The URL can be used to link to this page

Home My WebLink AboutBUSINESS PLAN 10/31/2006~' i~ ~ ~: r /r f e. J~~, ~ / ; Y' nn(~ if ~ ~ ~ynr/ WALGREENS #3360 ~ ~ 4100 WHITE LN 1 1 ~R~F ::,:~; r ~~~ ~ Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST:; B e R S F t o 90oTruxtun Ave., Suite 210 __ T.~mm~ _ __ ~ _." _ FIRE .... Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ARTM t Tel.:_ (661) 326-3979 - ;, ~ Fax: (661) 872-2171 • -. FACILITY NAME INSPECT ON D TE INSPECTION TIME ADDRESS / , PHONE NO. NO OF E OYEES O ~ ' ~ ~'/(" a / ~-- ~ 7 ~ 3 FACILI CONTACT BUSINESS ID NUMBER 15-021- ¢~O !'~/ (. a '~ Section ~: -~~siness Plsn and Inventory Prag~am ~,~ - ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V (C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ~- ^ BUSIftP.SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS A/O f - ^ CORRECT OCCUPANCY O~ ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY l~ ^ 11 VERIFICATION OF HAZ MAT TRAINING ~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE o `~ ^ CONTAINERS PROPERLY LABELED C~ ^ !! HOUSEKEEPING ~ ^ FIRE PROTECTION ICI ^ SITE DIAGRAM ADEQUATE & ON HAND ~ ANY HAZARDOUS!~ ASTE ON SITE? ~I,YES rr ^ NO EXPLAIN: 'i" ~O T b Acr•r. p ~ ~ C. (-lnP /,tom t ri . LS QUES`T~IONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-397 • ~7 ~G/~ Inspector (Please Print) Fire Prevention / 1~' In /Shift of Site/Station # White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 _ _, (HMMP) • HAZARDOUS MATERIALS MANAGEMENT PLAN aHsPi ~ BUSINESS ACTIVITIES PAGE ~wrr r (HAZARDOUS MATERIALS INFORMATION) BAKERSFIELD FIRE DEPT. Prevention Services 900 Trt,txtun Ave., Suite 210 i Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 ~ I Page 1 of 1 ~ I . n l~ Q v I. FACILITY IDENTIFICATION 1~~ ~ FACILI fY ID # (For Office use only -please leave blank) 3 EPA ID # TBD DBA /FACILITY NAME ~ Walgreens #3360 ~ 11. ACTIVITIES DECLARATION DOES Your Faality ... It Yes, Please Complete ... t25 A. HAZARDOUS MATERIALS • oE5 FORM )Chemical Description Form) 130 1. Have on Site (for any purpose) hazardous ®Yes ^ No • CONSOLIDATED COMPLIANCE PLAN materials at or above 55 gallons for liquids, Minimum required olannina elements: 1 ,,,/~ 1 500 pounds for solids, or 200 cu. ft. for ®Yes ^ No . Emergency Response Plan np ~lJ • Maps _ y compressed gases (include liquids in ASTS and ~ • Training t USTs)? • Prevention B. REGULATED SUBSTANCES (RS) f 131 1. Have on site RS at greater than the threshold ^Yes ®No • OES FORM )Chemical Description Form) planning quantities established by the California Risk Management Plan (RMP Submit to USEPA) / ` Accidental Release Prevention program ~ • CONSOLIDATED COMPLIANCE PLAN ~ (CaIARP)? . Incorporating CaIARP Program Elements C. UNDERGROUND STORAGE TANKS (USTs) 132 1. Own or operate Underground Storage Tanks? ^Yes ®No ~ UST TANK FORM (One Per Tank) 2. Intend to upgrade existing or install new USTs? ^Yes ®No • UST FACILITY FORM ) 1331 • UST TANK FORM (One Per Tank) FORM t;f~~~',...' • UST INSTALLATION FORM One Per Tank FORM D. TANK CLOSURE /REMOVAL 2. Need to report closing an UST that hel hazardous ^Yes ®No • UST TANK FORM (Closure section -one per tank) materials or 3. Need to report the closure /removal of a tank that ^Yes ®No • UST TANK CLOSURE FORM was classified as hazardous waste and cleaned on- site? E. ABOVEGROUND PETROLEUM STORAGE TANKS (ASTS) ^Yes ®No • CONSOLIDATED COMPLIANCE PLAN 1. Own or operate ASTS above these thresholds; • Incorporating Federal Spill Prevention Control and ~ any tank capacity is greater than 660 gallons or the Countermeasure (SPCC) Elements pursuant to 40 CFR Part 112. total capacity for the facility is greater than 1,320 j F. HAZARDOUS WASTE EPA ID NUMBER -Provide on this page 1. Generate hazardous waste? ^Yes ®No To obtain EPA ID Number, please phone (916) 324-1781 2. Recycle more than 100 kg/mo of recyclable ^Yes ®No • RECYCLING FORM materials at the same location it was generated? 3. Recycle more than 100 kg/mo of recyclable ^Yes ®No • RECYCLING FORM materials at an off-site location different from the point of generation? 