROSOL EHS* [] Yes [] No CAS# zo9. *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210. LEVEL 3 AEROSOL, IRR, OHH HAZARDOUS MATERIAL I 213. TYPE (Check one item only) [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES I PHYSICAL STATE 215. (Check one item only) [] a. SOL1D [~ b. LIQUID [] c. GAS 214. LARGEST CONTAINER 14.50Z FED HAZARD CATEGORIES 216. (Check all Ihat apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT Zt?. MAXIMUM DAILY AMOUNT 2t8. ANNUAL WASTE AMOUNT 219. STATE WASTE CODE 220. 657.94 657.94 N/A 221. DAYS ON SITE 222. UNITS' [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS, amounl must be in pounds. 3 65 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN []j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT ZZ4. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1.70 226. Aliphatic Petroleum Distillates zz?. [] Yes [] No zzs. 8052-41-3 Z.25 23o. Petroleum Base Oil 23~. [] Yes [] No z3z. 64742-65-0 z3a. 3.3 234. Carbon Dioxide 23s. [] Yes [] No z3~. 124-38-9 4. 238. 239. [] Yes [] No 240. 5. 242. Z43. [] Yes [] No 244. 245. If more hazardous components are present at greater than 1% by weight ff non-earcinagenic, or 0. i% by weight ff carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign'Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one [~a~e ~er material ~er buildin~ ..... ) [] ADD [--[ DELETE [] REVISE 2oo-I Page Ol of /o I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION eot. CHEMlCAL LOCATION CONFIDENTIAL EPCRA Retail Sales Floor [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME 2os. TRADE SECRET [] Yes [] No 206. If Subject to EPCRA. refer to insm~ctions COMMON NAME 207. z0s. WOOLITE LAUNDRY DETERGENT EHS* [] Yes [] No CAS# . 2o,3. *If EHS is "Yes,' all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete ff required by local agency} 210. CL-IIIB I 213. HAZARDOUS MATERIAL TYPE (Check one item only) [] a. PURE [] b. MIXTURE [] c. WASTE 2tl. RADIOACTIVE [-I Yes [] No 212. CURIES 215. PHYSICAL STATE (Check one iteln only) [] a. SOLID [] b. LIQUID [] c. GAS 214. LARGEST CONTAINER 96 OZ FED HAZARD CATEGORIES 216. (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DALLY AMOUNT 2t?. 1MAXIMUM DALLY AMOUNT 218, ANNUAL WASTE AMOUNT 2t9. STATE WASTE CODE 220. 115.5 15.5 N/A ZZl. DAYS ON SITE 222, UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1.10 226. Sodium Lauryl Ether Sulfate 227. [] Yes [] No z2s. 9004-82-4 zzg. 2.10 230. Sodium Dodecylbenzene z31. [] Yes [] No z3z. 25155-30-0 233. 3. 234. z3s. [] Yes [] No 23~. 4. zas. zas. [] Yes [] No 240. z41. 5. 242. 243. [] Yes [] No 244. z4s. If more hazardous components are present at 8reatee than 196 by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the requi~'d information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12115/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one ~a~e ~er material ~er buildin~ or area) [] ADD [] DELETE [] REVISE zoo. ] Page oJ of /o I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION 201. CHEMICAL LOCATION CONFIDENTIAL 2o2. EPCRA Retail Sales Floor (In Refrigeration System) [] YES [] NO F( AgCelncLylTuYseloD lgy) lI I:?l I I II.I [ ] GRID# 204. II. CHEMICAL INFORMATION CHEMICAL NAME 2os. TRADE SECRET [] Yes [] No 2o6. Chlorodifluoromethane ir Subject to EPCRA. refer to inslroctions COMMON NAME 207. 208. Refrigerant (R-22) EHS* [] Yes [] No CAS# 2os. 75-45-6 *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES {Complete if required by local agency) 210. NF COMPRESSED GAS, OHH, IRR 213. HAZARDOUS MATERIAL [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES TYPE (Check one item only) 215. PHYSICAL STATE 214. LARGEST CONTAINER 850 (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 2t6. (Check all Ihal apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DALLY AMOUNT 217, MAXIMUM DAILY AMOUNT 218. ANNUAL WASTE AMOUNT 2IS. STATE WASTE CODE 22O. 3400 3400 N/A 221. DAYS ON SITE 222. UNITS' l'"] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS. amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN []j. BAG [-I n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN In Refrigeration Systen [] d. STEEL DRUM [] h. SILO [] 1. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b, ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC z2s. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1. 226. 227. [] Yes [] No zzg. zzs. 2. 2ao. 231. [] Yes [] No z3z. 233. 3. za4, 2as. [] Yes [] No 4. zaa. zas. [] Yes [] No 24o. z41. 5. 242. 243. [] Yes [] No 244. 245. If more hazardous components are present at greater than 196 by weight ff non-zarcinogenic, or 0. !% by weight ff careinogenic, attach additional sheets of paper capturing the r~lulred Information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one ~a~e ~er material ~er buildin~ ..... ) [] ADD [] DELETE [] REVISE zoo. I Page 02 of /O I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION 2oi. CHEMICAL LOCATION CONFIDENTIAL zoz. EPCRA Receiving Area [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME 20s. TRADE SECRET [] Yes [] No 206. If Subject to EPCRA. refer to inslruedons COMMON NAME z07. zos. FORKLIFT/PALLET JACK BATTERIES EHS* [] Yes [] No CAS# 209. *If EHS is "Yes,' all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210. WR2, CORR 213. HAZARDOUS MATERIAL [] a. PURE [] b. MIXTURE [] c. WASTE all. RADIOACTIVE [] Yes [] No 212. CURIES TYPE (Check one item only) 215. PHYSICAL STATE 214. LARGEST CONTAINER 143 LB Acid per Battery (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216. (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DALLY AMOUNT al?. , MAXIMUM DAILY AMOUNT 218. ANNUAL WASTE AMOUNT z19. STATE WASTE CODE 1573 1573 N/A 221. DAYS ON SITE 222, UNITS' [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one ite~n only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. CLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g, CARBOY [] k. BOX [] o. TOTE BIN Battery Case [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 2Z4. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225, % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1.40 226. Sulfuric Acid 22~. [] Yes [] No 228. 7664-93-9 zzg. Z.53 230. Lead zai. [] Yes [] No zaz. 7439-92-1 233. 3. 234. 23~. [] Yes [] No 235. 237. 4. zas. 239. [] Yes [] No 240. 241. fi. 242. 243. [] Yes [] No 244. 245. If more hazardous components are pre~ent at greater than 1% by wcight ff non-carcinogenic, or 0.1% by weight ff carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one ?a~e ~er material ~er bnildin~ or area) [] ADD [] DELETE [] REVISE zoo.] Page /1 of /0 I. FACILITY INFORMATION BUSINESS NAME (Same as'FACILITY NAME or DBA - Doing Business As) Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION 201. CHEMICAL LOCATION CONFIDENTIAL EPCRA 1-Hour Photo Processing [] YES [] NO I f? I ti? 1 i i i i i II. CHEMICAL INFORMATION CHEMICAL NAME z0s. TRADE SECRET [] Yes [] No 2o6. If Subject Io EPCRA. refer to instructions COMMON NAME zo7. zos. FUJI Stabilizer Startup Kit EHS* [] Yes [] No CAS# Z09. *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete ff re qulred by local agency) 210. [PR, 'OHH I 213. HAZARDOUS MATERIAL [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES TYPE (Check one item only) PHYSICAL STATE 215. 2i4. LARGEST CONTAINER 1.9 L (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES (Check all thai apply) [] a, FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONI~ HEALTH AVERAGE DAILY AMOUNT 217. MAXIMUM DAILY AMOUNT 2i8. ANNUAL WASTE AMOUNT 2t9, STATE WASTE CODE 22o. 0.5 0.5 N/A 221. DAYS ON SITE 222. UNITS* [] a. GALLONS [] b. CUBIC FEET [-] c. POUNDS [] d. TONS (Check one item only) * If EHS. amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM I'-1 i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK ~ [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1.100 226. Water zzT. [] Yes [] No zz8. 