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Home My WebLink AboutBUSINESS PLAN (2) 1.1\ '.: I I ~ ':;:"Y '\ ,:~,,~,,~r"'-?'. <~ -~ SHERWIN WILLIAMS COMPANY #810]' 3300 WIBLE RD - - _..--~-_. ----~---~----- , Em III UNIFIED PROGRAM INSPECTION CHECKLIST jl BAKERSFIELD FIRE DEPT Prevention Services 900 Truxtun Ave" Suite 210 Bakersfield. CA 93301 Tel.: (661) 326-3979 Fax: (661)872-2171 ~,~~~:':>,~':~~~1<;;,~~\(.,.'~{i~~;:/.:',-$\""'_{'tJ:t'i:;"':t...~~~ ;.t".~'-l7.:':" :~,':7".; ~"~.~,~';}zrtl.', ~ '-'~~'''''~_ ;"..~..'{.vu,. i," ,;h' ,_' ,4 i";"" r, ':, c" ,"t~,.:. -, ,',' ,"~' ."K'~:;., FACILITY CONTAC\^l\\ 'I.V o ROUTINE Section 1: Business Plan ~nd Inventory Program COMBINED 0 JOINT AGENCY 0 MULTI-AGENCY 0 COMPLAINT ~~~ ORE-INSPECTION C V ( C-ComplianCe) OPERATION'. V=Violation 0 ApPROPRIATE PERMIT ON HAND 0 Business PLAN CONTACT INFORMATION ACCURATE 0 VISIBLE ADDRESS 0 CORRECT OCCUPANCY 0 VERIFICATION OF INVENTORY MATERIALS . 0 VERIFICATION OF QUANTITIES 0 VERIFICATION OF LOCATION 0 PROPER SEGREGATION OF MATERIAL 0 VERIFICATION OF MSDS AVAILABILITY 0 VERIFICATION OF HAl MAT TRAINING COMMENTS o EMERGENCY PROCEDURES ADEQUATE o CONTAINERS PROPERLY LABELED o FIRE PROTECTION o HOUSEKEEPING o SITE DIAGRAM ADEQUATE & ON HAND ANY HAZ1~P.OUS W~~N SITE? EXPLAIN: .JALAttr ._ XVES o NO .QUESTIONS REGARDING THIS INSPECTION? PLEASE CAll US AT (661) 326.3979 . . -L In Fire Prevention /1" In / Shift of Site/Station # White - Prevention Services Yellow - Station Copy Pink - Business Copy FD2049 (Rev. 02105) --,' ~,,;.....,/ '. + SHERWIN WILLIAMS CO al~J============================== SiteID: 015-021-001324 + Manager : MIKE BOHAN Location: 3300 WIBLE RD City BAKERSFIELD BusPhone: Map : 123 Grid: 11B (661) 837-1217 CommHaz : Moderate FacUnits: 1 AOV: CommCode: BFD STA 07 SIC Code: EPA Numb: DunnBrad: +==============================================================================+ +=======================================+======================================+ Emergency Contact / Title Emergency Contact / Title MIKE BOHAN / STORE MANAGER / Business Phone: (661) 837-1217x Business Phone: () x 24-Hour Phone : (661) 823-9652x 24-Hour Phone : () x Pager Phone : ( ~b/) 171 - 21?o x e,d-{ Pager Phone : () x +---------------------------------------+--------------------------------------+ \ Hazmat Hazards: Fire React ImmHlth DelHlth \ +------------------------------------------------------------------------------+ Contact: Phone: (661) 837-1217x MailAddr: 3300 WIBLE RD State: CA City : BAKERSFIELD Zip : 93309 +------------------------------------------------------------------------------+ Owner SHERWIN WILLIAMS CO Phone: (661) 837-1217x Address : 101 PROSPECT AVE State: OH City : CLEVELAND Zip : 44101 +------------------------------------------------------------------------------+ Period to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: +------------------------------------------------------------------------------+ Emergency Directives: / t~ b PROG A - HAZMAT /}~ ENTD JUL 17 1 rrfJ\P 2006 ~MO\~ ( ~tjDD Based on my inquiry of ,those i.ndividua.ls responsible for obtaining the mformatton, 1 certify under penalty of law that I have person~IIY examined and am familiar vyith the !nfo~matlOn submitted and believe the mformatlon IS true, accurate, and complete, --#(ucA.a4# ~/.P-.