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HomeMy WebLinkAboutBUSINESS PLAN OLD ¡. ~ITE/FACILITY DIlGRAM FORM 5 '\ ! '. i " ",\ ,[~ ,..~ NORTH' SCALE: BUSINESS NAi'tE : FLOOR: OF VonR ~ ,... DATE: / / FACILITY NAi'fE: UN IT .::: OF \ ~to (CHECK ONE) SITE DIAGRA){ FACILITY DIAGRA.'t See attached drawings (Inspector's Comments): -OFFICIAL USE ONLY- - 5A - m~ fr1~ 8; <~ oiL) H 0- '-' 0 " OE '1¡ 0 :7.~..(4..!.q_j.~"' L N.....,-OI m CO:::'I"W/~~,t:>Il.D <ØCt.Ø~"'<l,~-"""'S!!!!!<5Ir.,., oC , m- ~~pe:..:.:Q.) 4!I~þ'·CO'^60.,U.LOUVIlIoSo·::1~ Z ~, - e '""'~5~~I":;'~ tic ~ .~ /0:::11". IE:1 ~ :.cr:,.o.ro~. .., '~',~' ,~! <0 f I; 'P\ '$1M. ! . I ~.I I 46'. '¿/ 0i'Tt5-lt:>e...... :.aI"114o '~McX» ... . -œr.''''Þ::N1J~.V!l'''''''~r ~~~ ' - :~; ~~ I ~'!>:"I!~-$oI!I~~ U fJO', M!!t::..;o ~TW~. '·61 - wtl'2'~9D.r:I"!!~IL'" 0 L:..n4O*.,.¡.. ,. .. """"'-:::"~~~~ ~Q 1!:)~ir. -' /'--- , ... flXõ·. ~... 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[1 .- --=------- -- -- ~ ~ -.........--------"--- ---"",-~---- --;--------~- - ---~- - - ~ o ~N KuúL CðAJvqW'- c=J W~Tf¿(úA(.; P.f -NtlL'-::. Gr+s ¡IJ!t~ ~ fJl rfJ4J7ð ¡:~íI æ~ft&. ~ . w~w Pb~ 'S@I~~$:, j .Gr~~ . & M~Tð~ IF fi¡i1Aïy A8~~ ~ Gttftbsðæ. S ~ :rCIJ~æcn<b.; ~~ 2 LD./~@f1- ~~~ -:t'ftt~~ Z ~~Þtiv q~~~ ~ ~~ Y~d~ ~ ~ @/b () [@~ çj ~oro [ 0 ~J!::!)06 ~~ ~1íÚX{f¡¿¡ú4,- e O\~ ç- ~ %~ ~ (S" -;:t:.... E ~ ~ r - CAS - r ~ -D 0'\ ----C", _ ----,.---.-.--'--~-"""'_ '::::__~-~~--=---Z' ~ - ._ _. _~ _.- ·0-----....----- . . . . . . . . . . . .. . . . . . . . ~- · · · · · · · · · · · · · · · · · · · · . ------,-- ------~-- " " '.I' ~h . '~'" :~. ~. --- ~~:. . A ~ ---- e .. <" , ,~ ~·t '\" ~-:' .¡, <. " .( .' .~ >;;~.~ ~q.;. , l' Vf(.'S:f\o.J!.!S - ~µq~ ".--. .. Y-(U .. ,¡,~,!'~:', ,', 1', ,?!; ,~., . ·~i~ ~----- - . -~- · · · · · 'f, ~ "i'¡ · · · · · · · :'~~t~~ · · · · · · · · · - --.-.- -- ----=---- · · · · · · · · · · · · - ----- (;\ ~ (;û ,~ e ¡€.... '(r C<..... c<-. f ¡...roT 13" I{~(Y f AI .- tJ+ te s xx-x :¥ c.h.....rt1oP-( L.. "s J... "(",.- <2"- -e c- K J'Tc...- 'd...s - - - ~ 1tCf3(o 7(7c @ e Y! r,,- G¡ -"-C ~ ..,. -é.,tfl(¡ 1- ,---~~--~ --~_.-,,~ -'::1' 7Z -{t- -j-(J--q · · · · · · · · · Æ · ++ ...... -. - - eA!\ k ¡;=- Jr" r...5 ~ ~ ~ ~ t [L 1- '\I , "- o ~ J~ -: J \ '" ~"C' ~CJ 1:1 ~ ... IJ ~ - .- ..- · · · · · · · · · · ~ . " -1.---l3rÃ--" =--- ~--" ct: . t;: ~ , d ~ \I ~ Ù Go' i ~ ..... t \'! I~ oJ ... ~ ~ ~F~/1r ) ^ {jc< I r y {)c:. c (t( æ 00 ,0 ~ ++- fk.clído() r 00 S~r/~/(I("r- ð'1...\.I7tr..,c.. F /rc I=:. K 1/11..,5 c.nJ"-rrJ G c. -s S It C/ I Q '¡:.,L !3 1-t."c.T", :cø.1 J ktl r C! ~¡C ~ 0 -""- e.r T, 'c.. W 0. r e.. r ð 4. tJ"" () -tC¡L- )(V ~ ¡M ee" 'f'-J ¡ð{ 0. C e... " -r r¿X 01'1 g /\ /I /J ,~ rl I · · · · · · · · - · · . i 75(0 %" Turn off appliances. Extinguish all open flames. If ~~ility line breakage is suspected, or natural gas is detected, advise the Person in Charge so that the utilities can be shut off and the building ventilated. 5. 6. After the initial earthquake has stopped, all non-essential employees should exit the building via the closest available route and meet in the pre-determined designated area for a head count. OUR PRE-DETERMINED MEETING PLACE IS: If an individual is unaccounted for the Person in Charge will designate an employee to conduct a search in the building providing the buildIng is deemed safe to enter. 7. Employees should remain in the designated meeting place until instructions are given to them by the Person in Charge. LEGEND: STORE DIAGRAM ',' Exits ,* 00 * Fire Extinguishers rBAl([R~ ++ Gas Shut Off -- Electrical " Shut Off AA Domestic Water Shut Off 00 Sprinkler Shut Off xxx Meeting Place -- .. -- ~J1M.{rIT * fì\ ~ v ~ +-+ 4 C' /ifœ .:;-n\AJ){ ~ - f: f.,./t.hIOvl It- . VDt\s-#Ja1./17 . ""IPS- H,i1JJAt'e, &l<eY' sf,· ~,.." . ...:' ... 'I., ,~ ., , , .' ", i f' f , , ,. ',' ) .J.. , 1 ; ; , , ~~ j ~! I , ;';:.; ~ ¡ ~ "-.'} ~ . ,: ,~ : .~ \ ~:~. .', ':~í..; 1~ " :, " ~rl : I, , ¡ , .' :¡i,! _ "I,!!fi, _".._....,___.. ."'.'''___.. .~ . - ,,' :.~" '"=.:..~ ;,:""'~ --~.-=~,~:.::~,õ: :~]~~.; .=~.~~i~"~~~~~~__d~~f4~I:~~~~~J;~~!i;f:,!:rÆt;Ji:::-;;¡J~~¡~~~~~~4~~~~~~~~: ( ~.'.!.-~ t"- It - HTE3200 Account Number U T5 RECENABLE ADJUSTMENT February 9. 1998 Date Fire Department - Hazardous Materials Division Department/Division x Esther Duran From VONS COMPANIES INC #126 Billing Name 5600 STOCKDALE HWY BIlling Addre88 Site Addre88 Parcel # (If Applicable) Landlord Name & Addre88 (If Applicable) ADJUSTMENT Last Billed Correct Billing Adjustment to Effective Date of Billing Change 208.00 0 <208.00> 01-01-96 APProve¡{~~ Remarks: THE VONS STORE AT THIS LOCATION CLOSED. THEY HAVE OPENED ANOTHER VONS AT A NEW LOCATION AND WE WILL BE BILLING THEM THERE. ./ .,;...-;', ~ - STATEMENT OF ACCOUNT . CITY OF BAKERSFIELD 1501 TRUXTUN AVE BAKERSFIELD, CA 93301-0000 TO: VONS COMPANIES INC #126 POBOX 3338 ATTN: TAX DEPT LOS ANGELES, CA 90051 (80S) 326-3979 ~~)jz(JCLQ_Q;) I DATE: ~\.¡ ~ ,;>«70 /". X 0' ~ ~ ~ 0-..") ~ 0> ~/\ J CUSTOMER TYPE: ES/ 1/01/96 CUSTOMER NO: 3200 3200 ---------------------------------------------------------------------------- CHÄRGE DATE DESCRIPTION '<REF=NU¡V¡BER' DUE-DATE-T0TA'I:i-AM0{JN-Œ" ------ -------- ------------------------- ---------- -------- -------------- 12/01/95 BEGINNING BALANCE HM002 1/01/96 HAZ MAT HANDLING FEE B HM017 1/01/96 HAZ MAT ANNUAL INSPECTION .00 158.00 50.00 lR?~rc~H~~[Q) JAN 1 5 1996 VON'S TAX DEPT. Please call 326-3979 if you have question or changes regarding your account. -------------- -------------- -------------- -------------- CURRENT OVER 30 OVER 60 OVER 90 -------------- -------------- -------------- -------------- 208.00 -~~DUE-DATE,: ~li0-1./-9,6' =-",' ' ~__=~_=-...:~: ,~-'. '._ PAYME-NT D.ui":~__-~:':. ,. 2Õj~.-Oo' ~:_: _' TOTAL DUE: $208.00 __ __~____ ____ __.. dn_ - - --- ------------- ------- ==_"0..."0-= "'~~ ~_:_:o__=__-_"_"_-.c_r~.__._".n. ~__7__7.~.,__y__,..".,..,-.,..~. "__co.·n..". ,",,_no ~ - ~ - -- ------~------- -~----------------------~- -- --~-- PLEASE DETACH AND SEND THIS COpy WITH REMITTANCE 1/01/96 DUE DATE: 1/01/96 ~ s9 \-'\> c:&/ MIT AND MAKE CHECK PAYABLE TO: CITY OF BAKERSFIELD P.O. BOX 2057 BAKERSFIELD CA 93303-2057 CUSTOMER NO: 3200 CUSTOMER TYPE: ES/ TOTAL DUE: 3200 $208.00 ".-~~ ~ - the W®UÐ~. Companies, Inc. August 1, 1994 Mr. Ralph Huey Hazardous Materials Coordinator Hazardous Materials Division 1715 Chester Ave. Bakersfield, CA 93301 Dear Mr. Huey: - Vans Stores Pavilions Stores Tianguis Stores Williams Bros. Jerseymaid Milk Products Please add the following hazardous material to the Hazardous Material Inventories for the following Vons locations: Store 46 3400 Stine Rd., Bakersfield Store 126 5600 Stockdale Hwy., Bakersfield Store 505 2611 Fashion Place, Bakersfield Please call me at 818-821-5626, if I may be of any assistance. Sincerely, ~,~~ Jennie McCarthy Environmental Analyst The Vons Companies, Inc. .. P,O. Box 3338, Los Angeles, CA 90051-1338 618 Michillinda Avenue, Arcadia, CA 91007-6300 0 Telephone: (818) 821-7000 - ,- BAKERSFIELD CITY FIRE DEPARTMENT H.DOUS MATERIALS INVE~RY ( ; 1f. /2to 5" 0 0 'Stoc.Ldct ~ H \'J ~ -0. , Addres~, "O~.'._. ~= ..~ .g JSlness Name ~on CHEMICAL DESCRIPTION 1) INVENTORY STATUS: Ne~ Addition [ 2) Common Name: -F....e~ Chemical Name: AHM I ] PHYSICAL Reactive [] Sudden Release 01 pressur~] (3-digit code from DHS Form 80221 USE CODE Solid I] Liquid )-.¡ Gas [ ] Pure ] Mixture [ UNT AND TIME AT FACIUTY Muimum Qaily Amount: Average Qaily Amount: '3, (;CoO Annual Amount: Largest Size Container: 1# Days On Site UNITS OF MEASURE Ibs"iJ] gal [ ] ~3 I ] curies i ] Circle Which Months: 9) MIXTURE: ust the three most hazardous chemical components or any AHM components COMPONENT ChloC'cd: .ç/L\o("o 3) 10) Location / PageLof.!l c¡ 330'] )' '.öA ku~ t,e (d a NON TRADE SECRET ~ TRACE SECRET [ J [ ] Waste [ Radioactive I ] 8) STORA CODES a) C tamer: b) ressure: Temperature: J. A. $, 0, N. 0 CAS It., 1~ ,S ,~ 1S-Y5-f.:, AHM [ ] [ ] [ 1 %oWT 5/.2 I.ÞS.;h , OOC(o CHEMICAL DESCRIPTION 1) INVENTORY STATUS: Ne. Addition IX¡ Revision ( ] Deletion [ 2) Common Name: H e.11 u m Hc."u~ Check if chemical is a NON TRADE SECRET IXJ TRACE SECRET [ ] Chemical Name: AHM [ J 3) DOT # (optional) CAS # ~ Y 'i 0 - 5j - 1 4) PHYSICAL & HEALTH HAZARD CATEGORIES PHYSICAL Fire I] Reactive (] Sudden Release of Pressure KJ HEALTH Immediate Health (Acutel (] Delayed Health (Chronic) ( ] c¡c:r - ,*et-~ II S~ Ç'C... 5) WASTE CLASSIFICATION USE CODE (3-digit code from DHS Form 80221 6) PHYSICAL STATE Solid I .uquid [ Ges ~ I Pl'''' )(] Mixture [ ~ECXAU.. "",AT AM,J' 7) AMOUNT AND TIME AT FACIUTY Maximum Dally Amount: Average Daily Amount: Annual Amount: Largest Size Contamer: (; Days On Site 500 500 UNITS OF MEASURE Ibs I ] gal ( ft3 t< curies [ ~ql -=<~S Circle Which Months: 9) MIXTURE: Ust the three most hazardous chemical components or any AHM components 1) Hell.U\"'("\ COMPONENT 2) 3) 1 0' Location Waste [ ] Radioactive ( ) 8) STORAGE CODES a) Container: b) Pressure: c) Temperature: oLl 01 oy M, A. M. J. J. A. S. O. N. D CAS # . ,'"I'-ID-SQ-'1 %WT I cro AHM [ ] [ I ( 1 e',eve IT cerTIry unoer penBJry or law. enar eve personBJ yexammeo ana am ramm8l' wlrn !TIe ,nzomaDon sucmltt80 on en,s ana aJ aaacneo aocumenrs. ;ubmitted information is true. accurate. and complete. ..Je~ ~\(¿ rn C~<+I-. PRINT Name & Title of Aurhonz80 Com RepresenratIVe d~ ignatLIre -,- ~ vYtL~~Î <61llq~ Date """V \.IJIICSfØCIIIIfIIIDfIt ,.