HomeMy WebLinkAboutBUSINESS PLAN 8/7/2007
-- . r ---.. - - ' -'\
,:' ,"" l! n : << LONGS DRUG STORE #270 I
t i LS:: 2690 MT. VERNON A VENUE
, \ -- - I~~____,.-- r- ~
(
I
II
!
. ~
~t~ <73A
~
~
. \l
", '.~ '
.," "
"
,. ,'\ '
I ,~
~?
,1
J
J
iJ
:J
1
j
1
~
~
J
~-
~~
Ef~~
~~
t'"'"
-
~ Q9i'
/lTe " cS 322r-E
II
....-'1
------------
r:P .~
co
LONGS DRUG STORE 270 SiteID: 015-021-000991 9
,-- Hazmat Inventory By Facility Unit 9
p== MCP+DailyMax Order Fixed Containers on Site 9
Hazmat Common Name. . . SpecHaz EPA Hazards DailyMax MCP
PROPANE E F P IH G 363.90 FT3 Hi
BLEACH R IH L 200.00 GAL Hi
1!iCCZ.ACIDS E R IH S 100.00 LBS Hi
DEVELOPER PART A R IH L 10.00 GAL Hi
FUEL ADDITIVES F P R IH L 5.00 GAL Hi
- ~nN.IA'--sQLJJl'I9B~ F R IH L 100.00 GAL Mod
L 20.00 GAL Mod
POTASSIUM CARBONATE"'" c,
"~~P~R'1'~ \ R IH L 5.00 GAL Mod
F R IH L 5.00 GAL Mod
AMMONIUM HYDROXIDj)/ ~ F IH L 400.00 GAL Low
- ANTIFREEZ \
CAMPING FUEL '\ F P IH L 75.00 GAL Low
\
- ~TOGRAPHIC BLEACH IH L 20.00 GAL Low
AMMONIUM THIOSULFAT'''' L 15.00 GAL Low
FIXER L 10.00 GAL Low
DEVELOPER L 5.00 GAL Low
:gIDlEJdQPER PART B -------... F R IH L 5.00 GAL Low
AMMONIUM THIOSULFATE [ L 5.00 GAL Low
POTASSIUM CARBONATE' L 5.00 GAL Low.
H IUM F P IH G 488.00 FT3 Min
WASTE FIXER R L 75.00 GAL Min
MOTOR OIL F DH L 50.00 GAL Min
?OTASSIUM CHLORIDE~; IH L 5.00 GAL Min
~ PHOTOGRAPHIC STABILIZER IH L 1. 00 GAL Min
FERTILIZER F R IH S' 1000.00 LBS UnR
...., HERBICIDES F IH S 400.00 LBS UnR
INSECTICIDES F IH L 200.00 GAL UnR
PESTICIDES F IH S 50.00 LBS UnR
HE ONE SILVER RECOVERY CANISTE L 27.50 GAL UnR
FEIUnC ~AMMC)NiUM" L 15.00 GAL UnR
~~', t..l.J~
0~ 01 - ~(ell"kLr-L
-2-
08/07/2007
i? ~ q -J'-I-o 7 YON f
~-=-..;1'
LONGS DRUG STORE 270
SiteID: 015-021-000991
Manager : TRACY GRIMSLEY
Locatioh: 2690 MT VERNON AVE
City BAKERSFIELD
CommCode: BFD STA 08
EPA Numb: CAL921363469
BusPhone:
Map : 103
Grid: 22A
(661) 872-3444
CommHaz : Extreme
FacUnits: 1 AOV:
SIC Code:5912
DunnBrad:00-691-0004
Emergency Contact
TRACY GRIMSLEY
Business Phone:
24-Hour phone
Pager Phone
/ Title
/ STORE MANAGER
(661) 872-3444x
(661) 398-0555x
() x
Emergency Contact / Title
TIM SMITH / ASST MANAGER
Business Phone: (661) 872-3444x
24-Hour Phone: (661) 717-5017x
Pager Phone : () x
Period
Preparer:
Certif'd:
ParcelNo:
to
Fire Press React ImmHlth DelHlth
Phone: (707) 469-6853x
State: CA
Zip 94596
Phone: (925) 937-1170x
State: CA
Zip 94596
TotalASTs: = Gal
TotalUSTs: = Gal
RSs: No
Hazmat Hazards:
Contact : RAQUEL KARNES
MailAddr: 141 N CIVIC DR
City WALNUT CREEK
Owner
Address
City
LONGS DRUG STORES CA INC
141 N CIVIC DR
WALNUT CREEK
Emergency Directives:
~-r f" f Z-A L. vi 0
83LI -J 'f s:-
PROG A - HAZMAT
PROG H - HAZ WASTE GEN
-1-
08/07/2007
~
q
~
~
LONGS DRUG STORE 270
SiteID: 015-021-000991
Manager : TRACY GRIMSLEY
Location: 2690 MT VERNON AVE
City BAKERSFIELD
BusPhone:
Map : 103
Grid: 22A
(661) 872-3444
CommHaz : Extreme
FacUnits: 1 AOV:
CommCode: BFD STA 08
EPA Numb: CAL921363469
SIC Code:5912
DunnBrad:00-691-0004
Emergency Contact / Title Emergency Contact / Title
TRACY GRIMSLEY / STORE MANAGER TIM SMITH / ASST MANAGER
Business Phone: (661) 872-3444x Business Phone: (661) 872-3444x
24-Hour Phone : (661) 398-0555x 24-Hour Phone : (661) 717-5017x
Pager Phone : ( ) - x Pager Phone : ( ) - x
Hazmat Hazards:
Fire Press React ImmHlth DelHlth
Period :
Preparer:
Certif'd:
ParcelNo:
to
Phone: (707) 469-6853x
State: CA
Zip : 94596
Phone: (925) 937-1170x
State: CA
Zip : 94596
TotalASTs: = Gal
TotalUSTs: = Gal
RSs: No
Contact : RAQUEL KARNES
MailAddr: 141 N CIVIC DR
City : WALNUT CREEK
Owner
Address :
City
LONGS DRUG STORES CA INC
141 N CIVIC DR
: WALNUT CREEK
Emergency Directives:
PROG A - HAZMAT
PROG H - HAZ WASTE GEN
rNT't) e e 'i~ ~ ,OQ7
G<'><'ed '
- C.,~ on my lnq ,
responsible for Obiai~i~V U?f those individuals
uncler penalty 0; ia~J gth~~ Information, I certify
e)(~mmed and am famil;~ ~ have personally
SUlJm:tted and believe th r ~lIth the .i'lformation
cZd a~d ~mPI6t~_e ,"f::::~:~ue,
Date -
-1-
07/12/2007
'l:r- L)' s
...
F LONGS DRUG STORE 270 SiteID: 015-021-000991 9
f= Hazmat Inventory By Facility Unit 9
p== MCP+DailyMax Order Fixed Containers on Site =t
Hazmat Common Name. . . IspecHazlEPA Hazards I Frm I DailyMax lunitlMCP
PROPANE E F P IH G 363.90 FT3 Hi
BLEACH R IH L 200.00 GAL Hi
POOL ACIDS E R IH S 100.00 LBS Hi
DEVELOPER PART A R IH L 10.00 GAL Hi
FUEL ADDITIVES F P R IH L 5.00 GAL Hi
AMMONIA SOLUTION F R IH L 100.00 GAL Mod
POTASSIUM CARBONATE L 20.00 GAL Mod
DEVELOPER PART C R IH L 5.00 GAL Mod
AMMONIUM HYDROXIDE F R IH L 5.00 GAL Mod
ANTIFREEZE F IH L 400.00 GAL Low
CAMPING FUEL F P IH L 75.00 GAL Low
PHOTOGRAPHIC BLEACH IH L 20.00 GAL Low
AMMONIUM THIOSULFATE L 15.00 GAL Low
FIXER L 10.00 GAL Low
DEVELOPER L 5.00 GAL Low
DEVELOPER PART B F R IH L 5.00 GAL Low
AMMONIUM THIOSULFATE L 5.00 GAL Low
POTASSIUM CARBONATE L 5.00 GAL Low
HELIUM F P IH G 488.00 FT3 Min
WASTE FIXER R L 75.00 GAL Min
MOTOR OIL F DH L 50.00 GAL Min
POTASSIUM CHLORIDE IH L 5.00 GAL Min
PHOTOGRAPHIC STABILIZER IH L 1. 00 GAL Min
FERTILIZER F R IH S 1000.00 LBS UnR
HERBICIDES F IH S 400.00 LBS UnR
INSECTICIDES F IH L 200.00 GAL UnR
PESTICIDES F IH S 50.00 LBS UnR
THE ONE SILVER RECOVERY CANISTE L 27.50 GAL UnR
FERRIC AMMONIUM L 15.00 GAL UnR
-2-
07/12/2007
..-;.
