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Home My WebLink AboutBUSINESS PLAN_ .. _ _. ~~ ' ~ ALBERTSON'S #6398 ~ ~ ~ 6045 COFFEE ROAD ~~ ---- al t' ,. a .r ALBERTSONS 6398 Manager TERRI LEVANDOSKI Location: 6045 COFFEE RD City BAKERSFIELD SiteID: 015-021-002478 BusPhone: (661) 587-2870 Map 102 CommHaz Extreme Grid: 08D FacUnits: 1 AOV: CommCode: KCFD STA 61 EPA Numb: SIC Code:5411 DunnBrad:780148537 Emergency Contact / Title Emergency Contact / Title TERRI LEVANDOSKI / STORE DIRECTOR ANTHONY RODRIGUE Z / ASST STORE DIR Business Phone: (661) 587-2870x Business Phone: (661) 587-2870x 24-Hour Phone {208) 395-6826x 24-Hour Phone (208) 395-6826x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact ERICA FRANSEN Phone: (208) 395-4793x MailAddr: PO BOX 20 DEPT 72405 State: ID City BOISE Zip 83726 Owner NEW ALBERTSONS INC Phone: (208) 395-4793x Address PO BOX 20 DEPT 72405 State: ID City BOISE Zip 83726 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif ' d: RSs : No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN ENT JUL 10 ~~~~ Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and neiieve the information is true, :curate, and c plete. ~~ ~ ~ ignature _ ~ Date -1- 06/29/2007 F ALBERTSONS 6398 ~ Hazmat Inventory = ~ MCP+DailyMax Order = SiteID: 015-021-002478 ~ By Facility Unit ~ Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP PROPANE E F P IH G 3051.00 FT3 Hi CHLORODIFLUOROMETHANE G 2500.00 LBS Low HELIUM F P IH G 440.00 FT3 Min WASTE FIXER L 10.00 GAL Min -2- 06/29/2007 -3- 06/29/2007 T ~ F ALBERTSONS 6398 SiteID: 015-021-002478 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: OUTSIDE FRONT OF STORE CAS# 74-98-6 ~GaSATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE TPure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 180.00 FT3 3051.00 FT3 3051.00__ FT3 t1HGHKLVU.7 1.V1~lYV1VI;1V 1.7 %wt. Rs cAS# 100.00 Propane Yes 74986 riliGHKL A~~tSb51Y1L'1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME CHLORODIFLUOROMETHANE Days On Site 365 Location within this Facility Unit Map: Grid: IN PIPING THROUGHOUT STORE CAS# STATE T TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Gas I Pure -Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest ContainerLBS Daily2500100m LBS I Daily2500r00e LBS riEiGKCCLV U.7 1.V1~lYV1V I;1V 1 S %Wt. RS CAS# 100.00 Chlorodifluoromethane No 75456 t1tiGHKL 1-1~JDL" .7.71~1L" 1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low -4- 06/29/2007 F ALBERTSONS 6398 ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME HELIUM Location within this Facility Unit FLORAL DEPT STATE T TYPE T PRESSURE _ Gas I Pure I Above Ambient SiteID: 015-021-002478 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 7440-59-7 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 220.00 FT3 440.00 FT3 220.00 FT3 t1[~GI~ttLV U b ~v1~1rv1v L" 1v 1 J %Wt. RS CAS# 100.00 Helium No 7440597 t1HGHltJ~ t',~a1;5~1~11;1V'15 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 365 Location within this Facility Unit Map: Grid: PHOTO LAB CAS# Liquid TWaste ~ Ambient~E ~ AmbientT~E ~ PLASTIOCTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 5.00 GAL 10.00 GAL 3.00 GAL t1E~GKKL V U ~7 1. V1~lY V1V L" 1V 1 J %Wt. RS CAS# Silver