4. Treat Hazardous Waste on site? ^Yes ®No TP FACILITY FORM (DTSC FORM 1772) • TP UNIT FORM (One per unit) 5. Subject to Financial Assurance requirements? ^Yes ®No • CERTIFICATION OF FINANCIAL ASSURANCE 6. Consolidate Hazardous Waste generated at a ^Yes ®No • REMOTE WASTE /CONSOLIDATION SITE NOTIFICATION FORM remote site? FD2088 (Rev.02/05) ENTD F E B 16 2006 (HMMP) HAZARDOUS MATERIALS MANAGEMENT PLAN (UN F ED PROGRAM CONSOI (DATED FORM( ~. APPLJCAl10N Bl1SNESS OWNER/OPERATOR IDENTIRCATION FORM (HA7ARn(711R MATFRIAI R `?" INF(~RMATIONl BAKERSFIELD FIRE DEPT. • Prevention Services 900 Truxtun Ave., Suite 210 e R P ' D Bakersfield, CA 93301 FIA[ ,~ • rr r Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 2 .. I FACILITY IDENTIFlCATION FACILITY ID NO. t ear eginn ng /' Yea Fra ng o 02/08/2006 02/08/2007 BUSINESS NAME (Same as FACILITY NAME or DBA- Doing Business As) s BUSINESS PHONE Eo2 Walgreens #3360 661-396-0341 SITE ADDRESS tos 4100 White Lane CITY 10 Ip tos CA Bakersfield 93309 UN BR BEET 9 1 ~3 tos SIC CODE to7 - ( - to Digit w) 5912, 7384 COUN Santa TClara toe OPERATOR NAME toy OPERATOR PHONE tto Walgreens Corporation (847) 914-3853 II. OWNER INFORMATION OWNER NAME OWNER PHONE ttz nt Walgreens Corporation (847) 914-3853 OWNER MAILING ADDRESS tta 200 Wilmot Road CITY tta STATE tt5 IP tts Deerfield IL 60015 III. ENVIRONMENTAL CONTACT - CONTACT NAME tt7 GONTAGr o-1pNE s Christina Chia etta M.S. 2171 (847) 914-3195 CONTACT MAILING ADDRESS tts 200 Wilmot Road CITY tzo STATE zt ZIP tzz Deerfield IL 60015 - PRIMARY Iv. EMERGENCY CONTACTS -SECONDARY- NAME 123 NAME 126 Amanda Bartlett Agnes Macapagal TITLE 124 TITLE 129 Store Manager- District Photo Supervisor BUSINESS PHONE 125 BUSINESS PHONE 130 661-396-0341 559-307-7100 24-HOUR PHONE 126 24•HOUR PHONE 131 661-587-8737 559-307-7100 PAGER No _ 127 PAGER No 132 N/A N/A V. CERTIFICATION Certlilcation Based on my Inquiry of those Indrolduals responsible for obtaining the Information, I certify under penalty of law that I have personally examined and am familiar with the info mation submitted in this inventory and believe the information is true, accurate, and complete. SIGNATURE OF OWNER/OPERATOR 133 DATE 134 NAME OF DOCUMENT PREPARER 135 Z' ~ ~ •~ S" Melissa LaBanc, Agent For Walgreens Corporation NAMES OF OWNER/OPERATOR (print) 136 TITLE OF OWNERIOPERATOR i37 Dean Jarret Divisional Merchandise Manager FD2089 ~~ ~ (HMMP) ~ ~ HAZARDOUS MATERIALS MANAGEMENT PLAN H E R S Y I • P1R~ CHEMICAL DESCRIPTION FORM ~Rrr ~ HAZARDOUS MATERIALS INVENTORY NEW ^ ADD ; DELETE ^ REVISE 200 Li~AJtL%K,r'1L''LL t''1K1~ LL''Yl~. Prevention Services n 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 ~~ao~1...4.t 2 BUSINESS NAML tSame as FACILITY NAME o DBA Dang Business Asj 3 Walereens #3360 CHEMICAL LOCATION 201 CHEMICAL LOCATION 202 Retail Sales Floor CONFIDENTIAL (EPCRA) ; Yey~l No FACILITY ID No. 1 MAP No. (optionap 203 GRID NO. (aptionaq 204 1 E-3 II HEMI AL INFORMATI N CHEMK:AL NAME 205 1~,,// 706 TRADE SECRET ^ Yes ,a~No If S 'ect PCRA refer to instructions COMMON NAME 207 EHS• ^ Yes x No Laundry Detergent Solid Zoe _._. _ __ CAS No. 209 'It EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 IRR TYPE 211 p PURE ,~ m MIXTURE ^ w WASTE 21 RADIOACTIVE: =Yes ~ No CURIES 213 LARGEST CONTAINER 215 PHYSICAL STATE ~ s SOLID I LIOUID g GAS 214 15 --~- 21 s FED HAZARD CATEGORIES ^ 1 FIRE 2 REACTIVE ^ 3 PRESSURE RELEASE ~ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) ANNUAL WASTE 217 MAXIMUM P18 AVERAGE 219 STATE WASTE 220 AMOUNT DAILY AMOUNT DAILY AMOUNT CODE 0 500 250 N/A 221222 ^ UNITS ^ ga GAL "": cf CU FT X Ib LBS ^ to TONS DAYS ON SITE "If EHS, amount must be in lbs. 365 223 STORAGE CONTAINER ~,/ )0.k BOX .:' p TANK WAGON (Cneck ell Met apply) ^ a ABOVEGROUND TANK i CAN b UNDERGROUND TANK ^ g CARBOY ^ I CYLINDER ^ q RAIL CAR ^ c TANK INSIDE BUILDING G h SILO GLASS BOTT r T R ^ d STEEL DRUM ^ i FIBER DRUM n PLASTIC BOTTLE ^ e PLASi IC/NONMETALLIC DRUM ^ j BAG ^ o TOTE BIN 224 STORAGE