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RITE AID DRUG STORE 5814 SiteID: 015-021-000334
Manager TODD CRABTREE
Location: 2681 OSWELL ST
City BAKERSFIELD
BusPhone: (661) 872-6161
Map 103 CommHaz Extreme
Grid: 23A FacUnits: 1 AOV:
CommCode: BFD STA 08
EPA Numb:
SIC Code:5912
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
TODD CRABTREE / MANAGER EDWARD GONZALES / ASST MANAGER
Business Phone: (661) 872-6161x Business Phone: (661) 872-6161x
24-Hour Phone (661) 332-1155x 24-Hour Phone (661) 832-2349x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: Fire Press React ImmHlth DelHlth
Contact NANCY G MACLEOD Phone: (717) 761-2633x
MailAddr: PO BOX 3165 State: PA
City HARRISBURG Zip 17105
Owner RITE AID CORP Phone: (717) 761-2633x
Address PO BOX 3165 State: PA
City HARRISBURG Zip 17105
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif' d: RSs : No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
PROG H - HAZ WASTE GEN eNT,D I`
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Based an my inquiry of those individuals
respansi~le far obtair7inq the informaiion, I certify
under penalty a. iaw~ that ! h:eve personally
examined and am familiar with the information
suiamitted and relieve the information is true,
accurate and complete,
~~. -9~
Si ure Date
-1- 07/13/2007
F RITE AID DRUG STORE 5814
~ Hazmat Inventory
~ MCP+DailyMax Order
= SiteID: 015-021-000334 ~
By Facility Unit ~
Fixed Containers on Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
BLEACH F R IH DH L 750.00 GAL Hi
POOL CHLORINE IH DH L 200.00 GAL Hi
PROPANE E F P IH G 100.00 FT3 Hi
FUEL ADDITIVES F P R IH L 100.00 GAL Hi
POOL ACIDS E R IH S 30.00 GAL Hi
POOL CHLORINE TABLETS DH S 1000.00 LBS Mod
PHOTOGRAPHIC DEVELOPERS R IH L 11.25 GAL Mod
PHOTOGRAPHIC DEVELOPERS R IH L 6.75 GAL Mod
LIQUID FERTILIZERS DH L 1000.00 GAL Low
ANTIFREEZE F DH L 500.00 GAL Low
PHOTOGRAPHIC BLEACH IH L 20.00 GAL Low
PHOTOGRAPHIC FIXER IH DH L 12.00 GAL Low
PHOTOGRAPHIC BLEACH IH L 0.75 GAL Low
FERTILIZER DH S 20000.00 LBS Min
HELIUM F P IH G 600.00 FT3 Min
MOTOR OIL F DH L 500.00 GAL Min
PHOTOGRAPHIC STABILIZER IH L 11.25 GAL Min
PHOTOGRAPHIC STABILIZER IH L 5.00 GAL Min
WASTE FIXER R L 5.00 GAL Min
LIQUID INSECTICIDES F IH DH L 1000.00 GAL UnR
INSECTICIDES IH DH S 1000.00 LBS UnR
-2- 07/13/2007
-3- 07/13/2007
F RITE AID DRUG STORE 5814 SiteID: 015-021-000334 ~
~ Inventory Item 0009 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
BLEACH Days On Site
365
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BLACK WALL WHSE CAS#
7681-52-9
Liquid T Mixtur~ Ambient~E ~ AmbientT~E - ~STICTCONTAINERE
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
1.00 GAL 750.00 GAL 300.00 GAL
tiAGl~ttLVUS lLV1~lYV1Vt'~1V 15
%Wt. RS CAS#
6.00 Bleach No 7681529
riE~G1~KL ti~J 7 C, J J1~1~1V l ~J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F R IH DH / / / Hi
~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
POOL CHLORINE Days On Site
365
Location within this Facility Unit Map: Grid:
AISLE 1 WHSE CAS#
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TMixture TAmbient ~ Ambient ~ PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
200.00 GAL 200.00 GAL 150.00 GAL
i'1L'iGL-1[CLVU.7 l.VP7YV1Vr,1V 1 ~
%Wt. RS CAS#
10.00 Sodium Hypochlorite No 7681529
riLiG!-1tCL 1-~.7.7L' .7.71~1L" 1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH DH / / / Hi
-4- 07/13/2007
F RITE AID DRUG STORE 5814 SiteID: 015-021-000334 ~
~ Inventory Item 0013 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
PROPANE Days On Site
365
Location within this Facility Unit Map: Grid:
CAMERA DEPT CAS#
74-98-6
~GaSATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
TPure Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
100.00 FT3 100.00 FT3 100.00 FT3
tiL~GHtCLVU~ ~vrlrviVr/ly 15
%Wt. RS CAS#
100.00 Propane Yes 74986
I11~GL~1tCL 1~b~tS.7~71~1~,1V 1 ~7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Hi
~ Inventory Item 0015
.....,,,,,,.T ,.tw,,.n ~ ,.,.r,,.rrwr ,.~„.,r
Facility Unit: Fixed Containers on Site ~
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
100.00 GAL 100.00 GAL 100.00 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
I11iGKKL H. 7 Jt'.,.7.71~1r,1V-1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P R IH / / / Hi
-5- 07/13/2007
Liquid TMixtur~AmbRent~E ~ AmbientT~E ~STOICTCONTAINERE
F RITE AID DRUG STORE 5814 SiteID: 015-021-000334 ~
~ Inventory Item 0014 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
POOL ACIDS Days On Site
365
Location within this Facility Unit Map: Grid:
CAMERA DEPT CAS#
7647010
~SolidE I Mixtur~e~ PRESSURE TEMPERATURE ~~ CONTAINER TYPE
I Ambient ~ Ambient I PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
-30.00 GAL 30.00 GAL 30.00 GAL
- til-~G1iKLVUA LV1"lYV1V~1V1b
°~wt. Rs cAS#
10.00 MuriatiC Acid Yes . 7647010
ri1~L,H1[L a'~55L'i~751~1J;1V 15
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R IH / / / Hi
~ Inventory Item 0012 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
POOL CHLORINE TABLETS Days On Site
365
Location within this Facility Unit Map: Grid:
AISLE 1 WHSE CAS#
STATE TYPE ~~ PRESSURE TEMPERATURE CONTAINER TYPE
Solid Mixture I Ambient ~ Ambient ~ PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