- Signature 6 -/b..{)b Date +==============================================================================+ -1- 03/09/2006 SHERWIN WILLIAMS8101 . . 2 661837.551. :( ,J"/AL _ :'. .p ""/~':.,2;7. U --7 EJ\t,- - '>- ~ I} 3.t ~I "(II' I""''' fTrk; 'III . .'-..... r..... - ~\tJ 1If/fitUII1'" ""1M V- ~Z M ~ S"H/lEArr~~;M/~ ~ ~/"tE. :- ',,~F~,{//pJ~, :J1~~ h/'~ ?Rlf 1(,/" rn- 4/7 ';. w~ 1 .,.-.s ... z - I- '2 ~e~ - ~ 0- ~""L ~ ~. ~ \: i ~ . ~ . i . . .. ~ ~ &"T" ,.. ''''"''''' ,;~. . ':7 ~t4 ~ -5= ~J PAGE 132 , ~Df ~\~ ~ ,~~ ~\J' f ~ iltj i 'I 3~ ill It!~ e~"'t t( ~ JIt. "P v.J ~ ~ ~ b. ~ ~ ~ ~Jn ~~ ~ ~ ~ ~ ! -lUCAC. Fh/~f _ ~ - - . ~ loI..l ~ !~iri ~ ilill ~ . - "" . ~'. ~ < ... '" <. I ~{'~ -1: 1: ~i ~~ ~ -\ J 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 ::::I:~ME~~ ~J!!___~J~~_~~~___ ______ ___ _ _____.____._ _ .____ _..____ :ril-~~r~f=g7i~~;~--. '''''ITY'O'~~ 00 _~~J l~~_____.~-------- __n___ ~;~:i~t~~~o~;~- Section 1: Business Plan and Inventory Program Routine a Combined a Joint Agency a Multi-Agency a Complaint aRe-inspection C V (c=comPlianCe) OPERATION COMMENTS V=Violation .---. ~~ {j _~_.~__ Ap~RO~RI~~~E~~~~_ON ~~~_m_ ___m_._._ __.. ._.__ ^ Jr!f!f[~Pfl~~.-.-- .. uo_ _ .n ~,==="'__ ___u.__ E_~-~~SINESS ~LA~~~~~~-IN~~~~~~~-N ~C~~_RA~_=__. __ __~ ~-LJ(~i\~~~ B~,(4i~~t .At__~.~_4,~'1i __ a VISIBLE ADDRESS a CORRECT OCCUPANCY --- _._._-----_._------~_._-------_._---_._----,.._--_.._---- . ... ...-- -.----..--....-..----..-. _._~-_.._.- -_.-.--~--_._."---.-_..----_.__.._. .-. ---- .~..,-- ~:::~~: :: ~::::MATEI.ALS_n-_-__:N1L~ _3Q1>~~_~~uijl,.1:~ IN/iJ~n ' _ K~- -~ERIF;CATION-;-:OCA~I~~--------- ------- -. -. _. ______.___.._m.__. n ------ -- -.--....... - m - . x_n-~-;~-O:E~ -=~G~~G~~~~-~~~~~:~~~~-=~=~~~~~_~_~-.___.. -~~~.~~~.~~~-._.~~~~--_- .~___~~~~-~~.~~_~.:~_ .__.~n -.. -. a VERIFICATION OF MSDS AVAILABllITYE a VERIFICATION OF HAT MAT TRAINING a VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~ a EMERGENCY PROCEDURES ADEQUATE - ---------.---.---.-----.... .-..-.-----.---.--.-.----..-..--.-------- .--.--..-.. --..-t-.-.-..-n- .___.._. __. _..___ .__...._.__.. ..___m __ ....__ . a CONTAINERS PROPERLY LABELED ..--c-----...-----.--.--. .---.--..-.--- .--------.--.--- _.__..n___....._._.. _._+..._u.. ____.__.__ _._ _. '_'.__._mm..n_ u.... ._nn _ _ ___ ... __...___ Y:: a HOUSEKEEPING. 1 )tn--~~~~R~~~~;~~----.-.--_-n--.-- .. -.------- --. ______m___.n_________u._______._____._. -- .------ ..n --..---~----------~------ .-~__.__.___,.__________.__.________.________._..__._n_ _____ __.0__.__ _._________._._ ___ ."._. ___ ____n._n___._.___... __ .... '_'..'_' ___ ___..._n___.____ ._. a SITE DIAGRAM ADEQUATE & ON HAND I ANY HAZARDOUS WASTE ON SITE?: ~ES a No EXPLAIN: IN ~it 1JA'~ QU~'=='S-'NS~ECTION?~~E C~l~S~~(661) 326~397\{~A~~__ Inspector Badg~o.^ !.