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HomeMy WebLinkAboutBUSINESS PLAN 10/18/2005- ~ AUTO ZONE J 6615 MING AVE. ~ 9 ~ ~~~ ~r.~ . ~;° ~~~ UNIFIED PROGRAM INSPECTION CHECKLIST ~:~c..... .«-~4,~tx-t:3,v :,ter r.~, . :r-,s~r~ <,:;zr,a ~. ,:..xaz..~tr. _ ~~:.. :+..... r.. c..: a~,__,,: ... .; 4:>~: ,x ;_a.a=.. `, SECTION 1: Business Plan and Inventory Program BAKERSFIELD FIRE DEPT Prevention Services pR~ 900 Truxtun Ave., Suite 210 ARlr>r r Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME D TE NSPECT ON INSPECTION TIME ~j ADDRESS / ~.v~ Avg HONE NO. ~'~ 7 - Y3 ov O OF EMPLOYEES FACILITY CONTACT v C ~. ~ USINESS ID NUMBER 15-021-Qoo z 8'P~ / Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION 1/ 11 u C V (c=compliance) OPERATION V=Violation COMMENTS APPROPRIATE PERMIT ON HAND ^ BUSIf12SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ,~/ l:S ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND CEDURES PRO / C4~ ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? Lrf YtS ^ NO EXPLAIN: - ~ 14 Y~% D L G ~,SYE I~J,~~/~.-- ' .QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (881) 328-3979 IQ c.c.~ ~ 8~S l % ~ ~ Inspector (Please Print) Fire Preve~n / 1" In /Shift of Site/Station N White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2048 (Rev. 02/05) BAKERSFIELD FIRE DEPT Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST:' 900TruxtunAve., Suite 210 I-It/ __~. E ,,...:,~ wRTN T ~~,~r..,;~, w~--~ .> a<, ..~~:.~ ,~.~-. ..~. , .~., .,~, ~ _.. , .. a,:.: ~.r. ...~:., : ,.. Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program r ~ Tel.: (661) 326-3979 • Fax: (661) 872-2171 FACILITY NAME ~c~,-oz s NSPECTION DAT 4 ~s o~ INSPECTION TIME ~.~30 ADDRESS / HONE ~ ~~ ~ ~ ~ j OOF EMePLOYEES -~ /~~ ~ , !G G j O FACILITY CONTACT ~ f_ 7 ~ " I ~ ' ' SI NESS ID NUMBER U 15-021- ~~~ l C 1 ~ q~ I C ~ v ~ 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 J 5e7 ^ BUSIfI@SS PLAN CONTACT INFORMATION ACCURATE E~ ^ VISIBLE ADDRESS ~^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS E~ ^ VERIFICATION OF QUANTITIES S~© ee ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL Ld ^ VERIFICATION OF MSDS AVAILABILITY ~~ ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? CQYES ^ NO EXPLAIN:..LLSL ~S %~ ~ ~ ~ , Vim' d4'S7~ ~/-t, .QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (681) 326-3979 ~~~~1-7~~ 9- .9 Inspector (Please Print) Fire Prevention / 1°' In / Shift of Site/Station # White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02/05) t? <)• AUTOZONE 3311 SiteID: 015-021-0028r~1 Manager ~,~~-~, C~fhe~ i Location: 6615 MING AVE City BAKERSFIELD CommCode: BFD STA 09 EPA Numb: BusPhone: (661) 827-8300 Map 123 CommHaz High Grid: 09B FacUnits: 1 AOV: SIC Code:5531 DunnBrad:l5-723-3511 Emergency Contact RICHARD TORRES Business Phone: 24-Hour Phone Pager Phone Hazmat Hazards: / Title / DISTRICT MGR (661) 827-8300x (800) 313-9693x ( ) - X Emergency Contact ALARM CENTRAL Business Phone: 24-Hour Phone Pager Phone / Title / AUTOZONER/DU'~Y (800) 313-9693x (800) 313-9693x ( ) - X Fire ImmHlth DelHlth Contact JIM DAVIS Phone: (901) 495-7240x MailAddr: 123 S FRONT ST 8190 State: TN City MEMPHIS ~ Zip 38103-3607 Owner AUTOZONE INC Phone: (901) 495-6500x Address 123 S FRONT ST State: TN City MEMPHIS Zip 38103-3607 Period to Preparers Certif'd: ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN PROG T - ABOVEGROUND STORAGE TANK Based on my inquiry of those individuals responsible for obtaining the informations certify under penalty of law that I have personally examined anc~ am familiar with the information submitied end 'believe the information is true, aco e, an complete. ~~~G~ ~~ G tii ratufe DaKe !~ i 9 TotalASTs: _ TotalUSTs: _ RSs: No ENT ~.~,~ z z zoos Gal Gal -1- 01/25/2007 ,; -;~ F AUTOZONE 3311 SitelD: 015-021-002861 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Sits ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ................ BATTERY ACID F IH L 600.00 LBS Hi WINDSHIELD WASHER SOLVENT DH L 50.00 GAL Hi WASTE OIL ~ F DH L 220.00 GAL Ltiw ANTIFREEZE L 90.00 GAL Lew MOTOR OIL F DH L 2400.00 GAL Min WASTE ABSORBENT F IH S 440.00 LBS tJ1'1R WASTE BATTERIES IH L 160.00 LBS tJnR -2- O1/25/~007 -3- O1/25/Zb07 F AUTOZONE 3311 ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME BATTERY ACID Location within this Facility Unit NE CRNR OF STOREROOM STATE TYPE PRESSURE Liquid TMixture-TAmbient SiteID: 015-021-002861 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map : Grid : ---- CAS# TEMPERATURE CONTAINER TYPE Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container ~ Daily Maximum I Daily Average 4.00 LBS 600.00 LBS 300.00 LBS tiAGAtcU V U 5 l: V1~lY V1V L~1V 1 J %Wt. RS CAS# 34.00 Sulfuric Acid (EPA) No 766439 tiE~GLjiCL 1~J~~551~1~1V 1_J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP' No No No ~No/ Curies F IH j / / Hi ~ Inventory Item 0006 COMMON NAME / CHEMICAL NAME WINDSHIELD WASHER SOLVENT Location within this Facility Unit SALES FLOOR STATE TYPE PRESSURE Liquid TMixture ~-Ambient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 50.00 GAL 30.00 GAL ru~GtircLVU~ LV1nrVlv~ly t ~ oWt. RS CAS# 47.00 Methyl Alcohol No 61651 IIHGHKL L-~J .7P~.7.71~1~1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Hi -4- 01/25/2007 P AUTOZONE 3311 SiteID: 015-021-002861 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: --- NE CRNR OF STOREROOM CAS# STATE TYPE PRESSURE ~ TEMPERATURE CONTAINER TYPE Liquid Waste Ambient I Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container `~ Daily Maximum I Daily Average 220.00 GAL 220.00 GAL 110.00 GAL r~~taxL~u~ wi~ir~lv~ivl~ oWt. RS CAS# 99.00 Petroleum Oil No 8002059 til'~GE~hCL 1~.7.7L" .7.71~1L' lv 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No / Curies F DH / / / Lc~w ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ANTIFREEZE Days On Site 365 Location within this Facility Unit Map: Grid: NE CRNR OF STOREROOM CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid =Mixture ~mbient ~ Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 90.00 GAL 75.00 GAL ntjG[3ttLVUA ~.v1~1rv1v~1v1D %Wt. RS CAS# 95.00 Ethylene Glycol No 107211 5.00 Diethylene Glycol No 111466 11F~GHttL Lj~ 7JL' ~Jw71~1L'1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Ldw -5- O1/25/2~07 t ~ ~ F AUTOZONE 3311 SiteID: 015-021-002861 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ' MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: NE CRNR OF STOREROOM CAS# 64742-5~=7 STATE TYPE PRESSURE TEMPERATURE .CONTAINER TYPE Liquid TMixtur~ Ambient ~ Ambient ~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 2400.00 GAL 1800.00 GAL - HAZARDOUS COMPONENTS %Wt. RS CAS# 80.00 Solvent Refined Distillate, Heavy Paraffin No 64742547 rltiAriRL LiJ JL'JJ1.1L'1V1J ~----- TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min ~ Inventory Item 0007 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE ABSORBENT Days On Site 365 Location within this Facility Unit Map: Grid: ------- STOCK ROOM CAS# ~SolidE TWaste ~ Ambient~E ~ AmbientT~E DRUM/BARRELEMETALLI~ AMOUNTS AT THIS LOCATION --- Largest Container Daily Maximum Daily Average 440.00 LBS 440.00 LBS 220.00 LBS HAZARDOUS COMPONENTS , °sWt . RSI CAS# HAZARD A SSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards- NFPA USDOT# MCP No No No No/ Curies F IH / / / U11R -6- 01/25/2007 r ' F AUTOZONE 3311 SiteID: 015-021-002861 ~ ~ Inventory Item 0005 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME .WASTE BATTERIES Days On Site 365 Location within this Facility Unit Map: Grid: NE CRNR OF STOREROOM CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TWaste =mbient - ~ Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 4.00 LBS 160.00 LBS 80.00 LBS ritiGlittLVVJ 1~V1~lYV1VL"1V7J %Wt. RS CAS# 34.00 Sulfuric Acid (EPA) No 7664939 t1HGKKL 1~ ~5~~J1~1~1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Ut1R -7- 01/25/2007 P AUTOZONE 3311 SiteID: 015-021-002861.E Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification (Mc~ra.~ea~,,.ee.~ W~~'~1 b~~ ~'es-~a~s,~~+~~~,~e ~=o~ C.evl~l~r`~n~ Q l~'! Employee Notif./Evacuation ~lc~naye~ncnT w~%/ vs e i/c~-ba/ Sr'~nq/s ~o ,Ud fi'~j Fm~lo~c es ~v~cr~ ~i~~tfamers ~~ ~tiL fcent ~`l4 f- ~~ie~ Sucre s-7~re/s ~ ~r-'rrcu«,~~1J„ ~~Sh~ .U~~~o.I ~vmmvKl~ cC5`'~i c~~ `fit C`n 0.h o.~ e!r W ~ 11 t`t~s'FrU c.r ev~nP La y e es la.J~r e. fb t U.{.J 1 11.: 1V V 1.11 ~ J~ V Cl L UCL 1. 1 V i l ~ ~ 1o,~1cf.~~C~Ch"C ~~ l~ vS~. U~e~C Ub.\ Cor~,hc,Vt~~`Cc~~~~C1h ~ ~ ~1 ~t1cr.~ t-l-ie t~ly(~`~`C i n ~, e S~ c ~ ~ r -t-~e_ e ~Y,-t- ~`~-, ~~t- `t-~, ~ s -fib c-~ ls~ ~s -~o ~ e_ ~~ceeuc~f e ~~`( 1~S'~Cv~r (~1t 1~"~c~('te ~h tl~.~ S ~c~. i~.~i~cr~ '~ b ~ p ~`'~'i '~hc:~~{r.~-(- off' Q`C1 ~ 1tv~c~f"c~c~~ Emergency Medical Plan MERCY HOSPITAL, 2215 TRUXTUN AVE, 632-5000. 09/26/2046 -8- O1/25/~007 F AUTOZONE 3311 SiteID: 015-021-002861 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Sits ~. ~ Release Prevention - 5E-~ce ezv,p\~~e.s cc.~e.l`e~~a~s;~to~e. ~o~ C'hect~ec~c~ ~~c Wet_steo~l tc~;~.K Hof 1 e. c,.~~s evc,~ca ~'1~cy w: r1 ~~s© CE~ec«' ~u ~e,sus~ ~E,~t- 't-hc~tue qcf~ b1 p l~o~ \~s I~iru M c~ U cT t~t~ "t-~ S /nC (C= 1Ce1CC1~C l.Uill,dlil[lLCill. ` Us ~i ~ Gf lJ SOr ~ et'~ ?-.S fd C re Cl.~ e ~mi~/v yces ~qfi'// CUh fu,'„ ai / S~ ~'//s b =~ ~C~ ci,. 1~,'/~'e ~ 5~~~ ~/ze ~l w ~G f~"~c~~ ~c r-,`~e / /`ru ur-~ ~ e r~/~~, ~ ,~,'q 9 e.r~, % ~ cy cvr//~i /s'o (>~-~" 7`dwc//s~ a,.,~! ~ayr ~' Cfcan- v~~ uny .~~.%Is tfia~ ~irF.r~. V1CGL11 111 -~-~ -f~.e. eiJtc~T rJ-~ t2 ~~ l~~ b.lt lgbsarbeciTS~ c~a~ S~ JRb1~. ~~he~ 11f1S'~'`C"vUY\CV1TS L~;~~ be P\acea it ~VSocb~ee~e clrvvr~~ ar~C~. ~c.~F~`~~{ -l~~~etr~ C4t~c.eA.~ ~~-vhe,UL -~hC Gt~so~rbe_fnr ~o~ a;ecYe[.-~~ V 1~11C1 iCCe7VU1. l:C til:Ll Vdl~1V11 -9- O1/25/~007 P AUTOZONE 3311 SiteID: 015-021-002861 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ apeclal nazaras UL111L~/ 711111.-VLLS l9k-~i ~,st~ ~:+o-cm,: ~ ~ ~ o v-~~; c~ e i ~ ~ ac i~ ~`C~ ~-h ~ l 1l.C t'LVI..CI:. /liVd11. Wdl.Cl Building Occupancy Level Cvrrcn r ~mpl~y«s = l~ -lo- 01/25/zoos F AUTOZONE 3311 SiteID: 015-021-002861 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 09/26/2006 ~ BRIEF SUMMARY OF TRAINING PROGRAM: PERSONNEL TRAINED IN INTERNAL ALARM/NOTIFICATION AND EVACUATION/RE-ENTRY PROCEDURES AND ASSEMBLY POINT LOCATIONS; CHEMICAL HANDLERS TRAINED IN SAFE METHODS FOR HANDLING AND STORAGE OF HAZMAT, PROPER USE OF PPE, SPECIFIC HAZARDS OF EACH CHEMICAL TO WHICH THEY MAY BE EXPOSED, AND HAZARDOUS WASTE HANDLERS/MANAGERS ARE TRAINED IN ALL ASPECTS OF HAZARDOUS WASTE MANAGEMENT SPECIFIC TO THEIR JOB DUTIES; TRAINING, WHICH IS PROVIDED AT LEAST ANNUALLY. rage ~ n~l.u tui ru~ui~ use nciu iv.