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HomeMy WebLinkAboutBUSINESS PLAN - , e cl!Mu¡.41)lUUf d'truu e, .'-;" Ò , ~ . , -~ General Offices: 141 North Civic Drive, P.O. Box 5222, Walnut Creek, California 94596, (925) 937-1170 September 4,2001 Esther Duran Bakersfield Fire Department Office of Environmental Services 1715 Chester Avenue Bakersfield, CA 93301 RE: Site and Facility Maps for Longs Drug Stores in Bakersfield Enclosed please find site and facility maps for five Longs Drug Stores located in Bakersfield. I will forward the final location, #417 when it has been completed. Thank you for allowing the additional time to prepare the maps. If you require any further information, please call me at (707) 745-1654. ;zre¡y, '~r1IJd-. Raqr Environmental Coordinator FACILITY MAP (Inside) e elí~ (t) #-qqD LONGS DRUG STORE 1267 5510 STOCKDALE HIGHWAY BAKERSFIELD, CA 93309 G RECEIVING W ~rr FE LPG(2) FE HM SRU SKIT omCES COUNTY: KÈRN DATE: AUGUST 2001 WAREHOUSE HE(2) -\ G )- FE FE N W+E S TO 2ND FLOOR WAREHOUSE LEGEND NOT TO SCALE EE EMERGENCY EXITS \ [E] ENTRANCES/EXITS EVACUATION ROUTES HE HELIUM - LOCATION OF CYLINDERS FE FIRE EXTINGUISHERS LPG PROPANE - STORAGE FH FIRE HOSES FA FIRE AlARM SRU SILVER RECOVERY UNIT .. EMPLOYEE EMERGENCY MEETING AREA MSDS PHOTO LAB MATERIAL SAFETY DATA SHEETS SD STORM DRAINS HM PHOTO CHEMICAL STORAGE FPC FIRE PROTECTION CONNECTIONS SKIT EMERGENCY EQUIPMENT E ELECTRICAL UTILliY SHUTOff FSR SPRINKLER RISER G GAS UTlLIlY SHUTOff + FIRST AID W WATER UTlLIlY SHUTOff PHARMACY LONGS 11267 SALES FLOOR PHOTOLAB HM SKIT MSDS HE(1 ) FE / I ~STOMER COSMETICS SERVICE CHECKSTANDS .. EMPLOYEE EMERGENCY MEETING AREA LIQUOR FE SITE MAP (Outside) e e LONGS DRUG STORE #267 5510 STOCKDALE HIGHWAY BAKERSFIELD. CA 93309 COUNTY: KERN N W+E S DATE: AUGUST 2001 WATERWAY -- PARKING I COMMERICAL PARKING - ~E'~ VONS omCE DEPOT PARlY CllY HM LPG LONGS #267 RETAIL AND BASKIN ROBBINS JACK IN BOX PARKING SDS!~ * EMPLOYEE EMERGENCY , MEETING AREA PARKING VIDEO STORE -=:LJ l ICARL'S JR I ¡;;; ~ STOCKDALE HIGHWAY , LEGEND NOT TO SCALE EE EMERGENCY EXITS [E] ENTRANCES/EXITS - EVACUATION ROUTES HE HEUUM - LOCATION OF CYLINDERS FE FIRE EXTINGUISHERS LPG PROPANE - STORAGE FH FIRE HOSES FA FIRE ALARM SRU SILVER RECOVERY UNIT * EMPLOYEE EMERGENCY MEETING AREA MSDS PHOTO LAB MATERIAL SAFETY DATA SHEETS SD STORM DRAINS HM PHOTO CHEMICAL STORAGE FPC FIRE PROTECTION CONNECTIONS SKIT EMERGENCY EQUIPMENT E ELECTRICAL UTlLllY SHUTOFF FSR SPRINKLER RISER G GAS UTlUlY SHUTOFF + FIRST AID W WATER UTI LIlY SHUTOFF Per It to Operil.te Hazardous Materials/Hazardous Waste Unified Permit ~ CONDITIONS OF PERMIT ON REVERSE SIDE This permit Is Issued for the following: It! Hazardous Materials Plan o Underground Storage of Hazardous Materials o Risk Management Program o Hazardous Waste On-Site Treatment Permit ID #:: 015-000-000990 LONGS DRUG STORES #267 LOCATION: 5510 STOCKDALE HWY Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Approved by: Bakersfield, CA 93301 'Voice (661) 326-3979 FAX (661) 326-0576 Expiration Date: Issued by: Issue Date June 30, 2003 PerDlit to Operate Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This permit is issued for the following: .. ':tI@~ardous Materials Plan ....."" ·erground Storage of Hazardous Materials m···"'·g,agement Program ··':·s Waste 5510 PERMIT ID# 015-021.000990 LONGS DRUG STORES #267 LOCATION fl Issued by: STOCKDAL,"· Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 FAX (805) 326-0576 *~ ph Huey, ffice of ental Servi es June 30, 2000 Approved by: Expiration Date: '~l è,,;. 'C".·.ë~:'":"'''/'\:~f~"'' _":'ë.'.."~;~~"J:C~~ '''Ti~>".~,,",y=,,,~~~F!. ~~~ ~.~.' ' {, ::~ ";~¡'::::~2;'~"~ :';,. ,,-~~.::':i~",, :~, ". .'....J ¿':~~ ;",.,.'-<i,.,.;,'t,-L.:.::.:,...., ,,',t,'.., "'; ....:".. I --7i71~1' ¡ "'::::lJ'¡1i _," ~,¡- i'"'' :~~ ."',..~. .y ,I ". ". . n ,I¿A 9'g1 Bk3'*12;il !.T,t- ~:,~, ~:;, I .' !, I'~,:'r ,,;:~',:;:(:' i;:~?Ú::.: ';>:>:,~'.~'':;;'::.;>: l,o'. .. ,.':,,: .,'~,~~\~\ ~...;- ,! ïi ~ Li¿¡j '1!1¡ '. ,I , .. -c '," ii' - ! . 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"_#\~/~,~"'..~~H)-".t: A#":';::-"i'-..J,:-:,,~"- -.<__"~":.'~" "\ _. .. _ :' .7Y '..~'t:. ..~_ , ,.., , - - ~. ¿ - :==-~~=..~. :gf~i~;1;~J;'4.;i~~ii: ~~~;;~I~~-:~;~~.;~~,~~~( S~'S:7~~';:~~/;~'~::, ~,:..,:,:;,~..,'_,...:,'~.,¡ .~PLAN.~._..:¡,},::,';.:.j, ~:,.:-,:~,_.;~.: ¿,~.-!i",.'~ "', '- ~! --- "'.::.'p.,ni'l'i...h--::;"i".'ª'~,,~... ,..,'~,.~~:lt~;~...I!!t,¡..J.J.~. (.. ',..~"'~~~-iH:":' ~._..,.,'~..-,~~':T.".:.,; . '- ' ~,. _JI 'I ---5£ð£e. I ~~~'~~ .. ~ ===~~,t.~~ ·t·,,~E,~ ,~ \ ;j -'- ..- - ,.- " -- ,~~:'~::#\~'! '\,~ -- .þ~ .. '. ~ 401 ..CIS ::--~f?~ ~ ~ ~ :'t'\ _ - ~'II ~-' '. .~ .--fii' GARDEN e e dÞ:u7 PRODUCT FAMlLœ Insecticide (agent that destroys insects) "* 10 Herbicide (agent that destroys/inhibits plant growth) <=tfr 10 Pesticide (agent that destroys pests) c(? I () Fertilizer (chemical mixtures only such as ammonium sulfate; no natural fertilizer) $/l) CLEANDfG PRODUCTS Ammonia products Chlorine products Bleach products sfÃRTING FLUIDS Charcoal nuids ~ t;, Lighter fluids '1!- ~ POOL CHEMICALS Chlorine products .fj tù Acid products dr ~O PAINTS/STAINS " Paints (spray or can) Paint thinners Paint solvents Paint removers AUTO Motor oil ~ /1 , Engine additives #' /1 Antifreeze *'" )1 PHOTO SUPPLIES Developer Stopper CAMPING Propane gas ~1 wpC:I21/25 " .,. ~.~~ ~-~.~ n~-~~ ~ rft; /"'-- / rØ~, 'fl ?:pI &,\og,\> ~~I (07/15/87) ~ . UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program FACILITY NAME Lö ADDRESS c:.;-") \ 0 If: L G, ':\- "------- ~~~~if" Òt\., --,._------~._--------_._. ',,- Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield. CA 93301 Tel: (661}326-3979..~ _..._ . _~ ./_,1 INSPECTION DATE INSPECTION ,TIME' ta- l~-OJ -:s.tJk(",-, PHONE No, --- No. of Employees 40 -------,.-------.- 15-021- <;~c:> ~7<:. ~l ,(,;)- 'ì,\)\)) ,---~-, .. Çj~"\ Business ID Number CllITYCONTACT "$ectipn1: BusinèssPlan~nd Inveritoryprogram D Joint Agency D Multi-Agency D Complaint D Re-inspection C V (c=comPlianCe) OPERATION COMMENTS V=Vlolatlon o r APPROPRIATE PERMIT ON .HANO___.___~._..._~';~~_:;~:~:4_________ ...._ :~~~::S:~L::S:ONTACT INFORMATI~~_,~~~.~~~-=-_,,_,_... _'___'_.~--~-~,3J~..-.,--".,-.-'--------.- -..----------------.-------. ..-- -..-.---------..--,-,-----.-----.-.-,------...--.----.-- .,-,.------.--.- CORRECT OCCUPANCY .---------------.--- __'~_~~~~s~·:¡:~~~~~~~~~::',':::·,:'~~,~_" VERIFICATION OF INVENTORY MATERIALS VERIFICATION OF QUANTITIES -----------.-----..-------.----- --------------.---------.-------------.-.---.--.--..--..--..-.-..-....-...-..-,--- VERIFICATION OF LOCATION ---------------.-- -------------.-..-..-----------.-.----------.-----.--- D PROPER SEGREGATION OF MATERIAL . ________________.._____. ----------.---------.--.--..-------------.______0____.__. ..__..____ D VERIFICATION OF MSDS AVAILABILlTYE ------------------------..------.-----..-- ---.-..-.--.---.----..--.--------------------------------- 'ti D VERIFICATION OF HAT MAT TRAINING .RJ' LJ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~ D EMERGENCY PROCEDURES ADEQUATE ~ D CONTAINERS PROPERLY LABELED ~ D,_~~~SE~~~~ING '-------'------~=~:~_._.~. =====~~=-=~_=~,~,~~==_=_~=_--."'--,.,__~,~=~~~::- D FIRE PROTECTION ~------~-_._._-~_._-_.._------ --------~_._-----~.-.------_._---------------_.__._------ D SITE DIAGRAM ADEQUATE & ON HAND ? _____.___..._____ _____________.________.______._._.___...___.___._.0<_.________._____.___ .---------..--.--- --.-------.--.--..---..-.-.--.------...---..--.-----.-------.-- - .-----------------.---------.-- _.._-----_.__.__._----_._-_.-----~------_..._-_._.._-------.-.-...---- ANY HAZARDOUS WASTE ON SITE?: DYES ~ EXPLAIN: White . Environmental Services Yellow . Station Copy Pink· Business Copy QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~~<L__ C>C-~~._______ Inspector Badge No. ~~~NGS DRUG STORES #264IÞ ~~ ~ ~~''1.> L SiteID: ols-oL90 ::.~~- <. <' . ~ Manager : THOMAS DWYER Location: 5510 STOCKDALE HWY City BAKERSFIELD BusPhone: Map : 123 Grid: 03B (661) 322-5024 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 11 EPA Numb: CALOOOl15221 SIC Code:5912 DunnBrad:00-691-0004 Emergency Contact THOMAS DWYER Business Phone: 24-Hour Phone : Pager Phone : / Title / STORE MANAGER (661) 322 - 5024x (661) 324-6477x (661) 706-1302xCELL Emergency Contact / Title -r>ERRY ADB ~A Coy '7-'? ,,,",sf & ASS I STANT MGR Business Phone: (661) 322-5024x ~~/- 24-Hour Phone : (GG1) 83S OS33x '3~~5"; Pager Phone : (følJ1/) 80'5 - 11(00 X Hazmat Hazards: RSs Fire Press React ImmHlth DelHlth Contact : --bAURA fo.1CKINNLEY , -rRAc..y 6R~,N1'S'-£ y MailAddr: 5510 STOCKDALE HWY City : BAKERSFIELD Period : Preparer: Certif'd: ParcelNo: to Phone: (661) 322-5024x State: CA Zip : 93309 Phone: (925) 937-1170x State: CA Zip : 94596 TotalASTs: = Gal TotalUSTs: = Gal RSs: Yes Owner Address : City LONGS DRUG STORES CA INC 141 N CIVIC DR : WALNUT CREEK Emergency Directives: '" T/fðNJA-S ..D\IV y¡;.( ID h . (Tv~OfprintnamG) 0 < ersby œQi;iy ~hS1~ , hays re"J®we~ ~he atiached hazardous materials manage- ment plan for t.ON65 .ðt<tI~ . .".. , _ . íl\!ame(.)fBußil1ïišS)_a.l,~ dldt it al0l19 with any corrections constUute a com 1<_ j, P EhÐ and correct. man. agement plan for my facility. ;?c?4'>->7~i~_<-L- ----£- /7- d' Datt! - -1- 09/09/2003 ..J''ì-/.--'/ ¡. F~ ~ONGS DRUG STORES #264IÞ ~ Hazmat Inventory 'f== MCP+DailyMax Order L SiteID: 015-021-000990 By Facility Unit Fixed Containers on Site 9 9 9 DailyMax IUnitlMCP Hazmat Common Name... IspecHaz EPA HazardS Frm I CLEANING-HOUSEHOLD BLEACH CLEANING-POOL ACIDS E CLEANING-CHLORINE PRODUCTS E AUTO ENGINE ADDITIVES FIXER PART A DEVELOPER PART A DEVELOPER PART A CLEANING-AMMONIA PRODUCTS PAINTS-HOUSEHOLD DEVELOPER PART C DEVELOPER PART C ANTIFREEZE FUEL CAMPING FIXER PART B PHOTOGRAPHIC BLEACH PHOTOGRAPHIC BLEACH DEVELOPER DEVELOPER DEVELOPER PART B PHOTOGRAPHIC BLEACH DEVELOPER PART B MOTOR OIL HELIUM WASTE FIXER PHOTOGRAPHIC STABILIZER FERTILIZER HERBICIDES-HOUSEHOLD/GARDEN INSECTICIDES - HOUSEHOLD/GARDEN PESTICIDES-HOUSEHOLD/GARDEN V~OPAN€. ~ R IH R IH F R IH F P R IH R IH R IH R IH F R IH F P R IH R IH R IH F IH F P IH R IH IH IH F R IH IH F R IH F DH F P R IH F R IH F IH F IH F IH L S S L L L L L L L L L L L L L L L L L L L G L L S S L S 2000.00 GAL Hi 1500.00 LBS Hi 500.00 LBS Hi 100.00 GAL Hi 20.00 GAL Hi 5.00 GAL Hi 4.00 GAL Hi 500.00 GAL Mod 150.00 GAL Mod 5 . 00 GAL Mod 4.00 GAL Mod 400.00 GAL Low 200.00 GAL Low 20.00 GAL Low 20.00 GAL Low 10.00 GAL Low 6.00 GAL Low 5.00 GAL Low 5.00 GAL Low 5.00 GAL Low 4.00 GAL Low 500.00 GAL Min 217.00 FT3 Min 5.00 GAL Min 1. 00 GAL Min 12000.00 LBS UnR 1200.00 LBS UnR 400.00 GAL UnR 400.00 LBS UnR I? 6A L... . Lo CA;Ttð,-.....,J - WA-RE !+OIA.$E. - NoR.Tt+ vvA '-L-. -2 - 09/09/2003 - e CITY OF BAKERSFIEI.D FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd I;'loor, Bakersfield, CA 93301 FACILITY NAME Lc,....... ~ ç .II: _ ~ ~ INSPECTION DATE I 7 -, '1- Vl- ADDRESS <:1ÇC1.Ç\ n . ~, r- L ' PHONE NO. "':S"'Z... Z. - ~ 0 ~ Ý. FACILITY CONTACT_LA..-tA-Î'/Ç\ N\<' rtr"-- \~BUSINESS ID NO. 15-210- INSPECTION TIME . z< INUMBER OF EMPLOYEES~ 0 Section 1: Business Plan and Inventory Program o Routine o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERATION C V COMMENTS Appropriate permit on hand ..I - Business plan contact information accurate Iv ~Q.Y ~o)( ~~~¡ M~e..L , , A. ..f".A M c. ·Ie, IV......'"l".... Visible address Iv' I Correct occupancy .I V erification of inventory materials " . Verification of quantities if Verification of location V Proper segregation of material v' ;' Verification of MSDS availability ..¡ Verification of Haz Mat training I v" Verification of abatement supplies and procedures I~ Emergency procedures adequate ..¡' Containers properly labeled 1./ Housekeeping ./ Fire Protection II"" Site Diagram Adequate & On Hand t/ C=Compliance V=Violation Any hazardous waste on site?: Explain: o Yes fi{NO White - Env. Svcs. Yellow· Station Copy Pink - Business Copy Questions regarding this inspection? Please call us at (661) 326-3979 - - '" -.,;,-~: LONGS DRUG STORES #267 ~ ~// Manager :'T~ON\C1b CW'l~~ // Location: 5510 STOCKDALE HWY City BAKERSFIELD /' --'\,. // - SiteID: 215-000-000990 CommCode: BAKERSFIELD STATION 11 EPA Numb: CALOOOl15221 BusPhone: Map : 123 Grid: 03B (~I) 322-5024 CommHaz : Low FacUnits: 1 AOV: Emergency Contact 1 Title THOMAS DWYER ~I STORE MANAGER Business Phone: (s;e-s) 322 -5024x ' 24-Hour Phone <M(~ 324-6477x r Phone ((e(øI ) 10(,. -Iao~ x Hazmat Hazards: RSs Contact : MailAddr: 5510 STOCKDALE HWY City BAKERSFIELD Owner Address City LONGS DRUG STORES CA INC 141 N CIVIC DR WALNUT CREEK Period Preparer: Certif'd: to Emergency Directives: p= Hazmat Inventory f== As Designated Order SIC Code:5912 DunnBrad:00-691-0004 Emergency Contact 1 Title PERRY ABE u~ ASSISTANT MGR Business Phone: (~) 322-5024x 24 - Hour Phone (,:{ø' (ß..Q-9'") 835 - 0533 x Pager Phone : () x Fire Press React ImmHlth DelHlth Phone: ( ),322-5024x State: CA Zip 93309 Phone: (925) 937-1170x State: CA Zip 94596 TotalASTs: = TotalUSTs: RSs: Yes Gal Gal One Unified List l All Materials at Site l ~S;.~ ~~ :r ~ $" F IH i If~ ~ ~~ Q. I~ F P R IH :T OF ~ ~ 0 F !.. ä :TF tt 0 @ F P !»..J ~ 0" F :J ~ a. 3 oFP a CD CD 3-. ~. ~ :T :3 ~ !» - 1 -.- ~ :T (Q ~ <p CD Hazmat Common Name .~. ~ CD '< o ..... INSECTICIDES - HOUSEHOL G~DE~ HERBICIDES-HOUSEH0:t/GAJibENèD §:" PESTICIDES-HOUSEHO D/GAÍ2)E~. ..... CLEANING-HOUSEHO J!)",JiLEA~ g 0 CLEANING-CHLORIN ~~RODUqrS ~ CLEANING-AMMONI ~;~\;}DUC~ g CLEANING- POOL AC· ~ ~ (/) . - PAINTS-HOUSE OD' œ Ë MOTOR 0 IL Q. c¡) AUTO ENGINE ADD ~ !» ANTIFREEZE . g FUEL CAMPING 3 FERTILIZER ~ HELIUM ~ DEVELOPER § 0.. EPA Hazards DailyMax DH L S S L S L S L L L L L S G L 400.00 GAL 1200.00 LBS 400.00 LBS 2000.00 GAL 500.00 LBS 500.00 GAL 1500.00 LBS 150.00 GAL 500.00 GAL 100.00 GAL 400.00 GAL 200.00 GAL 12000.00 LBS 217.00 FT3 6.00 GAL P R IH IH IH R IH MCP Hi Hi Mod Hi Mod Min Hi Low Low Min Low 05/08/2000 .0 - . - e F LONGS DRUG STORES #267 SiteID: 215-000-000990 =¡ F Hazmat Inventory One Unified List =¡ p== As Designated Order All Materials at Site =¡ Hazmat Common Name.. . SpecHaz EPA Hazards DailyMax MCP DEVELOPER PART A R IH L 4.00 GAL Hi DEVELOPER PART B F R IH L 4.00 GAL Low DEVELOPER PART C R IH L 4.00 GAL Mod FIXER PART A R IH L 20.00 GAL Hi FIXER PART B R IH L 20.00 GAL Low DEVELOPER L 5.00 GAL Low DEVELOPER PART A R IH L 5.00 GAL Hi DEVELOPER PART B F R IH L 5.00 GAL Low DEVELOPER PART C R IH L 5.00 GAL Mod PHOTOGRAPHIC BLEACH IH L 5.00 GAL Low PHOTOGRAPHIC BLEACH IH L 10.00 GAL Low PHOTOGRAPHIC BLEACH IH L 20.00 GAL Low PHOTOGRAPHIC STABILIZER IH L 1. 00 GAL Min WASTE FIXER R L 5.00 GAL Min -2- 05/08/2000 -- e F LONGS DRUG STORES #267 p= Inventory Item 0001 F== COMMON NAME / CHEMICAL NAME INSECTICIDES - HOUSEHOLD/GARDEN SiteID: 215-000-000990 ì Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit Map: SALES FLOOR/WAREHOUSE SALES FLOOR/WAREHOUSE Grid: CAS # STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE GLASS CONTAINER Largest Container ~GAL AMOUNTS AT THIS LOCATION Daily Maximum 400.00 GAL Daily Average 200.00 GAL %wt. I 100.00 Insecticides HAZARDOUS COMPONENTS ~ CAS# 01 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No Nol Curies F IH / / / HAZARD ASSESSMENTS p= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME HERBICIDES-HOUSEHOLD/GARDEN Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit Map: SALES FLOOR/WAREHOUSE SALES FLOOR/WAREHOUSE Grid: CAS # STATE - TYPE Solid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE GLASS CONTAINER Largest Container -rl.Oö LBS AMOUNTS AT THIS LOCATION Daily Maximum 1200.00 LBS Daily Average 600.00 LBS %Wt. I 100.00 Herbicides HAZARDOUS COMPONENTS ~ No CAS # 01 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / HAZARD ASSESSMENTS -3- 05/08/2000 e e F LONGS DRUG STORES #267 p= Inventory Item 0003 F= COMMON NAME / CHEMI CAL NAME PESTICIDES-HOUSEHOLD/GARDEN SiteID: 215-000-000990 ì Facility Unit: Fixed Containers on ,Site ì Days On Site 365 Location within this Facility Unit Map: SALES FLOOR/WAREHOUSE SALES FLOOR/WAREHOUSE Grid: CAS # STATE - TYPE Solid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE GLASS CONTAINER Largest Container Two LBS AMOUNTS AT THIS LOCATION Daily Maximum 400.00 LBS Daily Average 200.00 LBS %Wt. I 100.00 Pesticides HAZARDOUS COMPONENTS ~ CAS # 01 TSecret RS BioHaz Radioactive/Amount EPA Hazards' NFPA USDOT# MCP No No No Nol Curies F IH / / / , HAZARD ASSESSMENTS p= Inventory Item 0004 = COMMON NAME / CHEMICAL NAME CLEANING-HOUSEHOLD BLEACH Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit SALES FLOOR/WAREHOUSE Map: Grid: CAS # STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container CfY'-L GAL AMOUNTS AT THIS LOCATION Daily Maximum 2000.00 GAL Daily Aver?l-ge 300.00 GAL %Wt. RS CAS # 100.00 Sodium Hypochlorite No 7681529 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi HAZARD ASSESSMENTS -4- 05/08/2000 e e F LONGS DRUG STORES #267 p= Inventory Item 0005 r= COMMON NAME / CHEMI CAL NAME CLEANING-CHLORINE PRODUCTS SiteID: 215-000-000990 1 Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit SALES FLOOR/WAREHOUSE Map: Grid: CAS # STATE - TYPE Solid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container "TWO LBS AMOUNTS AT THIS LOCATION Daily Maximum 500.00 LBS Daily Average 400.00 LB'S %Wt. RS CAS # 30.00 Hydrochloric Acid Yes 7647010 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH / / / Hi HAZARD ASSESSMENTS p= Inventory Item 0006 = COMMON NAME / CHEMI CAL NAME CLEANING-AMMONIA PRODUCTS Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit SALES FLOOR/WAREHOUSE Map: Grid: CAS # STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container (1'Y\.A- GAL AMOUNTS AT THIS LOCATION Daily Maximum 500.00 GAL Daily Average 100.00 GAL %Wt. RS CAS # 30.00 Ammonia Solution, Cone. Less Than 20% No 1336216 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH / / / Mod HAZARD ASSESSMENTS -5- 05/08/2000 e e F LONGS DRUG STORES #267 p= Inventory Item 0007 = COMMON NAME / CHEMI CAL NAME CLEANING-POOL ACIDS SiteID: 215-000-000990 ì Faci¡ity Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit SALES FLOOR/WAREHOUSE Map: Grid: CAS # STATE' - TYPE Solid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container R\f'(.. LBS AMOUNTS AT THIS LOCATION Daily Maximum 1500.00 LBS Daily Average 900.00 LBS HAZARDOUS COMPONENTS %Wt. RS CAS # 100.00 Muriatic Acid Yes 7647010 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi HAZARD ASSESSMENTS p= Inventory Item 0008 = COMMON NAME / CHEMI CAL NAME PAINTS-HOUSEHOLD Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit SALES FLOOR/WAREHOUSE Map: Grid: CAS# STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Largest Container ~,GAL AMOUNTS AT THIS LOCATION Daily Maximum 150.00 GAL Daily Average 75.pO GAL %Wt. RS CAS # 25.00 Mineral Spirits No 8030306 15.00 Naphtha No 8030306 5.00 Methyl Ethyl Ketone No 78933 3.00 Ethylene Glycol No 107211 HAZARDOUS COMPONENTS SSE MENT TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P R IH / / / Mod HAZARD A SS S -6- 05/08/2000 e e F LONGS DRUG STORES #267 f= Inventory Item 0009 F= COMMON NAME / CHEMICAL NAME MOTOR OIL SiteID: 215-000-000990 1 Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit SALES FLOOR/WAREHOUSE Map: Grid: CAS# [ ~TA~E I TYPE ~ P~ESSURE ----¡ TEM~ERATURE ¡CONTAINER TYPE =LlqUld __pure ~mblent ---1 Amblent ~ BOX AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1'4 GAL 500.00 GAL 300.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS # 100.00 Motor Oil, Petroleum Based No 8020835 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min HAZARD ASSESSMENTS f= Inventory Item 0010 === COMMON NAME / CHEMICAL NAME AUTO ENGINE ADDITIVES Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit SALES FLOOR/WAREHOUSE Map: Grid: CAS # STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container '/4 GAL HAZARDOUS COMPONENTS AMOUNTS AT THIS LOCATION Daily Maximum 100.00 GAL Daily Average 30.00 GAL %Wt. RS CAS # 60.00 Methyl Alcohol No 67561 20.00 Methyl Ethyl Ketone No 78933 20.00 Ethylene Glycol No 107211 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P R IH / / / Hi HAZARD ASSESSMENTS -7- 05/08/2000 e e F LONGS DRUG STORES #267 p=Inventory Item 0011 F= COMMON NAME / CHEMI CAL NAME ANTIFREEZE SiteID: 215-000-0009901 Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit SALES FLOOR/WAREHOUSE Map: Grid: CAS # STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container ~GAL AMOUNTS AT THIS LOCATION Daily Maximum 400.00 GAL Daily Average 100.00 GAL %Wt. RS CAS # 100.00 Ethylene Glycol No 107211 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Low HAZARD ASSESSMENTS p= Inventory Item 0012 = COMMON NAME / CHEMI CAL NAME FUEL CAMPING Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit SALES FLOOR/WAREHOUSE Map: Grid: CAS # STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Largest Container {fNLGAL AMOUNTS AT THIS LOCATION Daily Maximum 200.00 GAL Daily Average 50.00 GAL %Wt. RS CAS # 100.00 Kerosene No 70892103 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low HAZARD ASSESSMENTS -8- 05/08/2000 e e F LONGS DRUG STORES #267 f= Inventory Item 0013 = COMMON NAME / CHEMI CAL NAME FERTILIZER SiteID:215-000-000990 ~ Facility Unit: Fixed Containers on Site ~ Days Oil Site 365 Location within this Facility Unit SALES FLOOR/WAREHOUSE Map: Grid: CAS # [ ST~TE I TYPE ~ P~ESSURE ---r TEM~ERATURE -, CONTAINER TYPE =S011d ~~pure ~mb1ent __L Amb1ent --.J BAG AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average ~ LBS 12000.00 LBS 2000.00 LBS HAZARDOUS COMPONENTS %Wt. I G CAS # TSec;r-et RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH / / / HAZARD ASSESSMENTS f= Inventory Item 0014 = COMMON NAME / CHEMICAL NAME HELIUM Facility Unit: Fixed Containers on Site ~ Days On Site 365 Location within this Facility Unit FRONT OF STORE NEAR CHECKSTANDS Map: Grid: CAS # 7440-59-7 STATE - TYPE Gas Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container ~'ì eu.ftFT3 AMOUNTS AT THIS LOCATION Daily Maximum 217.00 FT3 Daily Average 125.00 FT3 %wt. I 100.00 Helium HAZARDOUS COMPONENTS CAS # I 7440597 ~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P / / / Min HAZARD ASSESSMENTS -9- 05/08/2000 e e F LONGS DRUG STORES #267 p= Inventory Item 0015 F= COMMON NAME / CHEMI CAL DEVELOPER CP-40 FA II PI SS Location within PHOTO LAB PRODUCT SiteID: 215-000-000990 l Facility Unit: Fixed Containers on Site l NAME DEVELOPER STARTER (POTASSIUM CARBONATE) this Facility Unit Map: Grid: STORAGE Days On Site 365 CAS # 684-08-7 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 0.15 GAL AMOUNTS AT THIS LOCATION Daily Maximum 6.00 GAL Daily Average 6.00 GAL U MP NENT %Wt. RS CAS # 10.00 Potassium Carbonate No 584087 7.00 Sodium Bicarbonate No 144558 5.00 Potassium Chloride No 7447407 HAZARDO S CO 0 S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low HAZARD ASSESSMENTS p= Inventory Item 0016 = COMMON NAME / CHEMI CAL NAME DEVELOPER PART A CP-40 FA II PI RS DEVELOPER REPLENISHER Location within this Facility Unit PHOTO LAB PRODUCTS STORAGE Facility Unit: Fixed Containers on Site'l (TRIETHANOLAMINE) Map: Grid: Days On Site 365 CAS # 7757-83-7 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 0.15 GAL AMOUNTS AT THIS LOCATION Daily Maximum 4.00 GAL Daily Average, 4.00 GAL %Wt. RS CAS # 10.00 Triethanolamine No 102716 7.00 Hydroxylamine No 7803498 5.00 Acetic Acid, Pure No 64197 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No . No No/ Curies R IH / / / Hi HAZARD ASSESSMENTS -10- 05/08/2000 e e í LONGS DRUG STORES #267 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000990 j íë Inventory Item 0017 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site j íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ ° DEVELOPER PART B ° Days On Site ° ° CP-40 FA II PI R DEVELOPER REPLENISHER (P PHENYLENEDIAMINE) ° ° Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o PHOTO LAB PRODUCT STORAGE ° CASU 365 o o ° 74-19- 7 ° åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëëj ° Liquid 0 Mixture ° Ambient ° Ambient ° PLASTIC CONTAINER ° åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëëj o Largest Container 0 Daily Maximum 0 Daily Average 0 o 0.15 GAL 0 4.00 GAL ° 4.00 GAL ° åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ ° %Wt. 0 0 RSo CASU 0 ° 18.00op-Phenylenediamine °No ° 1065030 o 1. 00 o Sodium Sulfite °No 0 77578370 åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj íëëëëëëëîëëëîëëëeëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëëj °TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards ° NFPA ° USDOT# ° MCP ° ° No °No ° No ° No/ Curies 0 F R IH ° / / / 0 ° Low ° åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj o e e íë Inventory Item 0018 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site j íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëëj o DEVELOPER PART C 0 Days On Site 0 o CP-40 FA II PI R DEVELOPER (POTASSIUM CARBONATE) . 0 o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o PHOTO LAB PRODUCT STORAGE 0 CAS# 365 o o o 0 111-30-80 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëëj o Liquid 0 Mixture 0 Ambient 0 Ambient 0 PLASTIC CONTAINER 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëëj o Largest Container 0 Daily Maximum 0 Daily Average 0 o 0.15 GAL 0 4.00 GAL 0 4.00 GAL 0 áëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëëj o %Wt. 0 0 RSo CAS# 0 o 41. 00 o Potassium Carbonate °No 0 5840870 o 7.00oPotassium Hydroxide °No 0 13105830 o 7. 00 o CARBOXYLIC ACID/ ALKANOLAMINE REACTION PRODUCTS °No 0 00 åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë j °TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 o No °No 0 No 0 No/ Curies 0 R IH 0 / / / 0 0 Mod 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj -11- e - 05/0812000 e e íLONGS DRUG STQRES #267 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000990 j íë Inventory Item 0019 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site j íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëëj o FIXER PART A 0 Days On Site 0 o CP-40 FA II P2 R BLEACH FIXER (AMMONIUM TIOSULFATE) 0 o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o PHOTO LAB PRODUCT STORAGE 0 CAS# 365 o o o 0 7783-18-80 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëf íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëëj o Liquid 0 Mixture 0 Ambient 0 Ambient 0 PLASTIC CONTAINER 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡ o Largest Container 0 Daily Maximum 0 Daily Average 0 o 0.25 GAL 0 20.00 GAL 0 20.00 GAL 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëëj o %Wt. 0 0 RSo CAS# 0 o 33.000 Ammonium Thiosulfate °No 0 77831880 o 20.000Ammonium Sulfite °No 0 101962020 o 7.000Ammonium Nitrate °No 0 64845220 o 7.000 Acetic Acid, Pure °No 0 641970 åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëf íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë i °TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 o No °No 0 No 0 No/ Curies 0 R IH 0 / / / 0 0 Hi 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëf -12- '\ e e 05/08/2000 e - í LONGS DRUG STORES #267 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000990 ¡ íë Inventory Item 0020 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site ¡ íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ o FIXER PART B 0 Days On Site 0 ' o CP-40 FA II P2 R BLEACH FIXER (FERRIC AMMONIUM EDTA) o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o PHOTO LAB PRODUCT STORAGE 0 CAS# o 365 o o o 0 10043-01-30 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Liquid 0 Mixture 0 Ambient 0 Ambient 0 PLASTIC CONTAINER 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡ o Largest Container 0 Daily Maximum 0 Daily Average 0 o 0.25 GAL 0 20.00 GAL 0 20.00. GAL 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ o %Wt. ° ° RSo CAS# ° ° 27.00°Ferric Ammonium EDTA °No 0 0° o 17.000Ammonium Bromide °No 0 121249790 ° 3.000Nitric Acid (EPA) °No 0 76973720 åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë ¡ °TSecretO RSoBioHazo Radioactive/Amount ° EPA Hazards 0 NFPA 0 USDOT# ° MCP 0 ° No °Yeso No 0 No/ Curies ° R IH ° / / / 6 0 Low 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj -13- 05/0812000 e - í LONGS DRUG STORES #267 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000990 ¡ íë Inventory Item 0021 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site ¡ íëë COMMON NAME I CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ o DEVELOPER 0 Days On Site 0 o CN-16Q NQ1-S DEVELOPER STARTER (POTASSIUM CARBONATE) o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o PHOTO LAB PRODUCT STORAGE 0 CAS# o 365 o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Liquid 0 Mixture 0 Ambient 0 Ambient 0 PLASTIC CONTAINER 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡ o Largest Container 0 Daily Maximum 0 Daily Average 0 o 0.08 GAL 0 5.00 GAL 0 5.00 GAL 0 åëëëëëëëëëëëëëëëëëëëëëëëëë~üëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ o %Wt. 0 0 RSo CAS# 0 o 18.000Potassium Carbonate °No 0 5840870 o 7.000Sodium Bicarbonate °No 0 1445580 o 3.000Potassium Bromide °No 0 77580230 o 3.00oSodium Bisulfite °No 0 76319050 o 3.000Potassium Hydroxide °No 0 13105830 åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë j °TSecretO RSoBioHazo RadioactivelAmount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 o No °No 0 No 0 Nol Curies 0 0 III 0 0 Low 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj -14- 05108/2000 o e e í LONGS DRUG STORES #267 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000990 j íë Inventory Item 0022 ëëëëëëëëëëëëëëê Facility Unit: Pixed Containers on Site j íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëëj o DEVELOPER PART A 0 Days On Site 0 o CN-16Q NQI-RS DEVELOPER (POTASSIUM CARBONATE) 0 o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o PHOTO LAB PRODUCT STORAGE 0 CASH 365 o o o 0 7757-83-70 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëf íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëëj o Liquid 0 Mixture 0 Ambient 0 Ambient 0 PLASTIC CONTAINER 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCA nON ëëëëëëëëëëëëëëëëëëëëëëëëë¡ o Largest Container 0 Daily Maximum 0 Daily Average 0 o 0.13 GAL 0 5.00 GAL 0 5.00 GAL 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë i o %Wt. 0 0 RSo CASH 0 o 33.000Potassium Carbonate °No 0 58.;1-0870 o 3.000Sodium Sulfite °No 0 77578370 o 1.000CARBOXYLIC ACID/ ALKANOLAMINE REACTION PRODUCTS °No 0 00 åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëf íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë i °TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards 0' NFPA 0 USDOT# 0 MCP 0 o No °No 0 No 0 No/ Curies 0 R IH 0 / / / 0 0 Hi 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëf -15- 05/08/2000 e e í LONGS DRUG STORES #267 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000990 j íë Inventory Item 0023 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site j íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ o DEVELOPER PART B 0 Days On Site 0 o CN-16Q NQl RS DEVELOPER (HYDROXYLAMINE SULFATE) o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o PHOTO LAB PRODUCT STORAGE 0 CAS# o 365 o o o 0 74-19- 7 0 äëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Liquid 0 Mixture 0 Ambient 0 Ambient 0 PLASTIC CONTAINER 0 äëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡ o Largest Container 0 Daily Maximum 0 Daily Average 0 o 0.06 GAL 0 5.00 GAL 0 5.00 GAL 0 äëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëëj o %Wt. 0 0 RSo CAS# 0 o 5.000Hydroxylamine Sulfate °No 0 100395400 o 5.000Phosphonic Acid °No 0 135983620 o 3.000Potassium Hydroxide °No 0 13105830 o 3.000CARBOXYLIC ACID/ALKANOLAMINE REACTION PRODUCTS °No 0 00 äëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë i °TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 o No °No 0 No 0 No/ Curies 0 F R IH 0 / / / 0 0 Low 0 äëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj íë Inventory Item 0024 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site i íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ o DEVELOPER PART C 0 Days On Site 0 o CN-16Q NQI RS DEVELOPER (P PHENYLENEDIAMINE) 0 o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o PHOTO LAB PRODUCT STORAGE 0 CAS# 365 o o o 0 111-30-80 äëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Liquid 0 Mixture 0 Ambient 0 Ambient 0 PLASTIC CONTAINER 0 äëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡ o Largest Container 0 Daily Maximum 0 Daily Average 0 o 0.06 GAL 0 5.00 GAL 0 5.00 GAL 0 äëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ o % Wt. 0 0 RS 0 CAS#. 