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Home My WebLink AboutBUSINESS PLAN 7/20/2007t: j, j ~ ALBERTSJNS INC ~~ A~ - - - - -• a 8200 STOCKDALE HWY 4, ._ c ~; ,.... ~~~~ .~> f ' ~ 4JY`...~ ~ 1C..~ ~0~~ .~, ~y 7d ,~ ~ C~ `~ ~ z ~, r "..~ ~~ ~~ ~~ I\1 f, _ ~~ ---;-- ~ e' 8LJI~OI~ ~IH.( ~IH~ I, --....; -- ~'-' , I I ~ -:~- ~ri:'¡(I~'ÍIN ---- ~IG~AwG í~Aff~ . "'." f I ' ,,,. , ~ 1/' II ~- I"""~" ", . I· 1t>(AI. Bv06 I A~M 1e.~;t?bØ¡,þ , " ;.1.' ____.,--.__ "",,,nO\,f/) . ,. tw'SJ-l I --- 'I --R-r-" , ._. ~c- , ~'. '~' --~ ~ ~-~ltt~¡q~:~I~~"'1 '~ " .\ -- ... -1 '...·l~--.-~ c'~'=':'; ~U .... .... =--- ~ -- --r_." _.- ....~' "... =" _ -~~~ . _.ø.~"""" "r!!!::: ~~'ft\~-" . '~" v-.. <;: J ~f':o' , -~ . -- , ....-..{. -- ="" , . ~·t~j¡,¡¡,~~£"'f- '... - ~l_.:_~~~~ /)fj:l~~n:::.~n ~'~'~LF. I \ ~- '/ iLf.;;1~",« ~-... , "r-~ __ =--~ f- .- o. -'......,~.~. '1:.t .___ J . I ¡.,... iÆ ;;.'n~.~~.~;...=,': ---;-o;;--:-'r ;-:~ oS 'III~!!P" ... "; ~;. I ~I,",= :~I 1,19 1\ d /;;/ /. 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IIAX£RSFIEU> CAUFORNIIo , ~~~r ·~5~~.~. 1679 ~ '" '!,::':.;;:r -~'.;' =~- ::~~.~ f:J.\M':', - r ALBERTSONS 6379 Manager KENNY BENEDICT Location: 8200 STOCKDALE HWY E City BAKERSFIELD CommCode: BFD STA 11 EPA Numb: 4 SiteID: 015-021-001076 BusPhone: (661) 833-6071 Map 123 CommHaz High Grid:. 05B FacUnits: 1 AOV: SIC Code:5411 DunnBrad:780148537 Emergency Contact / Title Emergency Contact / Title KENNY BENEDICT / STORE DIRECTOR MARTHA GIBBONS / ASST STORE DIR Business Phone: (661) 833-6071x Business Phone: (661) 833-6071x 24-Hour Phone (661) 317-9739x 24-Hour Phone (661) 332-2015x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact ERICA FRANSEN Phone: (208) 395-4793x MailAddr: PO BOX 20 DEPT 72405 State: ID City BOISE Zip 83726 Owner NEW ALBERTSONS INC Phone: (208) 395-4793x Address PO BOX 20 DEPT 72405 State: ID City BOISE ~ Zip 83726 Period Preparers Certif'd: ParcelNo: Emergency Directives: PROG A - HAZMAT PROG C - COMM HOOD TotalASTs: = Gal TotalUSTs: = Gal RSs: No to ENT'D J U L 2 0 2007 [3ased on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of {aw that I have personally examined and am familiar with the infarr~ation submitted and believe the information is true, accurate, and complete. Signature Date -1- 07/09/2007 a~ ~ - F ALBERTSONS 6379 SiteID: 015-021-001076 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... ,SpecHazIEPA Hazards) Frm I DailyMax IUnitIMCPI POOL CHLORINE IH DH L 380.00 GAL Hi CHLORINE BLEACH R IH L 200.00 GAL Hi HELIUM F P IH G 219.00 GAL Min MOTOR OIL F DH L 90.00 GAL Min ASSORTED PESTICIDES F P R IH L 60.00 GAL UnR -2- 07/09/2007 r _'~' -3- 07/09/2007 ;~ -, F ALBERTSONS 6379 SiteID: 015-021-001076 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME POOL CHLORINE Days On Site 365 Location within this Facility Unit Map: Grid: AISLE 7 CAS# Liquid TMixture ~AmbRent~E ~ AmbientT~E ~ PLASTCICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average. 1.00 GAL 380.00 GAL 350.00 GAL ru-~~.~cLUUa ~vrirvivr,ly 15 %Wt. ~ RS CAS# 10.00 Sodium Hypochlorite No 7681529 t1HGH.tCL t].7 .7~.'»1~1G1V 1 ~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / Hi ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME CHLORINE BLEACH Location within this Facility Unit AISLE 6 STATE TYPE PRESSURE Liquid TMixtur~Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 7681-52-9 TEMPERATURE CONTAINER TYPE Ambient -~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 200.00 GAL 200.00 GAL HAZARDOUS.COMPONENTS %Wt. RS CAS# 100.00 Bleach No 7681529 t'lEiGtitCL H. 7.7~~7.71~1~1V 1 ~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi -4- 07/09/2007 F ALBERTSONS 6379 SiteID: 015-021-001076 ~ ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME HELIUM Days On Site 365 Location within this Facility Unit Map: Grid: FLORAL DEPT CAS# 7440-59-7 STATE T TYPE PRESSURE -~ TEMPERATURE ~~ CONTAINER TYPE ~GdS I Pure Above Ambient I Ambient ( PORT _ PRESS _ C'YT~TNT~ER I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 219.00 GAL 219.00 GAL 219.00 GAL HAZARDOUS COMPONENTS %Wt• RS CAS# 100.00 Helium No 7440597 17.tiGtiiCL HJ .7 P~.7.71.1L~1V 1 J , TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: AISLE 6 CAS# 8020835 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture Ambient ~ Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 1.00 GAL 90.00 GAL 60.00 GAL ru~urucLV V ~ l.vllr V1V r,1V t J - °sWt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 ru-~c~r~L s-~a a~a~rir,ivlJ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT#• MCP No No No No/ Curies F DH / / / Min -5- 07/09/2007 F ALBERTSONS 6379 SiteID: 015-021-001076 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ASSORTED PESTICIDES Days On Site 365 Location within this, Facility Unit Map: Grid: AISLE 7 CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~-Above Ambient Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 1.00 GAL 60.00 GAL 40.00 GAL nr~c~rucLVU~ ~.vrirvlv~ivt~ ~Wt. RS CAS# 100.00 Pesticides No 0 ruic,s-ucL ri~ ~a~~l~l~lvla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P R IH / / / UnR -6- - 07/09/2007 F ALBERTSONS 6379 SiteID: 015-021-001076 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 06/05/2006 ~ EMERGENCY CALL 911. OUTSIDE CLEAN-UP CONTACT BFD AND HAZARDOUS MATERIALS DIVISION. Employee Notif./Evacuation 09/20/2006 = SAFETY MEETINGS ARE HELD MONTHLY ON PROPER PROCEDURES. KEY PEOPLE AND DEPT HEADS TAKE PART IN THIS MEETING. Public Notif./Evacuation EMERGENCY EXIT DOORS POSTED ON NORTH AND SOUTH WALLS. 09/20/2006 Emergency Medical Plan 06/05/2006 MERCY HOSPITAL, 2215 TRUXTUN AVE, 327-3371. -7- 07/09/2007 .. 3 F ALBERTSONS 6379 SiteID: 015-021-001076 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 06/05/2006 ~ KEY PEOPLE AND DEPT HEADS ARE TRAINED IN PROPER PROCEDURES FOR MITIGATION, PREVENTION, AND ABATEMENT. Release Containment USE KITTY LITTER TO ABSORB MATERIAL. 09/02/1992 Clean Up 09/02/1992 SWEEP UP KITTY LITTER AFTERWARDS. v~.iic.L 1<G.7VUl\.G ral.l..lva~.lvtt -8- 07/09/2007 F ALBERTSONS 6379 SiteID: 015-021-001076 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ J~JC C:1d1 rl.d'G dl U~ Utility Shut-Offs 03/08/2007 GAS - NW CRNR BLDG OUTSIDE ELECTRICAL - BACK OF BLDG WATER - BACK OF BLDG Fire Protec.jAvail. Water 01/24/2007 PRIVATE FIRE PROTECTION - SPRINKLER SYSTEM, FIRE EXTINGUISHERS, AND ALARM SYSTEM SET UP TO NOTIFY FIRE DEPT. FIRE HYDRANT - REAR OF BLDG. Building Occupancy Level 03/22/2006 72 EMPLOYEES -9- 07/09/2007 ,, _ r F ALBERTSONS 6379 SiteID: 015-021-001076 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 06/05/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES ARE FAMILIARIZIED WITH THE RIGHT TO KNOW MANUAL. THEY ARE TAKEN FOR A TOUR OF THE STORE AND SHOWN THE TECHNIQUE FOR CLEANING UP DIFFERENT SPILLS. rayc c. Held for Future Use _, t_ nciu ivi. i~u~.uic vac -10- 07/09/2007 ALBERTSONS 6379. k~h~y CiehecClc+ Manager Location: 8200 STOCKDALE HWY E City BAKERSFIELD CommCode: BFD STA 11 EPA Numb: ~~~~ SiteID: 015-021-001076 BusPhone: (661) 833-6071 Map 123 CommHaz High Grid: 05B FacUnits: 1 AOV: SIC Code:5411 DunnBrad:780148537 Emergency Contact / Title Emergency Contact / Title kehny F3twed'ic-~-/ STORE DIRECTOR J~wV-N~~ (-~~~bbtiYis / ASST STORE DIR Business Phone: (661) 833-6071x Business Phone: (661) 833-6071x 24-Hour Phone 24-Hour Phone (-~ Pager Phone ( ~~ ) , '' ~ - t~ ~x Pager Phone (1o1D ) ~'~ - u't x Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact ERICA FRANSEN Phone: (208) 395-4793x MailAddr: PO BOX 20 DEPT 72405 State: ID City BOISE Zip 83726 Owner NEW ALBERTSONS INC Phone: (208) 395-4793x Address PO BOX 20 DEPT 72405 State: ID City BOISE Zip :, 83726 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG C - COMM HOOD ENT'B M~~ 7 ~~Q7 Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, (~ " accurate, and complete. ~ ~, Signature pate -1- 01/24/2007 r F ALBERTSONS 6379 SitelD: 015-021-001076 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP POOL CHLORINE IH DH L 380.00 GAL Hi CHLORINE BLEACH R IH L 200.00 GAL Hi HELIUM F P IH G 219.00 GAL Min MOTOR OIL F DH L 90.00 GAL Min ASSORTED PESTICIDES F P R IH L 60.00 GAL UnR -2- 01/24/2007 -3- O1f24f2007 r r. p- F ALBERTSONS 6379 SiteID: 015-021-001076 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME POOL CHLORINE Days On Site 365 Location within this Facility Unit -Map: Grid: AISLE 7 CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 380.00 GAL 350.00 GAL TTT ATTTI/'1TTr1 /`Il\TRT/'1T.TTT.TTA _.__.. -.--. 1ZtiGt~LCLVUJ 1~V1~lY V1V 81V 1.7 °sWt. RS CAS# 10.00 Sodium Hypochlorite No 7681529 t1HGtii[L HJ ~7P~iJ.71~1P~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / Hi ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME CHLORINE BLEACH Location within this Facility Unit AISLE 6 STATE TYPE PRESSURE Liquid TMixtur~ Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 7681-52-9 TEMPERATURE CONTAINER TYPE Ambient ~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 200.00 GAL I 200.00 GAL azr~uruu~v~a ~vrLrvi~r.ldTS - %Wt. RS CAS# 100.00 Bleach No 7681529 riti4tlRL tiJ JL' ~7 w71T1L'1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT## MCP No No No No/ Curies R IH / / / Hi -4- 01/24/2007 ~ F ALBERTSONS 6379 SiteID: 015-021-001076 ~ ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ~ HELIUM Days On Site 365 Location within this Facility Unit Map: Grid: FLORAL DEPT CAS# 7440-59-7 ~GasATE T TYPE PRESSURE TEMPERATURE ~ CONTAINER TYPE ~ I Pure Above Ambient I Ambient I PORT. PRESS_ CYLINDER I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 219.00 GAL 219.00 GAL 219.00 GAL ~ZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Helium No 7440597 I1[-~Gt1CCL tiJ .7~Ja1.1L,1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME MOTOR OIL Location within this Facility Unit AISLE 6 STATE TYPE ~- PRESSURE Liquid Mixture I Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 8020835 TEMPERATURE ~- CONTAINER TYPE Ambient I PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 90.00 GAL 60.00 GAL ru-ac~ruct~vv.~ ~.vi•1rv1vn1v1S - oWt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 rLtiL~riRL tio .7 L~J Jl~1L'.1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min -5- 01/24/2007 .: F ALBERTSONS 6379 SitelD: 015-021-001076 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ASSORTED PESTICIDES Days On Site 365 Location within this Facility Unit Map: Grid: AISLE 7 CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Above Ambient Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 60.00 GAL 40.00 GAL TTT ATT'ITl/1T T[T /'1/yTRT1/1TTT7TTT l1 ruyc,tucLV~a ~.vrirvivr,ivt~ %Wt. RS CAS# 100.00 Pesticides No 0 i1tiL~t1RL li J JI.,.7.71~1P~1V 1 ~.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP. No No No No/ Curies F P R IH / / / UnR -6- 01/24/2007 ~. F ~ / F ALBERTSONS 6379 SiteID: 015-021-001076 ~ Fast Format ~ ~ Notif./Evacuation/Medical. Overall Site ~ Agency Notification 06/05/2006 EMERGENCY CALL 911. OUTSIDE CLEAN-UP CONTACT BFD AND HAZARDOUS MATERIALS DIVISION. Employee Notif./Evacuation 09/20/2006 SAFETY MEETINGS ARE HELD MONTHLY ON PROPER PROCEDURES. KEY PEOPLE AND DEPT HEADS TAKE PART IN THIS MEETING. Public Notif./Evacuation 09/20/2006 EMERGENCY EXIT DOORS POSTED ON NORTH AND SOUTH WALLS. Emergency Medical Plan MERCY HOSPITAL, 2215 TRUXTUN AVE, 327-3371. 06/05/2006 -7- 01/24/2007 F ALBERTSONS 6379 SiteID: 015-021-001076 ~ Fast. Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 06/05/2006 ~ KEY PEOPLE AND DEPT HEADS ARE TRAINED IN PROPER PROCEDURES FOR MITIGATION, PREVENTION, AND ABATEMENT. Release Containment 09/02/1992 USE KITTY LITTER TO ABSORB MATERIAL. Clean Up SWEEP UP KITTY LITTER AFTERWARDS. 09/02/1992 v~.iici icc~vui~:c r~t,~.ivct~.l.vii -8- 01/24/2007, a ~~ ,^ U F ALBERTSONS 6379 SitelD: 015-021-001076 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .7jJCC:ld1 ricLGciLU~ Utility Shut-Offs A) GAS - NW CRNR BLDG OUTSIDE B) ELECTRICAL - BACK OF BLDG C) WATER - BACK OF BLDG D) SPECIAL - NONE E) LOCK BOX - NO 03/22/2006 Fire Protec./Avail. Water 01/24/2007 PRIVATE FIRE PROTECTION - SPRINKLER SYSTEM, FIRE EXTINGUISHERS, AND ALARM SYSTEM SET UP TO NOTIFY FIRE DEPT. FIRE HYDRANT - REAR OF BLDG. Building Occupancy Level 03/22/2006 72 EMPLOYEES -9- 01/24/2007 ;~,:A 1.. ~, F ALBERTSONS 6379 SiteID: 015-021-001076 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 06/05/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES ARE FAMILIARIZIED WITH THE RIGHT TO KNOW MANUAL. THEY ARE TAKEN FOR A TOUR OF THE STORE AND SHOWN THE TECHNIQUE FOR CLEANING UP DIFFERENT SPILLS. rdyC G nciu LVL ru~.ulc Vic 17C1U LVL r UI.ULC VA'C -10- 01/24/2007 BAKERSFIELD FIRE DEPT. (HMMP) =4~ ~ Prevention Services HAZARDOUS MATERIALS MANAGEMENT PLAN ,j ~... 9001Yuxtun Ave., Suite 210 (UNIFIED PROGRAM CONSOLIDATED FORM) ~ 8 B R S F I n Bakersfield CA 93301 , ~..._.T_-T.._~:. _.:::_.,..a...........~.:_.,._.__ _..nw___ ~ ARTM T Tel.: (661) 326-3979 APPLICATION ~~ ~- Fax: (661) 852-2171 / _ BUSWESS OWNER/OPERATOR IDENf1FICATION FORM °~ ~ (HAZARDOUS MATERIALS FACILITY INFORMATION) Page 1 of 2 ~ 1 t(J ` ~ `' L FACILITY IDENTIFICATION FACILITY ID NO. ear egimm~g t~ Year Ending tot 6102/06 6/01 /07 BUSINESS NAME (Same as FACILITY NAME or DBA- Doing Business As) s USINESS PHONE t 661) 833-6071 Albertsons #6379 SITE ADDRESS i 8200 Stockdale Hw CITY taa CA IP 1 Bakersfield 93311 DUNN & BRADSTREET 1as IC CODE to a Digit #) 5411 couNTY t Kern ENT'D J U L i Q OPERATOR NAME tos OPERATOR PHONE tt New Albertson's, Inc. (208) 395-4793 11, .OWNER.INFORMATION OWNER NAME t1t OWNER PHONE tt New Albertson's Inc. 208 395-4793 OWNER MAILING ADDRESS tt P.O. Box 20, Dept. 72405 CITY 1ta STATE tts IP tt Boise ID 83726 _. , .__ v ~~` _ ;;, 111. r< ENVIRONMENT'AL CONTACT' . , CONTACT NAME tt7 CONTACT PHONE tt Erica Fransen 208 395-4793 CONTACT MAILING ADDRESS tt P.O. Box 20, Dept. 72405 CITY tp STATE t2t ZIP t Boise lD 83726 'PRIMARY, lY. EMERGEN CY CONTACTS; _-SECONDARY- NAME 12 AME 128 TITLE 12 ITLE 129 Store Director sst. Store Director BUSINESS PHONE 12 USINESS PHONE 130 (661)833-6071 661 833-6071 24-HOUR PHONE 126 4-HOUR PHONE 131 (208) 395-6826 208) 395-6$26 PAGER No 127 AGER Na 132 13 ~~~ ~ V:CERTIFlCAT10N ~ ~~ - ~ `~_~ Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted in this inventory and believe the information is true, accurate, and complete. SIGNATURE OF OWNERlOPERATOR (full printed name) 136 DATE 13 NAME OF DOCUMENT PREPARER (full printed name) 13 Douglas L. Ka fang 27 p~ Bridget T. Cosgriff SIGNATURE OF OWNE OP RATO DE I NATED 13 TITLE OF OWNER/OPERATOR/OR DESIGNATED 138 REPRESENTATIVE ~-~ REPRESENTATIVE (SIGNER) Dlr. Env. Affairs FD 2142 (Rev. 09/05) UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program -Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 1 G1. ~VV IJJG V'J~°14Z FACILITY PJAME rr~ INSPECTION DATE INSPECTION TIME -------gL/~~ rLTSU.~S_ 'TT ~37~' ~I-~G-GSr I SOO ADDRESS PHONE No. No. of Employees 2 o v STo ~f~ Dec r _ H_wy. ~ i --------- -------------- 6 ~ ~~ -_ i ~ ~ _~ _ _- _~ _ _ __ __ _ _ _ ----- --- ------- -- FACILITYCONT~!oT ~ Business ID Number /-~ ~-' /~ 1 f~/ ~„- /TKO i s-o2 t - o o~o~ Section 1: Business Plan and Inventory Program ~~ outine ^ Combined D Joint Agency ^Mnlti-Agency ^ Complaint O Re-inspection ~t~®~ ~ ~ ~C=Compliancel OPERATION COMMENTS V=Violation f }~^ APPROPRIATE PERMIT ON HAND ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS Imo' ^ CORRECT OCCUPANCY ~ ^ VERIFICATION OF INVENTORY MATERIALS ~^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITYE IO ^ VERIFICATION OF HAT MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEDUATE ~f -i- - - - - -.- __... _ _ -.._ - _ _ .. _ - L!/ ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE Hi ON HAND ANY HAZARDOUS WASTE ON SITE: Ll TES ^ NO EXPLAIN: ~UOL C %~LQ/L~~v/; G~L.O/~l~//= /.fL/-'Ac% .~''IGTo2 ©~G 1 f1 S f ol2T/; i, /~f= 5 T/c~/~~= S QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT tF)6'I ~ 3X-3979 i Inspector Badge No., White -Environmental Services Yellow - Stetlon Copy UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME ~ INSPECTION DATE INSPECTION TIME -----=~----------~/----~------------~ -.-..-..._.-----'------..-.._..--._._-O~~.q...d-'--------..-'------ PHONE No.----- No. of Employees---- ADDRESS V (~ c ~1~•GJ~ ___ _ _ __ 82 DO _J To c .may ~ 1.,E . ------ - ------------------------------- ~ --- ---~ ~' ---- ---- FACILITYCONTACT ~ Business ID Number Ot BCE/,<Q 15-021- Section 1: Business Plan and Inventory Program ® Routine ^ Combined ^ Joint Agency ^Mutti-Agency ^ Complaint ^ Re-inspection C V Ld ^ \V=Vioatorin~l OPERATION APPROPRIATE PERMIT ON HAND COMMENTS /oi v/~`~&~ ~~ !/iN ./~c ' OS.~~ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE GE« 3 j Q . x/936 1 NJ ^ VISIBLE ADDRESS - - - - _..-.~J7~iJG6Zr-- NM ... _. rt ~,er1lw C~dEn~s__ d ~ y-_~1.~ y_ ---- ---- ^ - -- -- - --- _- CORRECT OCCUPANCY .. _- - ^ VERIFICATION OF INVENTORY MATERIALS ~, ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION dr ^ PROPER SEGREGATION OF MATERIAL ' ^ VERIFICATION OF MSDS AVAILABILITYE ~ - _ f7 ^ VERIFICATION OF HAT MAT TRAINING - (~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~ l~ ^ EMERGENCY PROCEDURES ADEQUATE ----- ---- SY ST,E/'7 S' Y C!s ~~~u ED /ivrs C ~~Jr/~~/Tjil sys 7~'Ar ^ -~---.-- CONTAINERS PROPERLY LABELED _ --i - _- -_---^-------'-_--- --`-------- ~- O~ ^ --~---- HOUSEKEEPING -- /-ix yc~L~'f /N---Lt/AF ~3 -----~--------- / Lkf ^ -_---~---- FIRE PROTECTION L~NEfk 3 y/t J<'/'/.vKL~~ SrA~fF ----_------- ^ SITE DIAGRAM ADEQUATE 8c ON HAND ANY. HAZARDOUS WASTE ON SITE?: ^ YES ~ NO EXPLAIN: ~_ QUESTIONS gE6ARDIN THIS I SPECTION~ LEASE CALL US AT (661 ~ 326-3979 //v /~C ~Nt i n/ i ~...... / Badge No. BuslNessSite Responsible Party / /' ~ ~ {/ (-~ White -Environmental Services Yellow - Statbn Copy Pink -Business Copy 1 ,~t- .;:-:.:0,....:4 ·wti· ,. ~ ALBERTSONS FOOD CENTEtlt6379 . r:--'" SiteID: 015-021-001076 Manager : JOSEPH BIEVER Location: 8200 STOCKDALE HWY City BAKERSFIELD 'ò 1.~ ßt\ BusPhone: Map : 123 Grid: 05B (661) 833-6071 CommHaz : Minimal FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 11 EPA Numb: SIC Code: 5li II DunnBrad: DO-b'it-7fÙ Emergency Contact JOE BIEVER 'Business Phone: 24-Hour Phone : Pager Phone : / Title / STORE DIRECTOR (661) 833-6071x (661) 664-9614x ( ) - x Emeraencv Contact / Title '"'Ì m~ßO-..fhCt &íbboV}$ / GROCERY MANAGER Business Phone: (661~_ß33 ~6071'3? 7. if 24-Hour Phone : (~(ç.~j) h&,y-'f)' ~T Pager Phone : ( ) - x Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact : :6hYR1'l CrnmBRO' :JifF ~¡()vt./ MailAddr: PO BOX 20 DEPT...:14"î"f1j;) 7z,,~O) City : BOISE Period : Preparer: Certif'd: ParcelNO: G/dtt3 to f/31/ó1 Phone: (208) 395~q5X State: ID t.t 7 ~ 2..- Zip : 83726 Phone: (208) 395-~ State: ID tf7~v Zip : 83726 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Owner Address : City ALBERTSON INC ~ PO BOX 20 DEPT 7~ 7v.¡OJ : BOISE Emergency Directives: I, a~.I~M~tSlw~by c~rt¡1y Ull@~ ij h.@l® (1yps or print namo) rQ3)vi®wOO ih~ ait~chs@ ha:tialrd©us maisiials mt§w1l~®- men! nlan if)rJJ/Þ<'ft,~'fi'YIMrj thai n along. F (~&of 00) I M),? oo~ñ©1i'bs 001i'b~~Ù~U~® a oomp!s~@ ~Vb©J ooU'ü'®å M@ri1- ~gsm~ffl p~Slrl ~@U' my ~S1<cm~y. ~ ~v/f:~ '1' 24 ,á!:> D&tG -1- 06/16/2003 /', ..--o¢ --V'.. ,.<. . 4~ ~[Q)®OO@~· . ß l..tt'?l ß~~ September 25,2003 Bakersfield Fire Department 1715 Chester Avenue Bakersfield, CA 93301 RE: Business Plan Update Store #6379 located at 8200 Stockdale Hwy., Bakersfield, CA - Enclosed please find: Updated Business Plans auld you have any questions, you may contact me at (208) 395-4790. " Bob DeNinno Environmental Project Coordinator Cc Store #6379 File ALBERTSON'S, INC, / GENERAL OFFICES / 250 PARKCENTER BOULEVARD / PO, BOX 20/ BOISE, IDAHO 83726/208-395,6200 - , , " March 25, 2002 City of Bakersfield P.O. Box 2057 Bakersfield, CA 93303-2057 .. . .. , .. . .,. .. mbî1d1€JM;" '::~~~ø'~~:;«:;~~~~~x~~-::' ~' Account number: 3262 / ~ () Service Address: 8200 E. Stockdale Hwy Re: Dear Valued Vendor: -, jrU¡ w¡' 1/1 [IV f Please note the change to the bill-to address for submission of your invoices. Please send all invoices to this address to ensure efficient payment of future invoices. Bill-to Address: Albertson's Accounts Payable 250 Park Center Blvd. Boise, 10 83726 We appreciate your continued cooperation and thank you for you assistance on this matter. Sincerely, Accounts Payable Department Mailing Address 4320 w: Thunderbird Rd. Glendale, AZ 85306 (602) 547-5000 :l? ~'£... . . HAZARDOUS MATERIALS BUSINESS PLAN / HAZARDOUS MATERIALS INVENTORY CERTIFICATION STATEMENT For Reporting Year 2001 Business Name Albertsons #6379 Owner/Operator Name Albertson's Inc. Business Address 8200 E. Stockdale Hwy City Bake~sfield Facility # 1076 Telephone (208) 395-6200 State CA Zip Code 93311 Annual Business Emergency Plan Inventory Review and Update This business has previously filed the hazardous materials inventory pursuant to Section 2729.2 and 2729.3 requirements. The information contained in the hazardous materials inventory most recently submitted to the CUP A or AA is complete, accurate, and up to date and complies with the fol1owing statements. 1. A complete Hazardous Materials Business Plan has been filed within the past three years. 2. There has been no change in the quantity of hazardous materials reported in the most recently submitted inventory. 3. No hazardous materials subject to inventory requirements are being handled that are not listed on the most recently submitted inventory. 4. The business is not utilizing the submission of this certification to meet the annual inventory submission requirements of EPCRA (Section 11022 of Title 42, United States Code). I CERTIFY UNDER PENALTY OF LAW THAT: I have personal1y examined and am familiar with the information referred to or submitted in this and al1 attached documents. Based on my inquiry of those individuals responsible for obtaining the information, I believe that the submitted information is true, accurate, and complete. Name Laura Summers Signature ~ ~ Title Corporate Environmental Compliance Manager Date 2/22/02 ~ ,~,a: lED PROGRAM CONSOLIDATED FOe FACILITY INFORMATION '-, BUSINESS OWNER/OPERA TOR IDENTIFICATION Page of I. IDENTIFICATION FACILITY 10# I I I I I I I I I I I I II I BEGINNING DATE 100 I ENDING DATE 101 3/1/2001 3/1/2002 BUSINESS NAME (Same as FACILITY NAME or DBA· Doing Basiness As) 31 BUSINESS PHONE 102 Albertson's # 6379 (661) 833-6071 BUSINESS SITE ADDRESS 103 8200 E. Stockdale Hwy CITY 1041 ZIP CODE 105 Bakersfield CA 93311 DUN & BRADSTREET 106 SIC CODE (4 digit #) 107 006927180 5411 COUNTY 108 Kern BUSINESS OPERATOR NAME 109 BUSINESS OPERATOR PHONE 110 Albertson's Inc. (208) 395-5245 II. BUSINESS OWNER OWNER NAME III OWNER PHONE 112 Albertson's Inc. (208) 395-5245 OWNER MAILING ADDRESS 113 P.O. Box 20, Dept 74100 CITY 1141 STATE 1151 ZIP CODE 116 Boise ID 83726 III. ENVIRONMENTAL CONTACT CO NT ACT NAME 117 CONTACT PHONE 118 Laura Summer (208) 395-5245 CONTACT MAILING ADDRESS 119 P.O. Box 20, Dept 74100 CITY 120 I STATE 121 I ZIP CODE 122 Boise ID 83726 -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY - NAME 123 NAME 128 Joe Biever Lori Davenport TITLE 124 TITLE 129 Store Director Grocery Manager BUSINESS PHONE 125 BUSINESS PHONE 130 (661) 833-6071 (661) 833-6071 24-HOUR PHONE 126 24·HOUR PHONE 131 (661) 664-9614 (661) 587-2309 PAGER # 127 PAGER # 132 ADDITIONAL LOCALLY COLLECTED INFORMATION: 133 Certification: Based on my inquiry of those indi viduals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. SIGNA TURE OF OWNER/OPERA TOR OR DE~TED REPRESENTATIVE DATE 134 \ NAME OF DOCUMENT PREPARER 135 ~1 .4 r'..... 