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LONGS DRUG STORE #417 __ l~ b 4400 COFFEE ROAD -1=------ --- - -- --- is-1~ ~ ~' LONGS DRUG STORE 417 BusPhone: Map 102 Grid: 16C SiteID: 015-021-001842 Manager DAVE GANNON Location: 4400 COFFEE RD City BAKERSFIELD CommCode: KCFD STA 65 EPA Numb: CAL000176616 SIC Code: DunnBrad: (661) 588-0290 CommHaz Extreme FacUnits: 1 AOV: Emergency Contact / Title Emergency Contact / Title DAVE GANNON / MANAGER ANTHONY BONILLA / D EPT MANAGER Business Phone: (661) 588-0290x Business Phone: (661) 588-0290x 24-Hour Phone (661) 588-0324x 24-Hour Phone (661) 871-4481x Pager Phone (661) 705-5665x Pager Phone (661) 304-8500x Hazmat Hazards: RSs Fire Press React ImmHlth DelHlth Contact DAVE GANNON Phone: (661) 588-0290x MailAddr: 4400 COFFEE RD State: CA City BAKERSFIELD Zip 93308 Owner LONGS DRUG STORES CALIF INC Phone: (925) 937-1170x Address 141 N CIVIC DR State: CA City WALNUT CREEK Zip 94596 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: Yes ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN ~~~~ A~~ a 1 200 rased on my inquiry of those individuals responsible f;.,r obtaining the information, I certify under penalty of va~~,, that I have personally examined and am familiar with the information submit±ed and i,~!~ ~ ~e the information is true, acc ,~4.e, a d , al ;te. / ~ Signature Da -1- 07/12/2007 F LONGS DRUG STORE 417 SitelD: 015-021-001842 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpeCHaz EPA Hazards Frm DailyMax Unit MCP CHLORINE F P IH G 128.00 GAL Ext PROPANE E F P IH G 360.00 FT3 Hi DEVELOPER PART A R IH L 5.00 GAL Hi DEVELOPER PART A R IH L 2.00 GAL Hi FIXER PART A R IH L 2.00 GAL Hi CLEANER DH L 55.00 GAL Mod PHOTOGRAPHIC FIXERS R IH L 20.00 GAL Mod PHOTOGRAPHIC DEVELOPERS R IH L 10.00 GAL Mod DEVELOPER PART C R IH L 5.00 GAL Mod DEVELOPER PART C R IH L 2.00 GAL Mod PHOTOGRAPHIC DEVELOPERS R IH L GAL Mod FIXER PART B R IH L 10.00 GAL Low DEVELOPER PART B F R IH L 5.00 GAL Low DEVELOPER L 3.00 GAL Low DEVELOPER PART B F R IH L 2.00 GAL Low PHOTOGRAPHIC CHEMICALS F DH L 1.00 GAL Low HELIUM F P IH G 732.00 FT3 Min WASTE FIXER R L 30.00 GAL Min -2- 07/12/2007 -3- 07/12/2007 ~, F LONGS DRUG STORE 417 ~ Inventory Item 0018 COMMON NAME / CHEMICAL NAME CHLORINE CHLORINATING LIQUID Location within this Facility Unit BACK STORAGE RM RACK-WHS 21 STATE TYPE PRESSURE _ Gas TPure Above Ambient SiteID: 015-021-001842 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 7882-50-5 TEMPERATURE CONTAINER TYPE Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 1.00 GAL 128.00 GAL 64.00 GAL - tir~~r~tcLVU~ ~VinrVlv~l~la ~Wt. RS CAS# 10.00 Sodium Hypochlorite No 7681529 rua~tjtcL t~~a~a~in~tvl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / j Ext ~ Inventory Item 0016 COMMON NAME / CHEMICAL NAME PROPANE Location within this Facility Unit JANITORS CLOSET STATE TYPE PRESSURE _ Gas TPure ~~Above Ambient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 74-98-6 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum ~ Daily Average 188.00 FT3 360.00 FT3 360.00 FT3 - I].f-~GHlCL V U .7 1. V1~lY V1V L" 1V 1 A oWt. RS CAS# 100.00 Propane Yes 74986 rit~aytcL r~5ar,~~ri~lvl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi -4- 07/12/2007 F LONGS DRUG STORE 417 ~ Inventory Item 0009 COMMON NAME / CHEMICAL NAME DEVELOPER PART A Location within this Facility Unit PHOTO LAB STATE TYPE PRESSURE Liquid TMixture ~ Ambient SiteID: 015-021-001842 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 7757-83-7 TEMPERATURE CONTAINER TYPE Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.25 GAL 5.00 GAL 5.00 GAL ru~~fuc~uua ~urirvlv~lvl~ ~Wt. RS CAS# 33.00 Potassium Carbonate No 584087 3.00 Sodium Sulfite No 7757837 riLiGEiKL Ya~JL'.7a71~1L"1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME DEVELOPER PART A PART A DEVELOPER REPLENISHER Location within this Facility Unit PHOTO LAB STATE - TYPE PRESSURE Liquid Mixture~mbient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 7757-83-7 TEMPERATURE CONTAINER TYPE Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.16 GAL _2.00 GAL 2.00 GAL ririurinLVV.