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Home My WebLink AboutBUSINESS PLAN 8/6/2007 RITE AID DRUG STORE #5817 8000 WHITE LN ~~6\ r I I I fA' (1 \ o \.::J ( ~_I I.. "I ~.........-. .",.~.. RITE AID DRUG STORE 5817 SiteID: 015-021-000235 Manager : LARRY DAVIS Location: 8000 WHITE LN City BAKERSFIELD CommCode: BFD STA 09 EPA Numb: BusPhone: Map : 123 Grid: 16C (661) 837-2195 CommHaz : Extreme FacUnits: 1 AOV: SIC Code:6512 DunnBrad: Emergency Contact LARRY DAVIS Business Phone: 24-Hour Phone Pager Phone / Title / MANAGER (661) 837-2195x (661) 832-4143x () x Hazmat Hazards: Contact : NANCY G MACLEOD MailAddr: PO BOX 3165 City HARRISBURG Owner Address City RITE AID CORP PO BOX 3165 HARRISBURG Period Preparer: Certif'd: ParcelNo: to Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN Emergency Contact JEFF SELLERS Business Phone: 24-Hour Phone Pager Phone / Title / ASST MANAGER (661) 837-2195x (661) 900-7223x () x Fire Press React ImmHlth DelHlth Phone: (717) 761-2633x State: PA Zip '. 17105 Phone: (717) 761-2633x State: PA Zip 17105 TotalASTs: = Gal TotalUSTs: = Gal RSs: No ENT'/) A UG 3 0 Z007 Based on my inquiry of those individuals responsible for obtaining the information; I certify under pen~lty 01 la''', that I, have personally examined and am farnlliar w:th the intormation submiHer:: an." 'Jalieve the information is true, acc"rale, and c 'mplele. dd-bL oUi -1- 07/13/2007 I: ., F RITE AID DRUG STORE 5817 SiteID: 015-021-000235 , p= Hazmat Inventory By Facility Unit 9 f== MCP+DailyMax Order Fixed Containers on Site 9 . Hazmat Common Name. . . IspecHazlEPA Hazards I Frm I DailyMax IUnitlMCP PROPANE E F P IH G 300.00 FT3 Hi BLEACH R IH L 240.00 GAL Hi FUEL ADDITIVES F IH L 100.00 GAL Hi PHOTOGRAPHIC DEVELOPERS R IH L 4.00 GAL Mod PHOTOGRAPHIC DEVELOPERS R IH L 4.00 GAL Mod ANTI-FREEZE COOLANT R IH L 300.00 GAL Low PHOTOGRAPHIC FIXER IH DH L 4.00 GAL Low PHOTOGRAPHIC BLEACH IH L 4.00 GAL Low PHOTOGRAPHIC BLEACH IH L 1. 00 GAL Low MOTOR OIL F DH L 500.00 GAL Min PHOTOGRAPHIC STABILIZER IH L 28.00 GAL Min PHOTOGRAPHIC STABILIZER IH L 5.00 GAL Min FERTILIZER R IH S 1000.00 LBS UnR INSECTICIDES F DH L 360.00 GAL UnR HERBICIDES F IH L 280.00 GAL UnR FUEL F IH DH L 200.00 GAL UnR WASTE FOTO FILTERS S 5.00 GAL UnR -2- 07/13/2007 " ,~ -3- 07/13/2007 if' F RITE AID DRUG STORE 5817 p= Inventory Item 0003 = COMMON NAME / CHEMICAL NAME PROPANE SiteID: 015-021-000235 , Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit Map: Grid: CAS # 74-98-6 STATE - TYPE Gas Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 300.00 FT3 Daily Average 55.00 FT3 HAZARDOUS COMPONENTS ~ CAS # 749861 [ l~~~oolpropane TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi HAZARD ASSESSMENTS p= Inventory Item 0001 F= COMMON NAME / CHEMICAL NAME BLEACH Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit 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 240.00 GAL Daily Average 90.00 GAL ARD U COMPONENTS %Wt. RS CAS # 100.00 Sodium Hypochlorite No 7681529 HAZ 0 S A S MENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi HAZARD S ESS -4- 07/13/2007 F RITE AID DRUG STORE 5817 f= Inventory Item 0011 = COMMON NAME / CHEMICAL NAME FUEL ADDITIVES SiteID: 015-021-000235 , Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit Map: Grid: CAS # 11-45-01 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 100.00 GAL Daily Average 55.00 GAL %Wt. RS CAS # Methyl Alcohol No 67561 Methyl Ethyl Ketone No 78933 Ethylene Glycol No 107211 HAZARDOUS COMPONENTS HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / Hi f= Inventory Item 0015 = COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC DEVELOPERS KODAK FLEXICOLOR DEVELOPER REPLINISHER Location within this Facility Unit PHOTOLAB/CHEMICAL STORAGE AREA Facility Unit: Fixed Containers on Site 9 LORR Days On Site 365 Map: Grid: CAS # 123-31-9 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 5.