0'
1,
..1'
-3-
07/12/2007
c
C1'
j,
,\
F LONGS DRUG STORE 270
f= Inventory Item 0017
= COMMON NAME / CHEMICAL NAME
PROPANE
SiteID: 015-021-000991 9
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Location within this Facility Unit
PHOTO LAB PRODUCT STORAGE/JANITORIAL AREA
Map:
Grid:
CAS #
74-98-6
STATE - TYPE
Gas Pure
PRESSURE
Above Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container
181.95 FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
363.90 FT3
Daily Average
363.90 FT3
HAZARDOUS COMPONENTS
~
CAS #
749B61
%WL I
100.00 Propane
HAZARD A MEN
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Hi
SSESS TS
f= Inventory Item 0004
= COMMON NAME / CHEMICAL NAME
BLEACH
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Location within this Facility Unit
PHOTO LAB & SE CRNR SALES FLOOR & WHSE
Map:
Grid:
CAS #
7681574
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
1. 00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
200.00 GAL
Daily Average
332.00 GAL
%Wt. RS CAS#
30.00 Sodium Hypochlorite No 7681529
HAZARDOUS COMPONENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R IH / / / Hi
HAZARD ASSESSMENTS
-4-
07/12/2007
';~
}
.i'
F LONGS DRUG STORE 270
f= Inventory Item 0007
= COMMON NAME / CHEMICAL NAME
POOL ACIDS
SiteID: 015-021-000991 9
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Location within this Facility Unit
SALES FLOOR & WHSE
Map:
Grid:
CAS #
7647010
STATE - TYPE
Solid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
2.00 LBS
AMOUNTS AT THIS LOCATION
Daily Maximum
100.00 LBS
Daily Average
900.00 LBS
%Wt. RS CAS #
10.00 Muriatic Acid Yes 7647010
HAZARDOUS COMPONENTS
HAZARD ASS M NTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R IH / / / Hi
ESS E
p= Inventory Item 0025
= COMMON NAME / CHEMICAL NAME
DEVELOPER PART A
CN-16 LN1-R DEVELOPER PART A
Location within this Facility Unit
PHOTO LAB PRODUCT STORAGE
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Map: Grid:
CAS #
7757-83-7
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
0.25 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
10.00 GAL
Daily Average
10.00 GAL
MP NEN
%Wt. RS CAS #
40.00 Potassium Carbonate No 584087
5.00 Sodium Sulfite No 7757837
HAZARDOUS CO 0 TS
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R IH / / / Hi
-5-
07/12/2007
F LONGS DRUG STORE 270
p= Inventory Item 0010
= COMMON NAME / CHEMICAL NAME
FUEL ADDITIVES
SiteID: 015-021-000991 9
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Location within this Facility Unit
SALES FLOOR & WHSE
Map:
Grid:
CAS #
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
0.12 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
5.00 GAL
Daily Average
30.00 GAL
%Wt. RS CAS #
60.00 Methyl Alcohol No 67561
20.00 Methyl Ethyl Ketone No 78933
20.00 Ethylene Glycol No 107211
HAZARDOUS COMPONENTS
HA ARD ES ENT
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P R IH / / / Hi
Z
ASS SM
S
p= Inventory Item 0006
F= COMMON NAME / CHEMICAL NAME
AMMONIA SOLUTION
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Location within this Facility Unit
SALES FLOOR & WHSE
Map:
Grid:
CAS #
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
1.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
100.00 GAL
Daily Average
100.00 GAL
HAZARDOUS COMPONENTS
%Wt. RS CAS #
30.00 Ammonium Hydroxide No 1336216
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F R IH / / / Mod
-6-
07/12/2007
F LONGS DRUG STORE 270
f= Inventory Item 0038
= COMMON NAME / CHEMICAL NAME
POTASSIUM CARBONATE
CP-49E P1R DEVELOPER/REP (PC)
Location within this Facility Unit
PHOTO LAB PRODUCT STORAGE
SiteID: 015-021-000991 ,
Facility Unit: Fixed Containers on Site 1
Days On Site
365
Map: Grid:
CAS #
584-08-7
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
0.75 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
20.00 GAL
Daily Average
20.00 GAL
HAZARDOUS COMPONENTS
%Wt.
10.00 Potassium Carbonate
7.00 Para-Phenylenediamine Derivative
5.00 Hydroxylamine
5.00 Sodium Hydroxide
RS
No
No
No
No
CAS #
584087
92091
0612257895020
1310732
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / Mod
HAZARD ASSESSMENTS
f= Inventory Item 0027
= COMMON NAME / CHEMICAL NAME
DEVELOPER PART C
CN-16 LN1-R DEVELOPER PART C
Location within this Facility Unit
PHOTO LAB PRODUCT STORAGE
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Map: Grid:
CAS #
111-30-8
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
0.12 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
5.00 GAL
Daily Average
5.00 GAL
%Wt. RS CAS#
15.00 p-Phenylenediamine No 106503
HAZARDOUS COMPONENTS
E EN
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R IH / / / Mod
HAZARD ASS SSM TS
-7- 07/12/2007
F LONGS DRUG STORE 270
f= Inventory Item 0031
F= COMMON NAME / CHEMICAL NAME
AMMONIUM HYDROXIDE
CP-49E P2R BLEACH FIX PART A (START-UP
Location within this Facility Unit
PHOTO LAB PRODUCT STORAGE
SiteID: 015-021-000991 9
Facility unit: Fixed Containers on Site 9
KIT)
Days On Site
365
Map:
Grid:
CAS #
1336-21-6
STATE - TYPE
Liquid Mixture
PRESSURE ---- TEMPERATURE
Ambient Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
0.25 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
5.00 GAL
Daily Average
5.00 GAL
HAZARDOUS COMPONENTS
%Wt. RS CAS #
7.00 Ammonium Hydroxide No 1336216
30.00 Ferric Ammonium EDTA No 21265509
7.00 Succinic Acid No 110156
5.00 Nitric Acid (EPA) No 7697372
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F R IH / / / Mod
HAZARD ASSESSMENTS
p= Inventory Item 0011
= COMMON NAME / CHEMICAL NAME
ANTIFREEZE
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Location within this Facility Unit
SALES FLOOR & WHSE
Map:
Grid:
CAS #
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
1. 00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
400.00 GAL
Daily Average
100.00 GAL
PONENTS
%Wt. RS CAS #
100.00 Ethylene Glycol No 107211
HAZARDOUS COM
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH / / / Low
HAZARD ASSESSMENTS
-8-
07/12/2007
F LONGS DRUG STORE 270
f= Inventory Item 0012
~ COMMON NAME / CHEMICAL NAME
CAMPING FUEL
SiteID: 015-021-000991 9
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Location within this Facility unit
SALES FLOOR & WHSE
Map:
Grid:
CAS #
70892103
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
METAL CONTAINR-NONDRUM
Largest Container
1. 00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
75.00 GAL
Daily Average
50.00 GAL
%Wt. I
100.00 Kerosene
HAZARDOUS COMPONENTS
~
CAS~08921031
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Low
HAZARD ASSESSMENTS
f= Inventory Item 0028
= COMMON NAME / CHEMICAL NAME
PHOTOGRAPHIC BLEACH
CN-16 LN2-R COLOR FILM BLEACH REPLENISHER
Location within this Facility Unit
PHOTO LAB PRODUCT STORAGE
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Map:
Grid:
CAS #
12124-97-9
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
0.50 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
20.00 GAL
Daily Average
20.00 GAL
%Wt. RS CAS #
20.00 Ferric Ammonium EDTA No 0
15.00 Ammonium Bromide No 12124979
7.00 Maleic Acid No 110167
HAZARDOUS COMPONENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH / / / Low
HAZARD ASSESSMENTS
-9-
07/12/2007
F LONGS DRUG STORE 270
p= Inventory Item 0035
F= COMMON NAME / CHEMICAL NAME
AMMONIUM THIOSULFATE
CP-49E P2-R BLEACH/FIX REP PART
Location within this Facility
PHOTO LAB PRODUCT STORAGE
SiteID: 015-021-000991 9
Facility unit: Fixed Containers on Site 9
B ( PC)
unit
Days On Site
365
Map:
Grid:
CAS #
7783-18-8
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
0.75 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
15.00 GAL
Daily Average
15.00 GAL
%Wt. RS CAS #
40.00 Ammonium Thiosulfate No 7783188
15.00 Ammonium Bisulfite No 10192300
HAZARDOUS COMPONENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / Low
HAZARD ASSESSMENTS
p= Inventory Item 0029
= COMMON NAME / CHEMICAL NAME
FIXER
CN-16 LN3-R FIXER
Location within this Facility Unit
PHOTO LAB PRODUCT STORAGE
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Map: Grid:
CAS#
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
0.50 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
10.00 GAL
Daily Average
10.00 GAL
HAZARDOUS COMPONENTS
%Wt. RS CAS #
50.00 Ammonium Thiosulfate No 7783188
5.00 Ethylenediamine Tetraacetic Acid No 60004
5.00 Ammonium Bisulfite No 10192300
ARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / Low
HAZ
-10-
07/12/2007
F LONGS DRUG STORE 270
p= Inventory Item 0024
= COMMON NAME / CHEMICAL NAME
DEVELOPER
CN-16 LNl-5 DEVELOPER STARTER
Location within this Facility Unit
PHOTO LAB PRODUCT STORAGE
SiteID: 015-021-000991 9
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Map: Grid:
CAS #
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
GLASS CONTAINER
Largest Container
0.12 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
5.00 GAL
Daily Average
5.00 GAL
HA MP N
%Wt. RS CAS #
10.00 Potassium Carbonate No 584087
10.00 Sodium Carbonate No 497198
ZARDOUS CO 0 ENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / Low
HAZARD ASSESSMENTS
p= Inventory Item 0026
F= COMMON NAME / CHEMICAL NAME
DEVELOPER PART B
CN-16 LN1-R DEVELOPER PART B
Location within this Facility Unit
PHOTO LAB PRODUCT STORAGE
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Map: Grid:
CAS #
74-19-7
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
0.12 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
5.00 GAL
Daily Average
5.00 GAL
%Wt. RS CAS #
10.00 Hydroxylamine Sulfate No 10039540
7.00 Hydroxylamine No 7803498
HAZARDOUS COMPONENTS
HAZARD A ESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F R IH / / / Low
SS
-11-
07/12/2007
F LONGS DRUG STORE 270
f= Inventory Item 0036
F= COMMON NAME / CHEMICAL NAME
AMMONIUM THIOSULFATE
CP-49E P2 BLEACH/FIX PART B (START-UP
Location within this Facility unit
PHOTO LAB PRODUCT STORAGE
SiteID: 015-021-000991 9
Facility Unit: Fixed Containers on Site 9
KIT)
Days On Site
365
Map:
Grid:
CAS #
7783-18-8
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
0.30 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
5.00 GAL
Daily Average
5.00 GAL
HA
%Wt. RS CAS #
40.00 Ammonium Thiosulfate No 7783188
15.00 Ammonium Bisulfite No 10192300
ZARDOUS COMPONENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / Low
HAZARD ASSESSMENTS
f= Inventory Item 0037
= COMMON NAME / CHEMICAL NAME
POTASSIUM CARBONATE
CP-49E PI DEVELOPER PART A (START-UP
Location within this Facility Unit
PHOTO LAB PRODUCT STORAGE
Facility Unit: Fixed Containers on Site 9
KIT)
Days On Site
365
Map:
Grid:
CAS #
584-08-7
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
0.20 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
5.00 GAL
Daily Average
5.00 GAL
HAZARDOUS COMPONENTS
%Wt.
