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Home My WebLink AboutBUSINESS PLAN~ RITE AID #6366 6001 COFFEE ROAD RITE AID DRUG STORE 6366 SiteID: 015-021-003483 Manager CHRISTOPHER MARTINEZ Location: 6001 COFFEE RD City BAKERSFIELD CommCode: KCFD STA 61 EPA Numb: BusPhone: (661) 587-5401 Map 102 CommHaz High Grid: 09C FacUnits: 1 AOV: SIC Code:5912 DunnBrad: Emergency Contact / Title Emergency Contact / Title CHRIS MARTINEZ / STORE MANAGER ROSS BOESCH / DISTRICT MGR Business Phone: (661) 587-5401x Business Phone: (661) 872-0516x 24-Hour Phone (661) 619-0193x 24-Hour Phone (661) 332-6275x Pager Phone ( ) - x Pager Phone ( ) - x ~ Hazmat Hazards: React ~ Contact NANCY G MACLEOD Phone-:!(717)-761=263-3x~ MailAddr: PO BOX 3165 State: PA City HARRISBURG Zip 17105 Owner RITE AID CORP Phone: (717) 761-2633x Address PO BOX 3165 State: PA City HARRISBURG Zip 17105 Period to Preparers. Certif' d: ParcelNo: Emergency Directives: PROG H - HAZ WASTE GEN Based on my in~eiry of those individuals respcnsi^le f:~, ak>"a~ning the information, I certify under p~~r,ai,y of la~~ that 1 have personally . examined an~~ am tamiiiar with the information s~m~tter~ and h,~ieva the information is true, re TotalASTs: _ TotalUSTs: _ RSs: No -~ ~ ~ ~ ~~, -1- -i - Zb - ~~ Date Gal Gal 07/13/2007 }y, ~~~ ~,.~ ~, r_u ~ ~ ..t.~ FIRE fl` ARTM i~-- :..~, CITY OF BAKERSFIELD ~~ OFFICE OF ENVIRONMENTAL SERVICES 15~~ 1715 Chester Ave., CA 93301 (661) 326-3979 ~qy~j ~~ BUSINESS OWNER /OPERATOR IDENTIFICATION n ' FACILITY INFORMATION ~~ ~/ ~D ;- ~~ ~s __ ~ Page 1 01 1 " C ILITY IDENTIF1CATl0N I .FA y/ -__ T - FACILITY ID # I I - ~ Year Beginning 10o Year Ending 2006 107 BUSINESS NAME (Same as FACILITY NAME of DBA- Doing Business As) 3 BUSINESS PHONE 661-587-5401 1oz Rite Aid #6366 SITE ADDRESS 6001 Coffee Road ~ 103 clrY Bakersfield 104 cA zIP 93308-9414 1os D1N & ENT'D NOV Q 3 106 SIC CODE 5812 107 BRADSTREET (4 Digit #) COUNTY Kern 1os OPERATOR NAME Rite Ald COrpOratlOn 509 OPERATOR PHONE717-761-2633 X5569 »o IL OWNER INFORMATION OWNER NAME Rite Aid Corporation >>> OWNER PHONE 717-761-2633 x5569 ,12 OWNER MAILING P.O. BOX 3165 ADDRESS 113 CITY Harrisburg 11a STATE PA 115 zip 17105 ~ ~~ III. ENVIRONMENTAL CONTACT ' ~ CONTACT NAME Darrell Bradfield -Eastman Kodak ~~~ CONTACT PHONE 919-484-3656 118 CONTACT MAILING 4020 Stirr k D it Cr i S 100 "v ee r up ADDRESS ve, u e CITY Durham 120 STATE NC X21 ZIP 27703 x'22 -PRIMARY- lV. EMERGENCY CONTACTS' -SECONDARY- ~ NAME Christopher Martinez 123 NAME Ross Boesch 129 TITLE Store Manager ,zs TITLE District Manager 130 BUSINESS PHONE 661-587-5401 _ 120: BUSINESS PHONE 661-872-0516 131 24-HOUR PHONE 661-619-0193 1271 24-HOUR PHONE 661-332-6275 132 PAGER # 128 PAGER # 133 V. CERTIFICATION. Certification: Based on my inquiry of those individ uals responsible for obtaining the information, I certify under penalty of law that I have personally examined and a familiar with the information submitted in this inventory and believe the information is true, accurate, and complete. SIGNATURE OF OWNER/OPERATOR DATE i3a NAME OF DOCUMENT PREPARER i3s Darrell Bradfield -Eastman Kodak NAMES OF OWNER/OPERATOR (print) l~r; TITLE OF OWNER/OPERATOR 137 Nancy MacLeod Attorney, Risk Management UPCF (7/99) C:\\WINNT40\Profiles\jtraylor.000\Desktop\OES2730.wpd ~' ~ HAZARDOUS MATERIALS MANAGEMENT PLAN ~~,~.._ ,,~_ ua~~ r?tsr I~. •.