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 4.00 GAL Daily Average 4.00 GAL %Wt. RS CAS# 12.00 Potassium Hydroxide No 1310583 3.00 Ethylene Glycol No 107211 7.00 Hydroquinone (EPA) No 123319 HAZARDOUS COMPONENTS ZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Mod HA -5- 07/13/2007 F RITE AID DRUG STORE 5817 f= Inventory Item 0019 = COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC DEVELOPERS KODAK EKTACOLOR RA DEVELOPER REPLINISHER Location within this Facility Unit PHOTOLAB/CHEMICAL STORAGE AREA SiteID: 015-021~000235 , Facility Unit: Fixed Containers on Site 9 Days On Site 365 Map: Grid: CAS # 123-31-9 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERA';['URE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 5.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 4.00 GAL Daily Average 4.00 GAL HAZARDOUS COMPONENT %Wt. RS CAS # 12.00 Potassium Hydroxide No 1310583 3.00 Ethylene Glycol No 107211 7.00 Hydroquinone ( EPA) No 123319 S . HAZ DA E E TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Mod AR SS SSM NTS f= Inventory Item 0013 Facility Unit: Fixed Containers on Site, F= COMMON NAME / CHEMICAL NAME ANTI-FREEZE COOLANT Days On Site 365 Location within this Facility Unit WHSE & SALES FLOOR Map: Grid: CAS # STATE - TYPE Liquid Mixture PRESSURE ---- TEMPERATURE Ambient Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 300.00 GAL Daily Average 30.00 GAL u o P NENT %Wt. RS CAS # Ethylene Glycol No 107211 Diethylene Glycol No 111466 HAZARDO S C M 0 S HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Low -6- 07/13/2007 F RITE AID DRUG STORE 5817 f= Inventory Item 0017 = COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC FIXER KODAK FLEXICOLOR RA FIXER & REPLINISHER Location within this Facility Unit PHOTOLAB/CHEMICAL STORAGE AREA SiteID: 015-021-000235 , Facility Unit: Fixed Containers on Site 9 Days On Site 365 Map: Grid: CAS # 7783-18-8 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-NONMETAL Largest Container 5.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 4.00 GAL Daily Average 4.00 GAL %Wt. RS CAS # 5.00 Acetic Acid Solution No 64196 2.00 Boric Acid No 10043353 46.00 Ammonium Thiosulfate No 7783188 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / Low HAZARD ASSESSMENTS f= Inventory Item 0020 = COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC BLEACH KODAK EKTACOLOR RA BLEACH FIXER Location within this Facility PHOTOLAB/CHEMICAL STORAGE AREA Facility Unit: Fixed Containers on Site 9 & REPLINISHER Unit Map: Days On Site 365 Grid: CAS # 12124-97-9 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 5.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 4.00 GAL Daily Average 4.00 GAL %Wt. RS CAS # 10.00 Ammonium Thiosulfate No 7783188 HAZARDOUS COMPONENTS HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Low -7- 07/13/2007 F RITE AID DRUG STORE 5817 f= Inventory Item 0016 F= COMMON NAME / CHEMI CAL NAME PHOTOGRAPHIC BLEACH KODAK FLEXICOLOR RA BLEACH REPLINISHER NR Location within this Facility Unit PHOTOLAB/CHEMICAL STORAGE AREA SiteID: 015-021-000235 ~ Facility Unit: Fixed Containers on Site 9 Days On Site 365 Map: Grid: CAS # 12124-97-9 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 2.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 1. 00 GAL Daily Average 1. 00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS # 15.00 Ferric Ammonium Ethylene Diamine Tetraacetic Acid No 0 10.00 Ammonium Bromide No 12124979 5.00 Ammonium Nitrate No 6484522 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ .'Curies IH / / / Low HAZARD ASSESSMENTS f= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME MOTOR OIL Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit 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 500.00 GAL Daily Average 200.00 GAL HAZARDOUS COMPONENTS %wt. RS CAS# 100.00 Motor Oil, Petroleum Based No 8020835 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min -8- 07/13/2007 f RITE AID DRUG STORE 5817 p= Inventory Item 0021 == COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC STABILIZER KODAK EKTACOLOR PRIME STABILIZER & REPLINISHER Location within this Facility Unit Map: PHOTOLAB/CHEMICAL STORAGE AREA SiteID: 015-021-000235 , Facility Unit: Fixed Containers on Site 9 Days On Site 365 Grid: CAS# STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 29.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 28.00 GAL Daily Average 28.00 GAL HAZARDOUS COMPONENT %Wt. RS CAS # 1. 