2/22/02 Laura Summers NAME OF SIGNEt{ (print) '-" , 136 TITLE OF SIGNER 137 Laura Summers Corporate Environmental Compliance Manager UPCF ( 1/99 revised) 4 OES FORM 2730 (1/99) - ~ ~ ~Th)(PJ~(ill~· September 26, 2000 Ralph E. Huey Hazardous Materials Coordinator City of Bakersfield Fire Department 1715 Chester Ave., 3'd Floor Bakersfield, CA 93301 RE: Hazardous Materials Management Plan Update - Albertsons Bakersfield Locations ~_. - - --._-- Dear Mr. Huey: a ~~c ~ ~/' ~~ /11~ IJ J ~() G?t ~ ~~ v i9.tz t'~19 The following corrections need to be made to the corresponding Hazardous Materials Management Plans. ../, r--/ .. \...1-r/ Store #6379 - 8200 Stockdale Hwy Grocery Manager - Lorie Davenport Emergency/Home Phone#: 661-664-6920 No other changes l;?0tore #6358 - 2691 Mt. Vernon Ave. ..,No changes '/~ ' Î'.. '/ 3)./Store #6349 - 4200 Ming Ave. Grocery Manager - Dennis Johnson Emergency/Home Phone#: 661-834-9675 No other changes ~Store #6325 - 7900 White Lane Grocery Manager - Sylvia Cruz Emergency/Home Phone #: 661-665-1760 No other changes [})";;tore #6381 - 2705 "H" St. (J.....,J~·Ö No changes _ If you should hav~any que~ti.ons, or reguire adª-itio~al inforJ!1ation"pJease do !!otJ~~sitate_to_ contact me at 208/395-6339. Sincerely, ALBERTSONS INC. èf:qÇ~ Environmental Projects Specialist {lark F:ICYNTHIAIENVIRONMIALLSTOREIBkrsfld3,doc ALBERTSON'S, INC, / GENERAL OFFICES / 250 PARKCENTERBOULEVARD / FO, BOX 20/ BOISE, IDAHO 83726 / 208-395-6200 i'_ ,... :: At3~ ALBERTSONS FOOD CENTER ~67~ Manager,: PRED IlA:'WARD -So~þ h Location: 8200 STOCKDALE HW¥ City BAKERSFIELD .rEIVED e \e.V*N\ 2 7 20~usp one: /// / Map . 123 / B¥::- . ....l~ 05B SiteID: 215-000-001076 (661) 833-6071 CommHaz : Minimal FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 11 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency ~tact / Title SYLVIA CRUZ / STORE DIRECTOR ·l\NITA IR'\N ì~ btv~r'fI)'V GROCERY MANAGER Business Phone: (661) 833-6071x Business Phone: (661) 833-6071x 24-Hour Phone : ~ 1564 13:J7x 24-Hour Phone~~) ~6949X Pager Phone ~ ('£aM) ~W -q~¥ x Pager Phone: ({p(" \) (pI, -(øqzo x Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact : e~.1.'N'I'III1t PORCCII ~f'R. Su..'(Y\~S Phone: (208) 395 ~..f;;h..... MailAddr: PO BOX 20 , b-e.~-\- ,\.\ \ 00 State: ID City : BOISE Zip : 83726 Owner ALBERTSONS INC Phone: (208) 395-6200x Address : 250 PARK CENTER State: ID City : BOISE Zip : 83726 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: One Unified List 9 All Materials at Site 9 f= Hazmat Inventory p== As Designated Order Hazmat Common Name... SpecHaz EPA Hazards DailyMax MCP MOTOR OIL F DH L CHLORINE BLEACH R IH L ASSORTED PESTICIDES F P R IH L POOL CHLORINE IH DB L I L®rll. &~~ Do hereby certify that ~ have , (Type or print name) reviewed the attached hazardous materials manage- ment plan forM~~~~ ~~'31l and that it along with (Name of Business) any correçtions constitute a complete and correct man- agement plan for ~ facility. ~ 90.00 GAL 2.ðO.00 '4 () () . () 0 GAL 60.00 GAL gßD.oO ~\ Min Hi UnR Hi fe 06/13/2000 e e F ALBERTSONS FOOD CENTER #1679 f= Inventory Item 0001 = COMMON NAME / CHEMI CAL NAME MOTOR OIL SiteID: 215-000-001076 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit AISLE 6 Map: Grid: CAS # 8020835 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 1.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 90.00 GAL Daily Average 60.00 GAL %Wt. RS CAS # 100.00 Motor Oil, Petroleum Based No 8020835 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min HAZARD ASSESSMENTS f= Inventory Item 0002 F= COMMON NAME / CHEMI CAL NAME CHLORINE BLEACH Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit AISLE 6 Map: Grid: CAS # 7681-52-9 STATE - TYPE Liquid Pure PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 1.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum '2.ðO.OD 400. oe GAL . Daily Average l't.o .00 ~200. 00 GAL HAZARDOUS COMPONENTS ~ CAS # I 7681529 I 1~~~òoIB1eaCh TSecret RS BioHaz Radioactive/Amount E'PA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi HAZARD'ASSESSMENTS -2- 06/13/2000 ., e e F ALBERTSONS FOOD CENTER #1679 p= Inventory Item 0003 = COMMON NAME / CHEMI CAL NAME ASSORTED PESTICIDES SiteID: 215-000-001076 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit AISLE 7 Map: Grid: CAS # STATE - TYPE Liquid Mixture PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Largest Container 1. 00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 60.00 GAL Daily Average 40.00 GAL %wt. I 100.00 Pesticides HAZARDOUS COMPONENTS ~ CAS # 01 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P R IH / / / UnR HAZARD ASSESSMENTS p= Inventory Item 0004 Facility Unit: Fixed Containers on Site ì COMMON NAME / ~E:~ N~ \ .POOL CHLORINE 0-&- ~d. \J~õ);\ e1'-~ Days 3~~ Site , 'h' h' CO '1' U' G 'd Locat10n W1t 1nt 1S Fac1 1ty n1t Map: r1 : A \SlE 'l CAS # STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container I c:'~t l on AMOUNTS AT THIS LOCATION Daily Maximum 3ßO LOO £:'0...\ Daily Average 35ð .00 GQ.,~ %Wt. RS CAS # 10.00 Sodium Hypochlorite No 7681529 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / Hi HAZARD ASSESSMENTS -3- 06/13/2000 e e í ALBERTSONS FOOD CENTER #1679 ëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001076 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format j íë Notif./Evacuation/Medical ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Agency Notification ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 04/02/1999 j o 0 o EMERGENCY CALL 911. OUTSIDE CLEAN UP CONTACT BFD AND HAZARDOUS MATERIALS 0 o DIVISION. 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Employee Notif./Evacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 04/02/1999 j o 0 o SAFETY MEETINGS ARE HELD MONTHLY ON PROPER PROCEDURES. KEY PEOPLE & DEPT o HEADS TAKE PART IN THIS MEETING. 0 o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Public Notif./Evacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 04/02/1999 j o 0 o EMERGENCY EXIT DOORS POSTED ON NAND S WALLS. o 0 o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Emergency Medical Plan ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 04/02/1999 j o 0 o MERCY HOSPITAL - 2215 TRUXTUN AVE - 327-3371. o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -4- e e 06/13/2000 ~ '. e e í ALBERTSONS FOOD CENTER #1679 ëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001076 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëFastForrnat j íë Mitigation/Prevent/ Abatemt ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Ov~rall Site ¡ íëë Release Prevention ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 09/02/1992 i o 0 o KEY PEOPLE & DEPT HEADS ARE TRAINED ON PROPER PROCEDURES FOR MITIGATION, o PREVENTION & ABATEMENT. 0 o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Release Containment ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 09/02/1992 i o 0 o USE KITTY LITTER TO ABSORB MATERIAL. o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Clean Up ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 09/02/1992 j o 0 o SWEEP UP KITTY LITTER AFTERWARDS. o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Other Resource Activation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf '\ -5- 06/13/2000 ;. ~:\ '¡. e e í ALBERTSONS FOOD CENTER #1679 ëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001076 i íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format j íë Site Emergency Factors ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site i íëë Special Hazards ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ 0' 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Utility Shut-Offs ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 04/02/1999 ¡ o 0 o A) GAS - NW CORNER BLDG OUTSIDE o B) ELECTRICAL - BACK OF BLDG o C) WATER - BACK OF BLDG o D) SPECIAL - NONE o E) LOCK BOX - NO o o o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Fire Protec.lAvail. Water ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 04/02/1999 i o 0 o PRIV A TE FIRE PROTECTION - BLDG HAS SPRINKLER SYSTEM, FIRE EXTINGUISHERS AT 0 o KEY LOCATIONS, ALARM SYSTEM SET UP TO NOTIFY FIRE DEPT IN CASE OF PROBLEM. 0 o 0 o o o o o FIRE HYDRANT - LOCATED AT REAR OF BLDG. o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Building Occupancy Level ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -6- 06/13/2000 ~ " -~F-1' e e í ALBERTSONS FOOD CENTER #1679 ëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-001076 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format i íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site i íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 04/02/1999 j o 0 o WE HAVE 72 EMPLOYEES AT THIS FACILITY. o o o o WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. o o o o BRIEF SUMMARY OF TRAINING: ALL EMPLOYEES ARE FAMILIARIZIED WITH THE "RIGHT 0 o TO KNOW" MANUAL: THEY ARE TAKEN FOR A TOUR OF THE STORE AND SHOWN THIS 0 o TECHNIQUE FOR CLEANING UP DIFFERENT SPILLS. 0 o 0 âëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj o 0 o o âëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Held for Future U se ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë i o 0 o o âëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Held for Future U se ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë j o 0 o o âëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -7- 06/1312000 e ~ ÆIlIill®oo(ill~' e June 23, 2000 Bakersfield Fire Department Office of Environmental Services 1715 Chester Ave. Bakersfield, CA 93301 RE: Submittal of Hazardous Materials Management Plan for Albertson's #6379 Dear Sir or Madame: Please find enclosed the ammended Hazardous Materials Management Plan for the following location: Albertson's #6379 8200 E. Stockdale Hwy Bakersfield, CA 93311 If you should have any questions on this matter or require additional information, please do not hesitate to contact me at (208) 395-5245. ....J'"___ Sincerely, ALBERTSON'S INe. ~~ Laura Summers Environmental Compliance Manager Enclosure: cc: Cynthia Porsch, 74100/ Pile Joe Biever, #6379 ALBERTSON'S, INC, / GENERAL OFFICES / 250 PARKCENTER BOULEVARD / P.O, BOX 20/ BOISE, IDAHO 83726/208-395-6200 ,,' -.. e RECElIVED n ) /'~ ~¿ / .'