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BUSINESS PLAN 8/28/2003
Per :1 I it to Operil.te Hazardous Materials/Hazardous Waste Unified Permit ~ CONDITIONS OF ~ERMIT ON REVERSE SIDE ,~ Permit ID #:: 015-000-000878 K MART LOCATION: 3600 WILSON RD I. I Issued by: 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: This permit is issued for the following: ' 621 Hazardous Materials Plan o Underground Storage of Hazardous Materials o Risk Management Program LI Hazardous Waste On-Site Treatment Issue Date June 30,· 2003 W I.LS.t)tJ· ··RD', 'Õ' B6B'S , ,~lb,!ßC~ DG. L \ i' ... . ¡ , , -... ~---------'----- ._-_..,.._._.~-._---- .-. ------------ -..-- --,----.-~ -..- . 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I . e '} j ~, l' te ~ oC) 0') 1.L15!2 :> UJ U UJ a: WILSON ROAD Fitrif HyJrfH/1 "- '" ,-J :;::) -:Þ " , , , , , , , , , , -- ~co c:: <A: '~ I i I I I , í I ì i t 1 I I _ ( ......-:~, ________'-' _~---______-a , ,i '¡ 1,1 I f II t I I I í I t I Ii' SVPPLIES I ...--_~_ ___"_______ _----J i----~-----~ I \ '.)-., -". -' -~ '---" 1 K-MART 4364 L. [ 3600 WILSON ~: lLJ C02 j CÞ_NI STER '*'~ ElI.IR SPRAYS *' «'-PROPANE SPRAY PAINT & ~MIX~URE PAINT~ *.l::' ~HOUSES:OLD 191/ Hydr~lJr FRON T / \IV ' / ~ ------------ J ~--~.. I;S~ICfDES~ : Gl(RDÉN SH03/' l : CHEMICALS : ~-ï ! U ; , : ( I : í ¡ I I I I I I POOL ~ ." I I CHEMICALS"'F I I ,~ CH.~COAt FUEL""'" I , I, '" I PROpANE-7''Z<' .-:_~ t , I t , I í I I i 1 r t I t, I I I , ~ I I I I L':"'__ _____ ( · · · --.......- tJ;j * S?RA'Y PAINT & . 1: C02 CZiNI~"'~Rc; · *~3A.T'1''''RT-;;'C; ) ." ,MIXTURE PAINT t: ._~-/~~ ~ . ~f\~~~T~;' -~t MO'l'i / _ _ '" [1 on' _dR OIL STORE E~ECTRIci.¡~{fl ?R~PÞ.N::: & '* f , , [ PAN:.t:L ~ (I COLEr-IF-.N ?UEL ~',' ....., HOUSEHOLD SUPPL ï'='S ,. I '_ = JANITORIAL SUPPLTES- ,-.., ..' 11 ,,-->0-' ~NKLER VALVES GAS SHUT OF? vALVE WATER SHUT OFF VALVE ¡'L~IN ELECTRIC,,,,!:' ~'''-- _.....r¡J :.:_..:..-.:.:...!...:----;i""~ Pí'R? lIydYf7tJ+ S o U T H R E A· L :\\~ ).. "j¡" «..,0 i I II Ii ~~(ffi4} ~m(ð1~Ü w 3600 WILSON RD. BAKERSFIELD, CA 93309 .... C02' .., CAXIS'r!:? - · · · · WILSON ROAD '), , .BAD. SPRAYS ... ... ......-......--... .-.--------.--------..--, " · : · '. · · · '. : · t · ! · · i -. ¡ : · · . . -: : '. . · · · .-' ... 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SiteID: 015-021-000878 ',- Manager Location: 3600 WILSON RD City BAKERSFIELD ~~'\ ~ 'ò~ BusPhone: Map: 123 Grid: lID (661) 833-0636 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 07 EPA Numb: SIC Code:5399 DunnBrad:38-072-9500 Emergency Contact / Title Emergency Contact / Title ANDREW BLOOM / MANAGER CRYSTAL ARMENDARIZ / OPS MANAGER Business Phone: (661) 833-0636x Business Phone: (661) 833-0636x 24-Hour Phone : ( ) - x 24-Höur Phone : (661) 725-8102x Pager Phone : ( ) - x Pager Phone : ( ) - x I Hazmat Hazards: ~~-,------- Fire Press React ImmHlth DelHlth - - Contact : MailAddr: 3600 WILSON RD City : BAKERSFIELD Period : Pre parer: Certif'd: parcelNo: to Phone: (661) 833-0636x State: CA Zip : 93309 Phone: (661) 833-0636x State: CA Zip : 93309 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Owner Address : City K MART 3600 WILSON RD : BAKERSFIELD Emergency Directives: - . ....-......-...-'-- -~ _...¿ _-;;..;~-_,._~~~ ~--7_ _. :'-.._ I, A.~ D~ ßLC,¡û"-- Do hereby certify that I have (Type or print name) reviewed the attached hazardous materials manage- ,-- "mini plan forJ~~ Aft--r andthat it-~Ion~~wi~h'- (NarM of ¡¡;;-¡¡¡¡) any ooITOOftions oonsmute a oomplm~ and OO~i'<Sd ml§ln- ~sm(?Jm 5)lan 1fcr my ~tðìcili~y. ¿ - 8-LR-G-3 [)Qtg \ \ -, \ '\ \ -1- 08/22/2003 '- It e (Ð CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3td 1<'loor, Bakersfield, CA 9330J FACILITY NAME K...- ~....T ~, ADDRESS 3tóoo ~'<:'ð""- g FACILITY CONTACT ~ ve.W ßlbOlA^- INSPECTION TIME :2..n IN\.~,",,-- INSPECTION DATE I () :,. ;2) '0 ""1- PHONE NO. BUSINESS 10 NO. 15-210- (ôOO K 7tt NUMBER OF EMPLOYEES c¡ () Section J: ø;.outine Business Plan and Inventory Program o Combined r:J Joint Agency D Multi-Agency o Complaint ORe-inspection OPERATION C V COMMENTS , Appropriate pennit on hand ~/ Business plan contact infonnation accurate V (e(. d:'__~-..".·c;.,,,p S Visible address c/ Correct occupancy ;/ Veri fication of inventory materials V Veri fication of quantities V Veri fication of location V Proper segregation of material j./ Verification of MSDS availability ( N p~, 0 ~ .t'~'-~~it, I....c.. '" --tl. p i4o, - - ,A f'), ..\t" V erification of Haz Mat training { , Verification of abatement supplies and procedures vi Emergency procedures adequate / Containers properly labeled 1/ Housekeeping V Fire Protection V Site Diagram Adequate & On Hand tI C=Compliance V=Violation Any hazardous waste on site?: Explain: DYes ~ White - Env, Svcs, Yellow· Station Copy Pink - Business Copy r~ Business ~ Inspecto . 78 Questions regarding this inspection? Please call us at (661) 326-3979 .'"':.-~ -----:--- - e K MART S' 15 02 I 1°, -= lteID: 0 - l-000878 = Manager : BusPhone: (661) 833-0636 Location: 3600 WILSON RD Map : '123 CommHaz : Low City : BAKERSFIELD Grid: lID FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 07 SIC Code:5399 EPA Numb: DunnBrad:38-072-9500 - {.\ '^- ,A or ~,~ \'\llfnc........ Emergency Contact / Title Emergency Contact / Title ~ / MANAGER CRYSTAL ARMENDARIZ / OPS MANAGER 'Èusiness Phone: (66l) 833-0636x Business Phone: (661) 833-0636x 24-Hour Phone : (661) ,663 740ìx 24-Hour Phone : (661) 725-8102x Pager Phone : ( ) - x Pager Phone : ( ) - x , Hazmat Hazards :' Fire Press React ImmHlth DelHlth , Contact : Phone: (661) 833-0636x MailAddr: 3600 WILSON RD State: CA City : BAKERSFIELD Zip : 93309 Owner K MART Phone: (66l) 833-0636x Address : 3600 WILSON RD State: CA City : BAKERSFIELD Zip : 93309 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: F Hazmat Inventory One Unified List ì f== Alphabetical Order All Materials at Site ì HazmatCommon Name.. . SpecHaz EPA Hazards DailyMax MCP ADHESIVES/GL'l!ES F R DH L 400.00 GAL UnR ANTIFREEZE F IH DH L 400.00 GAL Low BLEACHES F R IH DH L 800.00 GAL Hi CHARCOAL LIGHTER FLUID F P IH DH L 700.00 GAL Mod C02 CANISTERS F P IH G 815.00 FT3 Min FERTILIZER R IH DH L 1000.00 LBS Min HERBICIDES F P R IH DH L 900.00 GAL UnR INSECTICIDES F P R IH DH L 2300.00 GAL UnR OIL F DH L 6000.00 GAL Min PAINT F R IH DH L 600:00 GAL Hi SOLVENTS/THINNERS F R IH DH L 2000.00 GAL Mod SPRAY PAINT F P R IH DH L 1200.00 FT3 Hi SWIMMING POOL ACIDS R IH DH L 250.00 GAL Hi SWIMMING POOL CHLORINATOR, DRY R IH DH S 300.00 LBS Hi SWIMMING POOL CHLORINATOR, LIQU R IH DH L 400.00 GAIéJ· -1- 09/30/2002 ,-, e e SiteID: 015-021-000878 9 Facility Unit: Fixed Containers on Site 9 F K MART p= Inventory Item 0015 == COMMON NAME I CHEMICAL NAME ADHESIVES/GLUES Days On Site 365 Location within this Facility Unit NE HARDWARE STOCKROOM Map: Grid: , CAS# STATE - TYPE Liquid Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PLASTIC CONTAINER \ Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 400.00 GAL Daily Average 300.00 GAL %Wt. I HAZARDOUS COMPONENTS ~ CAS # HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R DH / / / UnR p= Inventory Item 0016 == COMMON NAME / CHEMICAL NAME ANTIFREEZE Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit SW AUTOMOTIVE STOCKROOM Map: Grid: CAS# 107-21-1 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 400.00 GAL Daily Average 300.00 GAL , HAZARDOU M %Wt. RS CAS# 100.00 Ethylene Glycol No 107211 S CO PONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ . Curies F IH DH / / / Low HAZARD ASSESSMENTS -2- 09/30/2002 e e SiteID: 015-021-000878 9 Facility Unit: Fixed Containers on Site ì F K MART f= Inventory Item 0010 == COMMON NAME / CHEMICAL NAME BLEACHES bays On Site 365 Location within this Facility Unit N STOCKROOM Map: Grid: CAS# 7681-52-9 STATE - TYPE Liquid Pure PRESSURE Ambïent TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 800.00 GAL Daily Average 500.00 GAL HAZARDOUS COMPONENTS ~ No CAS# I 7681529 I 1~~~òoIB1eaCh HAZARD ASSESSMENTS TSe'cret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No , No No No/ / Curies F R IH DH / / / Hi f= Inventory Item 0003 == COMMON NAME / CHEMICAL NAME CHARCOAL LIGHTER FLUID Facility Unit: Fixed Containers on Site ì Days On Site 365 Locatio~ within this Facility Unit BAILING ROOM Map: Grid: CAS# STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 700.00 GAL Daily Average 300.00 GAL HAZ U NE %Wt. \ RS CAS# 100.00 Mineral Spirits No 8030306 ARDO S COMPO NTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH DH / / / Mod HAZARD ASSESSMENTS -3- 09/30/2002 e e SiteID: 015-021-000878 9 Facility Unit: Fixed Containers on Site 9 F K MART F= Inventory Item 0007 == COMMON NAME / CHEMICAL NAME ,C02 CANISTERS Days On Site 365 Location within this Facility Unit CAFETERIA· Map: Grid: CAS # 124'-38-9 STATE - TYPE Gas Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 8l5.00 FT3 Daily Average 40,0.00 FT3 %Wt. RS CAS# 100.00 Carbon Dioxide No l24389 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min HAZARD ASSESSMENTS F= Inventory Item 0004 === COMMON NAME / CHEMICAL NAME FERTILIZER Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit GARDEN SHOP Map: Grid: CAS# [ ~TA~E I TYPE ~ PRESSUR~ ::-T TEM~E~TURE ~ CONTAINER TYPE =L1QUld __~pure ~ove Amble~ Amblent ~ BAG AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average LBS 1000.00 LBS 7000.00 LBS %Wt. RS CAS# 100.00 Ammonium Sulfate No 7783202 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH DH / / / Min HAZARD ASSESSMENTS -4- 09/30/2002 e e SiteID: 015-021-000878 9 Facility, Unit: Fixed Containers on Site 9 F K MART p= Inventory Item 0009 === COMMON NAME / CHEMICAL NAME HERBICIDES Days On Site 365 Location within this Facility Unit GARDEN SHOP Map: Grid: CAS# STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 900.00 GAL Daily Average 700.00 GAL HAZARDOUS COMPONENTS GrJ CAS# 01 I 1:~~¿0IHerbicide8 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P R IH DH / / / UnR HAZARD ASSESSMENTS p= Inventory Item 0008 F== COMMON NAME / CHEMICAL NAME INSECTICIDES Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit GARDEN SHOP . Map: Grid: CAS# STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 2300.00 GAL Daily Average 1800.00 GAL HAZARDOUS COMPONENTS 'GrJ CAS# 01 1 %Wt. I ,100.00 Insecticides - TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P R IH DH / / / UnR HAZARD ASSESSMENTS -5- 09/30/2002 e e F K MART f= Inventory Item 0006 = COMMON NAME / CHEMICAL NAME OIL SiteID: 015-021-000878 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit AUTO Map: Grid: CAS# STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum ' 6000.00 GAL Daily Average 4500.00 GAL HAZARDOU MP NENTS %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 S CO 0 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min HAZARD ASSESSMENTS f= Inventory Item 0001 F== COMMON NAME / CHEMICAL NAME PAINT Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit NORTH OF BLDG Map: Grid: CAS# STATE - TYPE Liquid Mixture PRESSURE Above Ambient TEMPERATURE Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 600.00 GAL Daily Average 500.