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Home My WebLink AboutBUSINESS PLAN 3/31/2007. t-_ ~; ~~~ ORCHARD SUPPLY HARDWARE 6465 MING AVE. _____-- - -_ _i ~~~~~ ~ Co2? ~~1 ~,' ~ ~ ~~ l~~ ~~~~ R~~ (HMMP) HAZARDOUS MATERIALS MANAGF_MENT PLAN (urwFn t+rtor~rta+r coNSa~u-Ta~ FaOFgtl BUSINESS ACTIVITIES PAGE (HAZARDOUS MATERIALS FACILITY INFORMATION) t~tl! .. fllL wRiF~r BAIiERSFIELD FIRE DEPT. Prevention Services 900 Tlwctun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 )~ax: (661) $52-2171 Page 1 of A. 6 1. FACILITY IDENTIFICATION FACILITY ID # (For Office use ony -please leave blank) 3 EPA ID # CAL000191246 DBA /FACILITY NAME Orchard Supply Hardware #850 II. ACTMTIES DE CLARATION " ' ,. ~ ~' DOES Your FaaUty ... ff Yes, Please Complete ... A, • CNEMtCAL DESGRIPTK)N FORM 1 1. Have On site (for arty Purpose) hazardous M Yes O No • HAZARDOUS MATt:RIALS MANAGEMENT PLAN materials at or above 55 galbns br liquids, • noY Response Plan 500 pounds br solids, or 200 cu. fL for O Yes ®No Maps compressed gases Cndude liquids in AS7s and • Trainir-g USTs)? . Prevention B. RizULATED RLie.STANGES (RS1 1. Have on site RS at greater than the threshold ~ Yes ®No 191 • CHEMICAL DESCRIPTION FORM planning quantities established by the Celifomia • R13K MANAGEMF.trT PLAN (RMP Submit m USEPA) Aoddental Release Prevention program ~ CONSOLIDATED COMPLIANCE PLAN ~9 CaIARP Program Elements (CaIARP)? C. UNDERGROUND STORAGE TANKS (USTa1 13 1. Own or operate Underground Storage Tanks? O Yes M No UST FAGLITY FORM • UST TANK FORM (One Per Tank) 2. Intend to upgrade existing or install new USTs? O Yea ®No • UST FACILfiY FORM 1 • UST TANK FORM (One Per Tank) • D. TANK GLOSURE /REMOVAL 2. Need to report dosing an UST that I2~ hazardous [] Yes ®No • UST TANK FORM (Cbsure section -one per tank) materials or 3. Need to repOR the closure % removal of a tank that O Yes ®No UST TANK CLOSURE FORM was classified as hazardous waste and cleaned orr site? E. ABOVEGROUND PETROLELH! STORAGE TANKS (ASTs1 O Yes'® No • HAZARDOUS MATERIALS MANAGEMENT PLAN 1. Own or operate ASTs above these thresholds; Incorporeting Federal Spin Preventlon Control and any tank capacity is greater than 660 gallons or the Countermeasure (SPCC) Elements pursuant do 40 CFR Part 112. total capacity br the facility is greater than 1,320 F. ~IAZARD4U3 WASTE EPA ID NUMBER - Provide on this page 1. Generate hazardous waste? ®Yes Q No • To ot~ EPA ID Number, please phone (918) 324-1781 2. Recycle more than 100 kg/mo of recyclable t7 Yes M No • RECYCLING FORM materials at the same location it was generated? 3. Recycle more than 100 kg/mo of recyclable O Yes ®No • RECYCLING FORM materials at an off-site location different from the point of generatbn? 4. Treat Hazardous Waste on site? O Yes ®No • TP FACItJTY FORM • TP UNIT FORM (One per uNq 5. Subject to Financial Assurance requiremerlis7 O Yes ®No • CERTiF1CA710N OF FINANCIAL ASSURANCE 6. ConaoNdate Hazardous Waste generated et e 4 Yes ®No • REMOTE WASTE /CONSOLIDATION SITE NOTIFK:ATtON FORM remote site? NOTE: If you checked YES to any part of Sections IIA - IdF above, then in addition to the forms requested above, please Submit BUSINE35 OWNER/OPERATOR IDENTIFICATION FORM (FD2089) FD 2143 (Rev. 09105) (HMMP) H~4Z, ARDO~IS MATERlAL3 MANA6EMia1T PLAN ctiwiFteo PROGRAM coNSOL1anTF~ Foleuil APPLICATION BII~SS OIM7~/OPl3tATORD6Y1'F1G-T10N F+ORlN (HAZARDOUS MATERWLS FACILITY INFORMATION) /-/tL ~~rr>r BAKERSFIELD FIRE DEPT. Preventioa Services 900 Trwttun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (66t) 326-3979 Fax: _(661) 852-2171 ~0 Page- 2 OF 6 / U L FACILITY IDENTIFICATION FACiL1TY ID N0. t 0 /31 2006 too 03/31%207 ~ BUSNESS NAME (Sams u FACILITY NAME or DBA- Doirq 8wirosr As) 7 BUSWESS PHONE toe Orchard Supply Hardware #850 661-397-3800 srrE ADDRESS ~ 6465 Ming Avenue Bakersfield to. CA 3309 ~ 5~~~~~~~ t0° 4~~*~ 5251 5261 '01 , ou ATame~a ~ OTC ardo~upp y Hardware t~ OPERATOR HONE 408-281-3500 tto . .... . II:„OWNER INFORMATION.:: OWNER NAME tH OWNER PHONE to rchard Supply Hardware 408-281-3500 OWNER MAIUNG ADDRESS 113 6450 Via del Oro cnY ,u STATE „s IP „e San Jose CA ' 95119 III. ENVIRONMENTAL-CONTACT CONTACT NAME tt7 CONTACT PHONE tta 3E Company, c/o Regulatory Department 760-602-8700 CONTACT MAILING ADDRESS /7Y 1905 Aston Avenue, Suite 100 cm ,m sraTE u, zIP ,n Carlsbad CA 92008 - PRIMARY `- Iv. EMERGENCY CON TACTS -SECONDARY- NAME 123 NAME 128 Mike Turenne Erick Tilley TRLE 124 TfTLE 129 Store Manager First