HomeMy WebLinkAboutBUSINESS PLAN 2007
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ALBERTSONS 6325
SiteID: 015-021-000125
Manager : DARREL WILLIS
Location: 7900 WHITE LN
City BAKERSFIELD
BusPhone:
Map : 123
Grid: 16C
(661) 836-9691
CommHaz : High
FacUnits: 1 AOV:
CommCode: BFD STA 09
EPA Numb:
SIC Code:5411
DunnBrad:780148537
Emergency Contact / Title Emergency Contact / Title
DARREL WILLIS / STORE DIRECTOR JOHN ZABATTA / ASST STORE DIR
Business Phone: (661) 836-9691x Business Phone': (661) 836-9691x
24-Hour Phone : (661) 809-0979x 24-Hour Phone : (805) 368-8361x
Pager Phone : ( ) - x Pager Phone : ( ) - x
Hazmat Hazards:
Fire Press React ImmHlth DelHlth
Period :
Preparer:
Certif'd:
ParcelNo:
to
Phone: (208) 395-4793x
State: ID
Zip : 83726
Phone: (208) 395-4793x
State: ID
Zip : 83726
TotalASTs: = Gal
TotalUSTs: = Gal
RSs: No
Contact : ERICA FRANSEN
MailAddr: PO BOX 20 DEPT 72405
City : BOISE
Owner NEW ALBERTSONS INC
Address : PO BOX 20 DEPT 72405
City : BOISE
Emergency Directives:
PROG A - HAZMAT.
PROG H - HAZ WASTE GEN
PROG C - COMM HOOD
~N~ie JUL 2 e fee'
Based .on my inquiry of those individuals
responsible for obtaining the information. I ctllrtlfy
unde~ penalty of law that I have personally
examl.ned and am familiar with the Information
submitted and believe the information Is true,
accurate, and complete.
Signature
Date
-1-
07/09/2007
~~1;--- -::;-.....]-
F ALBERTSONS 6325
f= Hazmat Inventory
f== MCP+DailyMax Order
SiteID: 015-021-000125 1
By Facility Unit 9
Fixed Containers on Site "l
DailyMax MCP
L 400.00 GAL Hi
L 10.10 GAL Hi
L 1. 80 GAL Hi
L 16.10 GAL Mod
L 8.20 GAL Mod
G 219.00 GAL Min
L 100.00 GAL Min
L 20.90 G~ Min
L 8.70 GAL Min
L 3.00 GAL Min
L 60.00 GAL UnR
L 55.00 GAL UnR
L 5.00 GAL UnR
Hazmat Common Name...
BLEACH
KODAK FLEXICOLOR FINAL RINSE AN
KODAK FLEXICOLOR RA BLEACH REPL
KODAK EKTACOLOR RA DEVELOPER RE
KODAK FLEXICOLOR DEVELOPER REPL
HELIUM
MOTOR OIL
KODAK EKTACOLOR RA BLEACH FIX A
KODAK FLEXICOLOR RA FIXER AND R
WASTE FIXER
INSECTICIDES (ASSORTED)
WASTE PLASTIC CONTAINERS W/PHOT
KODAK EKTACOLOR PRIME STABILIZE
SpecHaz EPA Hazards
IH
F P IH
F DH
R
F DH
-2-
07/09/2007
..7'; S
UNIFIED PROGRAM (UP) FORM
HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (Form 2731)
(one na.e ner material ner buildin. or area)
181 ADD DDELETE DREVISE REPORTING YEAR 2007 200 I Page of
I. FACILITY INFORMATION
BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3
Albertsons #6325
CHEMICAL LOCA nON 201 CHEMICAL LOCA nON CONFIDENTIAL 202
IN FRONT OF STORE (EPCRA ) DYES 181 NO
I I I II I I I I I I I I I I I MAP# (optional) 203 I GRID# (optional) 204
FACILITY ID #
II. CHEMICAL INFORMATION
CHEMICAL NAME 205 TRADE SECRET DYes 181 No 206
PROPANE If Subject to EPCRA, refer to instructions
COMMON NAME PROPANE 207 EHS* DYes 181 No 208
CAS# 74-98-6 209 *IfEHS is "Yes", all amounts below must be in Ibs.
FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210
I CURIES N/ A 213
HAZARDOUS MATERIAL 211 RADIOACTIVE DYes 181 No 212
TYPE (Check one item only) 181 a. PURE Db. MIXTURE DC. WASTE
215
PHYSICAL STATE 214 5 gallon
(Check one item only) o a. SOLID Db. LIQUID 181 c. GAS LARGEST CONTAINER
FED HAZARD CATEGORIES 216
(Check all that apply) 181 a. FIRE o b. REACTIVE 181 c. PRESSURE RELEASE o d. ACUTE HEALTH De. CHRONIC HEALTH
AVERAGE DAILY AMOUNT 2171 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 2191 STATE WASTE CODE 220
135 135 NfA NfA
221 I DAYS ON SITE: 222
UNITS * o a. GALLONS o b. CUBIC FEET 181 c. POUNDS o d. TONS 365
(Check one item only) * If EHS, amount must be in pounds.