- . ~:~ ~~~ -""..-'.. ~ 01/12/94 '" . . VONS GROCERY COMPANY #126. 215-000-000954 Overall Site with 1 Fac. Unit \1/ Page· 1 General Information Location: 5600 STOCKDALE HWY Map: 123 Hazard: Low Community: BAKERSFIELD STATION 11 Grid: 03B FlU: 1 AOV: 0.0 - Cont.ä.gt Name : Title Business Phone - 24-Hour Phone JIM MhY-J ~ Eoot9/ MANAGER (805) 323-4204 x (818) 821-7565 LOSS PREVENTION (818) 821-3933 x (818) 821-7565 Administrative Data Mail Addrs: P 0 BX 3338 TERMINAL ANNEX D&B Number:, 00-132-5034 City: LOS ANGELES State: CA Zip: 90051- Comm Code: 215-011 BAKERSFIELD STATION 11 SIC Code: 5541 Owner: VONS COMPANIES INC Phone: (805) 323-4204 Address: P 0 BX 3338 ATTN: TAX DEPT State: CA City: LOS ANGELES Zip: 90051- Summary ~.~: S~ \) r, ~~ f¿X(\B'r~~CAj ~-qL\ ~ ,G . o~ ~'-\~ C\ ~\i:::) ~ ~~ -I\,,~) L~ "\ \ L\ - 54 L\ _ S- ~ <l 0 ~ECENED ~~ , 0 \994 HAZ. MAT. O\V· ~p ..:::k", ì"\ :c.. \-\ ('(\c..& \t~ !DO) 1h®1i'~~1f ©~liii~ ~tù~~ ~ Ih~® (Typs Of print MII'Is) li'sviswed ~hs attached hæardous matsfiai$ m~Ii'Q~~®a m~ú1~ pian ~©Ii' \{ C'<\ ~;:#: 12to ~nd ~Ih~~ i~ â\ion@ wô~1h (Name of Buslnssn) ®!ñJ1? ooIT®cti©n~ ©onstitutiS a oompisi\® aoo oorroo m~Jì)a. ~®m®~ [p)~ali'Q ~©Ii' m~ ~acili~1f. ~~L~ ~~f\ -- ------------- --- --------------- ,0 . -~ '-to ¡ e e 01/12/94 VONS GROCERY COMPANY #126 215-000-000954 Page 2 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site PIn-Ref Name/Hazards Form Max Qty MCP 02-001 BLEACH Liquid 700 High ~ Immed H1th, Delay Hlth GAL 02-011 AEROSOLS Liquid 250 High ~ Fire, Pressure GAL 02-012 POOL CHLORINE (HYPOCHLORITE) Liquid 20 High ~ Reactive, Immed Hlth GAL 02-014 POOL ACID Liquid 15 High ~ Reactive, Imrried Hlth GAL 02-018 STRIPPER Liquid 50 High ~ Fire, Immed Hlth, Delay Hlth GAL 02-021 BREAK UP Liquid 40 High ~ Fire, Immed Hlth GAL 02-003 LYSOL , Liquid 100 Moderate ~ Fire, Immed Hlth GAL 02-005 INSTANT LITE BRIQUETTES/LOGS Solid 2000 Moderate ~ Fire LBS 02-006 CHARCOAL LIGHTER FLUID Liquid 70 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-008 POWDER BLEACH Solid 1500 Moderate ~ Fire, Immed Hlth, Delay Hlth LBS 02-009 ALL PURPOSE CLEANERS Liquid 150 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-013 DRY CHLORINE Solid 250 Moderate ~ Reactive, Immed Hlth, Delay Hlth LBS 02-015 ALGICIDE Liquid 20 Moderate ~ Fire, Reactive, Immed Hlth, Delay Hlth GAL 02-020 SCANNER CLEANER Liquid 25 Moderate ~ Fire, Delay Hlth GAL 02-016 SODA ASH Solid 10 Low ~ Fire, Immed Hlth LBS 02-017 MAINTEX WAX Liquid 50 Low ~ Immed Hlth, Delay Hlth GAL 02-007 MOTOR OIL Liquid 75 Minimal ~ Fire, Delay Hlth GAL ;. ~;; ,~. e . ·01/12/94 VONS GROCERY COMPANY #126 215-000-000954 Hazmat Inventory List in MCP Order Page 3 02 - Fixed Containers on Site PIn-Ref Name/Hazards Form Max Qty MCP 02-019 CARBON DIOXIDE Gas 500 Minimal ~ Fire, Pressure, Immed Hlth FT3 02-002 INSECTICIDES Liquid 55 Unrated ~ Fire, Immed Hlth, Delay Hlth GAL 02-004 CHARCOL BRIQUETTES Solid 4600 Unrated ~ Fire LBS 02-010 INSECTICIDE (SOLID) Solid 35 Unrated ~ Fire, Immed Hlth LBS <.;; '~ - ., e 01/12/94 VONS GROCERY COMPANY #126 215-000-000954 02 - Fixed Containers on Site Page 4 Hazmat Inventory Detail in MCP.Order 02-001 BLEACH ~ Immed Hlth, Delay Hlth Liquid 700 High GAL CAS #: 7681-52-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: OTHER Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 700 , I 240.00 700.00 Storage PLASTIC CONTAINER r Press T Temp ~ Location Ambient Ambient AISLE 8/BACKROOM - Conc l 100.0% Bleach Components ~ MCP -¡Guide High 45 02-011 AEROSOLS ~ Fire, Pressure Liquid 250 High GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: OTHER Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 250 I 200.00 I 250.00 Storage r Press T Temp -:ì Location METAL CONTAINR-NONDRUM Ambient Ambient THROUGHOUT BUILDING Components Œ MCP JUide High 22 High 22 Extreme 22 Cone 70.0% 20.0% , 10.0% Isobutane n-Butane Or Butane Mixture Propane 02-012 POOL CHLORINE (HYPOCHLORITE) ~ Reactive, Immed Hlth Liquid 20 High GAL CAS #: 7681529 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: OTHER Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 20 I 12.00 I 20.00 Storage PLASTIC CONTAINER r Press T Temp -:-1 Location Ambient Ambient FRONT WINDOW/2ND LEVEL STORAGE R - Cone -, 11.0% Sodium Hypochlorite Components I~ MCP --rGuide High I 45 ~ ~ .. e e 01/12/94 VONS GROCERY COMPANY #126 215-000-000954 02 - Fixed Containers on Site Page 5 Hazmat Inventory Detail in MCP Order 02-014 POOL ACID ~ Reactive, Immed Hlth Liquid 15 High GAL CAS #: 7664382 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: OTHER Daily Max GAL----r-- Daily Average GAL ~ Annual Amount GAL -- 15 I 10.00 15.00 Storage PLASTIC CONTAINER r Press T Temp -:I Location Ambient Ambient FRONT WINDOW/2ND FLOOR CENTER ST Components ~ MCP ~uide Moderate ,60 , High 15 Conc 34.0% 32.0% Phosphoric Acid Hydrochloric Acid 02-018 STRIPPER ~ Fire, Immed Hlth, Delay Hlth Liquid 50 High GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: OTHER Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL -- 50 , I 20.00 I' 220.00 Storage PLASTIC CONTAINER r Press T Temp -:-1 Location Ambient Ambient BACKROOM NORTHEAST CORNER Components Ethoxylated Nonylphenol 2-Butoxyethanol Ethanolamine (Family Name - see MCP qGUide Minimal 1 Moderate 26 also 1465, 2636 High 60' Conc 0.0% 0.0% 0.0% "'" e e 01/12/94 VONS GROCERY COMPANY #126 215-000-000954 02 - Fixed Containers on Site Page 6 Hazmat Inventory Detail in MCP Order 02-021 BREAK UP Liquid 40 High ~ Fire, Immed Hlth GAL ( CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL -- 40 I 10.00 I' 80.00 Storage PLASTIC CONTAINER r Press ·T Temp ~ Location Ambient Ambient BACKROOM/NORTHEAST CORNER Components ~ MCP RGUide Extreme 40 Moderate 26 Minimal 5 Cone 2.0% 2.0% 7.0% Potassium Ethylene Glycol Monobutyl Ether Tetrapotassium Pyrophosphate 02-003 LYSOL ~ Fire, Immed Hlth Liquid 100 Moderate GAL CAS #: 64-17-5 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL -- 100 I 85.00 I 1,400.00 Storage PLASTIC CONTAINER r Press T Temp ~ Ambient AmbientlAISLE 8 Location - Cone l 79.0% Ethyl Alcohol Components r; MCP ~Guide . Moderate I 26 02-005 INSTANT LITE BRIQUETTES/LOGS ~ Fire Solid 2000 Moderate LBS CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: OTHER Daily Max LBS ~ Daily Average LBS --r-- Annual Amount LBS -- 2,000 . I 1,000.00 I 2,000.00 Storage r Press T Temp ~Location Ambient AmbientlFRONT WINDOW/BACKROOM BAG - Cone _I 25.0% Mineral Spirits Components r; MCP ---p;uide Moderate I 27 ..... e . 01/12/94 VONS GROCERY COMPANY #126 215-000-000954 02 - Fixed Containers on Site Page 7 Hazmat Inventory Detail in MCP Order 02-006 CHARCOAL LIGHTER FLUID ~ Fire, Immed Hlth, Delay Hlth \ Liquid 70 Moderate GAL CAS #: 800-66-42 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: OTHER Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL -- 70 I 30.00 I 70.00 Storage PLASTIC CONTAINER r Press T Temp -:-1 Location Ambient Ambient FRONT WINDOW/BACKROOM - Conc -, 100.0% Naphtha Components r; MCP --p;uide Moderate 27 02-008 POWDER BLEACH ~ Fire, Immed Hlth, Delay Hlth Solid 1500 Moderate LBS CAS #: 497198 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: OTHER Daily Max LBS ----r-- Daily Average LBS ~ Annual Amount LBS -- 1,500 I 700.00 I 1,500.00 Storage r Press T Temp -:-J Location Ambient AmbientlAISLE 8/BACKROOM BOX Components ~ MCP :ruide Low' 60 Moderate ' 35 Conc 0.0% Sodium Carbonate 0.0% Sodium Perborate 02-009 ALL PURPOSE CLEANERS ~ Fire, Immed Hlth, Delay Hlth Liquid 150 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: OTHER Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL -- 150 I 90.00 I 150.00 Storage PLASTIC CONTAINER r Press T Temp -:-, Ambient AmbientlAISLE 8 Location - Conc l 7.0% 2-Butoxyethanol Components r; MCP -¡Guide Moderate I 26 "" e e 01/12/94 VONS GROCERY COMPANY #126 215-000-000954 02 - Fixed Containers on Site Page 8 Hazmat Inventory Detail in MCP Order 02-013 DRY CHLORINE ~ Reactive, Immed Hlth, Delay Hlth Solid 250 Moderate LBS CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: OTHER Daily Max LBS ----r-- Dally Average LBS --r-- Annual Amount LBS -- 250 I 200.00 I 250.00 Storage PLASTIC CONTAINER r Press T Temp -:ì Ambient Ambient FRONT WINDOW Location Components ill MCP mGUide . Moderate 60 Moderate 42 Moderate 45 Cone 0.0% 0.0% 0.0% Trichloro-s-triazine Sodium Dichloro-s-triazinetrione Calcium Hypochlorite 02-015 ALGICIDE Liquid ~ Fire, Reactive, Immed Hlth, Delay Hlth 20 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: OTHER Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 20 I 12.00 I· 20.00 Storage PLASTIC CONTAINER r Press T Temp ~ 'Ambient Ambient FRONT WINDOW Location Components Alkyl Dimethylbenzýlammonium Chloride Ethanol Polyoxyethylene ~ MCP riUide Low 1 Moderate 26 Minimal 27 Cone 10.0% 2.0% 6.0% · e 01/12/94 VONS GROCERY COMPANY #126 215-000-000954 02 - Fixed Containers on Site Page 9 Hazmat Inventory Detail in MCP Order 02-020 SCANNER CLEANER ~ Fire, Delay Hlth Liquid 25 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL -- 25 18.00 110.00 Storage PLASTIC CONTAINER r Press T Temp ~ Location Ambient Ambient BACKROOM NORTHEAST CORNER Components Œ MCP.~GUide Moderate 26 Low . 