Assistant Store Manager BUSpiESS PHONE 125 BUSINESS PHONE 130 661-397-3800 661-397-3800 24-HOUR PHONE 128 24HOUR PHONE 131 661-833-3532 661-396-8006 PAGER NO. 127 PAGER NO. 132 N/A N/A 133 .. ..., . , ,, ,: V. CERTIFICATION Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certiry under penalty of law that I have peTSOnalg- examined and am farm r with the i 'on submitted in this inventory and believe the information is true, accurate, and complete. SIGNATURE OF SIGNER 138 DATE 134 NAME OF DOCUMENT PREPARER 135 03/31/2006 Alison Millazd, Agent for Orchazd Supply Hazdwaze NAAAE OF OWNER/OPERATOR (SDIGNATURE 8 PRIP(T) 137 TRLE OF OWNER/OPERATOR 1,98 Alison Millard, Agent for Orchard Supply Hardware Regulatory Compliance Coordinator, 3E Company FD 2142 (Rev. 09/05) BAKERSFIELD FIRE DEPT. HAZARDOUS MATERHIAL3 PMANAGEMENT PLAN ; ~ Prevention Services UNIFIED PROGRAM CONSOt.~ATED FORMS ~-~ 900 TTL1RtUII AVC.., StC. 21 O ~~tt BakeTSfield, CA 93301 CHEMICAL DESCRIPTION FORM ~~~~ rel.: (661) 326-3979 HAZARDOUS MATERIALS INVENTORY ~ Fax: (661) 852-2171 ^ NEW ^ A00 O DELETE Xl REVISE 2006 (One form per mat~rial, per buildinD, or area.) p a„exxe~[ u 3 0 6 BUSINESS NAME (Same sa FACtLfTY NAME or DBA • Doing Business As) Orchard Supply Hardware #0850 CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFmENTIAL (EPCRA) ^ Y.a~ In Pick up station, northwest of store to the side of building FACILITY ID No. 1 MAP No. (optwnaQ 203 GRID N0.1oPtwnd) 1 H/I-4 CHEMICAL NAME 205 TRADE SECRET O Yes ~ No COMMON NAME ~ 207 EHS• ^ Yes XI No Diesel Fuel CAS No. 208 'u EHS b'Yes,- aN amounts bslorr must be in Ws. FIRE CODE HAZARD CLASSES (Complete N roquasiad by local tin a`~ 21 CLII, IRR, OHH TYPE O p PURE ~I m MU(TURE O w WASTE 211 21 RADIOACTNE: O Yea XT No CURIES 21 LARGEST CONTAINER 21 PHYSICAL STATE ^ s SOLID :8j I LJOUID ^ p GAS 214 55 gal 21 FEO HAZARD CATEGORIES ~j 1 FIRE ^ 2 REACTNE O 3 PRESSURE RELEASE ~ 4 ACUTE HEALTH ~ 5 CHRONIC HEALTH (Check all 1hM ePWy) ANNUAL WASTE 217 PAAX{MUM 218 AVERAGE 218 STATE WASTE AMp~ O DAILY AMOUNT 140 oA1LY AMOUNT ,70 CODE N/A 221 222 ^ UNRS Xl pa GAL .e EHS, amount moat t» in Ibs. p d CU FT O Ib LBS D to TONS DAYS ON SITE 365 22 STORAGE CONTAINER (cMek NI tnu epph) ^ a ABOVEGROUND TANK D 1 CAN ^ k BOX ^ p TANK WAGON ^ b UNDERGROUND TANK ^ 8 CAR80Y 0 I CYLINDER D q RAIL CAR ^ e TANK INSIDE BUILDING ^ h SILO Generator ~I d STEEL DRUM ^ I FIBER DRUM 0 n PLASTIC BOTTLE D s PLASTICMONMETALLIC DRUM ^ j BAG ^ o TOTE BIN STORAGE PRESSURE ~ a AMBIENT ^ as A801IE AMBIENT ^ De BELOW AMBIENT 22 8TORAGE TEMPERATURE ~ a AMBIENT 0 ea ABOVE AMBIENT ^ ba BEIAW AMBIENT O c CRYOGENIC 22 %WT : ': ` ''~ HAZARDOUS COMPONENT ' - EHS.' ", ~' CAS #. ~: ' 1 100 226 iesel Fuel 227 ^ Yes( No 226 68334-30-5 22 2 230 231 0 Yea ^ No 232 2 3 234 235 ^ Yes ^ No 238 23 4 236 238 O Yas O No 240 241 S 242 243 ^ Yss O No 244 2 . ~= 111. SIfNATURE . PRINT NAIdE b TITLE OF AUTHORIZED COMPANY REPRESENTATIVE GPIATURE GATE 2 Alison Millard, Agent for Orchard Supply Hardware 03/31/2006 FD 2144 (Rev. 09/05) BAKERSFIELD FIRE DEPT. (HMMP) ; Prevention Services HAZARDOUS MATERIALS MANAGEMENT PLAN to .s r 900 Truxtun Ave., Stc. 210 UNIFIED PROGRAM CONSOLIDATED FORMS ~r~/S Bakersfield, CA 93301 CHEMICAL DESCRIPTION FORM ~~lr~ r~1.: (661) 326-3979 HAZARDOUS MATERIALS INVENTORY ~ Fax: (661) 852-2171 rJ NEW ^ ADD ^ DELETE X7 REVISE 2006 (One lorm per material, per DuildlnD, or area.) pa„~MxNf;v 4 0 6 BUSWESS NAME (Sane ss FACILITY NAME or DBA -Done Businasa As) Orchard Supply Hardware #0850 CHEJNICAI. LOCATION 201 CHEMICAL LOCATION coNFmENrIaL (EPCRA) ^ Yas~ In Lumber yard FACILITY ID No. t MAP No. (op(anst) 203 GR10 N0. I~~O 1 H-4 CHEMICAL NAME 205 TRADE SECRET ^ Yes ~ No COMMON NAME 207 EHS• O Yes XI N° Liquified Petroleum Gas CAS wo. 209 .a EHS ie'Yes,• ~ amounts below moat be in Iba FIRE CODE HAZARD CLASSES (Complete i(raqusstad by kcal ika diaf) 27 FG, IRR TYPE ^ p PURE ~I m MU(TURE D w WASTE 2tt 2t RADIOACTNE: ^ Yea ~1 No CURIES 21 LARGEST CONTAINER 21 PHYSICAL STATE ^ s SOLID ~ I UOUID ^ p GAS 214 35.61bs FED HAZARD CATEGORIES ~ 1 FIRE ^ 2 REACTNE ~ 3 PRESSURE RELEASE ~ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH zt (C11sGt aM llmt apply) ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE AMOUNT O DAILY AMOUNT 249 oAILr AMOUNT 124.5 coDE N/A zz1 zzz ^ UNRS 0 0a GAL ' ^ ~( CU FT ~Q ro LBS ^ ~ SONS GAYS ON STIE u EHS, anwutt must bs in Ibs. 365 zz STORAGE CONTAINER (CMek N! tAM epphl ^ a ABOVEGROUNp TANK ^ t CAN O k BOX ^ p TANK WAGON ^ b UNDERGROUND TANK ^ p CARBOY I CYLINDER ^ q RAIL CAR ^ c TANK INSIDE BUILDING ^ h SILO O tl STEEL DRUM ^ I FIBER DRUM O n PLASTIC 80TTLE ^ e PLASTIClNONMETALLIC DRUM ^ j BAG ^ o TOTE BM STORAGE PRESSURE O a AMBIENT ~ as ABOVE AMBIENT ^ Da BELOW AMBIENT 22 STORAGE TEMPERATURE ~Q • AMBIENT ^ as ABOVE AMBIENT ^ be BELOW AMBIENT ^ c CRYOGENIC ?Z °~WT ~ ~ HAZARDOUS COMPONENT EHS .