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# 30.00 Acetone No 67641 Toluene / 15.00 No 108883 25.00 Xylene, Mixed No 1330207 16.00 Propane Yes 74986 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH DH / / / Hi . HAZARD ASSESSMENTS -6- 09/30/2002 e e SiteID: 015-021-000878 9 Facility Unit: Fixed Containers on Site, F K MART p= Inventory Item 0014 == COMMON NAME / CHEMICAL NAME SOLVENTS/THINNERS Days On Site 365 Location within this Facility Unit NE HARDWARE STOCKROOM Map: Grid: CAS# STATE - TYPE Liquid Pure. PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 2000.00 GAL Daily Average 1500.00 ,GAL %Wt. RS CAS# 50.00 Thinner No 803 03 0 6- 50.00 Cleaning Solvent No 8030306 HAZARDOUS COMPONENTS HAZARD A E MEN TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH DH / / / Mod SS SS TS p= Inyentory Item 0002 === COMMON NAME / CHEMICAL NAME SPRAY PAINT Facility Unit: Fixed Containers on Site 9 Days On Site 365 ' Location within this Facility Unit HARDWARES Map: Grid: CAS# STATE - TYPE Liquid Mixture PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 1200.00 FT3 Daily Average 900.00 FT3 %Wt. RS CAS# 30.00 Acetone No 67641 15.00 Toluene No 108883 25.00 Xylene, Mixed No 1330207 16.00 Propane Yes ?4986 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P R IH DH / / / Hi HAZARD ASSESSMENTS -7- 09/30/2002 e - SiteID: OL5-021-000878 9 Facility Unit: Fixed Containers on Site 9 F K MART f= Inventory Item 0013 === COMMON NAME / CHEMICAL NAME SWIMMING POOL ACIDS Days On Site 365 Location within this Facility Unit SW GARDEN SHOP Map: Grid: CAS# STATE - TYPE Liquid Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS ~OCATION Daily Maximum 250.00 GAL Daily Average 200.00 GAL %Wt. RS CAS # 100.00 Muriatic Acid Yes 7647010 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH DH / / / Hi HAZARD ASSESSMENTS f= Inventory Item OOll === COMMON NAME / CHEMICAL NAME SWIMMING POOL CHLORINATOR, DRY Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit SW GARDEN SHOP Map: Grid: CAS# STATE - TYPE Solid Pure PRESSURE Above Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container LBS AMOUNTS AT THIS LOCATION Daily Maximum 300.00 LBS Daily Average 200.00 LBS US MP NENT %Wt. RS CAS# 100.00 Sodium Hypochlorite No 7681529 HAZARDO CO 0 S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH DH / / / Hi HAZARD ASSESSMENTS -8- 09/30/2002 e e, SiteID: 015-02l-000878 9 Facility Unit: Fixed Containers on Site 9 F K MART f= Inventory Item 0012 F== COMMON NAME / CHEMICAL NAME SWIMMING POOL CHLORINATOR, LIQUIPS Days On Site 365 Location within this Facility Unit SW GARDEN SHOP Map: Grid: CAS# STATE - TYPE Liquid Pure PRESSURE Above Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 400.00 GAL Daily Average 300.00 GAL %Wt. RS CAS# 30.00 Muriatic Acid Yes 7647010 HAZARDOUS COMPONENTS HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH DH / / / Hi -9- 09/30/2002 e e F K MART I f= Notif./Evacuation/Medical r=: Agency Notification CALL 911. I ¡ , Employee Notif./Evacuation SiteID: Ol5-021-000878 9 Fast Format ì Overall Site ì 06/01/2001 1 04/05/1990 NOTIFICATION AND EVACUATION PROCEDURE WOULD ENTAIL USING THE PA SYSTEM IF THE FIRE/EMERGENCY WOULD BE SUBSTANTIAL AND VERBAL IF THE FIRE WERE SMALL AND EASILY CONTROLLED. WOULD CALL 911. Public Notif./Evacuation 04/05/1990 PUBLIC ADRESS SYSTEM ,AND MEMBERS OF THE MANAGEMENT TEAM. THE AREA OF THE SPILL OR RELEASE WILL BE ISOLATED UNTIL DETERMINATION OF THE HAZARDOUS MATERIAL CAN BE MADE. IF THE HAZARDOUS MATERIAL SPILL OR LEAK IS SMALL THE CLEAN UP WOULD BE MADE AT STORE LEVEL UNDER SUPERVISION OF MANAGEMENT. IF HAZARDOUS MATERIAL SPILL OR LEAK IS MODERATE OR HIGH THEN THE 911 EMERGENCY NUMBER WILL BE USED. ANY DECISION OF HAZARD WILL BE BASED ON CONSULTATION WITH THE MSDS SHEETS OR Emergency Medical Plan 06/01/2001 ] I MEDI CENTER, 34TH & Q STS, 325-6334. -10- 09/30/2002 e e SiteID: 015-02l-000878 9 Fast Format 9 Overall Site 9 06/01/2001 F K MART I f= Mitigation/Prevent/Abatemt Release Prevention ALL MERCHANDISE PACKAGED AND STORED IN SMALL QUANTITIES FOR RETAIL SALE. THE RIGHT TO KNOW VIDEO WILL BE SHOWN TO ALL EMPLOYEES; PROPER WAY TO HANDLE HAZARDOUS MATERIAL AND THE PROPER WAY TO DISPLAY HAZARDOUS MATERIAL ON THE SALES FLOOR SO·AS NOT TO CAUSE AN ACCIDENT Release Containment 06/01/2001 IN CASE OF SMALL SPILL, AREA WILL BE SECURED BY HAVING EMPLOYEES STAND AT EACH END OF SPILL, STAND GUARD UNTIL SPILL IS CLEANED UP BY EMPLOYEE TRAINED IN PROPER PROCEDURES FOR CLEANUP, ALONG WITH PROTECTIVE CLOTHING, FANS WILL BE PROVIDED FOR VENTILATION IF NEEDED. IN CASE OF LARGE SPILL THE BAKERSFIELD FIRE DEPT HAZARDOUS MATERIALS WILL BE CONSULTED FOR PROPER CLEAN UP AND DISPOSAL PROCEDURES. AREA WILL BE SECURED BY HAVING EMPLOYEES MAKE SURE NO CUSTOMER OR OTHER EMPLOYEE IS ALLOWED IN OR CLOSE TO AREA OF THE SPILL. Clean Up 06/01/2001 IN CASE OF A SMALL SPILL, ABSORBENT IS AVAILABLE (SAND OR KITTY LITTER) ALONG WITH PROTECTIVE CLOTHING. BAKERSFIELD FIRE DEPARTMENT HAZARDOUS MATERIAL WILL BE CONSULTED FOR DISPOSAL PROCEDURES UPON ANY CLEAN UP OF MATERIAL DEEMED HAZARDOUS. IN CASES OF LARGE SPILLS, WILL ISOLATE THE AREA, VENTILATE THE AREA AND KEEP FIRE SOURCES AWAY AND CALL 911. Other Resource Activation -11- 09/30/2002 '. e e SiteID: 015-021-000878 ì Fast Format ì Overall Site ì 06/01/2001 F K MART I f= Site Emergency Factors Special Hazards ' MURIATIC ACID K CHLORINE, NOT LISTED. FERTILIZER OVER LIMITS (APPROX 10,000 LBS IN GARDEN SHOP. AUTO OIL IN GARDEN SHOP OUTSIDE. Utility Shut-Offs 04/05/1990 A) GAS - BY PROPANE TANK B) ELECTRICAL - ELECTRICAL ROOM C) WATER - RECEIVING PROPER D) SPECIAL - NONE , E) LOCK BOX - NO Fire Protec./Avail. Water 06/01/2001 PRIVATE FIRE PROTECTION- FIRE EXTINGUISHERS AND OVERHEAD SPRINKLER SYSTEM LOCATED THROUGHOUT THE STORE AND STOCKROOMS. FIRE HYDRANT - SE SIDE OF STORE; SW SIDE OF STORE; NE SIDE OF STORE. Building Occupancy Level -12- 09/30/2002 ~ ~ ~ , e e SiteID: 015-021-0008789 Fast Format 9 Overall Site 9 06/01/2001 F K MART I f= Training Employee Training WE HAVE 100 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: TRAINING WILL BE GIVEN TO ALL EMPLOYEES IN A SEMIFORMAL CLASSROOM SETTING WITH VIDEO AIDS, VERBAL AND WRITTEN. NEW EMPLOYEES WILL BE GIVEN INITIAL TRAINING AT THE TIME THEY ARE HIRED. ADDITIONAL TRAINING WILL BE GIVEN TO EMPLOYEES ASSIGNED TO DEPARTMENTS THAT ROUTINELY HANDLE HAZARDOUS MATERIAL AND AVAILABILITY OF MSDS TO ALL EMPLOYEES IS AVAILABLE. REFRESH CLASSES WILL BE HELD EVERY 6 MONTHS. Page 2 [ I I Held for Future Use Held for Future Use -13- 09/30/2002 ;;-- -- -í' - K MART Manager Location: 3600 WILSON RD City BAKERSFIELD CommCode: BAKERSFIELD EPA Numb: e cp_ BusPhone: Map : 123 Grid: lID SiteID: 015-021-000878 ~b\ J~) 833-0636 CommHaz : Low FacUnits:1 AOV: SIC Code:5399 DunnBrad:38-072-9500 Emergency Contact ,/ Title W1(fME MOtfN'q' J:Nid DIQ¡l..MANAGER Business Phon"'(~) 833-0636x 24-Hour Phone ""(~ 831 7J04x Pager Phone () W -~7L(OI x '('l.l~ a 1'11{' Emergency Contac Title ~qQUILIMô FÐRE~ / OPERATIONS MANA Business Phone~I(~) 833-0636x 24-Hour Phone",f{tro'!;) ~J3 4ð2ßx Pager Phone : ( ) 725 -8JD'2x Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact : MailAddr: 3600 WILSON RD City BAKERSFIELD Phone: ( State: CA Zip 93309 x Period Preparer: Certif'd: K MART ~~~e : 3600 WILSON RD rt\t,' that \Š~ate: BAKERSFIELD DO herebY ce zi e-: . a.tst'\a . \ O(plÌ(\\namo) ,,"'ardous tT\ TotalAST~: , Ctype attached hCL<'- it>ã.~gsrt'~ : ' = , . awed the ~ ),aod that RSs' No fe\l\ ~LL '- 'Of I3I.1$il,os.B od cO Directi ve(\\:p\ao , lNameo tT\p\ete a tT\e s\\tu\e a CO ~: oos COO coHec\\ . . , m (805) 833-0636x CA 93309 Owner Address City = Gal Gal Emergency Hazmat Common Name... ,.., One Unified List ì Materials at Site ì p= Hazmat Inventory e p== Alphabetical Ord~ DailyMax MCP ADHESIVES/GLUES F R DH L 400.00 GAL UnR ANTIFREEZE F IH DH L 400.00 GAL Low BLEACHES F R IH DH L 800.00 GAL Hi CHARCOAL LIGHTER FLUID F P IH DH L 700.00 GAL Mod C02 CANISTERS F P IH G 815.00 FT3 Min FERTILIZER R IH DH L 1000.00 LBS Min HERBICIDES F P R IH DH L 900.00 GAL UnR INSECTICIDES F P R IH DH L 2300.00 GAL UnR OIL F DH L 6000.00 GAL Min PAINT F R IH DH L 600.00 GAL Hi SOLVENTS/THINNERS F R IH DH L 2000.00 GAL Mod SPRAY PAINT F P R IH DH L 1200.00 FT3 Hi SWIMMING POOL ACIDS R IH DH L 250.00 GAL Hi SWIMMING POOL CHLORINATOR, DRY R IH DH S 300.00 LBS Hi SWIMMING POOL CHLORINATOR, LIQU R IH DH L 400.00 GAL Hi -1- 05/03/2001 ;;- ......... ; e e SiteID: 015-021-000878 ì Facility Unit: Fixed Containers on Site ì F K MART f= Inventory Item 0015 F= COMMON NAME / CHEMICAL NAME ADHESIVES/GLUES Days On Site 365 Location within this Facility Unit NE HARDWARE STOCKROOM Map: Grid: CAS # STATE - TYPE Liquid Pure PRESSURE Above Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 400.00 GAL Daily Average 300.00 GAL %Wt. I HAZARDOUS COMPONENTS ß CAS # TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R DH / / / UnR HAZARD ASSESSMENTS p= Inventory Item 0016 = COMMON NAME / CHEMI CAL NAME ANTIFREEZE Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit SW AUTOMOTIVE STOCKROOM Map: Grid: I I, CAS # 107-21-1 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 400.00 GAL Daily Average 300.00 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 DH / / / Low HAZARD ASSESSMENTS -2- 05/03/2001 - -i e e SiteID: 015-021-000878 1 Facility Unit: Fixed Containers on Site 1 F K MART p= Inventory Item 0010 = COMMON NAME / CHEMI CAL NAME BLEACHES Days On Site 365 Location within this Facility Unit N STOCKROOM Map: Grid: CAS # 7681-52-9 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 800.00 GAL Daily Average 500.00 GAL HAZARDOUS COMPONENTS ~ CAS # I 7681529 I l~~~ôoIBleaCh TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH DH / / / Hi HAZARD ASSESSMENTS p= Inventory Item 0003 F= COMMON NAME / CHEMICAL NAME CHARCOAL LIGHTER FLUID Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit BAILING ROOM Map: Grid: CAS # STATE --'-- TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 700.00 GAL Daily Average 300.00 GAL %Wt. RS CAS # 100.00 Mineral Spirits No 8030306 HAZARDOUS COMPONENTS HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH DH / / / Mod -3- 05/03/2001 -- ,¡ e e SiteID: 015-021-000878 1 Facility Unit: Fixed Containers on Siteì F K MART p= Inventory Item 0007 = COMMON NAME / CHEMI CAL NAME C02 CANISTERS Days On Site 365 Location within this Facility Unit CAFETERIA Map: Grid: CAS # 124-38-9 - TYPE Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 815.00 FT3 Daily Average 400.00 FT3 %Wt. RS CAS# 100.00 Carbon Dioxide No 124389 r HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min HAZARD ASSESSMENTS c p= Inventory Item 0004 = COMMON NAME / CHEMI CAL NAME FERTILIZER Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit GARDEN SHOP Map: Grid: CAS # [ ~TA~E I TYPE ~ PRESSUR~ ::I TEM~ERATURE I =Llquld ~__pure ~ove Amble~ Amblent ~ AMOUNTS-AT THIS LOCATION Daily Maximum 1000.00 LBS CONTAINER TYPE BAG Largest Container LBS Daily Average 7000.00 LBS HAZARDOUS COMPONENTS %Wt. RS CAS # 100.00 Ammonium Sulfate No 7783202 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH DH / / / Min HAZARD ASSESSMENTS -4- 05/03/2001 -- - '. e e SiteID: 015-021-000878 ì Facility Unit: Fixed Contairiers on Site ì F K MART p= Inventory Item 0009 F= COMMON NAME / CHEMI CAL NAME HERBICIDES Days On Site 365 Location within this Facility Unit GARDEN SHOP Map: .Grid: CAS # STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 900.00 GAL Daily Average 700.00 GAL HAZARDOUS COMPONENTS I~I CAS # 01 %wt. I 100.00 Herbicides HAZARD A E MENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P R IH DH / / / I UnR SS SS p= Inventory Item 0008 ~ COMMON NAME / CHEMI CAL NAME INSECTICIDES Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit GARDEN SHOP Map: Grid: CAS # STATE - TYPE, Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 2300.00 GAL Daily Average 1800.00 GAL HAZARDOUS COMPONENTS ~ CAS # 01 I %Wt. ] 100.00 Insecticides TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P R IH DH / / / UnR HAZARD ASSESSMENTS -5- 05/03/2001 - -, e e F K MART p= Inventory Item = COMMON NAME / OIL 0006 CHEMICAL NAME SiteID: 015-021-000878 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit AUTO Map: Grid: CAS # STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 6000.00 GAL Daily Average 4500.00 GAL %Wt. RS CAS # 100.00 Motor Oil, Petroleum Based No 8020835 HAZARDOUS COMPONENTS HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min p= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME PAINT Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit NORTH OF BLDG 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 600.00 GAL Daily Average 500.00 GAL %Wt. RS CAS # 30.00 Acetone No 67641 15.00 Toluene No 108883 25.00 Xylene, Mixed No 1330207 16.00 Propane Yes 74986 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No NQ No No/ Curies F R IH DH / / / Hi HAZARD ASSESSMENTS -6- 05/03/2001 e e í K MART ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000878 j íë Inventory Item 0014 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site j. íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëëj o SOLVENTS/THINNERS 0 Days On Site 0 ' o 0 365 0 o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o NE HARDWARE STOCKROOM \ 0 CASH o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëf íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëëj o Liquid 0 Pure 0 Above Ambient 0 Ambient 0 METAL CONTAINR-NONDRUM 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCA nON ëëëëëëëëëëëëëëëëëëëëëëëëëj o Largest Container 0 Daily Maximum 0 Daily Average 0 o GAL 0 2000.00 GAL 0 1500.00 GAL 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ o %Wt. 0 " 0 RSo CASH 0 o 50.000Thinner 0No 0 80303060 o 50.00°Cleaning Solvent °No 0 80303060 åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëf íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëëj °TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 o No °No 0 No 0 No/ Curies 0 F R IH DH 0 / / / 0 0 Mod 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëf ( e e íë Inventory Item 0002 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site ¡ íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëëj o SPRA Y PAINT 0 Days On Site 0 o 0 365 0 o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ' o