LBS 1000.00 LBS 300.00 LBS
- nri~rircLVUa t.V1~irVivl~Jlvta
~Wt. RS CAS#
99.00 Trichloro-s-triazinetrione No 87901
ri1~GHKL E~.7 J L" .7 J1~1L" 1V l .~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies DH / / j Mod
-6- 07/13/2007
F RITE AID DRUG STORE 5814 SiteID: 015-021-000334 ~
~ Inventory Item 0021 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
PHOTOGRAPHIC DEVELOPERS Days On Site
KODAK EKTACOLOR RA DEVELOPER REPLINISHER 365
Location within this Facility Unit Map: Grid:
PHOTO LAB/CHEMICAL STORAGE AREA CAS#
123-31-9
Liquid TMixture ~ Ambient~E ~ AmbientT~E ~ PLASTOICTCONTAINERE
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
0.75 GAL 11.25 GAL 11.25 GAL
t1AGF]KLV U.7 1.;V1~lYV1VL"i1V 1.7
°sWt. RS CAS#
12.00 Potassium Carbonate No 584087
3.00 Triethanolamine No 102716
7.00 N,N-Diethylacetoacetamide No 2235463
t1KGE~1C1J 1~~ 51; 5 ~1~11;1V l J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R IH / / / Mod
~ Inventory Item 0017 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
PHOTOGRAPHIC DEVELOPERS Days On Site
KODAK FLEXICOLOR DEVELOPER REPLINISHER LORR 365
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PHOTO LAB/CHEMICAL STORAGE AREA CAS#
123-31-9
~E T~E
O
T
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Liquid T Mixture ~AmbRent ~ Ambient CONTAINER
~LAST
IC
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
0.75 GAL 6.75 GAL 6.75 GAL
ti1~GHKLVU~ 1:V1~lYV1V1;1V15
aWt. RS CAS#
12.00 Potassium Carbonate No 584087
3.00 TALE No 14807-96-6
7.00 Hydroxylamine Sulfate No 10039540
riHGEitCL 1-~J .7L" .7.71~1L" 1V 1 ~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R IH / / / Mod
-7- 07/13/2007
F RITE AID DRUG STORE 5814 SiteID: 015-021-000334 ~
~ Inventory Item 0007 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
LIQUID FERTILIZERS Days On Site
365
Location within this Facility Unit Map: Grid:
AISLES 7 & 8 WHSE CAS#
7775146
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TMixture ~mbient ~ Ambient ~ GLASS CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
GAL 1000.00 GAL 500.00 GAL
riHGAKLVUS Lvl~irvlvlilyla
%Wt. RS CAS#
100.00 Ammonium Sulfite No 10196202
ti1~GL-~tCL L~.7 7L',.7.71~1L" 1V l J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies DH / / / Low
~ Inventory Item 0010
COMMON NAME / CHEMICAL NAME
ANTIFREEZE
Location within this Facility Unit
AISLE 4 WHSE
STATE TYPE ~ PRESSURE
Liquid TMixture l Ambient
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
107-21-1
TEMPERATURE CONTAINER TYPE
Ambient ~STIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
1.00 GAL 500.00 GAL 100.00 GAL
ruic,rjtu~vuJ ~.vrlrvivz,LVtJ
%Wt. RS CAS#
100.00 Ethylene Glycol No 107211
tiHGlitCL HJ JL~JJI~1.C~1V1J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
-8- 07/13/2007
F RITE AID DRUG STORE 5814 SiteID: 015-021-000334 ~
~ Inventory Item 0022 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
PHOTOGRAPHIC BLEACH Days On Site
KODAK EKTACOLOR RA BLEACH FIX & REPLINISHER 365
Location within this Facility Unit Map: Grid:
PHOTO LAB/CHEMICAL STORAGE AREA CAS#
12124-97-9
STATE T TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid I Mixture Ambient ~ Ambient ~ PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
1.00 GAL 20.00 GAL 20.00 GAL
rtra~t~tc.>J~u~ ~vi~irvlvl,iv l a
oWt. RS CAS#
10.00 Ammonium Thiosulfate No 7783188
10.00 TALE No 14807-96-6
5.00 Ethylenediamine Tetraacetic Acid No 60004
t1HGHKL 1~~ JiSb51~1~1~ 1
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH / / / Low
~ Inventory Item 0019 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
PHOTOGRAPHIC FIXER Days On Site
KODAK FLEXICOLOR RA FIXER & REPLINISHER 365
Location within this Facility Unit Map: Grid:
PHOTO LAB/CHEMICAL STORAGE AREA CAS#
7783-18-8
Liquid TMixture BelowSAmbEent BelowAmbient DRUM/BNARRELENONMETAL~
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
1.00 GAL 12.00 GAL 12.00 GAL
17tiGtiRLVl1J l:.VllYV1VP~1V1.7
°sWt. RS CAS#
5.00 Ammonium Thiocyanate No 1762954
2.00 Ammonium Thiosulfate No 7783188
46.00 Sodium Sulfite No 7757837
11t1Gtii[L ti J JlSJiJl•1P~1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH DH / / / Low
-9- 07/13/2007
F RITE AID DRUG STORE 5814 SitelD: 015-021-000334 ~
~ Inventory Item 0018 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
PHOTOGRAPHIC BLEACH Days On Site
KODAK FLEXICOLOR RA BLEACH REPLINISHER NR 365
Location within this Facility Unit Map: Grid:
PHOTO LAB/CHEMICAL STORAGE AREA CAS#
12124-97-9
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TMixture ~ Ambient ~ Ambient -~STIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum ~ Daily Average
0.25 GAL 0.75 GAL 0.75 GAL
tit~L,HKUVUa 1:V1~lYV1V~1V1J
%Wt. RS CAS#
0.70 Ferric Ammonium Ethylene Diamine Tetraacetic Acid No 0
10.00 Propylenediamine No 78900
5.00 Ammonium Bromide No 12124979
tiHGH.KIJ 1~~~L' ~J1~1~1V 1 J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH / / / Low
~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
FERTILIZER Days On Site
365
Location within this Facility Unit Map: Grid:
AISLE 8 WHSE CAS#
7783202
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Solid TMixture ~ Ambient ~ Ambient BAG
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