No 7440224 riL~GE~KL 1~5JI;~J51~11;1V1a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Min -5- 06/29/2007 F ALBERTSONS 6398 SiteID: 015-021-002478 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 09/20/2006 PHOTOGRAPHIC CHEMICAL SPILLS WILL NORMALLY BE HANDLED BY STORE EMPLOYEES. IF NON-EMERGENCY ASSISTANCE IS NEEDED, EMPLOYEES SHOULD CONTACT QUALEX INC AT 800-452-2911. IF EMERGENCY ASSISTANCE IS NEEDED, EMPLOYEES SHOULD DIAL 911. Employee Notif./Evacuation PHOTOGRAPHIC CHEMICAL SPILLS WILL NORMALLY BE HANDLED BY STORE IF NON-EMERGENCY ASSISTANCE IS NEEDED, EMPLOYEES SHOULD CONTACT AT 800-452-2911. IF EMERGENCY ASSISTANCE IS NEEDED, EMPLOYEES 911. 09/20/2006 EMPLOYEES. QUALEX INC SHOULD DIAL Public Notif./Evacuation 03/08/2007 PHOTOGRAPHIC CHEMICALS ARE DELIVERED AND STORED IN PLASTIC BOTTLES, 1-GAL OR LESS IN SIZE. THE BOTTLES ARE SECONDARILY CONTAINED IN 9-GAL PLASTIC TOTES. CHEMICAL STORAGE AREAS ARE VISUALLY INPSECTED TO ENSURE THAT LEAKS DO NOT GO UNNOTICED. Emergency Medical Plan 09/20/2006 FOR MEDICAL EMERGENCIES, EMPLOYEES SHOULD DIAL 911. THE NEAREST MEDICAL FACILITY IS BAKERSFIELD MEMORIAL HOSPTAL, 420 34TH ST, 327-4647. -6- 06/29/2007 F ALBERTSONS 6398 SiteID: 015-021-002478 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 09/20/2006 q ALL PHOTOGRAPHIC CHEMICALS ARE STORED IN SMALL PLASTIC BOTTLES THAT ARE SECONDARILY CONTAINED IN PLASTIC TOTES. PHOTO LAB EMPLOYEES ARE PROVIDED GLOVES, APRONS, GOGGLES, ETC TO PROTECT AGAINST EXPOSURE. IN ADDITION, THE PHOTO LAB IS EQUIPPED WITH A SMALL PORTABLE EYEWASH AND FIRE EXTINGUISHERS. Release Containment 03/28/2006 WRITTEN SPILL CLEAN-UP PROCEDURES ARE MAINTAINED ONSITE (SECTION 6 OF THE MSDS BINDER, LOCATED IN THE PHOTO LAB). Clean Up 03/28/2006 WRITTEN SPILL CLEAN-UP PROCEDURES ARE MAINTAINED ONSITE (SECTION 6 OF THE MSDS BINDER, LOCATED IN THE PHOTO LAB). Vl.llCl 1tCw7V UiVC HL:L1VCiV1V11 -7- 06/29/2007 F ALBERTSONS 6398 SiteID: 015-021-002478 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ arc~~.a.~ na~.ctl.u~ Utility Shut-Offs 03/28/2006 BACK OF BLDG NW CRNR Fire Protec./Avail. Water 03/28/2006 SE CRNR OF BLDG Building Occupancy Level 03/28/2006 1-2 EMPLOYEES IN PHOTO LAB -8- 06/29/2007 F ALBERTSONS 6398 SiteID: 015-021-002478 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 09/20j2006 ~ MSDS IN MSDS BINDER IN PHOTO LAB. BRIEF SUMMARY OF TRAINING PROGRAM: QUALEX INC PROVIDES INITIAL TRAINING CONSISTING OF 3 DAYS OF CLASSROOM AND HANDS-ON INSTRUCTION. TOPICS INCLUDE EQUIPMENT OPERATION AND MAINTENANCE, HAZARDOUS MATERIAL HANDLING, HAZARD COMMUNICATION, PERSONAL PROTECTIVE EQUIPMENT, SPILL CLEAN-UP, ETC. ALL TRAINING MATERIALS ARE MAINTAINED ONSITE AND AVAILABLE FOR REVIEW. STORE MANAGER IS RESPONSIBLE FOR SUBSEQUENT TRAINING (IE, NEW EMPLOYEES). QUALEX WILL ASSIST WITH REFRESHER TRAINING AS NEEDED. rayC ~ _, r_ ncl.u ivi ru~..utc ~~c nciu iii rut.u.LC v~C -9- 06/29/2007 i y ~ S, ALBERTSONS 6398 Manager TERRI LEVANDOSKI Location: 6045 COFFEE RD City BAKERSFIELD SiteID: 015-021-002478 BusPhone: (661) 587-2870 Map 102 CommHaz :.Extreme Grid: 08D FacUnits: 1 AOV: CommCode: KCFD STA 61 EPA Numb: SIC Code:5411 DunnBrad:780148537 Emergency Contact / Title Emergency Contact / Title TERRI