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HomeMy WebLinkAboutBUSINESS PLAN 8/15/20070 f-r~i --~ n .. • ~ „ TANGS DRUG STORES 3500 STINE RD ~'~ ~' A 1~ n1 y ~ ~~ r ~+ ~..~ w z p~ .` ~~~ ~~ StN 1 ~ "1003 E R S F I D ~F/RE A /it TM T ,-.1 _ .~~ August 15, 2007 ~{ ENT'D A U G 21 2007 Ronald J. Froze Fire Chief Gary Hutton Kirk Blair Dean Clason Howard H. Wines, III Director Prevention Services 1600 Truxtun Avenue, Suite 401 Bakersfield, CA 93301 PHONE: 661-326-3979 FAX: 661-852-2171 _ ~, _ LONGS DRUG STORE 204 3500 STINE RD BAKERSFIELD, CA 93309 RE: SELF-CERTIFICATION FOR CORRECTION OF DEFICIENCIES 3500 STINE RD r Business Owner: ~~ - -- ~ I Per the new California Title 19/NFPA25 Requirements, enclosed is a copy of a fire sprinkler and standpipe (where applicable) inspection report from South Coast Fire Protection. The self-certification process is intended to be a benefit for businesses. There will be a $31 self-certification fee that will be invoiced after receipt. If there is no self-certification response within the next 30 days, or the response is inadequate, a Fire Prevention Officer will re-inspect the premises;_for those deficiencies. The fire inspection charge is $96. Self- certification could save you $65. The .enclosed. self-certification statement allows you to provide mail-in documentation that all the corrections have been made. The submitted documentation must fully and specifically address the deficiencies in order to be accepted. Please sign the self-certification statement and return to our office, attention Jeanni Pearson, with any supporting documentation within 30 days from receipt of this letter. If you have any questions regarding the self-certification process, please call.Jeanni Pearson at 661-326-3678. F Inspection, Testing, and Maintenance Fire Sprinkler Systems ~. ° NFPA 25, Chfi'ter 5'as amended b CCR, Title 19 Date of Ins ection Testin Maintenance: "7 L ~"7 S stem Riser ID: r ~, y Property Information: Type of System: Name: L~~GS ~ ZCb~ ~ Wet Pipe ^ Dry Pipe Address: ~~ Sfir--e. t'd.~ ^ Preaction ^ Deluge city: ~ ~ (era-S ~1-, ,e~ Page 4 of 4 ~ Deficiencies and Comments: Item Deficiencies and Comments Item number must correspond to the Item number of the Activity listed above: I I i~X ~ ~ ou°Z~}'G'~~_ ~ ~-L-°~`1NG- ~RCL~c ~-1~l~ 4- ~ ~4'~.,fZb'-~-r ~ ~4.~-- ase on my i q for correcting the deficiencies, I certify under penalty of law that I have personally deficiencies have been corrected and are true, accurate, and complete. ~~ lure D to r_°~1(a-G-C ~ ~ ~ ~ S ~ d2 ^ See Continuation Page(s) (Indicate the number of continuation pages) PASS O FAIL /~ ~ ~ ~L ~7 _ Signature Date State Fire Marshal Form AES 2 March 21, 2006 ~, t x SCFP Inc. Dear Fire AHJ, ti~~~ SCFP, inc. dba: South Coast Fire Protection ', 107 Whispering Pines Dr., Suite #6 Scotts Valley, CA 95066 OFFICE (831) 461-1265 FAX (831) 461-1266 CA. Contractors License # 775400 Class C-16 Info@scfpinc.com www.scfpinc.com Per the new California Title 191NFPA 25 Requirements we are forwarding a copy of our fire sprinkler and standpipe (where applicable) inspection reports to you. This is the standard report required by the state fire marshals office. If you have any questions please feel free to contact us. Because of the high volume of reports we are sending out, the best way to contact us would be through email: it~i~otri%scfpinc.cozn Please ref the store name and store number as this is how we keep our records. Since ly, ~ '~ / ~uG 15 Zp07 ~' EN~'~ South Coast Inspection, Testingy and Maintenance Cover Sheet _ ,; NFPA 25 as amended by CCR, Title 19 4 Property Information: Name: ~-or~~S „Zoe Address: ?,,S~e 5-E, ~ ~ City: ~.~-~s~ ~ dal zIP: ~ 339 Contact: ~ ~ rn ~ ~~•.1~• Telephone: ~ ~° ~ 83 ~ ~ .: . Occupancy/Use: ~.,~ ~ ~~ti t ~. Construction Type: •~2 i ~ ice- ~ ' No. of Stories: Z ~~ ate ~'~ Year Constructed: Contractor Information: SC F P I N C. Name: South Coast Fire Protection Address: 107 Whispering Pines Dr. #6 city: Scotts Va11ey CA State: 831-461-1265 Telephone: C-16 #775400 CA License# Jab # Performed by: SGv (Print Note: Contractor information may be pre-printed. Number of System Risers Copy sent to: ^ Owner Date ^ Fire AHJ Date ^ Contractor Date NOTES: 1) For specific inspection, testing, and maintenance requirements and information, see NFPA 25, 2002 Edition as amended by California Code of Regulations, Title 19, Division 1, Chapter 5, §901 to §906. I, 2) Inspection Items may be performed by the Owner in accordance with GA Title 19 Paragraph 904.1(a) _ _ Forms included with this report NFPA 25 Cha ter Number of Forms N/A FAIL* PASS Automatic Sprinkler System 5 .~~ ^ Standpipe and Hose Systems 6 ^ Private Water Supply System 7 ^ Fire Pump 8 ^ Water Storage Tank 9 ^ Water Spray System 10 ^ Foam Water Sprinkler System 11 *See "Deficiencies and Comments" section at end of each respective form. hate Fire Marshal Form AES 1 March 21, 2006 Inspection, Testing,;and Maintenance Fire Sprinkler Systems Page 1 of 4 NFPA 25, Cha ter 5 as amended b CCR, Title 19 ` 7 I•L Date of Inspection, Testing, Maintenance: System Riser ID: Property Information: of eq,~ f~ _ Name: Lm~, S Zo w o~ Type o System: ~~' I~Wet Pipe <; _ z « :. a: . ^ Dry Pipe ,~ Address: ~5`7S® ~ i~~/~c, ^Preaction - ~' ~ Q ' ~~ ^ Deluge ~e M~- City: /J~~c..t~-~t t~aO Main Drain Test Results: Initial Static Pressure: ~~ Residual Pressure: ~~ Restored Static Pressure: ~ ~ Abbreviation Key: I =Inspection (psi) T =Test M =Maintenance (psi) A-O =After Operation MI =Per Manufacturer's Instructions (Psi) Item Activity Frequency Description NFPA 25 Reference Fail N/A Pass 1.1 I Daily Weekl Preaction/Deluge Valves -Enclosure tem erature 12.4.3.1 1.2 I Daily Weekl Dry Pipe Valves -Enclosure temperature 12.4.4.1.1 1.3 I Quarterly Gauges (Dry, Preaction, Deluge Systems) 5.2.4.2 5.2.4.3 1.4. I Quarterly Control Valves 12.3.2.1 p/ 1.5 I Quarterly Alarm Devices 5.2.4.1 1.6 I Quarterly Gauges (Wet Pipe Systems) 5.2.6 1.7 I Quarterly Hydraulic nameplate 5.2.7 ./ 1.8 1 - Quarterly ~ Pipe and Fittings 5.2.2 - ~ 1.9 I Quarterly Sprinklers 5.2.1 ~ 1.10 I Quarterly Spare Sprinklers 5.2.1.3 ~ 1.11 I Quarterly Fire Department Connections 12.7.1 ~ 1.12 I Quarterly Alarm Valves -Exterior Inspection 12.4.1.1 ..,~- 1.13 1 Quarterly Preaction/Deluge Valves -Exterior Ins ection 12.4.3.1.6 / 1.14 I Quarterly Pressure Reducing Valves 12.5.1.1 l 1.15 I Quarterly Dry Pipe Valves -Exterior Inspection 12.4.4.1.4 1- 1.16 I Quarterly Backflow Preventers 12.6.1 1.17 I Annually Buildings 5.2.5 State Fire Marshal Form AES 2 March 21, 2006 Inspection, Testing, and Maintenance Fire Sprinkler Systems w NFPA 25, Cha ter 5 as amended b CCR, Title 19 Page 2 of 4 Date of Inspection, Testing, Maintenance: f1"7 System Riser ID: Property Information: o~ cat~~ Name: ~..o~y~ .~ 7ta~ Type of System: E~ll/et Pipe ~Q`~ a~ ~ v Address: X5710 5~ ~.~,.c, ~/ ^ Dry Pipe ^Preaction ~ _ ~~ ^ Deluge ARE MP City: Q~~~~L item Activity Frequency Description NFPA 25 Reference Fail NIA Pass 1.19 I Annually Seismic Braces 5.2.3, f 1.20 I 5 Years Hangers (Accessible concealed spaces) 5.2.3.3 1 1.21 I 5 Years Seismic Braces (Accessible concealed s aces 5.2.3.3 1.22 I 5 Years Pipe and Fittings (Accessible concealed s aces 5.2.2.3 1.23 I 5 Years Sprinklers (Accessible concealed spaces) 5.2.1.3 1.24 I 5 Years Alarm Valves -Interior Inspection 12.4.1.2 1.25 I 5 Years Alarm Valves -Strainers, filters, orifices 12.4.1.2 1.26 I 5 Years Check Valves -Interior Inspection 12.4.2.1 1.27 I 5 Years Preaction/Deluge Valves -Interior Ins ection 12.4.3.1.7 1.28 I 5 Years PreactionlDeluge Valves -Strainers, filters, orifices 12.4.3.1.8 1.29 1 5 Years Dry Pipe Valves -Interior Inspection 12.4.4.1.5 1.30 I 5 Years Dry Pipe Valves -Strainers, filters, .orifices 12.4.4.1.6 2.1 T Annually Alarm Devices (90 Sec) 5.3.3 - 12.2.7 ~ 2.2 T Annually Main Drain Test (Enter data on Page 1) 12.2.6 12.2.6.1 12.3.3.4 ,1- 2.3 T Annually Antifreeze Test 5.3.4 2.4 T Annually Water Flow alarms 12.2.7 l 2.5 T Annually Control Valve -Position 12.3.3.1 2.6 T Annually Control Valve -Operation 12.3.3.1 / 2.7 T Annually Supervisory 12.3.3.5 ~ 2.8 T Annually Preaction Valve -Priming Water 12.4.3.2.1 2.9 T Annually Preaction Valve -Low Air Pressure Alarm 12.4.3.2.10 State Fire Marshal Form AES 2 March 21, 2006 Inspection, Testing,aand Maintenance Fire Sprinkler Systems NFPA 25, Cha ter 5 as amended b CCR, Title 19 Page 3 of 4 Date of Inspection, Testing, Maintenance: '7 /L d7 System Riser ID: Property Information: ~ c;a o ~ L ~ Type o System: ~~`` ~~~, oh~S Name: ~ Wet Pipe n _ . ~ v, ? ^ Dry Pipe Address: ~6?