~ r u~.uic vac -11- 01/25/2007 UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION S ~~~ ~A~ ~ ~ 206 VI' A~ ' J ~I I IE ~~ SINESS Page 1 of 1 I. FACILITY IDENTIFICATION FACILITY ID ;Y 1• us Waste Only) 2. EPA ID N (Hazardo (Agency Use Only) ~ CAL ~~ pS ~ ~' 7 BUSINESS NAME (Same as Facility Name or DBA -Doing Business As) ~ - 3• AUTOZONE # ~~ II. ACTIVITIES DECLARATION NOTE: If you check Y]ES to any part of this list, , please submit the Business OwnerlOperator Identification page (OES Form 2730). Does our facilit .. If Yes, lease com lete these a es of the UPCF... A. HAZARDOUS MATERIALS Have on site (for any purpose) hazardous materials at or above 55 gallons for liquids, 500 pounds for solids, or 200 cubic feet for compressed gases - (include liquids in A5Ts and USTs); or the applicable Federal threshold ®yES ^ NO a. HAZARDOUS MATERIALS INVENTORY quantity for an extremely hazardous substance specified in 40 CFR Part -CHEMICAL DESCRIPTION (OES 2731) 355, Appendix A or B; or handle radiological materials in quatitities for which an emergency plan is required pursuant to 10 CFR Parts 30, 40 or 70? _ B. UNDERGROUND STORAGE TANKS (USTs) UST FACILITY (Formerly swees Form A) 1. Own or operate underground storage tanks? ^YES .® NO " 5. UST TANK (one page per rank> (Formerly Form B) 2. Intend to upgrade existing or install new USTs? ^YES ®NO 6. UST FACILITY UST TANK (one per tank) UST INSTALLATION -CERTIFICATE OF - COMPLIANCE (one page per tank) (Formerly Form C) 3. Need to report closing a UST? ^YES ® NO 7. UST TANK (closure portion -one page per tank) C. ABOVE GROUND PETROLEUM STORAGE TANKS (ASTs) , Own or operate ASTs above these thresholds: ---any tank capacity is greater than 660 gallons, or ^YES ®NO a. NO FORM REQUIRED TO CUPAs ---the total capacity for the facility is greater than 1,320 gallons? D. HAZARDOUS WASTE 1. Generate hazardous waste? ®YES ^ NO 9. EPA ID NiJMBER -provide at the top of this page. 2. Recycle more than 100 kg/month of excluded or exempted recyclable RECYCLABLE MATERIALS REPORT (one materials (per HSC §25143.2)? ^YES ® NO 10. per ~ecyder) 3. Treat hazardous waste on site? ONSITE HAZARDOUS WASTE ^ YES ®NO t L TREATMENT - FAC ILITY (Formerly DTSC Forms 1772) ONSITE HAZARDOUS WASTE TREATMENT -UNIT (one page per unit) (Formerly DTSC Forms 1772 A,B,C,D and L) 4. Treatment subject to financial assurance requirements (for Permit by ^yES ®NO 12 CERTIFICATION OF FINANCIAL Rule and Conditional Authorization)? . ASSURANCE (Formerly DTSC Form 1232) 5. Consolidate hazardous waste generated at a remote site? REMOTE WASTE /CONSOLIDATION ^ YES ®NO. l3. SITE ANNUAL NOTIFICATION (Formerly DTSC Form,I196) 6. Need to report the closure/removal of a tank that was classified as ^YES ®NO la HAZARDOUS WASTE TANK CLOSURE hazardous waste and cleaned onsite? . CERTIFICATION (Formerly DTSC Form 1249) E. LOCAL REQUIREMENTS IS• (You may also be required to provide additional infortna[ion by your CUPA or local agency.) I ~NT•a ~~~ ~- ~ ~~ob UN-(120 - 3!1? www.uoiducs.org Rev. 01/16/02 UNIFIED PROGRAM CONS ~ ATED FORM ~ j FACILITY INFORMATION. ~~ (, "~ ~ ~ ~ ~`~ BUSINESS OWNER/OPERATOR IDENTIFICATION - ~ Page_of_ I. IDENTIFICATION • FACILITY IB# t • BEGINNING DATE -loo ENDING DATE lot 3 BI ISINES $ NAME (Same as FACILITY NAME or DBA -Doing Business As) BUSINESS PHONE 1 102 AUTOZONE # 3311 • ® 661-827-8300 l BUSINESS SITE ADDRESS to3 6615 MINE AVENUE CITY ~ 104 ZIP CODE 5 CA BAKERSFIELD 93319 DUN & BRADSTREET to6 SIC CODE (4 digit #) ~jo~ 15-723-3511 //11 5531 "1 `' COUNTY - _ ~ los KERN .BUSINESS OPERATOR NAME 109 BUSINESS OPERATORPHONE uo RICHARD TORRES 661-827-8300 II: BUSINESS OWNER OWNERNAME tll OWNER PHONE liz AUTOZONE INC 901-495-6500 OWNER MAILINGADDRESS - ~ 113 123 SOUTH FRONT STREET CITY tta STATE 115 ZIP CODE 116 MEMPHIS ~ TN 38103-3607 III. ENVIRONMENTAL CONTACT CONTACT NAME _ 11 ~ CONTACT PHONE t 1s JIM D?,VIS 901-495-7240 • CONTACT MAILING ADDRESS 1 tv 123 SOUTH FRONT STREET DEPT 8190 CITY - - izo STATE izt ZIP CODE 12z MEMPHIS TN 38103-3607 -PRIMARY- IV. EMERGENCY CONTACTS -SECONDARY- . NAME tz3 ' .NAME t2s RICHARD TORRES ALARM CENTRAL TITLE ~ _ iza TITLE 129 DISTRICT MANAGER ~ AUTOZONER ON DUTY BUSINESS PHONE - izs BUSINESS PHONE 130 661-827-8300 800-313-9693 24-HOUR PHONE t26 24-HOUR PHONE t a t 800-313-9693 800-313-9693 .PAGER # 127 PAGER # 132 N/A N/A ADDITIONAL LOCALLY COLLECTED INFORMATION: BILLING ADDRESS 133 AUTOZONEINC L3 SOUTH~FRONT STREET, MEIViPHIS, TN 3810-3607 Certification: $a on my hlouirv of those individuals responsible for obtaining the inr"ormatio?z, i cet2ify under penalty of law that 1 have personally examined and i. i am familiar w;ti~ n informano.i suomitted and "oei~eve rile information is n-u_. accurate. and comnie:~. ~ STGidAT[II?e~ O OWNEIUOP TO.'