LBS 20000.00 LBS 10000.00' LBS
HAZARDOUS COMPONENTS
~Wt. RS CAS#
100.00 Ammonium Sulfate No 7783202
n.,c~rucL ti ~~~aarinivl~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies DH / / / Min
-10- 07/13/2007
F RITE AID DRUG STORE 5814 SiteID: 015-021-000334 ~
~ Inventory Item 0016 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
HELIUM Days On Site
365
Location within this Facility Unit Map: Grid:
AISLE 12 WHSE CAS#
7440-59-7
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _
Gas TPure ~-Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
300.00 FT3 600.00 FT3 300.00 FT3
t1AGHKIJVU~ 1..V1~lYV1VISIVIJ
%Wt. RS CAS#
100.00 Helium No 7440597
t7.E~G1~tC1.J H~7JI;AA1~1r,1V1J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Min
~ Inventory Item 0011 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
MOTOR OIL Days On Site
365
Location within this Facility Unit Map: Grid:
AISLE 4 WHSE CAS#
8020835
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 500.00 GAL 200.00 GAL
nt~~,rucLVUJ ~.v1~irVlvaivla
$Wt. RS CAS#
100.00 Motor Oil, Petroleum Based No 8020835
riliGL-1KL HA .7L~JJ1~1~1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Min
-11- 07/13/2007
F RITE AID DRUG STORE 5814 SiteID: 015-021-000334 ~
~ Inventory Item 0023 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
PHOTOGRAPHIC STABILIZER Days On Site
KODAK EKTACOLOR PRIME STABLIZER & REPLINISHER RA-4 365
Location within this Facility Unit Map: Grid:
PHOTO LAB/CHEMICAL STORAGE AREA CAS#
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TMixture ~ Ambient ~ Ambient -~STIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
0.75 GAL 11.25 GAL 11.25 GAL
tiEiGlitCLVUJ 1..V1~lYViVI;1VlA
$Wt. RS CAS#
10.00 Polyvinylpyrrolidone No 9003398
1.00 Sodium Alkyl Ether Sulfate No 065858342
1.00 TALE No 14807-96-6
tiL1GHxL ti~~1;a~1~ltSlvlJ
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No Noj Curies IH / / j Min
~ Inventory Item 0020 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
PHOTOGRAPHIC STABILIZER Days On Site
KODAK FLEXICOLOR STABILIZER & REPLINISHER LF 365
Location within this Facility Unit Map: Grid:
PHOTO LAB/CHEMICAL STORAGE AREA CAS#
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TMixture ~mbient ~ Ambient ~ PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
9.00 GAL 5.00 GAL 5.00 GAL
n~,~xtcl~uua ~.vlYlrulvl,iv 1
%Wt. RS CAS#
1.00 Hexamethylenetetramine No 100970
1.OO Sodium Dodecylbenzene Sulfonate No 25155300
1.00 Dipropylene Glycol No 106627
IlE~GLitCL E~b ~1;.7~1~11;1v1J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH / / / Min
-12- 07/13/2007
F RITE AID DRUG STORE 5814 SitelD: 015-021-000334 ~
~ Inventory Item 0024 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
WASTE FIXER Days On Site
365
Location within this Facility Uriit Map: Grid:
PHOTO LAB CAS#
Liquid TWaste ~mbient~E ~ AmbientT~E -~STOICTCONTAINERE
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
5.00 GAL 5.00 GAL 5.00 GAL
t1AGAKL V U 5 l: V1~lY V1V 1';1V 1 J
%Wt. RS CAS#
Silver No 7440224
riAGHKL ASaLJ~1~11;1V'1J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R / / / Min
~ Inventory Item 0006 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
LIQUID INSECTICIDES Days On Site
365
Location within this Facility Unit Map: Grid:
AISLE 8 WHSE CAS#
Liquid TMixture~ AmbRent~E ~ AmbientT~E PLASTOICTCONTAINERE
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
GAL 1000.00 GAL 500.00 GAL
riL-~G1-1ttL V U .7 1. V1~lY V1V L" 1V 1 J
%Wt. RS CAS#
100.00 Insecticides No 0
t1HGEitCL 1~~.71;.7.71~1L" 1V l ~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / UnR
-13- 07/13/2007.
F RITE AID DRUG STORE 5814
~ Inventory Item 0008
COMMON NAME / CHEMICAL NAME
INSECTICIDES
Location within this Facility Unit
AISLES 8 & 9 WHSE
STATE TYPE PRESSURE
Solid TMixture ~mbient
SitelD: 015-021-000334 ~ ~
Facility Unit: Fixed Containers on Site ~ ~
Days On Site i
365
Map: Grid:
CAS#
0
TEMPERATURE CONTAINER TYPE
Ambient BOX
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
LBS 1000.00 LBS 500.00 LBS
ti1~GlittLVU~ wi~lr~iv~lvl~
%Wt. RS CAS#
100.00 Insecticides No 0
t1HGHKL E~~ ~L' .7J1~1ri1V la
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH DH / / / UnR
-14- 07/13/2007 ~
F RITE AID DRUG STORE 5814 SiteID: 015-021-000334
Fast Format
~ Notif./Evacuation/Medical Overall Site
~ Agency Notification 06/07/2000
CALL 911.
9
Employee Notif./Evacuation 07/24/1992
MANAGEMENT ANNOUNCES EMERGENCY SITUATION OVER PA SYSTEM. INFORMATION
COUNTER CALL EMERGENCY SERVICES. WAREHOUSE PERSON CHECK OFFICES AND
RESTROOMS TO VERIFY TOTAL EVACUATION. DEPARTMENT MANAGERS CHECK IMMEDIATE
AREA IF FIRE IS OUT OF HAND EVACUATE THE BLDG. FIRST AID PERSONNEL ASSIST
WITH EVACUATION, ADMINISTER FIRST AID AS REQUIRED. MANAGEMENT PERSONNEL
SHOULD BE AWARE OF NUMBER OF PEOPLE ON DUTY. A PREPLANNED GATHERING PLACE
IS TO BE ARRANGED. NO ONE IS TO REENTER THE BLDG. EMPLOYEES SHOULD BE
FAMILIAR WITH EMERGENCY ESCAPE ROUTES. EMERGENCY ESCAPE ROUTES POSTED IN
HALL AREA BETWEEN RESTOOMS.
Public Notif./Evacuation
07/24/1992
USE PA SYSTEM TO ANNOUNCE. ALL EMPLOYEES STARTING AT REAR OF STORE TO
ESCORT ALL CUSTOMERS TO THE EXITS. DOORS WILL BE LOCKED UNTIL SUCH TIME AS
IT IS DEEMED SAFE TO REENTER.
