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Home My WebLink AboutBUSINESS PLAN:~~ r, '~ .. ~ SAMS CLUB #4819 -~ r ~ ` ~~_ ~ t 5625 GOSFORD ROAD _• / • \ Y. ~, ~~~ SAMS CLUB 4819 ~ / SiteID: 015-021-002963 Manager `~.~~~-~ ~M/L.E-5 BusPhone: (661) 654-8565 Location: 5625 GOSFORD RD Map 123 CommHaz Extreme City BAKERSFIELD Grid: 20B FacUnits: 1 AOV: CommCode: BFD STA 09 SIC Code: EPA Numb: CAL000290481 DunnBrad: .~ ~1 . lC l / t YI / I i/ _ .l A .rr.~ Emergency Contact / Title Emergency Contact / Title / G~AT• MANAGER / TMA MANAGER Business Phone: {661) 654-8565x Business Phone: (661) 654-8565x 24-Hour Phone .== _~'___ w . 24-Hour Phone : (~p)j-~0 -Qp Z Pager Phone .~/~3D - Pager Phone ( ) - x Hazmat Hazards: Fire Press React ImmHlth DelHlth Phone : (4 7 9) 2 0 4 ~.4~ Contact Q,~ 7,~~ ,~iV~jL, ~~,t~~L(i9,t/~ ~ MailAddr : 702 SW 8TH ST , 7j~,(^/~~ State: AR ~j~'`~ City BENTONVILLE Zip 72716-~~ p~ Owner SAMS WEST INC Phone: (479) "' ""3~ Address 702 SW 8TH ST State: AR o~~ ,Z3al~ City BENTONVILLE Zip 72716.~0~~ Period ,3 f ~Z,0O7 to dZ~ .2ddg TotalASTs: _ ~ Gal Gal Preparer : f}64(,~ ~E~/v/~6~t/u-t ,vTi¢/y ~/C,,. TotalUSTs : = `" ~~1,~~/LUS /~~}!2!Q/S~ 7/~ CDC' ~ r ~ : No ~ jtlY~~ C19t4/II~[/ ParcelNo: ~ Emergency Directives: PROG A - HAZMAT ~~~~~ ~ ~` t'C ~ ~ ~~~~ PROG C - COMM HOOD n~ ~` PROG H - HAZ WASTE GEN \ -` ` J`/l~j~i . ~~f~~ -1- 02/06/2007 s, p SAMS CLUB 4819 SitelD: OI5-021-002963 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ,^ LAWN CARE/FERTILIZERS:. E IH DH S ~SOLZ.E~'~'Q- 00 LBS Ext . BATTERIES F IH S 16000.00 LBS Hi BATTERIES F IH S 8500.00 LBS Hi BLEACH IH L 7004.00 GAL Hi BLEACH IH L 7000.00 GAL Hi PROPANE E F P IH G 1500.00 FT3 Hi SODIUM HYPOCHLORITE R IH L 300.00 GAL Hi CHLORINE TABLETS DH S 4000.00 LBS Mod TRICHLORO-S-TRIAZTNERTRIONE IH DH S 500.00 LBS Mod CHARCOAL LIGHTER FLUID F IH DH L 300.00 GAL Mod ETHANOL F IH DH L 200.00 GAL Mod WD-40 F P IH L 100.00 GAL Mod -~,~t-;~"~ - e~~j ~ ~~ F DH L 6 0.0 0 GAL Mod ~ . OVEN CLEANER R L 60.00 GAL Mod ROUND-UP L 2540.00 GAL Low HYDRAULIC OIL L 900.00 GAL Low ETHYLENE GLYOL ANTIFREEZE L 600.00 GAL Low AUTOMATIC TRANSMISSION FLUID F DH L 600.00 GAL Low FLOOR FINISH IH DH L 60.00 GAL Low MOTOR OIL F DH L 17000.00 GAL Min CARBON DIOXIDE F P IH G 2600.00 LBS Min HELIUM F P IH G 400.00 FT3 Min WASTE PHOTOGRAPHIC FIXER R S 170.00 LBS Min FIRELOGS S ~ ,~ d~9~8-= 9'0 LBS UnR CHARCOAL BRIQUETTES F S ~(Q(~p <.8~86~8--~8 LBS UnR WASTE BATTERIES IH S 5000.00 LBS UnR TETR.AFLUOROETHANE (R134A} P TH DH L 4900.00 GAL UnR OXIDIZER F P S 2600.00 LBS UnR FIRE EXTINGUISHERS R S 500.00 LBS UnR TET1?AFLUOROETHANE (R134Pi) P IH DH L 244.00 GAL UnR FLOOR STRIPPER L 85.00 GAL UnR .~';~-0~~7~ (.~- a.~fac~a( 7~D~l~ r~r~c~ - 1 snm, nv 1fSs F SAME CLUB 4819 SitelD: 025-021-002963 ~ ~ Inventory Item 0028 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME LAWN CARE/FERTILIZERS Days On Site LAWN FBRTILIZER (SCOTT'S TURN BUILDER, WEED PLUS 2 & CRAB GR 365 Location within this Facility Unit Map: Grid: SEASONAL AREA CAS# ~SolidE TMixture ~-Ambienst~ ~ Ambie~T~ ~G CONTAINER TYPE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 56.00 LBS ~~~ ,..8~8~d~.00 LBS ~Q „ZA~9~0'.00 LBS liALAKI)VUS C,'UMYUlV~1V7'S ~Wt. RS CAS# 11.00 Dichlorophenoxyacetic Acid No 94757 12.00 Dimethylamine Yes 124403 8.00 Nitrogen No 7727379 rsA[~tu~ ~s 5r;a.~rar;N 1"5 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA IISDOT# MCP No No No No/ Curies IH DH / / / Ext ~ Inventory Item 0005 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME BATTERIES Days On Site LEAD/ACID BATT$RY (AUTO, MARINE & MOTORCYCLE) 365 Location within this Facility Unit Map: Grid: TIRE MAINT CAS# STATE TYPE PRESSURE Solid TMixture ~-Ambient TEMPERATURE CONTAINER TYPE - Ambient OTHER - SPECIFY Largest Container 1oa.ao LBs Daily Average 26000:00 LBS t1ALAtCL7VU,5 (."VMYVlV~N'1'~ ~Wt. RS CAS# 35.00 Battery Acid No 7664939 10.00 Nickel Oxide No 1313991 5.00 Cadmium Oxide (EPA) No 1306190 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount ~ EPA Hazards No No No No/ Cuxies F IH -4- AMOUNTS AT THIS LOCATION Daily Maximum 16000.00 LBS s `~. !. NFPA USDOT# MCP / / / Hi i 02/06/2007 ,. ~ SAMS CLUB 4819 SiteID: 015-021-002963 ~ ~ Inventory Item 0007 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME BATTERIES Days On Site RECHARGEABLE FORKLIFT BATTERIES 365 Location within this Facility Unit Map: Grid: SHIPPING/RECEIVING CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE ~Solid~ TMiXtur~Ambient ~ Ambient ~THER - SPECIFY AMOUNTS AT THIS LOCATION - Largest Container Daily Maximum Daily Average 850.00 LBS 8500.00 LBS 8500.00 LBS riAIAKLVUS C:VMYVNr;1V1'~ ~Wt. RS CAS# 35.00 Battery Acid No 7664939 10.00 Nickel Oxide No 1313991 5.00 Cadmium Oxide (EPA) No 1306190 HAl,A1~tL ASSi:5S1~'NTti TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME BLEACH Days On Site CLOROX BLEACH FOR COLORS 365 Location within this Facility Unit Map: Grid: RETAIL FLR CAS# Liquid TMixtur~~AmbiEent~ ~ Ambi:en Ti3RF. ~PLASTICTCONTAINERE --- AMOUNTS AT THIS LOCATION Largest Container baily Maximum Daily Average 3.00 GAL 7000.00 GAL 7000.00 GAL HAZP.RDOUS COMPONENTS $Wt. RS CAS# 5.00 Sodium Hypochlorite No 7681529 -5- ,02/06/2047 i. :. I~ ;.. i?": F SAMS CLUB 4819 SitelD: 015-021-002963 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME BLEACH Days On Site CLOROX BLEACH 365 Location within this Facility Unit Map: Grid: RETAIL FLR CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~-Ambient ~ Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 3.00 GAL 7000.00 GAL 7000.00 GAL ~ Inventory Item 0009 COMMON NAME / CHEMICAL NAME PROPANE Location within this Facility Unit SHIPPING/RECEIVING STATE TYPE Gas Pure Facility Unit: Pixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 74-98-6 = PRESSURE TEMPERATURE CONTAINER TYPE Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION --- Largest Container Daily Maximum Daily Average 364.00 FT3 1500.00 FT3 1500.00 FT3 t!Al,AKU ELS~lS~ ~PlLr1V 1'~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCF No No No No/ Curies F P IH / / / Hi -6- 02/06/2007 I1HGF~1C.lJ r1~?.~L' .7A17L` lY 1 a7- TSecret RS BioHaz Radioactive/Amount ~ EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Hi F SAMS CLUB 4819 SiteID: 015-027.-002963 ~ ~ Inventory Item 0016 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME SODIUM HYPOCHLORITE Days On Site LIQUID PLUMBER 365 id Location within this Facility Unit Map: : Gr RETAIL FLR ~# 7681-52-9 STATE TYPE PRESSURE Liquid TMixture Ambient TEMPERATURE ~ Ambient CONTAINER TYPE r~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 300.00 GAL 270.00 GAL HAZARDOUS COMPONENTS ~Wt. RS CAS# 12.00 Sodium Hypochlorite No 7681529 ~ Inventory Item 0027 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME CHLORINE TABLETS Days On Site POOL CHEMICALS, CHLORINE & BROMINE TABS & SHOCK TREATMENT 365 Location within this Facility Unit Map: Grid: SEASONAL AREA CAS# 87-90-1 STATE TYPE --'~~ PRESSURE TEMPERATURE I CONTAINER TYPE solid TMixture I Ambient ~ Ambient BAG t3AGE1tfU A55liS5MY:1V'2'S Secret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT#} MCP No No No No/ Curies DH / / / Mod -7- 02/06/2007 AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 60.00 LBS 4000.00 LBS 3600.00 LBS P SAME CLUB 4819 SiteID: 015-021-0029&3 3 ~ Inventory Item 0021 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME TRICHLORO-S-TRIAZINERTRIONE Days On Site AQIIA-CHEM POOL CLEANERS (3" TABS-) 365 Location within this Facility Unit Map: Grid: RETAIL FLR CA,S# 87901 Solid M~ur~-Ambient ~ Amb~ient~ DRUM/OBARREILENONMETAL~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 45.00 LBS 500.00 LBS 400.00 LBS •-- HAZARDOUS COMPONENTS ~Wt. RS CAS# 100.00 Trichlaro-s-triazinetrione No 87901 HAGA.KIJ A:iti~StiMr:LV1'S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP Na No No No/ Curies IH DH / / / Mod ~ Inventory Item 0018 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME CHARCOAL LIGHTER FLUID Days On Site 365 Location within this Facility Unit Map: Grid: SEASONAL AREA CAS# 64741-84-0 Liquid ~ TYPE ~~REeS~URE TEA9PSRATURE ''~}~~ CONTAINER TYPE Mixture ~ Ambient { PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average • 0.25 GAL 300.00 GAL 300.00 GAL tiA'LGAKU E3~.5'1;5,y"Ml''dV'1"S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USbOT# MCP