~ ~.vi•irvlvr~ly t S %Wt• RS CAS# 10.00 Triethanolamine No 102716 7.00 Hydroxylamine No 7803498 5.00 Acetic Acid, Pure No 64197 riL"]4L'].[CL ria JP~J J1.1P~1V 1 ~7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi -5- 07/12/2007 F LONGS DRUG STORE 417 SiteID: 015-021-001842 ~ ~ Inventory Item 0006 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME FIXER PART A Days On Site PARTZ BLEACH FIXER 365 Location within this Facility Unit Map: Grid: PHOTO LAB CAS# 7783-18-8 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 0.16 GAL 2.00 GAL 1 2.00 GAL t~~titcLVU~ ~V1~irViv~iv 1 ~ %Wt. RS CAS# 33.00 Ammonium Thiosulfate No 7783188 20.00 Ammonium Sulfite No 10196202 7.00 Ammonium Nitrate No 6484522 7.00 Acetic Acid, Pure No 64197 tiHGHttL A7.7J;5J1~1J;1V'1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME CLEANER Days On Site SURTEC FLOOR CLEANER 365 Location within this Facility Unit Map: Grid: INSIDE JANITORS CLOSET IN BACK STOREROOM CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~mbient ~ Ambient ~ LASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 5.00 GAL 55.00 GAL 5.00 GAL -- riAGEiK1JVUb 1.V1~lYV1Vr,1V1~ %Wt. RS CAS# 6.00 Diethylene Glycol Monoethyl Ether No 111900 1'J.EiG1itCL Ha ~I;~~1~1JJ1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Mod -6- 07/12/2007 F LONGS DRUG STORE 417 SiteID: 015-021-001842 ~ ~ Inventory Item 0014 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC FIXERS Days On Site BLEACH FIXER 365 Location within this Facility Unit Map: Grid: PHOTO LAB CAS# 64-19-7 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~mbient ~ Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 0.50 GAL 20.00 GAL 20.00 GAL - t1r~~tittLVUa ~vl~irviv~ivi~ %Wt. RS CAS# 49.00 Ammonium Thiosulfate No 7783188 3.00 Sodium Sulfite No 7757837 3.00 Sodium Bisulfite No 7631905 riHGAKL ASJL'aDl~lL'1Vla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Mod ~ Inventory Item 0013 COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC DEVELOPERS PART B BLEACH DEVELOPER Location within this Facility Unit PHOTO LAB STATE TYPE PRESSURE Liquid TMixtur~ Ambient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 123-31-9 TEMPERATURE ~~ CONTAINER TYPE Ambient I PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 0.40 GAL 10.00 GAL 10.00 GAL I3EiGt1KLVU.7 l.VP7YVIVL'1V 1~ %Wt. RS CAS# 29.00 Ferric Ammonium EDTA No 0 19.00 Ammonium Bromide No 12124979 t1E~G1~tCL HJ.71;Jb1~1L"1V15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Mod -7- 07/12/2007 F LONGS DRUG STORE 417 ~ Inventory Item 0011 COMMON NAME / CHEMICAL NAME DEVELOPER PART C Location within this Facility Unit PHOTO LAB STATE TYPE PRESSURE Liquid TMixture~Ambient SiteID: 015-021-001842 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 111-30-8 TEMPERATURE CONTAINER TYPE Ambient ~ PLASTIC CONTAINER. AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 0.25 GAL 5.00 GAL 5.00 GAL -~-~ t1AG.'~ttLVU~ l:1J1~1r~lvJ;lv15 ~Wt. RS CAS# 16.00 p-Phenylenediamine No 106503 1.00 Sodium Sulfite No 7757837 riHG1~KL H55J;5~1~1J;1V'1'7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Mod ~ Inventory Item 0005 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME DEVELOPER PART C Days On Site PART C DEVELOPER 365 Location within thi Facilit U it M id G s y n ap: r : PHOTO LAB CAS# 11 1-30-8 LiTAid Mixture PRESSURE qu' T ~ Ambient TEMPERATURE ~ Ambient CONTAINER TYPE PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.16 GAL 2.00 GAL 2.00 GAL ruyc~r-u~LV V a ~.vrirvlv~ly t $ owt. Rs cAS# 41.00 Potassium Carbonate No 584087 7.00 Potassium Hydroxide No 1310583 I1tiL~1i2CL H. 7 JJ;.7 J1~1P,,1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Mod -8- 07/12/2007 F LONGS DRUG STORE 417 SiteID: 015-021-001842 ~ ~ Inventory Item 0012 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC DEVELOPERS Days On Site PART A BLEACH DEVELOPER 365 Location within this Facility Unit Map: Grid: PHOTO LAB CAS# 123-31-9 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~ Ambient ~ Ambient -~S.TIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL GAL GAL tlr~~rittl~~u~ ~ul~irvtv~ivl5 %Wt. RS CAS# 30.00 Ammonium Bromide No 12124979 10.00 Disodium EDTA No 139333 riHGE~KL A~~~751~1LS1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Mod ~ Inventory Item 0007 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME FIXER PART B Days On Site PART B BLEACH FIXER 365 Location within this Facility Unit Map: Grid: PHOTO LAB CAS# 10043-01-3 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture I Ambient ~ Ambient ~LASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.25 GAL 10.00 GAL 10.00 GAL nric,rucl~vu~ i.ul~irvivr,tvt~ %Wt. RS CAS# 27.00 Ferric Ammonium Ethylene Diamine Tetraacetic Acid No 0 17.00 Ammonium Bromide No 12124979 3.00 Nitric Acid (EPA) No 7697372 I1!'iGLiKL H.7 w7J;DJ1~1r+1V-1~7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No Yes No No/ Curies R IH / / / Low -9- 07/12/2007 r F LONGS DRUG STORE 417 SiteID: 015-021-001842 ~ ~ Inventory Item 0010 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME DEVELOPER PART B Days On Site 365 Location within this Facility Unit Map: Grid: PHOTO LAB CAS# 74-19-7 Liquid TMixtur~mbient~E ~ AmbientT~E ~ PLASTICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.12 GAL 5.00 GAL 5..00 GAL ti[~~FU[Llv~~ 1:V1~lYV1V~1V 1 J %Wt. RS CAS# 70.00 Acetic Acid Solution No 64196 5.00 Hydroxylamine Sulfate No 10039540 5.00 Phosphoric Acid No 7664382 tiHGHKL AJ~l;~J1~11;1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH / / / Low ~ Inventory Item 0008 COMMON NAME / CHEMICAL NAME DEVELOPER DEVELOPER STARTER Location within this Facility Unit PHOTO LAB Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# Liquid TMixtur~mbient~E ~ AmbientT~E ~ PLASTOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.16 GAL 3.00 GAL 3.00 GAL t1L~iGtiKLVUJ 1.V1~lYV1V.C1V1.7 %Wt. RS CAS# 10.00 Potassium Carbonate No 584087 7.00 Sodium Bicarbonate No 144558 5.00 Potassium Chloride No 7447407 I1HGEIKL 1~D JJ;~7J1~1J;1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low -10- 07/12/2007 F LONGS DRUG STORE 417 SiteID: 015-021-001842 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME DEVELOPER PART B Days On Site PART B DEVELOPER REPLENISHER 365 Location within this Facility Unit Map: Grid: PHOTO LAB CAS# 74-19-7 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~mbient ~ Ambient -~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 0.16 GAL 2.00 GAL 2.00 GAL nt~~tucLVU~ ~vrirviv~lvla oWt. RS CAS# 70.00 Acetic Acid Solution No 64196 18.00 p-Phenylenediamine No 106503 1.00 Sodium Sulfite No 7757837 t1F~L,HKL H~a~~~l~1~1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH / / / Low ~ Inventory Item 0015 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC CHEMICALS Days On Site SAFER STABILIZER 365 Location within this Facility Unit Map: Grid: PHOTO LAB CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid ~Mixtur~ Ambient ~ Ambient -~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum ` Daily Average 0.05 GAL 1.00 GAL I 1.00 GAL ru~~,tu~cL~u,S wi~irvivr~iv 1,5 °sWt. RS CAS# 15.00 1,2,4-Triazole No 288880 nt~~s~cs.~ Haan,a~s~in,lvl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -11- 07/12/2007 F LONGS DRUG STORE 417 SiteID: 015-021-001842 ~ ~ Inventory Item 0017 ,Facility Unit: Fixed Containers at Site ~ ~ COMMON NAME / CHEMICAL NAME HELIUM Days On Site ~ 365 Location within this Facility Unit Map: Grid: 1 IN PHOTO DEPT AND 2 IN RECEIVING CAS# 7440-59-7 ~GasATE TpureE -~AboveSAmbEent AmbientT~E PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 244.00 FT3 732.00 FT3 732.00 FT3 - nt~~t~tu~VU~ wlnrVlvl,ly l °sWt. RS CAS# 100.00 Helium No 7440597 r1t~~tLrcL xa~~~~l~ilJivl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE FIXER Days On Site