Emergency Medical Plan 05/18/1998
FIRST AID KIT IN THE WAREHOUSE.
-15- 07/13/2007
F RITE AID DRUG STORE 5814 SiteID: 015-021-000334 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 10/05/2006 ~
FIRE EXTINGUISHERS AND OVERHEAD SPRINKLERS. EXERCISE EXTREME CAUTION WHILE
HANDLING CHEMICALS. WHEN A SPILL OCCURS, EVACUATE THE AREA. TURN ON
VENTILATOR FANS AND/OR OPEN ADJACENT DOORS. DO NOT ALLOW PEOPLE INTO THE
AREA. GET CLEAN-UP KIT AND DISPOSABLE RESPIRATOR. SATURATE THE AREA OF THE
SPILL WITH AN ABSORBENT COMPOUND DESIGNED FOR CLEAN-UP. DURING CLEAN-UP, DO
NOT ALLOW CHEMICALS TO COME IN CONTACT WITH CLOTHES OR SKIN. AFTER CHEMICAL
IS ABSORBED BY COMPOUND, PUT RESIDUE IN NON-FLAMMABLE CONTAINER. CLEAN AREA
WITH HOT SOAPY WATER THEN DRY THOROUGHLY. WASH ALL EQUIPMENT USED.
REPLENISH ALL SUPPLIES USED FOR CLEAN-UP.
Release Containment 10/05/2006
USE APPROPRIATE CLEAN-UP STEPS AND MATERIAL FROM CLEAN-UP KITS.
Clean Up 10/05/2006
HAZARDOUS MATERIAL CLEAN-UP KIT LOCATED IN WAREHOUSE BELOW MARKING DESK.
CONTENTS INCLUDE DUST PAN/BROOM; RUBBER GLOVES, GARBAGE BAGS, WET FLOOR
SIGN, MASKS, CAT LITTER, GOGGLES, ..AND BAKING SODA.
Other Resource Activation
-16- 07/13/2007
;~
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F RITE AID DRUG STORE 5814 SiteID: 015-021-000334 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
~NCC:lai na~aiu5
Utility Shut-Offs 02/28/2007
GAS - SE CRNR OF STORE OUTSIDE
ELECTRICAL - SE CRNR STORE OUTSIDE-BREAKER IN MECH RM
WATER - 15FT N OF S PROP LINE 4FT E OF BLDG
SPECIAL - INSIDE WHSE N END
Fire Protec./Avail. Water
01/12/2007
PRIVATE FIRE PROTECTION - SPRINKLERS, HOOK-UPS FOR SPRINKLER ON OUTSIDE NE
CRNR BLDG OUTSIDE, AND STANDPIPE ON NE CRNR BLDG INSIDE.
FIRE HYDRANT - NE END OF WHSE.
Building Occupancy Level
25 EMPLOYEES
03/10/2006
-17- 07/13/2007
e ` i
F RITE AID DRUG STORE 5814 SiteID: 015-021-000334 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 06/01/2006 ~
MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES TRAINED IN HAZCOM, PPE, USE OF
FIRE EXTINGUISHERS.
rayC ~
Held for Future Use
nClu iv.c ru~ui~ use
-18- 07/13/2007
v' _{
+ RITE AID DRUG STORE 5814 ____________________________ SiteID: 015-021-000334 +
Manager TODD CRABTREE BusPhone: (661) 872-6161
Location: 2681 OSWELL ST Map 103 CommHaz High
City BAKERSFIELD Grid: 23A FacUnits: 1 AOV:
~'CommCode: KCFD STA 42 SIC Code:5912
EPA Numb: DunnBrad:
------------------------------------- -- ----------------
Emergency Contact / Title Emergency Contact / Title
TODD CRABTREE / MANAGER / ASST MANAGER
Business Phone: (661) 872-6161x Business Phone: (661) 872-6161x
2 4 -Hour Phone ( 6 61) 3 3 2 -115 5 x 2 4 -Hour Phone ( 6 61) ~&3~-~-3~6~x
Pager Phone ( ) - x Pager Phone ( ) X32-z3`t9 x
Hazmat Hazards: Fire Press React ImmHlth DelHlth
Contact Phone: (661) 872-6161x
MailAddr: 2681 OSWELL ST State: CA
City. BAKERSFIELD Zip 93306-3199
Owner RITE AID CORP Phone: (717) 761-2633x
Address PO BOX 3165 State: PA
City HARRISBURG Zip 17105
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives: ~
PROG A - HAZMAT
Based on my inquiry of those individuals
responsible for obtaining the information, I certify
under penalty of law that I have personally
examined and am familiar with the information
submitted and believe the information is true,
accurate, and complete.
~qdj~ ~a~ ra T ~. !a s ~-c~.
Signature Date
~~`
o~~
~~ ,a~~~
~n~ ~
t______________________________________________________________________________+
-1-
ENS JU
~ ° 8 Zoo
6
/~
06/01/2006
"~,
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program.
•
~* Prevention Services
e A r> e s r , 900 Truxtun Ave.; Suite 210
FIRE Bakersfield, CA 93301
a R rM Tel.: (661 } 326-3979
Fax: (661) 872-2171 _
FACILITY NAME ~ ~ ~~ ~ / ~ ~~ J S~t7 r e ~~ INSPECTION DAT~~ INSP ~f N~O
ADDRESS -
w'~''( ~~ - HONE NO. ~
Z ' O OF EMPLOYEES
_
FACILITY CONTACT
~
~
~
~ BUSINESS ID NUMBER
15-021-~p3 ~~
oS~
u
t
r.