26 Cone 0.0% 0.0% Isopropanol Ethylene Glycol Diethyl Ether 02-016 SODA ASH ~ Fire, Immed Hlth Solid 10 Low LBS CAS #: 497-19-8 cTrade Secret: No Form: Solid Type: Pure Days: 365 Use: OTHER Daily Max LBS ~ Daily Average LBS --r--. Annual Amount LBS -- 10 6.00 10.00 Storage r Press T Temp -:-1 Ambient Ambient FRONT WINDOW Location BAG - Cone l Components ~ MCP ¡GUide 100.0% Sodium Carbonate Low 60 02-017 MAINTEX WAX Liquid 50 Low ~ Immed Hlth, Delay Hlth GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: OTHER Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL -- 50 30.00· I ' 450.00 Storage PLASTIC CONTAINER r Press T Temp -:-1 Location Ambient Ambient BACKROOM NORTHEAST CORNER Cone 0.0% 0.0% Components Ethylene Glycol Diethyl Ether Ethylene Glycol Œ MCP ¡Uide Low. 26 Low 27 · ~ " . e e 01/12/94 VONS GROCERY, COMPANY #126 215-000-000954 02 - Fixed Containers on Site Page 10 Hazmat Inventory Detail in MCP Order 02-007 MOTOR OIL ~ Fire, Delay Hlth Liquid 75 Minimal GAL .CAS #: 8020835 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: OTHER Daily Max GAL 75 ----¡ Daily Average GAL 20.00 I Annual Amount GAL -- 75.00 Storage PLASTIC CONTAINER r Press T Temp ~ Ambient Ambient AISLE 7 Location - Conc l Components 100.0% Motor Oil, Petroleum Based r; MCP :--rGuide Minimal I, 27 02-019 CARBON DIOXIDE ~ Fire, Pressure, Immed Hlth Gas 500 Minimal FT3 CAS #: 124-38-9 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: OTHER Daily Max FT3 ----r-- Daily Average FT3 ~ Annual Amount FT3 -- 500 ' I 250.00 I 5,000.00 Storage r Press T Temp ~ Location PORT. PRESS. CYLINDER Above Ambient SERVICE DELI/SOUTHWEST - Conc l 100.0% Carbon Dioxide Components r; MCP ---rGuide Minimal I 21 02-002 INSECTICIDES ~ Fire, Immed Hlth, Delay Hlth Liquid 55 Unrated GAL CAS #: 67-63-0 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: INSECTICIDE Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL -- 55 I 40.00 I 55.00 Storage r Press T Temp -:I METAL CONTAINR-NONDRUM Ambient AmbientlAISLE 8 Location - Conc -/ 100.0% Insecticides Components ~ MCP -:-rGuide Unrated I 0 of . e e 01/12/94 VONS GROCERY COMPANY #126 215-000-000954 02 - Fixed Containers on Site Page 11 Hazmat Inventory Detail in MCP Order 02-004 CHARCOL BRIQUETTES ~ Fire Solid 4600 Unrated LBS ,CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: OTHER Daily Max LBS ----r-- Daily Average LBS --r-- Annual Amount LBS -- 4,600 I ' 2,000.00 4,600.00 Storage r Press T Temp ~ Location Ambient Ambient FRONT WINDOW/BACK ROOM BAG - Conc Components MCP --¡Guide 02-010 INSECTICIDE (SOLID) ~ Fire, Immed Hlth Solid 35 Unrated LBS CAS #: 67-63-0 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: OTHER Daily Max LBS 35 ¡- Daily Average LBS 25.00 T Annual Amount LBS -- 35.00 Storage PLASTIC CONTAINER r Press T Temp ~ Ambient Ambient AISLE 8 Location - Conc l 0.0% Insecticides Components ~ MCP ----rGuide Unrated I 0 , . . e 01/12/94 VONS GROCERY COMPANY #126 215-000-000954 00 - Overall Site Page 12 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation PERSON IN CHARGE WILL COORDINATE EVACUATION (AS PER PROCEDURES OUTLINED IN VONS SAFETY GUIDE, UTILIZING PUBLIC ADDRESS SYSTEM.) EMPLOYEES WILL ASSIST CUSTOMERS TO'THE NEAREST EMERGENCY EXIT. PERSONNEL WILL IMMEDIATELY NOTIFY APPROPRIATE EMERGENCY-RESPONSE AGENCIES VIA TELEPHONE CALL TO "911". VONS SECURITY DEPT WILL ALSO BE NOTIFIED. <3> Public Notif./Evacuation EVACUATION PROCEDURES ARE POSTED IN THE EMPLOYEE BREAKROOM. tHE PERSON IN CHARGE WOULD IMPLEMENT AN EVACUATION VIA THE PUBLIC ADDRESS SYSTEM AND/OR VOICE COMMUNICATIONS. <4> Emergency Medical Plan "911" WOULD BE USED TO SUMMON EMERGENCY MEDICAL ASSISTANCE. WE WOULD RELY ON RESPONDING EMERGENCY PERSONNEL TO ASCERTAIN THE LOCATION OF THE NEAREST MEDICAL FACILITY EQUIPPED TO RESPOND TO OUR SPECIFIC NEEDS, AT THE TIME. ~ ~ "!" . e 01/12/94 VONS GROCERY COMPANY #126 215-000-000954 00 - Overall Site Page 13 <E> Mitigation/Prevent/Abatemt <1> Release Prevention RETAIL GROCERT ITEMS PACKAGED FÖR RETAIL SALES IN SMALL QUANTITIES SHIPPED TRUCK TO SHELF. MINIMAL BACK STOCK IS MAINTAINED. EMPLOYEE TRAINING MANDATORY FOR NEW HIRES. THIS PROGRAM WAS DEVELOPED BY THE FOOD MARKETING INSTITUTE SPECIFICALLY FOR USE IN THE GROCERY INDUSTRY. MATERIAL SAFETY DATA SHEETS ARE LOCATED IN THE MANAGERS OFFICE IN THE SAFETY AND CLAIMS GUIDE. <2> Release Containment ABSORBANT AVAILABLE AS PART OF SPILL CLEAN-UP KIT, FOUND IN MANAGERS OFFICE. <3> Clean Up DEEP INC, (818) 575-3715, SHOULD BE CONTACTED FOR 24 HOUR EMERGENCY RESPONSE CLEAN-UP. AN ACID SPILL KIT IS ON SITE TO NEUTRALIZE A POOL CARE PRODUCT SPILL. <4> Other Resource Activation - - ---r--- ~ r1 ' "1": fl . e 01/12/94 VONS GROCERY COMPANY #126 215-000-000954 00 - Overall Site Page 14 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - OUTSIDE ALLEY CENTER OF BUILDING NORTH SIDE B) ELECTRICAL - PRODUCE BACKROOM NORTHWEST SIDE C) WATER - OUTSIDE CENTER OF BUILDING NORTH SIDE D) SPECIAL - SPRINKLER RISER GROCERY BACKROOM CENTER NORTH WALL E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - SPRINKLERS AND FIRE EXTINGUISHING EQUIPMENT (SERVICED ON A REGULAR BASIS) AVAILABLE THROUGHOUT FACILITY. PERSONNEL TRAINED IN PROPER USE AND MAINTENANCE OF EXTINGUISHING EQUIPMENT. FIRE HYDRANT - IN PARKING LOT DIRECTLY WEST OF MAIN ENTRANCE I <4> Building Occupancy Level J .) -yr-- <;.~ ...; , ~,:.. ~ 'e e ~ ¿. 01/12/94 VONS GROCERY COMPANY #126 215-000-000954 00 - Overall Site Page 15 <G> Training <1> Page 1 WE HAVE 70 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE IN THE MANAGERS OFFICE, SAFETY AND CLAIMS GUIDE. BRIEF SUMMARY OF TRAINING: REQUIRED TRAINING FOR NEW HIRES ON HAZARD COMMUNICATION PROGRAM DEVELOPED BY FOOD MARKETING INSTITUE FOR RETAIL GROCERY CHEMICALS/PROCEDURES. <2> Page 2 as needed <3> Held for Future Use (' <4> Held for Future Use -~ t:.~- ..; f, ~)'r e e " 01/12/94 VONS GROCERY COMPANY #126 215-000-000954 00 - Overall Site Page 16 <H> RMPP DATA <1> Release Containment <2> Offsite Consequences <3> In House Capabilities <4> Plant Shutdown Instruction · VONS ~CERY COMPANY #126 215-0~000954 02 - Fixed Containers on S~ Page 2 01/~ 1/92.; Hazmat Inventory Detail in MCP Order 02-001 BLEACH Irnmed Hlth, Delay Hlth Liquid 700 High GAL CAS"#: 7681-52-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: OTHER Daily Max GAL ----r-- Daily Average GAL '--r-- Annual Amount GAL -- 700 I 240.00 I 700.00 Storage PLASTIC CONTAINER r Press T Temp ~ Location Ambient Ambient AISLE 8/BACKROOM - Conc l 100.0% Bleach Components I~ MCP ---¡List High 02-011 AEROSOLS Fire, Pressure Liquid 250 High GAL CAS #: ' Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: OTHER Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 250 (> I 200.00 I 250.00 Storage r Press T Temp ~ Location METAL CONTAINR-NONDRUM Ambient Ambient THROUGHOUT BUILDING Components ~ MCP lList High High Extreme Conc 70.0% 20.0% 10.0% Isobut~ne n-Butane Or Butane Mixture Propane 02-012 POOL CHLORINE (HYPOCHLORITE) Reactive, Irnmed Hlth Liquid 20 High GAL CAS #: 7681529 . Trade Secret: Nq Form: Liquid Type: Pure Days: 365 Use: OTHER Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL ~ 20 I 12.00 I 20.00 Storage PLASTIC CONTAINER r Press T Temp ~I Location Ambi~nt Ambient FRONT WINDOW/2ND LEVEL STORAGE R Conc -, 11.0% Sodium Hypochlorite Components r; MCP ---¡List High I 01/21/92. VONS ~CERY COMPANY #126 215-0~00954 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 02-014 POOL ACID Reactive, Imrned Hlth Liquid 15 High GAL CAS #: 7664382 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: OTHER Daily Max GAL ----r-- Daily ~verage GAL ~ Annual Amount GAL -- 15 10.00 I 15.00 Storage PLASTIC CONTAINER r Press T Temp ~ Location Ambient Ambient 1 FRONT WINDOW/2ND FLOOR CENTER ST Components ~ MCP ~List Moderate High Cone 34.0% 32.0% Phosphoric Acid Hydrochloric Acid 02-018 STRIPPER Fire, Imrned H1th, Delay Hlth Liquid 50 High GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: OTHER Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL -- 50 ,I 20.00 220.00 Storage PLASTIC CONTAINER . r Press T Temp ~ Location Ambient Ambient BACKROOM NORTHEAST CORNER Cone 0.0% 0.0% 0.0% Components Ethoxylated Nonylphenol 2-Butoxyethanol Ethanolamine (Family Name - see also 1465, 2636) MCP qList Minimal Moderate High 01/%1/92· VONS ~CERY COMPANY #126 215-0~00954 02 - Fixed Containers on Site Page 4 Hazmat Inventory Detail in MCP Order 02-021 BREAK UP Liquid 40 High Fire, Immed Hlth \ GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL ~ Daily Average GAL --r-- Annual. Amount GAL -- 40 I ' 10.00 I 80.00 Storage PLASTIC CONTAINER r Press T Temp ~I Location Ambient Ambient BACKROOM/NORTHEAST CORNER Components ~ MCP =ìList High Moderate Low Conc 2.0% 2.0% 7.0% Potassium Ethylene Glycol Monobutyl Ether Tetrapotassium Pyrophosphate 02-003 LYSOL Fire, Immed Hlth Liquid 100 Moderate GAL CAS' #: 64-17-5 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL -- 100 I 85.00 I 1,400.00 Storage PLASTIC CONTAINER r Press T Temp -:I Ambient AmbientlAISLE 8 Location - Conc l 79.0% Ethyl Alcohol Components MCP ~List I-;oderate I 02-005 INSTANT LITE BRIQUETTES/LOGS Fire Solid 2000 Moderate LBS ,') CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: OTHER Daily Max LBS ~ Daily Average LBS --r-- Annual Amount LBS -- 2,000 