PRESSURE ~ a AMBIENT ~ as ABOVE AMBIENT 7 ba BELOW AMBIENT 225 STORAGE TEMPERATURE ~ a AMBIENT ^ as 4BOVE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC %WT HAZARDOUS COMPONENT EHS CAS # 1 15-40 z2s Sodium Carbonate 227 ^ Yeses No 2za 497-19-8 22s 2 230 231 C Yes ~No 232 233 0.1-1 Subtilisin 9014-01-1 a 3-7 23a Linear Alkyl Benzene Sulfonate 23s ^ves ~( No 2ao 68081-81-2 241 5 242 243 ~ ^ Yes ^ No 244 245 ` ~:~III. SIGNATUF#E ` PRINT NAME & TITLE OF AU rHORIZED COMPANY REPRESEN TA TIVE S G ATU E DATE 24 a~ gq (,, - / Dean Jarret. Divisional Merchandise ~ewi~~- Y ~ • ~~ " ~ '` FD2086 ~~~ ~~ (HMMP) HAZARDOUS MATERIALS MANAGEMENT PLAN H CHEMICAL DESCRIPTION FORM HAZARDOUS MATERIALS INVENTORY ~l NEW C ADD `: DELETE ^ REVISE 200 t3~AtiKK~r'1L''LL P'iKL~' Lr:YI~. ~ Prevention Services 13. R S P. l D 900 Tl'iixtun Ave., Ste. 210 PIRa< Bakersfield, CA 93301 AR'TAI T Tel.: (661) 326-3979 Fax: (661) 852-2171 -P a a ~1__.Q.f 2 BUSINESS NAML ISame as FACILITY NAME o DBA Dang Business As) 3 Walgreens #3360 CHEMICAL LOCATION 201 CHEMICAL LOCATION 202 Retail Sales Floor CONFIDENTIAL (EPCRA) : Yeti No FACILITY ID No. 1 MAP No. (optionap 203 GRID NO. (optiona0 204 1 E-2 II: HEMI AL INFORMATI N CHEMICAL NAME 205 106 TRADE SECRET ^ Yes ,~ No If ct t PCRA refer to instruction COMMON NAME 207 EHS• ^ Yes ~ No Liquid Cleaners Zoe CAS No. 209 'If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 1RR TYPE 211 p PURE ~ m MIXTURE ^ w WASTE 21 RADIOACTIVE: =Yes ~ No CURIES 213 LARGEST CONTAINER 215 PHYSICAL STATE ^ s SOLID X I LIOUID ~.~ g GAS 214 l _ _ 216 FED HAZARD CATEGORIES ^ 1 FIRE 2 REACTIVE ^ 3 PRESSURE RELEASE ~ 4 ACUTE HEALTH ^ 5 CHRONIC HEALTH (Check all that apply) ANNUAL WASTE 217 MAXIMUM P16 AVERAGE 219 STATE WASTE 220 AMOUNT DAILY AMOUNT DAILY AMOUNT CODE 0 400 200 N/A 2212zz ^ UNITS ~Q ga GAL cf CU FT Ib LBS ^ to TONS DAYS ON SITE "It EHS, amount must be in lbs. 365 - 223 STORAGE CONTAINER ^ k BOX p TANK WAGON (cneck au tner eppry) ^ a ABOVEGROUND TANK ~' i CAN ^ b UNDERGROUND TANK ^ g CARBOY ^ I CYLINDER ^ q RAIL CAR U c TANK INSIDE BUILDING G h SILO (:: m GLASS BOTT r TH R ^ d STEEL DRUM ^ i FIBER DRUM Xn PLASTIC BOTTLE ^ e PLAS'IClNONMETALLIC DRUM ^ j BAG ^ o.TOTE BIN 224 STORAGE PRESSURE .~ a AMBIENT as ABOVE AMBIENT i7 ba BELOW AMBIENT 225 STORAGE TEMPERATURE X a AMBIENT ^ as 480VE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC %WT HAZARDOUS COMPONENT EHS CAS # 1 5 226 Diethylene Glycol Monobutyl Ether 227 ^ Yeses No 226 112-34-5 2z9 2 230 231 C Yes ~No 232 233 0.25 Dialkyl (C8-10) Dimethyl Ammonium Chlorides 68424-95-3 4 1.19 236 Alkyl Dimethyl Benzyl Ammonium Chlorides 239 ^ vas ~ No 2ao 68424-85-1 241 5 242 243 ^ Yes ^ No 244 245 ` ~ III. SIGNATUF#E PRINT NAME & TITLE OF AU fHORIZED COMPANY REPRESENTATIVE S E DATE 24 ( Dean Jarret, Divisional Merchandise ~~~ `~' / / // 2 •' ~, d (, Y FD2086 ~~ ~ (HMMP) ~ ~ HAZARDOUS MATERIALS MANAGEMENT PLAN H E R S F. 1_ • ~IRt CHEMICAL DESCRIPTION FORM purr HAZARDOUS MATERIALS INVENTORY ~I NEW C ADD DELETE ^ REVISE 200 I3Atit~:K:5t''ll':L1J t''iKL'' LL'"Y1'. Prevention Services n 900 Truxtun Ave., Ste. 210 r Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 a,'€~~_~ ~,~r,, - --P a a e_1_...4.t 2 BUSINESS NAML lSame as FACILITY NAME o DBA Dang Business As) 3 Wal>?reens #3360 CHEMICAL LOCATION 201 CHEMICAL LOCATION 202 CONFIDENTIAL (EPCRA) `; Yes>~i No Retail Sales Floor FACILITY ID No. 1 MAP No. (optional) 203 GRID NO. (optronal) 204 1 C-6/7 II CHEMI AL IN ORMATION " CHEMICAL NAME 205 vv TRADE SECRET ^ Yes p~No ?06 Helium If Su 'ect t PCRA refer to instructio s COMMON NAME 207 ENS' ^ Yes ~ No Helium Zoe CAS No. 209 'If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 NFG, OHH TYPE PURE X ^ MIXTURE ^ WASTE 211 21 RADIOACTIVE: =Yes ~ No CURIES 213 p m w LARGEST CONTAINER 215 PHYSICAL STATE ^ s SOLID I LIQUID :GAS 214 220 FED HAZARD CATEGORIES ~~_ ^ 1 FIRE 2 REACTIVE ~3 PRESSURE RELEASE ^ 4 ACUTE HEALTH ~ 5 CHRONIC HEALTH 216 (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE 220 AMOUNT DAILY AMOUNT DAILY AMOUNT CODE 