0 o 16.000p-Phenylenediamine 0No 0 1065030 ° 1. 00 ° Sodium Sulfite °No 0 77578370 äëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë i °TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards ° NFPA 0 USDOT# 0 MCP 0 o No °No ° No 0 No/ Curies ° R IH ° / / / 0 ° Mod 0 äëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj -16- 05/0812000 e e í LONGS DRUG STORES #267 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000990 i íë Inventory Item 0025 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site i íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ o PHOTOGRAPHIC BLEACH 0 Days On Site 0 o CN-16Q NQ2 RS BLEACH (AMMONIUM BROMIDE) 0 ·365 o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o PHOTO LAB PRODUCT STORAGE 0 CAS# o o o 0 12124-97-90 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëf íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Liquid 0 Mixture ° Ambient 0 Ambient 0 PLASTIC CONTAINER ° åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡ o Largest Container 0 Daily Maximum 0 Daily Average 0 o 0.09 GAL ° 5.00 GAL 0 5.00 GAL 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëëj o %Wt. 0 0 RSo CAS# 0 o 30.000 Ammonium Bromide °No 0 12124979° o 1O.000Disodium EDTA °No ° 139333° åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëf íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë ¡ °TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA °USDOT# 0 MCP 0 o No °No 0 No ° No/ Curies 0 IH ° / / / 0 0 Low ° åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëf íë Inventory Item 0026 ·ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site ¡ íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ ° PHOTOGRAPHIC BLEACH 0 Days On Site 0 o CN-16Q NQ2 RS BLEACH (FERRIC AMMONIUM) ° 365 ° Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o PHOTO LAB PRODUCT STORAGE ° CAS# ° o o 0 12124-97-90 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëf íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ ° Liquid 0 Mixture ° Ambient ° Ambient ° PLASTIC CONTAINER 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡ o Largest Container ° Daily Maximum ° Daily Average 0 o 0.40 GAL ° 10.00 GAL ° 10.00 GAL ° åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ o %Wt. 0 ° RSo CAS# 0 o 29.000Ferric Ammonium EDTA °No 0 00 o 19.00° Ammonium Bromide °No 0 121249790 ° 3.000Nitric Acid (EPA) °No ° 7697372° åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëf íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë ¡ °TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 o No °Yeso No ° No/ Curies 0 IH ° / / / 0 ° Low 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëf -17- 05/08/2000 e e í LONGS DRUG STORES #267 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000990 j íë Inventory Item 0027 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site j íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ o PHOTOGRAPHIC BLEACH 0 Days On Site 0 o CN-16Q NQ2 RS BLEACH (AMMONIUM THIOSULFATE) 0 o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o PHOTO LAB PRODUCT STORAGE 0 CAS# 365 o o o 0 12124-97-90 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Liquid 0 Mixture 0 Ambient 0 Ambient 0 PLASTIC CONTAINER 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡ o Largest Container 0 Daily Maximum 0 Daily Average 0 o 0.50 GAL 0 20.00 GAL 0 20.00 GAL 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëëj o %Wt. 0 0 RSo CAS# 0 o 49.000 Ammonium Thiosulfate °No 0 77831880 o 3.000Sodium Sulfite °No 0 77578370 o 3.000Sodium Bisulfite °No 0 76319050 åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë ¡ °TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 o No °No 0 No 0 No/ Curies 0 IH 0 / / / 0 0 Low 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj íë Inventory Item 0028 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site j íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëëj o PHOTOGRAPHIC STABILIZER 0 Days On Site 0 o CN-16Q NQ4 RS SAFER STABILIZER (1,2,4 TRIAZOLE) 0 365 o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o PHOTO LAB PRODUCT STORAGE 0 CAS# o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Liquid 0 Mixture 0 Ambient 0 Ambient 0 PLASTIC CONTAINER 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëëj o Largest Container 0 Daily Maximum 0 Daily Average 0 0' 0.05 GAL 0 1.00 GAL 0 1.00 GAL 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ o %Wt. 0 0 RSo CAS# 0 o 15.0001,2,4-Triazole 0No 0 2888800 åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë j °TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 o No °No 0 No 0 No/ Curies 0 IH 0 / / / 0 0 Min 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëeëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj -18- 05/08/2000 e e í LONGS DRUG STORES #267 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000990 j íë Inventory Item 0029 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site ¡ íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ o WASTE FIXER 0 Days On Site 0 o SPENT PHOTOGRAPHIC FIXER 0 365 0 o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o PHOTO DEPT 0 CAS# 0 o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Liquid 0 Waste 0 Ambient 0 Ambient 0 PLASTIC CONTAINER 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡ o Largest Container 0 Daily Maximum 0 Daily Average 0 o 5.00 GAL 0 5.00 GAL 0 5.00 GAL 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëëj o %Wt. 0 0 RSo CAS# 0 o o Silver 0No 0 74402240 åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë ¡ °TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 o No °No 0 No 0 No/ Curies 0 R 0 / / / 0 0 Min 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj -19- 05/08/2000 e e í LONGS DRUG STORES #267 êëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000990 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Forrnat i íë Notif.lEvacuationlMedical ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Agency Notification ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 01/07/1990 j o ~ o CALL 911 o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Employee N otif.lEvacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 01/07/1990 i o 0 o 1. MEMBER OF MANAGEMENT WILL BE INFORMED AND WILL CALMLY EV ACUA TE CUSTOMERS o AND CO-WORKERS TO NEAREST EXITS. 2. 911 WILL BE DIALED IN EMERGENCY. 3. 0 o MEMBER OF MANAGEMENT WILL TAKE ATTENDANCE AT MEETING AREA. 4. PHARMACIST 0 o WILL BE NOTIFIED TO ADMINISTER FIRST AID. 5. ALL EMPLOYEES WILL LISTEN AND 0 o RESPOND TO INSTRUCTIONS ON CALMLY EV ACUA TING THE BUILDING. 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Public N otif.lEvacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 01/07/1990 i o 0 o CUSTOMERS/VISTORS: APPROPRIATE SIGNS ARE POSTED IN PUBLIC AREAS AS REQUIRED 0 o BY PROP; 65 REQUIREMENTS. ANY NECESSARY EVACUATION INSTRUCTIONS WILL BE 0 o GIVEN OVER THE INS TORE SEAKER SYSTEM INFORMING ALL CUSTOMERS AND VIS TORS o HOW TO SAFELY EV ACUA TE THE PREMISES IN THE EVENT OF AN EMERGENCY. 0 o o o o NEIGHBORS: EVERY EMPLOYEE RECEIVES TRAINING ON HOW TO RESPOND AND CLEAN o UP A CUONSUMER PRODUCT SPILL. CONSUMER PRODUCT SPILLS DO NOT PRESENT A o HAZARDOUS SITUATION FOR OUR NEIGHBORS. NO SPECIAL NOTICES ARE NECESSARY o TO INFORM SURROUNDING OUR BUSINESS. NEIGHBORS ARE AWARE OF NATURE OF OUR o BUSINESS. 0 o o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Emergency Medical Plan ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 01/07/1990 j o 0 0 MERCY HOSPITAL FIRE DEPT 0 0 2215 TRUXTUN AVE 7000 STOCKDALE HWY 0 0 327-3371 326-3037 0 0 0 0 SOUTHWEST URGENT CARE HALL AMBULANCE 0 0 5397 TRUXTUN AVE S H & RADIANCE 0 0 322-2273 327-9000 0 0 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -20- 05108/2000 " e e í LONGS DRUG STORES #267 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000990 i , íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format i . íë Mitigation/Prevent/ Abatemt ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site i íëë Release Prevention ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 09/17/1992 j o 0 o 1. KEEP CURRENT INVENTORY LIST AND UPDATE AS NEW PRODUCTS ARE INTRODUCED o TO THE PUBLIC. 2. KEEP EMPLOYEES TRAINED IN CLEANING UP HAZARDOUS PRODUCT 0 o SPILLS. 3. KEEP FIRE EXTINGUISHERS WORKING. 4. INFORM ALL EMPLOYEES OF 0 o MEETING PLACE IN THE EVENT OF EVACUATION. 5. KEEP CLEAN-UP SUPPLIES IN 0 o ORDER. 0 o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Release Containment ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 09/17/1992 ¡ o 0 o PRODUCT KEPT IN SMALL CONTAINERS FOR RETAIL SALES o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Clean Up ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 09/17/1992 i o 0 o PERMANENT BULLETIN BOARD POSTING "EMERGENCY CLEAN UP PROCEDURES" ALL CLEAN 0 o UP MATERIALS REQUIRED ARE KEPT IN A BOX IN THE RECEIVING AREA. 0 o 0 o VENTILATE THE AREA OF A SPILL BY OPENING DOORS OR BY SETTING UP A FAN. 0 o CHEMICAL FUMES MAY CATCH FIRE; THEREFORE, DO NOT STORE FLAMMABLE PRODUCTS 0 o NEAR A FURNACE/WATER HEATER. DO NOT LIGHT MATCHES WHEN FUMES ARE PRESENT. 0 o 0 o UNDER THE DIRECTIONS OF A MANAGER, BEGIN CLEANING UP A SPILL AS SOON AS 0 o POSSIBLE TO MINIMIZE HEALTH EXPOSURE AND POSSIBLE PROBLEMS ,WITH STAINS AND 0 o ODORS. 0 o 0 o WHEN CLEANING UP, WEAR RUBBER OR NEOPRENE GLOVES, KEEPING THE REST OF YOUR 0 o BODY COVERED, AND AVOIDING INHALATION OF THE VAPORS. iF THE VAPORS ARE 0 o OVERWHELMING, LEAVE THE AREA IMMEDIATELY AND IN A CLEAN, LOUD VOICE DIRECT 0 o OTHER EMPLOYEES AND CUSTOMERS TO LEAVE THE STORE. 0 o 0 o SWEEP SPILLED SOLIDS INTO A PLASTIC BAG. SPILLED LIQUIDS SHOULD FIRST BE 0 o SOAKED UP WITH AN ABSORBENT MATERIAL SUCH AS KITTY LITTER, PAPER TOWELS, OR 0 o OLD RAGS, THEN PLACED IN A PLASTIC BAG, SEALED, AND PUT IN THE TRASH CAN. 0 o 0 o SCRUB WOOD, CEMENT, OR TILE SURFACES WITH A WATER SOLUTION OF STRONG 0 o HOUSEHOLD DETERGENT APPLIED WITH A SCRUB BRUSH OR OLD RAGS; REPEAT CLEANSING 0 o WITH DETERGENT UNTIL TRACES OF THE CHEMICAL ARE GONE. ABSORB EACH TIME WITH 0 o ABSORBENT MATERIAL. ALL CLEANUP MATERIALS SHOULD BE THROWN OUT IN 0 o DISPOSABLE CONTAINERS SUCH AS SEALED PLASTIC BAGS. 0 o 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Other Resource Activation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -21- 05/08/2000 e í LONGS DRUG STORES #267 ëëëëëëëë~ëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000990 ¡ íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë FastForrnat i íë Site Emergency Factors ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Special Hazards ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 .~ e o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Utility Shut-Offs ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 01/07/1990 j o 0 o A) GAS - NORTH WALL OF BUILDING NEXT TO THE BACK RECEIVING DOOR o B) ELECTRICAL - WEST WALL INSIDE WAREHOUSE, NEXT TO RECEIVING DOOR o C) WATER - 6 FEET WEST OF BUILDING 0 o D) SPECIAL _ NONE 0 o E) LOCK BOX _ NO 0 o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Fire Protec./Avail. Water ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 01/07/1990 j o 0 o PRIV A TE FIRE PROTECTION - OVERHEAD FIRE SPRINKLER SYSTEM THROUGHOUT STORE o FIRE EXTINGUISHERS STRATEGICALLY LOCATED. 0 o o o o o o o o o o FIRE HYDRANT - 50 FEET WEST OF BUILDING BEHIND THE STORE o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Building Occupancy Level ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -22- 05/0812000 -- .. . e í LONGS DRUG STORES #267 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000990 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format ¡ íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 08/04/1994 j o . 0 o WE HAVE 37 EMPLOYEES AT THIS FACILITY o o o o WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE o o o o BRIEF SUMMARY OF TRAINING: EMERGENCY RESPONSE PROGRAM HANDOUTS ARE GIVEN TO 0 o ALL EMPLOYEES AND NEW HIRES. A SIGNED "SAFETY UNDERSTANDING" STATEMENT IS 0 o KEPT IN EACH PERSONNEL FILE. wAREHOUSE PERSONNEL RECEIVE "WAREHOUSE SAFETY 0 o MEMO" BULLETIN BOARD POSTING COVERING CLEAN UPS ETC. 0 o 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ 0 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Held for Future U se ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë j o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -23- 05/08/2000 e e UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION one a e er material buildin or area " ~;.' DADD DDELETE [:JREVISE 200 Page ..l:. of _ I. FACILITY INFORMATION FÄCíÚTY ID # 202 ,BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) , LÖ CHEMICAL LOCA nON () '" ~ L...... ' í 'U\D \o....'b 203 GRID# (oprional) . . ,,204 II. CHEMICAL INFORMA nON COMMON NAME 205 TRADE SECRET DYes No 206 CHEMICAL NAME C1V- If Subject to EPCRA, refer to instructions 208 EHS· D YeS /&I No CAS# 209 .5ßL-f - 0 -, FIRE CODE HAZARD CLASSES (Complete if required by CUPA) eo..lL:tŸ\ " ·If EHS is "Yes", all amounts below must be in Ibs. 210 o a, PURE I'jlb, MIXTURE 0 c, WASTE 213 HAZARDOUS MATERIAL TYPE (Check one item only) CURIES PHYSICAL STATE (Check one item only) FED HAZARD CATEGORIES (Check all that apply) 2t5 o a. SOLID IfJ b, LIQUID 0 c, GAS 214 LARGEST CONTAINER . I 'l-S 216 o a, FIRE 0 b. REACfNE 0 c. PRESSURE RELEASE A VERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ~ d. ACUTE HEALTH 0 e. CHRONIC HEALTH ANNUAL WASTE AMOUNT STATE WASTE CODE 220 5 ,5 NA- NA 221 DAYS ON SITE: &5 222 JI a. GALLONS 0 b. CUBIC FEET 0 c, POUNDS 0 d, TONS . If EHS amount must be in ounds, o a. ABOVE GROUND TANK 0 e. PLASTIClNONMETALLIC DRUM 0 i. FillER DRUM 0 m, GLASS BOTTLE 0 q. RAIL CAR Db. UNDERGROUND TANK 0 f. CAN 0 j, BAG 01 n. PLASTIC BOTTLE 0 r. OTHER o c, TANK INSIDE BUILDING 0 g, CARBOY 0 k, BOX 0 o. TOTE BIN o d, STEEL DRUM 0 h. SILO 0 I. CYLINDER 0 p. TANK WAGON 223 STORAGE PRESSURE œ. a. AMBIENT o b, ABOVE AMBIENT o c. BELOW AMBIENT 224 STORAGE TEMPERATURE ~a. AMBIENT o b, ABOVE AMBIENT o c. BELOW AMBIENT o d, CRYOGENIC 225 %WT 5 -fo 226 2 t-s 4 238 242 HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 227 DYes!l;í No 228 5'é..... - O'i<-, 231 DYes 111 No 232 \1.1\.1- 5'5 -~ 235 DYes ~No 236 -, Îsg- b2_- 3 239 DYes D No 240 243 DYes D No 244 229 233 237 241 245 If more hazardous components ace present at greater than .'/. 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 If EPCRA Please Si Here UPCF (1/99) 6 OES Fonn 2731 e e UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION . -). DADD DDELETE DREVISE 200 material buildin or area Page_of_ Iò FACILITY INFORMATION , ~_.- FACILITY ID# 20] GRID# (oplillØaI) 204 BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business f's) S1vYe 4JdfØ..' . CHE ~L LOCATION CONFIDENTIAL EPCRA 202 D YES ~ NO , '~ '. ,; " '-. ß. CHEMICAL INFORMATION CAS# Dw bb 205 TRADE SECRET Yes ~ No 206 CHEMICAL NAME û\),-\loL N\-~ COMMON NAME If Subject to EPCRA. refer to instructions 207 208 EHS· DYes JQ No 209 S<bl-I- -ì FIRE CODE HAZARD CLASSES (Complete ifrequir<d by CUP A) »- +If ERS is "Yes", all amounts below must be in Ibs. o a. PURE ~ b. MIXTIJRE 0 c. WASTE 210 HAZARDOUS MATERIAL TYPE (Check ooe item only) 21] CURIES PHYSICAL STATE (Check one item only) 215 o a. SOLID I;1!L b, LIQUID 0 c. GAS 214 LARGEST CONTAINER ..z..s D.. FED HAZARD CATEGORIES 216 (Check all that apply) 0 a. FIRE 0 b. REACTIVE 0 c, PRESSURE RELEASE XJ d, AClITE HEALTH 0 e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXlMUMDAILYAMOUNT 218 ANNUAL WASTE AMOUNT STATE WASTE CODE 220 '0 10 N¡4 N¡q ~I 2~ ~ a. GALLONS 0 b. CUBIC FEET 0 c, POUNDS 0 Ii. TONS . If EHS, amount must be in ounds. O..ABOVE GROUND TANK Oe,PLASTIC/NONMETALLICDRUM 0 i.FffiERDRUM Om.GLASSBOTI1.E 0 q,RAILCAR Db. UNDERGROUND TANK 0 f. CAN 0 j. BAG ~ n. PLASTIC BOTI1.E 0 r, OTHER o c. TANK INSIDE BUILDING 0 g. CARBOY 0 k. BOX 0 o. TOTE BIN o d. STEEL DRUM 0 h. SILO 0 I. CYLINDER 0 p. TANK WAGON 223 STORAGE PRESSURE ISI a, AMBIENT o b, ABOVE AMBIENT o c. BELOW AMBIENT STORAGE TEMPERATURE ~ a. AMBIENf o b, ABOVE AMBIENT o c. BELOW AMBIENT o d, CRYOGENIC %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # Ze- 40 ~6 o~~ ì \A.-~ Co.-.r bon +.e 21:1 DYes W No 228 5'ðLI-Oß-, 2 /-5 230 tDc..\..) v..&-'V\ ~\ 2]1 DYes 00 No 232 fÎ'E>Î - 'ß~- ..e... 3 1-5 234 DT?~ 23S DYes oa No 236 (P'7- 43-(0 4 23S 239 DYes D No 240 5 242 24] DYes D No 244 224 22S 229 2]] 237 241 245 If more hazardous components are present at Ueakr than 1-/. by weight if non-caninogenic, or 0.1..,. by wtight if urclnogenit, attach additional ,heets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA Please Si n Here UPCF (1/99) 6 OES Fonn 2731 e e UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION OREVISE 200 buildio 01' area DADD ODELETE Page_of_ I. FACILITY INFORMATION 202 20<1 FACILITY ID # II. CHEMICAL INFORMATION CHEMICAL NAME CN-I[Q L COMMON NAME h 205 TRADE SECRET DYes No 206 . If Subject to EPCRA. refer to instructions 207 208 EHS· DYes B'No CAS# 209 loo~q-SY-o FIRE CODE HAZARD CLASSES (CompICleifrequiredbyCUPA) If fu.lth ~ ·IfEHS is "Yes", all amounts below must be in Ibs. 210 14.. 0... en ', i 213 HAZARDOUS MA TERlAL TYPE (Check one item only) D a. PURE iD b. MIXTURE Dc, WASTE 211 RADIOACTNE DYes WNo CURIES PHYSICAL STATE (Check one item only) 215 D a. SOLID t9 b, LIQUID 0 c. GAS 214 LARGEST CONTAINER FED HAZARD CATEGORIES (Check aU that apply) 0 a, FIRE D b. REACTIVE 0 c, PRESSURE RELEASE 12!1 d. AC!JfE HEALTH 0 e. CHRONIC HEALTH 216 A VERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT STATE WASTE CODE 220 5 ~ NtIt N~ 221 DAYS ON SITE: ,%5 221 ~ a, GALLONS 0 b. CUBIC FEET 0 c. POUNDS 0 d. TONS · If EHS amount must be in ouods, Da,ABOVE GROUND TANK Oe,PLASTIClNONMETALLICDRUM 0 ¡,FffiERDRUM Om.GLASSBOTILE 0 <¡.RAILCAR o b, UNDERGROUND T ANI( 0 ( CAN 0 j. BAG m n. PLASTIC BOTTLE 0 r, OTHER o c. TANK INSIDE BUILDING 0 g. CARBOY 0 k. BOX 0 o. TOTE BIN o d, STEEL DRUM 0 b. SILO 0 1. CYLINDER 0 p. T ANI( WAGON 223 STORAGE PRESSURE (¡J a. AMBIENT o b. ABOVE AMBIENT o c. BELOW AMBIENT 224 STORAGE TEMPERATURE ~a. AMBIENT o b. ABOVE AMBIENT D c. BELOW AMBIENT D d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (FOT rnixtuTe OT waste only) EHS CAS # 5-\0 226 h 227 DYes GZI No 228 .e... 2 '3 1 230 h D Yes OJ' No 232 "3 3 1- 3. 234 DTt':>,q 235 DYes OCI No 236 Þ Î - L¡ 3- 6 4 238 239 DYes 0 No 240 5 242 243 DYes 0 No 244 229 233 237 241 245 If more hazardous c:omponents are present at greater than I '-'. by weight if non-carcinogenic, or 0.1-/_ by weight if carcinogenic, attach additional sheds of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA Please Sí n Here UPCF (1/99) 6 OES Form 2731 e e UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION DADD DDELETE OREVISE I. FACILITY INFORMATION 100 102 FACILITY ID # 203 GRID# (aptiooal) 204 II. CHEMICAL IN FORMA nON CHEMICAL NAME CN-\ COMMON NAME 205 TRADE SECRET D Ves No 206 ).(' r"I e. ð i o..rY\.ì vu- VQ.(t c... 207 eler, \l 'vi 209 If Subject to EPCRA, refer to instructions 203 EHS· DYes m No CAS# ZSlo *If EHS is "Yes", all amounts below must be in Ibs. 210 ~o..L t-ì \J ì HAZARDOUS MATERIAL TYPE (Check one item only) o a. PURE ~ b. MIXTURE 0 c, WASTE 211 RADIOAcrJVE 0 Ve. ~ No 212 213 PHYSICAL STATE (Check one item only) 215 o a. SOLID PO b, LIQUID o c, GAS 214 LARGEST CONTAINER I/O Il.s 0....1 FED HAZARD CA TEGORlES (Check all that apply) 0 a, FIRE 0 b, REACTIVE 0 c, PRESSURE RELEASE ~ d, AClITE HEALTII 0 e. CHRONIC HEALTH 216 6' '5 218 ANNUAL WASTE AMOUNT Nfr /VA DA VS ON SITE:3b j 222 AVERAGEDAlLV AMOUNT 117 MAXIMUMDAILV AMOUNT STATE WASTE CODE 220 221 1'g a. GALLONS 0 b, CUBIC FEET 0 c. POUNDS 0 d. TONS . If EHS amount must be in unds. Da,ABOVE GROUND TANK De.PLASTIClNONMETALLlCDRUM 0 ¡,FmERDRUM Dm.GLASSB01TLE 0 q.RAILCAR o b. UNDERGROUND TANK 0 f. CAN 0 j. BAG œ IL PLASTIC B01TLE 0 r. OTHER o c. TANK INSIDE BUILDING 0 g. CARBOV 0 k. BOX 0 o. TOTE BIN o d, STEEL DRUM 0 h, SILO 0 I. CYLINDER 0 p. TANK WAGON m STORAGE PRESSURE KI a, AMBIENT o b. ABOVE AMBIENT o c, BELOW AMBIENT 224 STORAGE TEMPERATURE '6tI a. AMBIENT o b. ABOVE AMBIENT o c, BELOW AMBIENT o d. CRVOGENlC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # /-1$ 226 ,}.. ' t· 1.::.,221 \1~'j ìeVlevLi o-.~' \o\.-R- t.a\\JC-.TNe... 231 DVes 0 No o Ves Iif No 228 ?.. -b4G:>- -,,-Cf 229 2 230 232 233 3 234 235 DVes 0 No 236 237 4 238 239 DVes D No 240 241 5 242 243 DYes 0 No 244 245 If more ha.zardou' components are present.t greater than 1'/. by "'figbt jf noo-c:arånogenic:, or 0.1 e¡. by wright if c:ørc:inogelÙc, attach additio"8lsheeu of pape.. upturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMA nON 246 If EPCRA Please Si Here UPCF (1/99) 6 DES Form 2731 e e UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION ODe a c material bui1din or area . :1». r~·à.) " DADD DDELETE DREVISE 200 Page_of_ I. FACILITY INFORMATION BUSINESS NAME (Same às FACILITY NAME or DBA - Doing Business As) "" . CHEMICAL LOCATION 202 . , ';,°0, FACILITY ID # NO 203 GRlD# (optional) '1-' 204 ß. CHEMICAL INFORMATION CHEMICAL NAME CN-I~L. t\)t.-I"2- COMMON NAME '( ìc..- 20S TRADE SECRET DYes 5tNo 206 Q ì~~1eý 207 If Subject to EPCRA. refer to instructions 2118 D..vv'\r'YloV\ . CAS# HIt¿,'&Î- 3b-1o FIRE CODE HAZARD CLASSES (Complete ¡frequired by CuPA) H- .eo.....L-t-~; , DTA EHS* DYes Jiã No 209 *If EHS is "Yes", all amounts below must be in Ibs. .., e: () ~t:.L c.. t1 \J ì 210 HAZARDOUS MATERIAL TYPE (Check one item only) 213 o a, PURE iii b, MIXTIJRE 0 c. WASTE 211 RADIOACTIVE 0 Yes CURIES PHYSICAL STATE (Check one item only) 21S o a. SOLID Œ b, LIQUID o c, GAS 214 LARGEST CONTAINER .5 FED HAZARD CA TEGORlES (Check all that apply) 0 a, FIRE 0 b. REACTIVE 0 c, PRESSURE RELEASE ~ d, ACIJfE HEALTH 0 e, CHRONIC HEALTH 216 20 N~ 222 AVERAGE DAILY AMOUNT '2b 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT STATE WASTE CODE f\jA 220 221 ~ a. GALLONS 0 b, CUBIC FEET 0 c. POUNDS 0 II. TONS . If EHS amount must be in unds. o a, ABOVE GROUND TANK 0 e. PLASTlClNONMETALLIC DRUM 0 ¡, FIBER DRUM 0 m, GLASS BOTILE 0 q, RAIL CAR Db. UNDERGROUND TANK 0 f. CAN 0 j. BAG 0n. PLASTIC BOTILE 0 r, OTHER o c. TANK. INSIDE BUILDING 0 g. CARBOY 0 k. BOX 0 o. TOTE BIN o d. STEEL DRUM 0 h. SILO 0 I. CYLINDER 0 p, TAN!( WAGON 223 STORAGE PRESSURE Dí a, AMBIENT o b, ABOVE AMBIENT o c. BELOW AMBIENT 224 STORAGE TEMPERATURE (Sa"a. AMBIENT o b. ABOVE AMBIENT o c. BELOW AMBIENT 0 d, CRYOGENIC 22S %WT HAZARDOUS COMPONENT (For mixture or waste onJy) IO-Zv 226 f~t(ic... D...rV" VVî 0"" 'u...YV1 PDTA 2 7-15 230 cx.m rYlO(\ ì \A.rVI b e. 3 S--ID 234 4 238 5 242 EHS CAS # 227 DYes œ No 228 \ \ ICd '7- 3(p -0 229 231 DYes ŒI No 232 \'Z-\'"L4- Q7-Cf 233 23S DYes a No 236 2 -Z:2.Io- gs- 237 239 DYes:I!J No 240 " D - I~ - 1 241 243 DYes D No 244 245 U more hazardous components are present at greater thin I V. by weight if non--cardnogenit, or 0.1-/. by weight if earcinogenic, attach additional sheets or paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA Please Si Here UPCF (\/99) 6 OES Form 2731 e e UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION OADD ODELETE o REVISE I. FACILITY INFORMATION 200 'BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) Lô CHEMICALLOCA TION D I'LU ~k>n: # d<.c,1 L LOCATION CONFIDENTIAL EPCRA 12{ NO 203 GRID# (1Ip,;...aI) '202 ..., . ';I,.~ 204 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET DYes No 206 c..N- \ L;. L N ~ -,¡z.. Fi ì( -c.. r If Subject to EPCRA. refer to instruCtions 0-.v"Y\ V"V"I en' lA. 207 208 COMMON NAME EHS" DYes E No CAS# 209 -" ~ ?:;;- I - ~ FIRE CODE HAZARD CLASSES (Complete ¡frequired by CUPA) eoJLfu: "If EHS is "Yes", aU amounts below must be in Ibs. 210 M'a..: D I~o....c-+-ì \I í 213 HAZARDOUS MATERIAL TYPE (Check one item only) o a. PURE 00 b. MIXTURE 0 c. WASTE 211 RADIOACTIVE 0 Yes 0 No CURIES PHYSICAL STATE (Check one item only) 21S o a, SOUD I1i1 b. LIQUID 0 c, GAS 214 LARGEST CONTAINER "'5 0....1 FED HAZARD CATEGORIES (Check all that apply) 0 a. FIRE 0 b, REACTIVE 0 c, PRESSURE RELEASE I:ïr d. AClITE HEALTII 0 e. CHRONIC HEALTH 216 )0 Nv:t 222 AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT STATE WASTE CODE 220 ìo NA 221 XI a, GALLONS 0 b. CUBIC FEET 0 c, POUNDS 0 d. TONS . If EHS amount must be in ounds. o a. ABOVE GROUNDTANK De.PLASTIClNONMETALLlCDRUM 0 i.FlBERDRUM Dm.GLASSBOTILE 0 q.RAILCAR o b. UNDERGROUND T ANI{ 0 f, CAN 0 j, BAG ~n. PLASTIC BOTTLE 0 r, OTlffiR DC. TANK INSIDE BUILDING 0 g. CARBOY 0 k. BOX 0 o. TOTE BIN o d, STEEL DRUM 0 b. SILO 0 I. CYLINDER 0 p. T ANI{ WAGON STORAGE TEMPERATURE ~ a. AMBIENT o b. ABOVE AMBIENT o c, BELOW AMBIENT o d. CRYOGENIC 223 224 22S CAS # I~ g 229 STORAGE PRESSURE Q; a, AMBIENT o b, ABOVE AMBIENT o c, BELOW AMBIENT %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS 2o-st> 226 227 DYes I!O No 228 2 230 ì rYlì d 2JI DYes [i No 232 e.. 3 I-S 234 eth DYes OCI No 236 4 1- 239 DYes IAI No 2<W 5 242 243 DYes 0 No 244 77 2- to - 0 D II 233 237 241 245 If more hazardous components are preten' at greater than) % by weight if non-earcinogenic, or 0,.-/. by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA Please Si Here UPCF (1/99) 6 OES Fonn 2731 e e UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION ""DADO o DELETE DREVISE.~ I· I. FACILiTY INFORMATION 200 ooc a e material buildiD or area. .;. Page _ ~f ......!." BUSINES~ NAME (S¡yne as FACILITY NAME or DBA - Doing Business 'As) j . ',~' CHEMICAL LOCATION 202 " . . .' -:..., ~ 203 GRlD# (optimal) 204 FACILITY Ir> # II. CHEMICAL INFORMATION CHEMICAL NAME C(\/-Il.P L N L- -rz. 205 TRADE SECRET DYes No 206 COMMON NAME ,e.Ý 207 If Subject to EPCRA, refer to instrUCtions 208 CAS# \ I 2- I....' ~ ty- ì 0.....'- 2.ß~ -~'8 - Ö FIRE CODE HAZARD CLASSES (Compl". ¡frequired by CUPA) EHS· DYes {}f No 209 ·If EHS is "Yes", all amounts below must be in Ibs. 210 , L R...e:.: ö ~tivì 213 HAZARDOUS MA TERJAL TYPE (Check one item only) o a. PURE ~b. MIXTURE 0 c. WASTE 211 RADIOACfIVE 0 Yes ~ No PHYSICAL STATE (Check one item only) 215 o a, SOLID 'Ii:! b. LlQillD 0 c. GAS 214 LARGEST CONTAINER . OS cd fED HAZARD CATEGORIES (Check all that apply) 0 a, FIRE 0 b, REACfIVE 0 c, PRESSURE RELEASE 0 d, ACUTE HEALTH 0 e. CHRONIC HEALTH 216 AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT STATE WASTE CODE 220 , NI'\ 1\1 A 221 DAYS ON SITE: 3lv S' 222 [Ja. GALLONS 0 b. CUBIC FEET 0 c. POUNDS 0 d. TONS . If EHS amount must be in ounds. Oa.ABOVE GROUND TANK Oe,PLASTIClNONMETALLlCDRUM 0 i.FIBERDRUM Om,GLASSBOITLE 0 q,RAILCAR o b. UNDERGROUND TANK 0 f. CAN 0 j. BAG &!it n, PLASTIC BOITLE 0 r. OTHER o c. TANK INSIDE BillLDING 0 g. CARBOY 0 k. BOX 0 o. TOTE BIN o d, STEEL DRUM 0 h, SILO 0 I. CYLINDER 0 p. T ANK WAGON 223 STORAGE PRESSURE I¡ð a. AMBIENT o b. ABOVE AMBIENT o c. BELOW AMBIENT 224 STORAGE TEMPERATURE jaa, AMBIENT o b, ABOVE AMBIENT o c. BELOW AMBIENT o d. CRYOGENIC 22S %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 10-1 S 226 2 5-10 230 3 (-Ç 234 4 238 5 242 , m DYes ¡¡g No 228 2.85 - 8~ - 0 .3&SSC( SeD --500\ 233 ,3(,15 $; q 3t>o- S- DOL 237 229 5l>Jo,::>+í ~" ty\ o..-z..ok - -fr~ o Yes III No 232 OoV'\ì on,' DYes 1iJ No 236 239 DYes 0 No 240 243 DYes 0 No 244 241 245 If more hazardous components are present at greater thad .'/. by weight if no""",arcinogenic, or 0.1'/. by weight if carcinogenic, attach additional sheets of papet capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA Please Si n Here UPCF (1/99) 6 DES Form 2731 e e UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION DADD DDELETE DREVISE 200 one e cr material buildin or area Page_of_ I. FACILITY INFORMATION FACILITY ID # Stor-e ~a<Cl C ICAL LOCATION CONFIDENTIAL EPCRA 202 o YES ~ NO , BUSINESS NAME (Samè'as'FACÍLITY NAME or DBA - Doing Business As) CHEMICAL LOCATION 9\-1D\c.\ o...b 203 GRID# (opriooal) 204 II. CHEMICAL INFORMATION CAS# 205 TRADE SECRET No 206 CHEMICAL NAME CP- \1îL P\- COMMON NAME ~\õ.r\:e ( If Subject to EPCRA. refer to instructions 207 208 EHS· DYes CX;No 209 'lY'-\'ì- Yo-ì FIRE CODE HAZARD CLASSES (Complete if required by CUPA) "\'\ .e~\ """' -. , F, (e ~ 0 ·If EHS is "Yes", all amounts below must be in Ibs, 210 TZt-o--L+ì-v ì :0 HAZARDOUS MATERIAL TYPE (Check one item only) 21) o a, PURE ~b. MIXTURE 0 c. WASTE 211 RADIOAcrIVE 0 Yes 0 No 212 CURIES PHYSICAL STATE (Check one item only) 215 o a, SOLID IjD b. LIQUID 0 c. GAS 214 LARGEST CONTAINER ,25 0....\ FED HAZARD CATEGORIES (Check all that apply) 0 a. FIRE 0 b. REAcrIVE 0 c. PRESSURE RELEASE J'1 d. AClITE HEALTH 0 e, CHRONIC HEALTH 216 AVERAGE DAILY AMOUNT 5 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT STATE WASTE CODE 220 5" NA N'A 221 DAYS ON SITE: .3l.D5 222 ~ a, GALLONS 0 b. CUBIC FEET 0 c, POUNDS 0 d, TONS . If EAS, amount must be in ounds, o a. ABOVE GROUND TANK 0 e. PLASTlClNONMETALLlC DRUM 0 L FIBER DRUM 0 m, GLASS BOTTLE 0 q, RAIL CAR o b, UNDERGROUND TANK 0 f, CAN 0 j. BAG Ii!! n, PLASTIC BOTTLE 0 r, OTHER o c, TANK INSIDE BUILDING 0 g. CARBOY 0 k, BOX 0 0. TOTE BIN o d. STEEL DRUM 0 h. SILO 0 I. CYLINDER 0 p. TANK WAGON 223 STORAGE PRESSURE STORAGE TEMPERATURE %WT 5-10 226 2 5-1 3 3-1 234 4 5 242 ¡& a. AMBIENT o b, ABOVE AMBIENT o c, BELOW AMBIENT 224 ~ a, AMBIENT 0 b. ABOVE AMBIENT 0 c. BELOW AMBIENT 0 d. CRYOGENIC HAZARDOUS COMPONENT (For mixture or waste only) EHS 225 CAS # ;fa. ";:>~ \ \J...vY\ Ch ""d e. 2'J:/ DYes ø No 228 7y -y 229 .- ï ì CCJ... r ìx.)\-~t~ 231 DYes !iSI No 232 1'-14- 5'5- 233 .~ i \.)..ÿV'\ Cw- \ex;. V"o.h~ 235 DYes&! No 236 3'-1-08 - ì 237 rV\À V\-e.. dlei"ì \J C\: . ve. 239 DYes't)Îj No 240 13'?:f.lSb- 241 243 DYes D No 244 245 If more hazardous components are pre!Jent at greater than ../. by weight if non--carcinogenic, or 0..-1. by weight if carcinogenic, attach additional sheets of paper capturing tbe required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 IfEPCRA Please Si n·Here UPCF (1/99) 6 OES Form 2731 e e UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION onc e er material r buildin or area DADD DDELETE DREVISE 200 Page_of_ I. FACILITY INFORMATION FACILITY ID # ~tDý <- d~" MICAL LOCATION CONFIDENTIAL EPCRA DYES Li' NO 203 GRlD# (optional) 3' 202 204 II. CHEMICAL INFORMATION CHEMICAL NAME C9-- '1 L P - c..~ COMMON NAME -trì e+h~() IO"2..-Î'-(P 205 TRADE SECRET No 206 e· leV1ì~he(' ß.rt 207 If Subject to EPCRA, refer to instructions 208 CAS# n-c.. EHS· DYes .Rl. No 209 ·If EHS is "Yes", all amounts below must be in Ibs. FIRE CODE HAZARD CLASSES (Comple<eifrequiredbyCUPA) 210 fe~D /Ze a. c;t;" V ¡ 213 HAZARDOUS MA TERlAL TYPE (Check one item only) o a, PURE IJ b, MIXTURE 0 c. WASTE 211 RADIOACfNE 0 Yes I)iI No CURIES PHYSICAL STATE (Check one item only) 215 o a. SOLID ~ b, LIQUID 0 c. GAS 214 LARGEST CONTAINER ..5 , FED HAZARD CATEGORIES (Check all that apply) 0 a. FIRE 0 b, REACTNE 0 c. PRESSURE RELEASE iii d, ACUTE HEALTH 0 e, CHRONIC HEALTH 216 AVERAGEDMLYAMOUNT 217 MAXIMUM DMLY AMOUNT 5 5 218 ANNUAL WASTE AMOUNT Nrt STATE WASTE CODE 220 221 NI+- DAYS ON SITE: 2<oS 222 ~ a. GALLONS 0 b, CUBIC FEET 0 c, POUNDS 0 d, TONS . If EHS amount must be in ounlls. o a. ABOVE GROUND TANK 0 e. PLASTIClNONMETALLIC DRUM 0 i. FillER DRUM 0 m, GLASS BOTTLE 0 q, RAIL CAR Db, UNDERGROUND TANK 0 f. CAN 0 j, BAG (Kn, PLASTIC BOITLE 0 r, OTHER o c. TANK INSIDE BUILDING 0 g, CARBOY 0 k. BOX 0 0, TOTE BIN o d. STEEL DRUM 0 h. SILO 0 I. CYLINDER 0 p. TANK WAGON 223 STORAGE PRESSURE ~ a, AMBIENT o b. ABOVE AMBIENT o c. BELOW AMBIENT 224 STORAGE TEMPERATURE ,:;¡ a, AMBIENT o b, ABOVE AMBIENT o c. BELOW AMBIENT o d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 2r7 226 .ty Î et nl\..nQ \lA.m. iN.. 227 DYes [j No 228 102.. - Î/-fo 229 2 3-1 230 h CÅ (0)( \ D.. YV\ì v1~ de, \ \J~tìvc.. 231 DYes I'S No 232 '?