I 1,000.00 I 2,000.00 Storage r Press T Temp ~I Location Ambient Ambient FRONT WINDOW/BACKROOM BAG - Conc l 25.0% Mineral Spirits Components r; MCP List Moderate r 01/21/92' VONS ~CERY COMPANY #126 215-odllbo0954 02 - Fixed Containers on Site Page 5 Hazmat Inventory Detail in MCP Order 02-006 CHARCOAL LIGHTER FLUID Fire, Immed Hlth, Delay Hlth Liquid 70 Moderate GAL " CAS #: 800-66-42 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: OTHER Daily Max GAL ~ Daily Average GAL ~ A' nnual Amount GAL -- 70 I 30.00 I 70.00 Storage PLASTIC CONTAINER r Press T Temp ~ Location Ambient Ambient FRONT WINDOW/BACKROOM - Conc l 100.0% Naphtha Components r;; MCP ~List Moderate 02-008 POWDER BLEACH Fire, Immed Hlth, Delay Hlth Solid 1500 Moderate LBS CAS #: 497198 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: OTHER Daily Max LBS ~ Daily Average LBS ~ Annual Amount LBS -- 1,500 I 700.00 I 1,500.00 Storage r Press T Temp -:ì Location Ambie~t Ambient AISLE 8/BACKROOM BOX Components I~ MCP ¡List ~~~eratel Conc 0.0% Sodium Carbonate 0.0% Sodium Perborate 02-009 ALL PURPOSE CLEANERS Fire, Immed Hlth, Delay H1th Liquid 150 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture 'Days: 365 Use: OTHER Daily Max GAL ~ Daily A~erage GAL ~ Annual Amount GAL 150 I 90.00 I 150.00 Storage PLASTIC CONTAINER r Press T Temp ~I Ambient Ambient AISLE 8 Location - Conc l 7.0% 2-Butoxyethanol Components . r;; MCP ~List Moderate I () 01/21/92' VONS ~CERY COMPANY #126 215-odlloo0954 02 - Fixed Containers on Site Page 6 Hazmat Inventory Detail in MCP Order 02-013 DRY CHLORINE Reactive, Immed Hlth, Delay Hlth Solid 250 Moderate LBS CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: OTHER Daily Max LBS ~ Daily Average LBS ~ Annual Amount LBS -- 250 I 200.00 I 250.00 Storage PLASTIC CONTAINER r Press T Temp -:-1 Ambient Ambient FRONT WINDOW Location Components MCP mList ~Oderate Moderate Moderate Conc 0.0% 0.0% 0.0% Trichloro~s-triazine Sodium Dichloro-s-triazinetrione Calcium Hypochlorite 02-015 ALGICIDE Fire, Reactive, Immed Hlth, Delay Hlth Liquid 20 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: OTHER Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 20 I 12.00 I ' 20.00 Storage PLASTIC CONTAINER r Press T Temp ~ Ambient Ambient FRONT WINDOW Location Components Alkyl Dimethyl Benzyl Ammonium Chloride Ethanol Polyoxyethylene Œ MCP ;: List Low Moderate Minimal Conc 10.0% 2.0% 6.0% 01/21/92- VONS ~CERY COMPANY #126 215-odlloo0954 02 - Fixed Containers on Site Page 7 Hazmat Inventory Detail in MCP Order 02-020 SCANNER CLEANER Fire, Delay Hlth Liquid 25 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 25 I '18.00 110.00 Storage PLASTIC CONTAINER r Press T Temp ~ Location Ambient Ambient BACKROOM NORTHEAST CORNER Components Œ MCP ~List Moderate Low Cone 0.0% 0.0% Isopropanol Ethylene Glycol Diethyl Ether 02-016 SODA ASH Fire, Immed Hlth Solid 10 Low LBS CAS #: 497-19-8 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: OTHER Daily Max LBS ~ Daily Average LBS ~ Annual Amount LBS -- 10 I 6.00 I 10.00 storage r Press T Temp ~ , Ambient Ambient I FRONT WINDOW Location BAG - Cone _I 100.0% Sodium Carbonate Components ri: MCP ---¡List Low I 02-017 MAINTEX WAX Immed Hlth, Delay Hlth Liquid 50 Low GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: OTHER Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 50 I 30.00 I 450.00 Storage PLASTIC CONTAINER r Press T Temp ~ Location Ambient AmbientlBACKROOM NORTHEAST CORNER Cone 0.0% 0.0% Components Ethylene Glycol Diethyl Ether Ethylene Glycol Œ MCP lList ,Low Low 01/21/92, VONS ~CERY COMPANY #126 215-0~00954 ,02 - Fixed Containers on Site Page 8 Hazmat Inventory Detail in MCP Order 02-007 MOTOR OIL Fire, Delay Hlth Liquid 75 Minimal GAL CAS #: 8020835 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: OTHER Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL 75 I 20.00 I 75.00 Storage PLASTIC CONTAINER r Pre~s T Temp -:-, Ambient AmbientlAISLE 7 Location - Conc l Components 100.0% Motor Oil, Petroleum Based \ r; MCP ~List Minimal I 02-019 CARBON DIOXIDE Fire, ,Pressure, Immed Hlth Gas 500 Minimal FT3 CAS #: 124-38-9 Trade Secret: No Form': Gas Type: Pure Days: 365 Use: OTHER ---- Daily Maxi FT3 ~ Daily Average FT3 ~ Annual Amount FT3 -- 500 I 250.00 I 5,000.00 ~ . ~ Storage r Press T Temp -:ì Location PORT. PRESS. CYLINDER Above Ambient SERVICE DELI/SOUTHWEST - Conc l 100.0% Carbon Dioxide Components r; MCP ~List Minimal I 02-002 INSECTICIDES Fire, Immed Hlth, Delay Hlth Liquid 55 Unrated GAL CAS #: 67-63-0 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: INSECTICIDE ---- Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 55 I 40.00 I 55.00 Storage r Press T Temp -:-1 . METAL CONTAINR-NONDRUM Ambient AmbientlAISLE 8 Location - Conc l 100.0% Insecticides Components ~ MCP -:-rList Unrated I 01/21/92' VONS ~CERY COMPANY #126 215-0dIÞ000954 02 - Fixed Containers on Site Page 9 Hazmat Inventory Detail in MCP Order 02-004 CHARCOL BRIQUETTES Fire Solid 4600 Unrated LBS CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 365. Use: OTHER Daily Max LBS ~ Daily Average LBS ~ Annual Amount LBS -- 4,600 I. 2,000.00 I '4,600.00 Storage r Press T Temp ~ Location ~bient Ambient FRONT WINDOW/BACK ROOM BAG - Conc Components MCP ---¡List 02-010 INSECTICIDE (SOLID) Fire, Inuned Hlth Solid 35 Unrated LBS CAS #: 67-63-0 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: OTHER Daily Max LBS ~ Daily Average LBS ~ Annual Amount LBS ~ 35 25.00 35.00 Storage PLASTIC CONTAINER r Press T Temp ~ Ambient Ambient AISLE 8 Location Conc l 0.0% In~ecticides Components ~ MCP -:-rList Unrated I .--- ----- 01 I 211-9 2.i~ VONS G~RY COMPANY #126 215-000.~ 0954 RECEIVED Page Overall Site with 1 Fac. Uni 1 General Information MAR 0 5 1992 1 © Location: 5600 STOCKDALE HWY Community: BAKERSFIELD STATION 11 Map: 123 Hazard: Low Grid: 03B FlU: 1 AOV: 0.0 Contact Name L))~S vR6VSr01IDN J(tJì \; Title Business Phone (8IB~) 82-:/-3Cf39 ~'c, (005) 3'2-3 -:'L1'Z--OY-' 24-Hour Phone (81B H3z-t -'150. ( ß/ß )62--/ -lSfc6 R.. D&B Number: OOI32-50QL\ State: CA Zip: 90051- SIC Code: 5541 , , V)ÄNA b\SR. Administrative Data Mail Addrs: P 0 BX 3338 TERMINAL ANNEX City: LOS ANGELES Comm Code: 215-011 BAKERSFIELD STATION 11 Owner: VONS COMPA~IES INC Address: P 0 BX 3338 ATTN: TAX DEPT City: LOS ANGELES Phone: (805) 323-4204 State: CA Zip: 90051- Summary E ¥ (ý \1-- ~~ ~D \ f'K'~ ()\/ Do hereby cs&i¡~ ~h~~ ~ ha"~ 'I or print nama)' IIsvlewed the aUached haz~,:díJus matsrials mtali'iìS\g~a ~ Msnt plan for~.fuJ1b.and that it~loft1g with (Nama of BusinsS/) . @1U1Y coU'rsctions constitute é1I complets and COí'ú"sd maú'ta ~~®m®H1t plan ~or my ~acilit)f. if: ~!1~¡", yth- · ~ VONS ~CERY COMPANY #126 21S-odllbo09S4 00 - Overall Site Page 10 01/21/92' <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 " <2> Employee Notif./Evacuation PERSON IN CHARGE WILL COORDINATE EVACUATION (AS PER PROCEDURES OUTLINED IN VONS SAFETY GUIDE, UTILIZING PUBLIC ADDRESS SYSTEM.) EMPLOYEES WILL ASSIST CUSTOMERS TO THE NEAREST EMERGENCY EXIT. PERSONNEL WILL IMMEDIATELY NOTIFY APPROPRIATE EMERGENCY-RESPONSE AGENCIES VIA TELEPHONE CALL TO "911". VONS SECURITY DEPT WILL ALSO BE NOTIFIED. <3> Public Notif./Evacuation EVACUATION PROCEDURES ARE POSTED IN THE EMPLOYEE BREAKROOM. tHE PERSON IN CHARGE WOULD IMPLEMENT AN EVACUATION VIA THE PUBLIC ADDRESS SYSTEM AND/OR VOICE COMMUNICATIONS. <4> Emergency Medical Plan "911" WOULD BE USED TO SUMMON EMERGENCY MEDICAL ASSISTANCE. WE WOULD RELY ON RESPONDING EMERGENCY PERSONNEL TO ASCERTAIN THE LOCATION OF THE NEAREST MEDICAL FACILITY EQUIPPED TO RESPOND TO OUR SPECIFIC NEEDS, AT THE TIME. ~ '. 01/21/92- " VONS ~CERY COMPANY #126 21S-odllbo09S4 00 - Overall Site Page 11 <E> Mitigation/Prevent/Abatemt <1> Release Prevention *bt.. nmut1C:TS "fA®m·:.~8D ~ ·1tß'l'ML ~ ci:tt ePlIlI;t, t:ôUII.IIIBMi. ~ YMÐue!;P~ licit£. "~IC =ïte ('lI!;r;I"", 1'f9 iJ\oRŒ eYl.U'l'I'l'IE6 UeU6J!iU m' 'fIffIe Œ\REI-IQYfi¡iB J1IRBfI. - --- - --"'-.~ ,-- ------ Retail grocery- ttems packaged for retail salesih"smallquantities shipped truck to shelf. Minimal backstock is maintained. Employee training manadatory for new hires. This program was developed by the food marketing insitute specifically for use. in the grocery industry~ Material Safety Data Sheets are located in the manager's office in the Safety and Claims Guide. <2> Release Containment Absorbant available as part of spill clean-up kit, found in manager's office. <3> Clean Up Deep Incorporated, (818) 575-3715, should be contacted for 24 hour emergency response clean-up. An acid spill kit is on site to neutralize a pool care product spill. <4> Other Resource Activation :.-p .; 5ï ;T." v 01/21/92V VONS ~CERY COMPANY #126 215-00~00954 00 - Overall Site Page 12 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - OUTSIDE ALLEY CENTER OF BUILDING NORTH SIDE B) ELECTRICAL - PRODUCE BACKROOM NORTHWEST SIDE C) WATER - OUTSIDE CENTER OF BUILDING NORTH SIDE D) SPECIAL - SPRINKLER RISER GROCERY BACKROOM CENTER NORTH WALL E) LOCK BOX - NO " <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - SPRINKLERS AND FIRE EXTINGUISHING EQUIPMENT (SERVICED ON A REGULAR BASIS) AVAILABLE THROUGHOUT FACILITY. PERSONNEL TRAINED IN PROPER USE AND MAINTENANCE OF EXTINGUISHING EQUIPMENT. FIRE HYDRANT - IN PARKING LOT DIRECTLY WEST OF MAIN ENTRANCE <4> Building Occupancy Level ~ .. ,~) (orq '" ',V o 1/21/92¡' VONS ~CERY COMPANY #126 215-00~00954 00 - Overall Site Page 13 <G> Training <1> Page 1 WE HAVE 70 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE IN THE MANAGERS OFFICE, SAFETY AND CLAIMS GUIDE. . BRIEF SUMMARY OF TRAINING: REQUIRED TRAINING FOR NEW HIRES ON HAZARD COMMUNICATION PROGRAM DEVELOPED BY FOOD MARKETING INSTITUE FOR RETAIL GROCERY CHEMICALS/PROCEDURES. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use r!~ eo e e III. Haz Mat Training All employees are trained in hazardous chemical knowledge via a video and booklet. This program complies with state and Federal standards. Verification of this training is maintained at the store and in the employees personnel file. IV. Local Emergency Medical Assistance San Joaquin Industrial Medical Center; area hospitals designated by emergency response personnel. A. Refer to the enclosed inventory sheets. B. Sprinklers and fire extinguishing equipment (serviced on a regular basis) available throughout the facility. Personnel trained in proper use and maintenance of extinguishing equipment. Hydrants are located in front of the store on Niles/Shalimare Streets and at rear of Bldg SE corner. D. Employee Notification/evacuation Person in charge will coordinate evacuation (as per procedures outlined in Vons Safety Guide) utilizing public address system. Employees will exit the facility and report to an area a safety distance from the building for a head count. E. All products packaged for retail sale in small containers. All products are "truck to Shelf", no large quantities housed in the warehouse area (ie. backroom) Please feel free to contact my office if I may be of further assistance. Thank you for your cooperation. Sincerely, Jk-~.~ Steven J. stein Safety Coordinator attachments cc: Brooks Gunderson Mark Bohlin Bob Bermingham sjs025 ·l--MJ;. ~ cg the w@œ~ fõ \ " '" h ) I ~~ii '------ cr £/ )I- I b } Vons Stores Pavilions Stores Tianguis Stores lerseymaid Milk Products e 4r~J ~ ~ Companies, Inc. RECEIVED rAPR 0 6 \989 HAZ. MAT. DW. March 6, 1989 Mr. Ralph Huey Bakersfield Fire Department Hazardous Material Division 2101 H street Bakersfield, CA 93301 RE: EMERGENCY BUSINESS PLANS Dear Sir: Pursuant to the City's requirements, I have completed the Emergency Business Plans for the following Vons Stores: #46 - 3400 stine Rd. #126 5600 Stockdale Hwy. #151 - 3401 Wilson Rd. #416 2661 Oswell #417 - 6465 Ming Ave. #418 - 1505 white Lane An inventory for each location has been enclosed with the plans. The following is the Plan for Vons store #43. also been enclosed. An inventory has I. Overview Emergency Contacts: Dave Baldwin - 589-0618; ,Andy Trovino 872-8237 utility Shutoffs: Gas - outside S wall on N end of Bldg. Electrical - Inside Rear SE wall outside Rear wall S side 50 ft. E of store Water - SE corner outside Fire Sprinkler - Inside S wall E corner next to electrical panel. Chain locked in open position. II. Notification/public Evacuation If an evacuation was necessary an announcement would be made over the stores' PA system asking patrons to exit via the closet emergency exit. If the system was out of service, designated employees would request patrons exit via the closest emergency exit. This is the policy at all Vons' locations. The Vons Companies, Inc., Risk Management Department P.O. Box 60008, Arcadia, CA 91006 t:;- ~.: 06/18/91 VONS tlbCERY COMPANY #126 215-04IÞ000954 Hazmat Inventory List in Reference Number Order PIn-Ref Name/Hazards 02 - Fixed Containers on Site 02-:1 02-)'2 02-003 * 02Y4 BLEACH Immed Hlth, Delay Hlth INSECTICIDES Fire, Immed Hlth, Delay Hlth LYSOL Fire, Immed Hlth CHARCOL BRIQUETTES Fire 02-0P,-0 5, INSTANT LITE BRIQUETTES/LOGS V Fire 0106 / 02.j07 02~8 02~ 02~0 0271 02? 02-01 I 02-~ CHARCOAL LIGHTER FLUID Fire, Immed Hlth, Delay Hlth MOTOR OIL Fire, Delay Hlth POWDER BLEACH Fire, Immed Hlth, Delay Hlth ALL PURPOSE CLEANERS Fire, Immed Hlth, Delay Hlth INSECTICIDE (SOLID) Fire, Immed Hlth AEROSOLS Fire, Pressure POOL CHLORINE (HYPOCHLORITE) Reactive, Immed Hlth DRY CHLORINE Reactive, Immed Hlth, Delay H1th POOL ACID Reactive, Immed Hlth ALGICIDE Fire, Reactive, Immed Hlth, Delay Hlth SODA ASH Fire, Immed H1th 02-0~ MAINTEX WAX V Immed Hlth, Delay Hlth j WLd ~~012- Form Liquid Liquid Liquid Solid Solid Liquid 70 Liquid 75 Solid Liquid Solid Liquid Liquid Solid Liquid Liquid 20 Solid 10 Liquid 50 700 Quantity 55 100 GAL GAL GAL 4,600 LBS 2,000 LBS GAL GAL 1,500 LBS 150 35 250 20 250 15 GAL LBS GAL GAL LBS GAL GAL LBS GAL Page 1 MCP High Unrated Moderate Unrated Moderate Moderate Minimal Moderate Moderate Unrated High High Moderate High Moderate Low Low ,,,,?t'." , ~-: 06/18/91 VONS ~CERY COMPANY #126 215-03lt000954 Page 2 Hazmat Inventory List in Reference ber Order 02 - Fixed Containers on Site PIn-Ref Name/Hazards Form Quantity MCP STRIPPER Liquid 50 High Fire, Immed Hlth, Delay Hlth GAL CARBON DIOXIDE Gas 500 Minimal Fire, Pressure, Immed Hlth FT3 0 SCANNER CLEANER Liquid 25 Moderate Fire, Delay Hlth GAL 02-~ BREAK UP Liquid 40 High Fire, Immed Hlth GAL " 03'/27/91 VO&RÓCERY COMPANY #126 215_10-000954 Overall Site with 1 Fac. Unit Page 1 General Information - =ïl 0.01 - Location: 5600 STOCKDALE HWY ~\,b Iden~ Number: 215-000-000954 Map: 123 Hazard: Low Grid: 03B Area of Vul: Mail Addrs: City: Cc.mro Cod e : y-- Business Phone~24 Hour Pho (8no::.O) 7'=''3-'-4'::004 x 'H~:-:§~ Ü'7'; ':)2 (8Õ~) ~~~-4~~~ (~Õ5) J9~o~~ Administrative Data P 0 BX 3338 I Lllpq 1!>1f IL Hf\lI'I1:: X ~I~\l~- '\ D&B Numbet~: 00132.9>3<-{ LOS ANGELES ~~ 'o:\" <::''''''1 State: CA Zip: 90051- 215-011 BAKERSFIELD STATION 11 SIC Code: 5541 J~ Title MANAGER . ' ()gS I STnÞJT MANAGeR n~ ~~ ~ Contact Name r~''''' \'I~ JšlRE:ND() TI NAS Owner: VONS COMPANIES INC Address: P 0 BX 3338 ATTN: TAX DEPT City: LOS ANGELES Phone: (805) 323-4204 State: CA Zi.p: 90051- r S'Jmmary I - 11 j / :2l.\ ~~ l~s~ ~~\,-~ ~ ~\i/82.f- 7.5'"15 I, (Ty , 0 Do hereby ce~å~n ~héM I ha"6 pi) or print name) 'J7 ~ reviéwed [hG attachi~d iki;'c; ·:'>;us materials manage- ment plan for ,,.,.,~ ¡!'a" 'I} I . h --"-'-\~\í,:: "-;~',¡:';7:';J'--"':~' !\.¡ .¡, t h a oog WIt . an\J conGc·:'r,,'·,," ...,.....,' .. :. ~ t.v..~ (,o~" ,,;.1,,;., :,.3 2:....,jf¡!P¡í~!e and correct man- agement plan for my facility. Signature Dale hi 1-~ 7-9/ 03/27/'31 VONS GROCERY COMPANY #126 215-000-000'354 Hazmat Inventory List in MCP Order P~3ge 2 02 - Fixed Containers on Site PI y,-Ref Name/Hazat"ds Fc.t"m QuaYlt it Y MCP 02-001 BLEACH Liquid 200 High Immed HI th, Delay Hlth GI~L 02-003 L Y,SOL Liquid 100 M.:,derate Fit"e, Immed Hlth GAL 02-002 INSECTICIDES Liquid 60 UYH"ated Fit"e, Immed Hlth, Delay Hlth GAL e e o --------,~----'- 03/27/91 VO&ROCERY COMPANY # 126 l. 215_>0-000954 , 00 - Overall Site Page 3 (D) Noti'f./Evacuation/Medical (1) Agency Notification CALL 911 (2) Employee Notif./Evacuation PERSON IN CHARGE WILL COORDINATE EVACUATION (AS PER PROCEDURES OUTLINED IN VONS SAFETY GUIDE, UTILIZING PUBLIC ADDRESS SYSTEM.) EMPLOYEES WILL ASSIST CUSTOMERS TO THE NEAREST EMERGENCY EXIT. PERSONNEL WILL IMMEDIATELY NOTIFY APPROPRIATE EMERGENCY-RESPONSE AßENCIES VIA TELEPHONE' C(~LL TO "911". VONS SECURITY DEPT WILL ALSO BE NOTIFIED. <3} Public Notif./Evacuation NONE LISTED E..\¡GoI.~,-,-q,~è'<"\ ~t""oc;..e.l~ <A~ þ~.t '" ~tL \2:~\ë,e1C- ~~~'""'" _~, ~~õ....-,....- d.."Ú.,~e... ~\J... \""~~, CA.,^, e\J~~"'-';'\,<J,,", \j~",- ~4. '~'o\'\L ~~j Sl.r~", o..v-.Jjo'C' \l<.:n~~ cC""-~\ c;..... ,\-=\..."'1. <4} Emergency Medical Plan "911" WOULD BE USED TO SUMMON EMERGENCY MEDICAL ASSISTANCE. WE WOULD RELY ON RESPONDING EMERGENCY PERSONNEL TO ASCERTAIN THE LOCATION OF THE NEAREST MEDICAL FACILITY EQUIPPED TO RESPOND TO OUR SPECIFIC NEEDS, AT THE TIME. 03/27/'31 VaNS GROCERY COMPANY #126 215-000-000'354 00 - Overall Site Page 4 <E> Mitigation/Prevent/Abatemt <I} Release Prevention ALL PRODUCTS, PACKAGED FOR RETAIL SALE IN SMALL CONTAINERS. ALL PRODUCTS ARE "TRUCK TO SHELF", NO LARGE QUANTITIES HOUSED IN THE WAREHOUSE AREA. <2} Rele~se .Containment <3> Clear. Up <4} Other Resource Activation ¢ ¡: e e - - -~----~--------- - -- ------""-- -- 03/27/91 VO&ROCERY COMPANY #126 .215_10-000954 00 - Overall Site Page C' ;:J <F> Site EMergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - OUTSIDE ALLEY CENTER OF BUILDING NORTH SIDE B) ELECTRICAL - PRODUCE BACK ROOM NORTHWEST SIDE C) WATER - OUTSIDE CENTER OF BUILDING NORTH SIDE D) SPECIAL - SPRINKLER RISER 8ROCERY BACK ROOM CENTER NORTH WALL E} LOCK BOX - NO (3) Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - SPRINKLERs AND FIRE EXTINGUISHING EQUIPMENT (SERVICED ON A REGULAR BASIS) AVAILABLE THROUGHOUT FACILITY. PERSONNEL TRAINED IN PROPER USE AND MAINTENANCE OF EXTINGUISHING EQUIPMENT. FIRE HYDRANT - ???????? ~ ~\':J \.ø~ ák"ec"\-r ~ c:::.{ ~,"",~\'~f'ce... <4} Held for Future use 03/27/91 VONS GROCERY COMPANY #126 215-000-000954 00 - Overall Site Page 6 <G> Tt'a i'1"1Ì 1"lg <1> Page 1 WE HAVE 60 EMPLOYEES AT THIS FACILITY WE HAVE MATERl(~L SAFETY DATA SHEETS ON FILE \~ ~ \-'t~rS o\-k02.. - <;;'c..~)-c(;- Q\~ìft'o,..) G.u.~ BRIEF SUMMARY OF TRAINING: J ~~\~ ."c;.Ù.....:,'";\ -k ~ "',~ 0" ~"'-~ c.".--~,^,""':...~,.\..;.ó~ _ ~""(¡~,"","- Ç}Q.vJ.",,~ ~'j Çco.l ~u-t"'\<..e.,~:J ~~-B+-'-~~' ~~, '- c...