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HomeMy WebLinkAboutBUSINESS PLAN 2/15/2007'~~ r~ ~ '~~. 9~ ~~~ ~-~.~ES ag~7 l~ ~' J i i~~ ~lo S~ r _ ' ._ i,~~ ~~~ ~J LJ A '-'-6'( ~(jcfR'c; ~ o(F , G-Þ Sl~ .;' - ~ POc.?O tJ1 A ¡( 6:> Boo u../Hf'f'é 1..~ , rAC 1'- I'TY D¡"'1<4¿I4¿4/1 Srre {. O..:#~ RevisQJ:> .3}4l~8 «~~\ fREE ZE~ \,;~f. f'l\ {HOt" ~\" -~.._- ------. FíRJ~ '" tl (.. (. ¡;'f J ""'./ DA\1-~ /' V\ 4! V 1 \¡) ":I:: U - ..... ~--. .~ .. .. .. (. .\' " - .- . ~ V) rx: ~ Ñ ~ & - --!'- -f-- , \ ~ . \. \ ,,0 i ~..u/ , .~' 4...\ . "" ~ . ~ ~~ .~ ~ ,~~ ~ ~ ,. ~ -s 0\ ~ ~ \\,) " ~ ~ ------....-..--- - - t ' <i ('() '"'" ~' :'oJ ' " ~ .' 1'\ ~-""~ " )~ / -L . / I t , ......... ~ ~ ~ æ 'A V\ .~ it o 1£ Ii .~ ~ .. .,'/ ,---- 1"- Síol<!E. e<rï - l' STò~E ~A~ - LAN1= . -() ~'\~& . \- "~~6'W W\-I1TE. s ?~~~GI (...\t.~·I»&-... R A~ --. -. ~ -.. -- .. - ---- " --, "- _- fl~\{~ F"f¡(Lf -< 05PA¡U.4Ø"'C SPIlJIIJ~ f/tx);t- vp . Bv¡;..o /v(, ~A.o-lec Þ 4v7o-Ar"- 3 >.e"."a.. ~ Sr5tevt4 - - " , ~' ~" \.. ,. 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ItJ Hazardous Materials Plan o Underground Storage of Hazardous Materials 0, Risk Management Program , o Hazardous Waste On-Sit~,T~ ,,< , -, , , "i i , "; Permit ID #:: 015-000-000465 FOOD MAXX #401 LOCATION: 6300 WHITE LN , Issue Date Approved by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Expiration Date: Issued by: ---- - - Per tit to Operate Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE r mit is issued for the followin! ¡ Materials Plar Ind Storage of lzardous PERMIT ID# 015-021.QOO465 gement Progn FOOD MAXX #401 LOCATION 6300 WHITE Issued by: ~ Bakersfield Fire Department Approved by: _ ~ OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rdFloor Bakersfield. CA 93301 Voice (805) 326-3979 Expiration Date: June 30 2000 FAX (805) 326-0576 ~, l .. - . gN111 ~Ht'\ U.k./, ~~t8- S \'~ )j~~~¿ ,\'" \.' ß) " '. - - ..1-'><3 "3?N\;I~ . oj.S 3~Q1S ,J-I~ 3(j ...v w - , - :=J - 'F+3obUC£ UÞ I ~ , ..- , / n - :::c. N ~( / 7\ ~ ~ ~ I ~, /' /~ . i\. . '" --. ::Þ :Þ ;u i? ~ . ~>'" t \ ~,:-~, ~. (l1 ~ ~ ~ ~ ~ :r: \f) (:\. V\. ~. '. '- ~./ ""~ \Q ì I), 0 I' '" f'... ' l/\ {)-', "', C ". \ "'" 17 (/\ V" \0 '\ I, ~ \ 1'\, ~ W ~ ~ (1'1 ~ ~ \11'; /' - '-'~'. . . ".~.' ..'~ . I _ .' ,..._ ....J --- I j ~f~~'~ .I , .~.Þ" ._- - - -'--~ '''---.. . ---~.... ~:VtIJr¿ . ~ --~.--..- ;D 0 "... - " . . ¡j il ~ -- " fJ' \j~~1 t--1\"J3; \1\ ~. . -- --...---.--- ".-..-- ----.- jJy.."3~ - woOl) "NU) ~3Z3J~;I. 1~~ . 32J~::i t - ¡\3-nv g 8/1>1 E'ct?JS¡ ()(}(J \Cl~~ ./. <;'\1-9 " )'0 ß.1H~ý1f)J tJ I J '~. .. oJ·· Ii ~ ,,' ---. /. J-9 i Jio Jf~~pf)3 - ¡\3-nV ~I \ 8Z!tYr (]'ð>l~(j I _. \~~~ - ~3Z3J~H '--:':~~;;~-~JÜl;)- VJ 1~~11 J..\ ~i~~:l ./ ~-v\\¥Ó n ::r:.. ~ r ~ ::Þ ~ \f) .-.-. ¡ ~ N ~. In ~ ÃJ V\ ~ ---([-\' I i / , .",,1 .-- ') , ~ ~ ~. Q/)' '" 1'... \~1, " \ -L - \ I tin' !;[I 0 ~ it lJ' '^ " - \Ø\J I t<3'~¿ J1~. . ~ R /(\"\ ~ //' ,/ \. \ \ / ~ l;) '" f\, l)\ - -r /' . / .~( 12, vh~ .. ~ .,,..' t--: \./~ : 1'\-, I \ ' ~ ~ w , I -~ t\. I'..: "', ~ .' ~ lì\ t--.: t), ......... l7 :!r 3 ~. ~ ;0 (T1 j:: o C VI rn ~,P~I~ b de; VI - _U )(3 3~OJ.S ..¿, - "1JN\:I~ 3~Q1S ..v --t-- --t.- __ ...-. , t=BobUC£ .J)Eþ I , ,-U~ - Ç,~'7"h '::J/'/Vl ~I-\f"\ 0'£9 ~~\!j. ,Çj, - S'?tr '. . (JOf)J ,S' ;J~~~¿ . I - }}ll\d ~ \(l~~ ~3z;E~:::I. -'" ~W 1,~ra:- 53q .íJ~Y" -' ~-' ,-",--,---"---- t(:J I ~ ~ \,\)O()~~~1V~ , . 'ó ~ )lièl~:i o =H ~. ~ ~~C¿ CI\ ~ ~ -- n ::r:.. V ?\ ~ ::Þ ? \f) .W3 ~OJ..S ..,v - - ~ -\¡'" ~ ~~\ J . ~l1l ¡ t ~ ~ ÃJ V\ ~ '--·J-(I/t -' " ..._..~ ') ,.:.'j ~ ~ \'\, ~ QI\ "-: I 1 ,; .." \, ~ ~ \' \';,- )1"1 / \ , ~\ /'~ // .,/ ~ t;; ~ ('\, ~ l:7 ~ - ']')N~.w.-a 3~QlS ~ -- , FBobUC£ UÞ I , s ?J~~~¿ f A) rn :::x: Q C lI1 11' ~f~~'~ . ~ C) r- /~ u, e ..- 'II, \~ It]) ;: 11 ~ ~\ 'ì " \ Ii ['4 l FOOD MARX 401 015-021-000465 Sit ID e : Lanaager oc t on. DIANA KITGORE 6300 WHI E LN ~~~~~~~ BusPhol2• CommHaz32 Extreme Map 3 City BAKERSFIELD ~~~ ~ ~ ~®47 Grid: 15C FacUnits: 1 AOV: ' m BFD STA 0 9 ~~~~~~~,~ ®~pT ~ SIC Code : 5 411 Numb ; EPA DunnBrad:94-124-5496 Emergency Contact / Title Emergency Contact / Title DtStR~cr DIANA KILGORE / STORE MANAGER ~I~ Ma~R.K ~[~~~-ems' / ~T[7TQTr1TT [Tl'f ~O~' Business Phone : ( ~ Business Phone : (2 0 9) 53Z'~-~5~-0 l 24-Hour Phone. (661) 832-0929x 24-Hour Phone (209) 4.84- Pager Phone (~l~-~8-8--7.6~-Ax Pager Phone (2-o-Tr-444~~ Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact S~rau~-Sv~~R ~ -~ ~ ~ ~.-. '-~-.:w.:c ~FiLIrc£rT~ ''rW- t~uc.c.~ Phone: ~~~T~ MailAddr: Do a~~ 4~7~ t$6O Sb,NatFoI~D A~v~ State: CA City MODESTO Zip 9~3~5~- g535o Owner SAVEMART SUPERMARKETS Phone: (209) 577-1600x Address PO BOX 4278 State: CA City MODESTO Zip 95352 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG C - COMM HOOD B d ~d ~ ~ ~ e~ ~4~~ ase on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, an omplete. i at Date y~ j45 -1- 01/31/2007 .. ~ ~ ~ , ~ a ~4 F FOOD MARX 401 i ~ Hazmat Inventory = ~ MCP+DailyMax Order = SitelD: 015-021-000465 ~ By Facility Unit ~ Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP BLEACH DH L 6000.00 GAL Hi PROPANE E F P IH G 3130.00 FT3 Hi SWIMMING POOL ACIDS E R IH DH L 140.00 GAL Hi MOTOR OIL F DH L 650.00 GAL Min CHLORINE F P IH L 170.00 GAL Min INSECTICIDES F DH L 300.00 GAL UnR STRIPPER F IH DH L 165.00 GAL UnR SEALERS F IH DH L 165.00 GAL UnR ~~~~~~ EERI~Gi DEPT. -2- 01/31/2007 ~ ~ ~;~~4 ~~(~ ~1 ~~-~ -3- 01/31/2007 ,.;, F FOOD MARX 401 SiteID: 015-021-000465 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME BLEACH Days On Site 365 .Location within this Facility Unit Map: Grid: SALES AREA CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 1.00 GAL 6000.00 GAL 5000.00 GAL t1AGE~KL V U 5 l: V1~lY V1V tS1V "l J sWt. RS CAS# 100.00 Bleach No 7681529 ti.[-~~L-jttU AJJL' .7~J1~1L' 1V 1 a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Hi ~ Inventory Item 0008 COMMON NAME / CHEMICAL NAME PROPANE Location within this Facility Unit CAGED AREA REC DOCK Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 74-98-6 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas TPure ~-Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Co291100rFT3 Daily31I30100m FT3 I Daily3130r00e FT3 YlEiGEiCCLVU.7 LV1~lYV1VL"1V1A oWt. RS CAS# 100.00 Propane Yes 74986 l11~GHCCL 1~J A1;~7.~1~1L'1V1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~~~~~~ ~~ ®E~'T• -4- 01/31/2007 ~~ F FOOD MAXX 401 SitelD: 015-021-000465 ~ ~ Inventory Item 0007 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME SWIMMING POOL ACIDS Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLOOR/BACKROOM CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture Ambient ~ Ambient -~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 100.00 GAL 70.00 GAL -- riAY,HKLVUJ 1.:V1~1rV1v1"~1v15 %Wt. RS CAS# 100.00 Muriatic Acid Yes 7647010 t11-~G1~tCL H55tSJ~1~11~J1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH DH / / / Hi ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME MOTOR OIL Location within this Facility Unit SALES AREA STATE TYPE PRESSURE Liquid TMixture ~mbient Facility Unit: Fixed Containers on Site ~ Days On Site 26 Map: Grid: CAS# 8020835 TEMPERATURE CONTAINER TYPE Ambient -~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL .650.00 GAL 500.00 GAL 11EiGEilCLVUw'~ 1..V1~1rV1VJ;1V1J %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 I1HGt~tGL H. 7.725.7.7P7r,1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ t Curies F DH / / / Min -5- 01/31/2007 F FOOD MARX 401 ~ Inventory Item 0006 COMMON NAME / CHEMICAL NAME CHLORINE KEM KLOR II Location within this Facility Unit SALES FLOOR/BACKROOM STATE TYPE ~~ PRESSURE Liquid Mixture I Ambient SiteID: 015-021-000465 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 7681-52-9 TEMPERATURE CONTAINER TYPE Ambient ~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 170.00 GAL 150.00 GAL - tlr~~rittl~uua ~vlnrviv~lv1J oWt. RS CAS# 12.50 Sodium Hypochlorite No 7681529 0.80 Sodium Hydroxide No 1310732 ri1~GHCCL 1-~b.7~JJ1~11:,1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME INSECTICIDES Location within this Facility Unit SALES AREA Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 1.00 GAL 300.00 GAL 250.00 GAL nt~~tucLVUJ wriruiv~lvla oWt. RS CAS# 100.00 Insecticides No 0 riHGL-~1CL E~JJI;AJ1~11;1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / UnR -6- ~~~~~ l~f~~~ ®~ `~~1~ I~~~ 31/2007 . . F FOOD MARX 401 SiteID: 015-021-000465 ~ ` ~ Inventory_Item 0004,~,T __,__^ Facility Unit: Fixed Containers on Site ~ Liquid TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Mixtur~Ambient ~ Ambient DRUM/BARREL-.METALLIC %Wt. RSI CAS# t1L~GHKL EiS ~ L' S.71~1L' 1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / /~/ UnR ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME SEALERS Days On Site 365 Location within this Facility Unit Map: Grid: JANITORIAL RM CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient DRUM/BARREL-METALLIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 165.00 GAL 100.00 GAL HAZARDOUS COMPONENTS °sWt RS CAS# nr~ZARD AS SESSi~i~lvt~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / UnR ~~~~~~ ~~~~ E~R~ AMOUNTS AT THIS LOCATION Daily Average 100.00 GAL Largest Container Daily Maximum 55.00 GAL 165.00 GAL HAZARDOUS COMPONENTS -7- 01/31/2007 F FOOD MAXX 401 SiteID: 015-021-000465 ~ Fast Format ~ - -- - 'T ~- ~~ ~~~o~a, ~ ~ _ Overall Site ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 06/01/2006 °, CnALL 911 AND THE OFFICE OF EMERGENCY SERVICES 800-852-7550 TO REPORT ANY ~t SPILLS THAT ARE A T~iREAT TO LIFE, SAFETY, OR THE ENVIRONMENT. FOR i~ NON-EMERGENCY SPILL REPORTING, CALL BAKERSFIELD FIRE DEPT 326-3979. - _ __ -- ~~ I~ VIA INTERCOM SYSTEM,, ALARM, TELEPHONE, MESSENGER RUNNER. i Public Notif./Evacuation 10/29/1998 VIA INTERCOM TO CUS'.COMER AND EMPLOYEES. CHAIN-OF-COMMAND: (1) STORE MANAGER; (2) ASSISTANT STORE MANAGER; (3) HEAD CLERK; AND (4) KEY CARRIER. ~., .,PERSON IN CHARGE WI]~L NOTIFY AUTHORITIES IN CASE OF AN EMERGENCY AND CONTACT COMPANY CORPORATE O]?FILE. IF MORE THAN ONE PERSON LISTED ABOVE IS PRESENT, THE MOST SENIOR PERSON CAN DELEGATE REPORTING RESPONSIBILITIES TO THOSE LOWER ON THE CHAIN-OF-COMMAND. Emergency Medical Plan VALLEY INDUSTRIAL MEDICAL GROUP, 2501 G.ST, OR CALL 911; OR, FOR AN ~~, EMERGENCY, MERCY SOI7THWEST HOSPITAL, 400 OLD RIVER RD. ~, ~ DEPT. -8- 01/31/2007 ` •, 1 ~ o F FOOD MAXX 401 SiteID: 015-021-000465 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~_Release Prevention 04/18/2006 ~ SEPARATION OF CHEMI(~ALS. ALL COMPRESSED GASSES ARE MAINTAINED WITH A SECURITY DEVICE TO AVOID FALLING OVER. ALL COMPRESSED GASSES HAVE A ,~'rIL7T-OFF VALVE. ALL COMPRESSED GASSES ARE STORED IN WELL-VENTILATED AREAS,. BOTTLES OF CHEMICALS3 ARE STORED UPRIGHT IN TIGHTLY CLOSED CONTAINERS TO KEEP FROM SPILLING OR LEAKING. Release Containment 10/29/1998 S) ~Ll M~IC. - :MOPS AND ~R. VENTILATE RELEASED GASSES IF VALVE CANNOT BE CLOSED ;(MOVE CONTAINER TO OPEN AIR LOCATION AWAY FROM ANY IGNITION SOURCE). DIKE;/ SPILLED OR RELEASED HAZARDOUS CHEMICALS WITH DENSE SODA ASH, LOCATED AT ` STORE (FOLLOW MSDS :LNSTRUCTIONS) MOVE DAMAGED CONTAINERS TO A WELL-VENTILATED AREA AWAY FROM ANY OTHER CHEMICAL. Clean Up 10/29/1998 DIKE AND CONTAIN SPILL. IN~THE EVENT OF A PROPANE LEAK, EMPLOYEES CHECK TO '-SEE IF VALVE IS SEC1'JRE, IF NOT, CONTACT THE PROPANE COMPANY AT ONCE. CALL 911 IN THE EVENT OF AN EMERGENCY SITUATION. REFER TO MSDS BINDER FOR MG?RE INFORMATION. FOR CHEMICAL LEAKS, FOLLOW THE PROPER MSDS GUIDELINES, LOCATED IN THE STORE MSDS BOOKS. ALL EMPTY BOTTLES ARE TO BE PICKED UP BY THE VENDOR. V1~11C1 1CC .7-V lli l:C tic, l.lVdl.1 V11 r~'~~~i".rte ~~~t~^/ M ~j~~j~' ~ O~ ~ ~®~ U e e= ~ APT. -9- 01/31/2007 ~ t\ 4~ F FOOD MAXX 401 SiteID: 015-021-000465 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~ Special Hazards 10/29/1998 ~ LARGE UNDIVIDED AREA STORED EXTENSIVELY WITH LIGHT COMBUSTIBLES. Utility Shut-Offs 01/31/2007 A) GAS - N SIDE GAS METER B) ELECTRICAL - N SIDE RM C) WATER - E SIDE BEH BAKERY W OF WHSE D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. FIRE HYDRANT - CRNR SPICE & ASHE. 11/17/2006 Building Occupancy Level 04/18/2006 111 EMPLOYEES o~~~~~~ ~~®~ ~~~®~ p~ _ 3 -10- 01/31/2007 i ~ ~~~ y, F FOOD MARX 401 SiteID: 015-021-000465 ~ Fast Format ~ ~ Training Overall Site ~ inin 11/17/2006 MATERIALS SAFETY DATA SHEETS ON FILE. .~ i B]RIEF SUMMARY OF TRAINING PROGRAM: HAZ COMM PROGRAM THROUGH PARENT COMPANY, ~ ,~AVEMART IPP. ALL EMPLOYEES ARE TRAINED AT INITIAL ORIENTATION. EMPLOYEES. ARE RETRAINED EVERY YEAR UPON ANNUAL REVIEW. RECORDS CAN BE FOUND IN EMPLOYEE PERSONNEL ]?ILES. rage ~ Held for Future Use _~ ~ r_ aacl.u ivi a.• u~.,uic vac -11- 01/31/2007 ~ `~ FOOD MARX 401 _______________________________________ SiteID: 015-021-000465 + Manager ~'~ ~~ n lf~j1/f~ /~1~, ~!v'"~ Bus Phone : ( 6 61) 8 3 2 -~+~A-~ ®~~~ Location: 6300 WHITE LN Map 123 CommHaz High City BAKERSFIELD Grid: 15C FacUnits: 1 AOV: CommCode: BFD STA 09 SIC Code:5411 EPA Numb: DunnBrad:94-124-5496 +______________________________________________________________________________t Emergency Contact / Title Emergency Contact / Title / STORE MANAGER ~ ~~ Pf~ChO VP OF DIVISION Business Phone: (209) 632-0825x301 Business Phone: (209) 632-0825x301 24-Hour Phone (661) 9?r3-6719x 83~-~~' 9 24-Hour Phone (209) ~x~{p~ ~~ Pager Phone ('~9~ r*0?~ Pager Phone ( 2 0 9 ) _ ~ ~ - ° ?' ^-v ~~. Ct 7~a +------------------ ~y~r-~~~ ~~"---+--------------------------------------+ Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact SAVEMART SUPERMARKETS Phone: (559) 577-1600x MailAddr: PO BOX 4278 State: CA City MODESTO Zip 95352 Owner SAVEMART SUPERMARKETS Phone: (559) 577-1600x Address PO BOX 4278 State: CA City MODESTO Zip 95352 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal _ Certif' d: RSs : No ParcelNo: Emergency Directives: ~ PROG A - HAZMAT PROG C - COMM HOOD ENT'D q pR 18 ZO 06 Based on my nqu ry of those individuals resporisib for obtai ng the information, I certify unde' anal. of I w that I have personally exa ned a ~d am a.miliar with the information ~u tted nd bP lave the information is true, ac ~ d c ple '~ o D to -1- 03/22/2006 BAKERSFIELD FIRE DEPT UNIFIED PROGRAM INSPECTION CHECKLIST e s P Prevention Services ~r«s 900 Truxtun Ave., Suite 210 ~., .,~ >:: , , _.-.. , .~~. ,:.,_. , ., ...:: _ ,, ..,,:. , ~Rr~r s Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ''~ Tel.: (661) 326-3979 • Fax: (661) 872-2171 FACILITY NAME INSPECTION DAT INSPECTION TIME 0~ ~v z~ ~~~ ~~ ~I /~ ADDRESS HONE NO. O OF EMPLOYEES 3 a o 1a.1~ 7,v® ~3 Z - a ~ ~ (n FACILITY CONTACT USINESS ID NUMBER i5-o2~- aoe q~s_ Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION • C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSItI@SS 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 PR ^ VERIFICATION OF ABATEMENT SUPPLIES AND CEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES Ct~ NO EXPLAIN: .QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 n L ~ Inspector (Please Print) Fire Prevention / 1` n / Shift of Site/Station # Business Site/School ite Re sible (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02/05) .#' ..r_ ,'~ ~ '..... ' .---- - ,. > MEMO fooø4] LESS® FROM: ROR ~PF.Nr,T.F.R TO: DATE: 3/21/88 1<'IRE DEPARTMENT REGARDING: HAZAROOUS MA'IERIAL MAP HERE IS A REVISED MAP OF HAZAROOUS MA UNIFIED PROGRAM I~JECTION CHECKLIST -- SÉCTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACIF-:;~M~ J11~~ Æ t () L___________________~-~~~---------- ADDRESS ~~~ 00 W ;~E LN' __ v.r;;;s_ FACIL9jYCONTACT P:!<:>f'Je-f!..;; ¿UODO INSPECTION DATE INSPECTION TIME p!o~/~/ÇJ . _ ?/oq' Busin~mber 15-021- C'(')o '-/ CoS- _ Jf,{ I AJ5. No_ of Employees 95' Se_ction -1 : Business Plan and Inventóryprogram o Joint Agency o Multi-Agency o Complaint ORe-inspection C V (~~~i~~f¡~~nce) OPERATION COMMENTS _ ~- ~ 0 ApPROPRIATE PERMIT ON HAND V --~--------------------------------------- -------------------------------1------:--------------;------------------------- o C!r BUSINESS PLAN CONTACT INFORMATION ACCURATE ~Øc-7Z-7 uJ'o,p.;J, ,(k~ j-cp¿e //~ 'ÞG ------.--.______0__...- _________.__.___. _____._____.__._.__. __ _________._.___._____..______....._______._........_ .________ o VISIBLE ADDRESS __.____________.______.____.__. '__'0 _______________...___.____.____.__.__._....______"___._....__~_.___._.___,.....__.__~_,_._ o CORRECT OCCUPANCY ~ ~:::::::::: :::~ ~mR~S~~~~-~ x=~=~~~:~_~~----~:~:~-~= rrI' 0 PROPER SEGREGATION OF MATERIAL j ~ ;'~) /1m 0 ¡ <:> "\ 7 - -------------------- - --...!.~-------------- ------------------------ ---------------------..-----"'\ ~~RIFIC~TION OF MSDS AVAILABILlTY~_______n__________j(- -~~~=tt,;. ""¥ _.,_ .\ r11 0 VERIFICATION OF HAT MAT TRAINING ~d..a..d- r-a.... a. , / } ----------------------y ___________________________~--------~----o....-------_------nor VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDUR¡:S AI r e ./' é: 5 .<:...9 Aj' 7 / EMERGENCY. PROCEDURES ADEQUATE__ __. _.__. _.___---- -~-~~~~~~:¿¿~~J-_~, o ,- ¡g/ f1 ~D CONTAINERS PROPERLY LABELED _---L________________________,__________________ g/;5 HOUSEKEEPING ~___________ ~ FIRE PROTECTION ~S;;oIA~RAM ADEQUAT~-& ON HAND ---------------~--_._-~--~-~~----_._-------,------- ------- -----~~-----~--_._----~._- ~---~_._----------- .--....-------- ANY HAZARDOUS WASTE ON SITE?: ¿ 7 EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 atttw ~~~_____ß- ..1'7 ________ Inspector Badge No, ,~~ -$~ -- Business Site R ponsible Party White - Environmental Services Yellow - Station Copy Pink - Business Copy qC1/ /- . . v ------ FOOD MAXX #401 SiteID: 015-021-000465 Manager : PAT FARLEY Location: 6300 WHITE LN Ci ty BAKERSFIELD 1 ~~~~ ~'V\ CommCode: BAKERSFIELD STATION 09 EPA Numb: BusPhone: Map : 123 Grid: 15C (661) 832-0920 CommHaz : Low FacUnits: 1 AOV: SIC Code:5411 DunnBrad:94-124-5496 Emergency Contact PAT FARLEY Business Phone: 24-Hour Phone : Pager Phone / Title / STORE MANAGER (209) 632-0825x301 (661) 833-6719x (209) 567-8314x Emergency Contact / Title BOB SPENGLER / VP OF DIVISION Business Phone: (209) 632-0825x301 24-Hour Phone : (209) 575-3248x Pager Phone : (209) 567-8314x Period Preparer: Certif'd: ParcelNo: to Fire Press React ImmHlth DelHlth Phone: (209) 577-1600x State: CA Zip 95352 Phone: (209) 577-1600x State: CA Zip 95352 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Hazmat Hazards: Contact : SAVE MART SUPERMARKETS MailAddr: PO BOX 4278 City MODESTO Owner Address City SAVE MART SUPERMARKETS PO BOX 4278 MODESTO Emergency Directives: !o 1ðt'e ¿¡Jllií& Do hei'~b~ oortify th®t I htaV~ rr~ Of prim mJIOO) rwi~wOOJ ~RiJ® æ\t~©hoo h~~rom.a$ ma~9i1Bls ~UU\1.geD moolplan low ~1Ki!f?t.,ttm lOOt II eking with amy ~!on$ oon$~i~l!I~ oomp~~~eJ andoorred m~Hn- ?·¿P·{)3 Date -1- 08/13/2003 I, _11 - j, '" FOOD MAXX #401 Iy~ tt} ~~/~~Ò {¡fi/k?