SPENT PHOTOGRAPHIC FIXER 365 Location within this Facility Unit Map: Grid: INSIDE SE END OF BACK STOREROOM CAS# Liquid TWaste ~ Ambient~E ~ AmbientT~E ~LASTOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 15.00 GAL 30.00 GAL 15.00 GAL ri1~G1-~tCLVU~ lrV1~lYV1VL"1Vla °sWt. RS CAS# Silver No 7440224 t11~GL-1KL E~.7~1;5.71~11";1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -12- 07/12/2007 F LONGS DRUG STORE 417 SiteID: 015-021-001842 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 02/17/1998 ~ DIAL 911 FOR EMERGENCY RESPONSE AND LET THEM KNOW OF HAZARDOUS MATERIALS ON SITE. Employee Notif./Evacuation 07/11/2000 VERBAL NOTIFICATION/SHOUTING/PA SYSTEM. EVACUATE STORE THROUGH NEAREST EXIT (2 FRONT DOORS & EMERGENCY EXIT ON S SIDE) THEN MEET AT DESIGNATED MEETING AREA IN FRONT OF STORE. Public Notif./Evacuation 07/11/2000 VERBAL NOTIFICATION/SHOUTING/PA SYSTEM. EVACUATE STORE THROUGHT NEAREST EXIT (2 FRONT DOORS & EMERGENCY EXIT ON S SIDE) THEN MEET AT DESIGNATED MEETING AREA IN FRONT OF STORE. Emergency Medical Plan 02/17/1998 DIAL 911. -13- 07/12/2007 F LONGS DRUG STORE 417 SiteID: 015-021-001842 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 07/11/2000 ~ PRODUCT MATERIALS ARE TRANSFERRED IN SMALL QUANTITIES. RESIDUAL PRODUCT MATERIALS STORED IN SECONDARY CONTAINMENT. WASTE TREATMENT UNIT TS SECONDARILY CONTAINED. Release Containment 07/11/2000 MAINTAIN RIGID HOUSEKEEPING PROGRAM. USE SMALL QUANTITY CONTAINERS AND SECONDARY CONTAINMENT. WASTE TREATMENT UNIT OPERATED AS BATCH PROCESS ONCE DAILY. Clean Up 02/17/1998 ALL MINOR SPILLS CLEANED UP USING SPILL ABSORBENT MATERIALS AND SPILL KITS. SPILL CLEAN UP MATERIALS CONTAINERIZED AND PROPERLY LABELED. Other Resource Activation -14- 07/12/2007 F LONGS DRUG STORE 417 SiteID: 015-021-001842 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .7~CC:1d1 ridGclLUS Utility Shut-Offs 06/19/2007 GAS - OUTSIDE E WALL FACING BLDG NEAR NE CRNR ELECTRICAL - OUTSIDE E WALL FACING BLDG NEAR NE CRNR WATER - OUTSIDE E WALL FACING BLDG NEAR NE CRNR SPECIAL - SPRINKLER INSIDE NE CRNR OF STORE Fire Protec./Avail. Water 02/02/2007 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS NEAR 2 FRONT ENTRS AND NEAR EMER ENTR S SIDE OF STORE SPRINKLERS. NEAREST FIRE HYDRANT - OUTSIDE S OF SW CRNR OF STORE. Building Occupancy Level 03/27/2006 40 EMPLOYEES -15- 07/12/2007 r z F LONGS DRUG STORE 417 SiteID: 015-021-001842 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 02/02/2007 ~ MSDS SHEETS ON FILE NEAR PHOTO LAB. BRIEF SUI~fARY OF TRAINING PROGRAM: 30-MINUTE VIDEO AND WORKSHEETS WITH ANNUAL REFRESHER. rayc ~ . ~ ~ r 11G1u 1V1 r u~.ulc V.7C nciu iVi ru~uic vac -16- 07/12/2007 15553 LONG5 DRUG STORE 417 Manager DAVE GANNON Location: 4400 COFFEE RD City BAKERSFIELD CommCode: KCFD STA 65 EPA Numb: CAL000176616 SiteID: 015-021-001842 BusPhone: (661) 588-0290 Map 102 CommHaz Extreme Grid: 16C FacUnits: 1 AOV: SIC Code : ~ ,/~ ~~~` I'~ DunnBrad : ~ ~ ~i 7 Emergency Contact / Title Emergency Contact / -;Title ~ DAVE GANNON / MANAGER MANAGER / Business Phone: (661) 588-0290x Business Phone: (661) 588-0290x 24-Hour Phone (661) 588-0324 24-Hour Phone (661) ~~^~v-~a7J-SF~B Pager Phone ( ) -~of - f~GS x Pager Phone ( )3~~ -BSoo x Hazmat Hazards: RSs Fire Press React ImmHlth DelHlth Contact DAVE GANNON Phone: (661) 588-0290x MailAddr: 4400 COFFEE RD State: CA City BAKERSFIELD Zip 93308 Owner LONGS DRUG STORES CALIF INC Phone: (925) 937-1170x Address 141 N CIVIC DR State: CA City WALNUT CREEK Zip 94596 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif ' d: RSs : Yes ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN `~ ~~~ Based on m in ui f ~N~'~ J U N ~ 9 ~'~Q7 y q ry o those individuals res~~cnsible for obtaining the information, I Certify ' under p,=,nalty of law that I have personaily examined and am fiamiliar with the information ' subm ,d and bPIiF~ .the information is true. acs rate, a c~ ~ ".e Signature Date -1- 05/22/2007 P LONGS DRUG STORE 417 SiteID: 