~&Ít?"51-?:> 233 3 234 235 DYes 0 No 236 237 4 238 239 DYes 0 No 240 241 5 242 243 DYes 0 No 244 245 [f more hazardous components Ire present at greater than .-/. by weight if non.carciotlgeoic, or 0.1·/. by weight if carcinogenic, attach additional sheeb of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 IfEPCRA Please Si n Here UPCF (1/99) 6 OES Form 2731 e e UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION DADD DDELETE DREVISE 200 one a c er material buildin or area Page~of_ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As), ' Lon " 202 FACILITY ID # 203 GRID# (optional) 204 II. CHEMICAL INFORMATION 205 TRADE SECRET Yes 1St No 206 B If Subject to EPCRA, refer to instructions 207 208 EHS· DYes 6a No 209 2SfoYb- ï -3 FIRE CODE HAZARD CLASSES (Complete ifrequired by CUP A) I ,,",: '2.. ·If EHS is "Yes", all amounts below must be in Ibs, 210 hÝe' o tzu;A.c.:h''\i ì HAZARDOUS MATERIAL TYPE (Check one item only) 211 213 o a. PURE ~ b, MIXTURE ·0 c. WASTE CURIES PHYSICAL STATE (Check one item only) 215 o a. SOLID ~b. LIQUID o c, GAS 214 LARGEST CONTAINER _ ''2-.5 a 0.-1 FED HAZARD CATEGORIES (Check all that apply) 0 a. FIRE 0 b. REACTIVE 0 c. PRESSURE RELEASE I]l d, ACUTE HEALTH 0 e, CHRONIC HEALTH 216 A VERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT STATE WASTE CODE 220 5 5 Ni4- N(.J,... 221 DAYS ON SITE: 3(0$ 222 " a, GALLONS 0 b. CUBIC FEET 0 c. POUNDS 0 d. TONS . IfEHS, amount must be in ounds, o a. ABOVE GROUND TANK 0 e, PLASTICINONMET ALLIC DRUM 0 i. FIBER DRUM 0 m. GLASS BOITLE 0 q, RAIL CAR Db, UNDERGROUND TANK 0 £, CAN 0 j. BAG ~ n. PLASTIC BOTTLE 0 r,OTIfER o c. TANK INSIDE BUILDING 0 g, CARBOY 0 k. BOX 0 0, TOTE BIN o d, STEEL DRUM 0 h, SILO 0 I. CYLINDER 0 p, TANK WAGON 223 STORAGE PRESSURE ~ a. AMBIENT o b. ABOVE AMBIENT o c. BELOW AMBIENT 224 STORAGE TEMPERATURE I¥ a, AMBIENT o b, ABOVE AMBIENT o c. BELOW AMBIENT o d, CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For rnixture or waste only) EHS CAS # 1':5 - t../f¡) 226 ìwV\ìne c\e(' :\i 227 DYes 1)0 No 2211 Z.S 10"\ Co.. '1 I -3 229 \ \ill '\Ie 231 DYes D No 232 233 235 DYes D No 236 237 239 DYes D No 240 241 243 DYes D No 244 245 2 230 234 4 238 242 If more hazardous components are preunt at greater than .-/. by weight if Doo-.carcinogenic, or 0.1 % by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA Please Si n Here UPCF (1199) 6 OES Form 2731 e e UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION OADD ODELETE OREVISE I. FACILITY INFORMATION 200 one e er material buildín or area Page_of_ 202 FACILITY ID # GRID# (optional) 204 II. CHEMICAL INFORMATION CAS# 205 TRADE SECRET No 206 CHEMICAL NAME Cp-y COMMON NAME ·'C 207 If Subject to EPCRA, ref« to instructions 208 EHS* o Yes 181 No 209 5 *IfEHS is "Yes", all amounts below must be in Ibs. e: 0 1Ze. 0- c.. ti V ì 210 HAZARDOUS MATERIAL TYPE (Check one item only) 213 o a. PURE iil b. MIXTURE 0 c. WASTE 211 RADIOACTIVE 0 Yes I)Q No CURIES PHYSICAL STATE (Check one item only) 215 o a, SOLID rib, LIQUID 0 c, GAS 214 LARGEST CONTAINER ..15 e>. -í FED HAZARD CATEGORIES (Check all that apply) 0 a, FIRE 0 b, REACTNE 0 c. PRESSURE RELEASE I)l d. ACUTE HEALTH 0 e. CHRONIC REAL TH 216 AVERAGEDNLYAMOUNT 217 MAXIMUMDNLY AMOUNT 218 ANNUAL WASTE AMOUNT STATE WASTE CODE 220 s 5 NJ4 NI4 221 DAYS ON SITE: '3(ðs 222 liD a. GALLONS 0 b, CUBIC FEET 0 c, POUNDS 0 d. TONS . IfEHS amount must be in ounds, o a, ABOVE GROUND TANK 0 e. PLASTIClNONMETALLIC DRUM 0 i. FffiER DRUM 0 m, GLASS BOTTLE 0 q. RAil. CAR o b. UNDERGROUND TANK 0 f. CAN 0 j. BAG $ n, PLASTIC BOTTLE 0 r. OTHER o c, T ANI( INSIDE BUILDING 0 g. CARBOY 0 k, BOX 0 o. TOTE BIN o d, STEEL DRUM 0 h, SILO 0 I. CYLINDER 0 p, T ANI( WAGON 223 STORAGE PRESSURE ,~ a, AMBIENT o b, ABOVE AMBIENT o c, BELOW AMBIENT 224 STORAGE TEMPERATURE ¡;;l.a, AMBIENT o b, ABOVE AMBIENT o c. BELOW AMBIENT o d, CRYOGENIC 225 %WT \5-40 226 2 ì-I HAZARDOUS COMPONENT (For rnixture or waste only) EHS CAS # o-\-b...c:::. ~', v-.VV'\ 227 DYes 00 No 228 e. 231 DYes ¡;¡a No 232 ßl- -03'-ì I '?:>I 0'- S~ - ?, 229 h 233 234 d L 235 D Yes ~ No 540 o.t'Y'Ii no oið (_c:.\.Ík:D~~ \ì l.- ñLid uiVl.\.-nv· . 4 238 239 DYes 0 No 236 51 bl.-I- 0.. ~2. 237 240 241 242 243 DYes 0 No 244 245 If more hazardous components arc present at greater than 1-;. by weight if non-earcinogenic, or 0.1'/. by weight if carcinogenic, attach additional.lheeu of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 IfEPCRA Please Si n Here UPCF (1/99) 6 OES Form 2731 e e UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUSMA TERIALS INVENTORY - CHEMICAL DESCRIPTION DADD o DELETE DREVISE 200 one a e material er buildin or area Page_of_ I. FACILITY INFORMATION FACILITY ID # dtQî BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) I _ L.O ~') CHEMICAL LOCATION Pi1? 202 203 GRID# (optional) 204 II. CHEMICAL INFORMATION TRADE SECRET DYes No 206 If Subject to EPCRA. refer to instructions 208 EHS* DYes &No CAS# *If EHS is "Yes", all amounts below must be in Ibs. L\'UeS - 5D--e( FIRE CODE HAZARD CLASSES (Complete ¡frequired by CUPA) I-t Fire; ~ 0 o a, PURE \XI b, MIXTURE 0 c, WASTE 210 HAZARDOUS MATERIAL TYPE (Check one item only) 213 211 CURIES PHYSICAL STATE (Check one item only) 215 o a. SOLID ~ b. LIQUID 0 c, GAS 214 LARGEST CONTAINER ,5 FED HAZARD CATEGORIES (Check aU that apply) 0 a, FIRE 0 b. REACTIVE 0 c, PRESSURE RELEASE ISl d, ACUTE HEALTH 0 e, CHRONIC HEALTH 216 221 222 AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT STATE WASTE CODE 220 7.0 -2..ö Nfl Nf1 1jlta. GALLONS 0 b, CUBIC FEET 0 c. POUNDS 0 d. TONS . If EHS amooot must be in ooods. o a. ABOVE GROUND TANK 0 e. PLASTIClNONMET ALLIC DRUM 0 i. FffiER DRUM 0 m, GLASS BOTTLE 0 q, RAIL CAR o b, UNDERGROUND T ANI( 0 f. CAN 0 j, BAG !VI n, PLASTIC BOTTLE 0 r. OTHER o c, T ANI( INSIDE BUILDING 0 g, CARBOY 0 k, BOX 0 0, TOTE BIN o d, STEEL DRUM 0 b, SILO 0 I. CYLINDER 0 p, T ANI( WAGON 223 STORAGE PRESSURE r)i a, AMBIENT o b, ABOVE AMBIENT o c, BELOW AMBIENT 224 STORAGE TEMPERATURE IiI a, AMBIENT o b, ABOVE AMBIENT o c, BELOW AMBIENT o d, CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 227 D Yes~ No 2 1-5 230 bet") oiL. 0.. ci cl \Ie 231 DYes ~No 228 2-1 'Z¿'j - 229 232 'Ts-qq - z.ç~. COI VI 233 236 237 240 241 234 235 DYes D No 4 238 239 DYes D No 242 243 DYes 0 No 244 245 If more hazardous components are present at greater than t.¡. by weieht if nOJM:arcinogenic, or 0.1 e¡. by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA Please Si n Here UPCF (1/99) 6 OES Fonn 2731 "---- e e UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION one c material buildin or area DADD DDELETE DREVISE 200 Page_of_ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA ~ Doing Business As) 202 FACILITY ID # 203 GRID# (optional) 204 II. CHEMICAL INFORMATION CAS# 205 TRADE SECRET Yes B No 206 CHEMICAL NAME (P- ~11 L 172- COMMON NAME ClmmoV\i v.yv'\ i3 207 If Subject to EPCRA. refel' to instructions 208 EHS* DYes 5No 209 lÎ'83~ \1>-'6 *If EHS is "Yes", all amounts below must be in Ibs, I=¡ ý e. 210 HAZARDOUS MA TERJAL TYPE (Check one item only) 213 o a, PURE E¥,.b, MIXTURE 0 c, WASTE 211 CURIES PHYSICAL STATE (Check one item olÙY) 215 o a, SOLID I)iI b. LIQUID o c, GAS 214 LARGEST CONTAINER .s FED HAZARD CATEGORIES 216 (Check aU tilat apply) 0 a. FIRE 0 b. REACTNE 0 ç. PRESSURE RELEASE 9i1 d. ACUTE HEALTH 0 e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 ANNUAL WASTE AMOUNT STATE WASTE CODE 220 '2-!) )lit 221 NI1 DAYS ON SITE: ")¡" <-.At'-S 222 r,L a, GALLONS 0 b. CUBIC FEET 0 c, POUNDS 0 d. TONS . If EHS, amount must be in ounds, o a. ABOVE GROUND TANK 0 e, PLASTIClNONMETALLIC DRUM 0 i. FillER DRUM 0 m. GLASS BOTTLE 0 q. RAIL CAR Ob.UNDERGROUNDTANK Of,CAN 0 j,BAG !)in, PLASTIC BOTTLE 0 r.OTHER o c, TANK INSIDE BUILDING 0 g, CARBOY 0 k. BOX 0 0, TOTE BIN o d, STEEL DRUM 0 h. SILO 0 t CYLINDER 0 p, TANK WAGON 223 STORAGE PRESSURE I;;a a. AMBIENT o b. ABOVE AMBIENT o c. BELOW AMBIENT 224 STORAGE TEMPERATURE 29 a, AMBIENT o b, ABOVE AMBIENT o c, BELOW AMBIENT o d, CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # l) - 40 226 e 227 DYes t1SJ No 228 '77ß3--,g'-8 229 231 D Yes!&! No 232 ÎÎÎ3., 233 3" 235 DYes I&J No 236 foLf'3.'-J- 52.-2- 237 239 DYes ~ No 240 Z6~" 32...- L.j 241 243 DYes Œ No 244 to III 'L- ~O 245 2 _ 10 230 e 3~Î 234 D--Y'YIm ' 4 3-'1 238 ì ¡.'Y1 ì c\ tl -z.ole der¡\Ia:h'v~ 5 3-1 242 ~ n ì lAm bì If more hazardous components are prescnt at greater than I 'Y. by weight if non-carcinogenic, or O.t-/_ by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 IfEPCRA Please Si n Here UPCF (1/99) 6 OES Form 2731 ---.. · " ~ It - CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 FACILITY DESCRIPTION HAZARDOUS MATERlALS INVENTORY CHECK IF BUSINESS IS A FARM [ ] BUSINESS NAME ~ Dí~ ~w LoJ.¡ft,rnì~ IDle... FACILITY NAME ~ Dr~ ~e i:I= '2-t.P7 SITE ADDRESS 55 J 0 ~(k:..k fL tt;&-W ~ ( CITY ~&-Adet STATE dt ZIP q36~ NATURE OF BUSINESS Keà..'l Ou..è~ cV'1) R~~ o~oJiJ a. Úk.Ð-htnu" fWtolø.b ~ SIC CODE SC::¡ 1"2.. DUN & BRADSTREET NUMBER 00- "q I ~ Doc:> L-L OWNER/OPERATOR ~ 'IK'1I W"<.d .c4!illflÙcJ¡cpHONE ~z.s) q37-) Ií 0 MAllJNG ADDRESS --14' N. u v í c. 1)(\" <- CITY J.ùcJ Y\.lLt (fœJ:. STATE cJr ZIP q 4. çq b EMERGENCY CONTACTS ( NAME .Jl,OYV\o..D b~ 'tÿf BUSINESS PHONE 1&$') '02.2- t$02-Y NAME~ ~ BUSINESS PHONE (~05) ?ft1/Çj)2J..( TITLE ~h.e. ~~ () 24 HOUR PHONE (cg06) 32-4- '=::.4 17 TITLE 1'h>~ t. s.-ßre. ~ 24HOURPHONE (ws-) g~-O~ - e HAZARDOUS MATERIALS INVENTORY Business Name /1)~ PfWO'.5fw! 4J:. ~lo 7 CHEMICAL DESCRIPTION ,4 ~ Address 55' 0 ~c.¥.J ø DL 1; Page '2 of Ib I ~ lLÚO...ð I) INVENTOR Y STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON Trade Secret [ ] Trade Secret [ ] 2) Common Name: 3) DOT # (optional) Chemical Name: ARM [ ] CAS # 4) Physical & Health PHYSICAL HEALTH Hazard Categories Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ 5) WASTE CLASSIFICATION (3-digit code ftom DHS Fonn 8022) 6) PHYSICAL STATE Liquid [ ] Gas [ ] Pure [ Solid [ 7) AMOUNT AND TIME AT FACILITY Maximum Daily Amount Average Daily Amount Annual Amount Largest Size Container # Days on Site UNITS OF MEASURE Lbs[ ] Gal [ ]ft3[ Curies [ ] Circle Which Months: 9)~: List the three most hazardous I) chemical components or 2) any ARM components 3) COMPONENT ( 1)LOCATION USE CODE Mixture [ ] Waste [ ] Radioactive [ 8) STORAGE CODES a) Container: b) Pressure: c) Temperature All Year, J. F, M. A. M. J. J. A. s. 0, N. D CAS# %Wf ARM [ ] [ ] l ] I) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON Trade Secret [ ] Trade Secret [ ] 2) Common Name: 3) DOT # (optional) Chemical Name: ARM [ ] CAS # 4) Physical & Health PHYSICAL HEALTH Hazard Categories Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute)[ ] Delayed Health (Chronic)[ , 5) WASTE CLASSIFICATION (3-digit code from DHS Fonn 8022) 6) PHYSICAL STATE Solid [ Pure [ Liquid [ Gas [ ] 7) AMOUNT AND TIME AT FACILITY Maximum Daily Amount Average Daily Amount Annual Amount Largest Size Container # Days on Site UNITS OF MEASURE Lbs [ ] Gal [ ] ft3 [ Curies [ ] Circle Which Months: 9)~: List thethreemosthazaroous 1) chemical components or 2) any ARM components 3) COMPONENT USE CODE Mixture [ ] Waste [ ] Radioactive [ 8) STORAGE CODES a) Container: b) Pressure: c ) Temperature All Year, J, F, M. A. M, J, J, A. S, O. N, D CAS# %Wf ARM [ ] [ ] [ ] )LOCA TION I certify under penalty of law, that I have personally examined and am familiar with the infonnation on believe the submitted infonnation is true, accurate and complete. ~ PRINT Name & Title of Authorized Company Representative ,\I'I'ENI>IX <: California Hazardous Materials Inventory Reporting Form - Chemical Description Page ¡I).!OADD ODELETE ?(REVIS~ PAGE (~)I (3 r OF 1.\11 Ib J I BUSINESS NAME CHEMICAL LOCATION e-~~-·,· ,. e ._-_._.__._._~-,. - ----.. ,~--_. California Code of Regulations Title 19 Division 2 Chapter 4 (4) i L <''I')' ~ D'(IA.~ ~e. Pno+U lê~ Pr d dv <.:1" /, ~ ~(p '7 MAP# (5) i I \C.) I ç+c,~~ €- GRID # (7) I CHEMICAL NAME (I;) I COMMON NAME (~) I CAS # (10) I FIRE CODE m)1 HAZARD CLASSES· , 'COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF· REFER TO INSTRUCTIONS. (I~)IO PURE ~MIXTURE [] WASTE I RADIOACTIVE (WIC Y ():N ¡ (16)1 (l7) OSOLlD ~LlQUID OGAS i CURIES (lSJ¡u FIRE 0 REACTIVE C PRESSURE. RELEASE ßACUTE HEALTH C CHRONIC HEALTH ! TYPE PHYSICAL STATE FED HAZARD CATEGORIES STATE WASTE CODE DAYS ON SITE LARGEST CONTAINER STORAGE CONTAINER STORAGE PRESSURE STORAGE TEMPERATURE 11 (29) %'NT 7-1(;) 21 rs"'7 31 ,~> 41 51 SECRET(Il) OY ~j 'EHS 112)10 Y ~ Nl 'IF EHS BOX IS "Y" AlL AMOUNTS MUST BE IN "1 I C-?- L/o F ^.It. t-' t .... s~ ~t'vq.,lvft1 _ StAAf~TRADE .pct.õ.SSf U. \tn, c.,~(1 h. it4.· I bSL.f - D~-L. UNITS·(22)~GAL QCU FTI MAXDAILYAMT (13)1 .:-6, ûLBS OTONS! "If EHS, amounts must be in Ibs. AVG DAILY AMT (24)1 .¿" (19) ¡ NA I (10) I 365 (11) ¡ .1'S,~1 ANNUAL WASTE AMT (15)¡ 1 tJA OBOX Ci CYLINDER o GLASS BOTTLE 8 PLASTIC BOTTLE o TOTE BIN AMBIENT I AMBIENT 0 CRYOGENIC I (26) LI ABOVE GROUND TANK 0 CAN o UNDER GROUND TANK 0 CARBOY [jTANK INSIDE BUILDING 0 SILO Cì STEEL DRUM 0 FIBER DRUM o PLASTIC/NONMETALLIC DRUM 0 BAG (m f)ZI AMBIENT 0 ABOVE AMBIENT 0 BELOW (28)~AM8IENT OABOVE AMBIENT OBELOW (30) HAZARDOUS COMPONENT ~<~'~ ~~~rt>~ I PO-:~:~"~¡~~l,,:,~k I o TANK WAGON o RAIL CAR o __________ (31) EHS IOY ~NII luY ~N II i loy 60NII IOY ON I I ¡ICY ON ! f31)CAS# ~~I(~() 'j}-7 14V- SS- 9J 71f47- '10-7 03) ADDITIONAL LOCALLY COLLECTED INFORM A nON ()t,~<; Furn, 27~1 1U4/'IIo) PAGE 21 ~-,-..~e--~ e\ ._-------_.~.__.__. California Codc of Rcgulations Titlc 19 Division 2 Chaptcr 4 ,\ IT END I\: C California Hazardous Materials Inventory Reporting Form· ( ".10 ADD ODE LET E 'f REV I S ~ BUSINESS NAME (4) i Chemical Description Page PAGE (~II Y I OF 1.\11 J I I ,~ CHEMICAL LOCATION (5) i I MAP# ((,I I L ~ S".L-. . i!: "" '7 OY)~~ LN"'J --. VY<.. 0("" Photo h,{" r'IIJv,-t S+U¥è.~~ I. GRID # (71 I CHEMICAL NAME (~I I COMMON NAME (91 I CAS # (101 I FIRE CODE mIl HAZARD CLASSES· . 'COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF· REFER TO INSTRUCTIONS. (I.HIO PURE ;fC MIXTURE [1 WASTE I RADIOACTIVE mllC Y æ::.N I (16)1 - i ! (17) OSOLlD ~LIaUID oGAS i CURIES (lSI!uFIRE [J REACTIVE C PRESSURE RELEASE ~ACUTE HEALTH CCHRONIC HEALTH ! TYPE PHYSICAL STATE FED HAZARD CATEGORIES STATE WASTE CODE DAYS ON SITE LARGEST CONTAINER STORAGE CONTAINER STORAGE PRESSURE STORAGE TEMPERATURE 11 (29) %INT 7-10 21 "3 -7 31 3-5" 41 51 cf> D t~Tij.ADE SECRET(1l1 OY ~NI 40 F,AJJ: p- 1\s()tvLI.:Þr-~~rIÛo\¡'Ü I"wtA . t.. T" í e.th ~o ( am I nL . "EHS l1:!)10 Y ~ N I I "IF EHS BOX IS "Y' I ALL AMOUNTS MUST BE IN '"SI l 02.-'71- Cc, UNITS·(:!:!)~GAL ::ICU FTI MAXDAILYAMT (23)1 [J LBS 0 TONS I "If EHS. :lmounls must be in Ibs. AVG DAILY AMT (2.4)i 1./ (19) i N^ I (20) I ßbS- (21) i 0, t5,2J y ANNUAL WASTE AMT (2S)i I {vA (261 ILl ABOVE GROUND TANK 0 CAN o UNDER GROUND TANK 0 CARBOY DTANK INSIDE BUILDING OSILO C STEEL DRUM ° FIBER DRUM o PLASTIC/NONMETALLIC DRUM 0 BAG (:27) Il)iìAMBIENT 0 ABOVE AMBIENT 0 BELOW (28)~ AMBIENT ° ABOVE AMBIENT ° BELOW (30) HAZARDOUS COMPONENT t rí eth~\) lA Wli",~ ~~r'-'YC)(r(~""";('I¿ Ju\II.....h~ C\.cetie;. ""c.,'.! IO'2..-ìl-fo p- 9 0 - t 9 e b 64- 19-'7 [j BOX o CYLINDER o GLASS BOTTLE IS PLASTIC BOTTLE ° TOTe BIN AMBIENT I AMBIENT ° CRYOGENIC I o TANK WAGON o RAIL CAR 0__________ (31) EHS 110 Y fig N I I 11UY OjN II JOY ~NII Iloy oN11 I ICY oNI (321CAS# (JJ)ADDITlONAL LOCALLY COLLECTED INFORMATION 01':<; Fur"> 17.l1 ((I4/'}(" PAGE 21 e e C::difornia Code of Regulations Titlc 19 Division 2 Chaptcr 4 ,\I'I'I-:NI)I:\ C Inventory Reporting Form - Chemical Description Page PAGE (~II ~ I OF '-IIC '" -, J I I California Hazardous Materials ( 1110 ADD 0 DELETE ¥l REV I 5 ~ BUSINESS NAME (4) i L~Y1~~ Þ(~J çi-ó r4. -=*' 2- (,;.'7 CHEMICAL LOCATION (5) i Phö t-o ~{¡ Pre:¡' J..... c. '"'t' ç~l'~ I MAP# (611 I, GRID # (7) I ME (In î\ R !TRADE...SECRETOlll0Y ~Nïl CHEMICALNA CF- 40 FA Jr. P - ~ vt,,~L~ ~... ~pltYJí' h~rt\....t ~ I.U _I COMMON NAME (91~hef'\.'1l~ '\e.c!..(G.~\~.L 'EHS(12) OY ~N I CAS # (101 -¡ ~ -. 'IF EHS BOX 15 "Y" ""2- 5 ~ I.{ ~ - , I J ALL AMOUNTS MUST BE IN Les FIRE CODE (1~11 I HAZARD CLASSES· , . 'COMPLETE BLOCK (13) IF REOUESTED BY THE LOCAL FIRE CHIEF· REFER TO INSTRUCTIONS. (1~I O PURE ~ MIXTURE [] WASTE I RADIOACTIVE (1~IIC Y 5rN ! (16)1 I (17110 SOLID ~ LIQUID oGAS i CURIES (1S)!u FI RE 0 REACTIVE c: PRESSURE RELEASE"@ ACUTE HEALTH C- CHRONIC HEALTH ~ TYPE PHYSICAL STATE FED HAZARD CATEGORIES STATE WASTE CODE DAYS ON SITE LARGEST CONTAINER STORAGE CONTAINER STORAGE PRESSURE STORAGE TEMPERATURE ~ ,~ 21 0.')- 1 I 311 41 I 51 I MAX DAILY AMT (23)U UNITS· (221 GAL:J CU FTI c: LBS 0 TONS! ~lr EHS, ;¡mounts must be in Ibs. 4 NA (19) ¡ tvA I (20) I 3b5 e!1) ';15 J¿( AVG DAILY AMT (24)1 ANNUAL WASTE AMT (205)1 ¡ (J80X o CYLINDER o GLASS BOTTLE 6S PLASTIC BOTTLE o TOTE BIN AMBIENT I AMBIENT 0 CRYOGENIC I (26) jL! ABOVE GROUND TANK 0 CAN o UNDER GROUND TANK 0 CARBOY [jTANK INSIDE BUILDING 0 SILO C STEEL DRUM 0 FIBER DRUM o PLASTIC/NONMETALLIC DRUM 0 BAG (27) ~ AMBIENT 0 ABOVE AMBIENT 0 BELOW (28)~ AMBIENT 0 ABOVE AMBIENT 0 BELOW (30) HAZARDOUS COMPONENT G- \,h'''1Ie~1¡2",'''' ~ôJI \AM <; ___,-,,"<. I I o TANK WAGON o RAIL CAR 0__________ I ¡~'i"g,NII luY ~N! I ¡Ioy oNI Iloy oN ¡IOY ON) I f321CAS# 9.5b"'~ -7,Þ 3 I7S7-Q3-7 m)ADDITIONAL LOCALLY COLLECTED INFORMATION OES Fur", 27;11 W4/'J(,} PAGE 2\ ---......,¡;- ------ ~ A--- ---~-. -~·-e ____..____._. .._. _ _ ~_..__ .__n California Code of Regulations Title 19 Division 2 Chapter 4 ,\I' 'ENI>1:\ C California Hazardous Materials Inventory Reporting Form - l 1\10 ADD ODE L ET E 7J REV I S EJ BUSINESS NAME CHEMICAL LOCATION MAP# Chemical Description Page PAGE \~II ~ I OF I.lt J i ,'=' -' <'} I /... 0 ~' by ~ , ç +ow... -i!- ;;. '" Î <5}~O n l..h 2odoct S+orh;)e ((,11 I. GRID II (7) I CHEMICAL NAME (~) I COMMON NAME (911 CAS # (1011 FIRE CODE (1311 HAZARD CLASSES· , 'COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF· REFER TO INSTRUCTIONS. (I~I O PURE ~ MIXTURE 0 WASTE I RADIOACTIVE (1~) IC Y ~N ¡ (16)1 (17)10 SOLID ~LlQUID 0 GAS i CURIES (lS)iu FIRE 0 REACTIVE G PRESSURE RELEASE ~CUTE t:iEALTH C CHRONJC HEALTH ! TYPE PHYSICAL STATE FED HAZARD CATEGORIES STATE WASTE CODE DAYS ON SITE LARGEST CONTAINER STORAGE CONTAINER STORAGE PRESSURE STORAGE TEMPERA1URE ~ 1~ 21 ')-7 31 5-7 41 51 G?- 40 F AJI r ì- ."- DNQ.lofM.J PM C DO+.3.-~ S )", ~ ~'le~I\~+.e. ~ 'S~ 'f -DE -7 ¡TRADE SECRET(1J) O Y ~ NJ "EHS (1:!) D Y IBN 1 "IF EHS BOX IS-Y- AlL A"alMS MUST BE IN LOS¡ I UNITS'm) GAL ~CU FTI MAXDAllYAMT (23)/ OLBS OTONS! "If EHS, amounts must be in Ibs. AVG DAILY AMT (24)1 ANNUAL WASTE AMT (25)1 t 4 4- NA (19) ¡ NA I (20) I '3bS (21) ¡ .15J2.( , (26)L! ABOVE GROUND TANK 0 CAN G BOX o UNDER GROUND TANK 0 CARBOY 0 CYLINDER [jTANK INSIDE BUILDING OSILO OGLASS BOTTLE C STEEL DRUM 0 FIBER DRUM 'Q.PLASTIC BOTTLE OPLASTIC/NONMETALLlC DRUM OBAG OTOTE BIN (27) @AMBIENT 0 ABOVE AMBIENT 0 BELOW AMBIENT I (28)~ AMBIENT 0 ABOVE AMBIENT ° BELOW AMBIENT 0 CRYOGENIC I (30) HAZARDOUS COMPONENT (31) EHS IOY ~NII , , , '5 S''f- 0 ~-7 IUY ~N II , .,IJIO....S8',) 10 y ~ N I I 131 C - "2. 1- 3 tOY ON I r- IICY ON'I o TANK WAGON o RAIL CAR o __________ (321CAS# i ).....$ ì "I. , -t .v.z.. <J:I)ADDITIONAL LOCALLY COLLECTED INFORMATION 01':<; Fum> 27-'1 11I4/'}(,) PAGE21 e-,-~ e -- ---~-~--_....-._---- -- .--"- -, C;¡)iforni;¡ Codc of Rcgulations Titlc 19 Division 2 Chaptcr 4 ,\I'),ENI>I\: <: California Hazardous Materials Inventory Reporting Form - I 11[0 ADD 0 DEL E T E ?-R E V I S ~ BUSINESS NAME (4) I L ð r'I:)~ Df"""J Sto.,.r¿, -if ';}~'7 CHEMICAL LOCATION (5) i Pho~ b,~ Pf'4IJvc..+ S+o-r- 2.:y- I MAP# (I,) I I, GRID # (7) I Chemical Description Page PAGE (~II -:;:¡ I OF 1.\11 /6 J I I CHEMICAL NAME (~) f COMMON NAME 1\J1 I CAS # (10) I FIRE CODE (I~) I HAZARD CLASSES' , 'COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF· REFER TO INSTRUCTIONS. (I~1/0 PURE ~MIXTURE [j WASTE I RADIOACTIVE <I~) IC Y C8N ! (16)1 (17)/0 SOLID is LIQ UID 0 GAS i CURIES (IS)¡UFIRE 0 REACTIVE C PRESSURE RELEASE ~ACUTE HEALTH CCHRONIC HEALTH ! TYPE PHYSICAL STATE FED HAZARD CATEGORIES STATE WASTE CODE DAYS ON SITE LARGEST CONTAINER STORAGE CONTAINER STORAGE PRESSURE STORAGE TEMPERATURE ,1 (~~~~ 21 31 41 51 0-1--<> 5-, ~-Î ¡TRADE SECRET(llJ O Y ~ N I "EHS (12)10 Y ~ N ] ·,F EHS BOX IS "Y' AlL AMOUNTS MUST BE IN LBS I c. p... ~ 0 f= A:r. rr--l..-R ß 1E.~ch- F'i)< PMt A o \¥' 'r"'- 0 "í k """ i-h í ð.r I.\. t f2..tL 1183-1A>-8 MAX DAILY AMT (23) I AVG DAILY AMT (24)¡ UNITS· (22) ~ GAL Q CU FTI [J LBS 0 TONS! "If EHS, amounts must be in Ibs. 2-D (19) ¡ NA I (20) I 365 (mj .:;t5j!.( 2-0 ANNUAL WASTE AMT (25)1 I toI [jBOX o CYLINDER o GLASS BOTTLE ~ PLASTIC BOTTLE o TOTE BIN AMBIENT I AMBIENT 0 CRYOGENIC I (261 Ii...! ABOVE GROUND TANK 0 CAN o UNDER GROUND TANK 0 CARBOY [jTANK INSIDE BUILDING oSILO C STEEL DRUM 0 FIBER DRUM o PLASTICINONMETALLlC DRUM 0 BAG (27) ¡rg¡ AMBIENT 0 ABOVE AMBIENT 0 BELOW (28)~AMBIENT oABOVE AMBIENT OBELOW (30) HAZARDOUS COMPONENT o TANK WAGON o RAIL CAR o __________ (31) EHS 110 Y [g N I I 110 Y S N I I I JOY [)dNII IjOY ~NII ¡IOY ONI (32\CAS# I I I I I -th í óS,^ If2~ S \,11-Fctc:.. h Ify~+ p Ï7K3-lca-Q) tol96~ ð'(-O ~'l3\{'" 52:-"L '(0 ~ ... , 9-7 t\ Vh rY'\O 1\ i 1.\ ~ tx. w-. YI" 0 "i '^ h-\ c... h'I ~ 0,\ ;\AI'V\ (ÁC,\·J al~+\'- (3~) ADDITIONAL LOCALLY COLLECTED INFORMA nON OCS Fur", 27.11 (04/%1 PAGE 21 ....-.'--'.---. ·---e-·,-,··..·----"-··· ·~e _.~_..__.~ -------.-. C~lifornia Code of Regulations Title 19 Division 2 Chapter 4 '\[' 'ENI>I\ <.: California Hazardous Materials Inventory Reporting Form - \ 11.10 ADD 0 DELETE ,r REV I S E I BUSINESS NAME (4) i CHEMICAL LOCATION (5) i I MAP# (C111 Lð~:)' Dr"") S+ov<- ~~ I'ho+Ol>t rcùt·"t- s<;:o¿ ,,~ Chemical Description Page PAGE (~ I ~ ¡ OF I.lt '" J l I J CHEMICAL NAME l~) I COMMON NAME IY) I CAS # 00) I FIRE CODE IDII HAZARD CLASSES· , 'COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF· REFER TO INSTRUCTIONS. (I~J O PURE ~MIXTURE [] WASTE I RADIOACTIVE (l!') IC Y ~N ! 06}1 (17) OSOLlD ~LlQUID OGAS i CURIES (lS>¡UFIRE [¡REACTIVE C:PRESSURE RELEASE ~ACUTE HEALTH c-CHRONJC HEALTH! TYPE PHYSICAL STATE FED HAZARD CATEGORIES STATE WASTE CODE DAYS ON SITE LARGEST CONTAINER STORAGE CONTAINER STORAGE PRESSURE STORAGE TEMPERATURE (29) o/~ ' I )7- 21 1-/Î 3U_> 41 5/ C ¡TRADE ?-I.fo f A:rr.. 1>1- R. ßI£A.c,~ fiX Pè"rt ~ ' f.e..n.rtÄc... Cl ~yy...ö Ai iii ~ E Þï A SECRET 01)10 Y f;iQ ~ 'EHS 112}¡O Y ~ N] 'IF EHS BOX IS 'Y' AlL AMOUNTS MUST BE IN LOS] I '2..t"L.,=>S- So - q (19) LJv A I (20) I 3 b 5 I (21)1 ,.?oS ,~J UNITS·(22}lSíGAL OCU FTI MAXDAILYAMT (23)/ [J LBS 0 TONS! -If EHS, :lmounts must be in Ibs. AVG DAILY AMT 12~)¡ ANNUAL WASTE AMT (Z5)¡ 1 NA. 2-0 '2-0 (26) L! ABOVE GROUND TANK 0 CAN [j BOX o UNDER GROUND TANK 0 CARBOY 0 CYLINDER U,.ANK INSIDE BUILDING 0 SILO 0 GLASS BOTTLE C STEEL DRUM 0 FIBER DRUM 't>IPLASTIC BOTTLE o PLASTIC/NONMETALLIC DRUM 0 BAG 0 TOTE BIN (27) 118 AMBIENT 0 ABOVE AMBIENT 0 BELOW AMBIENT I (28) Di; AMBIENT 0 ABOVE AMBIENT 0 BELOW AMBIENT 0 CRYOGENIC I o TANK WAGON CJ RAIL CAR o __________ (30) HAZARDOUS COMPONENT ¡~=:¡::~::,7. EÞ~A h i tv \ C. o....f:::..' c! I I (31)EHS 10 Y 00 N I I luY ~N! I IDY ~NII IOY oN ICY ON I I (32)CAS# 2.12.'-5 - SO- 9 I I I I I 11. 12'1- 'l7-Q 7//17 - ~7 - '"2- (JJ)ADDITIONAL LOCALLY COLLECTED INFORMATION ( ':<; Furnl 27-'1 ((I4/'){, PAGE 21 \;. e e California Code of RegulJlions Title 19 Division 2 Chapter 4 ,\1'1'1-:1\'1)1\ <: Inven\ory Reporting Form - Chemical Descrip\ion Page PAGE 1:'[ q ¡ OF L\IfI] J i California Hazardous Materials ( I ¡JO ADO ODE lET E r; REV I S E J BUSINESS NAME (4) i L OYÎ~,5 Dr~5 5tor~ ~~~= CHEMICAL LOCATION (5) i ~ ato b., (¡ frtJ cIlILT I MAPII (,11 I, GRID# (7) I ¡TRADE I CHEMICAL NAME \~) I COMMON NAME (9)! CAS II (10) I FIRE CODE (1:111 HAZARD CLASSES· H~ I+h. I: Fire..: 0 Re.~Ci\"¡+y 'COMPLETE BLOCK (13) IF REOUESTED BY THE LOCAL FIRE CHIEF· REFER TO INSTRUCTIONS. {W OPURE ~MIXTURE OWASTE I RADIOACTIVE (t~)ICY (&N ¡ (16) (mlO SOLID ~LIQUID OGAS i CURIES 0E1!U FIRE [j REACTIVE C: PRESSURE RELEASE ® ACUTE t-:lEALTH c:: CHRON,IC HEALTH ! SECRETOll O Y ~ ~ 'EHS (12)\0 Y &a NJ 'IF EHS BOX IS "Y" All AMOUNTS MUST BE 'N l'Sl l TYPE PHYSICAL STATE FED HAZARD CATEGORIES STATE WASTE CODE DAYS ON SITE LARGEST CONTAINER STORAGE CONTAINER STORAGE PRESSURE STORAGE TEMPERATURE :8 3/1_) I 411~ 3 I 51 1-3 I CN- I k> q N Q 1- s. Dever r;)~ ç+tV\-t-l-t~ po-\ ~s ~ í "'W\ C'-\"~cna~ 584- 0'8'-7 UNITS' (22) ~ GAL 0 CU FT MAX DAIL Y AMT (23) I [JLBS OTONS -If EHS, amounlS must be in Ibs. AVG DAILY AMT (24)1 ANNUAL WASTE AMT (25)¡ I 5 tvA (19) ¡ tJA I (20) I 3bS (21) i CO,OBiB( 5 (26)'U ABOVE GROUND TANK 0 CAN [j BOX o UNDER GROUND TANK 0 CARBOY 0 CYLINDER ¡:¡ TANK INSIDE BUILDING 0 SILO 0 GLASS BOTTLE C STEEL DRUM 0 FIBER DRUM 3PLASTIC BOTTLE o PLASTIC/NONMETALLIC DRUM 0 BAG 0 TOTE BIN (27) I~ AMBIENT 0 ABOVE AMBIENT 0 BELOW AMBIENT I (28)~AMBIENT 0 ABOVE AMBIENT 0 BELOW AMBIENT 0 CRYOGENIC I (30) HAZARDOUS COMPONENT (31) EHS IDY e9NII O-td~~·'t.qV' ~o\"\~ie .' . 5'8,--/-Ù'8-7 GCl'~+e..- u Y f2g N II y tf _ 55- ß I ~oh'S,""" &",,,,,1,, IIOY 5?lNII 715"B-Ol-) IOY ~Nll oJ.i~1V\ b-¡-s\4\-t;te.. .. . 7~1-57-l\ r-: I 1° Y !Sa. N I l !__r~-h-.5.s;~\h h'f'J...,.())l:.Je.- , , ' , t);O-58-3 mlADDITIONAL LOCALLY COLLECTED INFORMATION o TANK WAGON o RAIL CAR o __________ (32)CASII 01':"; Fur", 27." (1I4/% PAGE21 ---_._._~~----_._. e e California Code of Regulations Title 19 Division 2 Chaptcr 4 ,\ I'I'I-:NI>I\ C California Hazardous Materials Inventory Reporting Form - , 1110 ADD 0 DELETE 'f- REV I S E ] 1± ;¿b 1 S+c-r~ GRID # (7) I Chemical Description Page PAGE ':11 1o I OF "'It 16 J I ] BUSINESS NAME (4) i CHEMICAL LOCATION (5) ¡ I MAP# ((,1 ¡ ,l.or)~':> Þr"" S+è"'1L p hc~ lè-~ ~èd V ct I, (Ii) I CHEMICAL NAME C /J- I b Q NQ 1- R.:s. D", "<2.I~\..- p~+ A COMMON NAME (~) I +' ~. 0 2.J ~ t tA ~ c.~ ho I'~- - L 001 S-~I./-D8-7 FIRE CODE (J.l11 HAZARD CLASSES· , J-IQ.ed+h: I Fí("~" 0 ~~I\c--\~v'rl-C 0 'COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF· REFER TO INSTRUCTIONS. (I~! OPURE ~MIXTURE OWASTE I RADIOACTIVE (l~)ICY ~N \ (16)1 mIlD SOLID Ga'LlQUID 0 GAS i CURIES (JS)¡UF1RE [jREACTlVE C:PRESSURE RELEASE QACUTE HEALTH CCHRON.lC HEALTH! CAS # TYPE PHYSICAL STATE FED HAZARD CATEGORIES STATE WASTE CODE DAYS ON SITE LARGEST CONTAINER STORAGE CONTAINER STORAGE PRESSURE STORAGE TEMPERATURE (29) %wr ,1 2.:Z.-3~ 21 1-"3> 31 .<9.5-1 41 sl ¡TRADE I SECRET(1) O Y œ..~ 'EHS 0211° Y Q9 NJ 'IF EHS BOX IS 'Y AlL AMOUNTS MUST BE IN lOS 1 MAX DAILY AMT (23)1 5 in Ibs. AVG DAILY AMT (24)1 5 ANNUAL WASTE AMT (25)1 1 I (20) I 36t) I (21)1' ~ , 0,' 1..5?-U (261 lu ABOVE GROUND TANK 0 CAN o UNDER GROUND TANK 0 CARBOY [jTANK INSIDE BUILDING OSILO C STEEL DRUM 0 FIBER DRUM o PLASTIC/NONMETALLIC DRUM 0 BAG (27) I~ AMBIENT 0 ABOVE AMBIENT 0 BELOW (28)þ9AMBIENT OABOVE AMBIENT OBELOW (30) HAZARDOUS COMPONENT UNITS' (221 ~ GAL ;J CU FTI OLBS OTONS -If EHS, amounts must be (19) i I NA OBOX o CYLINDER o GLASS BOTTLE œ. PLASTIC BOTTLE o TOTE BIN AMBIENT I AMBIENT 0 CRYOGENIC ] o TANK WAGON CJ RAIL CAR 0__________ o..~; lit polyCM.~cr'(11,t... 'lul. II(gyEH~ N I I , ., 58lf-o'8 '-7 [uY Q9N II 77$]-83-7 pO+~';'M '>I+IIOY ~NII\ot~'>_~I_¡' ¡IDY oNI! ¡ICY ON I I (32ICASII pcrt2>~'1 ~~ ~;~o(\~l~ S 0.,,1, IA.I-v-. '\ 1A.1+e.. m¡ ADDITIONAL LOCALLY COLLECTED INFORMA nON ()1.:"" Furm 27:\1 «(¡4-fIU,. PAGE 21 -'---~·---,-..--e ,-,---. -,.-- . -.--------~-----'- CaliforI'lia Codc of Rcgulations Titlc 19 Division 2 Chaptcr 4 (4) i ,\ I'I'ENI>I:\: (" Inventory Reporting Form - Chemical Description Page PAGE lèll \f r OF I.\I~ J I I California Hazardous Materials \I \JO ADD ODE LET E '1- REV I S E I BUSINESS NAME CHEMICAL LOCATION (5) i I MAPII \('\1 LOY)J~ Dr~ stO-rD- # ~l.QÎ P~ot()bL PrOdvcT ~ {'~je... I, GRID II (7) I CHEMICAL NAME (~) I COMMON NAME \9\ I CAS # (10) I FIRE CODE m)1 HAZARD CLASSES" . Hu 14-h: 1- F;rc..~ 0 ((~¡~{;"d'Y 'COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF· REFER TO INSTRUCTIONS. (I~! OPURE ~MIXTURE OWASTE I RADIOACTIVE (l~)ICY ~N \ (16)1 (1i)/OSOLlD OLlQUID OGAS i CURIES (JS)¡UFIRE OREACTIVE GPRESSURE RELEASE Œ!-ACUTE HEALTH CCHRONIC HEALTH! TYPE PHYSICAL STATE FED HAZARD CATEGORIES STATE WASTE CODE DAYS ON SITE LARGEST CONTAINER STORAGE CONTAINER STORAGE PRESSURE STORAGE TEMPERATURE ~ ,~ 21 '3 -S- I 31 1- '3 I 41 1-3 I 51 I ¡TRADE i SECRET (10[0 Y rg¡ ~l "EHS (12)10 Y ~ N] "IF EHS BOX IS-YO AlL AMOUNTS MUST BE IN "51 I (. rV-I';' <i' rv q \- Rs Deve.kp~ ?~r1 B ~1 dYoxr\ ê-m'~..c... 100'31 -<;'(-0 sl;.lf~+~ UNITS'(~2)Œ9GAL OCU FTI MAXDAILYAMT (23)1 5 OLBS OTONS *U ERS. nrnounls must be in Ibs. AVG DAILY AMT (%4)¡ ~_ (19) ¡ /vA I (~O) I 36< (~1) ¡ O,06Î~t ANNUAL WASTE AMT (2.5)1 I rvA (~6 lu ABOVE GROUND TANK 0 CAN [j BOX o UNDER GROUND TANK 0 CARBOY 0 CYLINDER [jTANK INSIDE BUILDING OSILO (JGLASS BOTTLE C STEEL DRUM 0 FIBER DRUM t5 PLASTIC BOTTLE o PLASTIC/NONMET ALLlC DRUM 0 BAG 0 TOTE BIN (27) \gj AMBIENT 0 ABOVE AMBIENT 0 BELOW AMBIENT I (lg)~AMBIENT 0 ABOVE AMBIENT 0 BELOW AMBIENT 0 CRYOGENIC I o TANK WAGON o RAIL CAR o __________ (30) HAZARDOUS COMPONENT (31) EHS (321CAS# 10 Y c¡g N I I , . , I 003~...: 5''1-0 ILl y ~ N I I , . . 2-809 - :2\ - '4. 10 Y g¡ N I I 13 i 0 - 5 8 <~ JOY EiëJNII . .. 107- 41- b ICY ON I I ~ s'\\.f~ de n·".;a. -+, v-t- ~<.¿ (D) ADDITIONAL LOCALLY COLLECTED INFORMATION Ol'~<; Furn. 27-'1 ((J4/')(, PAGE 21 e- A___.., ._-_..~., .~_____~_._ ,~, ""0._ C:¡ iforni~ Code of Regulations Title 19 Division 2 Ch~pter 4 (4) i ,\I'I'ENI>I:\ C Inventory Reporting Form· Chemical Description Page PAGE 1:11 I~ ¡ OF UIlL! J I I California Hazardous Materials ( 11.10 ADD 0 DELETE !'Sf REV I S E J BUSINESS NAME CHEMICAL LOCATION MAPII L Oy)~ S Dr" ~J Sf,)--ce... ~ ~~ 1 'PÌ1-G -h b L þr-,J" ,i .Ç -H ~ ?5e. \, GRID # (7) I (5) i I (to) I ¡TRADE I CHEMICAL NAME (~) I COMMON NAME (~) I CAS /I (101 I FIRE CODE (J~)I HAZARD CLASSES· H tA I +-h ~ L.. fIn' 0 Re.t~d'-v ;{'( '- 0 'COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. (I~I OPURE r&MIXTURE OWASTE I RADIOACTIVE (l~)ICY fB,N ! (16)1 (171/0 SOLID -~ LIQUID 0 GAS i CURIES m)¡U FIRE [j REACTIVEC PRESSURE RELEASE 19-ACUTE I-iEALTH C CHRONIC HEALTH! SECRET (IlI!O Y I»Nl ·EHS (12) 10 Y [L9 N ! ·,F EHS BOX IS "Y' ALL A"CU"TS MUST BE IN Lesl I TYPE PHYSICAL STATE FED HAZARD CATEGORIES STATE WASTE CODE DAYS ON SITE LARGEST CONTAINER STORAGE CONTAINER STORAGE PRESSURE STORAGE TEMPERATURE (29) o;owr ,1 b- _I? 2\ 05-1 31 41 51 (19) ¡ rvA I (20) I 36-:' Ill) i O,Ob'2-1 (261 ¡u ABOVE GROUND TANK 0 CAN [J BOX o UNDER GROUND TANK 0 CARBOY 0 CYLINDER [jTANK INSIDE BUILDING 0 SILO D GLASS BOTTLE C STEEL DRUM 0 FIBER DRUM ~ PLASTIC BOTTLE o PLASTIC/NONMETALLIC DRUM 0 SAG 0 TOTE BIN (17) I~ AMBIENT 0 ABOVE AMBIENT 0 BELOW AMBIENT I (18Jysg AMBIENT 0 ABOVE AMBIENT 0 BELOW AMBIENT 0 CRYOGENIC I (31) EHS (311CAS# DY ()¡ NII , . , UOU!- 3'4- 0 LJ Y ~ N I '1 , ., 7"757- ~-ì IIOY ONI! IIDY ON I I IIOY ON c.. tV - 1\0 Q tv 0.. I - ~}' 1>.." ( I op4\/ Þa.,... + C p - f~ ""'( l~(\e.d\ ql'Y':\f\c2- c1e'--'v2tiv¿. '1..802.0 -3>... - <.:J UNITS' (12) GAL [) CU FTI MAX DAILY AMT (23) OLBS OTONS! -If EHS, :lrnounts must be in Ibs. AVG DAILY AMT (2~}i 5 5 ANNUAL WM:,TE AMT (lS)i I NA o TANK WAGON o RAIL CAR o __________ 5cd.\\.o\\'Y' D:I) ADDITIONAL LOCALLY COLLECTED INFORMA nON (II::S Fur". 