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Home My WebLink AboutBUSINESS PLAN 7/28/2007i -~. l l ~ `~~ ~~~`''. ~~:!. I I I i,, LONGS DRUG STORES 5510 STOCKDALE I3WY 9~0 E SEP 2 ~ LONGS DRUG STORE 267 SiteID-: 015-021-000990 Manager ~,1r ~ .j Location: 5510 STOCKDALE HWY City BAKERSFIELD CommCode: BFD STA 11 EPA Numb: CAL000115221 BusPhone: (661) 322-5024 Map 123 CommHaz Extreme Grid: 03B FacUnits: 1 AOV: SIC Code:5912 DunnBrad:00-691-0004 Emergency Contact THOMAS DWYER Business Phone: 24-Hour Phone Pager Phone / Title / STORE MANAGER (661) 322-5024x (661) 324-6477x (661) 706-1302x Emergency Contact STEVE MORRISON Business Phone: 24-Hour Phone Pager Phone / Title / ASST MANAGER (661) 322-5024x661 (661) 589-8680x (661) 444-9354x Hazmat Hazards: RSs Fire Press React ImmHlth DelHlth Contact ~~~~ "-'T~'~'`~3~~ ~D~~~ Phone: (661) 322-5024x MailAddr: 5510 STOCKDALE HWY State: CA City BAKERSFIELD Zip 93309 Owner LONGS DRUG STORES CA INC Phone: (925) 937-1170x Address 141 N CIVIC DR State: CA City WALNUT CREEK Zip 94596 Period to Preparers Certif'd: ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN TotalASTs: _ TotalUSTs: _ RSs: Yes ENT'D AUG O 1 2007 Raced on my ir~t~ir~/ of those individuals respcr~s~b"e fGr o"~.~`ning the information, I certify unGer penalty cr iav~~ that I have personally examined and am famiiiar with the information submitted and believe the information is true, accurate, and complete. .~_.._-- ~ 1~ ~~ --~ ~" ._ Signature Date Gal Gal -1- 07/12/2007 ;; ~r F LONGS DRUG STORE 267 ~ Hazmat Inventory = ~ MCP+DailyMax Order = SiteID: 015-021-000990 ~ By Facility Unit ~ Fixed Containers on Site ~ Hazmat Common Name... ~SpecHaz~EPA Hazards Frm ~ DailyMax ~Unit~MCP~ CLEANING-HOUSEHOLD BLEACH R IH L 2000.00 GAL Hi CLEANING-POOL ACIDS E R IH S 1500.00 LBS Hi CLEANING-CHLORINE PRODUCTS E F R IH S 500.00 LBS Hi AUTO ENGINE ADDITIVES F P R IH L 100.00 GAL Hi FIXER PART A R IH L 20.00 GAL Hi PROPANE E F P IH G 15.00 FT3 Hi DEVELOPER PART A R IH L 5.00 GAL Hi DEVELOPER PART A R IH L 4.00 GAL Hi CLEANING-AMMONIA PRODUCTS F R IH L 500.00 GAL Mod PAINTS-HOUSEHOLD F P R IH L 150.00 GAL Mod DEVELOPER PART C R IH L 5.00 GAL Mod DEVELOPER PART C R IH L 4.00 GAL Mod ANTIFREEZE F TH L 400.00 GAL Low FUEL CAMPING F P IH L 200.00 GAL Low FIXER PART B R IH L 20.00 GAL Low PHOTOGRAPHIC BLEACH IH L 20.00 GAL Low PHOTOGRAPHIC BLEACH IH L 10.00 GAL Low DEVELOPER L 6.00 GAL Low DEVELOPER L 5.00 GAL Low DEVELOPER PART B F R TH L 5.00 GAL Low PHOTOGRAPHIC BLEACH IH L 5.00 GAL Low DEVELOPER PART B F R TH L 4.00 GAL Low MOTOR OIL F DH L 500.00 GAL Min HELIUM F P G 217.00 FT3 Min WASTE FIXER R L 5.00 GAL Min PHOTOGRAPHIC STABILIZER IH L 1.00 GAL Min FERTILIZER F R IH S 12000.00 LBS UnR HERBICIDES-HOUSEHOLD/GARDEN F IH S 1200.00 LBS UnR INSECTICIDES - HOUSEHOLD/GARDEN F IH L 400.00 GAL UnR PESTICIDES-HOUSEHOLD/GARDEN F IH S 400.00 LBS UnR -2- 07/12/2007 -3- 07/12/2007 F LONGS DRUG STORE 267 SiteID: 015-021-000990 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME CLEANING-HOUSEHOLD BLEACH Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLR/WHSE CAS# Liquid TMixtur~Ambient~E ~ AmbientT~E ~ PLASTICTCONTAINERE~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 2000.00 GAL 300.00 GAL t1F'aGF1K1J V U .7 lr V1~lY V1V L' 1V 1.7 oWt. RS CAS# 100.00 Sodium Hypochlorite No 7681529 riHGE~ttll 1~JJL" ~ 71~1J;1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi ~ Inventory Item 0007 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME CLEANING-POOL ACIDS Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLR/WHSE CAS# STATE TYPE ~~ PRESSURE TEMPERATURE ~~ CONTAINER TYPE Solid TMixture I Ambient ~ Ambient I PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Cont5100rLBS Daily1500100m LBS I Daily 900r00e LBS IlEiGtiKLVU.7 LV1~lYV1VL"1V1~ %Wt. RS CAS# 100.00 Muriatic Acid Yes 7647010 riEiGH.CCL HJ ~J~J.71~1~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi -4- 07/12/2007 F LONGS DRUG STORE 267 ~ Inventory Item 0005 COMMON NAME / CHEMICAL NAME CLEANING-CHLORINE PRODUCTS Location within this Facility Unit SALES FLR/WHSE STATE TYPE PRESSURE Solid TMixture 1 Ambient SiteID: 015-021-000990 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient ~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 2.00 LBS 500.00 LBS 400.00 LBS tu~~xtcilvua ~vl~ir~ivnivla ~Wt. RS CAS# 30.00 Hydrochloric Acid Yes 7647010 ti!-~GE~tClJ H55J;551~1r,1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH / / / Hi ~ Inventory Item 0010 COMMON NAME / CHEMICAL NAME AUTO ENGINE ADDITIVES Location within this Facility Unit SALES FLR/WHSE Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE ~~~ CONTAINER TYPE Liquid TMixture Ambient .Ambient I PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.25 GAL 100.00 GAL 30.00 GAL I1tiGHiCLVU~J l..Vl~lYV1VtS1V1J ~Wt. RS CAS# 60.00 Methyl Alcohol No 67561 20.00 Methyl Ethyl Ketone No 78933 20.00 Ethylene Glycol No 107211 I1HGHiCL H. 7~Jt',.7.71°1L~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P R IH / / / Hi -5- 07/12/2007 F LONGS DRUG STORE 267 SiteID: 015-021-000990 ~ ~ Inventory Item 0019 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME FIXER PART A Days On Site CP-40 FA II P2 R BLEACH FIXER (AMMONIUM TIOSULFATE) 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 7783-18-8 Liquid TMixtur~ AmbRent~E ~ AmbientT~E ~LASTICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.25 GAL 20.00 GAL 20.00 GAL -- - HAZARDOUS COMPONENTS %Wt. RS CAS# 33.00 Ammonium Thiosulfate No 7783188 20.00 Ammonium Sulfite No 10196202 7.00 Ammonium Nitrate No 6484522 7.00 Acetic Acid, Pure No 64197 t11jGHK11 L-15~J~J~~1~1~1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT## MCP No No No No/ Curies R IH / / / Hi ~ Inventory Item 0030 COMMON NAME / CHEMICAL NAME PROPANE Location within this Facility Unit N WALL WHSE STATE TYPE PRESSURE _ Gas TPure Above Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 74-98-6 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 15.00 FT3 15.00 FT3 15.00 FT3 riHGK[CIJVUJ l.UP7YUlVr+1V 1.7 %Wt. RS CAS# 100.00 Propane Yes 74986 riL-1GHLCIJ H.7 A ~.7.71"1~LV -1 .7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi -6- 07/12/2007 F LONGS DRUG STORE 267 SiteID: 015-021-000990 ~ ~ Inventory Item 0022 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DEVELOPER PART A Days On Site CN-16Q NQ1-RS DEVELOPER (POTASSIUM CARBONATE) 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 7757-$3-7 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.13 GAL 5.00 GAL 5.00 GAL T/Y TA nt~GtucLVU~ ~.ui~irulv~ly l ~ %Wt. RS CAS# 33.00 Potassium Carbonate No 584087 3.00 Sodium Sulfite No 7757837 1.00 CARBOXYLIC ACID/ALKANOLAMINE REACTION PRODUCTS No 0 tYHGHkCL H.57~.'