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Home My WebLink AboutBUSINESS PLAN 11/16/2005r VONS 3400 STINE RD ~,~~~~~~ ~~ ~f ~ ~~ ~ l ~~ ,r~~ UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. --= ~nironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME \ j INSPECTI ION-DATE INSPECTION TIME ADDRESS 3y o ~ S ~ : ~.~---~~--- -- ----- PHONE No. `may°~ No. of Employees -`-~~- -- FACILITYCONTACT ~t~~~ "Moco 2 ~ Business ID Number 15-021-pr,Zjc`~r; '~~= Section~1: Business t'lan and InventoryProgram ~~ Routine ^ Combined O Joint Agency ^Mu1ti-Agency ^ Complaint ^ Re-inspection C V \V=Voationncel OPERATION COMMENTS _- _. . ^ APPROPRIATE PERMIT ON HAND ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ---- ----- -- - ---- --- rte" .D -.J~''~-~~ P-S --~"-------a'~ --------- -- - ---.....------- - - - ~ ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITYE ^ VERIFICATION OF HAT MAT TRAINING - -- --------------------- ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES --------------------------------------------------------- ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED - --- - ----------------- ^ HOUSEKEEPING ----- --- \ -- ~ ^ FIRE PROTECTION -----------------------------.J---- Dp ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE EXPLAIN: ^ YES ~No QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 3X)-3979 ~ ~~~` t Inspector Badge No. Business Site Responsible Party White -Environmental Services Yellow -Station Copy Pink -Business Copy ~._ f :.~ ~~ ' VONS #2046 SiteID: 015-021-000955 ~c.Qy"'~~-4't- Manager LARRY MESA M. ~~~~ `N~Dt"~~ic,~ BusPhone : ( 661) 835 - 0212 ~ocat~on: 3400 STINE RD Map 123 CommHaz Low City` BAKERSFIELD L t `~ Grid: 14A FacUnits: 1 AOV: CommCode: BFD STA 07 EPA Numb : 1f~ ~s - ~~s°~ SIC Code:5411 DunnBrad:00-132-5034 Emergency Contact / Title Emergency Contact / Title / STORE MANAGER / Business Phone: (661) 835-0212x Business Phone: ( ) - x 24-Hour Phone ( ) 332-3267xHM 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact MARCELLA GELMAN,FOOD SAFETY & ENV Phone: (626) 821-5601x MailAddr: PO BOX 513338 State: CA City LOS ANGELES Zip 90051-1338 Owner VONS COMPANIES INC Phone: (6610 835-0212x Address PO BOX 5133338 State: CA City LOS ANGELES Zip 90051-1338 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal ertif~d: RSs: No arcelNo: Emergency Directives: _ -1- 08/19/2005 1. VONS 204.6 SiteID: 015-021-000955 Manager •~~~ °~_ -'~ - _ s=_ _ ~~ . _ '-~_ BusPhone. (661) 835-0212 . ~ <~- Location: 3400 STINE RD ~ -- Map 123 CommHaz High City BAKERSFIELD Grid: 14A FaCUnits: 1 AOV: CommCode: BFD STA 07 EPA Numb: SIC Code:5411 DunnBrad:00-132-5034 N~ - ~`` _ Emergency Contact ~ Title Emergency Contact / Title _ -~","Ti»7~--"i-"i®l~i~~=I~-~#-~~ ~ / STORE MANAGER LOSS PREVENTION j MANAGER Business Phone~'(661) 835-0212x Business Phone: (626) 821-7545x 24-Hour Phone (616) 821-7545x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact MIKE CLIATT Phone: (626) 821-6192x MailAddr: PO BOX 513338 State: CA City LOS ANGELES Zip 90051-1338 Owner VONS A SAFEWAY CO Phone: (626).821-5608x Address PO BOX 29096 State: AZ City PHOENIX Zip : 85038-9096 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ENT'D OC`T 15 2007 t~a~~d on my inq;:iry of tnr~se indivi,~ua's re.3p:?n~lk~!e fcr oii7~ining the informatis~n, 1 cort'sfy under penalty of I«.v!{ that i have person«Ily examined and am familiar with the infiorm«tion submitted and believe the information is true, accurate, and complete. ~ ~ Signature Da' -1- 07/16/2007 ~ ?'. F VONS 2046 SiteID: 015-021-000955 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP AEROSOLS E F P L 250.00 GAL Hi BLEACH IH L 130.00 GAL Hi POOL CHLORINE (HYPOCHLORITE) R IH L 50.00 GAL Hi STRIPPER L 50.00 GAL Hi BREAK UP F IH L 40.00 GAL Hi POOL ACID (HYDROCHLORIC) E R IH L 15.00 GAL Hi POWDER BLEACH F IH DH S 1500.00 LBS MOd DRY CHLORINE S 250.00 LBS Mod ALL PURPOSE CLEANERS F IH DH L 150.00 GAL Mod LYSOL F IH DH L 100.00 GAL Mod CHARCOAL LIGHTER FLUID F L 70.00 GAL Mod SCANNER CLEANER F DH L 25.00 GAL Mod ALGACIDE F R IH DH L 20.00 GAL Mod COMET CLEANSER DH S 200.00 LBS Low MAINTEX WAX IH DH L 50.00 GAL Low INSECTICIDE (SOLID) F IH S 35.00 LBS Low SODA ASH F IH S 10.00 LBS Low FREON F P IH G 2775.00 LBS Min FREON E F P IH G 580.00 LBS Min CARBON DIOXIDE F P IH G 350.00 LBS Min MOTOR OIL ~ F DH L 200.00 GAL Min FREON F P IH G 172.00 LBS Min FIRELOGS F S 2500.00 LBS UnR CHARCOAL BRIQUETTES F S 1200.00 LBS UnR HELIUM P DH G 582.00 FT3 UnR INSECTICIDES R IH DH L 65.00 GAL UnR -2- 07/16/2007 -3- 07/16/2007 ~,~ ~, F VONS 2046 SiteID: 015-021-000955 ~ ~ Inventory Item 0012 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME AEROSOLS Days On Site 365 Location within this Facility Unit Map: Grid: THROUGHOUT BLDG CAS# STATE T TYPE T PRESSURE TEMPERATURE CONTAINER TYPE Liquid 1 Mixture I Above Ambient Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 250.00 GAL 200.00 GAL HAZARDOUS COMPONENTS ~Wt. RS CAS# 70.00 Isobutane Yes 75285 20.00 n-Butane Or Butane Mixture Yes 106978 10.00 Propane Yes 74986 I1HGtitCL L~w 7.71:,J~1~1L'1V1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P / / / Hi ~ 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: AISLE 5 CAS# 007681-52-9 LiTAid Mixture AmbRentURE TEMPERATURE CONTAINER TYPE qu~ T ~- ~ Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.35 GAL 130.00 GAL 130.00 GAL HAZARDOUS COMPONENTS , oWt. 100.00 Bleach RSI CAS# No 7681529 HAZARD AS SESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH. / / / Hi -4- 07/16/2007 ', F VONS 2046 SiteID: 015-021-000955 ~ ~ Inventory Item 0013 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME POOL CHLORINE (HYPOCHLORITE) Days On Site 365 Location within this Facility Unit Map: Grid: AISLE 8 CAS# 7681529 Liquid TMixtur~ AmbRent~E ~ AmbientT~E ~ PLASTOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average GAL 50.00 GAL 50.00 GAL tu~~ritcLVUS ~vriruiv~ivl~ %Wt. RS CAS# 11.00 Sodium Hypochlorite No 7681529 ru~~r-~tcL t~~a~55in~iv 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi ~ Inventory Item 0019 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME STRIPPER Days On Site 365 Location within this Facility Unit Map: Grid: BACKROOM N WALL CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~mbient ~ Ambient ~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average GAL 50.00 GAL 20.00 GAL nr~GS-~tcLUUa ~.ui~irulV~lvl~ %Wt. RS CAS# Ethoxylated Nonylphenol No 0 2-Butoxyethanol No 111762 Ethanolamines (family name) No 141435 I1HGEiiCL Ei.7 .7r,J.71~1~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Hi -5- 07'/16/2007 F VONS 2046 SitelD: 015-021-000955 ~ ~ Inventory Item 0022 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME BREAK UP Days On Site 365 Location within this Facility Unit Map: Grid: BACKROOM N WALL CAS# STATE TYPE PRESSURE TEMPERATURE ~~ CONTAINER TYPE Liquid TMixtur~ Ambient ~ Ambient I PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 40.00 GAL 10.00 GAL nt~~t~tcLVUa ~vrirviv~ivl~ owt. Rs cAS# 2.00 Potassium No 7440097 2.00 Ethylene Glycol Monobutyl Ether No 111762 7.00 Tetrapotassium Pyrophosphate No 7320345 t11-~L,HKL 1~JJ1"~aa1~1L1V 1 7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi ~ Inventory Item 0015 COMMON NAME / CHEMICAL NAME POOL ACID (HYDROCHLORIC) Location within this Facility Unit AISLE 8/BACKROOM STATE TYPE PRESSURE Liquid TMixture ~mbient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 7647010 TEMPERATURE CONTAINER TYPE Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average GAL 15.00 GAL 10.00 GAL ruic~rircLV~~ ~.vrlrvlvalvlS oWt• RS CAS# 32.00 Hydrochloric Acid Yes 7647010 34.00 Phosphoric Acid No 7664382 ru~c~ru~L tya ar~~.~l•1L~1V 1 ~7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi -6- 07/16/2007 i F VONS 2046 SitelD: 015-021-000955 ~ ~ Inventory Item 0008 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME POWDER BLEACH Days On Site 365 Location within this Facility Unit Map: Grid: AISLE 6/BACKROOM CAS# 497198 STATE -7- TYPE ~ PRESSURE TEMPERATURE CONTAINER TYPE Solid I Mixture I Ambient ~ Ambient BOX AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average LBS 1500.00 LBS 700.00 LBS t1AGE'iCCLVUJ 1;V1~lYV1V~1V1a %Wt. RS CAS# Sodium Carbonate No 497198 Sodium Perborate No 7632044 t1AGE~tCL 1~JJ~JJ1~1~1V l TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDO'I'# MCP No No No No/ Curies F IH DH / / / Mod ~ Inventory Item 0014 COMMON NAME / CHEMICAL NAME DRY CHLORINE Location within this Facility Unit AISLE 8 Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# ~SolidE TMixtur~ Ambient~E ~ AmbientT~E ~PLASTOTCTCONTAINERE AMOUNTS AT THIS LOCATION Largest ContainerLBS Daily 250100m LBS ~ Daily 200r00e LBS 1'1tiGKCCLVU.7 l.Vl"lYV1V ElV 1.7 %Wt. RS CAS# Sodium Dichloro-s-triazinetrione No 2893789 Calcium Hypochlorite No 7778543 17tiGFiRL Li. 7.7 P.~J J1~11~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Mod -7- 07/16/2007 ~ F VONS 2046 SiteID: 015-021-000955 ~ ~ Inventory Item 0009 Facility Unit :. Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ALL PURPOSE CLEANERS Days On Site 365 Location within this Facility Unit Map: Grid: AISLE 8 CAS# = STATE T TYPE PRESSURE TEMPERATURE ~ CONTAINER TYPE Liquid I Mixtur~mbient ~ Ambient I PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 150.00 GAL 90.00 GAL TTT 1'fT T1T'1/1TT(1 /`I/~11RTI11.TTTTT I"f - _ -_. _._. I1tiGt1RLVU,J l.UlTlt'V1VJ=,1V1J oWt. RS CAS# 2-Butoxyethanol No 111762 ntjc,tilcl~ sjJ Jr,JJrir,ly l a TSecret~ RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# .MCP No No No No/ Curies F IH DH / / / Mod ~ Inventory Item 0004 COMMON NAME / CHEMICAL NAME LYSOL Location within this Facility Unit AISLE 8 STATE TYPE PRESSURE Liquid TMixture~ Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 64-17-5 TEMPERATURE CONTAINER TYPE Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 100.00 GAL 85.00 GAL HAZARDOUS COMPONENTS , %Wt. 79.00 Ethvl Alcohol RSI CAS# No 64175 ~ZARD AS SESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -8- 07/16/2007 ~I r F VONS 2046 SiteID: 015-021-000955 ~ ~ Inventory Item 0007 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME CHARCOAL LIGHTER FLUID Days On Site 365 Location within this Facility Unit Map: Grid: FRONT WINDOW/BACKROOM CAS# STATE TYPE PRESSURE TEMPERATURE Liquid TMixtur~mbient ~ Ambient 800-66-42 CONTAINER TYPE PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average GAL 70.00 GAL 30.00 GAL ritlGlitCUVU~ 1:V1~lYV1V~1V1J oWt. RS CAS# 100.00 Petroleum Naphtha No 8030306 riEiGElttL H55~~51~1~1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Mod ~ Inventory Item 0021 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME SCANNER CLEANER Days On Site 365 Location within this Facility Unit Map: Grid: BACKROOM N WALL CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~ Ambient ~ Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 25.00 GAL 18.00 GAL nxarucl~vu~ ~.vl~lrvlvlJly t a oWt . RS CAS# Isopropanol No 67630 Ethylene Glycol Diethyl Ether No 629141 IlEiGE9iCL 1-~7DJ;A~1~11J1V1a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Mod -9- 07/16/2007 F VONS.2046 SiteID: 015-021-000955 ~ ~ Inventory Item 0016 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ALGACIDE Days On Site 365 Location within this Facility Unit Map: Grid: AISLE 8 CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~mbient ~ Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 20.00 GAL 12.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# 10.00 Alkyl Dimethylbenzylammonium Chloride No 8001545 2.00 Ethanol No 64175 6.00 Polyoxyethylene No 25322683 I1t1GEitCL Y,.7 J L' .7.71~1L' 1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH DH / / / Mod ~ Inventory Item 0023 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME COMET CLEANSER Days On Site 365 Location within this Facility Unit Map: Grid: AISLE 8 CAS# 7722-88-5 STATE T TYPE ~~ PRESSURE ~T" TEMPERATURE ~~ CONTAINER TYPE ~SOlld I Mixture I Ambient I AmhiPnt- I RC~X AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average LBS 200.00 LBS 200.00 LBS HAZARDOUS COMPONENTS %Wt• RS CAS# 100.00 Tetrasodium Pyrophosphate No 7722885 HAZARD AS SESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Low -10- 07/16/2007 ~ F VONS 2046 SiteID: 015-021-000955 ~ ~ Inventory Item 0018 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME MAINTEX WAX Days On Site 365 Location within this Facility Unit Map: Grid: BACKROOM N WALL CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~ Ambient ~ Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 50.00 GAL 30.00 GAL HA ZARDOUS COMPONENTS oWt. RS CAS# Ethylene Glycol Diethyl Ether No 629141 Ethylene Glycol No 107211 L1liGriRL ti. 7.7 L' JJ1°1P~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / Low ~ Inventory Item 0010 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME INSECTICIDE (SOLID) Days On Site 365 Location within this Facility Unit Map: Grid: AISLE 8/BACKROOM CAS# 67-63-0 ~SolidE TMixtur~AmbRent~E ~ AmbientT~E BOX CONTAINER TYPE AMOUNTS AT THIS LOCATION - Largest Container Daily Maximum I Daily Average LBS 35.00 LBS 25.00 LBS ru~uruu.,v V.7 L.V1•lt'V1V Li1V1~ oWt. RS CAS# 4.00 Metaldehyde No 9002919 95.00 Boric Acid No 10043353 17ti41iiCL ri. 7iJ.GJJ1"1P~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Low -11- 07/16/2007 F VONS 2046 ~ Inventory Item 0017 COMMON NAME / CHEMICAL NAME SODA ASH Location within this Facility Unit AISLE 8 STATE TYPE PRESSURE Solid TMixture ~ Ambient SiteTD: 015-021-000955 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 497-19-8 TEMPERATURE CONTAINER TYPE - Ambient BAG AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average LBS 10.00 LBS 6.00 LBS ti!-~,GHKLVU~ ~viYirviv~ivla %Wt. RS CAS# 100.00 Sodium Carbonate No 497198 t1HGHKL HJJ~a~1~1~1V 1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Low ~ Inventory Item 0025 COMMON NAME / CHEMICAL NAME FREON Location within this Facility Unit CASES THROUGHOUT STORE Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# STATE TYPE PRESSURE _ Gas TMixture ~-Above Ambient TEMPERATURE CONTAINER TYPE Ambient OTHER,- SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 2275.00 LBS 2775.00 LBS 2775.00 LBS t~tt,atirtLUU~ 1.V1~lYV1Vr,1V l a %Wt. RS CAS# 47.00 Chlorodifluoromethane No 75456 46.00 1,1,1-Trifluoroethane No 420462 I1HGEjJ.CL 1~.7 .7L" ,7.71~1L" 1V -1 A TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -12- 07/16/2007 F VONS 2046 SiteID: 015-021-000955 ~ ~ Inventory Item 0026 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME FREON Days On Site 365 Location within this Facility Unit Map: Grid: CASES THROUGHOUT STORE CAS# 75-45-6 ~GaSATE TYPE ~~ PRESSURE TEMPERATURE CONTAINER TYPE TMixture I Above Ambient Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 580.00 LBS 580.00 LBS 580.00 LBS tiHGa'~KLV U.S 1:V1~lYV1V1'S1V 1 J %wt. Rs cAS# 51.20 Ethane Yes 76153 48.80 Methane, chloro- Yes 75456 ru~~latcv tia~l;aaril;ivt5 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT$# MCP No No No No/ Curies F P IH / j j Min ~ Inventory Item 0020 COMMON NAME / CHEMICAL NAME CARBON DIOXIDE Location within this Facility Unit SERVICE DELI ~GaSATE TYPE PRESSURE TPure Above Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 124-38-9 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Co175100rLBS Daily 350100m LBS I Daily A~5r00e LBS t1HGEihCLVUS LV1~lYV1Vl;1V15 %Wt. RS CAS# 100.00 Carbon Dioxide No 124389 t1EiGH1CL 1-L7 .7L" ~J1~1L" 1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -13- 07/16/2007 F VONS 2046 SiteID: 015-021-000955 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME MOTOR OIL Days On Site 365 Location within this Facility Unit Map: Grid: AISLE 6 CAS# 64742-54-7 Liquid TMixture ~mbient~E ~ AmbientT~E ^~STOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.25 GAL 200.00 GAL 200.00 GAL rtr~~xrcLUUS ~vrirviv~;iv 1-~ %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 t1HGF1KL 1~J JL' ~ ~1~1L' 1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min ~ Inventory Item 0027 COMMON NAME / CHEMICAL NAME FREON Location within this Facility Unit MOTOR ROOM Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 75-45-6 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas Pure Above Ambient Ambient IN MACHINE/EQUIP AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 172.00 LBS 172.00 LBS 172.00 LBS ru,~rucLUV~ wiYirviv~iv l a swt. Rs CAS# 100.00 Chlorodifluorobromomethane No 75456 - riE~L+liKU HJ 5~~a1~1~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -14- 07/16/2007 F VONS 2046 SiteID: 015-021-000955 ~ ~ Inventory Item 0006 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME FIRELOGS Days On Site 365 Location within this Facility Unit Map: Grid: FRONT OF STORE & AISLE 4 CAS# 64741-56-6 STATE T TYPE ~~ PRESSURE TEMPERATURE ~~ CONTAINER TYPE Solid I Mixture I Ambient ~ Ambient I BAG AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 30.00 LBS 2500.00 LBS 2500.00 LBS HAZARDOUS COMPONENTS %Wt• RS CAS# 40.00 Non-Hazardous Ingredients(Sawdust,etc) No 40.00 Paraffin Wax No 64742618 20.00 Petroleum Hydrocarbons No 64741566 ilti[~tiRL HJ JP~J J1"11~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / UnR ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME CHARCOAL BRIQUETTES Days On Site 365 Location within this Facility Unit Map: Grid: FRONT OF STORE CAS# ~SolidE TMixtur~ Ambient~E ~ AmbientT~E BAG CONTAINER TYPE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 20.00 LBS 1200.00 LBS 1200.00 LBS rlt]c,t1RLV V J L.V1•lYV1V L' 1V 1 J %Wt . RS CAS## 25.00 Hydrocarbon/gasoline No 64742478 10.00 Sawdust No 9004346 Charcoal, Activated No 16291966 ilti[~tiRL HJ JP~J Jt•1P~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / UnR -15- 07/16/2007 F VONS 2046 SiteID: 015-021-000955 ~ ~ Inventory Item 0024 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME HELIUM Days On Site 365 Location within this Facility Unit Map: Grid: FLORAL DEPT CAS# 7440-59-7 STATE ~"' TYPE PRESSURE TEMPERATURE CONTAINER TYPE ~GaS I Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 291.00 FT3 5$2.00 FT3 291.00 FT3 t~~titu~vua ~:vlnrvlv~ivl~ %Wt. RS CAS# 100.00 Helium No 7440597 tiE~GHtt1J 1-~J bL' .7.71~1~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies P DH / / / UnR ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME INSECTICIDES Location within this Facility Unit AISLE 6 Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# Liquid TMixture ~ Ambient~E ~ AmbientT~E METALOCONTAINRTNONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.50 GAL 65.00 GAL 65.00 GAL t11,G1itCUUU.7 1~V1~1rV1Vr,1V 1 ~ %Wt. RS CAS# 30.00 Isoparaffinic Hydrocarbon Solvent No 0 ritiGl-1CCL 1-~.7.71;J.71~1L" 1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH DH / / / UnR -16- 07/16/2007 F VONS 2046 SiteID: 015-021-000955 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 06/18/1991 CALL 911 Employee Notif./Evacuation 11/02/2006 PERSON IN CHARGE WILL COORDINATE EVACUATION (AS PER PROCEDURES OUTLINED IN VONS SAFETY GUIDE, UTILIZING PUBLIC ADDRESS SYSTEM. EMPLOYEES WILL ASSIST CUSTOMERS TO THE NEAREST EMERGENCY EXIT. PERSONNEL WILL IMMEDIATELY NOTIFY APPROPRIATE EMERGENCY-RESPONSE AGENCIES VIA TELEPHONE CALL TO 911. VONS SECURITY DEPARTMENT WILL ALSO BE NOTIFIED. Public Notif./Evacuation 06/18/1991 PERSON IN CHARGE WILL COORDINATE EVACUATION (AS OUTLINED IN VONS SAFETY GUIDE) UTILIZING PUBLIC ADDRESS SYTEM. EMPLOYEES WILL ASSIST CUSTOMERS TO NEAREST EMERGENCY EXIT. Emergency Medical Plan 11/02/2006 911 WOULD BE USED TO SUMMON EMERGENCY MEDICAL ASSISTANCE. WE WOULD RELY ON RESPONDING EMERGENCY PERSONNEL TO ASCERTAIN THE LOCATION OF THE NEAREST MEDICAL FACILITY EQUIPPED TO RESPOND TO OUR SPECIFIC NEEDS AT THE TIME. -17- 07/16/2007 F VONS 2046 SiteID: 015-021-000955 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 03/17/1992 ~ RETAIL GROCERY ITEMS PACKAGED FOR RETAIL SALES IN SMALL QUANTITIES SHIPPED TRUCK TO SHELF. MINIMAL BACK STOCK IS MAINTAINED. EMPLOYEE TRAINING MANDATORY FOR NEW HIRES. THIS PROGRAM WAS DEVELOPED BY THE FOOD MARKETING INSTITUTE SPECIFICALLY FOR USE IN THE GROCERY INDUSTRY. MATERIAL SAFETY DATA SHEETS ARE LOCATED IN THE MANAGERS OFFICE IN THE SAFETY AND. CLAIMS GUIDE. Release Containment 03/15/2007 ABSORBANT AVAILABLE AS PART OF SPILL CLEAN-UP KIT, FOUND IN MANAGERS OFFICE. Clean Up 02/09/2006 VONS RETAIL MAINTENANCE, 626-821-3971, SHOULD BE CONTACTED FOR EMERGENCY RESPONSE CLEAN-UP. AFTER HOURS AND HOLIDAYS, CALL THE TELEPHONE SECRETARY, 714-736-7212. V1.11C1 itC.7VlA1. l:C L'il.; l.1VQl.l V11 -18- 07/16/2007 F VONS 2046 SiteID: 015-021-000955 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .7iJ~C:1d1 t3d'GciIU~ Utility Shut-Offs 03/15/2007 GAS - OUTSIDE NE WALL ELECTRICAL - GM BACKROOM E WALL WATER - BAKERY BACKROOM E WALL SPECIAL - SPRINKLER RISER BAKERY BACKROOM E WALL Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - SPRINKLERS AND FIRE EXTINGUISHING. FIRE HYDRANT - ADJ FIRE HYDRANTS. 01/17/2007 Building Occupancy Level ~6"- G,o 65-70 EMPLOYEES 03/09/2006 -19- 07/16/2007 ~' R 1 F VONS 2046 SiteID: 015-021-000955 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 11/02/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUNIMARY OF TRAINING PROGRAM: A VIDEO IS SHOWN TO ALL EMPLOYEES ON SAFE USE OF PRODUCTS AND HOW TO CLEAN UP SPILLS. THE MATERIAL SAFETY DATA SHEETS ARE AVAILABLE FOR ALL EMPLOYEES TO READ, rciyC L nCiu iui ru~ui~ u~c nciu ivL r u~.u.~v v5c -20- 07/16/2007 ~ ,- ~` L.~ .. ~ ~_ VONS 20.46 Manager MILTON MORO~ICH Location: 3400 STINE RD City BAKERSFIELD CommCode: BFD STA 07 EPA Numb: ~~,ol SiteID: 015-021-000955 BusPhone: (661) 835-0212 Map 123 CommHaz High Grid: 14A FacUnits: 1 AOV: SIC Code:5411 DunnBrad:00-132-5034 Emergency Contact / Title Emergency Contact / Title MILTON MORdI~ICH / STORE MANAGER LOSS PREVENTION / MANAGER Business Phone: (661) 835-0212x Business Phone: (626) 821-7545x 24-Hour Phone (616) 821-7545x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact MARCELLA GELMAN FSE Phone: (626) 821-5608x MailAddr: PO BOX 29096 State: AZ City PHOENIX Zip 85038-9096 Owner VONS A SAFEWAY CO Phone: (626) 821-5608x Address PO BOX 29096 State: AZ City PHOENIX Zip 85038-9096 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ~N~t~ 1'(l~1~ ,~ ~ ~4~~ of thoso indiuidu~ls i ~\~ ry Based on my inqu I certify i on, responsible for obtammg the informat f law that I haves per~=analiY under penalty o examined and am familiar with the infar~'nation submitted and believe the information i5 true, accurate, and complete. ~~,~. o3ia~~a~ Signature Date -1- 02/20/2007 F VONS 2046 ~ Hazmat Inventory = ~ MCP+DailyMax Order = SiteID: 015-021-000955 ~ By Facility Unit ~ Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP AEROSOLS E F P L 250.00 GAL Hi BLEACH IH L 130.00 GAL Hi POOL CHLORINE (HYPOCHLORITE) R IH L 50.00 GAL Hi STRIPPER L 50.00 GAL Hi BREAK UP F IH L 40.00 GAL Hi POOL ACID (HYDROCHLORIC) E R IH L 15.00 GAL Hi POWDER BLEACH F IH DH S 1500.00 LBS Mod DRY CHLORINE S 250.00 LBS Mod ALL PURPOSE CLEANERS F IH DH L 150.00 GAL Mod LYSOL F IH DH L 100.00 GAL Mod CHARCOAL LIGHTER FLUID F L 70.00 GAL Mod SCANNER CLEANER F DH L 25.00 GAL Mod ALGACIDE F R IH DH L 20.00 GAL Mod COMET CLEANSER DH S 200.00 LBS Low MAINTEX WAX IH DH L 50.00 GAL Low INSECTICIDE (SOLID) F IH S 35.00 LBS Low SODA ASH F IH S 10.00 LBS Low FREON ~ F P IH G - 2775.00 LBS Min FREON E F P IH G 580.00 LBS Min CARBON DIOXIDE F P IH G 350.00 LBS Min MOTOR OIL F DH L 200.00 GAL Min FREON F P IH G 172.00 LBS Min FIRELOGS F S 2500.00 LBS UnR CHARCOAL BRIQUETTES F S 1200.00 LBS UnR HELIUM P DH G 582.00 FT3 UnR INSECTICIDES R IH DH L 65.00 GAL UnR -2- 02/20/2007 -3- 02/20/2007 F VONS 2046 SiteID: 015-021-000955 ~ ~ Inventory Item 0012 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME AEROSOLS Days On Site 365 Location within this Facility Unit Map: Grid: THROUGHOUT BLDG CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~Above Ambient Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 250.00 GAL 200.00 GAL HAZARDOUS COMPONENTS °sWt . RS CAS# 70.00 Isobutane Yes 75285 20.00 n-Butane Or Butane Mixture Yes 106978 10.00 Propane ~ Yes 74986 ilt~[~liiCL HJ J~JJI~IP~IVIJ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P / / / Hi ~ 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: AISLE 5 CAS# 007681-52-9 Liquid Mixture PRESSURE TEMPERATURE ~STOICTCONTAINERE T -~mbient ~ Ambient AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.35 GAL 130.00 GAL I 130.00 GAL airauru~LVUa ~.vi•irviVaivlS %Wt• RS CAS# 100.00 Bleach No 7681529 rll'~c~riLCL 1i JJP.