27-'1 f( 4/'J{, PAGE21 ., ,e- e C:¡!ifomia Coùc o( Rcgublions Title 19 Division 2 Chaptcr 4 (4) i .\1'1'1-:/'\'1)1\ <: Inventory Reporting Form· Chemical Description Page PAGE 1:11 \~ ¡ OF !.IIW J I California Hazardous Materials \ I\JO ADD ODE LET E 1- REV I S E I BUSINESS NAME CHEMICAL LOCATION LO{)~~ 1).,v..., S-hi(!. -iI: 1~Î Pnotò\..?-u P(òdvcT , MAPII (5) i I 1(') I ç+-O-r.?~ Q... GRID II (7) I CHEMICAL NAME (I» I COMMON NAME t~) I CAS # (10) I FIRE CODE mIl HAZARD CLASSES· I-\~ I+ho: \ Vi re.: 0 Re.v-.c+; v i-+r: 0 'COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. (I~¡ OPURE !)aMIXTURE OWASTE I RADIOACTIVE (l~IICY ~N ! (1611 , i I (mID SOLID ~LlQUID 0 GAS i CURIES (lSI¡U FI RE [j REACTIVE G PRESSURE RELEASE ~CUTEI:{EALTH c- CHRONJC HEALTH! TYPE PHYSICAL STATE FED HAZARD CATEGORIES STATE WASTE CODE DAYS ON SITE LARGEST CONTAINER STORAGE CONTAINER STORAGE PRESSURE STORAGE TEMPERATURE (291 o;wr ,1 Zo-_O 21 '-10 31 _ l<~ 41 5\ L tV-hoG NQ"L-«,.. 'ß\€.~(k "PMtA ¡TRADE I SECRET(ll) ?Y ®NJ 'EHS (l!) D Y ~ N I ·,F EHS BOX IS "Y' AlL AMOUNTS MUST BE IN LOS I ~""W\CY\ì\o\W\ GrOM ì je.. 1'2.n.\.(- 97- 9 UNITS· (~~) r;8:GAL :J CU FTI MAX DAILY AMT (23)1 OLBS OTONS! ·If ERSt :¡mounls must be in Ibs. AVG DAILY AMT (24)¡ ANNUALWASTEAMT (~Sl¡ t (191 ¡ wA I (10) I 3bS (~1I ¡ O.09jd( s S NA [jBOX o CYLINDER o GLASS BOTTLE ~ PLASTIC BOTTLE o TOTE BIN AMBIENT I AMBIENT 0 CRYOGENIC I (16) ILJ ABOVE GROUND TANK 0 CAN o UNDER GROUND TANK 0 CARBOY [j TANK INSIDE BUILDING 051 LO C STEEL DRUM 0 FIBER DRUM o PLASTIC/NONMETALLIC DRUM 0 BAG (1'1 \t¡ia AMBIENT 0 ABOVE AMBIENT 0 BELOW (28)~ AMBIENT 0 ABOVE AMBIENT 0 BELOW o TANK WAGON o RAIL CAR 0__________ (30) HAZARDOUS COMPONENT . ammon ¡"'''''' lira O\;Je. £ÞT A J 1) 1'.1 oj íV\1'Y\ $¿ I+- -t~icl de...i"è+iv~ (31) EHS 110 Y Gš N I I I \u Y t8 N I I IIOY ~NII ¡jOY ON I [ ¡ICY ON I I (31ICAS# l 1...124- Cf1-C¡ ''3q-33~3 l ì~ ~'\-bO'S ())) ADDITIONAL LOCALLY COLLECTED INFORMATION ( I'~<; Fur", 27.11 (fl4/'Ho PAGE21 ~ ----e e ._~-,-_. ..-- ...-----.----..-.. -.. C:¡liforni:¡ Codc of Rcgulations Titlc 19 Division 2 Ch:¡plcr 4 (4) i ,\ 1'1'1':/'.'1) 1\ <: Inventory Reporting Form - Chemical Description Page PAGE 1:11 £L-t I OF "''l'b -~! J I I California Hazardous Materials I 1110 ADD 0 DELETE fJ REVISE I BUSINESS NAME CHEMICAL LOCATION -t:!- L,,,~, l)":J ~<~ ;:If.,1 p~~+o blJ f'ro,¿vd StM~L I, GRID # (7) I MAPII (5) i I ((,11 CHEMICAL NAME I~) I COMMON NAME 1~11 CAS # (101\ FIRE CODE mIl HAZARD CLASSES· , ,~€/\I+h: I Fire', () Re",d''v'+'(: C 'COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. (I~I OPURE ~MIXTURE [JWASTE I RADIOACTIVE m) cy BIN ! (6)1 (li) OSOLlD !:8LIQUID OGAS i CURIES (lS)!U FIRE [j REACTIVE c: PRESSURE RELEASE ~ACUTE f:lEALTH CCHRONIC~ HEALTH TYPE PHYSICAL STATE FED HAZARD CATEGORIES STATE WASTE CODE DAYS ON SITE LARGEST CONTAINER STORAGE CONTAINER STORAGE PRESSURE STORAGE TEMPERA1URE BE29) 0 1 19-2- 2 9-19 31 1- 3 I 41 I 51 I CrJ-/(go, No,2-~s ßlu~ t'ó....tí3 . !TRADE I SECRET 01110 Y œJ N I 'EHS (2)1° Y ~ N I 'IF EHS BOX IS "Y" AlL AMOUNTS MUST BE IN Les I ~("' _ o.myY)OO y\¡" W\. E [)T A- 2.\210;;- 50....9 MAX DAILY AMT (23)1 AVG CAlLY AMT (24)j UNITS· (22) ['8.G A L :J CU FT I [J LBS 0 TONS I ·¡f EHS, :lmounls must be In Ibs. lö (9) ¡ ~A I (20) I 3b5 (21) O.L 1?1 \0 ANNUAL WASTE AMT (2S)¡ I Nà [j BOX o CYLINDER o GLASS BOTTLE t8 PLASTIC BOTTLE o TOTE BIN AMBIENT I AMBIENT 0 CRYOGENIC I (26) 'LJ ABOVE GROUND TANK 0 CAN o UNDER GROUND TANK 0 CARBOY [jTANK INSIDE BUILDING OSILO C STEEL DRUM 0 FIBER DRUM o PLASTIC/NONMETALLIC DRUM 0 BAG (27) I~ AMBIENT 0 ABOVE AMBIENT 0 BELOW (28)~ AMBIENT 0 ABOVE AMBIENT 0 BELOW o TANK WAGON o RAIL CAR o __________ (30) HAZARDOUS COMPONENT (31)EHS JOY ~NII uY ~N II I ¡OY ~NII IIOY ON I IICY ONII (321CAS#I 2. 12. '=> 5-50- 4 ~ W\W\ O"í v E:.DTA UrcMIJ-E,. 1'2.'2Y-~I1-,) ïbC¡l- ~f'}-,- r'lit{'r~ ¿c,¿ DJ)ADDITIONAL LOCALLY COLLECTED INFORMATION o ·:,; Fur", 27JI (1I4/'}(,) PAGE21 ... e e-, --_.~._. C:difornia Coóe of Regulations Title 19 Division 2 Chapter 4 ,\I'I'El\'I I\: C Inventory Reporting Form - Chemical Description Page PAGE 1:11 (ç' I OF I.lte- Ib J California Hazardous Materials ( nlo ADD 0 DEL E T E '1' REV I S E J BUSINESS NAME (4) i 5+tJ -r ~ ±\- ~lt,7 CHEMICAL LOCATION (5) i Pn n,J "c..-t- S+C-r~ MAPti ((,1 [ GRID# (7) CHEMICAL NAME (~) I COMMON NAME (911 CAS II (101 I FIRE CODE (D) I HAZARD CLASSES' , H.t.C\ I+h: I F¡.--e.: 0 'COMPLETE BLOCK (13) IF REOUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. (I~I O PURE ~MIXTURE [] WASTE I RADIOACTIVE WIIC Y 5fN ¡ (16)1 (miD SOLID æ LIQUID 0 GAS i CURIES (IS)¡u FI RE 0 REACTIVE G PRESSURE RELEASE 0 ACUTE HEALTH C CHRONIC HEALTH! TYPE PHYSICAL STATE FED HAZARD CATEGORIES STATE WASTE CODE DAYS ON SITE LARGEST CONTAINER STORAGE CONTAINER STORAGE PRESSURE STORAGE TEMPERATURE ~ 1~ 21 1- 3 I 31 I-~ I 41 I 51 I CIV-lloq N~ - '3> - ~s ß\t'''-(,~ ~x ¡TRADE SECRET (l1) O Y 59 N I 'EHS (l2) D Y Iß] N I 'IF EHS BOX IS-Y- R <Ad ;", t X ' :l AMOUNTS MUST BE IN lOSI I 01 ty\ I'Y\ C n í '" WI -f: ¡" i 0 ~ II. l.f~te 778'2;;- 18- 'Ó MAX DAILY AMT (23)1 AVG DAILY AMT (2~)¡ 2-D UNITS' (22) 8GAL :J CU FTI [JLBS OTONSI -If ERSt :!mounlS must be in Ibs. 2-D (19) i NA I (201 I 3bS" m)j 0,5' ,~I ANNUAL WASTEAMT (25)j N '" (26) 'LJ ABOVE GROUND TANK 0 CAN 0 BOX o UNDER GROUND TANK 0 CARBOY 0 CYLINDER [j TANK INSIDE BUILDING 0 SILO C! GLASS BOTTLE C STEEL DRUM 0 FIBER DRUM ~ PLASTIC BOTTLE o PLASTIC/NONMETALLIC DRUM 0 BAG 0 TOTE BIN (27) !)g AMBIENT 0 ABOVE AMBIENT 0 BELOW AMBIENT I (28)ÞG AMBIENT 0 ABOVE AMBIENT 0 BELOW AMBIENT 0 CRYOGENIC I o TANK WAGON o RAIL CAR o __________ (30) HAZARDOUS COMPONENT ~MyY\OI"¡\.\W\ i:J, ìo..5 " 1.f2.:k Sûd;v.~ s..IÇ.+e 5 ~.Ji "'''''' "'" - !,. u41 f"h:~ (311 EHS IDY ~NII lüY ~·I : IDY ~NI IDY ON! I ¡IDY ON I I (32ICAS# 178~ - IB-£?' 77'51- '>l3- 3 7(" ßI-S?- D:\JADDITIONAL LOCALLY COLLECTED INFORMATION CJE.~ Furn1 27."\J (U4/'Ud PAGE21 ....: .. / ,/ --,-,e ---e C:Jliforni:J Codc of RcguI:Jtions Tille 19 Division 2 Ch:Jplcr 4 ,\I'I'E~!)!\ <: California Hazardous Materials Inventory Reporting Form - Chemical Description Page ,11[0 ADD 0 DELETE ~ R EVI s~ PAGE ':11 iCe: r OF 1.11 [ l(,. ~ ~~ 1- J s +o.r c.. BUSINESS NAME (4) i LoV\ CHEMICAL LOCATION (5) i ?h,+" b lJ MAPII 1(') I \, CHEMICAL NAME (¡;) I COMMON NAME (~\ I CAS #I (10\ I FIRE CODE (D\I HAZARD CLASSES· ~l.J, H-~: 2.. F; (' (. '. 0 P-.'lN:. hv ;+1 'COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF· REFER TO INSTRUCTIONS. (I~I OPURE 5{MIXTURE [jWASTE I RADIOACTIVE (1~) CY ~N : (6)1 (liIIO SOLID ~ LIQUID 0 GAS i CURIES (IS)¡UFIRE OREACTIVE C:PRESSURE RELEASE ~ACUTE HEALTH CCHRONJCHEALTH TYPE PHYSICAL STATE FED HAZARD CATEGORIES STATE WASTE CODE DAYS ON SITE LARGEST CONTAINER STORAGE CONTAINER STORAGE PRESSURE STORAGE TEMPERA1URE (29) %VVT 111O~() 21 5-10 31 J - S- 41 51 ¡TRADE I SECRET(llI oy ~Nl 'EHS (12)\0 Y ~ Nl 'IF EHS BOX IS "'Y' All AMOONTS MUST BE IN "SI ] CN - lb Q tJQ4=-R5 1, 2.: 11 - i:. ri l'\:) 0 Ie. 7....-88 - 88-0 ')¿ fey 5-+a ~ ;\ ; ).Q,-, MAX DAILY AMT (23)1 AVG DAfL Y AMT (2~)¡ UNITS· (22) ¡GAL [) CU FTI [J LBS 0 TONS I -If EHS. :lmounts must be in Ibs. (19) ¡ f-.!A I (20) I ]b> (21) i Ø.OS-~?I ANNUAL WASTE AMT (2SJ¡ 1 N~ (26) 'U ABOVE GROUND TANK 0 CAN o UNDER GROUND TANK 0 CARBOY U TANK INSIDE BUILDING 0 SILO C STEEL DRUM 0 FIBER DRUM o PLASTIC/NONMETALLIC DRUM 0 BAG (27) 1C5iJ AMBIENT 0 ABOVE AMBIENT 0 BELOW C28Jþ9 AMBIENT 0 ABOVE AMBIENT 0 BELOW [j BOX o CYLINDER [J GLASS BOTTLE '2í PLASTIC BOTTLE o TOTE BIN AMBIENT I AMBIENT 0 CRYOGENIC I o TANK WAGON o RAIL CAR o __________ (30) HAZARDOUS COMPONENT (31) EHS mICAS#! L 1. 4- -I::ríc,,,,~I~ JOY (EN I I L88'~~8-(:) .suGýk1vh-.) i:..cic~~c.k.-i.("~~\eèn+- luY ¡:&NI13lø',SB60-5()Ci nDr'\IO~Ic...sV¡f'f2-<..+~-+ -t-r~L 5"'cr~+- ¡OY ~NI [%5J·)~l1()'-5OCL... ¡Ioy ONI I ICY oN11 m)ADDITIONAL LOCALLY COLLECTED INFORMATION 01-:''' Furm 27-'1 CU4/')(I PAGE21 "''>' . ~ .- .v ~~(ê~aW'~ ". ..... ":'..' . ,~ '. ~..., . ' 0 L' - - ~ '< :::¡ r, 06/29/94 LONGS DRUG STORES #267 215-000-000990 JUL 28 1994Pa Overall Site with 1 Fac. Unit I ~ General Information By -.- .. -- Location: 5510 STOCKDALE HWY Map:123 Haz:2 Type: 3 City . Grid: 03B FlU: 1 AOV: 0.0 . - Contact Name Title ~ Contact Name Title RICHARD WIENS / AREA MANAGER TOM DWYER / STORE MANAGER Business Phone: (805) 872-3444x Business Phone: (805) 322-5024x 24-Hour Phone · (805) 664-7974x 24-Hour Phone · (805) -3J3 6049x 31-'1-/0 ~ · · Pager Phone · ( ) - x Pager Phone · ( ) - x · · Administrative Data ·Mail Addrs: 5510 STOCKDA¡"E HWY D&B Number: 00-691-0004 City: BAKERSFIELD State: CA Zip: 93309- Comm Code: 215-011 BAKERSFIELD STATION 11 SIC Code: 5912 Owner: LONGS DRUG STORES CA INC Phone: (415) 937-1170 Address: 141 N CIVIC DR State: CA City: WALNUT CREEK Zip: 93309- Summary IiECEIVED JUt () 1 - 1994- HA~ n . '!!I'IA r ,",,, . 1 77 ~.1HOi'~A"5 DWYER. Do hsreby certify that ~ have (Type or print name) reviewed the attached hazardous matsfi'Dal$ manage- MOOR ~~aff1 foR" LONG 5> bRuf,. #'2coJndft&'il~ 'mt ~on~ wåt\Û'D (Name of Buslneso) ~ OO~OIl'D~ ooi1stituta a oomfP>~~® ~@tj)~ moo=- ~®m~üiIK ~ ~ú" m~ ~a\©8iåt\v. ~ SIgn. IÐ 7/3.--Q! Dat9 " - - +"'.-:~:.-:.~. I"',: ; ; " .'~..:-:- , J.. L.;, " f " , . ;;, , it i, . .....:.;:._-~ . ~j .... " - 1 H-t-A .'Lu/) , /Y"-t - ~ ~flJ """ --J " '," 'I ,,"1- ' . '" ~:." .''''' '. I'! .. ~ c:. tv "(,. " .'¡ .; }: i ì :,(..~ ç'~ .... ;~.'~. ,'" '. "'I ' ~-.I¢.:':.'I'-~'-t. '... -, .-----, ." · e - 06/29/94 LONGS DRUG STORES #267 215-000-000990 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site PIn-Ref Name/Hazards Form Max Qty MCP 02-010 AUTO ENGINE ADDITIVES Liquid 100 High ~ Fire, Pressure, Reactive, Immed H1th GAL 02-005 CLEANING-CHLORINE PRODUCTS Solid 500 High ~ Fire, Reactive, Immed Hlth LBS 02-004 CLEANING-HOUSEHOLD BLEACH Liquid 2000 High ~ Reactive, Immed Hlth GAL 02-007 CLEANING-POOL ACIDS Solid 1500 High ~ Reactive, Immed Hlth LBS 02-006 CLEANING-AMMONIA PRODUCTS Liquid 500 Moderate ~ Fire, Reactive, Immed Hlth GAL 02-008 PAINTS-HOUSEHOLD Liquid 150 Moderate ~ Fire, Pressure, Reactive, Immed Hlth GAL 02-011 ANTIFREEZE Liquid 400 Low ~ Fire, Immed Hlth GAL 02-012 FUEL CAMPING Liquid 200 Low ~ Fire, Pressure, Immed Hlth GAL 02-009 MOTOR OIL Liquid 500 Minimal ~ Fire, Delay Hlth GAL 02-013 FERTILIZER Solid 12000 Unrated ~ Fire, Reactive, Immed Hlth LBS 02-002 HERBICIDES-HOUSEHOLD/GARDEN Solid 1200 Unrated ~ Fire, Immed Hlth LBS 02-001 INSECTICIDES - HOUSEHOLD/GARDEN Liquid 400 Unrated ~ Fire, Immed Hlth GAL 02-003 PESTICIDES-HOUSEHOLD/GARDEN Solid 400 Unrated ~ Fire, Immed Hlth LBS .. - e 06/29/94 LONGS DRUG STORES #267 215-000-000990 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 02-010 AUTO ENGINE ADDITIVES ~ Fire, Pressure, Reactive, Immed Hlth Liquid 100 High GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: ADDITIVE Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 100 . I 30.00 300.00 Storage PLASTIC CONTAINER r Press T Temp -:-, Location Ambient Ambient SALES FLOOR/WAREHOUSE Components œ MCP =rUide High 28 Moderate 26 Low 27 Conc 60.0% 20.0% 20.0% Methyl Alcohol Methyl Ethyl Ketone Ethylene Glycol 02-005 CLEANING-CHLORINE PRODUCTS ~ Fire, Reactive, Immed Hlth Solid 500 High LBS CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: WATER TREATMENT Daily Max LBS ~ Daily Average LBS ~ Annual Amount LBS -- 500 I 400.00 I 3,000.00 Storage PLASTIC CONTAINER r Press T Temp ~ Location Ambient Ambient SALES FLOOR/WAREHOUSE - Conc l 30.0% Hydrochloric Acid Components r= MCP --rGuide High I 15 02-004 CLEANING-HOUSEHOLD BLEACH ~ Reactive, Immed Hlth . Liquid 2000 High GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: CLEANING Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 2,000 300.00 I 25,000.00 Storage PLASTIC CONTAINER r Press T Temp ~ Location Ambient Ambient SALES FLOOR/WAREHOUSE - Conc l 100.0% Sodium Hypochlorite Components 1-= MCP --p;uide High I 45 .. - - 06/29/94 LONGS DRUG STORES #267 215-000-000990 02 - Fixed Containers on Site Page 4 Hazmat Inventory Detail in MCP Order 02-007 CLEANING-POOL ACIDS ~ Reactive, Immed Hlth Solid 1500 High LBS CAS #: Trade Secret: No Form:' Solid Type: Pure Days: 365 Use: WATER TREATMENT Daily Max LBS ----r--, Daily Average LBS --r-- Annual Amount LBS -- 1,500 , I 900.00 7,500.00 Storage PLASTIC CONTAINER r Press T Temp ~I Location Ambient Ambient SALES FLOOR/WAREHOUSE - Cone _I 100.0% Muriatic Acid Components C' MCP -¡Guide High 15 02-006 CLEANING-AMMONIA PRODUCTS ~ Fire, Reactive, Immed Hlth Liquid 500 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 500 . .' 100.00 I 1,200.00 Storage PLASTIC CONTAINER r Press T Temp -:I Location Ambient Ambient SALES FLOOR/WAREHOUSE - Cone l Components 30.0% Ammonia Solution, Cone. Less Than 20% r; MCP -:-¡Guide Moderate 60 02-008 PAINTS-HOUSEHOLD ~ Fire, Pressure, Reactive, Immed Hlth Liquid 150 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: PAINTING Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 150 .' 75.00 600.00 Storage r Press T Temp ~ Location METAL CONTAINR-NONDRUM Ambient Ambient SALES FLOOR/WAREHOUSE Cone 25.0% 15.0% 5.0% 3.0% Components MCP ~Uide Moderate 27 Moderate 27 Moderate 26 Low 27 Mineral Spirits Naphtha Methyl Ethyl Ketone Ethylene Glycol ,a .. e 06/29/94 LONGS DRUG STORES #267 215-000-000990 02 - Fixed Containers on Site Page 5 Hazmat Inventory Detail in MCP Order 02-011 ANTIFREEZE ~ Fire, Immed Hlth Liquid 400 Low GAL CAS =It: Trade Secret: No . Form: Liquid Type: Pure Days: 365 Use: ADDITIVE Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 400 I 100.00 800.00 Storage PLASTIC CONTAINER r Press T Temp ~ Location Ambient Ambient SALES FLOOR/WAREHOUSE - Cone l Components ~ MCP ¡GUide 100.0% Ethylene Glycol Low 27 02-012 FUEL CAMPING Liquid 200 Low ~ Fire, Pressure, Immed Hlth GAL CAS =It: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: HEATING Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 200 . I, 50.00 I 500.00 Storage r Press T Temp -:I Location METAL CONTAINR-NONDRUM Ambient Ambient SALES FLOOR/WAREHOUSE - Cone l 100.0% Kerosene Components r; MCP -:--rGuide Moderate 27 02-009 MOTOR OIL ~ Fire, Delay Hlth Liquid 500 Minimal GAL CAS =It: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 500 'I 300.00 I 3,000.00 Storage r Press T Temp -:-1 Location Ambient Ambient SALES FLOOR/WAREHOUSE BOX - Cone l Components 100.0% Motor Oil, Petroleum Based r; MCP ----p;uide Minimal I 27 ,e e 06/29/94 LONGS DRUG STORES #267 215-000-000990 02 - Fixed Containers on Site Page 6 Hazmat Inventory Detail in MCP Order 02-013 FERTILIZER ~ Fire, Reactive, Immed Hlth Solid 12000 Unrated LBS CAS #: Trade Secret: No Form: Solid Type: Pure Days: 365 Use: FERTILIZER Daily Max LBS ----r-- Daily Average LBS --r-- Annual Amount LBS -- 12,000 I 2,000.00 I 24,000.00 Storage r Press T Temp ~ Location Ambient Ambient SALES FLOOR/WAREHOUSE BAG - Cone Components MCP -re;uide 02-002 HERBICIDES-HOUSEHOLD/GARDEN ~ Fire, Immed Hlth Solid 1200 Unrated LBS CAS #: Trade Secret: No Form: Solid Type: Pure Days: 365 Use: HERBICIDE ---- Daily Max LBS ----r-- Daily Average LBS --r-- Annual Amount LBS -- 1,200 I 600.00 I 1,800.00 Storage I Press ì Temp Location GLASS CONTAINER Ambient Ambient SALES FLOOR/WAREHOUSE BAG Ambient Ambient SALES FLOOR/WAREHOUSE - Cone l 100.0% Herbicides Components ~ MCP ----rGuide Unrated I 0 02-001 INSECTICIDES - HOUSEHOLD/GARDEN ~ Fire, Immed Hlth Liquid 400 Unrated GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: INSECTICIDE Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 400 I 200.00 I 600.00 Storage :::r Press ì Temp Location GLASS CONTAINER Ambient Ambient SALES FLOOR/WAREHOUSE METAL CONTAINR-NONDRUM Ambient Ambient SALES FLOOR/WAREHOUSE - Cone l 100.0% Insecticides Components I~ MCP ----rGuide Unrated I 0 a - 06/29/94 LONGS DRUG STORES #267 215-000-000990 02 - Fixed Containers on Site Page 7 Hazmat Inventory Detail in MCP Order " 02-003 PESTICIDES-HOUSEHOLD/GARDEN ~ Fire, Immed Hlth Solid 400 Unrated LBS CAS #: Trade Secret: No Form: Solid Type: Pure Days: 365 Use: PESTICIDE Daily Max LBS ----r-- Daily Average LBS --r-- Annual Amount LBS -- 400 I 200.00 600.00 Storage l Press 1 Temp Location GLASS CONTAINER Ambient Ambient SALES FLOOR/WAREHOUSE BAG Ambient Ambient SALES FLOOR/WAREHOUSE - Conc -I 100.0% Pesticides Components ru MCP --=--rGuide Unrated I 0 ,- e 06/29/94 LONGS DRUG STORES #267 215-000-000990 00 - Overall Site Page 8 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation 1. MEMBER OF MANAGEMENT WILL BE INFORMED AND WILL CALMLY EVACUATE CUSTOMERS AND CO-WORKERS TO NEAREST EXITS. 2. 911 WILL BE DIALED IN EMERGENCY. 3. MEMBER OF MANAGEMENT WILL TAKE ATTENDANCE AT MEETING AREA. 4. PHARMACIST WILL BE NOTIFIED TO ADMINISTER FIRST AID. 5. ALL EMPLOYEES WILL LISTEN AND RESPOND TO INSTRUCTIONS ON CALMLY EVACUATING THE BUILDING. <3> Public Notif./Evacuation CUSTOMERS/VISTORS: APPROPRIATE SIGNS ARE POSTED IN PUBLIC AREAS AS REQUIRED BY PROP. 65 REQUIREMENTS. ANY NECESSARY EVACUATION INSTRUCTIONS WILL BE GIVEN OVER THE INSTORE SEAKER SYSTEM INFORMING ALL CUSTOMERS AND VISTORS HOW TO SAFELY EVACUATE THE PREMISES IN THE EVENT OF AN EMERGENCY. NEIGHBORS: EVERY EMPLOYEE RECEIVES TRAINING ON HOW TO RESPOND AND CLEAN UP A CUONSUMER PRODUCT SPILL. CONSUMER PRODUCT SPILLS DO NOT PRESENT A HAZARDOUS SITUATION FOR OUR NEIGHBORS. NO SPECIAL NOTICES ARE NECESSARY TO INFORM SURROUNDING OUR BUSINESS. NEIGHBORS ARE AWARE OF NATURE OF OUR BUSINESS. <4> Emergency Medical Plan MERCY HOSPITAL 2215 TRUXTUN AVE 327-3371 FIRE DEPT 7000 STOCKDALE HWY 326-3037 SOUTHWEST URGENT CARE 5397 TRUXTUN AVE 322-2273 HALL AMBULANCE S H & RADIANCE 327-9000 e e 06/29/94 LONGS DRUG STORES #267 215-000-000990 00 - Overall Site Page 9 <E> Mitigation/Prevent/Abatemt <1> Release Prevention 1. KEEP CURRENT INVENTORY LIST AND UPDATE AS NEW PRODUCTS ARE INTRODUCED TO THE PUBLIC. 2. KEEP EMPLOYEES TRAINED IN CLEANING UP HAZARDOUS PRODUCT SPILLS. 3. KEEP FIRE EXTINGUISHERS WORKING. 4. INFORM ALL EMPLOYEES OF MEETING PLACE IN THE EVENT OF EVACUATION. 5. KEEP CLEAN-UP SUPPLIES IN ORDER. <2> Release Containment PRODUCT KEPT IN SMALL CONTAINERS FOR RETAIL SALES <3> Clean Up PERMANENT BULLETIN BOARD POSTING "EMERGENCY CLEAN UP PROCEDURES" ALL CLEAN UP MATERIALS REQUIRED ARE KEPT IN A BOX IN THE RECEIVING AREA. VENTILATE THE AREA OF A SPILL BY OPENING DOORS OR BY SETTING UP A FAN. CHEMICAL FUMES MAY CATCH FIRE; THEREFORE, DO NOT STORE FLAMMABLE PRODUCTS NEAR A FURNACE/WATER HEATER. DO NOT LIGHT MATCHES WHEN FUMES ARE PRESENT. UNDER THE DIRECTIONS OF A MANAGER, BEGIN CLEANING UP A SPILL AS SOON AS POSSIBLE TO MINIMIZE HEALTH EXPOSURE AND POSSIBLE PROBLEMS WITH STAINS AND ODORS. WHEN CLEANING UP, WEAR RUBBER OR NEOPRENE GLOVES, KEEPING THE REST OF YOUR BODY COVERED, AND AVOIDING INHALATION OF THE VAPORS. iF THE VAPORS ARE OVERWHELMING, LEAVE THE AREA IMMEDIATELY AND IN A CLEAN, LOUD VOICE DIRECT OTHER EMPLOYEES AND CUSTOMERS TO LEAVE THE STORE. SWEEP SPILLED SOLIDS INTO A PLASTIC BAG. SPILLED LIQUIDS SHOULD FIRST BE SOAKED UP WITH AN ABSORBENT MATERIAL SUCH AS KITTY LITTER, PAPER TOWELS, OR OLD RAGS, THEN PLACED IN A PLASTIC BAG, SEALED, AND PUT IN THE TRASH CAN. SCRUB WOOD, CEMENT, OR TILE SURFACES WITH A WATER SOLUTION OF STRONG HOUSEHOLD DETERGENT APPLIED WITH A SCRUB BRUSH OR OLD RAGS; REPEAT CLEANSING WITH DETERGENT UNTIL TRACES OF THE CHEMICAL ARE GONE. ABSORB EACH TIME WITH ABSORBENT MATERIAL. ALL CLEANUP MATERIALS SHOULD BE THROWN OUT IN DISPOSABLE CONTAINERS SUCH AS SEALED PLASTIC BAGS. e e <4> Other Resource Activation e e 06/29/94 LONGS DRUG STORES #267 215-000-000990 00 - Overall Site Page 10 <E> Mitigation/Prevent/Abatemt <4> Other Resource Activation (Continued) .~. e e ~ 06/29/94 LONGS DRUG STORES #267 215-000-000990 00 - Overall Site Page 11 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NORTH WALL OF BUILDING NEXT TO THE BACK RECEIVING DOOR B) ELECTRICAL - WEST WALL INSIDE WAREHOUSE, NEXT TO RECEIVING DOOR C) WATER - 6 FEET WEST OF BUILDING D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - OVERHEAD FIRE SPRINKLER SYSTEM THROUGHOUT STORE FIRE EXTINGUISHERS STRATEGICALLY LOCATED. FIRE HYDRANT - 50 FEET WEST OF BUILDING BEHIND THE STORE <4> Building Occupancy Level / ,,r e e ," 06/29/94 LONGS DRUG STORES #267 215-000-000990 00 - Overall Site Page 12 <G> Training <1> Page 1 ~~ WE HAVE~MPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: EMERGENCY RESPONSE PROGRAM HANDOUTS ARE GIVEN TO ALL EMPLOYEES AND NEW HIRES. A SIGNED "SAFETY UNDERSTANDING" STATEMENT IS KEPT IN EACH PERSONNEL FILE. wAREHOUSE PERSONNEL RECEIVE "WAREHOUSE SAFETY MEMO" BULLETIN BOARD POSTING COVERING CLEAN UPS ETC. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use \) .¿;, BAKER*IELD CITY FIRE DE.TMENT HAZARDOUS MATERIALS INVENTORY Pagel...of~ Business Name LD¡...fG6 f'y¿ (j{;¡ 57lJRE 1f:2lo 'Address 6610 s((JC){../Yl LE. ¡.fWf. CHEMICAL DESCRIPTION 1) INVENTORY STATUS: Ne~ [~dition [ ] Revision I ] Deletion [ ] Check if chemical is a NON TRADE SECRET ~ TRADE SECRET [ ] 2) Common Name: r\~L-llÁtv\ 3) DOT # (optional) Chemical Name: H:E L. \ lAtJ\. AHM [ ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure I..r" Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE . 6) PHYSICAL STATE Solid I] Uquid I.] Gas I~ Pure Iv( Mixture I] Waste I] Radioactive [ ] "OIECI(ALl THAT APPLY 7) AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: '2" C-u. F-r: 100 [ ] gal [ ] ft3 [ ] a) Container: Average Daily Amount: IZ.!S c.u..Fr, curies [ ] b) Pressure: Annual Amount: CG.~, c) Temperature: Largest Size 'Container: Z'f c.L<. Fr. # Days On Site "2..(p!:> Circle Which Months: ~'~ J, F, M, A, M, J, J, A, S, 0, .N, D - 9) MIXTURE: Ust COMPONENT CAS # %WT AHM the three most haiardous 1) [ ] chemical components or any AHM components 2) [ ] 3) [ ] 1 0) Location F~ol'l T OF <?ío12.E ~E.A-R C.1+€-c..IL-:;'TA.-...) DS CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON TRADE SECRET [ ] TRADE SECRET [ ] 2) Common Name: 3) DOT # (optional) Chemical Name: AHM [ ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [ ] Liquid [ ] Gas [ ] Pure [ ] Mixture [ ] Waste. [ ] Radioactive [ ] CHfCKALl THAT APPlY 7) AMOUNT AND TIME AT FACIUTY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: IOO[]gal[] ft3 [ ] - a) Container: Average Daily Amount: curies [ ] b) Pressure: Annual Amount: c) Temperature: Largest Size Container: # Days On Site Circle Which Months: All Year, J, F, M, A, M, J, J, A, S, 0, N, D 9) MIXTURE: Ust COMPONENT CAS # %WT AHM the three most hazardous 1) [ ] chemical components or any AHM components 2) [ ] 3) [ ] 10) Location certiry unC1er penalty or law, that I have personally exarmned and am famll/ar With the mromation suomltt this anC1 all attached documents. I believe the SUbmitted}.nformatíon is true, accurate, and complete. ~ J. / 01\1\ DWYER - fV1.A-N14(;¡E!<.. '7 - _.....____ (.... z7-1c.J PRINT Name & Title of Authorized Com an Re resentative . $iãñature / Date p y p g s.øern~3Q 1992 AEGlO\I Y LEPC STANQMQ Fæ" ------:;---- \) BAKERSF"'C CITY FIRE CEPA.ENT HAZARDOUS MATERIALS INVENTORY I:.. Page_of_ Business Name Address CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New ( J Addition ( ) Revision ( ) Deletion ( ) Check if chemical is a NON TRADE SECRET ( ) TRADE SECRET ( ) 2) Common Name: 3) DOT # (optional) Chemical Name: AHM ( ) CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ) Reactive [ ] Sudden Release of Pressure ( ] Immediate Health (Acute) [ ) Delayed Health (Chronic) [ ] 5) WASTE CLASSIFICATION (3,digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid ( ) Liquid ( ) Gas ( ] Pure ( ) Mixture [ ) Waste [ ) Radioactive [ ) CHECKAil THAT APPlY 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: Ibs [ ) gal ( ) ft3 [ ] a) Container: Average Daily Amount: curies [ ] b) Pressure: Annual Amount: c) Temperature: Largest Size Container: # Days On Site Circle Which Months: All Year, J. F, M, A, M, J, J, A, S, 0, N, D 9) MIXTURE: List COMPONENT CAS # %Wf AHM the three most hazardous 1) [ ] chemical components or any AHM components 2) [ ] 3) [ ] 10) Location CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New [ ] Addition [ ] Revision ( ] Deletion ( ] Check if chemical is a NON TRADE SECRET ( ] TRADE SECRET ( ] 2) Common Name: 3) DOT # (optional) Chemical Name: AHM ( ] CAS # 4) PHYSICAL & HEALTH PHYSICAL HEALTH HAZARD CATEGORIES Fire [ ) Reactive [ ) Sudden Release of Pressure [ ) Immediate Health (Acute) [ ) Delayed Health (Chronic) [ ) 5) WASTE'CLASSIFICATION (3-digit code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid ( ) Liquid [ ] Gas [ ] Pure [ ] Mixture ( ] Waste ( ] Radioactive ( ] CHECI<ALL THAT APPlY 7) AMOUNT AND TIME AT FACILITY UNITS OF MEASURE 8) STORAGE CODES Maximum Daily Amount: Ibs[)gal[) ft3 ( ] a) Container: Average Daily Amount: curies [ ) b) Pressure: Annual Amount: c) Temperature: Largest Size Container: # Days On Site Circle Which Months: All Year, J. F, M, A. M, J, J. A, S, 0, N. D 9) MIXTURE: List COMPONENT CAS # %Wf AHM the three most hazardous 1 ) [ ] chemical components or any AHM compOnents 2) [ ] ! 3) [ ) 10) Location certify under penalty of law, that I have personallyexammea and am familiar wlm me mtomation suOmlttea on UJts and all attached documents. I believe me submitted information is true, accurate, and complete. Signature Date - / AEOIo.. lEPCSTANDMD7 PRINT Name & Title of Àuthorized Company Representative 9«fember3C11S192 - e' e ~~:~D1~2~ U e By 1 t ¡. - --,- ~ 07/29/92 ' LONGS DRUG STORES #267 215-000-0009 Overall Site with 1 Fac. Unit General Information Location: 5510 STOCKDALE HWY Map: 123 Hazard: Low Community: BAKERSFIELD STATION 11 Grid: 03B FlU: 1 AOV: 0.0 - Contact Name Title Business Phone - 24-Hour Phone RICHARD WIENS AREA MANAGER (805) 872-3444 x (805) 664-7974 TOM DWYER STORE MANAGER (805) 322-5024 x (805) 833-6049 Administrative Data Mail Addrs: 5510 STOCKDALE HWY D&B Number: 00-691-0004 City: BAKERSFIELD State: CA Zip: 93309- Comm Code: 215-011 BAKERSFIELD STATION 11 SIC Code: 5912 \ Owner: LONGS DRUG STORES CA INC Phone: (415) 937-1170 Address: 141 N CIVIC DR State: CA City: WALNUT CREEK Zip: 93309- Summary . ~p ----11-{ D"~A? f)w YçR [ö)© Û"O®rr~©lf OOrítå~ ft&'a®~ a Û"O~® (T!I~ fit¡ ~iIR remo) ~ i'@IIIl!IWOO i~ õJiilJdlooJ hs!zardous maierials manage- ø ·moo~ ~~11 íl©1l' LÒN60 DRUC, #'2101 ~nd ~h~ft iR ~~©n@ with (bio of ÐuoIMSO) I ®~1f ~©~~ oo¡ru~óftm® t§l ©@m¡9)l~s ~OO oor~~ man- ®@j®m®rruß ¡9)~~¡ru ff©rr M1f ~®©ö~å~1f. " -----. ~iI/¡w'" , k··¿-}~ ¡- f 0 -c¡ L.... e . 07/29/92 ... LONGS DRUG STORES #267 215-000-000990 02 - Fixed Containers on Site Page 2 , I Hazmat Inventory Detail in Reference Number Order 02-0'01 INSECTICIDES - HOUSEHOLD/GARDEN ~ Fire, Immed Hlth Liquid 400 Unrated GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: INSECTICIDE Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 400 I 200.00 I 600.00 Storage :::r Press ì Temp Location GLASS CONTAINER Ambient Ambient SALES FLOOR/WAREHOUSE METAL CONTAINR-NONDRUM Ambient Ambient SALES FLOOR/WAREHOUSE -" Conc l 100.0% Insecticides Components ~ MCP -:-rList Unrated I 02-002 HERBICIDES-HOUSEHOLD/GARDEN ~ Fire, Immed Hlth Solid. 1200 Unrated LBS CAS #: Trade Secret: No Form: Solid Type: Pure Days: 365 Use: HERBICIDE ---- Daily Max LBS ----r-- Daily Average LBS --r-- Annual Amount LBS -- . 1,ZOO I 600.00 I· 1,800.00 Storage I Press ì Temp Location GLASS CONTAINER Ambient Ambient SALES FLOOR/WAREHOUSE BAG' Ambient Ambient SALES FLOOR/WAREHOUSE - Conc l 100.0% Herbicides Components I~ MCP -:-rList Unrated I 02-003 PESTICIDES-HOUSEHOLD/GARDEN ~ Fire, Immed Hlth Solid 400 Unrated LBS CAS #i Trade Secret: No Form: Solid Type: Pure Days: 365 Use: PESTICIDE Daily Max LBS ----r-- Daily Average LBS --r-- Annual Amount LBS -- 400 I 200.00 I 600.00 Storage I Press ì Temp Location GLASS CONTAINER Ambient Ambient SALES FLOOR/WAREHOUSE BAG Ambient Ambient SALES FLOOR/WAREHOUSE - Conc l 100.0% Pesticides . Components ~ MCP -:-rList Unrated I. e . ~ 07/29/92 LONGS DRUG STORES #267 215-000-000990 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in Reference Number Order 02-004 CLEANING-HOUSEHOLD BLEACH ~ Reactive, Immed H1th Liquid 2000 High GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: CLEANING Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 2,000 I . 300.00 I 25,000.00 Storage PLASTIC CONTAINER r Press T Temp -:ì Location Ambient Ambient I SALES FLOOR/WAREHOUSE - Conc l 100.0% Sodium Hypochlorite Components r= MCP ---rList IHigh I 02-005 CLEANING-CHLORINE PRODUCTS ~ Fire, Reactive, Immed Hlth Solid 500 High LBS CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: WATER TREATMENT Daily Max LBS ----r-- Daily Average LBS --r-- Annual Amount LBS -- 500 I 400.00 I 3,000.00 Storage PLASTIC CONTAINER r Pre~s T Temp -:ì Location Ambient Ambient I SALES FLOOR/WAREHOUSE - Conc _I 30.0% Hydrochloric Acid Components r= MCP ---rList IHigh I 02-006 CLEANING-AMMONIA PRODUCTS ~ Fire, Reactive, Immed Hlth Liquid 500 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 500 I 100.00 I 1,200.00 Storage PLASTIC CONTAINER r Press T Temp -:ì Location Ambient Ambient I SALES FLOOR/WAREHOUSE - Conc l 30.0% Ammonia Solution Components r; MCP -:-¡List Moderate I e e 07/29/92 LONGS DRUG STORES #267 215-000-000990 02 - Fixed Containers on Site Page 4 Hazmat Inventory Detail in Reference Number Order 02-007 CLEANING-POOL ACIDS ~ Reactive, Immed Hlth Solid 1500 High Q LBS CAS #: Trade Secret: No Form: Solid Type: Pure Days: 365' Use: WATER TREATMENT Daily Max LBS ----r-- Daily Average LBS --r-- Annual Amount LBS-- 1,500 I 900.00 I 7,500.00 Storage PLASTIC CONTAINER r Press T Temp ~ Location Ambient Ambient I SALES FLOOR/WAREHOUSE - Conc l 100.0% Muriatic Acid Components r= MCP ----yList High I 02-008 PAINTS-HOUSEHOLD ~ Fire, Pressure, Reactive, Immed Hlth Liquid 150 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: PAINTING Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 150 I 75.00 600.00 Storage r Press T Temp ~ Location METAL CONTAINR-NONDRUM Ambient Ambient SALES FLOOR/WAREHOUSE Components ~ MCP ~List Moderate Moderate Moderate Low Cone 25.0% 15.0% 5.0% 3.0% Mineral Spirits Naphtha Methyl Ethyl Ketone Ethylene Glycol 02-009 MOTOR OIL ~ Fire, Delay Hlth Liquid 500 Minimal GAL CAS #: Trade Secret: No Form: Liquìd Type: Pure Days: 365 Use: LUBRICANT Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 500 300.00 I 3,000.00 Storage r·· ,Press T Temp -:ì Location Ambient Ambient I SALES FLOOR/WAREHOUSE BOX - Conc l Components 100.0% Motor Oil, Petroleum Based r; MCP :-rList Minimal I e It ( Page 5 Order 100 High GAL . 07/29/92 LONGS DRUG STORES #267 215-000-000990 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number 02-010 AUTO ENGINE ADDITIVES' ~ Fire, Pressure, Reactive, Immed Hlth Liquid CAS #: Trade Secret: No Form: Liquid' Type: Mixture Days: 365 Use: ADDITIVE Daily Max GAL ----r--Daily Average GAL --r-- Annual Amount GAL , 100 I 30.00 I 300.00 Storage PLASTIC CONTAINER r Press T Temp -:ì Location Ambient Ambient I SALES FLOOR/WAREHOUSE Components ~. ~~p :¡List M~derate Low Conc 60.0% 20.0% 20.0% Methyl Alcohol Methyl Ethyl Ketone Ethylene Glycol 02-011 ANTIFREEZE ~ Fire, Immed Hlth Liquid 400 Low GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: ADDITIVE Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 400· I 100.00 I 800.00 Storage PLASTIC CONTAINER r Press T Temp ~I Location Ambient Ambient SALES FLOOR/WAREHOUSE - Conc l 100.0% Ethylene Glycol Components ~o~CP ~List 02-012 FUEL CAMPING ~ Fire, Pressure, Immed Hlth Liquid 200 Low GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: HEATING Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 200 I 50.00 I 500.00 Storage r Press T Temp -:ì Location . METAL CONTAINR-NONDRUM Ambient Ambient SALES FLOOR/WAREHOUSE - Conc l 100.0% Kerosene Components r; MCP ~List Moderate e It 07/29/92" LONGS DRUG STORES #267 215-000-000990 02 - Fixed Containers on Site Page 6 Hazmat Inventory Detail in Reference Number Order 02-013 FERTILIZER ~ Fire, Reactive, Immed Hlth Solid 12000 Unrated LBS CAS #: Trade Secret: No Form: Solid Type: Pure Days: 365 Use: FERTILIZER Daily Max LBS ----r-- Daily Average LBS --r-- ~nnual Amount LBS -- 12,000 I 2,000.00 I 24,000.00 Storage r Press T Temp -:ì Location Ambient Ambient SALES FLOOR/WAREHOUSE BAG - Conc Components MCP ---rList e It 07/29/92. LONGS DRUG STORES #267 215-000-000990 00 - Overall Site Page 7 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 ~ <2> Employee Notif./Evacuation 1. MEMBER OF MANAGEMENT WILL BE INFORMED AND WILL CALMLY EVACUATE CUSTOMERS AND CO-WORKERS TO NEAREST EXITS. 