~o ST~.~-r'.~ P~ ^Preaction ~ ~~ ^ Deluge ~'re M~ City: ~~~e,~/SC~,c~ Item Activity Frequency Description NFPA 25 Reference Fail NIA Pass 2.11 T Annually Dry Pipe Valve -Priming Water 12.4.4.2.1 2.12 T Annually Dry Pipe Valve -Low Air Pressure Alarm 12.4.4.2.6 2.13 T Annually Dry Pipe Valve -Quick-Opening Device 12.4.4.2.4 2.14 T Annually Dry Pipe Valve -Trip Test 12.4.4.2.2 2.15 T Annually Backflow Preventer Assemblies 12.6.2 2.16 T 3 Years Dry Pipe Valve -Full Flow 12.4.4.2.2.2 2.17 T 5 Years Gauges 5.3.2 2.18 T 5 Years Pressure Reducing Valve 12.5.1.2 2.19 T 5 Years Fire Department Connection Backflush 12.7.4 2.20 T 5 Years Sprinklers -Extra High Temperature 5.3.1.1.1.3 2.21 T 5 Years Sprinklers -Corrosive environment or corrosive water 5.3.1.1.2 2.22 T 10 Years Sp. inklers -Dry 5.3.1.1.1.5 2.23 T 20 Years Sprinklers -Quick Response 5.3.1.1.1.2 2.24 T 50 Years Sprinklers 5.3.1.1.1 2.25 T 75 Years Sprinklers 75 years in service 5.3.1.1.1.4 2.26 T Sprinklers manufactured prior to 1920 - Re lace 5.3.1..1.1.1 3.1 M Annually Control Valves 12.3.4 3.2 M Annually Preaction/Deluge Valves 12.4.3.3.2 3:3 M `Annually Dry Pipe Valves/Quick-Opening Devices 12.4.4.3.2 3.4 M 5 Years Obstruction Investigation Chapter 13 State Fire Marshal Form AES 2 March 21, 2006 ~, ~, Inspection, Testinct, and Allaintenance Fire Sprinkler Systems - - - ~ NFPA 25, Cha ter 5 as amended b CCR, Title 19 Page 4 of 4 Date of Inspection, Testing, Maintenance: '7 L Q'1 System Riser ID: Property Information: of ear ~ ii N LB S ~ Type of System: W t Pi o~ ~~`` i ? ame: ~~ Z~~ pe e .~ ~ v Address: _ ?J~D6 S~i~ ~ ^ Dry Pipe ^ Preaction 9 1~Q ~ ~ ^ Deluge ~AE P City: " ~ ~cra~S f-. Item Deficiencies and Comments: Deficiencies and Comments Item number must correspond to the Item number of the Activit listed above: t`X ~~'Ov2.~}-G"~L.- ~ I{~.L~pNG- ~~~-UC~f/li Jr (C~4'~/Z~r~. ~~5"c42~ ~~~~ ~ ~Gi L.7. -`-~ A-GC ~ p ~- ~ 5 £ (L ^ See Continuation Page(s) (Indicate the number of continuation pages) ~I-PASS ^ FAIL _ 7 ~L ~ Si nature Date State Fire Marshal Form AES 2 March 21, 200fi ~ti- ~ .b LONGS DRUG STORE 204 SiteID: 015-021-000986 Manager PERRY ABE Location: 3500 STINE RD City BAKERSFIELD CommCode: BFD STA 07 EPA Numb: CAL000130048 BusPhone: (661) 833-1553 Map 123 CommHaz Extreme Grid: 14A FacUnits: 1 AOV: SIC Code:5912 DunnBrad:00-691-0004 Emergency Contact / Title Emergency Contact / Title PERRY ABE / STORE MANAGER RANDY BOND / ASST MANAGER Business Phone: (661) 833-1553x Business Phone: (661) 833-1553x 24-Hour Phone (661) 835-0533x 24-Hour Phone (661) 589-1215x Pager Phone (661) 205-2027x Pager Phone (661) 834-8175x Hazmat Hazards: RSs Fire Press React ImmHlth DelHlth Contact PERRY ABE Phone: (661) 833-1553x MailAddr: 3500 STINE RD State: CA City BAKERSFIELD Zip 93309 Owner LONGS DRUG STORES CA INC Phone: (925) 937-1170x Address 141 N CIVIC DR State: CA City WALNUT CREEK Zip 94596 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: Yes ParcelNo: Emergency Directives: PROG A - HAZMAT ~NT'D J ~ L 1 ~ ~~~~ PROG H - HAZ WASTE GEN used on my inquiry of those individuals respc;.sih(e for a#~tt.ining the information, 1 certify un~7er penait;r Cif IGtn~ that I have personally examined and am familiar with the information submitted anci h4!iavp the information is true, accurate, and complete. G ~ ~/}(,i -0~ S ~, atur , Date -1- 07/12/2007 S= -~ F LONGS DRUG STORE 204 SiteID: 015-021-000986 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... ISpecHazIEPA Hazards) Frm I DailyMax IUnitIMCPI CLEANING-AMMONIA PRODUCTS F R IH L 500.00 GAL Ext CLEANING-HOUSEHOLD BLEACH R IH L 2000.00 GAL Hi POOL ACID E R IH S 1500.00 LBS Hi CLEANING-CHLORINE PRODUCTS E F R IH S 500.00 LBS Hi PROPANE E F P IH G 363.90 FT3 Hi AUTO-ENGINE ADDITIVES F P R IH L 100.00 GAL Hi FIXER PART A R IH L 20.00 GAL Hi DEVELOPER PART A R IH L 5.00 GAL Hi DEVELOPER PART A R IH L 4.00 GAL Hi DEVELOPER PART C R IH L 5.00 GAL Mod DEVELOPER PART C R IH L 4.00 GAL Mod ANTIFREEZE F P R IH L 400.00 GAL Low FUEL-CAMPING F P IH L 200.00 GAL Low FIXER PART B R IH L 20.00 GAL Low PHOTOGRAPHIC BLEACH IH L 20.00 GAL Low PHOTOGRAPHIC BLEACH IH L 10.00 GAL Low DEVELOPER L 6.00 GAL Low DEVELOPER L 5.00 GAL Low DEVELOPER PART B F R IH L 5.00 GAL Low PHOTOGRAPHIC BLEACH IH L 5.00 GAL Low DEVELOPER PART B F R IH L 4.00 GAL Low GARDEN FERTILIZER IH S 12000.00 LBS Min MOTOR OIL F DH L 500.00 GAL Min HELIUM F P IH G 488.00 FT3 Min WASTE FIXER L 220.00 LBS Min WASTE FIXER L 30.00 GAL Min PHOTOGRAPHIC STABILIZER IH L 1.00 GAL Min HERBICIDES-HOUSEHOLD/GARDEN F IH S 1200.00 LBS UnR INSECTICIDES-HOUSEHOLD/GARDEN F IH DH L 400.00 GAL UnR PESTICIDES-HOUSEHOLD/GARDEN F IH DH S 400.00 LBS UnR -2- 07/12/2007 -3- 07/12/2007 F LONGS DRUG STORE 204 SiteID: 015-021-000986 ~ ~ Inventory Item 0006 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME CLEANING-AMMONIA PRODUCTS Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLR/WHSE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture~mbient ~ Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 500.00 GAL 100.00 GAL r1t~,~Hx1~VU5 uvl~irVl.V~lvl~ %Wt. R5 CAS# 30.00 Ammonia Solution, Conc. Less Than 20o No 1336216 r1HC~t~tcL H~~~Saln~lvl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH j / / Ext ~ Inventory Item 0004 COMMON NAME / CHEMICAL NAME CLEANING-HOUSEHOLD BLEACH Location within this Facility Unit SALES FLR/WHSE STATE TYPE PRESSURE Liquid TMixture ~ Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map. Grid: CAS# TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 2000.00 GAL 300.00 GAL I1HGtiCCLVU.7 1.V1~lYV1V~1V 1.7 %Wt. RS CAS# 100.00 Sodium Hypochlorite No 7681529 I1LiGL-1[CL 11,7.7 L'.7.7P71;1V 1 w7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi -4- 07/12/2007 F LONGS DRUG STORE 204 SiteID: 015-021-000986 ~ ~ Inventory Item 0007 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME POOL ACID Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLR/WHSE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid TMixture ~mbient ~ Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 8.00 LBS 1500.00 LBS 900.00 LBS t1AGHKLV U 7 1: V1°lYV1V1"~1V 1.'