10.00 Potassium Carbonate
7.00 Para-Phenylenediamine Derivative
RS
No
No
CAS #
584087
92091
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / Low
HAZARD ASSESSMENTS
-12-
07/12/2007
"
F LONGS DRUG STORE 270
f= Inventory Item 0016
F= COMMON NAME / CHEMICAL NAME
HELIUM
SiteID: 015-021-000991 9
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Location within this Facility Unit
PHOTO LAB PRODUCT STORAGE/JANITORIAL AREA
Map:
Grid:
CAS #
7440-59-7
STATE - TYPE
Gas Pure
PRESSURE ---- TEMPERATURE
Above, Ambient Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container
244.00 FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
488.00 FT3
Daily Average
488.00 FT3
%Wt. I
100.00 Helium
HAZARDOUS COMPONENTS
~
CAS # I
7440597
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Min
HAZARD ASSESSMENTS
f= Inventory Item 0015
= COMMON NAME / CHEMICAL NAME
WASTE FIXER
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Location within this Facility Unit
PHOTO LAB
Map:
Grid:
CAS #
DOll
STATE - TYPE
Liquid Waste
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
30.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
75.00 GAL
Daily Average
50.00 GAL
%wt. I
Silver
HAZARDOUS COMPONENTS
~
CAS # I
7440224
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R / / / Min
-13-
07/12/2007
F LONGS DRUG STORE 270
p= Inventory Item 0009
= COMMON NAME / CHEMICAL NAME
MOTOR OIL
SiteID: 015-021-000991 9
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Location within this Facility Unit
SALES FLOOR & WHSE
Map:
Grid:
CAS #
8020835
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
0.25 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
50.00 GAL
Daily Average
300.00 GAL
%Wt. RS CAS #
100.00 Motor Oil, Petroleum Based No 8020835
HAZARDOUS COMPONENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Min
HAZARD ASSESSMENTS
f= Inventory Item 0033
= COMMON NAME / CHEMICAL NAME
POTASSIUM CHLORIDE
CP-49E PI DEVELOPER PART B
Location within this Facility Unit
PHOTO LAB PRODUCT STORAGE
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Map: Grid:
CAS #
7447-40-7
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
0.25 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
5.00 GAL
Daily Average
5.00 GAL
HAZARDOUS COMPONENTS
%Wt. RS CAS #
15.00 Potassium Chloride No 7447407
10.00 Potassium Carbonate No 584087
5.00 Hydroxylamine No 7803498
5.00 Sodium Bicarbonate No 144558
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH / / / Min
-14-
07/12/2007
F LONGS DRUG STORE 270
f= Inventory Item 0030
= COMMON NAME / CHEMICAL NAME
PHOTOGRAPHIC STABILIZER
CN-16 LN4-R SAFER STABILIZER
Location within this Facility Unit
PHOTO LAB PRODUCT STORAGE
SiteID: 015-021-000991 9
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Map: Grid:
CAS #
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
0.05 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
1. 00 GAL
Daily Average
1. 00 GAL
%wt. I
15.00 Triazole
HAZARDOUS COMPONENTS
~
CAS# 2888801
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH / / / Min
HAZARD ASSESSMENTS
p= Inventory Item 0013
= COMMON NAME / CHEMICAL NAME
FERTILIZER
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Location within this Facility Unit
SALES FLOOR/WHSE
Map:
Grid:
CAS #
o
[ ST~TE I ~YPE ~ P~ESSURE --r TEM~ERATURE ,
=SOl~d ___Mlxtur~ Amb~ent ---1 Amb~ent ~
AMOUNTS AT THIS LOCATION
Daily Maximum
1000.00 LBS
CONTAINER TYPE
BAG
Largest Container
20.00 LBS
Daily Average
2000.00 LBS
%Wt. I
HAZARDOUS COMPONENTS
~
CAS #
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F R IH / / / UnR
-15-
07/12/2007
F LONGS DRUG STORE 270
f= Inventory Item 0002
= COMMON NAME / CHEMICAL NAME
HERBICIDES
SiteID: 015-021-000991 9
Facility unit: Fixed Containers on Site 9
Days On Site
365
Location within this Facility Unit
SALES FLOOR/WHSE SALES FLOOR/WHSE
Map:
Grid:
CAS#
o
STATE - TYPE
Solid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
GLASS CONTAINER
Largest Container
1. 00 LBS
AMOUNTS AT THIS LOCATION
Daily Maximum
400.00 LBS
Daily Average
600.00 LBS
%Wt. I
100.00 Herbicides
HAZARDOUS COMPONENTS
~
CAS #
01
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH / / / UnR
HAZARD ASSESSMENTS
f= Inventory Item 0001
= COMMON NAME / CHEMICAL NAME
INSECTICIDES
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Location within this Facility Unit
SALES FLOOR/WHSE SALES FLOOR/WHSE
Map:
Grid:
CAS #
o
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
GLASS CONTAINER
Largest Container
1. 00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
200.00 GAL
Daily Average
200.00 GAL
%Wt. I
100.00 Insecticides
HAZARDOUS COMPONENTS
I;r]
CAS #
01
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH / / / UnR
-16-
07/12/2007
F LONGS DRUG STORE 270
p= Inventory Item 0003
= COMMON NAME / CHEMICAL NAME
PESTICIDES
SiteID: 015-021-000991 9
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Location within this Facility unit
SALES FLOOR & WHSE SALES FLOOR & WHSE
Map:
Grid:
CAS #
o
STATE - TYPE
Solid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
GLASS CONTAINER
Largest Container
1. 00 LBS
AMOUNTS AT THIS LOCATION
Daily Maximum
50.00 LBS
Daily Average
200.00 LBS
%Wt. I
100.00 pesticides
HAZARDOUS COMPONENTS
~
No
CAS #
01
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH / / / UnR
HAZARD ASSESSMENTS
p= Inventory Item 0034 Facility Unit: Fixed Containers on Site 9
= COMMON NAME / CHEMICAL NAME
THE ONE SILVER RECOVERY CANISTER Days On Site
METAL SLUDGE FROM SILVER BEARING PROCESS 365
Location within this Facility Unit Map: Grid:
CAS #
STATE - TYPE
Liquid Waste
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
DRUM/BARREL-NONMETAL
Largest Container
5.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
27.50 GAL
Daily Average
12.00 GAL
%Wt. I
HAZARDOUS COMPONENTS
~
CAS #
ME T
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / UnR
HAZARD ASSESS N S
-17- 07/12/2007
F LONGS DRUG STORE 270
p= Inventory Item 0032
= COMMON NAME / CHEMICAL
FERRIC AMMONIUM
CP-49E P2R BLEACH
Location within
PHOTO LAB PRODUCT
SiteID: 015-021-000991 9
Facility Unit: Fixed Containers on Site 9
NAME
FIX REPLENISHER PART A
this Facility Unit
STORAGE
Days On Site
365
Map:
Grid:
CAS #
21265-50-9
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
0.75 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
15.00 GAL
Daily Average
15.00 GAL
%Wt. RS CAS #
30.00 Ferric Ammonium EDTA No 21265509
7.00 Ammonium Hydroxide No 1336216
7.00 Succinic Acid No 110156
HAZARDOUS COMPONENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / UnR
HAZARD ASSESSMENTS
-18-
07/12/2007
SiteID: 015-021-000991 9
Fast Format 9
Overall Site 9
07/11/2000
F LONGS DRUG STORE 270
I
p= Notif./Evacuation/Medical
Agency Notification
CALL 911.