2. 911 WILL BE DIALED IN EMERGENCY. 3. MEMBER OF MANAGEMENT WILL TAKE ATTENDANCE AT MEETING AREA. 4. PHARMACIST WILL BE NOTIFIED TO ADMINISTER FIRST AID. 5. ALL EMPLOYEES WILL LISTENcAND RESPOND TO INSTRUCTIONS ON CALMLY EVACUATING THE BUILDING. <3> Public Notif./Evacuation CUSTOMERS/VISTORS: APPROPRIATE SIGNS ARE POSTED IN PUBLIC AREAS AS REQ~IRED BY PROP. 65 REQUIREMENTS. ANY NECESSARY EVACUATION INSTRUCTIONS WILL BE GIVEN OVER THE INSTORE SEAKER SYSTEM INFORMING ALL CUSTOMERS AND VISTORS HOW TO SAFELY EVACUATE THE PREMISES IN THE EVENT OF AN EMERGENCY. NEIGHBORS: EVERY EMPLOYEE RECEIVES TRAINING ON HOW TO RESPOND AND CLEAN UP A CUONSUMER PRODUCT SPILL. CONSUMER PRODUCT SPILLS DO NOT PRESENT A HAZARDOUS SITUATION FOR OUR NEIGHBORS. NO SPECIAL NOTICES ARE NECESSARY TO INFORM SURROUNDING OUR BUSINESS. NEIGHBORS ARE AWARE OF' NATURE OF OUR BUSINESS. . <4> Emergency Medical Plan MERCY HOSPITAL 2215 TRUXTUN AVE 327-3371 FIRE DEPT 7000 STOCKDALE HWY 326-3037 SOUTHWEST URGENT CARE 5397TRUXTUN AVE 322-2273 HALL AMBULANCE S H & RADIANCE 327-9000 e e 07/29/92 -. LONGS DRUG STORES #267 215-000-000990 00 - Overall Site Page 8 <E> Mitigation/Prevent/Abatemt <1> Release Prevention 1. KEEP CURRENT INVENTORY LIST AND UPDATE AS NEW PRODUCTS ARE INTRODUCED TO THE PUBLIC. 2. KEEP EMPLOYEES TRAINED IN CLEANING UP HAZARDOUS PRODUCT SPILLS. 3. KEEP FIRE EXTINGUISHERS WORKING. 4. INFORM ALL EMPLOYEES OF MEETING PLACE IN THE EVENT OF EVACUATION. 5. KEEP CLEAN-UP SUPPLIES IN ORDER. <2> Release Containment ~ ~ØJ(!p.¿ <3> Clean Up PERMANENT BULLETIN BOARD POSTING "EMERGENCY CLEAN UP PROCEDURES" ALL CLEAN UP MATERIALS REQUIRED ARE KEPT IN A BOX IN THE RECEIVING AREA. ~. ~(Q) - ~ ~Wf <4> ,Other Resource Activation e . 07 /29Î9'2 'it LONGS DRUG ,STORES #267 215-000-000990 00 - Overall Site Page 9 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NORTH WALL OF BUILDING NEXT TO THE BACK RECEIVING DOOR B) ELECTRICAL - WEST WALL INSIDE WAREHOUSE, NEXT TO RECEIVING DOOR C) WATER - 6 FEET WEST OF BUILDING D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - OVERHEAD FIRE SPRINKLER SYSTEM THROUGHOUT STORE FIRE EXTINGUISHERS STRATEGICALLY LOCATED. FIRE HYDRANT - 50 FEET WEST OF BUILDING BEHIND THE STORE <4> Building Occupancy Level . . 07 /21JÎ9'2 10 LONGS DRUG STORES #267 215-000-000990 ,00 - Overall Site Page 10 <G> Training <1> Page 1 WE HAVE 30 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: EMERGENCY RESPONSE PROGRAM HANDOUTS ARE GIVEN TO ALL EMPLOYEES AND NEW HIRES. A SIGNED "SAFETY UNDERSTANDING" STATEMENT IS KEPT IN EACH PERSONNEL FILE. wAREHOUSE PERSONNEL RECEIVE "WAREHOUSE SAFETY MEMO" BULLETIN BOARD POSTING COVERING CLEAN UPS ETC. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use ~DOUS MATERIALS dAGEMENT PLAN INVENTORY INSTRUCTIONS GENERAL INFORMATION: Important: If you require more inventory forms than the one provided, you should make pnotocopies of the forms prior to entering any information on them. The additional copies mu~t be on the same color paper as the original. Information must be typed/printed in English. Make a copy for your records. Complete business name and address informa,tion. If they have been required, the number of separate facility units will be determined by the Bakersfield City Fire Department. G'i ve each facility unit a common name, and a one or two digit number. NOTE: An inventory form must be made for each separate facility unit. The top of the form must be completed for each facility - s how i n g Business name and location as well as owner name and mailing address. Also inc,lude "SIC" Standard Industrial Classification Code and if available Dun and Bradstreet Number. Non-Trade Secrets (Wþite Form). Non-Trade Secret Materials in one facility unit. Trade Secrets (Yellow Form). Trade Secret Materials in one facility unit. 1. TRANSACTION CODE: Is this inventory sheet new, an addition, deletion or update to your hazardous materials business plan. A - Addition D = Deletion U = Update N = New 2. TYPE/CODE: For the purpose of this entry, there are three types of hazardous materials: P = Pure M = Mixtures of pure substances W = Wastes. (Also add appropriate waste code) 3 . MAXIMUM AMOUNT: This should represent the maximum number of units of this material present at anyone time., (Refer to the "UNIT" section of these instructions) 4 . AVERAGE AMOUNT: This should represent the average amo~nt, usually on hand at any one time. HAZARDO~ MATERIALS MANAGErvtÞNT PLAN ~ ;~.. INVENTORY INSTRUCTIONS 5 . ANNUAL AMOUNT: This should represent the anticipated annual (thru put) number of units of the material. 6. MEASURE UNITS: LBS = Pounds, for materials stored as solids GAL = Gallons, for materials stored as liquids FT3 = Cubic Feet at S.T.P., for materials stored as gases CUR = Curies, for radioactive materials 7. DAYS ON SITE: Days anticipated that this material will· be at this site, for the calendar year reporting. 8. CONTAINER TYPE: (Use appropriate code) 01. Underground Tank 02. Aboveground Tank 03. Fixed Pressurized Tank 04. Portable Pressurized Cylinders 05. Insulated Tank (includes cryogenics) 06. Drums o~ Barrels Metallic 07. Drums or Barrels - Non-Metallic 08. Corboy(s) 9. CONTAINER PRESSURE (Use appropriate code) 1 = Ambient Pressure (I-Atmosphere) 2 = Greater than' Ambient Pressure 3 '= Less than Ambient Pressure 09. Glass Container(s) 10. Plastic Container(s) 11. Box(es) 12. Bag(s) 13. Metal Containers (not drums) 14. In Machinery or processing equípment 15. Bin(s) 99. Other - specify 10. CONTAINER TEMPERATURE (Use appropriate code) 4 = Ambient Temperature 5 = Greater than Ambient Temperature 6 = Less than Ambient Temperature 7 - Cryogenic Conditions 11. USE CODES: (Use appropriate code) 01. Additive 11. 02. Adhesive 12. 03. Aerosol 13. 04. Anesthetic 14. 05. Bactericide 15. 06. Blasting 16. 07. Catalyst 17. 08. Cleaning 18. 09. Coolant 19. 10. Cooling 20. 2 Drilling Drying Emulsifier/Demulsifier Etching Experimental ~abrication Fertilizer Formulation Fuel Fungicide :'. -,~ ~~ ~ . e 11. USE CODES: (Continued) 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. Grinding Heating Herbicide Insecticide Instructional Lubricant Medical Aid or Process Neutralizer Painting Pesticide Plating Preservative Refining 34. Sealer 35. Spraying 36. Sterilizer 37. Storage 38. Stripping 39. Washing 40. Waste 41. Water Treatment 42. Welding Soldering 43. Well Injection 44. Oil Treatment 99. Other - Specify 12. LOCATION WHERE STORED IN THIS FACILITY Briefly indicate the location of the material within the building/facility unit using compass points and obvious landmarks. 13. PERCENT BY WEIGHT Indicate the concentration of each pure' substance as a percentage of total weight. In the case of mixtures and wastes enter the maximum expected concentration of the three most Hazardous Components. Round off %. ' 14." NAMES OF MIXTURE/COMPONENTS EMERGENCY CONTACTS: Enter the name, title and phone numbers of two persons who are knowledgeable about this facility. PLEASE BE CERTAIN THAT FORMS ARE PROPERLY SIGNED AND DATED AT THE BOTTOM 3 o Farm and Agriculture 0 standard Business CITY OF BAKERSFIELD HAZARDOUS MATERIALS INVENTORY NON - TRADE SECRET {~ Page_of;°~ r í BUSINESS NAME: LOCATION: CITY, ZIP: PHONE #: OWNER NAME: ADDRESS: CITY, ZIP: PHONE ,#: NAME OF THIS FACILITY: STANDARD IND. CLASS CODE: DUN AND BRADSTREET NUMBER/FEDERAL ID # - - -- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Trans Type Max Average Annual Measure 1/ Days Cant Cant Cant' Use Location Where % by Names of Mixture/Components Code Code Amt Amt Amt Units on Site Type Press Temp Code Stored in Facility wt See Instructions I I I I I I I I I I Physical and Health Hazard C.A.S. Number Component 1# 1 Name & C.A.S. Number -- (Check all that apply) Q 0 o Reactivity D 0 Component 1# 2 Name & C.A.S. Number Fire Hazard Sudden Release IlIII1Iediate Delayed of 'Pressure Health Health Component 1# 3 Name & C.A.S. Number I I I I I I I I I I I . Physical and Health Hazard C.A.S. Number Component 1# 1 Name & C.A.S. Number (Check all that apply) 0 0 0 o Delayed Component 1# 2 Name & C.A.S. Number 0 Fire Hazard Sudden Release Reactivity IlIII1Iediate of Pressure Health Health Component 1# 3 Name & C.A.S. Number . I I I I I I I I r I I Physical and Health Hazard C.A.S. Number Component 1/ 1 Name & C.A.S. Number (Check all that apply) 0 0 0 0 Component 1# 2 Name & C.A.S. Number 0 Fire Hazard Sudden Release Reactivity Immediate Delayed e of Pressure Health Health Component 1# 3 Name & C.A.S. Number I I I I I I I I I I I Physical and Health Hazard C.A.S. Number Component 1# 1 Name & C.A.S. Number (Check all that apply) 0 D o Reactivity 0 Component 1# 2 Name & C.A.S. Number Fire Hazard Sudden Release IlIII1Iediate o Delayed of Pressure Health Health Component 1# 3 Name & C.A.S. Number EMERGENCY CONTACTS U #2 Name Title 24 Hr. Phone Name Title 24 Hr Phone _.,u REFER TO INSTRUCTIONS FOR PROPER CODES Certit'icatiQn (READ AND SIGN AFTER COMPLETING ALL SECTIONS) I certify under paanlty of law that I haver personally examined and am familiar with the information submitted in this and all attached documents and that based on my inquiry of those individuals responsible for obtaining the information. I believe that the submitted information is true, accurate, and complete. NAME AND OFFICIAL TITLE OF OWNER/OPERATOR OR OWNER/OPERATOR'S AUTHORIZED REPRESENTATIVE SIGNATURE DATE SIGNED ~, .'< t .' :~ ,¡;.. ~~ I t ,~ þ' y TO: Stor~lployees e Informational FROM: Store Manager Et.£RGENCY RESPCJ\ISE PROGRAM 'Longs Drug Stores has developed an Emergency Response Program to enhance your health and safety in the workplace. We want to ensure that you are aware of how to respond in emergency 'situations. By being prepared, each one of us can contribute to the safety and well~being of your co-workers and our customers. The attached memo gives you information on how to respond in the following ki~s of emergencies: " M edi cal Power Outage Earthquake Fire Bomb Threat Chemical Spills and Cleanup ~ ... . Spend some time and familiarize yourself with how to safely -respond to some of these more common emergencies. wpc:I22/B6 " . ..... ." ~';"!'.~" ..~ ',.. ,- ";.' ~, .;..;..:. ,..~~~ ""~,.:t,':"" ;,: ,:'~' ,:,' ~"i"::;'''' ,', ":"; "';,,. ", ..." ····t"·:··~ " "~' ~r'?"" .. '. ... ,~ .0 ,l:ty 1 I r" I .~"'- .("~' f?' ¡ I , ¡ . . !ì It . I~ : 1_"" .: " . I ! ~ . .,~ /"r"EV ACUA TION .. . Should an avac_on of part or all of the bUildin.a required, it will be 'announced by manager via the PA system. . A VOID PANIC, BE CALM, EV ACUA TE AS DIRECTED. Advise customers to follow clearly marked exits. Do not use elevator. Stay clear until directed otherwise. , " j' MEDICAL EMERGENCY Notify a manager immediately. Avoid moving victim. Dial 911 if situation in any way appears life-threateni'1g. Ask loudly for assistance, ask nearest person to please notify a pharmacist. POWER OJTAGE ~ Remain at your -workstation-until told otherwise. Ask customers to remain calm and not to move. Remember you ,are familiar with the sto floor plan; however, a customer is not and may injure themself. : Wait untUyou receive ,furtr: ,instructions fro~,a ma~ger... :~ ::,\~:'"' .' ,; >~:-:: :.',:~ <'....:(,~'5;:·,¿., EARTHGUAKE .... ,'..,. " 8e calm. Stay inside. Move away from windows and cabinets. Assist customers in taking cover and staying away from windows. Take cover under tables or' cash stands. Extinguish open flames. Do not run through building. FIRE Minor: NOTIFY FIRE DEPARTMENT. Dial 911. Give exact location of fire and your name. , Noti fy manager for assistance. In a loud, clear voice order all personnel clear of the area. Major: . NOTIFY FIRE DEPARTMENT. Dial 911., Give exact location of fire and your name. Noti fy manager for aasi8tance. . . Move clear of the fire area and in a loud, clear voice, ask èveryone to immediately leave the store. 80MB THREAT Be calm. Listen, be alert and businesslike. Keep caller on the line, signal someone forheJp to notify a manager. ,Repeat instructions, take detailed notes. . Ask for bomb location and when it is toga off. , Inform "Caller that building i. occupied. "Note caller's voice, background noise, etc. ., ,,', :-.00 Nqr .TOUa;,ANYrH1ttç;ßl'~p)ÇI.Q1J~~ .,;;,:. ,..,.i~'.',r",~-:!~+~·~~~~4Þf.~~~~·~~~¥:f'~:~ :':::!;~':~/~":·~'::·,~;~~t~;~.~~:~;-·"·~.'-"'·7~ ,\;.~~~ r'::f'~~' ..' -:...::- .<.:.;1/'.1'........ , .':.:;.;'; '-: :~ wpc:121/26 " r~; , ,r" .. ,,,,' ,.. ,...:f..t',;"".;., " I / ,/ .~;~/' ~;' b //";.1"" ;)~ 13''' / ,,{" /' /r " e e EMERGENCVPROCEDURES \ ¡) ~ Chemical Spilla and Cleanup Procedures ....". ., :ChemicaJ ::spiJIs can ·:be :.œngerous. ~F:or 'this reason, :in ":the "!evenf;20f ,,8 't:hemical . spill, ' immediately ,setup a "barrier to "keep other employees or ,customers àway.Have another employee or customer call for a manager. . ' Ventilate the area of a'spill by.opening doors or .by -setting up ,a fan. .. Chemical fumes maY't:atch fire; therefore, ,-do, not store -:flammable products near 'a furnace/water heater. Do not light matches when fumes are present! f , . , Under the directions of a manager, begin cleaning up a spill as soon as possible to minimizehealth,exposure-and.p08sibl~,1>rOblem8'-with stains 8nd:pdors..'..:~,^.:" '... '.,' ',., '. . ....., ..-' ?'-:-.';~" ':'''. '.: .',,'" ." ~..~.~.~~-~..~.. ~ . .' --. ',: "" When cleaning up, wear rubber or neoprene gloves, keeping the .resL-of 'your body covered, and avoiding inhalation,of,the vapora. .n the vaporaareoverwhelming,iieave :the . :srea immediat~ly ,: ~nd .in :a~l~.a~J :~ou,~L~~,!ce~~rect':Ðther ~~~g~o.Y!:.~ .'~..._r;!1~~~ io.:,::~JJ::.,':/;.," .~eave'~,~~~~~ ' .'..: . ':':. :'::""~::'~.':',,' ~~::<~'~:~~::~~'u"'::' ":'-~'" .::~~~~tZ:','~~~S~~~~1~tti~~~~~;;?~;~ "'"'SweepàpUled solids into a 'plastic bag. Spilled liquids should first;:be~ôaked up "~,' with an absorbent material such as Kitty Litter, paper towels, or old rags, then placed in a plastic bag, sealed, end put 'in the'trashcan. ' ':.':, ¡~;,:, ':, ' ~, .~ ., \ , Scrub wood, cement, or tile surfaces with a water solution of strong:household detergent applied with a scruD brush or old rags; repeat cleansing with ,detergent until traces of the chemical are gorie. Absorb each time with absorbent material. All cleanup materials--should be thrown out in disposable containers such as sealed plastic bags. . ...........-.. Firat Aid for Chemical Exposure Most products carried in our store are labeled with pertinent first ..aid instructions. In the event of exposure -to chemical spills, employees should follow. the directions .listed on the label. Additional information may be available in the office on the Material Safety Data Sheets (MSDS). Following emergency first aid treatment, it may still be neceaaary to follow up these procedures with professional medical attention. Should this be necessary, employees should remember to take the container with its label to the doctor so that hé or she will know exactly to ,which product you were exposed. This will help the physician begin proper treatment as s~on as possible. In all such cases of chemical spills and exposur~, employees must notify a member of management immediately. .~ ~.' '21 ,..' , ,.--. ",wpc: 1 /21 ;::- "{ : :' ',~,:2~.:;~: . ~_ " . ", >... ...... . ,.... - .{...".,~ ........ ,·':1.··-.,·.'·.;-·"""f.:~,~,·~::,:~,'." _ -: .-' .- .,~ -', '.......:~~ .",~'.. -.... ,.~,::' .._;....:~:-::...~,.~::.>:.-.:'~-~-......::... - ".' - ~. -~ #- .,.._.:,.'..¡;;'¥!~"t¿~~,!~~~~~~~i~;::;;~,'.~T.~~~>~ ,~l" ~~;'~~;*\~~~~f~~?~~.t.~~:~~~:· :;:f;:::~~~t~~:;:~.~'::; " .. ¥. .. ,.' . , ,- ' ., . .~ ... . ... :~'-i;;." ~ ... ... ... .. .. - .;-.:~~ {~ . .:,:.: ~.~.:~::~:~ ":~:~':.., . '. .""." ..~. ..... '" . ·-';;·f'-;.-·~ ... .~ ......- -"." . .. ,. ¡ ¡ I I I í/ I' , II / ~,/." ¿< 1// ,>'.~~...., .. ,< / ~ ¡: / _/ ". e e TO: EMPLOYEE / SAFETY lJNOERST ANDING STATEMENT , :. ,.~~;:r··· ..-t' ~emember, safety is up to you. Our ,safety policy can protect you only if you pràtect yoursel f. You are the only person ,who ..can keep .l£!:!. safe every day on the job. ' . " I have read the Emergency Response ,memo and pamphlet and understand about the chemical substances this store sells., I know em~gency procedures ,and will practice ,sensible, safe work habits. ,- ...-, ,.. ,. " . . " ~- . ,..'.... ~<:~.:~,. ~~2.~¿ '>~}1~:"' :1' ;.......~~..> :, "... ~~ .~.~·~~'·~~~~·~~;:·:::~~.:·:~i:~~~4~:~£f~~;· ',. '.', ':,.,.;.'. ..:'...... . ..~~.. ,·,·:Signature ..., , -:::,,-'>..:;?'., . -~Oate . wpC:121/p ., COpy TO BE GIVEN TO EMPLOYEE , . -:"',:1' .. . ',~': '.'~.J: ..;':~.-::':.._"':...':':.-..".,.~"__'-: < :.::._">'-..; .;.. ~~::;~:~~~1~:tt¿~~·.~:~·:t~~ . - . .'~ .:-'.:'. ,_.....:.- . - : \~' '. . . " ,," ';';- ::,;,;;,::~::: ,':~:::~.; "~g- "::i:Çt..~;~~. I:.::' ..." " .(",!-'\·I1.;~_{!l ,; -r! ..t..jO: .. ~.,. "'~"",,' . ,~ '. . 't.. ........::t."'~"'!';~;,,_....~,·'i~".:- - '.' .,:' ~._~~-- -_.'.;.,:{- . .~.' j;~ ~. .:. ~. . -;.- 7. ...;,..:' .". ~'. ~ " - ..... " ".. -. "ì';:'.r" - -r '';':,.0. ,'~.~~;-"~~~~i-.':' ~-. : ".:."~ -:~:. ~,:;;:;:~~:r~~{~~~%?::::;: .... ~ . ., i It. I " -, ....~-':--:~~-'--'-""-'--:-" _r'*' 0* .~. ,J'~ !'-~.- ,. ~.. L.GS DRUG STORES #257 215-I)-0009r:30 Overall Site with 1 Fac. Unit Page 1 <. -..t;· 03/27/91 -;- General Information I Location. 5510 STOCKDALE HWY LOW===] Map: 123 Haza)-~d : I Iderlt Nur.lber: ~:: 15-000-000'390 G,,~ i d : 03B A"~E!a elf Vul: O._~ ¡- Corlt act Name - Title Busirless Ph.:.rle J 24 HO~I_~~] I~~~ ~~~~~~ON J2 ' C-I-I/+/¿ D J- A-/2£A 1'16<, (B05) B72-3444 x \NI &/,-1 (B05) 8ë;..:: ... ~ 8 STr)~ 13 A/i {-7I{( . (805) 3i:'~2-5()i::4 x ' (805) 833-6049 ----.. I Adm i r"li st!'~a t i VI:? Data Mail Add,,~s : 5510 STOCKDALE HWY D&B Number: ()()-691-0004 City: BAKERSFIELD State: CA Zip: '33309- COfllfll C,:,de: i:::15-011 BAKERSFIELD STATION 11 SIC Ce.de: 5'312 - ..---.. OWY"le)-~ : LONGS DRUG STORES CA INC PhcrY"le: ( ) - Add"~ess : 141 N CIVIC DR State: ~~:~)'3- ___J City: WALNUT CREEK Zip: -- .- r S Ufflffla ,,~y RE:0¡:.IVEO - l APR 0 &. 1991 t\AZ. MAT. DIV. J - ------------------------. .... ~, ',0 tv\ D\lV y E e Do> hei"e~~ ©~úΡ~ ~hta~ ~ (¡~M~ (TyP3 C1 print name) wsviswed 1hs aUached ha~ard()us materials managse menì plan for LO¡J{'f2,....!!.._20'7......PU1.r1 thõ.t it along with \Nf.~f:a~ t:.1 f·..;;t:,1¡:'~~J ~my corrections const;lulò &. complete and cQrrad mane Iâ~em®~~ plan ~ôr my facility. (QfL o ..¡;" " ---_.~ ----'~-- /' r:z.' /~~~ - Si1JMturø 3 ,~-2 Q'-9/ i)Qto ~ 1~Ä7~9'( 03/27/91 LONGS DRUG STORES #267 Hazmat Inventory List i::: 15-000-000990 i 1", MCP Ot~det~ Page 2 02 - Fixed Containers on Site PIn-Ref Name/Hazards Fo:.rm Qua1"lt it Y MCP 02-010 AUTO ENGINE ADDITIVES Fire, Pressure, Reactive, Immed Hlth Liquid 100 High GAL 02-005 CLEANING-CHLORINE PRODUCTS Fi~e, Reactive, Immed Hlth So:. 1 i d 500 High LBS -----.- 02-004 CLEANING-HOUSEHOLD BLEACH Reactive, Immed Hlth Liquid 2,000 GAL High 02-007 CLEANING-POOL ACIDS Reactive, Immed Hlth So:. 1 id 1,500 LBS High -..-.....------ Liquid 500 Mo:.derate GAL Liquid 150 Mo:.derate G(~L Liquid 400 Lo:.w GAL Liquid 200 Lo:.w GAL Liquid ~500 Minimal GAL So:. 1 i d 12,000 U1"lrated LBS ...-----..-.-- So:. 1 i d 1 , 200 Unt~ated LBS Liquid 400 U1"lt~ated GAL ..--- So:. 1 i d 400 . UYn~ated LBS 02-006 CLEANING-AMMONIA PRODUCTS Fit~e, Reactive, Immed Hlth 02-008 PAINTS-HOUSEHOLD Fire, Pressure, Reactive, Immed Hlth 02-011 ANTIFREEZE Fire, Immed Hlth 02-012 FUEL CAMPING Fire, Pressure, Immed Hlth 02-009 MOTOR OIL Fit~e, Delay Hlth 02-013 FERTILIZER Fire, Reactive" Immed Hlth 02-002 HERBICIDES-HOUSEHOLD/GARDEN F i t~e, I filmed HIt h 02-001 INSECTICIDES - HOUSEHOLD/GARDEN Fire, Immed Hlth 02-003 PESTICIDES-HOUSEHOLD/GARDEN F i t~e, I mmed HIt h .. . . ------------"'-----~-~------,----.: 03/27 /r~ 1 LIGS DRUB STORES #267 215-1)-000990 00 - Overall Site Page -... ~J " .' <D> Notif./Evacuation/Medical <1> Agency Notification CAL.L 911 <2> Employee Notif./Evacuation 1. MEMBER OF MANAGEMENT WILL BE INFORMED AND WILL CALMLY EVACUATE CUSTOMERS AND CO-WORKERS TO NEAREST EXITS. 2. 911 WILL BE DIALED IN EMERGENCY. 3. MEMBER OF MANAGEMENT WILL TAKE ATTENDANCE AT MEETING AREA. 4. PHARMACIST WILL BE NOTIFIED TO ADMINISTER FIRST AID. 5. ALL EMPLOYEES WILL LISTEN AND RESPOND TO INSTRUCTIONS ON CALMLY EVACUATING THE BUILDING. <3> Public Notif./Evacuation CUSTOMERS/VISTORS: APPROPRIRTE SIGNS RRE ÞOSTED IN PUBLIC AREAS AS REQUIRED BY PROP. 65 REQUIREMENTS. ANY NECESSARY EVACUATION INSTRUCTIONS WILL BE GIVEN OVER THE INSTORE SEAKER SYSTEM INFORMING AL.L CUSTOMERS AND VISTORS HOW TO SAFELY EVACUATE THE PREMISES IN THE EVENT OF AN EMERGENCY. NEIGHBORS: EVERY EMPL.OYEE RECEIVES TRRINING ON HOW TO RESPOND AND CLEAN UP A CUONSUMER PRODUCT SPILL. CONSUMER PRODUCT SPILLS DO NOT PRESENT A HAZARDOUS SITUATION FOR OUR NEIGHBORS. NO SPECIRL NOTICES ARE NECESSARY fo INFORM SURROUNDING OUR BUSINESS. NEIGHBORS ARE AWARE OF NATURE OF OUR BUSINESS. <4> Emergency Medical Plan MERCY HOSPITAL 2215 TRUXTUN AVE 327-3:H 1 FIRE DEPT 7000 STOCKDALE HWY 326-3():~"1 :')22-2c~73 HALL AMBULANCE' S H & RADIANCE 327-'3000 SOUTHWEST URGENT CARE 5397 TRUXTUN AVE 03/27/91 øLONGS DRUG STORES #267 215-000-000990 00 - Overall Site Page 4 <E> Mitigation/Prevent/Abatemt <1> Release Prevention 1. KEEP CURRENT INVENTORY LIST AND UPDATE AS TO THE PUBLIC. 2. KEEP EMPLOYEES TRAINED IN SPILLS. 3. KEEP FIRE EXTINGUISHERS WORKING. MEETING PLACE IN THE EVENT OF EVACUATION. 5. ORDER. NEW PRODUCTS ARE INTRODUCED CLEANING UP HAZARDOUS PRODUCT 4. INFORM ALL EMPLOYEES OF KEEP CLEAN-UP SUPPLIES IN <2> Release Containment <3} CleaY'1 Up ?f;.¡¿t-.-\,(.>.N £.¡...\, 'ßl-l\..L-E-'1 r-''30.~(( [) ;:> (2. 0 c- E.. DLA 12.E. S " o . .\. l CY7f I N b. -' P.: \VI. ËI2.G E.'-Ì c. y' C l. Ë-,~i'-\ "--l P ALL.. QL.G.A r-..\. Vl.p (V1 (~T£¡¿\AL. S Kt:.-Q.u-\ J2.E: I) A-Q.r::. T~ £&C¿;/v//J~ /q-!l.£A, K.f- p, IAI /-l 3:::) ><. (~ <4) Other Resource Activation ~r . . -- - - ~ ------ ;. LIGS DRUG STORES #267 215-!)-000r:390 00 - Overall Site Page <= ;J 03/27/91 '. . (F} Site Emergency Factors <1} Special Hazards (2} Utility Shut-Offs A) GAS - NORTH WALL OF BUILDING NEXT TO THE BACK RECEIVING DOOR B) ELECTRICAL - WEST WALL INSIDE WAREHOUSE, NEXT TO RECEIVING DOOR C) WATER - 6 FEET WEST OF BUILDING D) SPECIAL - NONE E) LOCK BOX - NO <3} Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - OVERHEAD FIRE SPRINKLER SYSTEM THROUGHOUT STORE FIRE EXTINGUISHERS STRATEGICALLY LOCATED. FIRE HYDRANT - 50 FEET WEST OF BUILDING BEHIND THE STORE (4} Held for Future use 03/27/91 LONGS DRUG STORES #267 2157000-000990 00 - Overall Site Page 6 <G} Tt"'a i Y",i Y",g < 1> Page 1 WE HAVE 30 EMPLOYEES AT THIS FACILITY DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: (J) EMGR6Þ¡VC)/ ¡fe;;¡J¿)A/Sé ~Ob,e,4fv1 ;-I~rJ{)()(.AIS /lÆ £ Ç.;o/ EN rü /I LL- 6.IVIA..CJY£ £'5> ,i ;JevJ f!d!ES. 17- 51C,Af£[j" VAFE.TY lA.ND£J2'3TA-NDII'..jC;:" STA--";MENI ! "::> ¡(.(Pi ¡¡J bAul .¡J;::.;e.0--//'.!G-L ¡::/L£, @ W¡¡'¡¿E.¡-fOl/s¡: /E:K.So/'-'~£L ¡'2£c£rv,~" L..)A{2£WOlÁ'7¿ S(-\FE:íY t-I\EI'-'\O,N (§) OU.U.....E.íIN wA2jj Pty::,nNb c..OVr.:f2.JN C,., c..l..£,~,,-, LAPs ~ TC, <2} Page 2 as n~eded <3} Held for Future Use <4} Held for Future Use .' : .« .' ~ . . - - - --- -- -- - ----~-'-- -- - --- ~ ..~ "'-'<~, CITY of BAKERSFIELD I,r. IIId lor¡cuhurt '--" Stlftdlrd 1u"ntI. r-o ~ HAZARDOUS MATERXALS XNVENTORY NON,-THADE SECRETS ;\lc;INESS NAME: Lnng!:: Orne¡ store :f/:2j:\7 .OC:ATION: ~5-J. O-..stQC':kdªle..J}tt¡y. ITY. ZIP Bãkers~ilid;.-Ga-----933.n.o,.,- nONE .: . ;¡;;.s:: ~-, .... . V4 (805) 322-5024 OWNER NAME:Lonqs Drug stores, Ca., Inc. ADDRESS: 1 41 N' _ ~ ; v ic Dr_ CITY. Z1':Wa.J,~_ ~,..ppkr ~a_ 'HOMI .: 415-937-1170 ..... ro znrtlflCrzØIIS roll PIfOI'D CODa '. ..1 0' 4-- NAME OF Tits ~ÇfL~T~: 67 STANDARD IND. CLASS CODE DUM AND BRADSTREET MUMBIR 0.0_ - .69. ~ - a. lJ ..D4. I 1 I r~nt Iy" , 11(1. l* I ... .. . Mr. .. S ......1 Itt , ...... Untts II he eo. 11 u.:.U.. ...... St.... III Fect'lt, 11 ,~ .. I. __ .. IHlltwreJt _.11 S. IlIItrllCtt_ -- . -, r-' r-, r-, r-' X" 'iI'Ì 11,..1'4 ..-... IlNett.tt, ..-... 0.1". ..-... SuIIWIII..I_ g..... I~tlt. ....lth .f "-.. ""tll ( _..- n ... U.s. ...... f. Jllilllt n U. 'hytic,' IIId ....ltlt II.,.,., tC~k ,II thllt """ se _Herbicides-House/Garden 00 Herbicides -.. ,.-, r-, r-' r-' X" f ...II,,~ '--'" Ioectt.lt, ..-... "'''' '--'" ~ "1_ ..~ ì~I'n ....lth .. '""'" ...ltll ~t n, .... u.s. ...... ,Q Sales Floor/Wareho se Pesticides-House/Garden ,. vt II ... C.I.S. ...... ...,. Ic.1 IIId ....ltll II.."'" I Chile.. .11 thllt ...1" C.I.S. ..... c...-t" .... C.I.S. ...... 00 Pesticides -, ,..-, ,.-, ,..-, rV'" X J Hit MII'N .. -... IlMet ,.tt, .. -... 0. I."" '- -... ~ ..I.... '"~... '-.i1.tI ....'tll .f Pros..... ....'tll ~t n .... C.U. ...... ,uL_p.-L2.~JHlo.L_3JHL___L.2_s~.o_O.t_a.1..L¡.§.2..LiQ._LLLL1_ª--Lê9l e s Floor /'War eho hyt'ul IIId IIMltll """ C.I.S. .... CaIIIanIIIt 1\ .... C.I.S. ..... I(~k .11 thllt _I,. ---------------- e ~t II .... u.s. ...... ch Hypochlorite -, r-' r-, ,.-, r-, ,J Itr. MII,N LX'" IINctl.lt, '--" OIl.," ..-.. ~ ",_, '-~ '....I.t. "" hh of ","SUit 11M Ith c.....t 12 .... C. I. S. ...... ------------------- ----- CoIIIIonInt IJ .... C... S. ....... I AGENCY CIJIIACTS I1.J.<?1!!.J?-~y~~---------u-.------- nf1.MSn:_:--------------- ,~-i¡:~;.tQ~-- 12~ Are;::o MtTr u¡¡-------------------------- "Or:IA-~-'------· Kt c!-\-A-£ Þ w \ t..f\.J 0 - 7"17'fi rt¡f,Cl!U,,, fR"ed end silrn .fff."'r co.p/,.t/nf! ell sretlan./ 'en IIv undtr 1IIII1t, of 1.. !"'t I ...... DlrsOftl11, ....,1Iad IIId .. f..tIi.r with t" Infor..tlon su_tn" in this IIId ,n:'ttechllf doc_n, ... thll! bltld on ., i"",Iry of tllon flldlyt"'1, ,," IOM\lI\' ., ;~b"'n"" !hII t"fOl'llllton. I bill.... !hII! tilt su¡"inld inforet! ion It trw. ICcur.tI. ""' ca.o~ / .. .. 3' . " ----'-'1'1---'------ r--ï ÌlQ!I\ORª-9--Þ7-W..Y- el\____(c:__"",___"____( -(--. ~Z_______~~~;.____~___ -- ---- --- -..------- Ilit--s,:?-:,·}::5 ,=.-5.ì------~---- '.. '" 0 IC.. . ° _r,oo.r,!or _r O:lfr.(Ör 5 III ......1l.... r....."'" . ,... 5t9ñi<~_.-- ---~7-' . .,..... .; <- "' CITY of BAKERSFIELD f ,r. .-.d IIqr ¡cu hurl '--' .---. Stllldard Bu, ",." '-- HAZARDOUS MATBRZALS ZNVENTORY N 0 N- T R ^ DES E eRE " S '''' 3__ 0' ~n \\1<; ¡ NESS HAME: .nr.ATIOH: '¡TV. ZIP: 'HONE .: NAME OF TitS FACILITY: STANDARD I ND. -CLÄSS CODE 5912 DUN AND BRADSTREET HUMBER OWNER NAME: ADDRESS: CITY, ZIP: PHOHI .: ...... ro 11lS1'JIØCrlOn I'OIt ""D CODa u It 11 II Ucet'1ft .... ,~ __ fIf .,IIt....1t _.u St'" ,,, fee' lit, lit SIt IlIIu'llCU_ F1oor/~ar~þ'~ ~~ Ch10r ine Products I 1 I ,<.... ',... , ..... (.... J ... .. , '0,. .. S't. , l' CoM CGnt '"" ,- . .""'... .. 5 ...., bt , .....".. !JIlt" '~Y' le.1 ""' .... "" ....~ 1O'fC~ ,II thet 0,,1,) c...-t 11 .... u.s. ...... u.s. ..... gh9_Ç.,b.J..9~iç ~c id '::X: firt Ho.ord :X:~ lllet,.tt, ~:~ 1It1.,. ~:~ ~ 111_ ~gJ I""ot. ...."" of'''''' "'It" (L _ -" 11 .... t.I.S. ...... u hyt ,uland .... Ith Marn IC/'fCk ,II thet 0,,1,) '-t 11 .... C.I.I. ..... 30 Li id Ammonia ""V" !X", ~-, ~-, ~X' _.~ fire ...,~ \;_J Illet'1Ift, L_J 1It1'" L_J ~ 111_ L_'" I""oto ....Ith of ...... ... "h '-t 11' .... U.S. ..... ~I ¿Lt II ~. U.S. ~ e Pool Ac'd -, r-., r-, r-' r-... _.J flrella.ord L}E-J IlMett.'t, L_J 0.'0"'" L_J SuIIÑI\ ..,.... LXJ 1""1" ....lth of ,ros.....' ....Itll '-t 11 ~. C.U. I uIW ¡,y. lelll11111 .... Ith ....~ ¡Check ,II thlt .,,1,) , u.s. ..... c...-t " 10 Acid c...-t 11 ~. u.s. ...... u.L-M..-L_~.s.a-_L--2.s.-----L--6.(l.Q.__J.Gã!-_.J.6.S.L.J.i.l~1-29-l;a 1 es r'1oor/W ¡,y.'ul and ...."" ....n C.'.S. ...... c...-t 11 .... C.'.S. ...... (Chick ,II thet ...1,. ------------- 25 , ~ -, r -, rx-, r x' X .J f I... NI..rd ~ J lllet'.'t, L -.. 0.10"'" ~ -.. SuddIn ..1.... L - '" I""ot. ....lth of 'rostvrO ....It" C_t 12 .... C.'.S. ....,. 15 Naptha. 5 c...-t 11 .... C.'.S. ...... ---------------- ---- f AGENCY CIJIIACTS ".__-----------,---------------------------- nRl,-------.---.------------ el-RR-au::-------- 12 ___ __ _____________ "",_ _ ., __---- , , . r r...... l1li--- - -- , .. -------- «II' ~- '''''elt.an (Read and .;Iffl after co.pJ~t nR all .~ct on.J 'en 1fv ~ "",It, of T.. thet I he... 111"'0lIl11, I.";,," and .. f.II1" wit" thl 'nf.,...tt.. .....ltt.. 'n Chi. .... 011 OU.hed __t., and thlt ...... .. ., I_'ry of t.... ,...,.,_,. ros.....'~,. " obll\nI"9 ,tie t"fane"CIII. , lleli.". tlllt the ."bIIlnoel Inl.....tlOll " tl'Ve. ICC\If'ltI, and tOIIIII.tI.' " ;..' ;ï.a' òTTiëiil-ftll.õ,- õ;iiir roõiritõ¡:-III-õ;ñi¡:7õØ;¡:¡tö;.·¡-¡¡¡t.i¡ia-¡:iörii¡;¡t¡nWi ST¡ñit¡¡¡:¡----------------------------·----------------- Dil¡-Sljñiir------------------------ v ,- .' CITY of BAKERSFIELD -----1 r '. ~--- 0' ~--- I -------- --- - ----.----.-.-.-.------.- -.-'-... -'- -_.~---'-------- h.. tnd ic r;C\I It"r. '--' ,......, StllllNrd I", '11ft, '-- HAZARDOUS MATERZALS ZNVENTORY NON-THAnE SECRE"J'S I 1 I."", lyøe , r>ft CoM J .... "t . her... AM OWNER NAME: ADDRESS: CITY. ZIP: PHONE ,: IUØ'D nJ ZlISf'IIfICf'IOIIS I'0Il I'IfOI'D COD" 12 UIcat ,.. ..... 5t.... ,,, feetHt, NAME OP Tits ~AÇILITY: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER HI'> I NESS NAME: ,(lCATION: '(TY. ZIP: '!fONE ,: 1J U, It I' ... of IHlltwelf r --'Ltl S. '1II1f'WCtt_ I~Y"C.I fftd ....Itll IIIr~ I rt1«~ .11 tlllt ....1,) U.5. ..... _ ~ (' _ MIll.... u.s. ..... 3 -- .-, r-, r--, r-., r"" XJ Fir. H".rd LX", IINcth,tty L _.I !litl,," L _.I s..w.n ..,_ L~.I '..t.t. ....ltll of ,..... "Itll ('I 1« ...t 11 .... C.A.S. ..... ~t n .... C.U.,...... u.. c...-t 11 .... C.U. ...... Oil -x: r-, r-' r-' r-, - ~ Fire 1II,ar4 L_.I IMcttytty L_.I Delaylll L_.I ~ ..,_ L_.I I..t.t. ....1 tll of ......... ....ltll c...-t 11' .... C.U. ...... ~\c,1 1M ....ltll lII.iH ¡Checll,1I tlllt ...,,) C.&.S. ....._ ales c...-t 'I Additives ~ ".,.., r-,.....-, rx, ::: FII't Huar4 L~.I IIHctiytty L_'" DeI.yM ~-'" Sudden ..,.... L_'" I...,.t. ....Itll 0' ,........ 11M It II c-t 11 .... c.u. ...... e ~t ~ .... C.~.S. ..... u,LLL..4..Q.iL_U.Q.Q______l.B.o_o____1Ga1 3 6SLl.~_J_1-LL-l.l.j;aJ es Floor/~arp-ho "11'ul IIId ....ltll 1111" C.A.S. .....__________________ c-t 11 .... C.A.S. ..... ,Check ,II tlllt ..I,) Glycol _. , r - , r - , r - , r - , -x FIr, HII.rd ,"-.IlNetlYlt, L_'" DeI.yM L_.I Suddtn ..,.... LX'" 1....I.t. ""Itll 0' '...sure 11M It I! eo......t 12 .... C.U. IIùIIIIIr --------------- ----- ec..an.t II .... U.S. .... f AGENCY CC*IACIS .. 12 .¡¡¡-~--- ----.------ ---------------------- "(1¡-.--------------------- ,.-Ø¡:-Hlõiii----- 1Iii------------------------ "11..------------ lr1II'-~------- rf If ltallon (R".d .nd sign .fter co.pJ~tJnl1 all s~ct on JJ '."1Iy ~r "",It, of 1.. tlllt I hi... ""0lIl11, ....,'*' and .. ,..thar with thl In'or_tt.. .v.tteed tn thl. 1M ,11 ,ueehed __tl, and tlllt lined..., lnevlry of t'" 'l1li"'''''. ......1.1. " obl.'n,,,, till I"'....tl... I ..Ii.... tlllt tM .v.lttld in'ONItion " t"". accur.t.. end c~l.t.. ,.,. .~a' õ, lië i,,- fTf"'¡'-~¡: 7õii¡:,¡¡;:-Dl-~7õii¡:;f¡;:·i-;¡¡fliõmia-;:¡¡;:¡¡iñfmŸi 51¡iiifü¡:¡--------- --------------------------- ---- ------ ------- Dt"(¡-STjñii"-------------------------- 0,; -..-.-.-..----------. ,____,,1 .' --"'¡~ CIT}' of BAKERSFIELD f ,re end Iqricu Itur, '--' ~ HAZARDOUS MATERXALS XNVENTORY St~rd Ius '''"S 0.- N 0 N- T H ^ ,} ESE eRE T S '... .