~J J1~1P~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Hi -4- 02/20/2007 F VONS 2046 SiteID: 015-021-000955 ~ ~ Inventory Item 0013 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME POOL CHLORINE (HYPOCHLORITE) Days On Site 365 Location within this Facility Unit Map: Grid: AISLE 8 CAS# 7681529 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~ Ambient ~ Ambient ~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 50.00 GAL 50.00 GAL - HAZARDOUS COMPONENTS %Wt. RS CAS# 11.00 Sodium Hypochlorite No 7681529 I1tiGtiKL H~ J~JL~A~71~1iS1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi ~ Inventory Item 0019 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME STRIPPER Days On Site 365 Location within this Facility Unit Map: Grid: BACKROOM N WALL CAS# Liquid TMixture ~ Ambient~E ~ AmbientT~E ~ PLASTOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 50.00 GAL I 20.00 GAL nraueucLV V J ~..V1.1P V1V riv t J %wt. ~ Rs cAS# Ethoxylated Nonylphenol No 0 2-Butoxyethanol No 111762 Ethanolamines (family name) No 141435 r1tyL~riRL HJ JL'Jw71~1L'1V 1w7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Hi -5- 02/20/2007 .. F VONS 2046 SiteID: 015-021-000955 ~ ~ Inventory Item 0022 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME BREAK UP ~ Days On Site 365 Location within this Facility~Unit Map: Grid: BACKROOM N WALL CAS# Liquid Mixture I AmbRient~E ~ AmbientT~E ~STICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average - GAL 40.00 GAL 10.00 GAL r1r~~ti.rcL~u~ ~vl~irvlv~lv~l~~ %Wt. RS CAS# 2.00 Potassium No 7440097 2.00 Ethylene Glycol Monobutyl Ether No 111762 7.00 Tetrapotassium Pyrophosphate No 7320345 tiHGAKJJ IjS ~L"~Sal~ll"~1V"15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi ~ Inventory Item 0015 COMMON NAME / CHEMICAL NAME POOL ACID (HYDROCHLORIC) Location within this Facility Unit AISLE 8/BACKROOM STATE TYPE PRESSURE Liquid TMixture ~ Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 7647010 TEMPERATURE ~~~ CONTAINER TYPE Ambient- I PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 15.00 GAL 10.00 GAL L1L-~GLiiCLVUJ 1.V1~lYV1VJ".,1V 1.7 %Wt. RS CAS# 32.00 Hydrochloric Acid Yes 7647010 34.00 Phosphoric Acid No 7664382 I1HL~t1RL 1-~J .7, L' .7.71"1~1V 1 .7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi -6- 02/20/2007 F VONS 2046 ~ Inventory Item 0008 COMMON NAME / CHEMICAL NAME POWDER BLEACH Location within this Facility Unit i AISLE 6/BACKROOM STATE TYPE PRESSURE Solid TMixtur~Ambient SiteID: 015-021-000955 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 497198 TEMPERATURE CONTAINER TYPE Ambient BOX AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average LBS 1500.00 LBS 700.00 LBS ru~~ti.tcLVUa ~uinr~lv~lvl~ oWt. RS CAS# Sodium Carbonate No 497198 Sodium Perborate No 7632044 riAGL-1tCL AJSN~5J1~1t51V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ~ Inventory Item 0014 COMMON NAME / CHEMICAL NAME DRY CHLORINE Location within this Facility Unit AISLE 8 STATE TYPE PRESSURE Solid Mixture ~ Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average LBS 250.00 LBS 200.00 LBS ntic~.citcLUU~ ~.urirulvr,lvtJ oWt. RS CAS# Sodium Dichloro-s-triazinetrione No 2893789 Calcium Hypochlorite No 7778543 riLiGKK1J HJ~L" .7.71~1r,1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / j j Mod -7- 02/20/2007 F VONS 2046 SiteID: 015-021-000955 ~ ~ Inventory Item 0009 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ALL PURPOSE CLEANERS Days On Site 365 Location within this Facility Unit Map: Grid: AISLE 8 CAS# Liquid TMixture ~ Ambient~E ~ AmbientT~E -~STOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average GAL 150.00 GAL 90.00 GAL ti1~GHKLVUS trVl~ir~iv~lvlJ %Wt. RS CAS# 2-Butoxyethanol No 111762 I11 l~J~L ~~ 4~r.117171Y1~11V 11.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME LYSOL Days On Site 365 Location within this Facility Unit Map: Grid: AISLE 8 CAS# 64-17-5 LiTAid Mixture AmbRentURE TEMPERATURE CONTAINER TYPE ~' T ~- ~ Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 100.00 GAL 85.00 GAL t1EiGH[CL V U.7 lr V1~lY V1V L" 1V 11J %Wt. RS CAS# 79.00 Ethyl Alcohol No 64175 riliL~l~itCL ti17 .7J~1~.71~1L'1V l~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -8- 02/20/2007 F VONS 2046 ~ Inventory Item 0007 COMMON NAME / CHEMICAL NAME CHARCOAL LIGHTER FLUID Location within this Facility Unit FRONT WINDOW/BACKROOM STATE TYPE PRESSURE Liquid TMixture ~mbient SiteID: 015-021-000955 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 800-66-42 TEMPERATURE CONTAINER TYPE Ambient ~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 70.00 GAL 30.00 GAL.. titiL~~vu~ ~vinrvivr~ivl~ °sWt . RS CAS# 100.00 Petroleum Naphtha No 8030306 ti1~GHKL E',A ~L".7J1~1~1V1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Mod ~ Inventory Item 0021 COMMON NAME / CHEMICAL NAME SCANNER CLEANER Location within this Facility Unit BACKROOM N WALL STATE TYPE PRESSURE Liquid TMixture ~ Ambient 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 Daily Average GAL 25.00 GAL 18.00 GAL nr~~,r-ucLVU~ ~.uinrvlv~lyl~ ~Wt. RS CAS# Isopropanol No 67630 Ethylene Glycol Diethyl Ether No 629141 rLHGHKL 1-~J~71",J.71~11",1V 1 ~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Mod -9- 02/20/2007 F VON5 2046 SitelD: 015-021-000955 ~ ~ Inventory Item 0016 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ALGACIDE Days On Site 365 Location within this Facility Unit Map: Grid: AISLE 8 CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~Ambient ~ Ambient -~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average GAL 20.00 GAL 12.00 GAL nt~~titt~vu~ ~vi~irvlv~lvla sWt. RS CAS# 10.00 Alkyl Dimethylbenzylammonium Chloride No 8001545 2.00 Ethanol No 64175 6.00 Polyoxyethylene No 25322683 tiHGHKL H~J~J51~1~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH DH / j / Mod ~ Inventory Ttem 0023 COMMON NAME / CHEMICAL NAME COMET CLEANSER Location within this Facility Unit AISLE 8 Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 7722-88-5 ~SolidE TMixture ~ Ambient~E ~ AmbientT~E BOX CONTAINER TYPE AMOUNTS AT THIS LOCATION Largest ContainerLBS Daily 200100m LBS ~ Daily 200r00e LBS ru~c,tucLV V ~ ~viYirvly r,iv 1 °sWt . RS CAS# 100.00 Tetrasodium Pyrophosphate No 7722885 ritiGl-~.tCL 1-~J J~5~1~1~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Low -10- 02/20/2007 F VONS 2046 SiteID: 015-021-000955 ~ ~ Inventory Item 0018 Facility Unit: Fixed Containers on Site ~ ..........~. __,,..~ ....,-,..r..,, r ~r,..,.,-. AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 50.00 GAL 30.00 GAL nta~E~tc.uvu~ ~vrir~lv~ivla %Wt. RS CAS# Ethylene Glycol Diethyl Ether No 629141 Ethylene Glycol No 107211 t1AG1-1KL A7aLJ51~1t51V1J TSecret RS BioHaz RadioactivejAmount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / Low ~ Inventory Item 0010 COMMON NAME / CHEMICAL NAME INSECTICIDE (SOLID) Location within this Facility Unit AISLE 8/BACKROOM STATE TYPE PRESSURE Solid TMixture~A_mbient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 67-63-0 TEMPERATURE CONTAINER TYPE Ambient BOX AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average LBS 35.00 LBS 25.00 LBS ntiGtittllVUJ 1.vl~trvtviSlvl.7 °sWt. RS CAS# 4.00 Metaldehyde No 9002919 95.00 Boric Acid No 10043353 L1HGHlCL H. 7A~J.71~1r+1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Low -11- 02/20/2007 Liquid TMixtur~Ambient~E ~ AmbientT~E I PLASTOICTCONTAINERE F VONS 2046 SitelD: 015-021-000955 ~ ~ Inventory Item 0017 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME SODA ASH Days On Site 365 Location within this Facility Unit Map: Grid: AISLE 8 CAS# 497-19-8 ~SolidE I Mixture~~~ PRESSURE TEMPERATURE CONTAINER TYPE I Ambient ~ Ambient BAG AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average LBS 10.00 LBS 6.00 LBS t11-1GL-1ttUVUJ ~.vrirv1v1;1v1S sWt. RS CAS# 100.00 Sodium Carbonate No 497198 tiHL,KKL lib ~ L' .7.71~1L' 1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Low ~ Inventory Item 0025 COMMON NAME / CHEMICAL NAME FREON Location within this Facility Unit CASES THROUGHOUT STORE Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# STATE T TYPE T PRESSURE TEMPERATURE CONTAINER TYPE Gas I Mixture I Above Ambient Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 2275.00 LBS 2775.00 LBS 2775.00 LBS rlr~ar~rcl~vu~ ~.vl~irvlv~lv.l~ %Wt. RS CAS# 47.00 Chlorodifluoromethane No 75456 46.00 1,1,1-Trifluoroethane No 420462 i7HGEitCL 1~~~~5J1~1~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -12- 02/20/2007 F VONS 2046 SiteID: 015-021-000955 ~ ~ Inventory Item 0026 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME FREON Days On Site 365 Location within this Facility Unit Map: Grid: CASES THROUGHOUT STORE CAS# 75-45-6 ~GasATE TYPE ~~ PRESSURE TEMPERATURE CONTAINER TYPE TMixture I Above Ambient Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 580.00 LBS 580.00 LBS 580.00 LBS t1HGKKLVU~ 1:V1~lYV1VL'1V"1"~ %Wt. RS CAS# 51.20 Ethane Yes 76153 48.80 Methane, chloro- Yes 75456 t1AL+EitCU ASaL' J~1~1~1V"1"a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# ~ MCP No No No No/ Curies F P IH / / / Min ~ Inventory Item 0020 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME CARBON DIOXIDE Days On Site 365 Location within this Facility Unit Map: Grid: SERVICE DELI CAS# 124-38-9 ~GaSATE TYPE T PRESSURE ~~ TEMPERATURE ~~~ CONTAINER TYPE ~ Pure { Above Ambient { Ambient I PORT. PRESS_ CYLINDER I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 175.00 LBS 350.00 LBS 175.00 LBS ntiGtlttLVUb ~...vrirvlvlJlvla oWt. RS CAS# 100.00 Carbon Dioxide No ~ 124389 nr-~~.y.rcl~ r~~ ~l;a~l~ll~,1y1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -13- 02/20/2007 F VONS 2046 ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME MOTOR OIL Location within this Facility Unit AISLE 6 STATE TYPE PRESSURE Liquid TMixture ~ Ambient SiteID: 015-021-000955 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 64742-54-7 TEMPERATURE CONTAINER TYPE Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I ~ Daily Average 0.25 GAL 200.00 GAL 200.00 GAL ntaGt~x.LVUa lLV1~lYV1V~1V1J %Wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 ti1~GE~iCL H~7 .7L".7w71~1L'1V1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min ~ Inventory Item 0027 COMMON NAME / CHEMICAL NAME FREON Location within this Facility Unit MOTOR ROOM STATE TYPE PRESSURE _ Gas TPure ~-Above Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 75-45-6 TEMPERATURE CONTAINER TYPE Ambient IN MACHINE/EQUIP AMOUNTS AT THIS LOCATION Largest Co172100rLBS Daily M72i00m LBS I Daily 172r00e LBS nriZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Chlorodifluorobromomethane No 75456 t1HGE1KL I~J J~~J1~1L'-1V-1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -14- 02/20/2007 F VONS 2046 ~ Inventory Item 0006 COMMON NAME / CHEMICAL NAME FIRELOGS Location within this Facility Unit FRONT OF STORE & AISLE 4 STATE TYPE PRESSURE Solid TMixture ~ Ambient SiteID: 015-021-000955 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 64741-56-6 TEMPERATURE CONTAINER TYPE Ambient BAG AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 30.00 LBS 2500.00 LBS 2500.00 LBS t1HGHKLVUJ l.V1Y1YViV~1V1J ~Wt. RS CAS# 40.00 Non-Hazardous Ingredients(Sawdust,etc) No 40.00 Paraffin Wax No 64742618 20.00 Petroleum Hydrocarbons No 64741566 ri1',G1-1tCL 1-~75L" a51~1L" 1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / UnR ~ Inventory Item 0005 COMMON NAME / CHEMICAL NAME CHARCOAL BRIQUETTES Location within this Facility Unit FRONT OF STORE STATE TYPE PRESSURE Solid TMixture Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: 'CAS# TEMPERATURE CONTAINER TYPE Ambient BAG AMOUNTS AT THIS LOCATION Largest Con20~00rLBS Daily1200100m LBS I Daily1200r00e LBS I1HGHiCLV U.7 I..VP7YVIV L' 1V 1 b %Wt. RS CAS# 25.00 Hydrocarbon/gasoline No 64742478 10.00 Sawdust No 9004346 Charcoal, Activated No 16291966 i7.L-~GHCCL riaar,~~l~l~lvl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / UnR -15- 02/20/2007 F VONS 2046 SiteID: 015-021-000955 ~ ~ Inventory Item 0024 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME HELIUM Days On Site 365 Location within this Facility Unit Map: Grid: FLORAL DEPT CAS# 7440-59-7 ~GdSATE ~ TYPE ~AboveSAmbEent TEMPERATURE CONTAINER TYPE Pure I ~ Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 291.00 FT3 582.00 FT3 291.00 FT3 t1HGE'l![1JVU5 1,V1~lYV1VJ;1V 1.7 °sWt. RS CAS# 100.00 Helium No 7440597 tiljGLitCL H~ 7.7.C,~51~1J;1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies P DH / / / UnR ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME INSECTICIDES Location within this Facility Unit AISLE 6 Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# Liquid TMixture ~ Ambient~E ~ AmbientT~E METAL CONTAINRTNONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.50 GAL 65.00 GAL 65.00 GAL i1tiG1~KL V U .7 1.. V1~lY V1V iS1V l 5 oWt. RS CAS# 30.00 Isoparaffinic Hydrocarbon Solvent No 0 riHGEitCL 1-~J ~J;~J1~11~,1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH DH / / / UnR -16- 02/20/2007 F VONS 2046 SiteID: 015-021-000955 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 06/18/1991 CALL 911 9 9 Employee Notif./Evacuation 11/02/2006 PERSON IN CHARGE WILL COORDINATE EVACUATION (AS PER PROCEDURES OUTLINED IN VONS SAFETY GUIDE, UTILIZING PUBLIC ADDRESS SYSTEM. EMPLOYEES WILL ASSIST CUSTOMERS TO THE NEAREST EMERGENCY EXIT. PERSONNEL WILL IMMEDIATELY NOTIFY APPROPRIATE EMERGENCY-RESPONSE AGENCIES VIA TELEPHONE CALL TO 911. VONS SECURITY DEPARTMENT WILL ALSO BE NOTIFIED. Public Notif./Evacuation 06/18/1991 PERSON IN CHARGE WILL COORDINATE EVACUATION (AS OUTLINED IN VONS SAFETY GUIDE) UTILIZING PUBLIC ADDRESS SYTEM. EMPLOYEES WILL ASSIST CUSTOMERS TO NEAREST EMERGENCY EXIT. Emergency Medical Plan 11/02/2006 911 WOULD BE USED TO SUMMON EMERGENCY MEDICAL ASSISTANCE. WE WOULD RELY ON RESPONDING EMERGENCY PERSONNEL TO ASCERTAIN THE LOCATION OF THE NEAREST MEDICAL FACILITY EQUIPPED TO RESPOND TO OUR SPECIFIC NEEDS AT THE TIME. -17- 02/20/2007 F VONS 2046 SiteID: 015-021-000955 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt. Overall Site ~ ~ Release Prevention 03/17/1992 ~ RETAIL GROCERY ITEMS PACKAGED FOR RETAIL SALES IN SMALL QUANTITIES SHIPPED TRUCK TO SHELF. MINIMAL BACK STOCK IS MAINTAINED. EMPLOYEE TRAINING MANDATORY FOR NEW HIRES. THIS PROGRAM WAS DEVELOPED BY THE FOOD MARKETING INSTITUTE SPECIFICALLY FOR USE IN THE GROCERY INDUSTRY. MATERIAL SAFETY DATA SHEETS ARE LOCATED IN THE MANAGERS OFFICE IN THE SAFETY AND CLAIMS GUIDE. Release Containment 11/02/2006 ABSORBENT AVAILABLE AS PART OF SPILL CLEAN-UP KIT, FOUND IN MANAGERS OFFICE. Clean Up 02/09/2006 VONS RETAIL MAINTENANCE, 626-821-3971, SHOULD BE CONTACTED FOR EMERGENCY RESPONSE CLEAN-UP. AFTER HOURS AND HOLIDAYS, CALL THE TELEPHONE SECRETARY, 714-736-7212. ~,_ v~.tic1 izc.7vul~.c Al.l.1V0.1.1V11 -18- 02/20/2007 F VONS 2046 SiteID: 015-021-000955 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .7~JC C:1d1 ildGdlUS Utility Shut-Offs 01/17/2007 A) GAS - OUTSIDE NE WALL B) ELECTRICAL - GM BACKROOM E WALL C) WATER - BAKERY BACKROOM E WALL D) SPECIAL - SPRINKLER RISER BAKERY BACKROOM E WALL E) LOCK BOX - NO Fire Protec./Avail. Water 01/17/2007 PRIVATE FIRE PROTECTION - SPRINKLERS AND FIRE EXTINGUISHING. FIRE HYDRANT - ADJ FIRE HYDRANTS. Building Occupancy Level 03/09/2006 65-70 EMPLOYEES -19- 02/20/2007 .. .: F VONS 2046 SiteID: 015-021-000955 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 11/02/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: A VIDEO IS SHOWN TO ALL EMPLOYEES ON SAFE USE OF PRODUCTS AND HOW TO CLEAN UP SPILLS. THE MATERIAL SAFETY DATA SHEETS ARE AVAILABLE FOR ALL EMPLOYEES TO READ. rayc ~ nciu ivi r u~.uic vac nctu ivi ru~uic ~~c -20- 02/20/2007 UNFPIE~PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program , Prevention Services B ~ R s F ,_ 0 9001'~-Lixtun Ave., Suite 210 FIRE Bakersfield, CA 93301 ARTM r _ Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME \ j - INSPECTION DATE INSPECTION TIME ADDRESS PHONE NO. ` NO OF EMPLOYEES FACILITY CONTACT ^y^` !.. ~J ~~ BUSINESS ID NUMBER 15-021- pow ~, Section 1: Business Plan and Inventory Program ~0'~ t ^ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ( C=Compliance OPERATION V=Violation COM S ^ APPROPRIATE PERMIT ON HAND ~~ "' _ ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ~ee C(~.~ ~ S ~~ ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES ~NO EXPLAIN: rcnr-ours QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (667) 326-3979 Inspector (Ple se Print) Fire Prevention / 1s` In /Shift of Site/Station # Business Site / esponsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09105 aRTM BAKERSFIELD FIRE DEPT. Prev ention Services UNIFIED PROGRAM INSPECTION CHECKLIST f 2101 H Street y:kesa: <f4C.. ... ?`r3:a::::..Bakersfield, Haz -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES Sri. t )14/ ::� .. z . FACILITY CONTACT BUSINESS ID NUMBER ;' 3 .��'f:'•ii > f t ,9 y�Q"! iVi n` "A"8L"� 1..- lie onsent to Inspect Name /Title • Correct the violation(s) noted above by • Within 5 days of correcting all of the violations, sign and return a copy of this page to: Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 White Business Copy Yellow — Business Copy to be Sent in after return to Compliance Date Pink Prevention Services Copy FD2155 (Rev 1/14) ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION: C v ( C =Compliance) OPERATION V= Violation COMMENTS ❑ ❑ VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020) ❑ ❑ MAPPROPRIATE PERMIT ON HAND (BMC: 15.65.080) �.,,. ❑ .'�."C7 CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) ❑ '`❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ❑ ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 2 z ❑ ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) <7 a S ell ❑ ❑ . VERIFICATION OF LOCATION (CCR: 2729.2) ❑ ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) ❑ ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) ❑ ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) ❑ ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) ❑ ❑ HOUSEKEEPING (CFC: 304.1) ❑ ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Explain: i nature of Receipt: v, POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE: • Correct the violation(s) noted above by • Within 5 days of correcting all of the violations, sign and return a copy of this page to: Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 White Business Copy Yellow — Business Copy to be Sent in after return to Compliance Date Pink Prevention Services Copy FD2155 (Rev 1/14) BAKERSFIELD FIRE DEPT. Prevention Services R 8 _E�J�...S F I L D UNIFIED PROGRAM INSPECTION CHECKLIST, 2101 H Street FIRE A RFM T 'V aRTM T Bakersfield, CA 93301 Haz-Mat Business Plan and Inventory Program Tel.: (661) 326-3979 '/(�Fllzs Fax: (661) 852-2171 FACILITY NAME JINSPECTION DATE JINSPECTION TIME I C v C=Compliance) OPERATION V=Violation COMMENTS ❑ ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ❑ ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑ ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H&S 25404(e) ❑ ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ❑ ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) del__ ❑ ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) J ❑ ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑ ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) ❑ 1:1 SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) ❑ ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c)) ❑ ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1:1 ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) 1:1 1:1 HOUSEKEEPING (CFC: 304.1) ❑ ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Explain: Sienature of Receipt: POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE: • Correct the violation(s) noted above by Signature (that all violations have been corrected as noted) • Within 5 days of correcting all of the violations, sign and return a copy of this page to: Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 Date White —Business Copy Yellow - Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14) Per it .Operate Permit 10 #:: 015-000-000955 VONS #2046 . to Hazardous Materials/Hazarclous Waste Unified Permit ~ CONDITIONS OF PERMIT ON REVERSE SIDE This œrmit is Issued for the following: It! Hazardous Materials Plan o Underground Storage of Hazardous Materials o Risk Management Program o Hazardous Waste On-Site Treatment LOCATION: 3400 STINE RO Issued by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Approved by: Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Expiration Date: Issue Date June 3j), 2003 Per it to Operil.te Hazardous Materials/Hazardous W aste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This permit is issued for the following: ¡'~@~ardous Materials Plan ''';[sround Storage of Hazardous Materials "J~,agement Program Waste 3400 VONS #46 PERMIT ID# 015-D21.Q00955 LOCATION Issued by: f STINE Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (805) 326-3979 FAX (805) 326-0576 Approved by: Expiration Date: June 30, 2000 .JP7F~!tf !,"'o~'¡¡í I¡i,f? ¡~:y 7 ;!~,¡I P,I~ ~\ ~ 1\ II Ii \ LJ !:¡~ \0 ~.... ~¡~ (,C -~-- - '-.~- - ~~ '~- ,i e VVN~ r_) 1 --- - - -- ,- - - - !'D'.,,' r---- ~~--- ! 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"'" '?,,~ · · . · · · · · · .) · {J · r ¡ · 1 ¡ · I ! ' · I, I · -- I. · ~--~ - '!'7'" _.c;". _,_ - --- -- ---- -~-- ~---, H m ¡n P PI4.N ;rJ4j' . illM.l~5S """""- .1.$ß'Ú:70 I ~:n.t F= ì I. }'I 01 "'ð~ W 11'18 . "'--- _----=-_=~~\I="'____=_=_"____~~._T___'...;=""""~..L._ _~~.;..-=::::""."~~---c:..,,",,, ::..~-.~:..;. "-........._-=><.....=;....-_.......-:.___.._=_ _~.:.-'L./~_. "...--'--'..---.,,~-:-::.-~._-__""".......Ø-JK_ --~--.~-~~,~~~~==,'~~~-,-- ~-~=~=~~.~... ' ., . --'-"-' .-- -'" - ~J- --~-._--- ". -, ',_." ,., '. - "'.-' .-' .. '. ., ." , ( . I ~ t I ~~0Jh ~ ----.-..- .-" ~Ec.fEfVEO · J U l '3 ~ ~990 ,!; · Ans'd.....oomo. -I ¡ ! 1 ¡ j ""'" ~.J \:) T 1 ~.::~ T.:~ 1,1 ~ _ ,: '__' í1;,~ _ ¡ r '\ " r ~~ ;~j ¡O_ , rf-.,fj 'k ~ '~.1! ;: ~ I, ~ ~ <J ~ )~ i &t~ ¡ I, , ~ t ~ ~ ,~ 1t ij 0\ ; If¡ ~, ' ¡.J ..¡:. i~ · --- '. \ I, j I '. l r j 1 I j i ~ .. , :e \ " 'ie " ¡ ; , Anftor&,.Y:r;,~ spr, Ìù\...'.,e,. (c..\\~~«:..) \ i. ¡ '¡ \ )- ': ¡. i' I ¡ ! -L T ¡ ¡ I I I 1 I ~ <ft ~ .:ê" Q,. OJ î~ 1 ~ t~ ~ ¡ I. f I -~ ~ íe ¡ ;. I \ Ie I kJ Ie ~ }j _""'---_"_'-.- ..___-.·_.t_..._·__.--..~-_... '._ -;: .,-'.... ~_ -:- __'_,,--_....c_·_~-..,.... ~-,:"'.- "".,...."".-"..,-- .._: s"'" ;;: ':e -~; ..)v' <:.::. -'!: ø (í ',: ,.)~ ~ ~~~~: ,~,",. ,.¡"e í'~ fl -:2~-;~ ~~~'~ '-J ~~ Vi ~. · · ' -- . VONS #2046 SiteID: 015-021-000955 Manager : LARRY MESA Location: 3400 STINE RD City BAKERSFIELD BusPhone: Map : 123 Grid: 14A (661) 835-0212 CommHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 07 EPA Numb: SIC Code:5411 DunnBrad:00-132-5034 Emergency Contact / Title . Emergency Contact / Title LARRY MESA / STORE MANAGER / Business Phone: (661) 831-1651x Business Phone: ( ) - x 24-Hour Phone : (616) 821-7565x 24-Hour Phone : ( ) - x Pager Phone : (818) 499-4390x Pager Phone : ( ) - x Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact : MARCELLA GELMAN, FOOD SAFETY & ENV Phone: (626) 821-5601x MailAddr: PO BOX 513338 State: CA City : LOS ANGELES Zip : 90051-1338 Owner VONS COMPANIES INC Phone: (661) 835-Ó212x Address : PO BOX 5133338 State: CA City : LOS ANGELES Zip : 90051-1338 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: F Hazmat Inventory One Unified List 9 f== Alphabetical Order All Materials at Site 9 Hazmat Common Name. . . SpecHaz EPA Hazards DailyMax MCP AEROSOLS F P L 250.00 GAL Hi ALGACIDE F R IH DH L 20.00 GAL Mod ALL PURPOSE CLEANERS F IH DH L 150.00 GAL Mod BLEACH (LIQUID) IH L 200.00 GAL Hi BREAK UP F IH L 40.00 GAL Hi CARBON DIOXIDE F P IH G 500.00 FT3 Min CHARCOL BRIQUETTES F S 4600.00 LBS UnR CHARCOL LIGHTER FLUID F L 70.00 GAL Mod COMET CLEANSER DH S 200.00 LBS Low DRY CHLORINE S 250.00 LBS Mod HELIUM P DH G 500.00 FT3 UnR INSECTICIDE (SOLID) F IH S 35.00 LBS Low INSECTICIDES R IH DH L 55.00 GAL UnR INSTANT LITE BRIQUETTES/LOGS F S 2000.00 LBS Mod -LAWN C!'