~/O' ES1G . ffED REPRESENTATI Vn' ~~ DATE 13~} l 7VAt~E Or DO^,OMEIVT PP,EPARET: 1= -' / " ;~ 02/20/2006 BRYAN BLAII'. N IGNER (print 136 TITLE OF SIGNER 137 ' B AN BLAIR ENVIRONMENTAL SPECIALIST UPCF (1/99 revised) 4 OES FORM 2730 (1/99). Emergency Response/Contingency Plan. (Hazardous Materials Business Plan Module) Authority Cited: HSC, Section 25504(b); Title 22, Div. 4:5, Ch. 12, Art. 3 CCR Page 1 of 5 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, or accumulate more than 6,000 kilograms of hazardous waste on-site at ariy 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 (HMBP).- If you already have a plan that meets these requirements, you, should not complete the blank plan, below, but you must include a copy of your existing 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 materiais that could threaten human health. and/or the environment. 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. Within Santa Clara County, 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 (spec) 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 _ shotivs 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 ........................:................ State Office of Emergency Services .......................:..... . b. Post-Incident Contacts*: Fire Department Hazardous Materials Program .................. . County Hazardous Materials Compliance Division .... . California EPA Department of Toxic Substances Control ........... . Cal-OSHA Division of Occupational Safety and Health ............. Air Quality Management District ....................... . Phone No. 911 Phone No. (S00) 852-7550 Phone No.: ( ) Phone No. ( ) Phone No. (510) 540-3739 Phone No. (408) 452-7288 Phone No. (415) 771-6000 Regional Water Quality Control Board .....:..................... Phone No. (510) 622-2300 * These telephone numbers are provided as a general aid to emergency notification. Be advised that additional agencies may be required to be notified c. Emergency Resources: Poison Control Center ....................................... Phone No. (800) 876-4766 Nearest Hospital: Name: ~~~~~ ,~~~ l T~'~'- Phone No.: (Se~'~ } ('r~ ~~` ~C~~~~ Address: ~~f~a- %i2t.ty(`~Z.tpu t~f~~. City: f'~~~~~zS;~iF 3. Arrangements With Emergency Responders: If you have made special (i.e. contractual) arrangements with any police department, fire department, hospital, contractor, or State or [ocai emergency response team to coordinate emergenc•;~ services, describe those arrangements beiov.~: STORE V`/I~.~, COl'~~'AC~' 3E COMI~AN~j ~.~' F-800-313-9693 TO COORDII`dATOR EMERGENCY-. UN-020 - 13/17 www.unidocs.org Rev. 01/16/02 Emergency Response/Contingency Plan (HMBP Module) Page 2 of 5 - ~ - 4. Emergency Procedures Emergency Coordinator Responsibilities: a. Whenever there is an imminent or actual emergency situation such as a explosion, fire, or release, the emergency coordinator (or hislher designee when the emergency coordinator is. on call) shall: " i. Identify the character, exact source, amount, and areal 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 cor-sider both direct and indirect effects (e.g. the effects of any toxic, irritating, or asphyxiating gases that are generated, the effects of any hazardous surface water run-off from water or chemical agents used to control ftre, etc.). iii. Activate internal facility alarms or communications systems, where applicable, to notify-all facility personnel.. iv. Notify appropriate local authorities (i.e. ca11911). v. Notify the State Office of Emergency Services at 1-800-852-7550. " vi. Monitor for leaks, pressure buildup, 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 hazardous 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 Santa Clara's 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 pages} appropriately. 5. -Post-Incident Reporting/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 Department of Toxic Substances Control, the County 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 hazards 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: ' WASTE OIL TANK AND RETAIL CHEMICAL SHELVING. UN-020 -14!17 www.unidocs.org Rev. 01/16/02 Emergency Response/Contingency Plan Page 3 of 5 _ - 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 fallowing Emergency Equipment Inventory Table meets this requirement. - EMERGENCY EQUIPMENT INVENTORY TABLE 1, Equipment Cate or - 2. Equipment T e 3. Locations * 4: Descri tion** Personal ^ Cartridge Res irators Protective ^Chemical Monitorin E ui ment describe Equipment, ~ Chemical Protective A rons/Coats BATT CHG ACID APRON Safety ^Chemical Protective Boots Equipment, ®Chemical Protective Gloves BATT CHG 2 PAIR OF RUBBER GLOVES and ^Chemical Protective Suits (describe First Aid ^ Face Shields ~ - Equipment ~ First Aid Kits/Stations describe REST RM ONE LARGE FIRST AID STATION ^ Hard Hats ^ Plumbed E e Wash Stations ® Portable E e Wash Kits i. e. bottle e) BATT CHG TWO 32 OZ EYE WASH BOTTLES ^ Res irator Cartrid es (describe) ® Safety Glasses/S lash Goggles BATT CHG SLASH GOGGLES GLASSES-MINI-TUNE ^ Safet Showers ^ Self-Contained Breathin A aratuses SCBA - ^ Other (describe , _ Fire ^ Automatic Fire S rinkler Systems " Extinguishing ^ Fire Alarm Boxes/Stations Systems ^ Fire Extin uisher S stems (describe ^ Other describe Spill ®Absorbents (describe SALES FLR 8-10 40 LB BAGS Control ^ Berms/Dikes (describe Equipment ^ Decontamination E ui meat (describe and ^ Emergency Tanks (describe Decontamina"tion ^ Exhaust Hoods Equipment ^ Gas C Linder Leak Re air Kits (describe ` • ®Neutralizers describe BATT CHG 30 LB BUCKET SODA ASH ^ Ove ack Drums ^ Sum s (describe) ^ Other (describe) Communications ^Chemical Alarms (describe and ^ Intercoms/PAS stems Alarm ^ Portable Radios Systems ®Tele hones COUNTER 5-6 HARD LINE PHONES ^ Underground Tank Leak Detection Monitors ^ Other (describe) Additional ®55 GALLON STEEL DRUM STOCK RM Equipment ' ®MOPS, BROOMS, MOP BUCKETS STOCK RM (Use Additional ®TRASH BAGS, SALES BAGS Pages if Needed.) ^ ^. ^ ~.