~- Business Site Responsible Party White . Environmental Services Yellow . Slation Copy Pink - Business Copy {6 ~'5 3'1 ~ 1f {~~ SHERWIN-WILLIAMS@ " ENTD OCT 8 2007 Hazardous Materials Business Plan Sherwin- Williams Store #8101 3300 Wible Road Bakersfield, California 93309 CAL000294311 o,t ~o\tb '" I .! ! ~ UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS OWNER/OPERATOR IDENTIFICATION FACILITY ID1I I. IDENTIFICATION 1 BEGINNING DATE 1- j- b I 07 -/&/7 104 ZIP CODE 0 CA "3'6'0 106 SIC CODE (4 digit 11) 5231- Paint and Glass Store BUSINESS OPERATOR NAME Sherwin Williams 109 BUSINESS OPERATOR PHONE II. BUSINESS OWNER OWNER NAME Sherwin WIlliams Com an OWNER MAILING ADDRESS 101 Pros ect Avenue NW CITY Cleveland - 'V:l()~ III 114 STATE OH III, ENVIRONMENTAL CONTACT 117 CONTACT PHONE 216- l..,~ - (1/0 115 ZIP CODE 44101 CONTACT NAME c~~Amblcl~~g~RESS 101 Pros ect Avenue NW Suite 333R CITY Cleveland 120 STATE OH IV. EMERGENCY CONTACTS 123 NAME -r .e,y .r. 121 ZIP CODE 44115 -SECONDARY- -PRIMARY- NAME /YL" TITLE 124 TITLE Assistant Mana er 125 BUSINESS PHONE (g&I- ~ 126 24.HOUR PHONE ~<eJ- B9-1/8'-1 127 PAGER 11 , ADDITIONAL LOCALLY COLLECTED INFORMATION: ~ 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 URE OF OW"/~PER"OR OR DESIGNATED REPRESENTATIVE DATE 134 NAME OF DOCUMENT PREPARER ~, h 10 - '1-07 J5JML A,Aos NAME OF Sl ER (print) 136 TITLE OF SIGNER ..~ Safet & Environmental Mana er Paint Stores Grou UPCF ( 1/99 revised) 4 OES FORM 2730 (1/99) Page _ of __ 10\ 102 103 105 107 108 110 112 113 116 118 119 122 128 129 130 131 132 133 135 137 '" UNIFIED PROGRAM CONSOLIDATED FORM FACILITY INFORMATION BUSINESS ACTIVITIES Page 1 of I. FACILITY IDENTIFICATION FACILITY ID # I I II I I II I I I I I I I EPA ID # (Hazardous Waste Only) 2 c.A.L,DC 0 2,Q"'f 3 \ \ BUSINESS NAME (Same as Facility Name of DBA-Doing Business As) 3 Shrwin Williams Store # II. ACTIVITIES DECLARATION NOTE: If you check YES to any part ofthis list, please submit the Business Owner/Operator Identification page (OES Form 2730). Does your facility... If Yes, olease comolete these oages of the UPCF.... A. HAZARDOUS MATERIALS Haye on site (for any purpose) hazardous materials at or above 55 gallons for liquids, 500 pounds for solids, or 200 cubic feet for compressed gases HAZARDOUS MATERIALS INVENTORY (include liquids in ASTs and USTs); or the applicable Federal threshold 181 YES o NO 4 quantity for an extremely hazardous substance specified in 40 CFR Part - CHEMICAL DESCRIPTION (OES 2731) 355, Appendix A or B; or handle radiological materials in quantities for which an emergency plan is required pursuant to 10 CFR Parts 30, 40 or 70? B. UNDERGROUND STORAGE TANKS (USTs) UST FACILITY (Formerly SWRCB Form A) 1. Own or operate underground storage tanks? DYES 181 NO 5 UST TANK (one page per tank) (Formerly Form B) 2. Intend to upgrade existing or install new USTs? DYES 18I NO 6 UST FACILITY UST TANK (one per tank) UST INSTALLATION - CERTIFICATE OF COMPLIANCE (one page per tank) (Formerly Form C) 3. Need to report closing a UST? DYES 18I NO 7 UST TANK (elmure portion -one page per tank) C. ABOVE GROUND PETROLEUM STORAGE TANKS (ASTs) Own or operate ASTs above these thresholds: many tank capacity is greater than 660 gallons, or DYES 18I NO 8 NO FORM REQUIRED TO CUPAs ---the total capacity for the facility is greater than 1,320 gallons? D. HAZARDOUS WASTE 1. Generate hazardous waste? 