7732-18-5 229. 2.10 23o. Triazoie Derivative 231. [] Yes [] No zaz. 288-88-0 233. 3.7 z~4. Substituted Triazole z3s. [] Yes [] No 23~. N/A 4.5 z,~s. Glycidol Ether Derivative 239. [] Yes [] No 240. 68072-38-8 fi. 242. 243, [] Yes [] No 244. 245. If more hazardous components are present at greater than 1% by weight if non-carcinogenic, or O. 1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 24~. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7115 http://www.unidocs.org Rev. 12115199 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one [~a~e ~er material ~er buildin~ ..... ) [] ADD [] DELETE [] REVISE 200. I Page OJ of /o I. FACILITY INFORMATION I~USINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION zoi. CHEMICAL LOCATION CONFIDENTIAL 2oz. EPCRA 1-Hour Photo Processing [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME 2os. TRADE SECRET [] Yes [] No 2o~. If Subject to EPCRA. refer to instructions COMMON NAME 207. zog. FUJI Developer Replenisher EHS* [] Yes [] No CAS# 209. *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if reqaireo by local agency) 2to. IRR, OHH, SENS HAZARDOUS MATERIAL I 213. TYPE (Check one item only) [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES PHYSICAL STATE 21fi. (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS 214. LARGEST CONTAINER 10 L FED HAZARD CATEGORIES 21~. (Check all that apply) [] a. FIRE F'] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217. MAXIMUM DALLY AMOUNT zig. ANNUAL WASTE AMOUNT 219. STATE WASTE CODE 22o. 31.7 31.7 N/A 221. DAYS ON SITE 222. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one itetn only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c, TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1.50 226. Water 227. [] Yes [] No z2s. 7732-18-5 2zo. 2.35 23o. Potassium Carbonate zaL [] Yes [] No z3z. 584-08-7 233. 3.10 234. Para-Phenylenediamine Derivative 23s. [] Yes [] No zap. 28020-34-0 4.5 23s. Aminocarboxylic Acid Derivative 239. [] Yes [] No 24o.~ 140-01-2 u~.. 5. 242. 243. [] Yes [] No 244.. z4s. If more hazardous components are pre,at at greater than 1% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one ~a~e ~er material ~er buildin~ or area) [] ADD [] DELETE [] REVISE zoo. I Page 04 of /0 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION 2oi. CHEMICAL LOCATION CONFIDENTIAL 2o2. EPCRA 1-Hour Photo Processing [] YES [] NO ' t. MAP # 203. GRID # 204. II. CHEMICAL INFORMATION CHEMICAL NAME z05. TRADE SECRET [] Yes [] No 206. If Subject to EPCRA. refer to instructions COMMON NAME 2o?. 2os. FUJI Developer Starter EHS* [] Yes [] No CAS# zos. 'If EHS is "Yes," all amounts below musl be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210. IRR, SENS 213. HAZARDOUS MATERIAL [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [-'] Yes [] No 212. CURIES TYPE (Clteck one item only) PHYSICAL STATE 215. 2t4. LARGEST CONTAINER 1 Gallon {Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216. (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217. MAXIMUM DALLY AMOUNT 218. ANNUAL WASTE AMOUNT 2t9. sTATE WASTE CODE 220. 7.07 7.07 N/A 221. DAYS ON SITE 222. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAILCAR [] b. UNDERGROUND TANK [] f. CAN []j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON z23. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. · % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # I.75 226. Water zz?. [] Yes [] No 22s. 7732-18-5 zzs. Z. 15 230. Potassium Carbonate 231. [] Yes [] No z3z. 584-08-7 233. 3.10 n4. Sodium Bicarbonate ns. [] Yes [] No n~. 144-55-8 2,7. 4.5 2.~8. Aminocarboxylic Acid Derivative z30. [] Yes [] No 240. 