--=- ;;- ~¿~ HWÝ",,~' ~,- e ALBERTSONS FOOD CENTER Manager: Fred Hayward Location: 8200 STOCKDALE City BAKERSFIELD CommCode: BAKERSFIELD STATION 11 EPA Numb: usPhone: Map : 123 Grid: 05B SiteID: 215-000-001076 661 ~QJ~ 833-6071 CommHaz : Minimal FacUnits: 1 AOV: SIC Code: 5411 DunnBrad: Anll:a Iran broCery PlanaQer Emergency Contact / Title Emergency Contact / Title FRED HAYWARD / STORE DIRECTOR !fERRY r.F.V~ / ASSISTANT MANAG Business Phone f)6~~) 833-6071x Business Phone661( 85~) 833-6071x 24-Hour Phone f)6~ ~) 664-1357x 24-Hour Phone661 (85~) c399-8--~ Pager Phone : ( ) - x Pager Phone : ( ) 832-6949 x Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact : Cynthia Forsch Phone: (208) 395 -6339 x MailAddr: 8200 S T().CI{I)JdJE:=J;IWY::) POBox 20 State: ~ ID City : ~ Boise Zip : 83-3 1 'b 83726 Owner ALBERTSONS INC Phone: (m) ~ltnx Address : 250 PARK CENTER State: ID City : BOISE Zip : 83726 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: One Unified List ì All Materials at Site ì f= Hazmat Inventory f== As Designated Order Hazmat Common Name... SpecHaz EPA Hazards DailyMax MCP MOTOR OIL CHLORINE BLEACH ASSORTED PESTICIDES F DH R IH F P R IH L L L 90 GAL 400 GAL 60 ,GAL Min Hi UnR I Cynthia Forsch ö, (TyP3 or print nama) Do h~reby CSi1i~ ~hai ij have reviewed the attachsd hazardous mSl~~rie.is mSlnags- m(9n~ plan forA 1 bertson I 5 #l67~n©1 í~~ ¡~ along with ~Bûnìñõs;r- any corr~¡(ms constitute a comple~e and cOfrsd maro- this agem~B"it plaln for m, ~iliiy. 3/2M:19 03/01/1999 \q~ ^,' '. e e F ALBERTSONS FOOD CENTER p= Inventory Item 0001 F== COMMON NAME / CHEMI CAL NAME MOTOR OIL SiteID: 215-000-001076 9 Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit ~ A\~\e... ~ Map: Grid: CAS # 8020835 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 90.00 GAL Daily Average 60.00 GAL %Wt. RS CAS # 100.00 Motor Oil, Petroleum Based No 8020835 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min HAZARD ASSESSMENTS p= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME CHLORINE BLEACH Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit '8!.~ À \ 'tit \ eo. tp Map: Grid: CAS # 7681-52-9 STATE - TYPE Liquid Pure PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 400.00 GAL Daily Average 200.00 GAL HAZARDOUS COMPONENTS CAS# I 7681529 I 1~~~óoIB1eaCh ~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi HAZARD ASSESSMENTS -2- 03/01/1999 e e F ALBERTSONS FOOD CENTER p= Inventory Item 0003 = COMMON NAME / CHEMICAL NAME ASSORTED PESTICIDES SiteID: 215-000-001076 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit c:CENTER , Â ' ~ \ e.. \ Map: Grid: CAS # STATE - TYPE Liquid Mixture PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 60.00 GAL Daily Average 40.00 GAL HAZARDOUS COMPONENTS I l~~~óolpesticides ~ CAS # 01 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P R IH / / / UnR HAZARD ASSESSMENTS -3- 03/01/1999 e e F ALBERTSONS FOOD CENTER I p= Notif./Evacuation/Medical Agency Notification SiteID: 215-000-001076 ì Fast Format ì Overall Site ì 09/02/1992 EMERGENCY CALL 911 OUTSIDE CLEAN UP CONTACT BFD AND HAZARDOUS MATERIALS DIVISION Employee Notif./Evacuation 09/02/1992 SAFETY MEETINGS ARE HELD MONTHLY ON PROPER PROCEDURES. KEY PEOPLE & DEPT HEADS TAKE PART IN THIS MEETING. Public Notif./Evacuation 09/02/1992 EMERGENCY EXIT DOORS POSTED NORTH WALL AND SOUTH WALL. Emergency Medical Plan 09/02/1992 1 MERCY HOSPITAL - 2215 TRUXTUN AVE - 327-3371. -4- 03/01/1999 e e SiteID: 215-000-001076 ì Fast Format =¡ Overall Site =¡ 09/02/1992 F ALBERTSONS FOOD CENTER I p= Mitigation/Prevent/Abatemt Release Prevention KEY PEOPLE & DEPT HEADS ARE TRAINED ON PROPER PROCEDURES FOR MITIGATION, PREVENTION & ABATEMENT. r=::USERelease Containment ~ KITTY LITTER TO ABSORB MATERIAL. I Clean Up : SWEEP UP KITTY LITTER AFTERWARDS. I 09/02/1992 09/02/19921 ] I Other Resource Activation -5- 03/01/1999 e e F ALBERTSONS FOOD CENTER I p= Site Emergency Factors r== Special Hazards Utility Shut-Offs A) GAS - NORTHWEST CORNER BUILDING B) ELECTRICAL - BACK OF BUILDING C) WATER - BACK OF BUILDING D) SPECIAL - NONE E) LOCK BOX - NO SiteID: 215-000-001076 ~ Fast Format 9 Overall Site 9 I 09/02/1992 OUTSIDE Fire Protec./Avail. Water 09/02/1992 PRIVATE FIRE PROTECTION - BUILDING HAS SPRINKLER SYSTEM, FIRE EXTINGUISHERS AT KEY LOCATIONS, ALARM SYSTEM SET UP TO NOTIFY FIRE DEPT IN CASE OF PROBLEM. Building Occupancy Level -6- 03/01/1999 .', '¥ e e F ALBERTSONS FOOD CENTER I F Training Employee Training '~ WE HAVE~ EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE SiteID: 215-000-001076 ì Fast Format 1 Overall Site ì· 09/02/1992 BRIEF SUMMARY OF TRAINING: ALL EMPLOYEES ARE FAMILIARIZIED WITH THE "RIGHT TO KNOW" MANUAL. THEY ARE TAKEN FOR A TOUR OF THE STORE AND SHOWN THIS TECHNIQUE FOR CLEANING UP DIFFERENT SPILLS. Page 2 [ I I Held for Future Use Held for Future Use -7- 03/01/1999 Typical Albertson's Store Hazardous Materials for Resale listing by Common Name Quanity Common Name Chemical Name CAS # Material Form Stored Measurement Quantity in Use Location Hazard Class Ant Killer Dust Chlorpyrifos 2921882 Solid Mixture 5 Lb5 All for sale Interior Irritant Antifreeze Ethylene Glycol 107-21-1 liquid Mixture 44 Gal All for sale Interior Flammable liquid Class IA Armor All sHcone 50-70-4 Liquid Mixture 24 Pts All for sale Interior Combustible liquid Class IIIB Bleach Sodium Hypochlorite 5.25% 7681-52-9 liquid Mixture 300 Gal All for sale Interior Oxidizer Class 1/1 Poly Glycol ethers & Brake Fluid Polyglycols Propriatary Liquid Mixture 26 pts All for sale Interior Combustible liquid Class I/IB Brand Carbaryl Insecticide Carbaryl 63252 Liquid Mixture 6 Qts All for sale Interior Irritant Cal Chlor Calcium Hypochlorite 07778-54-3 Solid Mixture 10 Lbs All for sale Interior Corrosive, strong oxidizer Carburetor Cleaner carbon bichloride 127-18-14 liquid Mixture 16 Pt5 All for sale Interior Flammable liquid Class IA Irritant, possible senitizer, Charcoal Briquets Char Dust 16291-96-6 Solid Mixture 4000 Lbs All for sale Interior combustible Charcoal Lighter Fluid Aliphatic Petroleum Solvent 64742-88-7 Liquid Mixture 120 Qts All for sale Interior Combustible Liquid Class IIA hlori Buoy Trichloro-s-triazinetrone 0087-90-1 Solid Mixture 10 Lbs All for sale Interior Corrosive, strong oxidizer hlorine Tablets T rich loro-s-triazinetrone 00087-90-1 Solid Mixture 10 Lbs All for sale Interior Corrosive, strong oxidizer Coleman Fuel Solvent blend 64742-89-8 Liquid Mixture 15 Gal All for sale Interior Flammable Liquid Class IA Diazinon Granules Diazinon 333415 Solid Mixture 5 Lbs All for sale Interior Irritant Combustible liquid Class II, Diazinon Plus Insect Spray Diazinon 33415 liquid Mixture 6 Qts All for sale Interior Irritant Drain Cleaner Sodium Hydroxide 1310-73-2 Liquid Mixture 30 Gal All for sale Interior Corrosive Dry Acid Hydrochloric Acid 7647-01-0 Solid Mixture 20 Lbs All for sale Interior Flammable liquid Class IA Engine Cleaner aliphatic petrleum distllates 68476-34-6 liquid Mixture 12 Qts All for sale Interior Combustible Liquid Class IIIB Feeder Tablets Sodium Bisulfate 07681-381 Solid Mixture 10 Lbs All for sale Interior Irritant Fuel Injection Cleaner Middle Distillates 8008-20-6 liquid Mixture 24 pts All for sale Interior Combustible Liquid Class iliA Gas Treatment Aliphatic Petroluim Distillates 68476-34-6 liquid Mixture 1.25 Gal All for sale Interior Combustible Liquid Class iliA Granular Algaecide T rich loro-s-triazinetrone 00087-90-1 Solid Mixture 10 Lbs All for sale Interior Corrosive, strong oxidizer -- Granulated Chlorine Calcium Hypochlorte 7778-54-3 Solid Mixture 10 Lbs All for sale Interior Combustible Liquid Class IIIB Grass Killer Fluazifop-Butyl 69806504 liquid Mixture 6 Qts All for sale Interior Irritant rub & Insect Control Chlorpyrifos 2921882 Solid Mixture 5 Lbs All for sale Interior I rrita nt Heet Plus Mineral spriits 64742-88-7 liquid Mixture 36 pts All for sale Interior Flammable liquid Class IA Combustible Liquid Class II, Home & Graden Insect Killer Tetramethrin 7696120 liquid Mixture 6 Qts All for sale Interior Irritant 2-(1-Methylethoxy)Phenyl Flammable Liquid Class lA, Hornet & Wasp Killer Methylcarbamate 114261 liquid Mixture 6 Qts All for sale Interior Irritant Insect Killer Formula II Acephate 30560191 liquid Mixture 6 Qts All for sale Interior Flammable Liquid Class IB Insecticide acephate 3056-01-91 liquid Mixture 6 Qts All for sale Interior Combustible Liquid Class I.IIB KEM KLOR II Sodium Hypochlorite 07681-52-9 liquid Mixture 6 Gal All for sale Interior Corrosive, strong oxidizer KEM KLOR II Sodium Hypochlorite 07681-52-9 liquid Mixture 6 Qts All for sale Interior Corrosive, strong oxidizer Lighter Fluids Isobutane 75-28-5 liquid Mixture 2 Gal All for sale Interior Flammable Liquid Class IA '. NOI-Compounds NON- Liquid Algecide Chelated Copper 82027-59-6 Liquid Mixture 6 Gal All for sale Interior Hazardous -~ ~-' Liquid Chlorine Sodium Hypochlorte 10.5% 7681-52-9 Liquid Mixture 50 Gal All for sale Interior Oxidizer CÎass l¡f'-H---'---' , Liquid Shock Sodium Hypochlorite 07681-52-9 Liquid Mixture 6 Gal All for sale Interior Corrosive, strong oxidizer Hazbycls 3119199 Typical Albertson's Store Hazardous Materials for Resale Listing by Common Name Quanity Common Name Chemical Name CAS # Material Form Stored Measurement Quantity in Use Location Hazard Class Combustible Liquid Class II, Malathion 50 Insect Spray Malathion 121755 Liquid Mixture 6 Qts All for sale Interior Irritant Mineral Oil Mineral Oil 8042-47-5 Liquid Mixture 10 Gal All for sale Interior Combustible Liquid Class IIIB Motor Oil Refined Petroleum Distallates 64741-88-4 Liquid Mixture 270 Qts All for sale Interior Combustible liquid Class IIIB Heavey parrofin petrolum Motor Oil Treatment distillates 6474-26-50 Liquid Mixture 20 pts All for sale Interior Combustible Liquid Class IIIB Muriatic Acid Hydrochloric Acid 07647-01-0 Liquid Mixture 20 Qts All for sale Interior Corrosive Octane Booster Middle Distillates 8008-20-6 Liquid Mixture 15 pts All for sale Interior Combustible Liquid Class iliA Paint Thinner Aliphatic Hydrocarbon 8052-41-3 liquid Mixture 24 Qts All for sale Interior Combustible Liquid Class II Power Steering Fluid paraffinic petroleum oil 64742-54-7 Liquid Mixture 1,25 Gal All for sale Interior Combustible liquid Class IIIB Propane liquified petroleum gas 74-98-6 Gas 16 Lbs All for sale Interior Flammable Gas Class 2.1 Ready Spray Lawn Weed Killer DMA Salt of 2, 4-D 13791929 Liquid Mixture 6 Qts All for sale Interior Irritant Rubbing Alcohol Isopropyl Alcohol 67-63-0 Liquid Mixture 2 Gal All for sale Interior Flammable Liquid Class IB Shock Calcium Hypochlorite 07778-54-3 Solid Mixture 10 Lbs All for sale Interior Corrosive, strong oxidizer Silcone Spray aliphatic petrleum distllates 8052-41-3 Liquid Mixture 12 Qts All for sale Interior Flammable Liquid Class IB Snail & Slug Pellets Metaldehyde 9002919 Solid Mixture 5 Lbs All for sale Interior Irritant SPA Cleaner Sulfuric Acid 7% 07664-93-9 Liquid Mixture 10 Qts All for sale Interior Irritant Sodium Bisulfate Anhydrous SPA Kem Bromating Tabs Globular 07681-381 Solid Mixture 10 Lbs All for sale Interior Irritant Sodium Bisulfate Anhydrous SPA Kem Floating Bromine Globular 07681-381 Solid Mixture 10 lbs All for sale Interior Irritant SPA Kem granules Sodium Hypochlorite 07681-52-9 Solid Mixture 10 lbs All for sale Interior Corrosive, strong oxidizer SPA KEM pH Minus Hydrochloric Acid 8.7% 07647-01-0 Solid Mixture 10 Lbs All for sale Interior Irritant SPA Kem T Tablets Trichloro-s-triazinetrone 00087-90-1 Solid Mixture 10 Lbs All for sale Interior Corrosive, strong oxidizer SPAKEM or KEMEX Sodium Dichloro-s- Chlorinating Granules triazinetrione 02893-78-9 Solid Mixture 10 Lbs All for sale Interior Corrosive, strong oxidizer Glyphosate, 150propylamine Spot Weed & Grass Killer Salt 38641940 Liquid Mixture 6 Qts All for sale Interior Flammable Gas Start Fluid Carbon dioxide 124-38-9 Liquid Mixture 16 pts All for sale Interior Combustible Liquid Class IA Sterno Canned Heat Ethyl alcohol 64-17-5 Liquid Mixture 24 Oz All for sale Interior Flammable Liquid Class IA Stop Leak Naphtenic Petroleum Oil 64742-53-6 Liquid Mixture 11 pts All for sale Interior Combustible Liquid Class IliA Swimming Pool Acid Sulfuric Acid/Hydrochloric Acid 07664-93-9 liquid Mixture 10 Qts All for sale Interior Corrosive Tile Cleaner Sulfuric Acid 7% 07664-93-9 liquid Mixture 10 Qts All for sale Interior Irritant Tomato & Vegetable Insect Flammable liquid Class lA, Spray Pyrethrins 8003347 liquid Mixture 6 Qts All for sale Interior Irritant Vegetation Killer Oxyfluorfen 42874033 Liquid Mixture 6 Qts All for sale Interior Irritant ,~ WD40 aliphatic petrleum distllates 8052-41-3 liquid Mixture 72 Oz All for sale Interior Combustible liquid Class IliA . Hazbycls u 3/19/99 --..