~~1~1~1~1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi ~ Inventory Item 0016 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DEVELOPER PART A Days On Site CP-40 FA II PI RS DEVELOPER REPLENISHER (TRIETHANOLAMINE) 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCTS STORAGE CAS# 7757-83-7 Liquid TMixture T Ambient~E ~ AmbientT~E ~ PLASTOICTCONTAINERE~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 0.15 GAL 4.00 GAL 4.00 GAL nt~G.ytcLVU~ ~.vi~irvlv~ly l a %Wt. RS CAS# 10.00 Triethanolamine No 102716 7.00 Hydroxylamine No 7803498 5.00 Acetic Acid, Pure No 64197 .C1HGt~tCL L~. 7.725.7.71~1~1v 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi -7- 07/12/2007 F LONGS DRUG STORE 267 SiteID: 015-021-000990 ~ ~ Inventory Item 0006 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME CLEANING-AMMONIA PRODUCTS Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLR/WHSE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~ Ambient ~ Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum ~ Daily Average 1.00 GAL 500.00 GAL 100.00 GAL -- riHG1itCLV U~ C:V1~1r~1vL' lv 15 %Wt. RS CAS# 30.00 Ammonia Solution, Conc. Less Than 20o No 1336216 tiHGLitCL Ej~7.7~.7~71~11~,1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH / / / Mod ~ Inventory Item 0008 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME PAINTS-HOUSEHOLD Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLR/WHSE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture Ambient ~ Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 150.00 GAL 75.00 GAL nn~tiru~vu~ ~.vrlr~LV1~,ivt~ %Wt. RS CAS# 25.00 Mineral Spirits No 8030306 15.00 Naphtha No 8030306 5.00 Methyl Ethyl Ketone No 78933 3.00 Ethylene Glycol No 107211 IS1iGL-1RL Ei.7 .7 L,~7 J1~lAlV 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P R IH / / / Mod -8- 07/12/2007 F LONGS DRUG STORE 267 SiteID: 015-021-000990 ~ ~ Inventory Item 0024 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DEVELOPER PART C Days On Site CN-16Q NQI RS DEVELOPER (P PHENYLENEDIAMINE) 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 111-30-8 Liquid TMixture ~mbient~E ~ AmbientT~E -~ PLASTICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.06 GAL 5.00 GAL 5.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# 16.00 p-Phenylenediamine No 106503 1.00 Sodium Sulfite No 7757837 t11~GKKL L~.7w'~L' .7.71~11;1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Mod ~ Inventory Item 0018 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DEVELOPER PART C Days On Site CP-40 FA II PI R DEVELOPER (POTASSIUM CARBONATE) 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 111-30-8 Liquid TMixture ~mbient~E ~ AmbientT~E , PLASTOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.15 GAL 4.00 GAL 4.00 GAL t1L-~GEjtC1JVUA 1.V1~lYV1V1;1V 1.7 sWt. RS CAS# 41.00 Potassium Carbonate No 584087 7.00 Potassium Hydroxide No 1310583 7.00 CARBOXYLIC ACID/ALKANOLAMINE REACTION PRODUCTS No 0 t1EiGlitCL H.' 7.7P~~7J1~1JJ1V 1 ~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Mod -9- 07/12/2007 F LONGS DRUG STORE 267 ~ Inventory Item 0011 COMMON NAME / CHEMICAL NAME ANTIFREEZE Location within this Facility Unit SALES FLR/WHSE STATE TYPE PRESSURE Liquid TMixtur~mbient TEMPERATURE Ambient Largest Container 1.00 GAL SiteID: 015-021-000990 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# AMOUNTS AT THIS LOCATION Daily Maximum 400.00 GAL CONTAINER TYPE PLASTIC CONTAINER Daily Average 100.00 GAL riAGH.tCLVU~J l.Vl°lYV1VL"1V1w~ %Wt. RS CAS# 100.00 Ethylene Glycol No 107211 ri1-~GEiKL Ei~J 7 iS 7 71~11;1V 1 7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Low ~ Inventory Item 0012 COMMON NAME / CHEMICAL NAME FUEL CAMPING Location within this