~ %Wt. RS CAS# 100.00 Muriatic Acid Yes 7647010 t1E~GEjKL A~J157~1~1L"1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME CLEANING-CHLORINE PRODUCTS Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLR/WHSE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid TMixture~ Ambient ~ AmbientPLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 LBS 500.00 LBS 400.00 LBS nt~c~tsicuvu~ ~.viirvtvaty t ~ %Wt. RS CAS# 30.00 Hydrochloric Acid Yes 7647010 IIHGHICL H. 7~JP~.7.7P'1P~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH / / / Hi -5- 07/12/2007 F LONGS DRUG STORE 204 SiteID: 015-021-000986 ~ ~ Inventory Item 0015 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE/JANITORIAL AREA CAS# 74-98-6 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas TPure ~-Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 181.95 FT3 363.90 FT3 181.95 FT3 L1HGH.RLVUw7 l.Vl"lYV1VP~1V 1.7 %Wt. RS CAS# 100.00 Propane Yes 74986 I1tiGtiRL H. 7 JP~a7.71°1rJ1V 1 iJ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0010 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME AUTO-ENGINE ADDITIVES Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLR/WHSE CAS# Liquid TMixture~ Ambient~E ~ AmbientT~E ~PLASTOCTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL _ 100.00 GAL I 30.00 GAL ruyc~ruu~vva ~.vi•lrvtv~ty t a %Wt. RS CAS# 60.00 Methyl Alcohol No 67561 20.00 Methyl Ethyl Ketone No 78933 20.00 Ethylene Glycol No 107211 HAZARD ASSESSMENTS = TSecret RS BioHaz Radioactive/Amount I EPA Hazards No No No No/ Curies F P R IH NFPA USDOT# MCP / / / Hi -6- 07/12/2007 F LONGS DRUG STORE 204 SiteID: 015-021-000986 ~ ~ Inventory Item 0020 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME FIXER PART A Days On Site CP-40 FAII P2-R BLEACH FIXER PART A 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 7783-18-8 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~ Ambient ~ Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.25 GAL 20.00 GAL 20.00 GAL til',G1~tCLVUD 1.u1~lYUlVl:,1V 1 ~ %Wt. RS CAS# 33.00 Ammonium Thiosulfate No 7783188 20.00 Ammonium Sulfite No 10196202 7.00 Ammonium Nitrate No 6484522 7.00 Acetic Acid, Pure No 64197 riHGi-1hCL A~~L'~551~1t;1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi ~ Inventory Item 0023 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DEVELOPER PART A Days On Site CN-16Q NQ1-R DEVELOPER PART B 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 7757-83-7 Liquid TMixture TAmbRent~E ~ AmbientT~E ~LASTOCTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.12 GAL 5.00 GAL 5.00 GAL n.ric~s-u~~vua ~.vi~irJNEl~ i ~ %Wt. RS CAS# 33.00 Potassium Carbonate No 584087 3.00 Sodium Sulfite No 7757837 I1tiGa`iICL LiJ .7~.7AP7~1V1~7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi -7- 07/12/2007 F LONGS DRUG STORE 204 SiteID: 015-021-000986 ~ ~ Inventory Item 0017 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DEVELOPER PART A Days On Site CP-40 FAII P1-R DEVELOPER/REPLENISHER PART A 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 7757-83-7 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture T Ambient ~ Ambient -~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Daily Maximum 4.00 GAL Daily Average 4.00 GAL Largest Container 0.15 GAL rlr~~titcl.lw5 ~c~lnr~lvrly 1'S %Wt. RS CAS# 10.00 Triethanolamine No 102716 5.00 Acetic Acid, Pure No 64197 IYHGEIKIJ .y,7 JL' ,5 „51~1L' 1V'1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi ~ Inventory Item 0025 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DEVELOPER PART C Days On Site CN-16Q NQl-R DEVELOPER PART C 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 111-30-8 Liquid TMixture ~ Ambient~E ~ AmbientT~E ~ PLASTOICTCONTAINERE AMOUNTS AT THIS LOCATION Daily Maximum 5.00 GAL Daily Average 5.00 GAL Largest Container 0.06 GAL t1HGH1tLVUA l..Vl"1rV1VL'1V1a7 owt. Rs cAS# 16.00 p-Phenylenediamine No 106503 1.00 Sodium Sulfite No 7757837 I11iGEi1SL 1i, 7.7L~.7,71"11;1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Mod -8- 07/12/2007 F LONGS DRUG STORE 204 SiteID: 015-021-000986 ~ ~ Inventory Item 0019 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DEVELOPER PART C Days On Site CP-40 FAII P1-R DEVELOPER PART C 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 111-30-8 Liquid TMixture ~mbRent~E ~ AmbientT~E ~LASTOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 0.15 GAL 4.00 GAL 4.00 GAL ru~~r-ucL~uS ~vlnr~iV~iVla oWt . RS CAS# 41.00 Potassium Carbonate No 584087 7.00 Potassium Hydroxide No 1310583 nt~~ytc.u Ha~~a~ririvl TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Mod ~ Inventory Item 0011 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ANTIFREEZE Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLR/WHSE CAS# STATE TYPE PRESSURE TEMPERATURE Liquid Mixture 1 Ambient ~ Ambient CONTAINER TYPE PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 1.00 GAL 400.00 GAL 100.00 GAL t11~GEitCLVUJ 1.V1~lYV1V1;1V 1.7 %Wt. RS CAS# 100.00 Ethylene Glycol No 107211 11EiGEiKL H.7 .7~.7~71~1J;1V-1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P R IH / / / Low -9- 07/12/2007 F LONGS DRUG STORE 204 SiteID: 015-021-000986 ~ ~ Inventory Item 0012 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME FUEL-CAMPING Days On Site 365 Location. within this Facility Unit Map: Grid: SALES FLR/WHSE CAS# Liquid TMixture~ AmbRent~E ~ AmbientT~E METALOCONTAINRTNONDRUM AMOUNTS AT THIS LOCATION Largest Contiin0e0rG~ Daily 200100m G~ Daily A50r00e GAL t1AGLiKLVU~ 1:V1~lYV1VL"1V15 owt. Rs cAS# 100.00 Kerosene No 70892103 t1HGH.tCL H.7.7C,JJ1~1~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / j Low ~ Inventory Item 0021 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME FIXER PART B Days On Site CP-40 FAII P2-R BLEACH FIXER PART B 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 10043-O1-3 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture I Ambient ~ Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.25 GAL 20.00 GAL 20.00 GAL tla`~Gl~it'CLVU.7 1..V1~lYV1V~1V 1.7 °sWt. RS CAS# 27.00 Ferric Ammonium EDTA No 0 17.00 Ammonium Bromide No 12124979 3.00 Nitric Acid (EPA) No 7697372 t1HGtitCL H.7 .7JJJ.71"1r+1V-lA TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No Yes No No/ Curies R IH / / / Low -10- 07/12/2007 F LONGS DRUG STORE 204 SiteID: 015-021-000986 ~ ~ Inventory Item 0028 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC BLEACH Days On Site CN-16Q NQ3 RS BLEACH FIXER 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 12124-97-9 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture Ambient ~ Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.50 GAL 20.00 GAL 20.00 GAL riAGL~1.CIJVUJ 1:V1~lYV1V1"~1V1b oWt. RS CAS# 49.00 Ammonium Thiosulfate No 7783188 3.00 Sodium Sulfite No 7757837 3.00 Sodium Bisulfite No 7631905 riAGKK1J F~„5at;~51~11;iV 1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Low ~ Inventory Item 0027 COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC BLEACH CN-16Q NQ2 RS BLEACH PART B Location within this Facility Unit PHOTO LAB PRODUCT STORAGE STATE TYPE PRESSURE Liquid TMixture ~ Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 12124-97-9 TEMPERATURE CONTAINER TYPE Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.40 GAL 10.00 GAL 10.00 GAL I1tiGtiCC1J V U w7 1. V1•lY V1V r,LV 1 .7 ~Wt. RS CAS# 29.00 Ferric Ammonium EDTA No 0 19.00 Ammonium Bromide No 12124979 3.00 Nitric Acid (EPA) No 7697372 11LiGtiRL H. 7JP~JJ1~11,'1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No Yes No No/ Curies IH / / / Low -11- 07/12/2007 ~. ~ F LONGS DRUG STORE 204 SiteID: 015-021-000986 ~ ~ Inventory Item 0016 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DEVELOPER Days On Site CP-40 FAII Pl-S DEVELOPER STARTER 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture. Ambient ~ Ambient -~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.15 GAL 6.00 GAL 6.00 GAL tls~~rjttl~vu~ ~vlnr~ivnlvla %Wt. RS CAS# 10.00 Potassium Carbonate No 584087 7.00 Sodium Bicarbonate No 144558 5.00 Potassium Chloride No 7447407 t1EjGL~iCL H.7.7L" ~J1~1L" 1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low ~ Inventory Item 0022 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DEVELOPER Days On Site CN-16Q NQ1-S DEVELOPER STARTER 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~ Ambient ~ Ambient -~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.08 GAL 5.00 GAL 5.00 GAL riL-~GtitC11VUA 1.V1~lYV1V.C,1V1J %Wt. RS CAS# 18.00 Potassium Carbonate No 584087 7.00 Sodium Bicarbonate No 144558 3.00 Potassium Bromide No 7758023 I1L-~GKKL 1i. 7~1;5J1~11;1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low -12- 07/12/2007 F LONGS DRUG STORE 204 SiteID: 015-021-000986 ~ ~ Inventory Item 0024 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DEVELOPER PART B Days On Site CN-16Q NQ1-R DEVELOPER PART B 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 74-19-7 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Mixture Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.06 GAL 5.00 GAL 5.00 GAL --.. -. TTT ATTIT\/'1TTA /T!