140-01-2 z4t. 5. z4z. 243. [] Yes [] No 244. z4s. If more hazardous components are present at greater than 1% by weight if non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. IZ/l 5~99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one [~a~e ~er material ~er buildin~ or area) [] ADD [] DELETE [] REVISE 200-I Page /__~O of/~0 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION ZOl. CHEMICAL LOCATION CONFIDENTIAL EPCRA 1-Hour Photo Processing [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME 2os. TRADE SECRET [] Yes [] No 2o6. i1' Subject to EPCRA. refer to instructions COMMON NAME 2o?, 2og. FUJI Bleach 3 Starter EHS* [] Yes [] No CAS# 'If EHS is "Yes," all amoums below musl be in lbs. FiRE CODE HAZARD CLASSES (Complete if required by local agency) 210. CORR, SENS I 213. HAZARDOUS MATERIAL [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES TYPE (Check one item only) PHYSICAL STATE 215. (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS 214. LARGEST CONTAINER 1 gallon FED HAZARD CATEGORIES (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 2t?. I MAXIMUM DALLY AMOUNT 218. ANNUAL WASTE AMOUNT 2tO. STATE WASTE CODE 22o. 1.95I 1.95 N/A 221. DAYS ON SITE 222. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS. amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] ~. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1.70 ~26. Potassium Acetate ~2~. [] Yes [] No 22~. 127-08-2 2.60 e3o. Water 231. [] Yes [] No 232. 7732-18-5 3. 15 za~ Potassium Hydroxide 23s. [] Yes [] No 2as. 1310-58-3 4. zas. 23s. [] Yes [] No 2~0. 5. 242. 243. [] Yes [] No 244. 245. If more hazardous components are present at greater than I% by weight ff non-carcinogenic, or 0.1% by weight if carcinogenic, attach additional sheels of paper capturing the required Information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one ~a~e ~er material ~er buildin~ o .... ) [] ADD [] DELETE [] REVISE 200.I Page OO of /O I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) a. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION 20t. CHEMICAL LOCATION CONFIDENTIAL 2o2. EPCRA 1-Hour Photo Processing [] YES [] NO [ ] t?. llll]l[ t.[MAP# 203. GRID# 204. II. CHEMICAL INFORMATION CHEMICAL NAME z0s. TRADE SECRET [] Yes [] No zog. If Subject 1o EPCRA. refer to instructions COMMON NAME Z0?. 208. FUJI Bleach & Replenisher EHS* [] Yes [] No CAS# zo9. *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES {Complete if required by local agency) Zl0. IR_R, SENS HAZARDOUS MATERIAL 213. TYPE (Check one item only) [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES PHYSICAL STATE 215. (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS 214. LARGEST CONTAINER 5 L FED HAZARD CATEGORIES 21~. (Check all that apply} [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217. MAXIMUM DAILY AMOUNT 218, ANNUAL WASTE AMOUNT 219. sTATE WASTE CODE 220. 5.86 5.86 N/A 221. DAYS ON SITE 222. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM l'-] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN []j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c, TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225, % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1.65 22~. Water 227. [] Yes [] No z2s. 7732-18-5 229. Z. 15 23o. Ferric Ammonium PDTA 231. [] Yes [] No zaz. 1 11687-36-6 233. 3.10 234. Ammonium Bromide z3s. [] Yes [] No 23~. 12124-97-9 23?. 4. 5 238. Ammonium Nitrate 2:39. [] Yes [] No 240. 6484-52-2 241. 5. 242. 243. [] Yes [] No 244. 