STORAGE
CONTAINER o a. ABOVE GROUND TANK De. PLASTICINONMETALLlC DRUM o i. FIBER DRUM Om. GLASS BOTTLE o q. RAIL CAR
o b. UNDERGROUND TANK o f.CAN o j. BAG On. PLASTIC BOTTLE o r. OTHER
DC. TANK INSIDE BUILDING o g. CARBOY o k. BOX DO. TOTE BIN
o d. STEEL DRUM o h. SILO 1811. CYLINDER o p. TANK WAGON 223
STORAGE PRESSURE o a. AMBIENT 181 b. ABOVE AMBIENT o c. BELOW AMBIENT 224
STORAGE TEMPERATURE 181 a. AMBIENT Db. ABOVE AMBIENT o c. BELOW AMBIENT o d. CRYOGENIC 225
%WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS #
I 226 227 DYes D No 228 229
2 230 231 DYes D No 232 233
3 234 235 DYes DNo 236 237
4 238 239 DYes DNo 240 241
5 242 243 DYes DNo 244 245
If more hazardous components are present at greater than 1 % by weight if non-carcinogenic, or 0.1 % by weight jf carcinogenic, attach additional sheets of paper capturing the required information.
ADDITIONAL LOCALLY COLLECTED INFORMATION 246
If EPCRA, Please Sign Here
(Facilities reporting Chemicals subject to EPCRA reporting thresholds must sign each Chemical Description page for each EPCRA reported chemical.)
."1': ~l
-3-
07/09/2007
':- ,j
SiteID: 015-021-000125 9
Facility Unit: Fixed Containers on Site 9
Days On Site
365
F ALBERTSONS 6325
f=, Inventory Item 0001
= COMMON NAME / CHEMICAL NAME
BLEACH
Location within this Facility Unit
AISLE 7
Map:
Grid:
CAS #
7681-52-9
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
1. 00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
400.00 GAL
Daily Average
350.00 GAL
HAZARDOUS COMPONENTS
~
CAS # I
7681529
11~~\lO I Bleach
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH / / / Hi
HAZARD ASSESSMENTS
f= Inventory Item 0012
= COMMON NAME / CHEMICAL NAME
KODAK FLEXICOLOR FINAL RINSE AND
FILM FINAL RINSE
Location within this Facility
PHOTO LAB / CHEMICAL STORAGE
Facility Unit: Fixed Containers on Site 1
REPLENISHER
Days On Site
365
Unit
Map:
Grid:
CAS #
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
1. 00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
10.10 GAL
Daily Average
7.60 GAL
HAZARDOUS COMPONENTS
%Wt.
RS
No
No
No
No
CAS #
7732185
111466
98.00 Water
1.00 Diethylene Glycol
0.10 Nonionic Surfactant Blend
0.01 Magnesium Nitrate
10377603
ASS MENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No NO/ Curies / / / Hi
HAZARD ESS
-4- 07/09/2007
'"
, .1
SiteID: 015-021-000125 9
Facility Unit: Fixed Containers on Site 9
F ALBERTSONS 6325
p= Inventory Item 0013
F=== COMMON NAME / CHEMICAL NAME
KODAK FLEXICOLOR RA BLEACH REPLENISHER
FILM BLEACH
Location within this Facility unit
PHOTO LAB /CHEMICAL STORAGE
NR
Days On Site
365
Map:
Grid:
CAS #
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
1. 00 GAL
AMOUNTS AT THIS LOCATION
Daily?Maximum
1. 80 GAL
Daily Average
1.40 GAL
HAZARDOUS COMPONENTS
%Wt.
RS
No
No
No
CAS #
7732185
12124979
6484522
65.00 Water
10.00 Ammonium Bromide
8.00 Ammonium Nitrate
. ~-...-' HAZ A E MENTS
TSecret RS BloHaz =Radioactive/Amount= =EPA Hazards= NFPA I =USDOT#= =MCP=
No No No No/ Curies / / / Hi
ARD SS SS
-5-
07/09/2007
I :;1'
SiteID: 015-021-000125 9
Facility Unit: Fixed Containers on Site 9
f ALBERTSONS 6325
f= Inventory Item
= COMMON NAME /
KODAK EKTACOLOR
PAPER DEVELOPER
Location within this Facility
PHOTO LAB / CHEMICAL STORAGE
0009
CHEMICAL NAME
RA DEVELOPER REPLENISHER
Days On Site
365
Unit
Map:
Grid:
CAS #
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
1. 00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
16.10 GAL
Daily Average
12.00 GAL
HAZARDOUS COMPONENTS
%Wt.
90.00 Water
5.00 Potassium Carbonate
5.00 Triethanolamine
1.00 N,N-Diethylhydroxylamine
RS
No
No
No
No
CAS#
7732185
584087
102716
3710847
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / Mod
-6-
07/09/2007
--,-;
SiteID: 015-021-000125 1
Facility Unit: Fixed Containers on site 9
F :ALBERTSONS 6325
f= Inventory Item 0005
= COMMON NAME / CHEMICAL NAME
KODAK FLEXICOLOR DEVELOPER REPLENISHER
FILM DEVELOPER
Location within this Facility Unit
PHOTO LAB / CHEMICAL STORAGE
LORR
Days On Site
365
Map:
Grid:
CAS #
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
1. 00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
8.20 GAL
Daily Average
6.20 GAL
HAZARDOUS COMPONENTS
92.00 Water
5.00 Potassium Carbonate
1.00 Hydroxylamine Sulfate
RS
No
No
No
CAS #
7732185
584087
10039540
%Wt.
