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HomeMy WebLinkAboutBUSINESS PLAN 7/18/2007is ~; LONGS DRUG STORE 239 Manager TRACY GRIMSLEY Location: 8200 STOCKDALE HWY G City BAKERSFIELD CommCode: BFD STA 11 EPA Numb: CAL930695617 SiteID: 015-021-000985 BusPhone: (661) 832-0964 Map 123 CommHaz Extreme Grid: 05B FacUnits: 1 AOV: SIC Code:5912 DunnBrad:00-691-0004 Emergency Contact TRACY GRIMSLEY Business Phone: 24-Hour Phone Pager Phone Hazmat Hazards: / Title / STORE MANAGER (661) 832-0964x (661) 398-0555x ( ) - x Emergency Contact GREG DWYER Business Phone: 24-Hour Phone Pager Phone / Title / ASST MANAGER (661) 832-0964x (661) 325-3266x ( ) - x Fire Press React ImmHlth DelHlth Contact GREG DWYER Phone: (661) 832-0964x MailAddr: 8200 STOCKDALE HWY G State: CA City BAKERSFIELD Zip 93311 Owner LONGS DRUG STORES CA INC Phone: (925) 937-1170x Address 141 N CIVIC DR State: CA City WALNUT CREEK Zip 94596 Period to Preparers Certif ~ d: ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN `~~~ 19 ?007 E3ased on my inquiry of those individuals respnn ible for obfiaining the information, !certify under penalty of law that i have personally examined and am familiar with the information submitted and belie~d~e the infiorma+'on is true, accura ,, any complete. '~ 1ST u~- 5ignature DatE Gall Gal TotalASTs: _ TotalUSTs: _ RSs: No -1- 07/12/2007 i ~~~~ ~. i i TANGS DRUG STORES ,__ _ _ __ ~ (~i 8200-G STOCKDALE HWY li ~~ ~~ ~~d `° z ~, e~ q~~ ~,~~, ~~~ ~~~ ~~ SITE MAP (Outside) e .E to 4=! ~~CS LONGS DRUG STORE '#239 8200 G STOCKDALE HIGHWAY BAKERSFIELD. CA 93311 COUNTY: KERN N W+E S DATE: AUGUST 2001 ~ RNER ~ ~ ~E~ PARKING LOADING rrÚ G HE E LPG LONGS #239 HM ..J ALBERTSONS HM ~ œ \/ -/( EMPLOYEE EMERGENCY MEETING AREA ~L J l J l STOCKDALE HIGHWAY LEGEND NOT TO SCALE EE EMERGENCY EXITS [E] ENTRANCES/EXITS EVACUATION ROUTES HE HELIUM - LOCATION OF CYLINDERS FE FIRE EXTINGUISHERS LPG PROPANE - STORAGE FH FIRE HOSES FA FIRE ALARM SRU SILVER RECOVERY UNIT -/( EMPLOYEE EMERGENCY MEETING AREA MSDS PHOTO LAB MATERIAL SAFETY DATA SHEETS SD STORM DRAINS HM PHOTO CHEMICAL STORAGE FPC FIRE PROTECTION CONNECTIONS SKIT EMERGENCY EQUIPMENT E ELECTRICAL UTlLllY SHUTOFF FSR SPRINKLER RISER G GAS UTILITY SHUTOFF + FIRST AID W WATER UTlUlY SHUTOFF FACILITY MAP (Inside) _ LONGS DRUG STORE #239 8200 G STOCKDALE HIGHWAY BAKERSFIELD. CA 93311 G TO UPPER WAREHOUSE AREA LPG(3) LIQUOR CAGE ( TO UPPER OFFICES AND WAREHOUSE AREA RESTROOMS e COUNTY: KERN N W+E S DATE: AUGUST 2001 LOADING AREA ..., FE HE(3) ) WAREHOUSE ~ FE I BALER I ~ PHARMACY I_\: / I /EE :f~ LONGS 1239 SALES FLOOR \ COSMETICS PHOTOLAB MSDS HM SKIT CHECKSTANDS FE -Ie EMPLOYEE EMERGENCY MEETING AREA LEGEND NOT TO SCALE EE EMERGENCY EXITS [E] ENTRANCES/EXITS EVACUATION ROUTES HE HELIUM - LOCATION OF CYLINDERS FE FIRE EXTINGUISHERS LPG PROPANE - STORAGE FH FIRE HOSES FA FIRE ALARM SRU SILVER RECOVERY UNIT -Ie EMPLOYEE EMERGENCY MEETING AREA MSDS PHOTO LAB MATERIAL SAFETY DATA SHEETS SD STORM DRAINS HM PHOTO CHEMICAL STORAGE FPC FIRE PROTECTION CONNECTIONS SKIT EMERGENCY EQUIPMENT E ELECTRICAL UT1UN SHUTOFF FSR SPRINKLER RISER G GAS UTlUlY SHUTOFF + FIRST AID W WATER UTlLllY SHUTOFF ",e , ~rTE' r 0.:# C) <ßS Sm: DIAGRAM ø . , FACILITY DIAGRAM , t BuaIneu Name: f 010 fbS 'VQ\JC,.. ~=rtoæ.G Business Address: "8 Roo, :::>ie:c..K-Dt> LE t~:~,~ 'C':,. tj3~KEfìSí-1 téL. ~ U> CU3 \ \ ~ iJ () -:z ..... , , , '-¡j '... . . .. 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I,'" I' 1llL-, 1 . TIlOIo.)T t!t:>oQ T , ( 17 ÇI;'¿ \>~ ~ \\(Ì)~ ,~. ."("", I,', )(,.-,' .... .~. '.". .'-':' '.', T (1.O.....,f -- ,1)(;1"1"2-- - 'f!'~I-(HôJ~LË L\ C( ~ - c...DI).RDSo1u:~ SoL" t> 4>'/) 1.-\ Q _ .__..-....-~.~,-_._-- , '. ,.. ",! .. '. '. <'¡ ;. ,'" , :t ~ ': \, ~ " . Ð \ ~ fJS~ë.'t \ -c. ~6.¿ 5>Ot.:~b 1.:.t..>~ l..\ ~ . ! .. ~ " " " , -'I e SITE DIAGRAM "" t FACII.JTY DIAGRAM t.>< f. Buaineu Name: . 1--0 ~S 1)\è\.JC? 5 . Businesa Address: 'R d.-OO s'\oc K. "D~ LÇ . t-lW\/ G ~ ~¥..í::RS'F'8..D . Çt::, '133 \ \ . . r I I I j , I ; i , I -.---.--.1 ,-- ...,. . ;;....... -V-"'. ., . l j? // ;:- i/ , I, . ~ ~ "2 flL e OF ¡ 1.,- r~~ --~ 1>\...'b0Z 1S0P~ "/... 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'1:;, ~'-'\' _..A ?'~t.~~,..., r\~c . , I ' ,.., , , I ": C;~'Ul"1)\~í '~.:r' I,~,..:: : :::"\J,i~4~?I~,, .- , . ~ , \; ,'. .. .. stOUZ\)~LE ~UJ'-( 8' -n ï1' (11' ('11 jJ, 9 i] I ;--~,.~~ ~_.::-,-~-.....:.-.--_- 1~~So'-':':" , I' , I. ---------------~-----.~--_.__._._---.-_.__.._-~....- ._._._._~-_. - .." .( Per it Operü.te ;: Issued by: to Hazardous Materials/Hazardous Waste Unified Permit ~ CONDITIONS OF PERMIT ON REVERSE SIDE This oermit is issued for the following: It! Hazardous Materials Plan o Underground Storage of Hazardous Materials o Risk Management Program o Hazardous Waste On-Site Treatment Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Approved by: Bakersfield, CA 93301 Voice (661) 326-3979 ' FAX (661) 326-0576 Expiration Date: Issue Date June 30, 2003 Per it to Operöte Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE LOCATION 8200 STOCKDA This permit is issued for the following: rdous Materials Plan round Storage of Hazardous Materials agement Program , .. Waste PERMIT ID# 015-O21.()00985 LONGS DRUG STORES #239 Issued by: Expiration Date: *~- ph Huey, ffice of ental Servi es June 30, 2000 Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 FAX (805) 326-0576 Approved by: F LONGS DRUG STORE 239 SiteID: 015-021-000985 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP CLEANING-AMMONIA PRODUCTS F R IH L 500.00 GAL Ext INSECTICIDES-HOUSEHOLD/GARDEN F IH L 200.00 GAL Ext CLEANING-HOUSEHOLD BLEACH R IH L 200.00 GAL Hi FIXER PART A R IH L 20.00 GAL Hi DEVELOPER PART A R IH L 10.00 GAL Hi DEVELOPER PART A R IH L 5.00 GAL Hi DEVELOPER PART C R IH L 5.00 GAL Mod PHOTOGRAPHIC STARTER IH L 5.00 GAL Mod DEVELOPER PART C R IH L 5.00 GAL Mod ANTIFREEZE F IH L 100.00 GAL Low FUEL-CAMPING F P IH L 75.00 GAL Low FIXER L 50.00 GAL Low FIXER PART B R IH L 20.00 GAL LOw PHOTOGRAPHIC BLEACH IH L 20.00 GAL Low DEVELOPER L 5.00 GAL Low DEVELOPER PART B F R IH L 5.00 GAL Low DEVELOPER PART B F R IH L 5.00 GAL LOw MOTOR OIL F DH L 50.00 GAL Min WASTE FIXER R L 5.00 GAL Min FERTILIZER F R IH S 1000.00 LBS UnR HERBICIDES-HOUSEHOLD/GARDEN F IH S 400.00 LBS UnR -2- 07/12/2007 -3- 07/12/2007 F LONGS DRUG STORE 239 SiteID: 015-021-000985 ~ ~ Inventory Item 0006 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME CLEANING-AMMONIA PRODUCTS Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLR/WHSE CAS# Liquid TMixtur~ AmbRent~E ~ AmbientT~E -~STOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 0.50 GAL 500.00 GAL 100.00 GAL - til~Gtix.LVU~ c.:VlnrViv~iv~1~5 %Wt. RS CAS# 30.00 Ammonia Solution, Conc. Less Than 20% No 1336216 t1AGE~KL H~7t;771~11"~1V~1~5 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH / / / Ext ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME INSECTICIDES-HOUSEHOLD/GARDEN ~ Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLR/WHSE SALES FLR/WHSE CAS# 8065483 Liquid TMixture ~mbient~E ~ AmbientT~E ~ GLASSOCONTAINERYPE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 200.00 GAL 100.00 GAL -- 171iAtl.[CLVUJ l.Vl"1rV1V J;1V 1.7 %Wt• RS CAS# 100.00 Demeton (EPA) No 8065483 l1ti4Hi[L H~ J~JP.,.7J1~1~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Ext -4- 07/12/2007 F LONGS DRUG STORE 239 ~ Inventory Item 0004 COMMON NAME / CHEMICAL NAME CLEANING-HOUSEHOLD BLEACH Location within this Facility Unit SALES FLR/WHSE STATE TYPE PRESSURE Liquid TMixture ~ Ambient SiteID: 015-021-000985 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 7681529 TEMPERATURE ~~~ CONTAINER TYPE Ambient { PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 200.00 GAL 30.00. GAL - - tiHGL'~.CtLVUS 1.V1~lYV1VJ;1V 1.7 - %wt. Rs cAS# 100.00 Sodium Hypochlorite No 7681529 ti1~GHKL H~J~5~1~11;1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi ~ Inventory Item 0018 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME FIXER PART A Days On Site CP-47 L 2 R COLOR BLEACH FIXER (FERRIC AMMONIUM EDTA) 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 7783-18-8 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.50 GAL 20.00 GAL 20.00 GAL riH6AK1JVU~ C:UMYUN~N'1'~ %Wt. RS CAS# 30.00 Ferric Ammonium EDTA No 0 5.00 Benzoic Acid No 65850 riEiGHKL H~ ~7r,.7J1~1J;1V1J TSecret RS BioHaz RadioactivejAmount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi -5- 07/12/2007 F LONGS DRUG STORE 239 SiteID: 015-021-000985 ~ ~ Inventory Item 0021 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DEVELOPER PART A Days On Site CN-16 FA NI R DEVELOPER (POTASSIUM CARBONATE) 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 7757-83-7 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~mbient ~ Ambient ~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.25 GAL 10.00 GAL 10.00 GAL t3[iGti[CUVUJ wl"lrvlv~lvla ~Wt. RS CAS# 34.00 Potassium Carbonate No 584087 5.00 Sodium Sulfite No 7757837 5.00 CARBOXYLIC ACID/ALKANOLAMINE REACTION PRODUCTS No 0 riliGHKL 11J .7~JJ1~1L" 1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi ~ Inventory Item 0015 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DEVELOPER PART A Days On Site CP-47 L PI CR DEVELOPER/REPLENISHER (TRIETHANOLAMINE) 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 7757-83-7 Liquid TMixtur~Ambient~E ~ AmbientT~E ~ PLASTICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.50 GAL 5.00 GAL 5.00 GAL rirac~ruu~v~a ~.vi•irvlv~lvia %Wt. RS CAS# 7.00 Triethanolamine No 102716 7.00 Hydroxylamine No 7803498 rlt]GtiiCL H J 7L' ~7 w71"1L' 1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi -6- 07/12/2007 F LONGS DRUG STORE 239 SiteID: 015-021-000985 ~ ~ Inventory Item 0017 Facility Unit: Fixed Containers on Site ~ COMMON NAME f CHEMICAL NAME DEVELOPER PART C Days On Site CP-47 L PI CR DEVELOPER/REPLENISHER (POTASSIUM CARBONATE) 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 111-30-8 Liquid TMixture T Ambient~E ~ AmbientT~E ~PLASTOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.15 GAL 5.00 GAL 5.00 GAL riHGH1CL V U .7 1. V1~lYUlV JJ1V 1.7 owt. Rs CAS# 40.00 Potassium Carbonate No 584087 15.00 Potassium Hydroxide No 1310583 10.00 CARBOXYLIC ACID/ALKANOLAMINE REACTION PRODUCTS No 0 t1E~GKKL HS~JL" a~1~1J;1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R~IH / / / Mod -7- 07/12/2007 F LONGS DRUG STORE 239 SiteID: 015-021-000985 ~ ~ Inventory Item 0020 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC STARTER Days On Site CN-16 FA NI STARTER (POTASSIUM CARBONATE) 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~mbient ~ Ambient -~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.13 GAL 5.00 GAL 5.00 GAL t1AGHKIJVU~J 1:V1~lYV1Vl~,1V1~ %Wt. RS CA5# 7.00 Potassium Carbonate No 584087 7.00 Sodium Bicarbonate No 144558 3.00 Potassium Bromide No 7758023 3.00 Phosphonic Acid No 13598362 tly~.y.ttl~ xaa~a~l~i~lvl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Mod ~ Inventory Item 0023 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DEVELOPER PART C Days On Site CN-16 FA NI R DEVELOPER (P PHENYLENEDIAMINE) 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 111-30-8 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixtur~mbient ~ Ambient ~LASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 0.13 GAL 5.00 GAL 5.00 GAL tit,L,H1[LVUS ~:V1~1rVlvl;lvl5 %Wt. RS CAS# 17.00 p-Phenylenediamine No 106503 t1HGHKL 1~. 7.7J;.7.71~11~,1V l ~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Mod -8- 07/12/2007 F LONGS DRUG STORE 239 SiteID: 015-021-000985 ~ ~ Inventory Item 0011 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ANTIFREEZE Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLR/WHSE CAS# 107211 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture Ambient ~ Ambient ~ PLA5TIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 1.00 GAL 100.00 GAL 1 10.00 GAL r~~tucL~u~ ~vinr~iv~lvl~ %Wt. RS CAS# 100.00 Ethylene Glycol No 107211 tl!-1GHKL 1~.~.7~551~1~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Low ~ Inventory Item 0012 COMMON NAME / CHEMICAL NAME FUEL-CAMPING Location within this Facility Unit SALES FLR/WHSE STATE TYPE T PRESSURE Liquid TMixture~ Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 70892103 TEMPERATURE CONTAINER TYPE Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 75.00 GAL 20.00 GAL ntjc~titcLVUa ~.vi~irutvr,ly 1 a %Wt. RS CAS# 100.00 Kerosene No 70892103 nric~.ytcL r-~a~~~ari~ivl~ TSecret RS BioHaz RadioactivejAmount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low -9- 07/12/2007• F LONGS DRUG STORE 239 SitelD: 015-021-000985 ~ ~ Inventory Item 0025 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME FIXER Days On Site CN-16 FA N3 R FIXER (AMMONIUM THIOSULFATE) 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture I Ambient ~ Ambient ~ PLASTIC CONTAINER Largest Container 0.50 GAL AMOUNTS AT THIS LOCATION Daily Maximum Daily Average 50.00 GAL 50.00 GAL t11~G1~KLVU~ 1:V1~lYV1VL' 1V 15 oWt. RS CAS# 51.00 Ammonium Thiosulfate No 7783188 5.00 Ammonium Sulfite No 10196202 3.00 Ethylenediamine Tetraacetic Acid No 60004 t1E~GAtC..U A~~1~~JJ1~1~1V'1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low -10- 07/12/2007 F LONGS DRUG STORE 239 SiteID: 015-021-000985 ~ ~ Inventory Item 0019 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME FIXER PART B Days On Site CP-47 LP2 R COLOR BLEACH FIXER (AMMONIUM THIOSULFATE) 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 10043-01-3 Liquid TMixture ~ Ambient~E ~ AmbientT~E r~STOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.50 GAL 20.00 GAL 20.00 GAL tir~~t~tcLUU~ ~uinrulv~ivla %Wt. RS CAS# 40.00 Ammonium Thiosulfate No 7783188 10.00 Potassium Bisulfite No 1310618 7.00 Ammonium Sulfite No 10196202 7.00 Ammonium Bisulfite No 10192300 nr~~t~tc~ ti~~.~aai~i~iv 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Low -11- 07/12/2007 F LONGS DRUG STORE 239 SiteID: 015-021-000985 ~ ~ Inventory Item 0024 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC BLEACH Days On Site CN-16FA N2 R BLEACH REPLENISHER (FERRIC AMMONIUM EDTA) 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 12124-97-9 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.50 GAL 20.00 GAL 20.00 GAL - ~ •- IIHGHKLVU.7 1~V1~lYV1V~1V 1 J oWt. RS CAS# 21.00 Ferric Ammonium EDTA No 0 10.00 Ammonium Bromide No 12124979 5.00 Acetic Acid, Pure No 64197 t1E~GHKIJ HJ w7 L" .7 J1~1L" 1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Low -12- 07/12/2007 F LONGS DRUG STORE 239 SiteID: 015-021-000985 ~ ~ Inventory Item 0014 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DEVELOPER Days On Site CP-47 L PI S COLOR DEVELOPER (POTASSIUM CHLORIDE) 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~ Ambient ~ Ambient ~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.25 GAL 5.00 GAL 5.00 GAL - rlti~titcl~uu~ ~ulnrvlvl~Jly i ~ %Wt. RS CAS# 10.00 Potassium Chloride No 7447407 10.00 Sodium Bicarbonate No 144558 7.00 Potassium Carbonate No 584087 5.00 Hydroxylamine No 7803498 ti1~L,1-1tCL E~~~~5.71~11;1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low ~ Inventory Item 0016 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DEVELOPER PART B Days On Site CP-47 L PI CR DEVELOPER/REPLENISHER (P PHENYLENEDIAMINE) 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 74-19-7 Liquid TMixture ~ Ambient~E ~ AmbientT~E ~STOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.13 GAL 5.00 GAL 5.00 GAL HAZARDOUS COMPONENTS ~Wt. RS CAS# 40.00 m-Phenylenediamine No 108452 t11iGKKL L~. 7.71/~7.71~1L" 1V 1 ~7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No Noj Curies F R IH / / / Low -13- 07/12/2007 F LONGS DRUG STORE 239 SiteID: 015-021-000985 ~ ~ Inventory Item 0022 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DEVELOPER PART B Days On Site CN-16 FA NI R DEVELOPER (PHOSPHONIC ACID) 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 74-19-7 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.13 GAL 5.00 GAL 5.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# 7.00 Phosphonic Acid No 13598362 t1HGE~tCL H~ JL' J 51~1L' 1V l TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH / / / Low ~ Inventory Item 0009 COMMON NAME / CHEMICAL NAME MOTOR OIL Location within this Facility Unit SALES FLR/WHSE STATE TYPE PRESSURE Liquid Mixtur~ Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 8020835 TEMPERATURE CONTAINER TYPE Ambient ~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.25 GAL 50.00 GAL 35.00 GAL I11-~L~li2CLVU.7 1.U1~lYUlV~1V 1 ~7 %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 riEiGEittL 1~~~tS~~1~1~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min -14- 07/12/2007 F LONGS DRUG STORE 239 ~ Inventory Item 0026 COMMON NAME / CHEMICAL NAME WASTE FIXER SPENT PHOTOGRAPHIC FIXER Location within this Facility Unit PHOTO LAB SiteID: 015-021-000985 ~ Facility Unit: Fixed Containers on Site ~ 'i Days On Site 365 Map: Grid: CAS# Liquid TWaste -~mbient~E ~ AmbientT~E -~STICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 5.00 GAL 5.00 GAL 5.00 GAL r1HGHlCLVUJ 1.V1~lYV1VL"1V1.~ ~Wt. RS CAS# Silver No 7440224 riHGHiCL 1-1,7 JJ~,~,71~1L,1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min ~ Inventory Item 0013 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME FERTILIZER Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLR/WHSE CAS# 0 STATE T TYPE ~~ PRESSURE TEMPERATURE ~~ CONTAINER TYPE Solid I Mixture I Ambient ~ Ambient I RA(~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 20.00 LBS 1000.00 LBS 200.00 LBS HAZARDOUS COMPONENTS oWt. RSA CAS# HA ZARD AS SESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH / / / UnR -15- 07/12/2007 F LONGS DRUG STORE 239 ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME HERBICIDES-HOUSEHOLD/GARDEN Location within this Facility Unit SALES FLR/WHSE SALES FLR/WHSE STATE TYPE PRESSURE Solid TMixture Ambient SiteID: 015-021-000985 ~ Facility Unit: Fixed Containers on Site ~ ', Days On Site 365 Map: Grid: CAS# 0 TEMPERATURE CONTAINER TYPE Ambient -~SS CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 8.00 LBS 400.00 LBS 150.00 LBS t1AGXKLV U 5 l: V1~lYV1V1;1V'1'~ oWt. RS CAS# 100.00 Herbicides No 0 riHGAtCiJ AS~t;~~1~11;1V'15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / UnR -16- 07/12/2007 F LONGS DRUG STORE 239 SiteID: 015-021-000985 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 07/11/2000 CALL 911. 9 = Employee Notif./Evacuation 04/14/2006 MEMBER OF MANAGEMENT WILL BE INFORMED AND WILL CALMLY EVACUATE CUSTOMERS AND EMPLOYEES TO NEAREST EXIT. 911 WILL BE DIALED IN EMERGENCY. MEMBER OF MANAGEMENT WILL TAKE ATTENDANCE AT MEETING AREA. PHARMACIST WILL BE NOTIFIED TO ADMINISTER FIRST AID. ALL EMPLOYEES WILL LISTEN AND RESPOND TO INSTRUCTIONS ON CALMLY EVACUATING THE BUILDING. Public Notif./Evacuation 04/14/2006 CUSTOMERS/VISITORS: APPROPRIATE SIGNS ARE POSTED IN PUBLIC AREAS AS REQUIRED BY PROP 65. ANY NECESSARY EVACUATION INSTRUCTIONS WILL BE GIVEN OVER THE IN-STORE SPEAKER SYSTEM INFORMING ALL CUSTOMERS AND VISITORS HOW TO SAFELY EVACUATE THE PREMISES IN THE EVENT OF AN EMERGENCY. NEIGHBORS: EVERY EMPLOYEE RECEIVES TRAINING ON HOW TO RESPOND AND CLEAN UP A CONSUMER PRODUCT SPILL. NO SPECIAL NOTICES ARE NECESSARY TO INFORM SURROUNDING NEIGHBORS AS ALL NEIGHBORS ARE AWARE OF THE NATURE OF OUR BUSINESS. Emergency Medical Plan 04/14/2006 SOUTHWEST URGENT CARE, 5397 TRUXTUN AVE, 322-2273; FIRE DEPT, 7000 STOCKDALE HWY, 326-3037; MERCY HOSPITAL, 2215 TRUXTUN AVE, 327-3371; AND GOLDEN EMPIRE AMBULANCE, 801 18TH ST. -17- 07/12/2007 F LONGS DRUG STORE 239 SiteID: 015-021-000985 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 04/14/2006 ~ KEEP CURRENT INVENTORY LIST AND UPDATE AS NEW PRODUCTS ARE INTRODUCED TO THE PUBLIC. KEEP EMPLOYEES TRAINED IN CLEANING UP HAZARDOUS PRODUCT SPILLS. KEEP FIRE EXTINGUISHERS WORKING. INFORM ALL EMPLOYEES OF MEETING PLACE IN THE EVENT OF EVACUATION. KEEP CLEAN-UP SUPPLIES IN ORDER. Release Containment 04/14/2006 THE SUPPLY CABINET MAINTAINED IN THE PAINTERS AREA CONTAINS ABSORBENT AND SUPPLIES TO CONTAIN A RELEASE. IF A RELEASE IS BEYOND OUR CONTROL, 911 WILL BE CALLED. Clean Up 04/14/2006 A SUPPLY CABINET IS MAINTAINED AT THE JANITORS AREA IN THE WAREHOUSE; IT CONTAINS GOLVES, BOOTS, ABSORBENT, ETC. v1.11G1 AG.7V LLl VG 1"~l.L1V0.L1V11 -18- 07/12/2007 ~, F LONGS DRUG STORE 239 SiteID: 015-021-000985 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ _, .~~c~.iai riac~aiua Utility Shut-Offs 04/30/2007 GAS - SW SIDE REAR OF BLDG ELECTRICAL - SW SIDE REAR OF BLDG WATER - W SIDE REAR OF BLDG Fire Protec./Avail. Water 12/14/2006 PRIVATE FIRE PROTECTION - OVERHEAD FIRE SPRINKLER SYSTEM AND FIRE EXTINGUISHERS. FIRE HYDRANT - W SIDE REAR OF BLDG. Building Occupancy Level 12/27/2006 30 EMPLOYEES -19- 07/12/2007 ~. .. 'e F LONGS DRUG STORE 239 SiteID: 015-021-000985 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 12/14/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUNIlKARY OF TRAINING PROGRAM: WE HAVE MONTHLY TRAINING MEETINGS TO TRAIN EMPLOYEES HOW TO EVACUATE THE STORE AND HOW TO CLEAN UP MINOR SPILLS. ra~c c nc i u t vi r u L ui C U 5 C nC1U 1Vl r UI.uLC U~S'C -20- 07/12/2007 ~L ~~~~ LONGS DRUG STORE 239 SiteID: 015-021-000985 Manager , "'T p'ac7 ~j-~ ; r~s-~y Location: 8200 STOCKDALE H4~VY G ' City BAKERSFIELD CommCode: BFD STA 11 EPA Numb: CAL930695617 BusPhone: (661) 832-0964 Map 123 CommHaz Extreme Grid: 05B FaCUnits: 1 AOV: SIC Code:5912 DunnBrad:00-691-0004 ,F.mPrr7r~ncV_ Contact---` :" Title Emergency Contact / Title `~~'~~~ _ ~tr i m5 !'e-`~ ' ~ / STORE MANAGER GREG DWYER / ASST MANAGER Business Phone: (661) 8320964x_ Business Phone: (661) 832-0964x 24-Hour Phone (661) 3~~~ -05~,~ 24-Hour Phone (661) 325-3266x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact GREG DWYER Phone: (661) 832-0964x MailAddr: 8200 STOCKDALE HWY G State: CA City BAKERSFIELD Zip 93311 Owner LONGS DRUG STORES CA INC Phone: (925) 937-1170x Address 141 N CIVIC DR State: CA City WALNUT CREEK Zip 94596 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif ' d: RSs : No ParcelNo: Emergency Directives: ENT'D APR 3 ® 2007 PROG A - HAZMAT `~ PROG H - HAZ WASTE GEN ~~ 8e°ed on mY inquiry of those individuals responsible icir obtaining the inf u d n ormation, !certify er penalty 9f law that I h ex ave personally amined and am familiar with the informati submitted and b on elieve the information is true, accurate nd complete. c ~Z7 d S'gnature Date -1- 04/17/2007 F LONGS DRUG STORE 239 ~ Hazmat Inventory = ~ MCP+DailyMax Order = SiteID: 015-021-000985 ~ By Facility Unit ~ Fixed Containers on Site ~ Hazmat Common Name... ISpecHazIEPA Hazards) Frm I DailyMax IUnitIMCPI CLEANING-AMMONIA PRODUCTS F R IH L 500.00 GAL Ext INSECTICIDES-HOUSEHOLD/GARDEN F IH L 200.00 GAL Ext CLEANING-HOUSEHOLD BLEACH R IH L 200.00 GAL Hi FIXER PART A R IH L 20.00 GAL Hi DEVELOPER PART A R IH L 10.00 GAL Hi DEVELOPER PART A R IH L 5.00 GAL Hi DEVELOPER PART C R IH L 5.00 GAL Mod PHOTOGRAPHIC STARTER IH L 5.00 GAL Mod DEVELOPER PART C R IH L 5.00 GAL Mod ANTIFREEZE F IH L 100.00 GAL Low FUEL-CAMPING F P IH L 75.00 GAL Low FIXER L 50.00 GAL Low FIXER PART B R IH L 20.00 GAL Low PHOTOGRAPHIC BLEACH IH L 20.00 GAL Low DEVELOPER L 5.00 GAL Low DEVELOPER PART B F R IH L 5.00 GAL Low DEVELOPER PART B F R IH L 5.00 GAL Low MOTOR OIL F DH L 50.00 GAL Min WASTE FIXER R L 5.00 GAL Min FERTILIZER F R IH S 1000.00 LBS UnR HERBICIDES-HOUSEHOLD/GARDEN F IH S 400.00 LBS UnR -2- 04/17/2007 -3- 04/17/2007 F LONGS DRUG STORE 239 SiteID: 015-021-000985 ~ ~ Inventory Item 0006 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME CLEANING-AMMONIA PRODUCTS Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLR/WHSE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture~ Ambient ~ Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.50 GAL 500.00 GAL 100.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# 30.00 Ammonia Solution, Conc. Less Than 20% No 1336216 t1HG1iCCL H, '.7tSJJ1~12S1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH / / / Ext ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME INSECTICIDES-HOUSEHOLD/GARDEN Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLR/WHSE SALES FLR/WHSE CAS# 8065483 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~mbient ~ Ambient GLASS CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 200.00 GAL 100.00 GAL ru~c~s~tcLVU~ ~.vs~irvlv~lvla %Wt. RS CAS# 100.00 Demeton (EPA) No 8065483 riE1GEitCL L-15 ~~JJL~1~1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Ext -4- 04/17/2007 F LONGS DRUG STORE 239 SiteID: 015-021-000985 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME CLEANING-HOUSEHOLD BLEACH Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLR/WHSE CAS# 7681529 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~ Ambient ~ Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 200.00 GAL 30.00 GAL • r~~HttLVU~ t.vinrviv~ly 1 ~ %Wt. RS CAS# 100.00 Sodium Hypochlorite No 7681529 riHGHKL L~~ 7~71".i5J1~1L'1V1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi ~ Inventory Item 0018 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME FIXER PART A Days On Site CP-47 L 2 R COLOR BLEACH FIXER (FERRIC AMMONIUM EDTA) 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 7783-18-8 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~ Ambient ~ Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.50 GAL 20.00 GAL 20.00 GAL nnaxrcLVUa ~.vi~irvlvnlvt~ %Wt- RS CAS# 30.00 Ferric Ammonium EDTA No 0 5.00 Benzoic Acid No 65850 t'lEiG1~tCL 1-~J JL" .7.71~1~1V-1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi -5- 04/17/2007 F LONGS DRUG STORE 239 SiteID: 015-021-000985 ~ ~ Inventory Item 0021 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DEVELOPER PART A Days On Site CN-16 FA NI R DEVELOPER (POTASSIUM CARBONATE) 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 7757-83-7 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~Ambient ~ Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 0.25 GAL 10.00 GAL 10.00 GAL t1AGEiKLVUJ LV1~lYV1VL'1V1.7 °sWt. RS CAS# 34.00 Potassium Carbonate No 584087 5.00 Sodium Sulfite No 7757837 5.00 CARBOXYLIC ACID/ALKANOLAMINE REACTION PRODUCTS No 0 tiH~talcl.