181 YES 0 NO 9 EP A ID NUMBER - provide at the top of this page 2. Recycle more than 100 kg/month of excluded or exempted RECYCLABLE MATERIALS REPORT (one recyclable materials (per HSC 25143.2)? DYES 181 NO IO per recycler) 3. Treat hazardous waste on site? 181 ONSITE HAZARDOUS WASTE DYES NO 11 TREATMENT - FACILITY (Fonnerly DTSC Forms 1772) ONSITE HAZARDOUS WASTE TREA T!I.;1ENT - UNIT (one page per unit) (Formerly DTSC Forms 1772 A,B,C,O and L) 4. Treatment subject to financial assurance requirements (for DYES 18I NO 12 CERTIFICATION OF FINANCIAL Permit by Rule and Conditional Authorization)? ASSURANCE (Fonnerly OTSC Form 1232) 5. Consolidate hazardous waste generated at a remote site? REMOTE WASTE / CONSOLIDATION DYES 18I NO 13 SITE ANNUAL NOTIFICATION (Formerly OTSC Form 1196) 6. Need to report the closure/removal of a tank that was classified as DYES 18I NO 14 HAZARDOUS WASTE TANK CLOSURE hazardous waste and cleaned onsite? CERTIFICATION (Formerly OTSC Form \249) E. LOCAL REQUIREMENTS ~ 15 (You may also be required to provide additional information by your CUPA or local agency.) UPCF (1/99) 2 ., UNIFIED PROGRAM (UP) FORM HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one page Der material oer buildinll or area) OADD DDELETE I8lREVISE REPORTING YEAR 2007 200 I Page of I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Sherwin.Williams COmpany #8101 CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL 202 Retail areal Warehouse (EPCRA ) DYES I8l NO I I III I I I~~~I I I I I I I 1 I ~AP# (optional) 2031 GRID# (optionaQ 204 FACILITY ID # II, CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET Dyes 181 No 206 Solvent coatings, solvents and other flammables (including Consumer Commodities) If Subject to EPCRA, refer to instructions COMMON NAME 207 EHS* D Yes I8l No 208 CAS# 209 *If EHS is 'Yes., all amounts below must be in Ibs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 HAZARDOUS MATERIAL 212 I 213 TYPE (Check one item only) ~ a. PURE ~b. MIXTURE D c. WASTE 211 RADIOACTIVE Dyes 181 No CURIES PHYSICAL STATE 215 (Check one item only) D a. SOLID I8Ib. LIQUID o c, GAS 214 LARGEST CONTAINER 55-gallon FED HAZARD CATEGORIES 216 (Check all that apply) 181 a. FIRE o b. REACTIVE o c. PRESSURE RELEASE 181 d. ACUTE HEALTH 181 e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 2171 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 2191 STATE WASTE CODE 220 46 245 67.889 221 I DAYS ON SITE: 222 UNITS" De, GALLONS Db. CUBIC FEET 181 c. POUNDS o d. TONS 365 (Check ona item only) "If EHS, amount must be in pounds. STORAGE CONTAINER D a. ABOVE GROUND TANK De. PLASTIC/NONMETALLIC DRUM D i. FIBER DRUM D m. GLASS BOTTLE D q. RAIL CAR o b. UNDERGROUND TANK 181 f. CAN o j.BAG On. PLASTIC BOTTLE 0 r. OTHER o c, TANK INSIDE BUILDING D g. CARBOY o k. BOX o o. TOTE BIN / 181 d. STEEL DRUM D h. SILO o I. CYLINDER o p, TANKWAGON 223 STORAGE PRESSURE 181 a, AMBIENT o b. ABOVE AMBIENT o c. BELOW AMBIENT 224 STORAGE TEMPERATURE 181 a. AMBIENT D b. ABOVE AMBIENT D c. BELOW AMBIENT o d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1 