\ ~ ALBERTSONS FOOD CENTER :::,-, .,..::' n ':I, r ¡ '" '; \/ -- It SiteID: 215-000-001076 Operator: Location: City BAKERSFIELD BusPhone: Map : 123 Grid: 05B (805) 833-6071 OvrlHaz : Minimal FacUnits: 1 AOV: 8200 STOCKDALE HWY LJ_'-' 20 1CJ96 yCL CommCode: BAKERSFIELD STATlOJlî-!"_m,, EPA Numb: SIC Code: DunnBrad: Emergency Contact FRED HAYWARD Business Phone: 24-Hour PHone : Pager Phone / Title / STORE DIRECTOR (805) 833-6071x (805) 664-1357x () x MARK Hazmat Hazards: Press React Owner Address City ALBERTSONS INC 250 PARK CENTER BOISE Phone: ( State: CA Zip 93311 Phone: (805) 833-6071x State: ID Zip 83726 x Contact : MailAddr: 8200 STOCKDALE HWY City BAKERSFIELD Period Preparer: Certif'd: to TotalASTs: = TotalUSTs: = EHSs: No Gal Gal First Response Directives: TERRI LEVANDOSKI 833-6071 OR 399-8962. Hazmat Common Name... One Unified List 9 All Materials at Site 9 SpecHaz EPA Hazards DailyMax R IH L 400 GAL F DH L 90 GAL F P R IH L 60 GAL f= Hazmat Inventory p== MCP+DailyMax Order / / . ~ U~Pr.-G hereby certify that! have ypeorp ,!namo) r""v,·ewed 'i1,...., ,.,;"",~...,", r,. '. ...~-,' . I 'c' '" "c...., '.- ,., ;:;"..; ,,', '." " .-";H::.ma s maLage- men! plan i, .'¡{}jI4t.~¡'_~'t.nG ",a\ it along ~h th___".v: L: t.!"'\1 " .~¡ any corrections constitute è. cGmpiete and correct man- ~~\ ~ ~ \J\.\l,~t..'\ Æ;S, !'N::>-(2.. WCR-~ ~53V::t:S1 \ ~ ~C\C\-<ö'1<OL. CHLORINE BLEACH MOTOR OIL ASSORTED PESTICIDES agement plan for my facility. ~ /tZ - ~~ -ff Dat& \' - .----- ---... ~ ;;.... e e F ALBERTSONS FOOD CENTER f= Inventory Item 0002 F= COMMON NAME / CHEMICAL NAME CHLORINE BLEACH SiteID: 215-000-001076 9 , Facility Unit: Fixed Containers on Site 9 Days On Site = 365 Location within this Facility Unit CENTER CAS# 7681-52-9 STATE - TYPE Liquid Pure PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE PLASTIC CONTAINER Lrgst Cont.this Loc GAL DailyMax this Loc GAL Dai1yAvg this Loc GAL 400.00 200.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL AMOUNTS STORED AND IN USE HAZARDOUS COMPONENTS ~ CAS# I 7681529 I l~~~õoIBleaCh TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi UFC Article 80 Control Zone: USDOT Hazards In Cabinet? Sprinklered Area? HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined8: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.define10: - Ag.Define11 -2- e e F ALBERTSONS FOOD CENTER f= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME MOTOR OIL SiteID: 215-000-001076 9 Facility Unit: Fixed Containers on Site 9 Days On Site = 365 Location within this Facility Unit CENTER CAS# 8020835 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Lrgst Cant. this Lac GAL DailyMax this Loc GAL DailyAvg this Lac GAL 90.00 60.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL AMOUNTS STORED AND IN USE %Wt. EHS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 HAZARDOUS COMPONENTS TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min UFC Article 80 Control Zone: US DOT Hazards In Cabinet? Sprinklered Area? HAZARD ASSESSMENTS Ag. Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined5: Ag.Defined8: Ag.Defined9: Ag.definel0: - Ag.Definell -3- e e F ALBERTSONS FOOD CENTER f= Inventory Item 0003 = COMMON NAME / CHEMICAL NAME ASSORTED PESTICIDES SiteID: 215-000-001076 9 Facility Unit: Fixed Containers on Site 9 Days On Site = 365 CAS# Location within this Facility Unit CENTER STATE - TYPE Liquid Mixture PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Lrgst Cont.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 60.00 40.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL AMOUNTS STORED AND IN USE HAZARDOUS COMPONENTS ~ CAS# 01 I l~~~öolpesticides TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P R IH / / / UnR UFC Article 80 Control Zone: USDOT Hazards In Cabinet? Sprinklered Area? HAZARD ASSESSMENTS Ag.Definedl: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined8: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.definelO: - Ag.Definell -4- e e F ALBERTSONS FOOD CENTER I f= Notif./Evacuation/Medical Agency Notification SiteID: 215-000-001076 9 Fast Format 9 Overall Site 9 09/02/1992 EMERGENCY CALL 911 OUTSIDE CLEAN UP CONTACT BFD AND HAZARDOUS MATERIALS DIVISION Employee Notif./Evacuation 09/02/1992 SAFETY MEETINGS ARE HELD MONTHLY. ON PROPER PROCEDURES. KEY PEOPLE & DEPT HEADS TAKE PART IN THIS MEETING. Public Notif./Evacuation 09/02/1992 EMERGENCY EXIT DOORS POSTED NORTH WALL AND SOUTH WALL. Emergency Medical Plan 09/02/1992 MERCY HOSPITAL - 2215 TRUXTUN AVE - 327-3371. -5- e e F ALBERTSONS FOOD CENTER I f= Mitigation/prevent/Abatemt Release Prevention SiteID: 215-000-001076 ì Fast Format ì Overall Site ì 09/02/1992 KEY PEOPLE & DEPT HEADS ARE TRAINED ON PROPER PROCEDURES FOR MITIGATION, PREVENTION & ABATEMENT. r=::USERKelITeTayse Containment ~ LITTER TO ABSORB MATERIAL. I Clean Up SWEEP UP KITTY LITTER AFTERWARDS. Other Resource Activation 09/02/1992 1 09/02/19921 -6- .. e e F ALBERTSONS FOOD CENTER I p= Site Emergency Factors Special Hazards SiteID: 215-000-001076 9 Fast Format 9 Overall Site 9 Utility Shut-Offs A) GAS - NORTHWEST CORNER BUILDING B) ELECTRICAL - BACK OF BUILDING C) WATER - BACK OF BUILDING D) SPECIAL - NONE E) LOCK BOX - NO 09/02/1992 OUTSIDE Fire Protec./Avail. Water 09/02/1992 PRIVATE FIRE PROTECTION - BUILDING HAS SPRINKLER SYSTEM, FIRE EXTINGUISHERS AT KEY LOCATIONS, ALARM SYSTEM SET UP TO NOTIFY FIRE DEPT IN CASE OF PROBLEM. FIRE HYDRANT - LOCATED AT REAR OF BUILDING. -7- .; '- e - F ALBERTSONS FOOD CENTER I f= Site Emergency Factors Building Occupancy Level SiteID: 215-000-001076 9 Fast Format ì Overall Site 9 -8- ~ ·c, . /" e e F ALBERTSONS FOOD CENTER I F Training Employee Training SiteID: 215-000-001076 9 Fast Format 9 Overall Site 9 09/02/1992 WE HAVE 150 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: ALL EMPLOYEES ARE FAMILIARIZIED WITH THE "RIGHT TO KNOW" MANUAL. THEY ARE TAKEN FOR A TOUR OF THE STORE AND SHOWN THIS TECHNIQUE FOR CLEANING UP DIFFERENT SPILLS. Page 2 -9- i', .1 _ . ¡IALBERTSONS FOOD CENTER Overall Site with 1 e ~ 06/25/93 ··215-000-001076 Fac. Unit Page 1 General Information Location: 8200 STOCKDALE HWY Community: BAKERSFIELD STATION 11 Map: 123 Hazard: Minimal Grid: 05B FlU: 1 AOV: 0.0 Contact Name FRED HAYWARD MARK YINGST Title STORE DIRECTOR ASSISTANT MANAGER Business Phone (805) 833-6071 x (805) 833-6071 x 24-Hour Phone (805) 664-1357 (805) 665-0226 Administrative Data Mail Addrs: 8200 STOCKDALE HWY City: BAKERSFIELD Comm Code: 215-011 BAKERSFIELD STATION 11 D&B Number: State:' CA Zip: 93311- SIC Code: Owner: ALBERTSONS INC Address: 250 PARK CENTER City: BOISE Phone: (805) 833~6071 State: ID Zip: 83726- Summary RECEíVED iJUl 0 6 1993 HAZ. MAT. DIV. .-. e - / 06/25/93 ALBERT SONS FOOD CENTER 215-000-001076 Hazmat Inventory List in MCP Order Page 2 02 - Fixed Containers on Site PIn-Ref Name/Hazards Form Max Qty MCP 02-002 CHLORINE BLEACH Liquid 400 High .. Reactive, Immed Hlth GAL 02-001 MOTOR OIL Liquid 90 Minimal .. Fire, Delay Hlth GAL 02-003 ASSORTED PESTICIDES Liquid 60 Unrated .. Fire, Pressure, Reactive, Immed Hlth GAL '< e e / 06/25/93 ALBERTSONS FOOD CENTER 215-000-001076 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 02-002 CHLORINE BLEACH ~ Reactive, Immed Hlth Liquid, 400 'High GAL CAS #: 7681-52-9 Trade Secreit: No Form: Liquid Type: Pure Days: 365 Use: CLEANING Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL -- 400 I 200.00 I 5,000.00 Storage PLASTIC CONTAINER r Press T Temp .~ Ambient Ambient CENTER Location - Conc l 100.0% Bleach· Components ~ MCP --rGuide 'High I 45 02-001 MOTOR OIL ~ Fire, Delay Hlth Liquid 90 Minimal GAL CAS #: 8020835 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL -- 90 I 60.00 I 3,000.00 Storage PLASTIC CONTAINER . r Press T Temp ~ . Ambient Ambient CENTER Location - Conc _I Components 100.0% Motor Oil, Petroleum Based r; MCP --rGuide Minimal I 27 02-003 ASSORTED PESTICiDES ~ Fire, Pressure, Reactive, Immed Hlth Liquid 60 Unrated GAL CAS #: , Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: PESTICIDE Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL -- 60 I 40.00 I 2,000.00 Storage r Press T Temp ~ METAL CONTAINR-NONDRUM Above Ambient I CENTER Location - Conc -/ 100.0% Pesticides Components r~ MCP --rGuide Unrated I 0 e e vI' 06/25/93 ALBERTSONS FOOD CENTER 215-000-001076 00 - Overall Site Page 4 <D> Notif./Evacuation/Medical <1> Agency Notification EMERGENCY CALL 911 OUTSIDE CLEAN UP CONTACT BFD AND HAZARDOUS MATERIALS DIVISION <2> Employee Notif./Evacuation SAFETY MEETINGS ARE HELD MONTHLY ON PROPER PROCEDURES. KEY PEOPLE & DEPT HEADS TAKE PART IN THIS MEETING. <3> Public Notif./Evacuation EMERGENCY EXIT DOORS POSTED NORTH WALL AND SOUTH WALL. <4> Emergency Medic~l Plan MERCY HOSPITAL - 2215 TRUXTUN AVE - 327-3371. ~ e e / 06/25/93 ALBERTSONS FOOD CENTER 215-000-001076 00 - Overall Site Page 5 <E> Mitigation/Prevent/Abatemt <1> Release Prevention KEY PEOPLE & DEPT HEADS ARE TRAINED ON PROPER PROCEDURES FOR MITIGATION, PREVENTION & ABATEMENT. <2> Release Containment USE KITTY LITTER TO ABSORB MATERIAL. <3> Clean Up SWEEP UP KITTY LITTER AFTERWARDS. <4> Other Resource Activation ~ '. '01 e 06/25/93 - j ALBERTSONS FOOD CENTER 215-000-001076 00 - Overall Site <F> Site Emergency Factors Page 6 <1> Special Hazards <2> Utility Shut-Offs A) GAS - NORTHWEST CORNER BUILDING OUTSIDE B) ELECTRICAL - BACK OF BUILDING C) WATER - BACK OF BUILDING D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - BUILDING HAS 'SPRINKLER SYSTEM, FIRE EXTINGUISHERS AT KEY LOCATIONS, ALARM SYSTEM SET UP TO NOTIFY FIRE DEPT IN CASE OF PROBLEM. FIRE aYDRANT - LOCATED AT REAR OF BUILDING. <4> Building Occupancy Level ;; "'. ~i.f- e e 06/25/93 ALBERTSONS FOOD CENTER 215-000-001076 00 - Overall Site Page 7 <G> Training <1> Page 1 WE HAVE 150 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: ALL EMPLOYEES ARE FAMILIARIZIED WITH THE "RIGHT TO KNOW" MANUAL. THEY ARE TAKEN FOR A TOUR OF THE STORE AND SHOWN THIS TECHNIQUE FOR CLEANING UP DIFFERENT SPILLS. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use ... ~~ ~ i" 08/05/92 ~' 0 ~(Ç~DW~~ ALBERTSONS FOOD CENTER 215-000-00107 ,AUG 24 1992 p'~ Overall Site with 1 Fac. Unit ;, By General Information =: -."., ....'--.... e 1 Location: 8200 STOCKDALE HWY Map: 123 Hazard: Minimal Community: BAKERSFIELD STATION 11 Grid: 05B FlU: 1 AOV: 0.0 --- Contact Name Title Business Phone - 24-Hour Phone FRED HAYWARD STORE DIRECTOR (805) 833-6071 x (805) 664-1357 MARK YINGST ASSISTANT MANAGE~ (805) 833-6071 x (805) 665-0226 Administrative Data Mail Addrs: 8200 STOCKDALE HWY D&B Number: City: BAKERSFIELD State: CA Zip: 93311- Comm Code: 215-011 BAKERSFIELD STATION 11 SIC Code: Owner: ALBERTSONS INC Phone: (805) 833-6071 Address: 250 PARK CENTER State: ID City: BOISE Zip: 83726- Summary . frI!P b:t!~¿j) . 