~ t~5 5r:5~l~i~lv1 a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi ~ Inventory Item 0015 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DEVELOPER PART A Days On Site CP-47 L PI CR DEVELOPER/REPLENISHER (TRIETHANOLAMINE) 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 7757-83-7 Liquid TMixture~ Ambient~E ~ AmbientT~E PLASTOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 0.50 GAL 5.00 GAL 5.00 GAL nsiayicl~vua ~.vrirv1V1J1V1~ ~Wt. RS CAS# 7.00 Triethanolamine No 102716 7.00 Hydroxylamine No 7803498 l1HGHiCL H. 7JL'a7w71~1L"1V1iJ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi -6- 04/17/2007 F LONGS DRUG STORE 239 SiteID: 015-021-000985 ~ ~ Inventory Item 0017 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME _ DEVELOPER PART C Days On Site CP-47 L PI CR DEVELOPER/REPLENISHER (POTASSIUM CARBONATE) 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 111-30-8 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~ Ambient ~ Ambient ~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.15 GAL 5.00 GAL 5.00 GAL HAZARDOUS COMPONENTS oWt- RS CAS# 40.00 Potassium Carbonate No 584087 15.00 Potassium Hydroxide No 1310583 10.00 CARBOXYLIC ACID/ALKANOLAMINE REACTION PRODUCTS No 0 ruyc~rucL s-i~ a~aariaivla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Mod -7- 04/17/2007 F LONGS DRUG STORE 239 SiteID: 015-021-000985 ~ ~ Inventory Item 0020 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC STARTER Days On Site CN-16 FA NI STARTER (POTASSIUM CARBONATE) 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# Liquid TMixture ~mbient~E ~ AmbientT~E -~STOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.13 GAL 5.00 GAL 5.00 GAL t1HGHtCL V u w7 l: V1~lY Vlv rJly 1.7 °sWt. RS CAS# 7.00 Potassium Carbonate No 584087 7.00 Sodium Bicarbonate No 144558 3.00 Potassium Bromide No 7758023 3.00 Phosphonic Acid No 13598362 r~~tixL s~a ~~~~i~i~~vla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Mod ~ Inventory Item~0023 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DEVELOPER PART C Days On Site CN-16 FA NT R DEVELOPER (P PHENYLENEDIAMINE) 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 111-30-8 Liquid TMixture ~ Ambient~E ~ T~PeRATURE ~STICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 0.13 GAL 5.00 GAL 5.00 GAL rujsys-ucLVUa ~.VrirVivrJlvt~ oWt. RS CAS# 17.00 p-Phenylenediamine No 106503 rues-uc~ r~a ~~~ari~iv 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Mod -8- 04/17/2007 F LONGS DRUG STORE 239 SiteID: 015-021-000985 ~ ~ Inventory Item 0011 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ANTIFREEZE Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLR/WHSE CAS# 107211 Liquid TMixtur~ Ambient~E ~ AmbientT~E ~ PLASTICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 100.00 GAL 10.00 GAL HAZARDOUS COMPONENTS $Wt. RS CAS# 100.00 Ethylene Glycol No 107211 l1tiL~tiRL HJ Jr.J Jl"1P~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Low ~ Inventory Item 0012 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME FUEL-CAMPING Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLR/WHSE CAS# 70892103 Liquid TMixture ~ Ambient~E ~ AmbientT~E METALOCONTAINRTNONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 75.00_ GAL I 20.00 GAL cwt. 100.00 Kerosene RSI CAS# No 70892103 HAZARD AS SESSI~ir~.ly 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low HAZARDOUS COMPONENTS -9- 04/17/2007 F LONGS DRUG STORE 239 SiteID: 015-021-000985 ~ ~ Inventory Item 0025 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME FIXER Days On Site CN-16 FA N3 R FIXER (AMMONIUM THIOSULFATE) 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# Liquid TMixtur~ Ambient~E ~ AmbientT~E ~LASTICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.50 GAL 50.00 GAL 50.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# 51.00 Ammonium Thiosulfate No 7783188 5.00 Ammonium Sulfite No 10196202 3.00 Ethylenediamine Tetraacetic Acid No 60004 rltiL~1-~iCL tiJ .7 L'JJl"1L'1V 1w7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low -10- 04/17/2007 F LONGS DRUG STORE 239 SiteID: 015-021-000985 ~ ~ Inventory Item 0019 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME FIXER PART B Days On Site CP-47 LP2 R COLOR BLEACH FIXER (AMMONIUM THIOSULFATE) 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 10043-O1-3 Liquid TMixture ~ AmbRent~E ~ AmbientT~E ~STOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 0.50 GAL 20.00 GAL 20.00 GAL ru~~t~tcLVU~ ~vi~irvlv~lvl~ %Wt. RS CAS# 40.00 Ammonium Thiosulfate No 7783188 10.00 Potassium Bisulfite No 1310618 7.00 Ammonium Sulfite No 10196202 7.00 Ammonium Bisulfite No 10192300 ru~~.ytcL tia ~~aai~i~lvl5 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Low -11- 04/17/2007 F LONGS DRUG STORE 239 SiteID: 015-021-000985 ~ ~ Inventory Item 0024 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC BLEACH Days On Site CN-16FA N2 R BLEACH REPLENISHER (FERRIC AMMONIUM EDTA) 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 12124-97-9 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.50 GAL 20.00 GAL 20.00 GAL riHGAK.UVUS C:VMYUN~N'1'~ %Wt. RS CAS# 21.00 Ferric Ammonium EDTA No 0 10.00 Ammonium Bromide No 12124979 5.00 Acetic Acid, Pure No 64197 r1t~L~ti[CL L'iJ JP.~~J Jl"1L' 1V 1 ~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Low -12- 04/17/2007 F LONGS DRUG STORE 239 SiteID: 015-021-000985 ~ ~ Inventory Item 0014 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DEVELOPER Days On Site CP-47 L PI S COLOR DEVELOPER (POTASSIUM CHLORIDE) 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# Liquid Mixtur~ Ambient~E ~ AmbientT~E ~ PLASTOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.25 GAL 5.00 GAL 5.00 GAL t11~Z,HKLVUb 1.V1~lYV1VL"1V1J %Wt. RS CAS# 10.00 Potassium Chloride No 7447407 10.00 Sodium Bicarbonate No 144558 7.00 Potassium Carbonate No 584087 5.00 Hydroxylamine No 7803498 ri1~GHKL L-1J a1"~5~1~1t;1V1J TSecret RS BioHaz RadioactivejAmount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low ~ Inventory Item 0016 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DEVELOPER PART B Days On Site CP-47 L PI CR DEVELOPER/REPLENISHER (P PHENYLENEDIAMINE) 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 74-19-7 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~ Ambient ~ Ambient -~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 0.13 .GAL 5.00 GAL 5.00 GAL n1~~titClJVUJ l,Vl"lYV1V~1V 1.7 %Wt. RS CAS# 40.00 m-Phenylenediamine No 108452 I1HGEiKL HJ JI~,J.'~1"1~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH / / / Low -13- 04/17/2007 F LONGS DRUG STORE 239 SiteID: 015-021-000985 ~ ~ Inventory Item 0022 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DEVELOPER PART B Days On Site CN-16 FA NI R DEVELOPER (PHOSPHONIC ACID) 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 74-19-7 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture T Ambient ~ Ambient ~~PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.13 GAL 5.00 GAL 5.00 GAL tit~~r~tu~vua ~vlnrVivlJlvl~ oWt. RS CAS# 7.00 Phosphonic Acid No 13598362 IYHGHtCL HJ.7L".~~1~1L" 1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH / / / Low ~ Inventory Item 0009 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLR/WHSE CAS# 8020835 Liquid TMixture ~ Ambient~E ~ AmbientT~E ~LASTOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 0.25 GAL 50.00 GAL 35.00 GAL ril-~GH1[LVUb 1:V1~lYV1VI;1VT5 oWt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 t11~GLjKL AJ~JL',SJ1~1t;1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min -14- 04/17/2007 F LONGS DRUG STORE 239 SiteID: 015-021-000985 a ~ Inventory Item 0026 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WASTE FIXER Days On Site SPENT PHOTOGRAPHIC FIXER 365 Location within this Facility Unit Map: Grid: PHOTO LAB CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TWaste ~ Ambient ~ Ambient -~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 5.00 GAL 5.00 GAL 5.00 GAL t1HGHKLV US l;vl~irvivL' lv 1 oWt. RS CAS# Silver No 7440224 t1AGA1[1J A~aL'~571~11'S1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No Noj Curies R / / / Min ~ Inventory Item 0013 COMMON NAME / CHEMICAL NAME FERTILIZER Location within this Facility Unit SALES FLR/WHSE STATE TYPE PRESSURE Solid TMixture~-Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 0 TEMPERATURE CONTAINER TYPE Ambient BAG AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 20.00 LBS 1000.00 LBS 200.00 LBS HAZARDOUS COMPONENTS °sWt . RSI CAS# nriZARD AS SESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH / / / UnR -15- 04/17/2007 F LONGS DRUG STORE 239 SiteID: 015-021-000985 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME HERBICIDES-HOUSEHOLD/GARDEN Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLR/WHSE SALES FLR/WHSE CAS# 0 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid TMixtur~mbient ~ Ambient ~ GLASS CONTAINER AMOUNTS AT THIS LOCATION Largest Cont8i00rLBS Daily 400100m LBS ~ Daily 150r00e LBS - rlti~r~tu~vu5 c.:~lnrulvl,•iv~.1~5 °sWt. ~ RS CAS# 100.00 Herbicides No 0 riAGAitL AJ~1";551~1i51V 1-7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / UnR -16- 04/17/2007 F LONGS DRUG STORE 239 SiteID: 015-021-000985 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 07/11/2000 CALL 911. = Employee Notif./Evacuation 04/14/2006 MEMBER OF MANAGEMENT WILL BE INFORMED AND WILL CALMLY EVACUATE CUSTOMERS AND EMPLOYEES TO NEAREST EXIT. 911 WILL BE DIALED IN EMERGENCY. MEMBER OF MANAGEMENT WILL TAKE ATTENDANCE AT MEETING AREA. PHARMACIST WILL BE NOTIFIED TO ADMINISTER FIRST AID. ALL EMPLOYEES WILL LISTEN AND RESPOND TO INSTRUCTIONS ON CALMLY EVACUATING THE BUILDING. Public Notif./Evacuation 04/14/2006 CUSTOMERS/VISITORS: APPROPRIATE SIGNS ARE POSTED IN PUBLIC AREAS AS REQUIRED BY PROP 65. ANY NECESSARY EVACUATION INSTRUCTIONS WILL BE GIVEN OVER THE IN-STORE SPEAKER SYSTEM INFORMING ALL CUSTOMERS AND VISITORS HOW TO SAFELY EVACUATE THE PREMISES IN THE EVENT OF AN EMERGENCY. NEIGHBORS: EVERY EMPLOYEE RECEIVES TRAINING ON HOW TO RESPOND AND CLEAN UP A CONSUMER PRODUCT SPILL. NO SPECIAL NOTICES ARE NECESSARY TO INFORM SURROUNDING NEIGHBORS AS ALL NEIGHBORS ARE AWARE OF THE NATURE OF OUR BUSINESS. Emergency Medical Plan 04/14/2006 SOUTHWEST URGENT CARE, 5397 TRUXTUN AVE, 322-2273; FIRE DEPT, 7000 STOCKDALE HWY, 326-3037; MERCY HOSPITAL, 2215 TRUXTUN AVE, 327-3371; AND GOLDEN EMPIRE AMBULANCE, 801 18TH ST. -17- 04/17/2007 F LONGS DRUG STORE 239 SiteID: 015-021-000985 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 04/14/2006 ~ KEEP CURRENT INVENTORY LIST AND UPDATE AS NEW PRODUCTS ARE INTRODUCED TO THE PUBLIC. KEEP EMPLOYEES TRAINED IN CLEANING UP HAZARDOUS PRODUCT SPILLS. KEEP FIRE EXTINGUISHERS WORKING. INFORM ALL EMPLOYEES OF MEETING PLACE IN THE EVENT OF EVACUATION. KEEP CLEAN-UP SUPPLIES IN ORDER. Release Containment 04/14/2006 THE SUPPLY CABINET MAINTAINED IN THE PAINTERS AREA CONTAINS ABSORBENT AND SUPPLIES TO CONTAIN A RELEASE. IF A RELEASE IS BEYOND OUR CONTROL, 911 WILL BE CALLED. Clean Up 04/14/2006 A SUPPLY CABINET IS MAINTAINED AT THE JANITORS AREA IN THE WAREHOUSE; IT CONTAINS GOLVES, BOOTS, ABSORBENT, ETC. VI.LLGt L<G ~7VU1l..C L'Lt. l.1VQl.l V11 -18- 04/17/2007 .~ F LONGS DRUG STORE 239 SiteID: 015-021-000985 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ J~JC C~1d1 rldGdLC.LS Utility Shut-Offs 04/14/2006 A) GAS - SW SIDE REAR OF BLDG B) ELECTRICAL - SW SIDE REAR OF BLDG C) WATER - W SIDE REAR OF BLDG D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 12/14/2006 PRIVATE FIRE PROTECTION - OVERHEAD FIRE SPRINKLER SYSTEM AND FIRE EXTINGUISHERS. FIRE HYDRANT - W SIDE REAR OF BLDG. Building Occupancy Level 12/27/2006 30 EMPLOYEES -19- 04/17/2007 R ~ ~, F LONGS DRUG STORE 239 SiteID: 015-021-000985 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 12/14/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: WE HAVE MONTHLY TRAINING MEETINGS TO TRAIN EMPLOYEES HOW TO EVACUATE THE STORE AND HOW TO CLEAN UP MINOR SPILLS. rciyc G azciu ivt ru~.utc ~~c _ ~ i r _ 17C1u 1V1 rul. ulC VaC -20- 04/17/2007 Prevention Services UNIFIED PROGRAM. INSPECTION CHECKLIST B A e R s ~ ; .`0 9ooTruxtunAve., suite 210 FIRE Bakersfield, CA 93301 SECTFON 1: Business Plan and Inventory Program- ' "RT"' Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS /!~ '~ZBU ~jD~,K~/~C~L ,` ~ lJ PHONE NO. ~~Z'•~~O NO OF E~M/PL~OYEES c~ FACILITY CONTACT - ~ ~ . BUSINESS ID NUMBER- 15-021- CJF~B~1 ~~ 7,e~r 6 ~ ~ _- Section 1: Business Plan and Inventory Program ~~1 ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT- ^ RE-INSPECTION C_ V ( C=Compliance OPERATION V=Violation COMMENTS ~1 ^ APPROPRIATE PERMIT ON HAND r ^ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ~. ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ~1 ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZA OUS~WAJSTE O 1SiTE? EXPLAIN: ~oV v ~-~~~•~,e YES ^ NO a QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 spector (Please Print) Fire Prevention / 1s` In /Shift of Site/Station # ~ Business Site espo Bible Party (Please Print) White -Prevention Services Yellow -,Station Copy Pink -Business Copy - FD 2155 (Rev. 09/05 '~ ,> ' ~+ + LONGS DRUG STORE 239 ________________________________ SiteID: 015-021-000985 + Manager HECTOR MEDINA Location: 8200 STOCKDALE HWY G City BAKERSFIELD BusPhone: (661) 832-0964 Map 123 CommHaz Extreme Grid: 05B FacUnits: 1 AOV: CommCode: BFD STA 11 EPA Numb: CAL930695617 SIC Code:5912 DunnBrad:00-691-0004 Emergency Contact / Title Emergency Contact / Title RICK STEVENS / STORE MANAGER GREG DWYER / ASST MANAGER Business Phone: (661) 832-0964x Business Phone: (661) 832-0964x 24-Hour Phone (661) 836-1979x 24-Hour Phone (661) 325-3266x Pager Phone { ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact GREG DWYER Phone: (661) 832-0964x MailAddr: 8200 STOCKDALE HWY G State: CA City BAKERSFIELD Zip 93311 Owner LONGS DRUG STORES CA INC Phone: (925) 937-1170x Address 141 N CIVIC DR State: CA City WALNUT CREEK Zip 94596 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ~, - ~~ ~5~~ ~ E~ P~.n ~ ~~ A PR ~ ~ Zoos Based on my inquiry of those individuals responsible for obtaining the information, - 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. '~t'I°.-""'...~." ate ` Sig a re -1- 03/13/2006 _ f UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93, Tel: (661)326-3979 ???~, . INSPECTION GATE INSPECTION TIME FACILITY NAME ~ (,~ --Low ~ ---_~Lv~__ _ ____S_~_ _ re__. _ ---Y-C--~~ ------- ~ ~'•~'° " Q ~,~'" ..'" ADDRESS ~ PHONE No. No. of Employees FACILITYCON T /~ Business ID Numb ~~~ ~f rE/ ~.cJ ~~~ 15=021- cX~D 9 8S G~' Section 1: Business Plan and Inventory Program ~~ Routine D Combined ^ Joint Agency ^Mutti-Agency ^ Complaint ^ Re-inspection C V `V=Violatonncel OPERATION COMMENTS ~® AIPPROPRIATE JPERMIT ON HAND - - -- ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ~ r3 - 1d ^ VISIBLE ADDRESS ~~ ~N.Mj'~ ~JZ ' 6~f C~~ ^ CORRECT OCCUPANCY ~ Z~ ~ f(_ ~ i~ a A.i~v ~ 3 ~ I ~ (~ ~~ -- - - - -- - - -------- -- - 111 1~f ^ VERIFICATION OF INVENTORY MATERIALS ~ ~~C~ CO y~ .f~G~ ~ - ---- - - --- - - ^ VERIFICATION OF QUANTITIES `~ ' ~^ VERIFICATION OF LOCATION ~ u S . U C~d ~ ~ 4. ? Z,. ~C~ ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITYE ~ ------ r--- ~^ -------- -------- ------------- VERIFICATION OF HAT MAT TRAINING -- ------....---- _-- - Min ,~1/ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCED RES - EMERGENCY PROCEDURES ADEQUATE _-- ~p~.l~ F _ ^ CONTAINERS PROPERLY LABELED J ^ HOUSEKEEPING ---- --- -------------------------------------- F ---------------- IRE PROTECTION ^ SITE DIAGRAM ADEQUATE ~ ON HAND ANY HAZARDOUS WASTE ON SITE: Bd YES ^ NO EXPLAIN: 1 ~ ~G~+ G(~ flr ~~d 0 P ~ :^~ u~-CA r. ~ IING~ IS I C N~ PLEASE CALL US AT ~GG'I~ 326-3979 i B dge No.; While -Environmental Services Yellow - SU1tbn Copy C~l'C.~~ ~~~ Busines ' e Responsible Party Pink -Business Copy BAKERSFIELD CITY FIRE DEPARTMENT RALPH E. HUEY, REA HAZARDOUS MAT~RIAL COORDINATOR (8051 326'3979 FAX (8051395-1349 HAZARDOUS MATERIAL Dlv 2130 "G" STREET ' BAKERSFIELD. CA 93301 PERRY ABE 7- Assistant Manager ~tPJ~$~ 8200 Q Stockdale Highway, Bakersfield, CA 93311, (805) 832.()984 w ~ L~ Ç\ ~ 6t- 0.)'(' ~~bo- ~øv+' WNÀ lD~+~ ~~ , ~~ ;.-i.."_.,..>,.'<.,~~......,,-;,t,.",.....:..: '''''...'....lr..tlfl:a:.~~~;!.·.........'''-'3''I.....,.; .,':¡,.....'i. ~., ...., i*~~~ . .' . . -~ :..~.. '-~:'~';'77~;:~~'~'~~~.!7'!7P?~'~0_~ :.~:.-.c-.:~~:,:~~..." .,~ "-.,' '·~:'é5JfJ~'·..": 8'2(90 G' "# 9FS" Md'./ / .. , ' .~ -' ':. ..... 4 i,,' .. PLAN CHECK ", -. ~'1 -~~I ) ... ~ -' :- '~:'~'~\., ':f-4:ý"',.,,? ,.~:'-'.; i I ! ..i ~ ;\ ~'-<I ...... ~.'.~ t;'t.'.... ~: ... ~..,. '\, " ,. n·~\;~;::';;L:,.i~,;.:,.;-'.;:~~~.~.~ó;~''...~l-c..,:~"..,;.:.',' . - . . " ," .. . . , . -, ~.;._-..,......~---- It~~~~tt:~::J:;"Z~{:·'::/~·~i~'~·iià {}~:'I:;,:::'~-:' ßZOO'G:~' ~ , ~~t1\ ~::~~~;:~~~~ [!.:=~.~~~~~ ::::..-:-.:.::."==-.-.=::. 't.:.~=----"- ~ ..::Ji =="--:-::::::="-::-..='".-- ._~.æ...~~~:, .:.::::...=-:t.::.~ ='-:::::"':::'--':::-":::-;= I ; =-.-:-.......;:::-;:..--==r~--=-.:t . ~~=~:~~~~:5f j~:-~.;:,fi~ 'c::.-- ..-----a..l.c-- ...'t.....,..."..~~ :~jE~~~k~"~~¿;~~~ REFERENCE NOTES "-;"::"~~ ==-==- _£:'=~. : ~..:~,:-=·-;;;~~1;;:~::~~~ ~':"'..:.'~~---'-'~'-'-:-=' ,,-:=:':::--=':'=-~~>i ~~~~~~:;;~~;~]:g ~ ------,---. ~-- '~..'M:.~~ ~~~~~~:~t~.;~, ~.___._L.,_._.__,·. ,. , .~.~ :: ==:~:.:::~ ~':::~"":7~-.:~ '.__~::;"~r::j£:~ ~;~~~~.~~--, :~~3~#k~Ž.,~ - ~~~~~~;~ !~~~~~!I _. --"-- -'-'-'-- -------'~fu."""', ;'¥-.:. ;::';7¿..?-'::- -':'::-:'''::::;: ::-.::..:' - - - -. -" ..;;. : ".~;J:~~, :: ~~~;:....-_-:.__.~ ~:~_·-:-7j~.~:~~' ". . - -. - -- -,- - - -:'::=:'='~...7"'...-";;7'!';-à _. ..---..'.-. ---- -·----<,,,..~~·\;>,k~'i\......~ _ :':':':::::-:::"~:'-=--::::"'w :: ::.:-.::::::=-~.;;;.,..:{ _, ;.;.....__... ....¡n¿..:- - =-'::':'...-"':"-l.--_"..:'::.-:::, _. :-"::=:':" -::: _. _~:r~-;~ .. 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Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME ~'f'-c..." ~ ADDRESS \ , \, INSPECTION DATE INSPECTION TIME ~~___~~____,-,-___.._____,A,___. ~ \1-ß - ú "' '\,~-u- PHONE No, ~ ~~..d~___~_,6~~~____ J'Z. -o){" __,_'-< Q_____ .~ J ~~ BusinessID~u5~Õ21_0(J6~~ Section 1: Business Plan and Invéntoryprogram D Routine o Combined D Joint Agency D Multi-Agency D Complaint D Re-inspection c V ( C=Compliance ) V=VioJation OPERATION COMMENTS o ApPROPRIATE PERMIT ON HAND ,^ ,-----:-----n---'-'-,-----------~'w---A~~....~-~---~~~..-,..-"-,.-----..,.,.".,',- ttC BUSINESS PLAN CONTACT INFOR~ATI~~_,~:CU~ATE _,,_,_..,.., ,~ç:.k~~.,.---M-cD~-4-e..i::....---'n--'..'m--.-'-,.---,---- D VISIBLE ADDRESS .---------..--------------.--------- ..--. -...-.------.-.----.....-..--.-.----..---..-.-.----..--- ..--------.- ...-.-..-----.,---- D CORRECT OCCUPANCY -----------------..-------- ____..,_'......_.m___"~"--'-..-....-_-.,---"'-'--'-'---_-....__n",_,,·,,"__.m..__.. ¡...ld~',,^- ':!::.,,~'-\~, D P VERIFICATION OF INVENTORY MATERIALS , , % D VERIFICATION OF QUANTITIES ___.________.__._._ ,.___ _____,_··______.u .___.____.___._.___._________....______.___._..._.__ ____..._.____ __~________~.__________________________....o..._ _____________._.______._·_.___~________M__ _.._._____.____._______.... _.......__.._.__.____ ~ D VERIFICATION OF LOCATION J!f D PROPER SEGREGATION OF MATERIAL ..çf D VERIFICATION OF MSDS AVAILABIUTYE -------------..-.-------...-..--....-------- -.---.---..-.-----.-------...---.--------------------.....----.-.----- )!f D VERIFICATION OF HAT MAT TRAINING ---------------.-- _______M______··______ ------..----.--.----.------..- -- ------.----------------.-..-.----. ------------..----------....-----------------.--.--.--.---..---...--- ·________.___M·______ .________..________.__________.__.__._____.__~________.__.___ D ~ VERIFICATION O~_ABATEM~NT SUP~UES~~~!~~C~~~~'=_S_ u.¿.r~_~ ~J,~__,--,--,----.,--,--- 'FjÍ D EMERGENCY PROCEDURES ADEQUATE -----_._-----..-----------_.----- _______________···_·__·_.·________...___M_____·_______··__._._._____.____._....._.___ -----~--------- --_.._------~.__.- ~ ,---- ------,---,--,------,--- ------ ---"~ ----~.._--,---_.._----_._----,--,.~, ,1 D CONTAINERS PRO~ERLY LABELED ~--,----~.._---,--"._--_....- If D HOUSEKEEPING ¡( D FIRE PROTECTION -------.---.-----------.------.-- -.------------------.------..-------.------..-------.-.--..----------- I'l D SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: DYES D No EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 /) c- I ß, G} rt \u ti~/h~.l---,__,------an.fb.,_.~,--,~ __0::..l. _,_ . '0_" ',dg. No. . ~S"Rœ"'O.b.P. Y \ White ' Environmental Services Yellow, Station Copy Pink . Business Copy -- .. F ACILlTY NAME ADDRESS 8"CQ() ~ F ACILlTY CONTACT c) INSPECTION TIME CITY OF BAKERSFiELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd f;'loor, Bakersfield, CA 93301 INSPECTION DATE \ '1.-, - "?t - 'UP?... PHONE NO. ~ ~7 - O~(g4. BUSINESS ID NO. i5 ¿1tT- 0 \c:.;--O'Z \-oú"'ì~ NUMBER OF EMPLOYEES "3<6' Section 1: Business Plan and Inventory Program if Routine o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERATION C V COMMENTS Appropriate pennit on hand "" -IJ;. ¡¿",loJ" c;:-li-:¡' - " z L/ I, Business plan contact infonnation accurate / A-S3/ '!/~t)\~.... ~ IJ~' J ~, Visible address ¡/v U ø Correct occupancy V Veri fication of inventory materials / Verification of quantities ( Verification of location / Proper segregation of material ........v ,v Verification of MSDS availability r/ Verification of Haz Mat training .......¡... Verification of abatement supplies and procedures /~ Emergency procedures adequate / Containers properly labeled / Housekeeping V" Fire Protection / V Site Diagram Adequate & On Hand ¡/ "" C=Compliance V=Violation Any hazardous waste on site?: Explain: DYes DNo White· Env, Svcs. Yellow - Station Copy Pink - Business Copy ~~~ Business Site Respon. ible Party Inspectorf¿~A- gL. II ~ Questions regarding this inspection? Please can us at (661) 326-3979 ~--- .'. ~--'¡.- - , .r - LONGS DRUG STORES #239 Manager : \-\edor fVlecUn4. Location: 8200 STOCKDALE City BAKERSFIELD // ///' \ BusPhone: Map : 123 Grid: 05B SiteID: 215-000-000985 ~I (8-6'5) 832-0964 CommHaz : Low FacUnits: 1 AOV: HWY G CommCode: BAKERSFIELD STATION 11 EPA Numb: CAL930695617 ·SIC Code:5912 DunnBrad:00-691-0004 Emergency Contact / Title HECTOR MEDINA ~ISTORE MANAGER Business Phone: (~ 832-0964x 24-Hour Phone (805) 664-7611x Pager Phone () x Business Phone: 24-Hour Phone Pager Phone / TitlM,., / A$.'S\atIt I , wMSðf ::;H» 218 69J2x (£18) 45a 4~38~fÑl- () x69Q· '0 0 Hazmat Hazards: Fire Press React ImmHlth DelHlth Period Preparer: Certif'd: to Phone: ( 832-0964x State: CA Zip 93311 Phone: (925) 937-1170x State: CA Zip 94596 TotalASTs: Gal TotalUSTs: = Gal RSs: No Contact : MailAddr: 8200 STOCKDALE HWY G City BAKERSFIELD Owner Address City LONG DRUG STORES CA INC 141 N CIVIC DR WALNUT CREEK Emergency Directives: i ~~ One Unified List ì All Materials at Site ì DailyMax MCP 0 co· , L 200.00 GAL Ext 0 ~ ... CD S 400.00 LBS UnR @ o.~ $). _:m L 200.00 GAL Hi õ' ~~! L 500.00 GAL Ext ;::, ::I. DH L 50.00 GAL Min - (J) D> " 0 8 ~ î ~ 'L 100.00 GAL Low '""I ;::, L 75.00 GAL Low ~ coR S 1000.00 LBS UnR ::;: a. So :T L 5.00 GAL Low =\ Ci) ~R~ L 5.00 GAL Hi ~ \ g) () ~R:¥I L 5.00 GAL Low 0 a. R ~H L 5.00 GAL Mod 3 "fO ~ R ~H L 20.00 GAL Hi ã) ;::, 3 R "iH L 20.00 GAL Low ..... a. Q) Ø) - s» ¡H L 5.00 GAL Mod ::r CD a. ;::, æ. D. ::::3. 