015-021-001842 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP CHLORINE F P IH G 128.00 GAL Ext PROPANE E F P IH G 360.00 FT3 Hi DEVELOPER PART A R IH L 5.00 GAL Hi DEVELOPER PART A R IH L 2.00 GAL Hi FIXER PART A R IH L 2.00 GAL Hi CLEANER DH L 55.00- GAL Mod PHOTOGRAPHIC FIXERS R IH L 20.00 GAL Mod PHOTOGRAPHIC DEVELOPERS R IH L 10.00 GAL Mod DEVELOPER PART C R IH L 5.00 GAL Mod DEVELOPER PART C R IH L 2.00 GAL Mod PHOTOGRAPHIC DEVELOPERS R IH L GAL Mod FIXER PART B R IH L 10.00 GAL Low DEVELOPER PART B F R IH L 5.00 GAL Low DEVELOPER L 3.00 GAL Low DEVELOPER PART B F R IH L 2.00 GAL Low PHOTOGRAPHIC CHEMICALS F DH L 1.00 GAL Low HELIUM F P IH G 732.00 FT3 Min WASTE FIXER R L 30.00 GAL Min -2- 05/22/2007 -3- 05/22/2007 F LONGS DRUG STORE 417 SiteID: 015-021-001842 ~ ~ Inventory Item 0018 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME CHLORINE Days On Site CHLORINATING LIQUID 365 Location within this Facility Unit Map: Grid: BACK STORAGE RM RACK-WHS 21 CAS# 7882-50-5 STATE T TYPE T PRESSURE ~ TEMPERATURE ~~ CONTAINER TYPE ~GaS I Pure I Above Ambient I Ambient I PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL _ 128.00 GAL 64.00 GAL riE1GHtCLVUJ 1..V1~lYV1VI;1V1J °sWt. RS CAS# 10.00 Sodium Hypochlorite No 7681529 L1HGH2CL HJ JP~JJ1"1JJ1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Ext ~ Inventory. Item 0016 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: JANITORS CLOSET CAS# 74-98-6 ~GasATE TPureE ~-AboveSAmbEent AmbientT~E PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 188.00 FT3 360.00 FT3 I 360.00 FT3 riraL.IrucLV V A COMPONENTS oWt. RS ~CAS# 100.00 Propane Yes 74986 ruyc~tu~l.~ tiJ JrJJJl•1JJ1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi -4- 05/22/2007 F LONGS DRUG STORE 417 ~ Inventory Item 0009 COMMON NAME / CHEMICAL NAME DEVELOPER PART A Location within this Facility Unit PHOTO LAB STATE TYPE PRESSURE Liquid TMixture ~ Ambient AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.25 GAL 5.00 GAL I 5.00 GAL I1HGt~i'CLVU.7 1.V1~lYV1VtS1V 1.7 oWt. RS CAS# 33.00 Potassium Carbonate No 584087 3.00 Sodium Sulfite No 7757837 L11iGti1CL lii J.7J?,.7.71.1P~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME DEVELOPER PART A PART A DEVELOPER REPLENISHER Location within this Facility Unit PHOTO LAB SiteID: 015-021-001842 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 7757-83-7 TEMPERATURE CONTAINER TYPE Ambient ~ PLASTIC CONTAINER Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 7757-83-7 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.16 GAL 2.00 GAL 2.00 GAL L1LyL~tucLVVJ l.Vl~lr V1V L'lViJ %Wt• RS CAS# 10.00 Triethanolamine No 102716 7.00 Hydroxylamine No 7803498 5.00 Acetic Acid, Pure No 64197 I1tiUtiRL P']~ 7 JLiJ J1.1L'1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi -5- 05/22/2007 F LONGS DRUG STORE 417 SiteID: 015-021-001842 ~ ~ Inventory Item 0006 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME FIXER PART A Days On Site PARTZ BLEACH FIXER 365 Location within this Facility Unit Map: Grid: PHOTO LAB CAS# 7783-18-8 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~-Ambient ~ Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION. Largest Container Daily Maximum I Daily Average 0.16 GAL 2.00 GAL 2.00 GAL t1AGL~KLVU~ lLV1~1rV1V~1V1J %Wt. ~ RS CAS# 33.00 Ammonium Thiosulfate No 7783188 20.00 Ammonium Sulfite No 10196202 7.00 Ammonium Nitrate No 6484522 7.00 Acetic Acid, Pure No 64197 riAGAtC1J H55L' S~l~lt",1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME CLEANER ,Days On Site SURTEC FLOOR CLEANER 365 Location within this Facility Unit Map: Grid: INSIDE JANITORS CLOSET IN BACK STOREROOM CAS# STATE TYPE PRESSURE TEMPERATURE ~~ CONTAINER TYPE Liquid TMixture ~mbient ~ Ambient I PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 5.00 GAL 55.00 GAL 5.00 GAL ntiGxlcl~vu,~ ~.vlnrvtvl;ty 1 ~ °sWt. ~ RS CAS# 6.00 Diethylene Glycol Monoethyl Ether No 111900 11HGHKL H. 7 w7 L' JJ1~1L" 