00 Mf<lt¡y ~ ~ ß ~S , memi pian 1fjr$~hIS I¡~~~SR~ ¡~ @~@~Ifj] wßß~, . . (Nwn8 of ÐUSrnGSB) , ~ ~m~ OOU'fi'~Cìion5 ton$~itut@ ~ OOmpl~~® ®~<01 tom~©i( M®~" ~®m®m ~~~ ~©rr mv ~~1(~m~o <' ì1 ' ,f:..i.....: .. . . - .. 06/05/92 ALBERTSONS FOOD CENTER 215-000-001076 02 - Fixed Containers on Site Page 2 Hazmat Inventory Detail in Reference,Number Order 02-001 MOTOR OIL ~ Fire, Delay Hlth Liquid 90 Minimal GAL CAS :It: 8020835 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 90 I' 60.00 I 3,000.00 Storage PLASTIC CONTAINER r Press T Temp ~ Ambient Ambient CENTER Location - Conc l Components 100.0% Motor Oil, Petroleum Based r; MCP -=--rList Minimal I 02-002 CHLORINE BLEACH ~ Reactive, Immed Hlth Liquid 400 High GAL CAS :It: 7681-52-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: CLEANING Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 400, I 200.00 I 5,000.00 Storage PLASTIC CONTAINER r Press T Temp -;1 Ambient Ambient CENTER Location - Conc -I 100.0% Bleach Components ~, MCP ~List High I 02-003 ASSORTED PESTICIDES ~ Fire, Pressure, Reactive, Immed Hlth Liquid 60 Unrated GAL CAS :It: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: PESTICIDE Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 60 I 40.00 I 2,000.00 Storage . r Press T Temp ~ METAL CONTAINR-NONDRUM Above Ambient I CENTER Location - Conc -, 100.0% Pesticides Components I~ MCP --:-rList Unrated , - - ~ ~ 08/05/92 ALBERTSONS FOOD CENTER 215-000-001076 00 - Overall Site Page 3 <D> Notif./Evacuation/Medical <1> Agency Notification ~ EMERGENCY CALL 911 OUTSIDE CLEAN UP CONTACT BFD AND HAZARDOUS MATERIALS DIVISION <2> Employee Notif./Evacuation 3ASEC 2) SAFETY MEETINGS ARE HELD MONTHLY ON PROPER PROCEDURES. KEY PEOPLE & DEPT HEADS TAKE PART IN THIS MEETING. <3> Public Notif./Evacuation EMERGENCY EXIT DOORS POSTED NORTH WALL AND SOUTH WALL. <4> Emergency Medical ~Plan 2A SEC 5) MERCY HOSPITAL - 2215 TRUXTUN AVE - 327-3371. ... -, 'e ;1' ó 08/05/92 ALBERTSONS FOOD CENTER 215-000-001076 00 - Overall Site <E> Mitigation/Prevent/Abatemt Page 4 <1> Release Prevention 3A SEC 1) KEY PEOPLE & DEPT HEADS ARE TRAINED ON PROPER PROCEDURES FOR MITIGATION, PREVENTION & ABATEMENT. <2> Release Containment US£. \L I 11 '( l"",1í~<L To ~ ßfp(¿'ß M 1f\~¡eiV1G - L QC ~) <3> Clean Up J SWEE:() up li."tfT"¡ l,.rT1EIL f\~iï~:~4'RJ)5 <4> Other Resource Activation ~ . e G w 08/05/92 ALBERTSONS FOOD CENTER 215-000-001076 00 - Overall Site Page 5 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs 2A SEC 3) A) GAS - NORTHWEST CORNER BUILDING OUTSIDE B) ELECTRICAL - BACK OF BUILDING C) WATER - BACK OF BUILDING D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water 3A SEC 4) BUILDING HAS SPRINKLER SYSTEM, FIRE EXTINGUISHERS AT KEY LOCATIONS, ALARM SYSTEM SET UP TO NOTIFY FIRE DEPT IN CASE OF PROBLEM. 3A SEC 5) FIRE, HYDRANT LOCATED AT REAR OF BUILDING. <4> Building Occupancy Level :...:k ;;¡ . ~ - .' e 08/05/92 ALBERTSONS FOOD CENTER 215-000-001076 00 - Overall Site Page 6 <G> Training WE HAVE 150 EMPLOYEES AT THIS FACILITY <1> Page 1 WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAI~~ ,;Ii. ¿ '4/1- ¡¡j &tfJO "" /#~ ~::h6ZV;·è/·~7~ ~~~~ ~~/ ~ "LA~~/A/ co/#~ý~, <2> Page ;:~::~~ed <3> Held for Future Use <4> Held for Future Use '" ------- ----- 4" 03'l~7 /'31' e a ALBERTSONS FOOD CENTER 215-0(~'OI076 Overall Site with 1 Fac. Unit General Information RECEIVED Page A P R 2 Q fQq1 - Ans'o. ........... 1 !- r . Location: 8200 STOCKDALE HWY Ident Number: 215-000-001076 Map: 123 Hazard: Minimal Grid: 05B Area of Vul: 0.0 ~&CIYlt~~~¡¿w g@:5- 11,.l,¿, FRED HAYWARD Title /0 I Busiy,ess Phcly,e shl'G~ J}I4Z~C ft.' (805) 833-6071 x S~ I> /; ¡J16 ~ (805) 833-6071 x 24 Hout~ Phcly,e, ~ ~~;~ ~ f¡4-~M; Mail Addrs: City: C,:.mm C.:.de: Administrative Data 8200 STOCKDALE HWY BAKERSFIELD 215-011 BAKERSFIELD STATION 11 D&B Numbet~: State: CA Zip: '33311- SIC'Cclde: Owner: ALBERTSONS INC Address: 250 PARK CENTER City: BOISE Phc.y,e: ( State: ID Zip: 83726- r Summary I \ f?¡t¿ZJ) ¡JP,J-Lf b-JYJ-1Z- f~ ~, (Typo or print nlWi'1ø) P(» hersby c$rm1f ~hBJ~ ~ halve reviewed the aU~ched hazardou~ materials managsc' ment plan for~æIsO/l/s.,. ~(f/~ (Nf~-!' :·I7:"-.,.-·-____ç..~d tI,at It alonn WI·th . ~ '..: l::u:Z!:'''a~.~J U' any corrections constitute a comp'~\t.o 'and ¥ Q correa mai1- agsm(9nì plan for my facility. '>, "" Dato 41 1-Ø?7- - BALJFIELD CITY FIRE DEPARTMENT ...~ RALPH E. HUEY, REA HAZARDOUS MATERIAL COORDINATOR (805) 326-3979 FAX 18051 395·,3'49 ---- --- HAZARDOUS MATERIAL DIV, 2130 "G" STREET BAKERSFIELD. CA 93301 e a '. ., '! - ~-~ ,....., t ~/. ~, _ k. I7tJ _A A~'--~ - V~~'-"cj ~~- {¡:T~-f}~~ -~-~-~.pk. ~~.._': ~ - - ~~-- ~.... Ç.{I>-k.~~ ..- .-. ~-tJiy~-~. ~ ~ ~,µf-,~ ~, -- --- -'- - -- - .:-"""' -~~~-~--- ,- ..---"..--.-- - ~~_lAA'-C{ :-.t1 (I,!yt (;~ Q C!øfd. -~ ...-- -- - --.-- - --.... 03/27/'31 RLBERTSONS FOOD CENTER 215-000-001076 HazMat Inventory List in MCP Order Page 2 02 - Fi~ed Containers on Site PI Y'I-Ref NaMe/Haza\"~ds FC'\"~M Quantity MCP 02-002 CHLORINE BLERCH ? 400 High GRL 02-001 MOTOR OIL ? ':30 Mi Y'lirnal GAL 02-003 ASSORTED PESTICIDES ? 60 UY'I\"~ated GAL ..~~, - --. --- - - - .- '\ " . e - - - - ------------------------------------- r, e _ RLBERTSONS FOOD C- -- - (¡C-) _ 0 EN1ER ¿15-00_ )01076 . vera I I Site (D) Notif./Evacuation/Medical Page 3 .' 03/~7/'31 ~ (I) Agency Notification ê/tflf¡{ßl;¡W«¡ Gt1Il,~711 I)w!b/f}C'" elMiV'o/ CrlI/f,;J-V} 8 ¡¿'iJ ¡}upJ- hÞ~RA) 0 ¡.µ S :IU/!-:/-t:J7u ,¡/J- j)"J. (2) Employee Notif IE . , . vacuatlon 3A SEC 2) SAFET I Y MEETINGS ARE HELD MONTHLY 0 ~EOPLE & DEPT HERDS TRKE P _ N PROPER PROCEDURES ARl IN THIS MEETING. . KEY (3) Publiè N t c. if./Evacuatic.n (t/l16£/CÓq;U¿y ßI r f)VtJ~S ~ <,!tYD $,ovJ1J tJl1A/ fI/& ~II) þJJ4-11 KAJ-o (4) Emergency Medical Plan 2A SEC 5) MERCY HOSPITAL - 2215 TRUXTUN AVE - 7~7 7-71 \oJ~ -w~ . 03/27/91 ALBERTSONS FOOD CENTER 215-000-001076 00 - Overall Site Page 4 (E> Mitigation/Prevent/Abatemt (1) Release Prevention 3A SEC 1) KEY PEOPLE & DEPT HEADS ARE TRAINED ON PROPER PROCEDURES FOR MITIGATION, PREVENTION & ABATEMENT. /Jfd:f~d ¡}p,yt¡{¡)O¿VS 414/-tiCi'? f q ;) Mf/Jt!Jtu~/¡ u)kØ-etß2 ~ ,. (2) Release Containment (~. cn Clean Up (4) Other Resource Activation 0- C'. - e " , - - ------ - -------- - - - ------ 03/27/'31 ALBITSONS FOOD CENTER 215-00.)01076 00 - Overall Site Page C' ;;:J c' . -. CF} Site EMergency Factors (1) Special Hazards C2} Utility Shut-Offs 2A SEC 3} A} GAS - NORTHWEST CORNER BUILDING OUTSIDE B} ELECTRICAL - BACK OF BUILDING C) WATER - BACK OF BUILDING D} SPECIAL - NONE E} LOCK BOX - NO C3} Fire Protec./Avail. Water 3A SEC 4) BUILDING HAS SPRINKLER SYSTEM, FIRE EXTINGUISHERS AT KEY LOCATIONS, ALARM SYSTEM SET UP TO NOTIFY' FIRE DEPT IN CASE OF PROBLEM. 3A SEC 5} FIRE HYDRANT LOCATED AT REAR OF BUILDING. C4} Held for Future use 03/27/91 ALBERTSONS FOOD CENTER 215-000-001076 00 - Overall Site Page 6 (G) Tt~a iY"Ii Y'lg (1) Page 1 WE HAVE 150 EMPLOYEES AT THIS FACILI1Y WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: CdsfOÞ~& /é 5¿7C~/¿C¿ tJt4C)t£k4l¡VS if/I )lJ&V/ ' 6,;n¡f'MIjU-5> ON 11474~S ~&,(/~ //,-Nt1 4I/JtfJ1lsÞIV{J 41 ¡/j1,{,1 ¿--Jð1 (2) Page 2 as needed (3) Held for Future Use (4) Held for Future Use ¡ . .,;¡ ":$ ..- ,.;¡ 'e e ~ 'i- . ~. ,HAZARDOUS MATERIALS INVENTORY j":' Farm and Agtlculture 0 Sta~dard Buslness;gJ . L I ' NON-TRADE SECRETS Page __rof Eg8I~IÖ~' NAPf /I~, ~~~~~S~~ME: Sll~ ~~~~o~~o THhB. FêtUPt¿OF:-~øc ' ~ '--'---" CITY ZIP: D' CITY zIp: - - DUN AND BÀADSTREET NUMBER-'-'·"---~--··-·· PHON~ #: .' PHON~ #: REFER TO-rN5TRUCTIONs rUH ÞRDPER CODES 1 8 9 10 11 12 . Dys Cont Cont Cont Use location Where on SIte Type Press Temp Code Stored In FacIlity, C/' JÓ Lj' t; )f (ê ¡¡) 1t.. ~,¿u" 1cP8'/ -S7..-q ,Component. 1 Name I C,A.S. Number ClorY of ~AKEKSf-'lELU .~" " , , - - - - 1 Trans Code 13 u ., by Na~es of ~ixture{ço~oonents Wt ., ee Instruc Ions : ~ ~.. ~qC/¡: .. ¡ ,t ' o Fire Hazard ¡: I 121 React;,it,¡: 't .; C.A.S. Number ~ Component '2 Name I C.A,S. Number Immediate Health Component '3 Name I C.A.S. Number é-E IU tg;(. S.G, Component " Name I C.A.S. Number 0' Component '2 Name I C.A.S. Number Immediate ' Health Component .3 Name' C.A.S. Number ~Ol Component " Name I C,A.S, Number C8l Component .2 Name' C.A.S. Number Immediate Health Component '3 Name' C.A.S. Number Component ., Name I C.A.S. Number . o Component '2 Name I'C.A.S. Number Immediate Health Component '3 Name I C.A.S. Number #2 ,) o De I ayed 0 SUdd;n Re I ease Health 0 Pressure f () Physical sod Health »afard (Check a' I tha t app I y . ø.. Fire Hazard o Reactivity i 0 Delayed 0 suddfn Release ,Health 0 Pressure ~ Fire Hazard ISl. Reactivity¡ ¡' ,. o Delayed r& SUdd;n Release Health 0 Pressure I I Physicalcsnd Health »afard ! C.A.S. Nunber I Check a II that apply I o Fire Hazard 0 Reactivity 0 Delayed 0 SUdd;n Release I Hea I th 0 Pressure EMERGENCY CONTACTS #1 ¡rltf-e/'y f114r¡,4~ 66s-(JtZ.6 , 'lfllfrñm---- 7)1 /£C1õ~ ~J; ., ~\ ,¡ RECE\VEO MAY 1 6 \991 Ans'd:......... .. CHEMICAL SAFETY 'RIGHT· TO'·KNOW' EMPLOYEE HANDBOOK 21162 11/89 ALBERTSONS PRINTING & SUPPLY· BOISE ., CHEMICAL SAFETY 'RIGHT -TO-KNOW' EMPLOYEE HANDBOOK INTRODUCTION Albertson's Chemical Safety 'Right-to-KnCNV' Employee Handbook is designed to promote your safety and health by alerting you to the potential chemical hazards that may exist in your work area. The Handbook identifies various types of chemical hazards and will help you find and understand the information you need to properly handle potentially hazardous chemicals. The Handbook is part of Albertson's Corporate Safety Program that complies with the following Federal and State Hazard Com- munication Standards: OSHA 29 CFR 1910.1200 (Federal) Title 8, Section 5194 (California) OAR 437, Division 155 (Oregon) WAC 296-62-054 (Washington) Hazard Communication is also referred to as the "Right- to-Know Law," meaning, you have a right-to-know about the potential hazards associated with the chemicals you work with. Both YOU and Albertson's share the responsibility to make this program work. Albertson's is ,responsible for providing a safe workplace along with providing information about potentially hazardous chemicals. YOU have the responsibility to study the chemicals you work with and to follow the proper safety proce- dures. To make this program complete, in addition to the Handbook you should also review Albertson's Written Hazard Communi- cation Program and the Material Safety Data Sheets (MSDSs) for the chemicals used in your work area. This data, along with a copy of the applicable Hazard Communication Standard for your state, is maintained in the Chemical Safety 'Right-to-Know' Manual in each store and distribution center. The Manual is available for your review. ALBERTSON'S CARES ABOUT YOUR SAFETY AND HEALTH! .