00 Polyvinylpyrrolidone No 9003398 10.00 Magnesium Nitrate No 10377603 1. 00 SODIUM ALKANE SULFONATE No 0 s HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Min p= Inventory Item 0018 = COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC STABILIZER KODAK FLEXICOLOR STABILIZER & REPLINISHER Location within this Facility Unit PHOTOLAB/CHEMICAL STORAGE AREA Facility Unit: Fixed Containers on Site 9 LF Map: Days On Site 365 Grid: CAS # STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 9.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 5.00 GAL Daily Average 5.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS # 1. 00 Hexamethylenetetramine No 100970 1.00 Sodium Dodecylbenzene Sulfonate No 25155300 1. 00 Dipropylene Glycol No 106627 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Min -9- 07/13/2007 F RITE AID DRUG STORE 5817 f=Inventory Item 0014 = COMMON NAME / CHEMICAL NAME FERTILIZER SiteID: 015-021-000235 , Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit WHSE SALES FLOOR NURSERY COMPOUND Map: Grid: CAS # [ ST~TE I ~YPE =--r-; P~ESSURE ---r TEM~ERATURE ~ CONTAINER TYPE =SOl~d ____M~xtur~mb~ent ---1 Amb~ent ~ BAG AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average LBS 1000.00 LBS 200.00 LBS %Wt. I HAZARDOUS COMPONENTS I~ CAS # Z A TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / UnR HA ARD SSESSMENTS p= Inventory Item 0006 = COMMON NAME / CHEMICAL NAME INSECTICIDES Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit Map: Grid: CAS # 7757-82-6 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 360.00 GAL Daily Average 120.00' GAL HAZARDOUS COMPONENTS ~ CAS # 01 I 1~~~ooIInsecticides TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / UnR HAZARD ASSESSMENTS -10- 07/13/2007 , . F RITE AID DRUG STORE 5817 f= Inventory Item 0007 = COMMON NAME / CHEMICAL NAME HERBICIDES SiteID: 015-021-000235 , Facility Unit: Fixed Containers on Site ~ Days On Site 365 Location within this Facility Unit Map: Grid: CAS # o STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 280.00 GAL Daily Average 100.00 GAL HAZARDOUS COMPONENTS ~ CAS # 01 I l~~~ooIHerbiCides TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / UnR HAZARD ASSESSMENTS F Inventory Item 0012 F== COMMON NAME / CHEMICAL NAME FUEL Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit Map: Grid: CAS # STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 200.00 GAL Daily Average 60.00 GAL %Wt. I HAZARDOUS COMPONENTS G CAS # TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / UnR HAZARD ASSESSMENTS -11- 07/13/2007 ", F RITE AID DRUG STORE 5817 f= Inventory Item 0022 = COMMON NAME / CHEMICAL NAME WASTE FOTO FILTERS SiteID: 015-021-000235 , Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit Map: Grid: , CAS# STATE - TYPE Solid Waste PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 5.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 5.00 GAL Daily Average 5.00 GAL %Wt. I HAZARDOUS COMPONENTS ~ CAS # TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / UnR HAZARD ASSESSMENTS -12- 07/13/2007 ,~ ..~;, -. F RITE AID DRUG STORE 5817 I f= Notif./Evacuation/Medical Agency Notification SiteID: 015-021-000235 , Fas t Format 1 Overall Site 9 06/07/2000 CALL 911. Employee Notif./Evacuation 04/20/2006 EVACUATION PLAN POSTED ON WALL. WEEKLY SAFETY MEETINGS. Public Notif./Evacuation 04/20/2006 EMPLOYEES TRAINED TO DIRECT CUSTOMERS TO NEAREST EXIT. Emergency Medical Plan 07/24/1992 NEAREST EMERGENCY ROOM. -13- 07/13/2007 .? ~:.. F RITE AID DRUG STORE 5817 I p= Mitigation/Prevent/Abatemt Release Prevention SiteID: 015-021-000235 , Fast Format 9 Overall Site "I 05/18/1998 MONTHLY SAFETY INSPECTION OF OUR STORE BY THE ASSISTANT MANAGER. PERIODIC INSPECTIONS BY OUR MARKET/DISTRICT OFFICE. Release Containment Clean Up Other Resource Activation -14- 07/13/2007 .'