1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Mod ~, -6- 05/22/2007 F LONGS DRUG STORE 417 SiteID: 015-021-001842 ~ ~ Inventory Item 0014 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC FIXERS Days On Site BLEACH FIXER 365 Location within this Facility Unit Map: Grid: PHOTO LAB CAS# 64-19-7 = STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture~Ambient ~ Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.50 GAL 20.00 GAL 20.00 GAL TTT AT TT/~TTII IYI~LRT /\7.TTIl~TTM _. _. _ -... I1L'aGHiCL V U .7 1. Vl"lY V1V G1V 1 D %Wt. RS CAS# 49.00 Ammonium Thiosulfate No 7783188 3.00 Sodium Sulfite No 7757837 3.00 Sodium Bisulfite No 7631905 ti1~G1-~KL A~~L~551~1L~1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Mod ~ Inventory Item 0013 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC DEVELOPERS Days On Site PART B BLEACH DEVELOPER 365 Location within this Facility Unit Map: Grid: PHOTO LAB CAS# 123-31-9 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Tmbient ~ Ambient ~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 0.40 GAL 10.00 GAL 10.00 GAL ril-~GEitCLVUA 1.V1~lYV1V1~J1V1~ owt. Rs cAS# 29.00 Ferric Ammonium EDTA No 0 19.00 Ammonium Bromide No 12124979 t1HGHtCL L-~J .71;.7Jl~lJ~,1V 1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Mod -7- 05/22/2007 F LONGS DRUG STORE 417 ~ Inventory Item 0011 COMMON NAME / CHEMICAL NAME DEVELOPER PART C Location within this Facility Unit PHOTO LAB SiteID: 015-021-001842 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 111-30-8 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient PLASTIC CONTAINER ' AMOUNTS AT THIS LOCATION Largest Container Daily Maximum ( Daily Average 0.25 GAL 5.00 GAL 5.00 GAL t1AGKKLVU~ lrV1~lYV1VL~1V15 %Wt. RS CAS# 16.00 p-Phenylenediamine No 106503 1.00 Sodium Sulfite No 7757837 riAGE~tC1J A~ 7 JJ ~ 711 C;1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Mod ~ Inventory Item 0005 COMMON NAME / CHEMICAL NAME DEVELOPER PART C PART C DEVELOPER Location within this Facility Unit PHOTO LAB STATE TYPE PRESSURE Liquid TMixtur~ Ambient Days On Site 365 Map: Grid: CAS# 111-30-8 TEMPERATURE CONTAINER TYPE Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.16 GAL 2.00 GAL 2.00 GAL •-•- r1H~tucLVUa w1~irVlvlJly l ~ %Wt. RS CAS# 41.00 Potassium Carbonate No 584087 7.00 Potassium Hydroxide No 1310583 ti1~G1•~ttL ti~alJaari~ly 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Mod Facility Unit: Fixed Containers at Site ~ -8- 05/22/2007 i F LONGS DRUG STORE 417 SiteID: 015-021-001842 ~ ~ Inventory Item 0012 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC DEVELOPERS Days On Site PART A BLEACH DEVELOPER 365 Location within this Facility Unit Map: Grid: PHOTO LAB CAS# 123-31-9 Liquid TMixture ~mbient~E ~ AmbientT~E -~STICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL GAL GAL ru~~HxL~u~ wlnrViv>Jlvla %Wt. RS CAS# 30.00 Ammonium Bromide No 12124979 10.00 Disodium EDTA No 139333 ri1~GE~KL H~.71:,~51~11J1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Mod ~ Inventory Item 0007 COMMON NAME / CHEMICAL NAME FIXER PART B PART B BLEACH FIXER Location within this Facility Unit PHOTO LAB STATE TYPE PRESSURE Liquid ~ixtur~ Ambient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 10043-01-3 TEMPERATURE CONTAINER TYPE Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Cont0ai25rG~ Daily MlOl00m GAL I Daily AlOr00e GAL riHGF~KLV U 7 1:V1~lYV1V1",1V1 J %Wt. RS CAS# 27.00 Ferric Ammonium Ethylene Diamine Tetraacetic Acid No 0 17.00 Ammonium Bromide No 12124979 3.00 Nitric Acid (EPA) No 7697372 riE~L,H.KL Lj55J;J51~11;1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No Yes No No/ Curies R IH / / / Low -9- 05/22/2007 F LONGS DRUG STORE 417 ~ Inventory Item 0010 COMMON NAME / CHEMICAL NAME DEVELOPER PART B Location within this Facility Unit PHOTO LAB STATE TYPE PRESSURE Liquid TMixtur~mbient SiteID: 015-021-001842 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 74-19-7 TEMPERATURE CONTAINER