Section 1: Business Plan and Inventory Program ~-qD
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ~ C=Compliance OPERATION
V=Violation COMMENTS
^ APPROPRIATE PERMIT ON HAND
~ ^ BUSIfteSS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS _ _. _
®, ^ CORRECT OCCUPANCY
,~ ^ VERIFICATION OF INVENTORY MATERIALS
~, ^ VERIFICATION OF QUANTITIES O `
\
~- ^ VERIFICATION OF LOCATION '
®- ^ PROPER SEGREGATION OF MATERIAL
~ ^ VERIFICATION OF MSDS AVAILABILITY
~ ^ VERIFICATION OF HAZ MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
[1~ ^ EMERGENCY PROCEDURES ADEQUATE
~ ^ CONTAINERS PROPERLY LABELED
® ^ HOUSEKEEPING
(~ ^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? YES ~ NO ~/~~ ~
EXPLAIN: ~~~,,,~~~///(~
QUESTIONS REGARDING THIS I SPECTION? PLEASE CALL US AT (667) 326-3979 :"'\
~~ / \lb~
Inspector (Please Print) Fire Prevention / 1" In /Shift of Site/Station # Busi ~ s Site / esponsible Party (Please Prin
White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05
_,
RITE AID DRUG STORE 5814. SiteID: 015-021-000334
Manager TODD CRABTREE
Location: 2681 OSWELL ST
City BAKERSFIELD
BusPhone: (661) 872-6161
Map 103 CommHaz Extreme
Grid: 23A FacUnits: 1 AOV:
CommCode: BFD STA 08
EPA Numb:
SIC Code:5912
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
TODD CRABTREE / MANAGER EDWARD GONZALES / ASST MANAGER
Business Phone: (661) 872-6161x Business Phone: (661) 872-6161x
24-Hour Phone (661) 332-1155x 24-Hour Phone (661) 832-2349x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: Fire Press React ImmHlth DelHlth
Contact Phone: (661) 872-6161x
MailAddr: 2681 OSWELL ST State: CA
City BAKERSFIELD Zip 93306-3199
Owner RITE AID CORP Phone: (717) 761-2633x
Address PO BOX 3165 State: PA
City HARRISBURG Zip 17105
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
PROG H - HAZ WASTE GEN
~IV~~ ~~~
~ , ,
~Qp~
S3ased on my inquiry of those individuals
pn,ihie for obtaining the information, ! cortlfy
redp
under penalty of law that I have personally
xamined and am familiar with the information
e
submitted and believe the information is true,
accurate, a ~ complete.
,~ ~-~7
Sign ~ re Date
-1- 02/06/2007
~- ~: ~ .
F RITE AID DRUG STORE 5814 SiteID: 015-021-00.0334 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers on Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
BLEACH F R IH DH L 750.00 GAL Hi
POOL CHLORINE IH DH L 200.00 GAL Hi
PROPANE E F P IH G 100.00 FT3 Hi
FUEL ADDITIVES F P R IH L 100.00 GAL Hi
POOL ACIDS E R IH S 30.00 GAL Hi
POOL CHLORINE TABLETS DH S 1000.00 LBS Mod
PHOTOGRAPHIC DEVELOPERS R IH L 4.00 GAL Mod
PHOTOGRAPHIC DEVELOPERS R IH L 4.00 GAL Mod
LIQUID FERTILIZERS DH L 1000.00 GAL Low
ANTIFREEZE F DH L 500.00 GAL Low
PHOTOGRAPHIC FIXER IH DH L 4.00 GAL Low
PHOTOGRAPHIC BLEACH IH L 4.00 GAL Low
PHOTOGRAPHIC BLEACH IH L 1.00 GAL Low
FERTILIZER DH S 20000.00 LBS Min
HELIUM F P IH G 600.00 FT3 Min
MOTOR OIL F DH L 500.00 GAL Min
PHOTOGRAPHIC STABILIZER IH L 28.00 GAL Min
PHOTOGRAPHIC STABILIZER IH L 5.00 GAL Min
WASTE FIXER R L 5.00 GAL Min
LIQUID INSECTICIDES F IH DH L 1000.00 GAL UnR
INSECTICIDES IH DH S 1000.00 LBS UnR
-2- 02/06/2007
z
-3-
02/06/2007
., ~, }
F RITE AID DRUG STORE 5814 SiteID: 015-021-000334 ~
~ Inventory Item 0009 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
BLEACH Days On Site
365
Location within this Facility Unit Map: Grid:
BLACK WALL WHSE CAS#
7681-52-9
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TMixtur~ Ambient ~ Ambient ~LASTIC CONTAINER
AMOUNTS AT THIS LOCATION -
Largest Container Daily Maximum Daily Average
1.00 GAL 750.00 GAL 300.00 GAL
HAZARDOUS COMPONENTS
%Wt• RS CAS#
6.00 Bleach No 7681529
1'1tiAtitCL HJ JP.~JJ1~1P~1V1J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F R IH DH / / / Hi
~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
POOL CHLORINE Days On Site
365
Location within this Facility Unit Map: Grid:
AISLE 1 WHSE CAS#
Liquid TMixture ~-Ambient~E ~ AmbientT~E ~ PLASTOICTCONTAINERE
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum
200.00 GAL 200.00 GAL
Daily Average
150.00 GAL
rarauruu~v~J ~.vl•lrvtvr,ty t J
oWt. RS CAS#
10.00 Sodium Hypochlorite No 7681529
rltiutiiCL tiJ JI:+JJ1~1L~1V 1J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH DH / / / Hi
-4- 02/06/2007
F RITE AID DRUG STORE 5814 SiteID: 015-021-000334 ~
~ Inventory Item 0013 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
PROPANE Days On Site
365
Location within this Facility Unit Map: Grid:
CAMERA DEPT CAS#
74-98-6
~GasATE T TYPE PRESSURE TEMPERATURE CONTAINER TYPE
I Pure Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Co100100rFT3 Daily 100100m FT3 I Daily 100r00e FT3
t1t~~r~tcUVUa ~vl~irviv~iv 15
%Wt. RS CAS#
100.00 Propane Yes 74986
ril-~GHKL H~JL~~51~1t;1Vla
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Hi
~ Inventory Item 0015 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
FUEL ADDITIVES Days On Site
365
Location within this Facility Unit Map: Grid:
AISLE 5 CAS#
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TMixture ~ Ambient ~ Ambient ~ PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum
100.00 GAL 100.00 GAL
Daily Average
100.00 GAL
nric~r-uc.uvu~ ~..vl~irvivnlylS
°sWt . RS CAS#
60.00 Methyl Alcohol No 67561
20.00 Methyl Ethyl Ketone No 78933
20.00 Ethylene Glycol No 107211
nta~~tu~ s~~ ar,~~l~ir,ivla
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P R IH / / / Hi