¿-¿ J:?; -> /í ry-,(" /---- ~vnn "-. ~J1/ v// "-/ -. ,("I~ -". ~l1'c ~8 STATION 09 Manager : PAT FARLEY Location: 6300 WHITE LN City BAKERSFIELD CommCode: BAKERSFIELD EPA Numb: - BusPhone: Map : 123 Grid: 15C SiteID: 015-021-000465 (661) 832-0920 CommHaz : Low FacUnits: 1 AOV: SIC Code:5411 DunnBrad:94-124-5496 Emergency Contact / Title Emergency Contact / Title PAT FARLEY / STORE MANAGER BOB SPENGLER / VP OF DIVISION Business Phone: (209) 632-0825x301 Business Phone: (209) 632-0825x301 24-Hour Phone : (661) 833-6719x 24-Hour Phone : (209) 575-3248x Pager Phone : (209) 567-8314x Pager Phone : (209 ) 567-8314x Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact : SAVEMART SUPERMARKETS Phone: (209) 577-1600x MailAddr: PO BOX 4278 State: CA City : MODESTO Zip : 95352 Owner SAVEMART SUPERMARKETS Phone: (209) 577-1600x Address : PO BOX 4278 State: CA City : MODESTO Zip : 95352 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: p= Hazmat Inventory p== As Designated Order One Unified List l All Materials at Site l Hazmat Common Name... SpecHaz EPA Hazards DH L DH r:. DH L F IH DH L F IH DH L F P IH L POOL ACWS R IH DH L I, I1trlUf--l4 (IQIC-I t«. Do hereby certify that J have (Type or pnnt name) f 'r~"iewed the attached hazardous materials manage- ment plan for Food PI R¥.V and that it along with (Name or Business) any corrections constitute a complete and correct man- MOTOR-OIL INSECTICIDES BLEACH STRIPPER SEALERS CHLORINE SWIMMING - ,--..,.- - -- ~ ~ Signature F__ F /1J'~3-æJ Date DailyMax MCP 650.00 GAL Min I ---300.00 GAL- UnR 6000.00 GAL Hi I , 165.00 GAL UnR 165.00 GAL UnR 170.00 GAL Min 100.00 GAL Hi 10/04/2000 ~ì i' ~ e e , F FOOD MAXX #401 p= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME MOTOR OIL SiteID: 015-021-000465 ì Facility Unit: Fixed Containers on Site ì Days On Site 26 Location within this Facility Unit SALES AREA Map: Grid: CAS # 8020835 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 650.00 GAL Daily Average 500.00 GAL %-Wt. - - RS CAS # 100.00 Motor Oil, Petroleum Based No 8020835 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min HAZARD ASSESSMENTS p= Inventory Item 0002 = COMMON NAME / CHEMI CAL NAME INSECTICIDES Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit SALES AREA Map: Grid: CAS # STATE - TYPE Liquid Mixture PRESSURE Above Ambient TEMPERATURE Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum GAL~-- ~ -. --- -- -- __ 300 ..00 Q~ HAZARDOUS COMPONENTS Daily Average 250.00 GAL %Wt. I 100.00 Insecticides ~ CAS # 01 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / UnR HAZARD ASSESSMENTS -2- 10/04/2000 ,"i 'i' e It F FOOD MAXX #401 F Inventory Item F= COMMON NAME / BLEACH 0003 CHEMICAL NAME SiteID: 015-021-000465 1 Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit SALES AREA Map: Grid: CAS # STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 6000.00 GAL Daily Average 5000.00 GAL HAZARDOUS COMPONENTS ~ No CAS # I 7681529 I l~~~öoIBleaCh TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Hi HAZARD ASSESSMENTS F Inventory Item 0004 = COMMON NAME / CHEMI CAL NAME STRIPPER Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit JANITORIAL ROOM Map: Grid: CAS # STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 165.00 GAL . Daily Average 100.00 GAL %Wt. I HAZARDOUS COMPONENTS G CAS # TSecret RS BioHaz Radioactive/Amount EPA Hazards ' NFPA USDOT# MCP No No No No/ Curies F IH DH / / / UnR HAZARD ASSESSMENTS -3- 10/04/2000 '" e e F FOOD MAXX #401 p= Inventory Item 0005 = COMMON NAME / CHEMI CAL NAME SEALERS SiteID: 015-021-000465 1 Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit JANITORIAL ROOM Map: Grid: CAS # STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 165.00 GAL Daily Average 100.00 GAL %'Wt. I HAZARDOUS COMPONENTS I~ CAS# TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / UnR HAZARD ASSESSMENTS p= Inventory Item 0006 = COMMON NAME / CHEMICAL NAME CHLORINE KEM KLOR II Location within this Facility Unit SALES FLOOR/BACKROOM Facility Unit: Fixed Containers on Site 1 Days On Site 365 Map: Grid: CAS # 7681-52-9 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 1.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 170.00 GAL Daily Average 150.00 GAL %'Wt. RS CAS # 12.50 Sodium Hypochlorite No 7681529 0.80 Sodium Hydroxide No 1310732 - HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min HAZARD ASSESSMENTS -4- 10/04/2000 ,\'-~---' " e e SiteID: 015-021-000465 1 Facility Unit: Fixed Containers on Site 1 F FOOD MAXX #401 p= Inventory Item 0007 = COMMON NAME / CHEMI CAL NAME SWIMMING POOL ACIDS Days On Site 365 Location within this Facility Unit ON SALES FLOOR/BACKROOM Map: Grid: CAS # STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 1. 00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 100.00 GAL Daily Average 70.00 GAL HAZARDOUS COMPONEN S %Wt. RS CAS # 100.00 Muriatic Acid Yes 7647010 T HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies L_ R IH DH I / / Hi p= Inventory Item 0008 F= COMMON NAME / CHEMI CAL NAME PROPANE Facility Unit: Fixed Containers on Site 1 Location within this Facility Unit WHERE IS IT LOCATED??? I/Ù Ca'ð eJ ~ 0 ¡.J I( eCÆ, ) INð; Ðo~ Days On Site 365 Map: Grid: CAS # 74,-98-6 - TYPE Pure PRESSURE Above Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average J 0"141 FT3 &,rP~, FT3 ~, On{, FT3 - - HAZARDOUS COMPONENTS ~I CAS # 749861 I l~~\oIPropane HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ ~.JL ~ ~Ø-A~~- ~P\~ Go-O-Q~~ ~~- . O---\"-~ ~ ~ e ~ ~ð\. OU'. -5- 10/04/2000 . -- -- - -- . -- - -,,--- -- - .--- " e e F FOOD MAXX #401 I p= Notif./Evacuation/Medical r=: Agency Notification ~WNER WILL CALL 911. ~ Employee Notif./Evacuation L:TERCOM SYSTEM. SiteID: 015-021-000465 ì Fast Format ì Overall Site ì 10/29/1998 ] 1 10/29/1998 Public Notif./Evacuation 10/29/19981 04/21/1997 INTERCOM TO CUSTOMER AND EMPLOYEES. Emergency Medical Plan BAKERSFIELD OCCUPATIONAL - 4580 CALIFORNIA AVE, SUITE 100 - 327-4527 OR CALL 911 IF NEEDED. -6- 10/04/2000 .... e e F FOOD MAXX #401 I p= Mitigation/Prevent/Abatemt r=: Release Prevention ~EPERATION OF CHEMICALS. ~ Release Containment ~PS AND KITTY LITTER. SiteID: 015-021-000465 ì Fast Format ì Overall Site ì 10/29/19981 1 ] I 10/29/1998 Clean Up 10/29/1998 DIKE AND CONTAIN SPILL. Other Resource Activation -7- 10/04/2000 r :.~... e e " F FOOD MAXX #401 I p= Site Emergency Factors Special Hazards SiteID: 015-021-000465 ì Fast Format ì Overall Site ì 10/29/1998 LARGE UNDIVIDED AREA STORED EXTENSIVELY WITH LIGHT COMBUSTIBLES. Utility Shut-Offs 10/29/1998 A) GAS - N SIDE AT GAS METER B) ELECTRICAL - N SIDE RM C) WATER - E SIDE BEHIND BAKERY W OF WAREHOUSE D) SPECIAL - NONE E) LOCK BOX - NO FIRE HYDRANT - ???????????? 06/14/1991 1)0 ~ ~t>..A/~ V. F UJùlz;;;,~ ~ If: úJ~' ~ ~ lu~dAJ . CotNt/L ð/? f7. ~ce /Is//¿:. , ?rr, ~ I Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - ??????????????? Building Occupancy Level -8- 10/04/2000 ".' ',> e e F FOOD MAXX #401 I F Training Employee Training SiteID: 015-021-000465 ì Fast Format ì Overall Site ì 09/13/1999 WE HAVE 111 EMPLOYEES AT THIS FACILITY. WE DO HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROCEDURES: Page 2 r I I Held for Future Use Held for Future Use -.. -9- 10/04/2000 -> ; ~ .$ FOOD MAXX #401 - e ;!¡ ... S£p y -\ fB)f:~ ,/ SiteID: 215-000-000465 ~(¿I f-&e'5) 832-0920 CommHaz : Low FacUnits: 1 Aov: Manager : PAT FARLEY Location: 6300 WHITE LN City BAKERSFIELD 3 1999 BusPhone: Map : 123 Grid: 15C -I CommCode: BAKERSFIELD STATION 09 EPA Numb: ". SIC Code:5411 DunnBrad:94-124-5496 Emergency Contact / Title Emergency Contact T""" or . 1/ · / T1.tle PAR FARLEY / STORE MANAGER BOB SPENGLER . /D~i~¡i! OF MER Business Phone: (209) 632-0825x 301 Business Phone: (.209) - c::> ~x..,.'ó/' 24-Hour Phone : (~) 833-6719x 24-Hour Phone : (209) 433 10J2]ð?Ç$~'i(' Phone , Pager Phone (./.()q) f(;¡7 -"¡If' x Pager : (J..ot}) ,fI'1-811C/x : Hazmat Hazards: Fire Press React ImmHlth DelHlth Contaèt : SAVEMART SUPERMARKETS Phone: (209) 577-1600x MailAddr: PO BOX 4278 State: CA City : MODESTO Zip : 95352 Owner SAVEMART SUPERMARKETS Phone: (209) 577-1600x Address : PO BOX 4278 State: CA City : MODESTO Zip : 95352 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: . f= Hazmat Inventory f== Alphabetical Order One Unified List ì All Materials at Site ì Hazmat Common Name... SpecHaz EPA Hazards DailyMax BLEACH CHLORINE INSECTICIDES MOTOR OIL SEALERS STRIPPER SWIMMING POOL ACIDS " DH L._ F P IH L F DH L F DH L F IH DH L I. Plf1"~a'~f~~f:r?tr- Do hwe~ <ltify t~at I have 8'~iewoo 1100 a~achsd hazardous ma~sriBlls manage- msn~ ~ ~ü' FoeJ fYll'lXl: ê./:ol ~OO î~a~ ii aloúît\J wit"" (Nffi13 of 8usinesa) ~ II Blny OO~IQ)fi'¥$ consmute a complete and oorriSå marl- agsm~n~ ~~ 1©r my ~ciliW. ~~ gnalUre ~ CI-/..-fJ 9 Date MCP 6000 GAL 170 GAL 300 GAL 650 GAL 165 GAL 165 GAL 100 GAL Hi Min UnR Min UnR UnR Hi 08/24/1999' î'¡-r- 5 - - F FOOD MAXX #401 f= Inventory Item 0003 = COMMON NAME / CHEMICAL NAME BLEACH SiteID: 215-000-000465 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit SALES AREA Map: Grid: CAS # STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 6000.00 GAL Daily Average 5000.00 GAL HAZARDOUS COMPONENTS CAS # I 7681529 I l~~~óoIBleaCh ~ t; , TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Hi HAZARD ASSES~MENTS f= Inventory Item 0006 = COMMON NAME / CHEMI CAL NAME CHLORINE KEM KLOR II Location within this Facility Unit SALES FLOOR/BACKROOM Facility Unit: Fixed Containers on Site ì Days On Site 365 lVIap: Grid: CAS # 7681-52-9 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER [AMOUNTS AT THIS LOCA.TION Largest Container Daily Maximum I 1. 