~RE/PBRTIT,T '7.RR£ 1M DR S 15 . G-e- l.JBs--Ext... -1- 09/30/2002 e F VONS #2046 f= Hazmat Inventory f== Alphabetical Order e SiteID: 015-021-000955 9 One Unified List 9 All Materials at Site 9 specHazEPA Hazards Frm I DailyMax UnitMCP F IH DH L 100.00 GAL Mod IH DH L 50.00 GAL Low F DH L 200.00 GAL Min R IH L 15.00 GAL Hi R IH L 50.00 GAL Hi F IH DH S 1500.00 LBS Mod F DH L 25.00 GAL Mod F IH S 10.00 LBS Low L 50.00 GAL Hi Hazmat Common Name... LYSOL MAINTEX WAX MOTOR OIL POOL ACID (HYDROCHLORIC) POOL CHLORINE (HYPOCHLORITE) POWDER BLEACH SCANNER CLEANER SODA ASH STRIPPER -2- 09/30/2002 e e F VONS #2046 f= Inventory Item 0012 F= COMMON NAME / CHEMICAL NAME AEROSOLS SiteID: 015-021-000955 ì Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit THROUGHOUT BUILDING Map: Grid: CAS# STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 250.00 GAL Daily Average 200.00 GAL %Wt. RS CAS# 70.00 Isobutane Yes 75285 20.00 n-Butane Or Butane Mixture Yes 106978 10.00 Propane Yes 74986 HAZARDOUS COMPONENTS TSecret RS BioHaz , Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P / / / Hi HAZARD ASSESSMENTS f= Inventory Item 0016 , F= COMMON NAME / CHEMICAL NAME ALGACIDE Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit AISLE 8 Map: Grid: CAS# STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 20.00 GAL Daily Average 12.00 GAL %Wt. RS CAS# 10.00 Alkyl Dimethylbenzylammonium Chloride No 8001545 2.00 Ethanol No 64175 6.00 Polyoxyethylene No 25322683 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH DH / / / Mod HAZARD ASSESSMENTS -3- 09/30/2002 e - SiteID: 015-021-000955 ì Facility Unit: Fixed Containers on Site ì f VONS #2046 f= Inventory Item 0009 === COMMON NAME / CHEMICAL NAME ALL PURPOSE CLEANERS Days On Site 365 Location within this Facility Unit AISLE 8 Map: Grid: CAS# STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 150.00 GAL Daily Average 90.00 GAL %Wt. HAZARDOUS COMPONENTS 2-ButoxyethanOl ~I CAS# I 111762 HAZAR TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod D ASSESSMENTS f= Inventory Item 0001 F== COMMON NAME / CHEMICAL NAME BLEACH (LIQUID) Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit AISLE 6 Map: Grid: CAS# 7681-52-9 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 200.00 GAL Daily Average 200.00 GAL %wt. RS CAS# 100.00 Sodium Hypochlorite No 7681529 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Hi HAZARD ASSESSMENTS -4- 09/30/2002 e e SiteID: 015-021-000955 ì Facility Unit: Fixed Containers on Site 9 f VONS #2046 f= Inventory Item 0022 === COMMON NAME / CHEMICAL NAME BREAK UP Days On Site 365 Location within this Facility Unit BACK ROOM NORTH WALL Map: Grid: CAS# STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 40.00 GAL Daily Average 10.00 GAL %Wt. RS CAS# 2.00 Potassium No 7440097 2.00 Ethylene Glycol Monobutyl Ether No 111762 7.00 Tetrapotassium Pyrophosphate No 7320345 HAZÀRDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi HAZARD ASSESSMENTS f= Inventory Item 0020 == COMMON NAME / CHEMICAL NAME CARBON DIOXIDE Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit SERVICE DELI Map: Grid: CAS# 124-38-9 STATE - TYPE Gas Pure PRESSURE Above Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 500.00 FT3 Daily Average 250.00 FT3 %Wt. RS CAS# 100.00 Carbon Dioxide No 124389 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min HAZARD ASSESSMENTS -5- 09/30/2002 e e SiteID: 015-021-000955 ì Facility Unit: Fixed Containers on Site ì F VONS. #2046 f= Inventory Item 0005 === COMMON NAME / CHEMICAL NAME CHARCOL BRIQUETTES Days On Site 365 Location within this Facility Unit FRONT WINDOW/BACKROOM Map: Grid: CA~# CONTAINER TYPE r STATE Solid I ~YPE =--r-; P~ESSURE ---r TEM~ERATURE ---I ___Mlxtur~mblent ---1 Amblent ~ AMOUNTS AT THIS LOCATION Daily Maximum 4600.00 LBS BAG Largest Container LBS Daily Average 2000.00 LBS %Wt. I HAZARDOUS COMPONENTS ~ CAS # TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / UnR HAZARD ASSESSMENTS f= Inventory Item 0007 F== COMMON NAME / CHEMICAL NAME CHARCOL LIGHTER FLUID Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit FRONT WINDOW/BAKCROOM Map: Grid: CAS# 8002742 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 70.00 GAL Daily Average 30.00 GAL HAZARDOUS COMPONENTS ~ No CAS# I 8030306 I l~~~óoINaPhtha TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Mod HAZARD ASSESSMENTS -6- 09/30/2002 e e SiteID: 015-021-000955 9 Facility Unit: Fixed Containers on Site ì F VONS #2046 f= Inventory Item 0023 == COMMON NAME / CHEMICAL NAME COMET CLEANSER Days On Site 365 Location within this Facility Unit AISLE 8 Map: Grid: CAS# 7722-88-5 [ ST~TE I TYPE ~ P~ESSURE ~ TEM~ERATURE ~ CONTAINER TYPE ==SOlld __pure ~mblent ---1 Amblent ~ BOX AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average LBS 200.00 LBS 200.00 LBS %Wt. RS CAS # 100.00 Tetrasodium Pyrophosphate No 7722885 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Low HAZARD ASSESSMENTS f= Inventory Item 0014 r== COMMON NAME / CHEMICAL NAME DRY CHLORINE Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit AISLE 8 Map: Grid: CAS# STATE - TYPE Solid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container LBS AMOUNTS AT THIS LOCATION Daily Maximum 250.00 LBS Daily Average 200.00 LBS %Wt. RS CAS# Sodium Dichloro-s-triazinetrione No 2893789 Calcium Hypochlorite No 7778543 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Mod HAZARD ASSESSMENTS -7- 09/30/2002 e e SiteID: 015-021-000955 9 Facility Unit: Fixed Containers on Site 9 F VONS #2046 f= Inventory Item 0024 == COMMON NAME / CHEMICAL NAME HELIUM Days On Site 365 Location within this Facility Unit FLORAL DEPT Map: Grid: CAS# 7440-59-7 - TYPE Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 500.00 FT3 Daily Average 500.00 FT3 I l~~~òoIHelium HAZARDOUS COMPONENTS ~ No CAS # I 7440597 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies P DH / / / UnR HAZARD ASSESSMENTS f= Inventory Item 0010 == COMMON NAME / CHEMICAL NAME INSECTICIDE (SOLID) Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit AISLE S/GROC BACKROOM Map: Grid: CAS# 67-63-0 [ ST~TE I TYPE ~ P~ESSURE ~ TEM~ERATURE ~ CONTAINER TYPE =SOlld ____pure ~mblent ---1 Amblent ~ BOX AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average LBS 35.00 LBS25.00 LBS %Wt. RS CAS# 4.00 Metaldehyde No 9002919 95.00 Boric Acid No 10043353 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Low HAZARD ASSESSMENTS -8- 09/30/2002 e e F VONS #2046 f= Inventory Item 0003 F== COMMON NAME / CHEMICAL NAME INSECTICIDES SiteID: 015-021-Q00955 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit AISLE a/GROC BACKROOM Map: Grid: CAS# 67-63-0 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Largest Container GAL AMOUNTS AT THIS 'LOCATION Daily Maximum 55.00 GAL Daily Average 40.00 GAL I l~~~åoIInsecticides HAZARDOUS COMPONENTS ~ CAS# 01 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH DH / / / UnR HAZARD ASSESSMENTS f= Inventory Item 0006 == COMMON NAME / CHEMICAL NAME INSTANT LITE BRIQUETTES/LOGS Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit FRONT WINDOW/BACKROOM Map: Grid: CAS# [ ST~TE I. ~YPE~ P~ESSURE ~ TEM~ERATURE ~ ==SOlld __Mlxtur~mblent ---1 Amblent ~ AMOUNTS AT THIS LOCATION Daily Maximum 200.0.00 LBS CONTAINER TYPE BAG Largest Container LBS Daily Average 1000.00 LBS %Wt. RS CAS# 25.00 Mineral Spirits No 8030306 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Mod HAZARD ASSESSMENTS -9- 09/30/2002 e e SiteID: 015-021-000955 ì Facility Unit: Fixed Containers on Site ì F VONS #2046 p= Inventory Item 0011 == COMMON NAME / CHEMICAL NAME LAWN CARE/FERTILIZERS Days On Site 365 Location within this Facility Unit AISLE 8 Map: Grid: CAS# [ ST~TE I ~YPE ~ P~ESSURE ---r TEM~ERATURE ~ CONTAINER TYPE ==SOlld __Mlxtur~mblent ---1 Amblent ~ BOX AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average LBS 15.00 LBS 7.00 LBS M %Wt. RS CAS# 11.00 Dichlorophenoxyacetic Acid No 94757 12.00 Dimethylamine Yes 124403 8.00 Nitrogen No 7727379 HAZARDOUS CO PONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / Ext HAZARD ASSESSMENTS p= Inventory Item 0004 = COMMON NAME / CHEMICAL NAME LYSOL Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit AISLE 8 Map: Grid: CAS # 64-17-5 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 100.00 GAL Daily Average 85.00 GAL %Wt. RS CAS# 79.00 Ethyl Alcohol No 64175 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS -10- 09/30/2002 e e SiteID: 015-021-000955 9 Facility Unit: Fixed Containers on Site ì F VONS #2046 p= Inventory Item 0018 == COMMON NAME / CHEMICAL NAME MAINTEX WAX Days On Site 365 Location within this Facility Unit BACKROOM NORTH WALL Map: Grid: CAS# STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 50.00 GAL Daily Average 30.00 GAL %Wt. RS CAS# Ethylene Glycol Diethyl Ether No 629141 Ethylene Glycol No 107211 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / Low HAZARD ASSESSMENTS p= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME MOTOR OIL Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit AISLE 6 Map: Grid: CAS# 64742-54-7 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 200.00 GAL Daily Average 200.00 GAL %Wt. RS CAS# 100.00 Motor Oill Petroleum Based No 8020835 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min HAZARD ASSESSMENTS -11- 09/30/2002 e e F VONS #2046 f= Inventory Item 0015 F== COMMON NAME / CHEMICAL NAME POOL ACID (HYDROCHLORIC) SiteID: 015-021-000955 9 Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit AISLE 8/HABA BACKROOM Map: Grid: CAS# 7647010 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 15.00 GAL Daily Average 10.00 GAL . %Wt. RS CAS# 32.00 Hydrochloric Acid Yes 7647010 34.00 Phosphoric Acid No 7664382 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi HAZARD ASSESSMENTS f= Inventory Item 0013 F== COMMON NAME / CHEMICAL NAME POOL CHLORINE (HYPOCHLORITE) Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit AISLE 8 Map: Grid: CAS# 7681529 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 50.00 GAL Daily Average 50.00 GAL %Wt. RS CAS# 11.00 Sodium Hypochlorite No 7681529 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi HAZARD ASSESSMENTS -12- 09/30/2002 e e F VONS #2046 F= Inventory Item 0008 F= COMMON NAME / CHEMI CAL NAME, POWDER BLEACH SiteID: 015-021-000955 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit AISLE 6/BACKROOM Map: Grid: CAS# 497198 [ ST~TE I TYPE ~ P~ESSURE ---r TEM~ERATURE ~ CONTAINER TYPE =SOlld __pure ~mblent ---1 Amblent ~ BOX AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average LBS 1500.00 LBS 700.00 LBS %Wt. RS CAS# Sodium Carbonate No 497198 Sodium Perborate No 7632044 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSMENTS F= Inventory Item 0021 = COMMON NAME / CHEMICAL NAME SCANNER CLEANER Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit BACKROOM NORTH WALL Map: Grid: CAS # STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 25.00 GAL Daily Average 18.00 GAL %Wt. RS CAS # Isopropanol No 67630 Ethylene Glycol Diethyl Ether No 629141 HAZARDOUS COMPONENTS MENT TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Mod HAZARD ASSESS S -13- 09/30/2002 e e F VONS #2046 f= Inventory Item 0017 === COMMON NAME / CHEMICAL NAME SODA ASH SiteID: 015-021-000955 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit AISLE 8 Map: Grid: CAS # 497-19-8 [ ST~TE I TYPE ~ P~ESSURE ~ TEM~ERATURE ~ CONTAINER TYPE =solld __pure ~mblent ---1 Amblent ~ BAG AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average LBS 10.00 LBS 6.00 LBS %Wt. RS CAS # 100.00 Sodium Carbonate No 497198 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Low HAZARD ASSESSMENTS f= Inventory Item 0019 F= COMMON NAME / CHEMICAL NAME STRIPPER Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit BACKROOM NORTH WALL Map: Grid: CAS# STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 50.00 GAL Daily Average 20.00 GAL %Wt. RS CAS# Ethoxylated Nonylphenol No 0 2-Butoxyethanol No 111762 Ethanolamines (family name) No 141435 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Hi HAZARD ASSESSMENTS -14- 09/30/2002 e e F VONS #2046 I f= Notif./Evacuation/Medical ¡=: Agency Notification CALL 911 Employee Notif./Evacuation SiteID: 015-021-000955 9 Fast Format 9 Overall Site 9 06/18/1991 1 06/18/1991 PERSON IN CHARGE WILL COORDINATE EVACUATION (AS PER PROCEDURES OUTLINED IN VONS SAFETY GUIDE, UTILIZING PUBLIC ADDRESS SYSTEM. EMPLOYEES WILL ASSIST CUSTOMERS TO THE NEAREST EMERGENCY EXIT. PERSONNEL WILL IMMEDIATELY NOTIFY APPROPRIATE EMERGENCY-RESPONSE AGENCIES VIA TELEPHONE CALL TO "911". VONS SECURITY DEPARTMENT WILL ALSO BE NOTIFIED. Public Notif./Evacuation 06/18/1991 PERSON IN CHARGE WILL COORDINATE EVACUATION (AS OUTLINED IN VONS SAFETY GUIDE) UTILIZING PUBLIC ADDRESS SYTEM. EMPLOYEES WILL ASSIST CUSTOMERS TO NEAREST EMERGENCY EXIT. Emergency Medical Plan 06/18/1991 "911" WOULD BE USED TO SUMMON EMERGENCY MEDICAL ASSISTANCE. WE WOULD RELY ON RESPONDING EMERGENCY PERSONNEL TO ASCERTAIN THE LOCATION OF THE NEAREST MEDICAL FACILITY EQUIPPED TO RESPOND TO OUR SPECIFIC NEEDS, AT THE TIME. -15- 09/30/2002 e e SiteID: 015-021-000955 ì Fast Format ì Overall Site ì 03/17/1992 F VONS #2046 I p= Mitigation/Prevent/Abatemt Release Prevention RETAIL GROCERY ITEMS PACKAGED FOR RETAIL SALES IN SMALL QUANTITIES SHIPPED TRUCK TO SHELF. MINIMAL BACK STOCK IS MAINTAINED. EMPLOYEE TRAINING MANDATORY FOR NEW HIRES. THIS PROGRAM WAS DEVELOPED BY THE FOOD MARKETING INSTITUTE SPECIFICALLY FOR USE IN THE GROCERY INDUSTRY. MATERIAL SAFETY DATA SHEETS ARE LOCATED IN THE MANAGERS OFFICE IN THE SAFETY AND CLAIMS Release Containment 03/17/1992 ABSORBANT AVAILABLE AS PART OF SPILL CLEAN-UP KIT, FOUND IN MANAGERS OFFICE. Clean Up 03/17/1992 DEEP INC, (818) 575-3715, SHOULD BE CONTACTED FOR 24 HOUR EMERGENCY RESPONSE CLEAN-UP. AN ACID SPILL KIT IS ON SITE TO NEUTRALIZE A POOL CARE PRODUCT SPILL. Other Resource Activation ~16- 09/30/2002 e e F VONS #2046 I f= Site Emergency Factors ~ Special Hazards Utility Shut-Offs . SiteID: 015-021-000955 ì Fast Format ì Overall Site ì I , 04/26/1999 A) GAS - OUTSIDE NE WALL B) ELECTRICAL - GM BACKROOM E WALL C) WATER - BAKERY BACKROOM E WALL D) SPECIAL - SPRINKLER RISER BAKERY E) LOCK BOX - NO BACK ROOM E WALL Fire Protec./Avail. Water 04/26/1999 PRIVATE FIRE PROTECTION - SPRINKLERS AND FIRE EXTINGUISHING EQUIPMENT (SERVICED ON A REGULAR BASIS) AVAILABLE THROUGHOUT FACILITY. PERSONNEL TRAINED IN PROPER USE AND MAINTENANCE OF EXTINGUISHING EQUIPMENT. FIRE HYDRANT - ADJACENT FIRE HYDRANTS. Building Occupancy Level -17- 09/30/2002 e e F VONS #2046 I F Training Employee Training SiteID: 015-021-000955 9 Fast Format 9 Overall Site 9 04/26/1999 WE HAVE 65 TO 70 EMPLOYEES AT THIS FACILITY. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARÝ OF TRAINING: A VIDEO IS SHOWN TO ALL EMPLOYEES ON SAFE USE OF PRODUCTS AND HOW TO CLEAN UP SPILLS. THE MATERIAL SAFETY DATA SHEETS ARE AVAILABLE FOR ALL EMPLOYEES TO READ. Page 2 r I I Held for Future Use Held for Future Use -18- 09/30/2002 t - ,¡t dOLi ~ VONS #~ ~ re.- Manager : lD.Î('~ meso. Location: 3400 STINE RD City BAKERSFIELD ~,~--;,\';: :-~-f:---~~ . ~~r"7 :'-';-:. .',"'~ e ..'> '''" SiteID: 215-000-000955 AP~ ,~ .~ 1999 ,.Ji: , BusPhone: Map : 123 Grid: 14A ('-to I) 835-0212 CommHaz : Low FacUnits: 1 AOV: '.___ ~....-~...--,..u_ CommCode: BAKERSFIELD STATION 07 EPA Numb: SIC Code:5411 DunnBrad:00-132-5034 -EmerqBn~__Contact / Title Emergency Contact / Title I...4rf y f'f\eS<4 _L STORE MANAGER EMERGENCY CONTACT '[0. ( ( :I tneSq 5 tore. mjr . Business Phone: ( <ot:.1 ,) 835-0212x Business Phone: (' lolol) 'ð35-0;;\.l;Z~ 24-Hour Phone : \Cs~ç 821-7565x 24-Hour Phone : Uø~Co ) ~-al-lS45 Pager Phone : (<61~ ) 4Q,\ - 4:;~ox Pager Phone : nn~ )L¡Ci9-lf39D x Hazmat Hazards: Fire Press React ImmHlth DelHlth MARCELLA GELMAN, FOOD (1o~1o ) <J'~ I -54>0 I x Contact : SAFETY & ENV. AFFAIRS Phone: MailAddr: P.O. BOX 513338 State: CA City : LOS ANGELES, CA 90051- Zip : 90051 1338 - .- ( (Q~ r ) Owner VONS COMPAN.IES_INf" Phone: 835-0212x Address : P.O. BOX 513338 State: CA City : LOS ANGELES, CA 90051- Zip : 90051 1338 Period : to TotalASTs: = Gal Pre parer: leI!"; D-e.~be\+-I Ao\Ø'rI\")\S;"'~+~v-e ~ssl·.rl"Jnt- TotalUSTs: = Gal Certif'd' " L~z.lø)'lJô\.l-6<sOI RSs: No Emergency Directives: p= Hazmat Inventory One Unified List ì p== As Designated Order All i-ê:ls at Site ì Hazmat Common Name.. . SpecHaz EPA Hazards DailyMax MCP BLEACH (LIQUID) IH L 200 GAL Hi MOTOR OIL F DH L 200 GAL Min INSECTICIDES R IH DH L 55 GAL UnR LYSOL F IH DH L 100 GAT" Mod CHARCOL BRIQUETTES F S 4600 LBS UnR INSTANT LITE BRIQUETTES/LOGS F S 2000 LBS Mod CHARCOL LIGHTER FLUID F L 70 GAL Mod POWDER BLEACH F IH DH S 1500 LBS Mod ALL PURPOSE CLEANERS F IH DH L 150 GAL Mod INSECTICIDE (SOLID) F IH S 35 LBS Low LAWN CARE/FERTILIZERS IH DH S 15 LBS Ext AEROSOLS 'f ~ ~ F P L 250 GAL Hi POOL CHLORINE (HYPOCHLORITj ~"<iJ~ R IH L 50 GAJ~ Hi DRY CHLORINE @.~ I}-m(¿~ S 250 LBS Mod POOL ACID (HYDROCHLORIC) ~á~~~d)fl9f'" R IH L 15 GAL Hi -1- · e e ~()4~ F VONS #ß'6 SiteID: 215-000-000955 ì p= Hazmat Inventory One Unified List ì f== As Designated Order All Materials at Site ì Hazmat Common Name... speCHazEPA Hazards Frm I DailyMax IUnitlMCP ALGACIDE ) ~(..,~ F R IH DH L 20 GAI.J Mod SODA ASH F IH S 10 LBS Low MAINTEX WAX IH DH L 50 GAL Low STRIPPER L 50 GAL Hi CARBON DIOXIDE F P IH G 500 FT3 Min SCANNER CLEANER F DH L 25 GAL Mod BREAK UP F IH L 40 GAL Hi COMET CLEANSER DH S 200 LBS Low HELIUM P DH G 500 F''I'3 UnR -2- 03/01/1999 805 835 1547 . _AP~_2~.1999 !~,:~ FR ~.~~,~§, ,. ....v,,,, . ~~~ ~~~ ±:~: TO.68213636 -. tILT( n-:A~ ~ 11 d. öL1 ~ r VJVV'" F VONS #~ ..-I., <:,l-o ('e., : Manager: Lo.rr.'1 rne..f>O. Location: 340Õ STINE RD City BAKERSFIELD BusPhone: Map : 123 Grid: 14A CommCode! BAKERSFIELD STATION 07 EPA Numb: P.01/02 1'11.1. Q.,);7 l.O't:lo:: SiteID: 215-000~000955 l,"~ll 835·0212 CommHaz : Low FacUnits: 1 AOV: All r., L ¡. L S' S L S L S S L L 9 L .~. ~1¡::¡ ¡:¡:;:I1 ,¡:;;,¡:;; SIC Code:S411 DunnBrad:OO-132-5034 Emerqencv Contact I Title Emergency Contact I Title l-a..rr':1 'f'reSC\_ I STORE MANAGER EMERGENCY CONTACT :Lo.t' (~mee.Q, Sf'c;"1!.m"r. -. .t!us'iness ~one: ( cÐløld 835-0212x Business Phone: (t.øløl) 'ð3$...o~I;¡" 24-Hour Phone : í~ 821-7565x 24-Hour Phone' . (G,;;t(ø) ~.I:;..:IS'.~:;; . Pager Phone : (~I~-r t.¡9'\ - Lf7Y'ox Pager phone = {~~"~J:lj,'~3'O X Hazmat Hazards: rire Press React ImmHlth DelHlth MARCELLA GELMAN, FOOD Phone: {b~Ic;,JV~ I -S~O Ix Contact : SAFETY & ENV. AFFAIRS MailAddr: P.O. BOX 513338 .., .~" , , State: CA' City : LOS ANGELES, CA 90051- zip : 90051 1338 , Owner vaNS c'COMPANIÊŠ' , INc; , Phcme; ((ö~L.L 835-02l2x Address . P.o. BOX 513338 " , St:'at:.e : CA . LOS ANGELES, CA 90051·' .. , City ; "Zi:sr : 90051 1338 ~ ',.---. .-...-----.', " Gal Period : to : TotalASTs: "" ,,-. prep~rer: l-et": D~;be.r+ I Ad""'¡/"'I\Si-or,,-t-ìuc A.ssrS+qOT TotalUSTs : ¡¡¡ Gal " RSs: 1>10' " ' CertJ.f I d' U.,~jj~\ -640 PlfIT .. Directives: ' ' " ~mergency . One Unified List ; . ala at Site 9 --....... Da.ilyMax 200 GAL 200 GAl, 55 GJU. 100 GAL 4600 LBG 2000 LBS 70 GAL 1500 LBS 150 GAL 35 LBS 15 LES 250 GAL L 50 GAJ~ ?50 LBS '15 GAL MCP p= Hazmat Inventory ~ As Designated Order EPA Hazards Hazmat Comrn~n Name... BLEACH (LIQUID) IH MOTOR OIL F DE: INSECTICIDES R IH DB: LYSOL F IH DH CRARCOL BRIQUETTES F INSTANT LITE BRIQUETTES/LOGS F CHARCOL LIGHTER FLUID F POWDER BLEACH F IH DH ALL PURPOSE CLEANERS F IE CH INSBCTICIDE (SOLID) F IH LAWN CARE/FERTILIZERS IH DR' AEROSOLS ' .. < F P POOL CIILORINB (HYPOCHLORITE; f.. I S/.·fJ R IH DRY CHLORINE QP}"'c1 POOL ACID (HYDROCHLORIC) t""+-.+, Q 'Å R IH 'I:I¿ 1 +. J,..~p. ! ~n· ~R 2Ø 1999 15=27 ~i Min UnR Mod Un'R Mod Mod Mod Mod Low E;¡:t Hi Hi Mod Hi 03/01/l999 1 .~ t : PQr.:c:' C\~ APR 21 1999 13:47 FR VONS 2046 ~~~~~~JJ .~.~U I ......' " .., ,. ... ,. _§~5 _§~5 _ _1~.47 TO 16268213636 e P.02/02 ~Oli~ F VaNS #.KG ,~ Hazmat Inventory ~ ~ As Designated order Hazmat Common Name. . . -:.....- SiteI!): 215-000-000955 " == One Unified List ì All Materials at Site 9 EPA Hazards DailyMa.X MCÞ F R IH DE: L 20 GAJ'.. Mod F IH S 10 LBS Low IH DH L 50 GA1J Low L 50 GAL Hi F p IH t3 500 P"!'3 Min F DH ,L 25 GAL Mod F IE: L 40 GAL Hi DR S 200 LES Low P DH G 500 P"f3 UnR ALGACIDB ì f~<l \ ~o ¡n SODA ASH) MAINTEX WAX STRIPPER CARBON !)IOXIDE SCANNER CLEANER BREAK UP COMET CLEANSER HELIUM ~. .. ~ -2- 03/01/1999 0== ~~ 1QQQ 1~!~~ Q1Q ~~1 ~~~~ ~QÎ& ~~ ** TOTAL PAGE.02 ** e e SiteID: 215-000-000955 l Facility Unit: Fixed Containers on Site l F VONS #46 ~ Inventory Item 0001 = COMMON NAME / CHEMICAL NAME BLEACH (LIQUID) Days On Site 365 Location within this Facility Unit AISLE 6 Map: Grid: CAS# 7681-52-9 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE:::J PLASTIC CONTAINER Largest Container ;;"'00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 200.00 GAL Daily Average 200.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Sodium Hypochlorite No 7681529 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# I MCP No No No No/ Curies IH / / / ; Hi HAZARD ASSESSMENTS ~ Inventory Item 0002 = COMMON NAME / CHEMICAL NAME MOTOR OIL Facility Unit: Fixed Containers on Site l Days On Site 365 Location within this Facility Unit AISLE 6 Map: Grid: CAS# 64742-54-7 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container aOO GAL AMOUNTS AT THIS LOCATION Daily Maximum 200.00 GAL Daily Average 200.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS # 100.00 Motor Oil, Petroleum Based No 8020835 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min - -3- 03/01/1999 e e F VONS #46 p= Inventory Item 0003 F= COMMON NAME / CHEMI CAL NAME INSECTICIDES SiteID: 215-000-000955 1 Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit AISLE 8/GROC BACKROOM Map: Grid: CAS# 67-63-0 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE METAL CONTAINR-NONDRUM Largest Container 5'S GAL AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL Daily Average 40.00 GAL HAZARDOUS COMPONENTS %Wt. I 100.00 Insecticides ~ CAS # 01 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# I MCP No No No No/ Curies R IH DH / / / UnR HAZARD ASSESSMENTS p= Inventory Item 0004 = COMMON NAME / CHEMI CAL NAME LYSOL Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit AISLE 8 Map: Grid: CAS # 64-17·5 [ ~TA~E I ~YPE ~ P~ESSURE ---r TEM~ERATURE I =LlqUld __Mlxtur~mblent ---1 Amblent ~ AMOUNTS AT THIS LOCATION Daily Maximum 100.00 GAL CONTAINER TYPE PLASTIC CONTAINER Daily Averag-/3 =¡ 85.00 ~ Largest Container GAL 100 %Wt. RS CAS # 79.00 Ethyl Alcohol No 64175 HAZARDOUS COMPONENTS b I I I TSecret RS BioHaz Radioactive/Amount I EPA Hazards NFPA USDOT# I~ No No No No/ Curies F IH DH / / / : Mod HAZARD A"SESSMENTS -4- 03/01/1999 e e SiteID: 215-000-000955 9 Facility Unit: Fixed Containers on Site 9 F VONS #46 p= Inventory Item 0005 F== COMMON NAME / CHEMICAL NAME CHARCOL BRIQUETTES Days On Site 365 Location within this Facility Unit FRONT WINDOW/BACKROOM Map: Grid: CAS # [ ST.l;\TEI ~YPE ~ P~ESSURE ---r TEM~ERATURE I =SOlld __Mlxtur~mblent ---1 Amblent ~ AMOUNTS AT THIS LOCATION Daily Maximum 4600.00 LBS CONTAINER TYPE =====¡ BAG = Largest Container 4 bOO LBS Daily Average 2000.00 LBS %Wt. J HAZARDOUS COMPONENTS G CAS # HAZARD ASSESSMENTS .' I TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies I F / / / I UnR p= Inventory Item 0006 F== COMMON NAME / CHEMICAL NAME INSTANT LITE BRIQUETTES/LOGS Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Uni~ FRONT WINDOW/BACKROOM Map: Grid: CA::'~# U -' %Wt. RS CAS # 25.00 Mineral Spirits No 8( [STATE I TYPE ~ PRESSURE ---r TEMPERATURE I BAG CONTAINER TYPE =-:J Solid Mixture I Ambient I Ambient I = AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average ;)..000 LBS 2000.00 LBS 1000.00 LBS HAZARDO S COMPONENTS =======¡ ~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Mod .. HAZARD ASSESSMENTS -5- 03/01/1999 e e F VONS #46 p= Inventory Item 0007 = COMMON NAME / CHEMICAL NAME CHARCOL LIGHTER FLUID SiteID: 215-000-000955 9 Facility Unit: Fixed Containers on Site ~ Days On Site 365 Location within this Facility Unit FRONT WINDOW/BAKCROOM Map: Grid: CAS # 8002742 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 'ÎO GAL AMOUNTS AT THIS LOCATION Daily Maximum 70.00 GAL Daily Average 30.00 GAL ~Wt I l~o.åo Naphtha HAZARDOUS COMPONENTS CAS # I 8~~30306 [æ] .::; TSecret RS BioHaz Radioactive/Amount I EPA Hazards NFPA USDOT# MCP No No No No/ Curies I F / / / Mod -, HAZÞ~D ASSE'SMENTS p= Inventory Item 0008 = COMMON NAME / CHEMI CAL NAME POWDER BLEACH Facility Unit: Fixed Containers on Site 9 Days On t,ite 365 Location within this Facility Unit AISLE 6/BACKROOM Map: Grid: CA:::# 497198 ::. [ ST~TE I TYPE ~ P~ESSURE -¡ TEM~ERATURE -I =Solld __pure ~mblent ~ Amblent ~ AMOUNTS AT THIS LOCATION Daily Maximum 1500.00 LBS CONTAINER TYPE BOX Largest Container LBS Daily ~ Average 700.~O LBS \ Sù 0 ..--- %Wt. RS CAS*!: Sodium Carbonate No 49'7198 Sodium Perborate No 7632044 - HAZARDOUS COMPONENTS I TSecret RS BioHaz Radioactive/Amount I EPA Hazards NFPA USDOT# i MCP I No No No No/ Curies I F IH DH / / / !'vIod I HAZARD ASSESSMENTS -6·- 03!Ol/1999 e e SiteID: 215-000-000955 1 Facility Unit: Fixed Containers on Site ì F VONS #46 p= Inventory Item 0009 = COMMON NAME / CHEMI CAL NAME ALL PURPOSE CLEANERS Days On Site 365 Location within this Facility Unit AISLE 8 Map: Grid: CAS# STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE =====¡ PLASTIC CONTAINER I AMOUNTS AT THIS LOCATION Largest Container J Daily Maximum I \ 60 GAL __ 150.00 GAL " Daily Averag~' I 90.0~ HAZARD US COMP ENT %Wt. RS CAS# 2-Butoxyethanol No 111762 - o ON S HAZARD SSK~ M T i TSecret RS BioHaz Radioactive/Amount I EPA Hazards NFPA USDOT# MCP No No No No/ Curies I F IH DH / / / l\1od A cs EN S p= Inventory Item 0010 = COMMON NAME / CHEMI CAL NAME INSECTICIDE (SOLID) Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit AISLE 8/GROC BACKROOM Map: Grid: CA;:;# 67-63-0 [ ST1:\.TE I TYPE ~ P~ESSURE ---r TEM~ERATURE -, =SOlld ____pure ~mblent ---1 Amblent ~ [ AMOUNTS , AT THI~ LOCATION Largest Container Dally Maxl.mum I 3S LBS 35.00 LBS " HAZARDOUS COMPONENTS CONTAINER TYPE BOX Daily Average 2S.00 LBS %Wt. N~sll No '-------i 4.00 Metaldehyde 95.00 Boric Acid CAS::¡ 9002919 1ù043353 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT: No No No No/ Curies F IH / / / #J MCP I Low -7- 03/01/1999 e e f VONS #46 p= Inventory Item 0011 F== COMMON NAME / CHEMICAL NAME LAWN CARE/FERTILIZERS SiteID: 215-000-000955 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit AISLE 8 Map: Grid: CAS # [ ST1;\TE I '!YPE ~ P~ESSURE ----r TEM~ERATURE I =SOlld __Mlxtur~mblent ~ Amblent ~ AMOUNTS AT THIS LOCATION Daily Maximum 15.00 LBS CONTAINER TYPE BOX Largest Container LBS t~ Daily Average 7.00 LBS = %Wt. RS CAS # 11. 