No No No No/ Curies F IH DH / /. / Mod -8- 02/06/2007 F SAMS CLUB 4819 SitelD: 015-021-002963 ~ ~ Inventory Item 0030 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ETHANOL Days On Site CANNED HEAT (SAFE. HEAT & STBRNO BRANDS) 365 Location within this Facility Unit Map: Grid: SEASONAL AREA CAS# 64-17-5 Liquid TM xture ~Ambient~ ~ Ambien~tT~ METAL CONTAINR NONDRtJM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.06 GAL 200.00 GAL 200.00 GAL HAZAIZDOUS COMPONENTS ,--- gWt. 100.00 Ethanol RS CAS# No 64175 tiHl,AK1J H-i:~.Z'iti_'.SM~iV'1"S TSecret RS BioHaz Radioactive/Amount BPA Hazards NFPA USDOT## MCP No No No No/ Curies F IH DH / / / Mod ~ Inventory Item 0029 COMMON NAME / CHEMICAL NAMB WD-40 Location within this Facility Unit RETAIL FLR Facility Unit: Fixed Containers at Site 9 Days On Site 365 Map: Grid: CAS# 8052-41-3 Liquid TMixture ~lAmbient~ ~ AmbieRntT~ METAL CONTAINR NONDR~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.33 GAL 100.00 GAL 80.00 GAL titiuAtur x~5~,~arus~v'r~ TSecret RS BioHaz Radioactive/Amount SPA Hazards NFPA USDOT# MCP No No No No/ Curies F F IH / / / Mod -9- 02/06/2007 ~ SAMS CLUB 4819 SitelD: 015-021-002963 ~ ~ Inventory Item 0010 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME CAR WAX D s On Site 365 Location within this Facility Unit Map: Grid: RETAIL FLR CAS# STATE TYPE PRESS TEMP CONTAINER TYPE Liquid Mixture Ambient t PLASTIC CONTAINER AMO AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.25 GAL 60.00 GAL 30.00 GAL HAZARDOUS COMPONENTS $Wt. RS CAS# HAZARD ASSESSMENTS TSec RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP o No No No/ Curies ~ F DH / / / Mod ~ Inventory Item 0024 COMMON NAME / CHEMICAL NAME OVEN CLEANER Location within this Facility Unit RETAIL FLR STATE TYPE PRESSURE Liquid ~Mixtur~Ambient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 1310-73-2 TEMPERATURE CONTAINER TYPE Ambient ~ PLASTIC CONTAINER Daily Average AMOUNTS AT THIS LOCATION Largest Can.tainer Daily Maximum F SAMS CLUB 4819 SiteID: 015-021-002963 ~ ~ Inventory Item 0022 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ROUND-UP Days On Site WEED AND GRASS KILLER 365 Location within this Facility Unit Map: Grid: SEASONAL AREA ~ CAS# 16291-96-6 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture Ambient ~ Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION -- Largest Container Daily Maximum Daily Average 1.00 GAL 2500.00 GAL 2000.00 GAL ~ Inventory Item 0019 COMMON NAME / CHEMICAL NAME HYDRAULIC OIL Location within this Facility Vnit RETAIL FLR Facility Unit: Fixed Containers at Site q Days On Site 365 Map: Grid: CAS# 64742-65-0 Liquid TMixture ~~Ambient~E ~ Ambient~E ~PLASTICTCOIN~TATNERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.25 GAL 900.00 GAL 900.00 GAL HA7A'~nOUS COMPONENTS ~Wt. RS 100.00 Hydraulic Brake Fluid (Diethylene Glycol Monobu:.. No CAS# i 112345 - ru~-v[~,tcu Ha a~aarus~v-xa TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ ,Curies / / / Low -11- 02/06/2007 HAZARD ASSESSMENTS - TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low F SAME CLUB 4819 SitelD: 015-021-002963 q ~ Inventory Item 0013 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ETHYLENE GLYOL ANTIFREEZE Days On Site 365 Location within this Facility Unit Map: Grid: RETAIL FLR CAS# Liquid TMixture ~Ambient~ ~ Ambi~t~E DRUM/OBPRREL NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 600.00 GAL 500.00 GAL riA%AK1J A~~7i5~SM131V'1S TSecret RS BioHax Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low ~ Inventory Item 0015 COMMON NAME / CHEMICAL NAME AUTOMATIC TRANSMISSION FLUID Location within this Facility Unit RETAIL FLR STATE TYPE PRESSURE Liquid TMixtur~-Ambient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 64741-89-5 TEMPERATURE CONTAINER TYPE Ambient ~ PLASTIC CONTAINER .AMOUNTS AT THIS LOCATION Largest Container Daily Maximum 1_oa GAL 600.00 GAL HAZARDOUS COMPONENTS $Wt. 100.00 Transmission Fluid (Petroleum-Based) Daily Average 500.00 GAL i RS CAS# No 0 liL~aGALtJl A:i:Sl5SSMtS1V'1'ti 'Secret RS BioNaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low -12- 02/06/2007 F SAMS CLUB 4819 SitelD: 015-021-002963 ~ ~ Inventory Item 0023 Facility Unit: Fixed Containers at Site q COMMON NAME / CHEMICAL NAME FLOOR FINISH Days On Site FLOOR MAINTENANCE/REJUVENATOR 3b5 Location within this Facility Unit Map: Grid: STOCKROOM CAS# 111-90-0 Liquid TYPE PRESSURE TEMPBRATURE CONTAINER TYPE TMixture Ambient ~ Ambient -rMETAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.25 GAL 60.00 GAL 60.00 GAL HAZARDOUS COMPONENTS cwt. Rs cAS# 1.00 Diethylene Glycol No 111-90-0 tiA;I,AK.i) AS 515~5P9ri1V1'S TSecret RS BivHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / Low ~ Inventory Item 0006 Facility Unit: Fixed Containers at Site q COMMON NAME / CHEMICAL NAME MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: RETAIL FLR CAS# 72623-83-7 ~Liqu d TM xtur~-Ambient ~ ATm~bP~T~ ~LASTICTCONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.25 GAL 17000.00 GAL 17000.00 GAL -- HAZARDOUS COMPONENTS ~Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 72623-83-7 HAZAKD A55E3551~NT5 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP Nv No No No/ Caries F DH / / / Min -13- 02/06/2007 F SAMS CLUB 4819 SitelD: 015-021-002963 ~ ~ Inventory Item 0008 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME CARSON DIOXIDE Days On Site SOFT DRINK PROPELLANT 365 Location within this Facility Unit Map: Grid: SNACK BAR CAS# 124-38-9 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas TPure ~-Above Ambient Cryogenic INSUL.TANK / CRYOGENIC -- AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 300.00 LBS 2600.00 LBS 2600.00 LBS HAZARDOUS COMPONENTS ~Wt. 100.00 Carbon Dioxide RS No li,AG.AKl1 A5 ~5'i55.5'Ml51V'1'S - TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min ~ Inventory Item 0026 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME HELIUM Days On Site 365 Location within this Facility Unit Map: Grid: sTOCxROOM cAS# 124-38-9 STATE TXPE PRESSURE TEMPERATURE -~- CONTAINER TYPE Gas ~PUre ~~Above Ambient Ambient i PORT. PRESS. CYLIND~ AMOUNTS AT THIS LOCATION Largest Container Daily~Maximum 200.00 FT3 400.00 FT3 HAZARDOUS COMPONENTS $Wt. RS 100,00 Helium No TSecret RS tiHGHiCiJ H.` BioHaz Radioactive/Amount S~riJSML'rJ.Y'L'~`i EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -14- Daily Average 400.00 FT3 F SAMS CLUB 4819 SiteID: 015-021-002963 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE PHOTOGRAPHIC FIXER ... Days On Site SILVER RECOVERY CARTRIDGE 365 Location within this Facility Unit Map: Grid: ONE-HOUR PHOTO CAS# ~selid$ TWa to ~-Ambient ~ Ambent~E OTHER ~SPB~CIFY E AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 85.00 LBS 170.00 LBS 85.00 LBS HAZARDOIIS COMPONENTS ~Wt. RS CAS# Silver No 7440224 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min ~ Inventory Item 0025 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHffiKICAL NAME FIREDOGS Days On Site PINE MOUNTAIN LOGS 365 Location within this Facility Unit Map: Grid: RETAIL FLR CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid TMixtureAmbient ~ Ambi;ent BOX - AMOUNTS AT THZS LOCATION Largest Container Daily Maximum Daily Average y~ ~ oo Lss ~ ~ oa .~e~ao~ .. oo r.~s - /~ ~ v n 27~8~80'. oo Lss HAGAIZJJVUS L'VMYUl~fl51V'1'7 F SAMS CLUB 4819 SitelD: 015-021-002963 ~ ~ Inventory Item 0031 Facility IInit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME CHARCOAL BRIQUETTES Days On Site KINGSFORD & ROYAL OAK BRANDS 365 Location within this Facility Unit Map: Grid: SEASONAL AREA CAS# 16291-96-6 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid Mixture Ambient Ambient BAG AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 3 0 ~ oo LBS (~ (~ p r~ . oo LBS 3 3 O .