Employee Notif./Evacuation
06/19/2006
MEMBER OF MANAGEMENT WILL BE INFORMED AND WILL CALMLY EVACUATE CUSTOMERS AND
COWORKERS TO NEAREST EXITS. 911 WILL BE DIALED IN AN EMERGENCY. MEMBER OF
MANAGEMENT WILL TAKE ATTENDANCE AT MEETING AREA. PHARMACIST WILL BE
NOTIFIED TO ADMINISTER FIRST AID. ALL EMPLOYEES WILL LISTEN AND RESPOND TO
INSTRUCTIONS ON CALMLY EVACUATING THE BUILDING.
Public Notif./Evacuation
10/21/1998
ANY NECESSARY EVACUATION INSTRUCTIONS WILL BE GIVEN OVER THE INTERCOM
SYSTEM INFORMING EVERYONE HOW TO SAFELY EVACUATE THE PREMISES IN THE EVENT
OF AN EMERGENCY. IF AN EMERGENCY IS NOT OCCURING, BUT THE STORE NEEDS TO BE
EVACUATED, OUR EMPLOYEES WILL VERBALLY ASK THE PUBLIC TO LEAVE THE STORE.
EVERY EMPLOYEE RECEIVES TRAINING ON HOW TO RESPOND AND CLEAN UP A CONSUMER
PRODUCT SPILL.
Emergency Medical plan
06/09/2006
KERN MEDICAL CENTER, 1830 FLOWER ST, 326-2000 OR MEMORIAL HOSPITAL, 420 34TH
ST, 327-1792 OR STATION 8 FIRE DEPT, 2213 UNIVERSITY, 326-3968 OR GOLDEN
EMPIRE AMBULANCE, 801 18TH ST.
-19-
07/12/2007
c,
SiteID: 015-021-000991 9
Fast Format 9
Overall Site 9
10/03/2006
F LONGS DRUG STORE 270
I
p= Mitigation/Prevent/Abatemt
Release Prevention
KEEP CURRENT INVENTORY LIST AND UPDATE AS NEW PRODUCTS ARE INTRODUCED TO
THE PUBLIC. KEEP EMPLOYEES TRAINED IN CLEANING UP HAZARDOUS PRODUCT SPILLS.
KEEP FIRE EXTINGUISHERS WORKING. INFORM ALL EMPLOYEES OF MEETING PLACE IN
THE EVENT OF EVACUATION. KEEP CLEAN-UP SUPPLIES IN ORDER.
Release Containment
10/03/2006
LIQUID RELEASE - SEWER DRAINS AND RAIN WATER DRAINS WILL BE DAMMED.
GAS/AIRBORN RELEASE - STORE WILL BE EVACUATED. POOL CHEMICALS FIRE/STORE
FIRE, USEAGE OF FIRE EXTINGUISHERS.
Clean Up
10/03/2006
CLEAN-UP MATERIALS ARE AVAILABLE TO ALL EMPLOYEES AND ARE EASILY ACCESSIBLE.
Other Resource Activation
-20-
07/12/2007
,
F LONGS DRUG STORE 270
I
p= Site Emergency Factors
Special Hazards
SiteID: 015-021-000991 9
Fast Format 9
Overall Site 9
Utility Shut-Offs
06/09/2006
A) GAS - NW CRNR OF BLDG
B) ELECTRICAL - NEXT TO REC DOOR ON S SIDE OF BLDG
C) WATER - INSIDE NW CRNR OF BLDG
D) SPECIAL - NONE
E) LOCK BOX - SE FRONT WALL
Fire Protec./Avail. Water
12/14/2006
PRIVATE FIRE PROTECTION - OVERHEAD FIRE SPRINKLER SYSTEM AND FIRE
EXTINGUISHERS.
FIRE HYDRANT - N OF NE CRNR OF STORE ON COLUMBUS ST.
Building Occupancy Level
06/09/2006
50 EMPLOYEES
-21-
07/12/2007
... ":. . ,j;
F LONGS DRUG STORE 270
I
p= Training
Employee Training
SiteID: 015-021-000991 9
Fast Format 9
Overall Site 9
06/09/2006
MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: ALL OUR EMPLOYEES ARE TRAINED ON HOW TO
HANDLE SMALL SPILLS AND HOW TO READ THE MSDS. WE HAVE MONTHLY TRAINING
MEETINGS.
Page 2
Held for Future Use
Held for Future Use
-22-
07/12/2007
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
INSPECTION TIME
//6/YJlrI
NO OF EMPLOYEES
4>
INSPECTION DATE
9- -07
PHONE NO.
872.--::' 'i'-4L.f
USINESS 10 NUMBER
15-021- 000 <=>rotl
Section 1: Business Plan and Inventory Program
o JOINT AGENCY 0 MULTI-AGENCY 0 COMPLAINT
ORE-INSPECTION
C V (C-COmplianCe)
V=Violation
Jf 0 ApPROPRIATE PERMIT ON HAND
~ 0 Business PLAN CONTACT INFORMATION ACCURATE
OPERATION
COMMENTS
VISIBLE ADDRESS
CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
((/
VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL
VERIFICATION OF MSDS AVAILABILITY
VERIFICATION OF HAZ MAT TRAINING
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
EMERGENCY PROCEDURES ADEQUATE
CONTAINERS PROPERLY LABELED
HOUSEKEEPING
FIRE PROTECTION
SITE DIAGRAM ADEQUATE & ON HAND
KBF-6013
,IY)QO ~ L
ANY HAZARDOUS WASTE ON SITE? J5 YES 0 NO
EXPLAIN: ~-(O L~ W"J....{~ - PIck-fa vP VhOr"11\0Y'
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
fY} Iflk I+N6 f;LJ.)) ~ (
Inspector (Please Print) Fire Prevention /1" In / Shift of Site/Station #
'-
White - Prevention Services
Yellow - Station Copy
Pink - Business Copy
FD 2155 (Rev. 09/05
---------------------
\
Date:
Oct. 1, 2007
To:
J eanDie Pearson
From:
Mark Angello, 8e
Subject:
Longs Drugs, 2690 Mt Vernon-Haz Mat Inspection
Per our conversation on Oct. 1,2007 please find attached the site plan for
Longs Drugs. There are a number of inventory items listed multiple times
and they were also listed by there chemical names. The store management
had no idea what these items were or where they were located. I have
highlighted the items in question. Also some of the photo chemicals were
not accounted for. I suspect this inspection may need to be followed up by
one of the inspectors.
ENTD OCT 2 2007
;JV
.~tfU
.~ ~ -#U~
~ .~G'I~~ ~uJV
+ LONGS DRUG STORE 270 ================================================================ SiteID: 015-021-000991 +
Manager: q..~C.L 8RrrI3LE~ ":. 2_:....;.'~ ~/. . - BusPhone: (661) 872-3444
Location: 2690 MT VERNON AVE Map : 103 CommHaz: High
City BAKERSFIELD Grid: 22A FacUnits: 1 AOV:
CommCode: BFD STA 08 SIC Code:S912
EPA Numb: CAL921363469 DunnBrad:00-691-0004
+== == ==== == == == == == == == == == == == == == == == == == == ".,..;;?- - - = -:..~ -. -=- --:-.--. -::: == == == == == == == == == == == == == == == == == == == == == == == == == == == == == == == == == == == ==== == == +
+= = = = = = = = = = = = = = = = = = = =.,.:: :-.-. ';.& = =-'~=;; ~ ~~"~ ~.;...;:.= =:-....; ~{.;;:':;: = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = +
Emergency Contac~. / Title Emergency Contact / Title
~_. / STORE MANAGER TIM SMITH / ASST MANAGER
Business Phone: (661) 872-3444x Business Phone: (661) 872-3444x
24-Hour Phone: (661) 398-0555x 24-Hour Phone: (661) 717-5017x
Pager Phone : () x Pager Phone : () X
+---------------------------------------+--------------------------------------+
I Hazmat Hazards: Fire Press React ImmHlth DelHlth I
+-;~~~~~~-~~-KaAY\ib;en~{~~1il-~r~.~---~h~~~~-~~tf~-~'~i~-----+
MailAddr: '2,t;.e Ml' VERnOn ""]~E '4\ n.Ci~rc.. Q\ . State: CA
City : BhK~RSYI~LJ;l l.l.h.t.M.u.t ~ Zip : J))~C q4Sq~
+------------------------------------------------------------------------------+
Owner LONGS DRUG STORES CA INC Phone: (925) 937-1170x
Address : 141 N CIVIC DR State: CA
City : WALNUT CREEK Zip : 94596
+------------------------------------------------------------------------------+
Period to TotalASTs: == Gal
Preparer: TotalUSTs: == Gal
Certif'd: RSs: No
ParcelNo:
+------------------------------------------------------------------------------+
Emergency Directives:
PROG A - HAZMAT
PROG H - HAZ WASTE GEN
fNTV JUN 1 9
2006
+============================================================================================================================================================+
-1-
06/09/2006
./
:/
.'t' "j
LONGS DRUG STORE 270
SiteID: 015-021-000991
Manager : TRACY GRIMSLEY
Location: 2690 MT VERNON AVE
City BAKERSFIELD
BusPhone:
Map : 103
Grid: 22A
(661) 872-3444
CommHaz : Extreme
FacUnits: 1 AOV:
CommCode: BFD STA 08
EPA Numb: CAL921363469
SIC Code:5912
DunnBrad:00-691-0004
Emergency Contact
TRACY GRIMSLEY
Business Phone:
24-Hour Phone :
Pager Phone :
/ Title
/ STORE MANAGER
(661) '872-3444x
(661) 398-0555x
( ) - x
Emergency Contact
TIM SMITH
Business Phone:
24-Hour Phone :
Pager Phone :
/ Title
/ ASST MANAGER
(661) 872-3444x
(661) 717-5017x
( ) - x
Hazmat Hazards:
Fire Press React ImmHlth DelHlth
Period :
Preparer:
Certif'd:
ParcelNo:
to
Phone: (707) 469-6853x
State: CA
Zip : 94596
Phone: (925) 937-1170x
State: CA
Zip : 94596
TotalASTs: = Gal
TotalUSTs: = Gal
RSs: No
Contact : RAQUEL KARNES
MailAddr: 141 N CIVIC DR
City : WALNUT CREEK
Owner
Address
City
LONGS DRUG STORES CA INC
: 141 N CIVIC DR
: WALNUT CREEK
Emergency Directives:
PROG A - HAZMAT
PROG H - HAZ WASTE GEN
tNf'/) t'~.'_.