00 Dichlorophenoxyacetic Acid No 94757 12.00 Dimethylamine No ::..24:403 8.00 Nitrogen No 7727379 HAZARDOUS COMPONENTS ., TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDO'I':: No No No No/ Curies IH DH / / / HAZARD ASSESSMENTS ;:--'1. ~CP I ~xt p= Inventory Item 0012 COMMON NAME / CHEMICAL NAME AEROSOLS Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit THROUGHOUT BUILDING Map: Grid: CAlI:; *I: STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TY?E ~ METAL CONTAINR-NOND~~ Largest Container GAL AMOUNTS AT Daily THIS LOCATION Maximum I 250.00 GAL , Daily Average=;J 200. ()O G}\.L ,-- Ô'S0 %Wt. RS CASf 70.00 Isobutane No 20.00 n-Butane Or Butane Mixture No 10.00 Propane No HAZARDOUS COMPONENTS 75285 106978 74986 Ii TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA US DO'I':fi: No No No No/ Curies I F' P / / / HAZARD ASSE"'SMENTS J ~iP I -8- 03/01/1999 e e SiteID: 215-000-000955 1 Facility Unit: Fixed Containers on Site 1 F VaNS #46 p= Inventory Item 0013 COMMON NAME / CHEMICAL NAME POOL CHLORINE (HYPOCHLORITE) Days On Site 365 Location within this Facility Unit AISLE 8 Map: Grid: CAS# 768J.529 STATE - TYPE Liquid Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL so AMOUNTS AT THIS LOCATION Daily Maximum 50.00 GAL Daily Averag-e I 50.00 ~ HAZ U c ENT %Wt. RS CAS # 11.00 Sodium Hypochlorite No - ARDO S ~OMPON S 7681529 HAZARD ASSESSM TS TSecret RS BioHaz Radioactive/Amount I EPA Hazards NFPA USDOT# I rJICP No No No No/ Curies I R IH / / / I Hi .. EN p= Inventory Item 0014 COMMON NAME / CHEMICAL NAME DRY CHLORINE Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit AISLE 8 Map: Grid: CAS # Largest Container õ\SD LBS PRESSURE --r TEMPERATURE I Ambient funbient ~ AMOUNTS AT THIS LOCATION Daily Maximum I 250.00 LBS I ,::=:=J CONTAINER TYPE = PLASTIC CONTAINE~__~ STATE - TYPE Solid Mixture Daily Averagí;ò 200.00 LBS HAZARDOUS COMPONENTS %Wt. R" CAS#: ~, Sodium Dichloro-s-triazinetrione No 289 Calcium Hypochlorite No 7'77 .. .. I 3789 8543 TSecret RS BioHaz No INO No HAZARD ASSESSMENTS Radioactive/Amount i EPA Hazar~ No/ Curies I NFPA / / / USDOT#l MCP I Mod -9- 03/01/1999 e e í VONS #46 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000955 ¡ íë Inventory Item 0015 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site ¡ íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ ° POOL ACID (HYDROCHLORIC) 0 Days On Site ° ° 0 365 ° ° Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ ° AISLE 8/HABA BACKROOM ° CAS # 0 ° ° 7647010 ° åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSTJRE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ ° Liquid 0 Pure ° Ambient 0 Ambient ° PLASTIC CONTAINER 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëè8ëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡ ° Largest Container ° Daily Maximum ° Daily Average ° ~ëëëëëëëëëëëëëëë~~ëëë~~ëë~ëëëëëëëëëëëëëë~~ê~~ë~~ëë~ëëëëëëëëëëëëëë~~ê~~ë~~ëë; íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ o %Wt. 0 ° RSO CAS # 0 ° 32. OOOHydrochloric Acid °No ° 7647010° ° 34.000Phosphoric Acid °No 0 ~E643820 åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëÔëëëëëëëj íëëëëëëëîëëëîël~ëëëëîëëëëëëëëëëë HAZARD ASSESSrvJ:ENTS ëëëîëëëëëëëëëîëëëëëë(;~éîëëëëë ¡ 0TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 ¡VICP ° o No 0No ° No 0 No/ Curies 0 R IH 0 / / / 0 0 Hi 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj e e íë Inventory Item íëë COMMON NAME / ° ALGACIDE o ° Location within this Facility Unit ° AISLE 8 0016 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site ¡ CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ ° Days On Site ° o 365 ° ûááááááááááááááááÇ o CAS# 0 Map: Grid: ° ° o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ ° Liquid 0 Mixture ° Ambient ° Ambient 0 PLASTIC CONTAINER 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡ o Largest Container 0 Daily Maximum 0 Daily Average 0 ° 00 GAL 0 20 .00 GAL ° 12 . 00 GAL ° åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ ° %Wt. ° ° RSo CAS# 0 ° 10.000Alkyl Dimethylbenzylammonium Chloride °No 0 80015450 o 2.000Ethanol 0No 0 641750 ° 6. 00 ° Polyoxyethylene °No 0 :~~5322683° åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë¡ °TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards ° NFPA 0 USDOTÞ 0 MCP ° o No 0No 0 No 0 No/ Cur::,es ° F R IH DH ° / / / ° 0 Mod ° åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëÜëëëëëj e e -10- 03/01/1999 e e í VONS #46 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000955 ¡ íë Inventory Item 0017 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site ¡ íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ o SODA ASH 0 Days On Site 0 o 0 365 0 o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o AISLE 8 0 CAS # 0 o 0 497-19-8 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Solid 0 Pure 0 Ambient 0 Ambient 0 BAG 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡ o Largest Container 0 Daily Maximum 0 Daily Average 0 o /0 LBS 0 10.00 LBS 0 6.00 LBS 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ o %Wt. 0 0 RS 0 CAS # 0 o 100.00oSodium Carbonate 0No 0 4971980 åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë¡ 0TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# 0 MCP 0 o No 0No 0 No 0 No/ Curies 0 F IH 0 / / / 0 0 Low 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj e e íë Inventory Item íëë COMMON NAME / o MAINTEX WAX o 0018 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site ¡ CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ o Days On Site 0 o 365 0 ûááááááááááááááááÇ o CAS# 0 Map: Grid: o Location within this Facility Unit o BACKROOM NORTH WALL o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Liquid 0 Mixture 0 Ambient 0 Ambient 0 PLASTIC CONTAINER 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡ o Largest Container 0 Daily Maximum 0 Daily Average 0 ~ëëëëëëëëëëëëë~ë~ëëëëë~~~ëë~ëëëëëëëëëëëëëë~~ê~~ë~~ëë~ëëëëëëëëëëëëëë~~ê~~ë~~ëë; íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ o %'Wt. 0 0 RS 0 CAS # 0 o 0Ethylene Glycol Diethyl Ether °No 0 6291410 o 0Ethylene Glycol 0No 0 1072110 äëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë¡ 0TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards 0 NFPA 0 USDOT# () MCP 0 o No 0No 0 No 0 No/ Curies 0 IH DH 0 / / / 0 0 Low 0 äëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëüëëëëëj -11- 03/01/1999 e e í VONS #46 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000955 ¡ íë Inventory Item 0019 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site ¡ íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ o STRIPPER ° Days On Site 0 ° 0 365 ° ° Location within this Facility Unit ° BACKROOM NORTH WALL Map: Grid: ûááááááááááááááááÇ o CAS # 0 ° ° ° åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ ° Liquid ° Mixture ° Ambient ° Ambient 0 PLASTIC CONTAINER ° åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡ ° Largest Container 0 Daily Maximum 0 Daily Average 0 ° tÇO GAL 0 50.00 GAL 0 20.00 GAL 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ ° %Wt. 0 0 RSo CAS # ° ° 0Ethoxylated Nonylphenol °No 0 00 ° 02-Butoxyethanol °No 0 1117620 ° °Ethanolamines (family name) °No ° 141435° åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëëëëëj íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë¡ 0TSecretO RSoBioHazo Radioactive/Amount ° EPA Hazards 0 NFPA 0 USDOT# 0 MCP ° ° No °No ° No ° No/ Curies ° 0 / / / 0 ° Hi ° åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëëëëëÜëëëëëj íë Inventory Item 0020 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site ¡ íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ o CARBON DIOXIDE 0 Days On Site 0 ° 0 36':; 0 o Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ ° SERVICE DELI ° CAS # 0 o ° 124-38-<:) 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ ° Gas ° Pure ° Above Ambient 0 Ambient ° PORT. PRESS. CYLINDER 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëëëëëëë¡ ° La:cgest Container ° Daily Maximum ° Daily Averaqe ° ~ëëëëëëëëëëëëë~~~ëëëë:r~ëë~ëëëëëëëëëëëëë~~~ê~~ë:r~ëë~ëëëëëëëëëëëëë~~~'~~:~:~ë:r~ëë; íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëëëëëëëëë¡ ° %Wt. ° 0 RSo CA.s:~ ° ° 100.000Carbon Dioxide °No 0 1243890 åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëéëëëëëëëj íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë¡ 0TSecret.0 RSoBioHazo R.adioactive/Amount 0 EPA Hazards 0 NFPA C USDOT# 0 Jl.ICP 0 ° No °No 0 No ° No/ Curies 0 F P IH 0 / / / 0 0 Min ° åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëë0òëüëëëëëj -12- 03/01/1999 e e í VONS #46 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000955 ¡ íë Inventory Item 0021 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site ¡ íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ ° SCANNER CLEANER ° Days On Site 0 ° a 365 ° ° Location within this Facility Unit Map: Grid: ûááááááááááááááááÇ o BACKROOM NORTH WALL ° CAS# ° ° o ° åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëë.î. TEMPERATURE ëëîëëëë CONTAINER 'rV:?E ëëëëë ¡ ° Liquid ° Mixture ° Ambient a Ambient ° PLASTIC CONTAINER 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî M~OUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëëëëÉ~ëëëëë¡ o Largest Container 0 Daily Maximum ° Daily Average 0 ~ëëëëëëëëëëëëëëë~~ëëë~~~ëë~ëëëëëëëëëëëëëë~~ê~~ë~~ëë~ëêëëëëëëëëëëëë~~ë~~ë~:~ëë; íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëéëëëëëëë¡ o %Wt. ° a RSO CAS:~ ° o ° Isopropanol 0No a 676300 ° °Ethylene Glycol Diethyl Ether °No 0 S29141° åëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëêëëëêëëj íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZARD ASSESSMENTS ëëëîëëëëëëëëëîëëëëëëëëîëëëëë¡ 0TSecretO RSoBioHaza Radioactive/Amount 0 EPA Hazards a NFPA 0 USDO':L'::i: ~ ¡V¡CP 0 ° No °No a No a No/ Curies 0 F DH a / / / 0 () Mod 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëüëëëëëëëëëüëëëëë~~~üëëëëëj íë Inventory Item 0022 ëëëëëëëëëëëëëëë Facility Unit: Fixed Container:3 on Site ¡ íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëë~ëëëëeëëëi a BREAK UP a Days On Sit.e a o Location within this Facility Uni'c ° BACK ROOM NORTH WALL Map: Grid: o ~GS 0 fiáãááááá~~¿ãáãáááÇ ° Cj.!.::-# 0 a ° ° o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëe~~¿ëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TŸ.-:"¡;; ëëëëë ¡ o Liquid ° Mixture 0 Ambient 0 Ambient a PLASTIC CONTAINER ° åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëèëëëëëëëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëèééêëëëëëë¡ a Largest Coqt,ainer 0 Dai.ly Maximum a Daily Ave'-d.,:'-e 0 o '\0 GAL 0 40.00 GAL a 1\) .-,,) GAL 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëêëëëëëëëëëêëëëè8~:ëëëèêëëf íëëëëëëëîëëëëëëëëëêëëëë HAZARDOUS COfI~PONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëèèéëëëëëë¡ a %Wt. a a RS 0 CA[;'':': a ° 2. OOapotassium aNo 0 1'4400970 a 2. OOOEthylene Glycol Monobutyl Ether 0No 0 1117620 o 7. OOOTetrapotassiuIn Pyrophosphate aNo 0 7320345° åëëëëëëêüëëêêëêëëëêêëëëëêëêëëëëëëëëêëëêêëêêéëëêëëëëëëëêëëëëüëëëüêêêëëðêê0êêêêëëj íëëëëëëëîëëëîêëëëëêîëëëëëëëêëëë HAZARD ASSESSMENTS ëëêîëëëëëëëëëîêëëëëëëëíëëëëë¡ 0TSecret a RSoBioHaz:> Radioactive/Amount 0 EPA Hazards 0 NFPA <) USDl'y,',,: 0 MCP 0 ° No °No 0 No 0 No/ Curies 0 2 Id a / / / 0 0 i,d, 0 åëëëëëëëüëëëüëêëëëëüëëëëëëëëëëëëëëëëëëêêüëêëëëëëëëëëëëüëëëëëëëëëüëëêëëö~:êtiëéëëëf -13- ,)::' /01/1999 e e í VONS #46 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-,000955 ¡ íë Inventory Item 0023 ëëëëëëëëëëëëëëë Facility Unit: Fixed Containers on Site ¡ íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëë.~éëëëëëëë¡ ° COMET CLEANSER 0 Days O~:l Site ° ° ° 365 ° ° Location within this Facility Unit Map: Grid: ûááááááááciáááááááÇ o AISLE 8 ° CAS# 0 ° ° 7722-82-5 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëëj íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER TYPE ëëëëë¡ o Solid 0 Pure 0 Ambient 0 AmbÜ,mt 0 BOX ° âëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëê0E~~ë~Aëëëj íëëëëëëëëëëëëëëëëëëëëëëëëëëî AMOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëè':~~:~ëëëëëëë ¡ ° Largest Container ° Daily Maximum 0 Daily Ave:;::'atje 0 ° 0 IÆS 0 200.00 LBS 0 20(1 ::-,0 L:í3S 0 åëëëëëëëëëëëëë~~ëëëëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëéeéëëëëëëëj íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëëëèéëëëëëë¡ ° %Wt. ° 0 RS 0 CAS# 0 ° 100.OOOTetrasodium Pyrophosphate °No 0 7722885° âëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëêëéêëëëëëëj íëëëëëëëîëëëîëëëëëëiëëëëëëëëëëë HAZARD ASSESSMENTS ëëëî.ëëëëëëëëëîëëëëëë0Äîëëëëë¡ 0TSecret 0 RSoBioHaz 0 Radioactive/Amount 0 E!?A Hazards 0 NFPA 0 USDOT:c; ;) I.ICP ° ° No °No 0 No 0 No/ Curies 0 DH 0 / / / 0 C ~ow ° åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëüëéëëëëëëëëëëëüëëëëëëëëëüëëëë~ê6ëüë~ëëëf íë Inventory Item 0024 ëëëëëëëëëëëëëëë Facility Unit: Fixed Container:=: on Site ¡ íëë COMMON NAME / CHEMICAL NAME ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëîëëëëëëëëëëëëëëëë¡ ° HELIUM 0 Days 0;-1 Site 0 ° 0 36S 0 ° Location within this Facility Unit: Map: Grid: ùáááááá;-;~á;:t':i.;::::i'~.áááÇ o FLORAL DEPT 0 C-'..::;~F 0 ° 0 7440-S~-7 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëëëë0~~ëëê,~ëëëf íë STATE ëîë TYPE ëëëîëë PRESSURE ëëëî TEMPERATURE ëëîëëëë CONTAINER T'I¡')~ ëèëëë i o Gas ° Pure 0 Ambient 0 Ambient 0 PORT. PRESS. CY.LTNDER 0 åëëëëëëëëëüëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëëüëëëëëëëëëëëëëëë0ë~ëëëëëëëf íëëëëëëëëëëëëëëëëëëëëëëëëëëî AlVIOUNTS AT THIS LOCATION ëëëëëëëëëëëëëëëëèèëëèëëëë¡ ° Largest Containe:c 0 Da:t,ly Maximum 0 Daily JAve:cCl.(:r'~~ 0 ° 5""00 FT3 0 508.00 FT3 0 50~1 '"¡(I '::'T3 ° âëëëëëêëëëëëëëëëëëëëëëëëëëèüëëëëëëëëêêëëëëëëêëëëëëëëëüëêëëëëëëëëëëëëë0el~e~eeêëëf íëëëëëëëîëëëëëëëëëëëëëë HAZARDOUS COMPONENTS ëëëëëëëëëëëëëëîëëëîëëëëëé,:~éeëëëëëë ¡ ° %Wt. ° 0 RS 0 Ci\,~~:t: ° o 100.000Helium 0No 0 74405970 âëëëëëëëüëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëüëëëüëëëëëëëëëëëèëëë¡ íëëëëëëëîëëëîëëëëëëîëëëëëëëëëëë HAZAR.D ASSESSMENTS ëëëîëëëëëëëëëîëëëë(>¿(~.~,îëeëëë ¡ 0TSecretO RSoBioHazo Radioactive/Amount 0 EPA Hazards ° NFPA ° USDO'T':: C' ¡:,1CP 0 o No 0No ° No 0 No/ Curies 0 P DH 0 / / / 0 () UnR 0 åëëëëëëëüëëëüëëëëëëüëëëëëëëëëëëëëëëëëëëëÜëÞ.ëëëëëëëëëëëüëëëëëëëëëüëëëëèëÒëüëëëëëf --14- n? I OJ,/ 1999 e e í VONS #46 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëÈ~ëëëëëëëëëëëë SiteID: 215-0(i!), ::00955 íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë~~ëëëëëëëëëëëëëëëëëëëëëëë F a:3 L :~'orma t íë Notif./Evacuation/Medical ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site íëë Agency Not i fica t ion ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 06/ J. c / -'.. 9 91 i o 0 o CALL 911 o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëêëêëëëëëëëj íëëë Employee Notif./Evacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 06/:1.8/1')91 i o 0 o PERSON IN CHARGE WILL COORDINATE EVACUATION (AS PER PROCEDURES OUTLL1;¡;:;;;:¡ IN o VONS SAFETY GUIDE, UTILIZING PUEr,lC ADDRj:<;SS SYSTEM. EMPLOYEES WILL A:jSJB:C o CUSTOMERS TO THE NEAREST EMERGENCY EXIT. PERSONNEL WILL IMMEDIATELY NOT:':PY o APPROPRIATE EMERGENCY-RESPONSE AGENCIES VIA TELEPHONE CALL TO 1191111. VONS o SECURITY DEPARTMENT WILL ALSO BE NOTIFIED. o o o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëp.ëëëëëëëj íëëëë Public Notif. /Evacuation ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 06/ Jt~/ .1.991 i o 0 o PERSON IN CHARGE r,HLL COORDINATE EV;'\.CTJA'r:ON (AS OUTLINED IN vans SA::T~'T'Y o GUIDE) UTILIZING PUBLIC ADDRESS SY'l'EM. ;~!"{PLOYfŒS WILL ASSIST CUSTO!·1::<;;~,:3 o NEAREST EMERGENCY EXIT. 0 TO 0 0 0 o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëë Emergency Medicai Plan ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 06/18/1991 i o 0 o "91111 WOULD BE USED TO SUMMON EMER(iEI\fCY I\'rSDICAL ASSISTANCE. WE WOU::,D :!:~E~:;:"'/ o ON RESPONDING EMERGENCY PERSONNEL '1'0 ASCERTAIN THE LOCATION OF THE N¡~j\P,I:srj' o MEDICAL FACILITY EQUIPPED TO RESPOND TO OUR SPECIFIC NEEDS, AT THE TINE. o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëêëëëëë~èêëëëêëëëëëëëëëëëëëëëëëëëëé~,~ëë~ëëëëj -15- 03/01/1999 It e í VONS #46 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000,-000955 íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format íë Mitigation/Prevent/Abatemt ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site iëë Release Prevention ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/17/1992 ¡ o 0 o RETAIL GROCERY ITEMS PACKAGED FOR RETAIL SALES IN SMALL QUANTITIES SHIPPED o TRUCK TO SHELF. MINIMAL BACK STOCK IS MAINTAINED. EMPLOYEE TRAINING o MANDATORY FOR NEW HIRES. THIS PROGRAM WAS DEVELOPED BY THE FOOD MARKETING o INSTITUTE SPECIFICALLY FOR USE IN THE GROCERY INDUSTRY. MATERIAL SAFETY o DATA SHEETS ARE LOCATED IN THE MANAGERS OFFICE IN THE SAFETY AND CLAIMS o o o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëêëëëêêëëëëëëëëëëëëëëëëëëëëëðëëéèëëëj iëëë Release Containment ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03!~7/1992 ¡ o 0 o ABSORBANT AVAILABLE AS PART OF SPILL CLEAN-UP KIT, FOUND IN MANAGERS OFFICE. 0 o 0 åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj iëëëë Clean Up ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 03/17/1992 ¡ o 0 o DEEP INC, o CLEAN-UP. o SPILL. (818) 575-3715, SHOULD BE COl-JTN~TED FOR 24 HOUR EMERGENCY RESPONSE 0 A1\T ACID SPILL KIT IS ON :=aTE TO NEUTRALIZE A POOJJ CARE PRODT.TCT 0 o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj iëëëëë Other Resource Activation ëëëëëëëëëëêëëëëëëëëëëëëëëëëëëëëëëëëëëëêêêëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëeëëëëëëëëj e e -16- 03/01/1999 e e í VONS #46 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000955 ¡ íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format ¡ íë Site Emergency Factors ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site ¡ íëë Special Hazards ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëë Utility Shut-Offs ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 04/06/1990 ¡ o 0 o A) GAS - OUTSIDE NORTHEAST EAST WALL o B) ELECTRICAL - GM BACKROOM EAST WAIJJ.J o C) WATER - BAKERY BACKROOM EAST WALL o D) SPECIAL - SPRINKLER RISER BAKERY BACK ROOM EAST WALL o E) LOCK BOX - NO o o o o o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëë Fire Protec./Avail. Water ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 04/06/1990 ¡ o 0 o PRIVATE FIRE PROTECTION - SPRINKLERS AND FIRE EXTINGUISHING EQUIPMENT o (SERVICED ON A REGULAR BASIS) AVAILABLE T~ROUGHOUT FACILITY. PERSO~TI~EL o TRAINED IN PROPER USE AND MAINTENANCE OF EXTINGUISHING EQUIPMENT. o o o o o o o o o o FIRE HYDRANT - ADJACENT FIRE HYDRANTS. o o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëÈ\ëëëëëëëëëj íëëëëë Building Occupancy Level ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëêëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj -17- 03/01/1999 ~ e e í VONS #46 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë SiteID: 215-000-000955 íëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Fast Format íë Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë Overall Site íëë Employee Training ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë 09/17/1992 ¡ o 0 o WE HAVE 65 TO 70 EMPLOYEES AT THIS FACILITY o o o o WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. o o 0 USE OF 0 ARE 0 0 0 o BRIEF SUMMARY OF TRAINING: A VIDEO IS SHOWN TO ALL EMPLOYEES ON SAFE o PRODUCTS AND HOW TO CLEfu~ UP SPILLS. THE MATERIAL SAFETY DATA SHEETS o AVAILABLE FOR ALL EMPLOYEES TO READ. o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëë Page 2 ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë¡ 0 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj íëëëëë Held for Future Use ëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëë~ëëëëëëë¡ o 0 o o åëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëëj -18- 03/01/1999 A< ..¡, Ol/12/9)í e 41- General Information ~ ;l~:~ ~~111 I By = ~ ~ VONS GROCERY COMPANY ~46) 215-000-000955 Overall Site wit~ Fac. Unit / . ,- Location: 3400 STINE RD Community: BAKERSFIELD STATION 07 Map: 123 Hazard: Low Grid: 14A FlU: 1 AOV: 0.0 --- Contact Name STEVEN SHUBERT LOSS PREVENTION ~ ~ ~ - Title MANAGER Business Phone -- 24-Hour Phone- (805) 835-0212 x (818) 821-7565 (818) 821-3933 x (818) 821-7565 Administrative Data Mail Addrs: .P 0 BX 33!8·.,TERMINAL ANNEX City: LOS ANGELES Comm Code: 215-007 BAKERSFIELD STATION 07 D&B Number: 00-132-5034 State: CA Zip: 90051- SIC Code: 5411 Owner: VONS COMPANIES INC Address: P 0 BX 3338 ATTN: TAX DEPT City: LOS ANGELES Phone: (805) 835-0212 State: CA Zip: 90051- Summary \~ :.:._~\.: D_,,,.,, e I( (oj ~ c -( (..k~ l'-..G\ '. ~ - l.\ 1..\ ---' C i\ -2:::> ~~ \.J r . ~G, ~Ci- ~'-\~ S ~ f\ f\ 1.\.., L(\ '\ \ \..\ _ 541...\ - ~ t, ~ a U.~\~ ~ I, ~..:.. rn<-(..~,~ _ .. .. ,',:;.e Of Orin[ "'IITl9) ~u I ¡arerw cartrtv that ~ have ¡9Vlewe·'" -"~.o:: a!·~I""""" h .. ,~ iQ...i I<:;Q "azardous matenals manag~ ment plan Tor Y O'Y'\ .s ~ . (Name 01 BU8#1ess¡) ..nd that it along with any COrTGctions constitute a complete a"'" co I ru rract marr agement p~n tar my facility. ~L~~ ~~~1'11 e e 01/12/94 VONS GROCERY COMPANY *46 215-000-000955 Hazmat Inventory List in MCP Order Page 2 02 - Fixed Containers on Site PIn-Ref Name/Hazards Form Max Qty MCP 02-011 LAWN CARE/FERTILIZERS Solid 15 Extreme ~ Immed Hlth, Delay Hlth LBS 02-001 BLEACH (LIQUID) Liquid 200 High ~ Immed Hlth GAL 02-012 AEROSOLS Liquid 250 High ~ Fire, Pressure GAL 02-013 POOL CHLORINE (HYPOCHLORITE) Liquid 50 High ~ Reactive, Immed Hlth GAL 02-015 POOL ACID (HYDROCHLORIC) Liquid 15 High ~ Reactive, Immed Hlth GAL 02~019 STRIPPER Liquid 50 High ~ GAL 02-022 BREAK UP Liquid 40 High ~'Fire, Immed Hlth GAL 02-004 LYSOL Liquid 100 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-006 INSTANT LITE BRIQUETTES/LOGS Solid 2000 Moderate ~ Fire LBS 02-007 CHARCOL LIGHTER FLUID Liquid 70 Moderate ~ Fire GAL 02-008 POWDER BLEACH Solid 1500 Moderate ~ Fire, Immed Hlth, Delay Hlth LBS 02-009 ALL PURPOSE CLEANERS Liquid 150 Moderate ~ Fire, Immed Hlth, Delay Hlth GAL 02-014 DRY CHLORINE Solid 250 Moderate ~ LBS 02-016 ALGACIDE Liquid 20 Moderate ~ Fire, Reactive, Immed Hlth, Delay Hlth GAL 02-021 SCANNER CLEANER Liquid 25 Moderate ~ Fire, Delay Hlth GAL 02-010 INSECTICIDE (SOLID) Solid 35 Low ~ Fire, Immed Hlth LBS 02-017 SODA ASH Solid 10 Low ~ Fire, Immed Hlth LBS e e 01/12/94- VONS GROCERY COMPANY #46 215-000-000955 Hazmat Inventory List in MCP Order Page 3 02 - Fixed Containers on Site PIn-Ref Name/Hazards 02-018 MAINTEX WAX ~ Immed Hlth, Delay Hlth 02-P23 COMET CLEANSER ~ Delay Hlth 02-002 MOTOR OIL ~ Fire, Delay Hlth Form Max Qty MCP Liquid 50 Low GAL Solid 200 Low LBS Liquid 200 Minimal GAL 02-020 CARBON DIOXIDE ~ Fire, Pressure, Immed Hlth Gas 500 Minimal FT3 02-003 INSECTICIDES ~ Reactive, Immed Hlth, Delay Hlth Liquid 55 Unrated GAL 02-005 CHARCOL BRIQUETTES ~ Fire Solid 4600 Unrated LBS e e 01/12/94, VONS GROCERY COMPANY #46 215-000-000955 02 - Fixed Containers on Site Page 4 Hazmat Inventory Detail in MCP Order 02-011 LAWN CARE/FERTILIZERS ~ Immed Hlth, Delay Hlth Solid 15 Extreme LBS CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: OTHER Daily Max LBS ----r-- Daily Average LBS --r-- Annual Amount LBS -- 15 I 7.00 I 15.00 Storage r Press T Temp ~ Ambient AmbientlAISLE 8 Location BOX Components Dichlorophenoxyacetic Acid Dimethylamine Nitrogen ~ MCP fTUide Minimal 55 Extreme 19 Low 21 Conc 11. 0% 12.0% 8.0% 02-001 BLEACH (LIQUID) ~ Immed Hlth Liquid 200 High GAL CAS #: 7681-52-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: CLEANING Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 200 I 200.00 I 5,200.00 Storage PLASTIC CONTAINER r Press T Temp -:-1 Ambient AmbientAISLE 6 Location - Conc l 100.0% Sodium Hypochlorite Components r:: MCP --,-G. uide I High I, 45 , , - e e 01/12/9"4 VONS GROCERY COMPANY #46 215-000-000955 02 - Fixed Containers on Site Page 5 Hazmat Inventory Detail in MCP Order 02-012 AEROSOLS ~ Fire, Pressure Liquid 250 High GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: OTHER Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 250 I 200.00 I 250.00 Storage r Press T Temp -:ì Location METAL CONTAINR-NONDRUM Ambient AmbientlTHROUGHOUT BUILDING Components I~ MCP JUide High 22 High 22 Extreme 22 Conc 70.0% 20.0% 10.0% Isobutane n-Butane Or Butane Mixture Propane 02-013 POOL CHLORINE (HYPOCHLORITE) ~ Reactive, Immed Hlth Liquid 50 High GAL CAS #: 7681529 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: WATER TREATMENT Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 50 I 50.00 I 500.00 Storage PLASTIC CONTAINER r Press T Temp -:ì Ambient AmbientAISLE 8 Location - Conc -I 11.0% Sodium Hypochlorite Components r:: MCP ----rGuide High I 45 02-015 POOL ACID (HYDROCHLORIC) ~ Reactive, Immed Hlth Liquid 15 High GAL CAS #: 7647010 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: OTHER Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 15 I 10.00 I 15.00 Storage PLASTIC CONTAINER r Press T Temp ~I Location Ambient AmbientlAISLE 8/HABA BACKROOM Components ~ MCP :rUide High 15 Moderate 60 Conc 32.0% 34.0% Hydrochloric Acid Phosphoric Acid e e o 1/ 12 / 9'4 VONS GROCERY COMPANY i46 215-000-000955 02 - Fixed Containers on Site Page 6 Hazmat Inventory Detail in MCP Order 02-019 STRIPPER þo Liquid 50 High GAL' CAS i: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: ANESTHETIC Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 50 I 20.00 I 100.00 Storage PLASTIC CONTAINER r Press T Temp -:ì Location Ambient AmbientBACKROOM NORTH WALL Components Ethoxylated Nonylphenol 2-Butoxyethanol Ethanolamine (Family Name - see also 1465, 2636 MCP ~Uide Minimal 1 Moderate 26 High 60 Cone 0.0% 0.0% 0.0% 02-022 BREAK UP ÞO Fire, Immed Hlth Liquid 40 High GAL CAS i: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 40 I 10.00 I 80.00 Storage PLASTIC CONTAINER r Press T Temp -:-1 Location Ambient AmbientBACK ROOM NORTH WALL - Cone 2.0% 2.0% 7.0% Components I~ MCP ~Uide Extreme 40 Moderate , 26 Minimal 5: Potassium Ethylene Glycol Monobutyl Ether Tetrapotassium Pyrophosphate ,~ , , e e 01/12/94 VONS GROCERY COMPANY #46 215-000-000955 02 - Fixed Containers on Site Page 7 Hazmat Inventory Detail in MCP Order 02-004 LYSOL ~ Fire, Immed Hlth, Delay Hlth Liquid 100 Moderate GAL CAS #: 64-17-5 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 100 I 85.00 I 1,400.00 Storage PLASTIC CONTAINER r Press T Temp ~ Ambient AmbientAISLE 8 Location - Conc l 79.0% Ethyl Alcohol Components r; MCP--¡Guide Moderate I 26 02-006 INSTANT LITE BRIQUETTES/LOGS ~ Fire Solid 2000 ,Moderate LBS CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: OTHER Daily Max LBS ----r-- Daily Average LBS --r-- Annual Amount LBS -- 2,000 I 1,000.00 I 2,000.00 Storage r Press T Temp ~ Location Ambient AmbientlFRONT WINDOW/BACKROOM BAG - Conc l 25.0% Mineral Spirits Components r; MCP -rGuide Moderate 27 02-007 CHARCOL LIGHTER FLUID ~ Fire Liquid 70 Moderate GAL CAS #: 8002742 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: OTHER Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 70 I 30.00 I 70.00 Storage PLASTIC CONTAINER r Press T Temp ~ Location Ambient AmbientlFRONT WINDOW/BAKCROOM - Conc l 100.0% Naphtha Components r; MCP -,-Guide Moderate 27 e e 01/12/94 VONS GROCERY COMPANY *46 215-000-000955 02 - Fixed Containers on Site Page 8 Hazmat Inventory Detail in MCP Order 02-008 POWDER BLEACH ~ Fire, Immed Hlth, Delay Hlth Solid 1500 Moderate LBS CAS *: 497198 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: OTHER Daily Max LBS ----r-- Daily Average LBS --r-- Annual Amount LBS -- 1,500 I 700.00 I 1,500.00 Storage r Press T Temp ~ Location Ambient AmbientAISLE 6/BACKROOM BOX Components ~ MCP :rUide Low 60 Moderate 35 Cone 0.0% Sodium