~ tc., ,t F RITE AID DRUG STORE 5817 I p= Site Emergency Factors Special Hazards SiteID: 015-021-000235 , Fast Format "I Overall Site 9 Utility Shut-Offs GAS - REAR OF BLDG ELECTRICAL - BREAKROOM NE CRNR OF STORE WATER - REAR OF BLDG 06/12/2007 Fire Protec./Avail. Water 12/11/2006 PRIVATE FIRE PROTECTION - ACE SPRINKLER CO. NEAREST FIRE HYDRANT - FRONT & REAR OF BLDG. Building Occupancy Level 03/13/2006 28 EMPLOYEES -15- 07/13/2007 "'t fit. ,~. F RITE AID DRUG STORE 5817 I f= Training Employee Training SiteID: 015-021-000235 , Fast Format 1 Overall Site 1 02/06/2007 MSDS SHEETS ON FILE AT MAIN OFFICE. BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES TRAINED IN PROPER USE OF CHEMICAL SPILL KIT, HAZ COM, PPE, AND USE OF FIRE EXTINGUISHERS. SAFETY MEETINGS MONTHLY. Page 2 Held for Future Use Held for Future Use -16- 07/13/2007 -~ -t + RITE AID DRUG STORE 5817 ============================ SiteID: 015-021-000235 + Manager : LARRY DAVIS Location: 8000 WHITE LN City BAKERSFIELD BusPhone: Map : 123 Grid: 16C (661) 837-2195 CommHaz : High FacUnits: 1 AOV: CommCode: BFD STA 09 SIC Code:6512 EPA Numb: DunnBrad: +==============================================================================+ +=======================================+====================================~=+ Emergency Contact / Title Emergency Contact / Title LARRY DAVIS / MANAGER JEFF SELLERS / ASST MANAGER Business Phone: (661) 837-2195x Business Phone: (661) 837-2195x 24-Hour Phone : (661) 832-4143x 24-Hour Phone : (661) 900-7223x Pager Phone () x Pager Phone () x +---------------------------------------+--------------------------------------+ I Hazmat Hazards: Fire Press React ImmHlth DelHlth I +------------------------------------------------------------------------------+ Contact : LARRY DAVIS Phone: (661) 837-2195x MailAddr: 8000 WHITE LN State: ,CA City : BAKERSFIELD Zip : 93309-7688 +------------------------------------------------------------------------------+ Owner RITE AID CORP Phone: (717) 761-2633x5096 Address : PO BOX 3165 State: PA City : HARRISBURG Zip : 17105 +------------------------------------------------------------------------------+ Period to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: +------------------------------------------------------------------------------+ Emergency Directives: PROG A - HAZMAT indiVidualS inQuiry of ~hose ation, I certify Based on m'J obtaining tne In'orm e personallY responsible f~;y of laW that \~~~e information under pens d am familiar V!' f mation is true, exa,mlned an d believe the 10 or . d an subm nd complete. ace at ,a ENT'D APR 202006 ~/(J-00 _ Date +==============================================================================+ -1- 03/13/2006 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 _J?::=__ A,J>___~~~___~~(7 ~~____~_J:r~rIHn__ ------------ ADDRESS FACi~~~-------~-J:::\: I TCE:__'=~"______ - ---------- ----oe-\-~lr~-.J~-~~----- ---- 15-021- oc::>o"z. ~ Section 1: Business Plan and Inventory Program - ~utine D Combined D Joint Agency D Multi-Agency D Complaint D Re-inspection C V (c=comPliance ) V=Violation r/' D ApPROPRIATE PERMIT ON HAND ----------------------~_._---- rEf D BUSINESS PLAN CONTACT INFORMATION ACCURATE ~ 0 VISIBLE ADDRESS r;I 0 CORRECT OCCUPANCY -------- ~ D VERIFICATION OF INVENTORY MATERIALS ~ 0 VERIFICATION OF QUANTITIES ------------~----------_._--_._---_.------ crt" D VERIFICATION OF LOCATION r!I 0 PROPER SEGREGATION OF MATERIAL g - D VERIFICATION OF MSDS AVAILABILlTYE ----- ~ D VERIFICATION OF HAT MAT TRAINING OPERATION COMMENTS lB"o ~D (!(D VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES EMERGENCY PROCEDURES ADEQUATE CONTAINERS PROPERLY LABELED -""7----------------------------- ~ D HOUSEKEEPING r;;( D FIRE PROTECTION ~-------------------------------------- ~ D SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: DYES ~ ~- ----- EXPLAIN: i I, OJ'''''S REGARDING THIS/INSPECTION? PLEASE CALL US AT (661) 326-3979 _____~c:- k. ~~_ _~~'!_~ j),-~ /2 __1- '-I_'?.L03 Inspector Badge No. Business Site Responsible Party While - Environmental Services Yellow - Slalion Copy Pink - Business Copy -I Bakersfield Fire Dept. UNIFIED PROGRAM INSPECTION CHECKLIST Enironmental Serv~es 1715 Chester A::t€l' 1 B ,~ SECTION 1 Business Plan and Inventory Program Bakersfield, CA 9330 1 ~~ . Tel: (661)326-3979 FACILITY NAME ,I _ . , _ ! INSPECTION DATE INSPECTIO~ TIME :::o~ 3:~:: ;J~,~f-::~~-~ --~-~-~~=~-===-=-~F~~~-'!t~......