0 (f) - ~ æ. :T R-1-g 3 ~ 05/08/2000 ß) :3 co ::J =r ~ S» ~. co ~ ~ - (i) I ::r I (j) f= Hazmat Inventory p== As Designated Order Hazmat Common Name... INSECTICIDES-HOUSEHOLD/GARDEN HERBICIDES-HOUSEHOLD/GARDEN CLEANING-HOUSEHOLD BLEACH CLEANING-AMMONIA PRODUCTS MOTOR OIL ANTIFREEZE FUEL-CAMPING FERTILIZER DEVELOPER DEVELOPER PART A DEVELOPER PART B DEVELOPER PART C FIXER PART A FIXER PART B PHOTOGRAPHIC STARTER ~. :. F LONGS DRUG STORES #239 f= Hazmat Inventory p== As Designated Order '=- -- e SiteID: 215-000-000985 l One Unified List l All Materials at Site l Hazmat Common Name... DEVELOPER PART A DEVELOPER PART B DEVELOPER PART C PHOTOGRAPHIC BLEACH FIXER SpecHaz EPA Hazards DailyMax MCP R IH L 10.00 GAL Hi F R IH L 5.00 GAL Low R IH L 5.00 GAL Mod IH L 20.00 GAL Low L 50.00 GAL Low -2- 05/08/2000 e e f LONGS DRUG STORES #239 p= Inventory Item 0001 = COMMON NAME / CHEMI CAL NAME INSECTICIDES-HOUSEHOLD/GARDEN SiteID: 215-000-000985 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit Map: SALES FLOOR/WAREHOUSE SALES FLOOR/WAREHOUSE Grid: CAS # 8065483 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE GLASS CONTAINER Largest Container I GAL AMOUNTS AT THIS LOCATION Daily Maximum 200.00 GAL Daily Average 100.00 GAL %Wt. RS CAS # 100.00 Demeton (EPA) No 8065483 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Ext HAZARD ASSESSMENTS p= Inventory Item 0002 , = COMMON NAME / CHEMI CAL NAME HERBICIDES-HOUSEHOLD/GARDEN Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit Map: SALES FLOOR/WAREHOUSE SALES FLOOR/WAREHOUSE Grid: CAS # o STATE - TYPE Solid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE GLASS CONTAINER Largest Container ~ LBS AMOUNTS AT THIS LOCATION Daily Maximum 400.00 LBS Daily Average 150.00 LBS %wt. I 100.00 herbicides HAZARDOUS COMPONENTS G;:] CAS # 01 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / UnR HAZARD ASSESSMENTS -3- 05/08/2000 e e f LONGS DRUG STORES' #239 p= Inventory Item 0004 = COMMON NAME / CHEMI CAL NAME CLEANING-HOUSEHOLD BLEACH SiteID: 215-000-000985 1 Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit SALES FLOOR/WAREHOUSE Map: Grid: CAS # 7681529 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container I GAL AMOUNTS AT THIS LOCATION Daily Maximum 200.00 GAL Daily Average 30.00 GAL %Wt. RS CAS # 100.00 Sodium Hypochlorite No 7681529 HAZARDOUS COMPONENTS HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi p= Inventory Item 0006 F= COMMON NAME / CHEMI CAL NAME CLEANING-AMMONIA PRODUCTS Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit SALES FLOOR/WAREHOUSE Map: Grid: CAS # STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container ~. GAL AMOUNTS AT THIS LOCATION Daily Maximum 500.00 GAL Daily Average 100.00 GAL D %Wt. RS CAS # 30.00 Ammonia Solution, Cone. Less Than 20% No 1336216 HAZAR OUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH / / / Ext HAZARD ASSESSMENTS -4- 05/08/2000 e e F LONGS DRUG STORES #239 f= Inventory Item 0009 ¡:::::= COMMON NAME / CHEMI CAL NAME MOTOR OIL SiteID: 215-000-000985 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit SALES FLOOR/WAREHOUSE Map: Grid: CAS # 8020835 [ ~TA'~E I TYPE ~ P~ESSURE ---r TEM~ERATURE I =LlqUld __pure ~mblent ---1 Amblent ~ AMOUNTS AT THIS LOCATION Daily Maximum 50.00 GAL CONTAINER TYPE BOX Largest Container i Q.' GAL Daily Average 35.00 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 0011 = COMMON NAME / CHEMI CAL NAME ANTIFREEZE Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit SALES FLOOR/WAREHOUSE Map: Grid: CAS # 107211 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container , GAL AMOUNTS AT THIS LOCATION Daily Maximum 100.00 GAL Daily Average 10.00 GAL %Wt. RS CAS # 100.00 Ethylene Glycol No 107211 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / I Low HAZARD ASSESSMENTS -5- 05/08/2000 e e F LONGS DRUG STORES #239 f= Inventory Item 0012 = COMMON NAME / CHEMI CAL NAME FUEL-CAMPING SiteID: 215-000-000985 l Facility Unit: Fixed Containers on Site l Days On Site 365 . Location within this Facility Unit SALES FLOOR/WAREHOUSE Map: Grid: CAS # 70892103 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Largest Container I GAL AMOUNTS AT THIS LOCATION Daily Maximum 75.00 GAL Daily Average 20.00 GAL %Wt. RS CAS # 100.00 Kerosene No 70892103 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low HAZARD ASSESSMENTS f= Inventory Item 0013 = COMMON NAME / CHEMI CAL NAME FERTILIZER Facility Unit: Fixed Containers on Site l Days On Site 365 Location within this Facility Unit SALES FLOOR/WAREHOUSE Map: Grid: CAS # o [ ST~TE I TYPE -¡-: P~ESSURE -¡ TEM~ERATURE I CONTAINER TYPE =SOl~d ~~pure ~mb~ent ---1 Amb~ent ~ BAG AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average ~ LBS 1000.00 LBS 200.00 LBS %Wt. I HAZARDOUS COMPONENTS G CAS # TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH / / / UnR HAZARD ASSESSMENTS -6- 05/08/2000 e e F LONGS DRUG STORES #239 p= Inventory Item 0014 = COMMON NAME / CHEMICAL NAME DEVELOPER CP-47 L PI S COLOR DEVELOPER (POTASSIUM Location within this Facility Unit PHOTO LAB PRODUCT STORAGE SiteID: 215-000-000985 9 Facility Unit: Fixed Containers on Site 9 CHLORIDE) Map: Days On Site 365 Grid: CAS # STATE - TYPE Liquid Mixture PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Con~ainer 0.25 GAL AMOUNTS AT THIS LOCATION Daily Maximum 5.00 GAL Daily Average 5.00 GAL %Wt. RS CAS # 10.00 Potassium Chloride No 7447407 10.00 Sodium Bicarbonate No 144558 7.00 Potassium Carbonate No 584087 5.00 Hydroxylamine No 7803498 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low HAZARD ASSESSMENTS p= Inventory Item 0015 = COMMON NAME / CHEMICAL NAME DEVELOPER PART A CP-47 L PI CR DEVELOPER/REPLENISHER (TRIETHANOLAMINE) Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE Facility Unit: Fixed Containers on Site 1 Days On Site 365 CAS# 7757-83-7 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 0.50 GAL AMOUNTS AT THIS LOCATION Daily Maximum 5.00 GAL Daily Average 5.00 GAL %Wt. RS CAS# 7.00 Triethanolamine No 102716 7.00 Hydroxylamine No 7803498 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi HAZARD ASSESSMENTS -7- 05/08/2000 e e F LONGS DRUG STORES #239 p= Inventory Item 0016 F= COMMON NAME / CHEMI CAL NAME DEVELOPER PART B CP-47 L PI CR DEVELOPER/REPLENISHER (P Location within this Facility Unit PHOTO LAB PRODUCT STORAGE SiteID: 215-000-000985 l Facility Unit: Fixed Containers on Site l PHENYLENEDIAMINE) Map: Grid: Days On Site 365 CAS # 74-19-7 STATE - TYPE Liquid Mixture PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 0.13 GAL AMOUNTS AT THIS LOCATION Daily Maximum 5.00 GAL Daily Average 5.00 GAL %Wt. RS CAS # 40.00 m-Phenylenediamine No 108452 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH / / / Low HAZARD ASSESSMENTS p= Inventory Item 0017 Facility Unit: Fixed Containers on Site l = COMMON NAME / CHEMI CAL NAME DEVELOPER PART C Days On Site CP-47 L PI CR DEVELOPER/REPLENISHER (POTASSIUM CARBONATE) 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS # 111-30-8 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 0.15 GAL AMOUNTS AT THIS LOCATION Daily Maximum 5.00 GAL Daily Average 5.00 GAL %Wt. RS CAS # 40.00 Potassium Carbonate No 584087 15.00 Potassium Hydroxide No 1310583 10.00 CARBOXYLIC ACID/ALKANOLAMINE REACTION PRODUCTS No 0 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Mod HAZARD ASSESSMENTS -8- 05/08/2000 e e í LONGS DRUG STORES #239 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000985 j íë Inventory Item 0018 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site j íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ .0 FIXER PART A 0 Days On Site 0 o CP-47 L 2 R COLOR BLEACH FIXER (FERRIC AMMONIUM EDTA) o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o PHOTO LAB PRODUCT STORAGE 0 CAS# o 365 o o o 0 7783-18-80 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëf íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Liquid 0 Mixture 0 Ambient 0 Ambient 0 PLASTIC CONTAINER 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡ o Largest Container 0 Daily Maximum 0 Daily Average 0 o 0.50 GAL 0 20.00 GAL 0 20.00 GAL 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ o % Wt. 0 0 RS 0 CAS# 0 . o 30.000Ferric Ammonium EDT A °No 0 00 o 5.000Benzoic Acid °No 0 658500 åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëf íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë i °TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 o No °No 0 No 0 No/ Curies 0 R IH 0 / / / 0 0 Hi 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëf e e íë Inventory Item 0019 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site j íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëëj o FIXER PART B 0 Days On Site 0 o CP-47 LP2 R COLOR BLEACH FIXER (AMMONIUM THIOSULFATE) o Locatioµ. within this Facility Unit Map: Grid: ûááááááááááááááááÇ o PHOTO LAB PRODUCT STORAGE 0 CAS# o 365 o o 0 10043-01-30 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëf íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëëj o Liquid 0 Mixture 0 Ambient 0 Ambient 0 PLASTIC CONTAINER 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëëj o Largest Container 0 Daily Maximum 0 Daily Average 0 o 0.50 GAL 0 20.00 GAL 0 20.00 GAL 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë j o %Wt. 0 0 RSo CAS# 0 o 40.000Ammonium Thiosulfate °No 0 77831880 o 1O.000Potassium Bisulfite °No 0 13106180 o 7.000Ammonium Sulfite °No 0 101962020 o 7.000 Ammonium Bisulfite °No 0 101923000 åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëf íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë ¡ °TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 o No °No 0 No 0 No/ Curies 0 R IH 0 / / / 0 0 Low 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëf -9- 05/08/2000 o -- e , í LONGS DRUG STORES #239 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000985 j íë Inventory Item 0020 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site ¡ íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ o PHOTOGRAPHIC STARTER 0 Days On Site 0 ° CN-16 FA NI STARTER (POTASSIUM CARBONATE) 0 365 ° Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o PHOTO LAB PRODUCT STORAGE 0 CASH o o o ° o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëf íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Liquid 0 Mixture 0 Ambient 0 Ambient 0 PLASTIC CONTAINER ° åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡ o Largest Container 0 Daily Maximum 0 Daily Average 0 ° 0.13 GAL 0 5.00 GAL ° 5.00 GAL ° åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëëj o %Wt. ° ° RSo CASH ° ° 7.000Potassium Carbonate °No ° 584087° ° 7.000Sodium Bicarbonate °No 0 144558° ° 3.000Potassium Bromide °No ° 7758023° o 3.000Phosphonic Acid °No 0 135983620 åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëf íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë ¡ °TSecretO RSoBioHazo Radioactive/Amount ° EPA Hazards 0 NFPA ° USDOT# 0 MCP ° ° No °No 0 No ° No/ Curies 0 IH 0 / / / 0 0 Mod ° åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëf -10- 05/08/2000 e e í LONGS DRUG STORES #239 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000985 ¡ íë Inventory Item 0021 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site i íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ o DEVELOPER PART A 0 Days On Site 0 o CN-16 FA NI R DEVELOPER (POTASSIUM CARBONATE) 0 o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o PHOTO LAB PRODUCT STORAGE 0 CAS# 365 o o o 0 7757-83-70 äëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëf íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëëj o Liquid 0 Mixture 0 Ambient 0 Ambient 0 PLASTIC CONTAINER 0 äëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡ o Largest Container 0 Daily Maximum o Daily Average 0 o 0.25 GAL 0 10.00 GAL 0 10.00 GAL 0 äëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë j o %Wt. 0 0 RSo CAS# 0 o 34.000Potassium Carbonate °No 0 5840870 o 5.000Sodium Sulfite °No 0 77578370 o 5.000CARBOXYLIC ACID/ALKANOLAMINE REACTION PRODUCTS °No 0 00 äëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëf íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë i °TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 o No °No 0 No 0 No/ Curies 0 R IH 0 / / / 0 0 Hi 0 äëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëf íë Inventory Item 0022 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site j íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ o DEVELOPER PART B 0 Days On Site 0 o CN-16 FA NI R DEVELOPER (PHOSPHONIC ACID) 0 365 o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o PHOTO LAB PRODUCT STORAGE 0 CAS# o o o 0 74-19-70 äëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëf íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëëj o Liquid 0 Mixture 0 Ambient 0 Ambient 0 PLASTIC CONTAINER 0 åëëëëëëëëëü~ëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëëj o Largest Container 0 Daily Maximum 0 Daily Average 0 o 0.13 GAL 0 5.00 GAL 0 5.00 GAL 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ o %Wt. 0 0 RSO CAS# 0 o 7.000Phosphonic Acid °No 0 135983620 åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëf íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë i °TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 °No °No 0 No 0 No/ Curies 0 F R IH 0 / / / 0 0 Low 0 äëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj -11- 05/0812000 e e í LONGS DRUG STORES #239 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000985 i íë Inventory Item 0023 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site j íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ o DEVELOPER PART C 0 Days On Site 0 o CN-16 FA NI R DEVELOPER (P PHENYLENEDIAMINE) 0 o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o PHOTO LAB PRODUCT STORAGE ° CASU 365 o o o 0 111-30-80 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëëj ° Liquid 0 Mixture 0 Ambient 0 Ambient 0 PLASTIC CONTAINER 0 äëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëëj o Largest Container 0 Daily Maximum 0 Daily Average 0 o 0.13 GAL 0 5.00 GAL 0 5.00 GAL 0 äëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ o %Wt. 0 . 0 RSo CASH 0 o 17.000p-Phenylenediamine 0No 0 1065030 äëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë ¡ °TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 o No °No 0 No 0 No/ Curies 0 R IH ° / // ° 0 Mod 0 äëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj íë Inventory Item 0024 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site i íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëëj o PHOTOGRAPHIC BLEACH 0 Days On Site 0 o CN-16FA N2 R BLEACH REPLENISHER (FERRIC AMMONIUM EDTA) o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o PHOTO LAB PRODUCT STORAGE 0 CASH o 365 o o o 0 12124-97-90 äëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ ° Liquid 0 Mixture 0 Ambient 0 Ambient 0 PLASTIC CONTAINER 0 äëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡ o Largest Container 0 Daily Maximum 0 Daily Average 0 o 0.50 GAL 0 20.00 GAL 0 20.00 GAL 0 äëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ o %Wt. ° 0 RSo CASH ° o 21.000Ferric Ammonium EDTA °No 0 00 o 10.000 Ammonium Bromide °No 0 121249790 o 5.000 Acetic Acid, Pure °No 0 641970 äëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë j °TSecretO RSoBioHazo Radioactive/Amount ° EPA Hazards 0 NFPA 0 USDOT# ° MCP 0 o No °No 0 No 0 No/ Curies 0 IH 0 / / / 0 0 Low 0, äëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj -12- 05/08/2000 e e í LONGS DRUG STORES #239 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000985 j íë Inventory Item 0025 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site i íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ o FIXER 0 Days On Site 0 o CN-16 FA N3 R FIXER (AMMONIUM THIOSULFATE) 0 o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o PHOTO LAB PRODUCT STORAGE 0 CASU 365 o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Liquid 0 Mixture 0 Ambient 0 Ambient 0 PLASTIC CONTAINER 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡ o Largest Container 0 Daily Maximum 0 Daily Average 0 o , 0.50 GAL 0 50.00 GAL 0 50.00 GAL 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ o %Wt. 0 0 RSo CASU 0 o 51.000 Ammonium Thiosulfate °No 0 77831880 o 5.000 Ammonium Sulfite °No 0 101962020 o 3.000Ethylenediamine Tetraacetic Acid °No 0 600040 åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë i °TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 o No °No 0 No 0 No/ Curies 0 0 / / / 0 0 Low 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj -13- 05/0812000 ' e e í LONGS DRUG STORES #239 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000985 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format j íë Notif./EvacuationlMedical ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Agency Notification ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 01/07/1990 i o 0 o CALL 911 o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Employee Notif./Evacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 01/07/1990 j o 0 o 1. MEMBER OF MANAGEMENT WILL BE INFORMED AND WILL CALMLY EV ACUA TE o CUSTOMERS AND CO-WORKERS TO NEAREST EXITS. 2. 911 WILL BE DIALED IN 0 o EMERGENCY. 3. MEMBER OF MANAGEMENT WILL TAKE ATTENDANCE AT MEETING AREA. 0 04. PHARMACIST WILL BE NOTIFIED TO ADMINISTER FIRST AID. 5. ALL EMPLOYEES 0 o WILL LISTEN AND RESPOND TO INSTRUCTIONS ON CALMLY EVACUATING THE BUILDING. 0 o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Public N otif./Evacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 01/07/1990 j o 0 o CUSTOMERS/VISITORS: APPROPRIATE SIGNS ARE POSTED IN PUBLIC AREAS AS 0 o REQUIRED BY PROP. 65. ANY NECESSARY EVACUATION INSTRUCTIONS WILL BE GIVEN 0 o OVER THE INSTORE SPEAKER SYSTEM INFORMING ALL CUSTOMERS AND VISITORS HOW o TO SAFELY EV ACUA T THE PREMISES IN THE EVENT OF AN EMERGENCY. 0 o o o o NEIGHBORS: EVERY EMPLOYEE RECEIVES TRAINING ON HOW TO RESPOND AND CLEAN o UP A CONSUMER PRODUCT SPILL. NO SPECIAL NOTICES ARE NECESSARY TO INFORM o SURROUNDING NEIGHBORS AS ALL NEIGHBORS ARE A WARE OF THE NATURES OF OUR o BUSINESS. 0 o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Emergency Medical Plan ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 01/07/1990 i o 0 o SOUTHWEST URGENT CARE 5397 TRUXTUN AVE. 322-2273 FIRE DEPARTMENT 7000 STOCKDALE HWY. 326-3037 0 o o o o o o o MERCY HOSPITAL 2215 TRUXTUN AVE. 327-3371 GOLDEN EMPIRE AMBULANCE 801 18TH ST. 0 o o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -14- 05/0812000 e e í LONGS DRUG STORES #239 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000985 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format j íë Mitigation/Prevent/ Abatemt ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site ¡ íëë Release Prevention ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 09/02/1992 i o 0 o 1. KEEP CURRENT INVENTORY LIST AND UPDATE AS NEW PRODUCTS ARE INTRODUCED o TO THE PUBLIC. 2. KEEP EMPLOYEES TRAINED IN CLEANING UP HAZARDOUS PRODUCT 0 o SPILLS. 3. KEEP FIRE EXTINGUISHERS WORKING. 4. INFORM ALL EMPLOYEES OF 0 o MEETING PLACE IN THE EVENT OF EVACUATION. 5. KEEP CLEAN-UP SUPPLIES IN 0 o ORDER. 0 o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Release Containment ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 09/02/1992 j o 0 o THE SUPPLY CABINET MAINTAINED IN THE PAINTERS AREA CONTAINS ABSORBENT AND o SUPPLIES TO CONTAIN A RELEASE. IF A RELEASE IS BEYOND OUR CONTROL, 911 WILL 0 o BE CALLED. 0 o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Clean Up ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 09/02/1992 i o 0 o A SUPPLY CABINET IS MAINTAINED AT THE JANITORS AREA IN THE WAREHOUSE. IT o CONTAINS GOLVES, BOOTS, ABSORB ANT, ETC. 0 o 0 o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Other Resource Activation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -15- 05/08/2000 -" e e í LONGS DRUG STORES #239 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000985 i íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format j íë Site Emergency Factors ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Special Hazards ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ , o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Utility Shut -Offs ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 01/07/1990 j o 0 o A) GAS - SOUTHWEST SIDE OF THE REAR OF THE BUILDING o B) ELECTRICAL - SOUTHWEST SIDE OF THE REAR OF BUILDING o C) WATER - WEST SIDE OF THE REAR OF THE BUILDING o D) SPECIAL - NONE o E) LOCK BOX - NO o o o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Fire Protec./Avail. Water ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 01/07/1990 j o 0 o PRIV A TE FIRE PROTECTION - OVERHEAD FIRE SPRINKLER SYSTEM THROUGHOUT THE o STORE. FIRE EXTINGUISHERS STRATEGICALLY PLACED THROUGHOUT THE STORE. o o o o o o o o o FIRE HYDRANT - WEST SIDE OF THE REAR OF BUILDING. o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Building Occupancy Level ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë j o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -16- 05/08/2000 o o '. e e í LONGS DRUG STORES #239 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000985 i íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format j íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site i íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 10/06/1994 j o 0 o WE HAVE 42 EMPLOYEES AT THIS FACILITY o o o o WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE o o o o WE HAVE MONTHLY TRAINING MEETINGS TO TRAINING EMPLOYEES HOW TO EV ACUA TE o THE STORE AND HOW TO CLEAN UP MINOR SPILLS. 0 o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëPage 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Held for Future U se ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë j o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Held for Future U se ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë i o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -17- 05/0812000 e e UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION one a e er material r buildin or area GADD DDELETE DREVISE "',' . 200 Page_of_ I. FACILITY INFORMATION FACILITY ¡DII' IAL EPCRA 202, .. . ,BUSlNESSNAME (Same as FACILITY NAME or DBA - Doing Business As) Lö CHEMICAL LOCATION (}\.... ~ k. ' " ï , 1U\ U \ ö..-b ORlD# (oprional) 204 II. CHEMICAL INFORMATION SßL.I- 0 FIRE CODE HAZARD CLASSES (Complete ifrequiredby CUPA) eð..t.-\-t-1·· 205 TRADE SECRET DYes No 206 CHEMICAL NAME C.;N - If Subject to EPCRA, refer to instructions COMMON NAME 208 ;e. EHS" DYes J&J No CAS# 209 "If EHS is "Yes", all amounts below must be in Ibs. o a. PURE ~b. MIXTURE 0 c, WASTE 210 HAZARDOUS MA TER1AL TYPE (Check one item only) 213 CURIES PHYSICAL STATE (Check one item only) FED HAZARD CATEGORIES (Check all that apply) 215 o a, SOLID !JI b, LIQUID 0 c, GAS 214 LARGEST CONTAINER . IZS 216 AVERAGE DAILY AMOUNT o a. FIRE 0 b. REACTIVE 0 c, PRESSURE RELEASE ~ d, ACUTE HEALTH 0 e. CHRONIC HEALTH 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT STATE WASTE CODE 220 5 ,5 10ft NA 221 DA VS ON SITE: 222 2ios JI a, GALLONS 0 b. CUBIC FEET 0 c, POUNDS 0 d, TONS . IfEHS amount must be in ounds, o a, ABOVE GROUND TANK 0 e, PLASTIClNONMET ALLIC DRUM 0 ¡, FillER DRUM 0 m, GLASS BOTILE 0 q. RAIL CAR Db, UNDERGROUND TANK 0 f. CAN 0 j, BAG œ n, PLASTIC BOTILE 0 r. OTHER o c, TANK INSIDE BUILDING 0 g, CARBOY 0 k, BOX 0 0, TOTE BIN o d, STEEL DRUM 0 h, SILO 0 I, CYLINDER 0 p, TANK WAGON 223 STORAGE PRESSURE !]g.a. AMBIENT o b. ABOVE AMBIENT o c, BELOW AMBIENT 224 STORAGE TEMPERATURE ~a. AMBIENT o b, ABOVE AMBIENT o c, BELOW AMBIENT o d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 4 238 227 o Ves (2g No 228 5~L. - O'i<-, 229 231 DVes IE No 232 \Y\.1- 5'5 -~ 233 235 DVes ~No 236 ì 758- D2--- 3 237 e.. 239 DVes 0 No 24{) 241 243 DYes 0 No 244 245 5-/0 226 2 )-5 234 242 Jf more hazardous component! are present at g.-eatef than tV. by weight if non-carcinogenh':, or 0.1"', by weight if carcinogenic, attach additional sheet, of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED lNFORMA TION 246 If EPCRA Please Si Here UPCF (1/99) 6 OES Fonn 2731 e e UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION ODe a c material buildiD or area DADD DDELETE o REVISE I. FACILITY INFORMATION 200 Page_of.:..:.. BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) SivYe =tJd~ CRE ~L LOCATION CONFIDENTIAL EPCRA o YES ~ NO 20) GRID# (opIÎOIIaJ) '. ) '202 204 FACILITY ID # II. CHEMICAL INFORMATION CAS# 20S TRADE SECRET No 206 CHEMICAL NAME (j\),-\L2L N\-Ç2.. COMMON NAME If Subject to EPCRA. refer to instructions 2CT1 208 EHS· o Ves ~ No 209 S'bL- - -ï FIRE CODE HAZARD CLASSES (Complete ifrequitod by CUPA) H- ·If EHS is "Yes", all amounts below must be in Ibs. o a. PURE ~b.MIXTURE 0 c. WASTE 210 HAZARDOUS MA TERJAL TYPE (Check one item only) 213 CURIES PHYSICAL STATE (Check one item only) 21S o a. SOLID Q!1 b. LIQUID 0 c, GAS 214 LARGEST CONTAINER ..z..s D-I FED HAZARD CATEGORIES 216 (Check all that apply) 0 a. FIRE 0 b. REACTNE 0 c, PRESSURE RELEASE XJ d. AClITE HEALTH 0 e. CHRONIC HEALTH AVERAGEVAlLY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL IVASTEAMOUNT STATE WASTE CODE 220 10 0 NI4 Nt:I f(I a. GALLONS 0 b. CUBIC FEET 0 c. POUNDS 0 d. TONS . If EMS, amount must be in ounds. 221 DA VS ON SITE: 2tOJ 222 o a. ABOVE GROUND TANK 0 e. PLASTlClNONMETALLlC DRUM 0 i. FffiER DRUM 0 m. GLASS BOTILE 0 q. RAIL CAR Db. UNDERGROUND TANK 0 f. CAN 0 j. BAG rs¡ IL PLASTIC BOITLE 0 r. OTHER o c. TANK INSIDE BUILDING 0 g. CARBOY 0 k. BOX 0 o. TOTE BIN Od, STEEL DRUM Oh.SILO 0 I. CYLINDER Op. TANK WAGON 22) STORAGE PRESSURE G!l .. AMBIENT o b. ABOVE AMBIENT o c. BELOW AMBIENT STORAGE TEMPERATURE ~ a. AMBIENT o b, ABOVE AMBIENT o c. BELOW AMBIENT o d. CRYOGENIC %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 2D- 40 226 ~S\~ Co..f bo \'1 +~ 227 D Ves IZ1 No 228 5'ôLI-Oß-, 2 1-5 230 t::ocU u..."" ~\ .R- 231 DVes 00 No 232 {ì~Î - 'ß:,- 3 1-'5 2)4 {)rf>A 2)5 o Ves C'j No 236 (P7- Lt3 - to 4 238 239 OYesDNo 240 5 242 24) Dves 0 No 244 224 215 229 23) 237 241 24S U more hazardous components are present at greatu than .-/. by weight if non-cacdnogenic, o"r 0.1-1. by weight if cudnogenic, attach additional sbeets of piper capturing the required information. ADDITIONAL LOCALLY COLLECTED IN FORMA nON 246 If EPCRA Please Si n Here UPCF (1/99) 6 DES Form 2731 e e UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION DADD DDELETE DREVISE 200 one a e er material buildin or area Page_of_ I. FACILITY INFORMATION DENTIAL EPCRA 202 " , FACILITY ID # 203 GRlD# (optiooal) 204 II. CHEMICAL INFORMATION vUt. ~ vJ 205 TRADE SECRET DYes No 206 CHEMICAL NAME CN··I[Q L COMMON NAME h - 'Z.. De..veJ If Subject to EPCRA. refer to instructions 201 208 CAS# EUS· DYes fšt No 209 100 '"?:>q - SY-o FIRE CODE HAZARD CLASSES (ComplcteifrcquiredbyCUPA) H~: ·If EUS is "Yes", all amounts below must be in Ibs. 210 14.0000c..ti \I Î 213 HAZARDOUS MATERIAL TYPE (Check one item only) o a. PURE iD b. MJXTIJRE 0 c. WASTE 211 RADJOAcrlVE 0 Yos 'ij} No CURIES PHYSICAL STATE (Check one item only) 215 o a, SOLID 99 b, LIQUID 0 c, GAS 214 LARGEST CONTAINER .. \ -z... S FED HAZARD CATEGORIES (Check aU that apply) 0 a. FIRE 0 b. REACTIVE 0 c. PRESSURE RELEASE 129 d, ACIITE HEALTH 0 e. CHRONIC HEAL TU 216 AVERAGE DAILY AMOUNT 211 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT STATE WASTE CODE 220 5 t) NVt NI'\ 221 DAYS ON SITE: :!.:las 222 1!9 a. GALLONS 0 b. CUBIC FEET 0 c. POUNDS 0 d. TONS · If EHS, amount must be in ounds, o a. ABOVE GROUND TANK o..PLASTlCINONMETALLICDRUM 0 i,FffiERDRUM om.GLASSBOTILE 0 q.RAILCAR o b, UNDERGROUND T ANI( 0 f. CAN 0 j. BAG [!!J n. PLASTIC BOTTLE 0 r. OTHER o c. TANK INSIDE BUILDING 0 g, CARBOY 0 k. BOX 0 0. TOTE BIN od, STEEL DRUM ob.SILO 0 I. CYLINDER Op. TANK WAGON 223 STORAGE PRESSURE ~ .. AMBIENr o b. ABOVE AMBIENr o c. BELOW AMBIENr 224 STORAGE TEMPERATURE ¡¡a a. AMBIENr o b, ABOVE AMBIENT o c, BELOW AMBIENT o d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 5-\0 226 h 227 D Yes !XI No 228 l (?ú3f:i -54 - 0 229 2 ~1 230 VI DYes []t No 232 233 3 3 I-~ 234 Drey;::¡ 235 DYes IîI No 236 b,- LiS- 6 231 4 238 239 DYes D No 240 241 242 243 DYes D No 244 245 If more hazardous componeøts are present at greater thao I ~_ by weight if non-carcinogenic, or 0,1-/_ by wright if cardnogrnic, attach additional Jhrrb of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA Please Si Here UPCF (1/99) 6 OES Form 2731 e e UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION DADD one . material bui\din 0'1' 'Uea DDELETE DREVISE 200 Page_of_ I. FACILITY INFORMATION 39 202 203 GRID# (opIiooal) 204 FACILITY ID # II. CHEMICAL INFORMATION CHEMICAL NAME L.N-\ COMMON NAME 205 TRADE SECRET No 206 CAS# vC\..