The URL can be used to link to this page

Home My WebLink AboutBUSINESS PLAN (5) ~~ ~~l COSTCO ~r°~~ 3800 ROSEDALE HWY. `' '~ --- - r ~; .. _ ~ ~, ~tiLD F11P..~ ~ ~ CITY OF BAKERSFIE[.U FIRE DEPAR'T'MENT ~ b~ OFFICE OF ENVIRONMENTAL SERVICES r~~'~I,, y~`~ UNIFIED PROGRAM INSPECTION CIIF,CKLIST ~~„ /~'Y~ ~~ .~ '~ ~gti,,' 1715 Chester Ave., 3r`' Floor, Bakersfield, CA 93301 ~~ ~.~~~~ liluo~uol .~' FACILITY NAME ~ (;;~~-G«~ - ~'.~ li~ r C' INSPECTION DATE ~ t)~m ~ bd o ~~~ ~ ~ f '~ Section 2: Underground Storage Tanks Program ^ Routine ~ombined _ ^ Joint Agency ^Mulfi-Agency ^ Complaint ^ Re-inspection Type of Tank ~~~J ~~~ Number of "Tanks ~. Type of Monitoring _~'-~-1 I1 `Type of Piping ~wi~- OPERATION C V COMMENTS Proper tank data on file Proper ownerioperator data on file Permit tees current Certification of Financial Responsibility "`' ,,; 3 Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations ~ ' Has there been an unauthorized release? Yes No t~.~' ' Section 3: Aboveground Storage Tanks Program TANK SIZE(S) _ Type of Tank AGGREGATE CAPACITY Number of Tanks OPERAT[ON Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance V=Violation Y=Yes N=NO / /~~~~ Ins ector: f ,l;~l.~-(.Lt~~~ P Office of Environmental Services (661) 326-3979 white - Iinv. Svcs. . iness Site Respc nsible Party Piny - t3nsiness Ci~ry + COSTCO 0688 _____________________________________ ___ SiteID: 015-021-002412 + += Inventory Item 0050 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ HAND & BODY SOAP f Days On Site 365 Location within this Facility Unit Map:l Grid:G-2+----------------+ RETAIL SALES FLOOR ~ CAS# ~ += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Mixture ~ Ambient ~ Ambient ~ PLASTIC CONTAINER +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ I Largest Container I Daily Maximum I Daily Average I 2.25 GAL ` 1976.92 GAL 1976.92 GAL +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ I 95t00~Water INoSI CAS#77321851 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No INo I No I Noj Curies ` IH I / / / I Ext += Inventory Item 0067 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ STAIN REMOVER I Days On Site I 365 Location within this Facility Unit Map: Grid: +----------------+ RETAIL SALES FLOOR I CAS# I += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Mixture ~ Ambient ~ Ambient ~ PLASTIC CONTAINER +__________________________+ AMOUNTS AT THIS LOCATION =__________________-_____+ I Largest Cont2i60rGAL I Daily 182i6u0m GAL I Daily 182r60e GAL --------- ------------ ------------------- - ---- ----------------- '+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ ~Wt. RS CAS# Mineral Oil No 8020835 Propane Yes 74986 Isobutane Yes 75285 Petrolatum No 8009038 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No INo ~ No I No/ ~ Curies I F P IH I / / / I I Ext I -6- 08/18/2006 ~• + CO5TC0 0688 _________________________________________ SiteID: 015-021-002412 + += Inventory Item 0075 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ BATTERIES I Days On Site FORKLIFT/PALLET JACK BATTERIES 365 Location within this Facility Unit Map: Grid: +----------------+ RECEIVING AREA ~ CAS# += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Solid ~ Mixture ~ Ambient I Ambient ~ OTHER - SPECIFY +__________________________+ AMOUNTS AT THIS LOCATION =_______--_______________+ ` Largest Co558150rLBS I Daily7317170m LBS , Daily7317T70e LBS +_______+______________ HAZARDOUS COMPONENTS =__-__________+___+_______________+ oWt. RS CAS# 40.00 Sulfuric Acid (EPA) No 7664939 60.00 Lead No 7439921 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ ITSNoret1NRoS~BN Hazl RNod~oactive/Cu~ies I EPA HRalHrds I jF~A/ I USDOT# I HiP Ii+=======i1+===+______+____________________+_____________+_________+________+_____+ += Inventory Item 0034 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ BATTERY ACID I Days On Site I 365 Location within this Facility Unit Map: Grid: +----------------+ AUTO/MARINE LEAD-ACID BATTERY I CAS# += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Mixture ~ Ambient ~ Ambient ~ PLASTIC CONTAINER +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ Largest Con10150rLBS I Daily2899105m LBS I Daily2899r05e LBS ` +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ %Wt• RS CAS# 40.00 Sulfuric Acid (EPA) No 7664939 53.00 Lead No 7439921 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ TSeCret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No INo I No I No/ Curies I R IH I / / / I I Hi -7- 08/18/2006 ,;. + COSTCO 0688 _________________________________________ SiteID: 015-021-002412 + += Inventory Item 0001 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ BLEACH Days On Site 365 Location within this Facility Unit Map: Grid: +----------------+ RETAIL SALES FLOOR ~ CAS# += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Mixture ~ Ambient ~ Ambient ~ PLASTIC CONTAINER +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ I Largest Container I Daily Maximum I Daily Average 180.00 GAL 1008.56 GAL 1008.56 GAL ` +_______+_____________= HAZARDOUS COMPONENTS =_____________+___+_______________+ %Wt. RS CAS# 1100.OOISodium Hypochlorite INo I 7681529 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ lTSecretl RSIBioHaz~ Radioactive/Amount I EPA Hazards 1 NFPA I USDOT# ( MCP 1 II No No No No/ Curies IH I / / / Hi += Inventory Item 0041 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________=_______+ DEODORANT I Days On Site 365 Location within this Facility Unit Map:l Grid:G-2+----------------+ RETAIL SALES FLOOR ~ CAS# += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Solid ~ Mixture ~ Ambient ~ Ambient I PLASTIC CONTAINER +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ Largest Container I Daily Maximum I Daily Average 0.25 LBS 702.48 LBS 702.48 LBS +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ oWt. ~ ~ RS~ CAS# +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No I No I No/ Curies ~ F P DH I / / / ~ I Hi -8- 08/18/2006 q. . f, + COSTCO 0688 _________________________________________ SiteID: 015-021-002412 + += Inventory Item 0070 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ TOILET BOWL CLEANER (HYDROCLORIC ACID) I Days On Site TABS 365 Location within this Facility Unit Map: Grid: +----------------+ RETAIL-SALES FLOOR ~ CAS# += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Solid ~ Mixture ~ Ambient ~ Ambient ~ Box +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ Largest Cont0122rLBS I Daily 697181m LBS ~ Daily 697r8ge LBS +__=____+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ %Wt. RS CAS# Sodium Tetraborate Pentahydrate No 1330434 Hydroxyethyl Cellulose No 9004620 Acid Blue 9 No 3844459 Sodium Sulfate No 7757826 Sodium Dodecylbenzene Sulfonate No 25155300 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ fTSNcoretlNoS~BN Hazl RNod~oactive/Curies ~ EPA HalHrds I %FjA/ I USDOT# I HiP f += Inventory Item 0037 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ BLEACH I Days365 Site Location within this Facility Unit Map: Grid: +----------------+ RETAIL SALES FLOOR ~ CAS# += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Solid ~ Mixture ~ Ambient ~ Ambient ~ BOX +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ Largest Cont7i49rLBS ~ Daily 444139m LBS I Daily 444r39e LBS +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ 100t00IBleach INoSI CAS#76815291 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No INo I No I No/ Curies I IH I / / / I I Hi ` -9- 08/18/2006 .; + COSTCO 0688 _________________________________________ SiteID: 015-021-002412 + += Inventory Item 0021 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: +----------------+ SEASONAL AISLE I CAS# 74-98-6 += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE __-__+ Gas I Mixture ~ Above Ambient ( Ambient ~ PORT. PRESS. CYLINDER +__________________________+ AMOUNTS AT THIS LOCATION =_____________________-__+ Largest Con14110rFT3 ( Daily 244128m FT3 I Daily 244r28e FT3 I +_______+______________ HAZARDOUS COMPONENTS =_____________+___+____________=__+ 94t00`Propane ,Yesl CAS# 749861 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ ~ITSNcoretlNoSIBN Hazl RNod~oactive/Curies ~ FPP HazarDH I jF~A/ 1 USDOT# I HiP f += Inventory Item 0043 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME j CHEMICAL NAME ______________________________+________________+ DRAIN OPENER I Days On Site I 365 Location within this Facility Unit Map: Grid: +----------------+ RETAIL SALES FLOOR I CAS# += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Mixture ~ Ambient ~ Ambient ~ PLASTIC CONTAINER +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ Largest Contli25rG~ I Daily M50100m GAL I Daily 150r00e GAL +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ %Wt. RS CAS# 10.00 Sodium Hypochlorite No 7681529 2.00 Sodium Hydroxide No 1310732 1.00 Hydrogen Peroxide No 7722841 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ ITSNocretlNoSIBNoHazl RNod~oactive/Cu~ies I FPA HaIHrDH I fF~A/ I USDOT# I HiP -10- 08/18/2006 ,, + COSTCO 0688 _________________________________________ SiteID: 015-021-002412 + += Inventory Item 0018 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ SULFURIC ACID (BATTERIES) I Days On Site 365 Location within this Facility Unit Map: Grid: +----------------+ HARDLINES AISLE 223 ~ CAS# += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Mixture ~ Ambient I Ambient ~ PLASTIC CONTAINER +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ Largest Container I Daily Maximum I Daily Average 100.00 GAL 100.00 GAL 100.00 GAL +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ 40t00ISulfuric Acid (EPA) INoSI CAS#76649391 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ ITSNcoretlYeslBN Haz) RNdo~oactive/Cu~ies I EPA HRalHrds f %F%A/ I USDOT# I HiP +_______+___+______+____________________+________=====I+=========I+====____+_____+ += Inventory Item 0088 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ BUG-B-GON Days On Site 365 Location within this Facility Unit Map:l Gric1:D-4+----------------+ RETAIL SALES FLOOR ~ CAS# ~ += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Mixture ~ Ambient ~ Ambient ~ PLASTIC CONTAINER +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ Largest Container I Daily Maximum I Daily Average 0.42 GAL 97.94 GAL 97.94 GAL +_______+______________ HAZARDOUS COMPONENTS =___-_________+___+_______________+ %Wt. ` I RS~ CAS# Diazinon No 333415 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No INo I No ( No/ Curies I F IH I / / / I ( Hi -11- 08/18/2006 ~ l.. + COSTCO 0688 _________________________________________ SiteID: 015-021-002412 + += Inventory Item 0072 =______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ WAX STRIPPER I Days On Site 365 Location within this Facility Unit Map: Grid: +----------------+ RETAIL SALES FLOOR ~ CAS# += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE __-__+ Liquid ~ Mixture ~ Ambient ~ Ambient ~ PLASTIC CONTAINER +__________________________+ AMOUNTS AT THIS LOCATION =________________-_______+ Largest Container I Daily Maximum I Daily Average 128.00 GAL 55.00 GAL 55.00 GAL +=______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ oWt. RS CAS# 6.00 Sodium Hydroxide, Solution No 1310732 10.00 2-Butoxyethanol No 111762 5.00 2-Hydroxyethylamine No 111422 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ ITSNcoretlNRoSIBN Hazl RNdo~oactive/Cu~ies ` EPA HalHrds I %F~A/ ( USDOT# I HiP += Inventory Item 0029 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ REGULAR UNLEADED GASOLINE Days On Site 87 OCTANE 365 Location within this Facility Unit Map: Grid: +----------------+ GAS STATION I CAS# 8006-61-9 += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Mixture ~ Ambient I Ambient I UNDER GROUND TANK +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ I Largest 20000100rGAL ~ Dai140000100m GAL I Dai120000r00e GAL +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ 100t00IGasoline INoSI CAS#80066191 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+______=_+_____+ ITSNcoret~NoRSIBNooHazl RNod~oactive/Curses I FPA HaIHrDH I %F!A/ I USDOT# I Mod -12- 08/18/2006 + COSTCO 0688 _________________________________________ SiteID: 015-021-002412 + += Inventory Item 0030 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ PREMIUM UNLEADED GASOLINE Days On Site 91 OCTANE I 365 Location within this Facility Unit Map: Grid: +----------------+ GAS STATION I CAS# 8006-61-9 += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Mixture ~ Ambient ~ Ambient ~ UNDER GROUND TANK +__________________________+ AMOUNTS AT THIS LOCATION =__________________-_____+ Largest 20000100rGAL I Dai120000100m GAL I Dai110000r00e GAL +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ 1100t00IGasoline INoSI CAS#80066191 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ ITSNcoretlNoSlBNooHazl RNod~oactive/Curses I FPA HaIHrDH I jF~A/ I USDOT# ` Mod +_______+___+______+____________________+_____________+_________+___=====I+====_+ += Inventory Item 0051 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ LYSOL I Days On Site I AEROSOL- 365 Location within this Facility Unit Map:l Grid:B-2+----------------+ RETAIL SALES FLOOR ~ CAS# += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid , Mixture ~ Above Ambient ~ Ambient ~ Can +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ Largest Cont1119rLBS I Daily4604153m LBS I Daily 464r53e LBS +_____=_+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ °sWt . RS CAS# 79.00 Ethanol No 64175 4.00 Carbon Dioxide No 124389 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No INo f No I No/ Curies I F DH I / / / I l Mod -13- 08/18/2006 i ~, ;, + COSTCO 0688 _________________________________________ SiteID: 015-021-002412 + += Inventory Item 0081 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ WASTE SOLIDS CONTAINING FLAMMABLE LIQUIDS I Days On Site 365 Location within this Facility Unit Map: Grid: +----------------+ GAS STATION DATA HUT ~ CAS# += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Solid ~ Waste ~ Ambient ~ Ambient ~ DRUM/BARREL-METALLIC +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ 'Largest Container Daily Maximum Daily Average 550.00 LBS I 1100.00 LBS I 550.00 LBS +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ °sWt. RS CAS# 20.00 Waste Gasoline No 8006619 20.00 FM-187 Hydrocarbon Mitigation Agent No N/A 20.00 ABSORBENT TOWELS, UNIVERSAL No N/A 40.00 GAS FILTERS (CIM-TEK HYDROSORB-2) No N/A +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ ITSNcoretlNoSlBNooHazl RNod~oactive/Cu~ies ( FPA HaIHrDH I jF~A/ I USDOT# I Mod -14- 08/18/2006 + COSTCO 0688 _________________________________________ SiteID: 015-021-002412 + += Inventory Item 0084 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ GLASS CLEANER I Days On Site AEROSOL 365 Location within this Facility Unit Map:l Grid:B-2+----------------+ RETAIL SALES FLOOR ~ CAS# += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Mixture ~ Above Ambient ~ Ambient ~ Can +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ Largest Contlil9rLBS I Daily1092103m LBS I Daily1092r03e LBS +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_____________=_+ oWt. RS CAS# 5.00 Ethyl Alcohol No 64175 5.00 2-Butoxyethanol No 111762 Propane Yes 74986 n-Butane Or Butane Mixture Yes 106978 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ ITSNcoretlNoSlBNooHazl RNod~oactive/Curies I EPA HaIHrDH I %F~A/ I USDOT# I Mod -15- 08/18/2006 + COSTCO 0688 _________________________________________ SiteID: Ol_5-021-002412 + += Inventory Item 0040 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ CONDITIONER Days On Site 365 Location within this Facility Unit Map:l Grid:G-2+----------------+ RETAIL SALES FLOOR ~ CAS# += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Mixture ~ Ambient ~ Ambient ~ PLASTIC CONTAINER +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ Largest Container ` Daily Maximum I Daily Average I 0.63 GAL I 818.05 GAL 818.05 GAL +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ oWt. RS CAS# 1,2-Propylene Glycol No 57556 Isopropyl Alcohol No 67630 Ethoxydiglycol No 111900 Glycerine No 56815 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ ITSNcoretlNoSIBN Hazl RNod~oactive/Curses I EPA Hazards I jF~A/ I USDOT# I Mod += Inventory Item 0031 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ ALL PURPOSE CLEANERS Days On Site 365 Location within this Facility Unit Map: Grid: +----------------+ RETAIL SALES FLOOR ~ CAS# += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Mixture ~ Ambient ~ Ambient ~ PLASTIC CONTAINER +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ Largest Cont2150rGAL I Daily.801109m GAL I Daily 801r09e GAL +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ ~5t00lEthylene Glycol Monobutyl Ether INoSI CAS# 1117621 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ ITSNoretlNoSlBNooHazl RNod~oactive/Cu~ies FPA HalHrds I jF~A/ I USDOT# I Mod -16- 08/18/2006 + COSTCO 0688 _________________________________________ SiteID: 015-021-002412 + += Inventory Item 0060 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ GLASS CLEANER Days On Site LIQUID I 365 Location within this Facility Unit Map:l Grid:B-2+----------------+ RETAIL SALES FLOOR I CAS# += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Mixture I Ambient I Ambient I PLASTIC CONTAINER +__________________________+ AMOUNTS AT THIS LOCATION =____________-_____-_____+ Largest Cont2i50rG~ I Daily M40100m GAL I Daily A40r00e GAL +__________________________1+====_____________________+___________________=_____+ +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ oWt. RS CAS# 95.00 Water No 7732185 5.00 Isopropanol No 7732185 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ ITSNcoretlNoSIBN Hazl RNdo~oactive/CuQies I EPA HaIHrDH I jF~A/ I USDOT# I Mod += Inventory Item 0023 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ HTH GRANULATED Days On Site 365 Location within this Facility Unit Map: Grid: +----------------+ SEASONAL AISLE ~ CAS# += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Solid ~ Mixture I Ambient ~ Ambient I PLASTIC. CONTAINER +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ I Largest Con~Ol00rLBS I Daily M00100m LBS I Daily AOOr00e LBS +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ ~Wt. RS CAS# 80.00 Calcium Hypochlorite No 7778543 20.00 Sodium Chloride No 7647145 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ ITSNcoretlNoSIBi~Hazl RNod~oactive/Curies I FPA HRalHrds I %F~A/ I USDOT# I Mod -17- 08/18/2006 • ? + COSTCO 0688 _________________________________________ SiteID: 015-021-002412 + +="Inventory Item 0073 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ WD 40 I Days On Site 365 Location within this Facility Unit Map:l Grid:D-4+----------------+ RETAIL SALES FLOOR ~ CAS# += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Mixture ~ Above Ambient ~ Ambient I Can +__________________________+ AMOUNTS AT THIS LOCATION =_______-___________-____+ 1 Largest Cont0ai23rG~ I Daily 657194m GAL I Daily 657r94e GAL +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ •%Wt. RS CAS# 70.00 ALIPHATIC PETROLEUM DISTILLATES No 8052413 3.00 Carbon Dioxide No 124389 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ ITSNcoretlNoSIBN Hazl RNod~oactive/Cu~ies ( FPP HalHrds I %F~A/ I USDOT# I Mod += Inventory Item 0083 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ LYSOL Days On Site LIQUID I 365 Location within this Facility Unit Map: Grid: +----------------+ RETAIL SALES FLOOR ~ ~ CAS# += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Mixture ~ Ambient ~ Ambient ~ PLASTIC CONTAINER +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ Largest Cont~i25rG~ I Daily 558111m GAL I Daily 558r1ge GAL +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ oWt. RS CAS# 5.00 Diethylene Glycol Monobutyl Ether No 112345 2.70 Alkyl Dimethyl Benzyl Ammonium Chloride No 8001545 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ ITSNcoretlNoSIBNo azl RNdo~oactive/Cu~ies FPA HazarDH I jF~A/ ( USDOT# I Mod -------------------- ----------- - -------- ----- -18- 08/18/2006 r + COSTCO 0688 _________________________________________ SiteID: 015-021-002412 + += Inventory Item 0094 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ LEMON CLEANER Days On Site 365 Location within this Facility Unit Map: Grid: +----------------+ RETAIL SALES FLOOR I CAS# += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Mixture ~ Ambient ~ Ambient , PLASTIC CONTAINER +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ Largest Cont~i25rG~ I Daily 3~ii75m GAL I Daily 321r75e GAL +_______+______________ HAZARDOUS COMPONENTS =_________-___+___+_______________+ %Wt. RS CAS# 20.00 Pine Oil No 8002093 7.00 Isopropyl Alcohol No 67630 +_=_____+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No INo I No No/ Curies ( F IH I / / / I I Mod += Inventory Item 0071 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME /CHEMICAL NAME ______________________________+________________+ TUB & TILE CLEANER ~ I Days On Site 365 Location within this Facility Unit Map: Grid: +----------------+ RETAIL SALES FLOOR ~ ~ CAS# ~ += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Mixture ~ Ambient ~ Ambient ~ Plastic Bottles/Jugs +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ I Largest Conta0i5e0rG~ I Daily 206i25m GAL I Daily 206r25e GAL +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ 28t00IPhosphoric Acid INoSI CAS#76643821 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ ITSNocretlNoSlBNooHazl RNod~oactive/Cu~ies I EPA HalHrds I jF~A/ I USDOT# I Mod -19- 08/18/2006 + COSTCO 0688 _________________________________________ SitelD: 015-021-002412 + += Inventory Item 0033 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ OIL EATER Days On Site 365 Location within this Facility Unit Map: Grid: +----------------+ RETAIL SALES FLOOR ~ CAS# += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Mixture ~ Ambient ~ Ambient ~ Plastic Bottles/Jugs +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ Largest Container I Daily Maximum I Daily Average 1:25 GAL 92.13 GAL 92.13 GAL +_______+______________ HAZARDOUS COMPONENT5 =________-____+___+_______________+ oWt. RS CAS# 5.00 Sodium Metasilicate Pentahydrate No 6834920 5.00 2-Butoxyethanol No 111762 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No I No I Noj~ Curies I IH I / / / ' I Mod ` -20- 08/18/2006 + COSTCO 0688 _________________________________________ SiteID: 015-021-002412 + += Inventory Item 0095 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ ORANGE HAND CLEANER I Days On Site 365 Location within this Facility Unit Map: Grid: +----------------+ RETAIL SALES FLOOR ~ CAS# += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Mixture ~ Ambient ~ Ambient ~ PLASTIC CONTAINER +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ I Largest Container I Daily Maximum I Daily Average 0.50 GAL I 82.50 GAL I 82.50 GAL +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ %Wt. RS CAS# D-Limonene No 5989275 5.00 1,2-Propylene Glycol No 57556 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA I USDOT# MCP ==No=== No= =No===I= No/========Curies=l=F= _ _ _ _ _ / / / + ___ _ =Mod= += Inventory Item 0038 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ CAR WAX Days On Site 365 Location within this Facility Unit Map:l Grid:D-4+----------------+ RETAIL SALES FLOOR ` CAS# +_____________________________________________________________I+====____________+ += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid I Mixture ~ Ambient ~ Ambient ~ PLASTIC CONTAINER +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ Largest Container I Daily Maximum I Daily Average 0.25 GAL 73.43 GAL 73.43 GAL +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ oWt. I I RS~ CAS# +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ ITSNcoretfNoRSIBNooHaz~ RNod~oactive/Cu~ies l FPA HazarDH I jF~A/ I USDOT# I Mod -21- 08/18/2006 + COSTCO 0688 _________________________________________ SiteID: 015-021-002412 + += Inventory Item 0056 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ INK & TONER CARTRIDGES Days On Site 365 Location within this Facility Unit Map: Grid: +----------------+ RETAIL SALES FLOOR ~ CAS# ------------------------------------ ----------- += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Mixture .Ambient I Ambient ~ PLASTIC CONTAINER +__________________________+ AMOUNTS AT THIS LOCATION =___________-____________+ Largest Cont0125rGAL I Daily M57~OOm GAL I Daily A57ra00ge GAL +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ °sWt. RS CAS# 2.00 Carbon Black No 1333864 89.00 Hydrotreated Heavy Naphtha No 64742489 6.00 Wax No 9002884 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ ITSNcoretlNoSIBN Hazl RNod~oactive/Cu~ies I FPA HalHrds I jF~A/ I USDOT# I Mod += Inventory Item 0077 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ WASTE GASOLINE Days On Site INCIDENTAL SPILLS & ABSORBENT I 365 Location within this Facility Unit Map: Grid: +----------------+ GAS STATION I CAS# += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Waste ~ Ambient ~ Ambient ~ DRUM/BARREL-METALLIC ----------- -------------------- +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ I Largest Con55100rGAL I Daily M55100m GAL I Daily.A28r00e GAL +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ sWt. RS CAS# 100.00IWaste Gasoline INo I 80066191 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ ITSNcoretlNoSlBNooHazl RNod~oactive/Cu~ies FPA HaIHrDH jFjA/ I USDOT# I Mod -22- 08/18/2006 :, + COSTCO 0688 _________________________________________ SiteID: 015-021-002412 + += Inventory Item 0085 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ LAUNDRY DETERGENTS Days On Site SOLID I 365 Location within this Facility Unit Map: Grid: +----------------+ RETAIL SALES FLOOR ~ CAS# += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Solid ~ Mixture ~ Ambient ~ Ambient ~ BOX +__________________________+ AMOUNTS AT THIS LOCATION =_________-______________+ Largest Con37150rLBS I Dai138018154m LBS I Dai138018r54e LBS +_______+______________ HAZARDOUS COMPONENTS =__--_________+___+_______________+ %Wt. RS CAS# Sodium Carbonate No 497198 Subtilisin No 9014011 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ 1TSNcoretlNoSIBN Haz) RNdo~oactive/Am~ es I EPA HazarDH I %FjA/ I USDOT# I Low += Inventory Item 0054 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ LAUNDRY DETERGENTS Days On Site LIQUID ` 365 Location within this Facility Unit Map:l Grid:B-2+----------------+ RETAIL SALES FLOOR I CAS# += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Mixture ~ Ambient ~ Ambient ~ PLASTIC CONTAINER +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ I Largest Cont~i69rG~ I Daily4645i21m GAL I Daily4645r21e GAL +_______+______________ HAZARDOUS COMPONENTS =_____________+___+=______________+ %Wt. RS CAS# ALCOHOL ETHOXYLATES No 68131395 Sodium Silicate No 1344085 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No ~No l No I No/ Curies ~ F IH DH I / / / l I Low ------- ---------- -23- 08/18/2006 + COSTCO 068$ _________________________________________ SiteID: 015-021-002412 + += Inventory Item 0074 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________=_______+ CHLORODIFLOUROMETHANE I Days On Site 365 Location within this Facility Unit Map: Grid: +----------------+ REGRIGERATION SYSTEM I CAS# 75-45-6 += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE __-__+ Gas ~ Pure ~ Above Ambient ~ Ambient ~ PORT. PRESS. CYLINDER +__________________________+ AMOUNTS AT THIS LOCATION =_______-________-_______+ Largest Co850100rLBS I Daily3400100m LBS I Daily3400r00e LBS +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ 100t00IChlorodifluoromethane INoSI CAS# 754561 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No I No I No/ Curies I P IH DH I / / / I Low += Inventory Item 0064 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ SHAMPOO I Days365 Site Location within this Facility Unit Map: Grid: +----------------+ RETAIL SALES FLOOR ~ CAS# ~ += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE __-__+ Liquid ~ Mixture ~ Ambient ~ Ambient ~ PLASTIC CONTAINER +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ Largest Container I Daily Maximum I Daily Average 0.63 GAL 1261.06 GAL 1261.06 GAL +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ oWt. RS CAS# Sodium Laureth Sulfate No 68891383 Citric Acid No 77929 Propylene Glycol No 57556 Laureth No 9002920 Water No 7732185 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+__=__+ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No I No I No/ Curies ~ IH 1 1 / 1 I I Low -24- 08/18/2006 + COSTCO 0688 _________________________________________ SiteID: 015-021-002412 + += Inventory Item 0052 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+__________=_____+ LOTION Days On Site I 365 I Location within this Facility Unit Map: Grid: +----------------+ RETAIL SALES FLOOR ~ CAS# += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Mixture ~ Ambient I Ambient I PLASTIC CONTAINER +__________________________+ AMOUNTS AT THIS LOCATION =__________________-_____+ Largest Container I Daily Maximum I Daily Average 0.75 GAL 696.72 GAL 696..72 GAL +_______+______________ HAZARDOUS COMPONENTS =____-________+___+_______________+ oWt. RS CAS# 15.90 Mineral Oil No 8020835 0.60 Lanolin Oil ~ No Glyceryl Triacetate No Mixture Propylene Glycol No 57556 Water Glass No 7732185 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP I No INo I No I No/ Curies I IH I / / / I Low I += Inventory Item 0020 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+____=_____=_____+ ROUND UP Days On Site 365 Location within this Facility Unit Map: Grid: +----------------+ SEASONAL AISLE I CAS# 1071836 += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Mixture ~ Ambient ~ Ambient ~ PLASTIC CONTAINER +__________________________+ AMOUNTS AT THIS LOCATION =__________________-_____+ I Largest Cont0ai84rG~ I Daily 287i04m GAL I Daily 287ra04e GAL I +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ I %Wt. I I RSl CAS# +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No INo ~ No I No/ Curies I IH I / / / I I Low I -25- 08/18/2006 + COSTCO 068$ _________________________________________ SiteID: 015-021-002412 + += Inventory Item 0089 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ DIESEL FUEL Days On Site 365 Location within this Facility Unit Map:2 Grid:C-5+----------------+ SE CRNR WHSE OUTSIDE I CAS# += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Mixture ~ Ambient ` Ambient ~ OTHER - SPECIFY +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ I Largest Co200100rGAL I Daily 200100m GAL I Daily 200r00e GAL ` +_______+______________ HAZARDOUS COMPONENTS =-____________+___+_______________+ 1100t00IDIESEL FUEL NO. 2 INoSI CAS68334305I +_______+__________________________________________________+===I+====___________+ +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ ITSNcoretlNoS{BNo azl RNod~oactive/Cuories I FPA HaIHrDH I jF~A/ I USDOT# ~ Low +______=+===I+====__+____________________+_____________+_________+________+_____+ += Inventory Item 0086 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ WOOLITE LAUNDRY DETERGENT Days On Site 365 I Location within this Facility Unit Map: Grid: +----------------+ RETAIL SALES FLOOR ~ CAS# += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Mixture ~ Ambient ~ Ambient ~ PLASTIC CONTAINER +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ Largest Container I Daily Maximum I Daily Average 1.50 GAL 115.50 GAL 115.50 GAL +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_____________=_+ %Wt. RS CAS# 10.00 Sodium Lauryl Ether Sulfate No 9004824 10.00 Sodium Dodecylbenzene Sulfonate No 25155300 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ ITSecretl RSIBioHazl Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP No No No No/ Curies / / / Low -26- 08/18/2006 + COSTCO 0688 _________________________________________ SiteID: 015-021-002412 + += Inventory Item 0061 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ FLOOR FINISH Days On Site I 365 Location within this Facility Unit Map: Grid: +----------------+ RETAIL SALES FLOOR I CAS# I 107-21-1 += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Mixture ~ Ambient ~ Ambient ~ DRUM/BARREL-METALLIC +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ I Largest Container I Daily Maximum I Daily Average I 2.50 GAL 101.75 GAL 101.75 GAL +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ I ~1t00IGlycol Ether EE INoSI CAS# 1117731 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ ITSNoretlNoSlBNooHazl RNod~oactive/Cu~ies I FPA HalHrds I jF%A/ I USDOT# I Low I += Inventory Item 0032 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ ANTIFREEZE (COOLANT) I Days On Site I 365 Location within this Facility Unit Map: Grid: +----------------+ .RETAIL SALES FLOOR 1107-21-1# I += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Mixture ~ Ambient I Ambient ~ PLASTIC CONTAINER +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ I Largest Container I Daily Maximum I Daily Average I 1.00 GAL 92.40 GAL 92.40 GAL +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ 1100t00lEthylene Glycol INoSI CAS# 1072111 +_______+___+_____=+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ (TSNcoretlNoSlBNooHazl RNod~oactive/Curies I FPA HaIHrDH I jF~A/ I USDOT# I Low I -27- 08/18/2006 + COSTCO 0688 _________________________________________ SiteID: 015-021-002412 + += Inventory Item 0082 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ NITROGEN Days On Site I 365 Location within this Facility Unit Map: Grid: +----------------+ TIRE SERVICE CENTER I CAS# I 7727-37-9 += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Gas ~ Pure ~ Above Ambient ~ Ambient ~ PORT. PRESS. CYLINDER +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ Largest C5625100rFT3 ( Daily5625100m FT3 I Daily2813r00e FT3 I +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ 1100t00INitrogen INoSI CAS#77273791 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP I No INo I No I No/ Curies ( P DH I / / / I I Min += Inventory Item 0078 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ CARBON DIOXIDE REFRIGERATED LIQUID I Days On Site .365 Location within this Facility Unit Map: Grid: +----------------+ FOOD SERVICE AREA I CA124-38-9I += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Gas ( Pure ~ Above Ambient ~ Below Ambient ~ FIXED PRESS. CYLINDER +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ I Largest Container I Daily Maximum I Daily Average I 3496.00 FT3 4370.00 FT3 2185.00 FT3 +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ 1100t00ICarbon Dioxide INoSI CAS# 1243891 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No INo ( No ( No/ Curies P DH I / / / I I Min I -28- 08/18/2006 + COSTCO 0688 _________________________________________ SiteID: 015-021-002412 + += Inventory Item 0012 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ MOTOR OIL Days On Site 365 Location within this Facility Unit Map:l Grid:B-2+----------------+ RETAIL SALES FLOOR ~ CAS# ~ += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid I Mixture I Ambient I Ambient I PLASTIC CONTAINER +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ Largest Conta0i25rG~ I Daily2000125m GAL I Daily2ooor25e GAL +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ %Wt. ~ ~ RS~ CAS# +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ ITSNcoretlNoSIBN Hazl RNod~oactive/Curies I FPA HalHrds I jF~A/ I USDOT# I Min += Inventory Item 0036 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ BATHROOM CLEANSER Days On Site LIQUID I 365 Location within this Facility Unit Map:l Grid:B-2+----------------+ RETAIL SALES FLOOR I CAS# 7631-86-9 += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Mixture ~ Ambient ~ Ambient ~ PLASTIC CONTAINER +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ Largest Cont2i13rGAL I Daily1003106m GAL I Daily1003r06e GAL +_______+______________ HAZARDOUS COMPONENTS =_____________+=__+_______________+ 75t00ICalcium Carbonate INoSI CAS#13176531 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No INo I No I No/ Curies I IH DH I / / / I Min -29- 08/18/2006 + COSTCO 0688 _________________________________________ SiteID: 015-021-002412 + += Inventory Item 0058 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ HELIUM TANKS Days On Site- 365 Location within this Facility Unit Map: Grid: +----------------+ RETAIL SALES FLOOR I CAS# 7440-59-7 += STATE =+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Gas ~ Pure ~ Above Ambient I Ambient I PORT. PRESS. CYLINDER +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ Largest Con14190rFT3 ( Daily M86i~~m FT3 I Daily A86r7ge FT3 +_______+_____________= HAZARDOUS COMPONENTS =_____________+___+_______________+ ` 100t00,Helium INoSI CAS#7440597) +_______+__________________________________________________+===I+====___________+ +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ ITSNcoret~NRoS`BN Hazl RNod~oactive/Cu~ies I EPP HazarDH ~ %F~A/ ~ USDOT# 1 Min +__=____+===+II=====_+____________________+_____________+_________+________+_____+ += Inventory Item 0042 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ DISHSOAP I Days On Site 365 Location within this Facility Unit Map: Grid: +----------------+ RETAIL SALES FLOOR I CAS# 143191 += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Mixture I Ambient ~ Ambient ~ PLASTIC CONTAINER +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ Largest Cont1141rGAL I Daily M79im09m GAL I Daily A~9r09e GAL +_______+______________ HAZARDOUS COMPONENTS =______-______+___+_______________+ °sWt. RS CAS# 10.00 Ethanol No 64175 1.00 Subtilisin No 9014011 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ ITSNcoretlNoSlBNooHazl RNod~oactive/Cu~ies , FPA HaIHrDH I jF~A/ I USDOT# I Min -30- 08/18/2006 + COSTCO 0688 _________________________________________ SiteID: 015-021-002412 + += Inventory Item 0055 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ INSECTICIDE Days On Site 365 Location within this Facility Unit Map:l Grid:D-4+----------------+ RETAIL SALES FLOOR ~ CAS# += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Mixture ~ Above Ambient ~ Ambient ~ Can +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ Largest Cont0~94rLBS I Daily 234130m LBS , Daily 234r30e LBS +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ oWt. RS CAS# 0.05 Pyrethrum No 80003347 0.40 Permethrin No 52645531 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+_=______+_____+ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No INo I No I No/ Curies I F IH I / / / I I Min += Inventory Item 0044 _______________ Facility Unit: Fixed Containers on Site + +== COMMON NAME / CHEMICAL NAME ______________________________+________________+ ENGINE TREATMENT Days On Site 365 I Location within this Facility Unit Map: Grid: +----------------+ RETAIL SALES FLOOR f CAS# 8020835 += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Mixture ~ Ambient ~ Ambient ~ Plastic Bottles/Jugs +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ Largest Container I Daily Maximum I Daily Average 0.25 GAL 171.60 GAL 171.60 GAL +_______+______________ HAZARDOUS COMPONENTS =_______-_____+___+_______________+ %Wt. RS CAS# 90.00 Petroleum Naphtha No 64742478 2.00 1,2,4-Trimethylbenzene No 95636 +_______+___+_=____+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ ITSNcoretlNoSlBNooHazl RNod~oactive/Cu~ies FPA HaIHrDH I jF~A/ I USDOT# I Min -31- 08/18/2006 + COSTCO 0688 _________________________________________ SiteID: 015-021-002412 + += Inventory Item 0069 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ TIRE CLEANER Days On Site 365 Location within this Facility Unit Map: Grid: +----------------+ RETAIL SALES FLOOR ~ CAS# ~ += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Mixture ~ Ambient ~ Ambient ~ Plastic Bottles/Jugs +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ Largest Cont0i44rG~ I Daily M50156m GALS I Daily 150r56e GAL +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ %Wt. RS CAS# 100.00 Water No 7732185 50.00 Silicone Emulsion No 10.00 Sorbitol No 50704 5.00 Armor All Concentrate No +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ ITSecretl RSIBioHazl Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP No No No No/ Curies IH / / / Min -32- 08/18/2006 + COSTCO 068$ _________________________________________ SiteID: 015-021-002412 + += Inventory Item 0003 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ FERTILIZERS Days On Site 365 Location within this Facility Unit Map: Grid: +--------=-------+ SEASONAL AISLE ~ CAS# += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Solid ~ Mixture ~ Ambient ~ Ambient ~ PLASTIC CONTAINER +__________________________+ AMOUNTS AT THIS LOCATION =_____-___________-______+ I Largest Container I Daily Maximum I Daily Average 25.00 LBS 16455.34 LBS 16455.34 LBS +_______+______________ HAZARDOUS COMPONENTS =_____________+___+__=____________+ °sWt. RS CAS# Potassium Nitrate No 7757791 Sodium Nitrate No 7631994 Urea No 57136 Monoammonium Phosphate No 7722761 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No I No I No/ Curies I IH I / / / I I UnR -33- 08/18/2006 + COSTCO 0688 _________________________________________ SiteID: 015-021-002412 + += Inventory Item 0039 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ CHARCOAL Days On Site I 365 Location within this Facility Unit Map:l Grid:D-4+----------------+ RETAIL SALES FLOOR ~ CAS# += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Solid ~ Mixture ~ Ambient ~ Ambient ~ BAG +__________________________+ AMOUNTS AT THIS LOCATION =_____-__________________+ I Largest Con24100rLBS I Dai114823160m LBS ( Dai114823r60e LBS I +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ 15t00ILimestone INoSI CAS#13176531 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ ITSNcoretlNoSIBN Hazl RNod~oactive/Cu~ies I EPA HalHrds I %F~A/ II iTSDOT# I U~ I += Inventory Item 0035 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ BAR SOAP Days On Site I 365 Location within this Facility Unit Map:l Grid:G-2+----------------+ RETAIL SALES FLOOR ~ CAS# ~ += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Solid ~ Mixture ~ Ambient ~ Ambient ~ BOX +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ Largest Container I Daily Maximum I Daily Average I 0.30 LBS 7936.09 LBS 7936.09 LBS +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ I oWt• IStearic Acid INoSI CAS# 571141 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ ITSNcoretlNoSIBN Hazl RNod~oactive/Curies I EPA HalHrds I %F~A/ I USDOT# I UnCPR I -34- 08/18/2006 + COSTCO 0688 _________________________________________ SiteID: 015-021-002412 + += Inventory Item 0091 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+__________=_____+ AUTOMATIC DISH DETERGENT I Days On Site SOLID 365 Location within this Facility Unit Map: Grid: +----------------+ RETAIL SALES FLOOR I CAS# += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Solid ~ Mixture ~ Ambient ~ Ambient I BOX +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ Largest Cont6i88rLBS ~ Daily5526148m LBS l Daily5526r48e LBS +_______I+______________ HAZARDOUS COMPONENTS =_____________+___+_________=_____+ oWt ISubtilisin INoSI CAS#9014011 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+__=_____+_____+ 4TSNcoretlNoS~BNoHazl RHdo~oactive/Curies I EPA HalHrds ( %F~A/ I USDOT# I UnR += Inventory Item 0062 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ OXI-CLEAN Days On Site 365 Location within this Facility Unit Map: Grid: +----------------+ RETAIL SALES FLOOR ~ CAS# ~ += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Solid ~ Mixture ~ Ambient ~ Ambient ~ Plastic Bottles/Jugs +__________________________+ AMOUNTS AT THIS LOCATION =____________-_____-_____+ Largest Con12100rLBS I Daily3M48i$Om LBS I Daily3748r80e LBS +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ %Wt. RS CAS# Sodium Percarbonate No 15630894 Sodium Carbonate (Soda Ash) No 497198 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ ITSNcoretlNoSlBNooHazl RHod~oactive/Curies I EPA HalHrds I %F~A/ I USDOT# I UnCPR -35- 08/18/2006 + COSTCO 0688 _________________________________________ SiteID: 015-021-002412 + += Inventory Item 0063 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+__________=_____+ PACE TABS Days On Site CHLORINE I 365 Location within this Facility Unit Map: Grid: +----------------+ RETAILS SALES FLOOR I CAS# += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Solid ~ Mixture ~ Ambient ~ Ambient ~ PLASTIC CONTAINER +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ I Largest Con40100rLBS ~ Daily 900100m LBS I Daily 900r00e LBS +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ %Wt. RS CAS# 1100.OOITrichloro-s-triazinetrione INo ( 87901 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No INo I No ~ Noj Curies I F IH I j / / ` UnR += Inventory Item 0090 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ AUTOMATIC DISH DETERGENT Days On Site LIQUID 365 Location within this Facility Unit Map: Grid: +----------------+ RETAIL SALES FLOOR I CAS# += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Mixture ~ Ambient ~ Ambient ~ PLASTIC CONTAINER +__________________________+ AMOUNTS AT THIS LOCATION =____________-___________+ I Largest Cont2i43rG~ I Daily 807i67m GAL I Daily 807r6ge GAL I --------- ------- +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ %Wt. ~ I RS~ CAS# +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ ITSecretl RSIBioHazl Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP I No No No No/ Curies IH / / / UnR -36- 08/18/2006 + COSTCO 0688 _________________________________________ SiteID: 015-021-002412 + += Inventory Item 0045 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ FABRIC SOFTENER Days On Site 365 Location within this Facility Unit Map: Grid: +----------------+ RETAIL SALES FLOOR I CAS# += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Mixture ~ Ambient ( Ambient ~ PLASTIC CONTAINER +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ Largest Cont2iiirG~ I Daily 804150m GAL ` Daily 804r50e GAL ` +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ ~5t00lEthanol INoSI CAS# 641751 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ ITSNcoretlNoSIBN Hazl RNod~oactive/Cu~ies I FPA HalHrds I ;FAA/ I USDOT# I UnR += Inventory Item 0053 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ I LEMON SPRAY I Days365 Site I Location within this Facility Unit Map: Grid: +----------------+ RETAIL SALES FLOOR ~ CAS# ~ += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Mixture I Above Ambient ~ Ambient ~ METAL CONTAINR-NONDRUM +__________________________+ AMOUNTS AT THIS LOCATION =__-_____________________+ Largest Cont1111rLBS I Daily M~~is~m LBS I Daily A~~r8ge LBS +_______+______________ HAZARDOUS COMPONENTS =_____________- %Wt. 10.00 Isoparaffinic Hydrocarbon Solvent 5.00 Propane 5.00 Isobutane 5.00 Butane 7.00 Silicone Surfactant RS CAS# No 68920069 Yes 74986 Yes 75285 Yes 106978 No 9016006 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ ITSecretl RSIBioHazl Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP No No No No/ Curies ~ P IH / / / UnR -37- 08/18/2006 + COSTCO 0688 ________________________________________= SiteID: 015-021-002412 + += Inventory Item 0057 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ HERBICIDE Days On Site PREEN I 365 Location within this Facility Unit Map: Grid: +----------------+ RETAIL SALES FLOOR I CAS# += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Solid ~ Mixture ~ Ambient- ~ Ambient ~ METAL CONTAINR-NONDRUM +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ Largest Con15100rLBS I Daily Ma09150m LBS I Daily A09r50e LBS ------------------------- +_______+______________ HAZARDOUS COMPONENTS =_____________+___+___=___________+ ~Wt ITrifluralin INoSI CAS#15820981 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ ITSNcoretlNoSlBNooHazl RNdo~oactive/Cu~ies I EPA HaIHrDH I ;F~A/ I USDOT# ~ UTC~P += Inventory Item 0079 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ USED LEAD ACID BATTERIES I Days On Site 365 Location within this Facility Unit Map:l Grid:E-6+----------------+ TIRE SERVICE CENTER ~ CAS# ~ += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Waste ~ Ambient ~ Ambient ~ OTHER - SPECIFY --------- ------ ------ - --------------- -------- ------- +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ Largest Container I Daily Maximum I Daily Average 10.50 LBS 483.00 LBS 241.50 LBS +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ ~Wt. RS CAS# 35.00 SULFURIC ACID ELECTROLYTE No 7664939 34.00 Lead No 7439921 31.00 Lead (II) Oxide No 1309600 .1.00 Lead (II) Sulfate and Mixtures thereof No 7446142 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No INo ~ No I No/ Curies I R IH I / / / I I UnR -38- 08/18/2006 + COSTCO 0688 _________________________________________ SiteID: 015-021-002412 + += Inventory Item 0048 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME,______________________________+________________+ FIRELOGS Days On Site 365 Location within this Facility Unit Map: Grid: +----------------+ RETAIL SALES FLOOR ~ CAS# ~ += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Solid ~ Mixture ~ Ambient ~ Ambient ~ BOX +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ Largest Cont6100rLBS I Daily 475120m LBS I Daily 475r20e LBS +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ %Wt. RS CAS# 60.00 Petroleum Wax No 34.00 Non-Hazardous Ingredients(Sawdust,etc) No +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ ITSNoretlNoSlBNooHaz) RNod~oactive/Curies I EPA HalHrds I jF~A/ I USDOT# I UnCPR -39- 08/18/2006 + COSTCO 0688 _________________________________________ SiteID: 015-021-002412 + += Inventory Item 0076 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ FUJI Days On Site BLEACH 3 STARTER, REPLENISHER,CONDITIONING,STABILIZER I 365 Location within this Facility Unit Map: Grid: +----------------+ 1-HOUR PHOTO PROCESSING ~ CAS# ~ += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Mixture ~ Ambient ~ Ambient ~ Plastic Bottles/Jugs +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ Largest Co139100rGAL I Daily 376188m GAL I Daily 376r88e GAL +_______+_____________T HAZARDOUS COMPONENTS =_____________+___+_______________+ %Wt. RS CAS# Potassium Acetate No 127082 Water No 7732185 Potassium Hydroxide No 1310583 Potassium Carbonate No 584087 Sodium Bicarbonate No 144558 Aminocarboxylic Acid Derivative No 140012 Para-Phenylenediamine Derivative No 140012 Ferric Ammonium PDTA No 7732185 Ammonium Bromide No 12124979 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ ITSNcoretlNoSIBN Hazl RNod~oactive/Curies I EPA HaIHrDH I jFjA/ I USDOT# I UnCRP -40- 08/18/2006 + COSTCO 0688 _________________________________________ SiteID: 015-021-002412 + += Inventory Item 0087 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ INSECTICIDE Days On Site 365 Location within this Facility Unit Map:l Grid:D-4+----------------+ RETAIL SALES FLOOR ~ CAS# += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Mixture ~ Ambient ~ Ambient ~ PLASTIC CONTAINER +__________________________+ AMOUNTS AT THIS LOCATION =_______-----------------+ ----------------- Largest Cont6i0ne0rG~ I Daily 347100m GAL I Daily 347r00e GAL +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ ~ oWt. ~ ~ RSI CAS# ~ +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ ITSNcoretlNoSIBNoHazl=RNod~oactive/Cu~ies I FPA HalHrds=l==jF~A~=+I=USDOT#=I=UnCPR=I += Inventory Item 0068 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ SUNCREEN Days On Site 365 Location within this Facility Unit Map: Grid: +----------------+ RETAIL SALES FLOOR ~ ~ CAS# ~ += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Mixture ~ Ambient ~ Ambient ~ PLASTIC CONTAINER +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ Largest Container ~ Daily Maximum I Daily Average 0.19 GAL 267.56 GAL 267.56 GAL +_______+______________ HAZARDOUS COMPONENTS =_____________+___+____=__________+ oWt. ~ I RS~ CAS# +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ ITSecret) RSIBioHazl Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP No No No No/ Curies IH / / / UnR -41- 08/18/2006 + COSTCO 0688 _________________________________________ SiteID: 015-021-002412 + += Inventory Item 0092 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+_________=______+ CAR WASH Days On Site 365 Location within this Facility Unit Map: Grid: +----------------+ RETAIL SALES FLOOR I CAS# ------------------ += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Mixture ~ Ambient ~ Ambient I PLASTIC CONTAINER +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ Largest Contiin0e0rG~ I Daily 264100m GAL I Daily 264r00e GAL +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ %Wt. I I RSI CAS# +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ ITSNecretlNoSlBNooHazl RNod~oactive/Curies I FPA HalHrds I %F~A/ I,USDOT# I UC~P += Inventory Item 0059 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ AEROSOL HAIR SPRAYS Days On Site 365 Location within this Facility Unit Map:l Grid:G-2+----------------+ RETAIL SALES FLOOR ~ CAS# I += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Mixture ~ Above Ambient ~ Ambient ~ Can +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ I Largest Conta0i88rLBS I Daily M88165m LBS I Daily A88r65e LBS +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ %Wt. RS CAS# Water No 7732185 Dimethyl Ether Yes 115106 Sodium Benzoate No 532321 ------------------ --------------- ---------- --- --------------- +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ ITSNcoretlNoSIBNoHazl RNod~oactive/Cu~ies I FPP Hazards I jF~A/ I USDOT# ~ UrC~P -42- 08/18/2006 + COSTCO 068$ _________________________________________ SiteID: 015-021-002412 + += Inventory Item 0065 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ SHAVE GEL Days On Site 365 Location within this Facility Unit Map: Grid: +----------------+ RETAIL SALES FLOOR ~ CAS# += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Mixture ~ Ambient ~ Ambient ~ Can +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ Largest Conta0i15rG~ I Daily M87i65m GAL ( Daily i87r6ge GAL +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ °sWt. RS CAS# 85.00 Water No 7732185 13.00 Palmitic Acid No 57103 10.00 Oleth-20 No 9004982 5.00 Isopentane Yes 78784 7.00 Isobutane Yes 75285 +_______+___+______+__________= HAZARD ASSESSMENTS =__+ _________+________+_____+ TS ret BNo S Haz R d EP Ha rds oactive/ F A USDOT# P C I No lNo o l l No ~ P lH I Cu~ies I j ~ / I I U n R -43- 08/18/2006 + COSTCO 0688 _________________________________________ SiteID: 015-021-002412 + += Inventory Item 0066 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ SPOT REMOVER I Days On Site 365 Location within this Facility Unit Map: Grid: +----------------+ RETAIL SALES FLOOR ~ CAS# ~ += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Mixture ~ Ambient ~ Ambient ~ PLASTIC CONTAINER --------- ---------- --------------- --------- ---- ---------- +__________________________+ AMOUNTS AT THIS LOCATION =______________-_________+ . Largest Container I Daily Maximum I Daily Average 0.50 GAL 169.13 GAL 169.13 GAL +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ %Wt. RS CAS# 5.00 Ethylene Glycol Buty Ether No 111762 5.00 Diprophylene Glycol Methyl Ether No 34590948 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ ITSNcoretlNRoSIBN Hazl RNdo~oactive/Curies I EPA HaIHrDH I JF~A/ I USDOT# I UCnPR += Inventory Item 0049 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ I FLOOR CLEANER I Days365 Site Location within this Facility Unit Map: Grid: +----------------+ RETAIL SALES FLOOR ~ CAS# += STATE _+= TYPE ___+_= PRESSURE __=+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid ~ Mixture ~ Ambient ~ Ambient ~ DRUM/BARREL-NONMETAL +__________________________+ AMOUNTS AT THIS LOCATION =______________-_________+ Largest Container I Daily Maximum l Daily Average 2.50 GAL 166.38 GAL I 166.38 GAL +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ %Wt. I I RS, CAS# +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No I No/ Curies I F IH I / / / I I UnR -44- 08/18/2006 + COSTCO 0688 _________________________________________ SiteID: 015-021-002412 + += Inventory Item 0093 _______________ Facility Unit: Fixed Containers on Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ CLEANER/DEGREASER Days On Site 365 Location within this Facility Unit Map: Grid: +----------------+ RETAIL SALES FLOOR ~ CAS# += STATE.=+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid I Mixture ~ Ambient ~ Ambient I PLASTIC CONTAINER +__________________________+ AMOUNTS AT THIS LOCATION =________________________+ Largest Cont2i50rG~ I Daily M23i75m GAL I Daily A23r75e GAL +_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+ oWt. ~ ~ RS~ CAS# +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No INo I No I No/ Curies I F IH I / / / I I UnR -45- 08/18/2006 ~' -- + COSTCO 0688 _________________________________________ SiteID: 015-021-002412 + Manager GARY.-~~ M ~ ~ I VV11~ r~ Location: 3800 ROSEDALE HWY City BAKERSFIELD l b'~ ~ CommCode : KCFD STA 6 6 SIC Code :-59'9 J~ EPA Numb: ,r~nT nnn~ -~~clac C~ ~pppl I ~ (dl I DunxlBrad:10-339-1843 Emergency Contact / Title Emergency Contact, / Title ~ UQ GARY •-E'6~E MGEllmurvy / WAREHOUSE MGR -H.~d3~FAT~~~q~,y,~~, / ~0.i~rr"rY~'S~~~IGR Business Phone: (661) 852-2643x Business Phone: (661) 852-2643x 2 4 -Hour Phone ( 6 61) ~ -8-~2-~°~~ c~ pp'~1533 2 4 -Hour Phone ( 6 61) -49~6-=-3-~'x ~ 3 ~ Pager Phone ( ) N~~. - x Pager Phone ( ) ~fA- - x I Hazmat Hazards: RSs Fire Press React ImmHlth DelHlth I Contact RISK MANAGEMENT Phone: (425) 313-2591x MailAddr: 999 LAKE DR State: WA City ISSAQUAH Zip 98027-5366 Owner COSTCO WHOLESALE CORP Phone: (425) 313-"~~=~ ~~DO Address 999 LAKE DR State: WA City ISSAQUAH Zip 98027-5366 +--------------------------10 a -------------- Period (s~/10 f D (o to Lv ~ ~ ~ TotalASTs • = 20 d Gal Preparer : Megan Me~i-~-ee, t4~ e~~- -h'y CoS~ho wh~ll?s~l Z CovP• TotalUSTs • = tl ~~ ~Z74 Gal Certif'd: RSs: Yes ParcelNo: ---- - -------------------------- I Emergency Directives: ~~~ PROG A - HAZMAT PROG H - HAZ WASTE GEN PROG T - ABOVEGROUND STORAGE TAN PROG U - UST Based on my inquiry of those individuals responsible for obtaining the information, I certify uncler penaity of law that s have examined and am familiar with the ~ formation submitted and believe the information is true, accurate, and complete. Sign ure °°` ,_~ .- ~ 4y/~U/ae, Gate ~~~ ~5 3p,2- ~~ o,~ ~~~~~ z~yo BusPhone: (661) 852-x-6.55 Map 102 CommHaz High Grid: 23C FacUnits: 1 AOV: 3 5~5~ oi~~j U~ ~ ENT'p ~ U ~ ~~; ~ 2006 -1- 05/30/2006 ALIFORNIA ANNOTATED SITE MAP BUSINESS NAME: SITE ADDRESS:3800 ROSEDALE HWY Map #:1 C^STC^ WH^LESALE #688 BAKERSFIELD, CA 93308 A B C D E F G H I I 2 3 4 5 6 f° NORT :CSC`®:ILCC ~17ii~ICCY: , , .. , #:C'T;~ ~kQCCC~. ~ ~ ~ ~ ~-S=' ~_ - ~ ~ ~ . F ~ r 1 ~ ~ ~ }';' ~ ~ ~' `= EP / v __ _ B U ~ -_ ~ 4. < m SK ~ x ~ ~ --_ g ~m c '' F _.. s o ti ~ .€ = r ~._,~ x,.. ~. .., ~ ; I i E -s ~-~ ECEIVING } T3 ~-• ,:_~ ~ ( ~~~~~`~ I =~ ~ i .. .. .. .. ~' ~~ ~§ ',~"~:.` ~! [ E ~ --~~ ~:1 ~ _ . °~ 3 U AIN SALES ~' O ~.' .~"~.~. 3 { i ..~ J ~ -= ~ ~~ ,. ~~~~~ ._C'>s. , _ ~°' l ~ ~ ... ... ~ ~- ~ ~; -~:: a 1~ -22 R-22 a; AIEhT ... _ si ll E . _, . ~ t „s, ~ ~ ~ ,. { . ~ ~ ~ ~3 . F ~ _.. ~ .~_ s ~_ ",' ~] s F F ! ~ - . , ~ - a I BAKE Y i Y ~ . .~ ; _ ~ ~ ~. _~- ~., j ~.~ ~ -n ~ ~ i r~ ~~~ G O +Y'...~_ ~v ~ Jl C~ 3.. W UB 1 SCA E~ ND F N 3E ~ ~a ra O ELECTRIC MAIN OG GAS MAIN O HATER MAIN FIRST AID a FIRE EXTINGUISHER LOCK BOX MATERIAL SAFETY 'MSDS DATA SHEETS & ' BEP BUSINESS EMERGENCY PLAN Q9 FIRE R[SER UB USED BATTERIES a BATTERIES (POR uP1' EvuIF.) (~ COMPRESSED GAS W CYLINDERS (NITROGEN) COMPRESSED GAS CYLINDERS (CARBON DIOXIDE) R-22 REFRIGERANT Y X~ ALIFORNIA ANN^TATED SITE MAP IIBUSICOSTC^AWH^LESALE #688 IISITE ADDRESS BAKERS IELD~, CAW 93308 II Map #:2 II A B C D E F G H I 1 2 3 4 5 6 f° O z n ~~ 2 ,000 N ~ ^ C^STC 688 ~ 2 .000 ~ o ~ m '.1 i ~ "` ~~ ; WG WS O O WS a 0 O ~ ;;~ i I~st~ ~~ -. ~ m~ :a --- - -_ -_ ~ ~~ _G i a _ ~, ~ ~ p ~ s' ~~ RET IL ~ J L s , ~ I` a ~3 u ~ '.~._ I n 2 =- -: ~ ~ RETAIL ~ HWY . - ,: ~ 0 99 ~ ti~- r ~~ ~ ~ ; jw ~ A D ' n ° .. .... w GEN 3 ~ _ ~a a ~~ _,~ ..... ~_...... _~.. M.. R^SED LE HWY J W C] Z f Q U 1 SCA E~ NT T SA 3E ~:~ L• '~ SAFE REFUGE AREA ® STORM DRAIN FIRE HYDRANT O`q OIL/WATER SEPARATOR UNDERGROUND 20 000 , STORAGE TANK FOR GASOLINE WS WASTE SOLIDS W(', WASTE GASOLINE GEN EMERGENCY GENERATOR Y X -~ !--.~ ~; IDNIFIED PROGRAM INSPECTION CHECKLIST~~ ~>,~i s , ,. ~ .....:.~ ...: , a: .. ,:. ~ .. :.,: ARTS .SECTION 1: Business Plan and Irn~entory Program ~ SAKERSFIELD FIRE DEPT Prevention Services 9001Yuxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME ~ NSP~'E7CTION DATE INSPECTION TIME /'t " ~ ~/ ADDRESS HONE NO. O OF EMPLOYEES FACILITY CONTACT ~ USINESS ID NUMBER 15-021- Section 1: Business Plan sand Inventory Program ^ ROUTINE MBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ~f^ APPROPRIATE PERMIT ON HAND BUSIfIt?SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY [~f--. ^ (/ ^ VERIFICATION OF INVENTORY MATERIALS VERIFICATION OF QUANTITIES ~ ro ~ ~~~~~~ ^ VERIFICATION OF LOCATION ^ ^ PROPER SEGREGATION OF MATERIAL VERIFICATION OF MSDS AVAILABILITY ~'^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND ROCEDURES ~^ EMERGENCY PROCEDURES ADEQUATE (~ ^ '/ ~ - CONTAINERS PROPERLY LABELED ~ . ^ HOUSEKEEPING ^ FIRE PROTECTION C~.O""" SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES ^ NO EXPLAIN: - _ _ QUE TIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (681) 528-3879 -- "'"~ ~ ~~ `__.., Inspector (Please Print) Fire Prevention / 1" In / Shift of Site/Station q °Site/School Site Responsible PaAy (Please Print) ...a White - Prwention Services Yellow - 3tetion Copy Pink -Business Copy FD7M8 (Rw. 07105) d~/w~~' '~~~ CITY OF BAKERSFIE[..D FIRE DEPARTMENT ore ~ ~ M~ OFFICE OF ENVIRONMENTAL SERVICES jam' , y~~I UNIFIED PROGRAM INSPECTION CHECKLIST epwE~R~,Oi 1715 Chester Ave., 3r`' Floor, Bakersfield, CA 93301 FACILITY NAME ~~5~(°Q INSPEC~i'ION DATE ~- 2 Z~ Section 2: Underground Storage Tanks Program ^ Routine Combined ^ Joint Agency ^Minti-Agency ^ Complaint ~ Re-inspection Type of Tank -~c.~bl~ c~r~.4ii Number of Tanks .~ Type of Monitoring C~1~n Type of Piping ,l.Y~~:.~~ OPERATION C V COMMENTS Proper tank data on the Proper owner/operator data on the Permit tees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? YeS No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGATE CAPAC[TY Number oI~ Tanks OPERATION Y N COMMENTS SPCC available SPCC on fi{e with OES Adequate secondary protection Proper tank placarding/labeling [s tank used to dispense MVF? If yes, Does tank have overfill/overspill protection'? C=Compliance V=Violation Y=Yes N=NO Inspector: ~AMDI~ ~~A~e~A ~~~ Office of Environmental Services (661) 326-3979 White- Fnv. Svcs. Pink -Business Copy r'-' Business Site Responsible Party ~'' ~=-~. ~~ 't.,, ' - Fig:'-~ '. _. .-'llljr, 1 1 :OG Hf^9 i ~`, ;_~"I~tl"I ,3T~;Y U;_; F-,'EPcrF:' I' ril_L 1~IIh~Ji_"!'!'~'f1;=~ td':";};'I°lrI_ i T 1 :Ill,l ~,,cl,_ I '1'r~' ''rS)L.i if°Ik.' _= I l a.l.{ ~ :~,I.:_~ I:.I~i i l:_}:.i = t i . Ijl-I 1 I'J~. I1E:; ~ . - T w:it,~1~,d~d I_ILL.ric:~; _ ~_. t 'f k:' 'ti~:LUf~'tE = 1 I ,.. ~ ~.. , HEIL.rHT = Gt:~. J. til~ tila~: ("1rTE}' = 0. ~ ila 1 t'•14~'HE:_ TEt~9F' = r,1 .8 LiE~ ~ F T' a : F't"ern i urn ~_'~LLIP'lE = 1 7Uya I:a~;i.. U1..Lr7GF. _ X858 G;L: '~G,., ULL.rL=aE= 8t~2 GAL: TI:., +,;t}Lilt°IE = 1'%13~' ~=»L5 HE I C~HT = '.14 .5? 