Facility Unit SALES FLR/WHSE STATE TYPE PRESSURE Liquid TMixture~ Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 200.00 GAL 50.00 GAL I11iGEi1CLVUJ 1.V1~lYV1VI;1V1J %Wt. RS CAS# 100.00 Kerosene No 70892103 t1EiGtiCCL LiJ JP~JJl•1P~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low -10- 07/12/2007 F LONGS DRUG STORE 267 SiteID: 015-021-000990 ~ ~ Inventory Item 0020 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME FIXER PART B Days On Site CP-40 FA II P2 R BLEACH FIXER (FERRIC AMMONIUM EDTA) 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 10043-01-3 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~Ambient ~ Ambient -~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.25 GAL 20.00 GAL 20.00 GAL ru~Gt~tcLVUa ~vi~ir~lv~iv_la oWt. RS CAS# 27.00 Ferric Ammonium EDTA No 0 17.00 Ammonium Bromide No 12124979 3.00 Nitric Acid (EPA) No 7697372 t1HGEiKL HJ J~JJ1~1~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No Yes No No/ Curies R IH / / / Low ~ Inventory Item 0027 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC BLEACH Days On Site CN-16Q NQ2 RS BLEACH (AMMONIUM THIOSULFATE) 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 12124-97-9 Liquid TMixture ~ Ambient~E ~ AmbientT~E ~ PLASTICTCONTAINERE AMOUNTS AT THIS LOCATION Largest ContOi50rG~ Daily M20ioOm GAL I Daily A20r00e GAL t1AGH.tCLVU~ 1:V1~lYV1V~iV 1'7 %Wt. RS CAS# 49.00 Ammonium Thiosulfate No 7783188 3.00 Sodium Sulfite No 7757837 3.00 Sodium Bisulfite No 7631905 !'LEIGH.ICL HJ JP~~7.71~1P~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Low -11- 07/12/2007 F LONGS DRUG STORE 267 SiteID: 015-021-000990 ~ ~ Inventory Item 0026 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC BLEACH Days On Site CN-16Q NQ2 RS BLEACH (FERRIC AMMONIUM) 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 12124-97-9 Liquid TMixture ~ Ambient~E ~ AmbientT~E -~STOICTCONTAINERE_~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum ` Daily Average 0.40 GAL 10.00 GAL I 10.00 GAL tiKG!-jKLVUJ 1.V1~lYV1VL"1V1~ °sWt. RS CAS# 29.00 Ferric Ammonium EDTA No 0 19.00 Ammonium Bromide No 12124979 3.00 Nitric Acid (EPA) No 7697372 t1HGHKL 1'~ ~~I;J51~11;1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No Yes No No/ Curies IH / / / Low ~ Inventory Item 0015 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DEVELOPER Days On Site CP-40 FA II PI SS DEVELOPER STARTER (POTASSIUM CARBONATE) 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 684-08-7 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~ Ambient Ambient -~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 0.15 GAL 6.00 GAL 6.00 GAL I1HGH.CCLVU.7 1.V1~lYV1V~1V 1.7 oWt. RS CAS# 10.00 Potassium Carbonate No 584087 7.00 Sodium Bicarbonate No 144558 5.00 Potassium Chloride No 7447407 riKGEjlCL L~. 7.7L' r7w71~1L' 1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low -12- 07/12/2007 F LONGS DRUG STORE 267 SiteID: 015-021-000990 ~ ~ Inventory Item 0021 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DEVELOPER Days On Site CN-16Q NQl-S DEVELOPER STARTER (POTASSIUM CARBONATE) 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~mbient ~ Ambient -~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.08 GAL 5.00 GAL 5.00 GAL nt~~r-ucLVUa 1:V1~lYV1V~1V1~ ~Wt. RS CAS# 18.00 Potassium Carbonate No 584087 7.00 Sodium Bicarbonate No 144558 3.00 Potassium Bromide No 7758023 3.00 Sodium Bisulfite No 7631905 3.00 Potassium Hydroxide No 1310583 t~u~~r-ucL