LEVANDOSKI / STORE DIRECTOR ANTHONY RODRIGUE Z / ASST STORE DIR Business Phone: (661) 587-2870x Business Phone: (661) 587-2870x 24 -Hour Phone '5"= bB'~&x ' 24 -Hour Phone ~' ^ ° ` ' ° ~ 6~8~-6-x~ Pager Phone ( ) - 1. Z Pager Phone ( ~, ) - x Hazmat Hazards: Fire Press ImmHlth Contact ERICA FRANSEN Phone: (208) 395-4793x MailAddr: PO BOX 20 DEPT 72405 State: ID City BOISE Zip 83726 Owner NEW ALBERTSONS INC Phone: (208) 395-4793x Address PO BOX 20 DEPT 72405 State: ID City BOISE Zip 83726 Period to TotalASTs: _. Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN ~Itl~pQ ~ ~ ~. ~ ~~~~ E3a~ed on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of lava that I have personally examined and am familiar with the information submitted and believe the information is 4rue, accurate, and complete. Signature Date -1- 07/09/2007 Y- ~~ -1 F ALBERTSONS 6398 SiteID: 015-021-002478 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP PROPANE E F P IH G 3051.00 FT3 Hi CHLORODIFLUOROMETHANE G 2500.00 LBS Low HELIUM F P IH G 440.00 FT3 Min WASTE FIXER L 10.00 GAL Min -2- 07/09/2007 -3- 07/09/2007 i, ~ F ALBERTSONS 6398 Si.teID: 015-021-002478 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: OUTSIDE FRONT OF STORE CAS# 74-98-6 ~GasATE TPureE ~-AboveSAmbEent AmbientT~E PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 180.00 FT3 3051.00 FT3 3051.00 FT3 I11iGHtCLVUJ l,Vl"lYV1V~1V1J cwt. Rs cAS# 100.00 Propane Yes 74986 riHGHiCL EiJJ~JJ1~11;1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME CHLORODIFLUOROMETHANE Days On Site 365 Location within this Facility Unit Map: Grid: IN PIPING THROUGHOUT STORE CAS# ~GasATE TPureE ~AboveSAmbEent AmbientT~E PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average LBS 2500.00 LBS ( 2500.00. LBS - rar~uruciJV V J l..Vl`lr V1V 1,1v t J %Wt. RS CAS# 100.00 Chlorodifluoromethane No 75456 ATTlT1 T ('1 l1 T'1 !1 l1T RTlTTT IT riti4riRL ti JJL' JJ1~1r.1V 1 J TSecret RS BioHaz Radioactive/Amount EPA. Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low -4- 07/09/2007 ,, F ALBERTSONS 6398 SiteID: 015-021-002478 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME HELIUM Days On Site 365 Location within this Facility Unit Map: Grid: FLORAL DEPT CAS# 7440-59-7 STATE T TYPE PRESSURE TEMPERATURE CONTAINER TYPE ~GaS I Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Co220100rFT3 Daily 440100m FT3 I Daily 220r00e FT3 t1HGHt'CLVUS C:V1~lYV1Vl;1V"1J ~Wt. RS CAS# 100.00 Helium No 7440597 t1AG1-~ttL A~JL' ~a1~1Lly 15 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 365 Location within this Facility Unit Map: Grid: PHOTO LAB C:AS# STATE TYPE PRESSURE TEMPERATURE ~ CONTAINER TYPE Liquid TWaste ~ Ambient ~ Ambient I PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 5.00 GAL 10.00 GAL 3.00 GAL nt,~xru~vu~ uvlYlrvlvl{,iv 1 oWt. RS CAS# Silver No 7440224 tlf-~L,HKL 1-~b.7L" JJ1~1L" 1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Min -5- 07/09/2007 F ALBERTSONS 6398 SiteID: 015-021-002478 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification ~ 09/20/2006 PHOTOGRAPHIC CHEMICAL SPILLS WILL NORMALLY BE HANDLED BY STORE EMPLOYEES. IF NON-EMERGENCY ASSISTANCE IS NEEDED, EMPLOYEES SHOULD CONTACT QUALEX INC AT 800-452-2911. IF EMERGENCY ASSISTANCE IS NEEDED, EMPLOYEES SHOULD DIAL 911. 