~ ~; . ~ ~ CA$ # t >98 2z6 ropane in Air Y2T ^ Yss~( No 22a 74-98-6 ~ 2 230 231 ^ Yes ^ No 232 2 3 234 235 ^ Yss ^ No 238 ?3 4 238 239 ^ Yss ^ No 240 241 S 242 243 ^ Yes ^ No 244 2 " ~~ 111.'SIfNATURE- ~ . PRINT NAME 3 TITLE OF AUTHORIZED COMPANY REPRESENTATNE SI TURE DATE 2 Alison Millard, Agent for Orchard Supply Hardware 03/31/2006 `~- FD 2144 (Rev. 09/05) BAKERSFIELD FIRE DEPT. (HIYIMP) i N ~ Prevention Services HAZARDOUS MATERIALS MANAGEMENT PLAN tL~.t 900 'IYwctun Avc.. ~ Ste. 210 UNIFIED PROGRAM CONSOL~ATED FORMS I'Itt Bakersfield CA 93301 CHEMICAL DESCRIPTION FORM ~~tr rel.: (661) 326-3979 HAZARDOUS MATERIALS INVENTORY ~ Fax: (6b 1) 852-2171 ~ NEW D ADD 0 DELETE Xl REVISE 2006 (One lorm per material, per buildinD, or area.) par,~Mxnrn 5 of 6 BUSWESS NAME (Same u FACILRY NAME or DBA - Oaap Bu^iness Aa) Orchard Supply Hardware #0850 CHEMM.AI. LOCATION 201 CHEMICAL LOCATION CONF~ENTW. (F.PCRA) ^ Yea In Lumber yard FACILITY 10 No. 1 MAP No. /oatan^0 203 GRIO N0. (optkwl) 1 H-3 CHEMICAL NAME ~ TRADE SECRET ^ Yes ~) No COUMON NAME ~ 207 EHS• ~ Yss ^ No Used Lead Acid Batteries CAS No. ~ 209 'U EHS is •Yes,' aB emounn bebw must be ~ ~s. FIRE CODE HAZARD CIASSE3 (Complete i(requasted by local fin disq 27 WRII, CORK TYPE ^ p PURE 0 m MORURE ~ w WASTE 211 21 RADIOACTIVE: D Yes )Cl No CURIES 27 LARGEST CONTAINER 21 PHYSICAL STATE ^ s SOLID ~ I LIQUID ^ p GAS 214 3.5 FED HAZARD CATEGORIES ^ 1 FIRE XI 2 REACTNE D 3 PRESSURE RELEASE ~Q 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH 21 (Check all 1hM apply) ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE AMOUNT 840 DAILY AMOUNT 70 DAILY AMOUNT 35 CODE 792 221 222 D UNRS~ ^ pa GAL .B EHS, amount must bs in roe. D d CU FT ~Q ro LBS D to TONS DAYS ON SfTE 365 22 STORAGE CONTAINER (cn.u ^n tn^t ^ppryJ O a ABOVEGROUND TANK ^ f CAN ^ k BOX ^ p TANK WAGON ^ b UNDERGROUND TANK ^ p CARBOY ^ I CYLINDER ^ q RAIL CAR ^ e TANK INSIDE BUILDING ^ h SILO Battery Case ^ o STEEL DRUM D f FIBER DRUM ^ n PLASTIC BOTTLE O s PLASTIClNONMETALLIC DRUM ^ j BAG ^ o TOTE BIN STORAGE PRESSURE ~I a AMBIENT D we ABOVE AMBIENT ^ Ds BELOW AMBIENT 22 8TORAGE TEMPERATURE ~ a AMBIENT ^ ss ABOVE AMBIENT 0 ba BELOW AMBIENT D c CRYOGENIC 22 %WT ~ " ~ ~ ~ HAZARDOUS COMPONENT ENS '; .. CA3 # ` ~ ~ ' 1 35 z28 Sulfuric Acid (Electrolyte) z27 Yss ^ No 2za 7664-93-9 22 z 34 z3o Lead z31 ^ Yea )A No z32 7439-92-1 ~ 2 3 31 z34 Lead Dioxide 235 D Yes ~( No 238 1309-60-0 ~ 4 Z38 238 O Yas O No 240 241 S 242 243 0 Yes ^ No 244 24 111. SIfNATURE. ~' '` . PRINT NAME b TTTLE OF AUTHORED COMPANY RF~RESENTATNE SI RE DATE 2 Alison Millard, Agent for Orchard Supply Hardware 03/31/2006 FD 2144 (Rev. fl9/05) BAKERSFIELD FIRE DEPT. (HMMP) i '' ~ Prevention Services HAZARDOUS MATERIALS MANAGEMENT PLAN ~ 900 '1`r'uxtUn Ave., Ste. 210 UNIFIED PROGRAM CONSOLlOATED FORMS E/tt Bakersfield, CA 93301 CHEMICAL DESCRIPTION FORM wt-r Tel.: (661) 326-3979 HAZARDOUS MATERIALS INVENTORY ~ Fax: (661) 852-2171 ^ NEW ~ ADD 0 DELETE Q REVISE 2006 (One form per6 t~r6ia1, per building, or area.) BUSINESS NAME (Same as FACILRY NAME or DBA - Oaato Business Aa) Orchard Supply Hardware #0850 CHEINICAI. LOCATION 201 CiIEMICAi. LOCATION CONF~ENTULL (EPCRA) Q Yes In Lumber yard in hazardous waste storage area FACILITY 10 No, 1 MAP No. (oWansl) 203 GR10 NO. /o~~/! 1 H-3 CHEMICAL NAME ~ TRADE SECRET ^ Yes ~ No COMMON NAME 20T EHS' ^ Yes XI No Waste Gasoline CAS No. ~ 'If EHS Is •Yea,• ~ smoiaes below must be Mi Ws. FIRE CODE HAZARD CLASSES (Compleb N raquestad by lo~l fin ~aQ 21 FLIA, IltR, CAR TYPE ^ p PURE 0 m MIXTURE XI w WASTE 211 21 RADIOACTNE: D Yes ~1 No CURIES 21 LARGEST CONTAINER 21 PHYSICAL STATE ^ a SOLID ~ I LIOUID ^ p GAS 214 30 21 FED HAZARD CATEGORIES ~j 1 FIRE ^ 2 REACTNE O 3 PRESSURE RELEASE ~ 4 ACUTE HEALTH ~ 5 CHRONK; HEALTH (Check aM that appy) ANNUAL WASTE 217 MAXadUM 218 AVERAGE 219 STATE WASTE AMOUNT 30 DAILY AMOUNT 30 DAILY AMOUNT 15 CODE 343 221 z22 ^ UNRS~ XI 9a IaAL . D d CU FT ^ Ib 1.85 ^ to TONS DAYS ON SRE 8 EHS, amount must be in 8rs. 36$ 22 STORAGE CONTAINER (CMch U- InH ~ppry) p a ABOVEGROUND TANK 0 f CAN ^ k BOX ^ p TANK WAGON O b UNDERGROUND TANK D p CARBOY 0 1 CYLINDER ^ q RAIL CAR Q c TANK INSIDE BUILDING ^ h SILO ~() d STEEL DRUM ^ I FIBER DRUM ^ n ~~ ~~T~ Q e PLASTICJNONMETALLIC DRUM ^ j BAG ^ o TOTE BIN STORAGE PRESSURE ~ a AMBIENT ^ as ABOVE AMBIENT Q bs BELOW AMBIENT 22 STORAGE TEMPERATURE ~ a AMBIENT p ae ABOVE AMBIENT ^ bs BELOW AMBIENT ^ c CRYOGENIC u %WT `~ ~ ~~HAZARDOUS COMPONENT EHS. '"', ~~~ CAS # 1 100 226 Unleaded Gasoline 227 ^ Yes[ No 2ze 8006-61-9 22 2 230 231 0 Yas ^ qo 232 2 3 234 235 ^ Yes ^ No 238 4 238 239 ^ Yas p No 240 241 S 242 243 ^ Ysa ^ No 244 2 .: ...