00 GAL 170.00 GAL HAZARDOUS COMPONENTS Daily Average 150.00 GAL I' %Wt. RS CAS # 12.50 Sodium Hypochlorite No 7681529 0.80 Sodium Hydroxide No 1310732 TSecret RS BioHaz Radioactive/Amount EPA No No No No/ Curies F P HAZARD ASSESSMENTS Haz I ards NFPA USDOT# MCP H / / / Min -- ~ -2- 08/24/1999 " 'ñ. e e F FOOD MAXX #401 f= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME INSECTICIDES SiteID: 215-000-000465 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit SALES AREA Map: Grid: CAS # STATE ----r- TYPE Liquid Mixture PRESSURE Above Ambient TEMPERATURE Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 300.00 GAL Daily Average 250.00 GAL HAZARDOUS COMPONENTS ~ CAS# 01 I l~~~õojlnsecticides J l .... J~ , - Tsecret RS BioHaz Radioactive/Amount EPA Haza~rds NFPA USDOT# MCP No No No No/ Curies I F DH / / / UnR í I HAZARD ~SSESSMENTS f= Inventory Item 0001 COMMON NAME / CHEMICAL NAME MOTOR OIL Facility Unit: Fixed Containers on Site ì Days On Site 26 Location within this Facility Unit SALES AREA lvIap : Grid: CAS # 8020835 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL ,- AMOUNTS AT THIS LOCATION Daily Maximum I 650.00 GAL I ..._- Daily Average 500.00 GAL ~ .L ,- %Wt. RS CAS # 100.00 Motor Oil, Petroleum Based No 8020835 - . HAZARDOUS COMPONENmS b;::; ùb TSecret RS BioHaz Radioactive/Amount I EPA Hazards NFPA USDOT# MCP No No No No/ Curies I F DH / / / Min , HAZARD A" 'Ec ""'¡"lENTS -3.. 08/24/1999 ~ " e e F FOOD MAXX #401 f= Inventory Item 0005 F= COMMON NAME / CHEMICAL NAME SEALERS SiteID: 215-000-000465 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit JANITORIAL ROOM Map: Grid: CAS# STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container GAL ~iOUNTS AT THIS LOCATION Daily Maximum 165.00 GAL Daily Average 100.00 GAL HAZARDOUS COMPONENTS ~ CAS # I I %Wt. .. ti hbb'l ~ 'b TSecret RS BioHaz Radioactive/Amount ! EPA Hazards NFPA USDOT# MCP No No No No/ Curies i F IH DH / / / UnR \ HAZARD A -s.,..,.. "lV'El'\fT" f= Inventory Item 0004 === COMMON NAME / CHEMICAL NAME STRIPPER Facility Uhit: Fixed Containers on Site ì Days On Site 365 Location within this Facility unie JANITORIAL ROOlVI ¡Via p : Grid: CAS # [STATE I TYPE :-T-: PRESSURE ----¡ TEMPER...~TURE I Liquid Mixture I Ambient , I Ambient .--J AMOUNTS AT THIS LOCATION Largest Container· f. Daily Max~m~m ,...' I G~ 16::). uO b..1\L .. - - CONTAINER TYPE DRUM/BARREL-METALLIC Daily Average 100.00 GAL HAZARDOUS COMPONENTS I~ CAS# %Wt. b .tJti blVl~.r ¡ , RS BioHaz 0:::> I TSecret Radioactive/Amount I EPA Hazards NFPA USDOT# MCP No No I No No/ Curies I F IH DH / / / UnR HAZARD A'" S " .., ..,' 'T"'Ñ'l' ., -4- 08/24/1999 '¡. e e F FOOD MAXX #401 f= Inventory Item 0007 = COMMON NAME / CHEMI CAL NAME SWIMMING POOL ACIDS SiteID: 215-000-000465 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit ON SALES FLOOR/BACKROOM Map: Grid: CAS # STATE --r- TYPE Liquid Mixture PRESSURE TEMPERATuRE ---r Ambient Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 1. 00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 100.00 GAL Daily Average 70.00 GAL %Wt. , HAZARDOUS COMPONENTS ~ CAS # I 7647010 100.00 Muriatic Acid " t-~ ..Ibb '-' .':1 TSecret RS BioHaz Radioactive/Amount ¡ EPA Hazards NFPA USDOT# MCP ! No No No No/ Curies ¡ R U-I DH / / / Hi - HAZARD AS -P'" ~'Jv.rt;'NTC -5- 08/24/1999 " '.. e e F FOOD MAXX #401 I f= Notif./Evacuation/Medical rc: Agency Notification ~WNER WILL CALL 911. SiteID: 215-000-000465 ì Fast Format =¡ Overall Site ì 10/29/19981 ] 10/29/1998 _. r=:: Employee Notif./Evacuation LTE~COIVI SYSTEM. Public Notif./Evacuation Emergency Medical Plan 10/29/19981 04/21/1997 INTERCOM TO CUSTOMER AND EMPLOYEES. BAKERSFIELD OCCUPATIONAL - 4580 CALIFORNIA AVE, SUITE 100 - 327-4527 OR CALL 911 IF NEEDED. -6- 08/24/1999 .' e e F FOOD MAXX #401 I p= Mitigation/Prevent/Abatemt r: Release Prevention ~EPERATION OF CHEMICALS. SiteID: 215-000-000465 1 Fast Format 1 Overall Site 1: 10/29/1998 ] ] ] I 10/29/1998 Release Containment MOPS AND KITTY LITTER. Clean Up 10/29/1998 DIKE AND CONTAIN SPILL. Other Re~ource Activation - -7- 08/24/1999 " '. e e F FOOD MAXX #401 I p= Site Emergency Factors Special Hazards SiteID: 215-000-000465 1 Fast Format "1 Overall Site 1 10/29/1998 UNDIVIDED AREA STORED EXTENSIVELY WITH LIGHT COMBUSTIBLES. Utility Shut-Offs 10/29/1998 A) GAS - N SIDE AT GAS METER B) ELECTRICAL - N SIDE RM C) WATER - E SIDE BEHIND BAKERY W OF WAREHOUSE D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 06/14/1991 PRIVATE FIRE PROTECTION - ??????????????? FIRE HYDRANT - ???????????? . Building Occupancy Level -8- 08/24/1999 ~;-.~;/. 1/- 0"" -0'" .....,. "',4 ~~ - ~ e e c F FOOD MAXX I F Training , Employee WE HAVE!.JL #401 SiteID: 215-000-000465 ì Fast Format ì Overall Site ì 10/29/1998 Training EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING PROCEDURES: [ Page. 2 I I Held for Future Use I I Held for Future Use I -9- 08/24/1999 .. , e e-- SiteID: 215-000-000465 FOOD MAXX #401 Manager : PAT FARLEY Location: 6300 WHITE LN City BAKERSFIELD R~C"i4~lVED Dei', ~ ~ 1998 BusPhone: Map : 123 Grid: 15C (805) 832-0920 CommHaz : Low FacUnits: 1 AOV: / CommCode: BAKERSFIELD STATI __..~E~~ ~. EPA Numb: -= SIC Code:5411 DunnBrad:94-124-5496 Emergency Contact / Title Emergency Contact / Title PAR FARLEY / STORE MANAGER BOB SPENGLER / DIRECTOR OF MER Business Phone: (209) 632-0825x Business Phone: (209) 439-1832x 24-Hour Phone : ~~ S-69 4~~^ 24-Hour Phone : (209) 439-1832x Pager Phone : ':¡~'3_-6 71 x Pager Phone : ( ) - x Hazmat Hazards: - .. - -- .. .. .. Fire Press React ImmHlth DelHlth ", Contact : SAVEMART SUPERMARKETS Phone: (209) 577-1600x MailAddr: PO BOX 4278 State: CA City : MODESTO Zip : 95352 Owner SAVE MART SUPERMARKETS Phone: (209) 577-1600x Address : PO BOX 4278 State: CA City : MODESTO Zip : 95352 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: One Unified List ì All Materials at Site ì p= Hazmat Inventory p== As Designated Order Hazmat Common Name... SpecHaz EPA Hazards MOTOR OIL INSECTICIDES BLEACH STRIPPER SEALERS I CHLORINE SWIMMING POOL F DH L F DH L DH L F IH DH L F IH DH L F P IH L ACIDS A1 R IH DH L ~, ~hbf1...í'l )I¡o/!}td.~ IDo hereby certify that I have (f"WCJ(!)I' ¡)lint name) UW&¡®W~ ft~~ ~~t¡e@ ~~ardOtßs malteiials manage- M®úî~ ß:»~®ú"O ~©~.htJ / M/I ~ V tIDOO ~hJa~ i~ along with (~) ~ny OOfi'fi'OO\1å@ij@ ©©vv~~i~~~® ~ oomlPle~e and oorrsct man- /~¿~ gnature ~ /t1;yJl/ DailyMax MCP 650 GAL Min 300 GAL UnR 6000 GAL Hi 165 GAL UnR 165 GAL UnR 170 GAL Min 100 GAL Hi 10/21/1998 e e F FOOD MAXX #401 f= Inventory Item 0001 i== COMMON NAME / CHEMI CAL NAME MOTOR OIL SiteID: 215-000-000465 ì Facility Unit: Fixed Containers on Site ì Days On Site 26 Location within this Facility Unit SALES AREA Map: Grid: CAS # 8020835 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 650.00 GAL Daily Average 500.00 GAL %Wt. . - RS CAS # 100.00 Motor Oil, Petroleum Based No 8020835 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min HAZARD ASSESSMENTS f= Inventory Item 0002 = COMMON NAME / CHEMI CAL NAME INSECTICIDES Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit SALES AREA Map: Grid: CAS # STATE - TYPE Liquid Mixture PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 300.00 GAL Daily Average 250.00 GAL I l~~~óollnsecticides HAZARDOUS COMPONENTS Gr] No CAS # 01 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / UnR HAZARD ASSESSMENTS -2- 10/21/1998 e e F FOOD MAXX #401 p= Inventory Item 0003 = COMMON NAME / CHEMI CAL NAME BLEACH SiteID: 215-000-000465 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit SALES AREA Map: Grid: CAS # STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 6000.00 GAL Daily Average 5000.00 GAL HAZARDOUS COMPONENTS I l~~~ôoIBleaCh CAS # I 7681529 ~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Hi HAZARD ASSESSMENTS p= Inventory Item 0004 F= COMMON NAME / CHEMICAL NAME STRIPPER Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit JANITORIAL ROOM Map: Grid: CAS # STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 165.00 GAL Daily Average 100.00 GAL %Wt. I HAZARDOUS COMPONENTS G CAS # TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / UnR HAZARD ASSESSMENTS -3- 10/21/1998 e e F FOOD MAXX #401 p= Inventory Item 0005 = COMMON NAME / CHEMI CAL NAME S'EALERS SiteID: 215-000-000465 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit JANITORIAL ROOM Map: Grid: CAS # STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 165.00 GAL Daily Average 100.00 GAL , %Wt. I HAZARDOUS COMPONENTS G CAS # TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / UnR HAZARD ASSESSMENTS p= Inventory Item 0006 = COMMON NAME / CHEMICAL NAME CHLORINE KEM KLOR II Location within this Facility Unit SALES FLOOR/BACKROOM Facility Unit: Fixed Containers on Site ì Days On Site 365 Map: Grid: CAS # 7681-52-9 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 1. 00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 170.00 GAL Daily Average 150.00 GAL %Wt. RS CAS # 12.50 Sodium Hypochlorite No 7681529 0.80 Sodium Hydroxide No 1310732 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min HAZARD ASSESSMENTS -4- 10/21/1998 e e SiteID: 215-000-000465 ì Facility Unit: Fixed Containers on Site ì F FOOD MAXX #401 f= Inventory Item 0007 = COMMON NAME / CHEMI CAL NAME SWIMMING POOL ACIDS Days On Site 365 Location within this Facility Unit ON SALES FLOOR/BACKROOM Map: Grid: CAS # STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 1.