9 Employee Notif./Evacuation 09/20/2006 PHOTOGRAPHIC CHEMICAL SPILLS WILL NORMALLY BE HANDLED BY STORE EMPLOYEES. IF NON-EMERGENCY ASSISTANCE IS NEEDED, EMPLOYEES SHOULD CONTACT QUALEX INC AT 800-452-2911. IF EMERGENCY ASSISTANCE IS NEEDED, EMPLOYEES SHOULD DIAL 911. Public Notif./Evacuation 03/08/2007 PHOTOGRAPHIC CHEMICALS ARE DELIVERED AND STORED IN PLASTIC BOTTLES, 1-GAL OR LESS IN SIZE. THE BOTTLES ARE SECONDARILY CONTAINED IN 9-GAL PLASTIC TOTES. CHEMICAL STORAGE AREAS ARE VISUALLY INPSECTED TO ENSURE THAT LEAKS DO NOT GO UNNOTICED. Emergency Medical Plan 09/20/2006 FOR MEDICAL EMERGENCIES, EMPLOYEES SHOULD DIAL 911. THE NEAREST MEDICAL FACILITY IS BAKERSFIELD MEMORIAL HOSPTAL, 420 34TH ST, 327-4647. -6- 07/09/2007 .. , ._ "' F ALBERTSONS 6398 SiteID: 015-021-002478 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 09/20/2006 ~ ALL PHOTOGRAPHIC CHEMICALS ARE STORED IN SMALL PLASTIC BOTTLES THAT ARE SECONDARILY CONTAINED IN PLASTIC TOTES. PHOTO LAB EMPLOYEES ARE PROVIDED GLOVES, APRONS, GOGGLES, ETC TO PROTECT AGAINST EXPOSURE. IN ADDITION, THE PHOTO LAB IS EQUIPPED WITH A SMALL PORTABLE EYEWASH AND FIRE EXTINGUISHERS. Release Containment 03/28/2006 WRITTEN SPILL CLEAN-UP PROCEDURES ARE MAINTAINED ONSITE (SECTION 6 OF THE MSDS BINDER, LOCATED IN THE PHOTO LAB). Clean Up 03/28/2006 WRITTEN SPILL CLEAN-UP PROCEDURES ARE MAINTAINED ONSITE (SECTION 6 OF THE MSDS BINDER, LOCATED IN THE PHOTO LAB). v~.11CL iCC .7-V UI C:C Hl: l.lVdl.1U11 -7- 07/09/2007 F ALBERTSONS 6398 SiteID: 015-021-002478 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ _, ..~Nc~,ial na~ai.u~ Utility Shut-Offs 03/28/2006 BACK OF BLDG NW CRNR Fire Protec./Avail. Water 03/28/2006 SE CRNR OF BLDG Building Occupancy Level 03/28/2006 1-2 EMPLOYEES IN PHOTO LAB -8- 07/09/2007 -. F ALBERTSONS 6398 SiteID: 015-021-002478 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 09/20/2006 ~ MSDS IN MSDS BINDER IN PHOTO LAB. BRIEF SUMMARY OF TRAINING PROGRAM: QUALEX INC PROVIDES INITIAL TRAINING CONSISTING OF 3 DAYS OF CLASSROOM AND HANDS-ON INSTRUCTION. TOPICS INCLUDE EQUIPMENT OPERATION AND MAINTENANCE, HAZARDOUS MATERIAL HANDLING, HAZARD COMMUNICATION, PERSONAL PROTECTIVE EQUIPMENT, SPILL CLEAN-UP, ETC. ALL TRAINING MATERIALS ARE MAINTAINED ONSITE AND AVAILABLE FOR REVIEW. STORE MANAGER IS RESPONSIBLE FOR SUBSEQUENT TRAINING (IE, NEW EMPLOYEES). QUALEX WILL ASSIST WITH REFRESHER TRAINING AS NEEDED. rayC ~ nciu .~.Vt ru~.uLC vac i7.C l~,L 1VL r Ul.u1C V.7C -9- 07/09/2007 ~s~r~ ALBERTSONS 6398 SiteID: 015-021-002478 Manager TERRI LEVANDOSKI Location: 6045 COFFEE RD City BAKERSFIELD CommCode: KCFD STA 61 EPA Numb: BusPhone: (661) 587-2870 Map 102 CommHaz Extreme Grid: 08D FacUnits: 1 AOV: SIC Code:5411 DunnBrad : --~ ~(~` ~I~S31 Emergency Contact / Title Emergency Contact / Title TERRI LEVANDOSKI / STORE DIRECTOR ANTHONY RODRIGUEZ / ASST STORE DIR Business Phone: (661) 587-2870x Business~Phone: (661) 587-2870x 24-Hour Phone (208) 395-6826x 24-Hour Phone (208) 395-6826x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact ERICA FRANSEN Phone: (208) 395-4793x MailAddr: PO BOX 20 DEPT 72405 State: ID City BOISE Zip 83726 Owner NEW ALBERTSONS INC