\T RT1/~TTTIITTA ritiGtitCLVU~J ~.vrirvlvalvl~ oWt. RS CAS# 5.00 Hydroxylamine Sulfate No 10039540 3.00 Potassium Hydroxide No 1310583 nt~~titcL x~~~aari~lvl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH / / / Low ~ Inventory Item 0026 COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC BLEACH CN-16Q NQ2 RS BLEACH PART A Location within this Facility Unit PHOTO LAB PRODUCT STORAGE Facility Unit: Fixed Containers on Site ~ Days On Site 365. Map: Grid: CAS# 12124-97-9 STATE TYPE PRESSURE Liquid TMixture T Ambient TEMPERATURE CONTAINER TYPE Ambient ~LASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.09 GAL 5.00 GAL 5.00 GAL - HAZARDOUS COMPONENTS %Wt. RS CAS# 30.00 Ammonium Bromide No 12124979 10.00 Disodium EDTA No 139333 riHGHtCL 1~~JL.a~1~i~1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Low -13- 07/12/2007 F LONGS DRUG STORE 204 SiteID: 015-021-000986 ~ ~ Inventory Item 0018 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DEVELOPER PART B Days On Site CP-40 FAII Pl-R DEVELOPER/REPLENISHER PART B 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 74-19-7 Liquid TMixture ~mbRent~E ~ AmbientT~E -~ PLASTOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.15 GAL 4.00 GAL 4.00 GAL tu-~~titcl~uua ~.u1nr~1V~1V 1 ~ %Wt. RS CAS# 18.00 p-Phenylenediamine No 106503 0.50 Sodium Sulfite No 7757837 t1L~GEU[L HA w7 L' .7.7l~llilV 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH / / / Low ~ Inventory Item 0013 COMMON NAME / CHEMICAL NAME GARDEN FERTILIZER Location within this Facility Unit SALES FLR/WHSE STATE TYPE PRESSURE Solid TMixture ~mbient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient BAG AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 20.00 LBS 12000.00 LBS 2000.00 LBS - ntjc~tucl~vu~ ~.ul~irvlv>Jly t ~ oWt. RS CAS# 100.00 Ammonium Sulfate No 7783202 tiHGH2CL H.7 AL".751~1~1V1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Min -14- 07/12/2007 F LONGS DRUG STORE 204 ~ Inventory Item 0009 COMMON NAME / CHEMICAL NAME MOTOR OIL Location within this Facility Unit SALES FLR/WHSE STATE TYPE PRESSURE Liquid TMixture I Ambient SiteID: 015-021-000986 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient BOX AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.25 GAL 500.00 GAL 300.00 GAL tit~~titcLVU~ wi~irvlv~ivla oWt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 tl!-~GL~KL 1~, 7~~J,71~1tS1V 1 ~J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min ~ Inventory Item 0014 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME HELIUM Days On Site 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE/JANITORIAL AREA CAS# 7440-59-7 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 244.00 FT3 488.00 FT3 488.00 FT3 TTT AT TTI/"1TT r1 /T/~LRT1l1TTT:1ITTA -.. _ -._ -... - nr~c~tucLVUa ~.viTlrviv~iv l a °sWt. RS CAS# 100.00 Helium No 7440597 I1HGLitCL L-~.7.7~.7.7!•1~,1V1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -15- 07/12/2007 F LONGS DRUG STORE 204 SiteID: 015-021-000986 ~ ~ Inventory Item 0030 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WASTE FIXER Days On Site 365 Location within this Facility Unit Map: Grid: WHSE SILVER RECOVERY SYSTEM CAS# Liquid TWaste ~ Ambient~E ~ AmbientT~E ~ PLASTOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 220.00 LBS 220.00 LBS 220.00 LBS - - I1riAtl.RLVUJ l..Vl°1rUlVr,1V1J %Wt. RS CAS# Silver No 7440224 L11iGtiR1J HJ JP~JJ1"1L~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Min ~ Inventory Item 0031 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WASTE FIXER Days On Site 365 Location within this Facility Unit Map: Grid: WHSE SILVER RECOVERY SYSTEM CAS# Liquid Twaste -~ AmbRient~E ~ AmbientT~E I PLASTOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 30.00 GAL 30.00 GAL I 10.00 GAL raric~ru~LV V o ~.vl•lrv1v1J1v 1 J %Wt• RS CAS# Silver No 7440224 ilti4ri[CL L-1J JP~JJ1.1L,1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Min -16- 07/12/2007 F LONGS DRUG STORE 204 SiteID: 015-021-000986 ~ ~ Inventory Item 0029 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC STABILIZER Days On Site CN-16Q NQ4 RS SAFER STABILIZER 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# STATE TYPE T PRESSURE TEMPERATURE ~ CONTAINER TYPE Liquid ~ixture ~ Ambient ~ Ambient I PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 0.05 GAL 1.00 GAL 1.00 GAL tt~,~tLtcLVUS c.:vinrVivr;lvla oWt. RS CAS# 15.00 1,2,4-Triazole No 288880 t1E~G1-iKL AS~~JJ1~1L"~1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Min ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME HERBICIDES-HOUSEHOLD/GARDEN Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLR/WHSE SALES FLR/WHSE CAS$# STATE - TYPE PRESSURE TEMPERATURE Solid Mixture Ambient ~ Ambient CONTAINER TYPE GLASS CONTAINER AMOUNTS AT THIS LOCATION Largest Cont1100rLBS Daily1200100m LBS I Daily 600r00e LBS 11HGHiCLVUJ l.Vl"lt'V1Vr.1V1J %Wt. RS CAS# 100.00 Herbicides No 0 LIHGtitCL H. 7.7r,.7.71Y1r,1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / UnR -17- 07/12/2007 F LONGS DRUG STORE 204 SiteID: 015-021-000986 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME INSECTICIDES-HOUSEHOLD/GARDEN Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLR/WHSE SALES FLR/WHSE CAS# Liquid TMixtur~AmbRent~E ~ AmbientT~E ~ GLASSO ONTAINERYP AMOUNTS AT THIS LOCATION Largest Contiin0e0rG~ Daily 400100m GAL Daily 200r00e GAL t1E~GHKLV U.7 1.V1~lYV1VJ~,1V 1.7 cwt. Rs cAS# 100.00 Insecticides No 0 t1E~G1jtC.L 1j, 5,7~.7J1~1C,1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA U5DOT# MCP No No No No/ Curies F IH DH j / / UnR ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME PESTICIDES-HOUSEHOLD/GARDEN Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLR/WHSE SALES FLR/WHSE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid ~ixtur~Ambient ~ Ambient ~ GLASS CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 20.00 LBS 400.00 LBS 200.00 LBS nriaylcl~vua ~.Vl~irvtvnlvi~ °sWt. RS CAS# 100.00 Pesticides No 0 i1fiGHKL 1-~J,~tS~~1~11;1V l~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / UnR -18- 07/12/2007 F LONGS DRUG STORE 204 SiteID: 015-021-000986 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 10/19/1999 ~ CALL 911. = Employee Notif.fEvacuation 07/11/2000 MEMBER OF MGMT WILL BE INFORMED AND WILL CALMLY EVACUATE CUSTOMERS AND COWORKERS TO NEAREST EXITS. 