HARDW ARES 0 CAS#· 0 o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëf íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Liquid 0 Mixture 0 Above Ambient 0 Ambient 0 PORT. PRESS. CYLINDER 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCA nON ëëëëëëëëëëëëëëëëëëëëëëëëë¡ o Largest Container 0 Daily Maximum 0 Daily Average 0 o FT3 0 1200.00 FT3 0 900.00 FT3 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ O%Wt. 0 0 RSo CAS# 0 ' o 30.000 Acetone °No 0 676410 o 15.000Toluene 0No 0 1088830 ° 25.000Xylene, Mixed °No ° 13302070 o 16.000Propane °Yeso 749860 åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëf íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë ¡ 0TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 o No °No 0 No 0 No/ Curies 0 F P R IH DH ° / / / 0 0 Hi 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëf -7- 05/0312001 '. - e í K MART ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000878 j íë Inventory Item 0013 ëëëëëëëëëëëëëëë Facility Unjt: Fixed Containers on Site i íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëëj o SWIMMING POOL ACIDS 0 Days On Site 0 o 0 365 0 o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o SW GARDEN SHOP 0 CAS# 0 o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Liquid 0 Pure 0 Above Ambient 0 Ambient 0 PLASTIC CONTAINER 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëëj o Largest Container 0 Daily Maximum 0 Daily Average 0 o GAL 0 250.00 GAL 0 200.00 GAL 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë i o %Wt. 0' 0 RSo CAS# 0 o 100.000Muriatic Acid °YesO 76470100 åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë ¡ °TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 o No °No 0 No 0 No/ Curies 0 R IH DH 0 / / / 0 0 Hi 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj íë Inventory Item 0011 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site ¡ íëë COMMON NAME I CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëeëëëîëëëëëëëëëëëëëëëëj o SWIMMING POOL CHLORINATOR, DRY 0 Days On Site 0 o 0 365 0 o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o SW GARDEN SHOP 0 CAS# 0 o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Solid 0 Pure 0 Above Ambient 0 Ambient 0 PLASTIC CONTAINER 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëëj o Largest Container 0 Daily Maximum 0 Daily Average 0 o LBS 0 300.00 LBS 0 200.00 LBS 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë i o %Wt. 0 0 RSo CAS# 0 o 100.000Sodium Hypochlorite °No 0 76815290 åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë ¡ °TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 o No °No 0 No 0 No/ Curies 0 R IH DH 0 / / / 0 0 Hi 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj -8- 05/03/2001 '. e e í K MART ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000878 j íë Inventory Item 0012 ëëëëëëëëëëëeëëë Facility Unit: Fixed Containers on Site i íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ o SWIMMING POOL CHLORINATOR, LIQUIDS 0 Days On Site 0 o 0 365 0 o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o SW GARDEN SHOP 0 CASU 0 o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëëj o Liquid 0 Pure 0 Above 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 GAL 0 400.00 GAL 0 300.00 GAL 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëëj o %Wt. 0 0 RSO CASU 0 o 30.000Muriatic Acid 6YesO 76470100 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 R IH DH 0 / / / 0 0 Hi 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj ì -9- 05/03/2001 ~, '. e e í K MART ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000878 i íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Forrnat i íë Notif.lEvacuationlMedical ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site i íëë Agency Notification ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 04/05/1990 j o 0 o CALL 911 o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Employee Notif./Evacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 04/05/1990 j o 0 o NOTIFICATION AND EVACUATION PROCEDURE WOULD ENTAIL USING THE PA SYSTEM IF o THE FIRE/EMERGENCY WOULD BE SUBSTANTIAL AND VERBAL IF THE FIRE WERE SMALL o AND EASILY CONTROLLED. WOULD CALL 911. 0 o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Public Notif./Evacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 04/05/1990 j o 0 o PUBLIC ADRESS SYSTEM AND MEMBERS OF THE MANAGEMENT TEAM. THE AREA OF THE 0 o SPILL OR RELEASE WILL BE ISOLA TED UNTIL DETERMINATION OF THE HAZARDOUS 0 o MATERIAL CAN BE MADE. IF THE HAZARDOUS MATERIAL SPILL OR LEAK IS SMALL THE 0 o CLEAN UP WOULD BE MADE AT STORE LEVEL UNDER SUPERVISION OF MANAGEMENT. IF 0 o HAZARDOUS MATERIAL SPILL OR LEAK IS MODERATE OR HIGH THEN THE 911 EMERGENCY 0 o NUMBER WILL BE USED. 0 o o o ANY DECISION OF HAZARD WILL BE BASED ON CONSULTATION WITH tHE MSDS SHEETS OR 0, o 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Emergency Medical Plan ëëëëëëëëë~ëëëëëëëëëëëëëëëëëëëëëëëëëëë 04/05/1990 j o 0 o MEDI CENTER o 34TH & Q STREETS o BAKERSFIELD, CA. o (805) 325-6334 o o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -10- 05/03/2001 "' '. e e í K MART ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000878 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast F onnat j íë Mitigation/Prevent/ Abatemt ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Release Prevention ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 09/14/1992 j o 0 o ALL MERCHANDISE PACKAGED AND STORED IN SMALL QUANTITIES FOR RETAIL SALE. 00' o o THE RIGHT TO KNOW VIDEO WILL BE SHOWN TO ALL EMPLOYEES 0 o PROPER WAY TO HANDLE HAZARDOUS MATERIAL 0 o THE PROPER WAY TO DISPLAY HAZARDOUS MATERIAL ON THE SALES FLOOR SO AS NOT TO 0 o CAUSE AN ACCIDENT 0 ' o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Release Containment ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 09/14/1992 j o 0 o IN CASE OF SMALL SPILL, AREA WILL BE SECURED BY HAVING EMPLOYEES STAND AT 0 o EACH END OF SPILL, STAND GUARD UNTIL SPILL IS CLEANED UP BY EMPLOYEE TRAINED 0 o IN PROPER PROCEDURES FOR CLEANUP, ALONG WITH PROTECTIVE CLOTHING, FANS WILL 0 o BE PROVIDED FOR VENTILATION IF NEEDED. 0 o o o IN CASE OF LARGE SPILL THE BAKERSFIELD FIRE DEPARTMENT OF HAZARDOUS 0 o MATERIALS WILL BE CONSULTED FOR PROPER CLEAN UP AND DISPOSAL PROCEDURES. o aREA WILL BE SECURED BY HAVING EMPLOYEES MAKE SURE NO CUSTOMER OR OTHER o EMPLOYEE IS ALLOWED IN OR CLOSE TO AREA OF THE SPILL. 0 o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Clean Up ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 09/14/1992 j o 0 o IN CASE OF A SMALL SPILL, ABSORBENT IS AVAILABLE (SAND OR KITTY LITTER) 0 o ALONG WITH PROTECTIVE CLOTHING. BAKERSFIELD FIRE DEPARTMENT OF HAZARDOUS o MATERIAL WILL BE CONSULTED FOR DISPOSAL PROCEDURES UPON ANY CLEAN UP OF o MATERIAL DEEMED HAZARDOUS. IN CASES OF LARGE SPILLS, WILL ISOLATE THE AREA, 0 o VENTIBALTE THE AREA AND KEEP FIRE SOURCES AWAY AND CALL 911 0 o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Other Resource Activation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë i o ' 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf r ) -11- 05/03/2001 r. e e í K MART ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000878 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëFastFormat j íë Site Emergency Factors ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site j íëë Special Hazards ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 04/05/1990 j o 0 o MURIATIC ACID K CHLORINE, NOT LISTED. FERTILIZER OVER LIMITS (APPROX 0 o 10,000 LBS IN GARDEN SHOP. AUTO OIL IN GARDEN SHOP OUTSIDE. 0 o 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Utility Shut-Offs ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 04/05/1990 j o 0 o A) GAS - BY PROPANE TANK o B) ELECTRICAL - ELECTRICAL ROOM o C) WATER - RECEIVING PROPER· o D) SPECIAL - NONE o E) LOCK BOX - NO o o o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Fire Protec.lAvail. Water ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 04/05/1990 i o 0 o PRIV A TE FIRE PROTECTION - FIRE EXTINGUISHERS LOCATED THROUGHOUT THE STORE o AND STOCKROOMS. OVERHEAD SPRINKLER 'SYSTEM THROUGHOUT THE STORE AND o STOCKROOMS. 0 o o o o o o o o o o o FIRE HYDRANT - SOUTHEAST SIDE OF THE STORE o SOUTHWEST SIDE OF THE STORE o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Building Occupancy Level ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -12- 05/03/2001 o o / '" ~ e e í K MART ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 015-021-000878 j íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format j íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site i . íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 09/10/1991 j o 0 o WE HAVE I-5f) EMPLOYEES AT THIS FACILITY oDD 0 o WE HAVE tiATERIAL SAFETY DATA SHEETS ON FILE o o o o o TRAINING WILL BE GIVEN TO ALL EMPLOYEES IN A SEMI-FORMAL CLASSROOM SETTING 0 o WITH VIDEO AIDS, VERBAL AND WRITTEN. NEW EMPLOYEES WILL BE GIVEN INITIAL 0 o TRAINING AT THE TIME THEY ARE HIRED. ADDITIONAL TRAINING WILL BE GIVEN TO 0 o EMPLOYEES ASSIGNED TO DEPARTMENTS THAT ROUTINELY HANDLE HAZARDOUS MATEIAL o AND AVAILABILITY OF MSDS TO ALL EMPLOYEES IS A V AILABLE. REFRESH CLASSES 0 o WILL BE HELD EVERY 6 MONTHS. 0 o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëë Held for Future U se ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë j o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf íëëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëf -13- 05/0312001 ·~~~ñ-~!fllr....~mjj;....gß\\.~1l~.ß'{I.¡M:~'OOV'~fiÀ~~'û¡zIlt~V\;.'~4,¡¡rJJt1.~lIi:Ve¡;;Q'R-:tl.:¡ijG~u'r_."I"""~~l~_'."'~'_-"-""'"'''''''f''.''''~~'~'''''''''_"{ "~_"'.':~M'''~''.'~''''''::."J'''' .'''\u:'dL\~.:wo C'.;\·U U.......~ _~~..... y' '...... . ';;ó~...o!~..·i~.~........r.".,.'......"""'''''ii~....1~'\k'."...:..~~S<;.,...,/!'.i'""".¡.,..,........ - I - . , ".-. . cusr-'e & NO. E!5- ~\b \ . MISCELLANEOUS RECEIVABLES ADJUSTMENT I I DATE-1- c¡ -~ I NEW ACCOUNT ADDRESS CHANGE CLOSE ACCT i : FINANCE CHARGE , OTHER ADJ I CUSTOMER NAME .( - (Y\ClV+- -it lt~Co ~( ~bCJO (¡)~ \ Son eJ STATE (Á ZIP CODE q 33Cfi MAILING' ADDRESS CllY ßcle(~ ~ it: ~d SITE ADDRESS PARCEL NUMBER (IF APPUCAØLE) ADJUSTMENT R~~~S:b~; ~ ~y(c-har<J€ RkoJ\J',,~ APPROVED B~ _____ I I Per I '. Ît to Operate Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This permit is issued for the following: ':;~ ardous Materials Plan ~rground Storage of Hazardous Materials .,,- agement Program Waste 3600 K MART PERMIT ID# 015-021.Q00878 LOCATION Issued by: I ¡~ \- - ., --- WILSON Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 FAX (805) 326-0576 *~- ph Huey, ' , ffice of ental Servi es Approved by: Expiration Date: June 30, 2000 ._-'--~~""--- ~ STATEMENT OF ACCOUNT 411 CITY OF BAKERSFIELD 1501 TRUXTUN AVE BAKERSFIELDI CA 93301-5201 (805) 326-3979 DATE: 9/01/98 TO: K MART 4364 3600 WILSON RD BAKERSFIELD, CA 93309 CUSTONER NO: 3161 CUSTOMER TYPE: ES/ 3161 ---------------------------------------------------------------------------- CHARGE DATE DESCRIPTION REF-NUMBER DUE DATE TOTAL AMOUNT ------ -------- ------------------------- ---------- -------- -------------- 8/01/98 BEGINNING BALANCE 2/04/98 PAYMENT REFND 8/19/98 MR INT REFUND VCHRS 226. 50 330. 00-- 103. 50 FOR QUESTIONS OR CHANGES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. -------------- -------------- -------------- -------------- CURRENT OVER 30 OVER 60 OVER 90 -------------- -------------- -------------- -------------- DUE DATE: 10/01/98 PAYMENT DUE: TOTAL DUE: 103. 50- $103. 50-' DATE: 9/01/98 DUE DATE: 10/01/98 PLEASE DETACH M~ SEND THIS COpy WITH REMITTANCE REMIT AND MAKE CHECK PAVABLE TO: CITY OF BAMERSFIELD PO i9Q}( 2057 BAKERSFIELD CA 93303-2057 CUSTOMER NO: 3161 CUSTOMER TYPE: ESI TOTAL DUE: 3161 $103. 50- -ã"~ -- ,. ~- ~ ---- e e '" CITY OF BAKERSFIELD '. CLAIM VOUCHER I Vendor No. I certify that this claim is correct and valid, and is a proper charge against the City Agency and account indicated. CLAIMANT'S NAME AND ADDRESS: K Mart 3600 Wilson Rd Bakersfield, CA 93309 (AUTHORIZED SIGNATURE OF CITY AGENCY) Date: 08-12-98 Initials of Preparer : CITY DEPARTMENT: FINANCE PLEASE PROVIDE SHORT EXPLANATION OF PAYME (Including Contract Number if Applicable) This business overpaid their Hazardous Materials bill by $103.50. For that reason they now have a credit of $103.50 which we will be refunding. Fund Dept. Base Ell Objt Project # Invoice # Amount Date of Invoice 011 0000 123 7900 $103.50 VOUCHER TOTAL $103.50 SECTION 72, PENAL CODE FINANCE DEPT. USE ONLY Section 72, Presenting False Claims. Every person who with intent to defraud, presents for allowance or for payment to any state board or officer, or any county, town, city district, ward or village board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, Examined & Approved for Payment Amount or writing, is guilty of a felony. ~ ~_ r:¡:;. .