(t L 207 'Vi 209 If Subject to EPCRA. refu to instructions 208 EUS· DYes 1&1 No ZSlo4 ." FIRE CODE HAZARD CLASSES (Complete ¡frequired by CUPA) \1~tt,: 3 HAZARDOUS MATERIAL TYPE (Check one item only) 0 a. PURE tiJ b. MIXTURE 0 c. WASTE PHYSICAL STATE (Check one item only) ·If EHS is "Yes", all amounts below must be in Ibs. 210 ~()...c..tì \J ì 2t3 211 RADIOACTIVE 0 Ves ~ No 212 215 o a. SOLID ~ b. LIQUID o c, GAS 214 LARGEST CONTAINER I/O I Z.S 0.-1 FED HAZARD CATEGORIES (Check all thai apply) 0 a, FIRE 0 b, REACTIVE 0 c, PRESSURE RELEASE (I d, AClffE HEALTH 0 e, CHRONIC HEALTH 216 5" '5 218 ANNUAL WASTE AMOUNT rJ(\- NA DAYS ON SITE:3bJ 222 AVERAGEDAILV AMOUNT 217 MAXIMUM DAILY AMOUNT STATE WASTE CODE 220 2ll 119 a. GALLONS 0 b, CUBIC FEET 0 c. POUNDS 0 II. TONS . If EHS amount must be in unds. o a. ABOVE GROUND TANK 0 e, PLASTIClNONMET AlLIC DRUM 0 i. FIBER DRUM 0 m. GLASS BOTILE 0 q, RAIL CAR o b, UNDERGROUND TANK 0 f. CAN 0 j. BAG œ n. PLASTIC BOTTLE 0 r. OTHER o c. TANK INSIDE BUILDING 0 g. CARBOV 0 k. BOX 0 o. TOTE BIN o d. STEEL DRUM 0 b, SILO 0 J. CYLINDER 0 p. T ANI< WAGON 223 STORAGE PRESSURE g¡ a, AMBIENT o b. ABOVE AMBIENT o c. BELOW AMBIENT 224 STORAGE TEMPERATURE '621 a. AMBIENT o b, ABOVE AMBIENT o c. BELOW AMBIENT o II. CRYOGENIC 225 O/OWT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 7-1$ 226 \1~'j H~V1eclï o..yv\.; ~ de(\\lc.:.rn¿n DYes ¡j§ No 228 229 2 230 231 DYes 0 No 232 233 242 235 DYes D No 236 239 DYes D No 240 243 DYes 0 No 244 237 3 234 4 238 241 5 245 If more hazardous components are present at greater than ..". by weigbt il non-carcinogenic, or 0.1·/. by weight il carcinogenic, attach addiriÐoal sheets 01 p,per capturing the required ioformatio~ ADDITIONAL LOCALLY COLLECTED INFORMATION 146 IfEPCRA Please Si Here UPCF (1/99) 6 OES Fonn 2731 e e UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION one a c material buildi or area DADD DDELETE DREVISE 200 Page_of_ I. FACILITY INFORMATION BUSINESS NAME (Same as FÀCILlTY NAME or DBA - Doing Business As) 202 FACILITY ID # GRlD# (optimal) 204 ß. CHEMICAL INFORMATION CAS# ~(Y10Y\' HII¿,'&Î- 3b-to 205 TRADE SECRET D Yes ~No 206 CHEMICAL NAME CN~l<øL t\it.-\Z- COMMON NAME '( ìc... '\ì~~1eý 207 Jf Subject to BPCRA. refer to instroctions 208 Dïf4 EHS· D Yes ~ No 209 ·If EHS is "Yes". all amounts below must be in Ibs. FIRE CODE HAZARD CLASSES (Complete ¡frequired by CUPA) H- .ec.-L-t-h; l e: 0 210 .., ~ô-c.t7 \J ¡ HAZARDOUS MATERIAL TYPE (Check one item only) 213 o a. PURE iii b, MIXTIJRE 0 c. WASTE 211 CURIES PHYSICAL STATE (Check one \Iem only) FED HAZARD CATEGORIES (Check alllh'l apply) 215 o a. SOLID IE b. LIQUID D c, GAS 214 LARGEST CONTAINER .5 216 D a. FIRE Dh, REACTIVE D c,PRESSURERELEASE Sd. ACUTE HEALTH De. CHRONIC HEALTH 20 N'A 220 AVERAGE DAILY AMOUNT 2b 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 221 222 9!l a. GALLONS D b. CUBIC FEET D c. POUNDS D d. TONS . If EHS amount musl be in unds, o a. ABOVE GROUND TANK D e. PLASTlC/NONMET ALLlC DRUM 0 i, FmER DRUM 0 m, GLASS BOTTLE 0 q, RAIL CAR Db, UNDERGROUND TANK 0 f. CAN 0 j, BAG 0n. PLASTIC BOTTLE 0 r. OTHER o c, TANK INSIDE BUILDING 0 g. CARBOY 0 k. BOX 0 0, TOTE BIN o d, STEEL DRUM 0 h, SILO 0 I. CYLINDER 01'. TANK WAGON 223 STORAGE PRESSURE t». a. AMBIENT D b. ABOVE AMBIENT o c, BELOW AMBIENT 224 STORAGE TEMPERATURE !)ta. AMBIENT o b, ABOVE AMBIENT o c, BELOW AMBIENT o d, CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) 10-20 226 .f~'(ì c:.... OJV"\VV1 on 'lA..YV1 PDTA 2 '7-IS 230 D...rY\ rYlon ì \A.YV1 b e. 3 5-ID 234 ~ '^-u..' Yì CÅ..tR- 4 238 5 242 EHS CAS # 227 DYes æ No 223 \ ICd '7- 3(p -to 229 Z3I DYes IB No 232 \2-\"2..4- Q7-Cf 233 235 DYes Ei No 236 2:z "2.10 - ß"b-- 231 239 D Yesj!J No 240 IID- I~-, 241 243 DYes D No 244 245 If more hazardouJ tomponents are present at e:reater than .-/. by weight if non--c....cl.nogen¡'. or O.J~. by weight if carcinogenic, attach additionalsbeeu of paper capturing the required informadolL ADDITIONAL LOCALLY COLLECTED INFORMA nON 246 If EPCRA Please Si Here UPCF (1/99) 6 DES Fonn 2731 e e UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION DADD DDELETE o REVISE I. FACILITY INFORMATION 200 material buildin 0< area Pago_of_ " !J:.~:'.' 202 FACILITY ID # GRID# (optional) 204 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET DYes No 206 c..N- \ ~ L. Fì x. <J" Jf Subject to EPCRA. refer to instructions COMMON NAME '1J17 208 0-.v'Y\ ~ en' \A EHS" DYes ßI No CAS# 209 -'Î~ ~-I -~ FIRE CODE HAZARD CLASSES (Complete ¡frequired by CUPA) eo..i-~: "ICEHS is "Yes", all amounts below must be in Ibs. f:.·re. : D /Z....- O-c... .\-1 '\J í 210 HAZARDOUS MATERIAL TYPE (Check one item only) 213 0.. PURE Qh,MIXTURE Dc.WASTE 211 RADIOACfIVE DYes D No CURIES PHYSICAL STATE (Check one item only) 215 D s. SOLID 00 b, LIQUID D c. GAS 214 LARGESTCONTAINBR "'5 0...1 FED HAZARD CATEGORIES (Check .11 that apply) 0 a. FIRE D b, REACTIVE 0 c. PRESSURE RELEASE I5r d, ACUTE HEAL TII 0 e, CHRONIC HEALTH 216 )D 10 Nrt 222 AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT STATE WASTE CODE 220 221 ';10 a. GALLONS 0 b. CUBIC FEET 0 c. POUNDS 0 d. TONS · If EHS amount must be in undo. o a. ABOVE GROUND TANK 0 e. PLASTIClNONMET ALLlC DRUM 0 i. FIBER DRUM 0 m. GLASS B01TLE 0 q. RAIL CAR o b, UNDERGROUND TANK 0 [CAN 0 j. BAG Qfn. PLASTIC B01TLE 0 r, OTHER o c. TANK INSIDE BUILDING 0 g. CARBOY 0 Ie. BOX 0 0. TOTE BIN Od. STEELDRUM oh.SILO 0 I. CYLINDER Op. TANK WAGON m STORAGE PRESSURE '" .. AMBIENT o b, ABOVE AMBIENT o c. BELOW AMBIENT 224 STORAGE TEMPERATURE !;iIa. AMBIENT o b, ABOVE AMBIENT o c, BELOW AMBIENT o d. CRYOGENIC 2lS %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 2t:>-$t> 226 ill D Ves IK1 No 228 2 ..- 230 ì rYI ì cl.a 231 DVes ŒJ No 232 e. 3 I-S 234 etn DYes 00 No 236 4 1- 239 DYes 00 No 240 5 241 243 DYes 0 No 244 77 I~-g 229 z ftJ - OD If ill 237 241 245 If more hazardous components are prenn. at greater than 1 % by wright if non-tarcínoc:eni~, or 0.1". by weig.bt if tartinogt11ic:, .ttach additional Jheets of paper capturing the required informalion. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA Please Si n Here UPCF {I/99) 6 OES Fonn 2731 - e UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION oncac material buildio or area Page_of_ ,'\'1 DÄDD DDELETE DREVISE 200 ·'l'" I. FACILITY INFORMATION BUSINESS' NAME: (Same as FACILITY NAME or DBA - Doing Business AsJ ·T· CHEMICAL LOCATIÇN 202 203 GRlD# (optiooaJ) 204 . t -. FACILlTYID#' . II. CHEMICAL INFORMA nON CHEMICAL NAME CN- lPL NY-R. 205 TRADE SECRET DYes No 206 COMMON NAME ,eý 207 If Subject to EPCRA, refer to instructions 208 CAS# ',2-,1.-1 ~ trio.-.7- ~ß'6 -~'8 - C> EHS* D Yes I)t No 209 *lfEHS is "Yes", all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete ¡rrequiredby CUPA) 210 , L. 'F¡ Þ"e-: ð ~Ìivì 213 HAZARDOUS MA TERJAL TYPE (Check one item only) o a, PURE \& b. MIXTURE 0 c. WASTE 211 RADIOActIVE 0 Yes ~ No PHYSICAL STATE (Check one item only) 215 o a, SOLID '¡¡:J b. LIQlßD 0 c, GAS 214 LARGEST CONTAINER . OS 0-1 FED HAZARD CATEGORIES (Check all that apply) 0 a, FIRE 0 b, REActNE 0 c, PRESSURE RELEASE 0 d, AClITE HEALTH 0 e, CHRONIC HEALTH 216 AVERAGE DAILY AMOUNT 211 MAXIMUM DAILY AMOUNT 218 ANNUAL W' ASTE AMOUNT STATE WASTE CODE 220 , NI'\ 1\1 ~ 221 DAYS ON SITE: 3¿, S' 222 IN a, GALLONS 0 b. CUBIC FEET 0 c. POUNDS 0 II. TONS . If EHS, amount must be in unm. D.. ABOVE GROUND TANK Oe.PLASTlClNONMETALLICDRUM 0 i.FmERDRUM Om.GLASSB01TLE 0 q,RAILCAR Ob.UNDERGROUNDTANK Of.CAN 0 j.BAG \2in, PLASTIC B01TLE 0 r.OTHER o c. TANK INSIDE BlßLDING 0 g, CARBOY 0 k, BOX 0 o. TOTE BIN Od, STEEL DRUM Oh,SILO 0 I. CYLINDER Op, TANK WAGON 223 STORAGE PRESSURE ~ ., AMBIENT o b, ABOVE AMBIENT o c, BELOW AMBIENT 224 STORAGE TEMPERATURE ~a, AMBIENT o b. ABOVE AMBIENT o c, BELOW AMBIENT o d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # \O-IS226 \ 2., y- 2Z7 D Ves flI No 228 2 5-10 230 5ltJos.tí -hA." tri o,:z.~k - -tr-o.tLe.. D Ves ŒI No 232 3 \-Ç 234 Oonì onl £Lvtt - iYø.J< ~ c OVes&!No 236 4 238 239 DYes 0 No 240 5 242 243 DVes D No 244 "2.85 - 8~ - 0 .3¿,ssq sro --500\ 233 -3&5SQ300- 5DD2.. 231 229 241 245 If more hazardous components are present at greater tUD 1'/. by weight if non--carcinogenic, or 0.1'/. by weight if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALL V COLLECTED IN fORMA nON 246 If EPCRA Please Si n Here UPCF (1/99) 6 DES Fonn 2731 e e UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION DO DDELETE DREVISE 200 one a 0 material buitdiD or area Pago_of_ I. FACILITY INFORMATION 202 FACILITY ID# 203 GRID# (oplional) 204 ß. CHEMICAL INFORMATION 2D5 TRADE SECRET No 2D6 A If Subject to EPCRA. refer to instructions 2D7 EHS· o Yes ~ No 2CJ8 CAS# 2D9 ó'bL.\ - 0'& - "ì FIRE CODE HAZARD CLASSES (Completo ifroquir.d by CUPA) ;.e~ ·IfEHS is "Yes", all amounts below must be in Ibs. o a. PURE ~ b. MIXTURE 211 RADIOACIlVE 2ID nfE': C HAZARDOUS MATERIAL TYPE (Cbeck ono itom only) 21) Dc. WASTE CURIES (VA PHYSICAL STATE (Chock one itom only) 215 o a, SOLID'1Q b, LIQUID 0 c. GAS 214 LARGEST CONTAINER D. 5 a.[ FED HAZARD CATEGORIES 216 (Chock aU that apply) 0 a. FIRE 0 b, REACf/VE 0 c. PRESSURE RELEASE ·òt d, ACUTE HEALTH 0 0, CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXlMUMDAILYAMOUNT 218 ANNUAL WASTE AMOUNT STATE WASTE CODE 22D 5 5 ~~ 'Iitf a, GALLONS 0 b. CUBIC FEET D c, POUNDS 0 d. TONS r . If EMS amount must be in unds. 221 222 Da,ABOVE GROUND TANK Oe.PLASTIC/NONMETALUCDRUM 0 ¡,FffiERDRUM Om.GLASSBOTILE 0 q.RAILCAR Db, UNDERGROUND TANK 0 f. CAN 0 j. BAG a D. PLASTIC BOTTLE 0 r, OTHER o c. TANK INSIDE BUILDING 0 g. CARBOY 0 k. BOX 0 0. TOTE BIN Dd, STEEL DRUM Db.SILO D L CYLINDER OP. TANK WAGON 223 STORAGE PRESSURE ~ a, AMBIENT o b. ABOVE AMBIENT o c. BELOW AMBIENT 224 STORAGE TEMPERATURE 'ijla, AMBIENT o b, ABOVE AMBIENT o c. BELOW AMBIENT o d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # \I'e...... 227 D Yes XI No 228 5 229 231 DYes m No 232 25(p4(o-7 - '3 233 235 DYes ~ No 236 I -5'- 3 237 239 DYes ŒI No 240 Z5~Z2 -(p -3 241 243 D Yes Till No 244 22- - 2..Ö- .3 245 246 If EPCRA Please Si Here OES Fonn 2731 l-IS 2 ?J- Î -'1 4 1- 5 1- 5 <.:o...t{ bo f\ 3 5 ADDITIONAL LOCALLY COLLECTED IN FORMA TlON UPCF (1/99) 6 e e UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION ISiQ\D D DDELETE DREVISE 200 one e material. buildin 01' area Page_of_ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) IAL EPCRA 202 FACILlTYID# 203 GRlD# (optíooal) 204 II. CHEMICAL INFORMATION 205 TRADE SECRET No 206 207 208 EHS· DYes þ(I No 209 -lfEHS is "Yes", all amounts below must be in lbs. hre:ö (4. 0... C. h \J " 210 HAZARDOUS MA TERlAL TYPE (Check one item only) o a, PURE Mb. MIX11JRE 0 c. WASTE 211 RADIOAcrNE 0 Yes I)lNo 213 PHYSICAL STATE (Check one item only) FED HAZARD CATEGORIES (Check aU that apply) 215 o a. SOLID Ò!rb. LlQlßD 0 c. GAS 214 LARGEST CONTAINER D. , 2 2]6 AVERAGE DAILY AMOUNT 5 o a, FIRE 0 b. REACTNE 0 c, PRESSURE RELEASE 1V d, AClJI'E HEALTH 0 e, CHRONIC HEALTH 217 MAXIMUMDAILYAMOUNT 218 ANNUAL WASTE AMOUNT 2]9 STATE WASTE CODE 5 NA- ~ 220 \'if a. GALLONS 0 þ, CUBIC FEET 0 c. POUNDS 0 II. TONS . If EMS amount must be in unds, 221 DAYS ON SITE: 3<P5 222 o a, ABOVE GROUND TANK 0 e. PLASTIClNONMETALLIC DRUM 0 ¡, FffiER DRUM 0 m. GLASS BOTI'LE 0 q. RAIL CAR o þ, UNDERGROUND TANK 0 f. CAN 0 j. BAG WO. PLASTIC BOTTLE 0 r, OTHER o ç, TANK INSIDE BUILDING 0 g, CARBOY 0 k. BOX 0 o. TOTE BIN Od, STEEL DRUM Ob,SILO 0 I. CYLINDER OP. TANK WAGON 223 STORAGE TEMPERATURE ~ a. AMBIENT a, AMBIENT o b. ABOVE AMBIENT o c. BELOW AMBIENT 224 STORAGE PRESSURE o b, ABOVE AMBIENT o c, BELOW AMBIENT 0 d. CRYOGENIC 225 %WT 7-/5 226 2 5-/0 230 3 J - 234 4 1- 5 5 I - HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # UPCF (1/99) 6 227 DYes ~ No 22B î1..\4'- 229 231 D Yes iii No 232 55 233 235 DYes QD No 236 \ '-\ l.\ - 237 239 DYes 31 No 240 \~39 -5/-3 241 243 DYes ¡g No 244 ta.O~OO-y. 245 246 If EPCRA Please Si n Here OES Fonn 2731 \ocìd¿ Y\ a.,-;--e,; deí\ \J úL-ti \Je- ADDITIONAL LOCALLY COLLECTED INFORMATION e e UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION one c material buildin or area ADD DDELETE DREVISE 200 Page_of_ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) , Lo CHEMICAL LOCATION Pho 202 F ACILlTY lD # 203 GRID# (optional) 204 II. CHEMICAL INFORMATION CHEMICAL NAME D_ . 205 TRADE SECRET DYes No 206 '< \f}(.( If Subject to EPCRA, refer to instrudions 207 208 oj.e EHS· o Yes ~ No CAS# 209 ·IfEHS is "Yes'·. all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (ComplClo if required by CUPA) H e V1: -z... o J2.t.ó...di V í () 210 r (t)~di{JY) : L. o a. PURE fa b. MIXTURE 0 c, WASTE 211 RADIOACTIVE 0 Ye. JiitNo 213 HAZARDOUS MATERIAL TYPE (Check on. item only) CURIES rv A PHYSICAL STATE (Check one item only) 215 o s. SOLID iii b. UQUlD 0 c. GAS 214 FED HAZARD CATEGORIES (Check all that apply) 0 ., FIRE 0 b, REACfIVE 0 c, PRESSURE RELEASE~ d, ACUTE HEALTH 0 e. CHRONIC HEALTH 216 AVERAGE DAILY AMOUNT 5 217 218 ANNUAL WASTE AMOUNT (VA 219 STATE WASTE CODE rvft 220 lILa. GALLONS 0 b. CUBIC FEET 0 c, POUNDS 0 d. TONS . If EHS amount must be in ooods. 221 DA~~TE: 222 0.. ABOVE GROUND TANK o"PLASTIClNONMETALLICDRUM 0 i.FffiERDRUM Dm.GLASSBOITLE 0 q.RAILCAR Db. UNDERGROUND TANK 0 f. CAN 0 j. BAG 'IjIn. PLASTIC BOTTLE 0 r. ornER o c. TANK INSIDE BUILDING 0 g. CARBOY 0 k. BOX 0 0. TOTE BIN o d. STEEL DRUM 0 h, SILO 0 I. CYLINDER 0 p. TANK WAGON 22J STORAGE PRESSURE ~ a. AMBIENT o b. ABOVE AMBIENT o c. BELOW AMBIENT 224 STORAGE TEMPERATURE ~., AMBIENT o b, ABOVE AMBIENT o c. BELOW AMBIENT 0 d, CRYOGENIC 22S %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 11-/5 226 2!7 DVes 1& No 223 5811-08 -I 229 2 3-, o Ves [,it No 232 ;ÜtoYlc-ll -3 233 3 ·1 235 DVes &a No 236 133CJ<61o-5/- '3 237 4 \-5 239 OVesfiNo 240 'dS 3dd. -(p~ - 3 241 5 1-5 DVes ~No 244 Idd. -dO- 3 245 If more hazardous tompooenb an present at greater tban 1 'I. by weight if Don...£arcinog'tni~ or o. t -/. by wtig.ht if u.rdnogtnic:, attach additional ,heth. of paper capturing the required infonnation. ADDITIONAL LOCALLY COLLECTED INFORMA rlON 246 If EPCRA Please Si n Here UPCF (1/99) 6 OES Form 2731 e e UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION DD DDELETE o REVISE 200 one a e er material buildin or area Page_of_ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 202 CHEMICAL LOCATION FACILITY ID# 203 GRID# (optiooal) 21M II. CHEMICAL INFORMATION CHEMICAL NAME CP-4~~ PI.. B COMMON NAME ~, it. !.t~ CAS# 'Z-1L.-t&>S' ~ ~ FIRE CODE HAZARD CLASSES (Compl.t.ifl« Uir<d by CUP"') \-\ eo-JL +n .. '"2.. 20S TRADE SECRET o Ves No 206 ]f Subject to EPCRA. refer to instructions 207 208 EHS· o Ves ~No 209 *IfEHS is "Yes", all amounts below must be in Ibs, 2\0 HAZARDOUS MATERIAL TYPE (Check on. item only) o a. PURE ,:8..b. MIXTURE 211 R....o..o.-c...-n \J ì : Ò RADIOACfNE 0 YCS')a"NO 213 e : o Dc. WASTE CURIES NJ\ PHYSICAL STATE (Check one item only) FED HAZARD CATEGORIES (Check all that apply) AVERAGE DAILY AMOUNT 20 21S o a, SOLID . LIQUID 0 c. GAS 214 LARGEST CONTAINER O. 216 o a, FIRE 0 b, REACfIVE 0 c, PRESSURE RELEASE ~ II. ACIITE HEALTH 0 e. CHRONIC HEALTH 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT STATE WASTE CODE 220 'La f\)ì\ R>~ 22\ DA VS ON SITE: 3(PS- 222 "d a, GALLONS 0 b. CUBIC FEET 0 c, POUNDS 0 d. TONS 1" . If EHS amoWlt must be ín unds. o a. ABOVE GROUND TANK 0 e, PLASTICINONMET ALLIC DRUM 0 i. FIBER DRUM 0 m. GLASS BOITLE 0 q, RAIL CAR Db. UNDERGROUND TANK 0 f. CAN 0 j. BAG J:ln. PLASTIC BOITLE 0 r, OTHER o c, TANK INSIDE BUILDING 0 g. CARBOY 0 k. BOX 0 o. TOTE BIN o II. STEEL DRUM 0 h. SILO 0 1. CYLINDER 0 p. TANK WAGON 223 STORAGE PRESSURE Dr a. AMBIENT STORAGE TEMPERA TIIRE ~ a. AMBIENT o b. ABOVE AMBIENT o c, BELOW AMBIENT 224 o b, ABOVE AMBIENT o c. BELOW AMBIENT o d, CRYOGENIC 22S %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # I/O-2D226 227 Ves ~ No 228 2/21oS- 50- 9 229 -2. {{'~ - 32 - CoY64~52. - L \51-\5 \ -00 - 0 233 2 5-10 230 m DVes'1¡(l No 232 3 $-10 234 23S DYes IE No 236 4 3-1 238 239 DVes CSl No 240 5 ( - 5 242 d \0.""" 243 DVes ~ No 244 ADDITIONAL LOCALLY COLLECTED INFORMATION 237 24\ 24S 246 If EPCRA Please Si Here UPCF (1/99) 6 DES Fonn 2731 e e UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION ADD DDELETE DREVISE 200 ODe a e er material buildiu or area Page_of_ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA- Doing Business As) 2(12 FACILITY ID # 203 GRID# (C >Iiooal) 204 II. CHEMICAL INFORMATION CHEMICAL NAME CR-t..18 COMMON NAME QYY\ Y"V\D V"\ 'f L-lr'Y'\ 205 TRADE SECRET No 206 If Subject to EPCRA, refer to insttuetions 207 208 CAS# EHS' DYes Jæ No 209 'ìl<6~- \<g-- FIRE CODE HAZARD CLASSES (CompIOlCif..quiredbyCUPA) ft¡ +Y1: 1- 'lfEHS is "Yes", all amounts below must be in Ibs. o a. PURE ~ b. MIXTURE 211 2\0 ¡:; ~o HAZARDOUS MATERIAL TYPE (Check one item only) 213 o c. WASTE RADIOAcrIVE CURIES Nf\ PHYSICAL STATE (Check one item only) FED HAZARD CATEGORIES (Clieck all that apply) AVERAGE DAILY AMOUNT 2-D 215 o a. SOLID £nb. LIQUID 0 c, GAS 214 216 o a. FIRE 0 b, REACTIVE 0 c, PRESSURE RELEASE þiiJ d, AClTfE HEALTH 0 c. CHRONIC HEALTH 217 MAXlMUMDAILY AMOUNT 218 ANNUAL WASTE AMOUNT STATE WASTE CODE '2.0 N A 220 221 Nil DAYS ON SITE: 3(06 222 ~8. GALLONS 0 b. CUBIC FEET 0 c. POUNDS 0 d, TONS . If EMS amount must be in unds. o a. ABOVE GROUND TANK 0 e. PLASTIClNONMET ALLIC DRUM 0 i. FIBER DRUM 0 m. GLASS BOTILE 0 q, RAIL CAR Ob,UNDERGROUNDTANK Of.CAN 0 j.BAG ~, PLASTICBOTfLE 0 r.OTHER o c. TANK INSIDE BUILDING 0 g, CARBOY 0 k, BOX 0 o. TOTE BIN o d. STEEL DRUM 0 b. SILO 0 I. CYLINDER 0 p. T ANI{ WAGON 223 STORAGE PRESSURE J¡jI 8. AMBIENT STORAGE TEMPERATURE ~ a, AMBIENf 0" b. ABOVE AMBIENT o c. BELOW AMBIENf 214 o b. ABOVE AMBIENT o c. BELOW AMBIENf o d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 2T1 DYes ~ No 228 231 DYes ~ No 232 235 DYes 13 No 23i 10 239 DYes D No 240 243 DYes D No 244 229 20 - '-(0 226 2 '7-1 ? 3 1- 5 4 5 230 C"-I'MnÒ (\ ',V'fV\ 0.. Yv\ YV'\QY)' \ 233 234 ÛJY\W\ h 238 242 231 241 245 If more hazardous components are present.t ereater tban 1·/. by weigbt if noo·urt:inogenic, or 0.1-/, by weight if cardnogenic,. attacb additional sheet! of paper capturing cbe required information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA Please Si Here UPCF (1/99) 6 OES Form 2731 e e UNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION OREVlSE I. FACILITY INFORMATION 200 D ODELETE Page .:.- of _ BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) Lv Y\ CHEMICAL LOCATION ~tuýe. t:\: d~ LOCA nON CONFIDENTIAL EPCRA 202 [Lf NO 203 GRlD# (opIi...aJ) 204 FACILITY ID # II. CHEMICAL INFORMATION FIRE CODE HAZARD CLASSES (Compl... ifrequircd by CUPA) H~~m: 2- TRADE SECRET o Yes No 21J6 CHEMICAL NAME LP-4 COMMON NAME f-{,ý(' L ('UrVII"Y)D V\I CAS# ß \-c C\.(,h n If Subject to EPCRA. I'Cfer to instructions 208 EHS· o Yes l)jf No ·IfEHS is "Yes", all amounts below must be in Ibs. 210 Fì("~: C> HAZARDOUS MATERIAL TYPB (Chetk one ilem only) o a. PURE W b. MJXTURE 0 c. WASTE 211 CURlES ('ý A 2\3 PHYSICAL STATE (Check one item only) o a, SOLID fjg b. LlQillD 0 c, GAS 214 LARGEST CONTAINER O.5GCLL 21S FED HAZARD CATEGORIES 2\6 (Check all that apply) 0 a, FIRE 0 b, REACTIVE 0 c, PRESSURE RELEASE ~d, ACtrrE HEALTH 0 e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUMDAILYAMOUNT 218 ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 blD (\fA- NA 221 DA3~ITE: 222 pg:., GALLONS 0 b. CUBIC FEET 0 c. POUNDS 0 d. TONS . If EHS amount must be in ounds, Da.ABOVE GROUND TANK Oe.PLASTIClNONMETALLlCDRUM 0 i.FIBERDRUM Dm.GLASSBOITLE 0 «,RAILCAR Db, UNDERGROUND TANK 0 f. CAN 0 j. BAG þan. PLASTIC BOITLE 0 T. <YI'HER o c. TANK INSIDE BillLDING 0 g. CARBOY 0 Ie. BOX 0 o. TOTE BIN o d, STEBL DRUM 0 h. SILO 0 1. CYLINDER 0 p. TAN!( WAGON 223 STORAGE PRESSURE ~ a. AMBIENT o b. ABOVE AMBIENT o c, BELOW AMBIENT 224 STORAGE TEMPERATURE 1¡ita. AMBIENT o b, ABOVE AMBIENT o c. BELOW AMBIENT 0 d. CRYOGENIC m %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # err fc. Q m mCt\¡ U M e.-\h le"e.diamí 'it 228 dldlo5-5D~ 229 2 23\ DYes gNo 232 g8~ ~3~-Y 233 3 235 DYes ~ No 236 LP'-I84 -Sd-d 237 4 238 239 DYes I)a' No 240 is %1 -OD-O 241 5 242 DYes Eil No 244 J\(j 3i055£l 0-50245 If more hazardous componenb are prescnt at greater tbaq 1'/t y weigbt ¡(non-carcinogenic, or 0.1'/, by weigbt if carcinogenic, attach additional sheets of paper capturing the required information. ADDITIONAL LOCALLY COLLECTED rNFORMA nON 246 If EPCRA Please Si n Here UPCF (1/99) 6 DES Form 2731 e e UNIFIED PROGRAM CON SOLID A TED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION one a e material buildin or area DD o DELETE DREVISE 200 Poge_of_ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 202 FACILITY ID # GRID# (opliooaJ) 204 II. CHEMICAL INFORMATION CHEMICAL NAME ep-41 S Pl... I-cCl..c.h H^ ~ COMMON NAME CLvvt YV'IO h j \..Lv'V\ ~ 205 TRADE SECRET No 206 If Subjccllo EPCRA. refer to instructions: 2Q8 EHS· o Yes ~No CAS# 209 -'Î~~-I.g-~ FIRE CODE HAZARD CLASSES (Complete ifrequired by CUPA) ·If EHS is "Yes", all amounts below must be in Ibs. 1=,- oft!. : 0 210 :'2.., ~o...c +; V ì HAZARDOUS MATERIAL TYPE (Check one item only) PHYSICAL STATE (Check one item only) FED HAZARD CATEGORIES (Check all that apply) D a. PURE ~b. MIXTURE Dc. WASTE 211 CURIES N Pr 214 LARGESTCONTAINBR 0.5 a.L 213 21S D a. SOLID ijI b. LIQrnD D c. GAS 216 AVERAGE DAILY AMOUNT :;0 D a. FIRE Db. REACTNE D c,PRBSSURERELEASE ¡&rd ACUTEHEALTH De. CHRONIC HEALTH 217 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT dO (\fA- 220 221 222 ~. GALLONS Db, CUBIC FEET D c. POUNDS D d TONS · If EHS amount must be in undo. o a. ABOVE GROUND TANK 0 e, PLASTICINONMETAUIC DRUM 0 ¡, FffiER DRUM 0 m. GLASS BOTILE 0 q. RAIL CAR Db. UNDERGROUND TANK 0 [CAN D j. BAG ~ PLASTIC B01TLE D r. OTHER D c, TANK INSIDE Burr.DING D g. CARBOY D k. BOX 0 o. TOTE BIN Dd. STEEL DRUM Db.SILO 0 I. CYLINDER Dp. TANK WAGON 223 STORAGE PRESSURE ~ a. AMBIENT STORAGETEMPERATURB ~. AMBIENT o b. ABOVE AMBIENT D c, BELOW AMBIENT 224 o b, ABOVE AMBIENT D c, BELOW AMBIENT 0 d CRYOGENIC 22S %WT HAZARDOUS COMPONENT (For rnixture or waste only) EHS CAS # ;jO··L l? 2'7~ IS 230 35-10 234 QmWlonìuV'Y\ -\\tìiD~ulfok.. ,VY\moniumh en 3u1~'k. n'\VVìOrdum ~ul 'k. 2n DYes f;l'No 22B rð3-) ~-'8' 229 231 DYes ~No 232 \01 '1a -30- 0 233 23S DYes ~o 236 \ DIC,lo-DY-ð 2J7 239 DYes 0 No 240 241 243 DYes 0 No 244 24S 4 238 242 If more hazardoDS componenu are present at greater thaR 1-;. by weight if noo-cucinogeníc, or 0.1 -I. by weight if urdnogenic, atta(h additional ,heets of paper capturing the required ioformatioø. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 IfEPCRA Please Si Here UPCF (1/99) 6 DES Form 2731 _;i' -- -- ~ '- ~ CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 FACILITY DESCRIPTION HAZARDOUS MATERIALS INVENTORY CHECK IF BUSINESS IS A FARM [ ] BUSJNESS NAME ~ 1)(~ ~l.O ,c..oJì~Y\Å'L :¡:nc... FACILITY NAME ~ 1)('^ð~~e. ~ 239 SITE ADDRESS <g 200 ~ S1ðclc..ð..~b..e..- ~'~~ ( CITY ~~.f1dcl STATE---G\ ZIP q ~3\ \ NAnJREOFBUSINESS 'M~1 o.u.¡V\.'D{~~-bn-"t'.. ~o.:h'~ IJ. O~~~~~~ SIC CODE 6'i 1'2- DUN & BRADSTREET NUMBER 00 - toq 1- 0c0L. OWNER/OPERATOR ~ D(~~eö,Wrf.,~PHONE (ens) Cf37~ IJ70 MAllJNG ADDRESS -.J4 J N. Ci vi L Dr\ve. CITY _Wtl~ÛttJL STATE ct1- ZIP C¡t¡Sq~ EMERGENCY CONTACTS ( NAME Jt~ yY\~.v.- BUSn'ŒSSPHoNEJ~) &1>2.- O1loY NAME ~O- t1'1c./(.¡Y\/eo BUSllœSS PHONE (1P5) 832 -OC1loy TITLE S1åre ~ 24HOURPHONE (eras) CdoL-f -7~ I J TITLE ffi~. M.a.. .\I\..ð..'ðQ -¥" 24 HOUR PHONE (~') 538-1ö70 I e e HAZARDOUS MATERIALS INVENTORY Business Name U"'tf' Ð('1) S.w~ Address '7520(") ~ ~~tAlI D... CHEMICAL DESCRIPTION ~ / "V , Page;( of~ tÞ~"O 1) INVENTOR Y STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON Trade Secret [ ] Trade Secret [ ] 2) Common Name: 3) DOT # (optional) Chemical Name: ARM: [ ] CAS # 4) Physical & Health PHYSICAL HEALTH Hazard Categories Fire [ ] Reactive [ ] Sudden Release ofPressw-e [ ] Immediate Health (Acute)[ ] Delayed Health (Chronic)( 5) WASTE CLASSIFICATION (3-digit code from DHS Fonn 8022) 6) PHYSICAL STATE Solid [ Liquid [ Gas [ ] Pure [ 7) AMOUNT AND TIME AT F ACll..ITY Maximum Daily Amount Average Daily Amount Annual Amount Largest Size Container # Days on Site UNITS OF MEASURE Lbs[ ]Gal[ ]ft3[ ] Curies [ ] Circle Which Months: 9)~: List the three most hazardous I) chemical components or 2) any AHM components 3) COMPONENT 1)LOCA TION USE CODE Mixture [ ] Waste [ ] Radioactive [ 8) STORAGE CODES a) Container: b) Pressw-e: c) Temperature All Year, J, F, M, A. M, J, J, A. S, 0, N, D CAS# %Wf ARM: [ ] [ ] [ ] 2) Common Name: 1) INVENTORY STATUS: New [ ] Addition [ ] Revision [ ] Deletion [ ] Check if chemical is a NON Trade Secret [ ] Trade Secret [ ] 3) DOT # (optional) Chemical Name: 4) Physical & Health Hazard Categories ARM: [ ] CAS # PHYSICAL HEALTH Fire [ ] Reactive [ ] Sudden Release of Pressure [ ] Immediate Health (Acute) [ ] Delayed Health (Chronic) [ 5) WASTE CLASSIFICATION (3-digit code trom DHS Fonn 8022) 6) PHYSICAL STATE Liquid [ Gas [ ] Pure [ Solid [ 7) AMOUNT AND TIME A T FACILITY Maximwn Daily Amount Average Daily Amount Annual Amount Largest Size Container # Days on Site UNITS OF MEASURE Lbs [ ] Gal [ ] ft3 [ Curies [ ] Circle Which Months: 9)~: List the three most hazardous 1 ) chemical components or 2) any AHM components 3) COMPONENT USE CODE Mixture [ ] Waste [ ] Radioactive [ 8) STORAGE CODES a) Container: b) Pressw-e: c) Temperature All Year, J, F, M, A, M, J, J, A. s, 0, N, D CAS# %Wf AHM [ ] [ ] [ ] )LOCA TION I certify under penalty oflaw, that I have personally examined and am familiar with the infonnation on believe the submitted information is true, accurate and complete. Yíø+Ìl ~ &wì(()"'(tfIA uJJ 1'rt4J/JOft PRINT Name & Title of Authorized Company Representative ~/'1lqF / - ,------,---' '- ,,-e-,----'------- '6___,___ --.---., --.. ---_.---~--------- California Codc of Rcgulations Titlc 19 Division 2 Chapter 4 ,\ I'I'ENI>I\: <: Inventory Reporting Form· Chemical Description Page PAGE I~II 3 r OF L\IW J ! California Hazardous Materials I 11.10 ADD ODE LET E QO REVISE 1 BUSINESS NAME (4) i L i] Y\5 s 'D("\\5 S-hy '- -: ±:. ~?fi CHEMICAL LOCATION (5) i 'Pl101:b ~ {h J.., c..