~~ oo LBs HAZARDOUS COMPONENTS $Wt. RS CAS# 100.00 Naphtha No 8030306 HAZARD A55L~'SSME3NT5 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / UnR ~ Inventory Item OQ03 Facility Unit:~Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE BATTERIES Days On Site SPENT AUTOMOTIVE BATTERIES 365 Location within this Facility Unit Map: Grid: BATTERY CAGE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid TWaste Ambient ~ Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 4a.oo LBS sooo.oo LBS sooo.oo Lss HAZARDOUS COMPONENTS $Wt . RS CAS#~ YlHGHLtJJ L15 5~a5rIP;lY1'S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / UnR -16- OZ/06/2007 ~. I I i i I` i': F SAMS CLUB 4819 SiteID: 015-021-002963 ~ ~ Inventory Item 0012 Facility Unit: Fixed Containers at Site q COMMON NAME / CHEMICAL NAME TETRAFLUOROFsTHANE (R134A) Days On Site REFRIGERANT 365 Location within this Facility Unit Map: Grid: RETAIL FLR ~# 811-97-2 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 30.00 GAL 4900.00 GAL 4900.00 GAL HAZARDOUS COMPONENTS gWt. RS CAS# l1AL,Ali.L) AS.SLr.SSMLriV'1'S 'Secret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies P IH DH / / / U12R ~ Inventory Item 0017 COMMON NAME / CHEMICAL NAME O%IDIZER ORY-CLEAN Location within this Facility Unit RETAIL FLR Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 15630-89-4 STATE TYPB PRESSURE TEMPERATURE CONTAINER TYPE Solid TMixtur~Ambient ~ Ambient ~THER - SPECIFY ~Wt. RS~ CAS# I TSecret RS BioHaz t1AYGAKU 1~.7 Radioactive/Amount ".~'L~.7".7"Mi;1V"t5 EPA Hazards NFPA USDO No No No No/ Curies F P / / / -17- AMOUNTS AT THIS LOCATION Largest Container Daily Maximum 9.25 LBS 2600.00 LBS HAZARDOUS COMPONENTS Daily Average 2500.00 LBS T# MCP UnR 02/06/2007 ~ SAME CLUB 4819 ~ Inventory Item 0014 COMMON NAME / CHEMICAL NAME FIRE EXTINGUISHERS Location within this Facility Unit RETAIL FLR SitelD: 015-021-002963 q Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid TMixture Above Ambient ~ Ambient PORT. PRESS. CYLIND~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 8.00 LBS 500.00 LBS 500.00 LBS HAZARDOUS COMPONENTS ~Wt. RS CAS# HALA}.ZD A:i5E55ML1V'1'S 'Secret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / UnR ~ Inventory Item 0011 Facility Unit: Fixed Containers at Site q COMMON NAME / CHEMICAL NAME TSTRAFLUOROETHANE (R134A) Days On Site FORANE BRAND REFRIGERANT 365 Location within this Facility Unit Map: Grid: STOCKROOM & RETAIL FLR FREEZERS CAS# 811-97-2 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum 24.00 GAL 244.00 GAL HAZARDOUS COMPONENTS $Wt. ~ ~ RS TSecret RS BioHaz riHGAKU AS Radioactive/Amount S L'"55Mr;LV'1'.`3 -EPA Hazards NFPA US No No No No/ Curies P IH DH / / / -18- Daily Average I 244.00 GAL ii CAS# DOT# MCP UnR 02/06/20D7 ~: I 1. i F SAMS CLUB 4819 SiteID: 015-021-002963 ~ ~ Inventory Item 0020 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME FLOOR STRIPPER Days On Site 365 Location within this Facility Unit Maps Grid: RETAIL FLR CAS# Liquid TMixture ~-AmbientURE ~ ~PeERATURE ~LASTOICTCOIJTAINER AMOUNTS AT THIS LOCATION - Largest Container Daily Maximum Daily Average 1.00 GAL 85.00 GAL 55.00 GAL r ~ HAZARDOUS COMPONENTS ~ ~ --. ~Wt. RS CAS# HA%AF[I) AS .`SJiu.S'M15N 1'u TSecret RS BioHaz Radioactive/Amount BPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / UnR ~ SAME CLUB 4819 SitelD: 015-021-002963 ~ Fast Format ~ F Notif./Evacuation/Medical Overall Site q ~ Agency Notification Employee Notif./Evacuation 04/28/2006 THE FOLLOWING ALARM SIGNALS WILL BB USED TO BEGIN EVACIIATION OF THE FACILITY: VERBAL, TELEPHONE, ALARM SYSTEM, PA SYSTEM, INTERCOM, AND PORTABLE RADIO. Public Notif./Evacuation = Emergency Medical Plan MERCY SOLT1'HWEST HOSPITAL, 400 OLD RIVER RD, 663-b000 _ 04/28/2006 -20- 02/06/2007 F SAMS CLUB 4819 SitelD: 015-021-002963 ~ Fast Format ~ F Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention _04/28/2006 HAZARDOUS MATERIALS INCLUDE USED AUTOMOTIVB LEAD-ACID BATTERIES. TO PREVENT SPILLS AND A RELEASE, THE BATTERIES ARE STORED ON SPILL PALLETS, NOT TO EXCEED THREE HIGH. THE SPILL PALLETS ARE KEPT IN A LOCKED ENVIRONMENTAL CAGE THAT IS PROTECTED FROM THE ELEMFdNTS. ONCE A MONTH OR SOONER, THE BATTERIES ARE REMOVED FOR RECYCLING BY A LICENSED WASTE HAULER. COMPRESSED GAS CYLINDERS ARE SECURED WITH CHAINS UPON ARRIVAL TO THE CLUB. Release Containment Clean Up 04/28/2006 NORTHWEST HAZMAT, 36 W Q ST, SPRINGFIELD, OR 97477, 800-597-1323. VLi1Ci iCCLiV LLiCC HCL1VdL1VA -2I- i p SAMS CLUB 4819 SitelD: 015-021-002963 ~ Fast Format q i ~ Site Emergency Factors Overall Site ~ apeciai nazaras Utility shut-Offs r1~.c CJCVI.CC:. /tiVQ11. 1R24VCt uk.ii~siu~ ;.rwvu~iwaaw~i ~„a~.~ -22- 02/06/200 p SAMS CLUB 4819 SitelD: 015-021-002963 ~ Fast Format q ~ Training Overall Site ~ ~ Employee Training 04/28/2006 ~ BRIEF SUMMARY OF TRAINING PROGRAM: TRAINING SHALL BE PROVIDED INITIALLY FOR ALL NEW EMPLOYEES. METHODS FOR SAFE HANDLING OF HAZARDOUS MATERIALS. FACILITY PERSONNEL ARE TRAINED AS FOLLOWS: FAMILIARITY WITH ALL PLANS AND PROCEDURES SPECIFIED IN THE CONTINGENCY PLAN. METHODS FOR SAFE HANDLING OF HAZARDOUS MATERIALS. SAFETY PROCEDURBS IN THE EVENT OF A RELEASE OR THREATENED RELEASE OF A HAZARDOUS MATERIAL. USE OF EMERGENCY RESPONSE EQUIPMENT AND SUPPLIES UNDER THE CONTROL OF THE BUSINESS. PROCEDURES FOR COORDINATION WITH LOCAL EMERGENCY RESPONSE ORGANIZATIONS. ADDITIONAL TRAINING SHOOED INCLUDE: INTERNAL ALARM/NOTIFICATION PROCEDURES. EVACUATION/RE-ENTRY PROCEDURES AND ASSEMBLY POINT LOCATIONS. MSDS TRAINING, INCLUDING SPECIFIC HAZARDS OF EACH CHEMICAL TO WHICH EMPLOYEES MAY BE EXPOSED, INCLUDING ROUTES OF EXPOSURI3. re~y c a 21f.. 111 LVl 1'LL1.LLLG 4.7G -23- 02/06/2007 i:iNIFIED PROGRAM CONSOLIDATED FORM HAZARDOUS MATERIALS HAZARDOUS MATERIALS INVENTORY - cHEiv~cAL n~scR><r'IZOIv oce ballain or am ®ADD ^DELETE ^REYISE 200 I. FACILITY INFORMATION BUSIIVESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Sam's Club #4819 CHEMICAL LOCATION lA1 CHEMICAL LOCATION CONFIDENTIAL EPCRA 2~ In Garden Center ^ Yes ®NO 1 MAP# (opdom0 zo3 GRID# (optiooaq 204 FACILi'I'Y ID # 1 C3 II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET Yes No za6 Ironite us~l,~ m t~CCrta, rera m imrndrionr COMMON NAME EHS* ^ Yes ®No Fertilizer - anular CAS# zo9 *Tf EHS is "Yes", all atnounts below must be in lbs. FIRE CODE HAZARD CLASSES CCompku if required by CUen) 210 HAZARDOUS MATERIAL TYPE (Check one item only) ^ a. PURE ®b.'MIICTURE ^ c. WASTE 211 RADIOACTIVE ^ Yes ®No 21z CURIES 213 PHYSICAL STATE (Check one item only) ®a• SOLID ^ b. LIQUID ^ c. GAS 214 LARGEST CONTAINER 301b bag zts FED HAZARD CATEGORIES 216 (Check at] that apply) ^ a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ®d. ACUTE HEALTH ^ a CHRONIC HEALTH AVERAGE DAII.Y AMOIBVT 217 MAXIMUM DAILY AMOUNT 21s ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 2zo 750 1,500 NA NA 221 DAYS ON SITE: zzz UNITS* ^ a. GALLONS ^ b. CUBIC FP.1=T ®c. POUNDS Q d. TONS 365 says Check one item ool * B EHS, amount must be in nds. STORAGE CONTAINER ^ a. ABOVE GROUND TANK ^ e. PLASTIC/NONMETALLIC DRUM ^ i. FIBER DRUM ^ m GLASS BOTTLE ^ q. RAIL CAR ^ b. UNDERGROUND TANK ^ f. CAN ®j. BAG ^ n PLASTIC BOTTLE ^ r. OTHER ^ c. TANK INSmE BUII.DING ^ g. CARBOY ^ k. BOX ^ a TOTE BIN ^ d. STEEL DRUM ^ h SILO ^ 4 CYLINDER ^ p. TANK WAGON 223 STORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c BEfAW AMBIFTdT 224 STORAGE TEMPERATURE ®a. AMBIFJJT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC 22S 96WT HAZARDOl)5 COMPONENT (For mixture or waste only) EHS CAS # I Vazies 226 Mvriate of Potash 227 ^ Yes ®No zzs 7447-40-7 229 2 Varies 23o Urea z31 ^ Yes ®No 232 57-13-6 233 3 23a 235 ^ Yes ®No 236 237 4 238 239 ^ Yes ® NO 240 241 If more hamrdous components are present at greater than 1 % by wdgbt If mo-ocdooseale, or 0.1 % by wdgbt Itnrdaogeale, Wtatb additional sheets of paper nptariog the regrdred info'matlon. ADDITIONAL LOCALLY COLLECTED INFORMATTON 246 If EPCRA Please Si Here Revistxl: 03/I6/2007 24 Emergency Response/Contingency Plan (Hazardous Materials Business Plan Module) Authority Cited: NSC, Section 25504(b); Title 22, Div. 4.5, Ch. 12, An. 3 CCR All facilities that handle hazardous materials in specified quantities must have a written emergency response plan. In addition, facilities - that generate 1,000 kilograms or more of hazardous waste per month, ar accumulate more than 6,000 kilograms of hazardous waste on- site at any one time, must prepare a contingency plan. Because the requirements are similar, they have been combined in a single document, provided below, for your convenience. This plan is a required module of the Hazardous Materials Business Plan (HNIDP). If you already have a plan that meets these regnirements, you should not complete the blank plan, below, but you must include a copy of your ea:isting plan as part of your HMBP. This site-specific Emergency Response/Contingency Plan is the facility's plan for dealing with emergencies and shall be implemented immediately whenever there is a fire, explosion, or release of hazardous materials that could threaten human health and/or the environment. At Ieast one copy of the plan shall be maintained at the facility for use In the event of an emergency and for inspection by the local agency. Within some Counties, hospitals and police agencies have delegated receipt of these plans to the local agencies administering Hazardous Materials Business Plans, so additional copies need not be submitted. However, a copy of the plan and any revisions must be provided to any contractor, hospital, or agency with whom special (i.e..contractual) emergency services arrangements have been made (see section 3, below}. 