1 t'~JI_`HE.; l+~lr=i'TER - r;=~=--_-- L"I ._UU I t~J~ HE~ _ , March 3, 2006 SB989 3-YEAR COMPLIANCE TEST Mr. Steve Underwood Bakersfield Fire Department 900 Truxtun Avenue Bakersfeld, CA 93301 SUBJECT: SB989 COMPLIANCE TESTING AT COSTCO STATION #688 - 3800 ROSEDALE HIGHWAY, BAKERSFIELD, CA 93308. Dear Mr. Underwood: Below please .find the secondary containment testing results for the above-referenced site. These results are being sent to you per the requirement of SB989. Initial testing was performed by Wayne Perry, Inc. on February 14, 2006. A. summary of the components tested is listed in the table below. Components Tested Component Date Tested Type. of Test Pass / P i A l Manufacturer Performed Fail rem um nnu ar Owens Corning N/A -Wet N/A N/A Annular Regular Annular -Master Owens Corning N/A -Wet N/A N/A Annular Regular Annular -Slave Owens Corning N/A -Wet N/A N/A Annular Premium Second Product Line R l S d Environ 2/14/06 Pressure Pass e u ar econ a Product Line S d V Environ 2/14/06 Pressure Pass econ a a or Return Line Second Vent Line Premium Turbine Sum R l T bi AOSmith AOSmith Total Containment 2/14/06 2/14/06 2/14/06 Pressure Pressure Hydrostatic Fail Pass Pass e ar ur ne Sum -Master Re lar Turbine Sum -Slave Di 1 2 Total Containment Total Containment 2/14/06 2/14/06 H drostatic Hydrostatic Pass Pass s enser - Di 3 4 Environ 2/14/06 Hydrostatic Pass s enser - Dis enser 5-6 Dis enser 7-8 Environ Environ Environ 2/14/06 2/14/06 2/14/06 H drostatic H drostatic H drostatic Pass Pass Pass 8281 Commonwealth Avenue Buena Park, California 90621 Phone (714) 826-0352 Fax (714) 523-7880 SB989 Compliance Testing Costco Station 3800 Rosedale Highway Bakersfield, CA Facility No. 688 Page 2 of 2 Dis enser 9-10 Environ 2/14/06 Visual Fail Dis enser 11-12 Environ 2/14/06 Hydrostatic Pass Re lar Fill Sum -Master- Total Containment 2/14!06 ' . H drostatic Pass Re lar Fill Sum =Slave Total Containment 2/14/06 H drostatic Pass Premium Fill Sum Total Containment 2/14/06 H drostatic Pass Re lar Fill Bucket -Master OPW 2/14/06 H drostatic Pass Re lar Fill Bucket -Slave OPW 2/14/06 H drostatic Pass Premium Fill Bucket OPW 2/14/06 H drostatic Pass Re lar Va or Bucket -Master OPW 2/14/06 H drostatic Pass Re lar Va or Bucket -Slave OPW 2/14/06 H drostatic Pass Premium Va or Bucket OPW 2/14/06 H drostatic Pass Costco Wholesale, Inc. understands that depending on the type of repair, permits maybe required and will be obtained in accordance with your agency's guidelines. If you have any questions regarding the attached results, please contact the undersigned at (714) 826-0352. Sincerely, Wayne Perry, Inc. C'~ Caroline A. Dollemore Program Manager Attachments - SB 989 Testing Results & Procedures Cc: Dennis Bock, Costco Wholesale, Inc. 8281 Commonwealth Avenue Buena Park, California 90621 Phone (714) 823-0352 Fax (714) 523-7880 Page ~ of. '~_ _ Secondary Containment Testing Report Form This form is intended for use by contractors performing periodic testing of UST secondary containment systems. Use the appropriate pages of this form to report results for a1I components tested. The completed form, written test procedures, and printouts from tests (if applicab v ~ erator for submittal to the local regulatory agency. costco # 688 3800 Rosedale Hwy. Facility Name: Bakersfield, Ca 93308 Date of Testing: ~ , r ,. ~.~ Facility Address: Q3$70 SB989-Initial testing. Facility Contact: _ ._..... .. Phone: - Date Local Agency Was Notified of Testing .Name of Local Agency Inspector (if present during testing): NA 2. TESTING CONTRACTOR INFORMATION Company Name: Wayne Perry Inc. Technician Conducting Test: ~{, / - ,tt L Credentials: ®CSLB Licensed Contractor ^ SWRCB Licensed Tank Tester License Type: A B ASB C-10 HAZ D40 License Number: 300345 Manufacturer Manufacturer Training Com onent s) Date Trainiti Ex ices SUPPLIED UPON REQUEST 3. SIJNIlVIARY OF TEST RESULTS Component Pass Fail Not Tested Repairs Made Component Pass Fail Not Tested Repairs Made S''7 ~ t C~, ^ ^ ^ i r ® ^ D ^ g' r ~ - [~ ^ ^ ^ ^ ^ ^ ^ c -z I~ ^ ^ ^ ^ ^ ^ ^ < S-G ® ^ ^ ^ ^ ^ ^ ^ it ® ^ ^ ^ ^ ^ ^ ^ 9-tea (~ ^ ^ ^ ^ ^ ^ ~ i~'~Z ® ^ ^ ^ ^ ^ ^ ^ ~P~ !~1 ^ ^ ^ ^ ^ ^ ^ y~- ~ ® ^ ^ ^ ^ ^ ^ ^ If hydrostatic testing was performed, describe what was done with the water after completion of tests: CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING To the best of my knowledge, the facts stated in this document are accurate and in full compliance with legal requirements Technician's Signature: ~~~~~ Date: z ~, Y _ a, ,~ Costco # 688 3800 Roseda{e Hwy. Bakersfield, Ca 93308 Page~of c~ 05870 SB989-Initial testing. Test Method Developed By: ^ Tank Manufacturer ®Industry Standard ^ Professional Engineer ^ Other (Specify) Test Method Used: ^ Pressure ®Vacuum ^ Hydrostatic ^ Other (Sped) Test Equipment Used: DIAL GAUGE Equipment Resolution: 0 to 15" Hg Vacuum Tank # Tank # Tank # Tank Is Tank Exempt From Testing?~ ^ Yes ^ No ^ Yes ^ No ^ Yes ^ No ^ Yes ^ No Tank Capacity: GALLONS GALLONS GALLONS GALLONS Tank Material: Tank Manufacturer: Product Stored: Wait time between applying pressure/vacuum/water and startin test: 15 Minutes 15 Minutes 15 Minutes 15 Minutes Test Start Time: Initial Reading (R~: " HG " HG " HG " HG Test End Time: Final Reading {RF): " HG " HG " HG " HG 'Test Duration: 1 Hour 1 Hour 1 Hour 1 Hour Change in Reading (R~Ril: " HG " HG " HG " HG Pass/Fail Threshold or Criteria: -__-~~__.~._~--~ --- -.__~-_ .r =~-t.---- .~_~.:. ~ ~ -:max- ° ~-~- ---° ~s~=~~str~t ~.z'=~~xi ~ Zero _ ~-~_:. ~~- ~~ _; ~~x Zero ~.R- -=~ass~ ,~~__ ~ Zero _ - ~ - ga -_ ~~tl~ Zero - - ~ ~ - -~-- __ 2~s~~ ~_ ~. Was sensor removed for testing? ^ Yes ^ No ^ NA ^ Yes ^ No ^ NA ^ Yes ^ No ^ NA ^ Yes ^ No ^ NA Was sensor properly replaced and verified functional after testing? ^ Yes ^ No ^ NA ^-Yes ^ No ^ NA ^ Yes ^ No ^ NA ^ Yes ^ No ^ NA Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) j Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary containment, such as systems that are hydrostatically monitored or under constant vacuum, are exempt from periodic contairunent testing. {California Code of Regulations, Title 23, Section 2637(a)(6}} Yage ~ of ,~ ~~.. 5. SECONDARY PIPE TESTING Test Method Developed By: p Piping Manufacturer ®Industry Standard ^ Professional Engineer O Other (Specify) Test Method Used: ®Pressure ^ Vacuum ^ Hydrostatic p Other (Sped) Test Equipment Used: DIAL GAUGE Equipment Resolution: 0 to 15" psi Piping Run #~j/ Piping Run # ~) Piping Run # j! ,*~ Piping Run # ~,~ Piping Material: Fiberglass Fiberglass Fiberglass Fiberglass Piping Manufacturer: ~ ~ Z ~ ,j„~~ ,~'~~ Piping Diameter. ~ ~ r ~' f . S " ~r ,~ Length of Piping Run: ~ z~ a * ,,¢ ~ z a a r b ~ ' ~r~ Product Stored: ~~ c~, ~ .~ ~.~ c.~+~ Method and location of i in -run isolation: ~ u.. j ..~.~f' f ~' Wait time between applying pressurelvacuumlwater and startin test: 15 Minutes 15 Minutes 15 Minutes 15 Minutes Test Start Time: ~ ~ ~ a ~ o ; '2.. ~ :. d / / - ~'S Initial Reading_(R~: 5 PSI 5 PSI 5 PS! ~5 PSI - Test End Time: ! / : ©~ I ' ~ !/ •' o i z ; Final Reading (RF): ,c PSI PSI ~ PSl S PSI Test Duration: 1 Hour 1 Hour 1 Hour 7 Hour Change in Reading (R~R~: p PSI, c~ PSI PS( ~ PSI Pass/Fail Threshold or Criteria: -_ Zero ~~ - = Zero. - Zero Zero .. COIIlITIeritS - (include information on repairs made prior to testing, and recommended follow-up for failed tests) ~1~ ~~,~ ~,~ l~c~a. ~~i~ COStCO # s88 3800 Rosedale Hwy. Bakersfield, Ca 93308 05870 SB989-Initial testing. Page ~ of _ 6. PIPING SUMP TESTING Test Method Developed By: ^ Sump Manufacturer ®Industry Standard ^ Professional Engineer p Other (Specify) Test Method Used: ^ Pressure ^ Vacuum ®Hydrostatic ^ Other (Specify) Test Equipment Used: Wayne Perry Inc. Equipment Resolution:.0007" Sump # .~/ Sump # ~~_/ Sump # ~7_ Z Sump # Sump Diameter: y $"" </ ~' r/ 5'' " Sump Depth: ~ ~ „ ~ Z„ 7 / „ „ Sump Material: Height from Tank Top to Top of - - ~ 5 „ hest Pi in Penetration: Hi ~ ~ j Height from Tank Top to Lowest ~ ~ ~` / ®„ Electrical Penetration: Condition of sump prior to testing: ~~~~~ ~ P,~,;,~,~ T d' f S t P ti 2" ABOVE HIGHEST 2" ABOVE HIGHEST 2" ABOVE HIGHEST 2" ABOVE HIGHEST es ump e on o or PII'ING PENETRATION PIPING PENETRATION PIPING PENETRATION PIPING PENETRATION Does turbine shut down when sump sensor detects liquid (both ^ Yes ^ No ®NA ^ Yes ^ No ®NA ^ Yes ^ No ®NA ^ Yes ^ No ®NA roduct and water)?` Turbine shutdown response time NA NA NA Is system programmed for fail-safe shutdown?` ~ Yes ~ No ®NA ^ Yes ^ No ®NA ^ Yes Q No ®NA ~ Yes ^ No ®NA Was fail-safe verified to be ` Q y~ QNo ®NA Q Yes pNo ®NA ^ Yes pNo ®NA p Yes ^ No ®NA o rational? Wait time between applying ' pressure/vacuum/water and starting 15 Minutes 15 Minutes 15 Minutes 15 Minutes test: Test Start Time: Z , Z . 3 : z) ~ Initial Reading (R~: o , ~~y, 7 p 57z! Test End Time: ~ Z . - ~ ; . ,~ j ~ 2 Final Reading (RFj: O. 3.s / . ~ /s' t7. 9z Test Duration: 15 Min 15 Min 15 Min 15 Min 15 Min 15 Min IS Min IS Min Change in Reading (RF-Ril: i~ „r,,•~ . ~O 3 PasslFaiI Threshold or Criteria: -0.0020 -0.0020. -0.0020 -0.0020 -0.0020 -0.0020 -0.0020 -0.0020 _.... _:_ _...F..__..:.....Y_,.~--~: --__.- ~:=,ri--.,-~_,.::,= ~`±~'.~~~€ _~ ~ ~- a ~~~=~~x _. -ter- _ - - --- :~ ~ _.~~` _.~ . -~:_~ . - - _ --- - - _z~ _z ..: ~~; =•~7:a`_,~. %~~_-.vu_m . ~~ = - .. -:Pass s _.vxrc. ~~_ - -- ~ ~.~+rse.Cz"t3= ~ - ~ -'e~e`~~~~v~~~ - ~:~~, ~r~C~ ~ v~2.c"?.is ~_-~ ~~ ~as~' = = - - - ~ __~.vc>-, _..ai-~ Was sensor removed for testing? Q Yes ^ N o ^ NA (~ Yes ^ No O NA ®Yes ^ No ^ NA ^ Yes ^ No ^ NA Was sensor properly replaced and verified functional after testin ? ®y~ Q No p NA ®Yes ^ No p NA ®. Yes ^ No p NA ^ Yes ^ No ^ NA COmineritS - (include information on repairs made prior to testing, and recommended follow-up for failed tests) Costco # 688 3800 Rosedale Hwy. Bakersfield, Ca 93308 05870 SB989-Initial testing. Page of.~- 7. UNDER-DISPENSER CONTAINMENT (UDC) TESTING Test Method Developed By: UDC Manufacturer D Industry Standard ® Professional Engineer p Other (Specify) Test Method Used: Pressure D Vacuum D Hydrostatic Other (Specify) Test Equipment Used: Wayne Pe rry Inc. See Attached Testing Results Equipment Resolution:.00007 Under-Dispenser ContainmenE Number Beiow /- z 3 -i' S-b 7-~' p-~~ tt-rZ UDC Manufacturer: UDC Material: „~..a~ . ~ ~...a.~ UDC Depth: 3 z." 3 ~" Z~" z ~" zy ~ Z- Height from UDC Bottom to Top u ~ ,~ ,~ ~ ~ a ,~ of Highest Piping Penetration: Height from UDC Bottom to ~ ~ ~ ~ ~ ,~ Lowest Electrical Penetration: Condition of UDC prior to ' ~/ // n testin : ~ ~ ~~G~e-~ ,~..Y~,e..-r c'~¢„~ ~ Portion of UDC Tested1 2" Above Highest 2" Above Highest 2" Above Highest 2" Above Highest Penetration Penetration Penetration Penetration Does turbine shut down when D y~ D No NA® ^ Yes ^ No NA® ^ Yes ^ No NAB ^ Yes ^ No NA® UDC sensor detects liquid. Turbine shutdown response time D Yes ^ No NA® O Yes D No NA~® D Yes D No NA® D Yes ^ No NA® Is system programmed for fail- ~ D y~ D No NA® D Yes D No NA® ^ Yes ^ No NA® ^ Yes ^ No NA® safe shutdown? Was fail-safe verified to be l?~ i D y~ D No NA® D' Yes ^ No NA® ^ Yes ^ No NA® D Yes D No N.A.® o rat ona Wait time between applying pressure/vacuumlwater and 15 Minutes IS Minutes 15 Minutes 15 Minutes starting test Test Start Time: ,s; y`, S - y ?~ d - ~ ~ ~ = Z/ _`z ~ a Initial Reading (Ril: z ~ ~ / t - Z ~ ~ 1- ~r z ~ _ vc7 y 2 9 7 S Test End Time: G ; ,~ / ~, . a ~/ 6 ':3 7 G.'• 36 / 7, " 2 {/ Fnal Reading (RF): . 3 zr~ ) . Z t z ~ Z '. op 3 7 ) . Z 5'7 Test Duration: 15 Min 1S Min 15 Min 15 Min 15 Min 15 Min 15 Min 15 Min Change in Reading (R~RJ: , ~b ,. vt3rsyz vnp ~ ~ vv za , v eynz f .~t~o ~, Pass/Fail Threshold or Criteria: -0.0020 -0.0020 -0.0020 -0.0020 -0.0020 -0.0020 -0.0020 -0.0020 _z~ y~.~~~aL __~'E-__ ~_~=.?~'~ ~' ~T+. E ~ CAL-*~'...~.LtiF--_ _ s _~P - . ~ y ~ ~ '~J~= £ - _ 2 Y - ~ ~ ~ _ - _ _ __ ~~"~.'~-' ~..-_ .... _. - z =X{. a--~-ice '~_..v.: .--~_._ -_ _.-_ -._~__ __ ~.-._. u ~~ ~; c ~v-c eve-= .- _ ~ 3cr t 'c _ '2 - •'.~ - _ L - _ +Q ;~ ,~~ ~'~v - v, _ ~' Was sensor removed for testing? (~ Yes Q N o NAD ~ Yes ^ No NAD Yes ^ No NAD ^ Yes D No NAD Was sensor properly replaced and (,Yes D No NAD ~ Yes ^ No NAD [~ Yes D No NAD D Yes D No NAD verified functional after testing? Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) Costco # 688 3800 Rosedale Hwy. Bakersfield, Ca 93308 05870 SB989-Initial testing. Page ~_ of, R_ FTT.T. RT4FR C(1NTATNMF.NT CTT1VfP'TF.CTTNti Facilit is Not ui ed With Fill Riser Containment Sums ^ Fill Riser Containment Sum s are Present, but were Not Tested ^ Test Method Developed By: ^ Sump Manufacturer ®Industry Standard ^ Professional Engineer ^ Other (Specify) Test Method Used: ^ Presswe O Vacuum ®Hydrostatic ^. Other (Specify) Test Equipment Used: Wayne Per ry tnc. See Attached Results Equipment ResoIution:.0007" Sump # S'~ / Sump # ~7 Z Sump # 9~ Sump # ,Sump Diameter: .yy" ~~" ~' ~" " Sump Depth: 7 / ~ ! " 7 Z " " Sump Material: ~~ ' Height from Tank Top to Top of Highest Piping Penetration: ~~ ~~ ~~ ~~ /S ~~ ~~ Height from Tank Top to Lowest Electrical Penetration: ~ ~, „ z ~ Z y >, , Condition of sump prior to testing: w Portion of Sump Tested 2"ABOVE HIGHEST PENETRATION 2"ABOVE HIGHEST PENETRATION 2" ABOVE HIGHEST PENETRATION 2" ABOVE HIGHEST PENETRATION Wait time between applying water. and starting test: 15 Minutes 15 Minutes 15 Minutes 15 Minutes Test Start Time: 2 : 2 Z ; ~ 3= ©S Initial Readin (R~: ®- z ~7 I, v 2 Z p_ Test End Time: ~ : • © ~ • ~p ; ~p Final Reading {RF): . 2 G 1 • oSZ o. Test Duration: I S Min I S Min 15 Min 15 Min 15 Min 15 Min 15 Min 15 Min Change in Reading (R~R~: .~oa z7 . _ ®©~ ~ Pass/Fail Threshold or Criteria: ~ _~ lris +~_.+ 3 T~>- ~ -0.0020 ~ ` -0.0020 -0.0020 Via-.- -0.0020 .~ -0.0020 -0.0020 a -0.0020 _ _ 't..=k sw -0.0020 Is there a sensor in the sump? {~ Yes ^ No ^ NA {~ Yes ^ No ^ NA ~l Yes ^ No ^ NA ^ Yes ^ No ^ NA Does sensoi.alarm when either roduct. or_.water is detected? ~ Yes ^ No ^ NA ~ Yes ^ No ^ NA f~tl Yes ^ No. p NA ^ Yes ^ No ^ NA Was sensor removed for Testing? Yes ^ No ^ NA [~I Yes ^ No ^ NA (~ Yes p No DNA ^ Yes ^ No ^ NA Was sensor properly replaced and verified functional after testing? ~ Yes ^ No ^ NA (~ Yes ^ No ^ NA ®Yes ^ No ^ NA ^ Yes ^ No ^ NA Comments - (include informatio° ~~ -~~~'-- --°-'- -_-- `- `--"-- --' -mended follow-up for failed tests) Costco # 688 3800 Rosedale Hwy. Bakersfield, Ca 93308 05870 SB989-Initial testing. Page ~ _ of _ 9. SPILL/OVERFII.L CONTAINMENT BnXF4 `~4. L'.. '~ , COI11rilErits - (include information on repairs made prior to testing, and recommended follow-up for failed tests) COStCO # GSS 3800 Rosedale Hwy. Bakersfield, Ca 93308 05870 SB989-Initial testing. Facility is Not Equipped With SpilUOverfill Containment Boxes ^ SpilUOverftll Containment Boxes are Present, but were Not Tested ^ Test Method Developed By: ^ Spill Bucket Manufacturer ®Industry Standard ^ Professional Engineer ^ Other (Specify) Test Method Used: ^ Pressure ^ Vacuum ®Hydrostatic ^ Other (Specify) Test Equipment Used: Wayn e Perry lnc. See Attached Results ~ Equipment Resolution:.0007 SpilUOverfiil Containment Box Humber Bucket Diameter: Z " " ' Bucket Depth: ~ ~ » i / „ ,3 Viz, ~,y ~~ ~ f S.,Z, , Wait time between applying pressure/vacuum/water and 1S Minutes ZS Minutes 1S Minutes 15 Minutes 15 Minutes 1S Minutes 1S Minutes 1S Minutes .atartin test: . Test Start Time: y • ~ : b ,s° • ~ : 3 a :~: ~ ' S Initial Reading.(R,}: ~~ ~_ - o S D. 2 Z 3S -r~ ~.Y o• S~7 .f Test End Time: ~, g , zo : 2d ,i Z Final Reading (RF): / ~ . a v s ®, ~ ~3 5 ~ 6 3 , ~ S. i'.f3 Test Duration: ~ ~ S riy ~,. S i•S' . r-~c f s. G+ ~+-c ` t Star ~..~. Change in Reading (R~R~: ~ ocx~ ~ o b coo 'S • oa.~ aDo/Zo ava Pass/Fail Threshold or ~ Criteria: _0.0020 -0.0020 -0.0020 -0.0020 -0.0020 -0.0020 -0.0020 -0.0020 _. ~• ~ ~ ___..~-,:: , ---_ ~: ~_ ~ ~ - was = _~- ~ ~ y£ ~v ~ ~=~ - =~ = _ ~~- _ -~- asp ~ ~~u .... z_vl-voye:-.e a .+ ^i- ~f ~ ~=s zSYE ~ 'C r` ~ ~{~t~j [ ' ~=~~~yyy - 'S-" ~~ey ~ ~ ~ ~ ~~jL~ _' _ ~n . . : ,_cc:_= ~vi~ ~ -~=.r_x-_._..cv.1_ _ .