+ <;'+-ar ~~(L I MAPII 1(') I I, GRID # (7) I (~) I CHEMICAL NAME c.. 'P -I.{ 1 L ? I - S CD I or Þl!~ l()~ S-I-U\. -\~ COMMON NAME (9) Wo+ ..~ oS i 1\ M c...ht 1:)(; de.. CAS # (lOJI7YI47_"¡O_7 FIRE CODE (D)I HAZARD CLASSES-, ~{." \-\-L- '. 1 f, y{: 0 Rt'.A.c. -{. \,,',+\ ~ 0 'COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF· REFER TO INSTRUCTIONS. (I~I O P URE ~ MIXTU RE [J WASTE I (liIID SOLID ~LlaUID OGAS i (lSI!UFIRE OREACTIVE CPRESSURE TYPE PHYSICAL STATE FED HAZARD, CATEGORIES STATE WASTE CODE DAYS ON SITE LARGEST CONTAINER STORAGE CONTAINER STORAGE PRESSURE STORAGE TEMPERATURE (29) %VIT 11 5-10 21 5-/0 31 s-1 41 l-S 51 SECRET(llI O Y [)iJ NJ -EHS (12)1° Y ðN~1 'IF EHS SOX IS "Y" ALL AMOUNTS MUST 8E IN LOS I. ¡TRADE I RADIOACTIVE (l~) IC Y g N ; (16) I CURIES RELEASE ~ ACUTE ~EALTH C CHROmC HEALTH MAX DAIL Y AMT (23) I s in Ibs. AVG DAILY AMT 1241¡ 5 ANNUAL WASTE AMT (2S) I NA I (20) I 31::>5 I (21)1 O,¡Ç jd -.J (.26) '1.J ABOVE GROUND TANK 0 CAN o UNDER GROUND TANK 0 CARBOY [j TANK INSIDE BUILDING 0 SILO C STEEL DRUM 0 FIBER DRUM o PLASTIC/NONMETALLIC DRUM 0 BAG (27) IJ)(J AMBIENT D ABOVE AMBIENT 0 BELOW (28)~AMBIENT OABOVE AMBIENT OBELOW (30) HAZARDOUS COMPONENT I_~o-! ":' '^"" c.h\."k r;. <Ie:!; '" ~I'~ L'l"è-tct. UNITS· (22) ~ GAL 0 CU FTI [J LBS 0 TONS! -If ERS, amounts must be (19) ¡ I /VA OBOX o CYLINDER [J GLASS BOTTLE ~ PLASTIC BOTTLE o TOTE BIN AMBIENT I AMBIENT 0 CRYOGENIC I o TANK WAGON o RAIL CAR o __________ (31) EHS JOY ~NII ILJ Y æ N I I ¡Oy ~NII SN-0~'7 JOY ~NIII'2.1~98b-5/. ~ ICY ON [ (3l\CAS# 7~ ~ 7 - '"10- 7 144 - Sç - ~ 'D ot ~ ~.ri \IJW'\. ~ (." (I ~h, . h\i¿"'o)(y I èf>\,y\p d.e.r;-l ~-tIVe... . . 0:1) ADDITIONAL LOCALLY COLLECTED INFORMATION OES Furm 27:11 ((14/')('1 PAGE21 Califocnia Hazardous Materials , 11.10 ADO 0 DELETE 9!1 REVISE I '\ ----..--.-.. -" - '-~------ He'---'--'H'- ,,·---,-,----·--·,~~e-----, .----"'----.-. -'-" California Code of ReguLations Title 19 Division 2 Chapter 4 ,\I'I'ENI) \: <.: Inventory Reporting Form - Chemical Description Page PAGE t~11 ;' -" L.J [ OF I.,t ty BUSINESS NAME (4) i CHEMICAL LOCATION (5) í I MAPII ((')1 I--OV1~~ Dr") sro,,,- ";3'! Pho-+t> Id & t?,od'Vc.-t S-+O,aoe.. I, GRID /I (7) I J I I CHEMICAL NAME (I;) [ COMMON NAME (91 I CAS#! (10) I FIRE COOE (011 HAZARD CLASSES· l-te.ðll+h'.2- Flre'O ReÞc.4;vi+r: D 'COMPLETE 8LOCK (13) IF REOUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. (I~)IO PURE ~ MIXTURE 0 WASTE I RADIOACTIVE (1~) IC Y (2.N ¡ (16)1 (miD SOLID ~ LIQUID D GAS i CURIES (IS)¡U FIRE 0 REACTIVE G PRESSURE RELEASE '9 ACUTE t:lEALTH C CHRONJ,C HEALTH! TYPE PHYSICAL STATE FED HAZARD CATEGORIES STATE WASTE CODE DAYS ON SITE LARGEST CONT AfNER STORAGE CONTAINER STORAGE PRESSURE STORAGE TEMPERATURE (29) %\NT 11 -; -7 21 ., -7 31 41 sl SECRETO!) O Y ~ ~J 'EHS O!)ID Y ~ NJ 'IF EHS 80X IS "Y' All AMOUNTS MUST BE IN LeSI I C P L/ 7 L ? I - L. e.. DE'vel~/Refl~"i,¡;h~ l)è..-i ^ ¡TRADE -rr', e+h~}'I c>L~rv¡ì"e... Î 10'1.. - ì 1- h MAX DAILY AMT (23)1 AVGDAILY AMT (24)1 c:; Nf\ UNITS' (22) Œ-GAL 0 CU FTI OLBS OTONS! -If EHS, amounts must be In Ibs. (19) ¡ (VA I (20) I }bS (21) I (7, S'jJ..1 s- ANNUAL WASTE AMT (25)1 I (26) 'L! ABOVE GROUND TANK D CAN o UNDER GROUND TANK D CARBOY [j TANK INSIDE BUILDING 0 SILO C STEEL DRUM D FIBER DRUM o PLASTIC/NONMETALLIC DRUM 0 BAG (27) \¡:¡¡¡ AMBIENT 0 ABOVE AMBIENT 0 BELOW (18) l8j AMBIENT D ABOVE AMBIENT 0 BELOW (30) HAZARDOUS COMPONENT C;BOX o CYLINDER [J GLASS BOTTLE ~ PLASTIC BOTTLE o TOTE BIN AMBIENT I AMBIENT 0 CRYOGENIC I o TANK WAGON o RAIL CAR 0__________ (31) EHS ¡IOY ~NII II'"' ~N II IDY ON I I IIOY ON [ IIOY ON I I (32ICAS# I tri e. t:hóY"O l\/I-1;Y\-" p 1,,) cox)'l> ""0< I I de<;v~+¡"¿ I D1. - ï \ - 10 I ~ "3 'J ¥b-- S,- '3 (~:I)ADDITIONAL LOCALLY COLLECTED INFORMATION CJI';.s Fur", 27.'1 (fJ4/'){. PAGE21 ·. -_.~.-._- ...---..---, e -----'---'---,-e ' _._-_._,------_.'--_.~ - ---- -~ ./ -..'. .._..-~_.~_.._._---'-- California Code of Regulations Title 19 Division 2 Chapter 4 (4) i ,\I'I'ENI>I:\ C Inventory Reporting Form - Chemical Description Page PAGE 1:11 5" r OF I.\I~ J I California Hazardous Materials 11110 ADO ODE LET E f1l REV IS E I BUSINESS NAME CHEMICAL LOCATION j)r\.\~ S+OYL :if- ;¡>~ frodvc+ St-Cíð3¿ I. GRID # (7) I LOYlj.s rho+-Ob~, 0 MAP# (5) i I \(,1 I AL NAME 1~1 I CD D \) h . .JTRADE SECRETO!IIO Y rvl NJ CHEMIC rLtI L\ I-CR. ut.'^'~/Rf()ltYlI'::J,t1.~ _ I,<>o COMMON NAME (YI 1. I ,- L 'EHS O:!){O Y 191 N ] ~n(',I'\Y e"e C' í~""Iý'\e CJt¥\V.a-t\ve.. , =, CAS # 001 ¡ ~ 5 b II ~ _ f 1- 3 'IF EHS BOX IS"'Y" ~':t.';gD~LASSES' "" I fj e ./.¡.¡,,: 2. ¡::-; r<' 0 Au < + . ~ ;.¡ f ' 0 All "MOUNTS MUST BE IN Le51 'COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. (I~I O PURE ~ MIXTURE 0 WASTE I RADIOACTIVE (!~I IC Y I;8:N ¡ (6)1 I {1i IO SOLID i4 LIQUID 0 GAS i CURIES (lS)iu FIRE 0 REACTIVE G PRESSURE RELEASE ~ACUTE t:iEALTH c:: CHRON,IC HEALTH! TYPE PHYSICAL STATE FED HAZARD CATEGORIES STATE WASTE CODE DAYS ON sITe LARGEST CONTAINER STORAGE CONTAINER STORAGE PRESSURE STORAGE TEMPERAìURE ~ ,~ 2\ I 31 I 41 I 51 I UNITS·(;!2)CSij:.GAL OCU FTI MAXDAILYAMT (23)1 o LBS 0 TONS I -If EHS, amounts must be in Ibs. AVG DAILY AMT (24)1 ANNUAL WASTEAMT 12S)¡ I 5 fvA 5 (19) i r;vA I (~O) I 305 I;! 1) I o. 12.5 r-' OBOX o CYLINDER [J GLASS BOTTLE t8 PLASTIC BOTTLE o TOTE BIN AMBIENT I AMBIENT 0 CRYOGENIC I 11(~)yEH~N II . . ' ,25byb-/1-3 u Y LJ N I I I JOY ONII ¡tOY ONI [ ¡IOY ON (~6 'U ABOVE GROUND TANK 0 CAN o UNDER GROUND TANK 0 CARBOY [j TANK INSIDE BUILDING 0 SILO Cì STEEL DRUM 0 FIBER DRUM o PLASTIC/NONMETALLIC DRUM 0 BAG (27) 1\8! AMBIENT 0 ABOVE AMBIENT 0 BELOW (28)~AM8IENT OABOVE AMBIENT OBELOW o TANK WAGON o RAIL CAR o __________ (30) HAZARDOUS COMPONENT p~ ph~l\.l\e11e ~¡'UY'\ini.. deÁ\V~+'Vf IJ21CASII m)ADDITIONAL LOCALLY COLLECTED INFORMATION CJI':<; horn> 27-'1 (( 4/'Jl, PAGE 21 -- ,I '-'--'------,,--e-·--~---'--' a~___~___.., ----~--~-., '-~ .- C::diforni3 Code of Regubtions Title 19 Division 2 Ch:1pler 4 ,\I'I'I':NIII\: C California Hazardous Materials Inventory Reporting Form· Chemical Description Page 111jOAOO OOELETE ijl: REVISE J PAGEl:! ~ IOFI.\Iffi] J BUSINESS NAME (~) i LOr)/>, S :DflAt\ .s+OrtZ- 23'1 CHEMICAL LOCATION (5) i P ho+O (;¿.{; r () .,tv cf Shr L MAPII ((,11 I, GRID # (7) CHEMICAL NAME (~)I CP'-l{7 L rl-c.R. DevQ.1..c COMMON NAME (Y).l ~OI2.S:5\\..iVl-1 ~À./\&C,,~-tL CAS II (101 I 58 l{ - œ -7 FIRE CODE mIl HAZARD CLASSES· H~",I~: L Fín.', 0 R€.Ilc.4·lví~: 0 'COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF· REFER TO INSTRUCTIONS. (lJJ QPURE ~MIXTURE OWASTE I RADIOACTIVE ml/CY I8N ! (6)1 (liIIO SOLlD~Lla UfD 0 GAS i CURIES (IS)!UF1RE 0 REACTIVE G PRESSURE RELEASE ,8ACUTEI:fEALTH CCHRON,IÇ HEALTH! /D b ¡:TRADE SECRET<I!)IO Y ~ NI 1\ E'III e( 1.5 ht-'l pyr~ ,¡.u .J ·EHS (2)[° Y [2!:.N I ·,F EHS BOX IS "Y" ALl AMOUms MUST BE IN Les I TYPE PHYSICAL STATE FED HAZARD CATEGORIES STATE WASTE CODE DAYS ON SITE LARGEST CONTAINER STORAGE CONTAINER STORAGE PRESSURE STORAGE TEMPERATURE (29) %WT 11/:>-<¡o 21 31 4\ 51 7-15" ')-/0 (19) ¡ W A I (~O) I "3 bS I (21)', . ~ , t? .r~ UNITS· (22) ¡g GAL 0 CU FT MAX DAILY AMT (23) I (JLBS OTONS -If ERS. :lrnounts must be in Ibs. AVG DAILY AMT (24)¡ ANNUAL WASTEAMT (2S)¡ I 5 s NA. (26) l.! ABOVE GROUND TANK 0 CAN o UNDER GROUND TANK 0 CARBOY [jTANK INSIDE BUILDING OSILO [ì STEEL DRUM 0 FIBER DRUM o PLASTIC/NONMETALLIC DRUM 0 BAG (27) lœJ AMBIENT 0 ABOVE AMBIENT 0 BELOW (28)fl1 AMBIENT 0 ABOVE AMBIENT 0 BELOW (30) HAZARDOUS COMPONENT (JBOX o CYLINDER o GLASS BOTTLE œ; PLASTIC BOTTLE o TOTE BIN AMBIENT I AMBIENT 0 CRYOGENIC ¡ o TANK WAGON o RAIL CAR 0__________ (31)EHS 10 Y r¡g N I I ILl y ~ N I I JOY IBNI IDY ON I I I ICY ON I I (32ICAS# o+.2.~si"~ e.... 5811-08'-7 131O-~"3 fi'l (,1( - sf) - L. ttfV\ly\ Q " ~-t, ~<. ()))ADDITIONAL LOCALLY COLLECTED INFORMATION 01':<; Furm 27.1/ (( 4/'}{, PAGE 21 ....... / I --'-~e ,e--~--·_--'~--_· ,..,'_._-~-- C:¡liforni:¡ Codc of Rcgu :¡lions Titlc [9 Division 2 Ch:¡ptcr 4 ,\I'I'I-:NI>I:\ <: California Hazardous Materials Inventory Reporting Form - Chemical Description Page IIIJOAOO OOELETE ?tREVISE PAGEI~I! '1 I OF I.lt IY J BUSINESS NAME (4) ì Stor<- -l!. 2 ~ CHEMICAL LOCATION (5) i St-o.r2.. €- MAP# (C,I I GRID # (7) ¡TRADE I CHEMICAL NAME (In I COMMON NAME (91 I CAS # (101\ FIRE CODE (DlI HAZARD CLASSES· , Hu,It-~\l fin: 0 ~<""-(:'+'I\lí+T: 0 'COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF· REFER TO INSTRUCTIONS. (I~I OPURE ~MIXTURE C;WASTE I RADIOACTIVE (1~IICY ~ ¡ (6)1 (li) OSOLlD ~LlQUID OGAS i CURIES (lS)¡UFIRE [JREACTIVE GPRESSURE RELEASE ~ACUTE t:lEALTH CCHRON1C HEALTH! SECRET (11)[0 Y r8-NJ ·EHS (1:!)IO Y 18 N I 'IF EHS BOX IS 'Y All 'MOUNTS MUST BE IN les I TYPE PHYSICAL STATE FED HAZARD CATEGORIES STATE WASTE CODE DAYS ON SITE LARGEST CONTAINER STORAGE CONTAINER STORAGE PRESSURE STORAGE TEMPERATURE (29) %wr 11 tþ ,...~O 21 1-$ 31 4\ 51 c t>- Lfì L L..--R, Colol' BICAcJ.... fi)( - P~t A .ç.U\n,..( c... e.. W\ WI" II ( IoU", 1: t:> '\ A "2..&2-"5- So - CJ UNITS·(2:!)~GAL :lcu FTI MAXDAILYAMT (23)1 2-0 ULBS OTONSI -If EHSt :lmounls must be in Ibs. AVG DAILY AMT(24)¡ 2-0 (19) i tJA 1 (20) I 3bS (21)j D. J ')~, ANNUAL WASTEAMT (25)1 I N'~ (26) 'L! ABOVE GROUND TANK 0 CAN o UNDER GROUND TANK 0 CARBOY GTANK INSIDE BUILDING OSILO C STEEL DRUM 0 FIBER DRUM o PLASTIC/NONMETALLIC DRUM 0 BAG (27) IG4AMBIENT 0 ABOVE AMBIENT 0 BELOW (28)I9fAMBIENT 0 ABOVE AMBIENT 0 BELOW OBOX o CYLINDER o GLASS BOTTLE ~ PLASTIC BOTTLE o TOTE BIN AMBIENT I AMBIENT 0 CRYOGENIC I o TANK WAGON o RAIL CAR o __________ (30) HAZARDOUS COMPONENT (31)EHS f32ICAS#I .ç~~ Od'~\'Y'a .,í,^ ~ ED/A 110 Y "9? N I 2.\"-bS"SO- '} I ~eV)y \ (. o.CI ¿ i luY ~N I IS - ,., -2.S'b- cc> \ ~A de.yo i .¡ ~+L ON [ I ¡OY IIOY ON I I ¡ICY ON I I OJ) ADDITIONAL LOCALLY COLLECTED INFORMA nON (¡t·:s Fur", 27-'1 (04/'}(, PAGE 21 , . .u~u '__u_' ,uue-u~- e C:11ifornia Coòe of Regulations Tille 19 Division 2 Chapter 4 (4) i ,\1'['1-:1'1111\ C Inventory Reporting Form· Chemical Description Page PAGE l~11 '8 I OF !.'lr'Ll -, J I California Hazardous Materials « IIJO ADD ODE LET E ~ REVISE J BUSINESS NAME CHEMICAL LOCATION (5) i I MAP" 1(') ¡ L.on¡; )(~ $+0","- d<- ;1yt P.h~ ,J;}. ?ra J vc.T S+or~5L I, GRID II (7) I CHEMICAL NAME (I'! ! ~ I,~TRADE C r - 47- L'P2.. -12. C. iu ßlu.cÀ fix t>,ù-t- D COMMON NAME (~) , CAS # (10) I FIRE CODE (1~) I HAZARD CLASSES·, . H~ '" I y~ : \ f " r e: 0 RU,d \v r\-'( ~ U 'COMPLETE BLOCK (13) IF REOUESTED BY THE LOCAL FIRE CHIEF· REFER TO INSTRUCTIONS. (I~! OPURE ~IXTURE OWASTE I RADIOACTIVE (m¡cy ~N ¡ (6)1 m)ID SOLID ~LlQUID DGAS ì CURIES (l6)jUF1RE [jREACTIVE CPRESSURE RELEASE ~ACUTE HEALTH CCHRONJC HEALTH TYPE PHYSICAL STATE FED HAZARD CATEGORIES STATE WASTE CODE DAYS ON SITE LARGEST CONTAINER STORAGE CONTAINER STORAGE PRESSURE STORAGE TEMPERAlURE (29) %WT 11 21 31 41 51 l5-tjo r,--¡ () ~-1 ,-1 1r7 SECRET (11)10 Y ~ NJ 'EHS (12)10 Y C8Nl ·,F EHS BOX IS"Y' All AMOUNTS MUST BE IN Les¡ I ct ~W'\DY\ i v. WI. t--1. (0 ~ ~ l f'~+L- 178~-lØ;'"~ MAX DAILY AMT (23) I AVG DAILY AMT (24)¡ UNITS· (12) ~GAL CJ CU FTI ULBS OTONS! -U EHS, :¡mounls must be in Ibs. (19) UA (20) I ~b5 2.-0 Û> ,ANNUAL WASTEAMT (2S)¡ 1 rvA (21) ¡' . 0,512-1 (26) I'U ABOVE GROUND TANK 0 CAN u BOX o UNDER GROUND TANK 0 CARBOY 0 CYLINDER [jTANK INSIDE BUILDING OSILO OGLASS BOTTLE C STEEl DRUM 0 FIBER DRUM f)irPLASTIC BOTTLE o PLASTIC/NONMETALLIC DRUM 0 BAG 0 TOTE BIN (27) ~AMBIENT 0 ABOVE AMBIENT 0 BELOW AMBIENT I (28)~AMBIENT DABOVE AMBIENT DBELOW AMBIENT OCRYOGENIC I o TANK WAGON o RAIL CAR 0__________ (30) HAZARDOUS COMPONENT (31JEHS IOY ~N ILl y 18 N 10 Y 129 N 10 Y (E::N [ IOY ~NII (32)CAS# 77g3-l~-: _61:>t- 55- _ I ð \9b-O'i - 0 z.-Ð6 -) ~ -I..{ 10192...-5'- D e 11\ n...l ' f,,"ì::~:e- .de-Y1V2+¡V'- th)"-,)n I {II S '" It, +'- CJJI ADDITIONAL LOCALLY COLLECTED INFORMATION O ,;S Fur", 27-'1 (/14/')(,) PAGE 21 --e- ~----e- ----~ --~_._---_.- California Codc of Regulations Titlc 19 Division 2 Chaptcr 4 ,\I'PENI>IX C California Hazardous Materials Inventory Reporting Form - \1110 ADD 0 DELETE ~ REVIS~ Chemical Description Page PAGE \~I c¡ r OF 1.111 J I I ft-l BUSINESS NAME (4) i L Ol1j ¿. Dn(~ S10 r- 4fz-~ CHEMICAL LOCATION (5) i Phc+o I~L Pr() dvcÎ s+Ot^~..e. I MAP# Ie.) I I· GRID # (7) I CHEMICAL NAME IN) I COMMON NAME (9) I CAS # (10) I FIRE CODE (1~) I HAZARD CLASSES·, ~I+h! I hrl: 0 R~N:+ìll',i,'r: D 'COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF - REFER TO INSTRUCTIONS. (W OPURE 2iMIXTURE OWASTE I RADIOACTIVE (1~)ICY æ:N ! (16)1 (17)/0 SOLID 1&1 LIQUID 0 GAS i CURIES (1S)!uFIRE OREACTIVE C:;PRESSURE RELEASE OACUTE HEALTH C'CHRONIC HEALTH! ¡TRADE SECRET (1l) O Y ~NJ ·EHS (12)10 Y ~ N I ·,F EHS BOX IS "Y"' AlL AMOUNTS MUST BE IN LBS¡ I TYPE PHYSICAL STATE FED HAZARD CATEGORIES STATE WASTE CODE DAYS ON SITE LARGEST CONTAINER STORAGE CONTAINER STORAGE PRESSURE STORAGE TEMPERATURE (29) %WT 11 2[ 3( 41 51 5-7 S-Î t-) 1-3 C f\/- I b FA NI- S. -t ""'- +-t.......- pot ¿. >5 ¡\A W\ eM.~¡, 1'\~-k. 584--- Dtg-7 MAX DAIL Y AMT (23)1 S in Ibs. AVG DAILY AMT (24)1 5 ANNUAL WASTE AMT (25)¡ tv A. I I (20) I 30'S I (21)', ~ , O.I~S-~ (26) LJ ABOVE GROUND TANK 0 CAN o UNDER GROUND TANK 0 CARBOY [j TANK INSIDE BUILDING 0 SILO Cì STEEL DRUM 0 FIBER DRUM o PLASTIC/NONMETALLIC DRUM 0 BAG (27) I6ZJ AMBIENT 0 ABOVE AMBIENT 0 BELOW. (28) æì AMBIENT 0 ABOVE AMBIENT 0 BELOW UNITS· (22) ~ GAL [) CU FTI OLBS OTONS! -If EHS, arnounts must be (19) i I tvA GBOX o CYLINDER [J GLASS BOTTLE J8 PLASTIC BOTTLE o TOTE BIN AMBIENT I AMBIENT 0 CRYOGENIC I o TANK WAGON o RAIL CAR o __________ (30) HAZARDOUS COMPONENT H"h"'.~ ~ML.^.t< C!d I\A~ i LM ~ r..,,,,+e.. (321CAS# (31) EHS IDV ~NII IUY ~N II ¡oy ~NII 10 V IS{N I I ICV ONI '58'1-0 "8-7 /'l'l-55-LD 115~ ' 02. -" ':;115'3 -710'- ß . ~+\ 1ft.. m)ADDITIONAL LOCALLY COLLECTED INFORMATION ()\':.<; Furnl 27 J I tu4/'JIo) PAGE21 " ~--e,-,,--, ----~----~--- -.. - -.- --,,-e California Code of Regulations Title 19 Division 2 Chapter 4 ,\I'PEN!>I\: <: California Hazardous Materials Inventory Reporting Form - (¡¡-'OADD ODELETE ~REVIS~ LoY\'IS 'D;~ti Sto('¿ 11- 2~ Fhoto b,(,- Chemical Description Page PAGE (~'r ïO r OF 1.\11 J /4 BUSINESS NAME (4) i CHEMICAL LOCATION (5) i MAP# ((')1 (7) I CHEMICAL NAME CN -I b fA fVI- i<. bc,,~ I.~ CAS # (10) I FIRE CODE {I~\I HAZARD CLASSES· µeA Ith ' 1. F¡í<:,., 0 Rt'/'-C-t I'Vlt '( .' 0 'COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF· REFER TO INSTRUCTIONS. (WiD PURE 'Sè MIXTURE [] WASTE I RADIOACTIVE m) IC Y!:8N i (16)1 (17)10 SOLID .¡;;a LIQUID D GAS i CURIES (l ¡)iUFIRE OREACTIVE C:PRESSURE RELEASE Ji9ACUTE HEALTH CCHRONIC HEALTH! COMMON NAME TYPE PHYSICAL STATE FED HAZARD CATEGORIES STATE WASTE CODE DAYS ON SITE LARGEST CONTAINER STORAGE CONTAINER STORAGE PRESSURE STORAGE TEMPERATURE (29) %wr 1r '2-Y-Y~ 21 ]-5 31 , 3-> 41 51 ¡TRADE SECRET (11)10 Y ~ N] ·EHS (12) 10 Y (8l N I ·IF EHS BOX IS "Y' ALL AMOUNTS MUST 8E IN les I (Ii) I (Y) P042;'S;",W- CN\{¡G"",te. 58\j -0&-7 UNITS·(22)I&ìGAL OCU FTI MAXDAILYAMT (23)1 GLBS OTONS! _If EHS t t b . Ib AVG DAILY AMT 12-4)¡ , :lmoun 5 mus e In S. , (19) i NA I (20) I J(,5" (21) I O.;.I.5'y\ 10 'I D ANNUAL WASTE AMT (2S)¡ I NÀ (26) L! ABOVE GROUND TANK 0 CAN [J 8 OX o UNDER GROUND TANK 0 CARBOY 0 CYLINDER [jTANK INSIDE BUILDING OSILO [JGLASS BOTTLE C STEEL DRUM 0 FIBER DRUM E PLASTIC BOTTLE o PLASTIC/NONMETALLIC DRUM 0 BAG 0 TOTE BIN (27) IŒJ AMBIENT 0 ABOVE AMBIENT 0 BELOW AMBIENT I (28) !9AMBIENT OABOVE AMBIENT OBELOW AMBIENT OCRYOGENIC I o TANK WAGON iJ RAIL CAR o __________ (30) HAZARDOUS COMPONENT 'Doi"2-~.!>""" eMuc...74e- Sodi \0\ W\ 5\od.fik C321CASII (31) EHS IDY ~NII IUY ~N II : IOY ~NII JOY ON ¡IOY ONII ?ö4~og-7 -7751-fõ1-Î IDIIf~-'iI-b t'l'" i "'~ pcìyc.AIIIJ ex} ì iL Glc.l- rot ~H¡ì.iM ~ It- (33)ADDITlONAL LOCALLY COLLECTED INFORMATION OES Furm 2731 W4/')(,) PAGE 2\ A" . -.,------ e -----,~.,~~~----~-_. California Code of Regulations Title 19 Division 2 Chapter 4 ,\ 1'1' ENI) I" <: California Hazardous Materials Inventory Reporting Form - 111.1° ADD ODE LET E ~ REV I S ~ Chemical Description Page PAGE \:\1 H I OF 1.\) I J L{1 BUSINESS NAME (4) i L 01-) h ':. -& ;2',3A CHEMICAL LOCATION (5) i $.t-o r .2 c ¡¿ MAP# 1(') I I, GRID II (7) CHEMICAL NAME IK) I COMMON NAME (9) I CAS # (l0! I FIRE CODE (DlI HAZARD CLASSES·· Ht'(\ !-(.--h '. 1.. Çí r~: Ó r\o..c-t'v;-\1: 'COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF· REFER TO INSTRUCTIONS. (I~) OPURE ~MIXTURE [jWASTE I RADIOACTIVE \1~)IC Y ~ ¡ (16)1 (17)/0 SOLID œï LIQUID 0 GAS i CURIES (m¡u FIRE 0 REACTIVE C PRESSURE RELEASE BACUTE HEALTH C CHRONIC HEALTH ~ ¡TRADE SECRETU1J[o Y Iþ) NJ I ·EHS (12)10 Y ~ Nl I "IF EHS BOX IS "Y"' I ALL AMOUNTS MUST BE IN l£] 1 TYPE PHYSICAL STATE FED HAZARD CATEGORIES STATE WASTE CODE DAYS ON SITE LARGEST CONTAINER STORAGE CONTAINER STORAGE PRESSURE STORAGE TEMPERATURE (29) ;oWT ,15- _ I 21 I 311 4! I 51 CI\l-lbf/t NI-R De"eL03f~ f'qi ß d ~., \ 1Ia+¡ v (.. Ph o..lfhci\Î' ct.C-1 ¿ "795)-7fo~ 3 MAX DAILY AMT (~3)1 AVG DAILY AMT (24)1 5 NA UNITS· m) ~GAL :J CU FTI CLBS OTONS "if EHS, amounts must be in Ibs. (19) ! N A (10) I jbS" (11) ¡ . .1:>.5 ð' (26) Ii.! ABOVE GROUND TANK 0 CAN o UNDER GROUND TANK 0 CARBOY Ci TANK INSIDE BUILDING 0 SILO C STeEL DRUM 0 FIBER DRUM o PLASTIC/NONMETALLIC DRUM 0 BAG (27)!r£lAMBIENT OABOVE AMBIENT OBELOW (28)~AM8JENT OABOVE AMBIENT OBELOW (30) HAZARDOUS COMPONENT 5 ANNUAL WASTE AMT (~S)¡ I [jBOX o CYLINDER C! GLASS BOTTLE ~ PLASTIC BOTTLE o TOTE BIN AMBIENT I AMBIENT 0 CRYOGENIC I o TANK WAGON o RAIL CAR o __________ ~hOjfhD~'j(.., £to j. d.e'fi,,~_fiv¿. (31) EHS I lor IiJNII ö1'<;)-7~-g lu Y LJ N I I IIOY ON I I ¡jOY ON I ICY ON (31)CAS# (~~)ADDITIONAL LOCALLY COLLECTED INFORMATION OES Fur", 2731 /U4/'JCo PAGE21 e- ,------ ,-------------,-----e--,--·----~ --"--'.'--- .-- -,.~----~- California Code of Regul:Itions Title 19 Division 2 Chapter 4 '\I'I'ENIIJ:'\ C California Hazardous Materials Inventory Reporting Form - \I\jo ADD ODELETE ~REVISE J BUSINESS NAME (4) i CHEMICAL LOCATION (5) i I MAP# \(111 Loot¡ \ þ,"~ ~or~ ft 2~ Ph-<)-h b"it Þr J" ' S+c-r"-~Q , GRID # (7 I Chemical Description Page PAGE \~'I 1'2- r OF 1.\\1 J 1 I IL =' CHEMICAL NAME (N) I COMMON NAME (911 CAS # (1011 FIRE CODE (I~)[ HAZARD CLASSES· \-t H, I\-h:'~ f'lrc 0 RUlC'f'lli+r () 'COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF· REFER TO INSTRUCTIONS. ()~IIOPURE ~MIXTURE OWASTE I RADIOACTIVE ml/CY ~N i (16)1 (171/0 SOLID f.¡iLIQUID 0 GAS i CURIES (l61!U FIRE 0 REACTIVE C PRESSURE RELEASE &ACUTE H,EALTH C CHRONIC HEALTH! TYPE PHYSICAL STATE FED HAZARD CATEGORIES STATE WASTE CODE DAYS ON SITE LARGEST CONTAINER STORAGE CONTAINER STORAGE PRESSURE STORAGE TEMPERATURE ~ 1lLcLJ 21 I 31 I 41 I 51 I ¡TRADE SECRET (11110 Y ~ Nl 'EHS 112110 Y œJ N I ·IF EHS BOX IS "Y' All AMOUNTS MUST BE IN lBS I C tV- It, FA rJl- (t Þe.le 'Of~'\ P;>y-t C. f - f I-'Ie Ì"Iyl<''''P)f ;:Om í f\<i' deri ,,;?-\ \ v~ ¿oS ~ 'i ~- '71- :3 MAX DAILY AMT (23) I AVG DAILY AMT f24)i 5 NA UNITS' ml Œì GAL :J CU FTI GLBS OTONS! "If EHS, amounts must be in Ibs. (19) ¡ I 5 NA ~tS (10) (11) ¡ . D, )Sa f161 LJ ABOVE GROUND TANK 0 CAN o UNDER GROUND TANK 0 CARBOY [jTANK INSIDE BUILDING OSILO C STEEL DRUM 0 FIBER DRUM o PLASTIC/NONMETALLIC DRUM 0 BAG (17) ItjAMBIENT 0 ABOVE AMBIENT 0 BELOW f28) E¡aAM8IENT OABOVE AMBIENT OBELOW (30) HAZARDOUS COMPONENT ~p -ph. ~'( \,.,-,L"" ,,< d.-r;vAlv, I I ANNUAL WASTE AMT t25)1 1 [jBOX o CYLINDER o GLASS BOTTLE (5¡ PLASTIC BOTTLE ° TOTE BIN AM BIENT I AMBIENT 0 CRYOGENIC I o TANK WAGON o RAIL CAR 0__________ (3) EHS (31)CAS# I lor ¡¡¡Nil J.S84b- '1-3 lu Y LJ N I I IPVO~ I I tOY ONI[ I ICY ON I I f3~}ADDITIONAL LOCALLY COLLECTED INFORMATION OES Film> 27.11 Ul4/'JIo) PAGE 21 ,,-,~,,~~-e,---,----- ~---e---, -- --.- - -- ----- California Code of Regulations Title 19 Division 2 Chapter 4 ,\I'I'ENI!I:\: C Inventory Reporting Form - Chemical Description Page PAGE (~II 1-; r OF I.\I~ J California Hazardous Materials (1IjOAOO OOELETE ~REVIS~ BUSINESS NAME (4) I L <':hÎ^~ Dý",-" ~+a~ -tr- ~'Y-ì CHEMICAL LOCATION (5) i hct-ò I~ ~ P... ò J.vc. S:+Orc, MAP# (C. 1 I I, GRID # (7) CrJ-11o FA tVz.-fZBleAC.h. (\eflef\ÍSh~ f~ C\M\'I')O,1j",1'h. PÞTA , ¡TRADE ¡ CHEMICAL NAME (Ii) I COMMON NAME ('I) I CAS # (10) I FIRE CODE m)1 HAZARD CLASSES· , Htl\I+": I F¡,re', 0 lZc.ALt\ví1-y ~ D 'COMPLETE BLOCK (13) IF REQUESTED BY THE LOCAL FIRE CHIEF· REFER TO INSTRUCTIONS. (WIO PURE 5a MIXTURE [] WASTE I RADIOACTIVE (H) IC Y ~ N ! (16)1 (li) OSOLlD óªLlaUID OGAS i CURIES (I1i)!U FI RE 0 REACTIVE G PRESSURE RELEASE rE' ACUTE IiEALTH C CHRONIC HEALTH ! TYPE PHYSICAL STATE FED HAZARD CATEGORIES STATE WASTE CODE DAYS ON SITE LARGEST CONTAINER STORAGE CONTAINER STORAGE PRESSURE STORAGE TEMPERAiURE ~ 1~ 211-10 I 31 3-)" I 41 I 51 I SECRET(lI) O Y ~ Nl 'EHS (12) 10 y ~ N I 'IF EHS BOX IS"Y" AlL AMOUNTS MUST BE IN Les I 111&87-35-0 MAX DAILY AMT (23) I AVG DAILY AMT (24)¡ LO UNITS' (22) ~GAL ~ CU FTI [J LBS 0 TONS I -If EHS, amounts must be in Ibs. (19) i NA I (20) I 3bS (21) I D.S ') ~{ ;2:..0 ANNUAL WASTEAMT (25)1 I NA, OBOX o CYLINDER [J GLASS BOTTLE ~ PLASTIC BOTTLE o TOTE BIN AMBIENT I AMBIENT 0 CRYOGENIC I (26) .~ ABOVE GROUND TANK 0 CAN o UNDER GROUND TANK 0 CARBOY [jTANK INSIDE BUILDING OSILO C STEEL DRUM 0 FIBER DRUM o PLASTIC/NONMETALLIC DRUM 0 BAG (27) !f;iiAMBIENT 0 ABOVE AMBIENT 0 BELOW (28) l»AMBIENT 0 ABOVE AMBIENT 0 BELOW (30) HAZARDOUS COMPONENT f.e..rvv.:C.- A I'\". m. 0 ý\; \.I. "" r p T A o TANK WAGON o RAIL CAR o __________ (31) EHS IOY ~NII JOY ~N II ¡OY ~NI ( JOY ON I I ICY ON I I (32ICAS# \\1 b~í- 3'S-C::, 1212l.(-'17-î fe,y - 19-7 I I I I I t'd.'\~O "'; \,o\t'V\. Uror')\í dL '" œ +(1:.. c>..c\ ¿ (33) ADDITIONAL LOCALLY COLLECTED INFORMA nON ClI':<; Furm 2731 1114/%1 PAGE21 , , 1 u....,.- _to .,¡ ,u-"-~,e----~--,.._,, ----e'-'----~"',· C:11iforni:1 Code of Regulations Title 19 Division 2 Ch:1pter 4 AI'PENI)I\: C California Hazardous Materials Inventory Reporting Form . II 110 ADD ODE LET E JK REV I S ~ BUSINESS NAME (4) i CHEMICAL LOCATION (5) i I MAP# le,l I ~ L O~j , D'-"j S+,,, ;l~ Pno+ob~ Þ/'GJvct- s+o.~ e.. I. GRID# (7)! Chemical Description Page PAGE (~1( \l..\ ¡ OF 1.\11 J I I 1«1 ,! CHEMICAL NAME I~) I COMMON NAME (91 I CAS # (10) I FIRE CODE mIl HAZARD CLASSES· ~ u..1+£.,: 1 F; n ~ (J RIU\.C:t;·v ;+,: 0 'COMPLETE BLOCK (13) IF REOUESTED BY THE LOCAL FIRE CHIEF· REFER TO INSTRUCTIONS. (1·1)10 PURE !SlMIXTURE 0 WASTE I RADIOACTIVE (l~) C Y ~ N I (16)1 , ¡ I (17)10 SOLID ~ LIQUID 0 GAS i CURIES (lS)!UF1RE OREACTIVE CPRESSURE RELEASE @ACUTE HEALTH CCHRONIC HEALTH~ ¡TRADE SECRET (11110 Y [~.N_I ·EHS (2) D Y @ N I ·,F EHS BOX IS "Y' AlL AMOUNTS MUST BE IN Le51 I TYPE PHYSICAL STATE FED HAZARD CATEGORIES STATE WASTE CODE DAYS ON SITE LARGEST CONTAINER STORAGE CONTAINER STORAGE PRESSURE STORAGE TEMPERATURE (29) %WT ,l41-,Ç\ 211_ 3 31 . 3 -') 41 - ð 51 CI\J-lbFA rv 3 - (L ¡: ì "'-VI...-- A~vnOrlí.'"'" i:hîo~",lf~+~ 11€3'- s- B (19) ¡ \¡A I I (10) I 3b5 I (21)j O. .5cl~1 I UNITS' (12) GAL [) CU FT I MAX DAILY AMT (23) I 2--0 OLBS OTONS! -If EHS, amounts must be in Ibs. AVG DAILY AMT (24)1 1-0 ANNUAL WASTE ÞMT (:!s)¡ I tvA OBOX o CYLINDER o GLASS BOTTLE (g PLASTIC BOTTLE o TOTE BIN AMBIENT I AMBIENT 0 CRYOGENIC I (26) 1..J ABOVE GROUND TANK 0 CAN o UNDER GROUND TANK 0 CARBOY , [jTANK INSIDE BUILDING 0 SILO C STEEL DRUM 0 FIBER DRUM o PLASTIC/NONMETALLIC DRUM 0 BAG (27) II)!J AMBIENT 0 ABOVE AMBIENT 0 BELOW (28) æJAMBIENT OABOVE AMBIENT OBELOW (30) HAZARDOUS COMPONENT Atr\W-t),~',^~ thivs""lf~+,¿ o TANK WAGON o RAIL CAR o __________ 1321CAS# (31) EHS 'jOY ~NII IIUY ~·II !DY ~NII IIDY ~NII ICY ON 77~ '16- <ð 2.&8- ,'2- ~ 10\ 9 k 0'( ~ô (:;.o'~ oo-lf ¡IV\ ì dtl:ole. . Avv-.W'\c ¡"VI'\. çc¡ IfA.¡¿ f+h.r It~cIi2W\ íf1t"t'~"¡'~+{2ð-æ.+"(.. èc.(¿ (33) ADDITIONAL LOCALLY COLLECTED INFORMATION ( ES Fur", 2731 (f 4/'JI, PAGE 21 ~... -- ..~ ~ ~ ô\. 06/29/94 - e :/ LONGS DRUG STORES #239 215-000-000985 Overall Site with 1 Fac. Unit Page 1 General Information Location: 8200 STOCKDALE HWY G Map:123 Haz:2 Type: 3 City . Grid: 05B FlU: 1 AOV: 0.0 . r--- Contact Name Title --- Contact Name Title BRUCE HUNTER / STORE MANAGER 'I \I~e.. D \ø 'l""ð g.. t6\. / Business Phone: (805) 832-0964x Business Phone: U5lD) Zlo -bt:t$~ x 24-Hour Phone · (805) 398 9J61^<;;:11'~~ 24-Hour Phone · (5t~ )~sv- - 'I&.'"!Þ x · · Pager Phone · ( ) - x Pager Phone · ( ) - x · · Administrative Data Mail Addrs: 8200 STOCKDALE HWY G D&B Number: 00-691-0004 City: BAKERSFIELD State: CA Zip: 93311- Comm Code: 215-011 BAKERSFIELD STATION 11 SIC Code: 5912 " Phone ft 't ~) Owner: LONG DRUG STORES CA INC 937-1170 Address: 141 N CIVIC DR State: CA City: WALNUT CREEK Zip: 94596- Summary j))~C ~ ~/v~ /;1'1 l) "'1<: ~ (J 191)4 'A1l: /), v; ~D 3 fì) <:.t.- l-l (t'lrt...r- [)(ó) her®[b¡w œ!(ij~ t~t I have (Typa or print 115m3) fi®viswsd the a~a©hsd ~~rdou~ m~~~II'Ü~~~ maw1Ja1g)iS- IiiñJ®úi)ft }»~a~ fur. L tl4~, J)rv lj ~ J-¥¡ SiOO t~ãl1t 'ij i1Icmg W'ê~1ì'u (Name of BusineSG) ~ oo~~(O~~amstitute a oompls~~ talOO OOITeå maU'i}- ~®ffl®ffl ~ mr mlf ~alcili~. ~tzk S!gnatul9 7 -I t.{.~f IDa!e e -- .~ 06/29/94 LONGS DRUG STORES #239 215-000-000985 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site PIn-Ref Name/Hazards Page 2 Form Max Qty MCP 02-006 CLEANING-AMMONIA PRODUCTS ~ Fire, Reactive, Irnmed Liquid 500 Extreme GAL Liquid u~ ADDITIVES Pressu , - HLORINE PRODUCTS Reactive, Irnm Solid 02-004 CLEANING-HOUSEHOLD BLEACH ~ Reactive, Irnmed Hlth Liquid CLEANING-POOL ACIDS e e Hlth PAINTS 110USEIIOLD -re:."-'"TO~ -r-o"-{ Mn()é.L. Fire, e, Reactive, Solid 02-011 ANTIFREEZE ~ Fire, Irnmed Hlth Liquid 02-012 FUEL-CAMPING ~ Fire, Pressure, Irnmed Hlth Liquid 02-009 MOTOR OIL ~ Fire, Delay Hlth Liquid 02-013 FERTILIZER ~ Fire, Reactive, Irnmed Hlth Solid 02-002 HERBICIDES-HOUSEHOLD/GARDEN ~ Fire, Irnmed Hlth Solid 02-001 INSECTICIDES-HOUSEHOLD/GARDEN ~ Fire, Irnmed Hlth Liquid High High ~()D High AL .¡/ ~ Low /vØ W:i. - / 1~ ~ Low 51) ;/..5'tfÕ Minimal GAL I{")~ Unrated IOo~ ~~v / 128'(( Unrated 1ro-o ~S / ~ -I 4-6'ð Unrated ¿p ~i.