Carbonate 0.0% Sodium Perborate 02-009 ALL PURPOSE CLEANERS ~ Fire, Immed Hlth, Delay Hlth Liquid 150 Moderate GAL CAS *: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: OTHER Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 150 I 90.00 I 150.00 Storage PLASTIC CONTAINER r Press T Temp' ~ Ambient AmbientAISLE 8 Location - Cone l 0.0% 2-Butoxyethanol Components r; MCP ---rGuide Moderate 26 02-014 DRY CHLORINE ~ Solid 250 Moderate LBS CAS *: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: OIL TREATMENT Daily Max LBS ----r-- Daily Average LBS --r-- Annual Amount LBS -- 250 I 200.00 I 250.00 Storage PLASTIC CONTAINER r Press T Temp -:-1 Ambient AmbientlAISLE 8 Location Conc 0.0% 0.0% Components Sodium Dichloro-s-triazinetrione Calcium Hypochlorite r: MCP 1:fuide Moderate 42 Moderate 45 e e 01/12/9,4 VONS GROCERY COMPANY #46 215-000-000955 02 - Fixed Containers on Site Page 9 Hazmat Inventory Detail in MCP Order 02-016 ALGACIDE Liquid . Fire, Reactive, Irnmed Hlth, Delay Hlth 20 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: OTHER Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 20 I 12.00 I 20.00 Storage PLASTIC CONTAINER r Press T Temp ~ Ambient Ambient AISLE 8 Location Components Alkyl Dimethylbenzylammonium Chloride Ethanol Polyoxyethylene Œ MCP riuide Low 1 Moderate 26 Minimal 27 Cone 10.0% 2.0% 6.0% 02-021 SCANNER CLEANER . Fire, Delay Hlth Liquid 25 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: COOLING Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 25 I 18.00 I 110.00 Storage PLASTIC CONTAINER r Press T Temp -:-1 Location Ambient AmbientBACKROOM NORTH WALL Components Œ MCP ~uide Moderate 26 Low 26 Cone 0.0% 0.0% Isopropanol Ethylene Glycol Diethyl Ether e e 1/12/94' VONS GROCERY COMPANY #46 215-000-000955 02 - Fixed Containers on Site Page 10 Hazmat Inventory Detail in MCP Order 02-010 INSECTICIDE (SOLID) ~ Fire, Immed Hlth Solid 35 Low LBS CAS #: 67-63-0 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: CLEANING Daily Max LBS ----r-- Daily Average LBS --r-- Annual Amount LBS -- 35 I 25.00 I 35.00 Storage r Press T Temp ~ Location Ambient AmbientlAISLE 8/GROC BACKROOM BOX - Cone -I 4.0% Metaldehyde 95.0% Boric Acid Components ~ MCP iUide Low 32 Low 53 02-017 SODA ASH ~ Fire, Immed Hlth Solid 10 Low LBS CAS #: 497-19-8 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: OTHER Daily Max LBS ----r-- Daily Average LBS --r-- Annual Amount LBS -- 10 I 6.00 I 10.00 Storage r Press T Temp· ~ Ambient AmbientlAISLE 8 Location BAG - Cone l 100.0% Sodium Carbonate Components 1-:- MCP ----rGuide I Low I 60 02-018 MAINTEX WAX ~ Immed Hlth, Delay Hlth Liquid 50 Low GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: OTHER Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 50 I 30.00 I 450.00 Storage PLASTIC CONTAINER r Press T Temp ~ Location Ambient AmbientlBACKROOM NORTH WALL - Cone 0.0% 0.0% Components Ethylene Glycol Diethyl Ether Ethylene Glycol ~ MCP -¡uide Low 26 Low 27 e e 01/12/94 VONS GROCERY COMPANY #46 215-000-000955 02 - Fixed Containers on Site Page 11 Hazmat Inventory Detail in MCP Order 02-023 COMET CLEANSER ~ Delay Hlth Solid 200 Low LBS CAS #: 7722-88-5 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: CLEANING ---- Daily Max LBS 200 -¡ Daily Average LBS 200.00 T Annual Amount LBS -- 4,700.00 Storage r Press T Temp -:ì Ambient AmbientlAISLE 8 Location BOX - Cone l Components 100.0% Tetrasodium Pyrophosphate \-; MCP --.,.Guide Minimal I 31 02-002 MOTOR OIL ~ Fire, Delay Hlth Liquid 200 Minimal GAL CAS #: 64742-54-7 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: COOLING ---- Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL' -- 200 I 200.00 I 5,200.00 Storage PLASTIC CONTAINER r Press T Temp -:-1 Ambient AmbientAISLE 6 Location - Cone -, Components 100.0% Motor Oil, Petroleum Based r; MCP --.,.Guide Minimal I 27 02-020 CARBON DIOXIDE ~ Fire, Pressure, Immed Hlth Gas 500 Minimal FT3 CAS #: 124-38-9 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: OTHER Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 500 I 250.00 I 5,000.00 Storage r Press T Temp -:ì PORT. PRESS. CYLINDER Above AmbientSERVICE DELI Location - Cone l 100.0% Carbon Dioxide Components r; MCP --.,.Guide Minimal I 21 e e VONS GROCERY COMPANY #46 215-000-000955 02 - Fixed containers on site Page 12 Hazmat Inventory Detail in MCP Order 02-003 INSECTICIDES Liquid ~ Reactive, Immed Hlth, Delay Hlth 55 Unrated GAL CAS #: 67-63-0 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: CLEANING ____Daily Max GAL Daily Average GAL_Annual Amt GAL_ 55 40.00 55000 Storage Press Temp Location METAL CONTAINR-NONDRUM\Ambient\Ambient\AISLE 8-GROC BACKROOM Conc 100.0%\ components Insecticides MCP \Unrated Guide_ \ 0 02-005 CHARCOAL BRIQUETTES ~ Fire Solid 4600 Unrated LBS CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: OTHER Daily Max LBS 4,600 \ Daily Average LBS_Annual Amount LBS 2,000.00 \ 4,600.00 Storage Press Temp \ Ambient \Ambient\ Location FRONT WINDOW/BACKROOM MCP_Guide_ BAG Components Conc 02- HELIUM Inert Gas ~ Sudden Release of Pressure CAS # 7440-597 Trade Secret: No Daily Max Daily Average Annual Amount 500 cu ft. \ 500 cu ft. \ 500 cu ft. _Storage Press Temp Location Cylinder \ 2265 PSI \ 70· \ FLORAL DEPARTMENT Compressed gas e e 01/12/94 I VONS GROCERY COMPANY #46 215~000-000955 00 - Overall Site Page 13 <0> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation PERSON IN CHARGE WILL COORDINATE EVACUATION (AS PER PROCEDURES OUTLINED IN VONS SAFETY GUIDE, UTILIZING PUBLIC ADDRESS SYSTEM. EMPLOYEES WILL ASSIST CUSTOMERS TO THE NEAREST EMERGENCY EXIT. PERSONNEL WILL IMMEDIATELY NOTIFY APPROPRIATE EMERGENCY-RESPONSE AGENCIES VIA TELEPHONE CALL TO "911". VONS SECURITY DEPARTMENT WILL ALSO BE NOTIFIED. <3> Public Notif./Evacuation PERSON IN CHARGE WILL COORDINATE EVACUATION (AS OUTLINED IN VONS SAFETY GUIDE) UTILIZING PUBLIC ADDRESS SYTEM. EMPLOYEES WILL ASSIST CUSTOMERS TO NEAREST EMERGENCY EXIT. <4> Emergency Medical Plan "911" WOULD BE USED TO SUMMON EMERGENCY MEDICAL ASSISTANCE. WE WOULD RELY ON RESPONDING EMERGENCY PERSONNEL TO ASCERTAIN THE LOCATION OF THE NEAREST MEDICAL FACILITY EQUIPPED TO RESPOND TO OUR SPECIFIC NEEDS, AT THE TIME. e e 01/12/94 VONS GROCERY COMPANY #46 215-000-000955 00 - Overall Site Page 14 <E> Mitigation/Prevent/Abatemt <1> Release Prevention RETAIL GROCERY ITEMS PACKAGED FOR RETAIL SALES IN SMALL QUANTITIES SHIPPED TRUCK TO SHELF. MINIMAL BACK STOCK IS MAINTAINED. EMPLOYEE TRAINING MANDATORY FOR NEW HIRES. THIS PROGRAM WAS DEVELOPED BY THE FOOD MARKETING INSTITUTE SPECIFICALLY FOR USE IN THE GROCERY INDUSTRY. MATERIAL SAFETY DATA SHEETS ARE LOCATED IN THE MANAGERS OFFICE IN THE SAFETY AND CLAIMS GUIDE. <2> Release Containment ABSORBANT AVAILABLE AS PART OF SPILL CLEAN-UP KIT, FOUND IN MANAGERS OFFICE. <3> Clean Up DEEP INC, (818) 575-3715, SHOULD BE CONTACTED FOR 24 HOUR EMERGENCY RESPONSE CLEAN-UP. AN ACID SPILL KIT IS ON SITE TO NEUTRALIZE A POOL CARE PRODUCT SPILL. <4> Other Resource Activation e e 01/12/94 VONS GROCERY COMPANY #46 215-000-000955 00 - Overall Site Page 15 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - OUTSIDE NORTHEAST EAST WALL B) ELECTRICAL - GM BACKROOM EAST WALL C) WATER - BAKERY BACKROOM EAST WALL D) SPECIAL - SPRINKLER RISER BAKERY BACK ROOM EAST WALL E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - SPRINKLERS AND FIRE EXTINGUISHING EQUIPMENT (SERVICED ON A REGULAR BASIS) AVAILABLE THROUGHOUT FACILITY. PERSONNEL TRAINED IN PROPER USE AND MAINTENANCE OF EXTINGUISHING EQUIPMENT. FIRE HYDRANT - ADJACENT FIRE HYDRANTS. <4> Building Occupancy Level e e )1/12/94 VONS GROCERY COMPANY #46 215-000-000955 00 - Overall Site Page 16 <G> Training <1> Page 1 WE HAVE 65 TO 70 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING: A VIDEO IS SHOWN TO ALL EMPLOYEES ON SAFE USE OF PRODUCTS AND HOW TO CLEAN UP SPILLS. THE MATERIAL SAFETY DATA SHEETS ARE AVAILABLE FOR ALL EMPLOYEES TO READ. <2> Page 2 as needed , <3> Held for Future Use <4> Held for Future Use e . 01/12/~4 VONS GROCERY COMPANY #46 215-000-000955 00 - Overall Site Page 17 <H> RMPP DATA <1> Release Containment <2> Offsite Consequences <3> In House Capabilities <4> Plant Shutdown Instruction ,. ..."" ~ the e - Vons Stares Pavilions Stares Tianguis Stares Williams Bros. Jerseymaid Milk Products ;y¡®~~. . Comþanies,Inc. August 1, 1994 Mr. Ralph Huey Hazardous Materials Coordinator Hazardous Materials Division 1715 Chester Ave. Bakersfield, CA 93301 Dear Mr. Huey: Please add the following hazardous material to the Hazardous Material Inventories for the following Vons locations: Store 46 3400 Stine Rd., Bakersfield Store 126 5600 Stockdale Hwy., Bakersfield Store 505 2611 Fashion Place, Bakersfield . Please call me at 818-821-5626, if I may be of any assistance. Sincerely, ~ Îf\c~ Jennie McCarthy Environmental Analyst . The Vans Companies, Inc. . P,Q, Box 3338, Los Angeles, CA 90051-1338 618 Michillinda Avenue, Arcadia. CA 9100;-,6300 . Telephone: (818) 821·ìOOO 4 ~'"f' ~ tjA~cH~FIELD CITY FIRE DEPARTMENT H.DOUS MATERIALS INVE.ORY PageLof~ ~ on Co. 4~ Address 3LJtX) S+¡~ RJ \ ]Ak~y)t:(?{~t CA q3~ Jsmess Name ~VENTORYSTATUS: Ne~) 2) Common Name: -F...e~ CHEMICAL DESCRIPTION DeletIon ( Check if chemlcaJ is a NON TRADE SECRET ')¡ ) 3) DOT /I (optlonaJ) ChemlCaJ Name: Fire ( I 6) PH Solid ( J 7) AMOUNT AND TIME AT FACIUIY ~) @ITSOF Maximum DaI.IY Amount· ~G~Î""\I ~I () 1't3 ( ] Average Daiiy Amoun . . , U unes [ ] AnnuaJ Amount: Largest Size Co 4 DaysOnS' 3 9) MIXn';RE: Us :he tnree most ardous cnemlcal components or any AHM components 3) , 0 <:) C{o AHM [ ] ( ) ( ) 1) 2) 10) location . CHEMICAL DESCRIPTION 1) INVENTORY STATUS: Ne" Addition (Xl Revision ( ) Deletion ( ] 2) Common Name: ~ e.1 u ~ Hd,u~ Check if chemicai is a NON TRADE SECRET 00 TRADE SECRET ( ] AHM ( I 3) OOT /I (optionaJ) CAS /I '11.1 Li 0 - 5' - "? Chemical Name: 4) PHYSiCAL & HEALTH HAZARD CATEGORIES PHYSICAL Fire [] Reactive [I Sudden Release of Pressure KJ HEALTH Immealél1e Health fAcutel (] Delayed Health (Chronic) ( J 5) WASTE CLASSIFICATION (3-<Jiglt code from DHS Form 8022) USE CODE <fer - ~d-~d S~Ç'C... 6) PHYSICAL STATE Solid ( Uquid (] Gas ~] Pure )(] Mixture [ Waste [ ] Radioactive ( '="4EOCAlLTWArAPlll' 7) AMOUNT AND TIME AT FACIUTY MaxImum Dally Amount: Average Dally Amount: AnnuaJ Amount: Largest Size Container: " Days On Site 500 5.00 UNITS OF MEASURE Ibs ( J gal (J 1\3 t<] cunes [ J 8) STORAGE CODES a) Container. b) Pressure: c) Temperaure: oLl 01 CJ'-f ~C::¡I ~~5 Cirde Which Months: A. M. J. J. A. S. O. N, D 9) MIXTIJRE: Ust the three most hazaraous cnemlca! components or any AliM components Hell..U~ COMPONENT CAS/I . ì "'~o-5'i-1 %wr I~ AHM ( ] ( ] ( ] 1) 2) 3) +~ ~ unae, "emllt'{ Ot law, U7at I nave personally exammea ana am ramltl8r wlrn rne lmomalJon SlJomlaea on rnls ana aJ/ allBcnea aoclJmem:s. informarion is true. accurate. and complete. ~ e~ r:,Q, rn C~<th eel/eve IT AepresenIBove ~ 'Jignarure ~\ ~ytL ~I¡ <b1ll c¡ L.{ ::RINT Nl!JJT1e 6. Title ot AlJtt1anz&d Com Dat8 -.- ....-.:III. \.ØIC IT""'" JIlt - ..j e . ~ 08/02/94 VONS GROCERY COMPANY #46 215-000-000955 Overall Site with 1 Fac. Unit Page 1 General Information Location: 3400 STINE RD Map:123 Haz:2 Type: 3 City . Grid: 14A FlU: 1 AOV: 0.0 . - Contact Name Title - Contact Name Title STEVEN SHUBERT I STORE MANAGER EMERGENCY CONTACT I Business Phone: (805) 835-0212x Business Phone: (714) 544-5080x 24-Hour Phone · (818) 821-7565x 24-Hour Phone · (714 ) 544-5080x · · Pager Phone · ( ) - x Pager Phone · ( ) - x · · Administrative Data Mail Addrs: P 0 BX 3338 TERMINAL ANNEX D&B Number: 00-132-5034 City: LOS ANGELES State: CA Zip: 90051- Comm Code: 215-007 BAKERSFIELD STATION 07 SIC Code: 5411 Owner: VONS COMPANIES INC Phone: (805) 835-0212 Address: P 0 BX 3338 ATTN: TAX DEPT State: CA City: LOS ANGELES Zip: 90051- Summary ~o ~~ ~JbfJ,.-. ID@ lh@f¡6\~ '{hn ~gr¡o ntNJfi1S) 'eI/JIjf ~<®filD'}7 ~~~~ U lì'is¡v® [j'~Vg~w®(Qj ftl1® ®~OOhiS~ Ih~~m . C»Y$ M~R®ij~~$ ffié;" agl?)ø M@iîft ~J~fi ~{»f ~ ~ ( fi13 ) ~b'wD1 ~hdl~ i~ ~~Q)ng with tã)r¡}f ©Ofr®~Ô~f8~ ©{j)f8~ôftt,qft® ® OOmflli®ft® ®V1e<1 Ii'" y OO!"iì'®©ft 8ìñ1®8ilo ~~~rn®m ~~êJfB ~©r m1f ~®d~ôßy'. %1 ~ ·J;rtJ" ~ 'i: 08/02/94 PIn-Ref 02-011 02-001 02-012 02-013 02-015 02-019 02-022 02-004 02-006 02-007 02-008 02-009 02-014 02-016 02-021 02-010 02-017 e . VONS GROCERY COMPANY #46 215-000-000955 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site Name/Hazards Form LAWN CARE/FERTILIZERS Solid ~ Immed Hlth, Delay Hlth BLEACH (LIQUID) Liquid ~ Immed Hlth AEROSOLS Liquid ~ Fire, Pressure POOL CHLORINE (HYPOCHLORITE) Liquid ~ Reactive, Immed Hlth POOL ACID (HYDROCHLORIC) Liquid ~ Reactive, Immed Hlth STRIPPER Liquid ~ BREAK UP Liquid ~ Fire, Immed Hlth LYSOL Liquid ~ Fire, Immed Hlth, Delay Hlth INSTANT LITE BRIQUETTES/LOGS Solid ~ Fire CHARCOL LIGHTER FLUID Liquid ~ Fire POWDER BLEACH Solid ~ Fire, Immed Hlth, Delay Hlth ALL PURPOSE CLEANERS Liquid ~ Fire, Immed Hlth, Delay Hlth DRY CHLORINE Solid ~ ALGACIDE Liquid ~ Fire, Reactive, Immed Hlth, Delay Hlth SCANNER CLEANER Liquid ~ Fire, Delay Hlth INSECTICIDE (SOLID) Solid ~ Fire, Immed Hlth SODA ASH Solid ~ Fire, Immed Hlth Page 2 Max Qty MCP , 15 Extreme LBS 200 High GAL 250 High GAL 50 High GAL 15 High GAL 50 High GAL 40 High GAL 100 Moderate GAL 2000 Moderate LBS 70 Moderate GAL 1500 Moderate LBS 150 Moderate GAL 250 Moderate LBS 20 Moderate GAL 25 Moderate GAL 35 Low LBS 10 Low LBS ~ 4) . 08/02/94 VONS GROCERY COMPANY #46 215-000-000955 Page 3 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site PIn-Ref Name/Hazards Form Max Qty MCP 02-018 MAINTEX WAX Liquid 50 Low ~ Immed Hlth, Delay Hlth GAL 02-023 COMET CLEANSER Solid 200 Low ~ Delay Hlth LBS 02-002 MOTOR OIL Liquid 200 Minimal ~ Fire, Delay Hlth GAL 02-020 CARBON DIOXIDE Gas 500 Minimal ~ Fire, Pressure, Immed Hlth FT3 02-003 INSECTICIDES Liquid 55 Unrated ~ Reactive, Immed Hlth, Delay Hlth GAL 02-005 CHARCOL BRIQUETTES Solid 4600 Unrated ~ Fire LBS 02-024 HELIUM ? 0 Unrated ~ e . 08/02/94 VONS GROCERY COMPANY #46 215-000-000955 02 - Fixed Containers on Site Page 4 Hazmat Inventory Detail in MCP Order 02-011 LAWN CARE/FERTILIZERS ~ Immed Hlth, Delay Hlth Solid 15 Extreme LBS CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: OTHER Daily Max LBS ----r-- Daily Average LBS --r-- Annual Amount LBS -- 15 I 7.00 I 15.00 Storage r Press T Temp ~ Ambient Ambient/AISLE 8 Location BOX Components Dichlorophenoxyacetic Acid Dimethylamine Nitrogen ~ MCP fTUide Minimal 55 Extreme 19 Low 12 Conc 11. 0% 12.0% 8.0% 02-001 BLEACH (LIQUID) ~ Immed Hlth Liquid 200 High GAL CAS #: 7681-52-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: CLEANING Daily Max GAL 200 -¡ Daily Average GAL 200.00 T Annual Amount GAL -- 5,200.00 Storage PLASTIC CONTAINER r Press T Temp ~ Ambient AmbientAISLE 6 Location - Conc l 100.0% Sodium Hypochlorite Components ~ MCP ----re;uide High I 45 e .' 08/02/94 VONS GROCERY COMPANY #46 215-000-000955 02 - Fixed Containers on Site Page 5 Hazmat Inventory Detail in MCP Order 02-012 AEROSOLS ~ Fire, Pressure Liquid 250 High GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: OTHER Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 250 I 200.00 I, 250.00 Storage r Press T Temp -:I Location METAL CONTAINR-NONDRUM Ambient Ambient/THROUGHOUT BUILDING Components ~ MCP JUide High 22 High 22 Extreme 22 Conc 70.0% 20.0% 10.0% Isobutane n-Butane Or Butane Mixture Propane 02-013 POOL CHLORINE (HYPOCHLORITE) ~ Reactive, Immed Hlth Liquid 50 High GAL' CAS #: 7681529 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: WATER TREATMENT Daily Max GAL 50 ---¡ Daily Average GAL 50.00 I Annual Amount GAL -- 500.00 Storage PLASTIC CONTAINER r Press T Temp -:-1 Ambient AmbientAISLE 8 Location - Conc l 11.0% Sodium Hypochlorite Components ~ MCP --,-Guide High I 45 02-015 POOL ACID (HYDROCHLORIC) ~ Reactive, Immed H1th Liquid 15 High GAL CAS #: 7647010 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: OTHER Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 15 I 10.00 I 15.00 Storage PLASTIC CONTAINER r Press T Temp -:-1 Location Ambient AmbientlAISLE 8/HABA BACKROOM Components ~ MCP :ruide High 15 Moderate 60 Conc 32.0% 34.0% Hydrochloric Acid Phosphoric Acid e e 08/02/94 VONS GROCERY COMPANY #46 215-000-000955 02 - Fixed Containers on Site Page 6 Hazmat Inventory Detail in MCP Order 02-019 STRIPPER ~ Liquid 50 High GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: ANESTHETIC Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 50 . I 20.00 I 100.00 Storage PLASTIC CONTAINER r Press T Temp ~ Location Ambient AmbientlBACKROOM NORTH WALL Components Ethoxylated Nonylpheno1 2-Butoxyethanol Ethanolamines (family name) m MCP ~uide Minimal 1 Moderate 26 High 60 Conc 0.0% 0.0% 0.0% 02-022 BREAK UP ~ Fire, Immed Hlth Liquid 40 High GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 40 I 10.00 I 80.00 Storage PLASTIC CONTAINER r Press T Temp -:I Location Ambient AmbientlBACK ROOM NORTH WALL Components I~ MCP fefUide Extreme 40 Moderate 26 Minimal 5 Conc 2.0% 2.0% 7.0% Potassium Ethylene Glycol Monobutyl Ether Tetrapotassium Pyrophosphate e e 08/02/94 VONS GROCERY COMPANY #46 215-000-000955 02 - Fixed Containers on Site Page 7 Hazmat Inventory Detail in MCP Order 02-004 LYSOL ~ Fire, Immed Hlth, Delay Hlth Liquid 100 Moderate GAL CAS #: 64-17-5 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 100 85.00 I 1,400.00 Storage PLASTIC CONTAINER r Press T Temp ":ì Ambient AmbientAISLE 8 Location - Conc l 79.0% Ethyl Alcohol Components r; MCP -----rGuide Moderate 26 02-006 INSTANT LITE BRIQUETTES/LOGS ~ Fire Solid 2000 Moderate LBS CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: OTHER Daily Max LBS ----r-- Daily Average LBS --r-- Annual Amount LBS -- 2,000 ' I 1,000.00 2,000.00 Storage r Press T Temp ":ì Location Ambient AmbientFRONT WINDOW/BACKROOM BAG - Conc l 25.0% Mineral Spirits Components r; MCP -¡Guide Moderate 27 02-007 CHARCOL LIGHTER FLUID ~ Fire Liquid 70 Moderate GAL CAS #: 8002742 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: OTHER Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 70 30.00 I 70.00 Storage PLASTIC CONTAINER r Press T Temp ":ì Location Ambient AmbientFRONT WINDOW/BAKCROOM - Conc l 100.0% Naphtha Components r; MCP ~Guide Moderate! 27 e e 08/02/94 VONS GROCERY COMPANY #46 215-000-000955 02 - Fixed Containers on Site Page 8 Hazmat Inventory Detail in MCP Order 02-008 POWDER BLEACH ~ Fire, Immed Hlth, Delay Hlth Solid 1500 Moderate LBS CAS #: 497198 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: OTHER Daily Max LBS ~ Daily Average LBS --r-- Annual Amount LBS -- 1,500 I 700.00 I 1,500.00 storage r Press T Temp ~ Location Ambient AmbientAISLE 6/BACKROOM BOX Components ~ MCP :ruide Low 60 Moderate 35 Conc 0.0% Sodium Carbonate 0.0% Sodium Perborate 02-009 ALL PURPOSE CLEANERS ~ Fire, Immed Hlth, Delay Hlth Liquid 150 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: OTHER Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 150 I 90.00 I 150.00 Storage PLASTIC CONTAINER r Press T Temp ~ Ambient AmbientAISLE 8 Location - Conc l 0.0% 2-Butoxyethanol Components \-;; MCP ----rGuide Moderate 26 02-014 DRY CHLORINE ~ Solid 250 Moderate LBS CAS #: Trade Secret: No Form: Solid Type:, Mixture Days: 365 Use: OIL TREATMENT Daily Max LBS ----r-- Daily Average LBS --r-- Annual Amount LBS -- 250 I 200.00 I 250.00 Storage PLASTIC CONTAINER r Press T Temp -:ì Ambient AmbientAISLE 8 Location Components Sodium Dichloro-s-triazinetrione Calcium Hypochlorite ~ MCP ~uide Moderate 45 Moderate 45 Cone 0.0% 0.0% e e 08/02/94 VONS GROCERY COMPANY #46 215-000-000955 02 - Fixed Containers on Site Page 9 Hazmat Inventory Detail in MCP Order 02-016 ALGACIDE Liquid ~ Fire, Reactive, Immed Hlth, Delay Hlth 20 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: OTHER Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 20 I 12.00 I 20.00 Storage PLASTIC CONTAINER r Press T Temp ~ Ambient Ambient AISLE 8 Location Components Alkyl Dimethylbenzylammonium Chloride Ethanol Polyoxyethylene ~ MCP ;:¡GUide Low 1 Moderate 26 Minimal 27 Cone 10.0% 2.0% 6.0% 02-021 SCANNER CLEANER ~ Fire, Delay Hlth Liquid 25 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: COOLING Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 25 I 18.00 I 110.00 Storage PLASTIC CONTAINER r Press T Temp ~ Location Ambient AmbientlBACKROOM NORTH WALL Components ~ MCP ~uide Moderate· 26 Low 26 Cone 0.0% 0.0% Isopropanol Ethylene Glycol Diethyl Ether - e 08/02/94 VONS GROCERY COMPANY #46 215-000-000955 02 - Fixed Containers on Site Page 10 Hazmat Inventory Detail in MCP Order 02-010 INSECTICIDE (SOLID) ~ Fire, Immed Hlth Solid 35 Low LBS CAS #: 67-63-0 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: CLEANING Daily Max LBS ----r-- Daily Average LBS ~ Annual Amount LBS -- 35 I 25.00 I 35.00 Storage r Press T Temp ~ Location Ambient AmbientAISLE 8/GROC BACKROOM BOX - Cone l 4.0% Metaldehyde 95.0% Boric Acid Components ~o~CP ---ru~~e I Low I 53 02-017 SODA ASH ~ Fire, Immed Hlth Solid 10 Low LBS CAS #: 497-19-8 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: OTHER Daily Max LBS 10 ---¡ Daily Average LBS 6.00 I Annual Amount LBS -- 10.00 Storage r Press T Temp ~ Ambient AmbientAISLE 8 Location BAG - Cone l 100.0% Sodium Carbonate Components I~ MCP ---rGuide Low I 60 02-018 MAINTEX WAX ~ Immed Hlth, Delay Hlth Liquid 50 Low GAL CAS #: Trade Secret~ No Form: Liquid Type: Mixture Days: 365 Use: OTHER Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL -- 50 I 30.00 I 450.00 Storage PLASTIC CONTAINER r Press T Temp -:I Location Ambient AmbientlBACKROOM NORTH WALL Components Ethylene Glycol Diethyl Ether Ethylene Glycol I~ MCP iUide Low 26 Low 27 Cone 0.0% 0.0% e e 08/02/94 VONS GROCERY COMPANY #46 215-000-000955 02 - Fixed Containers on Site Page 11 Hazmat Inventory Detail in MCP Order 02-023 COMET CLEANSER ~ Delay Hlth Solid 200 Low LBS CAS #: 7722-88-5 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: CLEANING Daily Max LBS 200 ---r Daily Average LBS 200.00 I Annual Amount LBS -- 4,700.00 Storage r Press T Temp ~ Ambient AmbientAISLE 8 Location BOX - Conc l Components 100.0% Tetrasodium Pyrophosphate r; MCP -¡Guide Minimal I 6 02-002 MOTOR OIL ~ Fire, Delay Hlth Liquid 200 Minimal GAL CAS #: 64742-54-7 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: COOLING Daily Max GAL 200 ---r Daily Average GAL 200.00 I Annual Amount GAL -- 5,200.00 Storage PLASTIC CONTAINER r Press T Temp -:ì Ambient AmbientlAISLE 6 Location - Conc l Components 100.0% Motor Oil, Petroleum Based I~ MCP -¡Guide Minimal I 27 02-020 CARBON DIOXIDE ~ Fire, Pressure, Immed Hlth Gas 500 Minimal FT3 CAS #: 124-38-9 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: OTHER Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 -- 500· I 250.00 I 5,000.00 Storage r Press T Temp -:ì PORT. PRESS. CYLINDER Above Ambient I SERVICE DELI Location - Conc l 100.0% Carbon Dioxide Components ~ MCP -¡Guide Low \ 21 e e 08/02/94 VONS GROCERY COMPANY #46 215-000-000955 02 - Fixed Containers on Site Page 12 Hazmat Inventory Detail in MCP Order 02-003 INSECTICIDES ~ Reactive, Imrned Hlth, Delay Hlth Liquid 55 Unrated GAL CAS #: 67-63-0 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: CLEANING Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 55 I 40.00 I 55.00 Storage r Press T Temp -:-1 Location METAL CONTAINR-NONDRUM Ambient AmbientlAISLE 8/GROC BACKROOM - Conc l 100.0% Insecticides Components ~ MCP ----rGuide Unrated I 0 02-005 CHARCOL BRIQUETTES ~ Fire Solid 4600 Unrated LBS CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: OTHER Daily. Max LBS ----r-- Daily Average LBS --r-- Annual Amount LBS -- 4,600 I 2,000.00 I 4,600.00 Storage r Press T Temp ~ Location BAG Ambient Ambient FRONT WINDOW/BACKROOM - Conc Components MCP -¡Guide 02-024 HELIUM ? 0 Unrated ~ CAS #: Trade Secret: No Form: Unknown Type: Unknown Days: Use: o r-- Daily Average 0.00 r-- Annual Amount I 0.00 Daily Max Storage Press T Temp Location - Conc Components MCP --,-Guide e e 08/02/94 VONS GROCERY COMPANY #46 215-000-000955 00 - Overall Site Page 13 <D> Notif./Evacuation/Medical , <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation PERSON IN CHARGE WILL COORDINATE EVACUATION (AS PER PROCEDURES OUTLINED IN VONS SAFETY GUIDE, UTILIZING PUBLIC ADDRESS SYSTEM. EMPLOYEES WILL ASSIST CUSTOMERS TO THE NEAREST EMERGENCY EXIT. PERSONNEL WILL IMMEDIATELY NOTIFY APPROPRIATE EMERGENCY-RESPONSE AGENCIES VIA TELEPHONE CALL TO "911". VONS SECURITY DEPARTMENT WILL ALSO BE NOTIFIED. <3> Public Notif./Evacuation PERSON IN CHARGE WILL COORDINATE EVACUATION (AS OUTLINED IN VONS SAFETY GUIDE) UTILIZING PUBLIC ADDRESS SYTEM. EMPLOYEES WILL ASSIST CUSTOMERS TO NEAREST EMERGENCY EXIT. <4> Emergency Medical Plan "911" WOULD BE USED TO SUMMON EMERGENCY MEDICAL ASSISTANCE. WE WOULD RELY ON RESPONDING EMERGENCY PERSONNEL TO ASCERTAIN THE LOCATION OF THE NEAREST MEDICAL FACILITY EQUIPPED TO RESPOND TO OUR SPECIFIC NEEDS, AT THE TIME. e e 08/02/94 VONS GROCERY COMPANY #46 215-000-000955 00 - Overall Site Page 14 <E> Mitigation/Prevent/Abatemt <1> Release Prevention RETAIL GROCERY ITEMS PACKAGED FOR RETAIL SALES IN SMALL QUANTITIES SHIPPED TRUCK TO SHELF. MINIMAL BACK STOCK IS MAINTAINED. EMPLOYEE TRAINING MANDATORY FOR NEW HIRES. THIS PROGRAM WAS DEVELOPED BY THE FOOD MARKETING INSTITUTE SPECIFICALLY FOR USE IN THE GROCERY INDUSTRY. MATERIAL SAFETY DATA SHEETS ARE LOCATED IN THE MANAGERS OFFICE IN THE SAFETY AND CLAIMS GUIDE. <2> Release Containment ABSORBANT AVAILABLE AS PART OF SPILL CLEAN-UP KIT, FOUND IN MANAGERS OFFICE. <3> Clean Up DEEP INC, (818) 575-3715, SHOULD BE CONTACTED FOR 24 HOUR EMERGENCY RESPONSE CLEAN-UP. AN ACID SPILL KIT IS ON SITE TO NEUTRALIZE A POOL CARE PRODUCT SPILL. <4> Other Resource Activation e e 08/02/94 VONS GROCERY COMPANY #46 215-000-000955 00 - Overall Site Page 15 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - OUTSIDE NORTHEAST EAST WALL B) ELECTRICAL - GM BACKROOM EAST WALL C) WATER - BAKERY BACK ROOM EAST WALL D) SPECIAL - SPRINKLER RISER BAKERY BACK ROOM EAST WALL E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - SPRINKLERS AND FIRE EXTINGUISHING EQUIPMENT (SERVICED ON A REGULAR BASIS) AVAILABLE THROUGHOUT FACILITY. PERSONNEL TRAINED IN PROPER USE AND MAINTENANCE OF EXTINGUISHING EQUIPMENT. FIRE HYDRANT - ADJACENT FIRE HYDRANTS. <4> Building Occupancy Level e e 08/02/94 VONS GROCERY COMPANY #46 215-000-000955 00 - Overall Site Page 16 <G> Training <1> Page 1 WE HAVE 65 TO 70 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING: A VIDEO IS SHOWN TO ALL EMPLOYEES ON SAFE USE OF PRODUCTS AND HOW TO CLEAN UP SPILLS. THE MATERIAL SAFETY DATA SHEETS ARE AVAILABLE FOR ALL EMPLOYEES TO READ. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use ~ e e 08/02/94 VONS GROCERY COMPANY #46 215-000-000955 Page 17 00 - Overall Site <M> Inspections 08/29/88 OK / / D. DEFORD 07/05/89 FOLLOW UP / / ADAMS 07/09/90 OK / / L GEE 07/17/91 OK / / D. DEFORD 09/10/92 OK / / D. DEFORD 06/29/93 OK / / DEFORD 07/27/94 OK / / e e 08/02/94 VONS GROCERY COMPANY #46 215-000-000955 Page 18 00 - Overall Site <M> Inspection Summary 08/29/88 OK / / OK D. DEFORD 07/05/89 FOLLOW UP / / ADAMS 07/09/90 OK / / L GEE 07/17/91 OK / / D. DEFORD 09/10/92 OK / / D. DEFORD 06/29/93 OK / / DEFORD 07/27/94 OK / / \]=!J~IR!JQ)©QJJ~ !rt5iJ!9\ ìT~.~ llN~If2>~~ìTll©N ~IJ"§rn~ßd! 1Fñ!J"e II»~!JÞto HBlZ.OUS Materials Division - / / Date Completed -¡ -- ;¿ ì ~ 9 If ~ {)N1ÞÐ~1 :zt:yta r Business Name: !/ tJ tN t.{ q. £0 (' ?rL t location: '3o/0D ÆTIA'/ê' Zd Business Identification No. 215-000 00 ö ~ 5.:_<: (Top of Business Plan) Station No. ì Shift 13 Inspector b ¿: Fðl2. 'Þ Arrival Time: / '1:'50 Departure Time: d ~ 5 S VeriflcaJtion o~ Inventory MaJterials Veriflcaijon 01 Quanillies Verification of Location O Proper Segre,gation of Material omments: V£R 13 A- terN f/et~ ~M .s f£ O Veriflcó1ijon of MSDS AVó1ilability . Number of Employees: ¡;. 5 Veriflcó1tion of Hó1z Mó1t Training ~. ~( > c.( Comments: Verification of Abó1tement Supplies & Procedures Comments: Inspection Time: :L ~ /Vi ,'N Adequate ~? BJ f3r BY' v; () j. fJr +t f) ~'" .f œr Inadequate ~ o AIECIEUVEID LJ JUL 2 9 1994 [] HAZ. MAT. DßV. o ~ OJ Œr fJ I I J . /, \ \( ~.). Commen~: ~(J Emergency Procedures Posted Containers Properly labeled W raY OJ o Verification of Facility Dió1gram Special Hazards Associated with this Facility: BY OJ I , ',_ Violations: Ir! ø' L ~ù M -, t,;~ü:,:»Ié.D <f'ö . . tDR Ç.\ 110 ¡.J 7 8 A lIDµ S Ai i:--tÆ'f) rb heE- ¡"hI t='6'I "'((1 lA fJ 'ì)1.k t--~ ~~~£~~ME 1d)~£Gj Wh~e-Haz Mat Oiv Yellow-Station Copy All Items 0.1< (]) Correction Needed ~ Pink-Business Copy ¡;;- ~ ~ e:- N ~ C u. Js¡neSS Name - - -- BAKERSfiELD CITY F~RE DEPARTMENT _I-!~~_OUS MATER~~lS ,~NV~~RY 4{o ./ PageLof~ CA q3~ \on Co. Address 3LJ6ö S+Ifu. ~d - ) :ö~ b r:> t,e (~t CHEMICAL DESCRIPTION 2) Common Name: Deletion ( Check if chemical is a NON -mADE SECRET ~ ] 3) DOT # (optional) Chemical Name: Fire I ] Solid I ] 7) AMOUNT AND TIME AT FACIUTY ~I (~ms OF Maximum Dady Amount· ~G~(j~] I] ~3 I ] Average Daily Amoun . . . unes ( 1 Annual Amount: Largest Size Co :; Days On S' 1 9) MIXTURE: us the three most ardous cnemlcal components or any AHM components 2) 15 -Y5-' L.K3 ' J- , ÖOO{o AHM [ J ( J [ ] 1) 3) 10) Locallon CHEMICAL DESCRIPTION 1) INVENTORY STATUS: Ne. Addition [Xl Revision [ ] Deletion I ] 2) Common Name: H e. I U ~ He.I,u~ Check if chemical is a NON TRADE SECRET IX] TRADE SECRET [ ] AHM [ I 3) DOT 1/ (optional) CAS 1/ "l Y Ll 0 - 5' - "7 Chemical Name: 4) PHYSICAL & HEALTH HAZARD CATEGORIES PHYSICAL Fire [J Reactive [1 Sudden Release of Pressure KJ HEALTH Immediate Health (Acute) I J Delayed Health (Chronic) ( ] 5) WASTE CLASSIFICATION (3-<iglt code from DHS Form 8022) USE CODE <fer - ~er~ d S-iD\C-o 6) PHYSICAL STATE Solid I] ,uquid I] Gas ~ J Pure )(] Mixture [] Waste [ I Radioactive ! ~EQ(AU. "",Ar AM.r 7) AMOUNT AND TIME AT FACIUTY Maximum Dady Amount: Average Daily Amount: Annual Amount: Largest Size Contamer. 1/ Days On Site 500 50t:> UNITS OF MEASURE Ibs ! ] gal !) ft3 t<) curies [ ] 8) STORAGE CODES a) Container: b) Pressure: c) Temperature: 01../ 01 ny ~'11 ~(Ø5 Circle Which Months: M. A. M. J. J. A. S. O. N, D 9) MIXTURE: ust the three most hazaroous chemical components or any AHM components 1) Hetl.U~ COMPONENT CAS 1/ . ï'1Yb-5~-"" %WT I cr'O AHM ! ] [ J ! ] 2) 3) 10) Locaaon cerory unaer penalTy or law, lt1at have personal yexammeo ana am ramlllar wlm me mlOmllDon suomlrreo on thIS ana III ;ul:Jmitted information is true, accurare, and complete. .-J e~ ~\Q, rn CCø..+~ aaacneo aocuments. ell eve If' Represenœrive ð~ ignature ~ ML~~ ß\ tl~~ PRINT Name & Title 01 Authanzea Com Data -,- ..fXIIIW lIPCsr~fIII( "' .. i o. ..0· e e VONS GROCERY COMPANY ~ 215-000-000955 Overall Site wit~ Fac. Unit /// ~ 01/12/94 . Page 1 General Information Location: 3400 STINE RD Community: BAKERSFIELD STATION 07 Map: 123 Hazard: Low Grid: 14A F/U: 1 AOV: 0.0 Contact Name STEVEN SHUBERT LOSS PREVENTION Title MANAGER Business Phone (805) 835-0212 x (818) 821-3933 x 24-Hour Phone (818) 821-7565 (818) 821-7565 Administrative Data Mail Addrs: .p 0 BX 3338 TERMINAL ANNEX City: LOS ANGELES Comm Code: 215-007 BAKERSFIELD STATION 07 D&B Number: 00-132-5034 State: CA Zip: 90051- SIC Code: 5411 Owner: VONS COMPANIES INC Address: P 0 BX 3338 ATTN: TAX DEPT City: LOS ANGELES Phone: (805) 835-0212 State: CA Zip: 90051- Summary N~ ~e_\( j~C-1 ~-q'"\ ~ô-..tX f/! S~ r· t~, ~()'){ ~\.\~ S~ f\ \'\ '-'- ¡ Lr\ \ \ '-\ _ 5 \.\ \.\ - ~. \:., ~ a C\ .)..\\0 ~ HAZ. MAT. DIV. llø ~"'I1~ rrk&<"/L, fD . 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VONS GROCERY COMPANY #46 215-000-000955 Hazmat Inventory List in MCP Order Page 2 02 - Fixed Containers on Site PIn-Ref Name/Hazards Form Max Qty MCP 02-011 LAWN CARE/FERTILIZERS ~ Immed Hlth, Delay Hlth Solid 15 Extreme LBS 02-001 BLEACH (LIQUID) ~ Immed Hlth Liquid 200 High GAL 02-012 AEROSOLS' ~ Fire, Pressure Liquid 250 High GAL 02-013 POOL CHLORINE (HYPOCHLORITE) ~ Reactive, Immed Hlth Liquid 50 High GAL 02-015 POOL ACID (HYDROCHLORIC) ~ Reactive, Immed Hlth Liquid 15 High GAL 02-019 STRIPPER ~ Liquid 50 High GAL 02-022 BREAK UP ~ Fire, Immed Hlth Liquid 40 High GAL 02-004 LYSOL ,~ Fire, Immed Hlth, Delay Hlth Liquid 100 Moderate GAL 02-006 INSTANT LITE BRIQUETTES/LOGS ~ Fire Solid 2000 Moderate LBS 02-007, CHARCOL LIGHTER FLUID ~ Fire Liquid 70 Moderate GAL 02-008 POWDER BLEACH Solid ~ Fire, Immed Hlth, Delay Hlth 1500 Moderate LBS 02-009 ALL PURPOSE CLEANERS Liquid ~ Fire, Immed Hlth, Delay Hlth 150 Moderate GAL 02-014 DRY CHLORINE Solid ~ 250 Moderate LBS 02-016 ALGACIDE Liquid ~ Fire, Reactive, Immed Hlth, Delay Hlth 20 Moderate GAL 02-021 SCANNER CLEANER Liquid ~ Fire, Delay Hlth 25 Moderate GAL 02-010 INSECTICIDE (SOLID) Solid ~ Fire, Immed Hlth 35 Low LBS 02-017 SODA ASH Solid ~ Fire, Immed Hlth 10 Low LBS ,.' e e 01/12/94 VONS GROCERY COMPANY #46 215-000-000955 Page 3 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site PIn-Ref Name/Hazards Form Max Qty MCP 02-018 MAINTEX WAX Liquid 50 Low þ> Immed Hlth, Delay Hlth GAL 02-023 COMET CLEANSER Solid 200 Low þ> Delay Hlth LBS 02-002 MOTOR OIL Liquid 200 Minimal þ> Fire, Delay Hlth GAL 02-020 CARBON DIOXIDE Gas 500 Minimal þ> Fire, Pressure, Immed Hlth FT3 02-003 INSECTICIDES Liquid 55 Unrated þ> Reactive, Immed Hlth, Delay Hlth GAL 02-005 CHARCOL BRIQUETTES Solid 4600 Unrated þ> Fire LBS e e 01/12/94 , VONS GROCERY COMPANY #46 215-000-000955 02 - Fixed Containers on Site Page 4 Hazmat Inventory Detail in MCP Order 02-011 LAWN CARE/FERTILIZERS ~ IIÍlmed Hlth, Delay Hlth Solid 15 Extreme LBS CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: OTHER Daily Max LBS ----r-- Daily Average LBS --r-- Annual Amount LBS -- 15 I 7.00 I 15.00 Storage r Press T Temp ~ Ambient AmbientlAISLE 8 Location BOX Components Dichlorophenoxyacetic Acid Dimethylamine Nitrogen ~ MCP f1GUide Minimal 55 Extreme 19 Low 21 Cone 11.0% 12.0% 8.0% 02-001 BLEACH (LIQUID) ~ Immed Hlth Liquid 200 High GAL CAS #: 7681-52-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: CLEANING Daily Max GAL 200 ------r Daily Average GAL 200.00 I Annual Amount GAL -- 5,200.00 Storage PLASTIC CONTAINER r Press T Temp -:I Ambient AmbientAISLE 6 Location - Cone l 100.0% Sodium Hypochlorite Components ~ MCP ~Guide High I 45 . e 01/12/94 VONS GROCERY COMPANY #46' 215-000-000955 02 - Fixed Containers on Site Page 5 Hazmat Inventory Detail in MCP Order 02-012 AEROSOLS ~ Fire, Pressure Liquid 250 High GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: OTHER Daily Max GAL----r-- Daily Average GAL ~ Annual Amount GAL-- 250 I 200.00 I 250.00 Storage r Press T Temp -:ì Location METAL CONTAINR-NONDRUM Ambient AmbientTHROUGHOUT BUILDING Components ffi MCP JUide High 22 . High 22 Extreme 22 Conc 70.0% 20.0% 10.0% Isobutane n-Butane Or Butane Mixture Propane 02-013 POOL CHLORINE (HYPOCHLORITE) ~ Reactive, Immed Hlth Liquid 50 High GAL CAS #: 7681529 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: WATER TREATMENT Daily Max GAL ----r-- 50 I Daily Average GAL 50.00 I Annual Amount GAL -- 500.00 Storage PLASTIC CONTAINER r Press T Temp -:ì Ambient AmbientAISLE 8 Location - Conc l 11.0% Sodium Hypochlorite Components I~ MCP ---rGuide High I 45 02-015 POOL ACID (HYDROCHLORIC) ~ Reactive, Immed Hlth Liquid 15 High GAL CAS #: 7647010 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: OTHER Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL -- 15 I 10.00 I 15.00 Storage PLASTIC CONTAINER r Press T Temp -:ì Location Ambient AmbientAISLE 8/HABA BACK ROOM Components I: MCP :rGUide High 15 Moderate 60 Conc 32.0% 34.0% Hydrochloric Acid Phosphoric Acid i e e 01/1,2/94 VONS GROCERY COMPANY #46 215-000-000955 02 - Fixed Containers on Site Page 6 Hazmat Inventory Detail in MCP Order 02-019 STRIPPER ~ Liquid 50 High GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: ANESTHETIC Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 50 I 20.00 100.00 Storage PLASTIC CONTAINER r Press T Temp ~ Location Ambient AmbientlBACKROOM NORTH WALL Components Ethoxy1ated Nony1phenol 2-Butoxyethanol Ethanolamine (Family Name - see also 1465, 2636 MCP qGUide Minimal 1 Moderate 26 High 60 Conc 0.0% 0.0% 0.0% 02-022 BREAK UP ~ Fire, Immed Hlth Liquid 40 High GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 40 . I 10.00 80.00 Storage PLASTIC CONTAINER r Press T Temp ~ Location Ambient AmbientBACK ROOM NORTH WALL Components ~ MCP ~Uide Extreme 40 Moderate 26 Minimal 5 Conc 2.0% 2.0% 7.0% Potassium Ethylene Glycol Monobutyl Ether Tetrapotassium Pyrophosphate e e 01/12/94 VONS GROCERY COMPANY #46 215-000-000955 02 - Fixed Containers on Site Page 7 Hazmat Inventory Detail in MCP Order 02-004 LYSOL ~ Fire, Immed H1th, Delay H1th Liquid 100 Moderate GAL CAS #: 64-17-5 Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL -- 100 85.00 1,400.00 Storage PLASTIC CONTAINER r Press T Temp -:I Ambient AmbientlAISLE 8 Location - Conc l 79.0% Ethyl Alcohol Components r; MCP ---p;uide Moderate 26 02-006 INSTANT LITE BRIQUETTES/LOGS ~ Fire Solid 2000 Moderate LBS CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: OTHER Daily Max LBS ----r-- Daily Average LBS ~ Annual Amount LBS -- 2,000 1,000.00 I 2,000.00 Storage r Press T Temp -:I Location Ambient AmbientFRONT WINDOW/BACKROOM BAG - Conc _I 25.0% Mineral Spirits Components r; MCP ~Guide Moderate I 27 02-007 CHARCOL LIGHTER FLUID ~ Fire Liquid 70 Moderate GAL CAS #: 8002742 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: OTHER Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL -- 70 I 30.00 70.00 Storage PLASTIC CONTAINER r Press T Temp -:I Location Ambient AmbientFRONT WINDOW/BAKCROOM - Conc -, 100.0% Naphtha Compon~nts \-; MCP ---p;uide Moderate I 27 e e 01/~2/94 VONS GROCERY COMPANY #46 215-000-000955 02 - Fixed Containers on Site Page 8 Hazmat Inventory Detail in MCP Order 02-008 POWDER BLEACH ~ Fire, Immed Hlth, Delay Hlth Solid 1500 Moderate LBS CAS #: 497198 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: OTHER Daily Max LBS ~ Daily Average LBS ~ Annual Amount LBS -- 1,500 I 700.00 I 1,500.00 Storage r· Press T Temp -:-1 Location Ambient AmbientAISLE 6/BACKROOM BOX Components ~ MCP :ruide Low 60 Moderate 35 Conc 0.0% Sodium Carbonate 0.0% Sodium perborate 02-009 ALL PURPOSE CLEANERS ~ Fire, Immed Hlth, Delay Hlth Liquid 150 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: OTHER Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 150 I . 90.00 I 150.00 Storage PLASTIC CONTAINER r Press T Temp -:-1 Ambient AmbientlAISLE 8 Location - Conc -, 0.0% 2-Butoxyethanol Components ~ MCP ---r-Guide Moderate 26 02-014 DRY CHLORINE ~ Solid 250 Moderate LBS CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: OIL TREATMENT Daily Max LBS ~ Daily Average LBS ~ Annual Amount LBS -- 250 I 200.00 I 250.00 Storage PLASTIC CONTAINER r Press T Temp -:-, Ambient AmbientAISLE 8 Location Conc 0.0% 0.0% Components Sodium Dichloro-s-triazinetrione Calcium Hypochlorite \= MCP ~uide Moderate 42 Moderate 45 e e 01/~2/94 VONS GROCERY COMPANY #46 215-000-000955 02 - Fixed Containers on Site Page 9 Hazmat Inventory Detail in MCP Order 02-016 ALGACIDE Liquid . Fire, Reactive, Immed Hlth, Delay Hlth 20 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: OTHER Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL -- 20 I 12.00 I 20.00 Storage PLASTIC CONTAINER r Press T Temp ;:- Ambient Ambient AISLE 8 Location Components Alkyl Dimethylbenzylammonium Chloride Ethanol Polyoxyethylene ~ MCP riUide Low 1 Moderate 26 Minimal 27 Conc 10.0% 2.0% 6.0% 02-021 SCANNER CLEANER . Fire, Delay Hlth Liquid 25 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: COOLING Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL -- 25 I 18.00 I 110.00 Storage PLASTIC CONTAINER r Press T Temp ~ Location Ambient AmbientlBACKROOM NORTH WALL Components ~ MCP ~uide Moderate 26 Low 26 Conc 0.0% 0.0% Isopropanol Ethylene Glycol Diethyl Ether , . e e 01/:1,2/94 VONS GROCERY COMPANY #46 215-000-000955 02 - Fixed Containers on Site Page 10 Hazmat Inventory Detail in MCP Order 02-010 INSECTICIDE (SOLID) ~ Fire, Immed Hlth Solid 35 Low LBS CAS #: 67-63-0 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: CLEANING Daily Max LBS ~ Daily Average LBS ~ Annual Amount LBS -- 35 25.00 I 35.00 Storage r Press T Temp ~ Location Ambient AmbientAISLE 8/GROC BACKROOM BOX - Cone -I 4.0% Metaldehyde 95.0% . Boric Acid Components Œ MCP lGuide Low 32 Low 53 02-017 SODA ASH ~ Fire, Immed Hlth Solid 10 Low LBS CAS #: 497-19-8 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: OTHER Daily Max LBS 10 ----r- Daily Average LBS 6.00 I Annual Amount LBS -- 10.00 Storage r Press T Temp ~ Ambient AmbientAISLE 8 Location BAG - Conc l 100.0% Sodium Carbonate Components ~ MCP --¡Guide Low I 60 02-018 .MAINTEX WAX ~ Immed Hlth, Delay Hlth Liquid 50 Low GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: OTHER Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 50 30.00 450.00 Storage PLASTIC CONTAINER r Press T Temp ~ Location Ambient AmbientBACKROOM NORTH WALL Components Ethylene Glycol Diethyl Ether Ethylene Glycol Œ MCP ,uide Low 26 Low 27 Conc 0.0% 0.0% · . e e 01/12/94 VONS GROCERY COMPANY #46 215-000-000955 02 - Fixed Containers on Site Page 11 Hazmat Inventory Detail in MCP Order 02-023 COMET CLEANSER ~ Delay Hlth CAS #: 7722-88-5 Solid 200 Low LBS Trade Secret: No Form: Solid Type: Pure Days: 365 Use: CLEANING Daily Max LBS 200 ---¡ Daily Average LBS 200.00 I Annual Amount LBS -- 4,700.00 Storage r Press T Temp ~ Ambient AmbientAISLE 8 Location BOX - Cone _I Components 100.0% Tetrasodium Pyrophosphate 1-; MCP -----p;uide Minimal I 31 02-002 MOTOR OIL ~ Fire, Delay Hlth Liquid 200 Minimal GAL CAS #: 64742-54-7 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: COOLING Daily Max GAL 200 ---¡ Daily Average GAL 200.00 I Annual Amount GAL' -- 5,200.00 Storage PLASTIC CONTAINER r Press T Temp ~ Ambient AmbientlAISLE 6 Location - Cone l Components 100.0% Motor Oil, Petroleum Based 1-; MCP -----p;uide Minimal I 27 02-020 CARBON DIOXIDE ~ Fire, Pressure, Immed Hlth Gas 500 Minimal FT3 CAS #: 124-38-9 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: OTHER Daily Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 -- 500 I 250.00 I 5,000.00 Storage r Press T Temp ~I PORT. PRESS. CYLINDER Above Ambient I SERVICE DELI Location - Cone l 100.0% Carbon Dioxide Components r; MCP -----p;uide Minimal I 21 '. . It e 01/12/94 VONS GROCERY COMPANY #46 215-000-000955 02 - Fixed Containers on Site Page 12 Hazmat Inventory Detail in MCP Order 02-003 INSECTICIDES ~ Reactive, Immed Hlth, Delay Hlth Liquid 55 Unrated GAL CAS #: 67-63-0 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: CLEANING Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 55 I 40.00 55.00 Storage r Press T Temp -:ì Location METAL CONTAINR-NONDRUM Ambient AmbientAISLE 8/GROC BACKROOM - Cone l 100.0% Insecticides Components ~ MCP ---¡Guide Unrated I 0 02-005 CHARCOL BRIQUETTES ~ Fire Solid 4600 Unrated LBS CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: OTHER Daily Max LBS ----r-- Daily Average LBS --r-- Annual Amount LBS -- 4,600 2,000.00 I 4,600.00 Storage r Press T Temp ~ Location . Ambient AmbientFRONT WINDOW/BACKROOM BAG , - Cone Components MCP -¡Guide I It .. tit tit 01/12/94 VONS GROCERY COMPANY #46 215-,000-000955 00 - Overall Site Page 13 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation PERSON IN CHARGE WILL COORDINATE EVACUATION (AS PER PROCEDURES OUTLINED IN VONS SAFETY GUIDE, UTILIZING PUBLIC ADDRESS SYSTEM. EMPLOYEES WILL ASSIST CUSTOMERS TO THE NEAREST EMERGENCY EXIT. PERSONNEL WILL IMMEDIATELY NOTIFY APPROPRIATE EMERGENCY-RESPONSE AGENCIES VIA TELEPHONE CALL TO "911". VONS SECURITY DEPARTMENT WILL ALSO BE NOTIFIED. <3> Public Notif./Evacuation PERSON IN CHARGE WILL COORDINATE EVACUATION (AS OUTLINED IN VONS SAFETY GUIDE) UTILIZING PUBLIC ADDRESS SYTEM. EMPLOYEES WILL ASSIST CUSTOMERS TO NEAREST EMERGENCY EXIT. <4> Emergency Medical Plan "911" WOULD BE USED TO SUMMON EMERGENCY MEDICAL ASSISTANCE. WE WOULD RELY ON RESPONDING EMERGENCY PERSONNEL TO ASCERTAIN THE LOCATION OF THE NEAREST MEDICAL FACILITY EQUIPPED TO RESPOND TO OUR SPECIFIC NEEDS, AT THE TIME. · ~ . e e 01/12/94 VONS GROCERY COMPANY #46 215-000-000955 00 - Overall Site Page 14 <E> Mitigation/Prevent/Abatemt <1> Release Prevention RETAIL GROCERY ITEMS PACKAGED FOR RETAIL SALES IN SMALL QUANTITIES SHIPPED TRUCK TO SHELF. MINIMAL BACK STOCK IS MAINTAINED. EMPLOYEE TRAINING MANDATORY FOR NEW HIRES. THIS PROGRAM WAS DEVELOPED BY THE FOOD MARKETING INSTITUTE SPECIFICALLY FOR USE IN THE GROCERY INDUSTRY. MATERIAL SAFETY DATA SHEETS ARE LOCATED IN THE MANAGERS OFFICE IN THE SAFETY AND CLAIMS GUIDE. <2> Release Containment ABSORBANT AVAILABLE AS PART OF SPILL CLEAN-UP KIT, FOUND IN MANAGERS OFFICE. <3> Clean Up DEEP INC, (818) 575-3715, SHOULD BE CONTACTED FOR 24 HOUR EMERGENCY RESPONSE CLEAN-UP. AN ACID SPILL KIT IS ON SITE TO NEUTRALIZE A POOL CARE PRODUCT SPILL. <4> Other Resource Activation · \ . e e 01/12/94 VONS GROCERY COMPANY #46 215-000-000955 00 - Overall Site Page 15 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - OUTSIDE NORTHEAST EAST WALL B) ELECTRICAL - GM BACKROOM EAST WALL C) WATER - BAKERY BACKROOM EAST WALL D) SPECIAL - SPRINKLER RISER BAKERY BACK ROOM EAST WALL E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - SPRINKLERS AND FIRE EXTINGUISHING EQUIPMENT (SERVICED ON A REGULAR BASIS) AVAILABLE THROUGHOUT FACILITY. PERSONNEL TRAINED IN PROPER USE AND MAINTENANCE OF EXTINGUISHING EQUIPMENT. FIRE HYDRANT - ADJACENT FIRE HYDRANTS. , <4> Building Occupancy Level · lit . e e 01/12/94 VONS GROCERY COMPANY #46 215-000-000955 00 - Overall Site Page 16 <G> Training <1> Page 1 WE HAVE 65 TO 70 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING: A VIDEO IS SHOWN TO ALL EMPLOYEES ON SAFE USE OF PRODUCTS AND HOW TO CLEAN UP SPILLS. THE MATERIAL SAFETY DATA SHEETS ARE AVAILABLE FOR ALL EMPLOYEES TO READ. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use · ~ II e e 01/12/94 ., VONS GROCERY COMPANY #46 215-000-000955 00 - Overall Site Page 17 <H> RMPP DATA <1> Release Containment <2> Offsite Consequences <3> In House Capabilities <4> Plant Shutdown Instruction ¡¡. '. " VONS~OCERY COMPANY #46 215-0~000955 Overall Site with 1 Fac. Unit Page 1 01/21/92 Location: 3400 STINE RD Community: BAKERSFIELD STATION 07 Map: 123 Grid: 14A ~~e~IV~D M&R 0 5 1~92t ~a¥~r ~b~ FlU: 1 AOV: 0.0 © General Information 1 Contact Name , L-OSS '1'RGV£N1l ON 'SfSY¡; Sf-\ U GR\ Title Business Phone (2 \ 'b ) '8 z., \ - bCj ?i '?J ('205) 8?;ì 'j - 6if £;- 24-Hour Phone (Z\'6) 8ZI-'15(¡f5 (~\8)'3il-1S{¿¡5 '~Ã NA~G1::~R. Administrative Data Mail Addrs: P 0 BX 3338 TERMINAL ANNEX City: LOS ANGELES Comm Code: 215-007 BAKERSFIELD STATION 07 D&B Number: ODIGì2.-50?t.1 State: CA Zip: 90051- SIC Code: 5411 Owner: VONS COMPANIES INC Address: P 0 BX 3338 ATTN: TAX DEPT City: LOS ANGELES Phone: (805) 835-0212 State: CA Zip: 90051- Summary E ¥ ()~ Dv :íé~~ V\(1 UD~ D(Q) hereby ©®~i~ ~h~ft ~ h!ß!V@ ~ or prifll W.dij ~®'t?!®w~d ~Î1GJ atiaJch~d haZ8.fCOUS m~~®w~~~~ M®úí)®@®o 1ñšïJ®ú1~ ¡gi~~ ~Oif' ilot% CD. * 4b,.ßí1d ~hßj~ ij~ ~@V1@ w~~~ (Nern$ (¡f Susinø$.) ®úíJ11 OOú'ú'®~¡©iî~ OOiî$~i~u~~ ©l rom¡QJ!~~® @ú1@ ©@ú'V'®©Íi U'ùì]@VlO 'l¡. ' ~r4i L o ... .;'" .. 01/21/92 VONS~OCERY COMPANY #46 215-0~000955 02 - Fixed Containers on Site Page 2 Hazmat Inventory Detail in MCP Order 02-011 LAWN CARE/FERTILIZERS Immed Hlth, Delay Hlth Solid 15 Extreme LBS CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: OTHER Daily Max LBS 15 -r Daily Average LBS 7.00 I Annual Amount LBS -- 15.00 Storage r Press T Temp ~ Ambient AmbientAISLE 8 Location BOX Components Dichlorophenoxyacetic Acid Dimethylamine Nitrogen ~ MCP flList Minimal Extreme Minimal Conc 11. 0% 12.0% 8.0% 02-001 BLEACH (LIQUID) Immed Hlth Liquid 200 High GAL CAS #: 7681-52-9 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: CLEANING Daily Max GAL ----r-- 200 I Daily Average GAL 200.00 I Annual Amount GAL -- 5,200.00 Storage PLASTIC CONTAINER r Press T Temp ~ Ambient AmbientlAISLE 6 Location - Conc l 100.0% Sodium Hypochlorite Components ~ MCP -¡List High I .:~ ¡¡;; VONSaOCERY COMPANY #46 215-0.000955 02 - Fixed Containers on Site Page 3 01/21/92 Hazmat Inventory Detail in MCP Order 02-012 AEROSOLS Fire, Pressure Liquid 250 High GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: OTHER Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 250 I 200.00 I 250.00 Storage r Press T Temp -:-, Location METAL CONTAINR-NONDRUM Ambient AmbientlTHROUGHOUT BUILDING Components ~ MCP lList High High Extreme Conc 70.0% 20.0% 10.0% Isobutane n-Butane Or Butane Mixture Propane 02-013 POOL CHLORINE (HYPOCHLORITE) Reactive, Immed Hlth Liquid 50 High GAL CAS #: 7681529 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: WATER TREATMENT Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 50 I 50.00 I 500.00 Storage PLASTIC CONTAINER r Press T Temp -:ì Ambient AmbientlAISLE 8 Location - Conc l 11.0% Sodium Hypochlorite Components ~ MCP -¡List High I 02-015 POOL ACID (HYDROCHLORIC) Reactive, Immed Hlth Liquid 15 High GAL CAS #: 7647010 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: OTHER Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 15 I 10.00 I 15.00 o Storage PLASTIC CONTAINER r Press T Temp ~I Location Ambient AmbientAISLE 8/HABA BACKROOM Components ~ MCP :rList High Moderate Conc 32.0% 34.0% Hydrochloric Acid Phosphoric Acid '. 