~_,_ '3 ~~ ~ - ~. - _ _xrl` - ~ N ~ I, ' ' ~i March 3, 2006 SB989 3-YEAR COMPLIANCE TEST Mr. Steve Underwood Bakersfield Fire Department 900 Truxtun Avenue Bakersfield, CA 93301 SUBJECT: SB989 COMPLIANCE TESTING AT COSTCO STATION #688 - 3800 ROSEDALE HIGHWAY, BAKERSFIELD, CA 93308. Dear Mr. Underwood: Below please find the secondary containment testing results for the above-referenced site. These results are being sent to you per the requirement of SB989. Initial testing was performed by Wayne Perry, Inc. on February 14, 2006. A summary of the components tested is listed in the table below. Components Tested Component Manufacturer Date Tested Type of Test Performed Pass / Fail Premium Annular Owens Corning N/A -Wet Annular N/A N/A Regular Annular -Master Owens Corning N/A -Wet Annular N/A N/A Regular Annular -Slave Owens Corning N/A -Wet Annular N/A N/A Premium Seconda Product Line Environ 2/14/06 Pressure Pass Re lar Secon Product Line Environ 2/14/06 Pressure Pass Seconda Va or Return Line AOSmith 2/14/06 Pressure Fail Secon Vent Line AOSmith 2/14/06 Pressure Pass Premium Turbine Sum Total Containmenrt 2/14/06 H drostatic Pass Re lar Turbine Sum -Master Total Containment 2/14/06 H drostatic Pass Re lar Turbine Sum -Slave Total Containment 2/14/06 H drostatic Pass Dis enser 1-2 Environ 2/14/06 H drostatic Pass Dis enser 3-4 Environ 2/14/06 H drostatic Pass Dis enser 5-6 Environ 2!14/06 H drostatic Pass Dis enser 7-8 - Environ 2/14/06 H drostatic Pass 8281 Commonwealth Avenue Buena Park, California 90621 Phone (714) 826-0352 Fax (714) 523-7880 SB989 Compliance Testing Costco Station 3800 Rosedale Highway Bakersfield, CA Facility No. 688 Page 2 of 2 Dis eraser 9-10 Environ Z/14/06 Visual Fail Dis eraser 11-12 Environ 2/14/06 H drostatic Pass Re lar Fill Sum -Master Total Containment 2/14106 H drostatic Pass Re lar Fill Sum -Slave Total Containment 2/14/06 H drostatic Pass Premium Fill Sum Total Containment 2/14/06 H drostatic Pass Re lar Fill Bucket -Master OPW 2/14/06 H drostatic Pass Re lar Fill Bucket -Slave OPW 2/14106 H drostatic Pass Premium Fill Bucket OPW 2/14/06 H drostatic Pass Re lar Va or Bucket -Master OPW 2/14/06 H drostatic Pass Re lar Va or Bucket -Slave OPW 2/14/06 H drostatic Pass Premium Va or Bucket OPW 2/14/06 H drostatic Pass Costco Wholesale, Inc. understands that depending on the type of repair, permits may be required and will be obtained in accordance with your agency's guidelines. If you have any questions regarding the attached results, please contact the undersigned at (714) 826-0352. Sincerely, Wayne Perry, InG Caroline A. Dollemore Program Manager Attachments - SB 989 Testing Results & Procedures Cc: Dennis Bock, Costco Wholesale, Inc. 8281 Commonwealth Avenue Buena Park, California 90621 Phone (714) 823-0352 Fax (714) 523-7880 1 Page ~ of; ~._ Secondary Containment Testing Report Form -This form is intended for use by contractors pe~forn:ing periodic testing of UST secondary containment systems. Use the appropriate pages of this form tort results for all cotnponents tested. The completed form, written test procedures, and printouts from tests (if applicab erator for submittal to the local regulatory agency. COStCO # G8H 3800 Rosedale Hwy. Facility Name: BakerSfleld, Ca 93308 Date of Testing: z ~,y_ p.~ Facility address: 05870 SB989-Initial testing. _. Facility Contact: o , Phone: - Date Local Agency Was Notified of Testing Name of Local Agency Inspector (if present during testing): NA 2. TESTING CONTRACTOR INFORMATION - _- - - __ Company Name: Wayne Perry Inc. Technician Conducting Test: ~(' / ,¢ L Credentials: ®CSLB Licensed Contractor ^ SWRCB Licensed Tank Tester License Type: A B ASB C-10 HAZ D40 License Number: 300345 Manufacturer Training Manufacturer Com onent(s) Date Trainin Ex ices SUPPLIED UPON REQUEST 3. SUMMARY OF TEST RESULTS Component Pass Fail Not Tested Repairs Made Component Pass Fail Not Tested Repairs Made f1''/ ~. ^ ^ ^ ~ ~' ^ ^ ^ t ~ ~. ^ ^ ^ +~ f~ ^ ^ ^ ~ ^ ^ ^ 17(] ^ ^ ^ ~'7- r t ~ ^ ^ ^ ~ ~ ® ^ ^ ^ g' ~ Z ~~ `~ ^ ^ ^ ^ ^ ^ ^ s ~-G ® ^ ^ ^ ^ ^ ^ ^ 9-~0 ~' ^ ^ ^ ^ ^ ^ i-~z ® ^ ^ ^ ^ ^ ^ ^ ~'~- r ® ^ ^ ^ ^ ^ ^ ^ If hydrostatic testing was performed, describe what was done with the water after completion of tests: CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING To the best of my knowledge, the facts stated in this document are accurate and in full compliance with legal requirements Technician's Signature: ~~~ Date: y /, ,yr _ d, ~ Costco # 688 3800 Rosedale Hwy.` Bakersfield, Ca 93308 Page ~ of % ~T 05870 SB989-Initial testing. _, Test Method Developed By: ^ Tank Manufacturer ®Industry Standard ^ Professional Engineer ^ Other (Specify) Test Method Used: ^ Pressure ®Vacuum ^ Hydrostatic ^ Other (Specify) Test Equipment Used: DIAL GAU GE Equipment Resolution: 0 to 15" Hg Vacuum Tank # Tank # Tank # Tank # Is Tank Exempt From Testing?' ^ Yes ^ No ^ Yes ^ No ^ Yes ^ No ^ Yes ^ No Tank Capacity: GALLONS GALLONS GALLONS GALLONS Tank Material: Tank Manufacturer: Product Stored: Wait time between applying pressure/vacuum/water and startin test: 15 Minutes 15 Minutes 15 Minutes 15 Minutes Test Start Time: Initial Reading (R~): " HG " HG " HG " HG Test End Time: Final Reading (RF): " HG " HG " HG " HG Test Duration: 1 Hour 1 Hour 1 Hour 1 Hour Change in Reading (RF-R~: " HG " HG " HG " HG Pass/Fail Threshold or Criteria: °Test'ReSUIt! Was sensor removed for testing? Zero ^ ~a,S~ti ^Fail ~ ^ Yes ^ No ^ NA Zero ^ Pass ^ 1+'ail ^ Yes ^ No ^ NA Zero ^ Pass ^ l~,ail ^ Yes ^ No ^ NA Zero ^ .Pass ^ Fail ^ Yes ^ No ^ NA Was sensor properly replaced and verified functional after testing? ^ I,~ ^ No ^ NA ^ Yes ^ No ^ NA ^ Yes ^ No ^ NA ^ Yes ^ No ^ NA Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) ' Secondary containment systems where the continuous monitoring automatically monitors both the primary and secondary containment, such as systems that are hydros[aticallymoriitored or under constant vacuum, are exempt from periodic containment testing. {California Code of Regulations, Title 23, Section 2637(a)(6)) t'age ~ of ~, ~~ ~~~ ' S. SECONDARY PIPE TESTING Test Method Developed By: ^ Piping Manufacturer ®Industry Standard ^ Professional Engineer ^ Other (Specify) Test Me[hod Used- ®Pressure ^ Vacuum ^ Hydrostatic ^ Other (Specify) Test Equipment Used: DIAL GAUGE Equipment Resolution: 0 to 15" psi Piping Run # ~j/ Piping Run # Q-~ Piping Run # j/ ~ Piping Run # ~~ Piping Material: Fiberglass Fiberglass Fiberglass Fiberglass Piping Manufactwer: L. ~ C ~ ~~ , f "~~ Piping Diameter: ~ ~' .Z~~ _ ~ y: f Length of Piping Run: ~Q z~ z~ ' ~ zo t ~~ ' '~a t Product Stored: ~ cJ/ ~ .~ ~,`,,~„~ u~ Method and location of i in -run isolation: ^--- j ,~..~` ~~' j Wait time between applying presswelvacuum/water and startin test: 15 Minutes 15 Minutes 15 Minutes 15 Minutes Test Start Time: ~ : a ~ /o ,• L a ~ ~ ~ /; 'Y_S Initial Reading_tRil: 5 PSl 5 PSI 5 PSI 5 PSI Test End Time: ~ ~ : a a ~ ~ ~ /~ ; p ~ Z ; Final Reading (RF): S PSI PSI D PSI S PSI Test Dwation: 1 Hour 1 Hour 1 Hour 1 Hour Change in Reading (RF-R~: p PSI n PSI - PSI ~ PSI Pass/Fail Threshold or Criteria: Y _ - ~- ~ Zero _ _ ~. -~ Zero - s ~s_ Zero - _ t ~~ Zero . Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) costco # sss 3800 Rosedale Hwy. Bakersfield, Ca 93308 05870 SB989-Initial testing. Page ~ of 6. PIPING SUMP TESTING Test Method Developed By: ^ Sump Manufacturer ®Industry Standard ^ Professional Engineer ^ Other (Specify) Test Method Used: ^ Pressure ^ Vacuum ®Hydrostatic ^ Other (Specify) Test Equipment Used: Wayne Perry Inc. Equipment Resolution:.0007" Sump # ~/ Sump # ~-7_/ Sump # g-~_ Z Sump # Sump Diameter: y g"' </ ~' y y' " Sump Depth: 2 „ 7 Z" 7 ~ >' „ Sump Material: Height from Tank Top to Top of Hi hest Pi in Penetration: ~ ~ ' S „ >, Height from Tank Top to Lowest Electrical Penetration: / ~ ~ ~ ~ ~ ~ „ Condition of sump prior to testing: ~~~~~ ~ P~~,.,..~ Portion of Sump Tested 2" ABOVE HIGHEST PIPING PENETRATION 2" ABOVE HIGHEST PIPING PENETRATION 2" ABOVE HIGHEST PII'ING PENETRATION 2" ABOVE HIGHEST PB'ING PENETRATION Does turbine shut down when sump sensor detects liquid (both roduct and water)?# p Yes ^ No ®NA ^ Yes ^ No ®NA ^ Yes ^ No ®NA D Yes ^ No ®NA Turbine shutdown response time NA NA NA Is system programmed for fail-safe shutdown?~ ^ y~ ^ No ®NA ^ Yes ^ No ®NA ^ Yes ^ No ®NA ^ Yes D No ®NA Was fail-safe verified to be o rational?` ^ y~ ^No ®NA ^ Yes ^No ®NA ^ Yes ^No ®NA ^ Yes ^ No ®NA Wait time between applying pressure/vacuum/water and starting test: 15 Minutes 15 Minutes 15 Minutes 15 Minutes Test Start Time: z , Z • :3 ~ c7 4, Initial Reading (R~: p , ;31 ~ , 7 p 9 z/ Test End Time: ~ 2 ; ~ ; ~ ~ : 2 Final Reading (RF): O. 3.~ / • ~ /S o• 9z Test Duration: 15 Min 15 Min 15 Min 15 Min 15 Min 15 Min 15 Min 15 Min Change in Reading (RF-Rt): n~ c~O 3 Pass/Fail Threshold or Criteria: -0.0020 -0.0020 -0.0020 -0.0020 -0.0020 -0.0020 -0.0020 -0.0020 Tesf Result: [~ Pass Q Fail ~ 7'a~.5 ^ Fail ~ Pass ^ Fail. ^ Piss ^ Fail Was sensor removed for testing? ~ Yes ^ No ^ NA ~ Yes ^ No ^ NA ®Yes ^ No ^ NA D Yes ^ No DNA Was sensor properly replaced and verified functional after testin ? ®Yes ^ No ^ NA ®Yes ^ No ^ NA ~ Yes D No ^ NA ^ Yes ^ No ^ NA COmmerits - (include information on repairs made prior to testing, and recommended follow-up for failed tests) COStCO # 688 3800 Rosedale Hwy. Bakersfield, Ca 93308 05870 SB989-Initial testing. -- __ - -- - Page ~ of : ~- 7. UNDER-DISPENSER CONTAINMENT (UDC) TESTING Test Method Developed By: UDC Manufacturer ^ Industry Standard ® Professional Engineer ^ Other (Specify) Test Method Used: Pressure ^ Vacuum ^ Hydrostatic Other (Specify) Test Equipment Used: Wayne Perry Inc. See Attached Testing Results Equipment Resolution:.00007 Under-Dispenser Containment Number Below /- Z 3 -y S-b 7-9' 9-/ ~i-i-z UDC Manufactwer: UDC Material ~ „~„~ ~ ~ ~i..,e,a. 7Z ' UDC Depth: 3 Z" 32° Z~" z$" zy" 'Z " Height from UDC Bottom to Top of Highest Piping Penetration: „ " " " " " " Height from UDC Bottom to Lowest Electrical Penetration: " " " " " " " " Condition of UDC prior to /J /~ Portion of UDC Tested` 2" Above Highest Penetration 2" Above Highest Penetration 2" Above Highest Penetration 2" Above Highest Penetration Does turbine shut down when UDC sensor detects liquid. ^ Yes ^ No NA® ^ Yes ^ No NA® ^ Yes ^ No NA® ^ Yes ^ No NA® Turbine shutdown response time ^ Yes ^ No NA® ^ Yes ^ No NA® ^ Yes ^ No NA® ^ Yes ^ No NA® Is system programmed for fail- safe shutdown?~ ^ Yes ^ No NA® ^ Yes ^ No NA® ^ Yes ^ No NA® ^ Yes ^ No NA® Was fail-safe verified to be o rational?~ ^ y~ ^ No NA® ^ Yes ^ No NA® ^ Yes ^ No NA® ^ Yes ^ No NA® Wait time between applying pressure/vacuum/water and starting test 15 Minutes 15 Minutes 15 Minutes 15 Minutes Test Start Time: ,s: y` S = 'Y 9 6 - Z ~ b ' z/ _''Z . D Initial Reading (R~: 7 a~ ~ t. z L 3 ) .. za z t _ va y a 9 9 S Test End Time: G- ~ 6^ a y 6 .^ 3 7 L'. 3 b / ~7 ,' z %/ Final Reading (RF): ~ 3 zr~ 1. 7 ~ z ~ Z o0 3~ 1• Z 97 Test Dwation: 15 Min 15 Min 15 Min 15 Min 15 Min 15 Min 15 Min 15 Min Change in Reading (RFRt): , ~e .vorryZ ,ora a ~Go za oovz ,~t~o z Pass/Fail Threshold or Criteria: -0.0020 -0.0020 -0.0020 -0.0020 -0.0020 -0.0020 -0.0020 -0.0020 Test Results ~ f - #~~ .~'~ b~~.s ~ ~ S Cbs Was sensor removed for testing? ®Yes ^ No NA^ ~ Yes ^ No NA^ Yes ^ No NA^ ^ Yes ^ No NA^ Was sensor properly replaced and verified functional after testing? ~' Yes ^ No NA^ ~ Yes ^ No NAp (~ Yes ^ No NAC] ^ Yes ^ No NA^ COmmentS - (include information on repairs made prior to testing, and recommended follow-up for failed tests) Costco # 688 3800 Rosedale Hwy. Bakersfield, Ca 93308 05870 SB989-Initial testing. ~_~ Page~_of~r~~ 8. FILL RISER CONTAINMENT SUMP TESTING Facilit is Not E ui ed W ith Fill Riser Containment Sums ^ Fill Riser Containment Sum s are Present, but were Not Tested ^ Test Method Developed By: ^ Sump Manufacturer ®Industry Standard ^ Professional Engineer ^ Other (Specify) Test Method Used: ^ Presswe ^ Vacuum ®Hydrostatic ^ Other (Specify) Test Equipment Used: Wayne Per ry Inc. See Attached Results Equipment Resolution:.0007" Sump # y> / Sump # ~7- Z Sump # 9 f Sump # Sump Diameter: .yy" yam' y 4^ " Sump Depth: ~ ~ 7 ~ » 7 Z » „ Sump Material: ~~ Height from Tank Top to Top of Highest Piping Penetration: ~ S ~y ~ s' „ „ Height from Tank Top to Lowest Electrical Penetration: z ~ Z ,y Z y „ Condition of sump prior to testing: ~o Portion of Sump Tested' 2" ABOVE HIGHEST PENETRATION 2" ABOVE HIGHEST PENETRATION 2" ABOVE HIGHEST PENETRATION 2" ABOVE HIGHEST PENETRATION Wait time between applying water and starting test: 15 Minutes 15 Minutes 15 Minutes 15 Minutes - Test Start Time: 2 .- 2 Z= Z : O S Initial Readin (R~): d• 2 ~f/7 I• a Z Z p_ Test End Time: ~ : j/O 2 : ~i'O ~O Final Reading (RF): , z d / • oSZ o _ Test Duration: 15 Min IS Min 15 Min 15 Min 15 Min 15 Min IS Min 15 Min Change in Reading (RF-R~: ~r,o 27 _ ©aa / Pass/Fail Threshold or Criteria: ~ --- TESt Rcrsult,: -0.0020 -0.0020 ,. -. I'.~1s ^ F~i~il -0.0020 -0.0020 ~.._.. ~ Pg~~s ^ ~1t=~ -0.0020 -0.0020 z . _. _.~ .. _ - ~. }'~.~; [~ ail: -0.0020 -0.0020 ~...~: --- ^ Yayy [ 1' ail Is there a sensor in the sump? ~ Yes ^ No ^ NA [~ Yes ^ No ^ NA (l~] Yes ^ No ^ NA ^ Yes ^ NO ^ NA Does sensor alarm when either roduct or water is detected? ~ Yes ^ No ^ NA ~ Yes ^ No ^ NA (Z] Yes ^ No ^ NA ^ Yes ^ No ^ NA Was sensor removed for Testing? Yes ^ No ^ NA [~ Yes ^ No ^ NA l~l Yes ^ No ^ NA ^ Yes ^ No ^ NA Was sensor properly replaced and verified functional after testing? ~ Yes ^ No ^ NA ~ Yes ^ No ^ NA ®Yes ^ No ^ NA ^ Yes ^ No ^ NA COmmeritS - (include information-r°°°~-- ---°~°- mended follow-up for failed tests) Costco # 688 3800 Rosedale Hwy. Bakersfield, Ca 93308 05870 SB989-Initial testing. F ~, a % .~_ Page ~~ . of _~~ ~ . 9. SPILL/OVERFILL CONTAINMENT BOXES Facility is Not Equipped With SpilUOverfill Containment Boxes ^ SpilUOverfill Containment Boxes are Present, but were Not Tested ^ Test Method Developed By: ^ Spill Bucket Manufacturer ®Industry Standard ^ Professional Engineer ^ Other (Specify) Test Method Used: ^ Pressure ^ Vacuum ®Hydrostatic ^ Other (Specify) Test Equipment Used: Wayn e Perry Inc. See Attached Results Equipment Resolution:.0007 SpilUOverfill Containment Box Number ~i~ f7--/' (' 47 z_~ .z 1, 9/12-~ ~ v Bucket Diameter: j Z " ~ Z' I 'L " ~ Z " ! Z " ! 'L " ' Bucket Depth: /' / j " •3 i~ >`/ %y / / t % ' Wait time between applying pressure/vacuum/water and staztin test: 15 Minutes 15 Minutes 15 Minutes 15 Minutes 15 Minutes 15 Minutes 15 Minu[es 15 Minutes Test Start Time: y_' o ; a s ~ • 3 a :s': o ' S Initial Reading (RI): fj5r' o_ • a S D. 2 2.~5 _a G,g o. ~, Test End Time: ~j/; ~ • 20 : Zo S.' Z Final Reading (RF): D . v S e, z Z.? S, 0 6 3 t, f.~'3 Test Duration:, ~ S v~/ ,,: ~ S /~/ ~ i•s µc ! t ~* u-c / S!<. Change in Reading(RFRt): wOVO~ o® ~ aroma ova ,,DO/Zo ac~o Pass/Fail Threshold or Criteria: _0.0020 -0.0020 -0.0020 -0.0020 -0.0020 -0.0020 -0.0020 -0.0020 Test Resultr~ '~[ Pass ^ '`~ Paste ^ ~ ~ Pass ` ~ ^ ~ Pais ^ ~ u P.LSS ~ Fail ~ P.rss ^ b'ail ^ Pass ^ F:~l ^ P~>uu ^ foil COmmeritS - (include information on repairs made prior to testing, and recommended follow-up for failed tests) Costco # 688 3800 Rosedale Hwy. Bakersfield, Ca 93308 05870 SB989-Initial testing. _. __ /~.~iu.~/~1~ /-/-G3~ ES.3~7(0 UNIFIED PROGRAM INSPECTION CHECKLIST ~~ SECTION 1 Business Plan and Inventory Program FACILITY" NAME ___ ~-~-S~-r-C~--- -___._..._------.._------------- --- --- -- - -- ADDRESS~~ (~ /~ Lam. ,(/' i( }f{// ~ --. _____..J~S.: ~..-----~1.._.15._L`_~1~.1-~.,---1145+,.~--._..._.._......-------- FACILITYCONTACT Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 INSPECTION DATE INSPECTION TIME C. _c~.1 - ---- - ---..------- -- - PHON No. No. of Employees ~- 15-02 l - ~~~~, Section 1: Business Plan and Inventory Program ^ Routine ~ Combined ^ Joint Agency ^Mnfti-Agency O Complaint ^ Re-inspection C V l V=Vioatonnce l OPERATION ~^ APPROPRIATE JPERMIT ON HAND U' ^ BUSINESS PLAN CONTACT {NFORMATION ACCURATE I!Y ^ VISIBLE ADDRESS LW ^ CORRECT OCCUPANCY ~/ ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES LY' ^ VERIFICATION OF LOCATION Cf ^ PROPER SEGREGATION OF MATERIAL L~ ^ VERIFICATION OF MSDS AVAILABILITYE L~J ^ VERIFICATION OF HAT MAT TRAINING L~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES Lam' ^ EMERGENCY PROCEDURES ADEQUATE ~^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING (~ ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE ~ ON HAND COMMENTS ANY HAZARDOUS WASTE ON SITE: ^ YES C1 NO EXPLAIN: QUESTIO , REGARDIN HI NSPECTION~ PLEASE CALL US AT ~GF)'I ~ 326-3979 ~: Inspector Badge No., Business Site Res nsible Party While • Environmental Services Yellow • Station Copy Pink • Business Copy .~ ,...