~ APPLICATION ~' F1R,~r"'- FOR SECTION DISCOVERY AND ~ +~~~""~ ~" NOTIFICATION (FORMS) a,'~, INSTRUCTIONS 1. To avoid further action, return this form within 30 days of receipt 2. TYPE/PRINT ANSWERS IN ENGLISH 3. Answer questions below for the business as a whole 4. Be as brief and concise as possible BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxton Ave., Ste. 210 Bakersfield. CA 93301 Tel: (661) 326-3979 Fax: (661) 852-2171 page 1 of 2 SECTION I: FACILITY IDENTIFICATION BUS[NFSS NAMElSame as FACILITY NAME or DBA • Daittg Business As) ite Aid #6366 ADDRESS (For local use only) 6001 Coffee Road, Bakersfield, CA 93308-9414 FACILITY ID N0. SECTION 11.1: DISCOVERY AND NOTIFICATIONS A. LEAK DETECTION AND JIONITORING PROCF,DURES Photographic chemicals are delivered in individual plastic bottles within a plastic tote. Chemical storage areas are visually inspected to ensure leaks da not go unnoticed. B. EMPI,UYF.E AND AGENCY NOTIFICATION Photographic chemical spills will normally be managed by store employees (typically less than 1 gallon). If non-emergency assistance is required, employees should contact Kodak Service & Support at 1-800-452-2911. If emergency assistance is required, employees should call 911. C. ENVIRONb(ENTAL RESPONSE MANAGEMENT The Store Manager or designee will be ultimately responsible for all notification and cleanup operations. Photo lab employees and Kodak Service & Support will assist as necessary. D. EMERGENCY MEDIGIL PLAN For medical emergencies, employees should call 911. SECTION 11.2: RELEASE RESPONSE PLAN A. HAZARD ASSF.SSMF.NT AND PRF.VF.NTION MF,ASURF.S ~ ' Photographic chemicals are stored in small plastic boti-~s. Photo lab operators are provided personal protective equipment (apron, gloves, splash goggles) when handling photographic chemicals. R. RELF.ASF, CONTAINMENT AND/OR MITIGATION Written spill cleanup procedures are maintained on-site. C. CLEANUP ANU RF,COVERY YROCF.I)URES Written spill cleanup procedures are maintained on-site. FD 21 H9 (Rev 09/05) SECTION 11.2: RELEASE RESPONSE PLAN-CONT. UTILITY SHUTOFFS (LOCATION OF SHUTOFFS AT YOUR FACILITY) NATURAL GAS/PROPANE ELECTRICAL WATER SPECIAL LOCK BOX ^ YF.S ^ NO IF YES, LOCATION PRIVATE FIRE PROTECTION/WATERAVAlLABILITY A. PRIVATE FIRE PROTECTION B. WATER AVAILABILITY (FIRE HYDRANT) SECTION III: TRAINING NUMBER OF EMPLOYEF,S 2-4 in photo lab MATERIAL SAFETY DATA SHEETS MSDS are maintained in MSDS binder in photo lab BRIEF SUMMARY OF TRAINING PROGRAM Kodak Service & Support conducts initial training of photo lab operators consisting of classroom and hands-on instruction. Topics include equipment operation /maintenance, hazardous materials handling, hazard communication, personal protective equipment, and spill cleanup procedures. Store Manager is