~~ ~!rc rrru~ unu sr Ica rtuiituet-5 frUnt ~i"1L' JIUrU~,G' Map prepa!"ea eal"113Y jOr yOZIF" h/V11S<. ~~~'~ Describe the equipment atad its capabilities. Ij applicable, specify any testing%maintenance procedures/intervals. Attach additional pages, numbered appropriately, if needed. UN-020 - 15/17 www.unidocs.org - Rev. 01/16/02 Employee Training Pian (Hazardous Materials Business Plan Module) , Authority Cited: HSC, Section 25504(c); Title 22, Div. 4.5, Ch. 12, Art. 3 CCR Page 4 of 5 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 HMBP. Check all boxes that apply. [Note: Items marked with an asterisk (*) -are required.!: 1. Personnel are trained in the following procedures: ® Internal alarm/notification ® Evacuation/re-ent rocedures & assembl oint locations* ^ Emer ency incident re orting ^ External emer enc res onse or anization notification ^ Locations and contents of Emer enc 'Res onse/Contin enc Plan ^ Facility evacuation drills, that are conducted at least (specify) ~ (e. g. "Quarterly", etc.) 2. Chemical Handlers are additionally trained in the following: ® Safe methods for handling and stora a of hazardous materials ^ Location(s) and ro er use of fire ands ill control equi ment ^ Sill rocedures/emergency rocedures ® Pro er.use of ersonal rotective a ui ment ® Specific hazard(s) of each chemical to which they may be exposed, including routes of exposure (i.e. inhalation, ingestion, absor 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 re uirements, etc. * ' 3. Emergency Response Team Members are capable of and engaged in the following: ^ Personnel rescue rocedures ^ Shutdown of o erations - ^ Liaison with res onding agencies ^ Use, maintenance, and re lacement of emergency res onse a ui ment ® Refresher training, which is rovided at least annually * ^ Emergency response drills, which are conducted at least (specify) (e.g. "Quarterly ", etc.) UN-020 -16!17 www.unidocs.org Rev. 01!16!02 - Record ]Keeping (Hazardous Materials Business Plan Module) Page S of 5 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 for you to complete and submit if you do not already have such a document.. If you already have a brief written description of your hazardous materials recordkeeping systems that addresses all subjects covered below, you are not required to complete this page, but you must include a copy of your existing document as part of your HMBP. Check all boxes that apply. The following records are maintained at the facility. [Note: Items marked with an asterisk (*) are required:J: ® Current em to ees' training records (to be retained until closure of the acility) ® Former em loyees' training records (to. be retained at least three ears a ter termination of em loyment) ® Training Programs (i. e. written descri tion of introductory and continuiK trainin ® Current co y of this Emergency Res onse/Contingency Plan ® Record of recordable/re ortable hazardous material/waste releases ® Record of hazardous material/waste storage area ins ections ® Record of hazardous waste tank daily ins ections ^ Descri tion and documentation of facility emergency response drills Note: The above list of records does not necessarily identify every type of record required to be maintained by the facility. 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 HMBP. (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 appropriate box: - ^ We will' use the Unidocs "Hazardous Materials/Waste Storage Area Inspection Form" to document inspections. ^ We will use our own documents to record inspections. (A-blank,copy of each document used must be attached to this HMBP.) UN-020 - 17/17 tivrvw.~enidoes.org Rev. 01/16/02 °R Y V Non=Waste ~Iazar~lous lYlaterials Inventory ,Statement Date: 06~15~201)4 For ttse by Unidocs Member Agencies or where approved by your Local Jurisdiction :1 Business Name: ~~U'I'OZQNE (Same as Facility Nmne or DBA) ~ - ~ ~ ~ Type of Report on This Page: ^ Add; ^ Delete; ®Revise Page 1 of 1 (One page per building or area) Chemical Location: fiALES FLOOR (Bailaing/smrage Area) - ~ EPCRA Confidential,Location? ^ Yes; ®No Trade Secret Information? ^ Yes; ®No Facility H) # (Agency Use Only) - - 1. Haz. Class 2. Map and Grid or Location Code 3. ommon Name 4. Hazardous Components (For mixtures only) Chemical % Name Wt. EHS CAS No. 5. Type and Physical State 6. Quantities Max. Average .Largest Dail Dail Cont. 7. nits 8. Storage Codes Storage Storage Pressure `. Tem . 