911 WILL BE DIALED IN EMERGENCY. MEMBER OF MGMT WILL TAKE ATTENDANCE AT MEETING AREA. PHARMACIST WILL BE NOTIFIED TO ADMINISTER FIRST AID. ALL EMPLOYEES WILL LISTEN AND RESPOND TO INSTRUCTIONS ON CALMLY EVACUATING THE BLDG. Public Notif./Evacuation 07/11/2000 APPROPRIATE SIGNS ARE POSTED IN PUBLIC AREAS AS REQUIRED BY PROP 65. EXAMPLE INCLUDE THE APPROPRIATE POSTINGS FOR ALCOHOL AND TOBACCO CARCINOGENIC WARNINGS. IN THE EVENT OF AN EMERGENCY, THE HIGHEST RANKING MEMBER OF STORE MGMT WILL TAKE CHARGE OF THE SITUATION AND GIVE INSTRUCTIONS TO OUR CUSTOMER OVER THE INSTORE PUBLIC ADDRESS SYSTEM AS TO HOW TO SAFELY EVACUATE THE PREMISES USING THE FRONT ENTRANCE DOORS ON THE E SIDE OF THE BLDG OR THE EMERGENCY FIRE EXIT DOOR ON THE N SIDE OF THE BLDG, DEPENDING ON THE SITUATION. HE/SHE WILL CALL 911 AND WILL DOUBLECHECK THE STORE TO BE SURE ALL CUSTOMERS AND EMPLOYEES HAVE BEEN SAFELY EVACUATED. Emergency Medical Plan 04/20/2007 SOUTHWEST URGENT CARE, 6401 TRUXTUN AVE, 322-CARE. FIRE DEPT, 4030 SORANNO, 326-3967. MERCY CENTER, 2301 ASHE RD, 832-8300. AMBULANCE, 6201 SCHIRRA CT, 327-4111. -19- 07/12/2007 ;, F LONGS DRUG STORE 204 SiteID: 015-021-000986 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 07/11/2000 ~ KEEP CURRENT INVENTORY LIST AND UPDATE AS NEW PRODUCTS ARE INTRODUCED TO THE PUBLIC. KEEP EMPLOYEES TRAINED IN CLEANING UP HAZARDOUS PRODUCT SPILLS. KEEP FIRE EXTINGUISHERS WORKING. INFORM ALL EMPLOYEES OF MEETING PLACE IN THE EVENT OF EVACUATION. KEEP CLEANUP SUPPLIES IN ORDER. Release Containment 04/20/2007 SECONDARY CONTAINMENT Clean Up 06/14/1991 SUPPLY CABINET MAINTAINED IN JANITORS CLOSET CONTAINING RUBBER BOOTS, NEOPRENE GLOVES, ABSORBANT AND OTHER NECESSARY SUPPLIES FOR CLEAN UP OF HAZARDOUS SPILLS. U1.11C1_ iCC~VUl.(~C 1iGl.lVdl~lUi1 -20- 07/12/2007 ~; ,~ F LONGS DRUG STORE 204 SiteID: 015-021-000986 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ _, •7j./GV10.1 R0.G 0.1 Uf7 Utility Shut-Offs ELECTRICAL - MAIN PANELS E WALL BEH STORE WATER - MAIN VALVE BY REC DOOR 04/20/2007 _- Fire Protec./Avail. Water 04/20/2007 PRIVATE FIRE PROTECTION - SPRINKLER SYSTEM AND FIRE EXTINGUISHERS. FIRE HYDRANT - E REAR OF BLDG NEXT TO MAILBOXES. Building Occupancy Level 03/09/2006 48 EMPLOYEES -21- 07/12/2007 s F LONGS DRUG STORE 204 SiteID: 015-021-000986 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 11/02/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ALL PERSONNEL HAVE RECEIVED TRAINING IN HOW TO RESPOND TO EMERGENCY SITUATIONS INVOLVING FIRE OR CHEMICAL SPILLS. NEWLY HIRED EMPLOYEES RECEIVE TRAINING USING THE PRINTED MATERIALS ATTACHED. STORE HAS A DESIGNATED MEETING PLACE IN EVENT OF AN EVACUATION AND ALL EMPLOYEES HAVE BEEN INFORMED OF WHERE THIS IS. ALL PERSONNEL ARE AWARE OF WHERE FIRE EXTINGUISHERS ARE AND HOW TO USE THEM. rayc ~ Held for Future Use _, t_ •aciu ivi i-u~.uic vac -22- 07/12/2007 - ~_.~ .~ UNIFIED PROGR~4M INSPECTION CHECKLIST Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 SECTION 1 Business Plan and Inventory Program • FACILITY NAME INSPECTION DATE INSPECTION TIME - ------`..,o ~ __ __ S ~oc-_~`~ ---- -------..._ __ --- - -- - -- - ~_~~ _-cam}- -317 `t"~ •` --- -K- ADDRESS ~ ~ PHONE No. No. of Employees F-----_~S_ ~c_7_ __ __~__~___ :_~_ _ _ _ ~~_.... ----------- -------- g~3r ~~ --- ~.~----_..__ FACILITYCONTACT ~ ~ ~ ~ Business ID Number o ~~~ , 0 15-02 I -~~g Section 4 : Business Plan and Inventory Pt~ogram Routine ®Combined O Joint Agency ^ Mutti-Agency ^ Complaint O Re-inspection C ~ `V=Voatloinnce) OPERATION COMMENTS ® APPROPRIATE PERMIT ON HAND ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ~J ^ CORRECT OCCUPANCY i ® 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 ^ SITE DIAGRAM ADEQUATE Sr, ON HAND i ANY HAZARDOUS WASTE ON SITE: ^ YES l~ NO EXPLAIN: / ~ Ili i QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT ~66'I ~ 3Z6-3979 C __ __~_ ~~_-_-- _ e Inspector Badge No., White -Environmental Services Yellow - Stettin Copy Business Site Respo sible Party Pink -Business Copy ~~. ~ ~ C ~~ ^ ,.p 1 LONGS DRUG STORES #204 , v_ - ~~~'°~"''~`~~ SiteID: 015-021-000986 ~.~~~~~ Manager LAURA MCKINLEY S~"~"'~ BusPhone: (661) 833-1553 Location: 3500 STINE RD ~~ ~~~ Map 123 CommHaz Low City BAKERSFIELD Grid: 14A FacUnits: 1 AOV: CommCode: BFD STA 07 EPA Numb: CAL000130048 SIC Code:5912 DunnBrad:00-691-0004 Emergency Contact / Title Emergency Contact / Title / STORE MANAGER STEVE ZALUD / ASSIST MANGER Business Phone: (661) 833-1553x ~~ Business Phone: (661) 833-1553x 24-Hour Phone (661) 588-1070x ~-~l~ 24-Hour Phone (661) 833-0865x Pager Phone (661) 747-1963xCELL Pager Phone (661) 834-8175x Hazmat Hazards: RSs Fire Press React ImmHlth DelHlth Contact Phone: (661) 833-1553x MailAddr: 3500 STINE RD ~ State: CA City BAKERSFIELD Zip 93309 Owner LONGS DRUG STORES CA INC Address 141 N CIVIC DR City WALNUT CREEK Period to Preparers ~Certif ' d: ParcelNo: Phone: (925) 937-1170x State: CA Zip 94596 TotalASTs: _ TotalUSTs: _ RSs: Yes Emergency Directives: Gal Gal -1- 08/19/2005 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME ~ INSPECTION DATE INSPECTION TIM ` ADDRESS <~ PHONE No. No. of Employees -_ -.. FACILITYCONTACT DEC ~ 5 2003 Business ID Number 15-021-QQQ~`j ~ ` Seetion,l: Business Plan.and Inventory Program ^ Routine ^ Combined O Joint Agency ^Muhi-Agency ^ Complaint ^ Re-inspection C V \V=Violatioinncel OPERATION COMMENTS - ^ ~ _. APPROPRIATE PERMIT ON HAND ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE n /~ ~~ ^ VISIBLE ADDRESS 1111(((( ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ~ !~ P~~ ^ -_ VERIFICATION OF QUANTITIES - -------- -~---~~°~--1, s ^ VERIFICATION OF LOCATION PROPER SEGREGATION OF MATERIAL ---- --- ` _ _..___ - - _~ ~~ ~ - ^ --- VERIFICATION OF MSDS AVAILABILITYE - -- - --- ----------- -- -----~ ~~ii _~_~~~ Gy _.__f~1QlZ~~------- ---------- ^ VERIFICATION OF HAT MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED CCC ^ ~- ---- ------- - -HOUSEKEEPING - -- --- ---- --- _ -- _p------------ ------ ------------- -- ----p,~ ~-----J- ----- h-~~/L~__~'~ll~-~_-.~~~__ lCl~f~-~!Cn'` (d//1±_. ^ FIRE PROTECTION ^ ~ SITE DIAGRAM ADEQUATE & ON HAND y~Ore ~eJ1 - ANY HAZARDOUS WASTE ON SITE: ^ YES ~NO EXPLAIN: QUEST N EG DING THIS INS TION~ PLEASE CALL US AT ~C6'I ~ 326-3979 Inspector F Badge No. u e s t ~ ~ h~ ~-er M qN~--N-~ -~8. White -Environmental Services Yellow - Statbn Copy Pink -Business Copy r- t T~ CITY OF BAKERSFIELD FIRE DEPARTMENT b OFFICE OF ENVIRONMF,NTAI, SERVICES .y UNIFIED PROGRAM INSPECTION CHECKi~IST w ~gtip~~ 1715 Chester Ave., 3'd Floor, Bakersfield, CA 93301 FACILITY NAME ~~~ _ v~ ~~~INSPECTION D TES ~~O ~ _ ADDRESS ~ ~Z PHONE NO. - ~ FACILITY CONTACT_ ~ S 2 BUSINESS ID N04 1 -210- ["~ ~ t' ~ ~ INSPECTION TIME ~o la~~w NLIMBER OF EMPLOYEES `fib _ Secr~n 1: Business Plan and Inventory Program Routine ^ Combined ^ Joint Agency QMulti-Agency ^ Complaint ^ Re-inspection OPERATION C V ~ COMMENTS Appropriate permit on hand I Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping / Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: Explain: Yes ^ No Questions regarding this inspection? Please call us at (661) 326-3979 White -Env. Svcs. Yellow -Station Copy Pink -Business Copy ~~ Q~ UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME INSPECTION DATE INSPECTION TI E ADDRESS --------~-------------- ~ --- ---- - ------- PHONE No. No. of Empl ees - Business ID Number FAC{UTYCONTACT - -_ - - - ---- --- u me +~ ' Is-o21-©~, Section 9 : Business Plan and Inventory Pn~gram outine ^ Combined O Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection C V \V=Vioatonncel OPERATION J COMMENTS ® APPROPRIATE PERMIT ON HAND ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ~/ lid ^ VISIBLE ADDRESS ^' ^ CORRECT OCCUPANCY I ^ 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 -f----- Cf ^ -------- -----_.. _ ------ ----- -------------. __ ~ CONTAINERS PROPERLY LABELED ------- --. -._ . --- ----- _..__.._ ___ .-.. _...._- .. _---._...___ _ --- L'J ^ HOUSEKEEPING ^ Lien FIRE PROTECTION ,,f ---- U ^ ------------------------------------_------ ---___ SITE DIAGRAM ADEQUATE ~ ON HAND -------- i ----- -----.._..------- _- --- _._____..-..----- - ...- ---------- ANY HAZARDOUS WASTE ON SITE: L/1 YES ^ IVO EXPLAIN: //_''~~ /VFE~ E{~~ I.l~ aCIC ~ •'[1FICt(. ~y ~ ~q~C~ ~'~`~tt~,~ci+' IVj'cJ~~ 7u i-\l1~PSS Lnt~ ~~'D¢ IN tL~Crfa/i+'y~ '`1~tCt-fi ~~ SGC~1wti, ~02'l7'~ ~ c;.~~,i aA .