TYPE Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.12 GAL 5.00 GAL 5.00 GAL '- t1AG1~tCLVUJ 1.V1~lYV1Vl;1V1"~ oWt. RS CAS# 70.00 Acetic Acid Solution No 64196 5.00 Hydroxylamine Sulfate No 10039540 5.00 Phosphoric Acid No 7664382 riAGKKJJ F~,S~J;J,'~1~1L'1V"1"~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH / / / Low ~ Inventory Item 0008 COMMON NAME / CHEMICAL NAME DEVELOPER DEVELOPER STARTER Location within this Facility Unit PHOTO LAB Facility Unit: Fixed Containers at Site, Days On Site 365 Map: Grid: CAS# STATE TYPE PRESSURE Liquid_ TMixture~Ambient TEMPERATURE CONTAINER TYPE Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 0.16 GAL 3.00 GAL 3.00 GAL ru~c~tucl~vva ~V1Y1rVlvlJly 1"~ %Wt. RS CAS# 10.00 Potassium Carbonate No 584087 7.00 Sodium Bicarbonate No 144558 5.00 Potassium Chloride No 7447407 t1HGKKL 1-~.7.7L' .5~1~1~1V 1 ~7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low -10- 05/22/2007 F LONGS DRUG STORE 417 ~ Inventory Item 0004 COMMON NAME / CHEMICAL NAME DEVELOPER PART B PART B DEVELOPER REPLENISHER Location within this Facility Unit PHOTO LAB STATE TYPE PRESSURE Liquid TMixture~Ambient SiteID: 015-021-001842 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 74-19-7 TEMPERATURE CONTAINER TYPE Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 0.16 GAL 2.00 GAL 2.00 GAL t1AGHKLVU.~ 1.V1~lYV1V~1VlA %Wt. RS CAS# 70.00 Acetic Acid Solution No 64196 18.00 p-Phenylenediamine No 106503 1.00 Sodium Sulfite No 7757837 tiHGA.ttL .y.~.~J;.~51~1~1v l a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH / / / Low ~ Inventory Item 0015 COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC CHEMICALS SAFER STABILIZER Location within this Facility Unit PHOTO LAB STATE TYPE PRESSURE Liquid TMixtur~ Ambient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: , CAS# TEMPERATURE ~~ CONTAINER TYPE _ Ambient I PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 0.05 GAL 1.00 GAL 1.00 GAL nt~~tiru~~ua ~V1~irVivrJivla oWt. RS CAS# 15.00 1,2,4-Triazole No 288880 t11~GHtCL Ija JL' J 51~1L" 1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -11- 05/22/2007 F LONGS DRUG STORE 417 SiteID: 015-021-001842 ~ ~ Inventory Item 0017 Facility Unit: Fixed Containers at Site ~ CHEMICA COMMON NAME / L NAME HELIUM Days On Site 365 i i hi hi ili i id Locat on w t n t s Fac ty Un t Map: Gr : 1 IN PHOTO DEPT AND 2 IN RECEIVING CAS# 7440-59-7 ~ STATE Gas TYPE Pure PRESSURE Above Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 244.00 FT3 732.00 FT3 732.00 FT3 - riAGFitCLVUS 1:V1~1r~1vrlvla °sWt . RS CAS# 100.00 Helium No 7440597 t1HGEiKL !-1J~~JJ1~11;1V"1"J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE FIXER Days On Site SPENT PHOTOGRAPHIC FIXER 365 Location within this Facility Unit Map: Grid: INSIDE SE END OF BACK STOREROOM CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Waste -~mbient ~ Ambient ~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 15.00 GAL 30.00 GAL 15.00 GAL nt~GEittLVUb Lu1~lrviviSly 1 ~ oWt. RS CAS# Silver No 7440224 til-~GKtCL L-l~ ~l~,~~1~1~1V 1 ~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -12- 05/22/2007 F LONGS DRUG STORE 417 SiteID: 015-021-001842 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 02/17/1998 ~ DIAL 911 FOR EMERGENCY RESPONSE AND LET THEM KNOW OF HAZARDOUS MATERIALS ON SITE. Employee Notif./Evacuation 07/11/2000 VERBAL NOTIFICATION/SHOUTING/PA SYSTEM. EVACUATE STORE THROUGH NEAREST EXIT (2 FRONT DOORS & EMERGENCY EXIT ON S SIDE) THEN MEET AT DESIGNATED MEETING AREA IN FRONT OF STORE. Public Notif./Evacuation 07/11/2000 VERBAL NOTIFICATION/SHOUTING/PA SYSTEM. EVACUATE STORE THROUGHT NEAREST EXIT (2 FRONT DOORS & EMERGENCY EXIT ON S SIDE) THEN MEET AT DESIGNATED MEETING AREA IN FRONT OF STORE. Emergency Medical Plan , 02/17/1998 DIAL 911. -13- 05/22/2007 F LONGS DRUG STORE 417 SiteID: 015-021-001842 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 07/11/2000 ~ PRODUCT MATERIALS ARE TRANSFERRED IN SMALL QUANTITIES. RESIDUAL PRODUCT MATERIALS