0-25% 226 Crystalline Sylica 227 DYes I8l No 228 Proprietary 229 2 0-25% 230 Quartz 231 DVes ~ No 232 14808-60.7 233 3 0-25% 234 Titanium Dioxide 235 DYes I8l No 236 13463-67.7 237 40-100% 238 xylene 239 Dves I8l No 240 1330-20-7 241 5 0.100% 242 Acetone 243 DVes I8lNo 244 67-64-1 245 If more hazardous components are present at greater than 1 % by weight If non-carclnogenic, or 0.1 % by weight If 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.) DIV BN OTHER CUPA PA OFFICIAL USE ONLY UNIFIED PROGRAM (UP) FORM HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one page per material Der buildino or area) DADO DDELETE ~REVISE REPORTING YEAR 2007 200 I P~ge of I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Sherwin~Williams Company #8101 CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL 202 Wholesale Area (EPCRA ) DYES ~ NO FACILITY ID # I I I I ~~ I 1 1 I I 11 I MAP# (optional) 2031 GRID# (optional) 204 "~ II. CHEMICAL INFORMA liON CHEMICAL NAME 205 TRADE SECRET DYes ~No 206 Waste solvent coatings, solvents and other flammables If Subject to EPCRA, refer to instructions COMMON NAME 207 EHS' D Yes ~ No 208 CAS# 209 *If EHS is .Yes", all amounts below must be in Ibs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 212 I 213 HAZARDOUS MATERIAL 211 RADIOACTIVE DYes ~No CURIES TYPE (Check one item only) D a. PURE Db, MIXTURE 181 c. WASTE PHYSICAL.STATE 215 (Check one item only) D a. SOLID I81b. LIQUID D c. GAS 214 LARGEST CONTAINER 55-gallon FED HAZARD CATEGORIES 216 (Check all that apply) ~ a. FIRE o b. REACTIVE o c. PRESSURE RELEASE ~ d. ACUTE HEALTH ~ e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 2171 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 2191 STATE WASTE CODE 220 250 550 214 221 I DAYS ON SITE: 222 UNITS. 0- Oa. GALLONS Db, CUBIC FEET ~ c. POUNDS o d. TONS 365 (Check one item only) . . If EHS amount must be in DOunds, STORAGE CONTAINER o a. ABOVE GROUND TANK D e. PLASTiC/NONMETALLIC DRUM o i, FIBER DRUM o m. GLASS BOTTLE o q. RAIL CAR Db. UNDERGROUND TANK 181 1. CAN o j.BAG D n. PLASTIC BOTTLE o r. OTHER DC. TANK INSIDE BUILDING o g. CARBOY o k. BOX D 0, TOTE BIN 181 d. STEEL DRUM o h. SILO o I. CYUNDER o p. TANK WAGON 223 STORAGE PRESSURE ~~. AMBIENT D b. ABOVE AMBIENT D c. BELOW AMBIENT 224 STORAGE TEMPERATURE 181 a. AMBIENT o b. ABOVE AMBIENT o c. BELOW AMBIENT D d. CRYOGENIC 225 %wr HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 1 0-25% 226 Crystalline Sylica 227 Dyes ~ No 228 Proprietary 229 2 0-25% 230 Quartz 231 Dyes 181 No 232 14808-60-7 233 3 0-25% 234 Titanium Dioxide 235 D Yes ~ No 236 13463~67-7 237 40-100% 238 xylene 239 DYes 181 No 240 1330-20-7 241 5 0-100% 242 Acetone 243 DYes ~No 244 67-64~1 245 If more ~axardous components are present at greater than 1 % by weight If non<arclnogenlc, or 0.1 % by weight i carclnogenic, attach additional sheets of paper capturing the required Information. ADDITIONAL LOCALLY COLLECTED INFORMATION 246 If EPCRA, Please Sign Here (Facilities reponing Chemicals subject to EPCRA reponing thresholds must sign each Chemical Description page for each EPCRA reponed chemical,) DIV eN OTHER CUPA PA OFFICIAL