1. Evacuation Plan: a. The following alarm signal(s) will be used to begin evacuation of the facility (check all that apply): ^ Bells; ®Horns/Sirens; ®Verbal (i.e. shouting); ®Other (specify} Public Address System b. ®Evacuation map is prominently displayed throughout the facility. Note: A properly completed HMBP Site Plan satisfies contingency plan map requirements. This drawing (or any other drawing that shows primary and alternate evacuation routes, emergency exits, and primary and alternate staging areas) must be prominently posted throughout the facility in locations where it will be visible to employees and visitors. 2. a. Emergency Contacts*: Fire/Police/Ambulance ......................................... Phone No. 911 State Office of Emergency Services .............................. Phone No. (800) 852-7550 b. Post-Incident Contacts*: Bakersfield Fire Department Hazardous Materials Program ................Phone No. (661) 326-3911 County of Kern Environmental Health Services Department ...... Phone No. (661) 862-8700 California EPA Department of Tox;c Substances Control ............ Phone No. (916) 255-3545 Cal-OSHA Division of Occupational Safety and Health .............. Phone No. (559) 445-5302 San Joaquin Valley Air Quality Management District ............... Phone No. (661) 326-6900 Fresno Regional Water Quality Control Board ......................... Phone No. {559) 445-5116 * These telephone numbers are provided as a general aid to emergency notification. Be advised that additional agencies may be required to be nohfced c. Emergency Resources: Poison Control Center ....................................... Phone No. {800) 876-4766 Name: Merci Southwest hospital Phone No.: (661) 663-6000 Address: 400 Old River Road City: Bakersfield 3. Arrangements WiW Emergency Responders: If you have made special (i.e. contractual) arrangements with any police department, fire department, hospital, contractor, or State or local emergency response team to coordinate emergency services, describe those arrangements below: Specialty response for an emergency response contractor is coordinated by the Wal-Mart Home Office at {479-204-8453) or 24-hr Alarm Central at (800-530-9924), considering the nature and magnitude of the release. .Revised: 03/1b/2007 2g Emergency Response/Contingency Plan (HMBP Module) 4. Emergency Procedures: Emergencv Coordinator Responsibilities: a. Whenever there is an imminent or actual emergency situation such as a explosion, fue, or release, the emergency coordinator (or his/her designee when the emergency coordinator is on call) shall: i. Identify the character, exact source, amount, and azeal extent of any released hazardous materials. ii. Assess possible hazards to human health or the environment that may result from the explosion, fire, or release. This assessment must consider both direct and indirect effects (e.g. the effects of any toxic, imitating, or asphyxiating gases that are generated, the effects of any hazardous surface water run-off from water or chemical agents used to control fire, etc.). iii. Activate internal facility alarms or communications systems, where applicable, to notify all facility personnel. iv. Notify appropriate local authorities (i.e. call 911). v. Notify the State Office of Emergency Services at 1-800-852-7550. vi. Monitor for leaks, pressure build-up, gas generation, or ruptures in valves, pipes, or other equipment shut down in response to the incident. vii. Take all reasonable measures necessary to ensure that fires, explosions, and releases do not occur, recur, or spread to other hazazdous materials at the facility. b. Before facility operations are resumed in areas of the facility affected by the incident, the emergency coordinator shall: i. Provide for proper storage and disposal of recovered waste, contaminated soil or surface water, or any other material that results from a explosion, fire, or release at the facility. ii. Ensure that no material that is incompatible with the released material is transferred, stored, or disposed of in areas of the facility affected by the incident until cleanup procedures are completed. iii. Ensure that all emergency equipment is cleaned, fit for its intended use, and available for use. iv. Notify the California Environmental Protection Agency's Department of Toxic Substances Control, the County of Kern Hazardous Materials Compliance Division, and the local fire department's hazardous materials program that the facility is in compliance with requirements b-i and b-ii, above. Responsibilities of Other Personnel: On a separate page, list any emergency response functions not covered in the "Emergency Coordinator Responsibilities" section, above. Next to each function, list the job title or name of each person responsible for performing the function. Number the page(s) appropriately. 5. Post-Incident Reporling/Recording: The time, date, and details of any hazardous materials incident that requires implementation of this plan shall be noted in the facility's operating record. Within 15 days of any hazardous materials emergency incident or threatened hazardous materials emergency incident that triggers implementation of this plan, a written Emergency Incident Report, including, but not limited to a description of the incident and the facility's response to the incident, must be submitted to the California Environmental Protection Agency's Depamnent of Toxic Substances Control, the County of Kern Hazardous Materials Compliance Division, and the local fire department's hazardous materials program. The report shall include: a. Name, address, and telephone number of the facility's owner/operator; b. Name, address, and telephone number of the facility; c. Date, time, and type of incident (e.g. fire, explosion, etc.); d. Name and quantity of material(s) involved; e. The extent of injuries, if any; f. An assessment of actual or potential hazazds to human health or the environment, where this is applicable; g. Estimated quantity and disposition of recovered material that resulted from the incident; h. Cause(es) of the incident; i. Actions taken in response to the incident; j. Administrative or engineering controls designed to prevent such incidents in the future. 6. Earthquake Vulnerability: [19 CCR §2731(e)] Identify any areas of the facility and mechanical or other systems that require immediate inspection or isolation because of their vulnerability to earthquake-related ground motion: Used batteries are located in the locked Used Tire & Battery Cage outside the Tire Battery Center; Forklift batteries located behind meat department; Cylinders of compressed gases located in Cafe (carbon dioxide) and in Layaway (helium); refrigeration and fire sprinkler system piping. Revised: 03/16/2007 2( J~mergency ltesponse!