Phone: (208) 395-4793x Address PO BOX 20 DEPT 72405 State: ID City BOISE Zip 83726 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif ~ d: RSs : No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN ~ • F3ased on my inquiry of those individuals obtairnng the information, I certify f s ~~®' or responsible under penalty of law that I have personally ~ examined and am familiar with the information ~ ~ submitted and believe the information is true, t l ~ e. e accurate, and comp Signature Date -1- 01/24/2007 F ALBERTSONS 6398 SiteID: 015-021-002478 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP PROPANE E F P IH G 3051.00 FT3 Hi CHLORODIFLUOROMETHANE G 2500.00 LBS Low HELIUM ~ F P IH G 440.00 FT3 Min WASTE FIXER L 10.00 GAL Min -2- O1j24j2007 -3- 01/24/2007 F ALBERTSONS 6398 SiteID: 015-021-002478 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME PROPANE Days On Site ' 365 Location within this Facility Unit 'Map: Grid: OUTSIDE FRONT OF STORE CAS# 74-98-6 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas TPure ~-Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Co180100rFT3 ~ Daily3051100m FT3 I Daily3051r00e FT3 tiAGt~ttLVUS ~V1nrVivl;ivl5 %Wt. RS CAS# 100.00 Propane Yes 74986 t1AGE~KIJ A551';~51~1L'1V-15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME CHLORODIFLUOROMETHANE Days On Site 365 Location within this Facility Unit Map: Grid: IN PIPING THROUGHOUT STORE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas TPure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average LBS 2500.00 LBS I 2500.00 LBS nriarucLVUa ~.Vlnrvlvl;lvta aWt. RS CAS# 100.00 Chlorodifluoromethane No 75456 nr,t~titcL ta~alJS~i~ir.ivt~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low -4- 01/24/2007 F ALBERTSONS 6398 ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME. HELIUM Location within this Facility Unit FLORAL DEPT STATE TYPE PRESSURE _ Gas TPure ~-Above Ambient SiteID: 015-021-002478 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 7440-59-7 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 220.00 FT3 440.00 FT3 220.00 FT3 ril-~GHtCL V U 5 l~ V 1~1Y V1V L" 1V l 5 ~Wt. RS CAS# 100.00 Helium No 7440597 riEiGEitCL H.7 .7~.7a71~1~1V 1.7 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 365 Location within this Facility Unit Map: Grid: PHOTO LAB CAS# Liquid TWaste ~mbRient~E ~ AmbientT~E ~ PLASTOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 5.00 GAL 10.00 GAL 3.00 GAL ill-~c,tuC1JV V a L.vl•1rv1v P~1V t S %Wt• RS CAS# Silver No 7440224 ritl4riRL tiw 7.7 r,J J1"1L'1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Min -5- 01/24/2007 F ALBERTSONS 6398 SiteID: 015-021-002478 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 09/20/2006 PHOTOGRAPHIC CHEMICAL SPILLS WILL NORMALLY BE HANDLED BY STORE EMPLOYEES. IF NON-EMERGENCY ASSISTANCE IS NEEDED, EMPLOYEES SHOULD CONTACT QUALEX INC AT 8.00-452-2911. IF EMERGENCY ASSISTANCE IS NEEDED, EMPLOYEES SHOULD DIAL 911. Employee Notif./Evacuation 09/20/2006 PHOTOGRAPHIC CHEMICAL SPILLS WILL NORMALLY BE HANDLED BY STORE EMPLOYEES. IF NON-EMERGENCY ASSISTANCE IS NEEDED, EMPLOYEES SHOULD CONTACT QUALEX INC AT 800-452-2911. IF EMERGENCY ASSISTANCE IS NEEDED, EMPLOYEES SHOULD DIAL 911. 