USE ONLY UNIFIED PROGRAM (UP) FORM HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one page per material per buUdina or area) DADO DDELETE ~REVISE REPORTING YEAR 2007 200 I P~ge of I. FACILITY INFORMA liON BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Sherwin-Williams Company # 8101 CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL 202 Wholesale Area (EPCRA ) DYES I8J NO FACILITY ID # 1 1 ~~I I I 1~:E{1 I I I I I 11 I MAP# (optional) 2031 GRID# (optional) 204 II, CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET D Yes ~ No 206 Latex and waterborne coatings (including Consumer Commodities) If Subject to EPCRA, refer to instructions 207 EHS. DYes !81 No 208 COMMON NAME CAS# 209 "If EHS is "Yes'. all amounts below must be in Ibs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 212 I CURIES 213 HAZARDOUS MATERIAL 211 RADIOACTIVE oVes oNo TYPE (Check one item only) o a. PURE I&Ib. MIXTURE o c. WASTE PHYSICAL STATE 215 (Check one item only) o a. SOLID I&Ib. LIQUID o c. GAS 214 LARGEST CONTAINER 5-gallon FED HAZARD CATEGORIES 216 (Check all that apply) o a, FIRE o b. REACTIVE o c. PRESSURE RELEASE 1&1 d. ACUTE HEALTH 1&1 e. CHRONIC HEALTH AVERAGE DAILY AMOUNT 2171 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 2191 STATEWASTECODE 220 169 380 262,806 221 I DAYS ON SITE: 222 UNITS. oa. GALLONS Db, CUBIC FEET 1&1 c. POUNDS o d. TONS 365 (Check one item onM " If EHS amount must be in pounds. STORAGE CONTAINER o a. ABOVE GROUND TANK o e. PLASTIC/NONMETALLIC DRUM OJ. FIBER DRUM o m. GLASS BOTTLE 0 q. RAIL CAR o b. UNDERGROUND TANK 1&1 f. CAN o j. BAG o n. PLASTIC BOTTLE 0 r. OTHER DC. TANK INSIDE BUILDING o g. CARBOY o k. BOX o o. TOTE BIN o d. STEEL DRUM o h. SILO o I. CYLINDER o p. TANK WAGON 223 STORAGE PRESSURE 1&1 a. AMBIENT o b. ABOVE AMBIENT o c. BELOW AMBIENT 224 STORAGE TEMPERATURt 1&1 a. AMBIENT o b. ABOVE AMBIENT o c, BELOW AMBIENT o d. CRVOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 143% 226 Water 227 D Yes ~ No 228 7732-18-5 229 29% 230 Acrylic Polymer 231 DYes I8J No 232 13463-67-7 233 . 3 7% 234 Calcium Carbonate 235 DYes I8J No 236 471-34-1 237 47% 238 Vinyl Polymer 239 Dyes ~No 240 Proprietary 241 54% 242 Chrystalline Silica 243 Dyes !8INo 244 Proprietary 245 If more hazardous components are present at greater than 1 % by weight If non~rclnogenlc. or 0.1 % by weight If 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,) DIV BN OTHER CUPA PA OFFICIAL USE ONLY UNIFIED PROGRAM (UP) FORM HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one Dalle ner material oer buijdimfor areal DADD DDELETE ~REVISE REPORTING YEAR 2007 200 I Page of I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Sherwin-Williams Store #8101 CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL 202 Wholesale Area (EPCRA ) DYES ~ NO FACILITY 10 # I I I~:~~il I I ni'lJI I I I I I I 1 I MAP# (optional) 203/ GRID# (optionaQ 204 II, CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET DYes 121 No 206 Waste latex and waterborne coatinas (non RCRA hazardous) If Subject to EPCRA, refer \0 instructions COMMON NAME 207 EHS* D Yes 121 No 208 CAS# 209 *If EHS is "Yes", all amounts