~ ,.. /h BAKERSFIELD FIRE DEPARTMENT . - ~ MEMORANDUM DATE: July 30, 1998 TO: Susan Chichester FROM: Esther Duran SUBJECT: Claim Voucher Please issue a Claim Voucher to refund over payment of$103.50 made by KMart. They made a payment of$330.00 on 2/04/98. At that time there were no pending charges to that account. On 6/1/98 they were billed $226.50 for haz mat fees. This still left them with a credit of$103.50. Please send a refund of$103.50 to: KMart 3600 Wilson Rd Bakersfield, CA 93309 Thank you, led , ':%uúzp: //fe ?;j¿.//'lHuuu?? ..%p A'6ope, .3/%O/b .A ?£'/l&u(? " ;. .' ¡.f': ............', ~ ,. e E,T A TEi'tENT OF ACCDUNT e CITY OF BAKERSFIELD i 5()i TRUXTUN A',iE BAKERSFIELD. CA 93301-5201 (S05} 326-3979 DATE: 6/30/98 TO: }<, MART 4364 3600 WILSOr-~ RD BAKERSFIELD, CA 93309 CUSTOMER NO: 3161 CUSTOMER TYPE: ES¡ 3161 ---------------------------------------------------------------------------- CHARGE DATE DESCRIPTION REF-NUMBER DUE DATE TOTAL AMOUNT ------ -------- ------------------------- ---------- -------- -------------- 6/11/98 BEGINNING BALANCE 103, 50-- FOR QUESTIONS OR CHANGES TO YOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. -------------- -------------- -------------- -------------- CURRENT OVER 30 OVER 60 OVER 90 -------------- -------------- --------------- -------------- DUE DATE: 7/30/98 PAYl"lENT DUE: TOTAL DUE: 1 03. 50-- $.103, 50-- DATE: 6/30/98 DUE DATE: 7/30/98 PLEASE DETACH AND SEND THIS COPY WITH REMITTANCE REMIT AND MAKE CHECK PAYABLE TO: CITY OF BAKERSFIELD PO BOX 2057 BAKERSFIELD CA 93303-2057 C US TOMER NO: 3161 CUSTOMER TYPE: ES¡ TOTAL DUE: 3161 $103. 50- .' ~\ í"i'P 'I \ {i"í () 'I .4..-, _ ,.-. c.ustomer- [0 Last statement Last invoice C Ü l' l' e n t b a 1 a n c e Pending , CITY OF BAKERSFIELD A. Meellane'ous Receivables In~ry 7 ' , ,[, / c} 8 L C; : :.: ::¡ : 50 3161 6/30/98 0/00/00 103.50- .00 Nc'lme: Add l' : K MART 4364 3600 WILSON RD BAKERSFIELD, CA 93309 A ACTIVE ENVIRONMENTAL SERVICES ·Combined Detail Type options, press Enter. 5=Display Opt Trans Date 6/30/98 6/11/98 6/01/98 6/01/98 6/01/98 6/01/98 5/01/98 4/01/98 3/01/98 F3=Exit Chg Code Description Amount Balance Typ stmrn Statements Processed .00 103.50- stmrn Statements Processed .00 103.50- s't m r n Statements Processed .00 103.50- S8001 CA STATE SURCHARGE 18.50 103.50- A HM017 HAZ MAT ANNUAL INSPE 50.00 122.00- A HM002 HAZ MAT HANDLING FEE 158.00 172.00- A stmrn Statements Processed .00 330,00- stmrn Statements Processed .00 330.00- stmrn Statements Processed .00 330.00- + Bnk G Cd L F12=Cancel * = Pending 'OR ORIGINAL '-'1 ' .. 4', ro¡st, ¡ ¡ If"I () 'I ~";.-1..' " I I ~:; r: 0 III e~ L' r D' Last: stdternellt L,·lSt ¡[¡voice C Ll l' l' e n t b a 1 a n c e Pending ~ CITY OF BAKERSFIELD ~ M~ellaneous Receivables In~ry 03 16 L 6/30/98 0/00/00 103.50- .00 Name: Add l' : K MART 43"64 3600 WILSON BAKERSFIELD, RD CA 93309 A ACTIVE ENVIRONMENTAL SERVICES Type options, press Enter. 5=Disp1ay Opt Trans Date 2/04/98 2/01/98 1/09/98 1/09/98 1/01/98 1/01/98 1/01/98 1/16/97 1/01/97 F3=Exit Combined Detail Chg Code Description Amount Balance Typ PAYMENT 330.00- 330 ' 00- stmrn Statements Processed .00 .00 HM017 Charge adjustment 50.00- .00 J HM002 ·Charge adjustment 158.00- 50.00 J stmrn Statements Processed .00 208.00 HM017 HAZ MAT ANNUAL INSPE 50.00 208,00 U HM002 HAZ MAT HANDLING FEE 158.00 158.00 U PAYMENT 208.00- .00 HM017 HAZ MAT ANNUAL INSPE 50.00 208.00 A F12=Cancel * = Pending 7/3L/c1S 16:::9:50 Bnk G Cd L 00 Y Y + · I'é e STATEMENT OF ACCOUNT e CITY OF BAKERSFIELD 1501 TRUXTUN AVE BAKERSFIELD, CA 93301-5201 (805) 326-3979 DATE: 8/01/98 TQ: K MART 4364 3600 WILSON RD BAKERSFIELD, CA 93309 CUSTOMER NO: 3161 CUSTOMER TVPE: ESI 3161 ---------------------------------------------------------------------------- CHARGE DATE DESCRIPTION REF-NUMBER DUE DATE TOTAL AMOUNT ------ -------- ------------------------- ---------- -------- -------------- 6/30/98 BEGINNING BALANCE 103. 50-- FOR QUESTIONS OR CHANGES TOVOUR ACCOUNT PLEASE CALL THE NUMBER AT THE TOP OF THIS STATEMENT. -------------- -------------- -------------- -------------- CURRENT OVER 30 OVER 60 OVER 90 -------------- -------------- -------------- -------------- DUE DATE: 8/31/98 PAVMENT DUE: TOTAL DUE: 103. 50-- $103. 50-- ANDMAJ~~,ÇfiJ;CK OF BAKERSFIEt.Jj 'PO BOX 2057 BAfA.ERSFIELD CA 93303-2057 CUSTOMER NO: 3161 CUSTOMER TVPE: ESI TOT AL DUE: 3161 $103. 50- .1 ¡.. -# $i . -- -! 07/29/92 .. . .--/ K MART 215~000~000878 Overall Site with 1 Fac. Unit Page 1 General Information Location: 3600 WILSON RD Community: BAKERSFIELD STATION Map: 123 Hazard: Low Grid: lID' F/U: 1 AOV: 0.0 Administrative Data 24 - Hour Phon~ <3'S-) g-¡Lj-7J "'I- ~lifJ Bt3 - Ljù Mail Addrs: 3600 WILSON RD City: BAKERSFIELD Comm Code: 215-007 BAKERSFIELD STATION 07 D&B Number: 38-072,-9500 State: CA Zip: 93309- ~ SIC Code: 5399 Owner: K MART Address: 3600 WILSON RD City: BAKERSFIELD Phone: (805) 833-0636 State: CA Zip: 93309- Summary RECEIVED SfP 0 8 1992¡ HA7. MAT. DJV. () ~g -¿;:;"'1¥,ï;AIt7 ~~ Do P1erebl? c!S~i~· ~V'ut&¡ 0 IhcW~ !1~ C1 fJ1Ii1t i'S~isw~©1 ~h® ®.ii®.©~@d hazardous matsrials mali1~g~o m~mt ~i@~ ~©)fi' /(t1Jtj iI!6t/ and th~~ ñ~ ~O@i1f2J wi¡~ , . @'/ Buolnooo) M~ ~Ô@U'D$ OOIfb~Y~® ® oomp~~® ~~@ OOIi'Ii'OO¡ marü- ~m®~ lº>~n ~@Ii' mv gro~~. .' ~.;." ¡¿ (V 2' /'1'12- . $!gnaIure· '!Jet>", . . 07/29/92 ---' K MART 215~000-000878 02 - Fixed Containers on Site Page 2 Hazmat Inventory Detail in Reference Number Order 02-001 PAINT Liquid ~ Fire, Reactive, Immed Hlth, Delay Hlth 600 High GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: PAINTING Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 600 . , I 500.00 I 7,200.00 Storage r Press T Temp ~ Location METAL CONTAINR-NONDRUM Above Ambient NORTH OF BLDG Components ~ MCP~List Moderate Moderate ' Moderate , Extreme Cone 30.0% 15.0% 25.0% 16.0% Acetone Toluene Xylene, Mixed Propane 02-002 SPRAY PAINT Liquid ~ Fire, Pressure, Reactive, Immed Hlth, Delay Hlth 1200 High FT3 CAS #: Trade Secret: No J Form: Liquid Type: Mixture Days: 365 Use: CLEANING I ---- Daily Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 1,200 I 900.00 14,400.00 Storage r Press T Temp ~ PORT. PRESS. CYLINDER Above AmbientlHARDWARES Location Components ~ MCP ~List Moderate Moderate Moderate . Extreme Cone 30.0% 15.0% ~5.0% 16.0% Acetone Toluene Xylene, Mixed Propane 07/29/92 . . ./ K MART 215-000-000878 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in Reference Number Order 02-003 ., CHARCOAL LIGHTER FLUID Liquid ~ Fire, PresSure, Immed Hlth, Delay Hlth 700 Moderate GAL CAS :It: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: FUEL Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL -- 700 ,I, 300.00 2,000.00 Storage r Press T Temp -:ì PORT. PRESS. CYLINDER Ambient Ambient BAILING ROOM Location - Conc l 100.0% Mineral Spirits Components MCP ~List I-;oderate I ' Liquid 1000 Minimal LBS 02-004 FERTILIZER ~ Reactive, Immed Hlth, Delay Hlth CAS :It: Trade Secret.: No Form: Liquid Days: 365 Use: FERTILIZER Type: Pure Daily Max LBS ~ Daily Average, LBS --r-- Annual Amount LBS -- 1,000,'c I 7,000.00 8,000.00 Storage r Press T Temp ~I Above Ambient GARDEN SHOP Location BAG - Conc _I 100.0% Ammonium Sulfate Components r; MCP -=---rL'ist , Minimal I 02-005 Gas ~~ AIC REFRIGERANT ~ Fire, Pressure, Immed Hlth 800 Minimal FT3 CAS :It: 75 , Trade Secret: No Form: Gas Ðaily Max . . 07/29/92 K MART 215-000-000878 02 - Fixed Containers on Site Page 4 Hazmat Inventory Detail in Reference Number Order 02-006 OIL ~ Fire, Delay Hlth Liquid . 6000 Minimal GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: LUBRICANT Daily Max GAL ~, Daily Average GAL --r-- Annual Amount GAL -- '6,000 I 4,500.00 I 50,000.00 Storage PLASTIC CONTAINER r Press T Temp t Ambient Ambient AUTO Location - Conc l Components 100.,0% Motor Oil, Petroleum Based ' r; MCP :-rList Minimal I 02-007 C02 CANISTERS ~ Fire, Pressure, Immed Hlth Gas 815 Minimal FT3 CAS #: 124-38-9 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: ANESTHETIC . ' Da~iy Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 -- 815 I 400.00 I 815.00 Storage r Press T Temp ~ PORT. PRESS. CYLINDER Above Ambient' CAFETERIA Location - Conc l 100.0% Carbon Dioxide Components r; MCP :-rLi~t Minimal I 02-008 INSECTICIDES Liquid ~ Fire, Pressure, Reactive, Immed Hlth, Delay Hlth 2300 Unrated GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: INSECTICIDE Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL -- 2,300 '. 1,800.00 I 20,000.00 Storage, PLASTIC CONTAINER r Press T Temp ~ Ambient Ambient GARDEN SHOP Location - Conc l 100.0% Insecticides Components ~ MCP -:-rList Unrated I ¡' .. . 07/29/92 KMART 215-000-000878 02 - Fixed Containers on Site Page 5 Hazmat Inventory Detail in Reference Number Order 02-009 HERBICIDES Liquid · Fire, Pressure, Reactive, Immed Hlth, Delay Hlth 900 Unrated GAL CAS #: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: HERBICIDE Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount/GAL-- 900 I 700.00 I . 6,000.00 Storage PLASTIC CONTAINER r Press T Temp ~ Ambient Ambient GARDEN SHOP Location - Conc -I 100.0% Herbicides Components ~ MCP ~List Unrated I . 02-010 BLEACHES Liquid · Fire, Reactive, Immed Hlth, Delay Hlth 800 High GAL CAS #: 7681-52-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: WASHING Daily Max GAL ----r-- Daily Average GAL'--r-- Annual Amount GAL-- 800 I ' 500.00 I 6,000.00 Storage PLASTIC CONTAINER r Press T Temp ~ . Ambient Ambient N STOCKROOM Location - Conc -I 100.0% ' Bleach Components ~ MCP -¡List High I 02-011 SWIMMING POOL CHLORINATOR, DRY · Reactive, Immed Hlth, Delay Hlth Solid 300 High LBS CAS #: Trade Secret: No ' Form: Solid Type: Pure Days: 365 Use: Daily Max LBS ----r-- Daily Average' LBS--r-- Annual Amount LBS -- 300 I 200.00 I' 3,600.00 Storage PLASTIC CONTAINER r Press T Temp ~I Location Above. Ambient I SW GARDEN SHOP - Conc l 100.0% Sodium Hypochlorite Components r; MCP -¡List High .1 . . 07/29/92 K MART 215-000-000878 02 ~ Fixed Containers on Site Page 6 Hazmat Inventory Detail in Reference Number Order 02-012 SWIMMING POOL CHLORINATOR, LIQUIDS ~ Reactive, Immed Hlth, Delay Hlth Liquid 400 High GAL CAS =It: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: WATER TREATMENT Daily Max GAL ----r-- Daily.Average GAL --r-- Annual Amount GAL -- 400 300.00 I 4,000.00 Storage PLASTIC CONTAINER f' Press T Temp ~ Location Above Ambient SW GARDEN SHOP - - Conc l 30.0% Muriatic Acid Components ~ MCP --,-, List High ,I 02-013 SWIMMING POOL ACIDS ~ Reactive, Immed Hlth, Delay Hlth Liquid 250 High~ GAL CAS =It: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: WATER TREATMENT Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GA, L -- 250 I 200.00 I 1,000.00 Storage , PLASTIC CONTAINER r Press T Temp ~ Location Above Ambient SW GARDEN SHOP - Conc l 100.0% Muriatic Acid Components r= MCP --,-List High I 02-014 SOLVENTS/THINNERS Liquid ~ Fire, Rea~tive, Immed Hlth, Delay Hlth 2000 Moderate GAL CAS =It: Trade Secret: No Form:' Liquid Type: Pure Days: 365 Use: STRIPPER ---- Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 2,000 I . 1,500.00 I, 10,000.00 Storage , r Press T Temp ~I Location METAL CONTAINR-NONDRUM Above Ambient NE HARDWARE STOCKROOM - Cone l 50.0% Thinner' , 50.0% Cleaning Solvent Components ~ MCP ~List Moderate Moderate ' . . 07/29/92 K MART 215-000-000878 02 - Fixed Containers on Site Page 7 Hazmat Inventory Detail, in Reference Number Order 02-015 ADHESIVES/GLUES' ~ Fire, Reactive, Delay Hlth Liquid 400 Unrated GAL CAS =It: Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: SEALER Storage PLASTIC CONTAINER r Press T Temp -:ì Location Above Ambient NE HARDWARE STOCKROOM I I I I Daily MaXGAL----r--, Daily Average GAL --r-- Annual Amount GAL-- 400 ,I 300.0Q I 4,800.00 - Conc Components MCP·~List 02-016 ANTIFREEZE ~ Fire, Immed Hlth, Delay Hlth Liquid 400 Low GAL CAS =It: 107-21-1 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: COOLANT/ANTIFREEZE Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 400 I 300.00 I 1,500.00 Storage PLASTIC CONTAINER r Press T Temp -:ì Location Ambient AmbientlSW AUTOMOTIVE STOCKROOM - Conc l 100.0% Ethylene Glycol Components r=- MCP ---yList I Low I " , ' . . K MART 215-000-000878 . 