~__ of _~_ HI<;' NESS NAME: .OCATION: ¡TY. ZIP, 'HONE " OWNER NAME: ADDRESS: CITY. ZIP: PHOIIE ,: ..... !'Ø zlISJ'IIØCrrollS ftJII I'IIOP" COII_ NAME or TitS ~f'L~T~: STANDARD 1110. CLASS COD! DUN AND BRADSTREET NUMBER 1 Iron, I," '. ~ (odt I .... .. . --... All! s ........ bt " .... eo. 11 latt.. ..... 5t.... III Feelllt, 11 U, It II __ of IHIltIlN/f _.CI S. I..t'."_ '~Y' let I and .... hll 111,,1"4 rtlK~ .11 thlt ,,,,I,) u.s. ...._ -- ~ 1\ .... C.I.I. ...... Kerosene ---------- . ., r-, ,.-, r-, C:~, X.J fi... ",urd L -.. IlMeti..iCy L -.. 0.''''' '-X.I ~ ..,... ~.. I"iltl ....ltll 0' ".... ....Itll (I ~ "'C n .... C.A.S. ...... u ~C n ... C.I.S........ Sales Floor/Wareh use Garden Fertilizers C . MIt 1\ .... C.I.I. ...... 100 Fertilizer - , ,. -, r- -, ,. - , c.:-, X.J F I... lII,m LX" lllllet IYIc, L _.I III.,. L _ .I ~ ...... IÄ- .I I..IUI ....Itll of ~ ....Itll c-t n· .... C.I.S. ..... "I ~t II ... ~ C.A.~. ~ ~t n .... u.s. ...... I>yw Ic.land ... It II .....1"4 ¡Check ,II thlt ....,) u.s. ...._ c..-.t II .... C.I.I. ...... -., r-' r-, ,.-, r-, - J FI,.. "",nI L_.I IINc:t."it, L_" Del,,... L_" 5uIIdIn ..I.... L_" 1...I,t. ....It" of ,res... ...Itll c...-t 11 .... C.A.S. ...... ,..l.-----l-___________l..____________JL_____________J______l________l----___J_~JL_______L______ hyt 'et I and .... It II IIt.IN (ChKk ,II thlt ....,) c.'.s. ...._______________________ c...-t II .... C.A.S. ...... .- , ,. - , r - '" ,.. - ., r - , _.J Fir, ""'I'd L_" 1IMe""'ty L_" Del,,... L_" SuddIn ...... L_" 1"'1,,, ....lth 0' ',,"su... ...ltll C.....t 12 .... C.I.S. ..... ------------------ ------ ea......t II ... C.A.S. ..... t RG( NCY cœ tAC tS II 12 .¡¡¡- ~- -- - - --,------ ----------- ----- ------ "fl¡----------------------- n-ø¡:-PNiii------ _--------------------------- "n..------------- n-wr-fINIIII-------- ., ¡I'Cltlon (Rt1ad and .i¡rn .fter cøapl"Un¡r all ."ctlon.) ".rr tly unftr JIIIftIhy of ,.. thet I he... WSOIIIlly .....nteI end .. ,..iIi,1' .lth t" 'nfortlltton ....'ned In thlt and .11 .uee'" __tl. end thet blted .. IIW ;/IQIIlry of t.... Indl..I""1 ......11.\. , Obl"n,,,, the Inl....tlon. I 1It1i.", 'hi' tht su.It'e!! in,.,...tion is tMII. ICCIII''''. ""' tØIIII.t.. '... ;;.a' õ' fìë m-, it lP'- ~r 7õDimõr-Da- ~Hõ~r¡(õï='niiUlÕ;iiin¡¡r¡;¡ñtimi Slijñitü;:¡---------- ------------------------------ ----------------- Dt"li-st¡;¡a------------,-------------- ,~ ... BAKERSFIELD CITY FIRE DEPARTMENT FORM 4A-l NON-TRADE SECRETS HAZARDOUS MATERIALS INVENTORY I .~_i r 1 of 4 Page ~ I. D. t BUSINESS NAME: LONGS DRUGS ADDRESS: 5510 Stockdale Hiqhway OWNER NAME: LONGS DRUG STORES CA INC. FACILITY UNIT t:~7 ADDRESS: 141 N.Civic Drivp FACILITY UNIT NAME: srl'D -_I I CITY, ZIP: Bakersfield, CA 93309 CITY,ZIP: W~lnn~ ~. " (,lI. Q4C;Q6 PH O:N E , : C8()5\322-5024 PHONE t: (415) 937-1170 10FFICIAL USE CPIRS CODE[ " ONLY 1 2 3 4 5 6 7 8 9 10 I TYPE MAX ANNUAL CaNT USE LOCATION IN THIS ~ BY HAZARD 0.0.\ CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GU Ii: ,--- .J / 40.000 LBS 12 17 Sales Floor/Warehouse Garden Fertilizers IFLSL / Floor/Warehou~e Insecticides-Household/Garden ~/ \ 400 GAL 9&10 24 Sales CML8 1000 LES 9&10 23 Sales Floor/Warehou~e Herbicides-Household/Garden FLSL H I 200 GI\L 9&10 23 Sales Floor/WarehouEie Herbicides-Household/Garden FLLQ \ 200 LBS 11 30 Sales Floor/Warehouse Pesticides-Household/Garden FLSL \ 2000 GAL 10 08 Sales Floor/Warehouse Cleaning-Household Bleach CRMT \ 2000 LBS 11,1 08 Sales Floor/Warehou~ e Cleaning-Household Detergent \ 500 LBS 11,L 08 Sales Floor/Warehou~ e Cleanina-Chlorine Products ¡ 500 GAL 10 08 Sales Floor /Warehouf e Cleanina-Ammonia Products _\ LBS - 1500 GAL 10 . 08 ~~ 1 p~ F1 nnr '-, .. ('1ø~n;nn.Pool :(,h1nrine CRMT I 4nn T.~~ ,1 n nA ~.:iI1p~ F1nnr ,. · 'ø Cleanina-Pool Acids CRt·iT 150 GAL ]] 2q (.~.:iI1 øc: F 1 nnr Iw:::o L .... , Paints-Household CMLO , 500 r,AT. 11 26 Sales Floor/Wp · u ~ oil FLLO 100 GAL 10 26 Sales Floor /Warehom e Z!.n"'~-F.ncdnp Änni~i"pc: FLLO . . FT.T.O,L .. 400 GAL 10 09 Sa1e~ F1oor~U · Ä11t'n-Ant';frppozp NAME: June Obrochta TITLE:OSHA Speciali~t' SIGNATURE: r1Iß.-..o .. (9-b11J'T..~ 7à .., DATB: ·ý'::1A,'::'41 , --~·-f----- EMERGENCY CONTACT: ~AM ß/'UIIH.ßBQN R.'C.HA21) W,fl,jS TITLE:ARRA MANAGRR PRONE . BUS ROURS: (8Q~)872-3444 EMERGENCY CONTACT: Tom Dwyer TITLE: Store Manager 'pRINCIPAL BUSINESS ACTIVITY: Retail Ornq ('h;:¡ip Store I AFTER BUS RRS: (805)82ª-7~!~~~7 PHONE' BUS ROURS:CBOS)322~~024 AFTER BUS HRS: (805)833-6049 "~''- '" BAKERSFIELD CITY FIRE DEPARTMENT FORM 4A-l NON-TRADE SECRETS HAZARDOUS MATERIALS INVENTORY '. Page ~ ifr~~.l: ", . D. t BUSINESS NAME: 1"ONGfLfDRUGS ADDRESS: 5510 Stockdale Hiqhwav OWNER NAME: LONGS DRUG STORES CA INC. FACILITY UNIT ,: 267 ADDRESS: 141 N. Civic Drive FACILITY UNIT NAME: STD CITY, ZIP: Baker!';fielil, CA 93309 CITY,ZIP:W~lnn~ r . " CA 94596 PHONE , : (805)322-5024 PHONE ,: (415)937-1170 10FFICIAL USE CFIRS CODE - - -- ONLY 1;j 2 3 4 5 6 7 8 9 10 ¡yrF. MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD D.O.T CQ-ºE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE I WI) GAl¡ 13 19 Sales Floor/Wareho\J se Fuel-Camping FLGS __1 .' ( .. ..' ./ " "./ :¡ NAME: June Obrochta TITLE: OSHA Specialist S IONATURB: ('î, - A\~, A~'¿'.h DATB :~Z~.'~ . , . . EMERGENCY CONTACT: SAM DONALDSON TITLS. AREA MANAGER EMERGENCY CONTACT: Tom Dwyer TITLE: Store Manaqer PRINCIPAL BUSINESS ACTJVITY: Retail~Drug Chain Store PHONE' BUS HOURS. (805)812-3444 AFTER BUS HRS: (805) 822-73&9 PHONE' BUS HOURS: (805)322-5024 AFTER BUS HRS: (8U5)B33-6049 /" '" ~ ..J '. e . { TO: EMPLOYEE SAFETY UNDERSTANDING STATEMENT Remember, safety is up to you. Our safety policy can protect you only if you protect yourself. You are the only person who can keep'y£!:!' safe every day on the job. I have read the Emergency Response memo and pamphlet' and understand about the chemical substances this store sells. I know emergency procedures and will practice sensible, safe work habits. ... Signature Date wpc:121/p COpy TO BE GIVEN TO EMPLOYEE ,...-..----~~ ,,<'!'~ñ. t<.. i'i°:i',',' '" ~~~~i i¡-:"~.. \,-<. -,~)-...i ,',- ~~ -., ". "\,("": . .'. ,J" ·':~£2tO]..fi" ~ .~ - . CITY of BAKERSFIELD ., IVE CARE" lÌ\fITl7lì~ ~\\\,"n'<!f'l ~,,<\"'LU'i:--~\ ~r:;: '. ) .;.'\. qq 0 ;;i~ \~; .!J ~1= =\-, ..,,~ ~-' I , ~, ...." , ". ::,~...::':;"7\\,'. ¡ ¡1~ " -,'39- ~~/;I--~':~~'~::;:~ '!J'J-.çj- " '!!Il111lr I -rHOMA 6 Dw YEÆ... ItYDe or prln~ name) RECEIVED JAN 0 5 1989 Ans'd........... . Do hereby cert i fy tha t I ha \"e revi eh"ed the attached Hazardous Materials business plan @ for ¿ONt; '5 ..bÆtJ6 67?Jæi!... #- Z~ r¡ (name of business) and that it along with the attached additions or corrections constitute a complete and correct Business Plan for my facility. ~é~~ / -¿¡::... - ~ 5 date .~~~~ ~H\~~·~~ ! _,~,j ~ ~ 1)' . »~,~ \...?/ \ ~ .IV-o Q(~ No ~ .- . ~ . /' 'd~IO ~?ER Z!:;ø'J~'^1~0Ø:.9~ .-::p -Yi:JH Hf\ZARD h:H. IN\'J I:. , ''ì.'d '?t1" .: . . . ïJUSIt.Jr:S; Nlij'1E l.ONG.·', RUG STOR~~!ì *2S7 "," .''r,:'', .~'S;;1.DCf¡¡iON ~,5¡Ø...,..r'('JCK[)(\LE H:~Y I.. QVEHVIEU ¡ i I ¡ í ! ! ! ( I I JUfU S COGE MAP PAGE 1 ZJ LAST CHANGE ØS/2!/BB BY ESTER Z15-011 JURIS 8AKERS~IELD STATION I! GRID 03B FACILITY UNITS j HAZARD RATING Z FŒ:~;PONSE SU~1i1iiHY ZA SEC 4) ALL PERSONNEL HAVE RECEIVED TRAINING IN HOW TO RESPOND TO EMERGENCY SIfUA1IONS JNVOLVING FIRE AND CHEMICAL SPILLS. ALL STORES HAVE DESIGNATED A MEETING PLACE IN THE EVENT OF EVACUATION. ALL PERSONNEL ARE AWARE OF WHERE THE FIRE EXTINGUISHERS ARE AND HOW TO USE THEM; ALL PERSONNEL ARE AWARE OF J..JHEHE THE CtEAN^UP UJUIPMENT IS KEPT. 91 J ¡JILL BE Cf\L~ED_ Et1ERGENCY CONTACTS Zf\ [';EC Z) SAM DONALDSON - 872-3444 OR 822·7389 TOM DWYER - 312-5024 OR 833-6049 UTILITY SHUTOFFS ZA SEC ]} REC~'\IEO fEt~ 0 ß 1989 Ans 'd............ Z, NOTIFICATION / PUBLIC EVACUATION ··-·-'~::7-¡\!.i5·>r .r 'f:~J:'~ë'~:T·!-:;~i··f...ù>~ >~'i::~ i ~i i.:·~L. r (:: ..- t~. \/(."¡C: !"),:'·~"f I C) ¡',~ ~ - - _. ""-..'- --- . . ..--....-...- -......---, -.,.--. (: I) .~; 'j:: ç; n' ~;: 'r~' .::~. / t,,) :l ::::. i or; ;:) 'j""' ':;; ~ (-1 P r n···· ':~ p ì'~' j, ,~:f, t (-? s:):i, U '(I ,.;':~ ,:;.~ ),-, .~~:) r) () ';:;;. t: €~ d J. "1-' P IJ (:¡ 1 i c: .=-:c. r-' E! ,7:1, ~; ¿~ -.;;; (~ i.:::' q u .!. '(" (=:', d b )1 ,C,I 'r~' () p x :"::' ~:~~ 'r- :.:;~; ;=-~ i. t i r'" '::1 rn î;:'? ¡- 'j t: .~:. O¥ E~ ;.{ ¿:;I. fn ~:') 3. (~? ';:5 i 'n ;::: :1. I), d c'? t; t ~J (::,' ¿\ p P 'r~' I:' : .': ('" :1. ,,:':;. t t;',":' ¡,::: :;;:; ';:.:, (.: i. '(! ~:J ';:;.. f- CI ì··' E~ J. c· c¡ h CI J. ..::\ 'n i:J t () t:) ¿:'~ c' c,~ (:; C' ,:";'\ 'r-' c' 1. 'n I.) q r:~' n i c; I..·.J -~:'t 'r" '(, j. (¡ q '::; 4 t"¡(:~/ i·-'f?>:"~(::.;·:::,·:~~,~':~~f"·'y' t?\/,:;tC'u,~':·d:: i ()'n i. '(¡~:;t ¡-"-·u,c:·t j. ()'f:':::, ~"'J i 11 t..¡f~ q i \/€,~'(! 1,:)Ve~' t¡'18 ,i,},'¡~;t¡:~,~-'e S!,)eFl ~et~ ~~y~~;~efll iYlft~t~r liY!!j a],J, ~,::!.Ast;j::~-¡er~~~ arlc! visit(:lt'~; t1J:IW t.:, s¿~fely evaCllate t~¡e pt~er"I:ises 11'-1 !: : ¡ ,,:. ,:'.,} ',., r.1 (I C I,) 'f !'3. '(: ,,::i r¡1I:;~~ '(" 1;) E-"} 'nc:')/ " 1\1 [,~ i Q h b c: (" ~::;- ~ , I , I I I i I I ¡ ¡ ~:?¡';lplc'Y(~:'F:~ ¡'-'f,~c'~:,:~i\:(~-:::, t'r·,.:~j,'f J.'(t~l ()t-I r"J()~"'J t() 'ï-'E:"::~p(: 'nc¡ ":.::.t'!d C':;.¡::'~'¿:ì,'(f ~ ¡ C: ':'1, (::' (:I'¡- !~:~, i),¡'tH:-!',-' p'r'~C d Ut,:-t ':::i p :i, 11 ~ C::C'i~·I~; UiïlF.?r' !:)r~':)(.i 1.~C'~: ';::.:, !.:) i :í ~ì, ~':3· ,j t;"J f~jl:~~t p ';. -, f':·" :::. !~' )"', t ':::¿', h ':). ~< '::", Y" c.! I:) U ;~~ .~.:' j, t u. -i.~?.. II::' '(I f (~ i,H, ç¡ U 'f'"' ì·~l~·:i. ~i ¡-', t:t(:1 j'~ '::;~. " ;\{ ':) .::~, p (~': C~ i E( 1 f¡ Cr \~ i i'-~' ~',~' ~:~, .::;J, "(" (-..~. ¡.', (,z· c' (~-:-:' .~; '.::' ,~J. ¡,-, ~/ t () i n f () '¡ < ¡ï! ';;;; U, ·r·- r" CtlJ ¡P, c~ :;, '1' 'I !: ¡ }"""I E.1 i f:l h b I.:·,! 'r" '~:~ '::1 '::¡ ë:\.1. 1 r"¡ t:-: :i. [} j h, 1::\ () r" :;,~ì "::-1, 'r"' 0.~1 E~ V'J D. 'r~' c:,,;' () of" t':.¿;, t: u.·r·' (-:.' (:.1 f I:) 1.1. 'r~' b JJ ~:; i. 'r"J t::- ':~:'~.5 :a ¡--'"I (:~ i !] h b () 'r" '~:' ~';:-'t. ì·... f? ~:.i i,~ .;';;\ 'fP, e I;) f' , C'. U "('. p'( ç,; cJ I), ;::~ t: /"(1 .l )( ,)nd ÇJI,,-"," j"c'!'i.;di.:' ':;er^'ViC€':'~:¡,. I 'n t.:; I'") (~ ,:,~, v- c'::- n t () 'f /:?t !'; P ill , Î':' i 'r"' E? ~ () '(" ;;:<:L t; IJ ¿1, t: i () ¡..., l: h ,~;;. t, C () !J J. d [.If? ~'I<::I,Z,<;:'f.Y'-c!(.'I!..I.~::, t:() '(10::']. ~'~hb(: r-'~-,:,; \\!c? ~~~i_ 11 '(¡()t: j, f:..:,/ (:IUr'~ ni.~ì:j, nl"-!b()~"<::: i:J:/ ~J 1 ":;", c- ,i. '(I C] :) ¡'-I ~'::\ !"j 'r-f () u, 'n (.~< (~. (Il':~ 'n t (:¡ "(', t ;-·1 }:~ p r' t,) I:) ~..:= 'I'''' t::/ I,~,I 'f tw I,:) ¡,. !] '::;, :D j" I) n ~::) 1~, ç; 1 -, (:.~:' ~~. ':-:1. (~ ci ,j ;~:':' .1 i \/ E' ·r·· C· C:< p i E:I :::. t () '=~ !J yo. r' () U (j d j, j'l Li ¡,w¡ :::'::' i. :';:j h r..) I::. (". S~ .. Th j, ':::~ ,:':':U"-;·(!(~d..!.'([(>:·:·~fn',:~~'r·; !:; v.; i 1, 1 (';t J '::~,!,) L)t,:;:¡ p J ,~;\c'c7~d i 'n t h:'-;=:: 1. c¡c'.;':),l 'f"I(-;':'V-r::;;~-:';,..:'·~.f')(:'.':'\' PAGE ! z/ ¡SinH 1 Z :04 MATERI fiL SRFETY DATA SYSTEMS. INC. (80S) 648-6D0(!¡ " .. .- .' ~:o I~SÎNES"S NAME lON{;;S &6 STORES #267 . lOCATlON 5510 STOCKDALE HIJY 10 N~RZ15-000-0Ø0990 HIGH HAZARD RATING 2 ~, . C:¡ 3. HAZ MAT TRAINING SUMMARY LAST CHANGE / / BY fìS ATTt4CH-EL:J < NO INFORMATIQN RECORDED FOR THIS SECTION> 4,. LOCAL EMERGENCY NED! Cf1l ASS! STANCE LAST CHANGE 0612t/88 BY ESTER 2ft SEe 5) MËRCY HOSPITAL 2115 TRUXTUN AVE 327-3371 FIRE DEPT 7000 "STOCKDALE HIJY 326-3037 SOUTHWf:$T URGENT CARE 5397 TRUXTUN AVE 322-2273 HALL AMBULANCE 5 H & RAOI ANCE 327·,,9000 PAGE Z tV i 6/ Be t 2 : 04 MATERIAL SAFETY DATA SYSTEMS, lNt. <80S) 648-6800 ~ i. i~SINESS NAME l.ONGS &6 STORES #267 'LOCATION 55\0 ~)'fOCK\)ALE HWY ~ . FACILITY UNIT 01 10 N~R 215-000-000990 H¡ GH HAZARD RATING Z .' \ A. OVERALL HAZARDOUS MATERIALS INVËNTQRY LAST CHANGE 10/06/88 BY ESTER ID TYPE Ni-1ME LOCATION CONTAINMENT MAX AMT UNIT HAZARD USE -' c/Í MIXTURE INSECTICIDES '.' HOUSEHOl.D/GARDEN 400 GAL UNKNOWN SALES FLOOR/WAREHOUSE GLASS CONTAINER£Sl INSECTICIDE XU PERCENT CO~ìpONENTS HAZARD LIST -t056000 100.0 INSECTICIDES ' UNKNOWN V'Z MI)(TURE HERBICIDES-HOUSEHOLD/GARDEN 1200 LBS UNKNOWN SALES FLOOR/WAREHOUSE GLASS CONTAINER£SJ HERBICIDE ID PERCENT COMPONENTS HAZARD LIST -1057.00 100.0 HERBICIDES UNKNOWN t/"3' MIXTURE PESTICIDES--HotJSEHOLO/6ARDEN 200 LaS UNKNOWN SALES FLOOR/WAREHOUSE BOX£ ES} PESTICIDE 10 PERCENT COMPONENTS HAZARD LIST -1058.00 100.0 PESTICIDES UNKNOWN v1Í PURE CLEANING-HO\JSEHOLO BL.EACH Z000 GAL UNKNOWN SALES FLOOR/WAREHOUSE PLASTIC CONTAINER~S] CLEANING 10 PERCENT COMPONENTS HAZARD LIST 1165.00 100.0 SODIUM HYPOCHLORITE UN~NOWN vŠ MIXTURE CLEANING-CHLORINE PRODUCTS 500 LBS HIGH SALES FLOOR/WAREHOUSE aOX£ES) CLEANING 10 PERCENT COMPONENTS HAZARD LIST 1078.00 30.0 HYDROCHLORIC ACIO HIGH ,./' A MIXTURE CLEANING-,AMMONIA PRODUCTS 500 GAL MODERATE SALES FLOOR/~JAREHOUSE PLASTIC CONTAINER£ 51 CLEANING 10 PERCENT COMPONENTS HAZARD lIST 1024.0230.0 LIQUID AMMONIA MODERATE EP vi PURE CLEANING-POOL CHLORINE 1500 l.aS HIGH SALES FLOOR/WAREHOUSE PLf-ìSTIC CONTAINER[ S1 CLEANING 10 f'E:RCENT COMPONENTS HAZARD LIST t078.02 100.0 MURIATIC ACID HIGH A PURE CLEANING-POOL ACIDS 400 l8S H1GH SALES FLOOR/WAREHOUSE PLASTIC CONTfìlNEFH $] CLEANING 1D PERCENT COMPONENTS HAZARD LIST 1078.0Z 100.0 MURIATIC ACID HIGH 9 MIXTURE PAINTS-HOUSEHOLD SAtES FLOOR/WAREHOUSE METAL CONTAINERS 10 PERCËNT COMPONENTS 150 .Gf\L EXTREME PAINTING HAZARO LIST PAGE :3 t2116/8S 12:04 MATERIAL SAFETY DATA SYSTEMS, INC. <80S> 648-8800 " ... .. ~lSINESS NAME LONGS _G STORES #267 LOCATION 5510 STOCKDALE HWV ~ ·FACILITY UNIT 01 IDN ~R 215-000-000990 H~ HAZARD RArING Z . . fL OVERALL HAZARDOUS MATERIALS INVENTORY ( * CONTINUED ,It ) LAST CHANGE 10/06/88 av ESTER 10 10 t 1 12 13 PAGE 4 TYPE NAME LOCATI ON CONTAINMENT 9 MI?<TURE PAINTS-HOUSEHOLD ( * CONTINUED * ) 10 PERCENT COMPONENTS 1203,07 25.0 tlINERAL SPIRITS 1203.00 Hi.0 NAPHTHA 1140.00 5.0 METHYL ETHYL KETONE: Z8Ø2.0Ø 3.0 ETHYLENE GLYCOL PURE MOTOR OIL SALES FLOOR/WAREHOUSE BoxrË5J 10 PERCENT COMPONENTS 2808.00 100.0 MOTOR OIL MIXTURE AUTO ENGINE ADDITIVES SALES FLOOR/WAREHOUSE PLASTIC CONTAINERrSJ IDPERCENT COMPONENTS 114.5.01 q0.Ø METHYL. ALCOHOL 1140.00 20.0 METHYL ETHYL I<ETONE ZB0Z.00 10.Ø ETHYLENE GLYCOL PURE AUTO-ANTIFREEZE SALES FLOOR/WAREHOUSE ,PLASTIC CONTAINER[SJ 10 . PEHCENT COMPONENTS 280Z.00 lØ0.0 ETHYLENE GLYCOL PURE FUEL CAMPING SALES Fl.OOR/WAREHOUSE METAL CONTAINERS ,1 D PERCENT COMPONENTS 1178.01 100.0 KEROSENE '\.. MAX AMT UNIT HAZARD USE 150 GAL E)<TREME HAZARD LIST EXTREME EXTREME HIGH UNKNOWN 500 GAL UNKNOWN LU8RICANT HAZARD LIST UNKNOWN 100 GAL HIGH lUBRICANt HAZARD LIST HIGH HIGH UNKNOWN 400 GAL UNKNOWN COOLANT HAZARD LI ST UNKNOWN 200 GAL MODERATE FUEL HAZARD LI 5T MODERATE t1ATERIRL SAFElY DATA SYSTEMS, INCo (805) 648-6800 1 Zlt6! aa 1 Z : 04 ..'''¡.. ," !l~SINESS NAME LONGS_GSTORES #267 LOCATION 5510 STOCKDALE HWY 10 N~R 215-Ø0Ø-0Ø0990 HIGH HAZARD RATING Z . , ~ B. FIRE PROTECTiON I WATER SUPPLIES LAST CHANGE / / BY < NO INFORMATION RECORDED FOR THIS SECTION> /He CL..ÒS.e'ST rlP.S HY/:)¡¿AN, 1'5 ¿.,Oe..AT£/:): 5D' WE'ST of ~~II..£>ING ~E,l-\loJl> ~ ·'S,.,1:>R.E -¡-He MAIIJ wAïeR.. SHUT oFF 1<:> '-OCATe./): (:;I' WE<s»-r OF 13t.t\l..D,,JIb -11+€ MAII'Ÿ E..~ec..ï"'2.Ic.At.. <s,\-\(AT of I~ t...OC.ATf1b~ 'NS.~T v./AL..L.. 1r.J'5"~G WA~~HOI.A~E:J N£><", TO 1<:.EC.¡;'VfAl6 ðooR. -rHE MAIN GAS S\4.u.T oFF I~ L-OC-ATE.D:NoR:T"HWAl.ß..OF 'BULlbl:>oN~ NlE.ltT' "-0 "Tt+ë.. "6Pte.~ "R.Ec.ëlvl¡."A6 DooR. ovs.t2. ~M> F\e.¡;.. 91Z4~\(..t.;£e.. ~Y<S>ïE.""'''-\-i It~ Dc,.A.: ~TD¡¡¡:'E. ...-rype.. Ae£.. F,(2.E, ~,,-r,~,<?t+£.~s 5-r£AT&:.61U\(..(. y Loc.A~Ò ~ ';2e.~~G.e. '::) ~.....~/ D. EMPLOVI;E NOTIFICATION / EVACUATIQN LAST CHßNGE 06/21/88 BY ESTER 3A SEC' Z) t.. MEMBER OF MANAGEMENT ~HLL BE INFORMED AND WILL CALMLy EVACUATE CUSTOMERS AND CO-~jORKERS TO NEAREST EXITS" 2" 911 WILL BE DIALED IN EMEI~GENCY. 3. MEMBER OF MANAGr:MENT t~IlL TAKE ATTENOflNCE AT MEETING AREA. 4. PHARMACIST WILL BE NOTIFIED TO ADMINISTER FIRST AlD. 5. ALL EMPLOYEES WILL LISTEN AND RESPOND TO INSTRUCTIONS ON CALMLY EvACUATING THE BUILDING. PAGE 5 12/16/88 1Z:04 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-8800 , ~.. . >.~. :. B~INESS NAME LONGS 86 STORES #267 . LOCATION 5510 STOCKDALE HWY 10 NU~ Z15-000-ØØ0990 HIGH HAZARD RATING Z éJo E. MITIGfHION / PREVENTION / ABATEMENT LAST CHANGE 06/21/88 BY ESTER 3£1 SEC 1} t. KEEP CURRENT INVENTORY LI 5T AND UPDATË AS NEW PRODUCTS- ARE; IN,TROQUCED TO THE PUßLIL¡ Z. KEEP EMPLOYEES TRAINED IN CLEANING UP HAZARDOUS PRODUCT SPILLS. 3. KEEP FIRE EXTINGUISHERS WORKING. 4. INFORM ALL EMPLOYEES OF MEETING PLACE IN 11-1£ EVENT OF EVACUATION 5. KEEP CLEAN~UP 5UPPUES IN ORDER. PAGE 6 12/16/88 12:04 MATERIAL SAFETY DATA SYSTEMS. INC. (805) 648-6800 . ~ ...~.._--,..._.._...'~--'_'_~-_'~----- --~----". _.......... .1>..", ...,T "~""'~~."'~~"'~-:::~".~_'''''-''''_~''':.~_._:'_'_~''''''''' - .~.~ CITY of BAKERSFIELD ~__--..-'n__.___'__",--:~________-""""''''''.. .~____ ._, .._ ._._"_..... _,_ ._. ________ I". ..,d "'''C\lltur, ..--, ....x HAZARDOUSMATERXALS XNVENTORY NON-TRADE SECRETS ~ St....d lv, ."". ~\lc;(NESS NAME: Lopg!=: DrllÇ1 store 121\7 ,l.1CATION: -55-10..StQCÄ~ªle,.llwy:. :~I~~E ;~p Bâk-ersf±ei>dv.,-Ç:a,r-~33*-- (80S) 322-5024 OWNER NAME:Lonqs Drug stores, Ca., Inc. ADDRESS: 141 N. C i" ic pr_ CITY. ZIP :WaJ..~4;-.... r.r.pp-k, r.a. PHOIIE .: 415-937-1170 ...... f'Ø znftlflCrzon JPOa PIIOfJD co.ø.a '. --J. 0' 4-- NAME OF Tits ~AfILITY: 67 STANDARD IND. CLASS CODE DUN AND BRADSTREET RUMBIR Q.CL - ii5L ~ - a. D ..04. I 1 '...., Iy... :...,. COIN ) Mi. . 11 L8c8t I 'II ...... St.... 1ft 'ICHU, . --... .. s ......, bt 11 1M CollI "r..e,1 ""' Hølth I&t," .\,r:~ ,11 thtt ":I~.. X ~ r.... "'.unl I. _..I IIICU"tty u.s. ...... --- ~" .... e.A.S. ..... ,-, r-, r-' 1._..1 lit,.... 1.-..1 ~ ",_ K-" '''tatl ....Itll ., ,...,. ....'tll tl" / _t II .... (.A.S. ..... II ..... '"~ Set I.rrwc '. ~ n .... (.1.1...... Sales floor Wareh se Herbicides-House/Garden ___ _ ._....11'. v<r c.... II .... (.A.$. .... 00 He:x:bicides ""'., .ell' .- ,,"¡tll l1li," .(htc~ . II thel 11&111 iy) e...s. ..... ,..-.., ,.-, ,..-.. r-, X ~ f i... l1li,«'11 I. _..I -..ct.".t, I. _..I OIl.... I. -.. SIIIINM..... I..x.. I.....t. ....Itll .. "..,. "'th (' J lilt ft· .... (.1.1. ....., Q c-t" .... u.s. ..... Sales Floor/Wareho ~t If .... C.I.S. ...... /oy9iul .., "'Itll ~,~ iC'~, .11 clllt "",,) C.I.S. ......_ '-tt It ..., C.A.S. ...., 'f ,.-~ ~-., ,..-, rV"t X-' fl,.II4t,.r'II 1.--' -..cti"H, 1.-" 011.""" 1.-" SuIIdIn bl_ I.¿>-.. ,......t. ....Itll .f ÞtelIiIII"t ....Itll e ~t IJ --, c...S. ..... . . uL_-1l-L21.LlQ.Q.L.3Jl.Q..._.L~.1S.J.o.Ot_ùt..1~_J..LD_l_t!..lW e s Floor/War eho ~'U' .,.; Hleltll ....eN e.A.S. ....._________.___ ~ I' ..., c.'.S. ...... I (htc.. .11 thlt _I,) ~-" ,..--, r-", r-., ~-~ , -' Hrt' M...r'II I. x.. "-ctiwlty .. -.. OII.yM .. -.. SuddPo ..\-. I. ~ 1-.I'lIt. .... It II .f Þrøsvre ....Itll ec...-t 12 .... c.,. s. .... CcIIIIanInt n ..., C. A . S. ......,. Pesticides-House/Garden Pesticides Hypochlor i t.e ..... ----~--_.._--_.. ..-- I R(,{lt(y t:œ'~'s "..JQ11Lº~Y~f:____________h_"___ "n¡..MSlf.:---_-------____ R-~ª~Q1~_- n~-l}l-P..9~ª!ª§.QJ.l---..--.-- ftn;.ä~-~.__.- VJ..;JJ..6.6._- '1;".'UIIOfI tltøød end ,iten lfft("r CO.Pll'U·ßIl all s~ct onllJ \ _'tlfo¡¡. unftr ....hy 0' I.. thet I he... ...r.....lly ""1* /IfId .. ,../h,r with till i"f_t;CIft 'loI~t.nn chi. INI .If:eUiC'*' __n. IIId thlt o.lad Oft fiI'/ i....iry of t....l_tyl..l. "' JØllllilllt ',..(\0".;,1"9 thl infOMlltlClft. I _Ii."" thlt tilt .ut.ittod intoreatiOfl .. tMlt. IICCloIr.tt, tnd ~',// , ~ Thorn D;-;::::'-""7 / / 1- :-'J 1- -¡;é¡ " '8! ....a· õ";ê;¡"'mn'·åÕiti¡:T_¡iõi'-0IIªë!..¡:7~rOl'~¡.úUlÕiiiin¡¡¡:¡¡iñ(¡m; ~::::::::::=~,¿f:¥"'~____ .------- -----...-. С¡¡·Sl~'--· ------------ .'", "p, . - . "".. ..~ ,,~~--' ~, , ..--....' ~ -- - ~_._----_. - - ..-.~ .-- ..~~. -,. . ~- -- -.- ___.__.:::::......_~_._w_~_,_--=--~___.____ _________0_ ,__ ,___ ___-.__ - ..-.------.----- .._...-.......-.--~ ...- - - -,'- . ... .- .....-___.. _·_._·___4_~___~_._.___.;____._. CITY of BAKERSFIELD '.r. Iftd Aqric:v hur. '--' .--. St.....d Ivt ',,"I '-- HAZARDOUSMATERXALS XNVENTORY NON-TRADE SECRE"S 2 4 '. _.._ of ..__ NAME OF TitS FACILITY: STANDARD 1"0. -cLÄss CODE 5912 DUll AIID BRADSTREET .UMBER OWNER NAME: ADDRESS: CITY. ZIP: PHOIII .: .... I'D ZøsfWf1f:'l'ZOIIS ftJa ..... coøø HI'" HESS NAMt: .Or.ATION: ·'TV. ZIP: 'HONE. : i,·""".. '",," , IYOf lode , 'II. ... . a_... ... 5 -..1 (at II II ~t~~ ,_ St.... 1ft Feet lit, lit F loor /~2E..~h~ ~e " ItIiItIiII .. .tlt....1to J ¡¡au. _ I..trwct... Chlor ine Products V I ~y11 U 1 IIId .... It h 1Iu..... fU",d ,II tllet ",I,) . ~ r-, r-, r-, t'oCP' Yx. fir, II4Izlf'CI iX....I flllct..tty I. _..I III.,.. I. _.I ~ ..,_ I.Q.I '''tecl ....,tlt " ,....,. ....Itlt t.A.$. ... -- ~" .... U.S. ....... _La H ~_Ç.nJ..Q¡:iç Acid ~ 11 .... U.s. ....... ~ II ...t.U....... u. "'" IC,t .., ....ltlt ...,..... \CII«k ,II thet ""I,) C.I.5. ..... I' .I..t" ..., C.A.S. ..... 30 Li uid Ammonia ~XFI'" NI,~ :?r~ RMcttwtty ~:J III.,. ~:J w.. ..,_ ~~J ......þ "'Itll " ...... ...Itll '-t 11' .... c.u...... c:-t II ..... c.u. .... -, r-' r-' ,..-, r-'" - J f ,.. 1141,~ 1.*..1 !lMcthrh, .. _.I IIIleyed ... - '" SuIIdIft ..I.... ...X..I I......t. ....Itlt 0' Pm... ....'tll c-.t 11 .... c.u. .... ~t II .... t.U. ..... LJ4.._L.l5.0--L--:z.s.-___.L__6.Q.O.__J.Gai 3 6 5LJ.3_1~1 29 &J fi'S FJ n~;:¡rph(') hro'c,l _ heltlt ...,,", C.A.S. ..... ~ II ...., c.,.s. ..... ¡(hee" .11 thet _¡,) -------------- 25 Mineral S irits --,. ,.-, ,..-, r.;-, rx, . X J fl...IltZ.n ~'" lllectl.h, ...-'" III.. Jt", SIItIdIn ..I.... 1.-.1 ,......t. ....1 tll of "-"",, ....1 tll c-.t II ..., u.s. ..... ea..a..t II .... c.a. 5, ..... 15 ~aptha, ,_________________ _~__ 5 HIì£1I( Y CGt I At JS 11 12 . ...- ---- - ~ --.----.- - ----.-------.-------- n£1¡----------- ..---------- ,,-/I1-I'tiðiii------- ..------------------------ nnr--------- n-IfI'"'PfIDIII--:---- ~.f.(ltIOl' (Rø.d .nd tlitrn .fter c08pJt'!Unfl till tlf!CtlOAtll .." \-Iv ~ "",h, of ,.. thet I he", ..,.1_1\, ....,"" tncI .. f..tI.... ,lth the 1"'OI'IIIItIOll ,-.ulI! ." tlltl ... .n IU"" __n. tncI thlt ....teI 011 ... I_'ry of t.... .........,. ,......"\0 ".' obI.':,)", thl ''''....tIGII. f IIIh... thlt tilt lua-Itttel ¡"'_tIOll il tI'W. lCCUI'.tt. end tOIOltt.. . '~ .w,¡. ¡';d.: öf fie i¡ nm.-ö'- __ TaWifòr -lIn..;: 7õiii;(õ;:·Š .ütr.¡:iiiö¡:¡¡;:iiiiit¡n;¡ S¡¡;¡¡tür¡--------------------------------- -- ---- --. --- -- - ---- Ui(¡-St¡;¡¡¡---------------------- ,.. f"* r:<"£""":,w ~. ä' -------~- ,- ..--.-.--.--..-.------.--.--..--- .._~_.-.._---_..__._-,_._._._------,---_. CITY of BAKERSFIELD ',r. Iftd 60' ;evll."., '--' .--. Sr.....d Ius '..... '-- HAZARDOUS MATERXALS XNVENTORY NON-THADE SECRETS 3 4 '''' _n_ of ____ H/<; I NESS NAME: .OCATION, ·ITV. ZIP, 'HoNE ,; OWNER NAME: ADDRESS: CITY. ZIP: PHOIIE II: ..,." 1'0 IlJISf'IlfIC'rZOD I'OIl fIROIJD CODa HAME OF TinS f..AfIL.lT..!: STANDARD IND. CLASS CODE DUll AND BRADSTREET ..UMBER I 1 1.""t IYIIt , ,.... (odt ) ... lilt . ...... lilt u Uat tllll ..... St... 11\ ftc' Itt, , 1J U, . It ... of 1I....1f II ~ tI 511 IlIIt""_ ----.- Additives 'hyt1ullllCl ....ltll III," .:_~~ ,II that --:'~, . - x' r i,., 11".1'4 L X..I INctl.,lt, C.u. .... ~" ... u.s. ..... ,.-, r-., ~, L_..I "''''"' L_..I ~ 1b1_,~..I """1 ....'tll of ,...... ( ""tll c...n- a .... U.5. .... ~ IJ .... C.u........ U.. '~Iul IIICI ....'tll III,~ ¡Chtck ,II t!wt "",) ea..-c II .... c.u. ..... '"V' ,.-, r-, ,.-, r-, -"'" 'I,.,!IN" L_..I "'U.,lt, L_..I ..I.... L_..I,.......... L_'" ....,1tI l1li It II .. ...... ....'tll ( lilt II .... C.'.S. ..... hytjul .., ....ltll !lNeN ¡C...~ ,II that .,.1,) C.&.S. ......_ c-t I. ... c.u. .... ales Floor Wareho c.....-.." .... C .1.1. ..... ~ ro.r' r-, IV""' rx, ::: FI,., III," L~..I "''''''t, L _..I ..I.... of"_..I Suddeft 1111_ L _..I 1....I.t. ....Itll of ""'..... ....'tll '-t II .... C.I.'. ..... c..o.-t IJ .... U. 5. ...... .l-LL_.4..D.D__Ll.c.o_uml.s_0.CL__J_Qa1 36SllQ lL..Li-l.l. ~<'il es Flo~arp-ho ~ltI' II1II ......11 ..." t...s. ...._____.____u___ c:..-t I' .... C.I.S. ..... ¡ CtllCk .11 t"t """. Glycol - , r-, r-", r-' r-, --x 1,\,., 111..1'4 L_..I "'tIYtt, '--" 1IIt1.... L_..I SuddIn ",_ LX..I l"'l.t. ...., tll of ""'1UI'f ....,,!! c.ø.t 12 .... u.s. ...... ..._._-~--_.._------ ----- ~t II .... C.I,$. ..... IlIGfllCT COIIAC'$ " 12 .... ~--- -,.--.------ -------------- ---- ---- "ni----------------------- "·A¡:-IIfIiiiii----..-- _------------------------ "t1.------------ n-v-"..----- ,;¡¡ .1.tlftCIII flleed and .;1(11 aftc-r co.pl~rlnN all sectIonal ~." flv Uftdwr ......, of 1.. t"f I ..... IItI'I_l1y ....,!IId IIICI .. ,..Ih., with t" Inf_tløn .uII8ittlll In thl. ... .11 In.'' __n. IIICI t"t l1li111 CIII ., ill!llllry of t.... IIIIIIYIM'I ........flÞ.. ~ " "b..""'", t" 1t'I'_tlclll. I "'"..., that tilt "'.ltttcl infClf'Ntillll '. true. ICCur.t.. IIICI c.,let.. ,v , ,,. iï.ð' ö" iëï¡1- f 11 1i -õ'- -..r Toiit.fõi -1JI-~7õõii¡(ör Tiüfrø:mn¡¡r¡¡¡¡¡UfiVi ~ ~.¡ f' .. S19ñifü;.,----·--· ----- ---..------------ - -- - - --- - --- --- ~- - - - -- Dit¡·st¡;¡¡¡-------------------- - ~~ ,/ -~~:.... - . ..- - - >" "-~'.-. -- .-.- .'-'. ------_.----~._~-~-_._--- CITY of BAKERSFIELD --~,~-,~~~-- '4'. MId Aqr ¡tv Itur. 5t....d Ivt ,nÍsI r-"I '- HAZARDOUS MATBRXALS XNVENTORY NON-TRADE SECRETS '''' _~_ 0' _!. ...... \\I<;¡ NESS NAME: ,Or.ATION: ¡TV. ZIP: 'HONE ,; OWNER NAME: ADDRESS: CITY. ZIP: PHONE .: .... '" r_f'IIOI--rr~ ". ,..,. CQØØ 2 I....' ly II : oft 'OIM , ... .. II Uat* ..... It..... III feel Itt, . awr... Mt s ...., bt 11 lie eo.. , ....... "".U c.'.S. ..... ~ 11 .... C.U. .... .- ., r-, ,..-., r-., C':-' X ~ 'i... "'1I~ .. -... Ilectl.,lty .. -... OIl.,., i.X.J 5u*I 111_ IK-J ....,.. ....,t" .f "..... ...,ttI c..a-t It .... U.S. ....... NAME or 1',115 ~f~LIT~: STANDARD IWD. CLASS COD! DUN AND BRADSTREET NUMBER " \III, It .. -.a af "1It~ (. I' S. IlIItf'llCtt_ --------- u ~ n .... U.S..... Sales Floor/Wareh use Garden Fertilizers C.'.S. ...... c..-t" ..., c.u.'.... ,. - ... ,. - , r..... C:-" K ~ ,.... "'r~ .. X J IlMett.,tt, .. - J Oil.,. .. -... s..MIn 11'_ ~... l"l.t. ....Itll of ...... ...It" c-t n .... c.u. ..... ~ IJ .., c.u. ....... "'" it.1 .. ....1t"....eN ,C,*k .11 t"t ...1,. c.&.$. ....._ ~.. .... c.U. .... - , c-.t 12 .... c.'.S. .... ,..-, r-, ".-, r-, .. J 'I,.. II.." .. - J IlMet ..,tt, .. -... Oil... .. - J SIIddIft 1It1... .. -... ,...tat. e ""It II 0' ""'... ....It" . - ,l----.l-----------L-----_____L_________L__l_-L__l---L-l__-L__ ~t n ... 6 C.a.s. ...... ...,. It.' II1II ....It" ....eN IChKlt .11 r"t ...1" c.a.S. ....._______________ c......t II ..., c.a.S. .... p--., r-, r-., r-, - ~ , I,.. ...,.~ .. - J lIMe! I.,h, .. -... lit I.,..., .. -... Sud6In "I... .. -... I"f.t. , ....Itll of ""'_ ....hll C......t 12 ... 6C.a.S. ...... c:o...-t I' ..., c.a,s. ....., 100 Fertilizer .. ....---~---_._--- ---- 'l1Gf~r cønacrs " 12 a¡¡¡- ~--- - ---.---- -- - --------------------- nn¡--------------------- n-RF-Pfiiiiii----- 1IiI----------------------·- nnr--------- ,.,.,......---. '- ^.,e. "'I~"on (Reed end .illn .ft('r co.pJ~Unll all sectIonal ~ ,.n f~ "'""" 1IIIII1t, 0' 1.. t"t I ..... Irs_II, ....,!IId end .. f.tH,r _Uh tlw hlf_tllll! '-Uted 'n tMs _ .lIlttee"-' '*-11, end rlwr lilted III! ., i_try of I.... ,..,."..,. .......'~.. , ;"'''bll''''''9 tlw ."t_t.III!, I ....._ tlwr rllt IMlttld ¡n'_tllll! II trill. ,ceur,t., end ca.ø1.tI. ,;; ..do' õHic ¡in m¡-õ' - w.¡;:~¡iõnn.¡¡¡;row¡förT¡¡;frwiiin¡¡r¡¡iñfi(jWi .¡; S'iijñilÿ;.¡------------------------------- ------ ----.-- --- -- --.-- Dit¡-$t¡ñilr------------------------ a-. <t:~ ~,..... . .A ,~ ''11 TO: Receivers Informa tional FROM: Store Manager WAREHOUSE SAFETY The attached booklet, "Safe Practices In Warehousing Garden Chemicals" is for you to read and understand. A copy is to be posted permanently in your work area and you are to ensure every new receiver reads and understands the information. Aside from the important role you play in proper warehousing of chemicals; overall safe warehouse practices are your responsibility. Please review and post this memo. Add any other safety measures and let a manager know--{)r better yet, tell them yourself--if a clerk is not using a ladder properly or following unsafe practices. Remember--it's your job to set an example by practicing safe warehousing procedures. Smoking is not allowed in any area of the warehouse. Proper storage procedures must be practiced to minimize the risk of fire, including spontaneous combustion with paints, fertilizers, and other combustible products. Store these items away from furnaces. Know how to use a fire extinguisher. Remember: Fire extinguishers are selected and provide for specific types of products: Class A: Class B: Class C: Ordinary combustible material fires Flammable liquid, gas, or grease fires Energized-electrical equipment fires Do not stack merchandise or tools to block fire extinguishers. If you see a fire extinguisher that has not been serviced for a maximum of one year, report it to a manager. Do not allow an untrained person to operate industrial forklifts and pallet jacks. Never overstack merchandise. Never stack merchandise on an unsturdy shelf. Report all shelves in need of repair to a manager. Never lift more than is comfortable for you. Ensure proper lifting procedures are used. Never climb on merchandise or use shelving as a ladder. Always use a ladder or stool to get to merchandise that is overhead. Use the bailer properly. Wherever you place merchandise you are moving, make sure it is in a secure place. Make certain it won't fall, tip over, roll, or block someone's way. WpC:122/B7 Attachments (08/10/87) ..',~. .. '0' " ~. .' '''it' ., ~ ;;., . \. e UHlHO Safe Practices in Warehousing . Garden Chemicals '~ ):. :(~".' , ' e e ~ ~ ." ~/~ -", :~ ,; ~_. ~ro[frn wrooorn[}{]@QD~rn [fro©D[LDuDrn~ . HOUSEKEEPING Good housekeeping is the key to efficient and safe operation · Demonstrate management's concern for good housekeeping practices constantly · Keep permanent aisles clear · STORAGE SEPARATION Where possible, s-tore garden chemicals in ,a separate building · Do not store garden chemicals near food or feed products · If mixed storage is unavoidable, separate by a solid partition and use separate materials handling equipment and pallets · EATING AREA Establish an eating area physically separated from the garden chemical storage · SMOKING Post and enforce "No Smoking" near garden chemical storage · VENTILATION Provide ventilation in the storage area; wind-actuated or mechanical ventilators are desirable · Assure that ample ventilation will be available in case of a spill · Provide a port- able fan if necessary . . · AISLES Provide spacious disles for lift truck operations to minimize damage and prevent poten- tia lIy hazar,dous spi lis · DAMAGED MERCHANDISE AREA Establish a separate, well-ventilated area for damaged merchan- dise · A locked & posted outdoor location is desirable. An indoor area with good mechanical ventila- tion may be used · Select a location near an available water supply. Provide an ABC fire extinguisher nearby · FIRE FIGHTING EQUIPMENT Maintain and service equipment in accordance with federal, state and local codes · An automatic sprinkler system augmented by -Y4" garden hoses and ABC dry chemi- cal fire extinguishers is desirable. Check with the local fire department for number and spacing re- quirements for the type of equipment used · Regularly train personnel on how to use the fire fighting equipment 2 ~ ,/ ) j' .J ./ ~Ô;"V' , '~ e e .ft ..... ~~, , , , ~ J ~ [}{]wœorn~rn · HAZARDS Employees should be aware of the hazards created by misuse or mishandling of gar- den chemicals · PRODUCT LABELS CONTAIN THE CHEMICAL NAME & IMPORTANT INFORMA- TION REGARDING HAZARDS · IN CASE OF ACCIDENTAL CONTACT PROMPTLY FOLLOW INSTRUCÎ10NS ON THE BACK OF THIS GUIDE · Any feeling of discomfort or illness may be a symptom of poisoning · Signs and symptoms may be delayed up to 12 hours · POISONING ROUTES Swallowing · Absorption: Some garden chemicals can be absorbed through unbroken skin and the surface of the eye. Unusual skin sensation is not always present as a warning · Inhalation: Avoid open and broken containers unless ventilation is adequate or . approved respirators are worn , · PHYSICIAN Assure that local physicians are aware of the potential hazards, know how to treat, . and have antidotes readily available. Product labels are an excellent source of this information. · In an emergency, physicians may obtain poison control information by contacting Chevron Chemical Co. See Front Cover of this Guide · PERSONAL PROTECTIVE EQUIPMENT As a minimum, use the personal protective equipment 'outlined in this Guide for each operation · Properly fit and train employees on the use and care of personal protective equipment · Wash equipment after use with a strong detergent solution, rinse thoroughly and hang to dry · SAFE WORK RULES Do not store or use food, eating utensils, smoking material or tobacco in storage and loading-unloading areas. · Do not put fingers to mouth or rub eyes while working · Wash· hands before eating, smoking, and using toilet and immediately after handling garden chemicals 3 ;7 1--. ~ r~ . . - r, ~ ~ , . e 'F .. e , @[JJrnoo~uo@~@ All operations require strict adherence to good hygiene practices, see, Page 3, The following guide- lines are for normal conditions. If the amount of spilled or waste material is significant or if you have any doubts, contact Chevron Chemical Company, [L®~ŒJDoo® ~ QDoo~®(1)ŒJDoo® · PERSONAL PROTECTIVE EQUIPMENT No special equipment is required for routine handling of intact cases · HANDLING CONTAINERS Handle carefully! Prevent an emergency! · Primary cause of broken containers is abuse or mishandling · Look for leaking containers continuously · Properly train lift truck operators and enforce safe operating rules · SHIPMENT INSPECTION Inspect vehicle for leaks before unloading and after loading. Odors are often, but not always, a tip-off · SPILL IN SHIPMENT Follow directions for "Spills" in this Guide, Page 8 · Do not enter truck if you have any dôubts about exposure· DO NOT RELEASE A CONTAMINATED VEHICLE without first con- tacting Chevron Chemical Co. and ascertaining that it is safe to do so · DAMAGED SHIPMENT-NO SPILLAGE Contact the Ortho Regional Distribution Manager for instructions, )" @11®[j'(1)®@ · PERSONAL PROTECTIVE EQUIPMENT No special equIp- ment is required for routine handling of intact cases · INSPECTION Inspect the warehouse regularly to detect unstable piles and damaged or leaking containers OO@@®OlJ[jJDOO® ... transferring whole, intact containers from one case into an- other, · PERSONAL PROTECTIVE EQUIPMENT Wear rubber or neo- prene gloves, apron & overshoes · SCHEDULING Recoup as soon as possible after damage occurs, · RECOUPING AREA Recoup in Damaged Merchandise Area-See "Safe Warehouse Facilities" in this Guide, Page 2 · MARKINGS & CONTAINERS Assure that you are using the proper cases and packing materials · Write the EPA Establishment Number and the Control Lot Number on the new case, · WASTE DISPOSAL Destroy contaminated containers & waste promptly as outlined below · Uncon- taminated waste may be disposed of as ordinary refuse 2 ,þ 4 . ~, W@[jJffJ@[hffJrnODùrn - .'t - ~~ '" . ,\ , \ ''! .