__ . III. IfNATURE . PRINT NAME tC TITLE OF AUTNORQED COMPANY REPRESENTATNE SIG RE DATE 2 Alison Millard, Agent for Orchazd Supply Hardware 03!31!2006 FD 2144 (Rev. 09/05) HAZARDOUS luw (NMMP) APPLICATION FOR SECTION DISCOVERY AND NOTIFICATION (FORMS) PLAN ~~ >><~ir A~! INSTRUCTIONS 1. To avoid further action, return this form within 30 days of receipt 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and c~nt:ise as possible. BAKER$FIELD FIRE DEPT. Prevention Services 9001Yuxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 2 ,, .~ . ~ r .. ~ IDENTIFICATION ' SECTION 1 ~ AC LI Y ~ j > ~.~ ~ }. L auswess NAME cs.~++. a FACarrY «DSn . ~ t As) Orchard Supply Hazdwaze #0850 ADDRESS (Fw roou vu onry) 6465 Ming Avenue, Bakersfield, CA 93309 FACtLRY ID NO. ' t,5c. ; 1 :C' '~ ~. ^K~ .i' ti F - ~o-K. t ~ as - t .h ?[ ~' ~ ~,,,. ... n .Yw ~ R .. --. ,.~ .. { ~,° tom.} -. hw a Sa k.a ;.~ ~~~ x ~ p~ ,` ~'~ ~ T ~DIS~ON~171~ I~IYl~I~ TiFIC 710NS '~It~N , {x ~~~.f ~~ ~ q. ~ ~ A 4.1~ ~~h O ~ . LEAK DETECTION AND MONRORWG PROCEDURES: A. >n order to prevent a release from occurring, all employees are trained on proper hazardous material handling and storage procedures. All hazardous materials aze kept in their original containers and whenever possible smaller items are stored in lip cut containers so as to preclude any accidental spills. Department personnel visually inspect products on a daily basis. B. EMPLOYEE AND AGENCY NOTIFICATION: In the event that outside notification would be required for an incident at Orchard, the manager on duty or Corporate personnel will notify applicable federal, state and local agencies. Any spill occurring off-site or release into the environment or waterway, the Office of Emergency Services will be contacted (1-800-852-7550). The Administering Agency for this facility is the City of Bakersfield Fire Deparhnent, Fire Prevention Services. G. ENVptONMENTAL RESPONSE MANAGEMENT: NIA D. EMERGENCY MEDICAJ. PLAN: For minor medical emergencies, first aid kits are located throughout the facility. For more extreme medical emergencies, 911 will be contacted. The closest medical facility with an Emergency Room is the Mercy Southwest Hospital, 400 Old River Road, Bakersfield, CA 93311 (661-663-6000). ~,:,,~f~-~3~Cc ew6 t 3 ~`~• J7 k ~rs ~~•+~ xtsite~ ~~vi~~.r4 r; !F 1 M.ii~- f :fy .~,.~ F.~ ~rct; ~~ ~~4 r,~ r'~ A'.. ~~ RELE/$~ i~E5PON8E PLAN' > ' ~ '~ ~~ " CTI~'~ l ' ~ ~~ ~' f i ~ - , ~ ~h~ A HAZARD ASSESMENT AND PREVENTgN MEASURES: In order to prevent a release from occurring, all employees are trained on proper hazardous material handling and storage procedures. All hazardous materials are kept in their original containers and whenever possible smaller items are stored in lip cut containers so as to preclude any accidental s ills. Department personnel visually inspect products on a daily basis. B. RELEASE CONTAWMENT AND10R MtnGAT10N: The spilled materials will be put in a five gallon bucket, labeled and stored as waste according to local, state and federal requirements. I the spill is larger than five gallons, or if the spill requires clean up beyond the capabilities of store employees, 911 will be contacted. C. CLEAIWP ANO RECOVERY PROCEDURES: In the event of a spill, the area will be immediately isolated and the manager on duty will be notified. The spill kit will be obtained, and 3E Company will be contacted for chemical specific clean up advice and PPE advisement. Trained employees will then don the proper PPE, clean up the spill utilizing the items in the s ill kit. Storm and sewer drains will be diked or blocked. FD 2169 (Rev. 08105) Page 2 Df 2 ~~' T ~. ~ ; ~ :~;~,.. - ria ~. vim. tJTiLRY SHUT-0FFS (LOCATgN OF SHUT-OFFS AT YOUR FACR.