- Section 1: Business Plan and Inventory Program rsJ Routine D Combined D Joint Agency Cl Multi-Agency Cl Complaint D Re-inspection c V ( C=Compliance ) V=Violation OPERATION COMMENTS ri 0 ApPROPRIATE PERMIT ON HAND -J----~--B~~INE~-;~-LAN -~~~~~---~NF~~~~~I~~-~~~~~~----------------- --------- __ __ ______________ ____________________ _______ __________________________u___ _______ __________ rl CJ VISIBLE ADDRESS J\V aJ".,fc 6~fr;i(..f Jvvf. _ _ __________ _______---:___________________________________________________n___________ ___~____,--,---------------------------------------- _ _ _ _ _ _ _ _ -- -- - --- J D CORRECT OCCUPANCY I ttl~t" /JOl/if f1/1\. r, "UI-j.LrlJ.. (jJ)-ljJtjj ______________________________________________________________ _ __________________~-- _______u___ _u._____________j.___________L__:__ _______ .__________ ____ ______ --_ -__ __ ri 0 VERIFICATION OF INVENTORY MATERIALS ;r~1f 1tl/t"'J A1t. I. 'v ... 9oo-1"J..~S -J--r;---VERI~~~~ON OF Q~~NTI;;~~----------------------.------- --------- - --------- -.--------------------------------- --- -- - -- . -rI-D----VERIFICA~ON--~;-:OCA~I~~-----:-------------------- - ---------------- --- mm___ _n_______________ --- _____u_____ -rl---~-----~~~~~~GREG~~IO~-~;-~~~~I~~------------------ ---------------------------- -------- ------------ - -- -----r------------------------------ ----- __.___n______________________ .___u______u_______._ ----------- --- -- -- ____________________m___ ___u_ -----.-...--- iii D VERIFICATION OF MSDS AVAILABILlTYE -;J-- D --V~~;~~~TlON OF -H~~-MA~-~~~~~-----------------------u-- - ----------------- - --------------------- --------- ___m_ ------ -ri---D- VERIFICATIO~~---:B~TE~;;_;~~-;\,,;~~-~~D-;~~~~~~~~~- ~_u______ -- _______h_____ - ______________m__ ------ -- -Ja---;~~RGENC~- PR~CED~;~-~DEQ~TE---m------m-.--.----.----------------------- ___u__ ----- -.--.------------------ - -- m -----7--------------------------------------------------------------------------- __n________ ----+--------------------- _u__.____ ____________________m__ ______ - --- - - ___ - ___________ -----_ -___ - ______n___ ['g D CONTAINERS PROPERLY LABELED I ---j---------------- ------------_____ -----______________________ ________._________ ____+________ ___________ __ __ __ ________m____ _ ___________ ___ _ __ __.__________ ________ _________ ________________ _ rJ1 D HOUSEKEEPING. 1 mJCl----~~~--pR~~~~~~~-------------m----- -- ------ --- _________h_________________________.________. ------ _m _____u_ -rJ--DU-SI~;o-:~~~M A~~~~~~~-&-ON-H~~-~-----.- ----------- ---------- __________________.u u_____ ____n_____... ..... - --- -----. I EXPLAIN: rrlNo rtlf >n r< At:iJ r vul A j/ / ~ ~ AcJ eLl, Y't-I"-t- L/e,. y ~)")S ~~ /1,,,) ~v; DYES ANY HAZARDOUS WASTE ON SITE?: //f{ f~ r- I'r.. V/M-/; f' .' " QUESTIONS REGARDING THIS I SPECTION? PLEASE CALL US AT (661) 326-3979 __L__ ---~--~~___..___________._~f'I.______qb In elor Badge No., Business Site Responsible Party While. Environmenlal Services Yellow - SIalion Copy Pink . Business Copy =- Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program ACllITY NAME ADDRESS lZ \..,\", 8c-~ 11 It(J;(ff>r;!'~ G;. INSPECTIO~,{IME I s::s- V NO OF EMPLOYEES va -:J-D Z-5S A-'tv) n Q..,V ~ W~(l~ LIA PHONE NO. ~ ?../qr BUSINESS ID NUMBER 15-021- FACILITY CONTACT .::r~:pp. L.L-'fta Section .1: Business Plan and . Inventory progran, o COMBINED 0 JOINT AGENCY 0 MULTI-AGENCY 0 COMPLAINT JbD ORE-INSPECTION C V (C-COmplianCe) V=Violation OPERATION COMMENTS o ApPROPRIATE PERMIT ON HAND o Business PLAN CONTACT INFORMATION ACCURATE o VISIBLE ADDRESS ~D 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 KBF-6013 ANY HAZA~S WAt!1 ON SITE? EXPLAIN: -.Jo /-, Iw.s QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 .::J~:d.;.... F;m Pm""." f,":::, s"",,,,,,." # White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2_155 (Rev. 09/05 ... " RITE AID DRUG STORE 5817 ~t9 SiteID: 015-021-000235 Manager : LARRY DAVIS Location: 8000 WHITE LN City BAKERSFIELD CommCode: BFD STA 09 EPA Numb: BusPhone: Map : 123 Grid: 16C (661) 837-2195 CommBaz : Extreme FacUnits: 1 AOV: SIC Code:6512 DunnBrad: Emergency Contact LARRY DAVIS Business