(;ontingency Plan 7. Emergency Equipment: 22 CCR §66265.52(e) [as referenced by 22 CCR §66262.34(a)(4)] and the Hazardous Materials Storage Ordinance require that - emergency equipment at the facility be listed. Completion of the following Emergency Equipment Inventory Table meets this requirement. EMERGENCY EQUIPMENT INVENTORY TABLE I. Equipment Ca o 2. Equipment T 3. Locations * 4. Descrf lion** Personal ^ Cartrid a Res irators Protective ^ Chemical Mottitorin i ment (describe) Equipment, ®Chetical Protective Aprons/Coats B 1, B3, D4, E3 Hazardous Waste Accumulation Area (HWAC), Safety Station, Photo, Tire & Bane Center (TBC Safety ^ Chemical Protective Boots Equipment, ®Chemical Protective Gloves B 1, B3, D4, E3 HWAC, Safe Station, Photo, TBC and ^ Chemical Protective Suits (describe) First Aid ^ Face Shields Equipment ®First Aid Kits/Stations (describe) B 1, B3, D4, E3 Receiving, Safety Station, Photo, Customer Srv., TBC ^ Hard Hats ® Plumbed E e Wash Stations B2, D4, E3 Maintenance Area, Photo, TBC ^ Portable E e Wash Kits (i.e. bottle e) ^ Restrator Cartri s {describe) ® Safe GlasseslS lash Go les B 1, B3, D4, E3 HWAC, Safe Station, Photo, TBC ^ Safe Showers ^ Self-Contained Breathing Apparatuses SCBA} ^ Other (describe) Fire ®Automatic Fire S rinkler S stems Entire store Ceilin mounted s rinkler s stem Extinguishing ^ Pire Alazm Boxes/Stations Systems ®Fire Extinguisher Systems (describe) Entire store Handheld ftre extinguishers throughout store; locations marked b red arrow/ta e ^ Other (describe) Spill ®Absorbents (describe) Various Sill Kits stations throu hout store Control ^ Betms/Dikes (describe) Equipment ^ Decontamination ui ment (describe and ^ Emergency Tanks describe Decontaminati on ^ Exhaust Hoods Equipment ^ Gas C tinder Leak Re air Kits (describe) ^ Neutralizers (describe) ^ Ov ck Drums ^ Sum s (describe) ^ Other (describe) Communicatio ns ^ Chemical Alarms {describe} and ®Intercoms/ PAS stems Entire store Alarm ®Portable Radios Entire store Carried b store mans ers Systems ®Tele hones Entite store ^ Underground Tank Leak Detection Monitors ^ Other (describe) Additional Equipment ®HazaidOUS Waste ACCUmUIatlOn Area B 1 Bucket system, fire cabinet, and aerosol drum have been placed in the back of the store to manage ha7ardoas wastes generated at the store for pick up within 90 days by a licensed CA transportation hauler for er dis al. Revised: 03/16x2007 27 Employee Training Plan (Hazardous Materials Business Plan Module) Authority Cited: HSC, Section 25504(c); Title 22, Div. 4.5, Ch. 12, Art. 3 CCR All facilities that handle hazardous materials must have a written employee training plan. This plan is a required module of the Hazardous Materials Business Plan (HMBP). A blank plan has been provided below for you to complete and submit if you do not already have such a plan. If you already have a brief written description of your training program that addresses all subjects covered below, you are not required to complete the blank plan, below, but you must include a copy of your existing document as part of your HIVIBP. Check all boxes that apply. (Note: Items marked with an asterisk (*) are reyuired.J: 1. Personnel are trained in the following procedures: ® Internal alazm/notification ® Evacuation/re-entr rocedures & assembl int locations* ® Emer enc incident re rtin ® External emer enc res use or anization notification Location(s) and contents of Emer enc Re nselContin enc Plan Facility evacuation drills, that are conducted at least (specify] Quarterly WM Training Procedures (cont.): Training procedures for new employees is through the Wal-Mart Computer Based Learning Program at the facility, and include on the job training. Training procedures are refreshed annually for hazardous materials storage, labeling, record keeping, and handling requirements; the Hazardous Materials Business Plan is reviewed by applicable new employees, to all applicable employees on an annual basis, and is available for all associates review in the Manager's Office, Environmental Manager's Guide. Material Safety Data Sheets are available online via the Wal-Mart web for review or printed out for onsite reference. Personnel and Claims associates .track training records and manifests, respectfully. Training records and manifests are available for review upon request with the store manager. Fire drills are performed monthly to assure evacuation routes and meeting place; and the Automatic Fire Sprinkler System is checked by a licensed vendor quarterly. 2. Chemical Handlers are additionally trained in the following: Safe methods for handlin and stare a of hazardous materials Location(s) and ro ruse of fire and ill control ui ment S ill rocedures/emer enc rocedures Pro er use of sonal rotective ui ment Specific hazard(s) of each chemical to which they may be exposed, including routes of exposure (i.e. inhalation, ingestion, abso tion) Hazardous Waste Handlers/Managers are trained in all aspects of hazardous waste management specific to their job duties (e.g. container accumulation time requirements, labeling requirements, storage area inspection requirements, manifesting requirements, etc.) Hazardous Waste Accumulation Area with bucket system, fire cabinet, and aerosol drum have been placed in the back of the store to manage hazadous wastes generated at the store for pick up within 90 days by a licensed CA transportation hauler for proper disposal. All applicable employees have been trained in the procedures of the Hazadous Waste Accumulation Area. Trairring records are available upon request at the store. Small quantity spills -associates aze trained to use personal protective equipment, to clear the area, notify management, absorb the spill, place in a labeled and dated self-closing bag, and place in a plastic, color-coded bucket with sealing lids, labeled with type of material and accumulation start date, and placed in the Hazardous Waste Accumulation Area in the back of the store receiving area for 90 days pending pick-up from a licensed CA transportation hauler for proper disposal. Large spills -employees are not trained emergency responders; employees are instructed to call 911and the store manager for emergency assistance; and the store manager will notify Wal-Mart Home Office at (479-204-8453} or 24-hour Alarm Central (800-530.9924) to r nest an Emer enc Re onse Contractor, if necessaz . .Revised: 03/16/2007 28 3. Emergency Response Team Members are capable of and engaged in the following: Personnel rescue ocedures Shutdown of o ations Liaison with res ndin a envies Use, maintenance, and re lacement of emer env res onse a ui ment Refresher trainin ,which is rovided at least annuall Emergency response drills, which are conducted ai least (sped} Quarterly Wal-Mart Store emergency coordinators will be available at the staging area to assist emergency responders. Revised: 03/162007 29 r Record Keeping (Hazardous Materials Business Plan Module) All facilities that handle hazardous materials must maintain records associated with their management. A summary of your recordkeeping procedures is a required module of the Hazardous Materials Business Plan (HMBP). A blank summary has been provided below far you to complete and submit if you do not aready have such a document. If you already have a brief written description of your hazardous materials reoordkeeping systems that addresses all subjects covered below, you are not required to complete this page, but yon must include a copy of your existing document as part of your II~P. Check all boxes that apply. The following records are maintained at the facility. (Note: Items marked with an asterisk (*) are required.]: Current em to ees' trainin records (to be retained until closure o the acili ) Former em to ees' training records to be retained at least three ears a er termination o e io ent) Trainin Programs} (i.e. written descri lion o introducto and continuin trainin) Current co of this Emer enc Res nse/Contin enc Plan Record of recordablelre le hazardous materiaUwaste releases Record of hazazdous materiaUwaste stor a area ins lions Record of hazardous waste tank daily ins lions Descri lion and documentation of facilit emer nc res once drills Note: The above list of records does not necessarily uientgy every type or recora regurrea to ae macnwmea oy me Jacttuy. A copy of the Inspection Check Sheet(s) or Log(s) used in conjunction with required routine self- inspections of your facility must be submitted with your IEIMBP. (Exception: Available from your local agency is a Hazardous Materials/Waste Storage Area Inspection Form that you may use if you do not already have your own form. If you use the example provided, you do not need to attach a copy.) Check the a ro 'ate box: We will use the Unidocs "Hazardous Materials/Waste Stora a Area Ins ection Form" to document ins dons. 