- 06/29/94 e e .' LONGS DRUG STORES #239 215-000-000985 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 02-006 Extreme I CLEANING-AMMONIA PRODUCTS ~ Fire, Reactive, Immed Hlth 500 GAL Liquid CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL -- 500 I 100.00 1,200.00 Storage PLASTIC CONTAINER r Press T Temp -:ì Location Ambient Ambient SALES FLOOR/WAREHOUSE - Cone -, Components 30.0% Ammonia Solution, Cone. Less Than 20% r; MCP ~Guide Moderate 60 Liquid High 02-010 AUTO-ENGINE ADDITIVES ~ Fire, Pressure, Reactive, Immed Hlth /0 CA Trade Secret: No : Liquid Type: Mixture Days: 365 Use: ADDITIVE Daily Max ~ ~ Dail l'J ual Amount GAL .00 ¡ erage G~ ?~o ress T Temp ~ Ambient Ambient SALES Location FLOOR/WAREHOUSE Cone 60.0% 20.0% 20.0% ~ MCP =rUide High 28 Moderate 26 Low 27 Components Methyl Alcohol Methyl Ethyl Ketone Ethylene Glycol 02-005 Solid ~ High p>?J LBS WJ;t-¡ ~ 6Ð6 I Þ1 CLEANING-CHLORINE PRODUCTS ~ Fire, Reactive, Immed Hlth C #: Trade Secret: No Solid Type: Mixture aily Max LBS ~ Dail verage LBß ~ I ~O 'j,.-f)". ,-7fJ Sto e Press T Temp ~I PLASTIC CONTAINER Ambient Ambient SALES I I (J 0° Location FLOOR/WAREHOUSE - Cone l 30.0% Hydrochloric Acid r= MCP -¡Guide High I 15 Components . . e 06/29/94 LONGS DRUG STORES #239 215-000-000985 02 - Fixed Containers on Site Page 4 Hazmat Inventory Detail in MCP Order 02-004 CLEANING-HOUSEHOLD BLEACH Liquid ~ High ~ Reactive, Immed Hlth "2100 GAL j CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: CLEANING Daily Max GAL ~O ~ Storage PLASTIC CONTAINER ~ Daily Average GAL ~ Annual ~~AL ,~ I 31:> ~ I ~(>' .00 r Press T Temp '~ Location Ambient Ambient/SALES FLOOR/WAREHOUSE - Cone l 100.0% Sodium Hypochlorite Components r= MCP ---,-Guide High I 45 02-007 CLEANING-POOL ACIDS ~ Reactive, Immed Hlth Solid - -< High A.OC> ~u IT LBS CAS #: Trade Secret: No Form: Solid Type: Pure TREATMENT Daily Average LBS --r-- nnual Amount L~ I 00 j.O..D--.Ð1J I ~. 00 Press T Temp ~ Location Ambient Ambient SALES FLOOR/WAREHOUSE - Cone l 100.0% Muriatic Acid Components MCP ---rGuide ~igh I 15 02-008 PAINTS-HOUSEHOLD ~ Fire, Pressure, Reactive, Immed Hlth Liquid '~ Moderate CA Trade Secret: No : Liquid Type: Mixture Days: 365 Use: PAINTING GAL ~ Daily verag~~~ ~,~ I 11/ 7VO Storage r Pre s T Temp ONTAINR-NONDRUM Am ent Ambient SALES Annual Amount GAL -- qD ~O Location FLOOR/WA OUSE Cone 25.0% 15.0% 5.0% 3.0% Components MCP ~GUide Moderate 31 Moderate 27 Moderate 26 Low 27 06/29/94 .. e -- LONGS DRUG STORES #239 215-000-000985 02 - Fixed Containers on Site ANTIFREEZE ~ Fire, Immed Hlth Page 5 Hazmat Inventory Detail in MCP Order CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: ADDITIVE ---- Daily Max GAL ----r-- Daily Average qþL 'III )Id'Ó I I Ø' uxr:OO Storage r Press T Temp ~ PLASTIC CONTAINER Ambient Ambient SALES Liquid J1)() ~ Low IV GAL ---r- Annual Amoun~^~~ I '1C)f) ~uO Location FLOOR/WAREHOUSE - Cone l 100.0% Ethylene Glycol Components r=- MCP -¡Guide Low I 27 02-011 / 02-012 Low j FUEL-CAMPING ~ Fire, Pressure, Immed Hlth Liquid 1~ i:! CAS :It: Trade Secret: No MOTOR OIL ~ Fire, Delay Hlth Form: Liquid Type: Pure Days: 365 Use: HEATING CAS #: Trade Secret: No Form: Liquid ---r- Annual Amoun: ^ ~ - I 1iÞ'> ~.OO Location FLOOR/WAREHOUSE - Cone l 100.0% Kerosene Components ---- Daily Max GA~ ----r-- Daily Average G~ 1t ~O· I ~ ~OO Storage r Press T Temp ~ METAL CONTAINR-NONDRUM Ambient Ambient SALES r;i MCP -:-rGuide Moderate 27 02-009 Liquid ~ ~ Minimal 7- GAL j Type: Pure Days: 365 Use: LUBRICANT BOX Daily Max GAþ ----r-- Daily Av..e,rage G~ . &> WO I ~~ ~ J.9-ð":1)0 Storage ' r Press T Temp ~ Ambient Ambient SALES - Cone l Components 100.0% Motor Oil, Petroleum Based -¡ Annual Amo~n~^~A~ I "300 ~u Location FLOOR/WAREHOUSE 1-; MCP -¡Guide Minimal I 27 06/29/94 e - LONGS DRUG STORES #239 215-000-000985 02 - Fixed Containers on Site Page 6 Hazmat Inventory Detail in MCP Order 0213 FERTILIZER ~ Fire, Reactive, Immed Hlth ~ Unrated I Q~'U> LBS Solid CAS #: Trade Secret: No Form: Solid Type: Pure Days: 365 Use: FERTILIZER BAG Daily M~x L ----r-- Daily Average LBS 1 , 00 _ I Ii 0 ~o 190&. pÞ Storage r Press T Temp ~I Ambient Ambient SALES --r-- Annual Amount LBS -- I ;ÞVbD ~ Location FLOOR/WAREHOUSE - Cone MCP -.Guide Components 02-002 j HERBICIDES-HOUSEHOLD/GARDEN ~ Fire, Immed Hlth /1 ~ Unrated "fOb LBS Solid CAS #: Trade Secret: No Form: Solid Type: Pure Days: 365 Use: HERBICIDE ---- Daily Max LBS ----r-- Daily Average L~ --r-- Annual. Amount LBS -- ~ I ~ ~O I tÝ'.-... ~ 1,800.00 Lji?o '7 ;Fuv ~ Storage I Press ì Temp Location GLASS CONTAINER Ambient Ambient SALES FLOOR/WAREHOUSE BAG Ambient Ambient SALES FLOOR/WAREHOUSE - Cone l 100.0% Herbicides ~ MCP -:-rGuide Unrated I 0 Components 02-001 Liquid J INSECTICIDES-HOUSEHOLD/GARDEN ~ Fire, Immed Hlth ~~ A'ðÕ Unrated GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: INSECTICIDE ---- Daily Max ~ ~ Daily Aver~~ J-ø 160 Storage :::r Press ì Temp GLASS CONTAINER Ambient Ambient SALES METAL CONTAINR-NONDRUM Ambient Ambient SALES --r-- Annual Amount GAL -- I ~O $oö Location FLOOR/WAREHOUSE FLOOR/WAREHOUSE - Cone l 100.0% Insecticides ~ MCP --,-Guide Unrated - I 0 Components 06/29/94 , . - e' LONGS DRUG STORES #239 215-000-000985 02 - Fixed Containers on Site Hazmat Inventory Detail in MCP Order Page 7 02-003 Unrated PESTICIDES-HOUSEHOLD/GARDEN . Fire, Immed Hlth CAS #: GLASS BAG Trade Secret: No Solid Type: Pure Days: 365 Use· ~~ ---r- Daily. ra~:~ L~-r- ~~tÌ· I -zÞ ~u I ~ess ì Temp Ambient Ambient Ambient Ambient - Conc l 100.0% Pesticides ~o ~o Location SALES FLOOR/WAREHOUSE SALES FLOOR/WAREHOUSE Components ~ MCP ~uide Unrated I 0 'to . . e . 06/29/94 LONGS DRUG STORES #239 215-000-000985 00 - Overall Site Page 8 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation 1. MEMBER OF MANAGEMENT WILL BE INFORMED AND WILL CALMLY EVACUATE CUSTOMERS AND CO-WORKERS TO NEAREST EXITS. 2. 911 WILL BE DIALED IN EMERGENCY. 3. MEMBER OF MANAGEMENT WILL TAKE ATTENDANCE AT MEETING AREA. 4. PHARMACIST WILL BE NOTIFIED TO ADMINISTER FIRST AID. 5. ALL EMPLOYEES WILL LISTEN AND RESPOND TO INSTRUCTIONS ON CALMLY EVACUATING THE BUILDING. <3> Public Notif./Evacuation CUSTOMERS/VISITORS: APPROPRIATE SIGNS ARE POSTED IN PUBLIC AREAS AS REQUIRED BY PROP. 65. ANY NECESSARY EVACUATION INSTRUCTIONS WILL BE GIVEN OVER THE INSTORE SPEAKER SYSTEM INFORMING ALL CUSTOMERS AND VISITORS HOW TO SAFELY EVACUAT THE PREMISES IN THE EVENT OF AN EMERGENCY. NEIGHBORS: EVERY EMPLOYEE RECEIVES TRAINING ON HOW TO RESPOND AND CLEAN UP A CONSUMER PRODUCT SPILL. NO SPECIAL NOTICES ARE NECESSARY TO INFORM SURROUNDING NEIGHBORS AS ALL NEIGHBORS ARE AWARE OF THE NATURES OF OUR BUSINESS. <4> Emergency Medical Plan SOUTHWEST URGENT CARE 5397 TRUXTUN AVE. 322-2273 FIRE DEPARTMENT 7000 STOCKDALE HWY. 326-3037 MERCY HOSPITAL 2215 TRUXTUN AVE. 327-3371 GOLDEN EMPIRE AMBULANCE 801 18TH ST. -¡ . e . . 06/29/94 LONGS DRUG STORES #239 215-000-000985 00 - Overall Site Page 9 <E> Mit~gation/prevent/Abatemt <1> Release Prevention 1. KEEP CURRENT INVENTORY LIST AND UPDATE AS TO THE PUBLIC. 2. KEEP EMPLOYEES TRAINED IN SPILLS. 3. KEEP FIRE EXTINGUISHERS WORKING. MEETING PLACE IN THE EVENT OF EVACUATION. 5. ORDER. NEW PRODUCTS ARE INTRODUCED CLEANING UP HAZARDOUS PRODUCT 4. INFORM ALL EMPLOYEES OF KEEP CLEAN-UP SUPPLIES IN <2> Release Containment THE SUPPLY CABINET MAINTAINED IN THE PAINTERS AREA CONTAINS ABSORBENT AND SUPPLIES TO CONTAIN A RELEASE. IF A RELEASE IS BEYOND OUR CONTROL, 911 WILL BE CALLED. <3> Clea~ Up A SUPPLY CABINET IS MAINTAINED AT THE JANITORS AREA IN THE WAREHOUSE. IT CONTAINS GOLVES, BOOTS, ABSORBANT, ETC. <4> Other Resource Activation ~ i . . e - ç 06/29/94 LONGS DRUG STORES #239 215-000-000985 00 - Overall Site Page 10 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - SOUTHWEST SIDE OF THE REAR OF THE BUILDING B) ELECTRICAL - SOUTHWEST SIDE OF THE REAR OF BUILDING C) WATER -WEST SIDE OF THE REAR OF THE BUILDING D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - OVERHEAD FIRE SPRINKLER SYSTEM THROUGHOUT THE STORE. FIRE EXTINGUISHERS STRATEGICALLY PLACED THROUGHOUT THE STORE. FIRE HYDRANT - WEST SIDE OF THE REAR OF BUILDING. <4> Bu~lding Occupancy Level ,¡ t ,..,....~ r,.' e e Q 06/29/94 LONGS DRUG STORES #239 215-000-000985 00 - Overall Site Page 11 <G> Training <1> Page 1 ~1/! WE HAVE )! EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE WE HAVE MONTHLY TRAINING MEETINGS TO TRAINING EMPLOYEES HOW TO EVACUATE THE STORE AND HOW TO CLEAN UP MINOR SPILLS. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use :¡ e e ....- ~ 08/05/92 LONGS DRUG STORES #239 215-000-000985 Overall Site with 1 Fac. Unit Page 1 General Information Location: 8200 STOCKDALE HWY G Map: 123 Hazard: Low Community: BAKERSFIELD STATION 11 Grid: 05B FlU: 1 AOV: 0.0 - Contact Name Title Business Phone - 24-Hour Phone BRUCE HUNTER STORE MANAGER (805) 832-0964 x (805) 398-9361 ( ) - x ( ) - Administrative Data Mail Addrs: 8200 STOCKDALE HWY G D&B Number: 00-691-0004 City: BAKERSFIELD State: CA Zip: 93311- Comm Code: 215-011 BAKERSFIELD STATION 11 SIC Code: 5912 Owner: LONG DRUG STORES CA INC Phone :' (415) 937-1170 Address: 141 N CIVIC DR State: CA City: WALNUT CREEK Zip: 94596- Summary RECEIVED AUG 3 1\9,92:1 HAl. MAT. O'V. ~7 I -' ~ .}.;:., L, .. ...... OJ u, 6rvl-C-- 1-¿I1lu- C© hereby eerii~n g~g ~ 1fïJ""~1!!1 (TyPl" Or p'm. name) I J/ ($'I ICi/ rsv;~wsd the Qttached lIal.üi':~:::';US ma~iSri~!$ IM@UîI~~®" ment ~1&1VìJ gOlf' L¿'I1t1f Pl"t/tj and tha1ft ift ~!©~fÒI wWÜ"8 (NmiI9 of 1800 as) fó) . ~~V ©:Q)fi'!i'®©Qå©VìJ~ OOi'iJ~ôïm® ~ oom¡g>å~® ~OO OOfiV~©! Wù®YiJo ag®ffi®~ ~UîI ~U' fiîJùW ~Mav. ....-, Yi;. , '{j"!~' . .4;f1~,!!! . 'I" oA' <', " :,~ ,,> " ,.p -,2 ~-7.2-- t}:)to r e " 08/05/92 LONGS DRUG STORES #239 215-000-000985 02 - Fixed Containers on Site Page 2 Hazmat Inventory Detail in Reference Number Order 02-001 INSECTICIDES-HOUSEHOLD/GARDEN ~ Fire, Immed Hlth Liquid 400 Unrated GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: INSECTICIDE Daily Max GAL ----r-- Daily Average GAL --r-- Annua, 1 Amount GAL 400 I' 200.00 I 600.00 Storage ==r Press 1 Temp Location GLASS CONTAINER Ambient Ambient SALES FLOOR/WAREHOUSE METAL CONTAINR-NONDRUM Ambient Ambient SALES FLOOR/WAREHOUSE - Conc l 100.0% Insecticides Components ~ MCP -=--rList Unrated I 02-002 HERBICIDES-HOUSEHOLD/GARDEN ~ Fire, Immed Hlth Solid 1200 Unrated LBS CAS #: Trade Secret: No Form: Solid Type: Pure Days: 365 Use: HERBICIDE ---- Daily Max LBS ----r-- Daily Average LBS --r--. Annual Amount LBS -- 1,200 I 600.00 . I 1,800.00 Storage I Press 1 Temp Location GLASS CONTAINER Ambient Ambient SALES FLOOR/WAREHOUSE BAG Ambient Ambient SALES FLOOR/WAREHOUSE - Conc l 100.0% Herbicides Components , ~ MCP -=--rList Unrated I 02-003 PESTICIDES-HOUSEHOLD/GARDEN ~ Fire, Immed Hlth Solid 400 Unrated LBS CAS #: Trade Secret: No Form: Solid Type: Pure Days: 365 Use: PESTICIDE Daily Max LBS ----r-- Daily Average LBS --r-- Annual Amount LBS -- 400 I 200.00 I 600.00 Storage I Press 1 Temp Location GLASS CONTAINER. . Ambient Ambient SALES FLOOR/WAREHOUSE BAG Ambient Ambient SALES FLOOR/WAREHOUSE - Conc -I 100.0% Pesticides Components ~ MCP -=--rList Unrated I ê e -- 08/05/92 LONGS DRUG STORES #239 215-000-000985 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in Reference Number Order 02-004 CLEANING-HOUSEHOLD BLEACH ~ Reactive, Immed Hlth Liquid 2000 High GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: CLEANING Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 2,000 I 300.00 I 25,000.00 Storage PLASTIC CONTAINER r Press T Temp -:ì Location Ambient AmbientlSALES FLOOR/WAREHOUSE - Conc l 100.0% Sodium Hypochlorite Components I-=-:: MCP -¡List High I 02-005 CLEANING-CHLORINE PRODUCTS ~ Fire, Reactive, Immed Hlth Solid 500 High LBS CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: WATER TREATMENT Daily Max LBS ----r-- Daily Average LBS --r-- Annual Amount LBS -- 500 I 400.00 I 3,000.00 Storage PLASTIC CONTAINER , r Press T' Temp -:ì Location Ambient Ambient SALES FLOOR/WAREHOUSE - Conc l 30.0% Hydrochloric Acid Components r= MCP -¡List High I 02-006 CLEANING-AMMONIA PRODUCTS ~ Fire, Reactive, Immed Hlth Liquid 500 Extreme GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 500 I 100.00 I 1,200.~0 Storage PLASTIC CONTAINER r Press T Temp ~ Location Ambient Ambient SALES FLOOR/WAREHOUSE - Conc l 30.0%Ammo~ia Solution Components MCP ~List r;oderate I ¡. e - . 08/05/92 LONGS DRUG STORES #239 215-000-000985 02 - Fixed Containers on Site Page 4 Hazmat ,Inventory Detail in Reference Number Order 02-007 CLEANING-POOL ACIDS ~ Reactive, Immed Hlth Solid 1500 High LBS CAS #: Trade Secret: No Form: ,Solid Type: Pure Days: 365 Use: WATER TREATMENT 'Daily Max LBS --r- Daily Average LBS ~ Annual Amount LBS - 1,500 I 900.00 I 7,500.00 storage PLASTIC CONTAINER r Press T Temp -:-1 Location Ambient Ambient SALES FLOOR/WAREHOUSE - Conc l 100.0% Muriatic Acid Components C MCP ~List High I 02-008 PAINTS-HOUSEHOLD ~ Fire, Pressure, Reactive, Immed Hlth Liquid 150 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: PAINTING Daily Max GAL --r- Daily Average GAL ~ Annual Amount GAL - 150 I 75.00 I 600.00 Storage r Press T Temp -:-, Location METAL CONTAINR-NONDRUM Ambient Ambient SALES rLOOR/WAREHOUSE Components I~ MCP ~List Moderate Moderate Moderate Low Conc 25.0% 15.0% 5.0% 3.0% Waste Acids Naphtha Methyl Ethyl Ketone Ethylene Glycol 02-009 MOTOR OIL ~ Fire, Delay Hlth Liquid 500 Minimal GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max GAL --r- Daily Average GAL ~ Annual Amount GAL - 500 I 300.00 I 3,000.00 Storage r Press T Temp ~ - Location Ambient Ambient SALES FLOOR/WAREHOUSE BOX - Conc l Components 100.0% Motor Oil, Petroleum Based 1-; MCP :-rList Minimal I .. e -- .' 08/05/92 LONGS DRUG STORES #239 215-000-000985 02 - Fixed Containers on Site Page 5 Hazmat Inventory Detail in Reference Number Order 02-010 AUTO-ENGINE ADDITIVES ~ Fire, Pressure, Reactive, Immed Hlth Liquid 100 High GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: ADDITIVE I Daily Max GAL'----r-- Daily Average GAL --r-- Annual Amount GAL -- 100 I . 30.00 I 300.00 Storage PLASTIC CONTAINER r Press T Temp ~ Location Ambient Ambient I SALES FLOOR/WAREHOUSE Components Œ MCP :¡List High Moderate Low Conc 60.0% 20.0% 20.0% Methyl Alcohol Methyl Ethyl Ketone Ethylene Glycol 02-011 ANTIFREEZE ~ Fire, Immed Hlth Liquid 400 Low GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: ADDITIVE Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 400 I 100.00 I 800~00 Storage PLASTIC CONTAINER r Press T Temp ~ Location Ambient Ambient I SALES FLOOR/WAREHOUSE - Conc l 100.0% Ethylene Glycol Components r=- MCP --¡List Low I 02-012 FUEL-CAMPING ~ Fire, Pressure, Immed Hlth Liquid 200 Low GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: HEATING Daily Ma~ GAL ----r-- Daily Average GAL --r-- Annua,l Amount GAL -- 200 'I 50.00 I 500.00 Storage r Press T Temp ~ Location METAL CONTAINR-NONDRUM Ambient Ambient SALES FLOOR/WAREHOUSE - Conc l 100.0% Kerosene Components 1-; MCP ~List Moderate e e 08/05/92 LONGS DRUG STORES #239 215-000-000985 02 - Fixed Containers on Site Page 6 Hazmat Inventory Detail in Reference Number Order 02-013 FERTILIZER ~ F.ire, Reactive, Immed HI th Solid 12000 Unrated LBS CAS #: Trade Secret: No Form: Solid Type: Pure Days: 365 Use: FERTILIZER Daily Max LBS ----r-- Daily Average LBS ~ Annual Amount LBS ~ 12,000 I 2,000.00 I 24,000.00 Storage r Press T Temp ~I Location Ambient Ambient SALES FLOOR/WAREHOUSE BAG - Cone Components MCP -¡List 6 e e ~ 08/05/92 ' LONGS DRUG STORES #239 215-000-000985 00 - Overall Site' Page 7 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation 1. MEMBER OF MANAGEMENT WILL BE INFORMED AND WILL CALMLY EVACUATE CUSTOMERS AND CO-WORKERS TO NEAREST EXITS. 2. 911 WILL BE DIALED IN EMERGENCY. 3. MEMBER OF MANAGEMENT WILL TAKE ATTENDANCE AT MEETING AREA. 4. PHARMACIST WILL BE NOTIFIED TO ADMINISTER FIRST AID. 5. ALL EMPLOYEES WILL LISTEN AND RESPOND TO INSTRUCTIONS ON CALMLY EVACUATING THE BUILDING. <3> Public Notif./Evacuation CUSTOMERS/VISITORS: APPROPRIATE SIGNS ARE POSTED IN PUBLIC AREAS AS REQUIRED BY PROP. 65. ANY NECESSARY EVACUATION INSTRUCTIONS WILL BE GIVEN OVER THE INSTORE SPEAKER SYSTEM INFORMING ALL CUSTOMERS AND VISITORS HOW' TO SAFELY EVACUAT THE PREMISES IN THE EVENT OF AN EMERGENCY. NEIGHBORS: EVERY EMPLOYEE RECEIVES TRAINING ON HOW TO RESPOND AND CLEAN UP A CONSUMER PRODUCT SPILL. NO SPECIAL NOTICES ARE NECESSARY TO INFORM SURROUNDING NEIGHBORS AS ALL NEIGHBORS ARE AWARE OF THE NATURES OF OUR BUSINESS. <4> Emergency Medical Plan SOUTHWEST URGENT CARE 5397 TRUXTUN AVE. 322-2273 FIRE DEPARTMENT 7000 STOCKDALE HWY. 326-3037 MERCY HOSPITAL 2215 TRUXTUN AVE. 327-3371 GOLDEN EMPIRE AMBULANCE 801 18TH ST. G e e .:. .., ~\' 08/05/92 LONGS DRUG STORES #239 215-000-000985 00 - Overall Site Page B <E> Mitigation/Prevent/Abatemt <1> Release Prevention 1. KEEP CURRENT INVENTORY LIST AND UPDATE AS TO THE PUBLIC. 2. KEEP EMPLOYEES TRAINED IN SPILLS. 3. KEEP FIRE EXTINGUISHERS WORKING. MEETING PLACE IN THE EVENT OF EVACUATION. 5. ORDER ., NEW PRODUCTS ARE INTRODUCED CLEANING UP HAZARDOUS PRODUCT 4. INFORM ALL EMPLOYEES OF KEEP CLEAN-UP SUPPLIES IN <2> Release Containment 1I1.t.. ~'-'rp ('1 (J¡.¡/.. f'¿.f; tlwI-L 6 v f (' I fe.Š -&-0 .- Jl11t<Al'/bvrne-l IA ð"1..L, fìl¥-,~tt."-J C!.,r-u-__.... t.!.elti-4-f"~~ at$",r¡~¡- &''\.~·I'" ðI. rt.J~5L- . If- PI- re-.- (-&4>"- ;, J 'if~ tM~ I I 1 {( ¡..oJ ¡¡( L... C-",,( (ut.. <3> Clean Up A SUPPLY CABINET IS MAINTAINED AT THE JANITORS AREA IN THE WAREHOUSE. IT CONTAINS GOLVES, BOOTS, ABSORBANT, ETC. <4> Other Resource Activation ¡, e tt -.::ì, :; ".' 08/05/92 LONGS DRUG STORES #239 215-000-000985 00 - Overall Site Page 9 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - SOUTHWEST SIDE OF THE REAR OF THE BUILDING B) ELECTRICAL - SOUTHWEST SIDE OF THE REAR OF BUILDING C) WATER - WEST SIDE OF THE REAR OF THE BUILDING D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - OVERHEAD FIRE SPRINKLER SYSTEM THROUGHOUT THE STORE. FIRE EXTINGUISHERS STRATEGICALLY PLACED THROUGHOUT THE STORE. FIRE HYDRANT - WEST SIDE OF THE REAR OF BUILDING. <4> Building Occupancy Level ;::;, i", ::- '. e -- 08/05/92 LONGS DRUG STORES #239 215-000-000985 00 - Overall Site Page 10 <G> Training <1> Page 1 WE HAVE 35 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE WE HAVE MONTHLY TRAINING MEETINGS TO TRAINING EMPLOYEES HOW TO EVACUATE THE STORE AND HOW TO CLEAN UP MINOR SPILLS. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use -.~~~. ~ "~. ,. Ö3/27/91 Location: 8200 STOCKDALE HWY G Ident Number: 215-000-000985 LO~ DRUG STORES #239 215-00e)00985 RECEIVE Page Overall Site with 1 Fac. Unlt. 0 APR 1 5 199' Aß8~. ======:l Map: 123 Ha~:1"~~·:-- LCtw ---¡ I Grid: 058 Area of Vul: 0.0/ --T 24 HC'U1"~ Ph':'I'"le J (805) 8ï:.~.2-7389 (805) 398-9361 1 GeYle1"~a 1 IYlfot~mat iCIY, ~ Contact Name . 'ò¿~~~;t~Æ~R- Title Bus i Yless PhCtI'"re (805) 872-3444 x (805) 83i:::-0964 x ~TV ~ fI1AN ft&-é!<.... Ma i 1 Add1"~s: City: Cc.mm C.:.de: - AdmiYlistt~ative Data 8200-G STOCKDALE HWY BAKERSFIELD 215-011 BAKERSFIELD STATION 11 D&B Number: 00-691-0004 State: CA Zip: 93311- SIC CClde: 591;::: Owner: LONG DRUG STORES CA INC Address: 141 N CIVIC DR City: WALNUT CREEK Phc'Yle: ( State: CA Zip: 94595- _____.~ l j - S 1_lfl1rlla1"~y ~'dJ YQ~I!. 0'þ ;) , I _ __ Do hereby certify ~ha~ ~ ÛJavs ~ 1>ìv u..-- l..\v (\ U1A , (Typa or print name) . reviewed the attached haz~rdouS materials managso Ian for lv"''1~ D.J:,¡)~fr.--and that it along with ent p (Nar,)9 cf ßus,n'~~, , corrections constitute a complete and com~ct mano ement plan 1m my 1aciliW· I ·~izL- -t Signmtul$ t{~11 ,. Cjl Date ~ ~ ,; 1-ÞZ7,9j 03/27/91 LONGS DRUG STORES #239 Hazmat Inventory List 215-000-000985 i \"1 MCP Ordet"' Page 2 02 - Fixed Containers on Site PIn-Ref Name/Hazards Fc.t"'ro Qua\"lt it Y MCP 02-006 CLEANING-AMMONIA PRODUCTS Fire, Reactive, Immed Hlth Liquid 500 Ex t t"'eme GAL 02-010 AUTO-ENGINE ADDITIVES Fire, ¡::~t"'essure, Reactive, Immed Hlth Liquid 100 High GAL 02-005 CLEANING-CHLORINE PRODUCTS Fire, Reactive, Immed Hlth Sc.l i d 500 High LBS --.- 02-004 CLEANING-HOUSEHOLD BLEACH Reactive, Immed Hlth Liquid 2,000 GAL High ..------..- S.:.1 id 1,500 High LBS \ Liquid 150 , Mcodet"'ate GAL -------.. Liquid 400 Lcow GAL Liquid 200 Low G(~L Liquid 500 M i \"tÌ ma 1 GAL SCo 1 i d 12,000 Unrated LBS Sc. 1 i d 1 , 200 Unt"'ated LBS L.iquid 400 U\"lrated GAL SCo 1 i d 400 U\"'t"'ated LBS .-----. 02-007 CLEANING-POOL ACIDS Reactive, Immed Hlth 02-008 PAINTS-HOUSEHOLD Fire, Pressure, Reactive, Immed Hlth 02-011 ANTIFREEZE Fit"'e, Immed Hlth 02-012 FUEL-CAMPING Fire, Pressure, Immed Hlth 02-009 MOTOR OIL Fire, Delay Hlth 02-013 FERTILIZER Fire, Reactive, Immed Hlth 02-002 HERBICIDES-HOUSEHOLD/GARDEN F i t"'e, I mmed HIt h D2-001 INSECTICIDES-HOUSEHOLD/GARDEN Fire, Immed Hlth 02-003 PESTICIDES-HOUSEHOL.D/GARDEN Fire, Immed Hlth ,-:,"¡;- ~ e . -.. - - - - - - - -- -------------------- ---- - .&,.~ ¡ '03/27/91 LO~ DRUG STORES #239 215-00_)00985 00 - Overall Site Page .. ~J <D> Notif./Evacu~tion/Medical <1> Agency Notification CALL 9:1. 1 <2> Employee Notif./Evacuation 1. MEMBER OF MANAGEMENT WILL BE INFORMED AND WILL CALMLY EVACUATE CUSTOMERS AND CO-WORKERS TO NEAREST EXITS. 2. 911 WILL 8E DIALED IN EMERGENCY. 3. MEMBER OF MANAGEMENT WILL TAKE ATTENDANCE AT MEETING AREA. 4. PHARMACIST WILL BE NOTIFIED TO ADMINISTER FIRST AID. 5. ALL EMPLOYEES WILL LISTEN AND RESPOND TO INSTRUCTIONS ON CALMLY EVACUATING THE BUILDING. <3> Public Notif./Evacuation CUSTOMERS/VISITORS: APPROPRIATE SIGNS ARE POSTED IN PUBLIC AREAS AS REQUIRED BY PROP. 65. AN~ NECESSARY EVACUATION INèTRUCTIONS WILL BE GIVEN OVER THE INSTORE SPEAKER SYSTEM INFORMING ALL CUSTOMERS AND VISITORS HOW TO SAFELY EVACUAT THE PREMISES IN THE EVENT OF AN EMERGENCY. NEIGHBORS: EVERY EMPLOYEE RECEIVES TRAINING ON HOW TO RESPOND AND CLEAN UP A CONSUMER PRODUCT SPILL. NO SPECIAL NOTICES ARE NECESSARY TO INFORM SURROUNDING NEIGHBORS AS ALL NEIGHBORS ARE AWARE OF THE NATURES OF OUR BUSINESS. C4> Emergency Medical Plan SOUTHWEST URGENT CARE 5397 TRUXTUN AVE. FIRE DEPARTMENT 7000 STOCKDALE HWY. 325-3037 322-220013 MERCY HOSPITAL 2215 TRUXTUN AVE. 327-3371 GOLDEN EMPIRE AMBULANCE 801 18TH ST. 03/27/'31 LONGS DRUG STORES #23'3 215-000-000985 00 - Overall Site Page 4 (E> Mitigation/Prevent/Abatemt (1) Release Prevention 1. KEEP CURRENT INVENTORY LIST AND UPDATE AS TO THE PUBLIC. 2. KEEP EMPLOYEES TR~~INED IN SPILLS. 3. KEEP FIRE EXTINGUISHERS WORKING. MEETING PLACE IN THE EVENT OF EVACUATION. 5. ORDER. NEW PRODUCTS ARE INTRODUCED CLEANING UP HAZARDOUS PRODUCT 4. INFORM ALL EMPLOYEES OF KEEP CLEAN-UP SUPPLIES IN (2) Release Containment <3> Clearl Up It 5·vrrlt.¡ 6tJ,,~"'cjS I $ ()11M~~:J. li.& fnv... T~.-6v-t<; A.r-~ ~'''-- ~ /)J IvrJwv '>e- . J-7s f01\ -fa;¡-n S ) q(ovc:.-s· bpo f;) ) It ~-s <>r-(;~f ,,~ J )C/ , (4) Other Resource Activation ~' . t e e ..... , ~ ~ -~ 03/27/'31 LO~ DRUG STORES #239 215-00~)00885 00 - Overall Site Page C' ;;;¡ (F) Site Emergency Factors (1) Special Hazards (2) Utility Shut-Offs A) GAS - SOUTHWEST SIDE OF THE REAR OF THE BUILDING, B) ELECTRICAL - SOUTHWEST SIDE OF THE REAR OF BUILDING C) WATER - WEST SIDE OF THE REAR OF THE BUILDING D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Watèr PRIVATE FIRE PROTECTION - OVERHEAD FIRE SPRINKLER SYSTEM THROUGHOUT THE STORE. FIRE EXTINGUISHERS STRATEGICALLY PLACED THROUGHOUT THE STORE. FIRE HYDRANT - WEST SIDE OF THE REAR OF BUILDING. <4> Held for Future use 03/27/91 LONGS DijUG STORES #239 215-000-000985 00 - Overall Site Page 6 <G> Tt~a i n i "('Ig <1> Page 1 WE HAVE 35 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE ¡ #J ¡:;, ~¥'- WE HAVE MONTHLY TRAINING MEETINGS TO-rRAINING EMPLOYEES HOW TO EVACUATE THE STORE AND HOW TO CLEAN UP MINOR SPILLS. <2> Page 2 as needed <3) Held for Future Use <4} Held for Future Use .' tit e ~~ ~~ \ ,. , _/A~, .- /'P ï /(? ~:'1 ( / ",/"::¡{~'~~R~¿, ,.I. '.' <!" .: ,..." r'" ," =:.1. ~ 0' ) : ,'oJ . -" ~f ~ " I~ ',~ ::;';'~¡. ".. i , , 4#- . -:". . :':S1¡~~; jO'R~~~'/ .~ e e CITY oj BAKERSFIELD "WE C.J.RE" 'il~ \III ¡ '\\\\~'~":"--- .' . Cfß'J/ ~""",.\.lJ ,',.--~ $/;";';' .'_~.:...:~ ..:::0.-<:- '~/}¡ '~ ~==:::I.-- \\ !)' "'\,:::: _\:.c: .: _ -'v_" f1W =~; , ' ::;:~. "- -' - \ O .-... I f ~.. ~" t ~."'- ',. --.r " ,'- ~ 9-/ ~~Ji,¡}ñ7.J I i5ÄLJ¿¿ (tY'De 4 ^"' r£"--- or print. nameì ~ ~ Do hereby certif~,- that I ha\-e revieh-eJtf't~'1~'''EO f£B 0 ß '989 attached Hazardous ~laterials business ~¥/A.·rl········· for r L t)/J ¡;. s /)£ u(;' S' -:rf d-3~) (name of business) and that it along with the attached additions or corrections constitute a complete and correct ¡{ Pia; f:;¿ sJ.g:nat,ure facility. Business ~ -I - PI' date I . .---------- .,-----~--_.__.- ~ CIT}' of BAKERSFIELD ., I.ra .,.¡ .... iallt___ v .---.. . L..J ....-. St....-- ....:..... ~ . . :', i,j',,-, HAZARDOUS MATERXALS XNVENTORY NON-TRADE SECRE"J'S 4"<;IHESS HAM~~q~ ~~l s~~e. )L .Or.ATION: ß . 1"'0 "t; ....·ITY. ZIP: ~trmªzS' cA q~;í.\ ... 'HONE ,: I ~,' , '. é, t 23C1~ OWNER "AMI:LonasDrua stores, Ca., Inc. ADDRESS:~.1 N _ Civic Dr_ CITY. ZIP:WFJœ' r.~rP-Akr. Ca.. PIIOIII .:~-1 _ , ..... ji :il,. IffCJPIØr cœø ,. --.1. 0' 4-- "AME or Tins ~~,ILITY: '81 STANDARD lWO. CLASS CODE DU. AIß) DRADSTREn IlUMBlta no- - 1»9.. .l - (l D ..04. . " 1 t....., r"" : "" c_ 1 ... lilt . ...... lilt , , " II 11 It ... LIllIe lilt ..... U, .__ fA If~ Wt It.... tit ..tIIt, * 511 ~fWt" ~'I It=- , U.s. ...... 00 Insecticides ---- ~~Mta .. , u.s. .... '~y1 'et r ... .... Ie..,.... . OIlK~ .11 tile. ..s,. .' r-, .. fire 1Iar~ L _.I bactf,fty "'~:.' . 'C.I... ...... r-, r~-~ .-, "-.I"1..,..·~~.I s..s. It.. "-.I IBId... ....1... :;, . ,.' .,........ ""tfI Herbicides-House/Gard 00 Herbicides ".' . -.. r-, r-.. ..-". r-.. . X" 'Ire"'n "-.I fò1oJecUwtc, "'_.I....... .,;'-" ~ 1tI'- ..~ II!I!Ift_ ....t..:: .. .. Iff "... ..ldI ~ 12' 1IøI' U.I. .... ". . ~ a .. I U.S. t:.:dIr se Pesticides-House/Garden "rt lu' IIIftð ...It, ....... IC,-" ,II ,1Iet ..Ir. .}:'.';' c..... ...... ' .1, :.~ f¡¡¡",¡¡ ....c.. .... C.a.l. ...... 00 Pesticides x; r.,.. N.,1f'II ~:~ flNcU"., [:1...~ (=1~ ar.....' [E a...ti.tt 11M It II .. "....,. ""teI ~c n .. I u.s. ..... '. .~. ' ra~! c n .., C.I.S. ..... .~.L2J.o.(lLJJHl__L..2~.Oß.Q.l1 3 65 n () """ctl __ lIMit,...... C.I.S. .... IChK~ .11 '11M ..Jr. . ---- ~l:!-lSqles Floor/ware . _____ f. ,.... . C.I.I. .... - " r -., r - .. r. - , r -... .. rt,..IIt,~ "XJ ~Iy", '"-.. ....,.,..'