tiaa~aari~lyl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low -13- 07/12/2007 F LONGS DRUG STORE 267 SiteID: 015-021-000990 ~ ~ Inventory Item 0023 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DEVELOPER PART B Days On Site CN-16Q NQ1 RS DEVELOPER (HYDROXYLAMINE SULFATE) 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 74-19-7 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture Ambient ~ Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.06 GAL 5.00 GAL _ 5.00 GAL riAGHKLUU~ 1:V1~lYV1V~1V1~ °sWt. RS CAS# 5.00 Hydroxylamine Sulfate No 10039540 5.00 Phosphonic Acid No 13598362 3.00 Potassium Hydroxide No 1310583 3.00 CARBOXYLIC ACID/ALKANOLAMINE REACTION PRODUCTS No 0 t1EjG1iKL A~51'„5,51~11"~1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH / / / Low ~ Inventory Item 0025 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC BLEACH Days On Site CN-16Q NQ2 RS BLEACH (AMMONIUM BROMIDE) 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 12124-97-9 STATE TYPE PRESSURE TEMPERATURE ~-~ CONTAINER TYPE Liquid TMixtur~mbient ~ Ambient I PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.09 GAL 5.00 GAL 5.00 GAL nsic~rircLVUa 1.u1~lYUlVP~1Vl~ oWt. RS CAS# 30.00 Ammonium Bromide No 12124979 10.00 Disodium EDTA No 139333 I1tiGEilCL tiD .7ISJ.71~1P~1V 1.> TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Low -14- 07/12/2007 F LONGS DRUG STORE 267 SiteID: 015-021-000990 ~ ~ Inventory Item 0017 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DEVELOPER PART B Days On Site CP-40 FA II PI R DEVELOPER REPLENISHER (P PHENYLENEDIAMINE) 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 74-19-7 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.15 GAL 4.00 GAL 4.00 GAL ,,,, ~„ rr.,.r,,, .,,.,,,,,,.~„~,,.,.,,,, -. tltiatitcLVUa ~.vrirvlvaly i a _.. SWt. RS CAS# 18.00 p-Phenylenediamine No 106503 1.00 Sodium Sulfite No 7757837 t~,~~-uc>J Ha a1J551nr.ivl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH / / / Low ~ Inventory Item 0009 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLR/WHSE CAS# STATE TYPE PRESSURE Liquid TMixture ~ Ambient = TEMPERATURE CONTAINER TYPE ~' Ambient BOX AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.25 GAL 500.00 GAL 300.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 riHGEitCL 1-~4 7.7JJJJ1~1tS1V-1~7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min -15- 07/12/2007 F LONGS DRUG STORE 267 SiteID: 015-021-000990 ~ ~ Inventory Item 0014 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME HELIUM Days On Site 365 Location within this Facility Unit Map: Grid: FRONT OF STORE NEAR CHECKSTANDS CAS# 7440-59-7 ~GasATE T TYPE PRESSURE TEMPERATURE CONTAINER TYPE I Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 217.00 FT3 217.00 FT3 125.00 FT3 ry r1r~~titcL,VU~ COMPONENTS -- -._ %Wt. RS CAS# 100.00 Helium No 7440597 t~1t~~Htc1~ r~5~r.a~1~i~1.V l a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P / / / Min ~ Inventory Item 0029 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WASTE FIXER Days On Site SPENT PHOTOGRAPHIC FIXER 365 Location within this Facility Unit Map: Grid: PHOTO DEPT CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Waste ~ Ambient ~ Ambient ~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 5.00 GAL 5.00 GAL 5.00 GAL i1L-~GL-i[CLVU.7 1..V1~lYV1V~1V1.7 %Wt. RS CAS# Silver No 7440224 -- - t1EiGHtCL E'a.7.7L" .7.71~1.C~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -16- 07/12/2007 F LONGS DRUG STORE 267 SiteID: 