00 - Overall Site Page 8 /' 07/29/92 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation NOTIFICATION AND EVACUATION PROCEDURE WOULD ENTAIL USING THE PASYSTEM IF THE FIRE/EMERGENCY WOULD BE SUBSTANTIAL AND VERBAL IF THE FIRE WERE SMALL AND EASILY CONTROLLED. WOULD CALL 911. " <3> Public Notif./Evacuation PUBLIC ADRESS SYSTEM AND MEMBERS OF THE MANAGEMENT TEAM. THE AREA OF THE SPILL OR RELEASE WILL BE ISOLATED UNTIL DETERMINATION OF THE HAZARDOUS MATERIAL CAN BE MADE. IF THE HAZARDOUS MATERIAL SPILL OR LEAK IS SMALL THE CLEAN UP WOULD BE MADE AT STORE LEVEL UNDER SUPERVISION OF MANAGEMENT. IF HAZARDOUS MATERIAL SPILL OR LEAK'IS MODERATE OR HIGH THEN THE 911 EMERGENCY NUMBER WILL BE USED.' ANY DECISION OF HAZARD WILL BE BASEp ON CONSULTATION WITH THE MSDS SHEETS OR BAKERSFIELD FIRE DEPARTMENT D¡VISION OF HAZARDOUS MATERIALS. <4> Emergency Medical Plan MEDI CENTER 34TH & Q STREETS BAKERSFIELD, CA. (805) 325-6334, \ " - . -- . " ,. 07/29/92 K MART 215-000-000878 00 - Overall Site Page 9 <E> Mitigation/Prevent/Abatemt , <1> Release Prevention ALL MERCHANDISE PACKAGED AND STORED IN SMALL QUANTITIES FOR RETAIL SALE. THE RIGHT TO KNOW VIDEO WILL BE SHOWN TO ALL EMPLOYEES PROPER WAY TO HANDLE HAZARDOUS MATERIAL THE PROPER WAY TO DISPLAY HAZARDOUS MATERIAL ON THE SALES FLOOR SO AS NOT TO CAUSE AN ACCIDENT <2> Release Containment ;j;J ~ C"J {e . ð f Sffl/¡d. >f,'I/, Are"- IN/II he )et:(.,IY'eJ by hlllil!,v1 £-1'171;;YfJe..~ S-f;..¡.; j ¡;." t £.4teÁ £ AI J I.'¡ $f/II Y-k.r.;J C{V&\yc! ¿I¡,)lí( S'f/// /J CIeÇ¡NeJ ¡¡If by El'??tl(JY~e. f~/NcJ fN prvf~Y' '{Y'c)teJuf<S þ'r e/~'I./V {,If I ¡t.,../CIYl'f w/li. prode.c..lllle..C./o-M/tIKf I .翵! w/II be 'pro'JlckJ 'f..... VeAJIe.kl/vn.- if JlJeeded, :fv C~!(' &f .L?l.y,/e ~f/I/ rAt! ß~ke'5'{;'el¡ Pre f)~", 6>f I-teZ4TJoS ¡j?¿.,A, ï~¿ w/;/ b-e. CvYl~/I/ÙJ {br frofer ú/e¿¡N uf 4Jt,NJ P,,>/os¿:,.,¿ p/,()ceJvref, /)re""" /Ah'// be:.. Jeev'I'eJ þy' h1vel;,vr· £Mflol't"t".I m"1ke. 5tJ rl!. )/() ~()fltrme('J' ot' ~..¡.j,9r £~f/t,rf'C"J í5 1/høeJ1',v ¿:It'" ¿/cJe1õ /Ire<!\.. tP+ ¡..J.e. 5f/¡t: Clean Up <3> IN CASE OF A SMALL SPILL, ABSORBENT IS AVAILABLE (SAND OR KITTY LITTER) ALONG WITH PROTECTIVE CLOTHING. BAKERSFIELD FIRE DEPARTMENT OF HAZARDOUS MATERIAL WILL BE CONSULTED FOR DISPOSAL PROCEDURES UPON ANY CLEAN UP OF MATERIAL DEEMED HAZARDOUS. IN, CASES OF LARGE SPILLS, WILL ISOLATE THE AREA, VENTIBALTE THE AREA AND KEEP FIRE SOURCES AWAY AND CALL 911 , <4> Other Resource Activation ~ ~ ~ . . 07/29/92 K MART 215-000-000878 00 - Overall Site Page 10 <F> Site Emergency Factors <1> Special Hazards MURIATIC ACID K CHLORINE, NOT LISTED. FERTILIZER OVER LIMITS (APPROX 10,000 LBS IN GARDEN SHOP. AUTO OIL IN GARDEN SHOP OUTSIDE. <2> Utility Shut-Offs A) GAS - BY PROPANE TANK ' B) ELECTRICAL - ELECTRICAL ROOM C) WATER - RECEIVING PROPER D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION ~ FIRE EXTINGUISHERS LOCATED THROUGHOUT THE STORE AND STOCKROOMS. OVERHEAD SPRINKLER SYSTEM THROUGHOUT THE STORE AND STOCKROOMS. \ FIRE HYDRANT - SOUTHEAST SIDE OF THE STORE SOUTHWEST SIDE OF THE STORE NORTHEAST SIDE OF THE STORE <4> Building Occupancy Level \ " .~ ':;" ~~, . . 07/29/92 K MART 215-000-000878 00 - Overall Site Page 11 <G> Training , <1> Page 1 WE HAVE 150 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE TRAINING WILL BE GIVEN TO ALL EMPLOYEES IN A SEMI-FORMAL CLASSROOM SETTING WITH VIDEO AIDS, VERBAL AND WRITTEN. NEW EMPLOYEES WILL BE GIVEN INITIAL TRAINING AT THE TIME THEY ARE HIRED. ADDITIONAL TRAINING WILL BE GIVEN TO EMPLOYEES ASSIGNED TO DEPARTMENTS THAT ROUTINELY HANDLE HAZARDÒUS MATEIAL AND AVAILABILITY OF MSDS TO ALL EMPLOYEES IS AVAILABLE. REFRESH CLASSES WILL BE HELD EVERY 6 MONTHS. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use /~ 4:;, r .., --'0/ BUSINES"S !'-lAME K..T ~OCATION 36( ,ILSON RD 1.IMBEH Z 15-ØØØ'-ØØØ87B , IIGH HAZARD RATING Z @ i. OVERV I EtJ LAST CHANGE 09/13/88 BY ESTER JURIS CODE 215-007 JURIS BAKERSFIELD STf\TION 07 MAP PAGE 123 GRID 110 FACILITY UNITS I HAZARD RATING 2 RESPONSE SUMMARY ZA SEC 4) ZA SEC 4) HAVE ALREADY BEGUN ORIENTATION AND FAMILIARIZATION WITH PLAN. SET UP. ORIENTATIONS AND FAMILIARIZATION WITH PLANS (COPIES ENCLOSED) EMERGENCY CONTACTS ZA SEC Z) ZA SEC Z) MR. MOUNT - 834-7389 UTILITY SHUTOFFS MR. -fJIR. N0RDAIIL 8J1 8343 HR. NonDfHlL OJ1 0343 ZA SEC 3) MOUNT - 834-7389 ('(\€- C':A I'r\~¿,,-ö N '8~" ~ ~ <ò ~ 0 11\~ Ch..." t..d...:<_Vf<L, ~Io L bo', ~~ ?nY'. ~Y'e(... ?'JJ - l(oz6 Z. NOTIFICATION / PUBLIC EVACUATION LAST CHANGE / / BY IUOT/[/C/71âm al'Vd pvbl/c EIlt'Jcr.lC,~1lC/Y7 ¿U()cJ/c! £,,.,14:1 7l'e (/)¿ (;) -I 7),e f¿Jþ//c. /}clreJS' 5Ys-!e,,-, c::ld""j me'/I16~Ys t!Þf Ihe. Æ4A/c",?eme".¡1 /e4'-¡ t 'ße /1yec.. ('I r IA~ íf'// ¿?t" Ii e/ec4'~ µllll he fto/::" leel vAlj// cI-elermt'NCt.-I,brJ fS'f fÙ ð~q. rdo..s ¡tZ.led~ J à.v in ø~c < NO INFORMATION RECORDED FOR THIS SECTION> 7!- -f6e. #(j.~"JO(); /J?t../et/r;./ 5i,// 01' I~k /S f"mt.-// tle CkAA,) vi UJt?v/cI /;e ß1fi/cIe 4/.11 5'/õre ¿~I/e/ (/J,/Je~ 5''v/er J,'f/(TY} ~ I /J?aþt¿1eð1t"~ 1,' f I //4~itJtlJ t?1a,!6'y,'a-! ,5>{/11 ø r j e¿;.k /.1' fJ?l)cler-wle ~ to #f' /kN %e f'11 EøevýeNC)/ J,/¿M1Jer w//I b~ OJðJ,. t9A/j/ de~/.N(7Yl cP-f 1Iq,¿~,..ð tp//I be /Jt't;;[ecl¡ o}t/ Ct7Y7c5(.Jllnf/ór¡ w¿;'/4, 71e m~~f Jjer Is ð)Y' '8:..key{{!c It! pre Petl, í),'V/J/th¡ &f J/q.2Judó )J Øeifedev¿J PAGE 1 12/15/88 10:38 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 \ \ '\ '.... \~ .- ~, i'~ " BUSINESS NAME K ~: LOCATION 36~ILSON RD J. HAl MAT TRAINING SUMMARY r.·,JMBER ZlS-ØØØ-ØØØ,878 'IGH HAZARD Rf\TING Z ;VUmðE/2 OF ém'pJ,,/FF~ LAST CHANGE ! ! BY /~Lf KSDS ~..~ "- < NO INFORMATION RECORDED FOR THIS SECTION > ~4,I/v/~ 1.»/// þe f'IV (:;u ~ .,11/ LmI'~I"{'e5 ~ N .::l.- »47,'- -fb YA?I1¿ C~J'J")"oOA7 .Ý-efli!ut¡ t.P1/4 f/,.'!eeJ .1;)..1' / /lerk" ~C! wrljl'6'~ / New $ml'lo/eef µ..I//I 6e 7lvpµ ::flv/lwt fr'4JAJ/,vc¡ t'ÂI f f¿,,'"í-'me 1l'ey &//J'e J,/rec!J 4c1c!, f,'ø,~/ -(rtuÁ.//,vl' w//I ); e cf/veA./ Þ .e/?1I'rNJ" ~f);'1IJt'd ?ð de/4",lmell.J/s j/,t¡¡1- 'Youl/I//e/y h~A.J¡/e 1Ia.z.4.yJp(/$ /J?CvfeY/~¿ ú¡vJ a 114/1/6//''11 191 I'1?f'PS ;1ð 1/1 Emj't6I"-et'Y 2"$ !Jva.//,'(¿¡Þ/e f(ef're5tw e!a.»ei tv/II be ¿ell -eve?, ({' /)?Ø7 Ii.>. 4. LOCAL EMERGENCY MEDICAL ASSISTANCE LAST CHANGE 09/13/88 BY ESTER ZA SEC 5) WIIITe UUJe t1corefìL ecrJTCR S4Øl WI lITe U4 8JZ Zq)0~. ZA SEC 5) WHITC LRfJC t1CDI CAL CDJTCf{ ::;401 WIIITC U\NC Ð3Z ;:000 ~é C,!: C e N°on:: ~ 3'-\-th.. '"'t" q 0TI2.€ðS ~ ~'$- N\ E-Ð:t... PAGE Z 12/15/88 10:38 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 '1' 4· I' BUSINESS NAME K MART LOCATION 3£)., ILSON RD FACILITY UNIT 01 I ¡II' 1,i1"f~~R Z ~ ?"~~Ø0=i~00~7~ IGk HH~ARL R~lING L ..¡ fO /' A. OVERALL HAZARDOUS MATERIALS INVENTORY LAST CHANGE / I BY / , 10 TYPE NAME LOCATI ON CONTAINMENT MAX AMT UNIT HAZARD USE MIXTURE PAINT HOME CENTER METAL CONTAINERS 10 PERCENT COMPONENTS 1006,00 30;0 ACETONE 1118.00 Z5.0 XYLENE, MIXED 1155.02 16.0 PROPANE 1130.00 15.0 TOLUENE Z000 GAL EXTREME' PAINTING HAZARD LI ST HIGH HIGH EXTREt1E HIGH Z MIXTURE AEROSOLS (AIR FRESHENERS) 350 FT3 UNKNOWN HOUSEWARES PORTABLE PRESS. CYL. CLEANING 10 PERCENT COMPONENTS HAZARD LIST 3 MIXTURE SPRAY PAINT HARDWARES PORTABLE PRESS. CYL. 10 PERCENT COMPONENTS 1006.00 30.0 ACETONE 1118.00 25.0 XYLENE, MI><ED 1155.02 16.0 PROPANE 1130.00 15.0 TOLUENE 1500 FT3 EXTREME CLEANING HAZARD LIST HIGH HIGH EXTREME HIGH 4 MIXTURE HAIR SPRAYS 500 FT3 UNKNOWN TA/COSMETICS PORTABLE PRESS. CYL. AEROSOL 10 PERCENT COMPONENTS HAZARD LIST 5 PURE GUM TUPENTINE HOME CENTER METAL CONTAINERS 10 PERCENT COMPONENTS 2666.01 100.0 GUM TURPENTINE 50 GAL HIGH PAINTING HAZARD LIST HIGH 6 PURE CHARCOAL LIGHTER FLUID 350 GAL EXTREME BAILING ROOM DRUMS OR BARRELS MET.. WASTE 10 PERCENT COMPONENTS HAZARD LIST 1Z03.07 0.0 MINERAL SPIRITS EXTREME 7 PURE GRILL GREASE 55 GAL UNKNOWN BAILING ROOM DRUMS OR BARRELS MET.. WASTE 10 PERCENT COMPONENTS HAZARD LIST -1076.00 100.0 VEGETABLE OIL UNKNOWN a MIXTURE FLOOR WAX 55 GAL UNKNOWN JANITORS ROOM DRUMS OR BARR NON MET. OTHER 10 .PERCENT COMPONENTS HAZARD LIST PAGE 3 1 Zl15/8a 10: 38 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-680Ø .r. ,.' ," BUSINESS NAt1E i< '51 T LOCATION 36ILSON RD ¡:'ACILITY UNIT 01 I.' ,',,' JMBER Z i 5--ØØ0'-00Ø878 ._fISH HAZARD RATING Z A. OVERALL HAZARDOUS MATERIALS INVENTORY ( ~ CONTINUED *) LAST CHANGE / / BY ! PAGE 4 10 TYPE NAME LOCATION MAX AMT UNIT HAZARD USE CONTAINMENT 9 MIXTURE FLOOR STRIPPER 55 GAL UNKNOWN JANITORS ROOM DRUMS OR BARRELS MET.. STRIPPER , 10 PERCENT COMPONENTS HAZARD LIST 10 PURE COLEMAN FUEL Z4 GAL MODERATE SPORTING GOODS PORTABLE PRESS. CYL. FUEL 10 PERCENT COMPONENTS HAZARD LIST 1178.00 100.0 FUEL OIL NO~ 1 MODERATE 11 PURE FERTILIZER 400 LBS HIGH GARDEN SHOP BRG[5J FERTILIZER 10 PERCENT COMPONENTS HAZARD LIST 2538.00 100.0 SODIUM NITRITE HIGH 12 PURE AIC REFRIGERANT 214Z FT3 LOU AUTO PORTABLE PRESS. CYL. COOLING 10 PERCENT COMPONENTS HAZARD LIST 1086.00 100.0 DICHLOROoIFLUOROMETHANE LOU 13 MIXTURE ENGINE CLEANERS AUTO PLASTIC CONTAINER[S] 10 PERCENT COMPONENTS 2234. øø 25.0 MEHIYLENE CHLORIDE 2580.01 20.0 TETRACHLOROETHYLENE 1061.01 12.0 CRE5YLIC ACID lZ03.00 lZ.0 NAPHTHA 1759.00 10.0,1,3-DICHLOROBENZENE 150 GAL EXTREME CLEANING HAZARD LI ST MODERATE HIGH HIGH EXTREME HIGH 14 PURE OIL S00 GAL UNKNOWN AUTO PLASTIC CONTAINER[S] LUBRICANT 10 PERCENT COMPONENTS HAZARD LIST 2808.00 100.0 MOTOR OIL UNKNOWN IS PURE C02 CANISTERS CAFETERIA ,FIXED PRESS. TANKS 10 PERCENT COMPONENTS 1251.00 100.0 CARBON DIOXIDE 815 FT3 LOW OTHER HAZARD LI ST LOW 16 PURE INSECTICIDES GARDEN SHOP PLASTIC CONTAINER[SJ 10 PERCENT COMPONENTS 200 GRL UNKNOUN INSECTICIDE HAZARD LIST tZltS/88 10:38 MATERIAL SAFETY DATA SYSTEMS, INC. (80S) 648-6800 f " t;: .. I'" (' .~: BUSINESS NAME K MART LOCATION 36eILSON RD FACILITY UNIT 01 -- IW" " ~1BER Z 15-ØØØ-ØØØ878 JIGH HAZARD RATING Z / A. OVERALL HAZARDOUS MATERIALS INVENTORY ( * CONTINUEO'~) LAST CHANGE I I BY IO TYPE NAME MAX AMT UNIT HAZARD LOCATION CONTAINMENT USE 16 PURE INSECTICIDES Z0Ø GAL UNK Nm,JN ( * CONTI NUEO * ) 10 PERCENT COMPONENTS -1056.00 lØ0.0 INSECTICIDES HAZARD LIST UNKNOWN 17 PURE HERBICIDES 150 GAL UNKNOWN GARDEN SHOP· PLASTIC CONTAINER[S] HERBICIDE 10 PERCENT COMPONENTS HAZARD LIST -1057.00 100.0 HERBICIDES UNKNOWN l'6 . ç lo-cr<....- e~-roe..E.tZ. ..:::r~N I íO e. (2.0 0 rv--v Õ ~\'n '$ 6 e.. & ~ It; PE,rz..C.Æ>0-( Lotrt~N€rJí$ ([ca~ C. LéAN~t<....> ð"ANl'TO~ eoo~ ":b~l"1ìs of<.. eAe.1ê.. '1.0 Pe:. R.Œf'J'T ~ "" feN E,l'\íS $< r \. " \::rA.... ~N \Ì\E.T. oí~E.CZ- UN ~IVOVv 1-J ~~Atco Lf$í l'1. S-S Ç-A L No~ N\::r. CT1..{ëe ltN~~OWN ~A ~ce.D ll3T B. FIRE PROTECTION I WATER SUPPLIES LAST CHANGE I / BY '3A.SEC 4) NO P,RIVATE FIRE PROTECTION 7;i?¿:- ð#- h~' /3:b¡l.Fit:,~Í1iál'.· '¡;'re. $¡c'I/A/yv,yArr5 Locwlp¿ 7¡f'r¿7V?-' ovf ße f/cre t'V"",d <yft,~/'P"op)~ ðllleY'he-",¡ Jft'hllk/(r J'Yff/f!/J1 7/1, rp,,~¡' cP,'Vi PIe ¡,lore ~I\/J ,.!r:.o!fNIOny. '. 3A SEC 5) FIRE HYDRANT --II' á:>GI'T.tI/Q~: fire l/)/drc.1tJ IJ Joc--? 1'" C/YJ 5 #- /. 5)É Ii '2. ~ It '5 AJjÉ 5"i ;le J;'ct 5'r'dU (9.f /) e. ;--/ure /J flto y. /t)o ,/arl.> & f Me f'lvre /111'o~, /JtJ røclf (9 f IÙ 5'IOfe.. -9lll'p)(, /ðo f~J-tls PrØ? +YØf'J ßC1?'l J"fo r e r J'Ø1f J¡v }ya~e. rkle -hwd .lìv!Y4A1tH 510 ft -G~ deµ 51ø/ PAGE 5 1 ZltS/ 88 10: 38 MATERIAL SAFETY DATA SYSTEMS, INC. (80S) 648-6800 · . .. Jt, './¡. ,~ ~6 to (t,. ..£.~ / I / / / ¡ BUSINESS NAME K ~ LOCATION 36~lLSON RD O. EMPLOYEE NOTIFICATION I EVACUATION lO_MEER Z15-ØØØ-ØØØ878 IGH HAZARD RATING Z LAST CHANGE 08/13/88 BY ESTER ~ .M'"'~~~~t#!f~~~~""'." ¡;;¡ .£."-''rAH: i!fMHt ~P1't 3A SEC Z> NOTIFICATION AND EVACUATION PROCEDURE WOULD ENTAIL THE PA SYSTEM SYSTEM IF THE FIRE/EMERGENCY WOULD BE SUBSTANTIAL AND VERBAL IF THE ~ $:: r ,- VERBAL IF THE FIRE ~ WERE SMALL AND EASILY CONTROLLED. WOULD CALL 911. ~ E. MITIGATION / PREVENTION / ABATEMENT LAST CHANGE 09/13/88 BY ESTER 3A SEC 1) 3A SEC 1) ALL MERCHANDISE PACKAGED AND STORED IN SMALL QUANTITIES FOR SALE. RETAIL SALES (/) 7k ~røl ~f !:/I.I(}W {/¡'é/eo will be. 51u1LJ¡t} -?;;,fl¡ ~ml'¿/&e.J f2') frtJftf't" CUo-y ~~ #:t,4./c!1e fkz4'YdOl.J5 /1Jú./er/(¿,¿ ",,vel ('1) tle fY'ofer ú/c-¿r ?ó ¿;,~(~,r ~z~/o".5 ,?/ç.,{e;:I"/;""'¿ Øt fÁe. ~$ P!oÓY' .5ð ~> Æ/c> '7 ;'Ô ú-u> e cùv c¿CCt '~N f, ell) p We 6'[ ~ £;.;..// 5'11//; âb50rþt>,..;f ,'5 ~ Vc,,'¿&eÞ/e (s-Cv",;J t!)r k¡.jl¡/ /¡'fhr) ~kmf wl'IJ, f rod/lie C/o f¿,',v'll ß~kfl'slleJd pre def/. ðl 1I~Z.4yJovJ I'1Jt,jeY/Át tv/ll &(, CØ'/j'u/hJ ¡;y, d/ç /tJ)'w¿ F 'fóceJu ref Upt177 C(,;AJY C;/eti.¡J vI' ø-l iii wlo/e;,é d ee/1¡ed !/A.2¡;¡..rdqIJ) r C fJ ¡;.; a{~> &f /a.;Y'fe J(IIIS' / w¡{1 J'5ol,¡7'e -7.(e ,1f't"-l líe-uhAle Me r1re4.- a¡vj kéel ..[:,(C )()urce -1wc.y /)--Nc! ewll 9// PAGE 6 1Z/15/88 10:38 MATERIAL SAFETY DATA SYSTEMS, INC. (805)648-6800 CITY of BAKERSFIELD ,..-, .-. ~HA~ARDOUS MATERZALS 'ZNVENTORY Stanaard Business Ä ~ ' F.... and '9ricu Iture '-- BUSINESS NAME: OWNER NAME: k-rlÎAyf CorP' ADDRESS: '?/~ W<e$f' ~'9' I'?