0 220 110 N/A 2z1z22 ^ UNITS ^ ga GAL X cf CU FT Ib LBS ^ to TONS DAYS ON SITE "If EHS, amount must be in lbs. 365 223 STORAGE CONTAINER ^ k BOX p TANK WAGON (Check ell that apply) ^ a ABOVEGROUND TANK i'. f CAN ^ b UNDERGROUND TANK ^ g CARBOY f~( CYLINDER ^ q RAIL CAR ^ c TANK INSIDE BUILDING G h SILO GLASS BOTT r T R ^ d STEEL DRUM ^ i FIBER DRUM Cw n PLASTIC BOTTLE 0 e PLASIClNONMETALLIC DRUM ^ j BAG ^ o TOTE BIN STORAGE PRESSURE ^ a AMBIENT ~ as ABOVE AMBIENT i] ba BELOW AMBIENT 224 STORAGE TEMPERATURE ~ a AMBIENT ^ as 480VE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC 225 %WT HAZARDOUS COMPONENT EHS CAS # 1 226 227 ^ Yes ^ No 228 229 2 230 231 C Yes f7 No 232 233 4 238 239 ^ Yes No 240 241 5 242 243 ^ Yes ^ No 244 245 ` ~ III. SIGNATU~FiE PRINT NAME & TITLE OF AU fHORIZED COMPANY REPRESENTATIVE S GNATUyy~, DATE 24 _. mom- /(I l ~ •/? 0~- I LGCLll J[111Gt, L1V 1J1V11Q1.1V1G1 Gll[Li1l11JG J1217C1"~1'SDi `~ FD2086 (HMMP) ' HAZARDOUS MATERIALS MANAGEMENT PLAN H CHEMICAL DESCRIPTION FORM HAZARDOUS MATERIALS INVENTORY NEW C ADD DELETE ^ REVISE 200 t3AliLK~r~1L''L1J t'"liCL'' Lt:Yl-. • Prevention Services E R s r ~ n 9001Yuxtun Ave., Ste. 210 I-1Rt Bakersfield, CA 93301 AR'T/ ~ Tel.: (661) 326-3979 Fax: (661) 852-2171 ~aae_t..41 2 ~MATIAN BUSINESS NAML (Same as FACILITY NAME o DBA Dang Business As) 3 Walareens #3360 CHEMICAL LOCATION 201 CHEMICAL LOCATION 202 CONFIDENTIAL (EPCRA) Ye~ No Retail Sales Floor (In Refrigeration/Cooler System) FACILITY ID No. 1 MAP No. (optional) 203 GRID NO. (optional) 204 1 C-6 Ii HEMICAL INFORMATION CHEMICAL NAME 205 ?06 TRADE SECRET ^ Yes ,~ No Chlorodifluoromethane It s~ eat PCRA refer to instruction COMMON NAME 207 EHS• ^ Yes ~ No efngerant (R-22) 208 ... CAS No. 209 'If EHS is "Yes," all amounts below must be in lbs. FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 NFG, OHH, IRR TYPE 211 PURE ^ m MIXTURE ^ WASTE X 21 RADIOACTIVE: =Yes ~ No CURIES 213 p w LARGEST CONTAINER 215 PHYSICAL STATE ^ s SOLID I LIOUID ' :GAS 21a 60 --- -~ 21 s FED HAZARD CATEGORIES ^ 1 FIRE 2 REACTIVE ~3 PRESSURE RELEASE ~j 4 ACUTE HEALTH ~ 5 CHRONIC HEALTH (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 STATE WASTE 220 AMOUNT DAILY AMOUNT DAILY AMOUNT CODE 0 60 60 N/A 221222 ^ UNITS ^ ga GAL cf CU FT X Ib LBS ^ to TONS DAYS ON SITE "It EHS, amount must be in lba. 365 223 STORAGE CONTAINER ^ k BOX C:; p TANK WAGON (Check ell that apply) ^ a ABOVEGROUND TANK _' f CAN ^ b UNDERGROUND TANK ^ g CARBOY ^ I CYLINDER ^ q RAIL CAR Iri TefrlgeratlOri System ^ c TANK INSIDE BUILDING G h SILO ' m GLASS B TT r T R ^ d STEEL DRUM ^ i FIBER DRUM '.W n PLASTIC BOTTLE ^ e PLASTIC/NONMETALLIC DRUM ^ j BAG ~ o TOTE BIN 224 STORAGE PRESSURE ^ a AMBIENT ~ as ABOVE AMBIENT ,7 ba BELOW AMBIENT 225 STORAGE TEMPERATURE ~1 a AMBIENT ^ as 480VE AMBIENT ^ ba BELOW AMBIENT ^ c CRYOGENIC %WT HAZARDOUS COMPONENT EHS CAS # 1 228 227 ^ Yes ^ No 228 229 2 230 231 C Yes ^ No 232 233 4 238 239 ^ Yes ~ No 240 241 5 242 243 --- 1 ^ Yes ^ No 244 245 ` ~>~III. SIGNATUFIE PRINT NAME 8 TITLE OF AU I'HORIZED COMPANY REPRESENTATIVE NATURE DATE 24 // . Lnl.t/IQALY / ~J . I Z _ L7 1~ I ~ a~~.au_~aii~. ~, a~.viaivuai ivicicuauuiac 1JV1 - - I FD2086 (HMMP) HAZARDOUS MATERIALS MANAGEMENT PLAN ~ APPLICATION ~iR~ FOR SECTION DISCOVERY AND ARfr/ f NOTIFICATION (FORMS) ~ INSTRUCTIONS 1. To avoid further action, return this form within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 2 E~ ~ ` N BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) Walgreens #3360 ADDRESS (For local use only) 4100 White Lane FACILITY ID NO. ~ ~'~ S 11V 11: Dl CO ,=NOT1 TIONS°~, ' ~,.,." ~ A. LEAK DETECTION AND MONITORING PROCEDURES: tore personnel visually inspect products on a daily basis. B. EMPLOYEE AND AGENCY NOTIFICATION: The manager on duty will notify Walgreen's employees and customers of the emergency via the Public Address System and shouting when necessary. Management to various employees will delegate the responsibility of contacting neighbors. Neighboring facilities will be contacted in person. If