~veSl G~c""l,SY proc:..e~~ <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use ;¡ e e , .[, - " / ~ ~. - ~a~4 Bu.4 p~ HAZARDOUS rv1A TERIALS INSPEéTION'\ ,- qs~ BUSINESS IWŒ: /!òN5 , LOCATION: 5(Pòo ,')1ðd~ RECEIVED SEP 1 6 1988 Aßs'd.. ............ INSPECTION DATE: .3' /4 .9> ~ ~ I U2:r u¿( G2t [2( INSPEcroR: VERIFICATION OF IHVENTORY MATERIALS VERIFICATION OF QUANTITIES VERIFICATION OF LOCATIOR PROPER SEGREGAT:tON OF MATERIAL CCMIŒH'l'S : VERIFICATION OF BAZ MAT TRADfDIG 0' ~ --., VERIFICATION OF IISDS AVAILABLE CCMIŒNTS : VERIFICATION OF ABATPJŒHT SUPPLIES a PlbXBOORBS ø CDMIIEH'l'S : '--' EMERGENCY PROCEDURES POSTED o Ikt- COHTADŒRS PROPERLY T~Rt:Y.Rn ~: ).;0 £l/4¿ PðS-n¿p VElUnCA'1"IœI OP FACILITY DIAGRAM GLr SPEC:IAL JIa~QDS ASSOCIATED WI:'1'B THIS FACILITY: VIOIATIORS: · ...;.< ,~ f--- "(~ e e BAKERSFIE D CITY FIRE DEPARTMENT 130 "G" STREET BAKERSFIELD, CA 93301 (805) 326-3979 RECEIVED AUG 2 1 1987 \?-3-b~ ~ Ans'd............ xtJS? II OFFICIAL USE ONLY ID# ~ 7 6~ ){ 000954 US nmss 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: Vons Grocery Company * \ ~ <0 B. LOCATION / STREET ADDRESS: '5600 CS.!.oc..~ ¿A \ e. \-\w ~ CITY: Bakersfield, ZIP: ~ ~~aq BUS. PHONE: ( 805) 3 J. '3 -y ¡O'-\ 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 EMERGENCY: NAME AND TITLE DURING BUS. HRS. AFTER BUS. HRS. A. VONS Security . (14 Hours) . Ph# (Zl1)2R1-14')') Ph# Ph# Ph# B. SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. B. C. D. E. f'JOR.,\.L,. ~:d ~ IF YES, DOES IT CONTAIN SITE PLANS? YES / NO FLOOR PLANS? YES / NO MSDSS? YES! NO KEYS? YES / NO - 2A - e e ,'" SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE ~ . . :.~' ; Sprinklers and fire extinguishing equipment(serviced on a regul~r basis) available throughout facility. Personnel trained in proper use and maintenance of extinguishing .., .,'..' r ;, ·Etg4ipjn~n;~. SECTION 5: LOCAL EMERGENCY ~EDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE "911" would be used to summon emergency medical assistance. We would rely on responding emergency personnel to ascertain the, location of the nearest medic~l facility equipped to respond to our specific needs, at the time. SECTION 6: EMPLOYEE TRAINING E~PLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES E~PLOYEES WITH INITIAL A~D REFRESHER TRAINING IN THE FOLLOWING AREAS. " CIRCLE YES OR ~O T~ITIAL A. ~;~~~~~L~~~.~~~~.~~~~~~~~.~~.~~~~~~~~~........... ~~ ~O B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES:.....~..... ....... .... .... ~ ~O C. PROPER USE OF SAFETY EQUIPMENT:.... .. .......... .. ~ NO D. E~ERGENCY EVACUATION PROCEDURES:................. ~ ~O E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:.... . .. YES (]ßV SECTION 7: HAZARDOUS MATERIAL REFRESHER @) ~O XO NO NO ® CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POUNDS OF A SOLID. 55 GALLONS OF. A LIQUID. OR 200 CUBIC FEET OF A COMPRESSED GAS:.. . . .. YES NO I I' Karen Tucker I certify that the above information is accurate. I understand 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. SIGNATU~ l~_ TITLE Corp. Safety Mgr. - 28 - DATE 8-12-87 ;. ,ç- r~ J e e ,. ," BAKERSFIELD CITY FIRE DEPART~E~T 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL USE O~LY ID# ------ BUSINESS XAME: BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1. To avoid further action, this form must be r~turned by: 2. TYPE/PRINT YOUR ANSWERS IX ENGLISH. 3. Answer the questions below for THE FACILITY U~IT LISTED BELOW 4. Be as BRIEF and CONCISE as Dossible. FACILITY L~IT# \-:t to FACIL.ITY UNIT NA.'1E: Vons Grocery Company Store # ,~\o SECTION 1: ~ITIGATION. PREVENTION, ABATEMENT PROCEDURES All products packaged for retail sale in small containers. All products are "Truck to Shelf", no large quanities housed in the warehouse-area (i. e. , . backroom). SECTION 2: NOTIFICATION .~~D EVACUATION PROCEDrRES AT THIS eXIT OXLY Person in Charge will coordinate evacuation (as per procedures outlined in VONS Safety Guide, utilizing Public Address System. Employees will assist customers to the nearest emergency exit. Personnel will immediately notify appropriate emergency-response agencies via telephone call to "911". Vons Security Department will also be notified. , " , -- ,-J~ - - e e ~\ c;- ." ','. ~ SECTIO~ 3: HAZARDOUS ~ATERIALS FOR THIS L~IT ONLY A. Does this Facility Unit contain Hazardous MaterialS?.....B NO If YES, see B. If NO, continue with SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secret YES 8 If No, complete a s~parate hazardous materials inventory form marked: NON-TRADE SECRETS O~LY (white form :4A-l) .If Yes. complete a hazardous materials inventory form marked: TRADE SECRETS O~LY (yellow form #4A-2) in addition to the non-trade secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION Sprinklers and fire extinguishing equipment (serviced on a regular basis) available throughout facility. Personnel trained in proper use and maintenance of extinguishing equipment. SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS ~djacent hydrants SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS UNIT ONLY. A. :JAT, GAS!PROPA:JE~ o ù ~ ':> \ ~ ~ c. ~ "e~ ') ~ ~~~~rL 0 ~ ~'ci~ _ f'..JOR \.~ So ì d ~ B. ELECTRICAL: f>~o ~v C. ~ \ò ~ c.. 'c... R. 00 IV', I Q\.Jon..~" (wee;. +- ~ ~ ð e. C. WATER: D v ~s l c:\ e C~\\e~)' c:.t.~~e..n.... o~ 1;3 \~~. - NOR.t~ Si de D. SPECIAL: S~rL\ r-.J '<.. \e.1t. 'Ç< \ ~ Ii! f<.. '. c;. RO<-e..ft.~ ~ ~c:..\c. rr..oC) M - c:. eN~e. n./ IVO-R.:t/t... W ~ \ \ CN,Q",~ "l-o ~MQ.R.~E.IVC.~ -e..)c~~ ') . ' LOCATIO:J: E. LOCK BOX: YES ,8 IF YES, IF YES, SITE PLAXS? FLOOR PLAXS? 'lES / NO YES I :\0 ~!SDSs? !\2YS" YES i \0 YES \0 - 33 - RAKERSFIEtD CITY FIRE DEPARTMENT FORM 4A-1 NON-TRADE SECRETS HAZARDOUS MATERIALS INVENTORY ..- I. D. # Page of .' BUSINESS NAME: Vons Grocery CompànY ADDRESS: 5600 Stockdale Hwy. OWNER NAME: The Vons Companies Inc. FACILITY UNIT #: 126 ADDRESS: .10150 Lower Azusa Road FACILITY UNIT NAME: ~ CITY, ZIP: Bakersfield, Ca. 93309 CITY, ZIP: El Monte Ca 91711 PHONE #: (805) 323-4204 PHONE #: (818) 459-8013 10FFICIAL USE CFIRS CODE ONLY 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUM. 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 M 37 925 gals 99 99 Sales Floor-Aisle 14 Various Pesticide Products FLLQ Front Window . M 42 1050 gals 99 99 Sales Floor-Aisle 13 Various Lighter Fluid Products FLLQ 121 3025 gals 99 99 Sales Floor-Aisle 15 Various Bleach Products //65,0 FLLQ . NAME: Karen Tucker TIT L E: Corp Safety Mgr. SIGNATURE: J/........ _ïl:... 'ir""", DATE: 8-12-87 '\ EMERGENCY CONTACT. VONS SecurÜy(24 Hours) ,- TITLE. --------------------- P,HONE # BUS HOURS. (80S) 323-4204 AFTER BUS HRS: (24HRS) (211)281-14SS PHONE # BUS HOURS :--____________ AFTER BUS HRS: ----------- EMERGENCY CONTACT: PR~PAL BUSINESS ACTIVITY: ~* ~ Packaged for Retail Sales TITLE: Retail Sales - 4A-1 - ~HAZARDOUS MATERXALS XNVENTORY NON - T H ^ DES E CHI:;: T S ñ 7/ , Pag. ~ of.:::! NAME OF Trr1S FACILITy:;/d tel. \\ I\I~y.., ß~"Ì~·,,-s.~ND^RD INO. CLASS CODE JDUH AND BRADSTREET NUMBER CITY of BAKE·RSfJ.6'L1J - ~ ~ (a.. Înó 'qr ;cu !tUrf '--' Standard 8us ,n'55 BUSINESS NAMF.: ~ \JO",::> Cu",,~~,,\~> :þ LOCATION: l;Cooo S~~tÀø...k.~'( CITY ,ZIP.,. PHONE ,: _ ~2.3-L\<ð'"i OWNER NAME: \\..;.. '->G¡Ü (c,\~. \",..,.'\.;. ~ ADDRESS: (Ju fJ.{¡~ 33~>? \~('''''''''''''r...\. CITY, ZIP: L\'::t, <1uù51 PHONE ,: ~ \ ~ R 2. \ - :s \l L.f to tua'Ø TO IIISf7lUcrIOIIS roR PROPIlR CODItS 1 2 'r8n. Iy )t! (00' Cod. J .... Mt . AYfflc¡e Mt t " 11 CaIIt CaIIt Ut, Prftl ''''' Code 5 Annve I Est I IIHlu!'l Units 7 IOyt an S\[, U loattan Ihrt Stor-ed In Flti Ifty C.'.5. IIuMItr _________ to.paMnt 11 ...., C.,. 5. ..... __~~:> ~ _1l__ ___ ,...-, r--, ,.-, ,..-, ,..-.., L~irl Hlllrd '-_.J Rnctiyity '-_.J 0e11Y9d '-_.J SudcMn h\_ '-_.J l-.dllt, .. Hellth of P!'IlIvre ....Ith ta.ølnlnt It ...., U.5. ..... ec.øon.nt IJ ..., t.A. S. ...,. tJ 'by lit u "- of .htUl'l/Co.ontnu See ''''tMlCt ions ---------- ~~ç' ~U-'!Ù~L~j-~_-~ú.~\-\-\C\ {¡¡7-_~~-O__ ____ ~O·¡!~~SO~t".J~l\ M<.v\.,d f.o7 - Col ~D ¿ ç , í 0 ' ,-"0'<..\ -:¡: 56 \..JQ I Vc, - 'i 7~ !r , ,~_2_~_ __ ______ _R E \- ~ì' '- A- \ u:.\d ~L.( - \ 7 - 5 NA- N···~L ~ - N- G. ~~ --- ---- L/ \2- NH -------- ------ S~ {' tc.-C+<A'" T S--.\.\ ~c;,~s 775 7-8'2-b -~ U.S. IIuMItr _____ to.paMnt 11 ..., c.., s. "'*'-'" ,.-, I. - J l-.dilt' ....'th to.paMnt t2 ..., U.S. .....,. to.paMnt n ..., C.&.5. ...., ,~_ _..5 ~___ ~~~~._ s..o.ga::J__Ll ~S I 'i PhyslClI end ....Ith Hlllrd Lo.U:'nc.\'Y C.'.5. .... (Check III that IPply) ~~ç ~ PO\,jo.><;:"~ ,...-., ~-., ~-., ,..-., L _.J Fi.. "IZard '-_J RNctíy!ty '-_.J DtIIY9d '-_.J Sudd,"II.I"tt "" Ith ot '"".ur. 8~ ... , U.5. ..... ,.-, I._.J l-.dllt' ""Ith Co.ontnt 12 11_' C.'.5. ..... to.paMnt IJ ..., U. 5. ..... -'~' __L _1?--_L..Ha_---, L-...'l.~. ç__.l~~U.iLLl..~L-LL'Ll{.? T-:.___-----'íhà.~.Jl ~ P II and ""Ith HI"rd Lqu.... c.~y, ~ C.A.S. "'**' CœtIantnt II "_, C.A.5. IIuMIIt' ( heck III that ,.",) 1Ik..~~"'''?\! L\"......\u -----._--------~--,-- r-, ,.-, ,.-, ,.-, ,.-, Coeøonent 12 1I_'C.'.S,1h;.btr ., _.J Ft.. Hazard '-_.J ,,"ctiv!ty "_.J Dtl.ytd I._.J Stldd,"lIl!l"tt '-_.J l-.diat' HNlth ot Prnsure H,a Jrh eo.øor-t IJ ..... C. A, 5. llueber A ý'¡ \ ~1'\\'c... S () C\." v... 'Y'.<"\ ---- ---- ------------ ----- oð..\ '^ Vv"o. ç \ \ c~ TeJ --------- --------- ----- ----------------------------- ----...... ~fRGENÇY Cl*rACIS ':A~ø.