245. If more hazardous components are present at greater Ihan 196 by weight ff non-carcinogenic, or 0,1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN~020 - 7115 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one rn~e ~er m~terial ~er buildin[ or are,> [] ADD [] DELETE [] REVISE 200. I Page o/ of /o I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION 20t. CHEMICAL LOCATION CONFIDENTIAL 202. EPCRA 1-Hour Photo Processing [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME 2o5. TRADE SECRET [] Yes [] No If Subject 1o EPCRA. refer to instructions COMMON NAME z07, 20g. FUJI Fixer & Replenisher EHS* [] Yes [] No CAS# 2o9. *If EHS is "Yes,' all amounls below musl be in lbs. FIRE CODE HAZARD CLASSES (Cnmplele ffrequired by local agency) 210. IR_R, SENS 213. HAZARDOUS MATERIAL [] a. PURE [~] b, MIXTURE [] c. WASTE 2lt. RADIOACTIVE [] Yes [] No 212. CURIES TYPE (Check one item only) PHYSICAL STATE ZlS. 214. LARGEST CONTAINER 10 L (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 21§. (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DALLY AMOUNT 2t?. MAXIMUM DALLY AMOUNT 21& ANNUAL WASTE AMOUNT 2t9. STATE WASTE CODE 22O. 13.6 13.6 N/A 2zt. DAYS ON SITE 222. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] h. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT .[] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For 'mixture or waste only) EHS CAS # 1.50 226. Water 227. [] Yes [] No 22s. 7732-18-5 229. 2.45 23o. Ammonium Thiosulfate 2at. [] Yes [] No z3z. 7783-18-8 233. 3.5 z~4. Ammonium Bisulfite z3s. [] Yes [] No 23~, 10192-30-0 2a7. 4.5 z3g. Imidazole zas. [] Yes [] No 240. 288-32-4 24~. fi. 242. 243. [] Yes [] No 244. 245. If more hazardous components are present at greater than I% by weight ff non-carcinogenic, or 0.1% by weight ff carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA. Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one ~a~e ~er material ~er buildin~ ..... ) [] ADD [] DELETE [] REVISE zoo. I Page Ob of /0 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION 201. CHEMICAL LOCATION CONFIDENTIAL 2o2. EPCRA 1-Hour Photo Processing [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME 2o5. TRADE SECRET [] Yes [] No z06. If Subject to EPCRA, refer to instructions COMMON NAME 207. z0s. FUJI Super Conditioning Tablets EHS* [] yes [] No CAS# zos. *If EHS is "Yes," all amounts below musl be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210. [RR 213. HAZARDOUS MATERIAL [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES TYPE (Check one item only) 215. PHYSICAL STATE 214. LARGEST CONTAINER 100 tablets/bottle ICheck one itesn only} [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216. (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DALLY AMOUNT 217. MAXIMUM DAILY AMOUNT zig. ANNUAL WASTE AMOUNT 2t9. STATE WASTE CODE 220, 200 tablets 200 tablets N/A ZZl, DAYS ON SITE 222, UNITS* [] a. GALLONS ['-I b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS, amoun! must be in pounds. 365 STORAGE CONTAINER [] a, ABOVEGROUND TANK [] e, PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGRouND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c, TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b, ABOVE AMBIENT [] c. BELOW AMBIENT 224, STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW. AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1.90 226. Sodium Sulfate zzT. [] Yes [] No z2s. 7757-82-6 zzs. 2.15 230. Sodium Dichloro-s-triazinetrione 23]. [] Yes [] No zaz. 2893-78-9 233. 3.5 234. Boric Acid 2as. [] Yes [] No 2as. 10043-35-3 247. 4. zas. zas. [] Yes [] No 240. 241. 5. 242. 243. [] Yes [] No 244. z45. if more hazardous components are present at greater than 196 by weight if non*carcinogenic, or 0.1% by weight if carcinogenic', attach additional sheets of paper capturing the required information, ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one p~e ftc mate~al I~r bnil~n~ .... ) [] ADD [] DELETE [] REVISE 200. ] Page 09 of /0 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME Or DBA - Doing Business As) 3. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION 201. CHEMICAL LOCATION CONFIDENTIAL EPCRA 1-Hour Photo Processing [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME 2os. TRADE SECRET [] Yes [] No I[ Subject to EPCRA. refer to instnsctlon$ COMMON NAME ZOT. zos. FUJI SUPERFLO & Replenisher EHS* [] Yes [] No CAS# 2o0. *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES IComplete il' required by local agency) ~'10. IRR, OHH I 213. HAZARDOUS MATERIAL [] a. PURE [] b. MIXTURE [] c. WASTE Zll. RADIOACTIVE [] Yes [] No ZI2. CURIES TYPE {Check one item only) PHYSICAL STATE ~15. 