(IY) ~~~ ~~~~, South east corner of facility close to receiving area E .South west corner of facility close to lumber area WATER South east comer of facility close to receiving area w.: Fire riser on south east corner, propane tanks along western wall and emergency generator . South east corner of facili close to receivin area PRIVATE FIRE PROTECTIONNVATER AVAItABN.fTY: A. PRNATE FIRE PROTECTpN: is facility has fire sprinklers throughout. In the event of a fire, 911 will be contacted immediately and the facility will be evacuated. f safe to do so, the manager on duty and other trained employees may attempt to extinguish the fire with the fire extinguishers located hroughout the facility. B. WATER AVAM.ABILRY (FBtE HYDRANTX The closest fire hydrant is to the west of the building by Ashe road. .:. r 4x:,. t h S. t.i ~ -~ ~, ~ i. .Ad L.t;' 3: ' . i .( a '! -!-Lx <;" 9'l .*.i. xyy t 31- w ' J Gm ! P ~ =,.}:~ '"bk' ~: ~~.7'(Yx"` '~~~ ~ ~,!ti'~1' .v ~ 4a.. ~~ c~. ~ r . ~~,c+i'~?^~S .:kyrE~ cap ...; NUMBER OF EMPI.OYEF.S: Depends on season- 63 MATERVIL SAFETY DATA SHEETS ON FILE: All records are maintained in the store manager's office as well as at the Corporate office. They are no longer maintained at 3E Company BRIEF SUMMARY OF TRAMIMIG PROGR/Wt All employees are trained on the proper handling and storage of hazardous materials during their initial orientation. They are given an Employee-Right-to-Know Handbook and watch a video describing the hazards that may occur in the workplace. Employees also ecome familiar with the emergency response plan, spill clean up procedures and evacuation procedures. Employees attend annual efresher courses and store management conduct safety tailgate meetings as needed. }, 7 n:Ww3ir'~'~L .y. .'L ~.4 ~. .`Y f '~_^ f '~"rfas ~~:.~Y'C. ~~~ />,:.~ ~f',1' Based an my inquiry of those indniiduals responsible far obtaining ~e inlOmtation, l certify tinder penaKy of law d-at I have pei5onapy examined and am familiar witi) the information submitted and believe the information is true, accurate, and complete. SIGNATIi TOR OR DESIGNATED REPRESENTATNE DATE 477 03/31/2006 „ , ( 478 TITLE OF SIGNER 479 Alison Millard, Agent for Orchard Supply Hardware Regulatory Compliance Coordinator, 3E Company FD 2169 (Rsv. oatos) ALIFORNIA ANNOTATED SITE MAP BUSINESS NAME:g0850RD SUPPLY HARDWARE SITE ADDRESS: 6465 MING AVE. Map #:1 OF 2 BAKERSFIELD, CA 93309 A B C D E F G H I 1 2 3 4 5 B f° 3E r SK SPILL KIT FIRST AID a FIRE EXTINGUISHER O ELECTRIC MAIN GEN EMERGENCY GENERATOR ® PROPANE CYLINDERS LOCK BOX HWS HAZARDOUS HASTE STORAGE (WASTE GASOLINE) Q9 FIRE RISER UB USED LEAD ACID BATTERIES ADDITIONAL 55 DRUM FOR EMERGENCY GENERATOR - DIESEL FUEL Fe FIRE EXIT Y X -~ RCHARD SUPPLY HARDWARE SITE ADDRESS: 6465 MING AVE. CALIF^RNIA ANN^TATED SITE MAP BUSINESS NAME: nos5o BAKERSFIELD, C A B C D E F G H 2 3 4 5 }° Map #:2 ^F2 I RE IDENTIAL w A (~ ~ C. s IQ vET NOTTING AM LANE c • III REC G IIIIIIIIIIIII IIII RETAI o III IIII I ~ 11111 MPLEx NURSER ° ~~~~~~ I I IIII "", ~~~~~~ "' ~ PICK UP ~~~~ ~ n rn n = _ ~ ~ O fl .~ rn JAPAN E ~ GROCERY OUTLET RESTA RANT rn PAR KING L OT MEDICAL CLINIC HEVRON GAS RESTAURANT ING AVENUE 1 SCA E. N 7 T A 3E ~ O GAS MAIN pO RATER MAIN FIRE HYDRANT SAFE REFUGE AREA Y X -~- UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME N DATE INSPECTION TIME INSPECTIO ~ ~/~ ~ b No of Employees PHONE No ADDRESS ,L4o ~ . . __ _ ~ ~ v ~ _________ ___s~2 iS~_S_ 1n%l_L~4--------------------- ~ - ~ 38cr~ S~ ~- -~-------------------- FACIUTYCONTACT IM 1L v ., Business l0 Number 15-021- ~p 18(nC7 Section 1: Business Plan and Inventory Pn~gram outine ^ Combined ^ Joint Agency ^MuIti-Agency ^ Complaint ^ Re-inspection C V lV=Vioatolnn~l OPERATION COMMENTS ~, ^ APPROPRIATE PERMIT ON HAND y - ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ~.. ^ CORRECT OCCUPANCY ~` ' ^ VERIFICATION OF INVENTORY MATERIALS 'I ~ ~~ ~f~ !~ rn o ~ 8 ^ ---------- ; VERIFICATION OF QUANTITIES I ---- f- i ^ VERIFICATION OF LOCATION ^~ -` ff7"~ ~! ~ ~ ~~ '~~ ~ ---- - --_ ^ PROPER SEGREGATION OF MATERIAL ~"+P~-~~ 'd~~~~'~ ~ ~ JJ ~, ^ VERIFICATION OF MSDS AVAILABILITYE -'---~-- -- _-------_-_ ----'--------'-~---- - ^ VERIFICATION OF HAT MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES ANO PROCEDURES __ - - - ^ -______ EMERGENCY PROCEDURES ADEQUATE ! ___ __-________..__..---.._-__ _--.-.__ ~^ CONTAINERS PROPERLY LABELED ^ -- HOUSEKEEPING ---- ---- ----- - ~- - - -- - ------------------..