responsible for subsequent /remedial training. .. ~~. CERTIFICATION SI 1 R OF OWN PERATOR OR SIG TED REPRESENTATIVE DATE 477 i ~Q~ L NAME OF SI i F.R (p ' t) 478 Nancy MacLeo 479 TITLE OF SIGNER ttorney, Risk Management FD 2169 (Rev. 09/05) o, ~~, •<~ ~ .. ,~~. Table A ;. Photoprocessing Chemicals Used in an On-Site Processing Lab Maximum % Container Ty t Description Product Name pH Water Components pica lly Size Stored (gallons) (gallons) KODAK FLEXICOLOR Potassium carbonate Film Developer Developer Replenisher 10.1 90 - 95 Pentetic acid, pentasodium salt 0.75 9 LORR 4- (N-ethyl-N-2-hydroxyethyl) -2- methylphenylenediamine sulfate Hydroxylamine sulfate Ferric ammonium propylenediaminetetraacetic acid Film Bleach KODAK FLEXICOLOR RA 3.5 60 - 65 Ammonium bromide 0.25 3 Bleach Replenisher NR Ammonium nitrate Succinic acid 6 `' Succinic acid, monoammonium salt Ammonium thiocyanate Film Fixer KODAK FLEXICOLOR RA 7 5 75 - 80 Ammonium thiosulfate 1 12 Fixer and Rabi2nisher . Sodium bisulfate Ammonium bisulfate KODAK FLEXICOLOR Final Diethylene glycol Film Final Rinse Rinse and Replenisher 7.0 95 - 100 Nonionic surfactant 0.75 9 Magnesium nitrate Isthiazolin derivatives Potassium carbonate Triethanolamine Paper Developer KODAK EKTACOLOR RA 10.7 - 10.8 90 - 95 N,N-diethylhydroxylamine 0.75 15 Developer Replenisher 4- (N-ethyl-N-2-methanesulfonylaminoethyl) - 2- methylphenylenediamine sesquisulfate monohydrate Potassium hydroxide Ammonium thiosulfate KODAK EKTACOLOR RA Ammonium ferric ethylenediaminetetraacetic Paper Bleach Fix Bleach Fix and Replenisher 5.3 - 5.5 85 - 90 acid 1 20 Sodium bisulfte Acetic acid Ammonium sulfite r~, Kodak Service & Support HSE Information About On-Site Processing Labs 7 ` `,~ t% I /~ ~^ F RITE AID DRUG STORE 6366 SiteID: 015-021-003483 Manager CHRISTOPHER MARTINEZ Location: 6001 COFFEE RD City BAKERSFIELD CommCode: KCFD STA 61 EPA Numb: BusPhone: (661) 587-5401 Map 102 CommHaz High Grid: 09C FacUnits: 1 AOV: SIC Code:5912 DunnBrad: Emergency Contact CHRIS MARTINEZ Business Phone: 24-Hour Phone Pager Phone Hazmat Hazards: / Title / STORE MANAGER (661) 587-5401x (661) 619-0193x ( ) - x Emergency Contact ROSS BOESCH Business Phone: 24-Hour Phone Pager Phone / Title / DISTRICT MGR (661) 872-0516x (661) 332-6275x ( ) - x React Contact NANCY G MACLEOD Phone: (717) 761-2633x MailAddr: PO BOX 3165 State: PA City HARRISBURG Zip 17105 Owner RITE AID CORP Phone: (717) 761-2633x Address PO BOX 3165 State: PA City HARRISBURG Zip 17105 Period to Preparers Certif'd: ParcelNo: Emergency Directives: PROG H - HAZ WASTE GEN Based on my inquiry of those individuals responsible far obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, aec e, a d complete. b-R - c1-! Signature pate TotalASTs: _ TotalUSTs: _ RSs: No 1b~~ N~ Gall Gal ENT'D JUN 12 ZQ07 -1- 05/17/2007 F RITE AID DRUG STORE 6366 SiteID: 015-021-003483 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP KODAK FLEXICOLOR L 9.00 GAL Hi KODAK FLEXICOLOR L 9.00 GAL Hi WASTE FIXER R L 5.00 GAL Min KODAK EKTACOLOR RA L 20.00 GAL UnR KODAK EKTACOLOR RA L 15.00 GAL UnR KODAK