9 9 Public Notif./Evacuation 09/20/2006 PHOTOGRAPHIC CHEMICALS ARE DELIVERED AND STORED IN PLASTIC BOTTLES, 1 GALLON OR LESS IN SIZE. THE BOTTLES ARE SECONDARILY CONTAINED IN 9-GALLON PLASTIC TOTES. CHEMICAL STORAGE AREAS ARE VISUALLY INPSECTED TO ENSURE THAT LEAKS DO NOT GO UNNOTICED. Emergency Medical Plan 09/20/2006 FOR MEDICAL EMERGENCIES, EMPLOYEES SHOULD DIAL 911. THE NEAREST MEDICAL FACILITY IS BAKERSFIELD MEMORIAL HOSPTAL, 420 34TH ST, 327-4647. -6-' 01/24/2007 F ALBERTSONS 6398 SiteID: 015-021-002478 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 09/20/2006 ~ ALL PHOTOGRAPHIC CHEMICALS ARE STORED IN SMALL PLASTIC BOTTLES THAT ARE SECONDARILY CONTAINED IN PLASTIC TOTES. PHOTO LAB EMPLOYEES ARE PROVIDED GLOVES, APRONS, GOGGLES, ETC TO PROTECT AGAINST EXPOSURE. IN ADDITION, THE PHOTO LAB IS EQUIPPED WITH A SMALL PORTABLE EYEWASH AND FIRE EXTINGUISHERS. Release Containment 03/28/2006 WRITTEN SPILL CLEAN-UP PROCEDURES ARE MAINTAINED ONSITE (SECTION 6 OF THE MSDS BINDER, LOCATED IN THE PHOTO LAB). Clean Up 03/28/2006 WRITTEN SPILL CLEAN-UP PROCEDURES ARE MAINTAINED ONSITE (SECTION 6 OF THE MSDS BINDER, LOCATED IN THE PHOTO LAB). Other Resource Activation -7- 01/24/2007 F ALBERTSONS 6398 SiteID: 015-021-002478 ~ Fast Format ~ ~ Site Emergency. Factors Overall Site ~ a~~c:ictl. tta~ciiu5 Utility Shut-Offs 03/28/2006 BACK OF BLDG NW CRNR Fire Protec./Avail. Water 03/28/2006 SE CRNR OF BLDG Building Occupancy Level 03/28/2006 1-2 EMPLOYEES IN PHOTO LAB -8- 01/24/2007 F ALBERTSONS 6398 SiteID: 015-021-002478 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 09/20/2006 ~ MSDS IN MSDS BINDER IN PHOTO LAB. BRIEF SUMMARY OF TRAINING PROGRAM: QUALEX INC PROVIDES INITIAL TRAINING CONSISTING OF 3 DAYS OF CLASSROOM AND HANDS-ON INSTRUCTION. TOPICS INCLUDE EQUIPMENT OPERATION AND MAINTENANCE, HAZARDOUS MATERIAL HANDLING, HAZARD COMMUNICATION, PERSONAL PROTECTIVE EQUIPMENT, SPILL CLEAN-UP, ETC. ALL TRAINING MATERIALS ARE MAINTAINED ONSITE AND AVAILABLE FOR REVIEW. STORE MANAGER IS RESPONSIBLE FOR SUBSEQUENT TRAINING (IE, NEW EMPLOYEES). QUALEX WILL ASSIST WITH REFRESHER TRAINING AS NEEDED. rayC ~ Held for Future Use aiciu ivt i'Ul.U1G voc -9- 01/24/2007 (HMMP) HAZARDOUS MATERIALS MANAGEMENT PLAN (UNIFIED PROGRAM CONSOLIDATED FORM) .. ,. ~.. APPLICATION BUSINESS OWNER/OPE]'tATOR IDENnFICATION FORM (HAZARDOUS MATERIALS FACILITY INFORMATION) H B R S F I D FJRE AT T `. ~. BAKERSFIELD FIRE DEPT. Prevention Services 900 'IYuxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 2 a2~~~ :.. :I. FACILITY IDENTIFICATION - . .: , FACILITY ID NO. ear egmnmg too Year Ending tot 6102/06 6/01 /07 BUSINESS NAME (Same as FACILITY NAME or DBA- Doing Business As) 3 USINESS PHONE t 661) 587-2870 Albertsons #6398 SITE ADDRESS t 6045 Coffee Rd. CITY toa cA IP t Bakersfield 93308 DUNN & BRADSTREET ® ? IC CODE to ~ D ~ ~ ~ ~ ~ L 4 Digit #) 5411 couNTY t Kern OPERATOR NAME tos OPERATOR PHONE tt New Albertsons, Inc. (208) 395-4793 .. 11.