'PVe will use our own documents to record inspections. (A blank copy of each document used must be attached to this HMBP.) WM Record Keeping (cont.): The Hazardous Materials Business Plan is available for all associates review in the Manager's Office, Environmental Manager's Guide. Material Safety Data Sheets are available online via the Wal-Mart web for review or printed out for onsite reference. Personnel and Claims associates track training records and manifests, respectfully. Training records are available for review upon request with the store manager. Revised: 03/1601007 30 ~' Kern County Hazardous Materials Division ~ Annotated Consolidated Site Map #1 Hazardous Materials Plan a _ Business Name: SAM'S WEST inc., (SAM'S CLUB #4819) Site Address: 5625 Gasf'ord Rd., Bakersfieid, CA 93313 S '' Revision Date: 3/20/47 N07 70 SCALE H CS V v ~ r' .Legend ! ~ '®!, ~ fire exn door ~/- I Interceptor j i ~ f I FX COMPACTOR I t ~ sewerfioordrairre I ~ ~ j ` atOrm drains i 1 i LOADING cK I fire fydrants & P ! connedlons ~ ~ ~ ~ ~ i epdnkler System rj( } SL1 ! ~.___...__..._._---- __~.. F.D.k bt8tbox FX ~ 1 PHARMACY ~ Fx ; ~ O I w ~ '~' ~ MEZZANINE ' j elecdlcaf sfwtotf E ! LEVEL: TRAINNG, ! ~~ 2 I ~ BREAK R i ~ I I water shutoff I W I E MANAGER'S I ! ~OJJ ! ~ POOL i OFFICE ~ CA ®fK GREASE I i gaS BhutDiT ~ G I ~ CHEMICALS ~ ' , balteriea ~ PRODUCE $Ep 71RE ................._.. cooLER...~._.... t i C Px Ix hefiw„tanks _ I ......._.__ .............. ! g~h..f~ .. .. . ..FORKLIFT ~ MEAT "GARDEN a i KHOL'S ~~ ~ ~ ~~ Propane tanks j COOLER P SAM'S CLUB #4819 ~ ~ i ~~ ~~ 0 W ~ ~ COMPRESSOR I ehaet8 &&~fbusine988 0 F ~ ~ ' ! j ; emergency plan & BEP a dx ~ `~ ~O ELEI DE K~RSHEP ~ i ~ ®tK ~IL ' eye we8her8 Q i T ~ ppff 99~~ftt181 ~ FREEIE BAKERY ~ ~ Q ! ~ TIRE i i equtlphieM 1 i - cEN ~ ! ~ spil containment f ! i PHOTO ( mitigation equipment TRANSF FiMQt 0 i i first eld j equipment ~ ~ FX I ~ ~ FX f ( emergency ® 2K GREASE i I assemtrty:area ~ ; K '`• i I F3NTRANCE j fire exlilguisher ! .._ .-.._,_._..PAf#I(ING.___.___..._._.~__.__.__... ___`.._°_.... _.._..._. _.._.._~_.____......._.._ ~ etprage tatlka. __._...._._.._ ....__ __..__.__...._._..__.._._....__ _.._..._.. _ AST I~Y' j stairs GOPrv+cD ROAD i i 5 ~ ! y~ I htrzardoueweste ~ IIIf eccumuteSlan area FiWAC ' XT TO SIGN ! ., x, ~. W r - . - .. _ _ .. .. . ,.-. .. .. ~ ,-. ,r. i Pete O'Connor ~ ~° General Manager- ~ ~_ j ~ , .. ~~ _ ~,; _, WE ARE IN BUSINESS t; ~ J FOR SMALL BUSINESS® • ~ G~v i Club 4819 - ~ 5625 Gosford Road Phone: 661-654-8565, - Bakersfield, CA 93313 FAX;. 661-654-8573 _ ~_ _ _ . _ _ S'cfl'. 'UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Environmental Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93~~ ? 0 20Q5 Tel: X661)_326-3979 ___ _ _ _ FACILITY NAME ~ wart ~ rurv u ~ t ward ~ wn i imc --- -- -----~Jk±v~`5 ---- Cwt :.__.__ ._ _._L~~- - ----- ~ L~., ~~ vs ADDRESS ~~ PHONE No. No. of Employees .~j 2~-- ~~ \ __ _ __ ____ _ _____ FACILITYCONTACT Business ID Number 15-021- ~.,1 Section 1: Business Plan and Inventory Program f ~,~.~~~ ^ Routine Combined ^ Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-insp coon C V l V=vo atlonnce) OPERATION COMMENTS `"~- ~ ^ ^ APPROPRIATE PERMIT ON HAND tq~ 3 ^ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ ^ VISIBLE ADDRESS ^ ^ CORRECT OCCUPANCY ^ ---- ^ ~ - VERIFICATION OF INVENTORY MATERIALS i --- ---..__._ ...----- ------- --....__.. __ ------.._.._ . _ ..... _.. ~(„f}?(',cir t - -- _.. --- - .._._..__ t.,~J~~ Fiy~~/(- W~5'fC (~kt~r~UC _ . _ _. _ ^ ^ VERIFICATION OF QUANTITIES I(~ ~~ ~~ S ~'L- ^ ^ .VERIFICATION OF LOCATION t7,/'p ~- /~,Sr~ t~l" CJ~%~ S~~IL t-t.l/t- ~~~ ~ ~'/bn Ut='(i/2~5 ^ ^ PROPER SEGREGATION OF MATERIAL ^ --- ^ --- VERIFICATION OF MSDS AVAILABILITYE __..__ . ..-- - -- ..-----. --- ~ ^ ^ .. . _- . ... ---- -- VERIFICATION OF FIAT MAT TRAINING f - . - -. ._....._ ' _..... ~Q ^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~ \~ ^ ^ EMERGENCY PROCEDURES ADEQUATE ~ ^ ----- ^ --- CONTAINERS PROPERLY LABELED ---.. _..------ --.._._.._._..__ _------- - ---- _ __ -- - -- ~ - ....... ...... ...._.. _ ~ J ....... .... _ ._ .__....~~ O ..__.._._.. _... -----.. ^ ^ HOUSEKEEPING ^ ^. FIRE PROTECTION ~ ^ ^ SITE DIAGRAM ADEQUATE ~ ON HAND ANY HAZAR,DOUt,S~W~A,.S~TE ON SITE?: YES ^ NO ~~Q EXPLAIN: _ ~S ~ ~= ~C ~2- ~: ~..Jl~ S~ 1~~'" f t ~l~ c~ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661 ~ 326-3979 W ~ ~i/~ Inspector (Please Print) Fire Prevention 1st-InlShift of Site While -Environmental Services Yelbw -Staten Copy rn ~0~~`- ~~~~." CITY OF BAKERSFIELD FIRE DEPARTMENT w ~-.,,~,V c~V~ FACILITY NAME S~ ~ 5 LZ„ t~f3 INSPECTION DATE `1' ( lr1 US' Section 4: Hazardous Waste Generator Program EPA ID # ~~~--GY-~2~t'~~6~ ^ Routine ~]- Combined ^ Joint Agency ^Muiti-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made ScL~~L (Z,~'r~./~ ~y~ gr~,-~~ EPA ID Number Authorized for waste treatment and/or storage Reported release, fire, or explosion within 15 days of occurrence Established or maintains a contingency plan and training Hazardous waste accumulation time frames Containers in good condition and not leaking Containers are compatible with the hazardous waste Containers are kept closed when not in use Weekly inspection of storage area Ignitable/reactive waste located at least SO feet from property line Secondary containment provided Conducts daily inspection of tanks Used oil not contaminated with other hazardous waste Proper management of lead acid batteries including labels Proper management of used oil filters Transports hazazdous waste with completed manifest Sends manifest copies to DTSC Retains manifests for 3 years Retains hazardous waste analysis for 3 years Retains copies of used oil receipts for 3 years -- Determines if waste is restricted from land disposal =~ompnance v=vtotanon Inspector: ~ ~ ~C~ Office of Environmental Services (661) 326-3979 White -Env. Svcs. ~ OFFICE OF ENVIRONMENTAL SERVICES ro •''' UNIFIED PROGRAM INSPECTION CHECKLIST tr•E'"gti 1715 Chester Ave., 3~d Floor, Bakersfield, CA 93301 usiness tte esponsible Party Pink -Business Copy 1 1 ~ + SAMS°CLUB 4819 =_________--___________________________ SiteID: 015-021-002963 + Manager PETE OCONNOR BusPhone: (661) 654-8565 Location: 5625 GOSFORD RD Map 123 CommHaz High City BAKERSFIELD Grid: 20B FacUnits: 1 AOV: CommCode: BFD STA 09 SIC Code: EPA Numb: CAL000290481 DunnBrad: __ Emergency Contact / Title Emergency Contact / Title PETE OCONNER / GENERAL MANAGER GABRIEL MAGDALENO / TMA MANAGER Business Phone: (661) 654-8565x Business Phone: (661) 654-8565x 24-Hour Phone (661) 992-4784x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact JAMIE HUENS Phone: (479) 204-8453x MailAddr: 702 SW 8TH ST State: AR City BENTONVILLE Zip 72716 Owner SAMS WEST INC Phone: (479) 273-4368x Address 702 SW 8TH ST State: AR City BENTONVILLE Zip 72716 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: ~ Emergency Directives: ~ PROG P, - HAZMAT PROG C - COMM HOOD PROG H - HAZ WASTE GEN Based on m Y inquiry of those individuals responsible far obtaining the information, I G®rtlty under penalty of law that I have examined and am familiar with the in ormataioln submitted and believe the information is true, accurate, and complete. - Signatur l pat-' ~ -`~--.._ ~NrrQ ~~~ ~ ~ ~ ®~~ -1- 03/23/2006 { V ' '. I L _ =~~ ~aq~~ BUSINESS OWNERiOPERATOR IDEN'T'IFICATION KERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMENT 2700 M STREET, SUITE 300 Unified Program Consolidated Form (UPCF) BAKERSFIELD, CA 93301 FACILITY INFORMATION (GG1 862-8700 Fax 661 862-8701 ^ NEW BUSINESS ^ OUT OF BUSINESS ®REVISE/[JPDATE (EFFECTIVE / 1 ) Paga _a_of 7_ I. IDENTIFICATION FACILITY ID# ~ BEGINNING DATE roo ENDING DATE tot 07/20/2007 07/19/2008 BI)$INESSNAME(SaineasFACiL17YNAtvIEorDBA-DoingBusmessAS) 3 BUSINESS PHONE toe Sam's Club # 4819 (661) 654-8565 BUSINESS SITE ADDRESS 103 5625 Gosford Road C1TY 104 CA ZIP CODE tos Bakersfield 313 DUN & BRADSTREET tos SIC CODE (4 digit#) 107 OS-195-7769 5399 couNTY Kern Count BUSINESS OPERATOR NAME 0 BUSINESS OPERATOR PHONE t1o Sarn's West, Inc. (479) 204-2324 II. BUSINESS OWNER OWNER NAME 111 OWNER PHONE t tz Sam's West, Inc., (Attn: Licensing) (479) 204-2324 OWNER MAILING ADDRESS 113 702 Southwest 8"' Street CITY (14 STATE 115 ZIP CODE tts Bentonville AR 72716-0500 III. ENVIRONMENTAL CONTACT CONTACT NAME 117 CONTACT PHONE 118 O7. Ward, Environmental Compliance Manager (479) 204-8579 CONTACT MAILING ADDRESS t i9 702 Southwest 8`i' Street CITY i20 STATE 121 ZIP CODE t22 Bentonville AR 72716-0500 -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY NAME 123 NAME tee 3eanelle Miles Ernesto Villatanera TITLE 124 TITLE tzv Club Manager Hardlines Manager BUSINESS PHONE 125 BUSINESS PHONE r3o (661) 654-8565 661 654-8565 24-HOUR PHONE tzs 24HOUR PHONE 131 (800)530-9924 30-9 ~ PAGER# tz7 PAGER# t32 ADDITIONAL LOCALLY COLLECTED INFORMATION: t33 APN: 497-I30-22-00-4 Environmental Contact E-Mail Address: oJ.ward@wal-mart.com Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of ]aw that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. SIG [JRE OF O OP OR DESIGNATED REP ENTATIVE DATE 134 NAME OF DOCUMLrNT PREPARER t35 -~ ~ Z -D 7 Shaw E&I Inc. AME OF STONER (print} 136 TITLE OF SIGNER 137 4J. Ward Environmental Com liance Mana er ` . 