TSecret RS BioHaz =Radioactive/Amount= =EPA Hazards= NFPA I =USDOT#= =MCP=
No No No No/ Curies / / / Mod
HAZARD ASSESSMENTS
f= Inventory Item 0004
= COMMON NAME / CHEMICAL NAME
HELIUM
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Location within this Facility Unit
FLORAL DEPT
Map:
Grid:
CAS #
7440-59-7
- TYPE
Pure
PRESSURE
Above Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container
219.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
219.00 GAL
Daily Average
219.00 GAL
'lrWt . I
100.00 Helium
HAZARDOUS COMPONENTS
~
CAS#7440597I
A ME T
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Min
HAZARD SSESS N S
-7-
07/09/2007
I.
'..~ ,(\
F ALBERTSONS 6325
f= Inventory Item 0002
F== COMMON NAME / CHEMICAL NAME
MOTOR OIL
SiteID: 015-021-000125 9
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Location within this Facility Unit
AISLE 8
Map:
Grid:
CAS #
8020835
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
1. 00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
100.00 GAL
Daily Average
90.00 GAL
HAZARDOUS COMPONENTS
%Wt. RS CAS #
100.00 Motor Oil, Petroleum Based No 8020835
HAZARD A ESSMEN
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Min
SS TS
p= Inventory Item 0010 Facility Unit: Fixed Containers on Site 1
= COMMON NAME / CHEMICAL NAME
KODAK EKTACOLOR RA BLEACH FIX AND REPLENISHER Days On Site
PAPER BLEACH FIX 365
Location within this Facility Unit Map: Grid:
PHOTO LAB / CHEMICAL STORAGE CAS #
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
1. 00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
20.90 GAL
Daily Average
15.70 GAL
HAZARDOUS COMPONENTS
%Wt.
RS
No
No
No
CAS #
7732185
, 7783188
007631-90-5
85.00 Water
5.00 Ammonium Thiosulfate
4.00 Sodium Bisulfate
HAZARD ASSESSMENTS
TSecret RS BioHaz =Radioactive/Amount= =EPA Hazards= NFPA I =USDOT#= =MCP=
No No No No/ Curies / / / Min
-8-
07/09/2007
I
~
J'. . ,\
SiteID: 015-021-000125 9
Facility Unit: Fixed Containers on Site 1
F ALBERTSONS 6325
f= Inventory Item 0011
= COMMON NAME / CHEMICAL NAME
KODAK FLEXICOLOR RA FIXER AND REPLENISHER
FILM FIXER
Location within this Facility Unit
PHOTO LAB / CHEMICAL STORAGE
\
Days On Site
365
Map:
Grid:
CAS #
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
1. 00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
8.70 GAL
Daily Average
6.60 GAL
%Wt. RS CAS #
87.00 Water No 7732185
10.00 Ammonium Thiosulfate No 7783188
1. 00 Ammonium Sulfate No 010196-04-0
1. 00 Sodium Bisulfate No 007631-90-5
1. 00 Ammonium Bisulfate No 010192-30-0
HAZARDOUS COMPONENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / Min
HAZARD ASSESSMENTS
f= Inventory Item 0007
= COMMON NAME / CHEMICAL NAME
WASTE FIXER
SPENT PHOTOGRAPHIC FIXER
Location within this Facility Unit
ONE HOUR PHOTO
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Map: Grid:
CAS #
STATE - TYPE
Liquid Waste
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
OTHER - SPECIFY
Largest Container
1. 00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
3.00 GAL
. Daily Average
1. 00 GAL
ZARD US COMPONENTS
%Wt. RS CAS #
100.00 SPENT PHOTOGRAPHIC SOLUTIONS CONTAINING SILVER , No
HA 0
HAZARD ASSESSMENTS ,
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R / / / Min
-9-
07/09/2007
, ,~
SiteID: 015-021-000125 9
Facility Unit: Fixed Containers on Site 9
F ALBERTSONS 6325
p= Inventory Item 0003
= COMMON NAME / CHEMICAL NAME
INSECTICIDES (ASSORTED)
Days On Site
365
Location within this Facility Unit
AISLE 8
Map:
Grid:
CAS #
7757-82-6
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
METAL CONTAINR-NONDRUM
Largest Container
1. 00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
60.00 GAL
Daily Average
50.00 GAL
%wt. I
100.00 Insecticides
HAZARDOUS COMPONENTS
~
CAS #
01
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / UnR
HAZARD ASSESSMENTS
p= Inventory Item 0008
= COMMON NAME / CHEMICAL NAME
WASTE PLASTIC CONTAINERS W/PHOTO CHEMICAL RESIDUE
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Location within this Facility Unit
ONE HOUR PHOTO
Map:
Grid:
CAS#
STATE - TYPE
Liquid Waste
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
DRUM/BARREL-NONMETAL
Largest Container
55.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
55.00 GAL
Daily Average
33.00 GAL
%Wt. I
HAZARDOUS COMPONENTS
~I
CAS #
MENT
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / UnR
HAZARD ASSESS
S
-10-
07/09/2007
F ALBERTSONS 6325
f= Inventory Item 0006
= COMMON NAME / CHEMICAL NAME
KODAK EKTACOLOR PRIME STABILIZER
PAPER STABILIZER
Location within this Facility
PHOTO LAB / CHEMICAL STORAGE
SiteID: 015-021-000125 l
Facility Unit: Fixed Containers on Site 9
AND REPLENISHER
Days On Site
365
Unit
Map:
Grid:
CAS #
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
1. 00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
5.00 GAL
Daily Average
3.80 GAL
HAZARDOUS COMPONENTS
%Wt.