015-021-000990 ~ ~ Inventory Item 0028 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC STABILIZER Days On Site CN-16Q NQ4 RS SAFER STABILIZER (1,2,4 TRIAZOLE) 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~mbient ~ Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.05 GAL 1.00 GAL 1.00 GAL I1tiGtiKLVU.7 l.VllYV1V1;1V 1.7 %Wt. RS CAS# 15.00 1,2,4-Triazole No 288880 tl[iG1-1tCL H~ aJ~,aJ1~11;1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Min ~ Inventory Item 0013 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME FERTILIZER Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLR/WHSE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid Mixture Ambient Ambient BAG AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 20.00 LBS 12000.00 LBS 2000.00 LBS HAZARDOUS COMPONENTS %Wt. RS CAS# - tiF~GH1t1J A~~~55M~N'1'S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH / / / UnR -17- 07/12/2007 P LONGS DRUG STORE 267 SiteID: 015-021-000990 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME HERBICIDES-HOUSEHOLD/GARDEN Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLR/WHSE SALES FLR/WHSE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid TMixture ~ Ambient ~ Ambient -~SS CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 2.00 LBS 1200.00 LBS 600.00_ LBS I1HGYatCLV U.7 lrV1~lY V1V L" 1V 1.~. %tnTt . RS CAS# 100.00 Herbicides No 0 ti1~GE9tCL 1j.7J~JJ1~1~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / UnR ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME INSECTICIDES - HOUSEHOLD/GARDEN Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLR/WHSE SALES FLR/WHSE CAS# STATE TYPE PRESSURE TEMPERATURE Liquid ~Mixtur~Ambient ~ Ambient CONTAINER TYPE GLASS CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 400.00 GAL 200.00 GAL riAGHKLVU~7 1.;V1~lYV1V~1V1 ~7 %wt. Rs cAS# 100.00 Insecticides No 0 ri1~G1-1tCL F1~7.71;.~.71~11;1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / UnR -18- 07/12/2007 F LONGS DRUG STORE 267 SiteID: 015-021-000990 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME PESTICIDES-HOUSEHOLD/GARDEN Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLR/WHSE SALES FLR/WHSE CAS# ~SolidE TMixture ~mbRient~E ~ AmbientT~E -~SSOCONTAINERYP~ AMOUNTS AT THIS LOCATION Largest Cont2i00rLBS Daily 400100m LBS I Daily 200r00e LBS riAGHtCLVUJ t_:V1~1rV1vL'~ly 1 $Wt. RS CAS# 100.00 Pesticides No 0 Y11jYGHKL 1jJ~li;~51~1~1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / UnR -19- 07/12/2007 F LONGS DRUG STORE 267 SitelD: 015-021-000990 ~ Notif./Evacuation/Medical ~ Agency Notification CALL 911. Fast Format Overall Site 07/11/2000 9 9 9 Employee Notif./Evacuation 07/11/2000 MEMBER OF MGMT WILL BE INFORMED AND WILL CALMLY EVACUATE CUSTOMERS AND COWORKERS TO NEAREST EXITS. 911 WILL BE DIALED IN EMERGENCY. MEMBER OF MGMT WILL TAKE ATTENDANCE AT MEETING AREA. PHARMACIST WILL BE NOTIFIED TO ADMINISTER FIRST AID. ALL EMPLOYEES WILL LISTEN AND RESPOND TO INSTRUCTIONS ON CALMLY EVACUATING THE BLDG. Public Notif./Evacuation 07/11/2000 CUSTOMERS/VISTORS: APPROPRIATE SIGNS ARE POSTED IN PUBLIC AREAS AS REQUIRED BY PROP 65 REQUIREMENTS. ANY NECESSARY EVACUATION INSTRUCTIONS WILL BE GIVEN OVER THE INSTORE SEAKER SYSTEM INFORMING ALL CUSTOMERS AND VISTORS HOW TO SAFELY EVACUATE THE PREMISES IN THE EVENT OF AN EMERGENCY. NEIGHBORS: EVERY EMPLOYEE RECEIVES TRAINING ON HOW TO RESPOND AND CLEAN UP A CUONSUMER PRODUCT SPILL. CONSUMER PRODUCT SPILLS DO NOT PRESENT A HAZARDOUS SITUATION