-5- 02/06/2007
F RITE AID DRUG STORE 5814 SiteID: 015-021-000334 ~
~ Inventory Item 0014 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
POOL ACIDS Days On Site
365
Location within this Facility Unit Map: Grid:
CAMERA DEPT CAS#
7647010
~SolidE I MixtureT PRESSURE TEMPERATURE ~~ CONTAINER TYPE
I Ambient ~ Ambient I PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
30.00 GAL 30.00 GAL 30.00 GAL
tiAG.9.ttLV U~J l:vrlrVlvL' iv l
%Wt. RS CAS#
10.00 Muriatic Acid Yes 7647010
ntj~t~l<.1~ t~~~~~ain.Givla
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R IH / / / Hi
~ Inventory Item 0012
COMMON NAME / CHEMICAL NAME
POOL CHLORINE TABLETS
Location within this Facility Unit
AISLE 1 WHSE
STATE TYPE PRESSURE
Solid TMixture Ambient
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
TEMPERATURE CONTAINER TYPE
Ambient ~ PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
LBS 1000.00 LBS 300.00 LBS
I1HGEiKLV U.7 1=V1~lYV1V L` 1V 1.7
%Wt. RS CAS#
99.00 Trichloro-s-triazinetrione No 87901
riL-~GKttL 1'~ J.7A.7JP7P~1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies DH / / / Mod
-6- 02/06/2007
F RITE AID DRUG STORE 5814 SiteID: 015-021-000334 ~
~ Inventory Item 0017 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
PHOTOGRAPHIC DEVELOPERS Days. On Site
KODAK FLEXICOLOR DEVELOPER REPLINISHER LORR 365
Location within this Facility Unit Map: Grid:
PHOTO LAB/CHEMICAL STORAGE AREA CAS#
123-31-9
STATE T TYPE ~~ PRESSURE TEMPERATURE ~~ CONTAINER TYPE
Liquid I Mixture I Ambient ~ Ambient I PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Co tame Daily M im Daily ra
•~~ GAL ,~ ~4 0 GAL ~,~~.00 GAL
t1AGt1tCLV U.7 1.:V1~lYV1V ~1V 1 b
°sWt. RS CAS#
12.00 Potassium Hydroxide No 1310583
3.00 Ethylene Glycol No 107211
7.00 Hydroquinone (EPA) No 123319
tiAGKKlJ 1~5~L'~5:i1~1i51V1~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R IH / / / Mod
~ Inventory Item 0021 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
PHOTOGRAPHIC DEVELOPERS Days On Site
KODAK EKTACOLOR RA DEVELOPER REPLINISHER 365
Location within this Facility Unit Map: Grid:
PHOTO LAB/CHEMICAL STORAGE AREA CAS#
123-31-9
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TMixture 1 Ambient ~ Ambient PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Co~ai r Daily axim Daily era
S 5.00 GAL lli ~ .00 GAL '~ ~~ .00 GAL
TTT ATTTTI/\TTA /"1l1T RT1/~T~TT'_IT~TT l1 _ _- -_. --. -_
ruyaru~iv ~ ~ ~.vrirviv alv t ~
°sWt . RS CAS#
12.00 Potassium Hydroxide No 1310583
3.00 Ethylene Glycol No 107211
7.00 Hydroquinone (EPA) No 123319
I3YaGHICL L'~A .7L' ~7~J1~1L' 1V 1 w7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R IH / / / Mod
-7- 02/06/2007
F RITE AID DRUG STORE 5814 SiteID: 015-021-000334 ~
~ Inventory Item 0007 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
LIQUID FERTILIZERS Days On Site
365
Location within this Facility Unit Map: Grid:
AISLES 7 & 8 WHSE CAS#
7775146
Liquid TYPE PRESSURE TEMPERATURE CONTAINER TYPE
TMixtur~ Ambient ~ Ambient +~SS CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
GAL 1000.00 GAL 500.00 GAL
ru-~~t~xl~~ua ~vi~irulv~ly l a
~Wt. RS CAS#
100.00 Ammonium Sulfite No 10196202
nta~t~tcl~ t~aa~a~i~ir~ly 15
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies DH / / / Low
~ Inventory Item 0010
COMMON NAME / CHEMICAL NAME
ANTIFREEZE
Location within this Facility Unit
AISLE 4 WHSE
STATE TYPE PRESSURE
Liquid TMixture ~ Ambient
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
107-21-1
TEMPERATURE CONTAINER TYPE
Ambient ~LASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
1.00 GAL 500.00 GAL 100.00 GAL
nsiasitu~vu~ t.vi~irulv~lvla
~Wt. RS CAS#
100.00 Ethylene Glycol No 107211
riHGKttL 1-~J A.C,~J1~l~1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Low
-8- 02/06/2007
F RITE AID DRUG STORE 5814 SiteID: 015-021-000334 ~
~ Inventory Item 0019 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
PHOTOGRAPHIC FIXER Days On Site
KODAK FLEXICOLOR RA FIXER & REPLINISHER 365
Location within this Facility Unit Map: Grid:
PHOTO LAB/CHEMICAL STORAGE AREA CAS#
7783-18-8
Liquid TMixture BelowSAmbEent BelowAmbient DRUM/BARRELENONMETAL~
Largest Contain
5 0 GAL
t~u~~HrcLVU~ ~ui~irulvr~lvl~
%Wt. RS CAS#
5.00 Acetic Acid Solution No 64196
2.00 Boric Acid No 10043353
46.00 Ammonium Thiosulfate No 7783188
I11-~GHtCL HaJ~5J1~1L"1V1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH DH / / / Low
~ Inventory Item 0022 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
PHOTOGRAPHIC BLEACH Days On Site
KODAK EKTACOLOR RA BLEACH FIXF~ & REPLINISHER 365
Location within this Facility Unit Map: Grid:
PHOTO LAB/CHEMICAL STORAGE AREA CAS#
12124-97-9
Liquid TMixture ~AmbRent~E ~ AmbientT~E -~STOICTCONTAINERE
AMOUNTS AT THIS LOCATION
Largest Contain r Daily Maxim Daily Avera
5 0 GAL 4 0 GAL 0 GAL
t11jL,1-1tCLVU~ ~u1~1rv1vL'lvla
%Wt. RS CAS#
10.00 Ammonium Thiosulfate No 7783188
10.00 Sodium Bisulfite No 7631905
5.00 Acetic Acid Solution No 64196
ritiGEjtC.1J Ei.7~7L' ~Jw71~1L'1V 15
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH / / / Low
AMOUNTS AT THIS LOCATION
Daily Maxim
0 GAL
Dai~Avera
ff//0 GAL
-9- 02/06/2007
F RITE AID DRUG STORE 5814 SiteID: 015-021-000334 ~
~ Inventory Item 0018 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
PHOTOGRAPHIC BLEACH Days On Site
KODAK FLEXICOLOR RA BLEACH REPLINISHER NR 365
Location within this Facility Unit Map: Grid:
PHOTO LAB/CHEMICAL STORAGE AREA CAS#
12124-97-9
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TMixture ~ Ambient ~ Ambient -~STIC CONTAINER
AMOUNTS AT THIS LOCATION
Lar est Co ai r Dail xim Dail era
g ~ 2 . 0 0 GAL 7~ 0 GAL ~ ~~ GAL
tir~~xicL~u~ ~vi~irvlv~,lvla
%Wt. RS CAS#
15.00 Ferric Ammonium Ethylene Diamine Tetraacetic Acid No 0
10.00 Ammonium Bromide No 12124979
5.00 Ammonium Nitrate No 6484522
tlE~GKhCL 1~~7.7L" J51~1L" 1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH / / / Low
~ Inventory Item 0005
~ COMMON NAME / CHEMICAL NAME
I FERTILIZER
Location within this Facility Unit
AISLE 8 WHSE
STATE T TYPE ~~ PRESSURE
Solid I Mixture I Ambient
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
7783202
TEMPERATURE CONTAINER TYPE
Ambient BAG
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
LBS 20000.00 LBS 10000.00 LBS
nr~ar-ucL~ua ~vinrvlvr,lvl~
%Wt. RS CAS#
100.00 Ammonium Sulfate No 7783202
t1HGKKL 1~iJ~~5~1~1L1V 15
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies DH / / / Min
-10- 02/06/2007
F RITE AID DRUG STORE 5814 SiteID: 015-021-000334 ~
~ Inventory Item 0016 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
HELIUM Days On Site
365
Location within this Facility Unit Map: Grid:
AISLE 12 WHSE CAS#
7440-59-7
~GaSATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
TPu.re Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
300.00 FT3 600.00 FT3 300.00 FT3
nra~tucl~~ua winrvlv~lvl~
%Wt. RS CAS#
100.00 Helium No 7440597
riHGKKL H5 ~7~551~i~1V l b
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Min
~ Inventory Item 0011
COMMON NAME / CHEMICAL NAME
MOTOR OIL
Location within this Facility Unit
AISLE 4 WHSE
STATE TYPE PRESSURE
Liquid TMixture ~-Ambient
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
8020835
TEMPERATURE CONTAINER TYPE
Ambient ~ PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
1.00 GAL 500.00 GAL 200.00 GAL
- 17HGKtCLV U.7 1~V1~1YV1V ~1V 15
%Wt. RS CAS#
100.00 Motor Oil, Petroleum Based No 8020835
iir~~tllcl~ r~~ ~na~in~lvl~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Min
-11- 02/06/2007
F RITE AID DRUG STORE 5814 SiteID: 015-021-000334 ~
~ Inventory Item 0023 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
PHOTOGRAPHIC STABILIZER Days On Site
KODAK EKTACOLOR PRIME STABLIZER & REPLINISHER RA`s/ 365
Location within this Facility Unit Map: Grid:
PHOTO LAB/CHEMICAL STORAGE AREA CAS#
STATE TYPE PRESSURE ~(' TEMPERATURE CONTAINER TYPE
Liquid TMixture ~ Ambient I Ambient ..PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Lar est C tai r Dail axi Dail vera e
g o ~2 . 0 0 GAL ~ y~2 . 0 0 GAL `~ ~y~2 0 GAL
r1ti~Htcilvu~ ~vlYlrviv~lv_l~
%Wt. RS CAS#
10.00 Magnesium Nitrate No 10377603
1.00 Polyvinylpyrrolidone No 9003398
1.00 SODIUM ALKANE SULFONATE No 0
til-~GHKL Ij~Jw7L' .7~71~1L" 1V 1
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH / / / Min
~ Inventory Item 0020 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
PHOTOGRAPHIC STABILIZER Days On Site
KODAK FLEXICOLOR STABILIZER & REPLINISHER LF 365
Location within this Facility Unit Map: Grid:
PHOTO LAB/CHEMICAL STORAGE AREA CAS#
STATE TYPE ~ PRESSURE TEMPERATURE ~'~ CONTAINER TYPE
Liquid TMixture I Ambient ~ Ambient I PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum ~ Daily Average
9.00 GAL 5.00 GAL 5.00 GAL
ns-~c~titcLVU~ ~urirvivr;ly 15
%Wt. RS CAS#
1.00 Hexamethylenetetramine No 100970
1.00 Sodium Dodecylbenzene Sulfonate No 25155300
1.00 Dipropylene Glycol No 106627
tiLiGHtCL H. 7.7JJr~.7P'1~1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH / / / Min
-12- 02/06/2007
F RITE AID DRUG STORE 5814 SiteID: 015-021-000334 ~
~ Inventory Item 0024 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
WASTE FIXER Days On Site
365
Location within this Facility Unit Map: Grid:
PHOTO LAB CAS#
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid TWaste ~ Ambient ~ Ambient ~ PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
5.00 GAL 5.00 GAL 5.00 GAL
t11-~GHKLVUb lLV1~lYV1VL"1VTa
cwt. Rs cAS#
Silver No 7440224
til'~GHKL E~J~J~.7.71~1~1V l
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R / / / Min
~ Inventory Item 0006
COMMON NAME / CHEMICAL NAME
LIQUID INSECTICIDES
Location within this Facility Unit
AISLE 8 WHSE
STATE TYPE PRESSURE
Liquid TMixture I Ambient
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
TEMPERATURE CONTAINER TYPE
Ambient ~ PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
GAL 1000.00 GAL 500.00 GAL
I1HGKttLVU~ l.Vl~irvlvrlvla
oWt. RS CAS#
100.00 Insecticides No 0
nt-~c~t~.tcl, s~a~~~a1~i.Glvla
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / UriR
-13- 02/06/2007
F RITE AID DRUG STORE 5814 SitelD: 015-021-000334 ~
~ Inventory Item 0008 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
INSECTICIDES Days On Site
365
Location within this Facility Unit Map: Grid:
AISLES 8 & 9 WHSE CAS#
0
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Solid TMixture ~ Ambient ~ Ambient BOX
AMOUNTS AT THIS LOCATION
Largest ContainerLBS Dailyl000100m LBS I Daily 500r00e LBS
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°sWt. RS CAS#
100.00 Insecticides No 0
ri.'~GL-1ttL AS~L'~551~l~1V'1'~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH DH / / / UnR
-14- 02/06/2007
F RITE AID DRUG STORE 5814 SiteID: 015-021-000334
Fast Format
~ Notif./Evacuation/Medical Overall Site
Agency Notification 06/07/2000
CALL 911.