Phone: 24-Hour Phone Pager Phone / Title / MANAGER (661) 837-2195x (661) 832-4143x () x Hazmat Hazards: Contact : NANCY G MACLEOD MailAddr: PO BOX 3165 City HARRISBURG Owner Address City RITE AID CORP PO BOX 3165 HARRISBURG Period Preparer: Certif'd: ParcelNo: to Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN 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 su mitted and believe the information is true, te, and complete. ~ Emergency Contact JEFF SELLERS Business Phone: 24-Hour Phone Pager Phone / Title / ASST MANAGER (661) 837-2195x (661) 900-7223x () x Fire Press React ImmHlth DelHlth Phone: (717) 761-2633x State: PA Zip 17105 Phone: (717) 761-2633x State: PA Zip 17105 TotalASTs: = Gal TotalUSTs: = Gal RSs: No ~O~~ ENT'D JUN 12 2007 -1- 05/17/2007 'i' F RITE AID DRUG STORE 5817 SiteID: 015-021-000235 9 p= Hazmat Inventory By Facility Unit 9 f== MCP+DailyMax Order Fixed Containers on Site 9 Hazmat Common Name. . . IspecHazlEPA Hazards I Frm I DailyMax lunitlMCP PROPANE E F P IH G 300.00 FT3 Hi BLEACH R IH L 240.00 GAL Hi FUEL ADDITIVES F IH L 100.00 GAL Hi PHOTOGRAPHIC DEVELOPERS R IH L 4.00 GAL Mod PHOTOGRAPHIC DEVELOPERS R IH L 4.00 GAL Mod ANTI-FREEZE COOLANT R IH L 300.00 GAL Low PHOTOGRAPHIC FIXER IH DH L 4.00 GAL Low PHOTOGRAPHIC BLEACH IH L 4.00 GAL Low PHOTOGRAPHIC BLEACH IH L 1. 00 GAL Low MOTOR OIL F DH L 500.00 GAL Min PHOTOGRAPHIC STABILIZER IH L 28.00 GAL Min PHOTOGRAPHIC STABILIZER IH L 5.00 GAL Min FERTILIZER R IH S 1000.00 LBS UnR INSECTICIDES F DH L 360.00 GAL UnR HERBICIDES F IH L 280.00 GAL UnR FUEL F IH DH L 200.00 GAL UnR WASTE FOTO FILTERS S 5.00 GAL UnR -2- 05/17/2007 -3- 05/17/2007 F RITE AID DRUG STORE 5817 , p= Inventory Item 0003 = COMMON NAME / CHEMICAL NAME PROPANE SiteID: 015-021-000235 1 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility unit Map: Grid: CAS# 74-98-6 STATE - TYPE Gas Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 300.00 FT3 Daily Average 55.00 FT3 HAZARDOUS COMPONENTS ~ CAS # 749861 I l~~~oolpropane HAZARD AS E S NT TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi S S ME S p= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME BLEACH Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit 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 240.00 GAL Daily Average 90.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS # 100.00 Sodium Hypochlorite No 7681529 ZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No NO/ Curies R IH / / / Hi HA -4- 05/17/2007 ,. F RITE AID DRUG STORE 5817 p= Inventory Item 0011 === COMMON NAME / CHEMICAL NAME FUEL ADDITIVES SiteID: 015-021-000235 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility unit Map: Grid: CAS# 11-45-01 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 100.00 GAL Daily Average 55.00 GAL %Wt. RS CAS # Methyl Alcohol No 67561 Methyl Ethyl Ketone No 78933 Ethylene Glycol No 107211 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No NO/ Curies F IH / / / Hi HAZARD ASSESSMENTS p= Inventory Item 0015 = COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC DEVELOPERS KODAK FLEXICOLOR DEVELOPER REPLINISHER Location within this Facility Unit PHOTOLAB/CHEMICAL STORAGE AREA Facility Unit: Fixed Containers on Site 9 LORR Days On Site 365 Map: Grid: CAS# 123-31-9 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 5.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 4.00 GAL Daily Average 4.00 GAL NE %Wt. RS CAS # 12.00 Potassium Hydroxide No 1310583 3.00 Ethylene Glycol No 107211 7.00 Hydroquinone (EPA) No 123319 HAZARDOUS COMPO NTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Mod HAZARD ASSESSMENTS -5- 05/17/2007 F RITE AID DRUG STORE 5817 f= Inventory Item 0019 = COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC DEVELOPERS KODAK EKTACOLOR RA DEVELOPER REPLINISHER Location within this Facility Unit PHOTOLAB/CHEMICAL STORAGE AREA SiteID: 015-021-000235 1 Facility Unit: Fixed Containers on Site 1 Days On Site 365 Map: Grid: CAS # 123-31-9 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 5.