01/21/92 VONS~OCERY COMPANY #46 215-0~000955 02 - Fixed Containers on Site Page 4 Hazmat Inventory Detail in MCP Order 02-019 STRIPPER Liquid 50 High GAL . CAS #: Trade Secret: No 'Form: Liquid Type: Mixture Days: 365 Use: ANESTHETIC Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 50 I 20.00 I 100.00 Storage PLASTIC CONTAINER r Press T Temp ~ Location Ambient AmbientBACKROOM NORTH WALL Components Ethoxylated Nonylphenol 2-Butoxyethanol Ethanolamine (Family Name - see also 1465, 2636) MCP qList Minimal Moderate High Conc 0.0% 0.0% 0.0% 02-022 BREAK UP Fire, Immed H1th Liquid 40 High GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL ----r-- Daily Average GAL --r-- Annual Amount GAL -- 40 I 10.00 I 80.00 Storage PLASTIC CONTAINER r Press T Temp ~ Location Ambient AmbientBACK ROOM NORTH WALL Components I~ MCP =ìList High Moderate Low Conc 2.0% 2.0% 7.0% Potassium Ethylene Glycol Monobutyl Ether Tetrapotassium Pyrophosphate 01/21/92 VONS~OCERY COMPANY #46 215-0~000955 02 - Fixed Containers on Site Page 5 Hazmat Inventory Detail in MCP Order 02-004 LYSOL Fire, Imrned Hlth, Delay Hlth Liquid 100 Moderate GAL CAS #: 64-17-5 Trade Secret: No Form:, Liquid Type: Mixture Days: 365 Use: CLEANING Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 100 I 85.00 I 1,400.00 Storage PLASTIC CONTAINER r Press T Temp -:-, Ambient AmbientlAISLE 8 Location - Conc l 79.0% Ethyl Alcohol Components r; MCP ~List Moderate 02-006 INSTANT LITE BRIQUETTES/LOGS Fire Solid 2000 Moderate LBS CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: OTHER Daily Max LBS ~ Daily Average LBS ~ Annual Amount LBS -- 2,000 I 1,000.00 I 2,000.00 Storage r Press T Temp -:-1 Location Ambient AmbientFRONT WINDOW/BACKROOM BAG - Conc _I 25.0% Mineral Spirits Components r; MCP ~List Moderate I 02-007 CHARCOL LIGHTER FLUID Fire Liquid 70 Moderate GAL CAS #: 8002742 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: OTHER Daily Max GAL ~ Daily Average GAL ~ Annual Amount GAL -- 70 I 30.00 I 70.00 Storage PLASTIC CONTAINER r Press T Temp ~ Location Ambient Ambient I FRONT WINDOW/BAKCROOM - Conc -, 100.0% Naphtha Components \-; MCP -:¡-List Moderate I 01/21/92 VONS~OCERY COMPANY #46 215-0~000955 02 - Fixed Containers on Site Page 6 Hazmat Inventory Detail in MCP Order 02-008 POWDER BLEACH Fire, Immed Hlth, Delay Hlth Solid 1500 Moderate LBS CAS #: 497198 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: OTHER Daily Max LBS ----r-- Daily Average LBS ~ Annual Amount LBS -- 1,500 I 700.00 I 1,500.00 Storage r Press T Temp -:ï Location Ambient AmbientlAISLE 6/BACKROOM BOX Components ~ MCP :rList Low Moderate Conc 0.0% Sodium Carbonate 0.0% Sodium Perborate 02-009 ALL PURPOSE CLEANERS Fire, Immed Hlth, Delay Hlth Liquid 150 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: OTHER Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL -- 150 90.00 / 150.00 Storage PLASTIC CONTAINER r Press T Temp -:I Ambient Ambient/AISLE 8 Location - Conc l 0.0% 2-Butoxyethanol Components 1-; MCP ~List Moderate 02-014 DRY CHLORINE Solid 250 Moderate LBS CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: OIL TREATMENT Daily Max LBS ----r-- Daily Average LBS ~ Annual Amount LBS -- 250 / 200.00 I 250.00 Storage PLASTIC CONTAINER r Press T Temp -:ï Ambient Ambient/AISLE 8 Location Components Sodium Dichloro-s-triazinetrione Calcium Hypochlorite 1= MCP illList Moderate Moderate Conc 0.0% 0.0% 01/21/92 VONS~OCERY COMPANY #46 215-0~000955 02 - Fixed Containers on Site Page 7 Hazmat Inventory Detail in MCP Order 02-016 ALGACIDE Fire, Reactive, Immed Hlth, Delay Hlth Liquid 20 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: OTHER Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL -- 20 12.00 20.00 Storage PLASTIC CONTAINER r Press T Temp ~I Ambient Ambient AISLE 8 Location Components Alkyl Dimethyl Benzyl Ammonium Chloride Ethanol Polyoxyethylene MCP ;:¡List Low ~Oderate Minimal Conc 10.0% 2.0% 6.0% 02-021 SCANNER CLEANER Fire, Delay Hlth Liquid 25 Moderate GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: COOLING Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL -- 25 18.00 I 110.00 Storage PLASTIC CONTAINER r Press T Temp ~ Location Ambient AmbientBACKROOM NORTH WALL Components ~ MCP ~List Moderate Low Conc 0.0% 0.0% Isopropanol Ethylene Glycol Diethyl Ether 01/21/92 VONS~OCERY COMPANY #46 215-0~000955 02 - Fixed Containers on Site Page 8 Hazmat Inventory Detail in MCP Order 02-010 INSECTICIDE (SOLID) Fire, Immed Hlth Solid 35 Low LBS CAS #: 67-63-0 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: CLEANING Daily Max LBS ----r-- Daily Average LBS ~ Annual Amount LBS -- 35 I 25.00 I 35.00 Storage r Press T Temp ~ Location Ambient AmbientlAISLE 8/GROC BACK ROOM BOX - Cone l 4.0% Metaldehyde 95.0% Boric Acid Components I~ MCP lList Low Low 02-017 SODA ASH Fire, Immed Hlth Solid 10 Low LBS CAS #: 497-19-8 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: OTHER Daily Max LBS ----r-- Daily Average LBS ~ Annual Amount LBS -- 10 I 6.00 I 10.00 Storage r Press T Temp -:-1 Ambient AmbientAISLE 8 Location BAG - Cone -, 100.0% Sodium Carbonate Components ~ MCP -¡List Low I 02-018 MAINTEX WAX Immed Hlth, Delay Hlth Liquid 50 Low GAL CAS #: Trade Secret: No Form: Liquid Type: Mixture Days: 365 Use: OTHER C-, Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL -- 50 I ' 30.00. I 450.00 Storage PLASTIC CONTAINER r Press T Temp ~ Location Ambient AmbientBACKROOM NORTH WALL Components Ethylene Glycol Diethyl Ether Ethylene Glycol Œ MCP lList Low Low Cone 0.0% 0.0% 01/21/92 VONS~OCERY COMPANY #46 215-0~000955 02 - Fixed Containers on Site Page 9 Hazmat Inventory Detail in MCP Order 02-023 COMET CLEANSER Delay Hlth Solid 200 Low LBS CAS #: 7722-88-5 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: CLEANING Daily Max LBS ~ Daily Average LBS --r-- Annual Amount LBS -- 200 I 200.00 I 4,700.00 Storage r Press T Temp ~I Ambient AmbientAISLE 8 Location BOX - Conc _I Components 100.0% Tetrasodium Pyrophosphate ~ MCP -¡List Low 02-002 MOTOR OIL Fire, Delay Hlth Liquid 200 Minimal GAL CAS #: 64742-54-7 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: COOLING Daily Max GAL ~ Daily Average GAL --r-- Annual Amount GAL -- 200 200.00 I 5,200.00 Storage PLASTIC CONTAINER r Press T Temp ~I Ambient AmbientAISLE 6 Location - Conc l Components 100.0% Motor Oil, Petroleum Based r; MCP :-rList Minimal 02-020 CARBON DIOXIDE Fire, Pressure, Irnmed Hlth Gas 500 Minimal FT3 CAS #: 124-38-9 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: OTHER Daily Max FT3 ~ Daily Average FT3 --r-- Annual Amount FT3 -- 500 I 250.00 I 5,000.00 Storage r Press T Temp ~ PORT. PRESS. CYLINDER Above AmbientSERVICE DELI Location - Conc -/ 100.0% Carbon Dioxide Components \-; MCP -::-rList Minimal I 01/21/92 VONS~OCERY COMPANY #46 215-0~000955 02 - Fixed Containers on Site Page 10 Hazmat Inventory Detail in MCP Order 02-003 INSECTICIDES Reactive, Immed Hlth, Delay Hlth Liquid 55 Unrated GAL CAS #: 67-63-0 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: CLEANING Daily Max GAL ----r-- Daily Average GAL ~ Annual Amount GAL -- 55 I 40.00 I 55.00 Storage r Press T Temp ~ Location METAL CONTAINR-NONDRUM Ambient AmbientAISLE 8/GROC BACK ROOM - Cone l 100.0% Insecticides Components ~ MCP -::-rList Unrated I 02-005 CHARCOL BRIQUETTES Fire Solid 4600 Unrated LBS CAS #: Trade Secret: No Form: Solid Type: Mixture Days: 365 Use: OTHER Daily Max LBS ----r-- Daily Average LBS ~ Annual Amount LBS -- 4,600 I 2,000.00 I 4,600.00 Storage r Press T Temp ~ Location Ambient AmbientFRONT WINDOW/BACKROOM BAG Cone Components MCP -¡List c 01/21/92 VONS~OCERY COMPANY #46 215-0~000955 00 - Overall Site Page 11 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation PERSON IN CHARGE WILL COORDINATE EVACUATION (AS PER PROCEDURES OUTLINED IN VONS SAFETY GUIDE, UTILIZING PUBLIC ADDRESS SYSTEM. EMPLOYEES WILL ASSIST CUSTOMERS TO THE NEAREST EMERGENCY EXIT. PERSONNEL WILL IMMEDIATELY NOTIFY APPROPRIATE EMERGENCY-RESPONSE AGENCIES VIA TELEPHONE CALL TO "911". VONS SECURITY DEPARTMENT WILL ALSO BE NOTIFIED. <3> Public Notif./Evacuation PERSON IN CHARGE WILL COORDINATE EVACUATION (AS OUTLINED IN VONS SAFETY GUIDE) UTILIZING 'PUBLIC ADDRESS SYTEM. EMPLOYEES WILL ASSIST CUSTOMERS TO NEAREST EMERGENCY EXIT. <4> Emergency Medical Plan "911" WOULD BE USED TO SUMMON EMERGENCY MEDICAL ASSISTANCE. WE WOULD RELY ON RESPONDING EMERGENCY PERSONNEL TO ASCERTAIN THE LOCATION OF THE NEAREST MEDICAL FACILITY EQUIPPED TO RESPOND TO OUR SPECIFIC NEEDS, AT THE TIME. "í- ,,",or. VONS~OCERY COMPANY #46 215-0Jlt000955 00 - Overall Site Page 12 01/21/92 <E> Mitigation/Prevent/Abatemt <1> Release Prevention ~ WlUlJ€JC'l"::f'".J'AC'IHY;;EÐ--æR cfl.:ETfiß ~ 'f1to S;MALJ. 'êX)N·;l'lUP<lßR&. MB ImUl:Jl:JL.-T3 ~ "~m-''''l'o.. 3Rß.b:Jr .,~, oJf'I L1U~,GE' r\mnJ'=PI'f'I:E~ .H6UB-EÐ ~ ~ WAREII@US;E AREA (~, ~HuuMf· Retail grocery items packaged for retail sales in small quantities shipped truck to shelf. Minimal backstock is maintained. Employee training manadatory for new hires. This program was developed by the food marketing insitute specifically for use in the grocery industry. Material Safety Data Sheets are located in the manager's office in the Safety and Claims Guide. <2> Release Containment Absorbant available as part of spill clean-up kit, found in manager's office. <3> Clean Up Deep Incorporated, ·(818) 575-3715, should be contacted for 24 hour emergency response cl~an-up. An acid spill kit is on site to neutralize a pool care product spill. <4> Other Resource Activation ~ . , VONS~OCERY COMPANY #46 215-0~000955 00 - Overall Site Page 13 01/21/92 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - OUTSIDE NORTHEAST EAST WALL B) ELECTRICAL - GM BACKROOM EAST WALL C) WATER - BAKERY BACKROOM EAST WALL D) SPECIAL - SPRINKLER RISER BAKERY BACK ROOM EAST WALL E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - SPRINKLERS AND FIRE EXTINGUISHING EQUIPMENT (SERVICED ON A REGULAR BASIS) AVAILABLE THROUGHOUT FACILITY. PERSONNEL TRAINED IN PROPER USE AND MAINTENANCE OF EXTINGUISHING EQUIPMENT. FIRE HYDRANT - ADJACENT FIRE HYDRANTS. <4> Building Occupancy Level -)J .( ,.,.1) t--" VONS~OCERY COMPANY #46 215-0~000955 00 - Overall Site Page 14 01/21/92 <G> Training <1> Page 1 WE HAVE 60 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING: A VIDEO IS SHOWN TO ALL EMPLOYEES ON SAFE USE OF PRODUCTS AND HOW TO CLEAN UP SPILLS. THE MATERIAL SAFETY DATA SHEETS ARE AVAILABLE FOR ALL EMPLOYEES TO READ. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use - RECEiVED OHAZARDOUS MATERIALS INVENTORY þ\PR 2?l 1991 NON-TRADE SECRETS A 'd . Page OWNER NAME 1/ oS NAME OF THIS FACILITY' ns ............ ADDRES3' : \ ~ STANDARD IND. CLASS CÒDE:---- CITY tp: DUN AND BRADSTREET NUMBER----·---' PHON~ . REFER TO-¡NSTRUCTIDNS 1-ui< pRDPER CODES 7 8 9 10 11 12 , Dys Cant Cant Cant Us~ loc4t ion Vhere on SIte Type Press Temp Code Stored In Facl J Ity Ó I "e.b /~d"()~ o \ \ Component U. tiUe.i ¡.A. s.. Number ~_. /' .: 0fZ- Færm Ind Agticulture [] Standard Business . USINE~S NAHE: LI C1n ~ OCA TI N' .~ L./ 0 CJ J.TI A./<- IT Y þ. I P: IJ.&I K-e"s.,..f, <l( C{ c, I-IDN t:: ~ S-01.. , 1..-:. 1 T r!ns C~e V 2 Tyoe Code 5 Annual Est . Average ' Allt ' lAire Haurd 0 Reactivity; 0 Delayed 0 Sudd~n Release ...., ¡ Health of Pressure C.A.S. Number I [J Fire Hazard I o Reactivity! t o De leyed 0 Sudd~n Re lease Health of Pressure CITY at BAKI:K~t-lI:LU Component'1 Name I C.A.S. Number o Immediate Health Component ~ Name I C.A.S. Number Component 31 Name A C.A.S. Number O Component 12 Name A C.A.S. Number Immediate Health Component.3 Name' C.A.S. Number v IX$71<Œ. Name' C.A.S. Number O Component.2 Name I C.A.S. Number Immediate Health Component.3 Nalle I C.A.S. Number ¡EMERGENCY CONTACTS #1 S ð'7¿ 7cf:jq~ $12 £, ' ~¡/'f)}c.':t ¡t!O¡p¡¿QA i 2T1ir ~noné flUe TTt Ie 7" , C~~tifiç!tioq (Reed and $ign af1ar C9mp7eting ftll sections) . ¡ tertlfy unðer penalty 0 la~ th~t I hav~ persona Iy exam1n Q e d,m familIar yith the in{ormatlon $ubmitte~ In this end all a~taçhed dQcUftents, ano t at based on my In uiry Q those I ua s responsible for obtaIning the InformatIon. I belle~e~~.t t~. _ ~ sœ~"tted InforMatIon IS true, accurate 'Iete. ' ~ e ,. wn IIn r p r r au or e r prèsentÐtI~e n o Reactivity o Delared o SUddf" Re I ease Hea th o Pressure ?ßv ~fltSictl ,nd ~ealth Hlfard i nec a I t at apply o fire Hazard o Reactivity o De Jared o Suddf" Re ease Hes th o Pressure O Component.2 Name & C.A.S. Number Immediate Health Component.3 Kame I C.A.S. Nu~ber -.,- \. r~·... of -.----- - - - - 13 , by lit u Haftes of ~ixture/Ç~rconents See InstructIons ¡ ! ~ i~ r , ~ ~ :, 'I ~" /":,,) i. ~ I'¡: :>'2lIC,ß 1: 2ll! f Tt1ð';ft- ~ 1:1 ,l 'I ¡ , é(:- 2/" ~ unnf(~e6' ~ CITY of ~AKI:H~Fll:LU - ~~:,~~ ;,c~_, , , , " 1 2 3 Virens T YDe Max C4tde CoUe Allt t/ ¡JI1 So. d ~hY$ical ,nd He,lth Ha~ard , (~heck all that applYI ~AZARDOUS MATERIALS INVENTORY -Standard Business ~ NON-TRADE SECRETS Page ~WNER NAME: NAM~ OF THIS FACIlITYÖ ~~Y~ESiip: Bù~ ~~~DBÄ~8šT~~~~SN8MRf~-------' R~R~~ t01NSTRUCTIONS f-Uf( fJROPER CODES - - - - & 7 8 9 10 II 12 13 II Mea$ure I Dys Cont Cont Cont uSå location Where 'by Na~es of ~ixture{ço'oonents UnIts on SIte Type Press remp Co e Stored In FaCIlity wt See Instruc Ions I'm éx1 G.:t ( 3t::>(-- 10 (£I1/i1 F/crN t:;hl"l'¡..:z. Nalle I C.A.S. Number E vf If;;./¿ Component.2 Name I C.A.S. Number o Delayed 0 Sudden Release [] Illmediate Health of Pressure Health Component 93 Name & C.A.S. Number .. ~ ,~ ·-1"""'-' ,- ... farm and Agticulture [] ~INE~S NAME: II O'YJ.& rr¢~I ~Þ: auA~Lf~~~rr HOOt: : ~ }lJ'V ) of - I': r " i, ,( , . ~ ~' I [] Component '2 Nalle i C.A.S. Humber [] React iYJt,y¡: o Delared [] Suddfn Release Immediate Hea th o Pressure Hea I th 1 Component .3 Name I C.A.S. NUllber Phlsical ,nd ~ea'th "ajard C.A.S. Number Component .1 Name I C.A.S. Number , heck a I t at apply o Fire Hazard [] Reactivityl [] De Jared [] SUddf" Re I ease [] Component .2 Name I C.A.S. Number Immediate Hea th o Pressure Hea Ith Component 13 Name I C.A.S. Number ~, r ~ F f. f.. P PhYsic,l'ond Hellth Hlllrd I~heck all that apply, C.A.S. Number Component" Nale & C.A.S. Number .< [] Fire Hazard o Reactivity: o De Jared 0 SUddfn Re I ease Hea th 0 Pressure [] Component.2 Name & C.A.S. Number Immediate Health Component 13 Name & C.A.S. Number , b Ý-2-(-Cj / Onnf~r.eð ~ ¡I1!fTfim-1 l' ~ ti I"" ., ~ ¡EMERGENCY CONTACTS _1 _2 ì RUle nfle 24 Hr pnone IDe tl.!rtificatio" (Reed and sign afjar c()mpleting fill, sections] . . ¡ certIfy un~er øenaltr 0 la~ th.t I have persona Iy exam I" Q ,~d 'II familIar y,tb the informatIon $ublllltted In this end all !ttached documents. anQ t at based on my In uir Q those, IVld Is responsible for obtaIning the InformatIon. I belIeve that the submItted InformatIon IS true, accur, c. 'Iete. , ~ ~ II II "" II er p r au r ern ~ ntle , ~ ì: h .~ I e e I - _.- -- - .-- - - --- ~--- - ' ~~\ph I? Hu~ f\élV ~ ~]/A' duv S, Pi 'ì! t~~ ¡!J; if ~(3U b S,r {1 qtl/fM r-"èkJ Cezq 3 3d~ '~ k 06/18/91 VONS~OCERY COMPANY #46 215-00~00955 Hazmat Inventory List in Reference Number Order 02 - Fixed Containers on Site PIn-Ref Name/Hazards Form Quantity 02-0071 BLEACH (LIQUID) V Immed HI th 027 02:76 02/7 02-00 Liquid 700 MOTOR OIL Fire, Delay Hlth Liquid 75 3 Liquid 55 INSECTICIDES Reactive, Immed Hlth, Delay Hlth LYSOL Fire, Immed Hlth, Delay Hlth Liquid 100 CHARCOL BRIQUETTES Fire Solid 4,600 LBS INSTANT LITE BRIQUETTES/LOGS Fire GAL GAL GAL GAL Solid 2,000 LBS CHARCOL LIGHTER FLUID Fire Liquid 70 GAL POWDER BLEACH Fire, ImmedHlth, Delay Hlth Solid 1,500 LBS 02-00r ALL PURPOSE CLEANERS \I Fire, Immed Hlth, Delay Hlth 02-~ Liquid 150 INSECTICIDE (SOLID) Fire, Immed Hlth Solid 35 GAL LBS LBS GAL GAL LBS GAL Page 1 LAWN CARE/FERTILIZERS Immed Hlth, Delay Hlth Solid 15 MCP High p AEROSOLS Fire, Pressure Liquid 250 Minimal Unrated Moderate Unrated Moderate Minimal Moderate Moderate Low Extreme High High Moderate High 02-011 ALGACIDE Liquid 20 Moderate ~ Fire, Reactive, Immed Hlth, Delay Hlth GAL 02-0y7 SODA ASH Solid 10 L.OW \I Fire, Immed Hlth LBS 1: cful. --'Wit oUß:Q - ~ ~ JMvJ ~ - ~ ~ ~ POOL CHLORINE (HYPOCHLORITE) Reactive, Immed Hlth Liquid 20 DRY CHLORINE Solid 250 POOL ACID (HYDROCHLORIC) Reactive, Immed Hlth Liquid 15 ,'\. :. VONS~OCERY COMPANY #46 215-00e>00955 06/18/91 Page 2 Hazmat Inventory List in Reference Number Order 02 - Fixed'Containers on Site PIn-Ref Name/Hazards Form Quantity MCP 02-~ MAINTEX WAX Liquid 50 Low Immed Hlth, Delay Hlth GAL 02~9 STRIPPER Liquid 50 High GAL / 02~0 CARBON DIOXIDE Gas 500 Minimal Fire, Pressure, Immed Hlth FT3 02- 21 SCANNER CLEANER Liquid 25 Moderate Fire, Delay Hlth GAL BREAK UP Liquid 40 High Fire, Immed Hlth GAL CIIY ot ~AK~K~~ltLU O .St d .d B' KAZARDOUS MATERIALS INVENTORY Rf£CEUVEI!J FarM and Agticulture an ar uSlness L I~ ,,'~ ", NON-TRADE SECRETS MAY 1 Page __ _., of J¥.- r~~l~iö~· N~~¡r;"R~ 2~W~R~S~~~:\~~~f~~~~~ ~ ~~~~D~~D T~~B. FêfUr:tÓD~~1l4l~ '-------- ~AÒ~~ ~~þ~~~~ .;[\J.- - 3.~o9 . ~ f6~~ 3!P: ~e~' C .. DUN AND BRADSTR~E""itWr.m~~-:~O\3-Z.SDj'l-·--'-' R FER t verI 'NS rUff ?ROPER CODES - - - - 1 8 9 10 11 ,12 '3 1 Dys Cont Cont Cont Use locat I on Vhere , by on Site Type Press Temp Code Stored In FaCility ~t \ 2... SA-"'~ ~,'-^.)\~~..... Component'l Hame' C.A.S. Humber i or 1 Tr~ns Code 2 Tyoe Code 3 Max Allt 4 Average Allt C.A.S. Humber 1/iYfi re Hazard I o Reactivity i 0 Dela{ed 0 Suddøn Release ì Hea th of Pressure i I , I o ReactivitYI 0 Delayed 0 Sudden Release I Health of Pressure O Component 12 Name & C.A.S. Number Immediate Health Component 13 Name & C.A.S. Number O Component 12 Name & C.A.S. Number Immediate Health Component 13 Name & C.A.S. Number 5A\e.-::. ~c.'f.00.~ ~o.~ v->\~ Component'l Name & C.A.S. Number D Physical 'nd Health Hatard lCheck a I that applYI C.A.S. Number Component'l Name & C.A.S. Number EMERGENCY CONTACTS tt1 LOS$ ~t'~ e,) g\R g2.l- 7545 tt2 RI ntle Z41Ir phone Rãñie ntle I' I Íertífíçgtío~ (Reed and sign afJßr cÇJmp7eting, Çt7, c~ions) , , . cerllfy unGer penal\ï 0 la_ th_t I have pe(sona Iy examlnâO e~d 'm famllla( Ylth Information $ubmltte4 In this end all attaçhed dQtu~ents, anG t at based on my Inquiry 0 those In IYldua s responsible for talning the Information. I believe that the ' sub1llltted Information IS true, acc rate, And ~IIPlete. , \ ~J íJ I .s~ :s-- S~\Y"- ~ ~ CoO~\~~\ ~ liffifëiiãõf IIn. I ~ UN olin r/operator's autfiorlzed reõmëñUtlve S1gn ur . [YFire Hazard o Reactivity o De layed 0 Sudden Re I ease Health of Pressure Q1Íre Hazard o Reactivity o De I ayed 0 Sudden Re I ease Health of Pressure lco O Component 12 Name & C.A.S. Nu~ber Immediate Health Component 13 Name & C.A.S. Nu~ber / t)'~~1 \\:\5 [} Component 12 Name & C.A.S. Number . Immediate Health Component 13 Name & C.A.S. Number 2fllfTJim- 5"'Q,Q) DHnrqr.ëð- CIIY ot ~AK~K~~ltLU []HAZARDOUS MATERIALS INVENTORY NON-TRADE SECRETS Page 2. of 10 ~~~~~S~~ME: ~~~~O~~O T~hg F ¿mp~¿~'" ';,.+±= L/IP_ -===-- . ~AÀ~ ~!P: DUN AND BRADSTREET NUMBER---" ------'.- -'''---'-' REFE~ TO-rNSTRUCTIONS f-Uff fJROPER CODES - - - - 6 7 8 9 10 II ,12 13 Hea$ure I Dys Cant Cant Cont Us~ loc~tlon Where , by UnIts on SIte Type Press Temp Code Stored In FacilIty wt Las 3~ 5 ( 'So-.~:uk ß~,,-k,oo"" umber ~,,~ ~\<.~o"""' ~k Component II Name & C.A.S. Number / 5- \, \ I () .s.<XA \ '"" 'I"'t'\ \: ~ Component.2 Name & C.A.S. Number ~ Immediate Health Component 13 Name & C.A.S. Number '1 'C' Fårm and Agticulture [] Standard Business ~~SI~~î~·NAME: cy¥ç I- Iþ: PHbNt: : 1 2 Tr~ns TYDe Code Code o Fire Hazard __~ Component.2 Name & C.A.S. Number ~Immediate Health Component 13 Name & C.A.S. Number o Delayed 0 SUdd;n Release Health 0 Pressure o fire Hazard I I I o Reactivity¡ [] Delayed 0 sudd;n Release I Health 0 Pressure g o Fire Hazard o Reactivity o De 1ared o SUdd;n Release Hea th o Pressure N \1 Ph~~icfl·,~d ~ealth ~aJard I ec a t at app y ~re Hazard o Reactivity o oelared ~ddfn Release Hea th o Pressure __~ Component.2 Name & C.A.S. Number ~ Immediate Hea 1th Component 13 Name & C.A.S. Number ~' Component'2 Name & C.A.S. Number r::r Immediate Health Component 13 Name & C.A.S. Number EMERGENCY CONTACTS _1 #2 /ijlle ntle Z4lTn1ione Rãiie fertif;çatioq (Re~d and $ign af1f3r C9mp7eting, (t77, sec~ions) . , . certIfy un~er øenal\x 0 a~ th~t J have persona I~l examlneo eqd em famIlIar wIth the Information $Ubmltted In thIs end all attBçhed dQcyøents, ano t at based on my InquIry 0 hose IndIVidualS responsIble for obtaInIng the InformatIon. I belIeve that the submItted Inforøatlon IS true, accurate, and co~plete. ~~~flcII title of ovn~r/operator UK owner/operator's 8utnorlzea reore$entatlve ntle 2l1lf11iõñe- srg;¡iture DH!SHf.eð-' 1 2 3 Ir~ns Iyae Max Code Code Allt IN t"\ Physical fnd He,lth Halard (Check a I that apply, 4 Average Allt CITY at I3AKi:K~t-lt:LU OHAZARDOUS MATERIALS INVENTORY NON-TRADE SECRETS ..Ll IJIPage ~__ of 4· ~WNE~ NAME: NAME 0h THIS FACILITYÓ t)O(\S --t-- ft£l ~£~~ S3ip: 5Ù~N~~DDBÀ~BšT~~~rSN8MRf~-·_:--~----- ,.., ~~.===~,===- . R~?Mk to-rNSTRUCTIONS l-uH fJROPER CODES - - - - 7 8 9 10 11 12 13 . Dys Cant Cant Cant Use loc~t ion Vhere , by on SIte Type Press Temp Code Stored In FacIlIty Vt &- Sc... \¡,S \+-\S \e... b (lIe. ~~ Component" Name & C.A.S. Number . ~ Farm and Agticulture 0 Standard Business I E~~I~fi~·NAME: CTTV... If>: PHON!: : 10 Fire Haurd o Reactivity i o De lared o SUdd;n Release ~ Component '2 Name I C.A.S. Number mmediate , ì Hea th o Pressure Health Component .3 Name I C.A.S. Number 1\:) , ~ 2? P l~iC~1 f~d ~e'lth HaIard ( ec a t at apply I I '0 Fire Hazard I ~ Component .2 Name I C.A.S. Number o Reactivity! o Delared o SUdd¡n Release . IIImediate I Hea th o Pressure Health Component .3 Nallle I C.A.S. NUllber o Reactivity o Delayed ~den Release Health of Pressure ~ ~ Component.2 Nallle I C.A.S. Number ItYlm~~diate Health Component'3 Name I C.A.S. NUllber ~t"è\>CI..~ 7.&./ -98 ~ to Zo ß-.i.\o..~~ I Dfc, - '17 - B N 2..0 Physical 'od Health Haiard (Check a , that apply o Fire Hazard ~ctivity II ScJ\\J.~ ~ o Delayed 0 Sudden Release Health of Pressure ~ Component.2 Name I C.A.S. Number 1!1 Immediate Health Component.3 Nalle & C.A.S. Number EMERGENCY CONTACTS .1 "2 Halle TttJe lflIr phone Nãfie Íertifiçatio~ fReed and $ign BfJf3r cÇJmp7eting, Çf17, sec~ions) , , . certIfy un~er oenal\x 0 la~ th,t I have persona 1Yl examln~Q O"d,n famlllaf Ylth the In(ofmatlon $ubnltted In thIs ond all attaçhed documents¡ 8no t at Þased on my InQuiry 0 hose IndlYldua s responsIble for obtainIng the Inforlllatlon. I belIeve that the submItted Informat on IS true, accurate, and co~plete. ntle 2f lIf 1'1iane- ~~~rIC81 tItle of owner/operator UK owner/operator's authorIzed reõfišëñtirrv¡--- Slgñãtu r e DH~"1f~r.êð-" CITY ot HAKtK~t-lt:LU , I I I " I 2 3 Tr~ns Tyøe Max Code Code Ant Se> Physical fnd Health Hafard (Check a I that apply Q'1ire Hazard ltReact ivity ¡ ¡ I I ! OHAZARDOUS MATERIALS INVENTORY ~ Standard Business f_ NON.,-TRADE SECRETS Page of.tO OWNER NAME: NAME OF THIS FACILITY' \ 'O'Ç\S~ Lf(o - -- ~DRESS' STANDARD IND. CLASS CÒDt':-'- -' '.-'------ " ~ Ó~~ ¡!P: DUN AND BRADSTREET NUMBER-'-' ---.--"------ R FER TO-rNSTRUCTIONS rut( fJROPER CODES - - - - 6 1 8 9 10" 12 13 . Hea$ure . Dys Cont Cont Cont Use loc~t ion ~here , by UnIts on SIte Type Press Temp Code Stored In FacilIty Wt lßS. 3fo S 0 Sc.\.e~ ~"tS g C.A.S. NUMber Component.1 Name & C.A.S. NUMber ·;ZO~ . Far. and Agticulture [] B~S¢NE~S NAME: L C TI N' C T . ¡P: PHON!: : o De I ayed 0 Suddfn Re I ease Health 0 Pressure ,." L, Component.2 Name & C. A. S. Number llyumed18te Health Component.3 Name & C.A.S. Number ~ \S Physical lod Health HaIard (Check all that applYI I I I o Fire Hazard ~ctivitYi I o De Jared 0 SUddfn Re I ease Hea th 0 Pressure ~~. Co~ponent.2 Name & C.A.S. Number M""lm~edlate Health Component.3 Name & C.A.S. Number Ptc. iJ I " i (JI'fire Hazard ~activitY: o De Jared o SUdd;n Release ~. Component 12 Name & C.A.S. Number mmedlate Hea th o Pressure Health Component .3 Name & C.A.S. Number N Ph~sic~1 ,nd ~ealth ~aJard Component II Name & C.A.S. Nunber j I hec a I t at app Y o Fire Hazard o Reactivity o De Jared o Suddfn Release ~ d" Component'2 Name & C.A.S. Number Imme late Hea th o Pressure Health Component .3 Name & C.A.S. Number EMERGENCY CONTACTS _1 _2 rane Hel e 2T1ff1'1ione Rã1ie fertifjçatio" (Re~d and sign af1ør c()mpleting, a", sections] . , certIfy under penaltr 0 Ja~ th~t I have persona Iy examlnâQ ,"d em famIlIar with the informatIon $ubmltted In this end all attached dQcunents, ano t at ÞaseO on my Inquiry 0 those In IVldualS responsible for obtaIning the InformatIon. I believe that the submitted InformatIon IS true, accurate, and complete. TIt Ie Hl!ftñ~ ~~~Tlclll title Of own~r,operator U~ owner/operator's authorized reõresentatlve STgñãt u r e DHnHf.ëð-- OHAZARDOUS MATERIALS INVENTORY NON-TRADE SECRETS Page _5_, of jç¿, ~~W~~~S~~ME: ~~~~D~hD T~~ß. F~rlš§T¿¿~?'\\~- If b .-.'.--,--'---' ~ TY ~tp: DUN AND BRADSTREET NUMBER-'·- --------, _"-'-' . R }9M~ to-rN5TRUCTION5 rUff fJROPER CODES - - - - 7 8 9 10" ,12 13 Il I Dys Cont Cont Cont Us~ locatIon Where 'by !lalles of ~ixture{ç~rcor.ents on SIte Type Press Temp Code Stored In Facll rty lit See Instrue Ions , () (.\<<"~Qo--. ~. Wc.\\ ~o..\.,,",\e-t... ~",'i-... Component II Name I C.A.S. Number ~ Component '2 Name I C.A.S. Number ~-\-"ykr-.e. mmediate " Heal th Component 13 Name I C.A.S. Number ßQC.~'t'Oö1Y\. ¡...,J~ \Å.)o.. \. Name I C.A.S. Number ~ Component '2 Name I C.A.S. Number Immediate Health Component 13 Name I C.A.S. Number \)~L Component II Name I C.A.S. Number Component '2 Name I C.A.S. Number o Immediate Hea Ith Name I C.A.S. Number Component 13 ~~ ~. ~~ Component II Name & C.A.S. Number o Component '2 Name I C.A.S. Number Immediate Health Component 13 Name & C.A.S. Number GIIY at ~AK~K~~ltLu .., Fa;", and Agticulture [] Standard Business , , I rU~I~Í~~' NAME: C?TV .. IP: PHONt: : I 2 3 Trans TYQe ~ax Code Code Ant U ~ '0 Physical fnd Health Hafard (Check a I that apply 4 Average Allt '0 Fire Hazard o Reactivity l o De Jared o suddf" Re I ease , I Hea th o Pressure D P ~~icrl ,~d ~ealth Hafard ( ee a t at apply i I 10 Fire Hazard ¡ o Reactivity, o Delared o suddfn Release I Hea th o Pressure [] Fire Hazard o Reactivity o Delared [] SUddfn Release Hea th o Pressure N <'5 Ph~sierl ,~d ~ealth ~aJard (hec a t at app y [] Fire Hazard o Reactivity o Delared o SUddfn Release Hea th o Pressure EMERGENCY CONTACTS ., .2 lalle Tftle 2T1frP1ione Rflie fertHjçatio~ (Reed and $ign af'jf3r cÇJmp7eting, ~". ~ectionS) , certIfy unðer penal~r 0 ra~ th~t J have persona 1Vl examlneo O~d,. famIlIar Wit the InformatIon $ubmitte4 In this ond all attaçhed documents, anq t at based on ,y Inquiry 0 hose IndlVldua s responsible or obtaIning the Information. I belIeve that the submitted InformatIon IS true, accurate, and complete. Ç¡n~Tlclal title of ovner/operator UK owner/operator's authorizea reDffšëñtã~ t(O-~ù -.s Tttle Hl!fTJj~ 51 gnRure OHr1Hr.ê~--1 'I []HAZARDOUS MATERIALS INVENTORY /, NON~TRADE SECRETS Page -J.t2-, of fa.. OWNER NAME: NAME OF THIS FACILITY' llO~ L./ (0 ~DRESS' STANDARD IND. CLASS CÒDEY---' '-------,--..--' ~ TY ~lp: DUN AND BRADSTREET NUr'fBER-'--' -------, ---'--'-" 'R ~M~ to-rfilSTRUCTIONS !-UK f-IROPER CODES - - - - 7 8 9 10 11 ,12 13 I Dys Cant Cant Cant Use locat I on Vhere , by' on SIte Type Press Temp Code Stored In FacilIty Vt ~ ~. wO\.