an evacuation is needed, after the initial uotification has been given, Walgreen's personnel and customers will be escorted through emergency exits located throughout dre facility. The emergency assembly areas are located in the parking lot in front of the store, and in the rear of the store near receiving. The emergency assembly area will depend on the extent and location of the incident. Walgreen's store management will assist all emergency responders during a facilit incident as needed. All a enc notification will be contacted b co orate. C. ENVIRONMENTAL RESPONSE MANAGEMENT: To be dispatched by corporate. D. EMERGENCY MEDICAL PLAN: Mercy Hospital- 2215 Truxtun Ave, Bakersfield, CA 93301 ti ~ ,,. T~ ONS i 'y' ~ ~ A HAZARD ASSESMENT AND PREVENTION MEASURES: In order to prevent a release from occurring, all hazardous materials are kept in their original containers and store personnel visually inspect products on a daily basis. B. RELEASE CONTAINMENT AND/OR MITIGATION: In the event of a spill, all products will be cleaned up using in-house equipment (e.g. Absorbents, Brooms, Gloves, etc.). Products are disposed of according to state and federal regulations. C. CLEANUP AND RECOVERY PROCEDURES: In the event of a spill, all products will be cleaned up using in-house equipment (e.g. Absorbents, Brooms, Gloves, etc.). Products are disposed of according to state and federal regulations. FD20135 (Rev. 02/05) Page 2 of 2 ,~ ~~ ~'~' fi ~TION 11.2: RELEASE RES ~ "'" r., ~ ~ ,-. :.~, UTILITY SHUT-OFFS {LOCATION OF SHUT-OFFS AT YOUR FAG L TY NATURALGAS/PROPANE: DUtSlde Rear Of bUllding. Map 1 B-1 ELECTRICAL: Back of store near employee's break room. Map 1 F-1 wATER: Back of store near employee's break room. Map 1 F-1 SPECIAL: NSA PRIVATE FIRE PROTECTION/WATER AVAILABILITY: A. PRIVATE FIRE PROTECTION: Fire extinguishers, automatic fire alarm system and automatic fire sprinkler will affect entire building. B. WATER AVAILABILITY (FIRE HYDRANT): Fire Hydrant located on Akers Road. Water connection outside of Walgreen's. T _.. --~-~ -- 1 . -o:. }., ;~ .~~ SECTION III: TRAINING L ~ - ~~ ~ ,~ .~ , r , NUMBER OF EMPLOYEES 26 MATERIAL SAFETY DATA SHEETS ON FILE: All records are maintained in the store manager's office, as well as at the corporate office and 3E Company. BRIEF SUMMARY OF TRAINING PROGRAM: All employees are trained on the proper handling and storage of hazardous materials. Training covers safe handling practices, calling 3E Company to obtain material safety data sheets via fax on demand, emergency response procedures, and other areas. Training is provided to first time employees upon initial hiring, and to all employees on an annual basis. Training provides employees with skills and support in order for them to develop safe work practices, to prevent accidents, and to improve their work environment. C ~.-. _ -- . - - - . _ r ~: ,~ ~ - r- -, -. ~.. a ~; RTIFI`CATION ~~ Y ~~ ~- - 4 - ,~ z _,._ _ s x _ _ _ _ Based on my rnqutry of those tnd~v~duals responsible for obtaining the information I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. SIGNATURE OFOWNER /OPERATOR OR DESI A EPRESENTATIVE DATE Q 477 ~ ' ~ ~' NAME OF SIGNER (print) 478 TITLE OF SIGNER 479 Dean Jarret Divisional Merchandise 4~ ~ FD2085 (Rev. oztos~ CALIFORNIA ANNOTATED SITE MAP BUSINESS NAME: WALGREEN'S #3360 i SITE ADDRESS: 4100 WHITE LANE Ma #:1 of 2 BAKERSFIELD, CA 93309 p - A B C D E F G H I ~ it Z 3 4 5 6 f' UNDEFINED O GAS MAIN 1-ATER CONNECTION O ELECTRIC MAIN O WATER MAIN COMPRESSED CAS 0 CYLINDERS (NEWUM) ® FLOOR DRAIN SK SPILL KIT R22 REFRIGERANT LC LIQUID CLEANER LD LIQUID DETERGENT NFG NON FLAMMABLE CAS IRR IRRITANT Site Diagram Y X ~ ~ CALIFORNIA ANNOTATED SITE MAP BUSINESS NAME WALGREEN'S #3360 SITE ADDRESS: 4100 WHITE LANE Ma #:2 of 2 ' BAKERSFIELD, CA 93309 P A B C D E F G H I 2 3 4 5 6 7 1 SCA E~ 3E NOT T^ SCALE Y X -~ SAFE REFUGE AREA FIRE HYDRANT HAZARDOUS MATERIALS MANAGEMENT PLAN fUNIFED PROGRAM CONSO! IDAT!_D FORMr APPLJCATiON BUSNESS OWNERIOPERATOR IDOYTTg1CAT10N FORM MA7ARnn1 IR MATFRIAI R Fr~C€; '?'