~ -OWNER INFORMATION ,:. ,; OWNER NAME ttt OWNER PHONE tt New Albertsons, Inc. 208 395-4793 OWNER MAILING ADDRESS tt P.O. Box 20, Dept. 72405 CITY tta STATE tts IP tt Boise ID 83726 i. ,. , . III. ENVIRONMENTAL CONTACT . - CONTACT NAME it7 CONTACT PHONE tt Erica Fransen 208 395-4793 CONTACT MAILING ADDRESS tt P.O. Box 20, Dept. 72405 CITY tea STATE t2t ZIP t Boise ID 83726 PRIMARY =~_ :~: ~ '_: IV EMERGEN CY CONTACTS' -SECONDARY NAME 12 AME 128 TITLE 12 ITLE 129 Store Director ~ sst. Store Director BUSINESS PHONE 12 USINESS PHONE 130 (661) 587-2870 661 587-2870 ~~ 24-HOUR PHONE 126 4-HOUR PHONE , \~ 131 (208) 395-6826 208) 395-6826 ~Cx~ PAGER No t2 AGER No ~ 132 13 . V`CERTIFIGATION ,, ; _; Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify~under penalty of law thatl have personally examined and am familiar with the information submitted in this inventory and believe the information is true, accurate, and complete. SIGNATURE OF OWNER/OPERATOR (full print name) 136 DATE 1 NAME OF DOCUMENT PREPARER (full printed name) 135 Douglas L. Ka efang ~p12.?~e(, Bridget T. Cosgriff SIGNATURE OF OWN O RAT R DE NATED 13 TITLE OF OWNER/OPERATORIOR DESIGNATED 138 REPRESENTATIVE REPRESENTATIVE SIGNER Dir. Env. Affairs ~.. FD 2142 (Rev. 09/05) ,, _i + ALBERTSONS 6398 _____________________________________ SiteID: 015-021-002478 + Manager BusPhone: (661) 587-2870 Location: 6045 COFFEE RD Map 102 CommHaz High City BAKERSFIELD Grid: 08D FacUnits: 1 AOV: CommCode: KCFD STA 61 SIC Code: (j ~(~ EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title TERRI LEVANDOSKI / STORE DIRECTOR ANTHONY RODRIGUEZ / ASST STORE MGR Business Phone: (661) 587-2870x Business Phone: (661) 587-2870x 24-Hour Phone (661) 809-0279x 24-Hour Phone (661) 549-3043x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth ~ ~ ^ Contact ERICA - -+~s + Phone: (208) 395-4793x MailAddr: PO BOX 72405 State: ID City BOISE Zip 83726 Owner ALBERTSONS INC Phone: (208) 395-4793x Address PO BOX 72405 State: ID City BOISE Zip 83726 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: ~ Emergency Directives: ~ PROG A - HAZMAT PROG H - HAZ WASTE GEN EN1'D ~~'~ ~ "~ ~~~~ Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. ~.-~ ~~ --- ~I 3 IDS Signature Date ---------------------------------------------------------------------------- -1- 03/28/2006 n r~ i_ -'~~ ~"UN~FIED PROGRAM INSPECTION CHECKLIST:' SECTION 1: Business Plan and Inventory Program BAKERSFIELD FIRE DEPT a Prevention _ Services Elt~ 900 Truxtun Ave., Suite 210 ~Rrr r Bakersfield, CA 93301 ''~ Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME NSPECTION DATE INSPECTION TIME r,vs ~/~~ a S r . ~o ADDRESS HONE NO. O OF EMPLOYEES ~ ~ r FACILITY CONTACT USINESS ID NUMBER 15-021- Section 1: Business Plan and Inventory Program OUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V (c=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND `~ . ^ BUSIrIASS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES `^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND OCEDURES ~, ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ~~~/// ~~\ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? YES ^ NO EXPLAIN: - w.~S 7~ ~~~~. .-- - QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~~~1,~ (TLLk'ZlLf Inspector (Please Print) Fire Prevention / 1" In /Shift of Site/Station # Business Site/School Sit sponsib a Party (Please Print) White -Prevention Services Yellow -Station Copy Pink - Business Copy FD2049 (Rev. tYtl05)