~b Z.~ "
q '//Ol
Based on my inquiry of .those i.ndividua.~s
responsible for obtaining the mformatlon, I certl.y
under penalty of law that I have person~l1y
examined and am familiar ~ith the !nformatlOn
submitted and believe the mformatlon IS true,
accurate, and complete.
~~1'Ub oatfl'/:+IQl
-1-
02/02/2007
-----------
';' ,.
F LONGS DRUG STORE 270 SiteID: 015-021-000991 9
f= Hazmat Inventory By Facility unit 9
f== MCP+DailyMax Order Fixed Containers on Site 9
Hazmat Common Name. . . IspecHazlEPA Hazards I. Frm I DailyMax IUnitlMCP
PROPANE E F P IH G 363.90 FT3 Hi
BLEACH R IH L 200.00 GAL Hi
POOL ACIDS E R IH S 100.00 LBS Hi
DEVELOPER PART A R IH L 10.00 GAL Hi
FUEL ADDITIVES F P R IH L 5.00 GAL Hi
AMMONIA SOLUTION F R IH L 100.00 GAL Mod
POTASSIUM CARBONATE L 20.00 GAL Mod
DEVELOPER PART C R IH L 5.00 GAL Mod
AMMONIUM HYDROXIDE F R IH L 5.00 GAL Mod
ANTIFREEZE F IH L 400.00 GAL Low
CAMPING FUEL F P IH L 75.00 GAL Low
PHOTOGRAPHIC BLEACH IH L 20.00 GAL Low
AMMONIUM THIOSULFATE L 15.00 GAL Low
FIXER L 10.00 GAL Low
DEVELOPER L 5.00 GAL Low
DEVELOPER PART B F R IH L 5.00 GAL Low
AMMONIUM THIOSULFATE L 5.00 GAL Low
POTASSIUM CARBONATE L 5.00 GAL Low
HELIUM F P IH G 488.00 FT3 Min
WASTE FIXER R L 75.00 GAL Min
MOTOR OIL F DH L 50.00 GAL Min
POTASSIUM CHLORIDE IH L 5.00 GAL Min
PHOTOGRAPHIC STABILIZER IH L 1. 00 GAL Min
FERTILIZER F R IH S 1000.00 LBS UnR
HERBICIDES F IH S 400.00 LBS UnR
INSECTICIDES F IH L 200.00 GAL UnR
PESTICIDES F IH S 50.00 LBS UnR
THE ONE SILVER RECOVERY CANISTE L 27.50 GAL UnR
FERRIC AMMONIUM L 15.00 GAL UnR
-2-
02/02/2007
.'
-3-
02/02/2007
'i' ;f
F LONGS DRUG STORE 270
p= Inventory Item 0017
= COMMON NAME / CHEMICAL NAME
PROPANE
SiteID: 015-021-000991 9
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Location within this Facility Unit
PHOTO LAB PRODUCT STORAGE/JANITORIAL AREA
Map:
Grid:
CAS #
74-98-6
STATE - TYPE
Gas Pure
PRESSURE ---- TEMPERATURE
Above Ambient Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container
181.95 FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
363.90 FT3
Daily Average
363.90 FT3
%Wt I
100.00 Propane
HAZARDOUS COMPONENTS
G;]
CAS #
749861
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Hi
f= Inventory Item 0004
= COMMON NAME / CHEMICAL NAME
BLEACH
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Location within this Facility Unit
PHOTO LAB & SE CRNR SALES FLOOR & WHSE
Map:
Grid:
CAS #
7681574
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
1. 00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
200.00 GAL
Daily Average
332.00 GAL
HAZARDOUS COMPONENTS
%Wt. RS CAS #
30.00 Sodium Hypochlorite No 7681529
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R IH / / / Hi
-4-
02/02/2007
!:' 'i'
F LONGS DRUG STORE 270
p= Inventory Item 0007
= COMMON NAME / CHEMICAL NAME
POOL ACIDS
SiteID: 015-021-000991 9
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Location within this Facility Unit
SALES FLOOR & WHSE
Map:
Grid:
CAS #
7647010
STATE - TYPE
Solid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
2.00 LBS
AMOUNTS AT THIS LOCATION
Daily Maximum
100.00 LBS
Daily Average
900.00 LBS
HAZARDOUS COMPONENTS
%Wt. RS CAS #
10.00 Muriatic Acid Yes 7647010
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R IH / / / Hi
f= Inventory Item 0025
= COMMON NAME / CHEMICAL NAME
DEVELOPER PART A
CN-16 LN1-R DEVELOPER PART A
Location within this Facility Unit
PHOTO LAB PRODUCT STORAGE
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Map: Grid:
CAS #
7757-83-7
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
0.25 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
10.00 GAL
Daily Average
10.00 GAL
MPONENTS
%Wt. RS CAS #
40.00 Potassium Carbonate No 584087
5.00 Sodium Sulfite No 7757837
HAZARDOUS CO
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R IH / / / Hi
-5-
02/02/2007
~I
F LONGS DRUG STORE 270
p= Inventory Item 0010
= COMMON NAME / CHEMICAL NAME
FUEL ADDITIVES
SiteID: 015-021-000991 9
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Location within this Facility Unit
SALES FLOOR & WHSE
Map:
Grid:
CAS #
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
0.12 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
5.00 GAL
Daily Average
30.00 GAL
HAZARDOUS COMPONENTS
%Wt. RS CAS#
60.00 Methyl Alcohol No 67561
20.00 Methyl Ethyl Ketone No 78933
20.00 Ethylene Glycol No 107211
A MEN
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P R IH / / / Hi
HAZARD SSESS TS
f= Inventory Item 0006
= COMMON NAME / CHEMICAL NAME
AMMONIA SOLUTION
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Location within this Facility Unit
SALES FLOOR & WHSE
Map:
Grid:
CAS #
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
1. 00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
100.00 GAL
Daily Average
100.00 GAL
HAZARDOUS COMPONENTS
%Wt. RS CAS#
30.00 Ammonium Hydroxide No 1336216
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F R IH / / / Mod
-6-
02/02/2007
F LONGS DRUG STORE 270
p= Inventory Item 0038
= COMMON NAME / CHEMICAL NAME
POTASSIUM CARBONATE
CP-49E P1R DEVELOPER/REP (PC)
Location within this Facility Unit
PHOTO LAB PRODUCT STORAGE
SiteID: 015-021-000991 9
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Map: Grid:
CAS #
584-08-7
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
0.75 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
20.00 GAL
Daily Average
20.00 GAL
HAZARDOUS COMPONENTS
%Wt.
RS
No
No
No
No
CAS #
10.00 Potassium Carbonate
7.00 Para-Phenylenediamine Derivative
5.00 Hydroxylamine
5.00 Sodium Hydroxide
584087
92091
0612257895020
1310732
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / Mod
HAZARD ASSESSMENTS
f= Inventory Item 0027
= COMMON NAME / CHEMICAL NAME
DEVELOPER PART C
CN-16 LN1-R DEVELOPER PART C
Location within this Facility Unit
PHOTO LAB PRODUCT STORAGE
Facility Unit: Fixed Containers on Site 1
Days On Site
365
Map: Grid:
CAS #
111-30-8
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
0.12 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
5.00 GAL
Daily Average
5.00 GAL
HAZARDOUS COMPONENTS
%Wt. RS CAS #
15.00 p-Phenylenediamine No 106503
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R IH / / / Mod
-7-
02/02/2007
'.'