95.00 Water
1.00 Polyvinylpyrrolidone
1.00 Sodium Alkyl Ether Sulfate
1.00 Magnesium Nitrate
RS
No
No
No
No
CAS #
7732185
9003398
065858342
013446-18-9
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / UnR
-11-
07/09/2007
, '~
SiteID: 015-021-000125 1
Fast Format 1
Overall Site 9
01/08/1999
f ALBERTSONS 6325
I
f= Notif./Evacuation/Medical
Agency Notification
FIRE DEPT.
Employee Notif./Evacuation
01/08/1999
SOMEONE IN MANAGEMENT IS ALWAYS SCHEDULED AND THAT PERSON IS IN CHARGE OF
CALLING FOR ANY EMERGENCY.
Public Notif./Evacuation
01/08/1999
STORE WOULD BE CLOSED.
Emergency Medical Plan
01/08/1999
ALL MEDICAL IS DIRECTED TO BAKERSFIELD OCCUPATIONAL MEDICAL GROUP.
-12-
07/09/2007
"-
\~
!" ~~
SiteID: 015-021-000125 9
Fas t Format 1
Overall site 9
06/16/1992
f ALBERTSONS 6325
I
p= Mitigation/Prevent/Abatemt
Release Prevention
ALL PRODUCT IS ON SHELF FOR RETAIL SALE.
Release Containment
03/08/2007
USE KITTY LITTER TO ABSORB MATERIAL.
Clean Up
03/08/2007
SWEEP UP KITTY LITTER AFTERWARD.
Other Resource Activation
-13-
07/09/2007
:~. ':~
SiteID: 015-021-000125 9
Fas t Format 9
Overall Site 9
F ALBERTSONS 6325
I
p= Site Emergency Factors
Special Hazards
Utility Shut-Offs
03/08/2007
GAS - SE CRNR OF BLDG
ELECTRICAL - BACK OF BLDG AT REC DOOR
WATER - BEH BLDG
Fire Protec./Avail. Water
01/24/2007
PRIVATE FIRE PROTECTION - SPRINKLERS, FIRE EXTINGUISHERS, AND ALARM SYSTEM
FOR WATER PRESSURE.
NEAREST FIRE HYDRANT - BEH BLDG.
Building Occupancy Level
03/22/2006
90 EMPLOYEES
-14-
07/09/2007
"- .'!,;..., ,~
SiteID: 015-021-000125 9
Fas t Form<:!- t 9
Overall Site 9
06/05/2006
F ALBERTSONS 6325
I
f= Training
Employee Training
MSDS SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: EVERY EMPLOYEE HAS SOME SAFETY TRAINING
AS PART OF THE HIRING PROCESS.
Page 2
Held for Future Use
Held for Future Use
-15-
07/09/2007
i'
-.ti'
'7...-:_
~;
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ALBERTSONS 6325
SiteID: 015-021-000125
Manager : DARREL WILLIS
Location: 7900 WHITE LN
City BAKERSFIELD
BusPhone:
Map : 123
Grid: 16C
(661) 836-9691
CommHaz : High
FacUnits: 1 AOV:
CommCode: BFD STA 09
EPA Numb:
SIC Code: 5411 lI"~'
DunnBrad:.780140~37 b~ J'
Emergency Contact / Title Emergency Contact / Title
DARREL WILLIS / STORE DIRECTOR JOHN ZABATTA / ASST STORE DIR
Business Phone: (661) 836-9691x Business Phone: (661 ) 836-9691x
24-Hour Phone : (661) 809-0979x 24-Hour Phone : (805) 368-8363x
Pager Phone : ( ) - x Pager phone : ( ) - x
Hazmat Hazards:
Fire Press React ImmHlth DelHlth
Period :
Preparer:
Certif'd:
ParcelNo:
to
Phone: (208) 395-4793x
State: ID
Zip : 83726
Phone: (208) 395-4793x
State: ID
Zip : 83726
TotalASTs: = Gal
TotalUSTs: = Gal
RSs: No
Contact : ERICA FRANSEN
MailAddr: PO BOX 20 DEPT 72405
City : BOISE
Owner
Address
City
NEW ALBERTSONS INC
: PO BOX 20 DEPT 72405
: BOISE -
Emergency Directives:
PROG A - HAZMAT
PROG H - HAZ WASTE GEN
PROG C - COMM HOOD
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
submitted and believe the information is true,
accurate, and complete.