FOR OUR NEIGHBORS. NO SPECIAL NOTICES ARE NECESSARY TO INFORM SURROUNDING OUR BUSINESS. NEIGHBORS ARE AWARE OF NATURE OF OUR BUSINESS. Emergency Medical Plan 07j11/2000 MERCY HOSPITAL - 2215 TRUXTUN AVE - 327-3371 FIRE DEPT - 7000 STOCKDALE HWY - 326-3037 SOUTHWEST URGENT CARE - 5397 TRUXTUN AVE - 322-2273 HALL AMBULANCE - S H ST & RADIANCE - 327-9000 -20- 07/12/2007 F LONGS DRUG STORE 267 SiteID: 015-021-000990 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention 07/11/2000 KEEP CURRENT INVENTORY LIST AND UPDATE AS NEW PRODUCTS ARE INTRODUCED TO THE PUBLIC. KEEP EMPLOYEES TRAINED IN CLEANING UP HAZARDOUS PRODUCT SPILLS. KEEP FIRE EXTINGUISHERS WORKING. INFORM ALL EMPLOYEES OF MEETING PLACE IN THE EVENT OF EVACUATION. KEEP CLEANUP SUPPLIES IN ORDER. Release Containment PRODUCT KEPT IN SMALL CONTAINERS FOR RETAIL SALES. 07/11/2000 -21- 07/12/2007 F LONGS DRUG STORE 267 SiteID: 015-021-000990 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site ~ Clean Up 07/11/2000 PERMANENT BULLETIN BOARD POSTING "EMERGENCY CLEAN UP PROCEDURES" ALL CLEAN UP MATERIALS REQUIRED ARE KEPT IN A BOX IN THE RECEIVING AREA. VENTILATE THE AREA OF A SPILL BY OPENING DOORS OR BY SETTING UP A FAN. CHEMICAL FUMES MAY CATCH FIRE; THEREFORE, DO NOT STORE FLAMMABLE PRODUCTS NEAR A FURNACE/WATER HEATER. DO NOT LIGHT MATCHES WHEN FUMES ARE PRESENT. UNDER THE DIRECTIONS OF A MANAGER, BEGIN CLEANING POSSIBLE TO MINIMIZE HEALTH EXPOSURE AND POSSIBLE ODORS. WHEN CLEANING UP, WEAR RUBBER OR NEOPRENE GLOVES, BODY COVERED, AND AVOIDING INHALATION OF THE VAPO] OVERWHELMING, LEAVE THE AREA IMMEDIATELY AND IN A OTHER EMPLOYEES AND CUSTOMERS TO LEAVE THE STORE. UP A SPILL AS SOON AS PROBLEMS WITH STAINS AND KEEPING THE REST OF YOUR 2S. IF THE VAPORS ARE CLEAN, LOUD VOICE DIRECT SWEEP SPILLED SOLIDS INTO A PLASTIC BAG. SPILLED LIQUIDS SHOULD FIRST BE SOAKED UP WITH AN ABSORBENT MATERIAL SUCH AS KITTY LITTER, PAPER TOWELS, OR OLD RAGS, THEN PLACED IN A PLASTIC BAG, SEALED, AND PUT IN THE TRASH CAN. SCRUB WOOD, CEMENT, OR TILE SURFACES WITH A WATER SOLUTION OF STRONG HOUSEHOLD DETERGENT APPLIED WITH A SCRUB BRUSH OR OLD RAGS; REPEAT CLEANSING WITH DETERGENT UNTIL TRACES OF THE CHEMICAL ARE GONE. ABSORB EACH TIME WITH ABSORBENT MATERIAL. ALL CLEANUP MATERIALS SHOULD BE THROWN OUT IN DISPOSABLE CONTAINERS SUCH AS SEALED PLASTIC BAGS. v~11Ci itCSVUiC:C HUl.1Vdl.1CJi1 -22- 07/12/2007 F LONGS DRUG STORE 267 SiteID: 015-021-000990 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ aNc~ia.L nac.ai~.a~ Utility Shut-Offs A) GAS - N WALL OF BLDG NEXT TO BACK REC DOOR B) ELECTRICAL - W WALL INSIDE WHSE NEXT TO REC DOOR C) WATER - 6FT W OF BLDG D) SPECIAL - NONE E) LOCK BOX - NO 02/02/2007 Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - OVERHEAD FIRE SPRINKLER SYSTEM AND FIRE EXTINGUISHERS. FIRE HYDRANT - 50FT W OF BLDG BEH STORE. 12/14/2006 Building Occupancy Level 12/27/2006 45 EMPLOYEES -23- 07/12/2007 ,. F LONGS DRUG STORE 267 SiteID: 015-021-000990 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 12/14/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUNIMARY OF TRAINING PROGRAM: EMERGENCY RESPONSE PROGRAM HANDOUTS ARE GIVEN TO ALL EMPLOYEES AND NEW HIRES. A SIGNED SAFETY UNDERSTANDING STATEMENT IS KEPT IN EACH PERSONNEL FILE. WAREHOUSE PERSONNEL RECEIVE WAREHOUSE SAFETY MEMO BULLETIN BOARD POSTING COVERING CLEAN UPS ETC. rcxyC ~ ecru ivi. ru~,uic ~~c nciu i.vL r u~uic ~5c -24- 07/12/2007 Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST'; a