~---,-,> --__________________ ~V;¡~~~~-~----------m-- ,?7.(~ztfk'- 12.~~-~W---_----- {ti;i~-:.):~--------m- ~~;1.M7-~K'i-- C.ntlic'tion (Read and sif!n after co.plf!tlnf! all sections} I r...t1fy undrr I*'Ihy of 1.. that I havl! trsonll1y ....intd and I. fa.í1iar with the infor..tian subaHted in t:æ:i. IIId In nIChed doc_U, end that bind an .., ínquiry of tlan tndlvtclul1s rftøonlib\. for oblai"inQ the ~~/ I bt.1i.v. hat the lubltHttd ínto....tíon ;1 true, Iccurat', and c~~ _ ./ ~ ~.-.;'¡;;a~Ø'õWñ. ~~DR"õwñr;:7õ~;:ãtõ;:·nü£liõmfnfõ;:ñiñ£¡fm S~~· --- -------~-----------------..------- Difi-~~--m--m------- . CIT}T of BAKERSFIELD ~HAZARDOUS MATER~ALS ~NVENTORY NON - T RAt) ESE eRE" S Page~_ Of] ! NAME OF Tn1s FACILITY: ~. It "'I"'€"" ~ ß~~~J.-G.~NDARD IND. -CLÄSS CODE , DUN AND BRADSTREET NUMBER + ." :- '7 " Far. and 'qriculture <--J Standard aus ;ness BUSINESS NAME:~ \JCt"l::> ~1!''-~\~> " LOCATION:'!)kDO s.\P¿~~ ,\~( CITY, ZIP: PHONE II: 3~3-c..{,c;tf OWNER' NAME: \~ ~{\> (o""'~1'.\~ ADDRESS: i30 G04- :3.3'>(\t:.('""",,,,1O'\ CITY, zIp: L~ ClÙDSI PHONE ,,: ~ \ )? ¡( ¿ \ - 3. 9 '1 ~ RUØ ro IIrsmucrIolIS nJR PROPIlR CODIlS 1 ~ I ran. Iyoe (od. Code ) .... Mt I . 10, Cant. Cont Cont Type Prell T.., . '..rlg, Mt 5 Annut 1 Est , IIMlv", Units T IDyl an Sit' ,..-.., ,..-.., r,-' ,.-, L_' RNCti.,lty L_. 0I1.y.c¡ L_' SucIdtn hI.... L_. 1-.elI.tt ~.Ith of Pl'lllUft HIe Ith U P~ic.1 end Heelth Her.rd 0 \ \ (Check .11 thet .pply) D\€D,..cl\ r- - .., ,.. - ., ,. - ., r - ... ,. -" '- _.J Flft Hellrd L_. Rtectl.,lty L_.J OII.ytd L_. Sudden hl.... L_. 1-.elI.t, Hee Ith of Pi'll""" ....lth ,':\. P~IClI end IIMlth Hellrd (C'*=k ,II thet .pp I,) r-, ,..-, ,..-, ,.._., ,._., L _.J Fire 'Hllerd L _.J RNcti.,hy L -. o.llyH L -. Sudden ReINS' L -. 1-.dI.t, H"lth of P","vre Httlth 11 Un Codt u ...... of .1at_/eo.an.ntl Stt IntU'vcti_ 12 Locet Ian IIhtrt Stortcl In Feclllty S~~,~ q<>,~~~~_~ tc.ponent 11 .... C.,. 5. .....,. 1) 'by lit ..---------- L~o ?~\__~~~~!D_~t ~ \,.J ,~'I..~____ ___ to.QanInt. 12 ... Ie.... 5. .....,. ---- ---- . CcIiÍIIanInt IJ .... U. S. ...... ~\~ J~_ __ ______ .:l!:- S~~ci~----- tc.ponent 11 ..... C. A. 5. .....,. tc.ponent 12 .... U.5. ...... --- CoIIDonInt 13 .... t.A. S. .....,. \\:ú \e. . ~ CoIIDonInt.1 .... C. A. 5. .....,. ------------------ ---.- /00 .AV\îm0~·\to\ ...-- ---- eo.an.nt 12 "_, C.'.S. ...... ------------- ...---.. eo.cø-t 13 .... C.'.5. .... __L-!.:i_º__L_Zc-~_____L__~~__JÇ;,j)H Se~ -1ö l--LL:l._1 \ q ,fu~e\-å ..~~ _ ___ Co.øanent 11 "_, C... 5. ...... ,\" ú\ P~ic.1 end Hflhh IItr.rod /" \ . l l \ \U.S. bbtr (Ch4tck .11 thet .",lr) L. "CA.'" ~ Ij""-K." -----------------:-.,-- ,...-, r-' r-, r-~ r--, " L _.J FtreH.rard L_' IINctivhy L_' o.layH L_.J Sudd", R.IHSI L_' l-.dlat. HN Ith of Prnsurt Health I DO N ~ --------- ----- Co.øanent 12 "_, C. A. 5. IhiaIber --------------------------------- -----.. .sz,J:, ....J "fRGENCY COIITACTS IItsë;i\:e Ai.' tc.ponent i) .... U.S. IUber d__________________ Ti~~~~~~L----------- ~1/r;~¡"?:CJ.c:..-- I2l1i~-~~~~~------- T~T~..s- ';- t'1l~---------- ~~~'-Jf...'i__ C.rtlfication (R~lJd IInd sign lifter co.pJt>Ung 1111 s~ctJons) I ""'" ".... _",of 'u ""' , ..~ ",._"; "u;,.. "" . '.11", 0'1h ,.. '.'...1im u..",.. " 1h¡, ~ _,i. ... ,.., ..... m.. .....'Y " ,.... ,........." _""..... for ob!I1,'inQ t""'~7' I beli.v het the svbloitttd info....tion is true, accurat., and cc.øl.t.. ..., ./ ¿ A.;~-¡~r1t~~-- Pt'~ò;:-On.õ~;:7ò~;:ã£õ;:·š_ãü£oo;:ma_r~jj;:išiñ£myi S;ij~ . ------- ------~--------------- DitïSi~~---------------- ~HAZARDOUS MATERIALS INVENTORY NON-THADE SECRETS / .21 Paqt ,_ ofÄ_ NAME OF Tn1S FACILITY:~~ . H ,,~.,..., ~~~'"'J.$.~NDARD IND. -CLÄSS CODE ' DUN AND BRADSTREET NUMBER CIT}T of BAKERSFIELD .~. .~~..:i .- .:: -: -. -. fac. and Aqcicu1tuct '--' Standacd 9u51nt55 BUSINESS NAME:~ \)0('\::> a"~\~> ~ \2. Cç LOCATION: S-'e~ ~~~, ,-....Al7 CITY. ZIP: .ß.- y n-\-\ ~0 PHONE': ~'\,?_~ ..42.pi ,- OWNER NAME: \~ ~{\> (L""''''''\''-'l''~ ADDRESS: flu Go~ :~J>i' '\e,.('"""""",,\.. CITY. ZIP: L~ <1005\ PHONE .: ~ \ ¡( R 2. \ - 3. (j 't to tarK1l TO IIISTRUCf'IOIIS roB PROPIlR CODØ 1 2 I cftnJ IYI"! ( od, Codt , 10 Cant Cant PreI. 1.., n lOCltlon Ihr, Stored In ffClllty II III' Code 3 lie. AIIt 5 Annua I Est , .....v... Units , II)yt 'on SIt' . ....".C t &lit .. --- erir. Hlnrd ~:J RHCthlty ~:J DaI.yH [:J ~P::::- [:J 1-.cIlete ~t 12 .... U.5. .... 13 'by 1ft U IIIMI of .ht_/CotIoonent. See Inttruct ilr1l 0\ COD_-I07-~\~ c.ontnt II .... C.A.S. .... ß~,,\::.('O~ ~______ __ ----- 9 (:¡ (~-'i 5 :-:----~--- ------ !jA E\\.p1-ì\~\d ~O()ì'\" (>\-e,!,QL_ ____ ~I fr 2. 0 G '-4. ~ j..'1~ -\--~'<¥- \ I \ \ ~ 7 , '02- ----------- ---- W't1 \-'to {\()t:\-\e>V') I.. ,-L. 3-5 \~~~ --- _L./O 2.. c.ontnt 12 .... u. s. ....... c.ontnt 13 ...., t.A. S, ....... ~\<"(Ü0:"Y'\ P~ic.1 11M! IINhh Hu.rd S'{"''<~' (Check .11 that .""Iy) f...p......,~r::: j~~" 1 r-., r-.,~~ r-., 7) ,.-., L - ~ flrt' Haurd '- _..I IIHct iylty '- _..I o.l.yftf '- _..I Suddfn 11.1.." HN I th of "1'tS.ure to.øor-t 11 .... C.A.S. .... ,.-, '- _..I J-.dl.t. H..lth to.øor-t n ._. C.A.S. .... eo.ø-nt IJ .... t.A. 5. .... -.__l__2a__L_J__ _____L!:iDQ._.J{2&.:lJ___LlLLLLr.t..i.Qþ ..1___ P~ic.1 11M! H..hh ",urd \4e",\~\-...Io. Q~"...J-.~ ~\,h C.A.S. IhIIIber to.øor-, t 11 (Check. 11 that 'filiI,)' ~e.'''>c.\SI '----------------:-~-- .. - , ,. -, , ,. - , ,. - , ,. - , Co.oonent 12 L - ~ flrt HlZard '-_..I IINctlvity '-_..I o.layftf '-_..I Sudd", Rtl,", '-_..I l-.dlate HHlth of Prt..ure Htalth 11_ . C.A.S. .... ... . t.A. 5, IIIiebf!r tc.poMnt 13 .... C.A.5. IIuMfIr '\\V" ~f RGfNCY COllI ACTS ., II_~ ~._ .... , '------------------ Jri¡~}:~-~~------------ ~J-I,,;~~ïº--- u ß~ ~m~ III¡¡-------/' ,------------- ~ G \'yc~\ E.\-\er \Jï:' _/lU-f(~.-§_ _ tifu t;: \- ~ Nt --------- ----- Clnification (RetJd and 5j~n after co.pJr.Ung all s~ctJonsJ I clctifv undtr "",lty of law that I hayt Df!rson.l1y t.a.inlld and .t foili.r with the 1nfor..tion su.itttd In th~s 1I1d.11 tfChtd cJoc_u. II1d that build on ~ inquiry of thos. Indlvldut1s rHÞOrI.;ble fur uOUi,,;nq ~~~on. _Heyt t t tilt su.ittlld info....tion is t",.. '(cur.te, .nd cOllplete, ~ / ...-/ ~ ~ A;_'.-a,~-ør?t -- - ---r- - -DJI------7-----·--·----··~-·-~~---------·-··-- S'=~~ ~------------------------ '''t--S·---~-- ~--------------- n Ù 1C '''-''11 P 0 o-n.rfJril ator own~" OPflralor 5 aUU1Qr IlIPO r,or""",,{ 1Y. 1~..,.a;:zR5':: .,., '9" CIIY ot ~AKtK~rltLU . . KAZARDOUS MATERIALS INVENTORY 4C5i Fare and Agtlculture [] Stan.dard Business . { L /_ NON..-TRADE SECRETS Page of J9 E~~¡Yið~.N~'¡¡¥: ~~~ ~~W~~M~~~~~~~t~~D~~DT~hð.FêmPl¿D~" 12..1:, _.~_.. ~. ~A6~~ HÞ\~~~Y:>'-\ <> .-' --Cj "30 , ,. ~ TY ,!P: 0 . ~co·· DUN AND BRADSTR~ET NUMB~R-'D¿~jf-H'~'-" - - - R ~Mh t UC"I~NS rUff PROPER CODES - - - - - - - - - . 6 7 8 9 10" 12 13 ' Mea$ure , Dys Cont ContCont Use loc~t i on Vhere 'by Units on Site Type Press Temp Code Stored In Facility Wt SA-\e.:a ~'I..V\~c1......., Co~ponent'l Name & C.A.S. Number j7t,,: ~, .B:.--,:f' 1 Tr~ns Code 2 TYDe Code 5 Annual Est J Max Ant . Average Ant ' Component'2 Name & C.A.S. Number o Immediate Health Component'3 Name & C.A.S. Number C.A.S. Number I~re Huard o Reactivity ¡ 0 Delayed 0 Sudd;n Release i Hea Ith 0 Pressure I i I I o Reactivity¡ 0 Delayed 0 SUdd;n Release I Health 0 Pressure (;> Pnysical end Health Halard \çheck all that apply I C.A.S. Number ¡yFire Hazard o Reactivity o De layed 0 SUdd;n Re 1 ease Health 0 Pressure Component'2 Name & C.A.S. Number o hUlled ¡ate . Health Component'3 Name & C.A.S. Nunber Component' I Name & C.A.S. Number Component'2 Name I C.A.S. Nunber o Immediate Health Component'3 Nalll8 I C.A.S. Nunber EMERGENCY CONTACTS 111 Los~ ~~~ e.! g\g ~P_l'7545 112 1U ntle Z41IrP1ione /mie ntle Íertifiçatioq fReed and sign afJer cÇ>mp7eting {t71, c~ions) , . . certify unoer øenaltr 0 la_ th.t (. have þersona Iy examlneo eqd,n familiar Ylth Information ,ubnltte~ 1n this end all attached dQcynents, anQ t at based on my Inquiry 0 thoseclndlvldua s responsible for 0 talning the Information. I believe that the subllltted IntOfJIatlon IS true, ace rate, ~nd j~tlPlete. , \, ~f ~~ :r. S::.\1::.\~ ~ ~ CoO~\~~\ . liflnïïãõr lin. ,;:¡m UK 011 ¡operatOr's ludíoÌ'ízed r@õresentatlve gn ure . Q"fire Hazard o Reactivity o De layed 0 Sudden Re I ease Hearth of Pressure ()\~~I ~\,~s [) ,Component'2 Name & C.A.S. Number , Immediate Health Component'3 Name & C.A.S. Nunber 2fl!fTI~ ~ 6-q-q¡ Onnrqr.ëð-' CITY ot HAKI:.K~t-lt:LU HAZARDOUS MATERIALS INVENTORY [] NON..-TRAOE SECRETS Page 2 of It:, OWNER NAME: NAM~ ~h THIS FACIlITYÒ lk:N'\S4±: l2~ . ~~9~ES¡!p: ðÚ~ RNDDBÄ~8šT~~~fSNSMRfA=:~ ---.--,.,-~,~~=-=~==~ RE~E~ to-rNSTRUCTIONS fUH pROPER CODES - - - - 6 1 8 9 10 II ,12 13 Kea$ure . Oys Cont Cont Cont Us~ loc~t Ion Where , by UnIts on SIte type Press Temp Code Stored In Fatl ] Ity Wt LB-S 3~ 5 ( 'So-.~ ö\e ' ßQ."k("oc"V'\ Na~e & C.A.S. umber' ?- -- .,. Farm and Agticulture [] Standard Business BUS~NE~S NAME: LOC TI N' CIT . IP: PHON~ : [] Fire Hazard o Delared [] SUdd;n Release ~ Component .2 Hame & C.A.S. Number I~mediate Hea th o Pressure Health Component .3 Name & C.A.S. Number 71oi .