~ INFClRMATiC1N1 BAKERSFIELD FIRE DEPT. ~~ _ -~ Prevention Services - 900 Tnixtun Ave., Suite 210 $ s a '' D Bakersfield, CA 93301 FIRL .~ -~ `~.u;~~tRrAf.S:-'T Tel.: (661) 326-3979 "~.~. ` Fax: (661) 852-2171 Page 1 of 2 ~) l l r ~ I FACILITY IDENTIFICATION FACILITY ID NO, t ear egmn'ng s Yea Fra ng o 02/08/2006 02/08/2007 BUSINESS NAME (Same es FACILITY NAME or DBA- Doing Business As) 3 BUSINESS PHONE ,oz Walgreens #3360 661-396-0341 SITE ADDRESS tos 4100 White Lane CITY 10 Ip tos CA Bakersfield 93309 QU ,ti~gi4J~$7REET AOOO t~ SIC CODE to7 9 1 jj U (~(~S j ~ L t4 Dlg~ ~) 5912, 7384 COON toe Santa Clara OPERATOR NAME tog OPERATOR PHONE Ito Walgreens Corporation (847) 914-3853 IL OWNER+INFORMATION OWNER NAME OWNER PHONE 1t2 Walgreens Corporation _ (847) 914-3853 OWNER MAILING ADDRESS tta 200 Wilmot Road CITY to STATE Its IP Its Deerfield Ih 60015 111. ENVIRONMENTAL CONTACT _ CONTACT NAME tt7 GOIQ7AGT °-10NE s Christina Chia etta M.S. 2171 (847) 914-3195 CONTACT MAILING ADDRESS Its 200 Wilmot Road CITY tzo STATE `:2t 21P rz? Deerfield IL 60015 - PRIMARY IV. EMERGENCY CONTACTS -SECONDARY- NAME 123 NAME 128 Amanda Bartlett Agnes Macapagal TITLE 124 TITLE 129 Store Manager O District Photo Supervisor BUSINESS PHONE 125 BUSINESS PHONE ~ 130 661-396-0341 559-307-7100 24-HOUR PHONE 126 24-HOUR PHONE D 131 661-587-8737 ~ 559-307-7100 PAGER No 127 PAGER No 132 /A N/A V. CERTIFICATION Certification Based on my Inquiry of those Individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information mitted in this inventory and believe the information is true, accurate, and complete. SIGNATURE OF OWNER/OPERATOR 133 DATE 134 NAME OF DOCUMENT PREPARER 135 7~3~~~v Melissa LaBanc, Agent for Walgreens Corporation NAMES OF OW NERJOPERATOR (pant) 136 71TLE OF OW NERIOPERATOR 137 Dean Jarret Divisional Merchandise Manager FD2089 ALIFORNIA ANNOTATED SITE MAP ~ BUSINESS NAME: WALGREEN'S #3360 I SITE ADDRESS: 4100 WHITE LANE BAKERSFIELD, CA 93309 Map #:1 of 2 A B C D E F G H I 2 3 4 5 6 7 Y tf !d OG CAS MAIN Q9 MATER CONNECTION OE ELECTRIC MAIN O WATER MAIN COMPRESSED CAS 0 CYLINDERS (HBWUY) ® FLOOR DRAiN SK SPILL KIT R22 REFRIGERANT LC LIQUID CLEANER LD LiQUID DETERGENT NFC NON FLAMMABLE CAS IRR IRRITANT Site Diagram ALIFORNIA ANNOTATED SITE MAP + $USINESS NAME= WALGREEN'S #3360 I SITE ADDRESS: gAKERSF ELD,ACA 933091 Mnp #:2 of 2 A B C D E F G H I 2 3 4 5 6 7 1 SCA E~ 3E NOT T^ SCALE v ._~ ~~ i SAFE REFUGE AREA FIRE HYDRANT n WALGREENS 3360 ~ SiteID: 015-021-001911 F 9 Manager AMANDA BARTLETT Location: 4100 WHITE LN City BAKERSFIELD BusPhone: (661) 396-0341 Map 123 CommHaz Moderate Grid: 14A FacUnits: 1 AOV: CommCode: BFD STA 07 EPA Numb: SIC Code:5912~'(3~ DunnBrad:93-103-6651 Emergency Contact / Title Emergency Contact / Title AMANDA BARTLETT / STORE MANAGER AGNES MACAPAGAL / DIST PHOTO SUPR Business Phone: (661) 396-0341x Business Phone: (559) 307-7100x 24-Hour Phone.: (661) 587-8737x 24-Hour Phone (559) 307-7100x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact °Ci3R.'IS'~i~ -~H-~A~P•E~-~jcCo~,p~ ~~ ~,.~fc~~J t~fi Phone : 7 6z -x~7c~ ( --33-9~5~c- Mai lAddr : -2.99 W3-L~49~ ~~ t L1 cis ~~ ~ - State : -3~ ~ City ccu-tsbu.d Zip ~S'0.6-i~ ~ZO(~ Owner WALGREENS CORP Phone: ~~) I~- ~ Address 200 WILMOT RD MS2171 State: IL City DEERFIELD Zip 60015 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT a + + ~~ ~ isa_n r.TT c ~ ~~aij~,., ~ i~R~ c ? ~NT~ M~~ 2 7 2007 ®~ ~~,D Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally e~<amined and am familiar with the information submitted and believe the information is true, accurate, and complete, °YYl 3 - tZ- 2 00 ~ Signature Date -1- 02/20/2007 ,> - --%~ F WALGREENS 3360 SiteID: 015-021-001911 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP RS ~e~Ie~. DH L 4 0 0. 0 0 GAL Mod E~ERGEN~ ~U~l eel---e. DH S 5 0 0. 0 0 LBS Low REFRIGERANT R-22 G 60.00 LBS Low F.~ T X~'D ~i~,Q~.~ L 4 0. 0 0 GAL Low ~ ~2Q~2 F P IH G 434.00 FT3 Min HELIUM F P IH G 220.00 FT3 Min 6~i~E-F~X~R ~ L 10.0 0 GAL Min 1~9~-OGRA~H3-C- S~A~3-~EH ~~-e,Q.x;~ e. IH L 2 . 