~ _ ___m__'_______ IDENTIFYING 'HAZARDOUS CHEMICALS Under the Hazard Communication Standard, a chemical is con- sidered "hazardous" if greater than 1% of its makeup consists of ingredients listed by the Occupational Safety & Health Ad- ministration as hazardous (OSHA 29 CFR Part 1910, Subpart Z). In the case of carcinogens, a chemical is "hazardous" if the concentration is 0.1 % or greater. It takes a very small amount of a listed ingredient to label a finish- ed product as "hazardous." This is why many commonly used products are covered under the Hazard Communication Stan- dard. TYPES OF CHEMICAL HAZARDS Chemicals are a way of life. We are all exposed to various chem- ical products every day. In fact, many household products can be more hazardous than the chemicals used on the job. There are three different types of chemical hazards: 1. Health Hazards Health hazards refer to the toxicity of a chemical or its abili- ty to cause harm when it is breathed, swallowed or gets on the skin. A TOXIC CHEMICAL CAN HARM YOU ONLY IF IT IS NOT USED PROPERLY! To determine if a chemical may be hazardous to you, it is important to evaluate how much of the chemical you use and how long you use it during a work day. The concept of "how much" and "how long"is also referred to as the Dose. · Acute exposure is too large a dose which can cause im- mediate response such as nausea, tissue irritation, skin burns and anesthetic effects. Effects of an acute exposure are ordinarily recovered from quickly. - 1 - W' · Chronic exposure is generally pro'Ionged or repeated ex- posure, even to low doses, where the cumulative effect on the body is harmful. Almost any chemical can have harmful effects if the dose is large enough. The body can eliminate or detoxify most chemicals if the Dose is not too high. 2. Flammability Hazards Flammability hazards refer to the fire and explosion poten- tial of a chemical. Some chemicals are extremely flammable anq will give off flammable vapors, even at room temperature, while others need to be heated to very high temperatures before they will burn. 3. Reactivity Hazards Reactivity hazard means a chemical can change or combine with other chemicals in a hazardous way. Reactive chemicals can explode or produce a toxic gas when mixed with other materials. An example is the mixing of bleach and ammonia resulting in the release of chlorine gas. DETERMINING YOUR EXPOSURE TO CHEMICAL HAZARDS There are two sources you can use to determine the potential hazard of a chemical: (1) the label on the container, and (2) a Material Safety Data Sheet (or MSDS) which is a standard in- formation form supplied by the manufacturer or distributor of the chemical. 1. Labeling The Hazard Communication Standard specifically requires that all original containers of hazardous chemicals be labeled with an appropriate warning provided by the manufacturer. While this warning does not have to include all of the infor- mation contained on the Material Safety Data Sheet, it does have to convey enough information to tell the user the name - 2 - ---'., of the chemical, the' name and address of the manufacturer, emergency telephone number, the type of hazard that ex- ists, how to properly handle the chemical and type of pro- tective equipment to use (if necessary) and possible physical harm. Secondary containers (including spray bottles) of hazardous chemicals, filled from originals, must also be labeled. Ap- propriate labels for secondary containers are available from the Supply Department. An exemption to labeling a secon- dary container would be a transfer made by an employee for his own "immediate use." It is the responsibility of the department manager or super- visor that all containers in his/her area have labels. 2. Material Safety Data Sheets (MSDSs) Material Safety Data Sheets are generally two to four pages in length and are required to have specific hazard informa- tion for each chemical product. The typical format for a Material Safety Data Sheet is similar to OSHA's Standard Form (refer to the next section), although any format may be used as long as the required information is provided. The Hazard Communication Standard requires employers to have an MSDS on file for every hazardous chemical in the workplace. Your Store Director or Supervisor maintains an MSDS file. This file is available for employee review during each work shift. You are encouraged to read the MSDSs that pertain to the chemicals used in your work area. You also have the right to request from your Store Director or Supervisor a Material Safety Data Sheet for any chemical you use not already addressed by the Hazard Communica- tion program. - 3 - .. REVIEW OF THE MATERIAL SAFETY DATA SHEET (MSDS) Section I - General Information This section contains general information, including the manu- facturer's name and address, the trade or common name of the chemical, the chemical family and the telephone number to call in an emergency. Section II - Hazardous Ingredients This section lists the hazardous ingredients in the chemical pro- duct that account for 1% or more of its makeup. In the case of carcinogens, 0.1% or greater. This section also lists the airborne concentration a worker can safely be exposed to in an 8 hour day, day-in, day-out, without harmful effects. This is called the Threshold Limit Value (TLV). TLV is measured in parts per million (PPM). The lower the number, the more hazardous a substance is. The Threshold Limit Value is also called Permissible Exposure Limit (PEL). Section III - Physical Data This section deals with physical and chemical properties (other than toxicity), including the boiling point, vapor pressure, ap- pearance and odor. Section IV - Fire and Explosion Hazard Data This section contains fire and explosion hazard data and in- cludes the flash point, recommended extinguishing media, spe- cial fire fighting procedures and unusual fire and explosion hazards. It is important to know the flammability of chemicals. The "flash point" is the temperature at which a chemical will give off enough vapor to ignite upon contact with an ignition source. Chemicals that are highly flammable should only be used in a well ventil- ated area. - 4 - ., î Material Safety Data Sheet U.S. Department of Labor ~ May be used to comply with Occupational Safety and Health Administration OSHA's Hazard Communication Standard, (Non-Mandatory Form) 29 CFA 1910.1200. Standard must be Form Approved consulted for specific requirements. OMS No. 1218-0072 IDENTITY (As Used on L8beI and Us,) Now: Blank spaces are not permìned. H any item is not flPPIí!;af?le. or no information is available, the space must t)e marked to Indica ~ that. Section I Manufacturer's Name Emergency Telephone Number Address (Number, Street. City, State. and ZIP Code) Telephone Number for Information Date Prepared Signature of Preparer (optional) Section II - Hazardous Ingredients/Identity Information Other limits Hazardous Components (Specific Chemical Identity; Common Name(S)) OSHA PEL ACGIH Tl V Recommended % (optional) Section /II - Physical/Chemical Characteristics Boiling Point Specific Gravity (H2Ü '" 1) Vapor Pressure (mm Hg.) Mellil'lQ Point Vapor Density (AIR _ 1) Evaporation Rate (Butyl Acetate _ 1) So!ubi\it>¡ in Water Appearance and Odor Section IV - Fire and Explosion Hazard Data Flash Pornt (Method Used) Flammable Limits -, LEL r UEL E)Cinguishing Media Special Fire Fighllng Procedures Un.usuaI Fire and Expk)sjon Hazards --"- (Reproduce locally) OSHA 114, Sept. 1985 I ~ MATERIAL SAFETY DATA SHEET (MSDS) OSHA Standard Form (Side 1) - 5 - .. Section V - Reactivity Data This section deals with the reactivity of the chemical and will tell if the chemical is stable, if it will create a hazard if mixed with other chemicals or if it will decompose dangerously. Section VI - Health Hazard Data This section contains health hazard information, including routes of entry, acute and chronic overexposure hazards, signs and symptoms of exposure, medical conditions aggravated by ex- posure, carcinogenicity and emergency first aid procedures. This section will help with immediate first aid for overexposure until a medical professional can be called. Section VII - Precautions for Safe Handling and Use This section lists special precautions that may be required when handling and storing a hazardous chemical and what procedures to follow in the event of a spill or leak. Section VIII - Control Measures For spills of particularly hazardous chemicals, this section covers special protection information and includes the type of personal protective equipment recommended, such as respirators, pro- tective glasses, goggles, gloves and aprons. - 6 - .. Section V - Reactlvlly Data S'abil¡~ I ~,:~~ EI ~¡tion5 to A,~ Incompa\ibi!\1y ¡Materials 10 Avoid) Hazardous Decomposition or Byproducts ~~~~:lIon I May Occur I win No1 Occur I I Conditions 10 Avoid I I Section VI - Health H8Z8rd Data Aoute(s) 01 Entry Inhalation? Skin? Ingestion? Health Hazards (Acute and Chronic) CarcinogenicIty NTP? IARC MonographS? OSHA Regulated? SIgns and Symptoms 01 Ex~e Medical Conditions Generally Aggravated by Exposure EmergeOOj and Fifst Aid ProcedUres Section VII - Precautions for Safe Handling and Use Sleps to Be Taken in Case Material Is Released or Spilled Waste Disposal Method Precautions to 8e T akan in Handhng a.od Storing Other Precautions Section VII' - Control Measure. Respiratory Protection (Speedy Type) Venfllation ! Local Exhaust I Mechanical (Genera') Protective Gloves I Special I Other Eye Protection Other Protective Clothing or Equipment WOfk!Hygienic Pr$Ctices ..... 2 .. USGPO"I*_lI9}_n9/4HH MATERIAL SAFETY DATA SHEET (MSDS) OSHA Standard Form (Side 2) - 7 - .. GLOSSARY OF TÊRMS ACUTE: The immediate or very quick affect on the human body when exposed to a large dose in a short period of time. CARCINOGEN: Something that is capable of causing cancer. CATALYST: A chemical which causes a reaction (usually chem- ical in nature) between two other chemicals without affecting the chemical itself. CHRONIC: An exposure to the human body that is generally prolonged or repeated, even to low doses, where the cumula- tive effect on the body is harmful. COMBUSTIBLE: Able to catch fire and burn. CORROSIVE: That which can weaken or destroy in a gradual process. DERMAL: By or through the skin. DOT: Abbreviation for the Department of Transportation. DYSPNEA: Breathing which is labored or difficult. EXPLOSIVE LIMITS: The range of vapor concentrations in the air under which a combustible or flammable gas or vapor will produce a flash fire. FLAMMABLE: Catches on fire easily and burns rapidly. FLASH POINT: The lowest temperature at which a liquid's vapor will ignite when in contact with an ignition source. IGNITION TEMPERATURE: The lowest temperature at which a substance will catch on fire and continue to burn. The lower the ignition temperature, the more likely the substance is to be a fire hazard. - 8 - ., ¡ INGESTION: Entry into the body through the mouth (swallow- ing). OSHA: Abbreviation for the Occupational Safety and Health Ad- ministration, U.S. Department of Labor. OSHA develops and en- forces federal standards of occupational safety and health. PEL: Abbreviation for Permissible Exposure Limit (see TLV). POLYMERIZATION: A chemical reaction in which individual molecules combine to form a single large chemical molecule. Usually involves the release of energy. PPM: Parts per million. Generally used to express small con- centrations of one substance in a mixture. PULMONARY: Pertaining to the lungs. PYROPHORIC: Igniting spontaneously. REACTIVITY: The ability of a substance to undergo change, usually by combining with another substance or by breaking down. RENAL: Pertaining to the kidney. SOLVENT: A substance which dissolves another substance. Water is the most common solvent. SPECIFIC GRAVITY: The ratio of the weight of a liquid to an equal volume of water. TLV: Abbreviation for Threshold Limit Value; TLVs are figured on an average 8-hour occupational exposure limit and are cal- culated to be safe exposures for a working lifetime. ,. TOXIC SUBSTANCE: Any substance which cause injury or ill- ness to the human body. Substances might be considered toxic if they are suspected of being able to cause injury or illness under certain conditions or manner