~~ ~ amt QUESTIO CARDING IS INSPECTIONS PLEASE CALL US AT ~6F)'I ~ 328-3979 Ins a or Badge No.; White -Environmental Services Yellow -Station Copy Pink • Business Copy LONGS DRUG STORE 204 SiteID: 015-021-000986 Manager JOHN MENDIOLA Location: 3500 STINE RD City BAKERSFTELD BusPhone: (661) 833-1553 Map 123 CommHaz Extreme Grid: 14A FacUnits: 1 AOV: CommCode: BFD STA 07 EPA Numb: CAL000130048 SIC Code:5912 DunnBrad:00-691-0004 Emergency Contact / Title Emergency Cor~ta®~ ~,D/ Title O•PrPr• P~R~i Ate/ STORE MANAGER ('~J / ASST MANAGER Business Phone: (661) 833-1553x Business Phone: (661) 833-1553x 24-Hour Phone (661) 4xY3ti'!(~~J 24-Hour Phone (661) __"' v2~~__ ~~°+2 Pager Phone ( 6 61) Z~•4-~-; ~~a~ ~jS-3vz`) Pager Phone ( 661) 834 - 8175x Hazmat Hazards: RSs Fire Press React ImmHlth DelHlth Contact ~~ A~ Phone: (661) 833-1553x MailAddr: 3500 STINE RD State: CA City BAKERSFIELD Zip 93309 Owner LONGS DRUG STORES CA INC Phone: (925) 937-1170x Address 141 N CIVIC DR State: CA City WALNUT CREEK Zip 94596 Period to Preparers Certif'd: ParcelNo: TotalASTs: = Gal TotalUSTs: = Gal RSs: Yes Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN G~ased on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, ate, and complete. Signature .Date ~~~~~ ENT'D A ~ ~ ~' 9 Z88~ -1- 02/02/2007 ~~ F LONGS DRUG STORE 204 SiteID: 015-021.-000986 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... ~SpecHazIEPA Hazards) Frm I DailyMax IUnitIMCPI CLEANING-AMMONIA PRODUCTS F R IH L 500.00 GAL Ext CLEANING-HOUSEHOLD BLEACH R IH L 2000.00 GAL Hi POOL ACID E R IH S 1500.00 LBS Hi CLEANING-CHLORINE PRODUCTS E F R IH S 500.00 LBS Hi PROPANE E F P IH G 363.90 FT3 Hi AUTO-ENGINE ADDITIVES F P R IH L 100.00 GAL Hi FIXER PART A R IH L 20.00 GAL Hi DEVELOPER -PART A R IH L 5.00 GAL Hi DEVELOPER PART A R IH L 4.00 GAL Hi DEVELOPER PART C R IH L 5.00 GAL Mod DEVELOPER PART C R IH L 4.00 GAL MOd ANTIFREEZE ~ F P R IH L 400.00 GAL Low FUEL-CAMPING F P IH L 200.00 GAL Low FIXER PART B R IH L 20.00 GAL Low PHOTOGRAPHIC BLEACH IH L 20.00 GAL Low PHOTOGRAPHIC BLEACH IH L 10.00 GAL Low DEVELOPER L 6.00 GAL Low DEVELOPER L 5.00 GAL Low DEVELOPER PART B F R IH L 5.00 GAL Low PHOTOGRAPHIC BLEACH IH L 5.00 GAL Low DEVELOPER PART B F R IH L 4.00 GAL Low GARDEN FERTILIZER IH S 12000.00 LBS Min MOTOR OIL F DH L 500.00 GAL Min HELIUM F P IH G 4.88.00 FT3 Min WASTE FIXER L 220.00 LBS Min WASTE FIXER L 30.00 GAL Min PHOTOGRAPHIC STABILIZER IH L 1.00 GAL Min HERBICIDES-HOUSEHOLD/GARDEN F IH S 1200.00 LBS UnR INSECTICIDES-HOUSEHOLD/GARDEN F IH DH L 400.00 GAL UnR PESTICIDES-HOUSEHOLD/GARDEN F IH DH S 400.00 LBS UnR -2- 02/02/2007 -3- 02/02/2007 F LONGS DRUG STORE. 204 ~ Inventory Item 0006 COMMON NAME / CHEMICAL NAME CLEANING-AMMONIA PRODUCTS Location within this Facility Unit SALES FLR/WHSE SiteID: 015-021-000986 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture Tmbient ~ Ambient ~LASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 500.00 GAL I 100.00 GAL t1tiGlittLVU~7 ~:vl~ir~lvl;lvlJ °sWt. R5 CAS# 30.00 Ammonia Solution, Conc. Less Than 20% No 1336216 riHGEittL ASJ1;.7.71~1~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH / / / Ext ~ Inventory Item 0004 COMMON NAME / CHEMICAL NAME CLEANING-HOUSEHOLD BLEACH Location within this Facility Unit SALES FLR/WHSE STATE TYPE PRESSURE Liquid_TMixture ~ Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 2000.00 GAL 300.00 GAL - HAZARDOUS COMPONENTS oWt. RS CAS# 100.00 Sodium Hypochlorite No 7681529 nr~~tucl~ r~~~lJaal~i~lvl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi -4- 02/02/2007 F LONGS DRUG STORE 204 ~ Inventory Item 0007 COMMON NAME / CHEMICAL NAME POOL ACID Location within this Facility Unit SALES FLR/WHSE SiteID: 015-021-000986 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# -STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid TMixture Ambient ~ Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 8.00 LBS 1500.00 LBS 900.00 LBS ti1~G.'~tt1J V u 5 l: V1~lY V1V ~1V 1 %Wt. RS CAS# 100.00 Muriatic Acid Yes 7647010 tlE~GHt'CL E~JSL' JSL~1~1V la TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi ,Inventory Item 0005 COMMON NAME / CHEMICAL NAME CLEANING-CHLORINE PRODUCTS Location within this Facility Unit SALES FLR/WHSE Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# ~SolidE TMixture ~ Ambient~E ~ AmbientT~E ~LASTOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 LBS 500.00 LBS 400.00 LBS riHGLiCCL V U ~7 1. V1~lY V1V ~1V 1.7 ~Wt. RS CAS# 30.00 Hydrochloric Acid Yes 7647010 ru~c~s-ucL ti~ ~~aarinlyl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH / / / Hi -5- 02/02/2007 F LONGS DRUG STORE 204 SiteID: 015-021-000986 ~ ~ Inventory Item 0015 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME PROPANE Days On Site 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE/JANITORIAL AREA CAS# 74-98-6 STATE T TYPE PRESSURE ~~ TEMPERATURE ~ CONTAINER TYPE ~ ~GdS I Pure Above Ambient I Ambient I PORT. PRESS. CYLINDER I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 181.95 FT3 363.90 FT3 181.95 FT3 HAZARDOUS COMPONENTS °sWt. RS CAS# 100.00 Propane Yes 74986 - I11iGL-1.RL H JaL~~7.71"1r,1V 1 ~7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~~Inventory Item 0010 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME AUTO-ENGINE ADDITIVES Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLR/WHSE CAS# STATE TYPE PRESSURE TEMPERATURE ~~ CONTAINER TYPE Liquid TMixture ~ Ambient ~ Ambient I PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 100.00 GAL I 30.00 GAL - nr~urucLV~a l.Vl•lt'V1V P~1V 1.S %Wt• RS CAS# 60.00 Methyl Alcohol No 67561 20.00 Methyl Ethyl Ketone No 78933 20.00 Ethylene Glycol No 107211 r1Y'lutiiCL ti. 7JL~~7iJ1.1P~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P R IH / / / Hi -6- 02/02/2007 F LONGS DRUG STORE 204 ~ Inventory Item 0020 COMMON NAME / CHEMICAL NAME FIXER PART A CP-40 FAII P2-R BLEACH FIXER PART A Location within this Facility Unit PHOTO LAB PRODUCT STORAGE SiteID: 015-021-000986 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 7783-18-8. Liquid TMixture ~mbient~E ~ AmbientT~E ~LASTICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.25 GAL 20.00 GAL 20.00 GAL - riAGl-~KLVUJ 1:V1~lYV1V1'~1V 1 7 %Wt. RS CAS# 33.00 Ammonium Thiosulfate No 7783188 20.00 Ammonium Sulfite No 10196202 7.00 Ammonium Nitrate No 6484522 7.00 Acetic Acid, Pure No 64197 t1HGHKL I~JJI;JJ1~11;1V1~7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA ~ USDOT# MCP No No No No/ Curies R IH / / / Hi ~ Inventory Item 0023 COMMON NAME / CHEMICAL NAME DEVELOPER PART A CN-16Q NQ1-R DEVELOPER PART B Location within this Facility Unit PHOTO LAB PRODUCT STORAGE STATE TYPE PRESSURE Liquid TMixture ~ Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 7757-83-7 TEMPERATURE CONTAINER TYPE Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 0.12 GAL 5.00 GAL 5.00 GAL riL-1GHCCLVUJ 1.V1~lYV1Vl;1V1J %Wt. RS CAS# 33.00 Potassium Carbonate No 584087 3.00 Sodium Sulfite No 7757837 riHGHKL E~Jw7L' JJ1~1L'1V 1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi -7- 02/02/2007 F LONGS DRUG STORE 204 SiteID: 015-021-000986 ~ ~ Inventory Item 0017 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DEVELOPER PART A Days On Site CP-40 FAII Pl-R DEVELOPER/REPLENISHER PART A 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 7757-83-7 Liquid TMixture ~ AmbRient~E ~ AmbientT~E ~LASTOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 0.15 GAL 4.00 GAL 4.00 GAL ti1~GAtt1IVUJ 1:V1~1rV1VN~1Vla %Wt. RS CAS# 10.00 Triethanolamine No 102716 5.00 Acetic Acid, Pure No 64197 riHGLittL A7~C+J~1~1i51V1a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi ~ Inventory Item 0025 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DEVELOPER PART C Days On Site CN-16Q NQl-R DEVELOPER PART C 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 111-30-8 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~Ambient ~ Ambient ~ PLASTIC CONTAINER Largest Container 0.06 GAL AMOUNTS AT