4 ADVISORY The site-specific Contingency Plan is the facility's plan for handling emergencies and shall be implemented immediately whenever there is a fire, explosion, or release of hazardous materials or waste that could threaten human health and/or the environment. The contingency plan shall be reviewed, and immediately amended, if necessary, whenever: ~s The plan fails in an emergency zs The facility changes in its design, construction, operation, maintenance, or other circumstances in a way that materially increases the potential for fires, explosions, or releases of hazardous waste or hazardous waste constituents, or changes the response necessary in an emergency vs List of emergency coordinators changes ~r List of emergency equipment changes Submit a copy of any updates or changes #o this Department. II. EMERGE NCY CONTACTS PRIMARY SECONDARY NAME 123 NAME 128 Jeanelle Miles Ernesto Villannera TITLE 124 TITLE 129 Club Mana er Harlines Mana er BUSINESS PHONE 125 BUSINESS PHONE 130 661) 654-8565 661 654-8565 24-HOUR PHONE 126 24-HOUR PHONE 131 800 530-9924 800 530-9924 PAGER # 127 PAGER # 132 III. EMERGENCY RESPONSE PLANS AND PROCEDURES A. Notifications Yaur business is required by State Law to provide an immediate verbal report of any release or threatened release of a hazardous material to local fire emergency response personnel, this Department, and the Office of Emergency Services. ff you have a release or threatened release of hazardous materials, immediately call: F IRE/PARAMEDICS/POLECE/SH ER E F F PHONE: 911 AFTER the local emergency response personnel are notified, you shall then notify this Department and the Office of Emergency Services. Kern County Environmental Health Department: {661) 862-8700 or after hours, call Dispatch at {661) 861-2521 State Office of Emergency Service: (800) 852-7550 or {916) 262-1621 National Response Center: {800) 424-8802 Information to be provided during Notification: w Your Name and the Telephone Number from where you are calling. r~s Exact address of the release or threatened release. ~ Date, time, cause, and type of incident (e.g. fire, air release, spill etc.) r~ Material and quantity of the release, to the extent known, ~s Current condition of the facility. ar Extent of injuries, if any. ~ Possible hazards to public health and/ or the environment outside of the facility. ,~~~ i u ~ _ _.. B. Emergenc Medical Facilit List the closest emergency medical facility that will be used by your business in the event of an accident of injury caused by a release or threatened release of a hazardous material HOSPITAL/CLINIC: PHONE NO: Merci Southwest Hos ital 661-663-6000 ADDRESS: 400 Old River Road CITY: ZIP CODE: Bakersfield 93311 C. Private Emer enc Res onse DOES YOUR BUSINESS HAVE A PRIVATE ON-SITE EMERGENCY RESPONSE TEAM? ^ Yes ®No if yes, provide an attachment that describes what policies and procedures your business will follow to notify your on-site emer enc res onse team in the event of a release or threatened release of hazardous materials. CLEANUP/DISPOSAL CONTRACTOR -List the contractor that will provide cleanup services in the event of a release.- _ _ NAME OF CONTRACTOR: PHONE NO: Northwest HazMat 800-597-1323 ADDRESS: 36 W est "Q" Street CITY: ZIP CODE: S ringfield, Oregon 97477 D. Arrangements with Emer enc Res onders If you have made special (i.e. contractual) arrangements with any police department, fire department, hospital, contractor, or State or local emergency response team to coordinate emergency services, describe those arrangements in the space below: Ca11911 in the event of an incident. E. Evacuation Plan 1. The following alarm signai(s}will be used to begin evacuation of the facility {check all which apply): ®Verbal ®Telephone (including cellular) ®Alarm System ®Public Address System ®Intercom ^ Pagers ~, Portable Radio ^ Other (specify): 2. ®Evacuation map is prominently displayed throughout the facility. 3. Name of individuals} responsible for coordinating evacuation including spreading the alarm and confirming the business has been evacuated: Jeanelle Miles and Ernes#o Villannera. F. Earthquake Vulnerabilit Identify areas of the facility where releases could occur or would require immediate inspection or isolation because of the vulnerability to earthquake related ground motion. ® Hazardous Waste/ Hazardous Materials Storage Areas ^ Production Floor ^ Process Lines ^ Bench/ Lab ^ Waste Treatment ® Other: sliver Recovery unit Identify mechanical systems where releases could occur or would require immediate inspection or isolation because of the vulnerability to earthquake related ground motion. ® Utilities ^ Sprinkler Systems ^ Cabinets ® Shelves ® Racks ® Pressure Vessels ® Gas Cylinders ® Tanks ^ Process Piping ^ Shutoff Valves ® Other: Silver Recovery Unit . ~~~~ .. ,. _ .. G. Emer enc Procedures Briefly describe your business standard operating procedures in the event of a release or threatened release of hazardous materialslwastes: 1. PREVENTION (prevent the spill/release} -Consider the types of spillslreleases associated with the hazardous materialslwastes present at your facility. What actions does your business take to prevent these spills/releases from occurrin ?You ma include a discussion of safet and stora a rocedures. Hazardous materials include used automotive lead-acid batteries. To revent s ills and a release, the batteries are stored on s ill allets, not to exceed 3-hi h. The s ill allets are ke t in a locked Environmental Ca a that is rotected from the elements. Once a month or sooner, the batteries are removed for rec clin b a licensed waste hauler. Com ressed gas c finders are secured with chains u on an'ival to the club. To revent s ills/releases at the fuelin station, aBeaver-Roots stem has been im lemented to monitor USTs, roduct i in and dis ensers. The Beaver-Root will automatical) shut off-the=fuel-dis ensin s stem, notifies re wired-a encies.and activates alarms in the club_ and fuel station in the event of an incident. Containment structures with sensors house ever fuelin station com onent. DOT-a roved drums are used for ro er dis osal of all filters and an oil d absorbent enerated..The drums are icked u month) for dis osal b the contracted waste hauler. USTs are housed in containment structures a ui ed with sensors and alarms. DOT drums are used for ro er stora a and dis osal of a[I filters and oil d absorbent enerated. 2. MITIGATION (stop the release/spill) -Describe what actions are taken to reduce the harm or the damage to person(s), property, or the environment, and prevent what has occurred from getting worse or spreading. What is your immediate res onse to a leak, s ill, fire, ex Iosion, or airborne release at our business? A Beaver-Root monitors the fuelin station dis ensa s stem. The Beaver-Root has automatic shut down and re Mato a enc notification ca abilities and alarms. In the event of a batte acid release ors ill, the acid will be contained in the s ill pallet. If the acids ills out of the allet, oil d absorbent will be used to contain to contain the s ill. The merchandise mana er and the TMA mans er will be noted and the will decide if evacuation of the area is necessa Absorbent material is available within the TMA center and the fuelin station for small releases. In the case of ma'or s ills exceedin 5 gallons, the Merchandise Mana er will noti the environmental cleanu contractor to address the s ill immediate) . In the event of an emer enc , an associate will notif mana ement who will in tum noti the Fire De artment. An evacuation announcement will be made over the PA s stem and associates will escort customers out of the fuelin station and club building to the nearest evacuation sta in area. All em to ees are instructed to call 911 for emer enc assistance. 