-ecvl/er CITY, ZIP: rov.42/â/ r:<,1V tI&-O?1/ PHONE ,,: ' . , · RJurD '1'0 INSTRUC't'IONS 'OR PROP1fR CODlfS- P~qe _~__ of ~ NAME OF Tft'tS U.",Ç,~L.I.TY: 1('- fJ'Îß r1- STANDARD IND. CLASS CODE 5' 399 DUN AND BRADSTREET NUMBER .' l. l - (d 2 1:: - '1. ~ g g CITY, ZIP: PHONE It: 1 1 2 I Trans TYDe I Coae Code ] Max Aat . 'vel'iIC)e AIIt 5 Annua I Est & Measure Units 7 I 9 I Dys Cont Cant on SIte Type Press ,10 Cant T..ø 1,1 Use C04e '. 12 1] u location Where , by HaNS of IIixture/CoaDOlltllts Stored in fac; litv lit See Instructions W'/aeAl(J r b ,J J . / (lCKr(J()/?'l _ '';1/1; cJ,'(,: (¿It'ð ¿1'iV/Ó'{ _____ __ __j COII IOIIent II N_' u.s. IIu8ber '2~ .!?:!~~~!..t¿!!id!:____Xµ.!:tL____________________.,____ _____--' Co8QØ11ent 12 III.' U.S. NIl.. -If.' ~;U /)f74..~~___~__~~_~___________ ea.ponent n N_' U.S. bber ~ f?'Jer!¡yL .E ~ , kerONe t ~ÞreY' De '4~""" a,/,,}j~ ,,~,,-,., pods f ðc/:V()O,", _ f~l.!!..d...,._<&-,gr())()¿ J:f£~Y..L-----~---_..:.. _______ Coeponent 11 N_' C.'.S. IIu8àer }o !1ce1?¿z¿t ____________________ _____ ~S' X '/ eAJe. (¡??,'/ed) ~_________ _______ It:. 9rt9 Nt:.- ~ WJ/d,'u,. fJM(~f:ef~Q¡)¡t'1. _ ?tt,,.~tJ..þte'¡( -1Nc.,U í~!./'.s-------- ______ ì". C.A.S. Nu8bet' [~layecl [:J Sudden Release [~Medfate He i tll of Pressure H..I tll ; I ?hysical and Health Hazard ¡ (Lhecx.1l that 'Dllly) t !r¡;.->r r-¿ ¡ ~ _..I Fin Hazard .. _;I Reactivity I I i () C.'.S. /Cu.. r~ r-~ r------ ....,...1 Delaytcl "-..I Sudden Rella,. ..Jo::"':i [-.diue Hea ì th of Pressure Hea I th Coeponent 12 II... C.l.S. llueber CoaDOl\ent U III.' C.A.5. 1Iu..· ~\\y,ita\ aM IIH\th lIaurd, (Check all that 'Pllly), . r/ r-¿ ~ _..I fir. Hazard .. _..I Reect;vity U.S. 1Iuaber__ to.øanent II line. U.S. IIuaW - ------- ---------- ---...-- (; r~ r--, r-~ 1.-..1 Delayed 1.-..1 Sudden Release "-..I [-.cliett Heal th 0; Pressure Hea I tll Coeponent 12 Na.' C.A,5. IIuaber ---------------------... ------ cc.øonent IJ line. U.S. IIuaber ~-yw' __L~~.t'O__L/800-) ¡ j and H..lth Huard ; ( all that a / /Iy) !,-~ r~ r~, r~ r~ :~':"'..I Fil'e Huard 1.-..1 Reactivity ...,.....1 Delaytcl 1.-..1 Sudden Release "-..I l-.dine H..I th of Pressure He. Itll 1Zfìt100 1;&' l~fJlolÍ1.. L 1 h"l 4...12'1 .Ip/~ ..J:fQcl<r(J()h1 ~ ~~~tV I':: :L~f!.~f/ç,'r!e:J ____~____ _..¿_ , C.l.5. IIuaber ___ Coaoonent, II II.... C.A.S. IIuIIber - ---------------------- ------ . ' COII CIMIIt 12 ..... C.A.5. IIuaber -~---------------------------------- ------- Coaøonent IJ 1Iue. C.A.5. IIuaber r~ERGEHCY COIITACTS .111~1~~ /J?()f.AJ/ . __~ f~M ¿þrt ~ 2fJ¡;J.f-?L. 'l2.{(þrk CC<4?t>Y'0Y7 . - ~;!c4€AlJf~-.411_b.- ~1-p-J.lJ~--- '<>rtificatlan (Read and sillD after co.pletlng all sections.) :ertjfy undel' peqlty' of 1.. thet I have øersonal1r.lxU;ned and u fuiHal' .,ith the infOl'''!~ In IttlChld tl, and that based on ., inquiry of those individuals rlSDOI\sible ~Uinl"9 the Infor..tion, I'beli_ that the su Ittea info,...tlon is tl'Ue, accuratl, and~~ < _ ' :&;é~¡rt~~~TOW:;ëõr'1m--;:7õ~ãt~ëprišiñ£~ ijña ~¿; ~, oirs;'= 1f____________ ~ CITY of BAKERSFIELD Far. and Agriculture' L--ö StanGard 8usinesi :;x:J HAZARDOUS MATERIALS INVENTORY 9USINESS NAME: LOCATION: CITY, ZIP: ?HONE #: OWNER NÁME: ADDRESS: /(10 CITY, ZIP: PHONE #: JUUl'BR ro INSrRUCrIONS 'OR PROPBR CODBS Page _z.. of :L NAME OF TtrtS r.~,ÇJL!.TY: K-11l4yf STANDARD IND. CLASS CODE fJ?t?9 DUN AND BRADSTREET NUMBER l£'-e2~-î~~<2 I rr~ns ¡ Code 2 Type Cod. 3 Max A.t . Averaga AIIt 5 Annual Est , "'asure Units 7 10ys III Sit. 9 Cont Pres. 10 Cont T..p " Us. COd. 13 \by Nt It NalllS of "ixture/COIIocnents See Instruct illls C.A.S. Nu.ber [~I'yed [J Sudden R.leas. He.1 tn of Pres sur. COIIpanent 11 MI.' C.A.S. Naber I . ------) -----------------------------------.,---- ------_! ,.-_/ 1.W'[Medfac. H..I tn COIIqønent 12 MI.' C.A.S. ,1Iuaber -------------- ------ Coeponent 13 MI.' C.A.S. .... ~þno1¡ W! r/rut.." ~tlbrl·~e(~~s ~ ~/'~_____________~__ ;_____~ CoiIpanent 11 N... C.A.S. ..... ------.-.---- ------ [~lCtfVfty [:JO.I.yfd [:~ s;,ddenR.I.... [~fm . H.. ì th of Prenur. H..I th CoiIocnent 12 N_' C.A.S. bbw ---- ------- CoiIøanllÍt n M... C.A.S. IUbII' :u /If 5 (íJCI(Ti1~ jw. f:oO.l'1- __ ~~_____ He. . U.S. Ibóer " N () , ' f 1'1 ~R.lt¥I.D.:éI.. 9Iu-V( - Coepanent 12 Na.' U.S. IIu.ber ~ I . CoiIpanent n .... U.S. IIwtIter ì ?hvsical and Health Hlzard i (theck all that .pply) i,..~ ,.-., ..::;(. . ,.~ , ":-/1" : '- -.. Ffre Kazard 1.-" Reactivity 1.-" Del.yeci 1.-" Sudden Rel..s. 1.1.:::.. [l.edf.t. H..I th of Pressure H..I tll ! ------- ------ ~Y.e--L~O-e--J SOº-..lQ.(9 00 ~l 'S 6> '-L~_LLJ.Ll?r¡ IAI S¡,clJ!fM/If ÚlIÞ;fW~Ye fþ)¡flM I , ~ I and H..lth Huard C,A.S. Nuaber..:..w / - fZ -9 CoiIpanent" N_' C.A.S. ...... '( all that 'PIIly) i ,.. ~ ' .,. _., /' ,. ~ ,. _., ,. ~ COIIøaMnt 12 11_' C.A.S. IIIIIIbIr ,~-.. Fire Haz.rd L~Reectlvityl.-" Del.yed I.~" Sudden Rel..s. 1.-" [-.dfat. , He. I th of Pressure He. I tll -------- ----- - -------------------- ----- ----------------------------- ------- CoiIøantnt 13 .... C.A. S. IIIIIIbIr C<£RGEHCY COIITACTS 11}í¿ðµ,- ,4?Ó{lAl7 ..... . .. kf1E...~[/ðre ~' ~1L¡-7:Jlí.... 'f11 . 2IIIPPftãiiï "...=I7Ä_ 'I1rt ~#7er(fY} .. llJ,ciC<IIIj,:;e ~,.., ß'J7-2~j'O ..... - - -;.;.¿.- - --- nn.---- - n-IIp·PIIðIII------- 'uciflcaeilll (Read and flign after cOlÍpJeting all sectionfl) :ertify und... leNIty of 1.. that I have 118"1II.l1y ....ined and a. 'uiH... .ith the fnfor..tflll su.itted I ,,', rlttadled dac:u.entl. IIId t!wt based III ." inquiry of t/lels' fndfvidINls responsible ')r Ini the I for_tilll, I believe thlt the subeittld Info....tlon is true. accur.t., and COI/ II . ¡:J . - ~- ' '~ ~7 ( W ;'¡.e.ñ õmm ~r~~~.tOl'yõWië;:m¡rãtõr~ïi¡a-;:iprišiñt¡~ 9fWt~ ,'?9-- ,~ D¡tï~9n;' - . ----------- ''i' CITY of BAKERSFIELD Stancsarcl Busi..... ;;£' MATER:I:ALS iNVENTORY HAZARDOUS f.... and Aqriculture L-- .' Paq. _2... at ;£: NAME OF Tti'tŠ FA_Ç.~L1.TY: j<-.j/,JP",,"; STANDARD IND. CLASS. CODE ~1~9 DUN AND BRADSTREET NUMBER ." f 'i' - ~ 1 Z - 2 2~Q 3USINESS NAME: LOCATION: CITY, ZIP: PHONE #: OWNER NAME: ADDRESS: '00 CITY, ZIP: PHONE #: RDD 'rO INS'rRUC'rIONS 'OR PROPlUl CODBS , ,I 2 ¡ ;rant TVIII : Coo. COO. IV ! -..._- ] l1li11 bt 5 Annul I Est , ~lSu... Units . Avø'èICJ' Aat 7 I I Ovs Cont on Sit. Type t 10 Cant Can t Pres. T..o 11 Use Coó. '. 12 locltion Where Stored in faei!ity ~ ('/oJ J; øf 11 \by lit U 111_ of IIixtur./C08D011ent. . See Instructions o",iwc.lp,... + tJy)' : -hysical and Hellth Hlllrd : (Check.1I that .oply) ,.~ ; ... _.J fir. Haurd I.. - -' Reactivity Ie I , I. I . , . . U.S. bbtr ,.~ ,.-, ,.~ 1.._-' Delayed 1.._-' Suclden R.lease I.._~ [Mediae. HNlth at Pressure ' H..ltl! Coeponent II HI.' C.A.S, IIuår ---------------------------------- ------..., I , ~ ,.. -", CoeQØllent 12 MI.' C.A.S. IIuebtr ----- Cc. ICIIIent n MI.' C.A.S, IIuebtr :U Jw"mll'J/~j f'f)()LCA 1()'!~J.()~f.i1.vI1..5 , ;J¡'ys ical .nd Hea J th H.zard , (\.hecll.1I that .pply) "'-, ,.~, : ... - -' fire H.urd I.. -;¡ Reactivity C.A.S. lluabtr CoIIponent 11 Na.' C.A.S. IIueber ------ ------------- ------ ,.~ ,.-, ,.~ 1..--' Del.yed 1..--' Sudden Relta.. I.._~ IMlld1lce H.. ì tit at Pressure Hit ¡ tit C08ponent n N..., C.A.S. Nu.. --------- ------ Coeponent n HI.' C.A.S. IIuebIr tJ 5w/m/1'7/u'l f!..ool Ji=!.,s:____________ , 'hVSIC:.1 and Hulth H.urd (thðCk .\1 that .pply) ~-, ,.~ ; '- --' Fire Hu.rd 1..--' Reactivity CoIIponent It N.., C. Ú. IIueIttr I ;1 I I U.S. Mueller - -------- ------------ ------ r~ ,.-,' ,.-/ 1..--' Delayed 1..--' Sudden Release 1..--' [-oiete Health 0; Pressure Healtl1 Coeponent 12 N.... C,A.S. ItuebIr ------------------------------------- ------ eø.ponent 13 flue' U.S. .... . L . -- S' eJ l'!..~/s L11!~ef'~__.:.____________ .v.__~~£_J /jOO °h and Huhh Haral'd ( 111 that 'Pl/ly) -.;:0--<' ,.~- r~ ,.-, '- --' fire Hu.I'd 1..--' Reactivity 1..--' Delayed 1..--' Sudden Release H.. I tit of Pressure ~'poO Jr~/J6S- LJ1.L~L:LJf.q-J?l A//E ¡-¡ArdWMe SI()ck~ð(J~ " C.A.S. fluebe!' __________ Coeponent It N.... C.A.S. ,.,.... - -------------------------------- ------ r~ I.. _.J [-01lt. Health C08 IOfIIIIt 12 N...' C.A.S. ...... ---------------------------------------------- ------- Coaoonent 13 1liiie, C.A.S. .... -,.-- ?tŒ-~~~..fLd2~ 2~~lp~f!~--. __ ~~~2ftfe m.l~ 211-r,6.1J <;-r 12.~1Ý,f ~el'Ø7 /JJtJ1/1tJ7 ~E¡¡GENCY CONTACTS .1 q¿t1YIJ_e ... . =rcification (Read and sign after co.pletinll all sections) :ertify undø' ø-I.lty of '," tha. t [ have, øersanal1y ...øinld and.. f..niu with the int_~~":TfÍ andl,ltlttlChed ~"'--:~ ~nf~~tion~_~~ tha:.:.~~_ su:~:: inf~tlon is_:rv:~ accurm, and ~ ~. , , "~e 0 f'CI.' tU,. orQlrlø'Toøer~-7õper.cor~~ñõ;:1Z~l II'esentatm::, .Slqn.tur t~, and that based on .., inquiry of thase individu.lsresponsibl. y-/- ç.q . Ditni9ñïá-~-..l---------- '"jì CITY of BAKERSFIELD .' .---. f.,.. and Aq,.icu lture L-O , Standard 8USillllSl.· ø ' HAZ ARD 0 U S MATER:I:ALS :I: NVENTORY ;' l' BUSINESS NAME: f< - (;?/lY'¡ t!3 &t.! LOCATION: '5600 ú//I5'Ø? Rd CITY, zIP""7iFter.sf/eIJ ,C/1¿I..{:'; '13'109 PHONE #: 1f ?3 - D6~t. OWNER NAME: . ADDRESS: 0 CITY, ZIP: 1-0 PHONE II: RIll'BR ro INSTRucrIONS 'OR PROPllR CODBS P~ge: .':i of £: NAME OF Ttrtš r.~gJLl.TY: j<-1'J'l4 yf STANDARD IND. CLASS"CODE ,Jqt:j DUN AND BRADSTREET NUMBER .' i l" - e '2 ~ - f £" t2. ~ , 2 1 . 5 6 7 , 10 " ' 12 11 !r~ns Tvøe IlK Average Ann"" ¡ lleasure IOys Conc Conc Use lacat Ion Where , by ! COde COGe AIIt All( Est Units on Site PrlSS T"II Code Stored in fec; Ii ty lit l&,dw4.f~ 5ft.c.I7;-oo.-.- I. NulS of IIixture/CoaDOllents See Instructions C.A.S. NueIIer COI/ /OIIenc II Ha... C.A.S. IIuIIbIr -- -------------------------------------------- -......----, ,.--/' ,.-., ,.-., L.~ Delayed L._-' Sudd.. Release L._-' IMedlate Hu I t/l of PrlSsure' H..¡ t/l COIIQØI'Ienc 12 Ma..' C.'.S. IIueber ------------------- ------ i ?r,ys;cal and Health Hazard ¡(check a 11 that aøø Iy) I !r--., '. i ~ - -' fire Huard ¡ I , f c.A. S. llutlber CoIponent n N..' U.S. Nu8ber 101. 'E ~,,¿... J J()ýJ tJ4 ··J';pÎï~ __ fÉ.yfí 1/~-!.f.µ2.t.:?oll/f¡¿,I?J..)--f.!!J..M~------ __7 Coeøon..t 11 MI... C.,.S. IIueitIr -- ----------------------------------- ------ ,.-.,/ ,.~ ,.-., ,.~ L.. ,..4 Reactivity L._-' Delayed L._-' Sudd.. ReItan L._-' IMedlate HHìth of Pressure HHith COIøon..t 12 N_' C.A,S. Nue" ----------------- ---..--- Coeøon..c n MI... C.A.S. IIueber þ._- ------------------------------ .......-..-- ~hv';c.1 and lIulth lI&urd ' (~heck all that aøply) C.A.S. llueber --..:...____ 'eo.øon..t 11 II.... C.'.S. IIueOer ------ --------------------------------------------------------- ------ ,---, ,.-, r-, ,.-, ,.-, ~ -.I fire Kazard L._-' Reactivity L._-' Delayed L._-' Sudd.. Release L._-' l-.dlete HH I th 0; Pressure Hea I tll COIøon..t 12 Na..' C.A,S. IIuebIr ------------------------------------------- ----....... CoIpon..t II Nul. C.A.S. Nueber l~~-L-------J-----L--l-L-[-l I L_L-__ , I· ~ and He.lth Huard - ' C.A.S. Nuaber ' Coeøon..t 'II N.... C.'.S. IbIber i ( .11 that apøly) ---------- ! i ¡-, .--, ,.-, ,.-, r-, : ~ --' Fire Hazard L._-' Reactivity L._-' Delayed L._-' Sudden Release L._.I IMedlate HH I th of Pressure Hea I tll I"~ ......---- --------------------------------- ----~- - -------------------------------------- ------ CQIIØOIIIIIt 12 11_' C.A.S. ...... -------------------------------------------------- ------- Coeøonent II 11_' C.A.S. ...... I:~ERGEICCY COIIrACTS 11f..~ I71l.tllII~___~~Æ(e -.&Ø&- f.~;~~~f 12.6f.&rK a~~YØ1-' _____~_n~~6~1~i~ f~?_;;Æf:!~~= :utiflcaclOft (Read and sign after co.pIerinll' all sections) :ertify undlf' !*I.lty of 1.. thac I have DlI'SOII&l1y eXlleined and a. 'a.fllar with the fnf_~lon' f~ .11 ectlChed~t.. IIId thac based on .., inquIry at those indIviduals resøonsibl, '" oOt ininq thl ' for..t~Oft. I ...e thlt the subeittld infcreatlon il true. accurate, and ~ ' c £4 --'- <'"-1-~7 -if"- õnror.nmiõ ~ ~¡¡¡¡,.~ ,,~---«ád ~ "'r-!;;¡;¡¡------- -. ~, ~.) CITY of BAKERSFIELD F.,.. and AcJr i cu I ture 5tanølrd Business· pi HAZARDOUS MATERIALS '--' OWNER NAM!: ADDRESS: /00 CITY, ZIP: PHON! II: RUm ro INSrRUCrIONS 'DR PROPIlR CODBS 1 2 rr_ Type Coo. Coo. t 10 Cane Cane Presl T..o 11 Use COd. .. C.A.S. bbIr. n I] locae ion ...... , by Stored in facility lit /J()/ofl14ft Ve. ~ tøckYOOI"" CQa lCl/lent 11 MI., C.A.S. IIu8btr 1. Ma ( AIIt 5 Annual Est 6 Measure Units 7 IOys on Sit., I Cont TyPl . ·.....119. Aat ~-~ r~- ,.-, r~ L_..I R.activity L_..I Dela.,.cl L_..I Sudden R.I.all L_..I IMedlat. H..I th of prasure H..I th C08l1Ø1'1ent 12 lIa.' C.A.S. Nu.ber Caeponent n II... U.S. ..... l{.!- : ?~vs ica J and Htal tit Hazard ! I thei: ( a 11 t!tat app Iy) :,.~ : ~ _;.a Fire !luard COiIponentll lIa.' C.A.S. ..... c.A. S. bber ,.-., ,.~,.