THIS LOCATION Daily Maximum 5.00 GAL Daily Average 5.00 GAL' L1L'iGtiKLV U.7 l.Vl"1rV1V L' 1V 1 J %Wt. RS CAS# 16.00 p-Phenylenediamine No 106503 1.00 Sodium Sulfite No 7757837 t1EiG1iKL 1~.7~1~,J~1~1~1V-1-~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ .Curies R IH / / / Mod -8- 02/02/2007 F LONGS DRUG STORE 204 SiteID: 015-021-000986 ~ ~ Inventory Item 0019 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DEVELOPER PART C Days On Site CP-40 FAIL P1-R DEVELOPER PART C 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 111-30-8 Liquid TMixture ~mbRient~E ~ AmbientT~E -~STICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.15 GAL 4.00 GAL 4.00 GAL riHGAttLVUJ 1.:V1~lYU1Vi51V15 %Wt. RS CAS# 41.00 Potassium Carbonate No 584087 7.00 Potassium Hydroxide No 1310583 t1HG1-~tCiJ 1-~7.7.C~~J1~11;1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Mod ~ Inventory Item 0011 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME ANTIFREEZE Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLR/WHSE CAS# Liquid TMixture Tmbient~E ~ AmbientT~E ~STICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1._00 GAL 400.00 GAL 100.00 GAL nr,ZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Ethylene Glycol No 107211 nt~atutl~ r~~ aaa~l~ilJlvta TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P R IH / / / Low -9- 02/02/2007 F LONGS DRUG STORE 204 SiteID: 015-021-000986 ~ ~ Inventory Item 0012 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME FUEL-CAMPING Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLR/WHSE CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture~Ambient ~ Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 200.00 GAL 50.00 GAL I3L~GEittLVU.7 1.V1~lYV1VL'1V 1.7 °sWt. RS CAS# 100.00 Kerosene No 70892103 rii-1GL~itCL H.7JL".7J1~lL"1V1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low ~ Inventory Item 0021 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME FIXER PART B Days On Site CP-40 FAII P2-R BLEACH FIXER PART B 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 10043-O1-3 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~ Ambient ~ Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.25 GAL 20.00 GAL I 20.00 GAL iar~uruti+vV.7 L.vi•irvtvrty t S _-- %V~It . RS CAS# 27.00 Ferric Ammonium EDTA No 0 17.00 Ammonium Bromide No 12124979 3.00 Nitric Acid (EPA) No 7697372 riti[~11CCL tiJ JLiJ Jl•1L'1V 1~7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No Yes No No/ Curies R IH / / / Low -10- 02/02/2007 F LONGS DRUG STORE 204 ~ Inventory Item 0028 COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC BLEACH CN-16Q NQ3 RS BLEACH FIXER Location within this Facility Unit PHOTO LAB PRODUCT STORAGE STATE TYPE PRESSURE Liquid TMixtur~Ambient SiteID: 015-021-000986 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 12124-97-9 TEMPERATURE CONTAINER TYPE Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 0.50 GAL 20.00 GAL 20.00 GAL ti1jGH.ttLVUJ ~V1~irVivl;lvlw7 oWt. RS CAS# 49.00 Ammonium Thiosulfate No 7783188 3.00 Sodium Sulfite No 7757837 3.00 Sodium Bisulfite No 7631905 rlti~xtcL r~aar.~~~l~ir;lvla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Low ~ Inventory Item 0027 COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC BLEACH CN-16Q NQ2 RS BLEACH PART B Location within this Facility Unit PHOTO LAB PRODUCT STORAGE STATE TYPE PRESSURE Liquid TMixture ~ Ambient Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 12124-97-9 TEMPERATURE CONTAINER TYPE Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.40 GAL 10.00 GAL 10.00 GAL 11HGKKLV U.7 1..V1~lYV1V.C 1V 1.7 SWt. RS CAS# 29.00 Ferric Ammonium EDTA No 0 19.00 Ammonium Bromide No 12124979 3.00 Nitric Acid (EPA) No 7697372 ntit,tittl.~ H. 7~tS.7J1~1r,1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No Yes No No/ Curies IH / / / Low -11- 02/02/2007 F LONGS DRUG STORE 204 SiteID: 015-021-000986 ~ ~ Inventory Item 0016 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DEVELOPER Days On Site CP-40 FAII P1-S DEVELOPER STARTER 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# STATE TYPE T PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture l Ambient ~ Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum ~ Daily Average 0.15 GAL 6.00 GAL 6.00 .GAL t1HGHtCLVUJ 1.V1~lYV1VI;1V1b %Wt. RS CAS# 10.00 Potassium Carbonate ~ No 584087 7.00 Sodium Bicarbonate No 144558 5.00 Potassium Chloride No 7447407 riHGKKL A7~t5551~1L1V1D TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low ~ Inventory Item 0022 COMMON NAME / CHEMICAL NAME DEVELOPER CN-16Q NQl-S DEVELOPER STARTER Location within this Facility Unit PHOTO LAB PRODUCT STORAGE STATE TYPE PRESSURE Liquid TMixture ~mbient 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 0.08 GAL 5.00 GAL 5.00 GAL i1HGKKLVUA 1.V1~lYV1VJ;1Vla %Wt. RS CAS# 18.00 Potassium Carbonate No 584087 7.00 Sodium Bicarbonate No 144558 3.00 Potassium Bromide No 7758023 riHGHKL H. 7.7J;J.71~1~1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low -12- 02/02/2007 F LONGS DRUG STORE 204 ~ Inventory Item 0024 COMMON NAME / CHEMICAL NAME DEVELOPER PART B CN-16Q NQ1-R DEVELOPER PART B Location within this Facility Unit PHOTO LAB PRODUCT STORAGE STATE TYPE PRESSURE Liquid TMixtur~Ambient SiteID: 015-021-000986 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# ' 74-19-7 TEMPERATURE ~~ CONTAINER TYPE Ambient I PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.06 GAL 5.00 GAL 5.00 GAL t1EiGHxUVUJ 1..V1~lYV1VtS1Vlb °sWt . RS CAS# 5.00 Hydroxylamine Sulfate No 10039540 3.00 Potassium Hydroxide No 1310583 nt~c~sitc~ s-~~a~~~rir.ivl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No Noj Curies F R IH / / / Low ~ Inventory Item 0026 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC BLEACH Days On Site CN-16Q NQ2 RS BLEACH PART A ~ 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 12124-97-9 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture~Ambient ~ Ambient -~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.09 GAL 5.00 GAL 5.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# 30.00 Ammonium Bromide No 12124979 10.00 Disodium EDTA No 139333 ntic~.ytcL t~ ~~naai~i~iv 1 ~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Low -13- 02/02/2007 F LONGS DRUG STORE 204 SiteID: 015-021-000986 ~ ~ Inventory Item 0018 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME DEVELOPER PART B Days On Site CP-40 FAII Pl-R DEVELOPER/REPLENISHER PART B 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# 74-19-7 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture ~mbient ~ Ambient -~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 0.15 GAL 4.00 GAL 4.00 GAL tlr~~tu<.1~UU5 ~vlnrvlvlJlvl~ %Wt. RS CAS# 18.00 p-Phenylenediamine No 106503 0.50 Sodium Sulfite No 7757837 riAGHKL AS~L'~JJ1°11'~1V~1~J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F R IH / / / Low ~ Inventory Item 0013 COMMON NAME / CHEMICAL NAME GARDEN FERTILIZER Location within this Facility Unit SALES FLR/WHSE 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 LOCATIONI Largest Con20100rLBS Dai112000100m LBS 1 Daily2000r00e LBS riHGH1CLVU.7 1..V1~lYV1VL"1V 1J %Wt. RS CAS# 100.00 Ammonium Sulfate No 7783202 riHGriKL 1-~~ J71;~J1~11;1V-1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT#. MCP No No No No/ Curies IH / / / Min -14- 02/02/2007 F LONGS DRUG STORE 204 ~ Inventory Item 0009 COMMON NAME / CHEMICAL NAME MOTOR OIL Location within this Facility Unit SALES FLR/WHSE STATE TYPE PRESSURE Liquid TMixture ~ Ambient SiteID: 015-021-000986 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient BOX AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 0.25 GAL 500.00 GAL 300.00 GAL nt~~t~tcl~vu~ ~vrirvlvl;ly l ~ oWt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 ril'~GH.tCL A551;JA1~1L"1V l.