below must be in Ibs. 210 FIRE CODE HAZARD CLASSES (Complete if required by CUPAI 212 I CURIES 213 HAZARDOUS MATERIAL 211 RADIOACTIVE DVes 18I No TYPE (Check one ilem only) D a. PURE Db. MIXTURE 18I c. WASTE 215 PHYSICAL STATE 214 LARGEST CONTAINER Drum (Check one item only) D a. SOLID l8Ib. LIqUID D c. GAS FED HAZARD CATEGORIES 216 (Cheok all that apply) D a. FIRE D b. REACTIVE D c. PRESSURE RELEASE 18I d. ACUTE HEALTH 18I e. CHRONIC HEALTH AVERAGE DAIL V AMOUNT 217 [ MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 2191 STATE WASTE CODE 220 500 1000 291,513 221 I DAYS ON SITE: 222 UNITS* l8Ia. GALLONS Db. CUBIC FEET D c, POUNDS D d. TONS 365 (Check one item only) * If EHS amount must be in pounds. STORAGE <?ONTAINER D a. ABOVE GROUND TANK De. PLASTICINONMETALLlC DRUM D i. FIBER DRUM D m. GLASS BOTTLE D q, RAIL CAR o b. UNDERGROUND TANK l8I f. CAN o j.BAG D n. PLASTIC BOTTLE o r. OTHER D c. TANK INSIDE BUILDING o g, CARBO)' o k. BOX D o. TOTE BIN 181 d. STEEL DRUM D h. SILO o I. CVLlNDER D p, TANK WAGON 223 STORAGE PRESSURE 18I Q, AMBIENl' o b. ABOVE AMBIENT D c. BELOW AMBIENT 224 STORAGE TEMPERATURE 181 a. AMBIENT D b. ABOVE AMBIENT o c. BELOW AMBIENT D d. CRYOGENIC 225 %WT HAZARDOUS COMPONENT (For mixture or waste only) EHS CAS # 143% 226 Water 227 DYes 121 No 228 7732-18-5 229 29% 230 Acrylic Polymer 231 DYes 121 No 232 13463-67-7 233 3 7% 234 Calcium Carbonate 235 DYes 181 No 236 471-34-1 237 47% 238 Vinyl POlymer 239 DVes ~No 240 Proprietary 241 54% 242 Chrystalline Silica 243 DYes 121 No 244 Proprietary 245 If more hazardous components are present at greater than 1 % by weight if non-earclnogenlc, or 0.1 % by weight If 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 chemica!.) DIV BN OTHER CUPA PA OFFICIAL USE ONLY UNIFIED PROGRAM (UP) FORM HAZARDOUS MATERIALS INVENTORY - CHEMICAL DESCRIPTION (one page per material per buildina or areal I:2IAOD DOELETE DREVISE REPORTING YEAR 2007 200 I Page of I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 ShelWin~Williams Store #8101 CHEMICAL LOCATION 201 CHEMICAL LOCATION CONFIDENTIAL 202 Wholesale Area (EPCRA ) DYES 121 NO 1 I Jti 1 I t;l~)l I I I I I I 1 I MAP#- (optional) 2031 GRID#- (optional) 204 FACILITY 10 # II, CHEMICAL INFORMATION CHEMICAL NAME 205 TRADE SECRET Dyes 18I No 206 Aerosol (including consumer commodities) If Subject to EPCRA, refer to instructions COMMON NAME '2fJ7 EHS. DYes 1:21 No 208 CAS#- 209 *If EHS is .Yes', all amounts below must be in Ibs. FIRE CODE HAZARD CLASSES (Complete if required by CUPA) 210 HAZARDOUS MATERIAL 212 I 213 TYPE (Check one item only) o a. PURE I8Ib. MIXTURE o c. WASTE 211 RADIOACTNE DVes I8INo CURIES PHYSICAL STATE 215 (Check one item only) D a, SOLID Db. LIQUID 181 c. GAS 214 LARGEST CONTAINER Aerosol can FED HAZARD CATEGORIES 216 (Check all that apply) 181 a, FIRE D b. REACTNE 181 c. PRESSURE RELEASE 181 d. ACUTE HEALTH 181 e. CHRONIC HEALTH AVERAGE DAIL V AMOUNT 2171 MAXIMUM DAILY AMOUNT 218 ANNUAL WASTE AMOUNT 2191 STATEWASTECODE 220 1,878 2,547 221 I DAYS ON SITE: 222 UNITS* Da. GALLONS Db. CUBIC FEET 181 c. POUNDS D d. TONS 365 (Check one item onlv) . If EHS amount must be in