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 100.00 GAL Daily Average 70.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS # 100.00 Muriatic Acid No 7647010 TSecret RS BioHaz Radioactive/Amount , EPA Hazards NFPA USDOT# MCP No No No No/ Curies I R IH DH / / / Hi HAZARD ASSESSl'<IENTS -5- 10/21/1998 e e SiteID: 215-000-000465 ì Fast Format =¡ Overall Site ì 04/21/19971 06/14/1991 1 06/14/1991 F FOOD MAXX #401 I p= Notif./Evacuation/Medical ¡=: Agency Notification OWNER WILL CALL 911 ~ Employee Notif./Evacuation INTERCOM SYSTEM Public Notif./Evacuation INTERCOM TO CUSTOMER AND EMPLOYEES Emergency Medical Plan 04/21/1997 BAKERSFIELD OCCUPATIONAL - 4580 CALIFORNIA AVE, SUITE 100 - 327-4527 OR CALL 911 IF NEEDED. -6- 10/21/1998 e e F FOOD MAXX #401 I f= Mitigation/Prevent/Abatemt r=: .Release Prevention ~EPERATION OF CHEMICALS SiteID: 215-000-000465 1 Fast Format 1 Overall Site 1 06/14/1991 ] ] 1 I 06/14/1991 ~ Release Containment ~PS AND KITTY LITTER I Clean Up : DIKE AND CONTAIN SPILL I 06/14/1991 Other Resource Activation -7- 10/21/1998 e e F FOOD MAXX #401 I p= Site Emergency Factors Special Hazards SiteID: 215-000-000465 ì Fast Format ì Overall Site ì 06/14/1991 LARGE UNDIVIDED AREA STORED EXTENSIVELY WITH LIGHT COMBUSTIBLES. Utility Shut-Offs 06/14/1991 A) GAS - NORTH SIDE AT GAS METER B) ELECTRICAL - NORTHSIDE ROOM C) WATER - EAST SIDE BEHIND BAKERY WEST OF WAREHOUSE D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 06/14/1991 PRIVATE FIRE PROTECTION - ??????????????? FIRE HYDRANT - ???????????? Building Occupancy Level -8- 10/21/1998 '0. " ' e e SiteID: 215-000-000465 ì Fast Format ì Overall Site ì 01/07/1990 F FOOD MAXX #401 I F Training Employee Training WE HAVE 98 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING PROCEDURES: Page 2 r I I Held for ,Future Use Held for Future Use -9- 10/21/1998 '" '~<.-'-. ~I"'\I ,..., ,""'. I --_ "'-wI' I . . '1'_ _ _. .-,... ,.1 _... . e e OFFICE OF ENVIRONMENTAL SERVICES 1715 CHESTER AVENUE, 3RD F,LOOR r"-~-::'--~'-' BAKERSFIELD, CA 93301 LJI S\.~!E,tì~ßl (805) 326-3979 r APR 'In I I.' / "-. 1 7997 U HAZARDOUS MATERIALS INVENTORY/Bì/// '-:-""~~ ----- - ::::-- FACiLITY DESCRIPTION .-' ,.... ~ './ t:' -I I ~' N E - - I S \ '-A'- ~ '1 . "",;-:=:'...." II =~_,h....,dl ::-:: ""' ì r1lv l =USiNESS NAME ~OD «lA-)()c :H::: L..J () I =,';C:UiY NAME S¡:E ACO~.=SS ~ 300 L.0h:~r')'C. .-,~,.¡ "- ¡I. ~kers~e.lo i ' .'~A ILJ~E ,:F =USINESS I : ~:c ,..........ot:: OSIII ; _I ......,'-..J '- .., CJt- ZIP Q3301 --, -- ::::IMi= Wa.(dol..lse Gtoc.:uý S-ft,("<.. :UN & BRADSTR==T NUMBE::; q L1/'2J..{ 54q to :WNE~iCF=::,ATCR SA.ù€dl,y¿T S'~/1'lt)/KeT.s . '-'1AIL!NG ACCF.ESS 1( (), Boy L/;¿7B ,::TY tvJC(iß$7» SiA,E CA-- ¡ .,........ I PHONE 20<:1- 677-lloOO ZI P 9535 '2- =MERGENCY caNT ~CTS >~AME ?f\-\t=Ã-t2.l..Eý T[ïL= S\-0t2.E:- CÝlA-ÑA&ËI<.. SUSiNESS PHONE BOS-B3Z-0QZ.O 24-HOUR PHONE 60S-833- (P71'1 BUSINESS PHONE 50S '632- cA 2D ïITL= (Xoe,erý tIIMf/6-i2/ê 24-HOUR PHONE &:>5 - 5B<ò'" 3D43 NAME. 12ëJ:y¿rf- fA) ()()DS s.ø..._ ~ IIIIZ flllal: HV LÐ'C STANOAAO F- :;¡;; ;¡ HAZAWCJUS MATERIALS INVENT~Y ~D(Í\A- (Y ~ LfOI Address b3(X) Wh;kla~-e. :.Jsiness Name page.lotL CHEMICAL DESCRIPTION 1) INVENTORY STATUS: New I I Addition Ix.. Revision I I Deletion I J 2) Common Name: Swi(Y\m\~ ?06\ Ä:c..IO ChemicaJ Name: <;u..\Çv..ric....- A~D 3) DOT # (optional) Check if ch~mícal is a NON TRADE SECRET I 'TRACE SECRET [ ] AHM ( ] CAS # 4) PHYSICAL &. HEALTH HAZARD CATEGORIES 5) WASTE CLASSIFICATiON I 2. PHYSICAL Reactive Sudden Release of Pressure [ ] o7CcCot./-9ó..Q USE CODE t.J HEALTH Immediare Health (Acute) I Delayed Health (Chronic) 6) PHYSICAL STATE liquid 00 Gas [ ] Pure [J Mixture "L J Waste I J æfOC ALL J1.í....r APPt" Solid ( J 7) AMOUNT AND TiME AT FACIUTY Maximum Dajly Amount: Average Dwly Amount: Annual Amount: Largest Size Contajner: # Days On Site 8) STORAGE CODES a) Container: b) Pressure: c) Temperature: 100 -rf> UNITS OF MEASURE Ibs ( J gal O(] ft3 ( ] curies ( J J, F, M, A, M, J. J. A, S, 0, N, D Circle Which Months: 9) MIXTURE: list tl1e tnree most hazardous cnemlcaJ components or any AHM components COMPONENT CAS # 1) \-\1.. SD¡. 2) 3) 10) Location 01\ SA\.e.S ~\aor I ª~cJ:::.(OOM CHEMICAL DESCRIPTION 1) iNV::NTORY STATUS: New [ ] Addition tyJ Revision [ Deletion [ ] Radioactive [ J 10 I .g. 1 % 'NT 1/ I II II !i Ii I' ¡ ! ! AHM [ ] [ ] [ ] I I I I ¡i :1 'I :1 q II I il I 1 i I Check if chemicaJ is a NON TRADE SECRET [ TRADE SECRET [ 2) Common Name: CµWgJ~'E.. ~m t\D1 AHM [ ] 3) DOT # (optional) 'CAS# bí&ßI-S'2..-9 \\ C:'Iemlcal Name: 4) PHYSICAL &. HEALTH HAZARD CATEGORIES 5) WASTE CLASSIFICATiON ii/ HEALTH Immediate Health (Acute) I)<t Delayed Health (Chronic) PHYSICAL Fire ~ Reactiv~udden Release of Pressure [ ] (3-diglt code from DHS Form 8022) USE CODE 6) PHYSICAL STATE Solid [] Liquid ~ K1 Waste (] Gas [ ] Pure [ ] Mixture C)ffCJ(.tLL N..r APPt ~ 7) "MOUNT AND TiME AT FACIUTY 7 Maximum Daily Amount: '@t I D Average Dajly Amount: I SO Annual Amount: Largest Size Contajner: # Days On Site 8) STORAGE COOES a) Contajner: b) Pressure: c) Temperature: UNITS OF ~SURE Ibs [ ] gal ~3 [ I cunes [ ] - M, A, M, J. J, A, S, 0, N, D Circle Which Months: 9) MIXTURE: List the three most hazardous cnemícal components or any AHM components 1) SOO\\.A.(' \. 2) ~u.rl\ " COMPONE;NT tty poc..h \ C;:("i't.e "'fJf<¥\OE.. CAS # Îfø ß( -Sz- - q 131 () .1$"1- 3) Radioactive [ ] 10 \ Y % 'NT AHM 7·5 -12.'5 [] . ~ o/l> II ¡ il i ( J [ ] 10) Location SAle~ :¡::::{Q:)f"" / ~CV"" ceff1ty unøer penalty of law, mat I have personally exarmneo ana am familiar with tne mfOmaÞon suDmltløa on thiS ana all attachøa documents. J believe me ubml:~orrn;:n~:;~~ccuratr:;.°n¿~~IlOl- ÇPEVAUST --W)C£¿~ 31gqj97 )RINT Name & Title of AuU10rized Company Representative ~ (I , DJtø CII~ '''' JIIØa(JIIV LlPCSTNiIQ It¡ IIIC)JOII." . ~;¡. ;,i e e FOOD 4 LESS SiteID: 215-000-000465 Operator: Location: 6300 WHITE LN Æc.(OI City BAKERSFIELD CommCode: BAKERSFIELD STATION 09 EPA Numb: BusPhone: . Map : 123 Grid: 15C (805) 835-9036 OvrlHaz : Low FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title DA·JID HALl. 'tÀ'~AeL€. y / STORE MANAGER BOB SPENGLER / DIRECTOR OF MER Business Phone: (209) 632-0825x Business Phone: (209) 439-1832x 24-Hour PHone : (209) 569-4530x 24-Hour PHone · (209) 439-1832x · Pager Phone . ( ) - x Pager Phone : ( ) - x . Hazmat Hazards: Fire ImmHlth DelHlth Contact · Phone: ( ) - x · MailAddr: POBOX 4278 State: CA City · MODESTO Zip · 95352 · · Owner : SAVE MART OF MODESTO Phone: (805) 832-0929x Address · P 0 BX 4278 State: CA · ,Ci-ty-·- -, ·:--MODEST.()..·,..- Zip · 95352 · Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: EHSs: No First Response Directives: I - I f= Hazmat Inventory One Unified List 9 f== MCP+DailyMax Order All Materials at Site 9 Hazmat Common Name... SpecHaz EPA Hazards DailyMax MCP BLEACH DH L 6000 GAL Hi MOTOR OIL F DH L 650 GAL Min INSECTICIDES F DH L 300 GAL UnR STRIPPER F IH DH L 165 GAL UnR SEALERS F IH DH L 165 GAL UnR , 1q\ Do hereby certify that I have I WR iyper;:;1.rt. ~e~ reviewed the attached hazardous materials macaga- meot plan for~o ~ and that it along with (Name of Business) any corrections constitute a complete and correct man- \I, ~~ -1- 3/zQ/97 . Data .. e e F FOOD 4 LESS f= Inventory Item 0003 F== COMMON NAME / CHEMICAL NAME BLEACH SiteID: 215-000-000465 9 Facility Unit: Fixed Containers on Site 9 Days On Site = 365 Location within this Facility Unit SALES AREA CASt STATE Liquid TYPE Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER AMOUNTS STORED AND IN USE Lrgst Cont.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 6000.00 5000.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL HAZARDOUS COMPONENTS ~ CAst I 7681529 , I l~~:òoIBleaCh TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOTt MCP No No No " -" No/ Curies DH / / / Hi UFC Article 80 Control Zone: USDOT Hazards In Cabinet? Sprinklered Area? HAZARD ASSESSMENTS Ag.Defined1: Ag.Defined5: Ag.Defined8: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.define10: - Ag.Define11 -2- I · " e e .. F FOOD 4 LESS f= Inventory Item 0001 F= COMMON NAME / CHEMICAL NAME MOTOR OIL SiteID: 215-000-000465 9 Facility Unit: Fixed Containers on Site 9 Days On Site = 26 CASt 8020835 Location within this Facility Unit SALES AREA STATE - TYPE Liquid Pure PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE PLASTIC CONTAINER Lrgst Cont.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 650.00 500.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL AMOUNTS STORED AND IN USE HAZARDOUS COMPONENTS %Wt. EHS CASt 100.00 Motor Oil, Petroleum Based No 8020835 Z S TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOTt MCP No No No No/ Curies F DH / / / Min UFC Article 80 Control Zone: USDOT Hazards In Cabinet? Sprinklered Area? HA ARD A SESSMENTS Ag.Definedl: Ag.Defined5: Ag.Defined8: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.definelO: - Ag.Define11 -3- "- e e ..' F FOOD 4 LESS f= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME INSECTICIDES SiteID: 215-000-000465 9 Facility Unit: Fixed Containers on Site 9 Days On Site = 365 Location within this Facility Unit SALES AREA CASt STATE - TYPE Liquid Mixture PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM AMOUNTS STORED AND IN USE Lrgst Cont.