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 4.00 GAL Daily Average 4.00 GAL HAZARDOUS MP NEN %Wt. RS CAS # 12.00 Potassium Hydroxide No 1310583 3.00 Ethylene Glycol No 107211 7.00 Hydroquinone (EPA) No 123319 CO 0 TS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Mod HAZARD ASSESSMENTS f= Inventory Item 0013 = COMMON NAME / CHEMICAL NAME ANTI-FREEZE COOLANT Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit WHSE & SALES FLOOR Map: Grid: CAS # STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 300.00 GAL Daily Average 30.00 GAL Z MPONENTS %Wt. RS CAS # Ethylene Glycol No 107211 Diethylene Glycol No 111466 HA ARDOUS CO Z A SE SMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Low HAARD S S -6- 05/17/2007 F RITE AID DRUG STORE 5817 f= Inventory Item 0017 = COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC FIXER KODAK FLEXICOLOR RA FIXER & REPLINISHER Location within this Facility Unit PHOTOLAB/CHEMICAL STORAGE AREA SiteID: 015-021-000235 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS # 7783-18-8 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-NONMETAL Largest Container 5.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 4.00 GAL Daily Average 4.00 GAL ARD %Wt. RS CAS # 5.00 Acetic Acid Solution No 64196 2.00 Boric Acid No 10043353 46.00 Ammonium Thiosulfate No 7783188 - HAZ OUS COMPONENTS HAZAR E TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / Low D ASS SSMENTS p= Inventory Item 0020 = COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC BLEACH KODAK EKTACOLOR RA BLEACH FIXER Location within this Facility PHOTOLAB/CHEMICAL STORAGE AREA Facility Unit: Fixed Containers on Site ~ & REPLINISHER Unit Map: Days On Site 365 Grid: CAS # 12124-97-9 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 5.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 4.00 GAL Daily Average 4.00 GAL D MP ENTS %Wt. RS CAS # 10.00 Ammonium Thiosulfate No 7783188 HAZAR OUS CO ON HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Low -7- 05/17/2007 F RITE AID DRUG STORE 5817 p= Inventory Item 0016 = COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC BLEACH KODAK FLEXICOLOR RA BLEACH REPLINISHER Location within this Facility Unit PHOTOLAB/CHEMlCAL STORAGE AREA SiteID: 015-021-000235 9 Facility Unit: Fixed Containers on Site 1 NR Days On Site 365 Map: Grid: CAS # 12124-97-9 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 2.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 1. 00 GAL Daily Average 1. 00 GAL HAZ M EN %Wt. RS CAS # 15.00 Ferric Ammonium Ethylene Diamine Tetraacetic Acid No 0 10.00 Ammonium Bromide No 12124979 5.00 Ammonium Nitrate No 6484522 ARDOUS CO PON TS HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Low p= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME MOTOR OIL Facility Unit: Fixed containers on Site 1 Days On Site 365 Location within this Facility Unit 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 500.00 GAL Daily Average 200.00 GAL M N %Wt. RS CAS # 100.00 Motor Oil, Petroleum Based No 8020835 HAZARDOUS CO PONE TS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / Min HAZARD ASSESSMENTS -8- 05/17/2007 F RITE AID DRUG STORE 5817 F Inventory Item 0021 F== COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC STABILIZER KODAK EKTACOLOR PRIME STABILIZER & REPLINISHER Location within this Facility Unit Map: PHOTOLAB/CHEMICAL STORAGE AREA SiteID: 015-021-000235 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Grid: CAS # STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 29.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 28.00 GAL Daily Average 28.00 GAL %Wt. RS CAS# 1. 00 polyvinylpyrrolidone No 9003398 10.00 Magnesium Nitrate No 10377603 1. 00 SODIUM ALKANE SULFONATE No 0 HAZARDOUS COMPONENTS HA TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ CUries IH / / / Min ZARD ASSESSMENTS F Inventory Item 0018 = COMMON NAME / CHEMICAL NAME PHOTOGRAPHIC STABILIZER KODAK FLEXICOLOR STABILIZER & REPLINISHER Location within this Facility Unit PHOTOLAB/CHEMICAL STORAGE AREA Facility Unit: Fixed Containers on Site 9 LF Map: Days On Site 365 Grid: CAS # STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 9.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 5.00 GAL Daily Average 5.00 GAL %Wt. RS CAS # 1. 