__ '//~y4~tiLD AJ~~ \ O o CITY OF BAKERSFIELU FIRE DEPAR'T'MENT ~~ ~ °: OFFICE OF I:NVIRONMENTAI. SERVICES `~' y~` UNIFIED PROGRAM INSPECTION CIiECKLIST \:__~w ~R~;,~~i~ 1715 Chester Ave., 3r`' Floor, Bakersfield, CA 93301 FACILITY NAME ~.05~C L Section 2: Underground Storage Tanks Program INSPECT-TUN DATE ~• ~ G ' ~~ i ^ Routine ~ Combined ^ Joint Agency ^Mufti-Agency ^ Complaint ^ Re-inspection Type of Tank V1u1 ~ Number of Tanks 3 Type of Monitoring _~+ ~ati~ Type of Piping _~p~~1f-= OPERATION C V COMMENTS Proper tank data on file Proper owneNoperator data on file V Pennit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations -~ Has there been an unauthorized release? Yes No ~./ Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGATE CAPACITY Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC: on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection'? C=Compliance ~• V=Violation Y=Yes N=NO Inspector: 111 Office of Environmental Services (661) 326-3979 N'hitc- (•nv. Svcs. . f c. - ~= usiness Stte Responsible Party Pink -Business Cory July 20, 2005 2 4- 7- 3 ..6 5. ~ - EH&5 MF'6RMA710N & Ct]MPLIANCE SERVICES , Bakersfield Fire Department Fire Prevention Services Division 1715 Chester Ave, Suite 300 Bakersfield, CA 93301 RE: Hazardous Material Business Plan Costco #0688, 3800 Rosedale Hwy., Bakersfield, CA 93308 To Whom It May Concern: Enclosed is the Hazardous Materials Business Plan for the Costco facility listed above. Changes to the contact information, chemical inventory and maps have been made. This plan has been completed by 3E Company, hazardous materials consultants for Costco Wholesale. A copy of this plan has been forwarded to the facility manager to be kept on file and available for inspection at all times. If you have any questions regarding this matter, please feel free to contact me at (760) 602-8749. Best Regards, Meghan Sadlowski 3E Company -Regulatory Disclosures Enc. Cc: Store Manager, Costco #688 a 1905 Aston Aaenee Caris6ad, CA 91008 P: 8110.360.3220 - F: ]60.602.0052 www.3ECompanpcem I .~:~ B E' R S F I D F/IirB ARTM T CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES °~~ 1715 Chester Ave., CA 93301(661) 326-3979 ;. ~~;~ . BUSINESS OWNER /OPERATOR IDENTIFICATION . o FACILITY INFORMATION Page 1-- Of ? - . I FACILITY IDENtIFIC;l,1,T10N;; FACL fIY D i ~~ + Year Beginning vo Year Ending n, `~ k 07/20/05 7/20/06 -- --- BUSINESS NAME (Same as FACILITY NAME or DIiA- Doing Business As) 3 BUSINESS PHONE io2 Costco # 0688 (661) 852-2643 SITE ADDRESS 103 3800 Rosedale Hw . ciTY Bakersfield 104 cA zIP 93308 ,os DUN & 10-339-1843 BRADSTREET 106 sic CODE (4 Digit #) 5199 107 COUNTY Kern ,os OPERATOR NAMECostco Wholesale Corporation ,os~OPERATOR PHONE (425)PHONE (425) 313-8545 10 ..., <.::II....UWNER INFORMATION OWNER NAMECostco Wholesale Co oration ,,, OWNER PHONE (425) 313-8545 „2 OWNER MAILING ADDRESS 999 Lake Drive 13 CITY Issaquah 114 sTATE WA „s ZIP 98027 16 III. ENVIRONMENTAL CONTACT. CONTACT NAME Costco Wholesale Corporation Risk Management Division 117 CONTACT PHONE 425 313-8545 16 CONTACT MAILING 119 ADDRESS 999 Lake Drive CITY Issaquah ,zo STATE WA ,2, ZIP 98027 ,zz -PRIMARY- IV.: EMERt;ENCY CONTACTS -SECONDARY- . NAME Ga Cole 123 NAME Daniel Bennett 129 TITLE Warehouse Manager ,2s TITLE Assistant Warehouse Manager ,30 BUSINESS PHONE (661) 852-2643 126 BUSINESS PHONE (661) 852-2643 13' 24-HOUR PHONE (661) 822-5780 127 24-HOUR PHONE 661 496-3639 ,3z PAGER # N/A 126 PAGER # N/A 133 - V.'CERTIFICATION ;. Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and familiar with the information submitted in this inventory and believe the information is true, accurate, and complete. SIG TORE OF OWNER/OPE TOR DATE ,sa NAME OF DOCUMENT PREPARER t35 „~j~ ~ 7/20/05 Meghan Sadlowski NAMES F OWNER/OPERATOR (print) ,ss TITLE OF OWNER/OPERATOR t3~ Meghan_ Sadlowski, Agent for Costco Corporation _ 3E Company/ Regulatory Disclosures UPCF (7199) C:\WINNT40\Profiles\jtraylor.0001Desktop10ES2730.wpd ~~"r1 B E R S F [ ~D Derr ABrM r CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION Q NEW Q ADD Q DELETE Jig( REVISE 200 (one loan permaterial perbuYdmg a area) Page ~ of 7 __ . - L FACILITY INFORMATION ' BUSINESS NAME (Same as FACILITY NAME a DBA - Ddng Business As) 3 Costco #688 CHEMICAL LOCATION 201 Receiving area CHEMICAL LOCATION CONFIDENTIAL (EPCR4) G Ye No 202 FACILITY ID # u°0~ 1 MAP # (°ptanaQ 203 GRID # (oplanaq 204 IL CHEMICAL INFpRMATION CHEMICAL NAME 205 TRADE SECRET Cj Ye No 206 If Subject to EPCRA, refer to insWctions 207 COMMON NAMFY ead-Acid Batteries, Wet (Forklift/Pallet Jack/Floor Scrubber Batteries) EHS' ~ Yes G No 208 CAS # 209 'I(Ofhte,'ilve~ukbiwiGGlh FIRE CODE HAZARD CLASSES (Complete if requested by local firo chief) RII, CORR 210 TYPE /+ G p PURE m MIXTUREG w WASTE 211 /~ CURIES 213 RADIOACTIVE G Yes No 212 PHYSICAL STATE G s SOLID ~ I LIQUID G g GAS 214 IJIRGEST CONTAINER 558.5 lb electrol a 215 FED HAZARD CATEGORIES G 1 FIRE ~ 2 REACTIVE G 3 PRESSURE RELEASE / ~ 4 ACUTE HEALTH G 5 CHRONIC HEALTH 216 (ChedcaNthatapply) ANNUAL WASTE 217 AMOUNT Q MAXIMUM 218 DAILY AMOUNT 5949.2 AVERAGE 219 UNT 5949.2 DAILY AM O TE WASTE CODE 220 /r~", / + UNITS' G ga GAL G a CU FT Ib LBS G to TONS 221 DAYS ON SITE 222 ' If EHS, amount must be in Ibs. 365 STORAGE CONTAINER Cj a ABOVEGROUND TANK G e PLASTIGNONMETALLIC DRUM G i FIBER DRUM G m GLASS BOTTLE G q RAILCAR 223 (Check all that apply) /+ /~ G b UNDERGROUND TANK G f CAN G j BAG G n PLASTIC BOTTLE ~ r OTHER / G c TANK INSIDE BUILDING G g CARBOY G k BOX G o TOTE BIN ~ G d STEEL DRUM G h SILO V I CYLINDER G p TANK WAGON Battery Case STORAGE PRESSURE ~+ a AMBIENT Vas ABOVE AMBIENT G ba BELOW AMBIENT 224 / ~± STORAGE TEMPERATURE ~ a AMBIENT Gas ABOVE AMBIENT G ba BELOW AMBIENT G c CRYOGENIC 225 %WT HAZARDOUS COMPONENT . - EHS CAS# 1 0-30 226 ulfuric Acid Electrolyte (37.5% Sulfuric Acid) ~7 Yea G No 226 664-93-9 22s 2 0 230 ead 231 GYas~NO232 439-92-1 233 3 234 235 / G YesG Na 236 237 4 238 239 G Yes G No 240 241 5 242 243 ~ + ~ G Yes V No 244 245 i NI. SIGNATURE ~ PRINT NAME 8 TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGN TORE DATE 246 / eghan Sadlowski, Agent for Costco Corporation ~~~~j°~ ~ _A..c,>/// _ 7/20/05 UPCF (7/99) C:\WINNT40\Profiles\jtraylor.000\Desktop10ES2731.wpd ' r~ ... _ B E R S F I ~ D F~R~ A1i<TM r CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION Q NEW /ADD __. _ Q DELETE Q REVISE 200 (one form per matarnv! per building or area) Page ~__ of ~ ~_ 1. FAGIE:ITY 1NF~i~lAAT10N BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Costco #688 CHEMICAL LOCATION 201 Food Service Area CHEMICAL LOCATION Cj Ye~ No CONFIDENTIAL (EPCRA) 202 FACILITY ID # 1 MAP # (opfbnal) 203 GRID # (optional) 204 IL CHEMICAL INFORMATION ' " 205 TRADE SECRET Cj Ye No 206 CHEMICAL NAME Carbon Dioxide I( Subject to EPCRA, rater to insWcbons ---- - -- --- 207 ~ COMMON NAME Carbon Dioxide for Carbonated Beverages (ADD) -------- ... _ EHS• u G Yas/~ No zoe cAS# 124-38-9 zos ~uulhln,~~9waskbtaullgR~ FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief G, OHH, IRR 210 TYPE p PURE C7 m MIXTURE C7 w WASTE 211 RADIOACTIVE G Yes No 212 CURIES 213 ~ PHYSICAL STATE G s SOLID G I LtOUID g GAS 21< LARGEST CONTAINER 3496 cubic feet 4001bs 215 /± FED HAZARD CATEGORIES ~' 1 FIRE G 2 REACTIVE G 3 PRESSURE RELEASE G 4 ACUTE HEALTH G 5 CHRONIC HEALTH 216 (Check all that apply) AMOUNTWASTE 0 217 D LAI Y AMOUNT 4370 218 DAILYAAMOUNT 2185 219 N/A WASTE CODE 220 UNITS• G ga GAL d CU FT G Ib LBS G to TONS 221 ' DAYS ON SITE 365 222 , anwunt must be in lbs. If EH S /~ /± / ~ STORAGE CONTAINER Cj a ABOVEGROUND TANK G e PLASTIGNONMETALLIC DRUM G i FIBER DRUM G m GLASS BOTTLE G q RAILCAR 223 (Check all that apply) ~± /+ G b UNDERGROUND TANK G f CAN G j BAG G n PLASTIC BOTTLE G r OTHER l k BOX G c TANK INSIDE BUILDING G g CARBOY G o TOTE BIN ~ _____ _ / / G d STEEL DRUM G h SILO I CYLINDER G p TANK WAGON __ STORAGE PRESSURE G a AMBIENT as ABOVE AMBIENT G ba BELOW AMBIENT 224 STORAGE TEMPERATURE ~ a AMBIENT Gas ABOVE AMBIENT G ba BELOW AMBIENT G c CRYOGENIC 225 °kWT HAZARDOUS.COMPONENT ... H E S CAS# 1 228 227 / + V Yes V No 228 229 2 230 231 ~'j Yas G No232 233 3 234 235 ~j Yes C7 Na 236 237 4 238 239 G YesV No 240 241 5 242 243 ± G Yes G No 244 245 i NL SIGNATURE PRINT NAME 8 TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIG N AT UR E DATE 246 ~ 1 v ' eghan Sadlowski, Agent for Costco Corporation _1~/,f~ ~_ ~, ~.c~~-/J it 7/20/05 UPCF (7/99) C:\WINNT401Profiles\jtraylor.000\Desktop\OES2731.wpd ~~~ B E R S F[ D FiRr AATM T CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION Q NEW ADD _ Q DELETE ~ REVISE 200 fona form per matanal per building a area) Page ~ of 7 __ f. ~acILITr u1FORIIIu~noN BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Costco #688 CHEMICAL LOCATION Gas Station, behind data but 201 \\~~ CHEMICAL LOCATION G Yey~\} No 202 CONFIDENTIAL (EPCRA) FACtLtTY lD # - 1 MAP p (opfionaQ 203 GRID # (optional 204 11. CHEMICAL INFORMATION. . _. CHEMICAL NAME 205 TRADE SECRET G ye No 206 If Subject to EPCRA, refer to insWclions COMMON NAM Waste Gasoline 207 EHS• ~C G Yes/C4 No 208 CAS # 209 'llGlhln; WwpuNbruuWgpr FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) L-IA, CARL, IRR 210 TYPE G p PURE m MIXTURE w WASTE 211 G CURIES RADIOACTIVE G Yes No 212 213 ~PHYSICALSTATE G s SOLID ~I LIQUID G g GAS 214 LARGEST CONTAINER SS al 215 FED HAZARD CATEGORIES ~ 1 FIRE G 2 REACTIVE (Check all that apply) G 3 PRESSURE RELEASE ~ 4 ACUTE HEALTH ~ 5 CHRONIC HEALTH 216 ANNUAL WASTE 217 AMOUNT SS MAXIMUM DAILY AMOUNT SS 218 AVERAGE 219 DAILYAMOUN7 2g ,$jjQTE WASTE CODE 220 5~+3 UNITS' ga GAL G cf CU FT G Ib LBS G to TONS 221 DAYS ON SITE 36S 222 If EHS, amount nwst be in Iba. STORAGE CONTAINER Cj a ABOVEGROUND TANK G e PLASTIC/NONMETALLIC DRUM G i FIBER DRUM G m GLASS BOTTLE G q RAILCAR 223 (Check ell that apply) G b UNDERGROUND TANK G f CAN G j BAG G n PLASTIC BOTTLE G r OTHER c TANK INSIDE BUILDING G g CAR80Y G k BOX G o TOTE BIN d STEEL DRUM G h SILO ___'_ G I CYLINDER G p TANK WAGON ___ STORAGE PRESSURE a AMBIENT G as ABOVE AMBIENTG be BELOW AMBIENT 224 / ~ STORAGE TEMPERATURE ~ a AMBIENT Vas ABOVE AMBIENT G ba BELOW AMBIENT G c CRYOGENIC 225 %WT HAZARDOUS.COMF'ONENT EHS .. CAS# 1 00 226 nleaded Gasoline ~7 G Yes No 228 g006-61-9 22s 2 230 231 G Yes G No232 233 3 234 235 G Yes G No 238 237 4 238 239 G Yes G No 240 241 5 242 243 Cj Yes G No 244 246 i III: SIGNATURE. PRINT NAME 6 TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246 eghan Sadlowski, Agent for Costco Corporation _~~~~~~_ C• ~~ ~~! 7/20/OS UPCF (7/99} C:\WINNT40\Profiles\jtraylor.000\Desktop\OES2731.wpd r~ 'f ...- B E R S F [ ~D F~Rt AArA- r CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION Q NEW /ADD _ Q DELETE Q REVISE 200 a / ,. + ~. ~~ , ,~~ (are form permaterial per building a area) Paga ~__ of ~ ___ t. 6AGILITY INFORIN'ATION BUSINESS NAME (Same as FACILITY NAME a DBA -Doing Business As) 3 Costco # 688 CHEMICAL LOCATION Next to scrubber in receiving 201 CHEMICAL LOCATION G Yey~} No 201 CONFIDENTIAL (EPCRA) FACILITY ID p 1 MAP !1(opfbnaQ 203 GRID # (optional 204 .: ... IL CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET Cj Ye No 206 If Subject to EPCRA, refer to insWclions COMMON NAME _.~--------- Job Master (ADD) -- -----207 EHS• ----..-_...._ .. G Yas . /~ No zoa CAS # ~ 209 'llflihld.'ilaytukbuulkolh .. .:. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chieQ CLIIIB, IRR 210 TYPE G p PURE m MIXTURE G w WASTE 211 RADIOACTIVE G Yes No 212 CURIES 213 PHYSICAL STATE G 5 SOLID ~7 I LIQUID G g GAS 214 LARGEST CONTAINER 55 al 215 FED HAZARD CATEGORIES ~ 1 FIRE G 2 REACTIVE G 3 PRESSURE RELEASE ~ 4 ACUTE HEALTH G 5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 AMOUNT N/A MAXIMUM 218 DAILY AMOUNT SS AVERAGE 219 DAILYAM UNT 28 O STATE WASTE CODE 220 ~ + UNITS• ga GAL G d CU FT G Ib LBS G to TONS 221 DAYS ON SITE 222 If EHS, amount must be in lbs. 365 STORAGE CONTAINER Cj a ABOVEGROUND TANK ~ e PLASTIC/NONMETALLIC DRUM (Check all that apply) G i FIBER DRUM G m GLASS BOTTLE G q RAILCAR 223 G b UNDERGROl1ND TANK G f CAN G j BAG G n PLASTIC BOTTLE G r OTHER G c TANK INSIDE BUILDING G g CARBOY G k BOX G o TOTE BIN G d STEEL DRUM G h SILO G I CYLINDER G p TANK WAGON STORAGE PRESSURE ~+ a AMBIENT Vas ABOVE AMBIENT G ba BELOW AMBIENT 224 STORAGE TEMPERATURE ~ aAMBIENT Gas ABOVE AMBIENT G ba BELOW AMBIENT G c CRYOGENIC 225 °kWT HAZARDOUS COMPONENT -...: " EHS ' ` CAS # ' 2ze Not Listed '~7 G vas NO 228 G 229 2 230 231 t + G Yes G No 232 233 3 234 235 G Yes G No 236 237 4 238 239 G Yes G No 240 241 5 242 - 243 G Yas G No 244 245 i 1I1. SIGNATU RE PRINT NAME 8 TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 248 eghan Sadlowski, Agent for Costco Corporation ~ ~~ ~_ ,,_~_ 7/20/05 ~-_ UPCF (7/99) C:\WINNT401Profilesljtraylor.000\Desktop10ES2731.wpd Rs -~ ... _ B E R S F I ~ D F/RL ~ R rir t -..e..y i. ~ . K r:,r,~. CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION Q NEW ADD 4 DELETE Q REVISE 200 -,~ . . (one loan per material per building or area) Page 6_ of 7 __ r ~~ :, I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business AS) 3 Costco # 688 CHEMICAL LOCATION Gas station, behind data but 201 CONFI ENTIAL EPCRA) G Yey~ No 201 FACILITY ID # 1 MAP p (optional) 203 GRID # (optional 204 - 11: CHEMICAL INFORMATION ,. CHEMICAL NAME 205 TRADE SECRET G Ye No 206 -------------- - --- If Subject to EPCRA, refer to insWctions - - ------ -------------- - COMMON NAME Waste Solids Containing Flammable Liquids (ADD) -----207 -------._ .._._..._..-..-~-.._._.._ EHS' G Yes/QD No .._--- 208 CAS p r 209 'llUihlp; raagrukhlwlNU4r FIRE CODE HAZARD CLASSES (Complete if requested by local firo chieQ L-IA, CARC, IRR 210 ~+ ~+ TYPE G p PURE G m MIXTURE w WASTE 217 RADIOACTIVE G Yea No 212 CURIES 213 PHYSICAL STATE ~ s SOLIDGI LIpUID G g GAS 214 LARGEST CONTAINER SS al 215 FED HAZARD CATEGORIES ~ 1 FIRE G 2 REACTIVE G 3 PRESSURE RELEASE ~ 4 ACUTE HEALTH / `l~ 5 CHRONIC HEALTH (Check all that apply) 216 ANNUAL WASTE 217 AMOUNT l l O MAXIMUM 218 DAILY AMOUNTl l O AVERAGE DAILY AMOUNTSS 219 T E WASTE CODE ~~ 220 UNITS• ga GAL G d CU FT G Ib LBS Ci In TONS 221 DAYS ON SITE 222 • It EH , amount must be in lbs. S 36S / ~ ~+ STORAGE CONTAINER G a ABOVEGROUND TANK G e PLASTIC/NONMETALLIC DRUM G i FIBER DRUM ~+ G m GLASS BOTTLE G RAILCAR Q 223 (Check all that apply) /+ G b UNDERGROUND TANK G f CAN G j BAG /~ G n PLASTIC BOTTLE G r OTHER /// ±±± / + c TANK INSIDE BUILDING G g CARBOY G k BOX G o TOTE BIN ~ ~ d STEEL DRUM G h SILO V I CYLINDER _____ _ / G p TANK WAGON -- STORAGE PRESSURE ~ a AMBIENT Gas ABOVE AMBIENTG ba BELOW AMBIENT 224 ~+ STORAGE TEMPERATURE ~ a AMBIENT Gas ABOVE AMBIENT G ba BELOW AMBIENT G c CRYOGENIC 225 %WT HAZARDOUS.COMPONENT - EHS CAS# 1 0 226 aste Gasoline zz7 G ve~ No 226 006-61-9 22s z O 23o FM-186 Hydrocarbon Mitigation Agent 231 G Yas~No23z /A 233 3 O z3a Universal 235 Absorbent Towels G Ye~ No 236 237 , /A a 0 238 Gas Filters (Cim-Tek Hydrosorb-2) 239 G Yea~No 2aa N/A 241 5 242 243 / ~ G Yes V No 244 245 i : III.8IGNATURE ,. PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SI GNA TUR E DATE 246 ` ~ ~ ~ ~ / Meghan Sadlowski, Agent for Costco Corporation /~~lXil/!/l ail /~ ~,C ~../ 7/20/OS UPCF (7/99) C:\WINNT40\Profiles\jtraylor.000\Desktop\OES2731.wpd B E R S F I Y D Fier AR rM r ",d:..yL ~..Cy~~. CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION Q NEW /OtADD Q DELETE Q REVISE 200 ;. .~,.~ ,=~ (are form permater(al per building a area) Page ~ of 7 __ G FACIt.ITY INFORMATION BUSINESS NAME (Same as FACILITY NAME a DBA -Doing Business As) 3 Costco # 688 CHEMICAL LOCATION 201 Tire Service Center CHEMICAL LOCATION Cj Yey~l} NO CONFIDENTIAL (EPCRA) 201 FACILITY ID p i 1 MAP >E (optionaQ 203 GRID # (optional) 204 {I. CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET G Ye No 206 Nitrogen (ADD) ----- If Subject to EPCRA, refer to insWclions _. _.-- COMMON NAME -~-- --- -- ----' 207 Nitrogen EHS• ---.._ . _ .._._..._..- .. ... G Yea No zoe CAS p 209 7727-37-9 'llll{h1a; JauiuMlmalk4Ai .. ~. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 ~+ TYPE p PURE G m MIXTURE G w WASTE 211 RADIOACTIVE G Yes No 212 CURIES 213 PHYSICAL STATE G s SOLIDG I LIQUID ~ g GAS 214 tARGESTCONTAINER 5625 cubic feet 60 al 215 ± FED HAZARD CATEGORIES G 1 FIRE G 2 REACTIVE 3 PRESSURE RELEASE G 4 ACUTE HEALTH G 5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 AMOUNT Q MAXIMUM 21B DAILY AMOUNTS62S AVERAGE 219 DAILY AMOUNT 2813 $g~~/q~, E WASTE CODE iV/~ 220 UNITS• G ga GAL d CU FT G Ib LBS G to TONS 221 DAYS ON SITE 222 • If EHS, em°unt must be in m6. 