F LONGS DRUG STORE 270
f= Inventory Item 0031
r== COMMON NAME / CHEMICAL NAME
AMMONIUM HYDROXIDE
CP-49E P2R BLEACH FIX PART A (START-UP
Location within this Facility Unit
PHOTO LAB PRODUCT STORAGE
SiteID: 015-021-000991 9
Facility Unit: Fixed Containers on Site 9
KIT)
Days On Site
365
Map:
Grid:
CAS #
1336-21-6
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
0.25 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
5.00 GAL
Daily Average
5.00 GAL
HA ARDO OMP NENT
%Wt. RS CAS #
7.00 Ammonium Hydroxide No 1336216
30.00 Ferric Ammonium EDTA No 21265509
7.00 Succinic Acid No 110156
5.00 Nitric Acid (EPA) No 7697372
Z
US C
o
S
ARD E NT
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F R IH / / / Mod
HAZ ASS SSME S
f= Inventory Item 0011
= COMMON NAME / CHEMICAL NAME
ANTIFREEZE
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Location within this Facility Unit
SALES FLOOR & WHSE
Map:
Grid:
CAS #
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
1. 00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
400.00 GAL
Daily Average
100.00 GAL
%Wt. RS CAS #
100.00 Ethylene Glycol No 107211
HAZARDOUS COMPONENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH / / / Low
HAZARD ASSESSMENTS
-8-
02/02/2007
F LONGS DRUG STORE 270
F Inventory Item 0012
= COMMON NAME / CHEMICAL NAME
CAMPING FUEL
SiteID: 015-021-000991 9
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Location within this Facility Unit
SALES FLOOR & WHSE
Map:
Grid:
CAS #
70892103
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
METAL CONTAINR-NONDRUM
Largest Container
1. 00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
75.00 GAL
Daily Average
50.00 GAL
HAZARDOUS COMPONENTS
%Wt. RS CAS #
100.00 Kerosene No 70892103
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Low
F Inventory Item 0028
= COMMON NAME / CHEMICAL NAME
PHOTOGRAPHIC BLEACH
CN-16 LN2-R COLOR FILM BLEACH REPLENISHER
Location within this Facility Unit
PHOTO LAB PRODUCT STORAGE
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Map:
Grid:
CAS #
12124-97-9
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
0.50 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
20.00 GAL
Daily Average
20.00 GAL
%Wt. RS CAS #
20.00 Ferric Ammonium EDTA No 0
15.00 Ammonium Bromide No 12124979
7.00 Maleic Acid No 110167
HAZARDOUS COMPONENTS
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH / / / Low
-9-
02/02/2007
F LONGS DRUG STORE 270
p= Inventory Item 0035
= COMMON NAME / CHEMICAL NAME
AMMONIUM THIOSULFATE
CP-49E P2-R BLEACH/FIX REP PART
Location within this Facility
PHOTO LAB PRODUCT STORAGE
SiteID: 015-021-000991 9
Facility Unit: Fixed Containers on Site 9
Days On Site
365
B ( PC)
Unit
Map:
Grid:
CAS #
7783-18-8
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
0.75 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
15.00 GAL
Daily Average
15.00 GAL
%Wt. RS CAS #
40.00 Ammonium Thiosulfate No 7783188
15.00 Ammonium Bisulfite No 10192300
HAZARDOUS COMPONENTS
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No NO/ Curies / / / Low
p= Inventory Item 0029
F== COMMON NAME / CHEMICAL NAME
FIXER
CN-16 LN3-R FIXER
Location within this Facility Unit
PHOTO LAB PRODUCT STORAGE
Facility unit: Fixed Containers on Site 9
Days On Site
365
Map: Grid:
CAS #
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
0.50 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
10.00 GAL
Daily Average
10.00 GAL
%Wt. RS CAS#
50.00 Ammonium Thiosulfate No 7783188
5.00 Ethylenediamine Tetraacetic Acid No 60004
5.00 Ammonium Bisulfite No 10192300
HAZARDOUS COMPONENTS
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / Low
-10-
02/02/2007
F LONGS DRUG STORE 270
p= Inventory Item 0024
= COMMON NAME / CHEMICAL NAME
DEVELOPER
CN-16 LNl-5 DEVELOPER STARTER
Location within this Facility Unit
PHOTO LAB PRODUCT STORAGE
SiteID: 015-021-000991 9
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Map: Grid:
CAS #
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
GLASS CONTAINER
Largest Container
0.12 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
5.00 GAL
Daily Average
5.00 GAL
%Wt. RS CAS #
10.00 Potassium Carbonate No 584087
10.00 Sodium Carbonate No 497198
HAZARDOUS COMPONENTS
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / Low
p= Inventory Item 0026
F== COMMON NAME / CHEMICAL NAME
DEVELOPER PART B
CN-16 LN1-R DEVELOPER PART B
Location within this Facility Unit
PHOTO LAB PRODUCT STORAGE
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Map: Grid:
CAS #
.74-19-7
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
0.12 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
5.00 GAL
Daily Average
5.00 GAL
HAZARDOUS COMPONENTS
%Wt. RS CAS#
10.00 Hydroxylamine Sulfate No 10039540
7.00 Hydroxylamine No 7803498
ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F R IH / / / Low
HAZARD
-11-
02/02/2007
F LONGS DRUG STORE 270
p= Inventory Item 0036
F= COMMON NAME / CHEMICAL NAME
AMMONIUM THIOSULFATE
CP-49E P2 BLEACH/FIX PART B (START-UP
Location within this Facility Unit
PHOTO LAB PRODUCT STORAGE
SiteID: 015-021-000991 9
Facility Unit: Fixed Containers on Site 9
KIT)
Days On Site
365
Map:
Grid:
CAS #
7783-18-8
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
0.30 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
5.00 GAL
Daily Average
5.00 GAL
%Wt. RS CAS #
40.00 Ammonium Thiosulfate No 7783188
15.00 Ammonium Bisulfite No 10192300
HAZARDOUS COMPONENTS
HAZARD A E MENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / Low
SS SS
p= Inventory Item 0037
= COMMON NAME / CHEMICAL NAME
POTASSIUM CARBONATE
CP-49E PI DEVELOPER PART A (START-UP
Location within this Facility Unit
PHOTO LAB PRODUCT STORAGE
Facility Unit: Fixed Containers on Site 9
KIT)
Days On Site
365
Map:
Grid:
CAS #
584-08-7
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
0.20 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
5.00 GAL
Daily Average
5.00 GAL
HAZARDOUS COMPONENTS
%Wt.
10.00 Potassium Carbonate
7.00 Para-Phenylenediamine Derivative
RS
No
No
CAS #
584087
92091
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / Low
-12-
02/02/2007
F LONGS DRUG STORE 270
p= Inventory Item 0016
= COMMON NAME / CHEMICAL NAME
HELIUM
SiteID: 015-021-000991 9
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Location within this Facility unit
PHOTO LAB PRODUCT STORAGE/JANITORIAL AREA
Map:
Grid:
CAS #
7440-59-7
STATE - TYPE
Gas Pure
PRESSURE, ---- TEMPERATURE
Above Ambient Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container
244.00 FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
488.00 FT3
Daily Average
488.00 FT3
%Wt. I
100.00 Helium
HAZARDOUS COMPONENTS
~
CAS # I
7440597
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Min
f= Inventory Item 0015
F= COMMON NAME / CHEMICAL NAME
WASTE FIXER
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Location within this Facility Unit
PHOTO LAB
Map:
Grid:
CAS #
DOll
STATE - TYPE
Liquid Waste
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
30.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
75.00 GAL
Daily Average
50.00 GAL
%Wt. I
Silver
HAZARDOUS COMPONENTS
~I
CAS # I
7440224'
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R / / / Min
HAZARD ASSESSMENTS
-13-
02/02/2007
F LONGS DRUG STORE 270
~ Inventory Item 0009
= COMMON NAME / CHEMICAL NAME
MOTOR OIL
SiteID: 015-021-000991 9
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Location within this Facility Unit
SALES FLOOR & WHSE
Map:
Grid:
CAS #
8020835
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
0.25 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
50.00 GAL
Daily Average
300.00 GAL
HA N
%Wt. RS CAS #
100.00 Motor Oil, Petroleum Based No 8020835
ZARDOUS COMPONE TS
HAZ D A ESS T
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Min
AR
SS
MEN S
p= Inventory Item 0033
F= COMMON NAME / CHEMICAL NAME
POTASSIUM CHLORIDE
CP-49E PI DEVELOPER PART B
Location within this Facility Unit
PHOTO LAB PRODUCT STORAGE
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Map: Grid:
CAS #
7447-40-7
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
0.25 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
5.00 GAL
Daily Average
5.00 GAL
%Wt. RS CAS #
15.00 Potassium Chloride No 7447407
10.00 Potassium Carbonate No 584087
5.00 Hydroxylamine No 7803498
5.00 Sodium Bicarbonate No 144558
HAZARDOUS COMPONENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH / / / Min
HAZARD ASSESSMENTS
-14-
02/02/2007
F LONGS DRUG STORE 270
p= Inventory Item 0030
= COMMON NAME / CHEMICAL NAME
PHOTOGRAPHIC STABILIZER
CN-16 LN4-R SAFER STABILIZER
Location within this Facility Unit
PHOTO LAB PRODUCT STORAGE
SiteID: 015-021-000991 9
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Map: Grid:
CAS#
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
0.05 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
1. 00 GAL
Daily Average
1. 00 GAL
%Wt. I
15.00 Triazole
HAZARDOUS COMPONENTS
~
CAS# 2888801
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH / / / Min
HAZARD ASSESSMENTS
p= Inventory Item 0013
~ COMMON NAME / CHEMICAL NAME
FERTILIZER
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Location within this Facility Unit
SALES FLOOR/WHSE
Map:
Grid:
CAS#
o
[ ST~TE I ~YPE ~ P~ESSURE ~ TEM~ERATURE I
=Solld __Mlxtur~mblent ---1 Amblent ~
AMOUNTS AT THIS LOCATION
Daily Maximum
1000.00 LBS
CONTAINER TYPE
BAG
Largest Container
20.00 LBS
Daily Average
2000.00 LBS
%Wt. I
HAZARDOUS COMPONENTS
~
CAS #
. HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F R IH / / / UnR
-15-
02/02/2007
F LONGS DRUG STORE 270
p= Inventory Item 0002
= COMMON NAME / CHEMICAL NAME
HERBICIDES
SiteID: 015-021-000991 9
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Location within this Facility Unit
SALES FLOOR/WHSE SALES FLOOR/WHSE
Map:
Grid:
CAS #
o
STATE - TYPE
Solid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
GLASS CONTAINER
Largest Container
1. 00 LBS
AMOUNTS AT THIS LOCATION
Daily Maximum
400.00 LBS
Daily Average
600.00 LBS
HAZARDOUS COMPONENTS
~
CAS #
01
%Wt. I
1,00.00 Herbicides
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH / / / UnR
HAZARD ASSESSMENTS
f= Inventory Item 0001
F= COMMON NAME / CHEMICAL NAME
INSECTICIDES
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Location within this Facility Unit
SALES FLOOR/WHSE SALES FLOOR/WHSE
Map:
Grid:
CAS #
o
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
GLASS CONTAINER
Largest Container
1.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
200.00 GAL
Daily Average
200.00 GAL
%Wt. I .