\\. Component II Name & C.A.S. Number -..' ó- , ... .. Farm and Agticulture [] Standard Business I rU~I~Í~~.NAME: C9T9~ zþ: PHON!; : CilY at ~AK~K~rltLU . Average Allt 1 2 3 Trans lyoe Max Code Code Allt N t'\ Physical 'nd Health Halard ICheck a I that applYI C.A.S. HUlllber 10 Fire Hazard I [] Reactivity i [] Delayed [] Suddfn Release ì Hea I th 0 Pressure P ysical aod Health Halard {Check all that apply I I 10 Fire Hazard [] Reactivity~ I [] Delayed [] SUddfn Release Health 0 Pressure ~~ Component'2 Name & C.A.S. Number [!I'lm~ediate " Hea I th Component'3 Name & C.A.S. Number [] Component 12 Name & C.A.S. NUlllber IlIImediate Health Component 13 Name & C.A.S. Number rnysical fnd Health Haiard (Check a I that apply C.A.S. Number Component " Nallle & C.A.S. Number o Fire Hazard [] Reactivity [] De Jayed [] SUddfn Re I ease Health 0 Pressure [] Component 12 Name & C.A.S. Number Immediate Health Component 13 Name I C.A.S. NUlllber Physical aod Health Halard (Check all that applyJ C.A.S. NUlllber Component II Name & C.A.S. NUllber o Fire Hazard [] Reactivity [] Delayed [] SUdd;n Release Health 0 Pressure [] Component 12 Name & C.A.S. Number Immediate Health Component.3 Nalle & C.A.S. NUllber EMERGENCY CONTACTS #1 #2 Rflle Htle Z4RrP1ióne Rue Certifjç!tio~ (Re~d and $ign af1f3r c9mp7eting, Çt77, sec~ions) . , . 1 certIfy unaer øenaltx 0 la~ th~t I have persona IVl exam\neo aqd an famIlIar Ylth the InformatIon $ubnltte~ In thIs end all attaçhed dQcUllents, ano t at based on lilY Inquiry 0 hose IndIVIduals responsible for obtaIning the InformatIon. I belIeve that the submItted Inforlllatlon IS true, accurate, anO COñplete. Ttt Ie nl!fTI~ qfft~TltllJ title or owner/operator DK owner/operator's authorIzed reõrešenfirrv¡--- Slgñnure D8tJ-Sf4r.ëð------- ... .. Ò3/27/91 vcAIÞ GROCERY COMPANY #46 215810-000955 Overall Site with 1 Fac. Unit ~EtfËnf~iõJ ~~~ 2 ~ ~9~~ Page ~ns'd. ·....·..·..000 1 General Information Locationg 3400 STINE RD Ident Number: 215-000-000955 Map: 123 Hazardg Low Grid: 14A Area of Vul: I o. (~J r--- Contact Name Title jQ!>-1!>-! com> s.t~y~cJV ~~Jk MANAGER JIM FRf1NClâ- ASSISTANT MANAGER Bus i y.ess PhC1Yle:JJ 24 HCII..!.:\::, £~. - ~1 (8n~) 8-~-n~1~ (8n~) ~~ ~~J _ ,J ':',J _ I;;;. I;;;. x _ w {.:;o':¡ _ (8n~) 8-~-n~1~ (8n~) ,n?r ð~a9 _~ \~~ _~ ~ X _~ c~~ ~~~ _ ~ D 'ii"Q,..... Administrative Data Mail Addrs: P 0 BX 3338 TERMINAL ANNEX Cityg LOS ANGELES Comm Code: 215-007 BAKERSFIELD STATION 07 D&B NUfl1bet": Stateg CA Zip: 90051- SIC Code: 5411 Phone: (805) 835-0212 Owner: VONS COMPANIES INC Address: P 0 BX 3338 ATTN: TAX DEPT City: LOS ANGELES r Summary I State: CA Zip: 90051- I I II n..-.ll---d.~ [r"'CJ' :"("~< .oSi'~~~;I:i¡n:-.í¡l::ij ~-~~. Uh~l..., . \,1 ~~~~'~!'~1f ?¿;V~(~tv~d '~:~,: ~~~···:',f;,~'í'.;j"~.t:<,;1 . :.:~..;~.~~. .j .~;... .:: f (.¡ ;!.'~(0:,:S2~£) f!1'~1j't 7"~'j7' :,';' V ty)J 5 : .. \-:h ,,(//t,_., ., --. --~";-~_~I-~~:" ;i·':'''::;-:;~_·---· .; . ~.. ." . .~. ~d ~," ,', t., ctr~Jj ©~ç;T~'(}~ .~. ,>.. I ~::;; ~ ,~~) ,,,,;\.__ ! . .., ; \ ,: ~,.,..$ _I: , ' ., ':fC~ cç~; u ~ .;.~¿",~~~,. ~("j :\1;~::7 ~ . f{/.Il~/ r~;i ').-v - . . ............ .....# 6/0 ,~.o,lJ h"'.¥> 6o-r~ ~l 03/27/91 VONS GROCERY COMPANY #46 215-000-000955 Hazmat Inventory List in MCP Order Page .-. c. 02 - Fixed Containers on Site Plr,-Ref Name/Hazat~ds F ot~m Quarlt i ty MCP 02-001 BLEACH Liquid 200 High Immed Hlth GI=\L 02-004 LYSOL Liquid 100 Mc.det~at e Fit~e~ Immed Hlth~ Delay Hlth GAL 02-002 MOTOR OIL Liquid 100 M i r, i ma 1 Fit~e~ Delay Hlth GAL 02-003 INSECTICIDES Liquid 60 Ur't~ated Reactive, I rlUlled Hlth, Delay ¡-nth GAL e e Ó3/27/91 vce GROCERY COMPANY #46 215_)0-000955 00 - Overall Site Page 3 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation PERSON IN CHARGE WILL COORDINATE EVACUATION CAS PER PROCEDURES OUTLINED IN VONS SAFETY GUIDE~ UTILIZING PUBLIC ADDRESS SYSTEM. EMPLOYEES WILL ASSIST CUSTOMERS TO THE ~EAREST EMERGENCY EXIT. PERSONNEL WILL IMMEDIATELY NOTIFY APPFWPRIATE EMERGENCY-RESPONSE AGENCIES VIA TELEPHONE CALL TO "911". VONS SECURITY DEPARTMENT WILL ALSO BE NOTIFIED. fÎ (3) Public Notif./Evacuation ~~c:rn íAJ .ch4f1'~ waf c.ooyd,tV~-<t BU4("Vc:'L~.~ (4~_ O?JÎ¡iu.j«1 ¡¡; (J~J, ..ÇQ-Py Gv'de) v-h~;'l.-)Pv) fU.icJ,f., 4ddrfe.í,& ~';-f,~<i t:Mf),.Iyo(/<e5. ú),n ~~).sJ- (vs"hht1~ to /l/e4t1'eG.1- -eA7l0I.~c. r !.? tf ¡ ~ . <4> Emergency Medical Plan "911" WOULD BE USED TO SUMMON EMERGENCY MEDICAL ASSISTANCE. WE WOUL.D RELY ON RESPONDING EMERGENCY PERSONNEL TO ASCERTAIN THE LOCATION OF THE NEAREST MEDICAL FACILITY EQUIPPED TO RESPOND TO OUR SPECIFIC NEEDS~ AT THE TIME. 03/27/91 VONS GROCERY COMPANY #46 215-000-000955 00 - Overall Site Page 4 {E} Mitigation/Prevent/Abatemt <1} Release Prevention ALL PRODUCTS PACKAGED FOR RETAIL SALE IN SMALL CONTAINERS. ALL PRODUCTS ARE "TRUCK TO SHELF", NO LARGE QUANTITIES HOUSED IN THE WA~(EHOUSE-AREA (IE., BACKROOM) . <2> Release Containment <3} Clea..... Up <4} Other Resource Activation - - 03/27/'31 vce GROCERY COMPANY #46 215_10-000955 00 - Overall Site Page 5 <F} Site Emergency Factors <1} Special Hazards <2} Ut'ility Shut-Offs A} GAS - OUTSIDE NORTHEAST EAST WALL B} ELECTRICAL - GM BACK ROOM EAST WALL C} WATER - BAKERY BACK ROOM EAST WALL D} SPECIAL - SPRINKLER RISER BAKERY BACK ROOM EAST WALL E} LOCK BOX - NO <3} Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - SPRINKLERS AND FIRE EXTINGUISHING EQUIPMENT (SERVICED ON A REGULAR BASIS) AVAILABLE THROUGHOUT FACILITY. PERSONNEL TRAINED IN PROPER USE AND MAINTENANCE OF EXTINGUISHING EQUIPMENT. FIRE HYDRANT - ADJACENT FIRE HYDRANTS. <4} Held for Future use 03/27/91 VONS GROCERY COMPANY #46 215-000-000955 00 - Overall Site Page 6 < G> T t~ a iY-.i Y". 9 <1> Page 1 WE HAVE 87 EMPLOYEES AT THIS FACILITY WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAININGg t'\ ~/ld!tO J~sshQl.4;,\J fu OI.\~ f/t;¡¡¡fJ!()le~ Q71 -se:.k. 1Ae.- of pl'odvvk ~ hØ/J 10 de~ up ~f;'!s.. 1Î;e. A1af~dtt ~ .s.,c¡,~~ /ú&'¡-h; &hlé'~.j.s CitfG q~ ;J~bl...¿ ~ ~U ~p 10 ¡~~ fb 1\~Act <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use ~ e e l' CIT}T of BAKERSFIELD ~HAZARDOUS MATER~ALS ~NVENTORY NON - T H ^ D E ~ 1-;: eRE T S ILl Pig. ,_ of L_ HAME OF TinS [AfIL!T~::Þ '-j b \-\ ~\'"\e"": ß~~~.,)'S.tANDARD IND. CLASS CODE DUN AND BRADSTREET NUMBER · r I'. Ð~ Aqr icu I turf '--' St.nd.rd Bu~ 'n'~~ BUSINESS NAME:~ \)O~.::> (un\X\.~\~):t:i 4 it; LOCATION: __]L.OC,.2....~~_~ CITY. ZIP: .E.-~V'-? n -\-1 ~J-. PHONE": - ~ S-O~\2-, ' OWNER NAME: \~ ~i\> r",yv,\"-,,V"e.s. ADDRESS: flu Go~ :H>? \e.c-.,...,....","'c....\. CITY, ZIP: L~ <10ù5\ PHONE ,,: ~ \ 11' R L\ - 3. c¡ 't to IUU'JfR ro IIISr'RUC%'IOIfS roR PROPIlR COD" 1 2 I 'ftn~ 1yOlt ( 00' Cod. , IOyt 'an Sit' , 10 Cant Cant Preta '" n lOClttan Ihfo. Stcnd In FtClllty II III. C. S Annue I Est , ""IUI't Units ) 'In AIIt . '~raq. AIIt 1) 'by Nt II "- of IIht_/c-ta Set 'Mtl"UCt iOM -hJ£__ __ C4QGn1nt 13 .... U.S. ..... ~,^-~\:.çe:.ë~______ __ _LJO ~Ç) \ \.- IlL(ù _________ _____ r - , r- -., ,. - ., r- -., ,. -., C~t 112 ,,_. C.A.S. Ihiebtr '"),... " \ \ l'\ \·-~Flrtll'lIrd '--......ctlvity ,--..Otl.~ '--"SuddtnRtIH!t I..-"I.edl.ta c.... ...L...> '() ~ " 'HI" ,1 """N 'uhh '-t" '-. U,..... -;;;: - \¡:" ~ ~~~tt~-~~=-~-;------- ------ . .----------------- Jri¡~')}:~-~~------------ (o~tpl~lL--- 12~~~_ 'M"'.5l{\C ') S_____________ Tft~-!.-..h~~~----------- ~~~~~î---- ,... -, ~-., r-'" ,..-., r-., L _.I Fi,.. H.lIrd 1.._.1 RHCtiYltV 1..-" Dal.yttd 1..-" Sudden Rtl_ 1..-" l--,t.t. H..lth of Pl'tlIUI't ....Ith CoeIoønInt 12 .... U.S. ..... CoIIpoMnt 11 ..... U. s. ....,. CoIIpoMnt 12 ..... C.U, ...., ~- CoIoIMnt U .... c.a. S. ..... ~\ç;..ro C:'Y\ Plly,ìc.1 ""' ....lth Hn.rod S\~"~~' C.A.5. ...., {theck .11 t!\lt .pply) ~........, ~<::: j~~' 1 r-, r"-"~--' r-,7) r-' L - ~ Fir. Huard I.. -.. Rflctivhy I.. -.. Otl.yttd I.. -.. Suddtn R.INS' HN Ith of P,...sure c-t 11 .... C.'.5. ..... r--., '- -.. l.edl.t' K..lth ta.ocInInt 12 ,,_. C.'.5. ..... CoIoIMnt 13 .... U. S. ..... _~1..£_-l--2:2___L___~_?____1_lL<?.~_.J~t!lt__l..bLLLL'1.._i9} ~___ P~ìcll end KHlttl IIIr.rod \ie.,'~\--.l... ~<:'\"¡":7 í\\~!. C.A.5....->-- t'_ _I II . C 5...->-- ......-- .............t. _ ....__ ( ~k .11 thet .""Iy) (ie.'''~v\s. ----------------.--~-- ,~~3~ "f RGENCY CI*UCTS II II¡¡'~' --------- /00 ~±~J~~_ C~ \'( C.O\. COD:I07-?!~__ ---- ----- ~ G \·yc~ \ E. \-\er \Ji=' /lÚ-~£_:!!:_ tifu t: -\- \.e f\\{ C b ( "~y S -::-::-----.--- ------ !1&. E:\\-o1-.ì \~,€eÌ ~C~ì'\' ~\-e.Y'Q L. ____ ~I ~ 2. - ~ '4. ~ j..'1~ \-\a~ lJl~ ' 7 , '- 2- Þ¥ A kö '(\ö~ ~~V') I.. , .I-D -5 C.nlliclri(Jtl IRt!lId IInd sign IIftC'r coapJ,.tJng IIJJ st!ctJonsJ \ r.n1fy undtr "",,!tV of 1.. thet I hevt t'son.l1y ....intd end .. f..ili.,. .lth the tntorution sut.itted In~hts end.1 'ttIChed doc_no end thet bestd on .., inquiry of thol, Indtvlclulh responsibl, for oblal,,;ng tht~'nt ..tt . I btli.vt thet tilt 'ut.itttd intOl'Sltian is tMlt. .ccur.t., .nd COllPI.t~£ ,/ ~ ~ R --.. CFr~ ~ T~-~---DR--n--7-----.--·----E.~---~~---------.-E·-- S~~ ~-----------.------------------ ..~t--s - -~---------------- ~- ~'1ta \ 1 0 ~~~to,. If own~r o~rðlor S au ngr,,1PO ,..or"""hl 1V. ~~_A .,. . ~HAZARDOUS MATERIALS INVENTORY NON-THADE SECHETS ~ Ll P'q. Ç-:_ of 7 NAME OF TinS [A.ÇI L!.T.! :.:Jd 'I ~ Ih\"\21-' ß~±".,S.tANDARD IND. CLASS CODE JDUN AND BRADSTREET NUMBER CITY of BAKE'RSfl~'L1J . · F are arid Aqr icu !turf L--J Standerd Ðus,n.ss ROSINESS NAMF.:~ \)01'\.::> Cu~~~'Il..:> ~ LOCATION:-=3J-fO~ s.\"\.~ ' CITY, ZIP, " PHONE a: g35, O~n.. OWNER NAME: ~. ~(Üo (c'>\v.\,,-,""~ ADDRESS: {)ü Go-!- :~J>? \e,.C''''''''<'\<,'' CITY. ZIP: L\~ q U0S I PHONE .: ~ \ ð' ¡( 2.. \ - 3. r;¡ '1 (¿, RUB ro IIIST1fUcrIOItS l'On PROPIlR CODltS 1 7 ] 4 5 , 1 . , " II U I] It rollnt IY1 ~. Avorec¡. AnnulI I .....u... IOyt Cant Cant Cant U.. lOQt Ian ....... 'by "- of .hturtfC-t. tod, Cod~ ADt Aet Est Units an Sit. Tyoe PreI. T.., Code StOl"td In Facility lit Set Instructions __-1-~5~~, _¿~ ___ -------- U.S. 1IuIbtr________ CoIIøontnt II ...., U.S. IIuIbtr ..-., ..-., ..-., ..-., CoøQønent 12 ...., C.A.5. IIuIbtr , _.J Firt Haurd L_.I AHCt1Y1ty L_.I Del.~ "-.I Sudden hI.... L_oJ 1-.cII.t. ",.Ith of P.....vre ....Ith Cœponent I] ..., U.S. ... ~~I~LI.~º___~__Jt5>____J l~l?O ~G£tÜli___IJQILL!1~_ o~J Pi'Iyt ic.1 end lIte!th H.uN! l '1.$ ..::. \ (Chrck .11 that .pply) ,r c. \.eu-"''''''' " \e~S r -, r--, ~..:7" r--, ,.-, L _.I Ft... Hlurd "-.I RHctlvlty ,,_oJ o.l.~ "_oJ Sudden hI.... ,,_oJ 1-.cIlet. ....Ith of P....""" ....lth 8<>.<- U--e'bL~j-<:-_- ~ú.~\-\\C\ ~7-_~~-O__.__ ~O·jr: ~sof\>.J'Pl\ Ml.ù\,J £07 - Co] ~D ¿ c; 'N..\ -:t. 5'\ ..... tc<' IV'- - "1 7- ð' /' \\ ,j k. __,~jl:.- __ _l:L E \- \y '- ~ \ (. (:. ~J Glí - \] - -2-______ Nft i\j'-'~l ~ - N- G.-\-~ C.A.S. IIuIbtr _____ CoIIøontnt II ..., C. A. S. .... CcIIIoaMnt 12 ...., t.A. S. ..... eo.a-t a] ...., t.A. S. .., ,~_ _~9!?._ ~º_ '~lc.1 and lIM1th HIrei'd lo..""".,..,c.\'y C.A.5. .... I heck .11 tllet .pply) ~\;::S' ~ PG\""'c::.~ ,--., r-' ~-, ,.-., L -.I Fir. Haz.rd L_.I AHctiv!ty L_.I o.l.yH L_.I Suddfon 11.1.... " H..lth of ',"".ur. to.øonent II ...., C.A. 5. ... ..-, .. _.I l-.dlllt. H..lth tc.oon.It a2 N_' C.A.5. ... ~t a] ...., C.A.5. .... --- ---- ------ 1-/ \~ S",,-\ \..c.--c.-\..<Ar-- T :S'..:..\-\-:;~_~.27~-8'2~_ ____ Aý\\I.J~\'c... S 0 C\ ì v... """ ---- ---- N¡'\ { I Ï-Lø:L_--~~. b ,_ ___ c>eh '^ "'" ç \ \ ç~ \'eJ -~~1~--L.k2--L--~ ~____L_ _º-~uJ~~LLLLLl.~J. Pi'lytic.! end H..lth HI,,1'd Lq~TL.c..\{'-y, J (Chrck .11 that .",1,) 1!k..\è::.'0<2.'r\'\J L''\......, r-, ~-., ,.-., ,.-., ,.-., L - .J Flrp Hazard .. _.I hectlvhy .. _.I o.l.~ .. _.I Sudden 1I.I..n .. _.I l-.dl.t. Hy Ith of 'r"lure H.alth C . A,S. IIuIIbtr _____________________ ea.oan.nt al N_' C...5. .... CCJ8OOI*It 92 N_' C.A.S. IIUebtr to.Imntnt ß] ...., C. A . S. "'-ber --------- ----- -------------------------------- -----.. ~fRGENCY comCTS I\II~--D.---C'O#--------------.. Ñ£ìi~~~t;-<:"--------------- ;~:y-J:.Ò7 L.. I2n~ ~_~CA.<\':.~--------m ft-iìf' _t:~---------~~~;~-----.. C.nHicnion fRt!lId and sign lifter co.pJetJng all st!ctJonsJ I c..tHy undrr lllltlty of 1.w thet I hev. "rsonal1y ..a.;nlPd and .. f..ill.r wIth tM 1nforlllltian IU.itttd In th~1 end~'l1.t htd _u. end that be,1Pd an wy inquiry of thol. IndYlduelt rISPDn.ibl. tor oblai"inQ the. i~7 ~hat t~ IU.ittlPd ;nto....t;an ;1 trw. .ccuretl, and c~~ / -p /,,¿ ~.- '¡ñ~1f~õ;ñ~;:-DJI-õWñ~;:7Õ~;:¡tÕ;:T¡Ü£r,¡¡¡:mn~õ;:¡;iñ£mÿi S;ij~~~~ ----------:-------------------------- Di£ïS~~----------m-- CIT}T of BAKERSFIELD ~HAZARDOUS MATERIALS INVENTORY NON-TRADE SECRETS F Ira ,nd Aqr icu I ture '--' Standard 8U51nl!5S BUSINESS NAME:~ \jO~.) ~",,~\.~\<¿...s LOCATION: -'$!;:lOO ~-:'tf"'R....~, CITY, ZIP: PHONE IJ: If:3 C. -Ol,J_Ç. OWNER NAME: ~ ~,'\> (ü""~,,,ì..e,s. ADDRESS: flu G o..¡... ,~,3>? 'le,.('""",',,,,,,," CITY, ZIP: L~ qOùSI PHONE ,: ~ \ )( R 2.. \ - 1 r;¡ '11.0 ImnDl TO IIIS'Z'RUC7'IOIIS roR PROPD CODIlS NAME OF Tn1Š FACILITY: \-t r\\'"\e.,.. ~ ~~..J:.~yS.~NDARD IND. -ciÄss CODE DUN AND BRADSTREET NUMBER , Iran! Cod. 2 Type Codl! ] Mill Mt . , IIHlu,.. Units , Cant PreIII 11 12 Un LOCIt 1an IIhIre Codt StOl'ld In facility S~~,~ q\.v~ 1\\~3:.._ CoIIpanent 01 .... e.'.s. ..... 5 Annue I . Est 7 IOys an Sit. 10 Cant T.., . 'vet'lqe Aat ,.-, ,.-., r-' ,.-.., \. _J Fire Huard L_J Røctivlty L_-' o.Ilyed L_J SudcNn hI.... L_-' IBIeII't. ""Ith of Prasu,.. ....Ith tc.Qøntnt 02 .... U.S. ..... c:a.pan.nt 13 .... c.,. S. ...... Plql! ~_ of -'1- 13 'by lit It __ of IIhture1ec..an.nt. See IMtl'llCti_ ---l~() ~~\-~~~~'h~~E \.rl\~\~___ ~., fir,s -~- -- - - u Phy, ic.1 and !let Ith Hu.rd 0 \ \ ¡thKk .11 that IPply) D\ev...C t\ CoIIpanent 01 .... C.A. S. ..... ,--, ,.-, ,.-, ,.-, ,.-, \. - J fl,.. Hallrd L_..I ANctlvity L_..I o.l.yed L_..I Sudden hI.... L_..I IBIeI1,t. Htllth of PralVl't ....Ith ec.oøn.nt 02 .... C.'.S. ...., eo.øantnt 13 .... C.'.S. IIuIbtr t\.ú\e. Phy,lcal aM !lethh Harlrod (theck .11 that .pp Iy) to.øøntrIt 01 .... U.S. ..... r-, ,..-., r-" ,.-, ,.-., , - J Fir. Huard L -... Reactivity L _..I o.l.yH L _..I Sudden R.IIIU L _..I l-.dl.t. Htal th of Pres sur. H..1 th CasoIIntnt 02 11_' C.'.S. ..... to.øanent IJ ..... U.S. ..... ,':'tL~_-L_~Lº___L__~º_____l2...~_º__J~H~·'- .ìD tiL!:Ll \~l £ H-Q~ WJn&ow ___ ___ Phy,ical and H..lth Ha.,rod /' , ,\ l \ \U.S........ CœtIantnt II 11_' e.'.s. ..... fCneck .11 that .",1,) L.... Y\<A'c.. ~ L \"y'~ ~ .---------.-----"--~-- ,- -, r -, r -., r-" r-., Coeøønent 12 ,,_. C.A.S. IhiabIr . - J Flr@ Haurd L - -' IIMctivity L - J Ot!layH L - J Sudden Rl!ll1u L _..I l-.dlat. HII Ith of Pr..lurt! H"lth S?cJ.;:.",J eo.øcm.nt IJ ..... C.,, S. IluØtr "fRGfNCY CONTACTS ------------------ TI}~~~~~L----------- ~~'tiip$,~2L.-- .2~~~--f:~~<~-------------- T~,l~~-·- \ï \t~---------- 8'~~,~t?dî-- " _~ Scd.\v-~cik----- --- b ------- ----- 100 A 1'"VY'I(H'\ "\ ~ --- -------- 100 N~ ~ú\ --------- ----- --.--------------------------------- ------ C..rtllication (Relld IInd gjgn lifter co.pleUng all sections) I c..tHy undl!r III\Ilty of la. that I havl! ~rsanal1y I!.a.ined and.. fllli!ilrwlth the InforMtion sut.ittad In ~hts ~'11 ttac doc_ts, and that basad an wy inQUiry of thot. individuals "øþOlllible for obtli,1inq t~ ~y' I bt!lillvl! t the IUt.ittt!d infoI'Mtian is tM/t!, accurat., .nd c..P~/ / h A;,~-¡ñ~«~õWi.~~J!(*ñ.;:7Õ~;:¡tÕ;:T¡ütr,¡j;:ma-;:.jjmiñt¡(iÿ. S;g~~¿ ______~________m_m________________, u¡tn;~~---------m--- CITY of BAKERSf1E'LiJ ~HAZARDOUS MATERIALS INVENTORY Standard 8us,n@ss - NON-THADE SECRETS ¡j 'II P'q@ 7.._ 0 7.._ OWNER NAME: ~ ~i\> (c,,"V,~"';,~ NAME OF TinS FACILITy::/d ¥ r; ADDRESS: flu G o+- 3,~3 >? "1<;:.('"",,-, '<"\C'- \. \'h~ 'I- ~ ~~~\-T-,S.tANDARD IND. -CÏ.ÄSS CODE CITY. ZIP: L~ '10051 JDUN AND BRADSTREET HUMBER PHONE ,,: ~ \ ¡( R 2..\ - :1 y L.f (.., RDllR ro IIfS%'RUCTIOIfS ftJR PROPD CODa I . -,r ,,'. "..d Aqr icu I tur@ '--' 1 7 'r.n, Type Cod, Cod. ) 110. Mt 10 Cant 1. L 4 "'.ra9· AIIt , !!ellure Units 1 . . 0yI Clllt III SH. 'YP1 , Cont PreI. " -.) F irø Hallrd ~ayed r:J SudcIIn hI... ~:J l.edt,t. 1fI.1 t h of P....IUI't l1li1 t h Phys ic.1 and 11M Ith lIallrd (th«k .11 that .pply) ~ = j Ftre Huard [~cttvtty C.A.S. 1høbIr_____ d· ,.-., ,.-., L_. Del.yed L_' SudIMn hI.... L_. l.edtlt. 14M I t h of P....1IIre 11M I th PhysiC' I PI ,...Ith HIlii'd (tl-«k .11 that .pply) r-, roO- / l -.) Flff Hu.rd L ~ Reactivity t.A.S. ...... ,.¿ ,.-, ,.-, L_. Del.yed L_. Suddfon Rtl.." L_' l-.dtlt. He.lth of Pressure H..lth " Un toðt 12 lOClt till IIhere Stored tn facility T] 'by 1ft It __ of IIhtut"ttco.onenU SIt Tnttl'\lCt ions -1±Isk__.5_____ ___ __________ ~~-ÇL-~~)'Y\ - ____ : \\ u-'\ ~ L l\C"\ cJ Coøøanent" ...., c.a. S. IIuIbtr Cøaømtnt 12 ...., c.a. S. IIuIbtr ~t I] ...., c.a, S, IIuIIIItr ~-- -- ----- ___ ~~ - c.\~.~<'r\_ , \-'\0., CA. ~ ,(. \ ~\s ~t ~I ..., t.A.!. IIuIIIItr Ca8øonent 112 ...., c.a. 5, ....... Co8oønInt'] .... t.A. 5. IIuIbtr +\S .5 CoIIøDMnt ÐI ..... t.A. S. IIuIIIItr Ca8øønlnt Ð2 "_, C.A.S. .... CøIIøonInt'] ..., C. A. S, Ieu.ber P~ ic.' alii! Health llarlrel (t~k .11 that ."Iy) .. -l___l___________l_____________l__________.1_____-'-__l__l--1-_1___-1___ C.A.S. fIuIIbtr__________________~-- Cøøontnt II ,,_, C.A.S. IIvDbtr r-, ,..-, r-' r-., ,.-, l - .) Flr@ Heard L -. RMct Ivity L -. ~'e.,.d L -. Suddf!n Atl.." L _.J l.edlet. "~.I t h of Prnsur. Health Cœøonent 12 "_, C.A.S. IIUeber eo.tIonent œ] ..., C.A,S. llueåer ~£ ~G£NCY cOIn ACTS I1l1i~ht)--m[Q _______m______m ~r.--------------------- ~~;.~~iq-91L. ---- -- --- ---- ----- ------ ------ _~\eN\ c.. ~ \ ()" \ \'Ie...- ---- ---- --------- ---- ---- ----... ----------------_..._------------~-- ------ I1l1ir~~.- ~~~§.__m________ TH~-3"_tt-~~-----<f.J~,.-;.-~~----- C.rtlfication (Rt!ltd and sjgn ItftC'r co.pJpUng ItJJ st!'cUons I cerlHy und@rll8Mltyofle.thatlhavtø.r!on.lIyt...;nedend..f..lli".lth the Infor_tion !u.itttcl tn zzhtl and.l1 ttachtel doc_u, alii! that bated on .., Inquiry of tho,. tndlvlduals rnøons;ble 10" Obl"'lInQ the ~(:?71 Mhlvl' that thl! !u.ttted lIfO....II111 's trw, .ccu..t., end cOllplete, ~ / ,/' / ? ./ .Þ I ~...'¡;;nTT~6r~~-Dn.ñP¡:7õ~¡:m¡:.š'-¡ütflÕ;:mnpõ;:iiiñtmÿ. S¡--- ur; -~-~ -~----------..---------------- Ditik~~--------------------- " ' - ~ CTi2zvr(-- 1k Bakersfield Fire IJtt,t. Hazardous Materials Inspection Date Completed 5' ~ U I- Y R 1 - ~ð« ðl~ Business Name: JOrJS Location: J C¡O'D Gr D{!'f~ 5r/¡JE R.Ð RECEiVED J ijj l 1 ~989 Ans'L......ooa. Plan ID # 21S-00Q-OÐD 95.5(Top right comer Business Plan) 1 Shift R Inspector DcFoiiJ I c;AíY/!3/¿ L I Station No. Adequate Inadequate Verification of Inventory Materials ~ [t.:;V ~ ~ Verification of Quantities Verification of Location Proper Segregation of Material Comments: D D D D Verification ofMSDS Availability ~ Number of Employees ótD Verification of Haz Mat Training ~ Comments: D D Verification of Abatement Supplies & Procedures ~D Comments: ~D ~ D Emergency Procedures Posted Containers Properly Labeled Comments: Verification of Facility Diagram D vJ ILL, O(èA1AJ vP D Special Hazards Associated with this Facility: Violations: A(¿('àc) Rt:~w,nQ~ & e)ù S~k~ F~ hø.t~~S . lÎ1ö'reR- 8)1&..' ~¡M U¡?)Ù 5 wg ðfy(:frs' ¡ Cræ. ~~~fE 5A-Dg 5 ¡t:(l.gf);t2 /.0 C> GFlI&.J5 f' plAJl'e>A-!. Llre,r!tfiÇ.fl I Fnfl4)Y- Wt~Df)(J2j D/~l~ .5ö (;fAeJ~~ FD 1652 (Rev. 3-89) White-Haz Mat Div. Yellow-Station Copy Pink-Business Office .' .. ./ I) ~ Or.- .4'~ e e BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 (805) 326-3979 RECEIVED b\~~ 2 ~ 19$1 þ)=~y~ , , C (ì) :J/IJ<;I'~ns d............ OFFICIAL USE ONLY ID# @(û)([ß955 BUSINESS NAME HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE FORM 2A INSTRUCTIONS: 1. To avoid further action, return this form by 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. SECTION 1: BUSINESS IDENTIFICATION DATA A. BUSINESS NAME: Vons Grocery Company -:tt ~ <.0 B. LOCATION / STREET ADDRESS: ~~oc ~~ \ co...)~ Rop>\d CITY: Bakersfield, ZIP: ~ 3~OC\ BUS. PHONE: ( 805) ~ ~ ~ ~ D d. \ d... SECTION 2: EMERGENCY NOTIFICATIONS In case of an emergency involving the release or threatened release of a hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4341. This will notify your local fire department and the State Office of Emergency Services as required by law; EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: ~AME AND TITLE DURING BUS. HRS. AFTER BUS. HRS. A. VONS Security (24 Hours) Ph# (213)2R1-14~~ Ph# B. Ph# Ph# SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT. GAS/PROPANE: B. ELECTRICAL: C. WATER: D. SPECIAL: .s E. LOCK BOX: YES iVoœ..~\... / ~ A <;,+ 'LA-S + W A \ \ - 'E.P>.s.-\- Wt:!'I\\ - é.1!:\\b~ WA\' ",,~Ic. OOIV\ -E l Wp.tl IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES .I NO FLOOR PLANS? YES / NO KEYS? YES / NO - 2A - e e .' ~ '>-< - SECTION 4: PRIVATE RESPONSE TEA~ FOR BUSINESS AS A WHOLE Sprinklers and fire extinguishing equipment(serviced on a regular basis) available throughout facility. Personnel trained in proper use and maintenance of extinguishing equ~¡Jmen..t,... , \\.. \ : 4, . SECTION 5: LOCAL EMERGENCY ~EDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE "911" would be used to sununon emergency medical assistance. We would rely on responding emergency personnel to ascertain the location of the nearest medical facility equipped to respond to our specific needs, at the time. SECTION 6: EMPLOYEE TRAINING E~PLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES E~PtOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR NO A, METHODS FOR SAFE HANDLING OF HAZARDOUS ;.yATERIALS: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES:........,............. . . . . C. PROPER USE OF SAFETY EQUIPMENT:....,..........,. . D. E~ERGENCY EVACUATION PROCEDURES: . . . . . . . . . . . . . . . . . E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:.... ... INITIAL REFRESHER 0~ ~O ~ ~~ ~ NO YES~ <YiS) NO ¡xc YES NO E. NO YES ® SECTION 7: HAZARDOUS MATERIAL CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POUNDS OF A SOLID, 55 GALLONS OF, A LIQUID. OR 200 CUBIC FEET OF A COMPRESSED GAS:... . .. YES NO I,' Karen Tucker . certify that the above information is accurate. I understand that this information will be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25500 Et AI.) and that inaccurate information constitutes perjury. SrGNATUR~~ T~_ TITLE Co",. Safety Mgr. DATE 8-12-87 - 28 - ,,," . i . e e -.... If' . . BAKERSFIELD CITY FIRE DEPART~E~T 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL CSE O~LY ID# ------ BUSINESS XA~Œ: BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1. To avoid further action. this form must be r~turned by: 2. TYPE/PRINT YOGR ANSWERS IX ENGLISH. 3. Answer the questions below for THE FACILITY U~IT LISTED BELOW 4. Be as BRIEF and CONCISE as Dossible. FACILITY L~IT# ~to FACILITY UNIT NA.'Œ: Vons Grocery Company Store II ~ <0 SECTION 1: ~ITIGATION, PREVENTIOX. ABATEMENT PROCEDURES All products packaged for retail sale in small containers. All products are "Truck to Shelf", no large quanities housed in the warehouse-area (i.e., . backroom). SECTION 2: NOTIFICATION .~~D EVACUATION PROCEDrRES AT THIS eXIT OXLY Person in Charge will coordinate evacuation (as per procedures outlined in VONS Safety Guide, utilizing Public Address System. Employees will assist customers to the nearest emergency exit. Personnel will immediately notify appropriate emergency-response agencies via telephone call to "911". Vons Security Department will also be notified. "" v:-\ - - e e "7.,.;,. SECTIO~ 3: HAZARDOUS ~ATERIALS FOR THIS UNIT ONLY A. Does this Facility Unit contain Haz:1rdous ;.[aterials?...,. 8 NO If YES, see B. If NO. continue with SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secret YES @ If No, complete a s~parate hazardous materials inventory form marked: ~ON-TRADE SECRETS O~LY (white form :4A-l) .If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS O~LY (yellow form ~4A-2) in addition to the non-trade secret form. List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION " ,. '- , Sprinklers and fire extinguishing equipment (serviced on a regular basis) available throughout facility. Personnel trained in proper use and maintenance of extinguishing equipment. SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY E~RGENCY RESPONDERS ~djacent hydrants SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS U~IT ONLY, A. ~AT. GAS/PROPANE: o ...:> ~ ~ \ ~\ e... i'..)c~~\,.., I €.~ S~ £..AS~ W þ. \\ B. ELECTRICAL: G~ ~~c..'c-~Ob~ I - <e.~~\ W~\\ C. WATER: ~~ 'c..e.~~ ~~c:...~~oo~ - E A-5"~" W~ \\ D. SPECIAL: S~~\~'<...\~n.. R~.s.era. '. ~ ~ \c.~â~ '3ß\c:...\c.~co ~ - E.AS\ Wp. \ \ E. LOCK BOX: YES <:~:)IF YES, LOCATION: IF YES. SITE PLANS? FLOOR PI.:\::S? YES / ~;O YES / ::0 ;'[SDSs? !\EYS" YES YES \'0 \'0 - 33 - RAKERSFIEtD CITY FIRE DEPARTMENT FORM 4A-l NON-TRADE SECRETS HAZARDOUS MATERIALS INVENTORY Page of ._ I . D. # BUS I NESS NAME: Vons Grocery Company ADDRESS: ~~OC S.\.\NC2. Roc=.cl C I TV ZIP k f ~ ~ OWNER NAME: The Vons Companies Inc. FACILITY UNIT #: (~¿ ADDRESS: 101')0 T,m.Jpr A'7.11~'" 'Ro.<lñ FACILITY UNIT NAME: CITY ZIP ;) . , : Ba ers ieldt Ca. ~'\o : Ti'1 Mr.nt-ø r<> Q'7~' . , PHONE #: (80S) ~';S ~ O"à.\%. PHONE #: (R1R) [,')Q-R01i 10FFICIAL USE CFIRS CODE ONLY 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN THIS % BY HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME CODE GUIDE M 3'\ ~~S- gals 99 99 Sales Floor-Aisle Various Pesticide Products FLLQ M 3Co <\ O() gals 99 99 Sales Floor-Aisle Various Lighter Fluid Products FLL"Q M 3 1'5 gals 99 99 Sales Floor-Aisle Various Paint Products FLLQ I} M \ ~\ ~S gals 99 99 Sales Floor-Aisle Various Bleach Products jl{;$ FLLQ :2)M \08 :1.'00, gals 99 99 Sales Floor-Aisle Various Pool Products 107$ FLLQ / \ M ":).'5 gals 99 99 Sales Floor-Aisle Various Automotive Products FLLQ , ~<>1ø'" Safety Mgr. SIGNATURE:~~ --rLwr'.i~ DATE: R-l?-R7 TITLE: --------_____________ PHONE # BUS HOURS: (~O'í) Ç1~5~c';,t\?r.. AFTER BUS HRS: (?MlR~) (?1 ~)?R~-3455 TITLE: PHONE # BUS HOURS: --------- AFTER BUS HRS: -------- NAME: Karen Tucker TITLE: Crop I, EMERGENCY CONTACT: VONS Security (24 Hours) 1- EMERGENCY CONTACT: PR~Ar. ßt1SINF.SS ACTIVITY:~p-.<lÍl .**.~ Packaged for Retail Sales - 41\-1 - ..... J'- . .. e e ~ ,: -. SITE/FACILITY DIAGRAM FORM 5 NORTH SCALE: BUSINESS NA..'Œ: FLOOR: OF Van!'! " ~ DATE: / / FACILITY NA'IE : UNIT ::4b' (CHECK ONE) SITE DIAGRA){ FACILITY DIAGRA.' See attached drawings (Inspector's Comments): -OFFICIAL CSE ONLY- - 5A -