------- --------~',-% ^ FIRE PROTECTION - - --- -------'------- -- ^ SITE DIAGRAM ADEQUATE 8c ON HAND - - ANY HAZARDOUS WASTE ON SITE EXPLAIN: ^ YES ~No QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT (66'I ~ 326-3979 ~1~11.r~G- _________ _______ Z2 ~----- Inspecto Badge No. White -Environmental Services Yellow - Stat'an Copy l _ _ __ ~- - - Busin s Site Responsible Party Pink -Business Copy ~,{ ~ , UNIFIED PROGRAM INSPECTION CHECKLIST ~.'~n:'~- .`.'.'.:45is?33'.-wa:"~S°w'ti.»:.C7".i:...e{!°14E:..i .~~i3kT:, ..,......"lY 7. u~,_ .,~. n<.. .. 1: ...+._.. 's. ..._..~. P'. .. .:~5 SECTION 1: Business Plan and Inventory Program r BAKERSFIELD FIRE DEPT Prevention Services ~~t~ 900 Truxtun Ave., Suite 210 ARTU s gakers8eld, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME NSPECT ON D TE INSPECTION TIME !~ PP.c y' z0 6$ °`~ ~i13 ADDRESS ~ ' ~ ` HONE O. e O OF EMPLOYEES • / i~~5 t/.E S ld 639 7 - a FACILITY CONTACT USINESS ID NUMBER 15-021- c~O j ~Co O rnIK,~' I!u~2~ti~Y Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION • C V ~ C=Compliance OPERATION V=Violation COMMENTS __ ^ APPROPRIATE PERMIT ON HAND ,,,,/ ^ L~ BUSIfI@SS PLAN CONTACT INFORMATION ACCURATE ~t l t~ ~7 ~ V l~. /t{Jrti,.+ IiH/4'itJ~9 ~7 L~~ t C Y ~~c~ ., --,..c .vac ~- ~r ^ VISIBLE ADDRESS P~ - ~e5 • .~~ '~ g0~ >~ l~/^ CORRECT OCCUPANCY `T t ~ ~' r y L I ^ VERIFICATION OF INVENTORY MATERIALS , ,~ / L~ ^ VERIFICATION OF QUANTITIES CSC ^ VERIFICATION OF LOCATION Ind' ^ PROPER SEGREGATION OF MATERIAL ~ ^ VERIFICATION OF MSDS AVAILABILITY / Ltd ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES L~ ^ EMERGENCY PROCEDURES ADEQUATE C'7~ ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING Inl ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? L9'~ES ^ NO EXPLAIN: IA!'~ 5"7~E' 6t'!7'7~.1~S _~. QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 328-3979 ~~J ~ ~ 9 - ~ ~ ~. Inspector (Please Print) Fire revention / 1°` In /Shift of Site/Station # Business Si School Site Responsible Party (Please Pr' White -Prevention Services Yellow -Station Copy Pink - Buainesa Copy FD204r (Rev. 02105} ~~ ORCHARD SUPPLY HARDWARE 850 SitelD: 015-021-001860 Manager ~~~ M ctit.Q, ~t,~.Ye2n2 Location: 6465 MING AVE City BAKERSFIELD BusPhone: (661) 397-3800 Map 123 CommHaz Extxeme Grid: l0A FacUnits: 1 AOV: CommCode: BFD STA 09 EPA Numb: CAL000191246 SIC Code:5251 DunnBrad:55-542-3177 Emergency. Contact / Title Emergency Contact / Title MIKE TURENNE / STORE MANAGER ERICK TILLEY / ASST STORE MGR Business Phone: (661) 397-3800x Business Phone: (661} 397-3800x 24-Hour Phone (661) 24-Hour Phone (661} "mac Pager Phone ( )-142 - Sti`'f~ Pager Phone ( )1~'~ - (o~e,~x ~ Hazmat Hazards: RSs Fire Press ImmHlth DelHlth ~ Contact T L~-u.~o~ ~ald~~ Phone: ( x 40~- MailAddr: 0 lo4So Via- 'tJa-\ ono State: CA 3bs-Z`ig3 City ~~ Sa..,.~ ~o~~ Zip 8- 9511` Owner s'2w(S ~'~b\(~~.. a~~ •,~~ ,~~„ /~ ~ Phone : { ~-~To n-o ~ ~~~,~ $4l~ Address ~c o~~i q ?ti~=~ i one ~ 1~0Y ~ot"A.'h Ova State : €~ .i L city 3333 j3cv¢r1~ tea, Zip ~l-€~.,~.1oo11°I u- G'~ ~.~,Irr.c QS - 33 ~ A Period to Preparers Certif'd: ParcelNo: TotalASTs: _ TotalUSTs: RSs: Yes Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN ENT'D A P R z o zoos Ca,=ed nn my inquiry of these inC;• ~, 1~~itttJg,, ra,r,~:k?;!~'li? U:~r ab!ainina tiio: UifQrmaii0n. l CCrtiiy und<r t?2ni~i!iV Gi tn~id Thai t !lu1'~ ^3'~ examine ~ P~ onalty c and am (amAiar 4~~it~~ the in!orn~aiion sui~miited anal believe the iniormaiion is true, accurate, and com~tele . Signature ~ Date Ik~~l~ Gal Gal 28b - -iZ22 -1- 02/05/2007 1 P ORCHARD SUPPLY HARDWARE 850 SiteID: 015-021-001860 ~ ~ 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 L ~ .00 FT3 Hi WASTE GASOLINE F IH DH L 30.00 GAL Mod DIESEL FUEL L ZLlS '~'• 00 GAL Low WASTE LEAD ACID, BATTERIES IH L 73p x-.00 LBS UnR -2- 02/o5/20a~ -3- 02/05/200 HAZARDOUS MATERIALS PROGRAMS UNIFIED PROGRAM CONSOLIDATED FORM BUSINESS PLAN 2007 HAZARDOUS MATERIALS INVENTORY- c~MicaL nESCRnPTioN (one a e er material er buildin or area) ®ADD ^DELETE ^REVISE 200 Page _ of_ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Orchard Su ly Hardware #850 CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL zoz Lumber Yard EPCRA YES_ NO_X_ 1 MAP# (optionap 203 GRID# (optional) zoa FACILITY ]D # 1 S 0 2 1 0 0 1 $ 6 ~ II. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yes ®No 206 If Subject to EPCRA, refer ro instructions COMMON NAME zo7 2os Regulated Substance? ^ Yes ®No Waste Latex Paint CAS# 209 *If Regulated Substance is "Yes", all amounts below must be Mixture in lbs. FIRE CODE HAZARD CLASSES :include physical & health characteristics 210 IRR, FL HAZARDOUS MATERIAL TYPE (Check one item only) ^ a. PURE ^ b. MIXTURE ®c. WASTE 211 RADIOACTIVE ^ Yes ®No 212 213 CURIES PHYSICAL STATE 214 (Check one item only) ^ a. SOLID ^ b. LIQUID ®c. GAS 215 LARGEST CONTAINER 55 FED HAZARD CATEGORIES 216 (Check all that apply) ®a. FIRE ^ b. REACTIVE ^ c. PRESSURE RELEASE ®d. ACUTE HEALTH ^ e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 217 MAXIMUM DAILY AMOUNT 21s ANNUAL WASTE AMOUNT 219 STATE WASTE CODE 220 Z 5 10 292 221 DAYS ON SITE: 222 UNITS* ®a. GALLONS ^ b. CUBIC FEET ^ c. POUNDS 365 Check one item onl) • if EHS, amount must be in ounds. 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 INSIDE BUILDING ^ g. CARBOY ^ k. BOX ^ o. TOTE BIN ® d. STEEL DRUM ^ h. SILO ^ I. CYLINDER ^ p. TANK WAGON z23 STORAGE PRESSURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT z2a STORAGE TEMPERATURE ®a. AMBIENT ^ b. ABOVE AMBIENT ^ c. BELOW AMBIENT ^ d. CRYOGENIC zzs %WT HAZARDOUS COMPONENT (For mixture or waste only) Regulated Substance CAS # I >95 226 Waste Latex Paint, unspecified 227 ^ Yes ®No zzs Mixture 229 2 230 23l ^ Yes ^ NO 232 ~ 233 3 234 235 ^ Yes ^ NO 236 ~ 237 4 z3a z3v ^ Yes ^ No zao eat 5 zaz za3 ^ Yes ^ No zaa gas III. Signature PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATLJRE DATE 246 Michael Olsen, Manager of Environmental Compliance _ ~~- y,?/~ UPCF (1/99) 6 OES Form 2731 F ORCHARD SUPPLY HARDWARE 850 SiteID: 015-021-001860 ~ ~ Inventory Item 0016 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: LUMBER YARD CAS# Liquid TMixtur~AboveSAmb~ent f Ambien~T~E PORT~OPRESSERCYLINDER - AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average ~61 , 3 FT3 ~ 103, $ .~ FT3 ( O(fl°~ . 2 FT3 ~• tu1GHKUVUJ crvlY/rulvr,tvi~ - oWt. RS CAS# 98.00 Propane Yes 74986 r1H[J~L H1~ 1 ~S~J F7 t~lY11i11V ~. 1.1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0019 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE GASOLINE Days On Site 365 Location within this Facility Unit Map: Grid: HAZ WASTE STORAGE AREA IN LUMBER YARD CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TWaste ~ Ambient ~ Ambient DRUM/BARREL-METALLI~ - - AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 30.00 GAL 30.00 GAL 1.5.00 GAL HAZARDOUS COMPONENTS ,- -- oWt. 100.00 Gasoline RSI CAS# No 8006619 tiAGl~tt1J ASSr;~51y11~;1V"1":i TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -4- 02/OS/2007 e F ORCHARD SUPPLY HARDWARE 850 SiteID: 015-021-001860 ~ ~ Inventory Item 0018 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME DIESEL FUEL Days On Site 365 Location within this Facility Unit Map: Grid: PICK-UP STA NW SIDE OF BLDG CAS# 68476-34-6 Liquid TMixture ~ Ambient~E ~ AmbientT~E DRUM/BNARRELEMETALLI~ - AMOUNTS AT THIS LOCATION Largest Container Daily Maximum ~ Daily Average °t S - GAL 24 5 GAL Zp o GAL - -~- t1AGKK1Jl1U5 l:V1YlYV1V.C;1V"1~ %Wt. RS CAS# 100.00 Diesel Fuel No. 1 No 68334305 t~lH~t~,xu ti~ 511551n1;1v~t5 - TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low ~ Inventory Item 0017 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE LEAD ACID BATTERIES Days On Site 365 Location within this Facility Unit Map: Grid: LUMBER YARD CAS# STATE - TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Waste ~mbient ~ Ambient OTHER - SPECIFY 1Da~~,~ - - AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 3 ~ . S ~- LBS ? 3 0 -- LBS 3 ~ 5 LBS riKGEiKLVUb ~:V1~lYV1VL'1V1.7 %Wt. RS CAS# 35.00 Sulfuric Acid (EPA) No 7664939 34.00 Lead No 7439921 31.00 Lead Dioxide No 1309600 tiLiL,13tU1 H~~~ti,5Mli1V'1'~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT## MCP No Yes No No/ Curies IH / / / UnR -5- 02/05/2007 P ORCHARD SUPPLY HARDWARE 850 SiteID: 015-021-001860 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 09/22/2006 IN THE EVENT OF A FIRE OR LIFE THREATENING SITUATION, THE LOCAL FIRE DEPARTMENT AND APPROPRIATE EMERGENCY SERVICES 911 WILL BE NOTIFIED. -3~E- HE SITU IF THE SPILL IS TOO LARGE FOR THE FACILITY TO MITIGATE: THE FACILITY WILL NOTIFY APPROPRIATE LOCAL AGENCTES;'3'~ cS~PADTY -WTT.T C''C113TACT AT~1 FM.d~('e~AT~'3~ ~`~~3rE'E~9~~~~d~~'e~~3$-PR-~pr~Ll QV V Ll . '~'A7''1'' ~~~E~ j-,~c:1 ~,--..) w `, h ~,\ S o v~o ~ ~~ co v ~ o ~~...~c.. a,,fi 8~ ~ - 3 b g - -1327 a~~ a, c~.c.u,n -~,~ ~d,5 ~osa~ ~.,,.