...... ,......,_ ".x. .......tM. 11M I~ :', .. "....,., ....ltll . 't. :';."" "'-'t It ... u.s. .... ,-,-c I. ... u.s. ... I ~G(IICY comets " ...-~~--- :-~--- --- -----~---~:;~-.~--- nni--------~------ If-~-Ffiiiii---- ....'- 12 1IiI-~------------------ ·ntW-:- --- lOr"'--- , ' '''''~''OII (...d and .;I(n .('rr COlIIplf",I¡" all .re'IOII.' . . ,. . .r. 1;1" :.... ..It, ~f 1.. that '''-.'WI"t_I1~'.:a.;,~..-4. f.tliat alt" tht illf~t~OII ....ltted tft thl. ", 'fJ&.-- _. tl. øI thtt beMcI 011 -r i_try of chloe Wh.Wua11 ~f~1. ....'.. c'tll..n.... t',: ...,_u.... ~ 1It1l- t'\I.( ..... __~tf" ""_H.. tt trw.. ICQ I'ttt. .... ~Iþ" ¡ , . -')Ç .i~~ d1':!r£Æ. :5'(Z)Æ¿mAv/f~" . ''1."7 ,,~_/_iX . ".. o.;a,·ómëi.nmnt õiÑir_mõiï.-õõñii-7œ¡.;¡tòPi~~t.i~rWìlimn;¡ S1¡;iit-- ------~---------------.-:------------ Do'1n1¡;¡¡r..LL------- I. . . ;~ .' " '"\) f'" ., . J ~) CIT}' of BA1<.ERSF¡ELjj-~Tè'-'- ., '_.-.ð Aqr'cult_ ....... r-. St.....~ "" "'ft, '-- HAZARDOUS MATI£RZ ALS:J: NVENTORY' NON:-TR^DE SECRETS :'1;' '::;'. ' KAME of~TI1s ~~JL!.U: STAMDA",IWD. CLASS CODE DuM AIfD';jaRADSTRIET IlUMBIUt .. ~- .. ~.. Wc;f"ESS "AME: .0r."110M: . ITV. ZIP: ·..nN£ .: OWJIER NAMI: ADDRESS: CITY. ZIP: PROIf! .: .... tv ZlISh",,:rZo;ørøa .... Q IJØ 2 <,: .:\:,,'.. , '~?< - , - -- - - -- I 1 ,,_ r", : ... t.* , ... ... . . ........ ... I, ......, fit , ........ .. ft. ,,<:; ,. .~ It "., . ...... If~ .' '.~, lei .......... Chlorine Products ....,. iU' _ ... 'th ....... cr 'wd ,II filet .1,) u.s. ..... c..-",~' u.s........ ~ It ..'. C.I.I. ...... ~ It .... c.u. .... 30 " "': f} , ~... . r.:-, r-,. r-, ro.. : -: '...~.... "'-J~'"ty L_J ~J.,., L_J ~..... LGJ ....... ....ltII '.. "...... ':; "'tll '.. ' !{ . . . " .. '~;:1i\ ,> u, à '1... PIs,&f"4 OC J I18ectt.tty u, -.. r-' ...-..... ,.-.. r-.. _.I '....110," LJI-"" IbIdtrity L_J 10''''' L_J ~.,.... LXJ ~tlte .. It" ,., ......... . IuIltfI '-t It ..., U.I. ..... ~. . , ~ a.. . u.s. .... :, ;'~.:;r¡'t;;:;·,·, uår.LL 150 t 75 ~1If ~ ""tIIlTaft t("-ct ,It tÞ8t ..". '" . _L 60 Q ~J.GaÍ-3.6.s.LnJ. . c...s. ..., . .' '~'. } :2'5 irite .' .. " ~ .,·...u.s..... x ~ II", ~,II'4. rx:~'ht...fy r:~ "'~ :>C~ w=..... ~!~~... . .', ....ltII ~.,: . of '""- . ,.'tlt '. .<. .... . .~. '!.~ '.' .~ ~ a. ... I u.s. '...... . . . :..' t;', I~ ..~,-' c.e..t ~ ~.c..~s. ~ l' Ketone f IG(IIC' CGUlAefS ., . . . '...,. . '., .,.. '.. . II . --~-....-;---...---_..-..------ "O¡------- n _ ..... -- __.--.:~ .' ~' ..-~~i:;~!~.~r-~t' It Ii1' .... ~ltllut... iÞHId MHI .i¡rn .('~r eospJ~tJ. all .nUoa., . ., , . . ~ " '.~_:':~:"::',~'.. ,..."f. ~ ~rt, ., b tlltf ~ ~ W'Hi'III1, ...illt4 /l1li .. '.fltarwtth ttle WOI'IIOttalll "'t~ '" tMt ,;., .1Itt" ~.~ _ ,hit .... Cìi;~"""" fA tteM Wt,W.1. ~t~1e .. toblt·"MIt \N :¡"". 1""_ tllet tilt ""U" ".for.ttltft.. trw. ICC\II'M......,=-IIt~. '..' '.. ".. ". , ";"~':i?..;... '.. .' ." .. k/~~ . . ~~ ' "L .,u;::.. . ,yj1 ~Æ'~-" ..,," . ")/...., . ", . ,o,J', .' ,;:; -:1 ~P7 ~,#/òfftIm·t ¡ .f·õihiir~¡(õnJræroiPi¡(ör'1.¡!t~ïr~¡n;¡ !'ijiiit , -~- . ----------~-- .:,~t ' 1m s~ -. oM . ------ .. .... .. ", - "'t '.': \.. .j'. -.' :r. . ....- .~'. ~ --.-- -------.-----.---------. CITY of BAKERSFIELD I,... tIId "'" ievlt"", ......, St.....~ Ius.,.. ~. .--. --- HAZARDOUS MATERZALS ZNVENTORY NON-THADE SECRETS 3 4 '... .._ of .... " ~.; c. H ~ I NESS NAME: .nr:ATION: ·ITV. ZIP: 'HIINE .: t>, OWNER MAMI: ADDRESS: CITY. ZIP: P80NI .: u:rø J'Ø Z/l) f'MN,~lOllS ft1If I"'IIOI'1Øt cœa "AM! or TitS ~fJLl~: STANDARD IMD. CLASS COD! DUll AND lRADSTR!ET IfUNIIIt '.:';- 'C - - -- ........ "i.- I 1,- :.. l I", to* J .... Mt . ....... Mt Ie .....1 . lit .' , ....... lintel , It c.t c.c ..... ... .. lie c... 11 l8;M fin ..... k.... ... f.tllty II '" . It ~ '" IH~ SIll IattnJCt'" ~ ''''(1.ul "....1th..,.... ,(/oK. ,II ,...., _I,. a, r-, W.. 'ire ...." ~.x" IlilllCttwtty '", c.u. ..... ~II a..'U.I.~ 3 Ethylene Gl col ,1__ " . " r-, r-' ~, " _.I "I.".,~ _.I ~ Atl.. ~.I l£iliiii*. 1M ttll' . of.....".· ... It II . !:f . ~ 12 .... u.s...... ~ II .... u.s. ..... u.. ~ I. .... u.s. a.fIIr '"'V"' r-.... _n, fire...... "_.I Cucuw'ty .. j .Jot a lIB. C.U. Ir.dIP .. 65 10 ..·,:t'?;" c.~'.· ..,....' ~:~..~'1Ç~WdlllIIt~ ~3~ ~flt.· tbll~c,-,,, '" "'.......... IIMltfI ales "rw let t ... _It II ..,.... ¡CItIcIo ,It '!lot ...If) =JC f.... Mil'" X; "''''ty r. . .. I' ~t a 1!IIr.:s6C.U. ~ , , . .LL.L-"l1-Ll..a.o__l s 0 o,:j~ \ :r~:I.~,=I:'~~ , '\:J:~:':.:~c.u. ..~- ---- -.., r-.. r-, ·,·.··t·-/~·· r-' -Xft...lI6l" "-.I boctt~", "-.I "1~::1i;*::,"WbI"'" "x" I~.tt. . "'&P~'f:i', of"...... Ilea "ll ··.;.;·:}fi~·: >.'. ,- ,;!.,,-.", i ~I 12 .... C....s. .... ~ II ... c..... .... . .' ;~. IIIG(II(, CO!IIICIS II ,':!:i-', . .', . II ..-~--~m:·--·-.--·-·-··~:B·7?~ nn¡-~:~"'"?~,;:~-·.::' ~. .7f"lr-PNi\i--- ..------.---- m1f" ~. ...;.;. - . .. "'/U:tf'OfI ft.t.N.Rd .¡tin .ftC'r coep ';'~...ll ./KrJOII.' . . -( -I" . , . .~".,..... _'I, of ... .... I .... _";~......... '..II... .................. ......... .. ,'', ~~__ ":""'" ... .... ........, ......,... _........." _"" '." (\11......'" ,.. -¡HCIII. I .It... ,lit, ,... ~UIII ¡II'_Ii", ., t..... «cut'~.. ~ œttI'-'~. . L· ~. ./ , . , '. ~ µ .5-n./Z.i:t < /1:' . , " . , ...2 -I - P9 . ß~fftmn , n'·~~¡¡¡;:-1IIg;,;,¡¡:7~it~~i¡a~~~~Um¡ Sl¡;iit-,. -- ---. - . _.U._"______._..... . h"li·s1t* . \' f ~ ·<},~lX;'_". ' ". " . ..; , '. CfT}' of BAKERSFIELD ~.;:. - .- '.... ..... .'cvlt.... '--I .--. St...-..d ""'..... ...... HAZARDOUS MATERXALS XNVENTORY NON-TRADE SECRETS·,: '''' .~_ .f _!_ " me; I N!55 NAMI: .Or.ATION: 'ITV. ZIP: 'HnHE ,: OWNER NAMI: ADDRESS: CITY. ZI,: 'RONI .: ..". ro Inbrvt,-rIOltS rea ~ CQØØ NAME Ó~';'Tlb r!tP..JLIT.I: STAMDARÐ IJÐ. CLASS CODE DUN AØÓ' BRADSTREET WÚM8IR - - I , 1._ r_ :... û* J , ... .. . ........ .. , S ....., bt I ........ ...tn , .:tr.. . " c. c..t ".. ,- " ... c. '. " Uat 1M ..... it.... III 'ICU't, tJ U, . v It . :...·.,IIt~ '.' .,~~' .. NJPIICt'" ~¡ul .. ...."........ . t.a,S. ...., HhoC. .11 tllef _Ir) .. r-, r-, r-, t::-"' '.irv 1Iu~ L - oJ au.ctt.tty L - oJ tal.,., &oX oJ ~ Itl_, ~"" .....M. INltll of "....,. ilia ttfl f _ .." ,.... , U.I. ..... 100 Kerosene --- ~ II ... u.s. .... '0. ..... t..,l i t n .... C.I.I. .... '1, u "'r'J'"' _ lIII'tll ..,.... ,CIIK. .11 tMt _", c.u. ..., Sales Floor/Wareh f .1 1 r II .... C.'.I. ..... . Garden Fertilizers Fertilizer .' -, r-~ r-~ r-~ c~, K" "'''' 1taI" L X oJ INdt.'tr L - .#...... L - oJ .".. b'- ~.# ....,. . . ....,t.. ., "..... ""tll ~'ft ....C.U. ~ '. :::~~~~,:. ~ ~ I t n ... (.1.1. .., .. ""Ietl _ blt11 ....... ,(I,.d .11 tlllt ..I,) u.s. .... ~ It ~. C.U. .... -" ',~. . .'~' ... ~ a __, u.s. .... ,:.,' 0:1(- .. ',; '~··'~~':~.~·i·· - . . . "'J' .-, r-' r-' ..-.. r-" -.. Ff", 1161.... L_.# IiMc1t.fty L_oI ..'.... L_oJ ~ !!II.... L_oJ a..;'at. lIM'tll of ~ ..lttI '.".., .-,,, ..., 1:..... .... , .....L___-L___L_____J......I 1---1-1- -...,:. ' "" ~. r _ !lei 'Ù ....... 'C... In tNt .'" C.I.S. ...._~. ~.1 ..., c.U. ... :ì:. -',' -, r-' #'-, ....-.... r-.. - .. "'" ~,.,., ,,_.#!beet f..ft, L - oJ art.,.., L - 01 ~ .. ,_ ,,_ oJ la.!dfat. Il:101... of "'""" ....Itll . ~ It ..., c.a.S. ...... ,~. .:,.~.~",.;. ~ n ...&C.U.... ',..,;,:,:f..· 11I(;f1,(y COIIIACtS ..__~....m:_._______.____...___ "n¡---------------~ n1Inraï--- 12....--' ___......:,··:,I~::;':.. '.. h III" Pí'iaiIt--- .. . .' '~.. " ,f 'Cf~ ,.. (IItted and ai p . ft rr cDlàp I,. U. ell ..c tI on. , " ' : , . :.:~::,~::~,;:~+,: :':,~' . . '. . .~"'...... _h,.. 1. .... I .... ....-'''' ..."..... ..n.......... .._... ........ h"" ...~.~ ....... .....'¡;.;'......... ..... ........." _.... ". ob'.,",,,, t" w...~. . I to~_ ttle, thl ....Itt~ IIIfOO"'NtI.. i. trw. ICQIrltt. ...c ~ /,' , . " " ,. ,': " "\~f:,", ,'.'~~>. n. _ . 11:- u~ '¡o./~ /~'~'~ ~~ L.., . ". .' ;·t::~",:·.;;2.-I-¡7 -... ..,4.1-T-'tt1 - ....uTci--..'-·· I·--¿.,j ..t"--=',···----'c:i·"~·..·- ,- ,- 5'-- ------ -----------.. .-J." '..... ---- S1 - 0 lìt . . _ CIOPf" II" ~ ~. II" I ,., __ rn r . ~ . '. . ..; ~:.;,'.:'::,': ':, :.. ..,. .,... , ~ ·;¡I;~;'·<,; "_..:~.'.{ .' BUSINESS NAME LONGS~UG STORES ~Z39 LOCATION 8Z0Ø-IIITOCKDALE HWY 10 N.ER 215~øøø-00ØSa5 H H~ZARD RATING Z 1. OVERVIEW LAST CHANGE 0G/Z0/Sa BV ESTER JURIS CODE 2t5-Øll JURIS BAKERSFtELD STATION 11 MAP PAGE 123 GRID øS8 FACILITY UNITS 1 HAZARD RATING Z RESPONSE SUMMARY ZA SEC 4) ALL PERSONNEL HAVE RECEIVED TRAINING IN HOW TO RESPOND TO EMERGENCY SITUATIONS INVOLVING FIRE AND CHEMICAL SPILLS. ALL STORES HAVE DESIGNATE~ A MEETING PLACE IN THE EVENT QF EVACUATION. ALL PERSONNEL ARE AUARE OFUHERE THE FIRE EXTINGUISHERS ARE AND HOW TO USE THEM; ALL PERSONNEL ARE AWARE OF WHERE THE CLEAN-UP EQUIPMENT IS KEPT. 911 WILL BE CALLED. EMERGENCY CONTACTS ZA SEC l> SAM DONALDSON - 872-3444 OR 82Z-738ft PHIL BELHUMEUR - 832-0964 OR .398-9361 UTILITY SHUTOFFS ZA SEe 3) . '.., -- -'.'''~-- .,,....~..~.............',......,. ,. -,... ~ . .~ . .. -. ~.., ~., , . M~. . ~. . " .. _ . "",,,,,' '^, ..~.~ ~. " .,.' .t,....'_ _"'(", .',o-!'. ~",.v. ,........__'"'..._ _.........,.., "..,._ ~..:.,_~.. #2 NOTIFICATION/PUBLIC EVACUATION: Customers/Visitors: Appropriate signs are posted in public areas as required by Prop. 65 require~ents. Examples include the appropriate postings for alcohol and tObacco carcinogenic warnings. Any necessary evacuation instructions will be given ovet~ the irlstot~e speaket~ system inforrl1ing ,all, custÒmers and visitors hOW to safely evacu~te ~he p~emis~s in the event of an emergency. I, , ;, , ", ' Neiºhbot~s: , Every employee receives training on how to respond and clean up a consumer product spill. Consumer product seills do not present a hazardous situation for our neighbors. - No special notices are necessary to inform surrounding neighbors as all neighbors are aware of nature 6f . our business. Neighbors are aware of our product mix and our retail services~ - In the event of. a spill, fire, or situation that could be hazardous to neighbors; we will notify our neighbors by placi rig an anrlourlcement c,n the prclpet~ty of Lor-Igs Drug Stores and deliv~r copies to surrounding neighbors. This announcement will ~lso be placed ~n the local newspaper. ,.. " '!;I '; .r!· , i: \. .. ~ ' .~ ~ -= -. , Pf\GE 1 2:116/ 6S \,: '2 S MATERIAL SAFETY DATA SYSTEMS. INC. (805)'648-6800 - BUSINESS NAME LONG~U0 STORES #239 LOCATION 8Z~TOCKDftLE HWY 10 ~ER 215-000-000985 _H HAZARD RftTI NG 2 . ~ ," I ~ ~ ¡; 3. HAZ MAT TRAINING SUMMARY LAST CH~N6E / / aV - !êE ~~~Õ/ ·~I.,Ut.l(O tl\9M>C:- , ¡ '; < NO INFORMATION RECORD£D FOR THIS SECTION> 4. LOCAL EMERGENCY MEDICAL ASSISTANCE lAST CHANGE 06/20/88 BY ESTER 2A SEC 5) SOUTHWEST URGENT CARE 5397 TRUXTUN AVE. 32Z-ZZ73 FIRE DEPARTMENT 7000 STOCKDALE HUY. 326-3037 MERCY HOSPITAL 2215 TRUXTUN AVE. 327-3371 GOLDEN EMPIRE AMBULANCE 801 16TH ST. ' f ' ' PAGE Z rll16lS8 \, :ZS MATERIAl SAFETY DATA SYSTEMS. INC. (80S) 648-6800 ".~<:.. ,,~ Ii I " f 1 I, . ~ , , ¡':1 j:¡1 :' I, I' " , ; ,. ". ~ " - BUSINESS NAME LONGS.-.uG STORES #Z39 LOCATION 8ZØ0-~TOCKOALE HWY FACILITY UNIT 01 10 N~R 2\5-000-000985 IW'H HAZARD RAnNG 1 A. OVERALL HAZARDOUS MATERIALS INVENTORY LAST CHANGE 10/06/88 BY ESTER '.. 10 TYPE NAME LOCATION CONTAINMENT MAX eMT UNIT HAZARD USE MIXTURE INSECTICIDES-HOUSEHOLD/GARDEN SALES FLOOR/WAREHOUSE GLASS CONTAINERrSJ 10 PERCENT COMPONENTS -\056.00 \00.0 INSECTICIDES 400 GAL UNKNOWN INSECTICIDE HAZARD LIST UNKNOWN Z MIXTURE HERBICIDES-HOUSEHOLD/GARDEN 1200 LBS UNKNOWN SALES FLOOR/WAREHOUSE GLASS CQNTAINER[SJ HERBICIDE 10 PERCENT COMPONËNTS HAZARD LIST -1057.00 \00.0 HERBICIDES UNKNOWN 3 MIXTURE PESTICIDES-HOUSEHOLD/GARDEN Z00 LBS UNKNOWN SALES FLOOR/WAREHOUSE BOX£ESJ PESTICIDE 10 PERCENT COMPONENTS HAZARD LIST -1058.00 \00.0 PESTICIDES UNKNOWN 4 PURE CL~ANING-HOUSEHOLO BLEACH 2000 GAL UNKNOWN SALES FLOOR/WAREHOUSE PLASTIC CONTAINER[S] CLEANING 10 'P~RCENT COMPONENTS HAZARD LIST 1165.00 100.0 SODIUM HYPOCHLORITE UNKNOWN 5 MIXTURE CLEANING-CHLORINE PRODUCTS 500 LBS HIGH SALES FLOOR/WAREHOUSE 'BOX£ES] CLEANING 10 PERCENT COMPONENTS HAZARD LIST 1078.00 100.0 HYDROCHLORIC f\CIO HIGH 6 MIXTURE CLEANING-AMMONIA PROQUCTS 500 GAL MODERATE SALES FLOOR/WAREHOUSE PLASTIC CONTAINER[SJ CLEANING 10 PERCENT COMPONENTS HAZARD LIST 10Z4.0Z 30.0 LIQUID AMMONIA MODERATE EP 7 PURE ClEAN¡NG~POOL CHLORINE 1500 LBS HIGI-! SALES FLOOR/WAREHOUSE PLASTIC CONTAINER[S1 CLEANING 10 PERCENT COMPONENTS HAZARD LIST 1078.02 \00.0 MURIATIC ACID HIGH 8 PURE CLEANING-POOL ACIDS 400 LBS HIGH SALES FLOOR/WAREHOUSE PLASTIC CONTAINER[S1 CLEANING 10 PERCENT COMPONENTS HAZARD LIST 1078.02 100.0 MURIATIC ACID HIGH 9 MIXTURE PAINTS-HOUSEHOLD 150 GAL EXTREME SALES FLOOR/UAREHOUSE METAL CONTAINERS PAINTING 10 PERCENT COMPONENTS HAZARD LIST ~ PAGE 3 \2.1\6/88 \\;2S MATERIAL SAFETY DATA SYSTEMS. INC. (80S) 648-6800 "' ., it BUSINESS NAME LONGS~, G STORES #Z39 ~OCATION al00-~OCKOALE HWY FACILITY UNIT 01 '. ~ ~r ,'".';;! ID N~R 215-000-000985 ~~ HAZARD RATING 2 A. OVERALL HAZARDOUS MATERIALS INVENTORY ( * CONTINUED .) LAST CHANGE 10/06/88 BY ESTER ID 10 1'J IZ 13 "" PAGE 4 TYPE NAME LOCATION CONTAINMENT 9 MIXTURE PAINTS-HOUSEHOLD ( * CONTINUED * } 10 PERCENT COMPONENTS 2291.00 25.0 WASTE ACIDS 1203.00 15.0 NAPHTHA 1140.00 5.0 METHYL ETHYL KETONE lB02.00 3.0 ETHYLENE GLYCOL PURE MOTOR OIL SALES FLOOR/WAREHOUSE BOX[ESJ ID PERCENT COMPONENTS Z808.00 100.0 MOTOR OIL MIXTURE AUTO-,ENGINE ADDITIVES SALES FLOOR/WAREHOUSE PLASTIC CONTAINER£SI ID PERCENT COMPONENTS, 1145.01 60.0 METHYL ALCOHOL 1140.00 20.0 METHYL ETHYL KETONE lB0Z.00 Z0.0 ETHYLENE GLYCOL PURE AUTO-ANTIFREEZE' SALES FLOOR/WAREHOUSE PLASTIC CONTAINERIS] 10 PERCENT COMPONENTS Z80Z.ØØ 100.0 ETHYLENE GLYCOL PURE FUEL-CAMPING SALES FLOOR/WAREHOUSE METAL CONTAINERS ID PERCENT COMPONENTS 1178.01 100.0 KEROSENE r" MAX AMT UNIT HAZARD USE 150 GAL EXTREME HAZARD LIST UN {NO~N EXTREME HIGH UNKNOWN S0Ø GAL UNKNOWN LUBRICANT HAZARD LIST UNKNOWN 100 GAL . HIGH LUBRICANT HAZARD LIST HIGH HIGH UNKNOWN 400 GAL UNKNOWN COOLANT t-If\ZARO LI 5T UNKNOWN 200 GAL MOO~RATE FUEL MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 HAZARD LIST MODERATE 12116/88 11 :ZS 'I '. .:,....¡) .;.' I ,: ~ .', ':'f":~: ··'f.::h !:. '. BUSINESS NAME LONGS~UG STORES #239 ¡LOCATJON 8Z00-~TOCKDALE HWY 8. FIRE PROTECTION I WATER SUPPLIES 10 ~ER 215-000-000985 '~H HAZARD RATING Z ,;;¡ LAST CHANGE I I BY < NO INFORMATION RECORDED FOR THIS SECTION > í".k ~~í FltZéE t.\\ID~-r ¡~ \...OCA1E:;> ( THE. \.V~~,- ?t~ t::F me: f2.Ekg., or:- 'i"H£ ~lL...DaÑb '. 1"~ \.\ÀIÙ WÞ.:1t:R. ~ tif lt7 LOL'ÄfED( fH~ ~ tjl~ tÆ- 'f~ rz&f2. tf" ~ L?VtU7lkl~, 'iÆ MAw ~Ud-~d"Ý ~ J.LxMta:;>~ í\-\t ~m~ !"I~ tJ:- ~ (l.Ø<i:- CF í1.\€ &Ji\Dl-f\la. 1'k Mk\~ C?h fJví ¿Ç¡::. lt7 LoCMIDc' \H£ S1u11\-~ c;,re.. t:f, 'f1.IoE:, ZØ.£ ~ 1HE: 13U1~ ..- DJ~l\oo ?Ire 9f~~ E£. ,J':/rÐJ\ íl-\~bJM íl-!E ~o(?...e.. - 1\J~ A'r:ú HIZ-B ~tJ~U~ ~'f~IcAu..,'Ý flACfD r ~ro AJ..uJUAWf. D. EHPLOYEE NOTIFICATION I EVACUATION lAST CHANGE 06/20/88 BY ESTER 3ASEC 2) \. MEMBER OF MANAGEMENT WILL BE INFORMED AND WILL CALMLY EVACUATE CUSTOMERS AND CO-WORKERS TO NEAREST EXITS. Z. 91\ WILL BE DIALED IN EMERGENCY. 3. MEMBER OF MANAGEHENT WtLL TAKE 'ATTENDf\NCE AT MEETING AREA.'" 4. PHARMACIST WILL BE NOTIFIED TO ADMINISTER FIRS'r AID. 5. ALL EMPLOYEES WILL LISTED AND RESPOND TO INSTRUCr¡ONSON ON CALML V EVACUATING HIE BLDG. ,~ PAGE 5 12116/88 11 :ZS MATERIAL SAFETY DATA SYSTEMS. INC. <80S) 648-6800 · : ~, " : r ,'_ .: ',I' . ,;." ;-;i \ ':!,~ , ' ' < ~ " " .. BUSINESS NAME LONGS~G STORES #239 }QCATION B200-~TOCKDAL~ HWY E. MITIGATION / PREVENTION / AßATEMENT 10 W4IÞER 215-000-000985 H¡6H HAZARD RATING Z ~, ;, LAST CHANGE 0S/20/~a BY ESTER ~ 3A SEC 1) 1. KEEP CURRENT INVENTORV LIST AND UPO~TE AS NE~ PRODUCTS ARE INTRODUCED TO THE PUBLIC. 2. KEEP EMPLOYEES TRAINED IN CLEANING UP HAZARDOUS PRODUCT SPILLS. 3. KEEP FIRE EXTINGUISHERS \JORKING. 4. INFORM ALL EMPLOYEES OF MEETING PLACE IN THE EVENT OF EVACUATION. S. KEEP CLEAN~UP SUPPLIES IN ORDER. ~ /", ' " PAGE 6 tZlt6/sa 11:25 MATERIAl SAFETY DATA SYSTEMS. INC. <80S) 648-6800 :- :=-P~~ ... ~'-lR - ,/ \wtMI~ e STol2.E. "" -n:,.._~D ~ - 20'- .~~ Informational TO: Bakersfield St?re Managers FROM: June Obrochta EMERGENCY Re)PONSE INFORMATION The city of Bakersfield has mandated that Longs Drug Stores develop an emergency response plan. Attached is a copy of the plan, which is to be presented to your employees at the next store meeting. Each employee must understand they may be exposed to hazardous substances in the event of a spill or oth~r disaster. Each employee will be made aware of hazards associated with spilla;e of products containing hazardous substances. Longs will provide appropriate protective measures fot' all employees against any hazardous substance spills or release of a chemical under normal or reasonably foreseeable emergency conditions. The person responsible for developing, implementing, and monitoring the program is the Vice President - Personnel and OSHA Officer located at 141 North Civic Drive, Walnut Creek, California 94596. Each store location will designate a staff member to implement and monitor the day-to-òay needs of the program. Hazard Communication i»rogram A. The store manager will designate a person to: 1.' Identify any operations where hazardous substances are present. This includes the storage of products in the warehouse as well as any industrial cleaners our employees may use. 2. Review labels on incoming products to ensure all manufacturers are properly labeling their products. 3. Follow all directions on the Material Safety Data Sheets (MSDS) and order and provide all protective equipment and clothing. All protective equipment should be NIOSH certified. 4. Maintain a Chemical Spill Emergency Supply Box and ensure each employee knows its locat:on. Emerge~cy supplies are: a. Rubber or Neoprene gloves (2 pair) b. Rubber or Neoprene overshoes (1 pair)' , . c. Absorbent material (1 large bag Kitty Litter, etc.) d. Detergent (10 lb or 2 qt) e. Disposable pail (5 gal) f. Disposable plastic bags (2) g. Broom h. Scoop shovel i. Fire extinguisher (10 lb) rated for A, B, and C type fires '. .', ~- / "_ ~'~ /t ~~ 1'/ EMERGENCY RES_~SE INFORMATION ¡Ò e 5. Ensure all employees know how to properly clean a spill and knows the exposure dangers. (This information is "ontained in the Material Safety Data Sheets (MSDS». Each employee will receive a "Handling Accidental Spills of Garden Chemicals" booklet. ' 6. Ensure the receiver(s) reads the memo and posts "Safe Practices in Warehousin2' Garden Chemicals" at the work statÌ<m. Ensure the receiver(sJ understands it is his/her responsibility to report all unobserved safe warehousing practices. 7. Set up a training meeting with store employees to have the local fire department explain how to use a fire extinguisher properly. ,~. ~ 8. -1>u~chase an Industrial First Aid Kit. Maintain supplies and ensure each employee knows of its location. Ensure each employee is aware that they can, in emergency situations, ask a pharmacist for assistance or take supplies from the sales floor. B. Upon completion of training, every employee will sign the Safety Understanding Statement and be given a copy. The original will be placed in the employee's personnel file. wPc:121/m-l (08/10/87) .. . '·.1 '74< . \)- ,. e e EMERGENCY RESPONSE PROGRAM . CHECKLIST FOR: #2['1 5510 ~'(JLt:::f>tì;LIS Ittv7. Date: (Store Location) Person responsible for implementation and monitoring of Emergency Response Program: (Person/Posi tion) Yes An areas where hazardous substances are stored, displayed, or used have been ident i fied. All personnel have received: 1) Emergency Response Program memo 2) "Handling Accidental Spills of Garden Chemicals" pamphlet 3) Safety Understanding Statement Training has been given to each employee~ Employee has signed Safety Understanding Statement. All employees are aware of our commitment to their safety. . , There is an established procedure to ensure all new employees are trained as needed. , , ....-.r'. '.~... . ". .~ ;~ " ;'0' .. '.," " .,,~ . , " ~ Store Manager Date wpc:121/m-2 (08/10/87) , / þ~==~== ~7' ,.. ,..-¡ \~~, - I .. TO:,' Management Members :' '" "; FROM: Store Manager e.. ~' . -. -' . - ,~! ,- , . ~,!. . .... ...''"', d ' -, - , J,~: " .-, , 'I' ..' " " " " '-, ", . "-~ '. ...::.. .' , ....,. -- ~; ,:.~.. . ...... ':< " We' muSf( ,-' t "~ : ., . '..~ '. " , ' . , - . ,Q Ide.lurý" potentiål hazardS;' " , o Purchase personal protective equipment; o Promote and train employees about sarety~ ~ ,', ' " ..' " .,'. ~ ' ',' '. .',;'" ! 'j .,,: '.':-' \ \". , , ,,; '·t.". f ' '. . y' ;~. ~:;:l~Ping a workPl_safety and Health Program e ., '., ':;<'';'' , ,~"-, '. ,';.:.' ~';":)'p~,~:~",",;,:.j",·:,,~',:':~:~:!;~'Jf{:':':': Let yóur"ërnployees kriów of- y.òur' concern).fo·r"s¡fè,tj~bj;·"·· 'J,::t:t':'~':r,;\~,'2;;j:i~¡L'r~{'~}-\':", ,..," : :',~ ;:' " ,. "... "" '>'~~" ,', '.. :/.~'~:':" "" :' ,::~t~:,<::::,;;?~;}::}):,,:;~~·/:::;:y;;;:;:¡~5;fij~1,~~:;';~Ûj: ,0 Ïncluding safèty' : and health;7'topi~s'::.I'\,o.:meetings' .and:';c,»nv.e~t.Øns¡'~i~~tlj\,y:' ",~t: '~:,,:; ::::::gemPI~ye~S' to"~2{~'?~~~' di§p~; ~ ;~¡!:Í~~A'1J~~i~ ' , " ?~,>s,ø'ety., "." , ,.' ,'/" ,., J~;\;;'~~~;~$rW?t}~i?" ~"" .", §":'Taking,Qny" neêe~y; cÞÌ'rè~#~~ ,a~,ti~n: ~,ft~r,: .'iqsp~c,t'i~ns;::,~'.~ç,d'i~ê~f~1~'t. ,'" 'resPonses toemp!l}yee suggestion$;ßr,:for"'ardirigaJ:ì$åte.tŸ~$.Ugg¢;fiP~s.~~o,',J~,~';. ' Obroch ~in ~erso.u¡~I. '" ;;~;";~~¿;!5"": , ,: ' ,~~:;~, ..¿t~~~~~~f2;,j:~~ig~:;'i' o Providing feè<:l~ck 'on th~it~åfètŸ7:éoncèt11s a~d pertÖriP'$'~cè~' ,:'2;:' ~_':ir,~:~:" '..',,", 'H!?~r~:;.;, ,': .t. ~':'~J' :..?' '.' '>', ' ;\\ ' "'lOl8'l' <.,_"J.. ',. , ' .. ',. " ,,\. ';,''' ....., ;,~., ;,..../., ; .:j,~,)~;;j.?\':': '::~:~i f;:- ' ,.-/..t , . " .'. ; ,,~ .. Most importarit~you as managêr must 'set a, goo<Ì'example!, :'"~r<'~. :.I4"!- ~··~·{{-·.',.~i},/:(·Y( ; " .; .,. .. " ", ~.";~~~>*:'.:~'. \~"~':l:~)';" ~~.." it~~~1~;<¥(,;v",< ,''<.¡ ,1" ".....·.T.:,.I1I1!;·..t.· .. .' : {(:L'; : , . wpe:122/alà Attachmel!t ,'. "'.> ;:1 ." ~, - ;.. -.:,..... '.. ...:: _":,- ',', .' , ,.rf5f~'~::::~ '" " .. I: I ' I=' " ,.". " ..." ,. :_':'::~:~~: i.,'-' ·t..;';·,: ..... 4...);" ~..' . )".: ._·{~I:: -t,>/..: ..' "). .,.' , ~, ,< ..' .. :.^ - .:> " '" / r. . ,.":, " , '.:.' t) I' , ( ~ . ¡":' ''f;'.¡ ~. I" ':, ( . . ; J .. \ . ,,: . ~. ~\ ::.! ,. . .-: .'~ ~, t· . . '.~, ' . , h ,":".~~' ~.,,; :,.....:., ..,. ~<:~"':'~1 '" ~-' ..r' , WRiTTEN HAZARDOUS COMMUNICATlON1NFORMATIOM' , ' ,.,:,;:." ,,:':::,;r~:>'.:}\~f.;c>';,,~O;[::'" " , ... ... As ~ ';"m~y."¡';~iew~il~~ ~i~r~~ti~n a~~ ~roe;u~;N;~~à~~~;fir$~~~ subst~n~s and the control, of haza~;'· V~f(.~ur, cçmprt}hen~~ve H~:?~~CQmni ~~i~:tié;)9'.~~;j./F;,~':?~:l¡';>: Prog,ram,which inclùde,s c~~t~~n~r;>t~~~i~g~;¡'.M~~èr.i~t..,~J~~ ·'Dåt~',Sheë,ts.,(MSD,S~:",~~(r \~::(,:,~¡'~,~:fJ ,.' .' t~~~ni~g~:;" " ,'.':..'" ,'.,,:.:;.:,.,:, ~[~:~~<~'.< <\\~}Tt, >~,.::: ~.~:~}·~,::;Yi~.,:\,~:'¿~~ ::,.:'.:~: :·,~",::;,~~~{'rtt;';~~~;~~~i·,it¡:lt' . , , : ' 1'~~ ,foll?~.irìgJ~fº~m'lÌjip ,où,tli~~~J1.~W¡ 1N~(ca:r( ~c:coll1~Jis~;~(ìls :9bj~¢~iŸ~:',;}· ;:.,: 4 :. ;,'i i~5:' t: ';it~~~~!;~;[:ff~:t~~;~tlJl~;I~~t¡~~k~' ~~;'S¡"~ ~ ¡>roducts with hazardous, su~t~9cé~<w.i;!1.be, i'e~~~:~d:Pt~~,}<):.u~~\~)f, ::Ji~f.ý?,*.h~~c;:;:" '}';;-0 ;;llOW~~~=;:;Ã~~~~î~~;[¡~~~~;;f~~t~~~Jt;!!;fif}:t~~:JkI~;~,$~ c. .." .' The name. alld address. :o'ftbe>manufactµrer.':ateliStöd':;''''~;\;':':~:·· .:>~~:::ÿ rt::;;')~':;;~¡l .~ ' .' .,' ,;;.:",: b'e"e' . " "'·s".e'd'··sho'··u'l:.l·.':.;""~ ke' t,l·n'c'.t·b'e',o4P,:fi·· ·c'·e,.·.:.,T·he·sto·re,ma"'n"a'''',e~''',·'',·w\'~ñl'b<,e':r.e··,''sc ·:··,'·0· ·sl·b"I;"'¡~:~: "h,.,. ':. ,_ ~ ,- ",- _ .~t. _.' '. ".,' ~: < ,~ ~" - .,?,,> .i'-_ '.¢_".-'I:(t'::<'I!'~/;., . ,:." ._. -. ~~ _,' . -"' :'.:.'i ..g:...,,,~, "~.~;r;.~ .~.~ ~,¡,.. ";'.-'~~"".'~ ' -!~':'~.::r };:,,'" obtaining"aJ14 maii1taining thesè1:$hee.tS~~:~·:Né,w:'she'ets~rëceiv'~~wUÞ;,I1êê'rlèÝiißwêô~ ' "., " thë storemanágérfor ~igtilfié.~;ntih~aítii/s8fetfinfoHfiàtió'iÏi:~Whi{ti>,~iì{J'~1"~:,'~'o',"$è:''''t\j ...' . , ~,';>: ,>'; ;'~i.,;t : J on to ~~~~t:f1:ttp!OY~~,;:~~~l;~]1''i~~:;i:l::~b~!~~;r '" ,,,.~ ,.,,,,,,,,,'," :,L\ ~.;( > ,:c'/c,\~·~tY;,.r~: ~SDS,~è: ~y.~Uabl~; tQ t!!l emp'~oYe!f .,~~;w::W~e~I);S~~u~ ,"'., ',:'.,. ,r,?Ji.:U:i::-:!·'{~~>"'- available,'or ne'w· hazar.dôus··subSb:Ú1c "e~œ'Ìlot-~öªie:~ .f ~~,"I ',", ~~.':\... . t . :,~'. '~i' <~ "';'A~ t' '1 . ~ ;- /', ':) d. . :,-\",: ... ". ,,-: ....,:} ~~~t.;;.{~ ~ .', .....f\ " , ",;,:) :':".,~:;' '.,; :'" s.ore man';iger, m~~~~t,~..Y~,: ,,"_~,::: . }3U"'''''¡:':;}~ r\;,':>: :,'1':;;' H':- ,.' :¡'~';; t '.>.,;:~';~~~:!~:,,;.;'" '.. "':.. . " ':',' -: ~'. ~:",:-'::l!'~.:,"~:,~::'-,.:: ';,i~;~:J5~/,,,·,:':";J~:>~::':~:,}~\}};,··c:.;;,..)\?:·,': , ,':" ~-;,~.~~ ". 3. Employee InformatIon and Traimng ,: " ;,:~",,:: ': ".' ;':. " ...." ~{<, , :~~J(: ;' -:..~" ...ri~ "~J.r/;~~:"':r'~"'\~:· ~ ~, . t: '~:'~J,..':",':'~l:~, ;~ .::.:·'..:~··l~~~.;¿:'t~~;'"<;:<~j~ '~Vil;~~,:;~~. :~::;·;;·-):~~,:~'~~:·~·:~~~::~J#t\{~:":~·, . ""1', ., ·,:è-'::{.,~'<j~.; :;", " .... "j' ~ ~': ',..~j;< . ' , 0:','.' ':'wi1I':'/:o<ñdu"';; . J"'..:ã1ih; 'a'rid "sa- '¡'¡tJ"\.o·'-i:iå'," ... +.....~f:...~~'i.'~~:A~~..';_......\..:- ~ J" ~...J... ~'~ t" "", '''h~~J..·~..........." .~!~~ ...,.~~"..... ..~. ;:- "J¡~ ~J~t......)· . , :", :." ,""-~4~;~¡~,;;::[v~I;':?~> n.ew ,emp.~<?Yèe ,prior ~f<? ,~,I)~,~~-¡~.~árt ,<' .', I(,il" : :,r<T~ª~~~f:~~':- ~ ö,'-:",,~; " .' ; \:.'f;,~'~~\{;:~~.~ .!~W' ;;~~~.~~~~!~~\';:';" " ~~¡~ '~'.~;;ì~~f~f;f;:~~ jí;ljÚ:;'D\;·il61j;~(~~:~j,,;~~~';i~~j .' "":',~, ,~_'~:',j""'~{ r',;>'Caù,t'ion: coneerriin' :an'" "ïfè .ô.f¡~:h~'·~· . , ê".é-bStai{'·" ~tt~¡1":,:~"''',' ~':" ':'l~··. ,~~::~' ".. .., · ,'-, '.;: "':)'?~":"i:'>;""":"-::':¡";'SuPPlý'-Box'and'FiÎ'št'At c,: 1 .;~"f<.;n:-;'.t ,:,:....,;,... .....-. ,.:~.,:: :::,~}./~...::~, ::~.:~~~;.;:tL,_.:..~.~/~'~~. ..~~}~.....~. :.~J~t",::.:~~::":~':,~.,;;~~~~~~~:~\~~.<.:~;-~~'.~·J1fF., .~.~:..(~:....,\:~t ... ~.:': ,"<'~':'-:':, ';(éf: ,riìSCùSsioiï'o'f hQ,~)~.re8P9nø;J~'e.~~~géncie~",:"~-}:,:;. ,,'n' ,~,l,::~L.~r '.. ':'. " '.: ',:-::~ .,: ,';..