9. , Hazard Cate ories COR 1 ___ ~ BATTERY FLUID-ACID SULFURIC ACID 34 ® 7664-93-9 Pure 600 300 , 4 gallons ounds ambiem > amb ambient > amb fire reactive _ ~ ^ ~ `® ~x~ p w. feot . ^ <amb. . <amb. ~ . ~pressurerelease '. ^ ~ ^ SOlld ories: - (lf mdioadive) Davy On Site: S[ornge Container." ^ ~~ ^ cryogenic acute heahh chronic health CAS No.: ~ ®EHS ~ - ^ liquid ^ ~ ~ O 365 R, _ ^ radioactive 7664-93-9 ^ TOX 2 f\FI'I'I-FREEZE ETHYLENE GLYCOL 95 ^ 107-21-1 P~ 90 75 1 - gallons ds ambient > amb ambient > amb fire reactive DIETHYLENE GLYCOL 5 ^ 1 t 1-46-6 ® mixes poun w. feet ^ . <am6. . <amb. pressure release, - - ^ ® Solid Curies: pfradioacti`'e) ~Dnvs On Site: Stornee Containee" ^ ~~ ~ ,^ c~g~~ acute heahh health ` hi i CAS No.: ^EHS ^ ~ ^ liquid ~ 0 365 N ^ c c on radioactive 107-21-1 ^ FLA 3 ~`'lt`dDSHIELD WASHER METHYL ALCOHOL 47 ^ 61-65-1 P~ 50 30 1 gallons - d ambient > b ambient > amb fire reactive SOLVENT ^ ~ ® tnixtttre s poun a. feet ^ am . <amb. . <am6. ~ pressure release ^ ® solid CuCu=es: (tfradiwcti`'e) Dnvs On Site: ~ Stornee Container:' ^ ~~ ^ cryogenic acute heahh h l h i Cr#S No.: ^EHS - ^ ^ llquld ~ 0 365 N ~ _ - ^ ea t chron c radioacive FLA 4 [~'IOTOR OIL SOLVENT REFINED, g0 ^ 64742-54-7 Pure 2400 1800 1 gallons ~ ambient ambiem b > fire tiv HYDROTREATED HEAVY ^ ® ~~ pounds a. feet ^ > amb. <amb. am . ~ <amb. reac e pressure release PARAFFINIC DISTILLATE ^ ^ solid nrie : (Ifmdiaaaive) Days On Site: orn Conminer " ^ ~~ ^ cryogenic acute heahh h hh ~. CAS No.: ^EHS ^ liquid ^ ~ 0 ~ 365 . N - ^ ea chronic radioactive 64142-54-7 ^ . ' -- --_- ^` ~ Pure ~ gallons ambiem ambient fire ^ ^ mixture ~ - pounds a. feet ^ > amb. <amb > amb. <amb. reactive pressure release ^ ~ ^ solid Curies: di ti f Dnvs On Site: Storage Container:" ^ ~~ . ^ ~~~ acute health ~~ C.15 Nor ^EHS ^ ^ liquid ce) p ra oac - ^ chronic health radioactive ~. ~- . ^ pure gallons ambiem ambient fire ^ ^ mixture pounds a. felt ^ > amb. ^ <amb > amb. <amb. reactive pressure release - ~ ~ ^ ® SOlld Curies: (Ifradioauive) Days On Site: Storage Conutinee" ^.mny . ~ ~ ^ cryogenic acute heahh -- C.r1S No.: ^EHS - ~ ^ ^ ligttid ~ ^ chronic health radioactive ~ ~oae arorase rune ~ - - - - -- A Aboveground ~I'znl: D Steel Drum - G Carboy J Bag B Belowground Tan}: E Plastic/Non-metallic Dmm H .Silo ~ ' K Box C Tank Inside Building , F Can _ I Fiber Drum L Cylinder UN-020 - 7/17 www.unidocs.org M Glass Bottle or ]ug P Yank Wagon N Plastic Boole or Jug Q Rail Car O Tote Bin R Other Rev. 0U16/02 L L' 1 c.l~[fr Jls~l UcrV rr. V V Ilazardous Waste Inventory Statement Date: 6I15h00~ For use by Unidocs Member Agencies or where approved by your Local Jurisdiction ' Type of Report on This Page: Page '1 of 1 !OZ1Jl'IE Business Name: r~ITI[ ^ Ada; ^ Delete; ®Revise (One page per building or area) (Same as Facility Name or DBrL) Chemical Location: STOCK ROOM EPCRA Confidential Location? ^ Yes; ®No Facility H) # _ - (BaJaing/storage Areas Trade Secret Information? ^ Yes; ®No (Agency 11se Only) 1. 2.~-- -- 3 4. 5. 6. 7. 8. 9. 10. Map and Hazardous Components Type Quantities Storage Codes - . and Annual Ha Grid or Location Chemical % Physical Max. Average Largest Waste Storage Storage Hazard z. Class Code 1S aste Stream Name Name Wt. EHS CAS No. State Dail Dail Cont. Amount Units Pressure Tem . Cate ories FLA _ A w';1STE ABSORBENT WASTE ABSORBENT 50 ^ 8002-OS-9 waste 440 220 440 1320 gallons pounds ambient ambient > amb. > amb. fire - reactive ^ at. feet ^ , < amb. < amb. pressure release hlanaltement [1lethod: ^ ® SOhd Curies: (Ifradioaaive) Davs On Site: Storage Container.' State Waste Code: ^ tom ^ cryogenic acute heahh chronic health ®Shipped Off-site l it ^ R d O ^ ^ llClllld g~ , 0 365 D 352 ^ radioactive e ecyc e n-s ^ 'T'reated On-site ^ COR B USED BATIERY SULFURIC ACID 34 ®. 7664-93-9 waste 160 80 4 8320 gallore ourats ambiera > amb ambient > amb. fire reactive Fl [JID- t1CID ^ p a. feet ^ . <arnb. <amb. pressure release Management Method' ^ ® SOlid ories: ([rmdioac[be) Davs On Site: Storaee Container:' Sfite Waste Code: ^ ~~ ^ cryogenic ^ acu[eheahh chronic health ® $hipped Oft-Site ^ - jj(jujd R 791 l it d O - Cl R ^ g~ 0 365 ^ radioactive e ecyc e n s ^ Treated On-site ^ FLA C WASTE OIL PETROLEUM OIL 99 ^ 8002-OS-9 WaS[e 220 110 220 ' 5720 Ballons - ounds ambient > amb ambient ; ~ > amb fire reactive ^ p cu. feet . ^ <amb. . <amb. ~ pressure release B4anaeement Method: ^ ® SOhd Curies: (if mdioacrive) Davs On S_te: toro Contniner:• t t Waste Code: ^ tons ^ cryogenic ^ awteheakh ^ chronic health ® Shipped Off-site ^ ljquid it l d O ^ R ' ^ g~ 0 365 P 221 ^ radioactive e ecyc e n-s ©Treated On-site ^ ---'-- ^ Waste gallons ambierrt ambient fire ou d > amb > amb reactive ^ ~ ~ ~ p n s ^ at. feet ~ ^ . <amb. . <amb. ~ pressure release eement Itiiethod• Al ^ SOlld Curies: Davs On Storaee State ^ tons ^ cryogenic aateheahh ana ~ ~ tfradioadive) S_te: ontain r:• Waste Code: h lth h i ]Shipped Off-site ( ~ jj9pjd ( ~ c ea ron c _ ite (~ R c cl d On- ^ ^ gas ~ ^ radioactive y e s e ^Treated On-site ^ -- ... ^ waste ~ gallons d ambiem b > ambient b > fire reactive . poun s am . am . ^ ~ cu, feet ^ <ainb. <amb. .Pressure,release _ ltilanagement A'Iethod: ^ ~ ~ SOIId ories: II i N Davs On Site: Storaee ' Container Stale ~ WasteCdde: ^ tans - - ^ ayogenic carte heahh ^5hippedOff--site ^ liquid ee) ra oaa ( . chronic health ite © R l d O - ^ gas - ~ - ^ 'radioactive: ecyc e n s [] 'T'reated On-site ^ ^ ~ Waste ~ gallons amtiient ambient > b fire i pounds > amb. am . ve react ^ a.fect ^ <amb. <amb. pressure release _ Management Method: ^ SOlid ~ Curies: dve) g dl Davs On Site: Storaee Container:' State ~ ~ Waste Code: ^ tons ^ cryogenic acute heahh h lth h i Shipped Off-site ^ I(qujd ( ra oac ron c ea c led O ite ^ R ^ gas ^ radioactive n-s ecyc [] 'Treated On-site ^ * ,one JmraEC rvoe A Aboveground T~an4; B Belowground Taal: C Tank Inside Building D=uc Steel Drum yy G Carboy _ _- J=-- Bag ~ -- E Plastir/Nonntetallic Drum n ~ Silo K Box F Can I Fiber Drum L Cylinder M Glass Bottle or lug - P Tank Wagon N Plastic Bottle or Jug Q Rail Car 0 Tote Bin R Other .. ~.