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 300.00 250.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL HAZARDOUS COMPONENTS I~ CASt 01 1 l~~~öollnsecticides TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No . No/ Curies F DH / / / UnR UFC Article 80 Control Zone: USDOT Hazards In Cabinet? Sprinklered Area? HAZARD ASSESSMENTS Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.define10: Ag.Defined5: Ag.Defined8: - Ag.Define11 -4- ., e e F FOOD 4 LESS F Inventory Item F= COMMON NAME / STRIPPER SiteID: 215-000-000465 ; Facility Unit: Fixed Containers on Site 9 Days On Site = 365 CAS# 0004 CHEMICAL NAME Location within this Facility Unit JANITORIAL ROOM STATE - TYPE Liquid Mixture PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Lrgst Cont.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 165.00 100.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL AMOUNTS STORED AND IN USE %Wt. I HAZARDOUS COMPONENTS ~ CAS# HAZ D A ES NT TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / UnR UFC Article 80 Control Zone: US DOT Hazards In Cabinet? Sprinklered Area? AR SS SME S Ag.Definedl: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.define10: Ag.Defined5: Ag.Defined8: - Ag.Definell -5- e e F FOOD 4 LESS f= Inventory Item 0005 = COMMON NAME / CHEMICAL NAME SEALERS SiteID: 215-000-000465 9 Facility Unit: Fixed Containers on Site 9 Days On Site = 365 Location within this Facility Unit JANITORIAL ROOM CAS# STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Lrgst Cont.this Loc GAL DailyMax this Loc GAL DailyAvg this Loc GAL 165.00 100.00 DailyMax Stored GAL DailyMax Open Use GAL DailyMax Closed Use GAL AMOUNTS STORED AND IN USE %Wt. I HAZARDOUS COMPONENTS EJ CAS# HAZARD ASSESSMENTS TSecret EHS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / UnR UFC Article 80 Control Zone: USDOT Hazards In Cabinet? Sprinklered Area? Ag.Defined1: MISC. LOCAL AGENCY DATA Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined6: Ag.Defined7: Ag.Defined9: Ag.define10: Ag.Defined5: Ag.Defined8: f- Ag.Define11 -6- .i e e F FOOD 4 LESS I f= Notif./Evacuation/Medical Agency Notification SiteID: 215-000-000465 ; Fast Format 9 Overall Site 9 06/14/1991 OWNER CALL 911 r=:: Employee Notif./Evacuation I INTERCOM SYSTEM Public Notif./Evacuation 06/14/1991 ] 06/14/1991 ] 06/14/1991 INTERCOM TO CUSTOMER AND EMPLOYEES Emergency Medical Plan BAKERSFIELD OCCUPATIONAL 4580 CALIFORNIA AVE, SUITE 100 BAKERSFIELD, CA. 93309 (805) 327-4527 OR CALL 911 IF NEEDED -7- e e F FOOD 4 LESS I p= Mitigation/prevent/Abatemt r=: Release Prevention I I SEPERATION OF CHEMICALS ~ Release Containment ~PS AND KITTY LITTER I Clean Up .. DIKE AND CONTAIN SPILL Other Resource Activation SiteID: 215-000-000465 9 Fast Format 9 Overall Site 9 06/14/1991 1 06/14/1991 1 06/14/1991 ] -8- ¿, .; e e F FOOD 4 LESS I f= Site Emergency Factors Special Hazards SiteID: 215-000-000465 9 Fast Format 9 Overall Site 9 06/14/1991 LARGE UNDIVIDED AREA STORED EXTENSIVELY WITH LIGHT COMBUSTIBLES. Utility Shut-Offs 06/14/1991 A) GAS - NORTH SIDE AT GAS METER B) ELECTRICAL - NORTHSIDE ROOM C) WATER - EAST SIDE BEHIND BAKERY WEST OF WAREHOUSE D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 06/14/1991 PRIVATE FIRE PROTECTION - 111111111111111 FIRE HYDRANT - 1111-11111111 Building Occupancy Level -9- oiJ· ;; ~ e e F FOOD 4 LESS I F Training Employee Training SiteID: 215-000-000465 9 Fast Format '" Overall Site '" 01/07/1990 WE HAVE 98 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING PROCEDURES: Page 2 -10- .i ____ ________ .~....i ".' 02ì/27/91 e FOOD 4 LESS 21 ::;-OOO-00A5 Ove1'~all Si te wi th 1 Fac. ~i t Page 1 I Gerlet~a 1 I nfQt~mat i Crrl Phc.rle 9i~~9 x B YZøx , . I Hazard: Low I I A1'~ea of Vul: O. (J I ] .~.j4 Hour Phone.l ( 805) e3Z 9:.~/.. I (Zi:)$h 1/3.?- /8 5ZJr _______.=J II Loc"ti o~, 6300 WH HE LN I Ident Number: 215-000-000465 Grid ,..-- Cc.rlt act Name Titl Busirless rVi1 ~ ru:."fi U{Çí1 s 7j)/!é m~¡()3 &t:7Z (805) 832-0 BOB SPENGLER Ì)1/ltfJrO¡¿ f)F mð1ZtI¡'" (m~/) i3q - I Adm i Y"IÍ str~at i ve Data Mail Add1'~s : P 0 BOX 4278 City: MODESTO Stat CClfml' Cc·de : 215-009 BAKERSFIELD STATION 09 Owner: SAVE MART OF MODESTO I Addt~ess : P 0 BX 4278 City: MODESTO r S 1.1fI1fI1i:\ t~y Map: 1i:::3 : 15C I I D&B Nl.\mbet~: e: CA Zip: 95352- SIC CQde: Phone: (805) 832-0929 State: CA Zip: 95352- I J' RECEIVED APR 19 1991 ARS'd............ i, (/b/i'p /ol-k, ~-hl'rra_JJO hereby carii'iy ~ha~ ij hav® (Type or print name) , reviewed the attached íl~~'~(~rd;;:;R~s materials managso ment plan forþ-:-%-:.t(:4F:á:..._G;¡iJ that it along with !¡\'. J .If,: ',:n "~;" ,~I: ~,_ ¡ any correci:ons CCil.5titL,te 8 complete and correc~ mane agement plan 1ór my 1acility. ¥!- (~ØJt$:/;ð7 Signature //~ ~tJ/ Dats ~ 1~J27-qj, 03/27/91 e FOOD 4 LESS ê: 15-000-00.5 Hazmat Inventory List in M~Order Page 2 02 - Fixed CC'\'"lt a i \'"Iet~s C'\'"I Site PI \'"I-Ref Name/Hazards F clrm Quantity MCP 02-003 POOL SUPPLIES Liquid 200 High GAL 02-001 MOTOR OIL Liquid 600 Mi\'"l i Ma 1 Fi t~e, Delay Hlth GAL 02-002 INSECTICIDES (HOUSEHOLD TYPE) Liquid 250 U\'"lt~at ed GAl.,.. 02-005 SEALERS Liquid 165 UYn~ated GAL 02-00'+ STRIPPER Liquid 165 U\'"lt~ated GAL \ 03/27/91 e FOOD 4 LESS 215-000-0( (e5 00 - Overall Site CD> Notif./Evacuation/Medical <1> Agency Notification ()áJJUæ Cr;¿¿ -9/1 <2> Employee Notif./Evacuation \ NONE LISTED (//14 / t</;r:/è,(!¿J/71 of 9'<:5 k/77 <3> Public Notif./Evacuation NONE LISTED ¿// /9 / /f/ JÜê ¿? ô /Y) -1-0 t!¿iS;07Y1.L/ê.- /l/VLJ ¿~/ó~ <4> Emergency Medical Plan Sob<--f~ L!I,~t5,(;:-J f ARA--- ¿J"q Þ.e,-r;c;¿ /ot (}c..~/1T/¿J"u/9 ¿ _ -9'S pc) e /}-¿,..-Ç¿;;e//9 ,¿JUG S ¿:..u /ø ¿¡C~.{'/"Ie/~ ¿Jc¿933Ó7 (fbs) .5.27- KJ-~7 VALLE:y INDUSTRIAL MEl)!L;AL GROtfP 2501 G STREET BAKERSFIELD, CA. (805) 93301 OR CALL 911 IF NEEDED Page I 31 I /°0 03/27/91 e FOOD 4 LESS 215-000-00_5 00 - Overall Site Page 4 (E} Mi t i gat i oyr/P.....evey't /Abatemt (1} Release Prevention ~,eAr/{)w 0/ tlA.e/yJ I {I/9¿S (2) Release Containment /)?CJj:JS /Jß ~ kílftt /; /It æ (3) Clean'", Up ¿}¡/á /7-1/.0 . (l¿JJ¿)Þ//U ¥/¿L.- (4) Other Resource Activation 03'/27/91 e FOOD 4 LESS 215-000-0()(e=.¡ 00 - Overall Site <F> Site Emerge~cy Factors Page c' >J I I I <1> Special Hazards LARGE UNDIVIDED AREA STORED EXTENSIVELY WITH LIGHT COMBUSTIBLES. <2} Utility Shut-Offs A) GAS - NORTH SIDE AT GAS METER B) ELECTRICAL - NORTHSIDE ROOM C) WATER - EAST SIDE BEHIND BAKERY WEST OF WAREHOUSE D) SPECIAL - NONE E) LOCK BOX - NO <3} Fire Protec./Avail. Water NONE LISTED <4} Held for Future use 03/27/91 I e FOOD 4 LESS 215-000-0(1(_5 00 - Overall Site (8) Tra i ni rig (1) Page 1 WE HAVE 98 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING PROCEDURES: (2) Page 2 as needed (3) Held for Future Use (4) Held for Future Use Page 61 I e e CITY 0./ B.AKERSFJELD "11'£ CARE" _ ,,\\\~~1~ ~;,,\~~::ó~;';i!!!l~ ;:: .;..'\ <'?...('''''... ¿g."j'. ~' /J''., ::.ì", \..-, l!!.r'l 'Z~ 'ª =~< ~ :.,,~== ~\~ r. .~~ ~::. ".'" " .......:....". ......... .', ~~"'-:..IP.l? C ,-..'¢,¡' ~ílÍñ¡(' FIRE DEPARTMENT D. S. NEEDHAM FIRE CHIEF :!arch ').Q -~ , 1990 2101 H S7REE'í BAKERSFIELD, 93301 326·3911 .-- .- ". . --- Ritail Business Owner: As previously- noted in the Hazardous :vl~terials ~lanagement Plan (HHMP) cover letter and HH~lP instructions, wi thin the City of· Bakersfield, Hazardous Materials contained solely in consumer products for direct distribution to, and use by the general public are not exempt from the inventory reporting requiremen.ts of the Heal th and Safety Code. However, to facilitate that inventory reporting, retail outlets are permitted to group similar products and report as one quantity. The products permitted to be grouped together are: Group Heading Repo:::-t In .J Bleach - all bleach products gal Motor Oil - all lubricating gal Fuels - Lighter fluid, kerosene, charcoal gal lighter, camp stove ~uel (except propane) Propane - at standard temperature and pressure ft3 Pool Acids - all gal Pool Chlorinating Products - solids IDs Pool Chlorinating Products - liquids gal Fuel Addi ti ves - all , gal Paints - all combine liquids & aerosols gal .Paint Thinners - solvents & reducers gal Insecticides - all liquids gal Insecticides - all solids Ibs Herbicides - all liquids gal Herbicides - all solids Ibs Fertilizer '- report only Ammonium Nitrate Ibs Glues & Adhesives - all gal For each of these categories the minimum state reporting quantities apply,that is the reporting quantities for the combined products in each category are: \ 55 gallons for liquids 500 pounds for solids 200 cubic feet for gasses (at standard temperature and pressure) ..,' I I e e ~, If at any time during [li':: year your inventory e:-:c~:::eds ::lles<= reporting quantities you -illUS t -report- tha t--produGt-g-roupc onth~c~- standard inventory forms. You should list the group heading in column 14 (name of the mixture). It will not be necessary to report the % (percent) by weight of components for these product g~oups. However, we would like a .listing by common name of all of the products included in that group. hie do hope this helps to ~implify your inventory reporting requirements. If you have any questions or need assistance in completing your inventory please call 326-3979. Coordinator REH/ed INVENTORY SECRETS HAKI:K~J-lt:LU ERIALS 01- MAT NON-TRADE CITY OHAZARDOUS ~- of Pag __L NAME 0B THIS FACILITY' ~dcv'~~SS STA. NDA D IND. CL 58 CÒVE:'·-.