365 STORAGE CONTAINER G a ABOVEGROUND TANK G e PLASTIC/NONMETALLICbRUM G i FIBER DRUM G m GLASS BOTTLE G q RAILCAR (Check all that apply) 223 G b UNDERGROUND TANK G f CAN G j BAG G n PLASTIC BOTTLE G r OTHER //±± G c TANK INSIDE BUILDING G g CARBOY k BOX G o TOTE BIN ~ G d STEEL DRUM G h SILO I CYLINDER G p TANK WAGON ^` STORAGE PRESSURE G a AMBIENT ~ as ABOVE AMBIENT G ba BELOW AMBIENT 224 STORAGE TEMPERATURE ~ a AMBIENT Gas ABOVE AMBIENT G be BELOW AMBIENT G c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS :' CAS# 1 228 227 r~ G Yes G No 228 229 2 230 231 G Yes G No 232 233 3 234 235 G Yes G No 236 237 4 238 239 G Yes G No 240 241 5 242 243 ~ + ~ + G Yes V No 244 245 i {II: SIGNATURE.. PRINT NAME 8 TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246 eghan Sadlowski, Agent for Costco Corporation ~~„ `y ~ ~ , ~ 7/19/05 UPCF (7199) C:\WINNT40\Profiles\jtraylor.000\Desktop\OES2731.wpd ~`'-'~_ .. -- CITY OF BAKERSFIELD B E ~R S F I L D OFFICE OF ENVIRONMENTAL SERVICES f/Ai ARTM T 1715 Chester Ave., Bakersfield, CA (661) 326-3979 ~ ' „~~ HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: 1. To avoid further action, return this form within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. 5. You may also attach Business Owner /Operator Form and Chemical Description Form(s) to the front of this plan instead of completing SECTION I. below for initial submission. SECTION I: BUSINESS IDENTIFICATION DATA BUSINESS NAME: Costco # 0688 LOCATION: 3800 Rosedale Hwy. MAILING ADDRESS: 3800 Rosedale Hwy. CITY: Bakersfield STATE: CA ZIP: 93308 PHONE: (661) 852-2655 PRIMARY ACTIVITY: Wholesale trade- nondurable goods NEC OWNER: Costco Corporation PHONE: (425) 313-8545 MAILING ADDRESS: 999 Lake Drive, Issaquah, WA 98027 EMERGENCY NOTIFICATION CONTACT TITLE BUS. PHONE 24 HR. PHONE l.Gary Cole, Warehouse Manager (661) 852-2643 (661) 822-5780 ~~- ;, Z,Daniel Bennett, Assistant Warehouse Manager (661) 852-2643 (661) 496-3639 HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION II.1: DISCOVERY AND NOTIFICATIONS A. LEAK DETECTION AND MONITORING PROCEDURES: This Costco facility operates three 30,000 gallon double-walled fiberglass underground storage tanks for gasoline. The USTs are monitored by an electronic leak detection monitoring system, which is managed by Vertex Services. The system alarm and monitoring panel is typically located in the "data hut" near the gas station. If there is a release, leak or other emergency, system alarms will sound at the gas station. The alarms will automatically notify Vertex of the emergency, and the gas station will automatically shut down. Costco employees will evacuate the area, and the Warehouse Manager and Operations Manager will be notified. The appointed waste contractor will then dispatch clean-up contractors to the facility to assess the spill or leak and will take proper steps to remedy the situation. B. EMPLOYEE AND AGENCY NOTIFICATION: The Warehouse Manager or Manager on duty will notify emergency response services, Regional Operations and Central Risk Management. The Warehouse Manager will coordinate evacuation activities to assure member and employee safety. The decision to evacuate any Costco Warehouse will rest with the Warehouse Manager procedures will be followed. Employees should plan assistance for physically handicapped employees, members, visitors, or vendors who are unable to leave the building or area. C. ENVIRONMENTAL RESPONSE MANAGEMENT: The Warehouse Manager or Assistant Warehouse Manager will be responsible for notifying the appropriate agencies and corporate officials in case of a spill or release of hazardous material. D. EMERGENCY MEDICAL PLAN: This facility has designated Industrial Medical Group as their primary medical facility in case of an accident or injury involving hazardous materials. The phone number for Industrial Medical Group is (661) 327-2225. 2 .. '~,- ~: HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION II.2: RELEASE RESPONSE PLAN A. HAZARD ASSESSMENT AND PREVENTION MEASURES: In order to prevent a release from occurring, all employees are trained on proper hazardous materials handling and storage procedures. Hazardous materials are kept in their original containers, and merchandise is appropriately tied off or shrink-wrapped. Department personnel visually inspect products on a daily basis. B. RELEASE CONTAINMENT AND/OR MITIGATION: In the event of a spill, the Warehouse Manager and the Supervisor/Department Manager will immediately be notified. The release area will be immediately marked and cleared of customers and non-essential personnel. The product will be identified, and if safe to do so, the release will be stopped at the source. Drainage into sewers or storm drains will be blocked. Emergency response services (i.e. fire department) will be notified and evacuation procedures will be implemented as the situation warrants. In this event, Costco Regional Operations and Central Risk Management will also be notified. C. CLEAN-UP AND RECOVERY PROCEDURES: If it is determined that in-house employees have the knowledge and PPE to safely clean up the spill, then the Spill Cart will be obtained, and 3E will be contacted for chemical-specific clean up and PPE advisement. Trained employees will then clean the spill per Material Safety Data Sheet guidelines. Hazardous waste will be placed into sealable, non-reactive containers and properly labeled as "hazardous waste." All wastes are disposed of in accordance with local, state and federal regulations. UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY) NATURAL GAS/PROPANE: Outside, southeast corner of building ELECTRICAL: South wall of facility (Receiving) WATER: Southwest wall of facility (Receiving) SPECIAL: N/A LOCK BOX: YES O IF YES, LOCATION: Above main entrance door ,. ° , .. PRIVATE FIRE PROTECTION/WATER AVAILABILITY A. PRIVATE FIRE PROTECTION: Automatic sprinklers, fire extinguishers and fire alarm system. B. WATER AVAILABILITY (FIRE HYDRANT): Fire hydrants are located on all sides of facility HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION III: TRAINING NUMBER OF EMPLOYEES: Approx. 320 MATERIAL SAFETY DATA SHEETS ON FILE: Yes BRIEF SUMMARY OF TRAINING PROGRAM: Employees receive appropriate safety training during new hire orientation, when exposed to new substances, processes, procedures or equipment which pose new or additional hazards, and on a recurrent basis as needed based on the type of job/hazard exposure. Training topics include, but are not limited to the following: evacuation procedures, hazardous materials identification, using Material Safety Data Sheets, understanding the OSHA Hazard Communication Standard, ability to recognize labels and markings, familiarity with emergency response plan and procedures. Training takes place on an annual basis and during monthly safety meetings. All training is documented. CERTIFICATION hMeghan Sadlowski, Agent for Costco Corporation CERTIFY THAT THE ABOVE INFORMATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. 3E Company/ Regulatory Disclosures 7/20/05 ATURE TITLE DATE 4 ALIFORNIA ANNOTATED SITE MAP I Business Nave:Costco #0688 A B C D E (Site Address: 3800 Rosedale Hwy I Map #:1 Bakersfield, CA 93308 F G H I NORTH z 3 4 5 6 ~~7 L Ye•X~' Na NITROGEN TANK O ELECTRIC MAIN ~B LOCK BOX UB USED BATTERIES BATTERIES (FOR WFi EQUIP.) ® CARBON DIOXIDE CYLINDERS SCALE UNDEFINED ALIFORNIA ANNOTATED SITE MAP I Business Nar~e:Costco #0688 A B C D E 1 2 3 4 5 6 7 -, wl (Site Address: 3800 Rosedale Hwy I Map #:2 Bakersfield, CA 93308 F G H I Y ~, X -~ WG WASTE GASOLINE O GAS MAIN O WATER MAIN I-~ FIRE HYDRANT ® STORM DRAIN SCALE N^T T^ SCALE ~~ June 9, 2004 Bakersfield Fire Department Fire Prevention Services Division 1715 Chester Avenue Suite 300 Bakersfield, CA 93301 Re: Hazardous Materials Business Plan Costco #688, 3800 Rosedale Hwy., Bakersfield, CA 93308 To Whom It May Concern: Enclosed is the Hazardous Materials Business Plan for the above-mentioned facility. No changes to the hazardous materials inventory. A copy of this information has been forwarded to the facility to be maintained on site and available for inspection. Please feel free to contact me if you have any questions regarding this submittal at (760) 602-8778. Sincerely, Brian Vernetti Regulatory Specialist 3E Company Enclosure 1905 Aston Avenae Carlsbad, CA 9Y008 . ~ P: _800.300.3Y20 F: 100.602.9853 www.3€Ca®~any.Cam V r `: , ,o B E R S F I D F/RE ARTM T CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES ~`~~~~'' 1715 Chester Ave., CA 93301 (661) 326-3979 w~y +~.Y4cT t~ ~""~ BUSINESS OWNER /OPERATOR IDENTIFICATION - 7r~ FACILITY INFORMATION Page 1 _ Of ? _ I, fAC1LITY IDENTIFICATION ~: FACL f1Y D i •_~ I * ~ Year Beginning roo Year Ending +o+ 6/8/05 __ __ 6/8/04 -----..._ __ _ -----..._ _. _.......- _ --._ BUSINESS NAME (same as FACILITY NAME or DBA- Doing Business As) 3 BUSINESS PHONE 102 Costco # 688 (661) 852-2655 SITE ADDRESS 703 3800 Rosedale Hw . CITYBakersfield 104 cA zIP 93308 105 BRADSTREET 10-339-1843 1°6 SIC CODE (4 Digit #) 5199 107 COUNTY Kern 1°8 OPERATOR NAMECostco Wholesale Corporation 109 OPERATOR PHONE (425) 313-8545 t1J 11. OWNER INFdRMATION OWNER NAMECostco Wholesale Co oration 117 OWNER PHONE (425) 313-8545 172 OWNER MAILING ADDRESS 999 Lake Dnve 1+3 CITY Issaquah 114 STATE WA 1+s ZIP 98027 1is 'II I. ENVIRONMENTAL-CONTACT CONTACT NAME COStCO Wholesale Corporation Risk Management D1V1SIOn 117 CONTACT PHONE 425 313-8545 118 CONTACT MAILING 175 ADDRESS 999 Lake Drive CITY Issaquah 120 STATE WA +z+ ZIP 98027 +zz -PRIMARY- IV.: EMERGENCY CONTACTS -SECONDARY- NAME Ga Cole 723 NAME Daniel Bennett 129 TITLE Warehouse Manager 1zs TITLE Assistant Warehorse Manager i3o BUSINESS PHONE (661) 852-2655 726 BUSINESS PHONE (661) 852-2655 ,3, 24-HOUR PHONE 661-822-5780 127 24-HOUR PHONE 661-496-3639 i3z PAGER # N/A 126 PAGER # N/A 133 V: CERTIFICATION Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and familiar with the information submitted in this inventory and believe the information is true, accurate, and complete. SIGNATURE OF OWNER/OPERATOR DATE +3a NAME OF DOCUMENT PREPARER ~3s 6/8/04 Brian Vernetti N MES OF OWNER/OPERATOR (print) 136 TITLE OF OW NER/OPERATOR 137 Brian Vernetti Agent for Costco Corporation - _ _ _ _ 3E Company/ Regulatory Disclosures UPCF (7199) C:\WINNT40\Profiles\jtraylor.000\Desktop\OES2730.wpd ~' .::,~~ u- - _ CITY OF BAKERSFIELD ~"'°"~ , B .E R s F ~ AL .D OFFICE OF ENVIRONMENTAL SERVICES ~' ~ - P/RE ARTM t 1715 Chester Ave., Bakersfield, CA (661) 326-3979 ' HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: I . To avoid further action, return this form within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. -4. Be as brief ar~d concise as passible. 5. You may also attach Business Owner /Operator Form and Chemical Description Form(s) to the front of this plan instead of completing SECTION I. below for initial submission. SECTION I: BUSINESS IDENTIFICATION DATA BUSINESS NAME: Costco # 688 LOCATION: 3800 Rosedale H MAILING ADDRESS: 3800 Rosedale Hwy. CITY: Bakersfield STATE: CA ZIP; 93308 PHONE: (661) 852-2655 PRIMARY ACTIVITY: Wholesale trade- nondurable goods NEC OWNER: Costco Corporation PHONE: (425) 313-8545 MAILING ADDRESS: 999 Lake Drive, Issaquah, WA 98027 EMERGENCY NOTIFICATION CONTACT TITLE BUS. PHONE 24 HR. PHONE I .Gary Cole, Warehouse Manager (661) 852-2655 661-496-3639 I f F 2,Daniel Bennett, Assitant Warehouse Manager (661) 852-2655 661-496-3639 HAZARDOUS MATERIAL5 MANAGEMENT PLAN SECTION II.l: DISCOVERY AND NOTIFICATIONS A. LEAK DETECTION AND MONITORING PROCEDURES: This Costco facility operates three 30,000 gallon double-walled fiberglass underground storage tanks for gasoline. The USTs are monitored by an electronic leak detection monitoring system, which is managed by Vertex Services. The system alarm and monitoring panel is typically located in the "data hut" near the gas station. If there is a release, leak or other emergency, system alarms will sound at the gas station. The alarms will automatically notify Vertex of the emergency, and the gas station will automatically shut down. Costco employees will evacuate the area, and the Warehouse Manager and Operations Manager will be notified. The appointed waste contractor will then dispatch clean-up contractors to the facility to assess the spill or leak and will take proper steps to remedy the situation. B. EMPLOYEE AND AGENCY NOTIFICATION: The Warehouse Manager or Manager on duty will notify emergency response services, Regional Operations and Central Risk Management. The Warehouse Manager will coordinate evacuation activities to assure member and employee safety. The decision to evacuate any Costco Warehouse will rest with the Warehouse Manager procedures will be followed. Employees should plan assistance for physically handicapped employees, members, visitors, or vendors who are unable to leave the building or area. C. ENVIRONMENTAL RESPONSE MANAGEMENT: The Warehouse Manager or Assistant rarehouse Manager will be responsible for notifying the appropriate agencies and corporate officials in case of a spill or release of hazardous material. D. EMERGENCY MEDICAL PLAN: This facility has designated Industrial Medical Group as their primary medical facility in case of an accident or injury involving hazardous materials. The phone number for Industrial Medical Group is (661) 327-2225. 2 HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION II.2: RELEASE RESPONSE PLAN A. HAZARD ASSESSMENT AND PREVENTION MEASURES: In order to prevent a release from occurring, all employees are trained on proper hazardous materials handling and storage procedures. Hazardous materials are kept in their original containers, and merchandise is appropriately tied off or shrink-wrapped. Department personnel visually inspect products on a daily basis. B. RELEASE CONTAINMENT AND/OR MITIGATION: In the event of a spill, the Warehouse Manager and the Supervisor/Department Manager will immediately be notified. The release area will be immediately marked and cleared of customers and non-essential personnel. The product will be identified, and if safe to do so, the release will be stopped at the source. Drainage into sewers or storm drains will be blocked. Emergency response services (i.e. fire department) will be notified and evacuation procedures will be implemented as the situation warrants. In this event, Costco Regional Operations and Central Risk Management will also be notified. C. CLEAN-UP AND RECOVERY PROCEDURES: If it is determined that in-house employees have the knowledge and PPE to safely clean np the spill, then the Spill Cart will be obtained, and 3E will be contacted for chemical-specific clean up and PPE advisement. Trained employees will then clean the spill per Material Safety Data Sheet guidelines. Hazardous waste will be placed into sealable, non-reactive containers and properly labeled as "hazardous waste." All wastes are disposed of in accordance with local, state and federal regulations. UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY) NATURAL GAS/PROPANE: outside, southeast corner of building ELECTRICAL: South wall of facility (Receiving) WATER: Southwest wall of facility (Receiving) SPECIAL: N/A LOCK BOX: YES O IF YES, LOCATION: Above main entrance door 3 PRIVATE FIRE PROTECTION/WATER AVAILABILITY .\ A. PRIVATE FIRE PROTECTION: Automatic sprinklers, fire extinguishers and fire alarm system. B. WATER AVAILABILITY (FIRE HYDRANT): Fire hydrants are located on all sides of facility HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION III: TRAINING NUMBER OF EMPLOYEES: Approx. 320 MATERIAL SAFETY DATA SHEETS ON FILE: Yes BRIEF SUMMARY OF TRAINING PROGRAM: Employees receive appropriate safety training during new hire orientation, when exposed to new substances, processes, procedures or equipment which pose new or additional hazards, and on a recurrent basis as needed based on the type of job/hazard exposure. Training topics include, but are not limited to the following: evacuation procedures, hazardous materials identification, using Material Safety Data Sheets, understanding the OSHA Hazard Communication Standard, ability to recognize labels and markings, familiarity with emergency response plan and procedures. Training takes place on an annual basis and during monthly safety meetings. All training is documented. CERTIFICATION h Brian Vernetti, Agent for Costco Corporation CERTIFY THAT THE ABOVE INFORMATION IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 2SS00 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. SIGNATURE .~ .\ 4 TITLE 6/9/04 DATE