1--.Ar----
Signature
;)I)~ (or
Date
ENT'D MAR 7 Z007
~Doq
-1-
01/24/2007
r,
<~
F ALBERTSONS 6325
f= Hazmat Inventory
p== MCP+DailyMax Order
SiteID: 015-021-000125
By Facility unit
Fixed Containers on Site
1
"I
"I
DailyMax IUnitlMCP
400.00 GAL Hi
10.10 GAL Hi
1. 80 GAL Hi
16.10 GAL Mod
8.20 GAL Mod
219.00 GAL Min
100.00 GAL Min
20.90 GAL Min
8.70 GAL Min
3.00 GAL Min
60.00 GAL UnR
55.00 GAL UnR
5 . 00 GAL UnR
Hazmat Common Name...
IspecHazlEPA Hazards \ Frm I
BLEACH
KODAK FLEXICOLOR FINAL RINSE AN
KODAK FLEXICOLOR RA BLEACH REPL
KODAK EKTACOLOR RA DEVELOPER RE
KODAK FLEXICOLOR DEVELOPER REPL
HELIUM
MOTOR OIL
KODAK EKTACOLOR RA BLEACH FIX A
KODAK FLEXICOLOR RA FIXER AND R
WASTE FIXER
INSECTICIDES (ASSORTED)
WASTE PLASTIC CONTAINERS W/PHOT
KODAK EKTACOLOR PRIME STABILIZE
IH
F P
F
IH
R
F
DH
L
L
L
L
L
G
L
L
L
L
L
L
L
-2-
DH
01/24/2007
-3-
01/24/2007
SiteID: 015-021-000125 9
Facility Unit: Fixed containers on site 9
F ALBERTSONS 6325
f= Inventory Item 0001
= COMMON NAME / CHEMICAL NAME
BLEACH
Days On Site
365
Location within this Facility Unit
AISLE 7
Map:
Grid:
CAS #
7681-52-9
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
1. 00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
400.00 GAL
Daily Average
350.00 GAL
I l~~~ooIBleaCh
HAZARDOUS COMPONENTS
~]
CAS#7681529I
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies IH / / / Hi
HAZARD ASSESSMENTS
p= Inventory Item 0012
= COMMON NAME / CHEMICAL NAME
KODAK FLEXICOLOR FINAL RINSE AND
FILM FINAL RINSE
Location within this Facility
PHOTO LAB / CHEMICAL STORAGE
Facility Unit: Fixed Containers on Site 1
REPLENISHER
Days On Site
365
Unit
Map:
Grid:
CAS #
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
1. 00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
10.10 GAL
Daily Average
7.60 GAL
HAZARDOUS COMPONENTS
%Wt.
98.00 Water
1.00 Diethylene Glycol
0.10 Nonionic Surfactant Blend
0.01 Magnesium Nitrate
RS
No
No
No
No
CAS #
7732185
111466
10377603
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / Hi
HAZARD ASSESSMENTS
-4-
01/24/2007
ri-
SiteID: 015-021-000125 9
Facility Unit: Fixed Containers on site 9
f ALBERTSONS 6325
p= Inventory Item 0013
= COMMON NAME / CHEMICAL NAME
KODAK FLEXICOLOR RA BLEACH REPLENISHER NR
FILM BLEACH
Location within this Facility Unit
PHOTO LAB / CHEMICAL STORAGE
Days On Site
365
Map:
Grid:
CAS #
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
1. 00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
1. 80 GAL
Daily Average
1.40 GAL
HAZARDOUS COMPONENTS
%Wt.
RS
No
No
No
CAS #
7732185
12124979
6484522
65.00 Water
10.00 Ammonium Bromide
8.00 Ammonium Nitrate
TSecret RS BioHaz =Radioactive/Amount= =EPA Hazards= NFPA I =USDOT#= =MCP=
No No No No/ Curies / / / Hi
HAZARD ASSESSMENTS
I '
-5-
01/24/2007
SiteID: 015-021-000125 1
Facility Unit: Fixed Containers on Site 1
F ALBERTSONS 6325
. f= Inventory Item
F=== COMMON NAME /
KODAK EKTACOLOR
PAPER DEVELOPER
Location within this Facility
PHOTO LAB / CHEMICAL STORAGE
0009
CHEMICAL NAME
RA DEVELOPER REPLENISHER
Days On Site
365
Unit
Map:
Grid:
CAS#
STATE - TYPE
Liquid Mixture
PRESSURE ---- TEMPERATURE
Ambient Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
1. 00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
16.10 GAL
Daily Average
12.00 GAL
HAZARDOUS COMPONENTS
%Wt.
90.00 Water
5.00 Potassium Carbonate
5.00 Triethanolamine
1.00 N,N-Diethylhydroxylamine
RS
No
No
No
No
CAS #
7732185
584087
102716
3710847
ZARD ASSES MENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / Mod
HA
S
-6-
01/24/2007
(
SiteID: 015-021-000125 1
Facility Unit: Fixed Containers on site 9
F ALBERTSONS 6325
p= Inventory Item 0005
= COMMON NAME / CHEMICAL NAME
KODAK FLEXICOLOR DEVELOPER REPLENISHER LORR
FILM DEVELOPER
Location within this Facility unit
PHOTO' LAB / CHEMICAL STORAGE
Days On Site
365
Map:
Grid:
CAS #
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
1. 00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
8.20 GAL
Daily Average
6.20 GAL
HAZARDOUS COMPONENTS
%Wt.