~'f i \ oc"\a~\\e I I ~ Component .2 Name & C.A.S. Nu~ber [] Fire Huard o Reactivity! [] Delared o SUddfn Release Immediate I Hea th o Pressure Health Component t3 Name' C.A.S. Nu~ber [] Delared ~ Component .2 Name' C.A.S. Number o Fire Hazard [] Reactivity [] SUddfn Re I ease Immediate Hea th o Pressure Health Component .3 Name' C.A.S. Number ~ 8: Ph~~icf'·,nd ~ealth ~afard (/·~ : ( ec a I t at app y ~re Hazard ~ddfn Release ~' Component '2 Name & C.A.S. Nu~ber [] Reactivity [] oelared Immediate Hea th o Pressure Health Component f3 Name & C.A.S. Number EMERGENCY CONTACTS #1 #2 IUIIe ntle 241Ir pnone Rã1ie Certificatioq (Rebd and sign af1f3r cÇ>mp7eting, Ç17 7, sec~ions) , . . I certIfy un1er penaltx 0 ra~ th~t I have pe(sona Iy exam,n~o Oqd om famIlIar Ylth the InformatIon $ub~ltte~ In thIs ond all attaçheddQcuments, ano t at based on my InquIry 0 those IndIVIduals responsible for obtaIning the Information. I belIeve that the submItted Information IS true, accurate, and complete. ' q~~flctal title of ovn@r/operator UK owner/operator's authorized representative Tttle 2(l{ftñ~ s-ijñnure o~n-SW:ëa- ~ Farm and Agticulture (] Standard Business CITY ot ~AKt:Kt>t-ltLU OHAZARDOUS MATERIALS INVENTORY NON.,-TRADE SECRETS Page ~__ of ~ OWNER NAME: NAME OF THIS FACILITY' t)Oí\s.::fL l~~ ~DRESS' STANDARD IND. CLASS CÒDE:---- --.'------- . ~ T~ i~P: DUN AND BRADSTREET NUMBER-'-' ----,---., _.,-,- R ~E~ to-rNSTRUCTIONS f-uH pROPER CODES - - - - 1 8 9 10 11 12 13 I Dys Cont Cont Cont Usa location Where , by on SIte Type Press Temp Code Stored In FacilIty lit 1-1 s,.. ks \+1S \e.- Component 11 Nane & C.A.S. Number I B~S¢NEîS NAME: L C TI N' C T I- I P: PHONt: : IQ Fire Huard (] Reactivity l (] Delared (] Suddfn Release ~ Component .2 Nane & C.A.S. Number nmed iate j Hea th o Pressure Health Component 13 Name & C.A.S. Number p ~~iC~1 ,~d ~ealth Hafard C.A.S. NUllber Component 11 Nane & C.A.S. Number ( ec a t at apply I I 10 Fire Hazard I ~ Component 12 Nalle & C.A.S. Number o ReactivitYI (] De I ared (] SUddf" Re I ease mmed ia te I Hea th o Pressure Health Name & C.A.S. NUllber Component 13 1 Trans Code (] Reactivity o Delayed ~dfn Release Health 0 Pressure r1 ~ Component.2 Name & C.A.S. Number Ilyu~~diate Health Component t3 ~("è~(.\.~ 7.Lt -qg"'lø ßU\CA.'4'\e.. IDro- '17-8 2..0 Physic.1 Iud Health Hafard (Check all that apply o Fire Hazard ~ctiVity: o De I ayed (] Sudden Re I ease Health of Pressure ~ Component.2 Name & C.A.S. Number ~ Immediate Health Component.3 Nalle & C.A.S. Number EMERGENCY CONTACTS tl1 tl2 Raile ntle 24Hr phone Rüe Cerlificatio" (Re~d and sign afler c9m'f7eting, (:177, sections) , , , I certify unaer penaltx 0 ra~ that J have persona IVl examJna ,"d em familIar Ylth the information ,ubmltte~ In this end all attached documents, anQ t at based on my Inquiry 0 hose IndlvlduaJs responsible for obtaining the Information. 1 believe that the submitted Inforftat on IS true, accurate, and co~plete. nt1e nllftfi~ Ç~~TICIII title of owner/operator UK owner/operator's authorized reõresentã~ S1gñát u r e O~n'1tqr.ëð-'" CI'I"Y ot HAK~K~~ltLU []HAZARDOUS MATERIALS INVENTORY U Standard Business NON.,-TRADE SECRETS Page _+_, of ro , OWNER NAME: NAME OF THIS FACILITY' \ \D~S i' L2~ ~DRESS' STANDARD IND. CLASS CÓDt':-'-- '-,--------- . ~ ;X~ ~!P: DUN AND BRADSTREET NUMBER-'-' ---.--, ,-, ,--- R FE~ ta-rNSTRUCTIONS ¡-Of( fJROPER CODES - - - - 6 7 8 9 10 II 12 13 ' Hea$ure I Oys Cont Cont Cont Use loc~tion Where , by UnIts on SIte Type Press Temp Code Stored In FacilIty wt lßS. 3fo~ 0 Sc.\.e.~ ~~\.Uì~'-' ~, ----r- ' C.A.S. HUMber Component II Hame & C.A.S. Number ~ Component 12 Name I C.A.S. Number Ptc. ìd Immediate Health Component .3 Name I C.A.S. Number " .."0"' :Ç:q,~--:c-W\~ ò~ Component II Name & C.A.S. Number ~. Component 12 Name I C.A.S. Number mmedlate Health Component '3 Name & C.A.S. Number S ,~~ ~\~( w Component .1 Name I C.A.S. Number :\e.. ~ Component 12 Name I C.A.S. Number Immediate Hea I th Component '3 Hame & C.A.S. Number " Farm and Agticulture [] BUS¢NE~S N, AME: LOe TI N' en . If>: PHONt: : t 2 Tr~ns TYDe COde Code [] De layed [] sudd;n Re I ease Health 0 Pressure ~ ~. Component'2 Name I C.A.S. Number 1lY'1m~edlate Health Component'3 Hame I C.A.S. Number ~ \S PhY5ical 'Ud Health Hafard , (Check a 1 that apply i I o Fire Hazard ~ctivitYi []Delayed [] Sudden Release I Health of Pressure (JI'fire Hazard i [31Íeact i v i t y: [] De layed [] SUdd;n Re 1 ease Health 0 Pressure Physical ',nd Hellth Hlfard (Check a I that apply o Fire Hazard [] Reactivity o Delayed [] Sudden Release Health of Pressure ; EMERGENCY CONTACTS _1 _2 RIlle nt1 e ZflHî'ñone Rã1ie Certifiç!tio~ fRer:d and $jgn afjer cçmp7etjng ~11 sectjons) r certify unaer øenlltr 0 II~ th4t r have persona 1Vl exam¡neo O~d om familIar yith the informatIon $ubmitted in this end all attaçhed dQcuments, ano t at based on my Inquiry 0 hose Individuals responsible for obtaIning the Information. J believe that the submItted Inforøatlon IS true, accurate, Ino co~plete. ~!ñ~rlclll tItle of ownerloperltOr U~ owner/operator's autNorlzeo repreJëñtatlve Tltle 2fl!ftñ~ S11ñflure Unf1f4f.ëð- GIIY at UAKtK~rltLU OHAZARDOUS MATERIALS INVENTORY 1_; NON-TRADE SECRETS Page __?, op 2~W~Å~S~~ME: ~~~~o2~o T~h~. FêHš§T~òo~?'\\~·...l~b .--- ---,---,_.- ~ ;XY ~Ip: OUN ANO BRAOSTREET NUMBER---' ----'-- - _'d,__,_ .. R ~M~ to-rNSTRUCTIONS f-Uff PROPER CODES - - - - 1 8 9 10" 12 13 u . Oys Cant Cant Cant Use loc~tion where 'by Na~es of ~;.ture{ç='cor.ents on SIte Type Press Temp Code Stored In FaCIlIty Wt See Instruc Ions ~ D t\G\.\"'~ ~C-\~ -- Far. and Agtlcultur. 0 Standard Bu.tn.s. r>!sI~í~~.NAME: cTTv... IÞ: PHONt: : 1 2 J 4 5 Tr~ns TYDe "ax Average Annual Code Code Ant Allt Est U '" '0 Physical ,nd Health Hafard (Check all that apply iQ F ire Hazard I o Reactivity i 0 Delayed 0 Sudden Release ì Hea Ith of Pressure C> P ysic.I 'Ud Health u8fard \I:heck a I that apply I I '0 Fire Haurd 0 ReactivitY~ 0 Delayed 0 Sudden Release Health Of Pressure I ~ ~ Conponent.2 Nalle I C.A.S. Nunber ~ Immediate ' - Health Component.3 Nalle & C.A.S. Number ßo..<..'ç.~~ ~ Nalle & C.A.S. Nunber ~ Conponent.2 Nane & C.A.S. Nunber ~ IlInediate Health Component.3 Nalle I C.A.S. Nunber Q Fire Hazard o Reactivity o Delared 0 Sudden Release Hea th of Pressure \)~ll Sv..:> Component., Nalle I C.A.S. Nunber O d' COllponent.2 Nalle I C.A.S. NUllber llllle late Health Component.3 Nale & C.A.S. NUllber lío~~ù ._~ o Fire Huard o Reactivity o De 1and 0 Sudden Re 1 ease Health of Pressure O ,Co_ponent 12 Halle I C.A.S. Nunber IlImedlate Hea I th COllponent.3 Nale I C.A.S. Number Sc.Ú',,-("\.Q. ~ c- 'eû... ~ -e, (" ~7 -Co3 '0 ~ b \D 'N>.\.:b ~1\ ~\, ...\ t.\:~~ \ \~k'<. EMERGENCY CONTACTS .1 "2 Rille ntle Z41JrJ7I\one Rfiie Certifítatioq (Reed and $ign af~f3r cçmp7eting, 1t71 rce.ctionS) J certIfy un~er pen.111 0 r.~ th4t J nave pe(sona IWl exallneO ,Qd ,e faMIlIar wit the Inforllatlpn ,ubllitted in this ,nd .11 attathed documents, anQ t at based on .y InquIry 0 hose IndIVIdualS responsible or obtaIning the 1nforllatlon. I belIeve that the sublltted Infor.at on IS true, accurate, and co~plete. ~Jft~rlclal tIt), or owner/operator UN owner/operator's authorized reõflfëñt1~ TIt Ie n-lffTfi Sl1ñiture Dn!~14;¡eð' []HAZARDOUS MATERIALS INVENTORY . fA NON-TRADE SECRETS,~~Pa,ge __,iQ' 00 OWNER NAME: NAME OF THIS FACILITY' \ \O~ :lê"G~- ~DRES~. 5T ANDARD IND. CLASS CÓDE~-'-'-- ,-.--.._..-,--- ~ TY ~tp: DUN AND BRADSTREET NUMBER---' ----- - ,. .,,--,-, . R ~~~ tOJ:lVSTRUCTIONS f-Uff PROPER CODES - - - - 6 7 8 9 10 II ,12 13 Ii Measure . Dys Cant Cant Cont Use locatIon Wheee 'by Na~es of ~i~ture{c~rcor.ents UnIts on SIte type Press temp Code Stored In Facl1lty Wt See Instruc Ions l 3k>S <it ~:E Cô\:Nr Co~ponent II Name I C.A.S. Number' ,;.. .. .,,-' ;¡ Far. and Agticulturl [] Standard Búsiness , ~~5IY~î~·NAHE: cyry... Ii': PHONt: : 1 2 3 trans tYDI ~ax Code Code AIIt ~ \\ Physical fnd Health Hafard (Check a I that applYI 4 Average Amt C.A.S. Number o F ire Hazard I o Reactivity ì 0 Delayed [] SUddfn Release j Health 0 Pressure P rs:ic,1 'Od Health Ha{ard ICheck a I that apply, , I 10 Fire Hazard 0 Reactivity~ I o Del,yed [] Suddrn Release Health 0 Pressure - ~l1Y at ~AKtK~~lcLU 2... ~~ Conponent.2 Name I C.A.S. Nu~ber l.!rÎm~ediate , Health Component.3 Name & C.A.S. NUiber 2.. 7 [] COiponent.2 Naie & C.A.S. Nuiber Immediate Health Component.3 Name & C.A.S. Number Physical 'nd Health Halard ICheck a I that apply' C.A.S. Number Component" Naie I C.A.S. NUlllber o Fire Hazard [] Reactivity o Dela,ed 0 SUddrn Release Hea th 0 Pressure O Component 12 Naie I C.A.S. Number IlIImediate Hea 1th COlllponent'3 Nallle & C.A.S. NUiber PhY5ic,1 ,od Health HSfard \theck all that apply) Naie & C.A.S. Number o Fire Haza.rd o Reactivity o Delared 0 Suddfn Release Hea th 0 Pressure [] . COlponent'2 Naie & C.A.S. Number limedlate Hea I th COlponent.3 Name I C.A.S. Number EMERGENCY CONTACTS _1 _2 RIlle net e lflJrnone NUe Íertifiçatio~ (Re~d and $ign af1er cÇ>mp7eting, a77. ~e.ctionS) . , , certIfy un~er penalll 0 la~ th,t J have persona 1Vl exallneO '~d'l fall lIar Ylt the informatløn $ublltted In thIs ,nd all atcaçhed documents, ,nQ t at based on BY Inquiry 0 hose Indlvldua s responsible or obtaIning the Inforiatlon. I belIeve that the sublltted Inforlatlon IS truI, accurate, and cO~þlete. TItle 2' 'RfT~~ Ç¡ftr-rrðïDTlclll tltlt or owner/operator UN ovner/operator's authorized 'eÐflšëñti~ Sl1ñflurê on n r 4r.er