00 Hexamethylenetetramine No 100970 1. 00 Sodium Dodecylbenzene Sulfonate No 25155300 1. 00 Dipropylene Glycol No 106627 HAZARDOUS COMPONENTS HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH / / / Min -9- 05/17/2007 r, F RITE AID DRUG STORE 5817 f= Inventory Item 0014 === COMMON NAME / CHEMICAL NAME FERTILIZER SiteID: 015-021-000235 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility unit WHSE SALES FLOOR NURSERY COMPOUND Map: Grid: CAS # I ~YPE ~ P~ESSURE --r TEM~ERATURE -, __M~xtur~mb~ent ---1 Amb~ent ~ AMOUNTS AT THIS LOCATION Daily Maximum 1000.00 LBS CONTAINER TYPE I r STATE Solid BAG Largest Container LBS Daily Average 200.00 LBS %Wt. I HAZARDOUS COMPONENTS ~ CAS # TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / UnR HAZARD ASSESSMENTS f= Inventory Item 0006 === COMMON NAME / CHEMICAL NAME INSECTICIDES Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit Map: Grid: CAS # 7757-82-6 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 360.00 GAL Daily Average 120.00 GAL HAZARDOUS COMPONENTS ~ No CAS # 01 I l~~~ooIInsecticides ASS MENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F DH / / / UnR HAZARD ESS -10- 05/17/2007 r. F RITE AID DRUG STORE 5817 f= Inventory Item 0007 = COMMON NAME / CHEMICAL NAME HERBICIDES SiteID: 015-021-000235 9 Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit Map: Grid: CAS # o STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 280.00 GAL Daily Average 100.00 GAL I l~~~ooIHerbiCides HAZARDOUS COMPONENTS ~ CAS # 01 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH / / / UnR HAZARD ASSESSMENTS f= Inventory Item 0012 = COMMON NAME / CHEMICAL NAME FUEL Facility Unit: Fixed Containers on Site 1 Days On Site 365 Location within this Facility Unit Map: Grid: CAS # STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container GAL AMOUNTS AT THIS LOCATION Daily Maximum 200.00 GAL Daily Average 60.00 GAL %Wt. I HAZARDOUS COMPONENTS I~ CAS # HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / UnR -11- 05/17/2007 F RITE AID DRUG STORE 5817 f= Inventory Item 0022 = COMMON NAME / CHEMICAL NAME WASTE FOTO FILTERS SiteID: 015-021-000235 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit Map: Grid: CAS # STATE - TYPE Solid Waste PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE PLASTIC CONTAINER Largest Container 5.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 5.00 GAL Daily Average 5.00 GAL %Wt. I HAZARDOUS COMPONENTS ~ CAS # HA ASS M NT TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / UnR ZARD ESS E S -12- 05/17/2007 " SiteID: 015-021-000235 "I Fast Format "I Overall Site "I 06/07/2000 F RITE AID DRUG STORE 5817 I _ p= Notif./Evacuation/Medical Agency Notification CALL 911. Employee Notif./Evacuation 04/20/2006 EVACUATION PLAN POSTED ON WALL. WEEKLY SAFETY MEETINGS. Public Notif./Evacuation 04/20/2006 EMPLOYEES TRAINED TO DIRECT CUSTOMERS TO NEAREST EXIT. Emergency Medical plan 07/24/1992 NEAREST EMERGENCY ROOM. -13- 05/17/2007 '. SiteID: 015-021-000235 , Fas t Format 9 Overall Site 9 05/18/1998 F RITE AID DRUG STORE 5817 I f= Mitigation/Prevent/Abatemt Release Prevention MONTHLY SAFETY INSPECTION OF OUR STORE BY THE ASSISTANT MANAGER. PERIODIC INSPECTIONS BY OUR MARKET/DISTRICT OFFICE. Release Containment Clean Up Other Resource Activation -14- 05/17/2007 F RITE AID DRUG STORE 5817 I p= Site Emergency Factors Special Hazards SiteID: 015-021-000235 1 Fas t Format 1 Overall Site 1 Utility Shut-Offs A) GAS - REAR OF BLDG B) ELECTRICAL - BREAKROOM NE CRNR OF STORE C) WATER - REAR OF BLDG D) SPECIAL - NONE E) LOCK BOX - NO 04/20/2006 Fire Protec./Avail. Water 12/11/2006 PRIVATE FIRE PROTECTION - ACE SPRINKLER CO. NEAREST FIRE HYDRANT - FRONT & REAR OF BLDG. Building Occupancy Level 03/13/2006 28 EMPLOYEES -15- 05/17/2007 ~. "~ , 'i F RITE AID DRUG STORE 5817 I F Training Employee Training SiteID: 015-021-000235 "I Fast Format 9 Overall Site 9 02/06/2007 MSDS SHEETS ON FILE AT MAIN OFFICE. BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES TRAINED IN PROPER USE OF CHEMICAL SPILL KIT, HAZ COM, PPE, AND USE OF FIRE EXTINGUISHERS. SAFETY MEETINGS MONTHLY. Page 2 Held for Future Use Held for Future Use -16- 05/17/2007