(. .; ..;.,.,':, .';"'~,:' ,.... ". i, ~ :~>",;;':i~':':/\+r ',;':'. )~;,;~:,<','.",:;'··;'~':,o,v,... " '..,\ , , ' .. ,,(f) '. DiscUssion on how to lesSen öitpmvenf exP'oSüre .to l\azardous ',,0 "'\~~~~:' , ',' use of work practices and ~rsòna¡:protêctive èqúipmÈnit:~S~>,~~,,:,;,,',1:{~.~,:,~ "';'-'>':,"~i~, " :::,;?~:: . . ,,' '. ,.,:>'. ., , .' ":";'t','::,·?{f:¿~,~\:~'.'~·:;~'!:7,'~:,,/.~~»>:\:ff;~ Description or the steps the company has taken tolesSènoÌ"·ptèŸente'Xi.>ósurë\t~ t ":,:'::\: to these substances. ,', :,', :.. ';; .~>,.:;:~:;;, 'f'," 'p' . < :" ~ " ;' ? e ';. \,....:. - ,. ,. .. . "'. (g) ..' . .. ...... ~. , / , ., " "'""'" - ~ '.- . .r··.. .;" ';;: :,,\... .' ~ :..... :\~', " .. ' '1 (It) , . ,~_~ "1, .':0' .. . --, ~ r " ....:. . ~. . .::/..: ., . ~"t ~ .." .'.' ¡' :;'. ...... " e ':,~ T~ be reVieW~d~~,readi~g.elS . .! ::,,;-, :~ . .' .J." . ~ D' ~. . ,"- ..~' ". ,:} " : -...., ',. " . ,J . .~ " ,.¡' ..;, <"'., ~ . ·...~¡ì!Joth~r.. dise.~o"ø~~'!1\Ì'~"t,,~,~fj~dÜOSllOffo~,.ïIì4~(å),m'!Íf~RÇ,ti.. ,. ~. : . ~ .. ; . '", . . . ./.~. .....L.. ': " .." q~ ~~!"~"~\(;-< ~;~' _'. Hea~~\ Hazar~' . !" cher'ni.~al, ~í x,tu~~ ~ .~( ~~~!niC!il~ ~9f ~ Ii p~>~~og,~n: ,.f~r;~. ' ?;~~~'~~:i~~ ;~:.~~)¿ ':A~i'?~ statIstically SIgnifIcant eVldljmCe, th~~ ',~~~ Jte ',~r ,ch~9-q.!ç~, he!J,l~k¡{e!;f~f~M :<,J~çp'qr11>"'""'''' . exposed empll?y~es. This includes p~~i:ç~l~ whi~h a~:~¢arçiQõg~nsi~~o*,~'~t.,~.>;." J,ghJY,~~q,~~ , " ':, ágen~s, reproduþti ve toxins~ irr;i~~'1~~~ ,~fr.~~i ~ê~;, se.l;1~i ti:ie~,.~',$~~~~º;t:~~Jrii~~~~~eljWpt~'x(( " ,', ',.;,);(:< neuto~ó;s.~pSt ag~nts which act' o9~tb~,:~,~~~:~~~ò~~~}~\8y:St~r-n,,,:~~~~\- '..' ñ~,~~t),~, ~~ -" '.' '~,~J: :;0' . ,,' lungs, skin" eyes or mucous membranes'."·,, ,·,f"..,; '" . , ./,;.: :" ::. '. ,~¡'1! ,~·:L.:',;V,:)'~; :, :/' ,,\,: ..~. : ~, ~., /,: '-':" i~:·.. :.\;:~ ;~!;~,+~:tlr1/\~¡~i:t·r~~::-}~~;!;::,~:t~~;~;f~i:~>i.~;~:i~~~~t~ ; : > : t: /~?\,:' : "IDt.H: òr.,Irrimëdiate' Danger tit'-; Lifé:;or ~ Hêaltb:i;;~&: ;~í)Y)?O~c:n~t~~,:, " " ,:' ':.; ;",~,)',t~t¡~~t: tt?' 'Hfe;·,;:~t ',whiéh ',i~ :,1ik~lY:.0t!:t resl,Jft ,~IÌ;';~ë1.!,tèrpr.:¡;iMfT'!~~r' . , , ~ .: ,,:',:~;~:~b,;,{Fh!~ 'inClÍJçfé~·.ôXy:ge!1, .defi:éienc}r ço,ñØi.tion!J~\,~,e¡nsure:(·oìà6à,g~ ' .. . \.,:.-.."' ....., ~_"r --:\:'".... < ..'.. - .... '. . ~ ~ ~ ~ '.. . . '. Æ~' . .., l. «. ¡... ;: . , . , ' :,:,,;,':;:;~,~, ,;,;::,( p~oijuct' that .carr,y thur notice. \ <~':::"" >",,~ ',,>:'" ;t,,§",: ~':<;.~;i',;~, ',' . - ... ......... '!.:..-.~..:!:.... . ~, !. , ~ :;., ...: :' ~. ',' . ,"' ~ ". .' , .' ' ä~d knowledge"ríecessary ·.to, .;, ir'nþ'le,ni~nt:;:,ij:;'~âfet~y, pl¡3o:' an~d:;":~f;!~Jfy>,çc?fFj'Ql~â '.., " appHcablesafety:'and healthrequirements~':;·;.'/.:. ,;:~ .', ·:'::'·;;",~'·::'~::,.:·:>",;:t,,,<;,,' "\~",)",,, .' '.. ..., . . . .' ',' '. ...... '.' . fir, i:2'.:!k}~~::~~~:~i~·'~ Shall: This term indicates a mandëat,~ry requirement. ", . ,. "'. -. ," f' . :. " i...·· ~ " , " .- ~' " , / .', .,- . <, ",j' '. :1," ¡ :i I ,I', !I !I ~ 1 H 'f ii t !í I ¡I ¡ !i' \ I' I , , " f I ! ; ~E~~RAL DEFINe>NS -- '.' .'. ~ ' .. .' ,;.",¡' " '" ;.. ...... .' . .' '" . ~..1"'~~:'...:':' . .. " .... .' ,~ .¡. :.. ::I ~ .., i.,., .. "\ . -~; -"if'> >: (,' ~_:: " :', ....;>~. I.' . .., ~~ ";,- !. 'J:~/;'\":\~' ..."'4 ~ ~.,~ . "'".:.. . " Y;::¿¿,ß;Y~;~~!>~t~p,~~.ee.:...; " "':~ ':~':~;;i::~ " FROtVt:"·, S~-òre: ,M.anáger --, ", ',~:~D:;;:~~:',;~~~~:';::~:·;:~:_~~>: ,,:, " " ". EMERGENOV REsPONSE PROGRAM e ',e ",'. ....\,.' . .:.:". -, - .'~.~, ~'. ! ' . '. .[n~~~~µ29~i·,,",,;'£~~t{;iJ, ',r:";"':~);/I' ' ~1l :<~ 1',,- ':'< ", ,~..,. ",·i~ ';- ;j'(,;,;",-" . "'~/ ':, ;.- . :,:;;¡7..:'::"~:;:'.: . ' .;..;', :~~~.'~'i.~}::;..\ "'.: > .,~.~. '," .' .~ . "d' o ,:';';~f~~~;~:" L.ongs,: Drug,,:StGF_eS has ,\;' ~'·;:rj.~J~~~'":t":'ñ'~ã1f:6r' ~hd,~'sŠ-f'~íý in. ," ".: .~"". :}' "" ': (;.,;;,,' ';,:', Bomb Threat' ,'~ ." Chemicàl' spiiIs and Cleanup' .. ". "~,:: k~ , r I ',' - , ' :. ' ," .., -I: "::"~~..: " , I·· f I " ' ~ ~~. {~.~ ~~- ~~~,-"\-~; ~;1 . . ~'" ~ ,,~, 1'.· " ... :',.1;\" "~> ,"' .,. '," "'..:..: . ' ,"., , , .' , . oj..'" ,"", . ',' " , ,..... " f " II ! :,~A~~l1~i.;:>. ,', i '0 t:, ~¡;outd.¡ån evacuation ofpaI:"f rnanage~ vi,a t,be P A system. .,~, ,,~. : . -.... ';; .. "." '. . .' . . . . . .~~ '. . -, . . AVt?Jº}~.ß~JG"I?~ Çf\L.fv1",E'!f\~¡YATE 'ASDI~ECTED~ ~'::, '. '~, ."AdvlS~ customers to· follow clearly marked. eXits. " . ,'. , .' , ">(>,.: . ",. DOJlqt use.,èlevator... .. ",. . . . ." ',~~f?:=~:I::~;:~~·r¡i;~.~·...: .....' .<~.. '" '~";';'(';:.'" ·~·~'.{:,::~I~~~~j~~~~N.:;':·· . ':1~'Y~';~~ì\,~~~¡~,I,~}~~1~b~r;iä~i~k~tftJi~~j~f~~it¡;:E~~;:è::ll;;~,~f~.';~{\,'::,~r.~.t~;I~,'.~;; POWER.CJJTA(E!. '.;,".~" ~.._.~.,!.;¡ " . -_t '7':-\ .......:. ·~.~~:tt I~~~;~~~': i;~·p,;'(·'..~;.~"'>.::l-í..~~.~'I;I."~.,~..·~,~"'..¿:.·· 'Yr: '.', ~:~~~i,~:J~?·~·o~r.~~&;kståtiån unÙ{ toí'd~t~~~wiàe::;·~¡'~",·+' ~,} :';.' ·;¡~:;~f;;;:~:~'" " ..···:~:;.:·:,:~,\A~~~~:~{,:·}~:<";r:~'::):~~<, .' As,&< custo.m~r~.,t~, remain c,~\!\,an.d. no~ t9 mçte,~ ; .R.emembe~~:Y~u.,~ref~rT\lU!~;,,;~!t~~ktJi~. s,t,!r~>,; . fJp.9r.:. p!af;\; hp~~v~er,: a, éust9mer,:. ~8' ~òtanQ)~8Y:, ïnNr~ ·l~H.~!f'~,~!t~L:;~'~ii~,~~n~U'~x~,Q~~ff!¿Y;·~~· ·?tur~h~W,.t Instructions from a manager '~ V\£~G.i>~c.." . L IG'I4TS-'" .....~."·'o',,.·,,';,,"L;.ï'~;~.,~'W'.';f!~~'i€d ,;< ';:.'-'Æ'ii ' EAR1H;";'Aí<E"~:~.:'" .... .:: ~'..' .... .......: ';~';~"j:,j.';:'V'iì·:,~~;j;';fi..;;:I· Be calm..,."" " ";,, ' . .' . ',0:, ',', ," ,:,., ~,,: ,,$t~y:,~óslde~~~;,":~,:':'~:" ,:<,::. :::i.~' ::',:;:. ~", .,' ",: ',' ",':~..~ '., .:::~~~\~:\~~/~;' ;~~~}~~:t~f ' ·:~;1'~~~:~:JI,~: ~ Move' away...from' "WI ndows and ,cab iñets., . - "'!; r~::, ';'" ~""",~;..;J'<' "'}~~';';"\'" , :;', ~;;l7ß, \ ~ ..,....¡;.... ) ,," .... -:::.? .'~~ ~~. ; J' ",!¡1. ~r-":' '> , I. . ~ \ , t,(~""·" - ~... ' , .r, r'~"~""", .. ~, :;:,".. ..~~\ Assist' custom~rs 10. taking cover and'staYlng away frolT,t, window8¡~' ''':- ,:,,~;t;:~~\' ': ~....;:,/:,;, " !",,{i.~,. ~.t T k d· bi ...' ·d ", "" oJ" M . "'~"'".. ;.; ~~I.:.......,t..~';tl ~.'rof:·.: ,..., ,,' .a e'cover. un er, ta es,of,cas,·,,-stan s.··' ,.', , ' ' . " ',';¡.,b···'·:<'<,:'.."',',,'·::,;"';;:,";·',::.~..·:,':~\~,:, .:'~ > ~",:~gx.~if:lg~~$6,:~QP:~~fJl~mès.'; :<:;::.:~~': ,,::,~,}~;~~,j~; ,< .:: >~. ..' '" ::.~:"<, ~".;;:~~:y:::::: ';~~ j~:~':;,~i,':" ~it;:~,~r~r'?::~,;"',,::':':>;: ", ~Do not.rùn,thr.ough building '" . ,\ ""'- ....,... "~''.'\',,, .~r:'".;". ,.,;,::...-~:,;;:':..'~""" .... ..... .F+!:~[l~~:,:,~~A(:~ ~~:;:, . .' > .'''. .'. ':'~:"~"', ~l¿:~~$~~?~:~;[~). "~i{¡~\~¡ " ':,:', :',Y.,: <:f~;:~~~t~PjTI[~~·FJ~s"i:?,E'l.~~\,M~NT., Di~l 9~~~ " Gi.~~:~~~6t Id9á~(~W~f hr,e\a~'~!:t ~< ,,,. tf.~;;:', ,,~ , ,",...'.';. ,:. your name. . ~ , . " :' ",' . ", ',:.~,:,:: -,' ··:'.t:f:\\;' J.:Ò:',1:':' ."',,'....(» :r~o,tify·managerfor~ssistance..,:".' ,..'., : '., >," :,..<;.'.' '.~ ,::,/,~:",:t,r<" . "<. ,,' .;';'~1:J- In ,š,loúd~ ,ëlear voi'ce ordèr ai(persorîñè(~lealoftht;¡årèä'~:;:::"" :\.'\':,::';~;~;·!;i:~r.:·, '/~t~r;' ¡. , "'~~,"':.~",:;~,':,.',~~',J.~~,,;:,~~';:~~,;,:~~:\~:;~:;)~><:~):". ",.< <',.'/.,""í:'~,,,/ '. ' ...; ;':" ':>':~';: ..··;'~~~;,,::;f-~~,t::',jtl~:¿ f'tt ~kl::-~~:;i~:, _~ "'~"''';':t o~ ~aJor~~.i4 10""" ~ -:.!'_ ""';..:"{¡' f-"l,¡.' ~ - '- ..:'~... ,.~ . .' ~ ~ ¡ : r:"t ...~"'..o: ~ .. t. t . u·~.:!. "'"~~ c....~ ':"v" ,..:l,,~,. .~<""\~ \t~rt: ~} A~ ' "'~... , ' , .,,' :;::' ,~~-~~;:!t: t:»-Ì\'~¡t~'~Nè¥ìÊ~Vt:~F!IRE' ÐEP'ARTMENii. ' :Diar 911.' ,Gi.v¿, ~xac't~~~b~tib~:ci'f:'fi'f.;1·~d ~ :~~';,~ ':;1'" .;"r';;~;:':},:~gr:< ;~"";:: ·¡\/t~~!:;2~~~i;' ,"'¡,', ,', i ,:~. ~,:;", "', : ":.: :,>~;:~,:~:,~, :'~;'k..;t~\~f.~~F~~;~~,~~~·~~i~~:i}f$/,~· :,: ,'~:n~K:'~~:'" ¡ '...,:. \.-:,.:, \..~.. , " Not~·fy manáger',för"asslstance.'~~' , ';/":;;'!·'.':;;W~~,~;,·~~:-::,:,:);:ti~'¡¡;ß.J:' . ',' ~1il;fi;,~.í,ft~¿(¡:~(· \;:i~1~?':::';';''- ! ',: '~:~:: ':Z~:'::'.M~~.ÿt(~I.èà~}~f ,t~e' fire ,area' and !n 'a·lo~.~'''cl,~~:'v·o~~~t, a~,~j. " J~~ý?~~~~~fi~:)' .:" 'h' .:,. ::\:;.,~~~~~J.11~::l*f~g~,~~~.:~i!~~;;-~~~';P'¿)¡'¡'j~C~',i, ii·' . ..... ....,. , , Listen, Be alert and,eus!nèsshkep".i '{¡;,:..v..c:' :t,,:, ~';"'!;;7f",,¡;r;';;; ·~JA;.. .-, :;1:,;, <, .... :':Keep éàÌler' öri"the'1ihe~csignal' s9meol;1e for helP: to' notjfý¿&:q)(n~9éi::t:~~~:".. " ,,'f '-L( , . :·R.epea~Jryàtrú~tions, take detaih~d:notes.:,. ,',' , ,,^'.;:'- '"~,~,,P ,,:;: ..:::,':~·:~;:~3·;:~\;""~:l; 'Ask fot:' bo¢\b 10'Cation' and when it t!nO go off ~ '.. ;" ':"..')~::;·:~f~~'<;;~~;~} <,~, ','tf!~.i :,;-.'.' ',.r.;f:i 'Infcirrrt'~áÜèr th;at building is occu~ied. ' "'::~::';'i':,':'<~~d~:~;:?~\:,...i~·: ':,,:~~~t':.:2t:'.~.;~,:,~.:,'.~,':': Note caUer'svOlce, background n01Se., etc. . ',~' "..<\ji~! ·'~:£.,1;',;~i.~':" ,,' 00 NOT TOUCH ANYTHING SUSPICIOUS. "^'~.,lI':,~'" <,':: :;;~';~;7;/ . ~ ·¡s. ~ ;~.. I ì ,\ I j '. > -r' ,w' 'I' " I',. I ( j I I í i I ; I I ¡ ! e EMERGENCYPROCEDUR.¡j .01" .. " ~~'~IOf::~~,~ii!'\¡.y~!~Í\i!>'''';Ì'OqU;;'d; It w1i!~e';~4~~r:~~1'~~;';¥. " , .... 1 n ...., . .;; " , . wpc: 121/26' .. i .,.;." e e·, '~,,~,.' .~~;:~I!~~r~}~' ',~R~CYPR~~S '", , ':' :'Che'ìTtièê1,Spi1Ìá~ añd: Clèanup ProcedUres ,: "':'> èhemlé~C~'pi~ls)~âñ'nDe'" aãngèroús~" 'ror"" this 'réason~' in" theevenfqfa,."êryelf1J9.:¡¡¡~j~":'~~,;;~~~i;;~P:~ " , .: ~ ' '. ,sj;m~.>immädi ateJ.5'~;J~~" ¥:"ä" barrier to keep other employees or" custo~ê.~,aÝl:âY.'~;:~!'1~~ ~}!~~~({ ... : ·:,~"<.~~h~F~~,~nd~r,· th.e ~irectio,ns;of, s· manager, ,begin clean~ng upa spiU,as:soon'"ci~~póSsit)le:jto?ÄJ?/:,"'< '(,. :.', rojFli)Jïii~ t;tealtÞ'~exp~ureand possible prob,lems with stains anq odors~ " '1" . ':,:,.' '\:~~};,é::';~~,:£'" ··:>t,':,,~i\; ¿~~~~:~",~,': .,,', .' ,:.' '.' , ," ;, ":' ":-'::, :';\0it~~4*i}.ò~r, .:' <'~::.~,:{:{).tl)~~!:,:~~Y~~:W._bEin cleaning' up, wear rubber or neoprene gloves, keeping the ,rëJ~t Qf':you!~~b,9dy.~~?·r,~:,(~~,:: ' .:,i7.~:t::;~;:qQ~~t~Øj "Ønd,!åyoiding inhalation of the vapors~ If the vapors are ov.eÌ'whelmingi:!~~~,~~,tþe(',:?,'\' ,-"',: ,1", ,,'- '-"0.-, .."t\ ....."... -I _ ·l ."..... ',... " . . '. .' _. , '.. :',' ' .; ,. ~,.. . . ,.,. "0,' ~, "_.~,.;. 1. ",; \" '~':':::.' '~;:~::;~U:ê~;l~",êØi'~tely and in a clear, loud voice direct other employees' ar;id:;~u~t.o.rry:~~~:,~9. .,;j:'~~s1'· ". .::.7:;:ti:,,¡1~1~~~~;~'~~"~~~!;~~;~:"t.;~+:'~·:~~(;.~:-:~',,';,:' '" . .,., ' . ' .' ,', '·~:,~;:.~;~:;;HJ;Ri:~JT\;;,:;~~~{i:·':::;;;'·jJ:~~~r' {::;::~.'·~~~.)l:{~:~·::·;,:Wfifi:ff:~Pmed',:so1ids .tnto . a plastic bag. Spilled; liquids stíoul,d'.f.irsf:~~,:$Qâked:, ,ùp(';//:'f!f,~,:, ,;::;,C~iil¡I~'1ifj{f~~~:~~::~::i:a:::::·:l::I~~:;:~l;~:::~:'~;~";Gf~~,,' ',' ~i!:.:,.,g~t~r.gep~;·.'EiI?llltt3:d>,':Ylt~ ,.;~.' 8cru~ ,brush or, old ra~s; re~eat clea!,~ln9; Wl,tt:r,.~~~~~g~':!:t!.,~?~~I~:-.t~'i:/~:~Jf~LJ:(':~ , . .,<~~;.tr~ceª;of.. the"ct:II:~m~c~l;~re:gone. Absorb each time wIth absorbe~,mated~J:.,.tAlt"çl,e~u'j , ..,...". .,h":\~ " .::: /,;"':;.:~;:;~ ;,m"'t~r.~åf(slÎ,9ÜiCi~'~;,t~Þ~'W 1. ó~r.in disposable containers such as se~l~d'plåiJt~ç,~.b:~<·· " ';~; ·-;2~~#1tc~:~;;,~(~~:~~."ji":C~';"'. .......,. . .' '¡;¡";"~rij'f~¡, '." '~:.:~'~xq,;'~:"'<"·~.'ö8t'~^':'pI:Qëi,Qc~:::,,~rrièd AIr. o~r st()rê;' are . labeled' wit!1', "p'er~in~ \~;,:~:!: "::,,. , ',/ '.~3:"j,:r~st.r~~~on,~.~, . ..Iq;, ,~~~:,:.~,v~r~.})f exp~~r~ to. r.:he~ic.~l,spil,ls'e.JTlpr~r.~.es,~~~;ºt~~I~:,.!.,¡v,;:f, , , .' ; '.:', dlrecti:ons>:hstedr~on;;tRe·label. AddlttonaL mformatlon.. may ,lje"avéulable: m::the7~Onr }èt;~~0i~'~:i~C~\II~~~f~{~¡~~¡¡~~t~t=~lX~S1{stií~~~\~~~:'::':~<'>'r" ":' :{:;'::'¡:';,:';:~0,~~ '~þ',~e:<;:Rf.~:q~~F~>Wi~r: ,~Fofl\"~sioriØ!:in:',;edic~l;attè'1tion. , Shoµld,tt:ti~/~~J',~:~,~ç'þ,§ ,'.. "';:' ;~~'\ 'i':'.rem·' h3e&~~~$f),i:h:tld·:;r.en)êrrib,êr' t.q;~akè: ,the".contaiiíêrwit.h i ts,label-. t9 . thé'iëloc.tor.:~$óH ~." ",~l(Cj~r'·~~!~~.":t~fl!~;'!~1î~>':~: ···.'"':;f_lit~Tt~~.;. ¡~'1'r,_", c, . ',. . ':,"",,-' '(.' "·.Ir1;åll.~'suctrcaäes:of chemical spills .änd'exPOSt}tê;" ernplòYee.ÈÍ,.úrT!9st,.", 'o~ ~alia~",ènt imnjedia~aty' . v', ., '. ., 'fE:l";,,.,'.',t.':~,~.:,f.~~r' ',',' 21' " ,'. '., wpc:l. /21.",,' '... :"": , . ...: :,. ~ . " , .~ . ", ',' . .. litl ~:~\'~ !',\' ..' . .. "..::, . l~' :- : '~~.:"1'~', / ·~ .,' ,.6 -:.~,. e :\~ ::~~f.~f:~~~~~~~,<r :, , ",":,:_j,:,;~:~fL}t~ ::.X,:,..,.,~~i,,:,:: ~'"C\';i' ~, ,.;-" . ".:to: ",c;;EMF.?LOVEE: . -~) ~'"~''''' :. " ;>. -, '. " ., "';f~;:;;<Y,9û~élf~'~,è. fòtì'~8I:~,thê'(mrÿFp'ersor(who, cJan;kèep 'yoti:safee.vérY~Cliý;¿olÎrth~~¡jp '. .~ ,~, ': , ·:~~j~d:1.~!::;j\~:1:~~~~';~~,'Re.p::.e'~~~o' ..nd"p.mPhl~"':~~~f::;;I:'~þ~;~j¡~~~~ ( I::. chemiç, '·:':~þslø:nß.~,~::Jt.·pr~: s'ells. I knçw emergency procedures à~~"w~RJpr!Íçti~êe~:;~(' . .e~:1~1; .,' "¡I;t~£~!íJ!Æh~~~K~; ': ',:'J'":{'''1~ ~~~t.,~~;i;í¡~~:t~~;:/.r:{::" ;'.- it', ' , ~ ,'. ,I " .. ¡ I, i t , , ! ., "I: , ,;' .. .:¡ .~~ .,: ~:>.k~, ~ ,;:. ',¡. .- . ,,.t: 1. , ... ,'f' í>: ,., ' '~ "":{:. . - ,:: - '.. ." J e e . ChlVlÐn III ORTHO Chevron Chemical Company FIRST AlD- In case of accidental contact ~ Flush with water for 15 minutes. Get medical attention immediately. Refer to product label for further instructions. Wash thoroughly with soap and water. Refer to product label for further instructions. If in doubt about nature of material, get medical attention immediately. ~!l:à Remove contaminated clothing and wash skin thoroughly with soap and water. Refer to product label for further instructions. If in doubt about nature of material. get medical attention immediately. Wash clothing in strong detergent before reusing. NOTE: If medical attention is sought. take labeled container to physician. Emergency Supplies Keep the following minimum supplies readily available: Rubber or Neoprene Gloves (2 pair) Disposable Plastic Bags (2) Rubber or Neoprene Overshoes (1 pair) - Heavy,duty garden type Absorbent Material (1 large bag) Broom (1) - Zorb·AII,C'!J Kitty Litter.C'!J etc, - Household type with natural bristles Detergent (10 lb. or 2 qt.) Scoop Shovel (1 j - Strong household type. Tide;) AII.(~etc, Fire Extinguisher (10 Ib,) Disposable Pail (5,gal) - Rated for A. B. & C type fires e e .. .... Chevron === DRlNO Handling Accidental Spills of Garden Chemicals To all dealers marketing Ortho Products: Ortho's consumer products are available in a variety of forms and containers. The detailed, legally required information concerning the hazards presented by each is found on the labels, and if label directions and warnings are followed, it is believed that they are adequate to prevent injuries. However, in spite of the best of care, which should always be exercised, accidents can happen and contino gency plans should be made to be utilized in case of an accRtent which involves escape of the product from its container. This guide will prepare you for most accidents. Read it carefully, discuss it with your employees, keep the emergency supplies handy and retain these instruc- tions for quick future reference. Despite your advance planning, unusual circumstances may arise. If you have any doubts during an emergency or if the spill involves 2 or more containers, contact Chevron Chemical Company immediately at the number listed below: Use only for emergencies· Please contact your Ortho Sales Representative or Regional Oistri, bution Manager. for marketing information. complaints, etc, Revised July. 1982 e Immediate steps- ....;c~i ·H <;;¡'?, :,':.."'..'.."'® ;~ lean- p )( e e ®~D[sIb® Isolate area Keep people away. Barricade aisles, Ventilate area oo,not breathe vapors. Open doors and windows, Set up portable fan. Clqse return grilles on air conditioners. Keep fire sources away If spill involves more thàn 2 product containers OR if you have any doubts, STOP at this point and contact Chevron Chemical Company - see front page. I' _ -:J ~ead.y fire I ' [". fighting L --"'\equipment rlJ ) \, "". / "--,~r ~l-¡ !Put on rubber or ./(1 .neoprene gloves . ~ l I &. overshoes ~ I . 'i LJJ If a liquid-absorb until dry Contain liquid around edge. Sweep absorbent from edges toward the middle, (See back page for recommended materials, ¡ Carefully place absorbent or spilled dry product in disposable containers Scrub spilled area with concentrated detergent using broom Absorb & pick,up per steps 6 & 7. ~iscard soaked materials and merchandise, Scrub lightly splashe~ items, Scrub out corners and crevices. Dispose of sweepings. broken prod- uct containers. broom. other con- taminated waste in accordance with recommendations of local health authorities. "-:-1 ~I / 1/ I f U ~/::~ U ) \ O~ \ ~) ............ C~' , \ 01 cJ -- Wash gloves, overshoes & shovel Sl /-~ with strong deterg'ent solution. I r : IJ Change clot~ing & wash ! )1 . ¡ In detergent. I I UL) ~, - _ J, //')(1 ,'iì ~'~'" 1[/1'-- .~ ,..... . .. . c... .....: ...' e _ BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 (805) 326-3979 ,(d,_ASf5 ) ~:?' U I , .:11VSP J ( OFFICIAL USE ONLY ID# / bLflf ~ 000985 BUSINESS NAME HAZARDOUS MATERIALS BUSINESS PLAN AS A-WHOLE FORM 2A INSTRUCTIONS: 1, To avoid further action, return this form by 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. ~nswer the questions below for the business as a whole. 4. Be as brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA A. BUSINES"S NAME: LONGS DRUG STORES #239 B. LOCATION / STREET ADDRESS: 8200 G Stockdale Hiqhwav CITY: Bakersfield ZIP: 93311 BUS~PHONE: (805)832-0964 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, E~PLOYEES TO NOTIFY IN CASE OF E~ERGENCY: NA.\fE AND TITLE . A. SAM DONALDSON DURING BUS. HRS. AFTER BGS. HRS. Ph#(805)872-3444, Ph#(805)822-7389 B. PHIL BELHUMEUR Ph#(805)Rl2-0q~4 Ph«805)398-9361 SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT. GAS/PROPANE: SEE ATTACHED BLUEPRINTS B. ELECTRICAL: C. WATER: D. SPECIAL: E. LOCK BOX: YES / NO IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? YES / NO FLOOR PLANS? YES / NO MSDSS?YES I NO KEYS? YES / NO - 2A - . - t· ~' .. !,"-, ;-.~ 'i~ " SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE All personnel have received training in how to respond to '(}'\-\\:~.'H~mergency situations involving fire and chemical spills. - ~.).... ~~~ t. "All stores hfive designated a meeting place in the event of evacuation. All personnel are aware of where the fire extinguishers are and how to use them: all personnel are aware of where the clean-up equipment is kept. 911 will be called. SECTIONS: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR. BUSINESS AS A WHOLE South West Urgent Care 5397 Truxtun Ave. Bakersfield, CA Fire Department 7000 Stockdale Hwy. Bakersfield, CA ~ercy Hospital 2215 Truxtun Ave. Bakersfield, CA Golden Empire Ambulance 801 18th Street Bakersfield, CA SECTION 6: EMPLOYEE TRAINING E~PLOYERS ARE REQUIRED TO HAVE A PROG~~ WHICH PROVIDES EMPLOYEES WITH INITIAL A~D 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 EQUIPMEXT:. .. .,. ........., . . D. E~ERGENCY EVACUATION PROCEDURES: . . . . . . . . . . . . . . . . . E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:..., ., . INITIAL G§J NO IE NO YES NO S NO ES NO REFRESHER YES NO YES NO YES NO YES NO' YES NO SECTION 7: HAZARDOUS MATERIAL CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POUNDS O~ SOLID, 55 GALLONS OF A LIQUID. OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... YES ~"o I, ~ (,~ ()../::ytJ)oJ...'P.- . certify that the above information is accurate. I u 'erstand that this information will be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25500 Et AI.) and that inaccurate information constitutes perjury. SIGNATURE -¿~.l ¿, TITLE n)J-/4,f¡Jf(J~z.ú-~fõATE JixO/f/ , , '. . (...·v\..MÛ-L .,¡,,, t '---"- ..../ - 2B - Ii ,¡ .~ ~- .;~ .', .., e e TO: June Obrochta FROM: DATE: The District Area Manager and the Store Manager will have authority to make decisions for the store in the event of an emergency. List the following information: fµ~ (S tore Manager) (tos-) ~'f8 -q'J to( (24-hour phone number) - ! ~ ] i Please review the attached store plan and follow the directions: 1. Mark in bold legible print the locations of the attached prVeJuct families. 2. Mark the locations of the followi~ shut-offs: = . . a. Water \ ' \ b. Electrical c. Special: Sl~ .~.~.. . ;,". ~'... Name and address of two medical facilities near your store: 1. .sou;"" \JEST (,I2ð.EÞJT £lAta. 53Q'1 -relAx;utJ ¡J" E.. ß~I('U~IE~ C4.. ç¡S30' 805'- ~Z2.-2.z.?,j ME.Il.~1· HOSP1T4\- .' 2. 2. IS -r R tA)C T &.t N A:JLE . SAKr;e$ t==, éL.l:> C,A, <fa! 0 'I 805'- 37-? - 33" I Approximately how many miles are you from: 1. Local fire station: '/2" miles '7000 g"'-ÞCI(l:HtL€ HW\j 81J1~E'(¿SF/.¿'b (JI . ~33/)9 Address of Fire Station 2. Local ambulance service: 'Y miles 'Ol...bEN 'Þ1P/~t:: ~íH- ~í .ßAI<~esA€l..1> Cp,., q 33D' Address of Ambulance Service " .-> '. ~ . . :- BAKERSFIELD CITY FIRE DEPARTME~T , 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL GSE ONLY ID# - - -' - - - BUSINESS NA~IE: BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1. To avoid further action, this form must be retµrned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as possible. FACILITY UNIT# :23 , FACILITY UNIT NAME: C!.P ~ SECTION 1: MITIGATION. PREVENTION. ABATEMEN~ PROCEDURES 1. Keep current inventory list and update as new products are introduced to the public. 2. Keep employees trained in cleaning up hazardous product spills. 3. Keep fire extinguishers working. 4. Inform all employees of meeting place in the event of evacuation. 5. Keep clean-up supplies in order. SECTION 2: NOTIFICATION ~~ EVACGATION PROCEDL~ES AT THIS ù~IT O~LY 1. Member of management will be informed and will calmly evacuate customers and co-workers to nearest exits. 2. 911 will be dialed in emergency. 3. Member of management will take attendence at meeting area. 4. Pharmacist will be notified to administer first aid. 5. All employees will listen and respond to instructions on calmly evacuating the building. - 3A - e e ,. ... ;:- -~~.:' 0' SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY . A. Does this Facility üni t contain Hazn.rdotls ~{aterials? . . . " YES ~O If YES. see B. If NO, continue with SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secret YES NO If No" complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form-#4A-l) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yellow form #4A-2) in addition to the non-trade secret form. List only the ttade secrets on for~ 4A-2. SECTION 4: PRIVATE FIRE PROTECTION " SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS SECTION 6: LOCATIOX OF UTILITY SHUT-OFFS AT THIS UNIT ONLY. A. NAT. GAS!PROPAN~~ B. ELECTRICAL: C. WATER: D. SPECIAL: E. LOCK BO~: YES ! ~m IF YES, LOCATION: IF YES, SITE PLA~S? FLOOR PLANS? YES / ~:O YES / :;0 ~SDSs? KEYS? YES NO YES ./ NO - 38 - I. D. # BAKERSFIELD CITY FIRE DEPARTMENT FORM 4A-1 NON-TRADE SECRETS HAZARDOUS ,MATER:I ALS :I NV'ENTORY BUSINESS NAME: LONGS DRUGS ADDRESS: 8200 G Stockdale Highway CITY, ZIP: Bakersfield. CA 93311 PHONE #: (805) 832-0964 1 TYPE CODE 2 MAX AMOUNT 411.000 I f/I , 400 d' fV\ I 1000 / 200 3) V\ 2UO f) f 2000 / 2000 500 500 1500 ~f)f) 150 500 100 3 ANNUAL AMOUNT 456 CONT USE UNIT CODE CODE ~O(Jor::o LBS 4aco GAL I c;rr:D Zet::O zc¡t:D z.. ax::o 2-0cc0 dJ--a.o ~ l.jêt;O L/c;CO /600 ó-a:o I ()t%/ L13S GI\L LBS GAL LBS LBS GAL LBS GAL T.HS GAL GAL GAL 'GAL 12 9&10 9&10 9&10 11 10 11,1 11,1 10 10 ,10 13 11 10 10 OWNER NAME: LONGS DRUG STORES CA INC. ADDRESS: 141 N.C:ivic Dl-ivp- FACILITY CITY,ZIP: Walnut C r'A Q41C:;96 PHONE #: ( 415) 937-1170 7 LOCATION IN THIS FACILITY UNIT 8 % BY WT. -..- -'I_-c: Page 1 . .... of it. , 17 24 Sales Floor/Warehou!:e Sales Floor/Warehou~e "', FACILITY UNIT #: 239 UNIT NAME: CFE 'OFFICIAL USE CFIRS I ONLY 10 HAZARD CODE 9 CHEMICAL OR COMMON NAME Garden Fertilizers Insecticides-Household/G ~r~~n -lOb 7 Herbicides-Household/Garden Herbicides-Household/Garden fOSÇ¿ Pesticides-Household/Garden , J I' Ie::;- Cleaning-Household Bleacñ Cleaning~Household Detergent í07'ð f ,,-. r Cleaninq-Chlorine Products Cleaninq-Arnmonia prodtQ?i r07<['()d-J~ ('1 t:>~ni nrr·:Pool "Chlorinp- Cleaninq-Pool Acids J b7<Ö,O~ .;)~q 1- J:5 1d63- /0 ;/(/0- 0' ;;.'(,ò"').-;,,:: Paints-Household 26 Sales Floor/WarehoIHIp- . u Oi 1 ~<-b I~S'~I -(".a !40-;1t ~~t>d.- ~ 26 Sales Floor/Warehow::e AI11-o~F.nainp- Ärlrlit-ivt:>~ 09 Sales Floor/~I1;:a' It:> AI1t-o-Ant-i f-~~"~ ~CJd TITLE:OSHA SpeciaJis1- SIGNATURB: rJn........ rJ.û.1.IT"Zß7'7t. ¿ ~ EMERGENCY CONTACT. ~AM OONAT.Df.Obl sN\ G~ t1\ 7 0 q~ ï q)f/\ 10 f ¡h )V\ Jl~ r 400 ~()tJO NNME: June Obrochta EMERGENCY CONTACT: Phil Belhumeur PRINCIPAL BUSINESS ACTIVITY: Re1-ai] 23 23 Sales Floor/Wareham e Sales Floor/Warehom e 30 08 Sales Floor/Warehoufe Sales Floor/Warehouf e/tJi!r.. os Sales Floor/Warehou~e Floor/Warehou~e/':?r!! F loor /Warehou~ e 3~ OS 08 Sales Sales OR c:;:> 1 &::>c F 1 ~~- Ir..,1~ L t:> I ()D % OR ~;:¡l&::>c k'1~~_/r.1~ . It:> iOO% 29 (.~;:¡ 1 p~ F1 ~~- Ir.1~ . 11 It:> , TITLE:AREA MANAGER TITLE: Store Manaqer Drl1q rt.;:¡in Sf- "'re <_ A" . CODE D.O.T GUIDE FLSL Fr.L8 CM'L I FLSL FLLQ FLSL CRMT CRJ.V1rl' CRMT CMLO FLLO FLLO F'T.T.n DATE: 7 /31/87 PHONE. BUS HOURS: (805)872-3444 AFTER BUS HRS: (805)82~7~89 PHONE # BUS HOURS~ü05)ö32-09G4 AFTER BUS HRS: (805) 398.,..9361 --..- 1. D. # BAKERSFIELD CITY FIRE DEPARTMENT FORM 4A-l NON-~RADE SECRETS HAZARDOUS /MATERIALS INVENTORY 'i'-. Page -L of ~ '" <", BUS I:NESS NAME: ¡'ONGS'::'IDRUGS ADDRESS: R200 G ~tockdale Highway OWNER :NAME: LONGS DRUG STORES CA INC. FACILITY UNIT ,: 239 ADDRESS: 141 N. Civic Drive FACILITY UNIT NAME: ('FE CITY, ZIP: Bakersfield. CA 93311 CITY, ZIP: w~ 1 n11t Creek. CA 94596 PHON!!:: ,: (805)832-0964 PHONE ,: (415)937-1170 10FFICIAL USE CFIRS CODE ONLY 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAl. CONT USE LOCATION IN THIS % BY HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE 13) P ? (If} zøco GAT. 13 19 Sales Floor/Warehou se Fuel-Campinq / (7<[ .O! FLGS I . , . , , ,. .. . NAME: June Obrochta . TITLE: OSHA Specialist SIGNATURE: /'1"""'-01 /f\¡ A ~.h DATE: 7/11 /R? . . , . EMERGENCY CONTACT. SAM DONALDSON T I TL E. AREA MANAGER PHONE' BUS HOURS. (805)872-3444 AFTER BUS HRS: (805)822-7389 PHONE' BUS HOURS: (805)832-0964 AFTER BUS HRS: (805)39ti-9361 EMERGENCY CONTACT: Phil Belhumeur TITLE:Store Manaqer PRINCIPAL BUSINESS ACTIVITY: Retail Drug Chain Store