Employee Notif./Evacuation 07/24/1992
MANAGEMENT ANNOUNCES EMERGENCY SITUATION OVER PA SYSTEM. INFORMATION
COUNTER CALL EMERGENCY SERVICES. WAREHOUSE PERSON CHECK OFFICES AND
RESTROOMS TO VERIFY TOTAL EVACUATION. DEPARTMENT MANAGERS CHECK IMMEDIATE
AREA IF FIRE IS OUT OF HAND EVACUATE THE BLDG. FIRST AID PERSONNEL ASSIST
WITH EVACUATION, ADMINISTER FIRST AID AS REQUIRED. MANAGEMENT PERSONNEL
SHOULD BE AWARE OF NUMBER OF PEOPLE ON DUTY. A PREPLANNED GATHERING PLACE
IS TO BE ARRANGED. NO ONE IS TO REENTER THE BLDG. EMPLOYEES SHOULD BE
FAMILIAR WITH EMERGENCY ESCAPE ROUTES. EMERGENCY ESCAPE ROUTES POSTED IN
HALL AREA BETWEEN RESTOOMS.
Public Notif./Evacuation 07/24/1992
USE PA SYSTEM TO ANNOUNCE. ALL EMPLOYEES STARTING AT REAR OF STORE TO
ESCORT ALL CUSTOMERS TO THE EXITS. DOORS WILL BE LOCKED UNTIL SUCH TIME AS
IT IS DEEMED SAFE TO REENTER.
Emergency Medical Plan 05/18/1998
FIRST AID KIT IN THE WAREHOUSE.
-15~- 02/06/2007
F RITE AID DRUG STORE 5814 SiteID: 015-021-000334 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 10/05/2006 ~
FIRE EXTINGUISHERS AND OVERHEAD SPRINKLERS. EXERCISE EXTREME CAUTION WHILE
HANDLING CHEMICALS. WHEN A SPILL OCCURS, EVACUATE THE AREA. TURN ON
VENTILATOR FANS AND/OR OPEN ADJACENT DOORS. DO NOT ALLOW PEOPLE INTO THE
AREA. GET CLEAN-UP KIT AND DISPOSABLE RESPIRATOR. SATURATE THE AREA OF THE
SPILL WITH AN ABSORBENT COMPOUND DESIGNED FOR CLEAN-UP. DURING CLEAN-UP, DO
NOT ALLOW CHEMICALS TO COME IN CONTACT WITH CLOTHES OR SKIN. AFTER CHEMICAL
IS ABSORBED BY COMPOUND, PUT RESIDUE IN NON-FLAMMABLE CONTAINER. CLEAN AREA
WITH HOT SOAPY WATER THEN DRY THOROUGHLY. WASH ALL EQUIPMENT USED.
REPLENISH ALL SUPPLIES USED FOR CLEAN-UP.
Release Containment 10/05/2006
USE APPROPRIATE CLEAN-UP STEPS AND MATERIAL FROM CLEAN-UP KITS.
Clean Up 10/05/2006
HAZARDOUS MATERIAL CLEAN-UP KIT LOCATED IN WAREHOUSE BELOW MARKING DESK.
CONTENTS INCLUDE DUST PAN/BROOM; RUBBER GLOVES, GARBAGE BAGS, WET FLOOR
SIGN, MASKS, CAT LITTER, GOGGLES, AND BAKING SODA.
V1.11C1 RCw7VlA1 l:C lil. l.lVQl.1 V11
-16- 02/06/2007
F RITE AID DRUG STORE 5814 SiteID: 015-021-000334 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
-~ - ~-
.~rc~.iai nac.aiu~
Utility Shut-Offs 01/12/2007
A) GAS - SE CRNR OF STORE OUTSIDE
B) ELECTRICAL - SE CRNR STORE OUTSIDE-BREAKER IN MECH RM
C) WATER - 15FT N OF S PROP LINE 4FT E OF BLDG
D) SPECIAL - INSIDE WHSE N END
E) LOCK BOX - NO
Fire Protec./Avail. Water 01/12/2007
PRIVATE FIRE PROTECTION - SPRINKLERS, HOOK-UPS FOR SPRINKLER ON OUTSIDE NE
CRNR BLDG OUTSIDE, AND STANDPIPE ON NE CRNR BLDG INSIDE.
FIRE HYDRANT - NE END OF WHSE.
Building Occupancy Level 03/10/2006
25 EMPLOYEES
-17- 02/06/2007
^- V` ~ ~ ;I
F RITE AID DRUG STORE 5814 SiteID: 015-021-000334 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 06/01/2006 ~
MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES TRAINED IN HAZCOM, PPE, USE OF
FIRE EXTINGUISHERS.
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-18- 02/06/2007
_ x-20 l
UNIFIED PROGRAM INSPECTION CHECKLIST.:
SECTION 1: Business Plan and Inventory Program
A E R S P I p
F/RE
ARrlu r
~.
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILIT~j'J~'ME`1 /\~ (,\~~\- , l/~~ ~ IN~S_(PE TION DATE INSQP(,ECTION TIME
ADDRESS_ ~~~
L ~~ e
~" -C,JI~`II
. ~ PHO-N7E,ZN0~~, ~)
`
Q7 NO OF EMPLZO~ES
FACILITY C
ONTACT `
la~C.\ \
~~~ SINESS ID NUMBER
B
U
15-021- 00033-
ROUTINE Section 1: Business Plan and Inventory Program
:. e..-
^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ~ C=Compliance OPERATION
V=Violation COMMENTS
^ APPROPRIATE PERMIT ON HAND
BUSIflBSS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
^ VERIFICATION OF MSDS AVAILABILITY.
- /
'+Id' ^ 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? ~l YES ~~7 NO `W O ~~,~~~!-- Q
EXPLAIN: ~~~4 `O~tc4 vN2~[~-S ~ra ,~\ C1d2e„v.>LC~ fit- c.._& ~n sZJrC, ~ ~..,~ ti ,,,Q,~, ~. a_..~'
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
Inspector (lease Print) Fire Prevention / 1s~ In /Shift of Site/Station # Business Site /Responsible Party (Please Print)
White -Prevention Services Yellow -Station Copy Pink -Business Copy ~ FD 2155 (Rev. 09/OS