~ ~.~...~ ...b...,..... ... IJN-020 - 9117 www.unidocs.org Rev. 01/16/02 Facility Site Plan/Storage Map (Hazardous Materials Business Plan Module) ` Site Address: ~ ~ ~j , dr' r /~'U ~" / i ~ ~ ~J~'/~~S-~ ~/`~ ~, Date Map Drawn: ~' / ~ / o~ Map Scale: NOT TO SCALE -Page 1 of 1 - A B C D E F G H I. J- K L M N O P Q R S T U V W X Y Z J'`1 N l9-u &- ~ - - ,,; ~ o _ ~ ~N - ©~- ® --- PI_. ._~ =-- - ---- ___. __-- ~ ~- - -- - -= . o n S S; `70 --- •~ ~ ~~ © ~® ~~ - i " ~ ~' ~ ~ ~ o ~~ SbS -~w f ~u; -- _ ~ ~ a - -- ---- - (~ -- ~ - - - - ~-- -- - ' -- -- r-~ I--- - - ~ -- -- ~ I ~ ~ ~ I~ ~ i i I~ I flistruetions are printed on the following page. ti _ ;, i t. - ~~FC.ir„ be\~~Y1ti_3 ~.L~,1 i\Y7 ,Sc..vei~r C~c:Qcz ~. ~1~1'~;tCYC C2 l:: lam, ~'+.)Ci.Stc' ~cal-Ic~cCc ti 7 V X1.5 1~C.1 ~~. ~ '~ ~ J t_. L. . ~,,yj f~ S t' e 1. ~ t '~~ C.~ 1~. UN-020 -11/19 www.unidocaorg Rev. Ol/16/02 ~-~. G~ ~ ,. ~~~~~~5_ p~OO SIC( Q~-- ~~ 5~~ ~ ~ r + AUTOZONE 3311 =__________~___________________________ SiteID: 015-021-002861 + Manager BusPhone: (661) 827-8300 Location: 6615 MING AVE Map 123 CommHaz High City BAKERSFIELD Grid: 09B FacUnits: 1 AOV: CommCode: BFD STA 09 SIC Code:5531 EPA Numb: DunnBrad:l5-723-3511 +______________________________________________________________________________t Emergency Contact / ',~'itle Emergency Contact / Title RICHARD TORRES / DI5'Z<"RICT MGR ALARM CENTRAL / AUTOZONER/DUTY Business Phone: (661) 827-8300x Business Phone: (800) 313-9693x 24-Hour Phone (800) 31.3-9693x 24-Hour Phone (800) 313-9693x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact JIM DAVIS Phone: (901) 495-7240x MailP,ddr: 123 S FRONT ST 8190 State: TN City MEMPHIS Zip 38103-3607 Owner AUTOZONE INC Phone: (901) 495-6500x Address 123 S FRONT ST State: TN City MEMPHIS Zip 38103-3607 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: ~ Emergency Directives: ~ PROG A - HAZMAT PROG H - HAZ WASTE GEN B.aeed on my inquiry of those individuals responsible for obtaining the information, I certify under pdhalty of law that t have personalty examiti~d ~n aM familiar with the information subiiil~;: and believe the information is true, accu , ~tid complete. ~~ ;lam oU -1- 03/10/2006 L C?. AUTOZONE 3311 Ce~~r~2c~ e~c~ Manager R3C-~I~~F~~ Location: 6615 MING AVE City BAKERSFIELD SiteID: 015-021-002861 BusPhone: (661) 827-8300 Map 123 CommHaz High Grid: 09B FacUnits: 1 AOV: CommCode: BFD STA 09 EPA Numb: SIC Code:5531 DunnBrad:l5-723-3511 Emergency Contact / Title Emergency Contact / Title RICHARD TORRES / DISTRICT MGR ALARM CENTRAL / AUTOZONER/DUTY Business Phone: (661) 827-8300x Business Phone: (800) 313-9693x 24-Hour Phone (800) 313-9693x 24-Hour Phone (800) 313-9693x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact ~ ~1c~rW ~~.~c-t1 Phone : ( 901) 495 -~~~- MailAddr: 123 S FRONT ST 8190 State: TN ~'~~`~~ City MEMPHIS Zip 38103 -3607 Owner AUTOZONE INC Phone: (901) 495-6500x Address 123 S FRONT ST 8190 State: TN City MEMPHIS Zip 38103 -3607 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN PROG T - ABOVEGROUND STORAGE TANK ~Nfi'D OC i 1 1 2007 eased on my inq~:iry of thaw indivic~~als respori ib!e fcr obtaining the information, i certify under penalty of la~v that f have personally examined and am familiar 4vith the information submitted and believe the information is true, accu ~ „and complete. v l~ /8' G ~ ., nature Da,e -1- 10/02/2007 x. -; F AUTOZONE 3311 ~ Hazmat Inventory = ~ MCP+DailyMax Order = SiteID: 015-021-002861 ~ By Facility Unit ~ Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP BATTERY ACID F IH L 600.00 LBS Hi WINDSHIELD WASHER SOLVENT DH L 50.00 GAL Hi WASTE OIL F DH L 220.00 GAL Low ANTIFREEZE L 90.00 GAL Low MOTOR OIL F DH L 2400.00 GAL Min WASTE ABSORBENT F IH S 440.00 LBS UnR WASTE BATTERIES IH L 160.00 LBS UnR -2- 10/02/2007 -3- 10/02/2007 a F AUTOZONE 3311 ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME BATTERY ACID Location within this Facility Unit NE CRNR OF STOREROOM STATE TYPE PRESSURE Liquid TMixture Tmbient SiteID: 015-021-002861 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Cont4100rLBS Daily 600100m LBS I Daily 300r00e LBS t1E~G1~tCLUUJ w1~lr~lvrlvl7 %Wt. RS CAS# 34.00 Sulfuric Acid (EPA) No 7664939 t1f1GHCCL F~5.