~ L_..I Reactivity L-..I,Delaytd L_..I Sudden R.I.an H.. ì tit of Pressure COIIPOI/ent 12 II... C.A.S. ""-bel' CoaOCllent n lIa.' C.A.S. IIueber , ; nvs tea J and Htal tit !luard, (Check all that apply) " , ~ L ,. -t.A" ,. - : ~ _..I Fir. Huard L "Reacti..ity IV CcJèlff! S Pd/ . COiIponent It lIa.' C.A.S. ..... ~:~ Delayed ~~den R~lease ~~~iatt Hulth or Pressure He. ¡tn CoepaIent 12 lIa.' C.A,S. IIu8Ittr COIIøontnt 13 Nut, U.S. ..... :--å--L-----J---L--1 °h and H..lth Hazard ( all that a l lly) l_l-L-L C.A.S. llullber ___________ Coaøonent It II..' C.A.S. ..... - ----------------------------- ------ --, r-, ,.-, ,.-, ,.-, "_..I Fire Huard L_..I Reactivity L_..I Delayed L_..I Sudden Release L_..I l-.jiet. H..I tit of Pressure Health Coeøonent 12 II..' C.A.S. ..... COIIponent n II.., C.A.S. ..... 'ERGÐICY COIITACTS IIl1:.~!---/l2t?I/A/í ~fu~I~,1l~Z_ 2f:l-,(~l.Æi.. 12.?!:.Md( G.4J~ r(f)'¡ a. .rci#icltion (Read and sign after co.pletin, all sections) :ertify undll' pilla Ity of 1... that I ha... persOllll1y ....ined IIId I. ,..Oill' with the in'OMNtion subeitt :r~o , 'M~he intor tion. I bellt'l. t!tat the subeitUcI intCII'Ution, is tMl', accuratl, MId c I. I'· . ~~ ';i~ iM- Tiëi.n mÕr~roõíi'¡ë~mp¡¡:itõP~uëariires~ q uri '- ~, ~ iNVENTORY' P~q. _£ of £ NAM! OP TtttŠ [.A_ÇJL!.TY: /--("- ø 1}1f STANDARD IND. CLASS" CODE 5 J77 DUN AND BRADSTREET NUMBER " 1.~ - q Z. ~ - L £'£2 Q U Na_ of IIixture/COIIDOIIentl See Instructions Ã) 1/ Fyeez -c.. J , . }, ./ ---------------------- ---------------------------------- -------. F y eotV ~'-~_________________ ------ ------- I I ?/: ------------.. ----- CO 2... Cè¿,~/Jff'rS__________________~ - ----- ------------ ------ 'I ------------------------------------- ------ " ------------------------------ ------ -------------------------------------------- ------- ---- ~Vfj;Þl~e ~;. lJ.?-P-!..~/ë:.=· that based on ., inquiry of thos. individu.lsresPOl/sibll 04((2;;1- n ___________ ____I » ~~f~_ " ~~ . ,/~~AJf£ìt ..,..,'o~, ";"':"" -S-Á, /~.),,~" " ~~\ \ :,1:;.'- '-'~(" '-,l,; o:,J,.A 0: i -~~) \\~\~~ . . ·CITY of BAKERSFIELD .. IVE CARE" \Ü'I\~ ,,~\\ ,,~;;,~;~':!!"" ~11.''';~\'.:''\..o .:"'/.:;.-_...~ .:$....,; ',~ /"-....~ ,::::;':-' \\ fI/l -:o;~ _\:...:: ,;' ':fJlJ. -.'_" ~\? ~. ": ~\~~ -- .....-:" I I -;::...... ~,; , ~-.:~.::"7\\;, '. I/~ áJ~íííú~ ~R-~~' tYDe (1u;.u.__€:rr€.-l C~~ ~ or print nameì Do hereb'y cer,tify that I ha\-e revieh"ed the RECEiVED 'MAR 2 9 1989 for Hazardous Materials ~-:æ:r ~ 3b~. (name of business) bus iness plan HAl. MAT. OW. attached and that it along with the attached additions or corrections constitute a complete and correct \ Business Plan for my facility. ~..~ Cì"jJ~ signat.ure ~J~l I tCi I date ~ ~ t1/cJ~ ? 4ÝdJ · jì @)'I ð~ .lhlS: . ¡ jJ/;;,J h)/lf ¡?)C/#-U¡;', I Ol(-~tl-fl /0 .6£ &.Mß'4¿ '/i~ /à/.-~ 0/ I )J1,A:'/ 0)/ /7ff fJli1Y c:JL/ø~o/ --~ - -~--~---- " ~.¡' .- BUSINESS NAME K MR" LOCATION 3600W-SON RD ~ 10 .,BER Z 15-000-000878 , H HAZARD RATING Z ' \ 1. OVERVIEW LAST CHANGE 09/13/88 BY ESTER JURIS CODE Z 15-007 JURIS BAKERSFIELD S"J:ATION 07 MAP PRGE 123 GRID 110 FACILITY UNITS 1 HAZARD RATING 2 RESPONSE SUMMARY ZA SEC 4> ZASEC 4) HAVE ALREADY BEGUN ORIENTATION AND FAMILIARIZATION WITH PLAN. SET UP. ORIENTATIONS AND FAMILIARIZATION WITH PLRNS (COPIES ENCLOSED) EMERGENCY CONTACTS ZA SEC 2> ZA SEC Z> MR. MOUNT - 834-7389 UTILITY SHUTOFFS MR. MOUNT - 834-7389 -MR. N€JRDPtIlL 831 8343 r<\e. Cf'\Ì"f'\"t-~ÖN a:'ì-2-Cõ~O, HR. NORD01IL OJ 1 03.1-3, \'{\Q.:5 Ou...f.LL-E...\\S 3(.,. fo - ~O¡ <oG::. ZA SEC 3> 2. NOTIFICATION / PUBLIC EVACUATION lAST CHANGE / / BY < NO INFORMATION RECORDED FOR THI$, SECTION > PAGE 1 '12/15/8810:38 MATERIAL SAFETY DATA SYSTEMS, INC. (80S) 648-6800 " ''" .' BUSINESS NAME K ~~.. LOCATION 36~_SON RD :::::'/ 3. HAZ MAT TRAINING SUMMARY 10 .BER ZIS-0Ø0-0Ø0878 H HAZARD RATING Z \ ' LAST CHANGE / / BY < NO INFORMATION RECORDED FOR THIS SECTION> ..<!" - -- 4. LOCAL EMERGENCY MEDICAL ASSISTANCE LAST CHANGE 09/13/88 BY ESTER ZA SEt 5) tJlJlIT[ LANe t1COICRL ecrHcR S401 WIIIT[LN ._8:J2 2000..------- , ____~ -<, ZA- SEC 5) WI lITE LRtJe t1COU:AL CCfH[R ~401 WHITe LONe 032 Z0Iß0 -1Il6C"I:. CeN-r'E: ~ 3l4ih..""t' q 0-r~S ~ .::l.'5- N\ E-Ð:L. PAGE Z 12/15/88 10: 38 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 ,~ ,-;, \ BUSINESS NAME I< M~. LOCATION 360~SON RD FACILITY UNIT 01 3Y 10 ~ER 215-000-000, 878 ~H HAZARD RATING 2 f-\. OVERALL HAZARDOUS MATERIALS INVENTORY LAST CHANGE / / BY 10 TYPE NAME LOCATI ON CONTAINMENT MAX AMT UNIT HAZARD USE MIXTURE PAINT HöME CENTER t1ETAl CONTAINERS 10 PERCENT COMPONENTS 1006.00 30.0 ACETONE 1118.00 25.0 XYLENE. MIXED 1155.02 16.0 PROPANE 1130.00 15.0 TOLUENE Z00Ø GAL EXTREME PAINTING HAZARD LI ST HIGH HIGH EXTREME HIGH Z MIXTURE AEROSOLS (AIR FRESHENERS) 350 FT3 UNKNOWN HOUSEWARES PORTABLE PRESS. CYL. CLEANING 10 PERCENT COMPONENTS HAZARD LIST 3 MIXTURE SPRAY PAINT HARDWARES PORTABLE PRESS. CYL. 10 PERCENT COMPONENTS 1006.00 30.0 ACETONE 1118.00 25.0 XYLENE, MI><ED 1155.0Z 16.0 PROPANE 1130.00 15.0 TOLUENE 1500 FT3 EXTREME CLEANING HAZARD LIST HIGH HIGH EXTREME HIGH 4 MIXTURE HAIR SPRAYS S0Ø FT3 UNKNOWN TA/COSMETICS PORTABLE PRESS. CYL. AEROSOL ID PERCENT COMPONENTS HAZARD LI ST 5 PURE GUM TUPENTINE 50 GAL HIGH HOME CENTER METAL CONTAINERS PAINTING 10 PERCENT COMPONENTS HAZARD LIST 2666.01,100.0 GUM TURPENTINE HIGH 6 PURE CHARCOAL LIGHTER FLUID 350 GAL EXTREME BAILING ROOM DRUMS OR BARRELS MET.. WASTE 10 PERCENT COMPONENTS HAZARD LIST 1203.07 0.0 MINERAL SPIRITS EXTREME 7 PURE GRILL GREASE 55 GAL UNKNOWN BAILING ROOM DRUMS OR BARRELS MET.. WASTE 10 PERCENT COMPONENTS HAZARD LIST -1076.00 100.0 VEGETABLE OIL UNKNOWN 8 MIXTURE FLOOR WAX 55 GAL UNKNOWN JANITORS ROOM DRUMS OR BARR NON MET. OTHER 10 PERCENT COMPONENTS HAZARD LIST PAGE 3 1 Z/ 15/88 10: 38 MATERIAL SAFETY DATA SYSTEMS. INC. (805) 648-6800 .'.;" '. ~ BUSINESS NAME K MA~ lOCATION360Ø~50N RD FACILITY UNIT 01 ~ 10 .ER 215-000-000878 ,'H HAZARD RAT! NG Z A. OVERALL HAZARDOUS MATERIALS INVENTORY ( .11- CONTINUED 11-) LAST CHANGE I I BY JI As ~ PAGE 4 10 TYPE NAME LOCATION MAX AMT UNIT HAZARD USE CONTAINMENT, 9 MIXTURE FLOOR STRIPPER 55 GAL UNKNOWN JANITORS ROOM DRUMS OR BARRELS MET.. STRIPPER 10 PERCENT COMPONENTS HAZARD LIST 10 PURE COLEMAN FUEL SPORTING GOODS PORTABLE PRESS. CYl. 10 PERCENT COMPONENTS 11'78.00 100. ø FUEL OIL NO. 1 24 GAL MODERATE FUEL HAZARD LIST MODERATE PURE FERTILIZER 400 LBS HIGH GARDEN SHOP BAGlSJ FERTILIZER 10 . PERCENT COMPONENTS HAZARD LIST 2538.00 J00.0 SODIUM NITRITE HIGH 12 PURE AIC REFRIGERANT 2142 FT3 LOW AUTO PORTABLE PRESS. CYL. COOLING I D PERCENT COMPONENTS HAZARD LI ST 1086.00 100.0 DICHLORODIFLUOROMETHANE LOW 13 MIXTVRE ENGINE CLEANERS AUTO PLASTIC CONTAINER£SJ ID PERCENT COMPONENTS 2234.00 Z 5.0 METHYLENE CHLORI DE 2580.01 Z0.0 TETRACHLOROETHYLENE 1061.01 12.0 CRESYLIC ACID 1203.00 12.0 NAPHTHA 1759.00 10.01,3-DICHlOROBENZENE 150 GAL EXTREME CLEANING, HAZARD LI ST MODERATE HIGH --- HIGH EXTREME HIGH 14 PURE OIL 500 GAL UNKNOWN AUTO PLASTIC CONTAINER£SJ LUBRICANT 10 PERCENT COMPONENTS HAZARD LIST 2808.00 100.0 MOTOR OIL UNKNOWN PURE COl CANISTERS CAFETERIA FIXED PRESS. TANKS 10 PERCENT COMPONENTS 1251.00 100.0 CARBON DIOXIDE 815 FT3 LOW OTHER HAZARD LIST LO!"J PURE INSECTICIDES GARDEN SHOP PUISTIC CONTAINER£ SJ 10 PERCENT COMPONENTS Z00 GAL UNKNOWN INSECTICIDE HAZARD LI 5T 12115/88 10=38 MATERIAL SAFETY DATA SYSTEMS. INC. (80S> 648-8800 . -.i',;. ~ '~.",:. ......;';¡, B,USINESS NAME K MA~ ' LOCATION . 360Ø~SON RD FACILITY UNIT 01 ::/ 10 ,.ER 215-000-000878 , H HAZARD RAT! NG Z A.· OVERALL HAZARDOUS MATERIAl.S INVENTORY ( * CONTINUED *) l.AST CHANGE I / BY 10 TYPE NAME LOCATION CONTAINMENT MAX AMY UNIT HAZARD USE 16 PURE INSECTICIDES ( * CONTINUED * ) 200 GAL UNKNOWN TO PERCENT COMPONENTS -,1056.00100.0 INSECTICIDES HAZARD LI ST UNKNOWN .A7 PURE HERBICIDES 150 GAL UNKNOWN GARDEN SHOP PLASTIC CONTAINER[S] HERBICIDE 10 PERCENT COMPONENTS HAZARD LIST -1057.00 100.0 HERBICIDES UNKNOWN ~ ~ . ç: Iocr<...- et:-ðTð e.E R.. .:r 1\N 1,0 e.. (20 (;) \"Y'V 1) 1Z.Lv\n '5 6 e.. & ~ 1. {) 9 E.Q..ct,tV --r' Co ~\b Nt:: I\lí S s~ GrA'- ~N \h~:r. (7)í~E/Z.. \..LN ~IVOI'- 'NhJ ~~ARO LI$l tq. (I DO ~ C. L..E;.A N ~r<..., G A,I\J l"Tc~ e.oO~ ,:tR...L\.I"f\S LO Pe..R..Œr-rr Co J"'t\p::>Ni~íS S'S Ç-A L Ca.. ~A e.~ Nc~ ff'er: cr~ëe LtN~I\::¡OWN ~A ~ce.D CIs,- B. FIRE PROTECTION I WATER SUPPLIES LAST CHI.:'JNGE I I BY 3A SEC 4) NO PRIVATE FIRE PROTECTION 3A SEC 5) FIRE HYDRANT - ? PAGE 5 1 Z¡'/5188 10: 38 MATERIAL SAFETY OATA SYSTEMS. INC. (805) 648-6800 . . ~",~ fj~'''ð-- ~ . BUSINESS NAME K MA~ ' l.OCATION 3600",SON RD ./' 10 .ER 215-000-000878 .:7H HAZARD HATING 2 D. EMPLOYEE NOTIFICATION / EVACUATION LAST CHANGE 09/13/88 BY ESTER ~'~~..em¡~~lUi~~~~.'ille£}£,NTAI~ "MHt;; ~ P1"I 3A SEC 2) NOTIFICATION AND EVACUATION PROCEDURE WOULD ENTAIL THE PA SYSTEM , , SYSTEM IF THE FIRE/EMERGENCY WOULD BE SUBSTANTIAL AND VERBAL IF THE ~ _ ,- VERBAL IF THE FIRE .... WERE SMALL AND EAS! L Y CONTROLLED. WOULD CALL 9 It. ~ E. MITIGATION / PREVENTION / ABATEMENT LAST CHANGE 09/13/88 BY ESTER ,", - 3A SEC 1) 3A SEC 1) ALL MERCHANDISE PACKAGED AND STORED IN SMALL QUANTITIES FOR SALE. RETAIL SALES PAGE 6 12/15/88 10:38 MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800 ;i}> , ~.. , '," '";"-< ~,- K Please print or type with ELITE type " ; ~ . ,I I '. II I~;;j--...,.. . I ,I aractars ".r inch) in the, unshaded areas only Form Approved OMS No, 2050-0028. Expires 9-30-88 GSA No, 0246·EPA·OT ....... refer to the I".,ructions for FiIinII Notific.,ion before completing this form. The information requested . -Mre .. ~ired by lew (Section 3010 of the Røource eon.TV_ion "R~Act). 'II I CAL 000 018 579 K-Mart #4364 3600 Wilson Rd. Bakersfield, CA 93309 II ,~ I :'1 I, - j t1 /(} a. of R _~: ~~~~~= A~;'~k'~~'~~I~ØI):!Bte bo~~~.,~~!:~ ~~'?:~:::~ _~. . Generetor '* ' . iMs then 1.000 kg/mo. 08. Off-Spec;ifianion Used Oil Fuel o 2. Trensporœ;:L, () CA L 0-0-0 0 I A 5 '1~ .., ~X' .wi -* .,..-opri",e box.. below) 03. Treeter/Storer/DiIIpoaer " ~\ D.. G........ M8rtetine1lO Burner 04. Underground Injection.. ' Db. OIherMarUter o I. Meritet or Bum Hazardous Waste Fuel 0 8 (enter 'X' .wi mart" ."",opri«e boJuø bIJIow) Co umer o a. Generator Maritetíng to Burner 0 7. Specifíc:Míon UIed 011 Fuel MarbW (or On Bite Burner) o b. Other Met1teter Who First CIIIima the 011 Meets the Specific8tion o c. Burner II. Waste Fuel Burning: Type of Combustion Device (enter 'X' in ell eppropriate boxe. to i/tdic.,e type of combustion device(s) in ich hazardous waste fuel or off-.".øtication uød oil fuel i. burned. See instruction. for definitioru 01 combustion devices.) . , 0 A. Utility Boiler 0 B. Industria' Boiler 0 C. tnduaIrial Fùmace III. Mode of Trans rt8tion r~Bn rters onl - enter 'X' in the a r riBte bo es o A. Air 0 B. Rail ÇJ-CJlighway IX. Firat or Sub uent Notificetion ark 'X'in the eppropriate box to indicet. whether this is your inatallation'lfim notificetion of hu8rdouI west. activity or . subsequent ification. If this is not your first notification. enter your installation·s EPA ID Number in the 11*=8 provided below. ~rst Notification 0 B. Sublequem Notification (complete it"", C) EPAForm 8700-12 (Rev. 11-85) Previous edition is obsolete, Continue on reverse / '~ ~? ~Yr tU ì\, \\ /' Ii&( ~r./?, ppJ ~ --------- ----- -: HAZA~OU~E~~~SPECTIO~ ~1<i 7 BUSINESS HAIŒ: ~ -./'?;? 4/Z.- / LOCATIOR: -.?øc? L.J//....:iC)~ ~~L7 ~¿ OÆ O? INSPECTIOR DATE: / ;2-/2-~¡C> IRSPECTOR: ~ ::4~ RECErVEO DEC 1 2 1988 Ans'd. ........... VERIFICATIOR OF IRVENTORY MATER:uu..c( s~E 4?~ ~ ~.J:nProJ.s.} VERIFICATIOR OF QUANTITIES I VERIFICATIOR OF LOCATION \} ø ø ø p PROPER SEGREGATIOR OF MATBIUAL COIOŒHTS : VERIFICATIOR OF BAZ MAT TRADlDIG /JJ"t:ï¡1)ll'dSZ-S I!JNþ; ~ /VÔ ~~~.JJ¡vC ~ VERIFICATIOR OF IISDS AVAILABLE ÌSl a»øŒRTS : vmuFICATIOR OF ABATEIŒM'l' SUPPLZBS . PItuuwaRBS .~ COMiŒNTs : El!ŒRGEHCY PROCEDURES POSTED ~ lSJ-. <DN'rADŒRS PROPERLY r.aRVT.Rn CCMMEN'l'S : VElUPICM'ZCXI OF PACD.J:TY DIAGRAM -r::J- SPECIAL BAZARDS ASSOCXATED WI:TB THIS FACJ:LJ:TY: ßO~/Ø-/~ /?C/o.é:. CÁ/¿J,æ/.P _ /<::'/' ¿lIb ~ /'#ß/~.5 ) ,,/vor- ../,;,-~¢o _S<S- /?1;9~ ...<::::<:I,c ./dC/9-t/b. _/ ,/=¿-,z-l74.¿ee::- ouGC- //;'ujJ-s ~4f" /~ 006 /65. /Å) b/?~~..ffip /9't#ô 0/;/ /Å.J G'#,4¿?¿:~..f~ CJUr.s'/.?~ /UCJT d"J fi?¥ /$~ ~/1-#ê-ø.5-' 0,0 ß~.J VIOLATIONS: I / -- ""'-I. '- ~'/~(I '~)"·/Or > / , / I /, /~~> , r. " . BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD. CA 93301 (805) 326-3979 \;)'6- \ \ Û Ans'd............ 7- I¡fJSP 7 RECEIVED AUG 3 1987 OFFICIAL USE ONLY USINESS NAME ID# ) 6 [)~'J e HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE FORM 2A INSTRUCTIONS: 000818 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. - B. SECTION 1: BUSINESS IDENTIFICATION DATA A. BUSINESS NAME: K- /I1Aftr STREET ADDRESS: :30ct)O ~LSC D 73.30 B BUS. PHONE:' (go5) CITY: ZIP': 333-063~ , , SECTION 2: EMERGENCY NOTIFICATIONS In case of an emergency involving the release or threatened release of a hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4341. This will notify your local fire department and the State Office of Emergency Services as required by law. ___EMPLOYEES TO NOTIFY IN ." NAME AND TITLE .,--- A. MR, /'1 0 U).J , . B. .A1Æ". No(fòA. fiL- CASE OF EMERGENCY: (¿1 ëð6Md.