214. LARGEST CONTAINER 10 L ICheck one item only) [] a. SOLID [] h. LIQUID · [] e. GAS FED HAZARD CATEGORIES 216. {Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DALLY AMOUNT 2i?. MAXIMUM DALLY AMOUNT 218. ANNUAL WASTE AMOUNT 210. STATE WASTE CODE 220. 116.2 116.2 N/A ~21. DAYS ON SITE 222. UNITS' [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS {Check one item only) * If EHS, amount must be in ~ound$. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] ¢. TANK INSIDE BUILDING [] §. CARBOY [] ~. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 22a. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1.90 2~6. Water 227. [] Yes [] No zzs. 7732-18-5 2.10 230. Triazole Derivative z3t. [] Yes [] No 232. 288-88-0 233. 3.10 2~4· Substituted Triazole 2~s. [] Yes [] No z~. N/A 2~. 4.5 23~. Dipropylene Glycol 2a0. [] Yes [] No 240. 25265-71-8 241. 5. 242. 243. [] Yes [] No 244· 245. If more hazardous components are preaent at greater than 196 by weight if non-carcinogenic, or 0.196 by weight if carcinogenic, attach additional sh~t$ of paper capturing the m:lulred Information. ADDITIONAL LOCALLY COLLECTED INFORMATION z4~. DOT Hazard Class: If EPCRA. Please Sign Here. UN-020 - 7115 http://www.unidocs.org ' Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS' MATERIALS HAZARDOUS MATERIALS INVENTORY -CHEMICAL DESCRIPTION (one [~a~e ~er material ~r buildin~ or area) [] ADD [] DELETE [] REVISE 200. ] Page I. FACILITY INFORMATION BUSINESS NAME (Same 'as FACILITY NAME 6r DBA - Doing Business As) a. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION 201. CHEMICAL LOCATION CONFIDENTIAL zo2. EPCRA Gas Station [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME 2o~. TRADE SECRET [] Yes [] No Gasoline If Subject to EPCRA. refer to inslr~ction$ COMMON NAME 207. 208. Gasoline, Premium Unleaded (93 Octane) EHS* [] Yes [] No CAS// zoo. 8006-61-9 *If EHS is "Yes,' all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by local agency) Zl0. FLIB, CARC, IRR HAZARDOUS MATERIAL [ 213. TYPE (Check one item only) [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES PHYSICAL STATE 215. (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS 214. LARGEST CONTAINER 30,000 FED HAZARD CATEGORIES 21§. (Check all that apply) [] a. FIRE [--] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DALLY AMOUNT ZI?, MAXIMUM DALLY AMOUNT z18. ANNUAL WASTE AMOUNT Ztg. STATE WASTE CODE 22o. 20,000 30,000 330 331 221. DAYS ON SITE 2ZZ. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS, amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN []j. BAG [] n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d, CRYOGENIC % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1. 3 zz6. Trimethylbenzene 227. [] Yes [] No zzs. 25551-13-7 Z. i4 23o. Xylene- Mixed Isomers 2al. [] Yes [] No zaz. 1330-20-7 3. 15 2~4. Toluene z3s. [] Yes [] No 23~. 108-88-3 4.4.9 zaa. Benzene 239. [] Yes [] No 240. 71-43-2 5. 5 z4z. Ethylbenzene 243. [] Yes [] No 24~. 100-41-4 If more hazardous components ar~ pre~nt at greater than i% by weight ff non-carelnagenie, ur 0.1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 24~. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 1 HI 5/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one [la~e ~er material ~er buildin~ or area) [] ADD [] DELETE [] REVISE 2oo.I Page /Z of /0 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION 20t. CHEMICAL LOCATION CONFIDENTIAL 202. EPCRA Gas Station [] YES [] NO II. CHEMICAL INFORMATION CHEMICAL NAME 2os. TRADE SECRET [] Yes [] No 206. Gasoline ir Subject to EPCRA. refer to instmctlons COMMON NAME 207. Z08. Gasoline, Unleaded Regular (87 Octane) EHS* [] Yes [] No CAS# 209. 