92.00 Water
5.00 Potassium Carbonate
1.00 Hydroxylamine Sulfate
RS
No
No
No
CAS #
7732185
584087
10039540
HAZARD ASSESSMENTS
TSecret RS BioHaz =Radioactive/Amount= =EPA Hazards= NFPA I =USDOT#= =MCP=
No No No No/ CUries / / / Mod
f= Inventory Item 0004
F=== COMMON NAME / CHEMICAL NAME
HELIUM
Facility Unit: Fixed Containers on Site 1
Days On Site
365
Location within this Facility Unit
FLORAL DEPT
Map:
Grid:
CAS #
7440-59-7
STATE - TYPE
Gas Pure
PRESSURE ---- TEMPERATURE
Above Ambient Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container
219.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
219.00 GAL
Daily Average
219.00 GAL
%Wt. I
100.00 Helium
HAZARDOUS COMPONENTS
~
CAS # 74405971
S ME TS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Min
HAZARD AS ESS N
-7- 01/24/2007
~
'"
SiteID: 015-021-000125 9
Facility Unit: Fixed Containers on Site 9
F ALBERTSONS 6325
p= Inventory Item 0002
= COMMON NAME / CHEMICAL NAME
MOTOR OIL
Days On Site
365
Location within this Facility Unit
AISLE 8
Map:
Grid:
CAS #
8020835
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
1. 00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
100.00 GAL
Daily Average
90.00 GAL
HAZARD US COMPONENT
%Wt. RS CAS #
100.00 Motor Oil, Petroleum Based No 8020835
,
o
S
D A
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / Min
HAZAR
SSESSMENTS
f= Inventory Item 0010 Facility Unit: Fixed Containers on Site 9
F=== COMMON NAME / CHEMICAL NAME
KODAK EKTACOLOR RA BLEACH FIX AND REPLENISHER Days On Site
PAPER BLEACH FIX 365
Location within this Facility Unit Map: Grid:
PHOTO LAB / CHEMICAL STORAGE CAS #
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
1. 00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
20.90 GAL
Daily Average
15.70 GAL
HAZARDOUS COMPONENTS
%Wt.
85.00 Water
5.00 Ammonium Thiosulfate
4.00 Sodium Bisulfate
RS
No
No
No
CAS #
7732185
7783188
007631-90-5
HAZARD ASSESSMENTS
TSecret RS BioHaz =Radioactive/Amount= =EPA Hazards= NFPA I =USDOT#= =MCP=
No No No No/ Curies / / / Min
-8-
01/24/2007
F ALBERTSONS 6325
p= Inventory Item 0011
= COMMON NAME / CHEMICAL NAME
KODAK FLEXICOLOR RA FIXER AND REPLENISHER
FILM FIXER
Location within this Facility Unit
PHOTO LAB / CHEMICAL STORAGE
SiteID: 015-021-000125 ,
Facility Unit: Fixed Containers on site 1
Days On Site
365
Map:
Grid:
CAS #
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
1. 00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
8.70 GAL
Daily Average
6.60 GAL
HAZARDOUS COMPONENTS
%Wt. RS CAS #
87.00 Water No 7732185
10.00 Ammonium Thiosulfate No 7783188
1.00 Ammonium Sulfate No 010196-04-0
1. 00 Sodium Bisulfate No 007631-90-5
1.00 Ammonium Bisulfate No 010192-30-0
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / Min
f= Inventory Item 0007
F=== COMMON NAME / CHEMICAL NAME
WASTE FIXER
SPENT PHOTOGRAPHIC FIXER
Location within this Facility Unit
ONE HOUR PHOTO
Facility Unit: Fixed Containers on Site 9
Days On Site
365
Map: Grid:
CAS #
STATE - TYPE
Liquid Waste
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
OTHER - SPECIFY
Largest Container
1. 00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
3.00 GAL
Daily Average
1. 00 GAL
HAZARDOUS COMPONENTS
%Wt. RS CAS #
100.00 SPENT PHOTOGRAPHIC SOLUTIONS CONTAINING SILVER No
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R / / / Min
-9-
01/24/2007
SiteID: 015-021-000125 ,
Facility Unit: Fixed Containers on Site 9
F ALBERTSONS 6325
f= Inventory Item 0003
= COMMON NAME / CHEMICAL NAME
INSECTICIDES (ASSORTED)
Days On site
365
Location within this Facility Unit
AISLE 8
Map:
Grid:
CAS #
7757-82-6
STATE - TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
METAL CONTAINR-NONDRUM
Largest Container
1. 00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
60.00 GAL
Daily Average
50.00 GAL
%Wt. I
100.00 Insecticides
HAZARDOUS COMPONENTS
~
CAS #
01
HA AR A E
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F DH / / / UnR
Z D SS SSMENTS
f= Inventory Item 0008
F= COMMON NAME / CHEMICAL NAME
WASTE PLASTIC CONTAINERS W/PHOTO CHEMICAL RESIDUE
Facility Unit: Fixed Containers on Site,
Days On Site
365
Location within this Facility Unit
ONE HOUR PHOTO
Map:
Grid:
CAS #
STATE - TYPE
Liquid Waste
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
DRUM/BARREL-NONMETAL
Largest Container
55.00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
55.00 GAL
Daily Average
33.00 GAL
%Wt. I
HAZARDOUS COMPONENTS
~I
CAS#
A E SMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / UnR
HAZARD 5S S
-10-
01/24/2007
CO
SiteID: 015-021-000125 ,
Facility Unit: Fixed Containers on site 9
F ALBERTSONS 6325
f= Inventory Item 0006
= COMMON NAME / CHEMICAL NAME
KODAK EKTACOLOR PRIME STABILIZER AND
PAPER STABILIZER
Location within this Facility Unit
PHOTO LAB / CHEMICAL STORAGE
REPLENISHER
Days On Site
365
Map:
Grid:
CAS#
STATE -.:.....- TYPE
Liquid Mixture
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
1. 00 GAL
AMOUNTS AT THIS LOCATION
Daily Maximum
5.00 GAL
Daily Average
3.80 GAL
HAZARDOUS COMPONENTS
%Wt.