STORED IN SECONDARY CONTAINMENT. WASTE TREATMENT UNIT IS SECONDARILY CONTAINED. Release Containment 07/11/2000 MAINTAIN RIGID HOUSEKEEPING PROGRAM. USE SMALL QUANTITY CONTAINERS AND SECONDARY CONTAINMENT. WASTE TREATMENT UNIT OPERATED AS BATCH PROCESS ONCE DAILY. Clean Up 02/17/1998 ALL MINOR SPILLS CLEANED UP USING SPILL ABSORBENT MATERIALS AND SPILL KITS. SPILL CLEAN UP MATERIALS CONTAINERIZED AND PROPERLY LABELED. v~ii~i rc~sc~urc:e xctivaLion -14- ,05/22/2007 F LONGS DRUG STORE 417 SiteID: 015-021-001842 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ especial riazaras Utility Shut-Offs 12/14/2006 A) GAS - OUTSIDE E WALL FACING BLDG NEAR NE CRNR B) ELECTRICAL - OUTSIDE E WALL FACING BLDG NEAR NE CRNR C) WATER - OUTSIDE E WALL FACING BLDG NEAR NE CRNR D) SPECIAL - SPRINKLER INSIDE NE CRNR OF STORE E) LOCK BOX - NO Fire Protec./Avail. Water 02/02/2007 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS NEAR 2 FRONT ENTRS AND NEAR EMER ENTR S SIDE OF STORE SPRINKLERS. NEAREST FIRE HYDRANT - OUTSIDE S OF SW CRNR OF STORE. Building Occupancy Level 03/27/2006 40 EMPLOYEES -15- 05/22/2007 F LONGS DRUG STORE 417 SiteID: 015-021-001842 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 02/02/2007 ~ MSDS SHEETS ON FILE NEAR PHOTO LAB. BRIEF SUMMARY OF TRAINING PROGRAM: 30-MINUTE VIDEO AND WORKSHEETS WITH ANNUAL REFRESHER. rays ~ nciu tvt ru~ulc vav nclu ivi ruuuic u~~ -16- 05/22/2007 ~~. + LONGS DRUG STORE 417 ________________________________ SiteID: 015-021-001842 + Manager R3-OK--i~i~i~ ~~'`t ~'~~"~ '~'~ BusPhone : ( 6 61) 5 8 8 - 0 2 9 0 Location: 4400 COFFEE RD Map 102 CommHaz High City BAKERSFIELD Grid: 16C FacUnits: 1 AOV: CommCode: KCFD STA 65 SIC Code: EPA Numb: CAL000176616 DunnBrad: Emergency Contact, ~ Title Emergency Contact / Title ~~-=+'_^-~r_-~~~i~~~f C""r "/ MANAGER ASST MANAGER `~~~~ / Business Phone: (661) 588-0290x , Business Phone: (661) 588-0290x 2 4 -Hour .Phone ( 6 61) `_ '" " ^ ~ ~ ~_ = s ~S,'- a3~' 2 4 -Hour Phone ( 6 61) ,~6~-39-6~1r- ~~' Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: RSs Fire Press React ImmHlth DelHlth --------------- ----- - l~c~gsrr Contact ~ ~ Phone: (661) 588-0290x MailAddr: 4400 COFFEE RD State: CA City BAKERSFIELD Zip 93308 Owner LONGS DRUG STORES CALIF INC Phone: (925) 937-1170x Address 141 N CIVIC DR State: CA City WALNUT CREEK Zip 94596 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif' d: RSs : Yes ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN WASTE TREATMENT SITE, CONTACT 326-3979 FOR JOINT HAZMAT INSPECTION ENT ~UL 18 2006 0~ ~ Based on my inquiry of 4hose individuals resporssibie far obtaining the information, I certify ~ 1 under penalty of law that I have personally ` ~M~ \ examined and am familiar 'th the information W\ ~ /~ submit and. belia a nformation is true, 666 h- J-~ accur te, n met ~ v" ignature Date -1- 03/27/2006 ,7 '~ _ _ _ »~- 7~UNIfIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program BAKERSFIELD FIRE DEPT Prevention Services wltl 900 Truxtun Ave., Suite 210 ~wsr ! Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME NSPECTION DATE INSPECTION TIME ,v p s p -~ o s ; ~f,~-" ADDRESS HONE NO. O OF EMPLOYEES FACILITY CONTACT U (NESS ID NUMBER 15-021- Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND . ^ BUSIn@SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ~• ^ VERIFICATION OF INVENTORY MATERIALS / \ ^ VERIFICATION OF QUANTITIES L~ ~ \ ^ VERIFICATION OF LOCATION ~ ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PR CEDURES ^ EMERGENCY PROCEDURES ADEQUATE ~J ^ CONTAINERS PROPERLY LABELED / ~ ~ ^ HOUSEKEEPING ^ FIRE PROTECTION ~` ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOU~~S// WASTE ON SITE? ~d YES ^ NO EXPLAIN: ~~.~/V~~ 7 !~~ ~~ _,-- QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 328-3979 Inspector (Please Print) Fire Prevention / 1°~ In / Shift of Sfte/Station # , White -Prevention Services Yellow -Station Copy Pink - Buaineae Copy . _ .~t Y~ FD2049 (Rev. 02/05)