~1;A.71~11;1V1A TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi ~ Inventory Item 0006 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WINDSHIELD WASHER SOLVENT Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLOOR CAS# 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 50.00 GAL 30.00 GAL 11HG1-i1CLVUw7 l.Ul"lYUlVr,1V 1.S %Wt. RS CAS# 47.00 Methyl Alcohol No 61651 LSHGHICL H A.7P~.7.71~1L~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Hi -4- 10/02/2007 ~ -. F AUTOZONE 3311 SiteID: 015-021-002861 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE OIL Days On Site 365 Location within this Facility Unit Map: Grid: NE CRNR OF STOREROOM CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Waste Ambient Ambient ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 220.00 GAL 220.00 GAL 110.00 GAL r1tiL~tiltLVIJJ l.Vl~lt'V1V P~1V1J °~Wt• RS CAS# 99.00 Petroleum Oil No 8002059 r1tiL~ti.CCL ti. 7A L' ~J w71~1P..,1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Low ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ANTIFREEZE Days On Site 365 Location within this Facility Unit Map: Grid: NE CRNR OF STOREROOM CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~ Ambient ~ Ambient ~LASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 90.00 GAL I 75.00 GAL LIISLJI]1CLVlJ a7 ~.vrirvivr~iv 1 w7 swt. Rs cAS# 95.00 Ethylene Glycol No 107211 5.00 Diethylene Glycol No 111466 r1t~t~tiiCL HJ .7 L,.7.71~1P~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low -5- 10/02/2007 f ~ F AUTOZONE 3311 ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME MOTOR OIL Location within this Facility Unit NE CRNR OF STOREROOM STATE TYPE PRESSURE Liquid TMixture ~ Ambient SiteID: 015-021-002861 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 64742-54-7 TEMPERATURE CONTAINER TYPE Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container ~ Daily Maximum Daily Average 1.00 GAL 2400.00 GAL 1800.00 GAL t1HGL 1tCL V U.7 1. Vl~lY V1V I;1V 1.7 °sWt . RS CAS# 80.00 Solvent Refined Distillate, Heavy Paraffin No 64742547 nrj~rjtcL r-~~ar.~~lnr.ly 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min ~ Inventory Item 0007 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE ABSORBENT Days On Site 365 Location within this Facility Unit Map: Grid: STOCK ROOM CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid TWaste ~ Ambient ~ Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 440.00 LBS 440.00 LBS 220.00 LBS oWt. RSI CAS# HAZARD AS SESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / UnR HAZARDOUS COMPONENTS -6- 10/02/2007 C ti F AUTOZONE 3311 SiteID: 015-021-002861 ~ ~ Inventory Item 0005 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE BATTERIES Days On Site 365 Location within this Facility Unit Map: Grid: NE CRNR OF STOREROOM CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TWaste -~ Ambient ~ Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 4.00 LBS 160.00 LBS 80.00 LBS ru~~r-~tcLVUS ~vinr~lVr~1V 15 oWt. RS CAS# 34.00 Sulfuric Acid (EPA) No 7664939 ri1'~GHttL A7~1'~5~1~1t51V'1'S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / UnR -7- 10/02/2007 r ~ F AUTOZONE 3311 SiteID: 015-021-002861 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 02/22/2007 ~ MANAGEMENT WILL BE RESPONSIBLE FOR CALLING 911 IN THE EVENT OF AN EMERGENCY. Employee Notif./Evacuation 02/22/2007 MANAGEMENT WILL USE VERBAL SIGNALS TO NOTIFY EMPLOYEES AND CUSTOMERS IN THE EVENT THAT THE STORE NEEDS TO BE EVACUATED. USING VERBAL COMMUNICATION, THE MANAGER WILL INSTRUCT EMPLOYEES WHERE TO GO IN THE EVENT OF AN EMERGENCY. Public Notif./Evacuation 02/22/2007 MANAGEMENT WILL USE VERBAL COMMUNICATION TO INFORM THE PUBLIC IN THE STORE IN THE EVENT THAT THE STORE HAS TO BE EVACUATED. THEY INSTRUCT ALL PEOPLE IN THE STORE WHERE TO GO IN THE EVENT OF AN EMERGENCY. Emergency Medical Plan MERCY HOSPITAL, 2215 TRUXTUN AVE, 632-5000. 09/26/2006 -8- 10/02/2007 F AUTOZONE 3311 SiteID: 015-021-002861 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 02/22/2007 ~ STORE EMPLOYEES ARE RESPONSIBLE FOR CHECKING THE WASTE OIL TANK FOR LEAKS EVERY DAY. THEY WILL ALSO CHECK TO ENSURE THAT THERE ARE NO LEAKS FROM PRODUCTS ON THE SHELVES. Release Containment 02/22/2007 EMPLOYEES WILL CONTAIN ALL SPILLS BY USING ABSORBANTS TO CREATE A DIKE TO STOP THE FLOW OF MATERIAL FROM GETTING BIGGER. THEY WILL ALSO USE TOWELS AND RAGS TO CLEAN UP ANY SPILLS THAT ARISE. Clean Up 02/22/2007 IN THE EVENT OF A SPILL, ALL ABSORBANTS, RAGS, AND OTHER INSTRUMENTS WILL BE PLACED IN ABSORBANT DRUM AND SAFETY-KLEEN CALLED TO REMOVE THE ABSORBANT FOR RECYCLING. V1.11C1 LCC w7V UJ.VC Bil.:L1VCLL1V11 -9- 10/02/2007 ,, F AUTOZONE 3311 SiteID: 015-021-002861 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ w7~JC l:1d1 ildGdLC,I~ Utility Shut-Offs UTILITIES OUTSIDE IN BACK OF STORE ON E SIDE OF BLDG. 02/22/2007 Fire Protec./Avail. Water 02/22/2007 5 ABC FIRE EXTINGUISHERS FIRE HYDRANT - N SIDE OF BLDG ON MING AVE Building Occupancy Level 02/22/2007 10 EMPLOYEES -10- 10/02/2007 ?Y F AUTOZONE 3311 SiteID: 015-021-002861 ~ Fast Format ~ ~ Training Overall Site ~ ~ Emplo~ree Training 09/26/2006 ~ BRIEF SUMMARY OF TRAINING PROGRAM: PERSONNEL TRAINED IN INTERNAL ALARM/NOTIFICATION AND EVACUATION/RE-ENTRY PROCEDURES AND ASSEMBLY POINT LOCATIONS; CHEMICAL HANDLERS TRAINED IN SAFE METHODS FOR HANDLING AND STORAGE OF HAZMAT, PROPER USE OF PPE, SPECIFIC HAZARDS OF EACH CHEMICAL TO WHICH THEY MAY BE EXPOSED, AND HAZARDOUS WASTE HANDLERS/MANAGERS ARE TRAINED IN ALL ASPECTS OF HAZARDOUS WASTE MANAGEMENT SPECIFIC TO THEIR JOB DUTIES; TRAINING, WHICH IS PROVIDED AT LEAST ANNUALLY. rayc ~ nciu tut ru~utc u~c nclu ivi ru~uic u5c -11- 10/02/2007