100.00 Insecticides
HAZARDOUS COMPONENTS
~
CAS#
01
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH / / / UnR
-16-
02/02/2007
"
F LONGS DRUG STORE 270
p= Inventory Item 0003
= COMMON NAME / CHEMI CAL NAME
PESTICIDES
SiteID: 015-021-000991 9
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Location within this Facility Unit
SALES FLOOR & WHSE SALES FLOOR & WHSE
Map:
Grid:
CAS #
o
STATE - TYPE
Solid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
GLASS CONTAINER
Largest Container
1. 00 LBS
AMOUNTS AT THIS LOCATION
Daily Maximum
50.00 LBS
Daily Average
200.00 LBS
%wt. I
100.00 pesticides
HAZARDOUS COMPONENTS
~
CAS #
01
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH / / / UnR
p= Inventory Item 0034
F= COMMON NAME / CHEMICAL NAME
THE ONE SILVER RECOVERY CANISTER
METAL SLUDGE FROM SILVER BEARING PROCESS
Location within this Facility Unit
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Map:
Grid:
CAS #
STATE - TYPE
Liquid Waste
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
DRUM/BARREL-NONMETAL
Largest Container
5.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
27.50 GAL
Daily Average
12.00 GAL
%Wt. I
HAZARDOUS COMPONENTS
I~
CAS #
Z ASSE MENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / UnR
HA ARD SS
-17- 02/02/2007
F LONGS DRUG STORE 270
p= Inventory Item 0032
= COMMON NAME / CHEMICAL
FERRIC AMMONIUM
CP-49E P2R BLEACH
Location within
PHOTO LAB PRODUCT
SiteID: 015-021-000991 ~
Facility Unit: Fixed Containers on Site 9
NAME
FIX REPLENISHER PART A
this Facility Unit
STORAGE
Days On Site
365
Map:
Grid:
CAS#
21265-50-9
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
0.75 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
15.00 GAL
Daily Average
15.00 GAL
%Wt. RS CAS #
30.00 Ferric Ammonium EDTA No 21265509
7.00 Ammonium Hydroxide No 1336216
7.00 Succinic Acid No 110156
HAZARDOUS COMPONENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / UnR
HAZARD ASSESSMENTS
-18-
02/02/2007
SiteID: 015-021-000991 9
Fast Format 9
Overall Site 9
07/11/2000
F LONGS DRUG STORE 270
I
f= Notif./Evacuation/Medical
Agency Notification
CALL 911.
Employee Notif./Evacuation
06/19/2006
MEMBER OF MANAGEMENT WILL BE INFORMED AND WILL CALMLY EVACUATE CUSTOMERS AND
COWORKERS TO NEAREST EXITS. 911 WILL BE DIALED IN AN EMERGENCY. MEMBER OF
MANAGEMENT WILL TAKE ATTENDANCE AT MEETING AREA. PHARMACIST WILL BE
NOTIFIED TO ADMINISTER FIRST AID. ALL EMPLOYEES WILL LISTEN AND RESPOND TO
INSTRUCTIONS ON CALMLY EVACUATING THE BUILDING.
Public Notif./Evacuation
10/21/1998
ANY NECESSARY EVACUATION INSTRUCTIONS WILL BE GIVEN OVER THE INTERCOM
SYSTEM INFORMING EVERYONE HOW TO SAFELY EVACUATE THE PREMISES IN THE EVENT
OF AN EMERGENCY. IF AN EMERGENCY IS NOT OCCURING, BUT THE STORE NEEDS TO BE
EVACUATED, OUR EMPLOYEES WILL VERBALLY ASK THE PUBLIC TO LEAVE THE STORE.
EVERY EMPLOYEE RECEIVES TRAINING ON HOW TO RESPOND AND CLEAN UP A CONSUMER
PRODUCT SPILL.
Emergency Medical Plan
06/09/2006
KERN MEDICAL CENTER, 1830 FLOWER ST, 326-2000 OR MEMORIAL HOSPITAL, 420 34TH
ST, 327-1792 OR STATION 8 FIRE DEPT, 2213 UNIVERSITY, 326-3968 OR GOLDEN
EMPIRE AMBULANCE, 801 18TH ST.
-19-
02/02/2007
i' i
SiteID: 015-021-000991 9
Fast Format 9
Overall Site 9
10/03/2006
F LONGS DRUG STORE 270
I
p= Mitigation/Prevent/Abatemt
Release Prevention
KEEP CURRENT INVENTORY LIST AND UPDATE AS NEW PRODUCTS ARE INTRODUCED TO
THE PUBLIC. KEEP EMPLOYEES TRAINED IN CLEANING UP HAZARDOUS PRODUCT SPILLS.
KEEP FIRE EXTINGUISHERS WORKING. INFORM ALL EMPLOYEES OF MEETING PLACE IN
THE EVENT OF EVACUATION. KEEP CLEAN-UP SUPPLIES IN ORDER.
Release Containment
10/03/2006
LIQUID RELEASE - SEWER DRAINS AND RAIN WATER DRAINS WILL BE DAMMED.
GAS/AIRBORN RELEASE - STORE WILL BE EVACUATED. POOL CHEMICALS FIRE/STORE
FIRE, USEAGE OF FIRE EXTINGUISHERS.
Clean Up
10/03/2006
CLEAN-UP MATERIALS ARE AVAILABLE TO ALL EMPLOYEES AND ARE EASILY ACCESSIBLE.
Other Resource Activation
-20-
02/02/2007
.' ~
SiteID: 015-021-000991 9
Fast Format 9
Overall Site 9
F LONGS DRUG STORE 270
I
f= Site Emergency Factors
Special Hazards
Utility Shut-Offs
06/09/2006
A) GAS - NW CRNR OF BLDG
B) ELECTRICAL - NEXT TO REC DOOR ON S SIDE OF BLDG
C) WATER - INSIDE NW CRNR OF BLDG
D) SPECIAL - NONE
E) LOCK BOX - SE FRONT WALL
Fire Protec./Avail. Water
12/14/2006
PRIVATE FIRE PROTECTION - OVERHEAD FIRE SPRINKLER SYSTEM AND FIRE
EXTINGUISHERS.
FIRE HYDRANT - N OF NE CRNR OF STORE ON COLUMBUS ST.
Building Occupancy Level
06/09/2006
50 EMPLOYEES
-21-
02/02/2007
---=-:
j
""'"
..
F LONGS DRUG STORE 270
I
p= Training
Employee Training
SiteID: 015-021-000991 9
Fas t Format 9
Overall Site 9
06/09/2006
MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: ALL OUR EMPLOYEES ARE TRAINED ON HOW TO
HANDLE SMALL SPILLS AND HOW TO READ THE MSDS. WE HAVE MONTHLY TRAINING
MEETINGS.
Page 2
Held for Future Use
Held for Future Use
-22-
02/02/2007
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1 Business Plan and Inventory Program
Bakersfield Fire Dept.