-lra~t~~ W`~~~ b~ ~~s ~patcke- - . Employee Notif./Evacuation 04/24/2006 IN THE EVENT OF EMERGENCY, EMPLOYEES SHALL BE NOTIFIED VIA INTERCOM SYSTEM, PHONE, AND VERBALLY. EVACUATION ROUTES WILL BE REVIEWED AT EMPLOYEES ORIENTATION AND ALL DOORS SHALL BE MARKED WITH EXIT 5IGNS. Public Notif./Evacuation 09/22/2006 PERSONNEL ARE.TRAINED IN INTERNAL ALARM/NOTIFICATION EVACUATION/RE-ENTRY PROCEDURES, EMERGENCY INCIDENT REPORTING AND FACILIATY EVACUATION DRILLS WHICH ARE CONDUCTED AT LEAST SEMI-ANNUALLY, OR AS NEEDED. ALL PERSONNEL AND CUSTOMERS WILL BE NOTIFIED BY UTILIZING THE PUBLIC, ANNOUNCEMENT SYSTEM. MANAGERS ARE AWARE OF EXTERNAL EMERGENCY RESPONSE ORGANIZATION NOTIFICATION, AND LOCATION OF EMERGENCY RESPONSE PLAN. Emergency Medical Plan 01/19/1999 FOR MINOR MEDICAL INCIDENTS, MEDICAL KITS ARE LOCATED ON THE PREMISES.' FOR ANY MAJOR MEDICAL EMERGENCY, 911 OR OTHER EMERGENCY RESPONSE SERVICE WILL BE CALLED . -6- 02/05/2007 G F ORCHARD SUPPLY HARDWARE 8S0 SiteID: 015-021-001860 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 04/24/2006 ~ ONSITE HANDLERS ARE TRAINED IN THE SAFE HANDLING AND STORAGE OF HAZMAT, LOCATION OF FIRE AND SPILL CONTROL EQUIPMENT. Release Containment 04/24/2006 ONSITE HANDLERS ARE TRAINED IN SPILL PROCEDURES, PROPER USE OF ONSITE PPE, SPECIFIC HAZARD OF EACH CHEMIC._AL WHICH THEY MAY BE EXPOSED, INITIAL ROUTES OF EXPOSURE AND HAZARDOUS WASTE MANAGEMENT SPECIFIC TO THEIR DUTIES. Clean Up 01/19/1999 ANY SPILLS THAT ARE CONTAINED BY TRAINED EMPLOYEES WILL BE LABELED AND HELD FOR PROPER DISPOSAL PROCEDURES. • C,o~(+~o~G.~cC. 2rv~~rbv~W.c„.ko.l d2~J~1'rn ~,.sC~\ ~~5 ~k,~c~t~ Ca~'~-ru.~.~ r ~ ~ ` 5 '(~~~2 osr ~..? ar ~o u.s~ way ~ . iJ l.ilcl AG.7V LLtvG L?l: t~.LV0.l-1 V11 -7- 02/05/2007 F ORCHARD SUPPLY HARDWARE 850 SitelD: 015-021-001860 ~ Fast Format ~ ~ Site Emergency Factors Overall Site q ~ Special Hazards __ Utility Shut-Offs 04/24/2006 A) GAS - S SIDE OF FAC B) ELECTRICAL - SW CRNR OF FAC C) WATER - SE CRNR OF FAC D) SPECIAL - FIRE RISER SE CRNR AND PROPANE TANKS W,WALL E} LOCK BOX - NO Fire Protec./Avail. Water 04/24/2006 PRIVATE FIRE PROTECTION - SPRINKLERS. NEAREST FIRE HYDRANT - W OF BLDG. Building Occupancy Level ~' EMPLOYEES SS 03/10/2006 -8- 02/QS/2007 F ORCHARD SUPPLY HARDWARE 850 SiteID: QI5-021-0018&0 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 09/22/2006 ~ MSDS SHEETS ON FILE AT - ~'L.a- G~-a-hon.el S~~ ~ csz., cl, BRIEF SUNIMARY OF TRAINING PROGRAM: EMPLOYEES WHO ARE TRAINED FOR SAFE HANDLING OR HAZMAT CAN PROPERLY USE THE STORE SPILL KITS, BULK ABSORBENTS, FIRE EXTINGUISHERS AND OTHER RELATED PPE. ALL SPILLS ARE CONSUMER RETAIL PRODUCTS, PREPACKAGED AND STOCKED IN A MANNER TO PRECLUDE ACCIDENTAL DAMAGE AND PREVENT SPILLS OR ACCIDENTAL MIXTURES. ONSITE SPILL RESPONDERS ARE TRAINED IN THE PROFER USE OF PPE AND CLEAN-UP PROCEDURES. PPE CONSISTS OF: CHEMICAL PROTECTIVE GLOVES, SPLASH GLASSES/GOGGLES, DUST MASKS, DOUBLE RESPIRATORS, FIRE EXTINGUISHERS, ABSORBENT, FAN AND SAND BAGS. MANAGERS ARE AWARE OF THE CONTEN`T'S AND LOCATION OF THE BUSINESS ER PLANS. THIS PLAN WILL BE AVAILABLE FOR EMPLOYEE USE IN THE STORE MANAGERS OFFICE, CURRENT AND PAST EMPLOYEE TRAINING RECORDS ARE RETAINED ON FILE. i.. ~~ h,t,,,~a„~, i(E.So~,,fC.e..~ v F ~ CdL rays a tte~.a ivx rur.uxe use P -9- 02/05/2007 F ORCHARD SUPPLY HARDWARE 850 SitelD: 015-021-OD1860 Fast Format ~ Training Overall Site ~ Held for Future Use -IO- 02/05/2007 ' UNIFIED PROGRAM INSPECTION CHECKLIST ~` em"^a"-r.-.._.-.-?~P.n'vA-'~'"3+ .r,-.-u. k^~Y~:m ..c .,<PS `.is_~.. A'.: aYif r'__. ..s. ..,u.. o- .-...a _. .x .._~ ,. .. ..,n ory Program ~' SECTION 1: Business Pian and Invent • BAKERSFIELD FIRE DEPT Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME INSPECTION DATE INSPECTION TIME D c arl. ~~ ,c ,2 u~~,e~ 9 zi o o~ y .~ Y- ADDRESS HONE NO. NO OF EMPLOYEES /~i•c/l / - ~ 8~0 ~ FACILITY CONTACT '~ USINESS ID NUMBER 15-021- ors b~~o 0 ~c! l K~ Section 1: Business Plan and Inventory Program l ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION • C V (C.Compliance~ OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ~ ^ BUSitIeSS 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 ;~~~J/\~ Ali t/ JJ ^ VERIFICATION OF HAZ MAT TRAINING PRO ^ VERIFICATION OF ABATEMENT SUPPLIES AND DUKES ^ EMERGENCY PROCEDURES ADEQUATE ^ ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE D{AGRAM ADEQUATE i£ ON HAND ANY HAZARDOUS WASTE ON SITE? LfYES litf`NO EXPLAIN: ~,~f~S~Fj t~'T'7~l (Gr_~_ _~..-- ------- -- .QUESTIONS REGARDING THIS INSP~EyyCTION? PLEASE CALL US AT (661) 326-3979 ~2/l ~' In ctor (Please Print) Fire Prevention / 18t In /Shift of Site/Station # Busi ss Site/School Site Responsible Party ase Print) H r~tri D ARlM f White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02/05)