0 0 GAL Min -2- _ 02/20/2007 r ~' -3- 02/20/2007 J`" ~,. F WALGREENS 3360 SiteID: 015-021-001911 ~ ~ Inventory Item 0006 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME LIQUID CLEANERS \ ~'~ Days On Site `J 365 Location within this Facility Unit Map: Grid: RETAIL SALES FLR CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixtur~mbient ~ Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 1.00 GAL 400.00 GAL 200.00 GAL t11~G1~tC.UVUa 1:V1~lYV1VL'LVlJ oWt. RS CAS# 5.00 Diethylene Glycol Monobutyl Ether No 112345 1.19 Alkyl Dimethyl Benzyl Ammonium Chloride No 68424851 tiF'~GHtt1J E~JSL' ~51~11=;1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Mod ~ Inventory Item 0005 COMMON NAME / CHEMICAL NAME LAUNDRY DETERGENTS .~ ~ ~t,~~ SOLID Location within this Facility Unit RETAIL SALES FLR Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid TMixtur~Ambient ~ Ambient BOX AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 15.00 LBS 500.00 LBS 250.00 LBS ri1~GEiKLVU~ 1.V1~lYV1VL'1V1.7 %Wt. RS CAS# 40.00 Sodium Carbonate No 497198 1.00 Subtilisin No 9014011 7.00 Linear Alkyl Benzenes, Mixed No 68081812 ri1~iGH1CL 1-~J .71;JJ1~1L",1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA. USDOT# MCP No No No No/ Curies DH / / / Low -4- 02/20/2007 F WALGREENS 3360 SiteID: 015-021-001911 ~ ~-Inventory_Item-0008- -Facility Unit: Fixed Containers--at Site-~ COMMON NAME / CHEMICAL NAME_ REFRIGERANT R-22~ Days On Site 365 Location within this Facility Unit Map: Grid: REF SYS CAS# 75-45-6 STATE T TYPE T PRESSURE ~ TEMPERATURE ~~ CONTAINER TYPE ~ ~GaS I Pure I Above Ambient I Ambient I OTHER - . _ ~ _ s`"' ', I s AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average ~Z SFS ~J' ~ 3 2 S $ ~°r3 Z5 8 ~T3 nr~c,rucLUUa ~.urirul~aivlJ aWt. RS CAS# 100.00 Chlorodifluoromethane No 75456 I1tiAKRL HJJP~JJ1"1P~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ /1/'l7~RTR/1TT T.TT TItT I /1T TT111RT lYTT I.TT TRTI AMOUNTS AT THIS LOCATION -Largest Container- Daily Maximum Daily Average 1.00 GAL 40.00 GAL 40.00 GAL HAZARDO US COMPONENTS oWt.- RS CAS# 15.00 Ammonium Thiocyanate No 1762954 10.00 Ammonium Thiosulfate No 7783188 5.00 Sodium Sulfite No 7757837 rlti[~tiRL L-1J Jl~J J1~1rJ1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low -5- 02/20/2007 5'1'A'1'~ '1'YY~ Yx~sSUKE TEMPERATURE ~~~ CONTAINER TYPE Liquid TMixture I Ambient ~ Ambient - I PLASTIC CONTAINER F WALGREENS 3360 SiteID: 015-021-001911 ~ ~-Inventory Item-0003- _ Facility Unit: Fixed Containers-at Site ~ COMMON NAME / CHEMICAL NAME HELIUM - ~ ~~~ Days On Site 365 Location within this Facility Unit Map: Grid: PHOTO PROCESS STORAGE AREA CAS# 7440-59-7 ~GdSATE TYPE T PRESSURE ~ TAE~MPeRATURE ~ CONTAINER TYPE TPure I Above Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum ( Daily Average 217.00 FT3 434.00 FT3 I 217.00 FT3 t1t~GtitC1JVUJ L:V1~1r~1vr;1Y1~7 °sWt. RS CAS# 100.00 Helium No 7440597 tii~GljtCL L-~5~r;~~1~1~1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min ~ Inventory Item 0007 COMMON NAME / CHEMICAL NAME HELIUM Location within this Facility Unit RETAIL SALES FLR STATE TYPE PRESSURE _ Gas TPure ~-Above Ambient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 7440-59-7 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 220.00 FT3 220.00 FT3_ 110.00 FT3 t1L-1GHICLVU.7 l.VP7YViVr,1V 1.7 %Wt. RS CAS# 100.00 Helium No 7440597 11EiGEilCL HJ ~t.,.7J1~12S1V1~7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / - Min -6- 02/20/2007 a F WALGREENS 3360 ---~ Inventory__ Item__0004- COMMON NAME / CHEMICAL NAME WASTE FIXER -- ~ ~L~iT~ SPENT PHOTOGRAPHIC FIXER Location within this Facility Unit PHOTO PROCESS STORAGE AREA SiteID: 015-021-001911 ~ ' -Facility Unit: Fixed-Containers-at--Site_~._ Days On Site 365 Map: Grid: ~~ CAS# Liquid TWaste ~AmbRentURE ~ T~EMbPeRATURE ~STOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 10.00 GAL 10.00 GAL 10.00 GAL r1rj~.ytcl~VU~ ~V1~irVlvrlvl~ %Wt. RS CAS# Silver No 7440224 riAGAKL A7~L"~~71~1t.;1V'1'S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Min ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 1.00 GAL 2.00 GAL 2.00 GAL I11~GEiKLVU.7 LV1"lYV1VL'1V1J oWt. RS CAS# 1.00 Hexamethylenetetramine No 100970 1.00 Sodium Dodecylbenzene Sulfonate No 25155300 1.00 Dipropylene Glycol No 106627 t1HG1-itCL Hb.7L" .7.71"1L' 1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Min -7- 02/20/2007 Liquid TMixtur~Ambient~E ~ AmbientT~E I PLASTOICTCONTAINERE F WALGREENS 3360 SiteID: 015-021-001911 ~ -Fast -Format-- ~-- ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 08/17/2006 ~ NOTIFICATION OF THE PROPER AUTHORITIES IS THE RESPONSIBILITY OF THE PHOTO LAB MANAGER, STORE MANAGER, OR DESIGNATED ALTERNATE IN CASE OF EMERGENCY. Employee Notif./Evacuation 08/17/2006 THE MANAGER ON DUTY WILL NOTIFY WALGREENS EMPLOYEES AND CUSTOMERS OF THE EMERGENCY VIA THE PA SYSTEM AND SHOUTING WHEN NECESSARY. MANAGEMENT TO VARIOUS EMPLOYEES WILL DELEGATE THE RESPONSIBILITY OF CONTACTING NEIGHBORS. NEIGHBORING FACILITIES WILL BE CONTACTED IN PERSON. IF AN EVACUATION IS NEEDED, AFTER THE INITIAL NOTIFICATION HAS BEEN GIVEN, WALGREENS PERSONNEL AND CUSTOMERS WILL BE ESCORTED THROUGH EMERGENCY EXITS LOCATED THROUGHOUT THE FACILITY. THE EMERGENCY ASSEMBLY AREAS ARE LOCATED IN THE PARKING LOT IN FRONT OF THE STORE, AND IN THE REAR OF THE STORE NEAR RECEIVING. THE EMERGENCY ASSEMBLY AREA WILL DEPEND ON THE EXTENT AND LOCATION OF THE INCIDENT. WALGREENS STORE MANAGEMENT WILL ASSIST ALL EMERGENCY RESPONDERS DURING A FACILITY INCIDENT, AS NEEDED. ALL AGENCY NOTIFICATION WILL BE CONTACTED BY CORPORATE. Public Notif./Evacuation 08/17/2006 TO BE DISPATCHED BY CORPORATE. -8- 02/20/2007 F WALGREENS 3360 SiteID: 015-021-001911 ~ - _ Fast Format ~- ~ Notif./Evacuation/Medical Overall Site ~ ~ Emergency Medical Plan 08/17/2006 ~ MERCY HOSPITAL, 2215 TRUXTUN AVE. -9- 02/20/2007 F WALGREENS 3360 SiteID: 015-021-001911 - _Fast-Format . ~ Mitigation/Prevent/Abatemt Overall Site ~-Release Prevention 02/16/2006 IN ORDER TO PREVENT A RELEASE FROM OCCURRING, ALL HAZARDOUS MATERIALS ARE KEPT IN THEIR ORIGINAL CONTAINERS AND STORE PERSONNEL VISUALLY INSPECT PRODUCTS ON A DAILY BASIS. 9 Release Containment 08/17/2006 IN THE EVENT OF A SPILL, ALL PRODUCTS WILL BE CLEANED UP USING IN-HOUSE EQUIPMENT (EG, ABSORBENTS, BROOMS, GLOVES, ETC). .PRODUCTS ARE DISPOSED OF ACCORDING TO STATE AND FEDERAL REGULATIONS. Clean Up 08/17/2006 IN THE EVENT OF A SPILL, ALL PRODUCTS WILL BE CLEANED UP USING IN-HOUSE EQUIPMENT (EG, ABSORBENTS, BROOMS, GLOVES, ETC). PRODUCTS ARE DISPOSED OF ACCORDING TO STATE AND FEDERAL REGULATIONS. Other Resource Activation -10- 02/20/2007 F WALGREENS 3360 SiteID: 015-021-001911 ~ -- Fast Format- ~ - ~ Site Emergency Factors Overall Site ~ aNc~.ia~. nac.aiua Utility Shut-Offs 01/09/2007 A) GAS - OUTSIDE REAR OF BLDG (MAP 1 B-1) B) ELECTRICAL - BACK OF STORE NEAR EMPLOYEES BREAKROOM (MAP 1 F-1) C) WATER - BACK OF STORE NEAR EMPLOYEES BREAKROOM (MAP 1 F-1) D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 11/02/2006 PRIVATE FIRE PROTECTION: FIRE EXTINGUISHERS, AUTOMATIC FIRE ALARM SYSTEM, AND AUTOMATIC FIRE SPRINKLER FIRE HYDRANT: AKERS RD;~WATER CONNECTION OUTSIDE WALGREENS Building Occupancy Level 02/16/2006 26 EMPLOYEES -11- 02/20/2007 F WALGREENS 3360 SiteID: 015-021-001911 ~ - _ _ _ Fast_ Format-~ - ~ Training___ _ Overall Site ~ ~ Employee Training 08/17/2006 ~ MSDS RECORDS ARE MAINTAINED IN THE STORE MANAGERS OFFICE, AS WELL AS AT THE CORPORATE OFFICE AND 3E CO. BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES ARE TRAINED ON THE PROPER HANDLING AND STORAGE OF HAZARDOUS MATERIALS. TRAINING COVERS SAFE HANDLING PRACTICES, CALLING 3E CO TO OBTAIN MSDS VIA FAX ON DEMAND, EMERGENCY RESPONSE PROCEDURES, AND OTHER AREAS. TRAINING IS PROVIDED TO FIRST-TIME EMPLOYEES UPON INITIAL HIRING, AND TO ALL EMPLOYEES ON AN ANNUAL BASIS. TRAINING PROVIDES EMPLOYEES WITH SKILLS AND SUPPORT IN ORDER FOR THEM TO DEVELOP SAFE WORK PRACTICES, TO PREVENT ACCIDENTS, AND TO IMPROVE THEIR WORK rc~y~ G riela zor ruLUre use aiciu ivi ru~.uic ~~c -12- 02/20/2007