E ~ s F , 900 Truxtun Ave., Suite 210 - _ F~RF Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program "erM ~ Tel.: (661) 326-3979 Fax: (661) 872-2171 C_ V (C=Compliance` OPERATION V=Violation / COMMENTS ^ APPROPRIATE PERMIT ON HAND r ~I ^ BUSI(IeSS PLAN CONTACT INFORMATION ACCURATE ~ ~ .. ~oQs ^ VISIBLE ADDRESS r~I ^ CORRECT OCCUPANCY I~ ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ~ ~\ ~/ ^ VERIFICATION OF MSDS AVAILABILITY ~ l ^ VERIFICATION OF HAZ MAT TRAINING I~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING L~( ^ \ FIRE PROTECTION ~ ^ SITE DIAGRAM ADEQUATE 8 ON HAND ANY HAZARD S WA////S~~~~TE O SITE? EXPLAIN: ~1~~ YES ^ NO TIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 l/ C ~ for (Please Print) Fire Prevention / 1~` In /Shift of Site/Station- White -Prevention Services Yellow -Station Copy Pink -Business Copy - FD 2155 (Rev. 09105 ~--- ~ Section 1: Business Plan and Inventory Program ~~-d I ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION Bakersfield Fire Dept. UNIFIED PROGRAM INSPECTION CHECKLIST Enironmental Services A h ve ester 1715 C SECTION 1 Business Plan and Invento Pro ram rY 9 Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME ~ ~ ~ ~ INSPECTION DATE INSPECTION TIME r- - ~ ~ - I~` t~ L~ h^L'`~. ADDRESS (~ ~ ~-5 \ ~ S~ ~C~ ~~ ti~~3 PHONE No. ~ No. of Employees ~oZ ~~' t(0 z 37 ----- ----- ----^- -y-- ~-----~ -- _ _ ~--~-~- -- ---~----- ~ CIUTYCONTACT t` 1 c~,~-- •V\ c,~, ~., P ~ OC Business ID Number 15-021- ~~Q Section 1: Business Plan and Inventory Pn~gram .'Routine ^ Combined O Joint Agency ^MuIti-Agency ^ Complaint ^ Re-inspection C V ^ -~ ^ ~ _~_- IV=Vioatoinncel OPERATION APPROPRIATE PERMIT ON HAND ----- --- -----'---- BUSINESS PLAN CONTACT INFORMATION ACCURATE - ------._.~..-----~---- ,Q (~ COMMENTS d't A ~ ~~ ~/ !~T e~'v~ ~ ~ • ~ -~~~,y--YeJY'~--~1-~------------------- ------1__~~__i1_~1 - ^ VISIBLE ADDRESS ^ --- ^ CORRECT OCCUPANCY ----- ----- VERIFICATION OF INVENTORY MATERIALS ---- ,, i ~------ ---------- r'e w...t ~ ~ ~~~` `~~~ at. t v ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSD$ AVAILABILITYE tai ^ VERIFICATION OF HAT MAT TRAINING - ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~ - ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED - --~ ^ • ` HOUSEKEEPING --- -- ---- -- - ---- --------------- - ------- ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: ^ YES EXPLAIN: i QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT ~C)6'I ~ 326-3979 .,._e__.r__~-.,~-~~ _Q__-__ __ __ ___C_,GS~____ _ ~__ Inspector ~~ - Bad e No -~ B ite Res onsib Pa 9 P ~Y / White • Environmental Services Yellow • Statan Copy Pink -Business Copy UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program :F r~~>< ~Rrr r BAKERSFIELD FIRE DEPT Prevention Services 900 'IYuxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171~F^ FACILITY NA E ~ ~ NSPECTION f i ADDRESS ~ I±U ~ r:z~c~al HONE NO. X22"-~°~ O OF EM~P °YEES ~7 FACILITY CONT USINESS ID NUMBER 15-021-UUUG`~U j~/~~ ~~ Section :Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSlflt?SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PRO EDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE 8 ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES ~NO EXPLAIN: V QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspect~e P ' t) Fire Prevention ! 1~t In /Shift of Site/Station # DATE INSPECTION TIME `oo~ r White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rav. 02!05)