- - ~!' ~ . 1 eo' t; ,., transferring the actual product from one container into an- other - · NOTIFICATION Repackaging is NOT permitted unless approved in writing by the Ortho Regional Distribution Manager, Ortho personnel are present and appropri~te personal protective equipment is worn · If any container needs repackaging, place in the Damaged i\:1erchandise Area & cCiritact the Ortho Regional Distribution Manager · WASTE DISPOSAL Same as for "Recouping" W@~ffJ[b@~ODùrn '., replacing a damaged or missing label. · NOTIFICATION Relabeling is NOT permitted unless ap- proved in writing by the Ortho Regional Distribution Manager and Ortho personnel are present · If any container needs relabeling, place in the Damaged Mer- chandise Area & contact the Ortho Regional Distribution Manager · ALL CONTAINERS MUST BE IDENTIFIED-Repair damaged labels if possible or tag container in some manner. · WASTE DISPOSAL Same as for "Recouping" I§!}ffJ@fl@ [IDo~[jJ®@ffJ~ · SCHEDULING Dispose of contaminated and product waste promptly, · PERSONAL PROTECTIVE EQUIPMENT Wear rubber or neo- prene gloves, apron and overshoes · After disposal, continue wearing gloves and overshoes and wash protective equipment and other contaminated items (shovel, etc.) with a strong de- tergent solution · DISPOSAL METHOD AND SITE ALWAYS OBTAIN APPROVAL OF DISPOSAL METHOD AND SITE FROM LOCAL PUBLIC HEALTH OR ENVIRONMENTAL PROTECTION AUTHORITIES, Small quanti- ties of fertilizer (50 Ibs, or less) usually require no specialized treatment. Larger quantities should be handled as noted below for pesticides: Pesticides may be taken to an approved chemical waste dis- posal site. Do not dispose of full glass or plastic containers, Place absorbent material (ZORB-ALL, etc.) in a strong plastic bag and pour the product onto the absorbent material. Seal bag immediately to contain vapors. Puncture or break all empty containers prior to disposal. 5 ? fi. -- 11' ; ; ..;- e . l " . ) [foœrn@ [?O[J(È [J)[j'@[J)ff)[j'@ruDiJ@@@ Local fire department should visit the facility atjeast annually, They should be thoroughly familiar with the following: · Locations of hydrants, normal & alternate access roads, gates, fences, ete. · Surrounding building occupancies and land use · Precautions & tactics for fighting garden and agricultural chemical fires· Day and night telephone numbers of the facility operators, physician familiar with the products, and the manufacturers of the products · Means of controlling drainage at and adjacent to the facility · Symptoms of pesticide poisoning · What to do in case of contact with toxic chemicals · Use of self-contained breathing apparatus (Air Paks) · Means of ventilatin.g the warehouse. This information should be included in a pre-fire plan such as that published by the National Agricultural Chemicals Association. Copies should be maintained at the facility. at the man- ager's home and at the fire department. ~DiJ ©ff1@@ @g [fOD'Œ 1, Alert all nearby personnel. 2. Have someone contact the fire department. 3. Fight the fire if it is safe to do so. Otherwise, evacuate immediately to an upwind location. IF ALONE, contact the fire department before fighting the fire unless the fire is small and you are certain that you can easily extinguish it. }' [J)®@~Q[fOD'Œ ©~æff)DiJQQD[J) · FIRE FIGHTING PERSONNEL & EQUIPMENT Remove protective clothing upon leaving site and impound with contaminated fire fighting equipment · Upon return to fire station, shower & shampoo thoroughly with soap and water, change into clean clothing and wash inner clothing with detergent · Watch for signs & symptoms of pesticide poisoning · Put on coveralls and rubber or neoprene gloves and decontaminate protective clothing and equipment using a strong detergent solution. Decontaminate in an isolated area · Contaminated cotton-jacketed hose may have to be destroyed; most are weakened by strong detergents. · FIRE SITE Isolate & secure scene to keep people away; waste and run-off may be toxic · Contact public health department for disposal instructions and approval · Handle waste & run-off same as for a product spill- Personal protective equipment is required · If the amount of waste and/or run-off is significant or you have any doubts, contact Chevron Chemical Company A slide presentation on Agricultural Chemical Emergencies, Spills and Fires is available for free loan to interested groups by writing: Chevron Chemicel Co. Environment end H88lth Protection P.O. Box 3883 Sen Francisco, CA 94119 ) 6 '"' . e ;t -'~~.. ~ .,:, ~ ~ ¡¡.' ",' I '¡; [?DOOrn [?D~[}{]lJDæÐ~ lJ&©lJD©@ FOR FIRE DEPARTMENTS 1 Contact facilityopera- tor Determine type, quantity and hazardš of products, Determine if firê should be fought after weigh- ing ¡ire fighting & postfire hazards vs, possible salvage. 2 Notify physician to stand by Physicians may obtain poison control information by con- tacting Chevron Chemica' Co. See Front Cover of Guide, Many other manufacturers will provide similar information. 3 Contact Chevron Chemical Company Maintain liaison for specialized information, par- ticularly during a large fire. See Front Cover of Guide. Many other manufacturers will provide similar information, 4 Evacuate downwind & isolate area Patrol area to keep out spectators. 5 Wear personal protec- tive equipment Wear rubber or neoprene gloves, boots, turn-outs & hat. If contact cannot be avoided (such as entering an unven- tilated building tor rescue) also wear self-contained breathing apparatus (Air Paks), 6 Attack fire from upwind & from a safe distance Bottles, drums, metal & aerosol cans are nOt vented and may explode, k fff~~..... 7 Contain fire & protect ~'~ surroundings Prevent ,~~:' ~fI spread of fire by cooling I;:: nearby containers to prevent 11\1 rupture (move vehicles & rail cars , if possible), Burning chemicals ~¡š~~:-:~~ cannot be salvaged. 8 Use as little water as ,'" possible & contain run-off Contaminated run-off can be the most serious problem, Water spreads contamination over a wide area, Construct dikes to prevent flow to lakes, streams, sewers, ete Cooling effect of water retards high-temperature decom- position of the chemicals to less toxic compounds. ,I .. 11/, ~¡ ~ ~ ~ ~ 9 Use water fog spray not straight stream Fog spray is more effective for con- trol. Avoid breaking bottles and bags: adds fuel and contamina- tion. Straight streams spread fire and contamination, 10 Poisoning-Avoid product, smoke, mist and run-off In case of contact or suspected poisoning, leave site immediately, follow instructions on Back of Guide. Any feeling of discomfort or illness mav be a symptom of poisoning. Symptoms may be delayed up tol2 hours. Chemicals may poison by ingestion, absorption ' through unbroken skin, or inhalation. Wash face and hands before eating, smoking or using toilet. Do not put fingers to mouth or rub eyes. 7 d" ~~~;,r ....;" ~. i ~' ,¡ e . '}ì ~[PD[L[L~ IMMEDIATE STEPS ~~3 1 Isolate area Keep people away. Barricade aisles, 2 Ventilate area Do not breathe vapors, Open doors and windows, Set up p6rtable fan, Keep fire sources away Ii spill involves more than 2 product containers or you have any doubts STOP at this point and con- tact public authorities, as appropriate, and Chev- ron Chemical Company - see front page, CLEAN-UP 8 4 Put on rubber or neoprene gloves, overshoes & apron (also respirator, if needed) 5 Ready fire fighting equipment 6 If a liquid-absorb until dry Contain liquid around edge, Sweep absorbent irom edges toward the middle, Carefully place absorbent· or spilled dry product in disposable containers )) 8 Scrub spilled area with concentrated detergent usin~ broom Absorb & pick up per steps 6 & 7, Discard soaked materials & merchandise. Scrub lightly splashed items. 9 Dispose of sweepings, broken product containers, broom, other contami- nated waste in accordance with recommendations of local health authorities. 1 0 Wash gloves, overshoes, apron & shovel with strong detergent solu- tion. (If used, wash respirator & discard cartridge.) Change cloth- ing & wash in detergent. Emergency Supplies It 1\ W( IJ/IIIJ1/'/Jdt'd (h,1f \ r Jt! J.d'!'1 ) tIlt' I( I/(lwfn~ rlJll1!11H/ln 'lIp/I/II" rt·.tdd}' dV,lfldh/t·· Rubb~r or '\:t~l)prl'm~ Glovt:'S (2 !I'w) . Ruhtw( or ~p{)prene Overshoes (2 pdir)· Rubbt'r or '\it:'oprf'nt:' Apron (one) . -\bsorbt"111 J\-'aterial (4 Idrge bags)-Zorb-,-\II'·"ílfv Llttec... elc. . Detergent (29 lb. or 1 gal.)-Strong household type. Mr. Clean~ ete.· Disposable Pail (two, '-gal.) . Respirator (.2) & Cartridges (Box of 10) - NIOSH approved for pesticides, check wIth loedl safety I:"qulpment dls.trlbutor· DI''JpO''dble Pld~ti( BdgS (3)-Hedvy· dutv garden type. Broom (I)-Household type with naturJI bristles. Seoop Shovel (I)· fire Extinguisher (20 Ih.)-Rdled jor -\, S, & C I\pe ¡Hes )., " o.n. == DRTHO . '." ~ .....~, e;"'~ ,¡ , '\ e' ~-~ . f "'".. , ~ J . ~~: "") --....,.., ~ ~ \ . , ; Flush with water for 15 minutes. Get medical attention immediately. Refer ,to product label for further instructions. ) Wash thoroughly with soap & water, Refer to product label for further in- structions. If in doubt about nature of material, get medical attention im- mediately, Remove contaminated clothing & wash skin thoroughly with soap & water. Refer to product label for further instructions. If in doubt about nature of material, get medical attention immediately. Wash clothing in strong deter- gent before reusing. NOTE: If medical attention is sought, take labeled container. ; ) r Ji " ,- Chevron a.ømïcaI Company 575 Market St.. San Francisco. CA 94105 -:--:¡ -- i· e\ . :~ J TO: Store Employees Informational FROM: Store Manager EMERGENCY RESPONSE PROGRAM Longs Drug Stores has developed an Emergency Response Program to enhance your health and safety in the workplace. We want to ensure that you are aware of how to respond in emergency situations. By being prepared, each one of us can contribute to the safety and well-being of your co-workers and our customers. The attached memo gives you information on how to respond in the following kinds of emergencies: Medical Power Outage Earthquake Fire Bomb Threat Chemical Spills and Cleanup Spend some time and familiarize yourself with how to safely respond to some of these more common emergencies. wpc:l22/B6 &-:;'.,.,., / CA.fá~~ - ACL'd - bfÀ/\..cf~ CÁvyVl{¿~. - 4/dÁi t&v ¡t~u - (3 _&c...c.- JZ.. p~ "tõ:- , . . " e EMERGENCY PROCEDUREstÞ /' , EV ACUA nON Should an evacuation of part or all of the building be required, it will be announced by a manager via the PA system. AVOID PANIC, BE CALM, EVACUATE AS DIRECTED. Advise customers to follow clearly marked exits. Do not use elevator. Stay clear until directed otherwise. MEDICAL EMERGENCY Notify a manager immediately. Avoid moving victim. Dial 911 if situation in any way appears life-threatening. Ask loudly for assistance, ask nearest person to please notify a pharmacist, POWER OUT AGE Remain at your workstation until told otherwise. Ask customers to remain calm and not to move. Remember you are familiar with the store floor plan; however, a customer is not and may injure themself. Wait until you receive further instructions from a manager. - ~1V\t-12-G,F--'c..y L- I G-I-\,<; EARTHQUAKE Be calm. Stay inside. Move away from windows and cabinets. Assist customers in taking cover and staying away from windows. Take cove.r under tables or cash stands. Extinguish open flames. Do not run through building. FIRE Minor: NOTIFY FIRE DEPARTMENT. Dial 911. Give exact location of fire and your name. Noti fy manager for assistance. In a loud, clear voice order all personnel clear of the area. Major: NOTIFY FIRE DEPARTMENT. Dial 911. Give exact location of fire and your name. Notify manager for assistance. Move clear of the fire area and in a loud, clear voice, ask everyone to immediately leave the store. BOMB THREAT Be calm. Listen, be alert and businesslike. Keep caller on the line, signal someone for help to notify a manager. Repeat instructions, take detailed notes. Ask for bomb location and when it is to go off. Inform caller that building is occupied. Note caller's voice, background noise, etc. DO NOT TOUCH ANYTHING SUSPICIOUS. wpc:121/26 , . " .:..', ... e ,e EMERGENCY PROCEDURES Chemical Spills and Cleanup Procedures Chemical spills can be dangerous. For this reason, in the event of a chemical spill, immediately set up a barrier to keep other employees or customers away. Have another employee or customer call for a manager. Ventilate the area of a spill by opening doors or by setting up a fan. Chemical fumes may catch fire; therefore, do not store flammable products near a furnace/water heater. Do not light matches when fumes are present! Under the directions of a manager, begin cleaning up a spill as soon as possible to minimize health exposure and possible problems with stains ancf odors. When cleaning up, wear rubber or neoprene gloves, keeping the rest of your body covered, and avoiding inhalation of the vapors. If the vapors are overwhelming, leave the area immediately and in a clear, loud voice direct other employees and customers to leave the store. Sweep spilled solids into a plastic bag. Spilled liquids should first be soaked up with an absorbent material such as Kitty Litter, paper towels, or old rags, then placed in a plastic bag, sealed, and put in the trash can. Scrub wood, cement, or tile surfaces with a water solution of strong household detergent applied with a scrub brush or old rags; repeat cleansing with detergent until traces of the chemical are gone. Absorb each time with absorbent material. All cleanup materials should be thrown out in disposable containers such as sealed plastic bags. First Aid for Chemical Exposure Most products carried in our store are labeled with pertinent first aid instructions. In the event of exposure to chemical spills, employees should follow the directions listed on the label. Additional information may be available in the office on the Material Safety Data Sheets (MSDS). Following emergency first aid treatment, it may still be necessary to follow up these procedures with professional medical attention. Should this be necessary, employees should remember to take the container with its label to the doctor so that he or she will know exactly to which product you were exposed. This will help the physician begin proper treatment as soon as possible. In all such cases of chemical spills and exposure, employees must notify a member of management immediately. wpc:121/21 - ---:-- ~ -+ ¡.!, ~ e . TO: EMPLOYEE SAFETY UNDERSTANDING STATEMENT Remember, safety is up to you. Our safety policy can protect you only if you protect yoursel f. You are the only person who can keep ~ safe every day on the job. I have read the Emergency Response memo and pamphlet and understand about the chemical substances this store sells. I know emergency procedures and will practice sensible, safe work habits. Signature Date wpc:121/p COpy TO BE GIVEN TO EMPLOYEE e , ~, ~ ~. Chovron === ORTHO Chevron Chemical Company FIRST AlD- In case of accidental contact ~ Flush with water for 15 minutes, Get medical attention immediately. Refer to product label for further instructions. Wash thoroughly with soap and water. Refer to product label for further instructions. If in doubt about nature of material. get medical attention immediately, ~!Þà Remove contaminated clothing an~ wash skin thoroughly with soap and water, Refer to product label for further instructions. If in doubl about nature of material. get medical attention immediately, Wash clothing in strong detergent before reusing. NOTE: If medical attention is sought. take labeled container to physician, Emergency Supplies Keep the following minimum supplies readily available: Rubber or Neoprene Gloves (2 pair) Disposable Plastic Bags (2) Rubber or Neoprene Overshoes (1 pair) - Heavy,duty garden type Absorbent Material (1 large bag) Broom (1) -Zorb,AII.® Kitty Litter.®etc, -Household type with natural bristles Detergent (10 Ib, or 2 qt.) Scoop Shovel (1) - Strong household type. Tide~» AII.®etc, Fire Extinguisher (10 lb.) Disposable Pail (5·gal) - Rated for A. B. & C type fires ,~ , e ,~ ,j ¡ Jf "" ... CIIeVnm === ORTHO Handling Accidental Spills of Garden Chemicals Use only for emergencies· Please contact your Ortho Sales Representative or Regional Distri, bution Manager, for marketing information. complaints, etc. Revised JuIV. 1982 e " . ~ ~ , ~[PG[1[S~ Immediate steps- )( Isolate area Keep people away, Barricade aisles. Ventilate area 00 not breathe vapors. Open doors and windows. Set up portable fan, Close return grilles on air conditioners. Keep fire sources away If spill involves more than 2 product containers . OR if you have any doubts, STOP at this point and contact Chevron Chemical Company - see front page. ~. [;';¥ Put on rubber or ·/',.:,YI,: IJj neoprene gloves ':---, "1.;' & overshoes /'Fkj:,4 ,,:,a'.~L :>,.J:? ,,::f^} If a liquid-absorb until dry Contain liquid around edge, Sweep absorbent from edges toward the middle (See back page for recommended materials.) Carefully place absorbent or spilled dry product in disposable containers Scrub spilled area with concentrated detergent using broom Absorb & pick,up per steps 5 & 7, Discard soaked materials and merchandise. Scrub lightly splashed items. Scrub out corners and crevices. Dispose of sweepings"broken prod- uct containers, broom, other con- taminated waste in accordance with recommendations of local health authorities. Wash gloves, overshoes & shovel with strong detergent solution. Change clothing & wash in detergent. e ¡:~'~:,y:" f:,','·",·"C'U'," -'. . ,.; '> .'; ~:''':l GQJ.'."""..,' .~ '0'"'' , , '" , ',' '" - '~ ,., >'J " l~'.' & , >, , ;0':' .' """" "u ,~.,.:-.. :;- \ ~<~':,~::'\\ ~~P:'¡0 ~"'. ;" ,~;. ", ''·.'..,:,.:;0. .,"".:',' ,i,~ i ~ -:, ,,·ct . ~' ,:1, '-, , ' -",,':,,¡;. - c!', ,¡ j,. e e ...~ TO: Management Members Infor ma tional - FROM: Store Manager DEVELOPING A WORKPLACE SAFETY AND HEALTH PROGRAM Introduction Taking risks is a part of operating any business. You take risks in product marketing or advertising in order to stay competitive. But there are some risks that are just not worth the gamble. One of these is risking the safety and health of those who work for and with you. Accidents Cost Money The actual cost of a lost workday injury is substantial. For every dollar we spend on the direct costs of a worker's injury or illness, we will spend much more to cover the indirect and hidden costs. Consider what one lost workday injury could cost us in terms of: o Productive time lost of an injured employee; o Productive time lost by personnel and supervisors attending the accident victim; o Clean-up or start-up of operations interrupted by the accident; o Time to hire or to retrain other individuals to replace the injured worker until his or her return; o The cost of continuing all or part of the employee's wages; o Reduced morale among your workers and perhaps lower efficiency; o Increased workers' compensation insurance rates; and o The costs of completing the paperwork generated by the incident. Management Commitment Your attitude toward safety and health shows in every decision you make and every action you take. Your employees respond to that attitude. You can demonstrate your commitment through your personal concerns for employee safety and health and by the priority you place on safety and health issues. You and every employee must know that they are accountable for their safety and health responsibilities. We must: o Identify potential hazards; o Purchase personal protective equipment; o Promote and train employees about safety. . . . , ,-~ , ¡- "- Í; Developing a Work Pl. Safety and Health Program Page 2 e Let your employees know of your concern for safety by: o Including safety and health topics in meetings and conversations with employees. o Encouraging employees to develop and display a positive attitude toward safety. o Taking any necessary corrective action after inspections, accidents, or responses to employee suggestions; or forwarding all safety suggestions to June Obrochta in Personnel. o Providing feedback on their safety concerns and performance. Most important--you as manager must set a good example! wpc:122/B1a Attachment (08/10/87) " J i i ¡, '-'". ~, -. Ii e e WRI'ITEN HAZARDOUS COMMUNICATION INFORMATION As a company, we intend to provide information about products with hazardous substances and the control of hazards via our comprehensive Hazard Communication Program, which includes container labeling, Material Safety Data Sheets (MSDS), and training. The following information outlines how we can accomplish this objective: 1. Container Labeling -- for use of industrial cleaning products and for products sold over the counter to the public. Products with hazardous substances will be reviewed prior to use to verify the following label information: a. Containers are clearly labeled as to the contents b. Appropriate hazard warnings are noted c. The name and address of the manufacturer are listed This responsibility hâs been assigned to: 2. Material Safety Data Sheets (MSDS) Copies of MSDS for hazardous products to which employees of this company may be exposed should be kept in the office. The store manager will be responsible for obtaining and maintaining these sheets. New sheets received will be reviewed by the store manager for significant health/safety information, which will be passed on to affected employees. MSDS are available to all employees for review when requested. If MSDS are not available or new hazardous substances in use do not have MSDS, please notify the store manager immediately. 3. Employee Information and Training will conduct a health and safety orientation with each new employee prior to their starting work. Training and information will be given regarding: (a) Caution concerning any presence of hazardous substances in any specific work areas of the store. (b) Description, location, and availability of the Chemical Spills Emergency Supply Box and First Aid Kit. (c) Discussion of how to respond to emergencies. (f) Discussion on how to lessen or prevent exposure to hazardous spills through use of work practices and personal protective equipment. (g) Description of the steps the company has taken to lessen or prevent exposure to these substances. " . ." '" e e (h) Emergency and first aid procedures for employees to follow in the event of hazardous substances spills. (i) Discussion on how to read labels and review Material Safety Data Sheets (MSDS) to obtain appropriate hazard information. NOTE: It is important that everyone understand the training. If you have any additional questions, please contact the store manager. 4. List of Hazardous Substances The following is a list of all known hazardous substances present in our store. Specific information on each noted hazardous substance can be obtained by reviewing the Material Safety Data Sheets. Hazardous Substances Area Found Garden Chemicals and Pesticides Industrial Cleaners Pool Chlorines Commercial Bleaches Book Matches Stove and Lantern Fuels Lam'p Oils Propane for Buffer Automobile Fuel Additives Motor Oil Pesticides (Pet Products) Ammunition Various Aerosol Products Paints and Solvents Controlled Drugs Denatureâ AI~ohol Warehouse & Sales FlOor Warehouse Warehouse & Sales Floor Warehouse & Sales Floor Warehouse & Sales Floor Warehouse & Sales Floor Warèhouse & Sales Floor Warehouse Warehouse & Sales Floor Warehouse & Sales Floor Warehouse & Sales Floor Warehouse & Sales Floor Warehouse & Sales Floor Warehouse & Sales Floor Phar macy Pharmacy & Sales Floor wpC:121/23 (08/10/87) , ^ e To be reviewed when reading la.s ~ ," -; . ~. ."' ~ GENERAL DEFINITIONS Hazardous Substance: Any substance designated or listed below to which exposure results or may result in adverse safety or health effects: Any substance defined under section 101 (14) of CERCLA; any biological agent and other disease-causing agent as defined in section 104 (a) (2) of CERCLA; Any substance listed by the Department of Transportation and regulated as hazardous material under 49 CFR 172.101 and appen,dices; and, Hazardous Waste. Health Hazard: A chemical, mixture of chemicals or a pathogen for which there is statistically significant evidence that acute or chronic health effects may occur in exposed employees. This includes chemicals which are carcinogens, toxic or highly toxic agents, reproductive toxins, irritants, corrosives, sensitizers, hepatotoxins, nephrotoxins, neurotoxins, agents which act on the hematopoietic system, and agents which damage the lungs, skin, eyes or mucous membranes. IDLH or Immediate Danger to Life or Health: Any condition that poses an immediate threat to life, or which is likely to result in acute or immediate severe health effects. This includes oxygen deficiency conditions. Ensure manager is aware of all labels on any product that carry this notice. May: This term is used to state a permissive use or an alternative method to a specific requirement. ' Must: This term indicates a mandatory requirement. Oxygen Deficiency: That concentration of oxygen by volume below which air supplying respiratory protection must be provided. It exists in atmospheres where the percentage of oxygen is less than 19.5%. Protective Clothing: Any material or combination of materials used in an item of clothing for the purpose of isolating parts of the body from direct contact with potentially hazardous liquid or gaseous chemicals. Safety Officer: The individual who is responsible to the employer and has the authority and knowledge necessary to implement a safety plan and verify compliance with applicable safety and health requirements. Shall: This term indicates a mandatory requirement. .. , ~ ,. GENERAL DEFlNITIA e .. . ' ... " Should: This term indicates a recommendation or that which is advised but not required. Unstable (Reactive) Liquid: A liquid which in its pure state or as commercially produced or transported will vigorously polymerize, decompose, condense, or become self-reactive under conditions of shocks, pressure, or temperature. Ensure manager is aware of all labels on any product that carries this notice. Ventilation: For the prevention of fire and explosion, ventilation is considered adequate if it is sufficient to prevent accumulation of significant quantities of vapor-air mixtures in concentrations over one-fourth of the lower flammable limit. wpc:121/t (oa/a7) e !J ~;. !'~ ~~ Chevron =-ORlHO FIRST AlD- In case of accidental contact Chevron Chemical Company ~ Flush with water for 15 minutes, Get medical attention immediately, Refer to product label for further instructions, Wash thoroughly with soap and water. Refer to product label for further instructions. If in doubt about nature of material. get medical attention immediately, ~~ Remove contaminated clothing and wash skin thoroughly with soap and water. Refer to product label for further instructions. If in doubt about nature of material. get medical attention immediately, Wash clothing in strong detergent before reusing, NOTE: If medical attention is sought. take labeled container to physician. Emergency Supplies Keep the following minimum supplies readily available: Rubber or Neoprene Gloves (2 pair) Disposable Plastic Bags (2) Rubber or Neoprene Overshoes (1 pair) - Heavy,duty garden type Absorbent Material (1 large bag) Broom (1) - Zorb,AII.'" Kitty litter.@etc. - Household type with natural bristles Detergent (10 Ib, or 2 qt.) Scoop Shovel (1) - Strong household type. Tide~ AII.@etc, Fire Extinguisher (10 lb.) Disposable Pail (5·gal) - Rated for A. B. & C type fires " e .- '" .. f '';- CIIlVllln -= ORTHO Handling Accidental Spills of Garden Chemicals Use only for emergencies· Please contact your Ortho Sales Representative or Regional Oistri, bution Manager, for marketing information, complaints. etc, Revised July. 1982 e e .. . .' , " ~ . .. ~[?JD[b~~ , Immediate steps- If a liquid-absorb until dry Contain liquid around edge. Sweep absorbent trom edges toward the middle. Isolate area Keep people away. Barricade aisles. (See back page tor recommended materials.) Carefully place absorbent or spilled dry product in disposable containers Ventilate area Do not breathe vapors, Open doors and windows. Set up portable tan, Close return grilles on air conditioners. Scrub spilled area with concentrated detergent using broom Absorb & pick,up per steps 6 & 7. Discard soaked materials and merchandise, Scrub lightly splashed items. Scrub out corners and crevices. Keep fire sources away x Dispose of sweepings, broken 'prod- uct containers, broom, other con- taminated waste in accordance with recommendations of local health authorities. ," If spill involves more than 2 product containers . OR if you have any doubts, STOP at this point and contact Chevron Chemical Company - see front page. ~ . [:.,·,.":..,7,, ,.. Put on rubber or ·¡j',...