8006-61-9 *If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES {Complete ii required by local agency} 210. FLIB, CARC, IRR HAZARDOUS MATERIAL [ 213. TYPE (Check one item only) [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES I PHYSICAL STATE 215. (Check one item only) [] a. SOL1D [] b. LIQUID [] c. GAS 214. LARGEST CONTAINER 30,000 FED HAZARD CATEGORIES 2t6. (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH "'~VERAGE DAILY AMOUNT 2t?. MAXIMUM DALLY AMOUNT 218. ANNUAL WASTE AMOUNT 219. STATE WASTE CODE 22O. 45,000 60~000 330 331 22t. DAYS ON SITE 222. UNITS' [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS, amount must be in pounds. ~65 STORAGE CONTAINER [] a. ABOVEGROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM ['"] m. GLASS BOTTLE [] q. RAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [-I n. PLASTIC BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN [] d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] h. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1.5 226. 1,2,4- Trimethylbenzene 227. [] Yes ~ No zz8. 95-63-6 zzg. 2.14 230. Xylene zat. [] Yes [] No 232. 1330-20-7 3.9 234. Toluene 235. [] Yes [] No 236. 108-88-3 4.5 z,~6. Benzene 239. [] Yes [] No 240. 71-43-2 24~. 5. 5 z4z. Ethylbenzene 243. [] Yes [] No m. 100-41-4 zas. If n/ore hazardous components are present at greater than 1% by weight ff non-carcinogenic, or O. 1% by weight ff carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12/15/99 UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one [~a~e [mr material pr building[ or area) [] ADD [] DELETE [] REVISE 2oo. I Page /4 of /0 I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3. Costco Wholesale #688 - Bakersfield CHEMICAL LOCATION z01. CHEM1CAL LOCATION CONFIDENTIAL zoz. EPCRA Gas Station [] YES [] NO II. CHEMICAL INFORMATION ' CHEMICAL NAME 20s. TRADE SECRET [] Yes [] No 206. if Subject to EPCRA. refer to instructions COMMON NAME 207. z0g. Waste Gasoline from incidental spills & absorbent EHS* [] Yes [] No CAS# 20~. *lf EHS is "Yes,' all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if required by local agency) 210. FLIB, CARC, IRR HAZARDOUS MATERIAL I 2i3. TYPE (Check one item only) [] a. PURE [] b. MIXTURE [] c. WASTE 211. RADIOACTIVE [] Yes [] No 212. CURIES I PHYSICAL STATE 214. LARGEST CONTAINER _55 (Check one item only) [] a. SOLID [] b. LIQUID [] c. GAS FED HAZARD CATEGORIES 216. (Check all that apply) [] a. FIRE [] b. REACTIVE [] c. PRESSURE RELEASE [] d. ACUTE HEALTH [] e. CHRONIC HEALTH AVERAGE DALLY AMOUNT 2t?. MAXIMUM DALLY AMOUNT 218. ANNUAL WASTE AMOUNT 219. STATE WASTE CODE 22o. 28 55 660 331 221. DAYS ON SITE 222. UNITS* [] a. GALLONS [] b. CUBIC FEET [] c. POUNDS [] d. TONS (Check one item only) * If EHS. amount must be in pounds. 365 STORAGE CONTAINER [] a. ABOVECROUND TANK [] e. PLASTIC/NONMETALLIC DRUM [] i. FIBER DRUM [] m. GLASS BOTTLE [] q. PAIL CAR [] b. UNDERGROUND TANK [] f. CAN [] j. BAG [~] n. PLASTIC/BOTTLE [] r. OTHER [] c. TANK INSIDE BUILDING [] g. CARBOY [] k. BOX [] o. TOTE BIN ~ d. STEEL DRUM [] h. SILO [] I. CYLINDER [] p. TANK WAGON 223. STORAGE PRESSURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT 224. STORAGE TEMPERATURE [] a. AMBIENT [] b. ABOVE AMBIENT [] c. BELOW AMBIENT [] d. CRYOGENIC 225. % WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # I.20 226. Waste Gasoline 227. [] Yes [] No 22s. 8006-61-9 Z. 40 230. FM-187 Hydrocarbon Mitigation Agent 231. [] Yes [] No z3z. N/A 233. 3.40 za4. Cloth Towels z~s. · []Yes [] No 236. N/A 4. z3g. z3s. [] Yes [] No 240. 241. 5. 242. 243. [] Yes [] No 244. 245. If more hazardous components are present at greater than I% by weight ff non-carcinogenic, or O. 1% by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246. DOT Hazard Class: If EPCRA, Please Sign Here. UN-020 - 7/15 http://www.unidocs.org Rev. 12115/99