`~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min ~ Inventory Item 0014 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME HELIUM Days On Site 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE/JANITORIAL AREA CAS# 7440-59-7 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas TPure ~-Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 244.00 FT3 488.00 FT3 488.00 FT3 ru~c~titu~vua ~.vl~ir~lvlJly 1 a °sWt . RS CAS# 100.00 Helium No 7440597 IlEiGH2CL 1-~.7~7~.7~1~1L"1V1.7 TSecret RS BioHaz RadioactivejAmount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -15- 02/02/2007 F LONGS DRUG STORE 204 ~ Inventory Item 0030 COMMON NAME / CHEMICAL NAME WASTE FIXER Location within this Facility Unit WHSE SILVER RECOVERY SYSTEM STATE TYPE PRESSURE Liquid TWaste ~ Ambient SiteID: 015-021-000986 ~ 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 220.00 LBS 220.00 LBS 220.00 LBS rltiGrittl~vu~ ~vl~irvlvl;lvla %Wt. RS CAS# Silver No 7440224 tLHGL-ll[L F~571"~JJ1~1tS1V.l7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies j / / Min ~ Inventory Item 0031 COMMON NAME / CHEMICAL NAME WASTE FIXER Location within this Facility Unit WHSE SILVER RECOVERY SYSTEM STATE TYPE PRESSURE Liquid TWaste -~ 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 30.00 GAL 30.00 GAL 10.00 GAL rii-1GEiKLVUJ 1.V1~lYV1VL"1V15 %wt. Rs cAS# Silver No 7440224 riliGEiKL 1~.7.~L" .7A1~1L" 1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Min -16- 02/02/2007 F LONGS DRUG STORE 204 SiteID: 015-021-000986 ~ ~ Inventory Item 0029 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC STABILIZER Days On Site CN-16Q NQ4 RS SAFER STABILIZER 365 Location within this Facility Unit Map: Grid: PHOTO LAB PRODUCT STORAGE CAS# Liquid TMixture ~ Ambient~E ~ AmbientT~E ~ PLASTOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 0.05 GAL .1.00 GAL 1.00 GAL nr~~ta.lcLVU~ ~v1~irVlvl,ly i a %Wt. RS CAS# 15.00 1,2,4-Triazole No 288880 tiH.Gt1KL A55~7a1~11",lv15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Min ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME HERBICIDES-HOUSEHOLD/GARDEN Location within this Facility Unit SALES FLR/WHSE SALES FLR/WHSE Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE ~~ CONTAINER TYPE Solid TMixtur~ Ambient ~ Ambient I GLASS CONTAINER AMOUNTS AT THIS LOCATION Largest Cont1100rLBS Daily1200100m LBS I Daily 600r00e LBS - IlAGHICLVUJ 1.V1~lYV1VL'1V1D °sWt. RS CAS# 100.00 Herbicides No 0 r1EiGH2CL 1'.~~I;~b1~1~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / UnR -17- 02/o2/2oa~ F LONGS DRUG STORE 204 SiteID: 015-021-000986 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME INSECTICIDES-HOUSEHOLD/GARDEN Days On Site 365 Location within this Facility Unit Map: Grid: SALES FLR/WHSE SALES FLR/WHSE CAS# STATE TYPE PRESSURE Liquid TMixture ~ Ambient TEMPERATURE CONTAINER TYPE Ambient ~ GLASS CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 400.00 GAL 200.00 GAL ru~~.ytcLVUa ~ui~iruiv~ivl~ %Wt. RS CAS# 100.00 Insecticides No 0 ti1~GHKL 1~~J~~J1~1~1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / UnR ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME PESTICIDES-HOUSEHOLD/GARDEN Location within this Facility Unit SALES FLR/WHSE SALES FLR/WHSE Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid TMixtur~mbient ~ Ambient ~ GLASS CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 20.00 LBS 400.00 LBS 200.00 LBS nsi~s-ucLVU~ l.Vl~lYV1Vr,1V1~7 %Wt. RS CAS# 100.00 Pesticides No 0 t11~GH1[L 1-1.7.7 L" ~,71~1~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / UnR -18- 02/02/2007 F LONGS DRUG STORE 204 SiteID: 015-021-000986 ~ Notif./Evacuation/Medical ~ Agency Notification CALL 911. Fast Format Overall Site 10/19/1999 Employee Notif./Evacuation 07/11/2000 MEMBER OF MGMT WILL BE INFORMED AND WILL CALMLY EVACUATE CUSTOMERS AND COWORKERS TO NEAREST EXITS. 911 WILL BE DIALED IN EMERGENCY. MEMBER OF MGMT WILL TAKE ATTENDANCE AT MEETING AREA. PHARMACIST WILL BE NOTIFIED TO ADMINISTER FIRST AID. ALL EMPLOYEES WILL LISTEN AND RESPOND TO INSTRUCTIONS ON CALMLY EVACUATING THE BLDG. Public Notif./Evacuation 07/11/2000 APPROPRIATE SIGNS ARE POSTED IN PUBLIC AREAS AS REQUIRED BY PROP 65. EXAMPLE INCLUDE THE APPROPRIATE POSTINGS FOR ALCOHOL AND TOBACCO CARCINOGENIC WARNINGS. IN THE EVENT OF AN EMERGENCY, THE HIGHEST RANKING MEMBER OF STORE MGMT WILL TAKE CHARGE OF THE SITUATION AND GIVE INSTRUCTIONS TO OUR CUSTOMER OVER THE INSTORE PUBLIC ADDRESS SYSTEM AS TO HOW TO SAFELY EVACUATE THE PREMISES USING THE FRONT ENTRANCE DOORS ON THE E SIDE OF THE BLDG OR THE EMERGENCY FIRE EXIT DOOR ON THE N SIDE OF THE BLDG, DEPENDING ON THE SITUATION. HE/SHE WILL CALL 911 AND WILL DOUBLECHECK THE STORE TO BE SURE ALL CUSTOMERS AND EMPLOYEES HAVE BEEN SAFELY EVACUATED. Emergency Medical Plan 11/02/2006 SOUTHWEST URGENT CARE, 6401 TRUXTUN AVE, 322-CARE FIRE DEPT, 4030 SORANNO, 326-3967 MERCY CENTER, 2301 ASHE RD, 832-8300 AMBULANCE, 6201 SCHIRRA CT, 327-4111 -19- 02/02/2007 F LONGS DRUG STORE 204 SiteID: 015-021-000986 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 07/11/2000 ~ KEEP CURRENT INVENTORY LIST AND UPDATE AS NEW PRODUCTS ARE INTRODUCED TO THE PUBLIC. KEEP EMPLOYEES TRAINED IN CLEANING UP HAZARDOUS PRODUCT SPILLS. KEEP FIRE EXTINGUISHERS WORKING. INFORM ALL EMPLOYEES OF MEETING PLACE IN THE EVENT OF EVACUATION. KEEP CLEANUP SUPPLIES IN ORDER. Release Containment Clean Up 06/14/1991 SUPPLY CABINET MAINTAINED IN JANITORS CLOSET CONTAINING RUBBER BOOTS, NEOPRENE GLOVES, ABSORBANT AND OTHER NECESSARY SUPPLIES FOR CLEAN UP OF HAZARDOUS SPILLS. v~..lLCi ic.cavuivc a"]U1.1V0.1.iV11 -20- 02/02/2007 F LONGS DRUG STORE 204 SiteID: 015-021-000986 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~NC~ia.L ncxc~ciiu~ Utility Shut-Offs 02/02/2007 A) GAS - NONE B) ELECTRICAL - MAIN PANELS E WALL BEH STORE C) WATER - MAIN VALVE BY REC DOOR D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 11/02/2006 PRIVATE FIRE PROTECTION - AUTOMATIC SPRINKLER SYSTEM AND FIRE EXTINGUISHERS. FIRE HYDRANT - BEH STORE E OF BLDG NEXT TO MAILBOXES. Building Occupancy Level 48 EMPLOYEES 03/09/2006 -21- 02/02/2007 g F LONGS DRUG STORE 204 SiteID: 015-021-000986 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 11/02/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUNIMARY OF TRAINING PROGRAM: ALL PERSONNEL HAVE RECEIVED TRAINING IN HOW TO RESPOND TO EMERGENCY SITUATIONS~INVOLVING FIRE OR CHEMICAL SPILLS. NEWLY HIRED EMPLOYEES RECEIVE TRAINING USING THE PRINTED MATERIALS ATTACHED. STORE HAS A DESIGNATED MEETING PLACE IN EVENT OF AN EVACUATION AND ALL EMPLOYEES HAVE BEEN INFORMED OF WHERE THIS IS. ALL PERSONNEL ARE AWARE ~ OF WHERE FIRE EXTINGUISHERS ARE AND HOW TO USE THEM. rayc c Held for Future Use nc.~u ivi ru~uic ~5C -22- 02/02/2007 UNIFIED .PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program Prevention Services e E R s F. o -900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301. ARTM ~ -Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME INSPECTION DATE INSPECTI N TIME O (~ ~c ~ ADDRESS - _ ` HONE NO. ii t~~ - NO OF_EMPLO~S FACILITY CONTACT USINESS ID NUMBER ~ ~~~~, ~` . 15-021- C~°(~(Q __ T- -- _ j Section 1: Business Plan and Inventory Program v ~ i u --__. ROUTINE ^ - COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C _ V (C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE - ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ~®oC ~j ^ 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? EXPLAI N YES ~~I~ NO QUESTIONS REGARDING THIS INSPECTION? PLEASE,CALL US AT (661) 326-3979 •~ ~~ ~~~ ~ S~ ~~ Inspector (P ase Print) Fire Prevention / 1s' In /Shift of Site/Station # siness Site White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05