of use. - 9 - · IMPORTANT NOTICE NEW EMPLOYEES The Statement of Comþliance form certifying that you have re- ceived and read Albertson's Chemical Safety 'Right-ta-Know' Em- ployee Handbook must be signed as a condition of employment. All employees should be aware of Albertson's chemical safety pro- gram, whether or not they use potentially hazardous chemicals. EMPLOYEES USING POTENTIALLY HAZARDOUS CHEMICALS Refer often to the Chemical Safety Checklist posted in your de- partment. Let it serve as a reminder of your responsibility as an employee to study the chemicals you work with and to follow pro- per safety procedures. [B" [B" [B" [B" [B" [B" [B" [B" Read your Chemical Safety 'RighHo-Know' Employee Handbook. Identify the hazardous chemicals used in your work area. Read and follow label instructions on original containers. Properly label secondary containers. Know the hazards of the chemicals you work with. Know how to detect the presence or release of hazardous chemicals. Know how to protect yourself through proper work practices. Know where to find Material Safety Data Sheets (MSDSs). i I .... It is Albertson's responsibility as employer to provide instruction for those employees using potentially hazardous chemicals. To ac- complish this, your department manager or supervisor will review each item on the Chemical Safety Checklist with each department member. , '~,~~',' " ~ r ~.' J7 . CITY of BAKERSFIELD "WE CARE" FIRE DEPARTMENT D, S. NEEDHAM FIRE CHIEF i'lay 2, 1991 2101 H STREET BAKERSFIELD, 93301 326,3911 Fred Hayward Albertsons Food Genter 8200 Stookdale Hwy Bakersfield, CA 93311 Dear Mr. Hayward: Thank you for returning the Hazardous Materials Business Plan. Under Mitigation Prevention and Abatement Prooedures for Release Prevention you referred to the Albertsons Hazardous Materials Manual. Would you please send us a oopy of that Manual. Thank you. Sinoerely yours, .fl!Jd~/ Jd Ral~((E. ky Hazardous aterials Coordinator ~ REH/ed l' 'f ~) -~ .~~ _. ) tji Bakersfield Fire :t!"pt. Hazardous Materials Inspection Date Completed fJ'. ~ ' g 9 Business Name: ~Q\4~/)· Location: ß 200 ~tff)¿j/J-R' Plan 10 # 215,-000 00 \01 ( (Top right comer Business Plan) Inspector fi1JPÆJ,~ Station No. II Shift ( Adequate Inadequate Verification of Inventory Materials o o o o Verification of Quantities RECEIVED AUG 0 7 1989 HAZ. MAT. DJV. Verification of Location Proper Segregation of Material Comments: ~~,,,,'^()..~, ~(·z~ f'rJ\ ~~ lM 6'r-.~_ ~)(ðL~ Verification of MSDS A vail a bili ty o Number of Employees Verification of Haz Mat Training o Comments: ~ ~ ~ o [JJ ~ Verification of Abatement Supplies & Procedures o Comments: ~ Emergency Procedures Posted o D Containers Properly Labeled Comments: ŒJ ~ Verification of Facility Diagram o Special Hazards Associated with this Facility: o Violations: FD 1652 (Rev. 3-89) White·Haz Mat Div. Yellow·Station Copy Pink·Business Office " j BUSINESS HAIlE: -4 L ~t!1?ßf7,r¡J'þ ~ , I LOCATIOH: t:f;;;..pv .sT~c./C]}::r(( ~,-!1 '...~G~ HAZARDOUS .rv1ATERIALS INSPECTION 107 (0 \~, e~¿ REr.EiVE:O SfP 2 R 1988 VERIFICATION OF QUANTITIES INSPEcroR: 6- tJ /J7íJo- o o o o COMMENTS: fJ~1l~Ø1'5 '/1/f;1f0 -;¡r 6C S ¡ÇðRÇ~#rtc) C!-))/-¡¡ h"4I \Ij. .. .. .. .. ~........,.. INSPECrION DATE: VERIFICATION OF IHVEN"l'ORY MATERIALS VERIFICATION OF LOCATIOH PROPER SEGREGATIOR OF MATERIAL VERIFICATION OF BAZ MAT TRAIHIRG __" .__ 0" ____ ___.____........._,_ ........- -, -- VERIFICATION OF MSDS AVAILABLE' -'>---. ,,/, ' '-~ / -,'-- , , /./, : Yo ¡J? SD f /k/4 f¿;I}-8 U- ~''''. /' -,..__._-,.'~ _.---~---~_.,-~~._.._-_., .." ,~ ~---._,-_._. .- . ..-- D D VERIFICATION OF ABATFJŒHT SUPPLIES & PROCEDURES o COMMENTS : EMERGENCY PROCEDURES POSTED 0 CONTAINERS PROPERLY '¡Jt.R1lT.1m GZr aJIIMEHTS, ltJ¡ 7/2f:Û¡/C¡ TÞ('fJ2C( Rt;i /'f/oT hsn7> .' VERIFICATIOR OF FACILITY DIAGRAM o SPECIAL HAZARDS ASSOCIATED VI'l'B TRIS FACILITY: ", ~ "9' VIOLATIONS: J 't:. ~ ~ '1 '-1> A') Ö i~ * II ~ 1 ~ý/I'T tf6 1>911,/ q ,.iI!f ~'11 t'~v;?b' ~~ ?J ~- - \/ -r-, ''i'\ ~ ... '''''"'À. .' .~ t t~· . < .- ~ ~ . ,~ __r' Í'í-_" ~ í - BAKERSFIELD CITY FIRE DEPARTME~ 2130 "G" STREET BAKERSFIELD. GA 93301 (805) 326-3979 }d3 ,o5i3 5-llbP I RECEIVED OCT 2 1 1987 OFFICIAL USE ON' ............. ID# US INESS NAME HAZARDOUS MATERIALS ~~~ ß BUSINESS PLAN AS A WHOLE V~ 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:_A L~2JQ.T òO¡..J 'S FOOl) Cf.iIlTEi2. B. LOCATION / STREET ADDRESS: R 200 s:mCJcOACt. l*vl..[ CITY: eAKst&F(t-C.ö ZIP: q33 {( BUS. PHONE: (&J..'J-) R',-Sc~--b071 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: NAMEj4ND TITLE DURING BUS. HRS. A. DoG fv1AtFAk!...UIVt. 'S1úr<£ ¡Jitt£.C~ Ph# 83'!J-007/ Ph# )53j- GDì! AFTER Bes. HRS. R72-;J3.s8 <67 L -1S'OSb B. F\Q.. S6 Iw oj A ..e..6 AS&7 S'7U'.L Ù¡ilCil:1ZPh# Ph# SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT. GAS/PROPANE: NCf2-711Wt"ò'T Ca2-/.J'è..vL fSV.ILIJ/;JG 8. ELECTRICAL: ~ ACt:: Or:- ßUu..tJrNG C. WATER: I6ACl. Of. /Š(Á{LLJ (}.JG D. SPECIAL: E. LOCK BOX: YES / @ IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? YES / ~O FLOOR PLANS? YES / ~O W7V{) L ~SDSS? YES / NO KEYS? YES / NO - 2.'\ - \ '" \ \ "-) " " . - , "\ , ,---~. r.' ~':c-"'~.4 .~.. ~"'", .. SECTION 4: PRIVATE RESPONSE TEA\{ FOR BUSINESS AS A WHOLE ." ~ , . it , ·AlL '~t.ý- PEI2_SrJAJ S A-S WELL M ¡)VO¡ !kAðS /I-,e¿ 71Vf1/1Ít.tJ TO N-rr-A-G()cL' t11IJJC~ [H1£1(GEA.fCt£S . ·tof~,·\~. 'a. ~.~ . tß.1 t~ t.~; SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTk~CE FOR YOUR BUSINESS AS A WHOLE WE- s-EN<~ 8UE¡¿.vrHfAJG TO /41£¡e.cv NOSPITt+( It T 22. (,!, TR~{I¡(7U1J I/o¿. SECTION 6: EMPLOYEE TRAINING E~PLOYERS ARE REQUIRED TO HAVE A PROG~~ WHICH PROVIDES ~~PLOYEES WITH INITIAL A~~ REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR NO A. METHODS FOR SAFE HANDLING OF HAZARDOUS !1ATERIALS: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . " . . . . . . . . B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES:.......................... C. PROPER USE OF SAFETY EQUIPMENT: . . . . . . . . . . . . . . . . . . D. EMERGENCY EVACUATION PROCEDGRES:................. E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:. .... . . I~HTIAL REFRESHER YES GDJ YES ~O YES GO) YES XO ~ NO .æ; NO @> ~O NO YES c@) YES NO SECTION 7: HAZARDOUS MATERIAL CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS ~~TERIAL IX QUANTITIES LESS THAX 500 POUNDS O~ SOLID, 55 GALLONS OF A LIQGID. OR 200 CUBIC FEET OF A COMPRESSED GAS: . ..... YES~ I ,~o6f¡tT J/lIIPrCFft¡¿LAN L , 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. SIG"A'nJRr:;¿;tdl;1,((iJ~ TITLE S~ dIREc~ DATE /Ok!r 7 . . - 28 - ¡ ~t.~f i...- ... .r;:::: " . . 3...1..K E:-\ S ¡:- ~::: ~_::: ,......~..... ~.........~ \ _ : ~ r :'::", :...~ DE? \r\7~'~:::'~7 ::..~n ··r)·· ~-3T7'\EI::T 3AKERS?IELD. C~ a3~Ol ~ ::-::- - ,~ ~ ,~ ;:. :.:~ ë: :J:\ ~...~. -- ~ .i..u- ------ BUS EESS :\;"~!E: BUSI~ESS PLAN SI~GLE FACILITY UNIT FORM 3A INSTRUCTIONS 1. To avoid fu~the~ action. this fo~m must be returned by: 2. TYPE.:?RIXT YOCR, AXswE;\S IX E::-¡GLISH. 3. AnSNe~ t::e ques-:::ons below for TH:: FACILITY tJXIT LISTED BELOW 4. Se as SRIZ? and CO~CISE as possible. FACILITI U;¡IT~ Ib 79 FACILITY UNIT NA.'Œ: 1105£rL700)J(S SECTION 1: ~ITTG~TION. ?Rr~'~:ON. ABATE~E:7T ?ROCZTIt~ES k £ý Pzo¡J¿E- $ dE;!); (fvfðS Ib~ é. ¡zAlAr E.û o /l.I P RcJ'f5E ~ (JØJ C f ¿¡U !2 cJ TO f/-¡f--¡LíO C t. P;2c16 (¿etAS SEC7:0~ 2: 'iOT:?-:'C~ T: O~~,\""J ::~.',~C:'·,~.T: 8'i ?~OCZDi77ZES:l T _·~s ~::l. r-·"-- "'"'~"." ).1 J.. ')"';~ ~ c¡; A ~-r-f ¡/l/( f277 JIG 5? rf¿C() (l¡o;uTlf¿ V oW /)/ùJf~¿re. pfl- Oe2()c'{~E.0 1 1<:¿'Cf ¡J¿O/~{¿ I Ô£'fOr Ikd1JS T;(t::[ f/+Kr IXf TtUj 111~E./7).(G - / . ..z. 'yO . 1>:"--; ~ S:::CTI()~ 3: H;\7.1\RDOC:; ~rclT7-RTALS FOR THIS r~TT aXLY A. Does this Faci.lity Unit r.ont:<1:'n Haz:wåous ~rn~e!"L1L~"'.,." c;J~o If YES. sep. B. If NO. continu~ with SECr70X 4. ' B. Are any of the hazaråous mate!"ials a bona fide rr~de Secret YES~ If No, complete a se~a!"ate hazardous materials inventory form marked: ~O~-TRAOE SECRETS OXLY (white form =4A-l) If Yes. complete a hazardous materials in~p.ntory form marked: TR4DE SECRETS O~LY (yellow for~ #4A-2) in aùdition to the non-t~ade secr~t for~. List only the trade secre~s on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTrO~ gU{(-Ó/Á(G If,t-g SPl2..ttV.{CLr¿1I.... ~L([;ïE-IAA.." {)!?:'¿_ [;cTI).[6mSrffk5 fI T t"b-l( LO' CA7l (J7}J1 S I A LA It. vtA.. Sv J Tl-pV(. S ~T U 12 1V. J./.0 n F V H teé IJ <VP T / M G;t--S ¿ 0' ç ert1Y6 [~ SECTIOX 5: LOCATION OF WATER Sü??!V FOR USE gy ~G~rcy RES?O~~ERS ~ ~ II vt (Jf7::' f&U C () ¿ tV G' (A) (/ /J S' '¡ T[. ¡J(A-j...( SECTIO~ f): !OCATIO~ OF TJ"'!'ILI'!Y' SHUT-DF'F'S AT mIS D:\!T OXT.V. A. ~xr. G~S:PROPA~E; ß' OtJ & f r£- (Jut-¡\. ( 8. ELECTRICAL: C- OR! Sr Tt- PLMJ C. ~'lATER: JJ 0>-'( ¿)cì2- PLA-~( 0, SPSC:..l.;"..: ~, I.cr;( 3(1'{ \":;:5 ® I? YES, lOr \ T:O:~: it- \"[5, '~~-:-::: Dr ''..~,") ......"':....) '/'r::~ \'(ì ~r~ ~ ~ "~ .-: : . , ::-~()()R Dr ""':.,'",) . ..\.\.- ..-,..... \n . ~::... .:~ '""I ......,-. ,,' . '. ." ., ..~ : Bi\KEHSF 1 EI,U (; I TY FIRE UEPi\RTMENT FORM 4A-1 NON-TRADE SECRETS HAZARDOUS MATERI ALS' INVENTORY '. NAME: A L.i6£.~TS(/N 's #'lf079 OWNER NAME: A CfJ~¡¿:T3V}J(S J;If.., FACILITY UNIT I: /679 i: ~2.00 ~(JC.f::I\ALg r£fV ADDRESS: ~SO fJ I¿~ C~)Jrtt:.. FACILITY UNIT NAME: Page -L 0 f LJr- \~: .- I . D. # BUSINESS ADDRESS: CITY, 7.IP: PJI::: <¡~~ 'c/) 3' f CITY,ZIP: Of S ~ ~òl'rtf{) A 37?.c.. PHONE 1t: Œ.o~ \ 'X~ ';) - b07 , PHONE I: ( 20 B ) .~ RS - <; 2.(JO ' 10FFICIAL USE CFIRS CODE ONLY 1 2 3 4 5 6 7 8 9 10 TYPE MM{ 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 I)H DlO 1000 ~~l 10 ?,(o A 1St.£, it- /,./ UÞnL c~t)~( . (){L CM{LQ o7?AL ~1 r5 00 GAl 10 ÁQ il -ftL( UihL DtA-,NO ÙRJrtN O¡Jür r¿ tf. 1Æ>)ýß ~ ~(I /5 roo GAL 10 2PI Ii -#-<1 ¡J ¡'tit- AIM 11'v , A PSN/S M 2Y ~CD GAL 10 L-{I u ¡.¡.~ (0% Peo L CH {µvZ.( /oJ E fJsN6 µ /C(; 106 GAl, IÒ '11 « ~J 1.-( 1jfrfL-- POOL AQ\l) Psu6 f-I/ ~DO 1'060 L-6s '0 l--{( " Ii 1-( uÞO->t... D12.-,{ ~H LotrN t Pool. VSJJ 6 g )H roo bCb 6~L 13 30 ,I t4 L-( u¡\{ A'S'3T PEST(C/ Ow -/tJS-rr Ps,v6 0v1 t100 ~OCù G~C I() ?Jq I' #-LJ UkL / I ~f f{ Lcl:t,v t.. g L-EAet+ ?tNi) )V( 50 /000 6kL fO óq '-' t:l:Y Uff-L ttSST CLC¿MIIl/6 L(~ ~SAL6 '/'Ï , NAME: l <. ßI ./t:J-.Á~, 17/:. .t TITLE: [;(~¿ ¡)1¿¿c¡,~iL SIGNATURE: DATE: /0/ J'b Ifr7 EMERGENCY CONTAC~: t<-nP. MA-CFA-¡¿£,I/-#f', TITLE: Srcre.¿ Û (¿E.C"fV~ PHONE 1 BUS HOURS: ~2>~- b07 ( -- EMERGENCY CONTACT: ¡..-eso PRIÑCIPAL nUSINF.SS ACTIVITY: . . D (/2£ c n:-te.... AFTER BUS HRS: PHONE' BUS HOURS: AFTER BUS. HRS: 8'72,33-S"8- KJ3-C:,01f ~7 2 - %O-Sc::, - .4A-l - ~io...;/'0'~, - "--. " A Albertsons <?o ~-~ .. DESIGN AND CONSTRUCTION/PURCHASING P.O. BOX 20 BOISE, IDAHO 83726 250 PARK CENTER PH:(208) 385-6200 " ". ~CLOSED o UNDER SEPARATE COVER VIA o VIA GREYHOUND, CHECK WITH LOCAL BUS STATION o PLANS 0 SAMPLES 0 SPECIFICATIONS E( _~l)('£y? rl/~$ TO =* tJtfIJ ~I ~AU; YIC(Hf)A'f ~~FI~ I 0Þ. %3lL AnENTION . ~~1D¡e. ~E ARE SENDING YOU o WE ARE RETURNING o SHOP DRAWINGS o CHANGE ORDER o PRINTS o COpy OF LETTER COPIES DATED IDENTITY NO. DESCRIPTION THESE ARE TRANSMITTED as checked below: o For approval o 7'price ß' As requested , o For review and comment o FOR BIDS DUF o Approved as submitted o Approved as noted o Returned for corrections o o Resubmit o Submit o Return copies for approval copies for distribution corrected prints ,19_ REMARKS ADDRESS!:/;; . SIGNED, ~ ' ~u... ~c;Z If _1__ ... not... not"', kIndly no"" UI at _. ~ ~rJ ~ FORM 30-3517 REV. 6/76 ~ COpy TO (eD\s~ ) --.--