3. ABATEMENT (clean up the spill/release) -Describe what you would do to clean up the spill/release. How do you handle the complete rocess of cleanin u and dis osin of released materials at our facilit ? Fuelin Station: The Beaver-Root monitorin device will automatical! shut down the entire fuel dis ensin s stem and alarms at the fuelin station and within the Club #4819 will be automatical) activated. Emer en res onders and the waste hauler will be contacted immediate) .For minors ills less than 5 allons ,TMA and fuelin station ersonnel are trained to cleanu the s fill with d absorbents. The used absorbent is rec cled b the batte rec clin contractor. For ma or s ills exceeding 5 gallons, the Merchandise Mana er will noti the environmental contractor to address the s ill immediate) ~~ S ~~ iV. Emergency Equipment 22 CCR, Section 66265.52{e) [as referenced by Section 66262.34(x)(3)] requires that emergency equipment at the facility be listed. Completion of the following Emergency Equipment Inventory Table meets this requirement. EMERGENCY EQUIPMEN T INVENTORY TABLE 1. Equipment Catego 2. Equipment T e 3. Location 4. Description* Personal ^ Cartridge Resp[rators Protective, ^Chemlcal Monitoring Equipment describe Equipment, ®Chemlcal Protective Aprons/Coats TMA, Fueling Station and 1-Hour Photo Safety ®Chemlcal Protective Boots TMA, Fueling Station and 1-Hour Photo Equipment, ®Chemlcal Protective Gloves TMA, Fuelin Station and 1-Hour Photo and ^ Chemical Protective Suits describe) First Aid ^Face Shields Equipment ` - - ,-~ ~® First Aid KltslStations (describe) " ~ ~ '- - - Fueling Station Building and throughout the dub- - - ^ Hard Hats ®Plumbed Eye Wash Stations Within loading dock and stockroom ^ Portable E e Wash Kits (i. e. bottle ^ Res irator Cartridges (describe) ® Safety Glasses/Splash G tes 1-Hour Photo and Shl InglRecelving ^ Safety Showers ^ Self-Contained Breathing paratuses (SCBA ® Other (describe) Fire Blankets - TMA and Fueling Station building Fire ®Automatic Fire Sprinkler S stems Throu hout the club and In Fueling Station buildin Extinguishing ®Fire Alarrn Boxes/Stations Throughout the club and in Fueling Station bulldln Systems ®Fire Extinguisher Systems (describe) 88 total [orated throughout the club and as station ^ Other (describe) Fueling Station building, On each gasoline dispenser, inside TMA and approximately 8o are located throughout the club. Spill Control Equipment ®Absorbents (describe) Spill Magic Dry Absorbents - Fueling Station building, TMA, Stockroom and Shipping! Receiving and ^ Berms/Dikes (describe) flBCOntaminafion ^ Decontamination Equipment (describe) Equipment ^ Emergency Tanks (describe ^ Exhaust Hoods ^ Gas Cylinders Leak Repair Kits (describe) ^ Neutralizers (describe) ^ Overpack Drums ^ Sumps (describe) ^ Other {describe COmmUrllCat10r1S ^ Chemical Alarms describe} and ®Intercoms/ PAS stems Throu hout dub. Alarm ®Portable Radios Wlthln management office Systems ®Teiephones Throughout club. Emergency Phone located outside of fueling station. ® Underground Tank Leak Detection Monitors Beaver-Root Monitoring S tem ^ Other (describe} Additional Equipment {Use Additional Pages if Needed.) Describe the equipmenf and its capabilities. tf applicable, specify any testing/maintenance procedures/rntervals. Attach addiGona! pages, numbered appropriately, if needed. ,, ., ;~ , . •~ V. EMPLOYEE TRAINING All facilities which handle hazardous materials must have a current written employee training plan. The items listed below are required per Health and Safety Code Section 25504 (c) and Title 19 Section 2732. Training shall be provided: ~ Initially for all new employees. u~ Methods for Safe Handling of Hazardous Materials. -~.~ ~~~~ Note: These training programs may take into consideration fhe position of each employee. Facility personnel are trained as follows: _ a __ Familiarity with all plans and procedures specified in fhe Contingency Plan. ~ Methods for-Safe Handling of Hazardous Mat®rials.~---- u~ Safety procedures in the event of a release or threatened release of a hazardous material. ~s Use of Emergency Response equipment and supplies under the control of the business. us Procedures for Coordination with local Emergency Response Organizations. Additional training should include: a lntemal alarm/notification procedures. ss Evacuation/re-entry procedures and assembly point locations ~s Material Safety Data Sheet (MSDS) training including specific hazard(s) of each chemical to which employees may be exposed, including routes of exposure (i.e. inhalation, ingestion, absorption). Vl. HAZARDOUS WASTE GENERATOR TRAINING If your business is a hazardous waste generator, you are required to provide training in hazardous waste management for all workers who handle hazardous waste at your site (22 CCR §66265.16). You are also required to document training. The items below are required. EMPLOYEE TRAINING ~, Facility personnel will successfully complete training within six months after the date of their employment or assignment to a facility or to a new position at a facility. u~ Employees will not handle hazardous wastes without su envision until trained. TRAINING DOCUMENTATION The owner or operator must maintain the following documents and records at the facility: ~s Job title for each position at the facility that is related to hazardous waste management, and the names of the employee(s) filling the position(s). as Description for each position listed above (must include required skill, education, or other qualifications as well as duties of employees assigned to the position. a Description of type and amount of both introductory and continuing training given to each employee. us Records that document that the requirements for training or job experience have been met. ~r Current employees' training records (to be retained until closure of the facility). as Former emplo ees' trainin records to be retained at least three ears after termination of em fo ent . ~~ ~ ~. , . -~ CONSOLIDATED CONTINGENCY PLAN KERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMENT Unified Program Form 2700 M STREET, SUITE 300 COVER PAGE BAKERSFIELD, CA 93301 (fifi1) 862-8700 Fax (661 862-8701 Page 1 of 7 I. FACILITY IDENTIFICATION FACILITY ID # ~ EPA ID # (Hazardous Waste Only) z CAL000290481 BUSINESS NAME (Same as Facility Name of DBA-Doing Business As) s Sam's Club #4819 The Consolidated Contingency Plan provides businesses a format to comply with the emergency planning requirements of the following two written hazardous materials emergency response plans required in California: ~s Hazardous Materials Business Plan (HSC Chapter 6.95 Section 25504 (b) and 19 CCR ', Sections 2729-2732), z~ Hazardous Waste Generator Contingency Plan (22 CCR Section 66264.52), and, This format is designed to reduce duplication in the preparation and use of emergency response plans at the same facility, and to improve the coordination between facility response personnel and local, state and federal emergency responders during an emergency. A copy of the plan shall be submitted to this Department and at least one copy of the plan shall be maintained at the facility for use in the event of an emergency and for inspection by the local agency. Describe below where a copy of your Contingency Plan, including the hazardous j material inventories, Training Records, and Site Map(s), are located at your business: C Club 4819 office, membership services desk and fueling station office. PLAN CERTIFICATION certify under penalty of law that 1 have personally examined and ! am familiar with the information provided by this plan and to the best of my knowledge the information is accurate, complete, and true. Printed Name of Owner! Operator Title of Owner/Operator OJ. Ward. Environmental Com (lance Manager ig re of Owner/ Ope t L/ V` ~ ~ Date '' -- We appreciate the effort of loco! businesses in completing these plans and are available to assist in any manner. If you have any questions, please contact this Department at {661) 862-8700.