FLEXICOLOR RA L 12.00 GAL UnR KODAK FLEXICOLOR RA L 3.00 GAL UnR -2- 05/17/2007 -3- 05/17/2007 F RITE AID DRUG STORE 6366 SiteID: 015-021-003483 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME KODAK FLEXICOLOR Days On Site DEVELOPER REPLENISHER LORR 365 Location within this Facility Unit Map: Grid: PROCESSING LAB CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~ Ambient ~ Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container_ Daily Maximum I Daily Average 0.75 GAL 9.00. GAL 9.00 GAL -- ru~~rircLUU~ c.:ui~iruiv~lvl~ owt. Rs cAS# 95.00 Water No 7732185 1.00 Hexamethylenetetramine No 100970 1.00 Diethanolamine No 111422 1.00 1,2-Propylene Glycol No 57556 1.00 Polyvinylpyrrolidone No 9003398 ru~~r~c~ ti~ar~~~in~lvla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Hi -4- 05/17/2007 F RITE AID DRUG STORE 6366 ~ Inventory Item 0004 COMMON NAME / CHEMICAL NAME KODAK FLEXICOLOR FINAL RINSE AND REPLENISHER Location within this Facility Unit PROCESSING LAB SiteID: 015-021-003483 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# STATE TYPE ~ PRESSURE TEMPERATURE T CONTAINER TYPE Liquid TMixture I Ambient ~ Ambient I PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.75 GAL 9.00 GAL 9.00 GAL tiP,Gt~ttLV U,J ~v1~1rv1vL" 1v l a %Wt. RS CAS# 95.00 Water No 7732185 1.00 Hexamethylenetetramine No 100970 1.00 Diethanolamine No 111422 1.00 1,2-Propylene Glycol No 57556 1.00 Polyvinylpyrrolidone No 9003398 riHGHtCL HSSL"~a~1~1~1V'1'~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Hi ~ Inventory Item 0007 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE FIXER Days On Site 365 Location within this Facility Unit Map: Grid: PROCESSING LAB CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Waste ~ Ambient ~ Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 5.00 GAL 5.00 GAL 5.00 GAL ti1jGHKLVUJ 1.V1~lYV1VL"1V1.7 %Wt. RS CAS# Silver No 7440224 t1HGLjtCU 1-~.7~L'.7J1~1L"1V1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No Noj Curies R / / j Min -5- 05/17/2007 F RITE AID DRUG STORE 6366 SiteID: 015-021-003483 ~ ~ Inventory Item 0006 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME KODAK EKTACOLOR RA Days On Site BLEACH FIX AND REPLENISHER 365 Location within this Facility Unit Map: Grid: PROCESSING LAB CAS# ' STATE TYPE T PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture ~ Ambient ~ Ambient ~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 20.00 GAL 20.00 GAL , HAZARDOUS COMPONENTS , %Wt. RSA CAS# tiHGLjtCL L'a.7.7L' .7.71~1L' 1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / UnR ~ Inventory Item 0005 COMMON NAME / CHEMICAL NAME KODAK EKTACOLOR RA DEVELOPER REPLENISHER Location within this Facility Unit PROCESSING LAB STATE TYPE PRESSURE Liquid TMixture ~ Ambient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# i TEMPERATURE CONTAINER TYPE Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.75 GAL 15.00 GAL 15.00 GAL HAZARDOUS COMPONENTS , %Wt. RSI CAS# t11'IGEilCL L-lJ.7r,J.71~1~1V 1w7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / UnR -6- 05/17/2007 F RITE