· ...--,-..-.----..,.-.. . DUN AN BRADSTREEI NUHBER-'..· - - ness -------- ~W~fi~S~N~ME~~~m._/l,f?r ,-;::7--·· - C 1 yIp :-'--. _r:£LÆê12.,-f/~2.a-__~-75<;:::-----'- PION t . : --~--J!4.,.----f25....;¿J~- R FER ~~Ni7Rü&fTDNS-FDR-PROPER CODES St8ndard Bus o ture cu bH~¢~fö~¡,NAHE PÁONt ~: 8nd Agt Fmn It ~i~ture{çO~Donents ¡nstruc Ions Hues of See 3 , by lit 10 Cont Temp 1/ 9 Cont Press c:< 8 Cont Type 7 Oys SIte 1 on 6 Hea$ure UnIts 4 Average Allt eX 3 Max Allt $00 1 Trans Code 2 Tyoe Code Number Number Number C.A,S C.A,S C.A.S Nallle Name Name t2 13 Component ",mediate Component Health Component o Suddfn Release o Pressure o De 1ayed Health o ty Physic" eod He"lth Hlafard (Check all that app y Reactiv o re Hazard iF u '"/:?7¿J?;n oJ Number NUllber C.A.S C,A,S Nallle Name 12 "'mediate Component He81th Component o Sudden Release of Pressure o De 1ared Hu th o Jh/ ;:¿> /.>-7 13 p F Reactivit o re Haurd o Number Number C,A.S C.A.S Name Name 12 13 Component IIImediate Health Component o sudöfn Re' e8se o Pressure o Oel8yed Health o , ¡ Rmt ¡viti o Fire Haurd o /' d:ø£ NUllber ..;:?;l; A./ / ~ /& C,A A.S C HBRle 3E (/ I to a 3&J- ,AØ:7 .? c.. (,¡ /U/éNW,v C,A 00 NUllber Number NUMber s C,A.S C.A,S Nue Nallle Nallle 12 13 Component mmediate Component Health Component o Suddfn Release o Pressure NUllber o S Delayed Health o Physical 'eod Health Ulfard (Check all that apply React o re Hazard o T1t1~ fd..2-%.b) ¡(lIFTfiðñe ~~-Ø U!t~-~!4r.eð------· tt 2 //,h 1fiftir ¡h¡¡I!:~ea¡~~a~the /ß. {/P (/~_ -Sl n üre ' $ubllitte~ in InformatIon %ß/-ó ê3':¡ zrRf- Pfiõ~" íertifjçatio" fReed and $ign 8.f1ßr c9mpleting (ill sections) cer Ify under enall 0 Is th t I have persona J~ exam,n Qed II familIar it the information attaç~ed dQCUllen~sl In~ t at ~ase~ on IIY Inquiry 0 lhose Inålvl~ua's responsib1e ~or obtaIning the S~~1 ted Inform~t IS true, accurate, and coñplete, / ~ W~ . r *rNz-:â '7/;1ß.J' ~ I'll ~~~nncn tie of ollner'oP1~~~Fl¡¡PH~Ül~eiJr~¡;fgëñtntve- , ¡¿If EMERGENCY CONTACTS CITY of I3AKI:.H~J-ll:LU Far, and AgtlCulture [] Std d 8 []HAZAROOUS MATERIALS INVENTORY an ar us Iness paged or'~ ' NON-TRADE SECRETS rïS¢~fî~·NAHE:----- ~WNER NAME: NAM~ ~B THIS FACILITY' - -._" _._~---- ...-..-----.-... DRES' ----------------- ST 0 ND. C S CÒOE:- ~ bN~ fÞ: ~ó~~ :~P:=~~====:~~-:=--~---- DU~ ~N BhADSTR~Ef NUMB~R·-' . --_.~---_..._--- R FER to-INSTRUCTIDNS-FDR-PRDPER CODES - - - - - - I ge ¡ 5 6 1 8 9 10 11 .12 13 U Tr~ns Annual Hea$ure . Dys Cant Cont Cont uSå loe~tlon IIhe~e , by Na~es of ~ixture{ço~Donénts Co e I Est UnIts on SIte Type Press Temp Co e Store In FacI Ity lit See Instruc Ions ;QJ//~MAJ~ ,%J I A? 1/ I ->II p I (~~í #Æ'éW Ph~~ie~1 Hd ~et'lth HBfard I C,A,S. Number Component.1 Name & C.A,S. Number ( ec a t a apply i I [] Component.2 Name & C.A.S. Number ¡Fire Hazard o ReactIvIty, [] De Jared o Suddf" Release - Immediate Hea th o Pressure Health Component.3 Name & C,A,S, Number =,--r L.J r .-- - Ph~~ie~1 ,~d ~ealth ~afard C.A,S, Number Component. I Name & ~,A,S. Number ( ee a t at app y .- o Fire Hazard o ReactiVity o Detared o suddf" Re I ease Component'2 Name I C,A,S, Number U Immediate Hea th o Pressure Health ! Component 13 Name & C.A.S, Number I =r I Ph~~ic~1 ,nd ~ealth Hajard , C.A.S, Number Component II Name I C,A,S. Humber ( ec a 1 t at apply i o Fire Hazard '0 R ,. i o De Jared o Sudtl¡n Re' ease [] Component 12 Name I C,A,S, NUllber eact 1VI ty¡ - Immediate Hea th o Pressure Health I Component 13 Name I C,A,S, Number . . - Ph~~ie~1 ,,~d ~ealth ~afard , C.A.S, NUllber -- Component II Name I C,A.S. NUllber ( ee a t at app y i I o Fire Hazard o Reactivity: o Delered o Sudd¡n Re I ease o . Component 12 Name & C,A,S. Number ImmedIate Hea th o Pressure Health I Component 13 Nallle I C.A.S, Number I ¡ EMERGENCY CONTACTS tl1 Tan tt2 RUe ZrRr-pfiõñe-- RUe TtO - Z¡-1If"Tfiõñe' ¡ert i fi't io~ ç Re(.~ and f i fn a f1r.r cpmF 1 f t i ng a 11 see t j ons ) , cer I un er enal 0 a th t I av persona examtn e n familiae it the information $U mitte~ In his end all attaç edYdQC~lIen~ll an~ t at ~ase~ on my In~uir~ ~ lhose Inålvl~ua's responslb1e ~or obtaIning the In~ormatl0n, ¡ belIeve that the su II ted In orlla on s true. acc~rate, an co pete. I rmiëmõ ffitor uk ownempefnõ~nütfiõfnëör~DfgëñUrrve-- STqõHüre Onr1f4r.eõ-- ! ¡ " ~. __I /~ "ó~:,~:,:·,·~~~).~ ... ......, '.' ~" \ ,!'~' .41-" ~\ ...t .~ ik-----. ç )' \;,,~ ~~).~; , , .....- -, , \'\C'""-: .' .... ,j" -:'1C¡"'_·".:i\'?:-: - >,.!!..OB:!~,·/ .~ e "IVE C-iRE" e @ ", t-JW~ qO?}O c¿35/ ,\\Ú.\II11ì7Ä- '7\\' ,;~,~;~::!!!lg ~,<,J.LJ '~--'~ ~ ~:¡>~~ / t.~~~ -,',- \, .,/j :C'- _ - ,¡.i1.4 ,_.. =~; -. .... ~\~~ -;::;..... ... ~ IE¡' ~~_::".::~~\~" I¡ ~ l<~~íÍÍ~ CITY of BAKERSFIELD I __);X&lVle~ 11\1\. {jo S'rll!c f (tyue or print name) RECEIVED JAM 30 1989 Ans'd... ......... Doh ere b:¡c c e r t i f y t hat I h a '\ - ere \- i e h- e d the attached Hazardous Materials business plan for hnr/,4 Læ rS fo.1 DO 0j,-¡~ i~AJ" : ßoL,r,Â;I.t!, f':¡,- IJ 40 I (name of business) and that it along with the attached additions or corrections constitute a complete and correct Business Plan for my facility. f ~ L~ /Þ1~ æ ~------ .. ~ signature ~/ / - 02 0 -f 7 date (/-,r ~" . rJJ ~_.., r~</ .' ',- / i/(yK / ( - ",------- of BAKERSFIELD CIT}T = HAZARDOU$ MATERXALS XNVENTORY NON-TRADE SECRETS ,--, L-J Far. and Aqr;eu '" '2... of .L Pag, NAME OF Tft1S ~~JL~TY: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER - - 2- OWNER NAME: ADDRESS:-.J CITY, ZIP: PHONE ,: IfD'JØf Standard Bus1nrss turr BUSINESS LOCATION: CITY, ZIP: PHONE fI(, 11 ..... of Iii lIture/Colloonlnt. SIt Instructions ------- :I /,. f _C:(..~~_..b,.~.J_<}.J2;. n ,by lit 12 lDCIt10n ...... Stored tn f.c:t !tty Sð/~~à..~ .:-- to.ponent II ... I C.. .5. ....... eo..-nt 12 ... I U.S. ....... CoIIpontnt 13 .... C...S. ....... r-" "--' 1 Oys Sit. SucIcMn hl_ of P".lIure . on , .....u... Units r-., "--' 5 Annul Est o.l.yM ....Ith r-., "--' . .ve"'(Je "t 3 ...~ "t ~.1~__L~.?_9___ PhY';e.1 and HN Ith lI.,erd tr.I1Kk .11 tllet 'PØ Iy) - r-., LF ire Hallrd .. - .J 2 TVIIe Cod. 1 Iran, (od. :F.:'..JJJá-tl~._ ... . C...S. ....... ... . U.S. ....... ... . C...S. ....... l-.dt.t. ....Ith r-" "-.I ~tll ~tl2 CaIIDonInt13 .l!ø ~___ C...S. ~~k":!!~___J(i.i~ r-., "_.J r-., "--' RHCt;ytty -§..Q.Q------ ~J_eJ__(,__Q.º_ Phys ie.1 IIICI ....lth H.ul'd (Check .11 tllet ."Iy) r-, ,.-, L _.J ftre H.,~,.cI .. - -' RIIcttytty to.IIoMnt ., to.IIoMnt 12 eo.-nt 13 - tYLLlJp.§___LLQ_º______l(jH¡~.:I<'__.k:ts!LLJ..bS LJ~)_l±7žl..3-U~è::'.i Physical IIICI HNlth 1II1.1'd C..,S.......' /t,i. I." to.IIoMnt 11 (Check .1\ that l11li1,) __..4£a. -~~, ------ ,..-., r-" r-., C.....t 12 L _.J Fir. H"'l'd 1._-' "_.J to.IIoMnt 13 ....... ....... ....... l-.dtlt. ....Ith ,..-., "--' I C...S .... r-., I.._.J SucIcMn hl_ ot P...._ o.l.vee! IIMlth 1kJ~__ ,..-., L._.J l_<?_~____ Y__Jl!J_lJ~~_ Physlc.l IIICI ....lth lillii'd (Chick .11 that .ooly) r-, ,.-., L _.J Ftre H"'l'd .. _.J RNCtiYlty ":'\ J----: ....... IMber . C...S. I C...S. 01 C...S ... ! ... ..... l-.dt.t. HNlth Sudden R.I... of Pressure o.l.yM HNlth ,..-., DelayM .. _.J HNlth ,..-., "_.J ... . C..,S, ....,. 12~~Ji~~--~~~----------_-- l-.diat. Health Sudden R,I.., of Pressure ·'R~·~·--~~~(Sl~~--------------~ff{i¡J2:t--~~Jl-p~------ o 4 _ IIHct;yitv _EIIGENCV CIMUCTS of those tnclhidull. ,.tSøon.ib1. ~-Ši~-:_J:Z that basld on wy inquiry ¡cation (Rttad IInd sjl!n after co.p1p.ting 1111 s~ctjonsJ fv uncler ØIIIIlty of 111. that I hav. "I'son.lly ....in'" and .. f..ili.r .ith thl! infO"Mtionosu.ittld tn this and .11 .ttlC'*' cIoc_u o;n;ng the ;nfarMtion I ~¡;'''II! tllet thl! su.ittlld info~tion ~s true. 'CCUI'.t., .nd COIa0'l" ., _ / '-'-""---T-~J(}1Jt:~~~Ç)O~---c}7~---~~) _~j;~.~_jO_~.t._..__ D..--..~-~~~~-------------------------- . ,1< II! 0 ownerToÌlfrator 111- ownll!l' ODl!r.tõ~ S lIut""riiil rePl'rsen,.<w. 1 n.<ure ::rð""G>~ IV\. ~ S;'C'\/e-r ~~) and ...1!tJ of BAKERSFIELD HAZARDOUS MATERIALS INVENTORY NON-TRADE SECRETS CITY ,......., L--' ,--0 L..-J tur. f,r. end Aqr leu OWNER NAME ADDRESS:_ CITY. ZIP: PHONE tI:_ RIaIlR 1'0 IlISrRUcrIOIIS roB PROPIlR CODIlS . I 11 II 12 Cant Cant Cant Un locat 1an ...... TYJI Prell T... Code Stored tn flCt "ty = JS'd/<'!I~Y-Jt!"'~~ ....... _-Ed.. ¿~tL:___ Call1laMnt 1\ ..... U.S. ........ ,. -., c..nnt 12 ..... C.A.S. ........ "-.I Call1laMnt 13 ..... C.'.S. ........ -~ _?-__ of P.q. NAME OF TinS ~~JL.!.TY: STANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER - - St,nderd Bus ,nns BUSINESS LOCATION: CITY, ZIP PHONE .: It , ...... of "htvre,c-tl See IMt~t tCIIII --------- 5 AnnIM Est 3 .... "t 2 Type Cod. , 'rent (od. 13 \by Nt C.'.S .u1J..,{""l~_ ,.-., "-.I . 'ver. Altt ,.-., "-.I }d_l!!U "i~~_ Ph~;ClI lflii MH 1th Hellrel IChlck .11 thlt .pply) ,.-., .. - oJ Aucttvtty -. ...- L_ · C.U~. ':---I~J=-=__ .. C.A.S. ..... . C.'.S. ....... ... ... 12 ...t.t. ....Ith Call1laMnt " Call1laMnt Call1laMnt ....... --- ,.-., "-.I ~ 1111.... of PNlIU/'I ~ "1_ of PNlevre C.'.S Del.y.d ItHlth r-., r-., "-.I DeltyWd "-.I ItH Ith HII.rd -,~!;!Q Ptoys ic.1 lflii ItH 1th H.llreI t t"-ck .11 thlt 'IIIIIV) r-., ~-., L - oJ fl,.. Hellrel .. _.I IIHctivltv I..t.t. .... Ith ... 13 ec.an.nt , Call1laMnt 12 Call1laMnt 13 _~~L____________J..