·,r1 neoprene gloves :::-.. ,h~t:! & overshoes ¡""('.' .. ~';!1':; <:..~~; ;.'. '~'.;,.~,Á.;{ ~fý;j C:'('::',:"':' ' Ready fire I" , " f;\ ;~'. fighting ):'V'::?':'\equl'pment , d,>.' ','\.. s: 'w~~ - '~:'~~~j Wash gloves, overshoes & shovel with strong detergent solution. Change clothing & wash in detergent. ,l~' c;¡ ..,. :>. ." e e STof2.E, ~'\G.. I+€..L.D ~ - 20'~~G:, Informa tional <., TO: Bakersfield Store Managers FROM: June Obrochta EMERGENCY RæpONSE INFORMATION The city of Bakersfield has mandated that Longs Drug Stores develop an emergency response plan. Attached is a copy of the plan, which is to be presented to your employees at the next store meeting. Each employee must understand they may be exposed to hazardous substances in the event of a spill or oth~r disaster. Each employee will be made aware of hazards associated with spillaE;e of products containing hazardous substances. Longs will provide appropriate protective measures for all employees against 'any hazardous substance spills or release of a chemical under normal or reasonably foreseeable emergency conditions. The person responsible for developing, implementing, and monitoring the program is the Vice President - Personnel and OSHA Officer located at 141 North Civic Drive, Walnut Creek, California 94596. Each store location will designate a staff member to implement and monitor the day-to-day needs of the program. Hazard Communication Program A. The store manager will designate a person to: 1.' Identify any operations where hazardous substances are present. This includes the storage of products in the w~rehouse as well as any industrial cleaners our employees may use. 2. Review labels on incoming products to ensure all manufacturers are properly labeling their products. 3. Follow all directions on the Material Safety Data Sheets (MSDS) and order and provide all protective equipment and clothing. All protective equipment should be NIOSH certified. 4. Maintain a Chemical Spill Emergency Supply Box and ensure each employee knows its location. Emergency supplies are: a. Rubber or Neoprene gloves (2 pair) b. Rubber or Neoprene overshoes (1 pair) c. Absorbent material (llarge bag Kitty Litter, etc.) d. Detergent (10 lb or 2 qt) e. Disposable pail (5 gal) f. Disposable plastic bags (2) g. Broom h. Scoop shovel i. Fire extinguisher (10 lb) rated for A, B, and C type fires ....- .,--. ;;.- EMERGENCY RESP.SE INFORMATION e ¡ ,.-- .' 5. Ensure all employees know how to properly clean a spill and knows the exposure dangers. (This information is ,1ontained in the Material Safety Data Sheets (MSDS)). Each employee will receive a "Handling Accidental Spills of Garden Chemicals" booklet. 6. Ensure the receiver<s} reads the memo and posts "Safe Practices in Warehousina- Garden Chemicals" at the work station. Ensure the receiver{S} understands it is his/her responsibility to report all unobserved safe warehousing practices. 7. Set up a training meeting with store employees to have the local fire department explain how to use a fire extinguisher properly. -1>~A 8. -1>u~chase an Industrial First Aid Kit. Maintain supplies and ensure each employee knows of its location. Ensure each employee is aware that they can, in emergency situations, ask a pharmacist for assistance or take supplies from the sales floor. B. Upon completion of training, every employee will sign the Safety Understanding Statement and be given a copy. The original will be placed in the employee's personnel file. wpc:121/m-l {08/10/87} -*i~ .~....' ~ ~~';' -,~--- _ - .;. ~~ .; ,f ,e e ~MERGENCY RæpONSE PROGRAM CHECKLIST FOR: #2&'7 5510 ~'OI..-é:bt\L.E I-tvv1. Date: (Store Location) Person responsible for implementation and monitoring of Emergency Response Program: (Person/Posi tion) Yes All areas where hazardous substances are stored, displayed, or used have been identified. All personnel have received: 1) Emergency Response Program memo 2) "Handling Accidental Spills of Garden Chemicals" pamphlet 3) Safety Understanding Statement Training has been given to each employee. Employee has signed Safety Understanding Statement. All employees are aware of our commitment to their safety. There is an established procedure to ensure all new employees are trained as needed. Store Manager Date wpc:l21/m-2 (08/10/87) ·':~~¡ '" 2ff~í/ . · .. /1Ji v . BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD. CA 93301 (805) 326-3979 /ëJ3-D3Ò Ø:nJ5P1! OFFICIAL USE ONLY ID# b ~~ h ð- 000990 BUSINESS NAME HAZARDOUS MATERIALS BUSINESS PLAN AS A' WHOLE FORM 2A INSTRUCTIONS: 1. To avoid further action, return this form by 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA A. BUSINESS NAME: LONGS DRUG STORES #267 ./ B. LOCATION / STREET ADDRESS: 5510 Stockdale Highway CITY: Bakersfield ZIP: 93309 BUS. PHONE: (805) 322-5024 SECTION 2: EMERGENCY NOTIFICATIONS In case of an emergency involving the release or threatened release of a hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4341. This will notify your local fire department and the State Office of Emergency Services as required by law. EMPLOYEES TO NOTIFY IN CASE OF E~ERGENCY: NAME AND TITLE A. SAM DONALDSON DURING BUS. HRS. AFTER BCS. HRS. Ph#(80S)872-3444, Ph#(805)822-7389 B. TOM DWYER Ph# (805) 322-5024 PhIl 805) 811-604Q SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT. GAS/PROPANE: SEE A'l'TACHED B,LUEPRINTS B. ELECTRICAL: C. WATER: D. SPECIAL: E. LOCK BOX: YES / NO IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? YES / NO FLOOR PLANS? YES / NO MSDSS? YES! NO KEYS? YES / NO - 2A - " . . ..... ,~¡,. '.-'., .:-- ' - - i·<~~ SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE All personnel have received training in how to respond to emergency situations involving fire and chemical spills. .,~ ,:: ()i~g!\ll stores have designated a meeting place in the event : L \.,' .J ' J éif evacuation. All personnel are aware of where the fire ,j ! extinguishers are and how to use them; all personnel are 1 aware of where the clean~up equipment is kept. 911 will be called. 'I 1 SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE A 1 Mercy Hospital 2215 Truxton Bakersfield, CA .,~ ! 'j Southwest Urgent Care Center 5397 Truxton Bakersfield, CA Fire Dept. 7000 Stockdale Hwy. Bakersfield, CA Hall Ambulance South H & Radiance Bakersfield, CA I " '. .r J " j ;¡ '~ ~ 4 SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROG~~ WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS. .-:~~ :~ , '! CIRCLE YES OR NO A. METHODS FOR SAFE HANDLING OF HAZARDOUS ~TERIALS: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B. PROCEDURES FOR COORDINATING ACTIVITIES. WITH RESPONSE AGENCIES: . . . . . . . . . . . . . . . . . . . . . . . . . . C. PROPER USE OF SAFETY EQUIP~E~T:.................. D. EMERGENCY EVACUATION PROCEDURES:..., ... ....., ,... E. 00 YOU MAINTAIN EMPLOYEE TRAI~ING RECORDS:.... . . . INITIAL REFRESHER G§) NO YES NO NO YES NO YES NO YE!; NO YES NO :¡ ;1 ';:1 . "~ ..1 SECTION 7: HAZARDOUS MATERIAL j . .~ ..1 ",:, ~1. -..i CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POrNDS oµ., '. SOLID. 55 GALLONS OF A LIQUID. OR 200 CUBIC FEET OF A COMPRESSED GAS:...... YES ~,~ I ~ {/'YL.e.., ().tYL.C,(2.ÎL~ . certify that the above information is accurate. I u (erstand that this information will be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25500 Et AI.) and that inaccurate information constitutes perjury. :-.: :~ .j ,) -1 SIGNATURE :J l-1.-ð(k ¿, TITLE (S/-I/~,f¡)f~.z.ú-~föATE Jixo)¡ / ...,¿L,tA....,t¿.L, o,¡, ~ ~ '---- ,,--,' , I - 28 - ~,;"", . . ... .. ~ (r{ ~_ . . TO: June Obrochta FROM: ' -röM. ·()WYEf. # Zl:,'7 I DATE: ~ - I 0 - \ Î The District Area Manager and the Store Manager will have authority to make decisions for the store in the event of an emergency. List the following information: , 'J -~ I --rõ~ b\;V YE/t.. (S tore Manager) ~ '3 ~ - t.. 0 ..¡q HOMo! (24-hour phone number) . . ~ Please review the attached store plan and follow the directions: 1. Mark in bold legible print the locations of the attached proouct families. 2. Mark the locations of the followil1f shut-offs: ! ¡ .\ .¡ -j I c. Special: " . . ';ç' .. '11 - ' .. .; j J i .¡ i \' a. Water - fAt.! \'roR.C'¡, c..~'T - "",,,ft.="'Q..\.~;' b. Electrical -1>£TWsaÑ Tria ~~t. ANI) 'i2.ece'''I~ Þcott ..,¡ '11tE' ....AUtteM4f; 'i ,if ... ~. Name and address of two medical facilities near your store: 1. .Me.i.C, y HOSf>JTAL "~ 2'2. l ~ TR.l.l)c' TON ~~ e..sF ,e.t..1) 2. -Sov..Tt-\weST M2ba,.aT ~ ~~ .5Y1, --rR.u.x. TO ,.J ~ C..e.b F, &L..D Approximately how many miles are you from: 1 miles 1. Local fire station: 1000 f>f'æ,¿i).\Lt: H\-V'ý. bA"Ees.c, e.c.J) . ~A . Address of Fire Station 2. Local ambulance service: ð miles HAI.-L. AMt3U.L~c..£ Sov-Tr+ H ~ eAt), ....Ñ.c.E. ,~ \~F-~ sF I e. ~ D e-(\. Address of 'Ambulance Service .io e . ...~ : BAKERSFIELD CITY FIRE DEPARTME~T ~ 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL GSE ONLY ID# _ _ _ _ _ _ BUSINESS NA:vfE: BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1. To avoid further action, this form must be retµrned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY UNIT LISXED BELOW 4. Be as BRIEF and CONCISE as possible. FACILITY UNIT# eJ. ttJ ., FACILITY UNIT NAME: $'rf) SECTION 1: MITIGATION, PREVENTION. ABATEME~~ PROCEDURES 1. Keep current inventory list and update as new products are introduced to the public. 2. Keep employees trained in cleaning up hazardous product spills. 3. Keep fire extinguishers working. 4. Inform all employees of meeting place in the event of evacuation. ' 5. Keep clean-up supplies in order. SECTION 2: NOTIFICATION k~ EVACGATION PROCEDL~ES AT THIS L~IT O~LY 1. Member of management will be informed and will calmly evacuate customers and co-workers to nearest exits. 2. 911 will be dialed in emergency. 3. Member of management will take attendence at meeting area. 4. Pharmacist will be notified to administer first aid. 5. All employees will listen and respond to instructions on calmly evacuating the building. - 3A - . . SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY A. Does this Facility Unit contain Haznrdous Materials?,..,' YES ~O If YES, see B. If NO, continue with SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secret YES NO If No, complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form-#4A-l) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yellow form #4A-2) in addition to the non-trade secret form. List o~ly the ttade secrets on for~ 4A-2. SECTION 4: PRIVATE FIRE PROTECTION SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS - SECTION 6:' LOCATIOX OF UTILITY SHUT-OFFS AT THIS UNIT ONLY, A. ~AT. GAS!PROPAN~~ B. ELECTRICAL: C. WATER: D. SPECIAL: E. LOCK BOX: YES ':~O IF YES, LOCATION: IF YES, SITE PLANS? FI OOR PLAYS? YES / 0:0 YES / NO MSDSs? KEYS') YES \0 YES / NO - 33 - 5 . " , .... . ,~ BAKERSFIELD CITY FIRE DEPARTMENT FORM 4A-l NON-TRADE SECRETS HAZARDOUS ,MATERIALS INVENTORY ~'''; ~, l' 0(·"2 - -;--- I. D. # Page OWNER NAME: LONGS DRUG STORES CA INC. FACILITY UNIT ,: 267 ADDRESS: 141 N.Civic Ddw'! FACILITY UNIT NAME: SCl'D CITY, ZIP: jjglnu_L,Ç~~_ ~~9fi.._ ____~_ __ __ un _ _ PHONE': (415) 937-1170 10FFICIAL USE CFIRS CODE ONLY BUSINESS NAME: LONGS DRUGS ADDRESS: 5510 Stockdale Hiqhway CITY, ZIP: Bakersfield, CA 93309 PHONE It: (805)322-5024 o .-- 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE 140.000 iJtb a:o LBS 12 17 Sales Floor /Warehom e Garden Fertilizers FLSL , , rJ\ 400 C/av GAL 9&10 24 Sales Floor/Warehouf: e Insecticides-Household/b~gen FLL8 CM'L' -1067 I J) 1000 J cxxO LBS 9&10 23 Sales Floor/WarehouEe Herbicides-Household/Garden FLSL ?) J , 200 ZftJO GI\L 9&10 23 Sales Floor/Warehouf:e Herbicides-Household/Garden FLLQ ~ N\ ZCCO '/D~ FLSL 2UO LBS 11 30 Sales Floor/Warehouf:e Pesticides-Household/Garden l\\9 2'ØX' e fa> ~ //66 2000 GAL 10 08 Sales Floor/Warehouf: Cleaning-Household Bleach CRMT J 200U 2f:la'C> LBS 11,1 08 Sales Floor/Warehou~ e Cleaning-Household Detergent SJ "^ 500 (bc:cO LBS 11,1 OS Sales F loor /Warehou~ e3ff1r... ' 'ö76 Cleaninq-Chlorine Products ~ 500 07XV GAL 10 08 Sales Floor/Warehou~ e Jt!lõ Cl . lq' . (f¿d l!. .- ean1n -Ammon1a Pro cts /6l:co LBS 1'C()1 () I qþ. O'd. 1500 GAL 10 08 le::;:¡ 1 ¡::>c:: Floor I' r" ....."'... ~ nn...pool" Chlorin, cRrvn' q,\ D , 1 O~'C:J ':J. Jjtct:> Ie::;:¡l¡::>c:: Flnnr/' {{JIb .1nn T.Re:: 1 () ()R Cleaninq Pool Acids cmu ~) ¡v\ 150 lsa; GAL 13 :;>q c.';:¡l¡::>c:: Flnnr/' Paints Household. ;:., ~ CMLO .J - \-6\ ~~ 500 c5lZ?fJ C,AT. 11 26 Sales Floor/Warehouf e " . oil ~)~ FLLO t~ ~ 100 /ceO GAL 10 26 Sales Floor/Warehouf e Auto-F.nnin¡::> Ännit-iv¡::>c:: ~~.:u FLLO l~ Q 400 ~a:tJ GAL 10 09 Sales F] oor" AI1t-o-Ant-irr¡::>¡::>o;¡o¡::> ~<6()ð FLLO NA~E: June Obrochta TITLE:OSHA Specialist- SIGNATURE: {v ß~ ø (9-ó1..1Jl...A 7à DATE: 7 /31/87 EMERGENCY CONTACT: ~AM nONAT.n~Obl TITLE:AREA MANAGER V PHONE , BUS HOURS: (805)872-3444 AFTER BUS HRS: (805) 822-7~89 EMERGENCY CONTACT: Tom Dwver TITLE: Store Manager PHONE , BUS HOURS:(ROS)12?-S024 . PRINCIPAL BUSINESS ACTIVITY: Ret-ail Drl1q ("'}--. ri ; 1'1 Stnr~ AFTER BUS HRS: (805)833-6049 ,- . -3 .~- I. D. t BAKERSFIELD CITY FIRE DEPARTMENT . FORM 4A-l NON-TRADE SECRETS HAZARDOUS ,MATERIALS INVENTORY >c \ BUS I NESS NAME: ¡'ONG&.;.IDRUGS ADDRESS: 5510 Stockdale Hiqhwav . ~ Page --2.- 0 ('..2J OWNER NAME: LONGS DRUG STOReS CA INC. FACILITY UNIT .: 2~7 I ADDRESS: 141 N. Civic Drive FACILITY UNIT NAME: STD I I CITY, ZIP: Bakersfield, CA 9310Q CITY,ZIP:W;:¡lnllt Crl'>l'>k- CA 94596 PHONE t· (805)322-5024 PHONE ,: (415)937-1170 (OFFICIAL USE CFIRS CODE I . . ONLY 1 2 3 4 5 6 7 8 9 10 : TYPE MAX ANNUAL CONT USE ~OCATION IN THIS % BY HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT NT. CHEMICAL OR COMMON NAME CODE GUIDE \\ Q ? IIf) 2Cf.V r,AT. 11 19 Sales Floor/Warehot: se Fuel-CamDinq 1/7ß ~ Ò / FLGS J 7 -- --- .. ( .- NAME: June Obrochta TITLE: OSHA Specialist S IONATURE: ,"'"V - FfI~'A £h DATE: 7/31 /R7 I , . . . EMERGENCY CONTACT: SAM DONALDSON TIT L E. AREA MANAGER PHONE' BUS HOURS.· (805)872-3444 AFTER BUS HRS: (805) 822-7389 PHONE' BUS HOURS: (805)322-5024 AFTER BUS HRS: (8U5)833-6049 EMERGENCY CONTACT: Tom Dwyer TITLE: Store Manaqer . PRINCIPAL ßUSINESS ACTIVITY: Retail Drug Chain Store Ii e . " --~;:~ LONGS DRUG STORES BAKERSFIELD BUSINESS PLAN RESPONSIBILITY It is the responsibility of the Store Manager to designate a member of management to ensure the inventory list is current. The inventory list may be updated by. the Receiver when new products are received. However, a member of management must ensure compliance by the Receiver. Updated inventory lists must contain the product name and the supplier. These updated lists should be giveh to the Store Manager every quarter. Any new product that may contain hazardous substances must be added to the list. The Store Manager is responsible to provide firefighters or any emergency response personnel current floor plans showing where products containing hazardous substances are displayed or stored. The Store Manager will be contacted in the event of a fire or other emergency situations. If there is a phone number change, the Store Manager must contact: BAKERSFIELD CITY FIRE DEPARTMENT HAZARDOUS MATERIALS CONTROL UNIT 2130 "G" ST. BAKERSFIELD, CA 93301 (805) 326-3979 The Store Manager is responsible for ensuring all personnel are trained in how to respond to emergency situations. The training memos and packets can be obtained from the Personnel Department. Emergency medical phone numbers for hospitals and ambulances should be posted. The store manager will designate a member of management to: 1. Call the emergency center to notify how many people are coming in for treatment. If due to a chemical spill: the empty bottle will be taken in. 2. In the event of a fire, the designated person will take attendence at the meeting spot to ensure all employees have evacuated the building. NOTE: Copies each quarter of inventory lists must be forward to the area manager. ~. e . TO: Management Members Informa tional FROM: store Manager DEVELOPING A WORKPLACE SAFETY AND HEALTH PROGRAM Introduction Taking risks is a part of operating any business. You take risks in product marketing or advertising in order to stay competitive. But there are some risks that are just not worth the gamble. One of these is risking the safety and health of those who work for and with you. Accidents cost Money The actual cost of a lost workday injury.is substantial. For every dollar we spend on the direct costs of a worker's injury or illness, we will spend much more to cover the indirect and hidden costs. Consider what one lost workday injury could cost us in terms of: o Productive time lost of an injured employee; o Productive time lost by personnel and supervisors attending the accident victim; o Clean-up or start-up of operations interrupted by the accident; o Time to hire or to retrain other individuals to replace the injured worker until his or her return; o The cost of continuing all or part of the employee's wages; o Reduced morale among your workers and perhaps lower efficiency; o Increased workers' compensation insurance rates; and o The costs of completing the paperwork generated by the incident. Management Commitment Your attitude toward safety and health shows in every decision you make and every action you take. Your employees respond to that attitude. You can demonstrate your commitment through your personal concerns for employee safety and health and by the priority you place on safety and health issues. You and every employee must know that they are accountable for their safety and health responsibilities. We must: o Identify potential hazards; o Purchase personal protective equipment; o Promote and train employees about safety. ,. Developing a WorkPle Safety and Health Program Page 2 - --- ;, Let your employees know of your concern for safety by: o Including safety and health topics in meetings and conversations with employees. . o Encouraging employees to develop and display a positive attitude toward safety. o Taking any necessary corrective action after inspections, accidents, or responses to employee suggestions; or forwarding all safety suggestions to June Obrochta in Personnel. o Providing feedback on their safety concerns and performance. Most important--you as manager must set a good example! WpC:122/Bla Attachment (08/10/87) F- e . -") ; WRITTEN HAZARDOUS COMMUNICATION INFORMATION As a company, we intend to provide information about products with hazardous substances and the control of hazards via our comprehensive Hazard Communication Program, which includes container labeling, Material Safety Data Sheets (MSDS), and training. The following information outlines how we can accomplish this objective: 1. Container Labeling - for use of industrial cleaning products and for products sold over the counter to the public. Products with hazardous substances will be reviewed prior to use to verify the following label information: a. Containers are clearly labeled as to the contents b. Appropriate hazard warnings are noted c. The name and address of the manufacturer are listed This responsibility has been assigned to: 2. Material Safety Data Sheets (MSDS) Copies of MSDS for hazardous products to which employees of this company may be ~xposed should be kept in the office. The store manager will be responsible for obtaining and maintaining these sheets. New sheets received will be reviewed by - the store manager for significant health/safety information, which will be passed on to affected employees. ' MSDS are available to all employees for review when requested. If MSDS are not available or new hazardous substances in use do not have MSDS, please notify the store manager immediately. 3. Employee Information and Training will conduct a health and safety orientation with each new employee prior to their starting work. Training and information will be given regarding: (a) Caution concerning any presence of hazardous substances in any specific work areas of the store. (b) Description, location, and availability of the Chemical Spills Emergency Supply Box and First Aid Kit. (c) Discussion of how to respond to emergencies. (f) Discussion on how to lessen or prevent exposure to hazardous spills through use of work practices and personal protective equipment. (g) Description of the steps the company has taken to lessen or prevent exposure to these substances. ,< e - ;:/ t (h) Emergency and first aid procedures for employees to follow in the event of hazardous substances spills. (¡) Discussion on how to read labels and review Material Safety Data Sheets (MSDS) to obtain appropriate hazard information. NOTE: It is important that everyone understand the training. If you have any additional questions, please contact the store manager. 4. List of Hazardous Substances The following is a list of all known hazardous substances present in our store. Specific information on each noted hazardous subStance can be obtained by reviewing the Material Safety Data Sheets. Hazardous Substances Area Found Garden Chemicals and Pesticides Industrial Cleaners Pool Chlorines Commercial Bleaches Book Matches Stove and Lantern Fuels Lamp Oils Propane for Buffer Automobile Fuel Additives Motor Oil Pesticides (Pet Products) Ammunition Various Aerosol Products Paints and Solvents Controlled Drugs Denatureå Alcohol / Warehouse &: Sales Floor WaÌ'ehouse Warèhouse &: Sales Floor Warehouse &: Sales Floor Warehouse &: Sales Floor Warehouse &: Sales Floor Warehouse &: Sales Floor Warehouse Warehouse &: Sales Floor Warehouse &: Sales Floor Warehouse &: Sales Floor Warehouse &: Sales Floor Warehouse &: Sales Floor Warehouse &: Sales Floor Phar macy Pharmacy &: Sales Floor Wpc:121/23 (08/10/87) '" e To be reviewed when reading la.s \~ Î! GENERAL DEFINITIONS Hazardous Substance: Any substance designated or listed below to which exposure results or may result in adverse safety or health effects: Any substance defined under section 101 (14) of CERCLA; any biological agent and other disease-causing agent as defined in section 104 (a) (2) of CERCLA; Any substance listed by the Department of Transportation and regulated as hazardous material under 49 CFR 172.101 and appendices; and, Hazardous waste. Health Hazard: A chemical, mixture of chemicals or a pathogen for which there is statistically significant evidence that acute or chronic health effects may occur in exposed employees. This includes chemicals which are carcinogens, toxic or highly toxic agents, reproducti ve toxins, irritants, corrosives, sensitizers, hepatotoxins, nephrotoxins, neurotoxins, agents which act on the hematopoietic system, and agents which damage the lungs, skin, eyes or mucous membranes. IDLH or Immediate Danger to Life or Health: Any condition that poses an immediate threat to life, or which is likely to result in acute or immediate severe health effects. This includes oxygen deficiency conditions. Ensure manager is aware of all labels on any product that carry this notice. May: This term is used to state a permissive use or an alternative method to a specific requirement. Must: This term indicates a mandatory requirement. Oxygen Deficiency: That concentration of oxygen by volume below which air supplying respiratory protection must be provided. It exists in atmospheres where the percentage of oxygen is less than 19.5%. Protective Clothing: Any material or combination of materials used in an item of clothing for the purpose of isolating parts of the body from direct contact with potentially hazardous liquid or gaseous chemicals. Safety Officer: The individual who is responsible to the employer and has the authority and knowledge necessary to implement a safety plan and verify compliance with applicable safety and health requirements. Shall: This term indicates a mandatory requirement. .- GENERAL DEFINITIW . õ Should: This term indicates a recommendation or that which is advised but not required. Unstable (Reactive) Liquid: A liquid which in it,s pure state ,or as commercially produced or transported will vigorously polymerize, decQmpose, condense, or become self-reactive' under conditions of shocks, pressure, or temperature. Ensure manager is aware of all labels on any product that carries this notice. Ventilation: For the prevention of fire and explosion, ventilation is considered adequate if it is sufficient to prevent accumulation of significant quantities of vapor-air mixtures in concentrations over one-fourth of the lower flammable limit. wpc:l21/t (OS/S7) ., e . I; TO: Receivers Informa tional FROM: store Manager WAREHOUSE SAFETY The attached booklet, "Safe Practices In Warehousing Garden Chemicals" is for you to read and understand. A copy is to be posted permanently in your work area and you are to ensure every new receiver reads and understands the information. Aside from the important role you play in proper warehousing of chemicals; overall safe warehouse practices are your responsibility. Please review and.E2& this memo. Add any other safety measures and let a manager know--<>r better ýet, tell them yourself--if a clerk is not using a ladder properly or following unsafe practices. Remember-it's your job to set an example by practicing safe warehousing procedu~s. Smoking is not allowed in any area of the warehouse. Proper storage procedures must be practiced to minimize the risk of fire, including spontaneous combustion with paints, fertilizers, and other combustible products. store these items away from furnaces. Know how to use a ñre extinguisher. Remember: Fire extinguishers are selected and provide for specific types of products: Class A: Class B: Class C: Ordinary combustible material fires Flammable liquid, gas, or grease fires Energized-electrical equipment fires Do not stack merchandise or tools to block fire extinguishers. If you see a fire extinguisher that has not been serviced for a maximum of one year, report it to a manager. Do not allow an untrained person to operate industrial forklifts and pallet jacks. Never overstack merchandise. Never stack merchandise on an unsturdy shelf. Report all shelves in need of repair to a manager. Never lift more than is comfortable for you. Ensure proper lifting procedures are used. Never climb on merchandise or use shelving as a ladder. Always use a ladder or stool to get to merchandise that is overhead. Use the bailer properly. Wherever you place merchandise you are moving, make sure it is in a secure place. Make certain it won't fall, tip over, roll, or block someone's way. wpc:l22/B7 Attachments (08/10/87) ... e . ':5 TO: Store Employees Informational FROM: Store Manager EMERGENCY RESPONSE PROGRAM Longs Drug Stores has developed an Emergency Response Program to enhance your health and safety in the workplace. We want to ensure that you are aware of how to respond in emergency situations. By being prepared, each one of us can contribute to the safety and well-being of your co-workers and our customers. The attached memo gives you information on how to respond in the following kinds of emergencies: Medical Power Outage Earthquake Fire Bomb Threat Chemical Spills and Cleanup Spend some time and familiarize yourself with how to safely respond to some of these more common emergencies. wpc:122/B6 {,¡, e EMERGENCY PROCEDURE. v 'lJ EV ACUA nON Should an evacuation of part or all of the building be required, it will be announced by a manager via the PA system. AVOID PANIC, BE CALM, EVACUATE AS DIRECTED. Advise customers to follow clearly marked exits. Do not use elevator. Stay clear until directed otherwise. MEDICAL EMERGENCY Notify a manager immediately. Avoid moving victim. Dial 911 if situation in any way appears life-threatening. Ask loudly for assistance, ask nearest person to please notify a pharmacist. POWER OUTAGE Remain at your workstation until told otherwise. ; Ask customers to remain calm and not to move. Remember you are familiar with the store floor plan; however, a customer is not and may injure themself. Wait until you receive further instructions from a manager. EARTHQUAKE Be calm. Stay insi de. Move away from windows and cabinets. Assist customers in taking cover and staying away from windows. Take cover under tables or cash stands. Extinguish open flames. Do not run through building. FIRE Minor: NOTIFY FIRE DEPARTMENT. Dial 911. Give exact location of fire and your name. Notify manager for assistance. In a loud, clear voice order all personnel clear of the area. Major: NOTIFY FIRE DEPARTMENT. Dial 911. Give exact location of fire and your name. Notify manager for assistance. Move clear of the fire area and in a loud, clear voice, ask everyone to immediately leave the store. BOMB THREAT Be calm. Listen, be alert and businesslike. Keep caller on the line, signal someone for help to notify a manager. Repeat instructions, take detailed notes. Ask for bomb location and when it is to go off. Inform caller that building is occupied. Note caller's voice, background noise, etc. DO NOT TOUCH ANYTHING SUSPICIOUS. wpc:121/26 J, e . ~ '" EMERGENCY PROCEDURES Chemical Spills and Cleanup Procedures Chemical spills can be dangerous. For this reason, in the event of a chemical spill, immediately set up a barrier to keep other employees or customers away. Have another employee or customer call for a manager. Ventilate the area of a spill by opening doors or by setting up a fan. Chemical fumes may catch fire; therefore, do not store flammable products near a furnace/water heater. Do not light matches when fumes are present! Under the directions of a manager, begin cleaning up a spill as soon as possible to minimize health exposure and possible problems with stains and odors. When cleaning up, wear rubber or neoprene gloves, keeping the rest of your body covered, and avoiding inhalation of the vapors. If the vapors are overwhelming, leave the area immediately and in a clear, loud voice direct other en;¡ployees and customers to leave the store. Sweep spilled solids into a plastic bag. Spilled liquids should first be soaked up with an absorbent material such as Kitty Litter, paper towels, or old rags, then placed in a plastic bag, sealed, and put in the trash can. Scrub wood, cement, or tile surfaces with a water solution of strong household detergent applied with a scrub brush or old rags; repeat cleansing with detergent until traces of the chemical are gone. Absorb each time with absorbent material. All cleanup materials should be thrown out in disposable containers such as sealed plastic bags. First Aid for Chemical Exposure ,Most products carried in our store are labeled with pertinent first aid instructions. In the event of exposure to chemical spills, employees should follow the directions listed on the label. Additional information may be available in the office on the Material Safety Data Sheets (MSDS). F allowing emergency first aid treatment, it may still be necessary to follow up these procedures with professional medical attention. Should this be necessary, employees should remember to take the container with its label to the doctor so that he or she will know exactly to which product you were exposed. This will help the physician begin proper treatment as soon as possible. In all such cases of chemical spills and exposure, employees must notify a member of management immediately. wpc:l21/21