95.00 Water
1.00 Polyvinylpyrrolidone
1.00 Sodium Alkyl Ether Sulfate
1.00 Magnesium Nitrate
RS
No
No
No
No
CAS #
7732185
9003398
065858342
013446-18-9
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / UnR
-11-
01/24/2007
;/
SiteID: 015-021-000125 ,
Fast Format 9
Overall Site 1
01/08/1999
F ALBERTSONS 6325
I
f= Notif./Evacuation/Medical
Agency Notification
FIRE DEPT.
Employee Notif./Evacuation
01/08/1999
SOMEONE IN MANAGEMENT IS ALWAYS SCHEDULED AND THAT PERSON IS IN CHARGE OF
CALLING FOR ANY EMERGENCY.
Public Notif./Evacuation
01/08/1999
STORE WOULD BE CLOSED.
Emergency Medical Plan
01/08/1999
ALL MEDICAL IS DIRECTED TO BAKERSFIELD OCCUPATIONAL MEDICAL GROUP.
-12-
01/24/2007
SiteID: 015-021-000125 ,
Fast Format ,
Overall Site.,
06/16/1992
F ALBERTSONS 6325
I
f= Mitigation/Prevent/Abatemt
Release Prevention
ALL PRODUCT IS ON SHELF FOR RETAIL SALE.
Release Containment
\l st '(\ \\v\ t\ \\eX 10 cA wswb \w\'-\eNl6I. \
Clean Up
9J\J~t~ '0" '?\~ ,\\Iet( ~\N[\XdS.
Other Resource Activation
-13-
01/24/2007
,0
F ALBERTSONS 6325
I
f= Site Emergency Factors
Special Hazards
SiteID: 015-021-000125 1
Fast Format ,
Overall site,
\
Utility Shut-Offs 01/24/2007
A) GAS - SE CRNR OF BLDG
B) ELECTRICAL - BACK OF BLDG AT REC DOOR
C) WATER - BEH BLDG
D) SPECIAL - NONE
E) LOCK BOX - NO
Fire Protec./Avail. Water
01/24/2007
PRIVATE FIRE PROTECTION - SPRINKLERS, FIRE EXTINGUISHERS, AND ALARM SYSTEM
FOR WATER PRESSURE.
NEAREST FIRE HYDRANT - BEH BLDG.
Building Occupancy Level
03/22/2006
90 EMPLOYEES
-14-
01/24/2007
'!
i'
SiteID: 015-021-000125 ,
Fast Format,
Overall site,
06/05/2006
F ALBERTSONS 6325
I
f= Training
Employee Training
MSDS SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: EVERY EMPLOYEE HAS SOME SAFETY TRAINING
AS PART OF THE HIRING PROCESS.
Page 2
Held for Future Use
Held for Future Use
/
-15-
01/24/2007
(HMMP)
HAZARDOUS MATERIALS MANAGEMENT PLAN
(UNIFIED PROGRAM CONSOLIDATED FORM)
BAKERSFIELD FIRE DEPT.
Prevention Services
900 Truxtun Ave.. Suite 210
D
Bakersfield. CA 93301
r Tel.: (661) 326-3979
Fax: (661) 852-2171
APPUCATlON
BUSINESS OVVNER/OPERATOR IDENTIFICATION
(HAZARDOUS MATERIALS FACILITY INFORMATION)
Page 1 of 2
1f1~5
eglnnlng
~ ~
Albertsons #6325
SITE ADDRESS
6/02/06 6/01/07
USINESS PHONE
661) 836-9691
OWNER NAME
New Albertson's, Inc.
OWNER MAILING ADDRESS
P.O. Box 20, Dept. 72405
111
93311
7900 White Lane
CITY
Bakersfield
104
IP
COUNTY
Kern
1 0 2Q\1O
IC CODE
4 Digit#)
5411
DUNN & BRADSTREET
OPERATOR NAME
New Albertson's, Inc.