____________JL___________J_____l_______L_____j_~Jl___---L_________ toys'" lflii H..lth HeI.1'II C.'.S. IIuIIbr ec.an.nt 11 (thtc:k .11 thlt .,.Iy) -- - ., ,. - ., COII GIIIIIt 12 - oJ Fir. HII.rd .. 7.1 tc.IIonInt -' Phywlc.1 tnd .... (Check .1 I thlt ...... ...... ...... · C.'.S. · C.'.S ... ... ...... - ,.-., ,,_oJ C.'.S ,.-., "-.I ,.-., ,,_oJ IthHellrel '1IIIIy) ,.-., .. _.I Allct ;vitV Ftl't -., _oJ ------..---- -- ...... ...... . C.'.S · C.'.S. · C.A.S ... .... .... I..t.t, H..lth I..t.t, H"lth ,.-., "_oJ Sudden R,I_, of Pressure Sudden Rtl_, of P""sur, Del.v" HHlth ,.-., Oel.y.d .. -... I1Hlth ., oJ ,.- ..- IINct Ivity HII.rð ....." .. C..,S ... IJ T1tTI------------------- n'1lI'-I'IIIIII'------- tndtvtdutl. respcÌnsibl. Ditniijñ¡a those of thlt blslII on ., inquiry n llii---------------------------------- .ttlChed __fl, tnd S;ijñitü;:,---------------------------- .11 tnd 1n¡:-pfliiñi------- tn this Tit¡¡------------- ---------- . If ;c.tian (Rf1ad .nd sign after co.pJp.ting all Sf!ct Jons) ".,,"~~~ under ØIIIIlty of 1111 thet I hlv. .,.rsan. fly ~..i;d Ind.. f..i iii" .tth thl infor..tian sublo;ttlCl ,'\. ~in9 thl ;nf_t Ion. I ~1i.v. thet tilt subloittld ;nfo....t;an is troe~ .ccur.t" tnd caapl,n. "^ \ J' . :~~;.~'\.~ __ é ,;,::~~ ~t mnn"'¡;: Top¡;:itõr-Dn;¡¡¡¡;: 7õõ¡;:¡ t õ;:~š-iü t Iiõ;:i ¡¡a-;:¡P;:išiiit itm ,_:~C~OJ·:::<;:~< II ________________________________ lIi.----- f IIGENCY CI*TACTS ¡- e BUSINESS NAME FOOD 4 LESS LOCATION 6300 WHITE LN 10 NJlPER ZI5-0ØØ-0Ø0465 HIGH HAZARD RATING Z 1. OVERVIEW LAST CHANGE 11/05/87 BY ESTER JURIS CODE 215-009 JURIS BAKERSFIELD STATION 09 . MAP PAGE 123 GRID 15C FACILITY UNITS.1 HAZARD RATING Z RESPONSE SUMMARY 2A SEe 4) IN MINOR EMERGENCY'S WE CALL FOR ASSISTANCE IF NEEDED. OUR THREE SECURITY OFFICERS HAVE BEEN CERTIFIED BY THE RED CROSS FOR EMERGENCY FIRST AIDE AND CPR. EMERGENCY CONTACTS ZA SEe z) ~5c:eIfT ðlEJS--r 8ðZ @QZQ ØR 8ð6 3Jf:ffiCHAfèJ..cTtE /{JDOI2. ~.:L·O'JJ.C¡ - '3>'~ JIcS20 80B SPENGLER - 835-9036 OR 836-8996 UTILITY SHUTOFFS ZA SEe 3) A) GAS - NORTH SIDE AT GAS METER B) ELECTRICAL - NORTHSIDE ROOM C) WATER - EAST SIDE BEHIND 8AKERY WEST OF WAREHOUSE D) SPECIAL - NONE E) LOCK BOX - NO Z. NOTIFICATION / PUBLIC EVACUATION LAST CHANGE I /;i()NN By"f?J,j)f < NO INFORMATION RECORDED FOR THIS SECTION > PAGE f IZ1Z3/88 15: 54 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 BUSINESS NAME FOOD 4 LESS LOCATION 6300 WHITE LN 10 NUMBER ZI5-ØØ0-000465 HIGH HAZARD RATING 2 3. HAZ MAT TRAINING SUMMARY LAST CHANGE I / BY -( NO INFORMATION RECORDED FOR THIS SECTION> . 4. LOCAL EMERGENCY MEDICAL ASSISTANCE LAST CHANGE 11/05/87 BY ESTER Vð.I/I'y -:¡:. AJd,.JTln·d /11?edca/ G ","o"'¡t) 2A SEC 5) SðtJTMWE3T URBENT c()n[ CENTeR :::;X17 OR CALL 9\1 IF NEEDED ::¿So/ "G \ ~'¡'Ir~¿f- IJ¡jfter.¡¡;èIJ Cc . '13301 TnU)(TUN fW / PAGE Z 1 Z/Z3/88 15: 54 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 .' - - ~-; ... - '.. e BUSINESS NAME FOOD 4 LESS LOCATION 6300 WHITE LN FACILITY UNIT 01 10 N~ER Z15-000-000465 HIGH HAZARD RATING Z A. OVERALL HAZARDOUS MATERIALS INVENTORY LAST CHANGE 0Z/18/88 BY EVAMC 10 TYPE NAME LOCATION CONTAINMENT MAX AMT UNIT HAZARD USE PURE MOTOR OIL Søø GAL UNKNOWN SALES AREA DRUMS OR BARRELS MET.. CLEANING 10 PERCENT COMPONENTS HAZARD LIST 2808.00 100.0 MOTOR OIL UNKNOWN 2 MIXTURE INSECTICIDES (HOUSEHOLD TYPE) SALES AREA BOX[ES] 10 PERCENT COMPONENTS 3 MIXTURE POOL SUPPLIES SALES AREf~ PLASTIC CONTAINER[ S1 10 PERCENT COMPONENTS 4 MIXTURE STRIPPER JANITORIAL ROOM DRUMS OR BARRELS MET.. ID PERCENT COMPONENTS 5 MIXTURE SEALERS JANITORIAL ROOM DRUMS OR BARRELS MET.. 10 PERCENT COMPONENTS B. FIRE PROTECTION / WATER SUPPLIES 2Z 4 GAL UN¡':NOWN INSECTICIDE HAZARD LI ST 210 GAL UNKNOWN OTHER HAZARD LIST 162 GAL UNKNOWN STRIPPER HAZARD LI 5T 162 GAL UNKNOWN CLEANING HAZt1RD LI ST LAST CHANGE I I BY < NO INFORMATION RECORDED FOR THIS SECTION> PAGE 3 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 1Z1Z3/88 15:54 >.: ~ BUSINESS NAME FOOD 4 LESS LOCATION 6300 WHITE LN O. EMPLOYEE NOTIFICATION / EVACUATION IO NUMBER '1 t 5-000"000465 HIGH HAZARD RATING Z lAST CHANGE / / BY < NO INFORMATION RECORDED FOR THIS SECTION> E. MITIGATION / PREVENTION / ABATEMENT lAST CHANGE / / BY < NO INFORMATION RECORDED FOR THIS SECTION> PAGE 4 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 '- -.' . - 1 ZlZ3/88 15: 54 '~.;':J~f!i~ e e BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET RECEIVED BAKERSFIELD, CA 93301 r::,I'A J U l 2 1987 (805) 326-3979 ~~~~ I /@) ~~~·d............ '. -~-~~-~.~~~ :,".~ ;~ '''J~'-'i _. - .'- OFFICIAL USE ONLY ~.-~:4 :.~~:f~.(~ ~.~. ID# )lC)~ USINESS NAME HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE FORM 2A ,.&'õ~ ~'", ~V INSTRUCTIONS: 1. To avoid further action, return this form by 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA A. BUSINESS NAME, fàc;J 4 it'S S B. LOCATION / STRj'ET ADDRESS: (21)0 (¡'I-!-((('- )fJIYL~ (Í) \. CITY: [)/t¡¿eRS . i('r/D ZIP: Cf133crc¡ BUS.PHONE: (~O{) ~~- 90-3 ~ 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 y~ur local fire department and the State Office of Emergency Services as required by law. f EMPLOYEES TO NOTIFY IN CASE OF ~~~~1¡ITbll} \ B.13oß 5)peN9)Cf'L EMERGENCY: DURING BUS. HRS. Ph# ~JJ-OqJ-9 Ph# g'3-r-<?o 2:>(" AFTER BUS. HRS'L Ph# ,W'3b 3~(D b Ph# <it 3 (ó ??9 c¡ C::, YES /~ IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? YES / NO FLOOR PLANS? YES / NO MSDSS? YES / NO KEYS? YES / NO - 2A - - ... " : "...... ~ :' . ,", -:-::¡..,; : e "- , ': ~'"i' ~. ,. --. f ~.\ 'Þo :.\ .~, '¡rf .\~ ~. '''I ",I {SECTION 4:··PRI.VATE:;'RESPONSE TEAM FOR BUSINESS AS A WHOLE , ;rill R)I/IIO~ £nJt~G€ltlc,Y'..s Mi" USE Ct:Jm¡?}/)N S¿-I1ISé ;1/V.ð ML¿,tó,ÆZ /lss /Sr/9N::E .IF NE£.òE.l>. / OUR 77IR££ 5Ecv¡¿irY ()ff/~tEÆS !/¡:¡V£' &EN CE.¡(-ni=lÊ.b BY ;1/£ RE.ð cRoSS, FoR £mE~G€NcY ¡:=/R's;fAi./J 19/Vb C:.PJf . V~ECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE ~ -S:ou-r)/W£-$I URGENT' (}fJ/?£ CEìVI€~ , ","'-'-;: ~fIr,~7, 7t?PXluN flV.!, ßlJk!k9If/ELIJ I CIIL/F, 93309 ~" - oR 9//"'::¡:r NE£lJiEb (FtÍ?£ J:e>r) SECTION 6: EMPLOYEE TRAINING EMP~OYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING A~EAS. CIRCLE YES OR NO A. METHODS FOR SAFE HANDLING OF HAZARDOUS MATERIALS: . . . '. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES:........................,. C. PROPER USE OF SAFETY EQUIPMENT:..... ........... .. D. EMERGENCY EVACUATION PROCEDURES:................. E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:...... . SECTION 7: HAZARDOUS MATERIAL INITIAL @NO c:Y[š) NO ~NO cYW~ YES ~ REFRESHER dW NO élK$.) NO <¥E-S) NO c¥&8> NO YES c:&fÞ TITLE tf:.en mfÆ. - 2B - DATE b'- / --d>? -, - . of: - Page BAKERSFIELD CITY FIRE FORM 4A-1 NON-TRADE SECRETS HAZARDOUS MATERIALS INVENTORY 4 La5S DEPARTMENT -j ....l.. ~, UNIT # OWNER NAME ADDRESS: CITY, ZIP: M orl.... ~rp CA PS3S' ~ PHONE #: ,.;J¿;(i- ...5'7L__'/~OC Food DOKerSTteIO, '-A 7v-.J'V7 )?c~~-ð 9~9 NAME : ZIP #: D # BUSINESS ADDRESS: I CITY, PHONE CFIRS CODE 10 HAZARDID,O,T CODE GU I D.E PS t!. r3 \. ()If /In J \ fUlQ fJJ1- pW;; I \ í 10FFICIAL USE ONLY - 9 8 % BY WTí~ IN THIS UNIT S f.+){~ /+ f? l'~)4- SPrJt1 f+(20~ ~ f+l.l} r+({é~ 'J/1f-lWIl?¡ 1- ¡2trð~ "St)/'I¡f-O!?¡I)L kh,~ 7 LOCATION FACILITY 6 USE CODE ;.~. ' i'f 9.J. I-b 3~ 8 '. 2 3 4 MAX ANNUAL AMOUNT AMOUNT UNIT :¿g... ~ Gift f1f//!f({)ckl-( GftL ?ìJ ;6 t Ai.- ~Lß _ b;;CJ6 _ GA L t{p;)G: GAL I bJ.-cIIL. \ r; fJ [; í \ 1 TYPE CODß - 1;rrJ ~ ~~ '(\/\ ~l~·t ~~~.: ..,.... ". "j . r ¡.-' :..... " I - l L~"~;'.~ ,~;;~:~.,: ': ÞJoj /, _,c''' ......'.::..~...~ ......... ,.£..' , .t,"~' e DATE: Á - /- f¡-? a r3a2- or..:z f? 1/6'" 3S'~' 8'.~';¿ 't1>9.,2'i' . " SIGNATUR rn fA.. # BUS HOURS ER BUS HRS: G~rJ In'''''A ONE # BUS HOURS AFTER BUS HRS 4A-l - - ~: : TITLE - /z,¿ - ITLE NAME: 'if'. G.. ,~enTL~¡q T EMERGENCY CONT CT: ,Ç'cc tf ö/ds EMERGENCY ~SA<I1!. ý)C/L~r.l PRINCIPAL ACT ~" CONTACT: BUSINESS ''" tit e . ....~~ ';-·11 :). '. , SEALERS (JANITORIAL SUPPLIES) 6/29/87 None in store at this t±me Fed. International Chern. Co. San Carlos, Ca. r, ;;, ..~ " e .., ""' ')" e STRIPPER (JANITORIAL SUPPLIES) Solven - Concrete Cleaner/Stripper 5 gal. Fed. International Chern. Co. San Carlos, Ca. !, ~, CO '1 ... '~~ e IDl'OR OIL .';:y' rrype Pennzoil Transmission Fluid Type F Pennzoil Dexron II Transmission Fluid Pennzoil 10-30 Pennzoil 10-40 Pennzoil 30 W Pennzoil GT 20/50 320Z 32 OZ 32 OZ 32 OZ 320Z 32 OZ -- Manufacturer Pennzoil Corrq;>any Oil City, PA II " " " " " " " " " f. " e ~ ~, -.. õ ,- '~-'J '''~ 'fi'S .J ., e INSEcrICIDES (HOUSEHOLD TYPE) Antrol Ant Killers Antrol Ant Traps Grants Ant Stakes Off Raid Flea Killer Plus Raid Pro. Strength Ant/Roach Killer Raid Ant/Roach Killer Raid Liquid Pump Ant/Roach (11 oz) Combat Ant Control Black Flag Ant/Roach Black Flag Ant/Roach Holiday Fogger Raid Flea Killer Raid Yard Guard Outdoor Fogger Raid Strip Raid Flying Insect Killer Raid House & Gëu:den Raid House &Gëu:den Cœtbat Roach Control Black Flag Roach Motel Raid Roach Traps d-Con Rat & Mice Trays 1 1/3 oz 159 oz 3.33 oz 6 oz 12 oz 16 oz 16 oz 16 oz 0.177 oz 11 oz 15.5 oz 5 oz 16 oz 16 oz 3.3 oz 12 oz 16 oz 13 oz 0.635 oz 1 lb Boyle-Midway " " Grant Lab's Inc. S. C. Johnson & Son, Inc. " " " " " " " " AIœrican Cyanaid c/o Household Prod. Boyle-Midway, Inc. " " II " Johnson & Son, Inc. " " " " " " " " " " AIœrican Cynamid c/o Household Prod. Boyle-Midway, Inc. Johnsòn:&-Sori, Inc. Sterling Drug, Inc.