~)~~1 C-~ed~ ~ DU~ING lá7· 9 ~T4 BU~, Hß¡, ~ Ph# fJJ 3'f jo- 3 Ph# t:J 3 - '1..:5 ð ' Ph# 83/- 8 CJcf 3> ' Ph# ß}( - SCJ'f 3 . ,-- SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT. GAS/PROPANE: e B. ELECTRICAL: eLeCt. L C. WATER: _ -. ',IV "'G D. SPECIAL:, - E, LOCK BOX~~ IF YES, LOCATION: IF YES. DOES IT CONTAIN SITE PLANS? , FLOOR PLANS? YES / NO YES / NO MSDSS? KEY'S? YES / NO YES / NO --------,....,.-.............. ,--~---;:, - --~- ----~~.......,-~----~ ----.- - ~2A · '. ':..'¡;"""'," .-q.,.v::. : 1 -.' i¡ 1 "?;I '.~ 'r¡ ~~ ...1 f, .. ...... .., ~. -- ," -q -. 1,H ¡ >'~ ,.~:; Üti ( :.,~, Y:J (.\ SECTION' 4: "p~i~kTE RESPONSE TEAM FOR BUS INESS AS A WHOLE e' Ssí- vt -- t(fJ1/6 ALf(6A])V' 66-GVN ÓItIÐ\jTA.'71o~ .AAJ]) FA,Nt I uA!t-( c::-"\17oAl IN IT!( f6qAJ (coj1(SS e:NCWS~~) SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE t~~ t.,. .f·" ., " ,¡H, 'f" >t,. ,~ i) .1 ./} t-, ~ ~¡ (l' ~y ?VItlT6 ~Ne'J1êDLcAC C1ìe.. ~ 'fO I ~ fflT15 &w6 mt:~Fl(f;G(:)1 CA. e SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS. e CIRCLE YES OR NO INITIAL REFRESHER A. ~~~~~~L~~~.~~~~.~~~~~~~~.~~.~~~~~~~~~........... €§$ NO YE$ NO B. PROCEDURES FOR COORDINATING ACTIVITIES , WITH RESPONSE AGENCIES:.......................... I NO YES NO C. PROPER USE OF SAFETY EQUIPMENT:.... ............. . NO YES NO D. EMERGENCY EVACUATION PROCEDURES:.. ............... NO YES NO E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORD~S"'" . .. YE NO YES NO Offt6Af... P"eQ5'~5 IN (17Are» !t£L6VïL'( ()IIIL'( (101 t...- 0f2l6ft1í?A77oN''1tJ 71trs.fb¡,/\JT SECTION 7: HAZARDOUS MATERIAL . CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POUNDS OF A SOLI~ GALL~S OF A LIQUID. OR 200 CUBIC FEET OF A COMPRESSED GAS:...... YES ~ I, ~lt<J ~~~, certify that the above information is accurate. I understand that this information will be used to fulfill my firm's obligations under the new California Health and Safe\y"code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25500 Et AI.) and that inaccurate information constitutes perjury. _ . 10 ~ ~q Dr ~ Þ»NLeibeJf5 'SIGNAT~;¡~ . e - - 2B - .' . e; BAKERSFIELD CITY FIRE DEPART~XT 2130 "G" STREET BAKERSFIELD,CA 93301 OFFICIAL CSE ONLY ID# - - -' - - - BUSINESS NA.'v{E: BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A e INSTRUCTIONS 1. To avoid further action. this form must be returned by: "'" 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY UNIT LISTED BELOW·,?¡;;tTF:~,::',::, 4. Be as BRIEF and CONCISE as pOssible.-----' "',"---.' ·-':'-------,··-~-~7';:·'f,.:~~'-::-: , FACILITY UNIT# FACILITY UNIT NA.'IE: K JA1 a rl (Wll~6:",:'~á) -'¡ - SECTION 1: MITIGATION. PREVENTION, ABATEMENT PROCEDu~ES . - -. :":""".' ' . - :. . - , . AI.( ~(Mib{~c; ~:i:~*':ð~cJ)b~L-~~ e Sþ{,(((. ~TI Il1..ðS }>ð/t ,(tEf-rA l£_ ~ ~ .. , þ " ~..'-~_.- SECTION 2: NOTIFICATION .~\~ EVACCATION PROCEDLKES AT THIS L~IT ONLY e Þr:>r¿f tCA \ì[ 01{ ~,N]) 6t f\cPtq?W fer:c.8Ju th '--V6Vt.b (j-rr-I\l<- U5wG 7èt6 fA SYS(]€M (~7tt¡; f1f16/6JVL~G~yP (A(JVJL.'A f36 .5(j6s rXlJV7T,ltC- ¡f~&A. C- (¡= 7frE (P(!è.6 46rtE 5,A1,4((, ....a!,ib 6fú(L-r Céß7,tø~c- C4ðvLò CÄLC c:¡((.. 7,>.' , f~ /è£ ~léAC.tf6-p, e --' - .'3..\ - '.' . , " SECTIOX 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY - A. Does this Factlity Unit contain Hazardous Materials?.~., YES NO 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 trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION ", :.':··ì;:-.;-+.f.. -. ~ .:;~; '3"~ ".. . ~I':,~:',:- -·trIJI:JA:1" ._"......_~. ,,--- -..-.- ......--.-.. -.'-"-' .- .,_..". -,- --.--,... SECTION 5:, LOCATION OF WATER SUPPLY FOR ,USE BY E~RGENCY RESPOß~ERS e SECTION 6: LOCATION OF GTILITY SHUT-OFFS AT THIS ú~IT O~LY. A. XAT. GAS!PROPAN~~ , , B. ELECTRICAL: C. WATER: e , " .¡ ,.. O. SP¡::C Ll.;:' : '" E, LOCK BOX :~'ES 'xo IF YES, LOCATION; - IF YES, SITE PLANS~ ::-r.oOR Pr.\XS~ YES / , ~,o J , NO :vrSDSs?ES :'::EYS~ YES ,"" . ~ \..- ~lES \'0 - 33 - ,- @ , . . .. ¡\ j . 1'\ ~. t , :, i} L J : 1 :-} 1-\ J'~ UL f" ¡;l\ t"[,-¡ t. í'! J FORM 41\-,-1 NON-TRADE SECRETS HAZARDOUS MATERIALS ~NVENTORY Page o f ~ -, -1 BUSINESS NAME: OWNER NAME: FACILITY UNIT #: >.,,-- ADDRESS: ADDRESS: FACILITY UNIT NAME: CITY, ZIP: CITY,ZIP: PHONE tt: PHONE #: OFFICIAL 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. CODE AMOU.NT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUID ? ;;' /10 -''\ /8 li';3' 0'1. L¡2.. +lA rtiJWA.t.6 ()1-:{1eA1\. f<1 1\ /JIPJI ~- " E-ttf L .Ä/J;'~, /\IC- . .', / J'I ,,---,0.-/ ¿If &£3 0'-1 P)~ f/Ak1JtjA~6 ' /ÀqJÒ1ILQ . tU.1¿/í /é-M Œt- e-xf¿ ~rJVÞ1,;ç 1 :3 to -J63 ð'/- fJl=f 1/ ' ~~ M.d¿ (m;¡~~~) EsXPL I L--- 4ß ~ BY:, 31 It Ft~!ò4C) SêðfÓ4~ I~L.SC. , ¡ 2.,+ - ~~ -~ too tb rtJLf 3'J II ,-1d~~ FLSL " '2oco )~O DJ~ /3 2' hb¡11'~ ~fIm« f~~\FlD \\~ :Qf O~Y~,~', -1Ð9')'e> IbftL Q ~i ~. " i \ \. t:¿ ~s 6ì f'I \ \ 5'5 ()';; ~ " 2Y- ~ II Pð.<A1-6 Ccxdf-~ .. 72- 04 2..C EKf'- , r . " .~) ,~??o . '¡25Dð -Pé3 ()tf ~ ~¿wèkeA 4e4c9<1¿ {ðiA ~~(j'J~ ExfL ,,$): ,\500, ~Sooo f63 't;y 2q . HAlèJJÞJ~~õ ~~ ~ I~O)mo/lIJ\~~ D'T~ ~L B-d . 4¡J'2 , """" '4( " ·A..... )fib .~ 2..Lf 14-+ o¡-a.R (9f3 Jf&¡j~A~S ~() , ./ ( I ( '-"'- , \...C7' I (Ov!t> JO Ct.6ANe-;es - .~,"; :3oÓQ l-k-s " p:\/ Co.si'¿ WI' ~ (ffAt!t ~Y.s)~ rLGS ,500 OLf ():; JJGtÐ5:ð L5. ¡ , ; 8.5~~, ' 11J~ ß3 O'f '0 '" , , AiiìLl~6S' ; /(¿ ~/)" nl/ JjÔtlli / (A£JA~ G a,-r:;VÌQ I ~Il~ ~ --- ?~ 19-0 sõ-f ¡MIa (!)ß 1fcm1e, ~#VGtê.. f@/t) (~~ fl£c¿JL_ ~ """IA,,·:S, " If >,i;.~ " )l' ~ ~8A~£).¡J ~ i 1)\ ..~ f. , , ~ ~UfVV --d7 / /'; ÁJ/) ../.4 V7N~ '. :6tJl-1 L Q ~.- \50 2-Cj k ~Þblo ø 0 IJ¡ '1 ~ " 2/f _t~ /D :s€:> it. ~èK/dUf4V&·~ XI]) , NAM,E: , TITLE: ..;;..~ S I G N A T U R E : I ./ DATE: i " . EMERGEN.C Y CONTACT: T 1'1' U': : PHÖNE # BUS HOURS: --- AFTER BUS HRS: \ ,EMERGENCYtíiNTACT: ACTIVITy,:_e TITLE:=- PH~ # BUS HOURS: PRINCIPAL _ ,SINESS . TER BUS HRS: I ". ~ - d2\-1 _ I _ , -0- /~ 1~?;'CJt~ ", ~J . '. ..' \_, J i.! r' J )'í.~:.. t.: !:'1' H !~, J ;-'1 t.!'i 1 FORM 4A-l NON-TRADE SECRETS HAZARDOUS MATERIALS INVENTORY Page _ of -:. '/ 'I I ¡ BUSI,NESS NAME: ADDRESS OWNER NAME: ADDRESS: FACILITY UNIT #: FACILITY UNIT NAME. ...I ~, C I TV, 'Z I P : PHONE It· CITY,ZIP: PHONE #: [OFFICIAL USE CFIRS CODE I ONLY I II Ii Iii !¡ t I I II 1 I:; 1,1 1 1 2 3 4 5 6 7 8 9 10 ~ TYPE MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD D.O. I CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUID " .llA1t])V~G :5~do~ . Xl D - to 30' ~ 13 0.2- /fðM~ Csvre~ CJ(Jf~d Qv¡~'6 ø:~r f~.5JJð' "íi \~ ') .~~p 50 I '2. 00 q ðf; ,/0 07 JA ( ¿rN 9 ~J"\ 'c4 ~c:(J>f~Oj)ì'1ue /~, 裡fxß.D 7~(J> 2 M ~ (,¿; q~ O(P >2.. !A1UAJ0 ~ ~df.ûj0(aP~~i~ ,,;;,wt::'1tx1t: Wt\)'~6J"':"7Zt:) :-ï!!-.aL~t¡(;--ZI-' f!.>A./LltJG A;,A...\ ' /"'A /)/) /1A~~ Að -\;~II &..vDJ . " '. . ^~~ ~.."~ """'---" 70 (L(¿,lf)./- U/k.~ ~U'.~ lJ {(n '-A.Itt.", M~)'^~.-~'~~? ~f?R D7 '19 J/MJ}TOIè's!œÞJ f~ ~~k lere:vttN O~ ^'\~) :~. ~-l¡-"Iq~ oto 3~ :JAfI)I7().e~~J'I\ ~(Oðf ¡ÔV1:Nk)~ ~\~tf¡1llO\J~CÀ O~A ·l~<·.2·if ZoO'¡qaR OL{- 1'1~ ," !5;tJÞPAA:CooZs, "C~~ú\iu¡~º,: .JL,7~ Fu-Q .. !1AftÞVJAIèG ß~<Þtd, P(èAitèA ' f/'\\\} ';?:t7ðO~2SDO -lb' ~ /2.. 17 (;Afè}jê¡v S tJøf rr;rf:.e.¡;~,Jt-, <956 ~ " I¡~ Z,,'t2t-7Hfo.!Ð4itj ol.f. 10 AUlo r ¡ j,'IC,kÆ1LcØ?ð//ll'6 JD?J~ ~~ !\fJ:J /13-0' :: /0""\ ~_f) Jo, OR AJ(}'-:--, O· - ~~. e"';;,_ð1t ~Ö·Dl oìDCTfD, , II~/¿~I I ~L . .' .0,-" '10{ V' L¡t.A-1VVie-- c:.œ~~ ~';)'O'!> 1;;)0) <V ,\'& ,?Q(J.__.Lkwo ~CJ;èJ,f 1()2~ A UfO 0-« ~OC¿ Gt1LQ ? '20 /ðO .-ø q, O¡~ AUro 6è{(Ím~ c.R/t1r Iv f ~"E:L'f:,",7: BI't.7 -tt3 03""9'f '&erGJtx-/(¡j)~L(, "'" 'Cð"~"<~"dfJ'p{¿j~.l¡)/ó!. GtfL NAME : . TIT LE : S I G N A T U R E : ' DATE : EMERGENCY CONTACT: TITLE: PH6NE # BUS HOURS: _ AFTER BUS HRS: P~E , BUS HOURS: WFTER BUS HRS: I Ç~ " " i , I 'EMERGENCY~NTACT: P R IN C IP A LWJ SIN E S S ' ACT I V I T Y : __ !j TITLE:=- ¡ ", - d 11_1 _ --- -- ...~~~.-/' : - " \ (I : -. :"\ ~~..;- I 1',;.; J )" j 1-.. L, . ,. ; :'j t,,!\ ~ " ," FORM 4A--l Page of ,.j' ~ NON-TRADE SECRETS . HAZARDOUS MATERI ALS I NVENTORV BUSINESS NAME: OWNER NAME: FACILITY UNIT # :. ...-; /\DDRESS: ADDRESS: FACILITY UNIT NAME: CITY. ZIP: CITY,ZIP: PHONE it: PHONE #: 10FFICIAL USE CFIRS CODE ONLY ] 2 3 4 5 6 7 8 9 10 ; TYPE MAX ANNUAL CO NT USE LOCATION IN THIS % BY HAZARD D.O. CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUrU (0'" 2.D.O"., ~. ~~ Þ,ttf 1'2- -2+ ÞA~ &4:~flf./¿,þ,",~{~ .... '.-r'-~ ," -:j(-/ðs(, fs~.ß ; , ' :¡eo ~::S- : =f.¡.Js'êG77,c;rðGS. \ .. . ~:f . ~ f ~ ) 70- , '!J SO' /J)n£ , )o¡ r~ 23 f=- .. .. ' ~p - , .. ø'~~~~U1>irS-1 ' .1{ 70S 7 ISrVß y-, -v- ~fèl)' ca}..r I I . -' ," , - .. , , , , . .. .. II - - - - ..:::. , II , ~ , I ; " - ' > ."",,:;.,¡ :.." " . " I ¡ , NAME: , TITLE: SIGNATURE: DATE: ¡ EMERGENCY CONTACT: TITLE: PHONE # BUS HOURS: AFTER ~US HRS: ·EMERGENCY ~ONTACT: TITLE :==tt PH~ ' BUS HOURS: '" - PR I NC I PAL-.SI NESS ACTIVITy:J ,TER BUS HRS: I R - "-1\_1 _ 1- I\Acf2- ' 9 I/SEClJ((/ ry" ' ~ f{1:-: ff(èS ON ~______¡ \~foeTING Ga:0.;~1IìO , ~ II""" , ~ S 1OC- KMAfJ cÞ ¿ /~'Î ~,\O(t.. \\ '" App{.(,AtJC£$ -<:) e Iz-' ,~(j/7 \ \ ,~ /f u/ ~. "Cßj :(fir (G .. \\lING, "- \L? .lé':'~90ClcPWP ~ ' '~v '" ' \ ~~£KJo'AM (j) /'--~§_~)6-L~~ '" 7/~\ ,/ ' 5F""/) / ~ ~~- \ // I '-C ìL \ /'/ .]((tIi¡ ,I) .L-t,,' ,/ }/ C 0,{-- , -ff-1('( ( 'E e e e Ie ~~TC.C/(j'1AAj (rr (¡(feE AtE 7)ét) (!~(5ENT) \Jnì-( L(Y.-Jf(\ C,UJ( (ç #- tAJ tce DE 0.1:( OF Flf¿I(5Au/A6€ ,.sC¡)cJ4J» OTHé,~ \JILL- ßE /t vA i CA.8 L ¿, ¡of... ,5 fit (,tV Ie C ft. (,IlK.\! E ']u'7 i' - }-;,-. . ·.iP,t""Þ':J~:tI"t·'~~ . ,"",,<;?~~,,,,,~",,,,._,,_. \. ",<.~.~., .¢é-'~ "-., ·.·.·.~.d.,'':''.:_, ·'F__._";";-;';'~~;::' ,^: .._".."....';..~.."1"'>t!~:JZ..~~-:....... " '~;.:w¿,,~~~~'~~~;.>.-_f.'.:!~~-' ~ .~!';; ~~~ nr... ..' . .' - . J (~/L/¡ 0ê GêN C y /eC{'/l:,))O t£)S " J~~-"'"t,: . ¡- (/LE~I AN]) /~ /~"-.:.-- ::' 1:1;" "" /'/ ~Vr1 / ¡l'lt _ ,NI0UrJ ì (ç"\ / !V~ p( NÇ¿~ ~ , ()f5 As'Sej 7AN-ì' POOR ~-~ )CA.lC. rr!èE, h &P¡ (F , ,45(cw / Off¡ CG 9 If fV.ECê55A ¿ 'I C.A (L AM 1fC. EA) I S7V~ t: s: 7ò AL6t T 70 f055( ßLê, olè. /MM I (\lEAl T è:YVV6e~ ~ PAGe:. AS A;;f(sJ) - ÌX) NoT I CoAJ(jt;'( f'~ t C _ . " of'", "'~"'--C~"~~-l="- "'"""~',-,,,,,, , . ",,;,:,!¡,:-,,~·:~~;:-~--::-¡t:.'"_ ~~' :-~:;t,;J::"3:;i:;,c::J;7:7ilÞ~#J;r,,~;-;;:?:~-r. ·:.·,:':~~~~~ff~~~~:!~~~llitJJ;¡;fff'::~'tb?:t:;';~~i.:"";~.~"Jr:~'¿~¿::::l~~}~~.!15:;~~~~.ft?;:5~~~;:~J;?,~';; .-r"_h;'·-; ..~_..,,,,,.~,,,.,.,,,.,..,,,. '-''-,,-'"-=,".~.~'-->=="-""", -, "-"" -.' ., .' -- .,- ',-' ...,,-, ,~~,:-:;" -~-"-""""--~-~ "ê""-".i"""'~" ';;' "-~"""":·I 4IIÞ 4IIÞ '~ ~ ~-'..' .!:,~"'- e e e e e ',.- ,r-',' "-:-:: .'~- FIRE AND EMERGENCY PROCEDURES PERSON IN CHARGE: One ultimately responsible to ensure fire emergency is controlled and damage to life and property kept to "a minimum. SPRINKLER VALVE OPERATOR: This person goes to valve outside rear,of store; when-,instructed, breaks lock off two valves and closes approprtate valve. They then go to corresponding valve inside R~ceivi~i (behind priced area) and turn it on, so water in sprinkler ~ystem drainsoutiide building. NOTIFIER: That person at Service Desk who l),~~lls Fi~e Department, 2~, pages directions to customers/employees in,sTde store""7,.and 3), calls adjacent businesses to warI;l Of"'possible or'iIfpending fire or other danger. THE NOTIFIER DOES ALL OF ABOVE ONLY AS SPEC_ IFICALLY DIRECTED. FIRE SQUAD: Those listed who will aid b~-:o:-er direction' in containing fire (use of extinguishers, removal of,problem,c,containers/merchandfse from path of fire, evacuating customers/employees from fire area) and damage theref rom',- SALVAGE SQUAD: Those to move stock/cover stock after fire ,and during. immediate period thereaftet; 'attempt to s~lvage what can be sa~ed. NOTES FOR EMPLOYEE/CUSTOMER SAFETY If fire is small and easily controlled, do not cause a panic Do not endanger your life or the life of another for material possessions. They can be replaced; you or another cannot. Should the store need to be evacuated, please assist customers in finding the nearest appropriate exit; yoq know the store; they don't. t e . e e e -e I. I I , : e - e ~e . Pè-tM~ (f'Jm _ òeÅOj~ s~¿ Só-qp-d J1J!.~ . ~~~tdJ D H ÇM~ ~L/~,~(~~et- . Qr:{c~./ ~ð'vf. ¡') /J . fhj)~ -f4Jua~MLJ/G ~~d) V)+( n~t f~ [C /1d1f~ ' ï:-- , 'l ~ I ~J: . S~ ~ tJ~d~lJð~ )C: 11~ 7Aaj) ~ - -- I :e I I I f~(W&ð~) ~f)1a¡ tÓ . 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