AID DRUG STORE 6366 SiteID: 015-021-003483 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME KODAK FLEXICOLOR RA Days On Site FIXER AND REPLENISHER 365 Location within this Facility Unit Map: Grid: PROCESSING LAB CAS# Liquid TMixture ~ AmbRent~E ~ AmbientT~E -~STOCTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 12.00 GAL 12.00 GAL - HAZARDOUS COMPONENTS °sWt. RS CAS# r~~rjtcL ti~~~5~ln~ivla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / UnR ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME KODAK FLEXICOLOR RA BLEACH REPLENISHER NR Location within this Facility Unit PROCESSING LAB STATE TYPE PRESSURE Liquid TMixture ~ Ambient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient -~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.25 GAL 3.00 GAL 3.00 GAL oWt. RSI CAS# -- -- I3HGHKIJ H.7.7L'S51Y1~1V-1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / UnR HAZARDOUS COMPONENTS -7- 05/17/2007 F RITE AID DRUG STORE 6366 SiteID: 015-021-003.483 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 11/03/2006 ~ PHOTOGRAPHIC CHEMICAL SPILLS WILL NORMALLY BE MANAGED BY STORE EMPLOYEES (TYPICALLY LESS THAN 1 GAL). Employee Notif./Evacuation 11/03/2006 IF NON-EMERGENCY ASSISTANCE IS REQUIRED, EMPLOYEES SHOULD CONTACT KODAK SERVICE & SUPPORT 800-452-2911. IF EMERGENCY ASSISTANCE IS REQUIRED, EMPLOYEES SHOULD CALL 911. Public Notif./Evacuation 11/03/2006 THE STORE MANAGER OR DESIGNEE WILL BE ULTIMATELY RESPONSIBLE FOR ALL NOTIFICATION AND CLEAN-UP OPERATIONS. PHOTO LAB EMPLOYEES AND KODAK SERVICE & SUPPORT WILL ASSIST AS NECESSARY. Emergency Medical Plan FOR MEDICAL EMERGENCIES, EMPLOYEES SHOULD CALL 911. 11/03/2006 -8- 05/17/2007 F RITE AID DRUG STORE 6366 SiteID: 015-021-003483 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 11/03/2006 ~ PHOTOGRAPHIC CHEMICALS ARE STORED IN SMALL PLASTIC BOTTLES. PHOTO LAB OPERATORS ARE PROVIDED PERSONAL PROTECTIVE EQUIPMENT (APRON, GLOVES, SPLASH GOGGLES) WHEN HANDLING PHOTOGRAPHIC CHEMICALS. Release Containment 11/03/2006 WRITTEN SPILL CLEAN-UP PROCEDURES ARE MAINTAINED ON SITE. Clean Up WRITTEN SPILL CLEAN-UP PROCEDURES ARE MAINTAINED ON SITE. 11/03/2006 Other Resource Activation -9- 05/17/2007 F RITE AID DRUG STORE 6366 SiteID: 015-021-003483 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ _, ,_ .~Nc~.iai azaaaiu~ v~.111~.y aiiu~-viii ~_ 1'11c r1Vl.c~../t]V CL11. YYQ l.C1 Building Occupancy Level 11/03/2006 2-4 EMPLOYEES IN PHOTO LAB -10- 05/17/2007 :: F RITE AID DRUG STORE 6366 SiteID: 015-021-003483 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 11/03/2006 ~ MSDS ARE MAINTAINED IN MSDS BINDER IN PHOTO LAB. BRIEF SUMMARY OF TRAINING PROGRAM: KODAK SERVICE & SUPPORT CONDUCTS INITIAL TRAINING OF PHOTO LAB OPERATORS CONSISTING OF CLASSROOM AND HANDS-ON INSTRUCTION. TOPICS INCLUDE EQUIPMENT OPERATION/MAINTENANCE, HAZARDOUS MATERIALS HANDLING, HAZARD COMMUNICATION, PERSONAL PROTECTIVE EQUIPMENT, AND SPILL CLEAN-UP PROCEDURES. STORE MANAGER IS RESPONSIBLE FOR SUBSEQUENT/REMEDIAL TRAINING. rays ~ Held for Future Use Held for Future Use -11- 05/17/2007