109
1I..0WNERINF,.O~MATIQN '
11
CITY
Boise
120
11
CITY
Boise
114
CONTACT NAME
Erica Fransen
III. ENVIRONMENT ~L CONTACT
117
CONTACT MAILING ADDRESS
P.O. Box 20, Dept. 72405
- PRIMARY
NAME
83726
-SECONDARY-
128
TITLE
Store Director
129
BUSINESS PHONE
(661) 836-9691
130
24-HOUR PHONE
(208) 395-6826
131
PAGER No
13 NAME OF DOCUMENT PRE PARER (full printed name)
Bridget T. Cosgriff
13 TITL OF OWNER/OPERATOR/OR DESIGNATED
REPRESENTATIVE SIGNER Dir. Env. Affairs
138
FD 2142 (Rev. 09/05)
r > '~t
+ ALBERTSONS 6325 ===================================== SiteID: 015-021-000125 +
Manager : KEN GACS
Location: 7900 WHITE LN
City BAKERSFIELD
BusPhone:
Map : 123
Grid: 16C
(661) 836-9691
CommHaz : High
FacUnits: 1 AOV:
CommCode: BFD STA 09 SIC Code:5411
EPA Numb: DunnBrad:006927180
+==============================================================================+
+=======================================+======================================+
Emergency Contact / Title Emergency Contact / Title
KEN GACS / STORE DIRECTOR SYLVIA CRUZ / GROCERY MANAGER
Business Phone: (661) 836-9691x Business Phone: (661) 836-9691x
24-Hour Phone : (661) 833-9493x 24-Hour Phone : (661) 397-7989x
Pager Phone () x Pager Phone () x
+---------------------------------------+--------------------------------------+
I Hazmat Hazards: Fire ImmHlth DelHlth I
+------------------------------------------------------------------------------+
Contact : JEFF ROTT Phone: (208) 395-4792x
MailAddr: PO BOX 20 DEPT 72405 State: ID
City : BOISE Zip : 83726
+------------------------------------------------------------------------------+
Owner ALBERTSONS INC Phone: (208) 395-4792x
Address : PO BOX 20 DEPT 72405 State: ID
City : BOISE Zip : 83726
+------------------------------------------------------------------------------+
Period to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
+------------------------------------------------------------------------------+
Emergency Directives:
PROG A - HAZMAT
PROG C - COMM HOOD
Based on my inquiry of those individuals
responsible for obtaining the information, I certify
under penalty of law. ~hat I. have personally
exammed and am familiar with the mformation
submitted and believe the information is true,
accurate, and complete.
EN,'\) NOV 1 3 l005
lv~0
l"- rfJrA,
,1M \~
t{: \;~O .
''(I~0DO\
~.~f,-
Signature
(0 (d >r( 0 (.
Date
+==============================================================================+
-1-
06/05/2006
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UNIFIED PROGRAM CONSOLIDATED FORM
FACILITY INFORMATION
BUSINESS OWNER/OPERATOR IDENTIFICATION J/
FACILITY ID #
(Agency Use Only)
BUSINESS NAME (Same as FACILITY NAME)
Albertsons #6325
BUSINESS SITE ADDRESS
o Wni+e" LC\Y\:et._
CITY
Bakersfield
DUN & BRADSTREET
780148537
COUNTY
Kern
BUSINESS OPERATOR NAME
New Albertsons, Inc.
10/26/2006
104.
2006
II. BUSINESS OWNER
OWNER NAME
New Albertsons, Inc
OWNER MAILING ADDRESS
PO Box 20, Dept. #72405
CITY
Boise
ENT'O NOV 1
STATE
ID
III. ENVIRONMENTAL CONTACT
117.
CONTACT NAME
Erica Fransen
CONTACT MAILING ADDRESS
PO Box 20, Dept. #72405
CITY
Boise
120.
STATE
ID
IV. EMERGENCY CONTACTS
-PRIMARY-
NAME
Darrel Willis
TITLE
Store Director
BUSINESS PHONE
,
123. NAME
John Zabatta
124. TITLE
Asst. Store Director
125. BUSINESS PHONE
ext.
126.
ext.
127.
ADDITIONAL LOCALLY COLLECTED INFORMATION:
Billing Address: PO Box 20, Dept. #72405, Boise, ID 83726
Property Owner: New Albertsons, Inc.
Page 2 of
ENDING DATE
101.
3.
102.
103.
ZIP CODE
CA 93309
106. SIC CODE (4 digit #)
5411
105.
107.
108.
109.
110.
Ill.
ext.
112.
ext.
113.
115. ZIP CODE 116.
83726
118.
ext.
119.
121. ZIP CODE 122.
83726
-SECONDARY-
ext.
132.
128.
129.
130.
131.
ext.
133.
Phone No.: (208) 395-4793
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 submitted and believe the information is true. accurate, and complete.
SIG~ TURE OF ~ER/OPERATOR OR DESIGNATED REPRESENTATIVE
\.,- ~ '- (/
NAME OF SIGNER (print)
Erica Fransen
* See Instructions on next page.
136.
DA T9 134.
10 () 1"' L <] (.
TITLE OF SIGNER
Sr. Environmental Coordinator
Shannah Brown
UN-020UPCF - 5/15
www.unidocs.org
NAME OF DOCUMENT PREP ARER
135.
137.
Rev. 07/24/06