Enlronmental Services
1715 Che$ter Ave
Bakersfield,' CA 93301
Tel: (661)3~16-3979
FACILITY NAME / /,. -#- '7.---1 INSP,~O~E INS~CTION TIME
/1 /?, ~3' A.,
_____.___ __u______~_r""_J~--~-~-'j--~--------~. ( CLH_________ -----.---- ---.----.. ---- -:-;---------
ADDRESS PHONE No. No. of ~Yees
~ ~ 'j tJ .'??? C ~r /V,. A/ /lc/f" ~7 z - --:#~t ~L_m _____
------------- --_..--------------_.__.._._--_..._---~------
FACILlTYCONTACT Business 10 Number
15-021- ~y91
Section 1: Business Plan and Inventory Program
CJ Routine
CJ Combined
CJ Joint Agency
CJ Multi-Agency
CJ Complaint
CJ Re-inspection
C V
( C=Compliance )
V=Violation .
OPERATION
COMMENTS
ApPROPRIATE PERMIT ON HAND
BUSINESS PLAN CONTACT INFORMATION ACCURATE
-~~'4!_~1t~~~_~_~ ,;rz:=-=~_~=~-~~___
VISIBLE ADDRESS
CORRECT OCCUPANCY
~---Ziiiii-----..-.-------.--.-------_.-
VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
PROPER SEGREGATION OF MATERIAL
I ) __no ~/~~ ..r~-p::;- 8"'P""3---
:n~~/2~ ~~h~N~+-
. )IrE _.P~.d~.~.P..mc!) /<"'1 _________
VERIFICATION OF LOCATION
VERIFICATION OF MSDS AVAILABllITYE
~ ~- ----
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES _~./\....-J __ H _1JL-C2.L0-J-_.-!i Pf7 0 / A .
EMERGENCY PROCEDURES ADEQUATE UTE ' .E S ,:;-Z .2 ( H~<.r )
---------.-fO--.-J---.------~-----_...--..--------..--
CONTAINERS PROPERLY LABELED
-,_._- ------------------.-- ._---------"
._______.~~ ~ ~..t'~/7"-.C~,.e~
"--------"- ---------~"_.__._._------_._"_._-_._.,.._----
I( CJ SITE DIAGRAM ADEQUATE & ON HAND
VERIFICATION OF HAT MAT TRAINING
ANY HAZARDOUS WASTE ON SITE?:
DYES
A
EXPLAIN:
~~T?>P~
~. d,T7i#t dn?M~~ qr~/ p~~W ~
Q~'.";:';;;O.? PLEAS< CAll ~ AT (661) 326-3979/f L . -bJ.. );IAAJA
I",~ '''''.0 ~S~~
While - Environmental Services
Yellow - Slation Copy
Pink. Business Copy
ZL/
Bakersfield Fire Dept.
, Environmental Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
1'~1: f66D..3~6~~~72__
INSPECTION DATE INSPECTION TIME
___________ ._:t-J,R_..!2~__ .l.-'~JDI!1rJ.
PHONE No. No. of Employees
_ _ ~z~=-:itftl___s(J_________
Business 10 Number
15-021- 000 11 q I
-
-
. .
r:;j Routine
[] Joint Agency
Section 1: Business Plan and Inventory Program
[] Combined
[] Multi-Agency
c:J Complaint
c:J Re-inspection
--iMN~~ UPOI/it:: IJVllCN~t(---
"-
p~~---irttm(CIt~ $ '-_ ~lZf!\kPo~~T-C9F --
- t -- +--- - J)CI(l> -.. U1 w1J/VttrO/Z }--.. -
-U~ j~OL- <-t!BnIW, 5> 'ilL \O~ ".0 ~ JN~
H_ ------------i _u__.
-------.--- ---ufo. -- -- _H___H___
I
+------- --
_~___~___~_=~~F~~~~I~~_~~~_~~~E_~ENT ~~~~I~_~~N~~ROCEO'~~~S_ t---
~ [] EMERGENCY PROCEDURES ADEQUATE I
fj1.-Cl--.C~~~~'~-~~;-;:~~;~~~~-~;~~._" ------------------------t- ____m____.___ . ------- -
-~~~!T.~~~-~~~~~~~~_~~_-~~:~~~._~--_:-~::_-_:~~_-~~_~:.:~_~__ =.=:_::-- --~_-~-:-J--w ~::~~~~-:---~_~
I
._----.._-~-------_._.._..._. -.----- -.-----
I
c V
( C=Compliance )
V=Violation
OPERATION
vi [] ApPROPRIATE PERMIT ON HAND
r:!..__'-__~~~~::_~_~~_:~~~~-=~_'~~_~_R_~A~'~~_~~~~~~__
_~__9._VIS~~~~~_~RE~~_____H_________ _____" _ ____ _______
!__c~__CO~_~~~~~~~~~~~_~_______________._ _________._.
___~._!!.~~~~~~~~TI~~~~_ ~~~~~~~~ M~~~'~~~
[] ri VERIFICATION OF QUANTITIES
-. ~ [] VERIFICATION OF LOCATION
-----..--.-.-..-.....-.---.--.-.-.... .---------- .-- ...--
ryI (] PROPER SEGREGATION OF MATERIAL
--------.--.--....- .-.--.--...-------.-- -----.----- ......-~_.__.._.._---
rf CJ VERIFICATION OF MSDS AVAILABILlTYE
" c:J VERIFICATION OF HAT MAT TRAINING
, c:J. FIRE PROTECTION
__________..... __.____.__._._._.__.__.. ___ '''''__'''_h._ .__..__...___..___.
r! _ [] SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?:
riVES
c] No
EXPLAIN: r:r >tElL-
COMMENTS
Ira.
.
QUESTIONS REGARDIN THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
'~0 _
-#s;;e - lease Print) --------.-------- -----mFirePn;;erltion-fst-lriiShift ofSite-- --
WMe - Environmental Sefvices
I
"Business Siie-Re8Ponsible party(Pkiase F!
Yellow. Station Copy
Pink. Busineu Copy
@
Bakersfield Fire Dept.
Enironmental Services
1715 Chester Ave
Bakersfield. CA 93301
Tel: (661)326-3979
UNIFIED PROGRAM INSPECTION CHECKLIST
,----,'
SECTION 1 Business Plan and Inventory Program
.
FACILITY NAME INSPECTION DATE INSPECTION TIME
_______~J.:::f~_t1k:~____O'e.U~n_~Ql'l ~5____~_k7~.Ln___ 1~~ 9':~J!/~__ <"5
.----- -.--.-.--. ...- ______.._u_..____ _-"--______~L~____
ADDRESS PHONE No. No_ of Employees
.z. ~c::tQ----vYrr-~-J..J-e~~9..cl--'fud~-.-- .._.___~_._._.._______ _____.._.______________._'.n___ '. n_ -=---0---------- .--. ~S.Om____ ._-
FACILITY CONTACT Business 10 Number
15-021- COO Cf'1 I
Section 1: Business Plan and Inventory Program
s 3 ~}}
LI Combined
LI Joint Agency
Cl Multi-Agency
LI Complaint
LI Re-inspection
C V
tii'LI
( C=Compliance )
V=Violation
OPERATION
COMMENTS
ApPROPRIATE PERMIT ON HAND
rzf-' 0 --~-~~~-;S~~:N~~~TA~~:F~~~:~IO~-:~~URA~---.--.--..-.--
.
~ LI VISIBLE ADDRESS
~~~C";RE~-;CU;;;~~U-__=-~~=~+~~~. .. ._~~ ... ..
----,Tn? ___~ERI~:~TI~N_~~_~~~~~~~R~ MAT~_RI~~_~ ____m_ - -- - --- T Un'\Are\O - - ---- - ~NT'OnOCTO-3-2006n_--
~~~:;~~:~~~;s ~.. ......... ~~~~-_I =#o~- ... .u_.. m~_-_~~-
~D!RO"ERSEG~GATI()NOF MATERIAL _ . __. l- bS _ ____________
~ -~~:::::::~~:()l~;;:;::~Euu- .... . u 1- ;L --------- ..----
~D V,;;;~;,~,ON O-;;-A;;;:;';ME~; ~~;;:';S A:~~~;";OURE~ r"-. .. "....\ v:' ~-\."'(,,~ C,,-" -"'~"'IK c::,
~~;RGE":~ PR""E~R;~AG~A'" ~_= --t-mu __ ....~~uu ._~- ~~-_
~~;;~~RL!~~EL~=-~~--=~--...=J~~~j.,~tI.~~;~.~~I~r~~~e~I;;.;;;;;';'4
r~ :~ ~:~.:~~~;,-&O~HAN~---~Czc,tlf:ktL~)?'=""'~\d-,,~t&tl~"'<LO~-~
I C. e....
A.., HAZARD,,"S WASTE,," SITE?: .1("
EXPLAIN: NM-f~ (I ~
00",,"
~
.
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
_________&..141L I ~~ ie h /'6 I" {/ -<g V
Ins ect~(PIf:se rint - ~----L:.--~~---..~Fi~e-Preverliion-15t_=in/Shift of Site--
_~~_~&d~~l~m_
Business Siielt'esponsible Party (Pleasfprint)
en
C!
N
J2
White. Environmental SelVices
Yellow - Station Copy
Pink - Business Copy