DOunds. STORAGE CONTAINER o a. ABOVE GROUND TANK o e. PLASTIC/NONMETALLIC DRUM o i. FIBER DRUM o m. GLASS BOTTLE 0 q. RAIL CAR D b. UNDERGROUND TANK 181 f. CAN o j.BAG 181 n. PLASTIC BOTTLE 0 r. OTHER DC. TANK INSIDE BUILDING D g. CARBOY o k. BOX o o. TOTE BIN o d, STEEL DRUM D h. SILO o I. CYLINDER o p. TANK WAGON 223 STORAGE PRESSURE 181 a. AMBIENT o b. ABOVE AMBIENT D c. BELOW AMBIENT 224 STORAGE TEMPERATURE 181 a. AMBIENT o b. ABOVE AMBIENT o c. BELOW AMBIENT o d. CRYOGENIC 225 %wr HAZARDOUS COMPONENT (For mixture or waste only) EHS CA~# 1 20% 226 Water 227 DYes 1:21 No 228 7732-18-5 229 219% 230 Acetone 231 DYes I8l No 232 67-64-1 233 3 11% 234 Propane 235 DYes 1:21 No 236 74-98-6 237 410% 238 Butane 239 Dyes 181 No 240 106-97-8 241 510% 242 Proprietary 243 DYes I8lNo 244 Proprietary 245 If more hazardous components are present at greater than 1 % by weight If non-carclnogenlc, or 0.1 % by weight. carcinogenic, attach additional sheets of paper capturtng 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.) OFFICIAL USE ONLY I DATE RECEIVED I REVIEWED BY DIV BN STA OTHER DISTRICT CUPA PA BUSINESS RESPONSE PLAN Facility Name: 1t= ~'o, Sherwin Williams Store Date: \'0 - 4' 01 Emergency Response/Contingency Plan (Hazardous Materials Business Plan Module) Authority Cited: HSC, Section 25504(b); Title 22, Div. 4.5, Ch. 12, Art, 3 CCR 1. Evacuation Plan: a. The following alarm signal(s) will be used to begin evacuation of the facility (check all that apply): o Bells; 0 Horns/Sirens; t8J Verbal (i,e. shouting); 0 Other (specify) b, 0 Evacuation map is prominently displayed throughout the facility, Note: A properly completed HMBP Site Plan satisfies contingency plan map requirements. This drawing (or any other drawing that shows primary and alternate evacuation routes, emergency exits, and primary and alternate staging areas) must be prominently posted throughout the facility in locations where it will be visible to employees and visitors. 2. a, Emergency Contacts*: Fire/Police/Am bulance Phone No. 911 State Office of Emergency Services Phone No. (800) 852-7550 b, Post-Incident Contacts*: Regional Water Quality Control Board Phone No. (510) 540-3739 Phone No. (408) 452-7288 Phone No. (831) 647-9411 Phone No, (805) 549-3685 California EPA Department of Toxic Substances Control Cal-OSHA Division of Occupational Safety and Health Air Quality Management District * These tetephone numbers are provid ed as a general aid to emergency notificatiOl~ Be advised that additional agencies may be required to be notified, c, Emergency Resources: Poison Control Center Phone No. (800) 876-4766 N,,,,,! Ho.pit." N.m" /fUy ~ Iksf( '1a--t Address:Z'Z- IS" -rr~ Phone No.: ((q~J) ~3Z. --5~u City: &.JG.,- shJ~ CIl 3. List of contractors for site clean up: l.)Ashland Environmentall-800-ASIJ.LAND Sherwin Williams 1-866-SWC-EMER 2 BUSINESS RESPONSE PLAN Name of Company: Sherwin Williams Facilities will be accessible to county's designated emergency response personnel. When a release is observed or anticipated, the following steps will be taken: a) INITIALLY, determine the existence or potential existence of hazardous material. Where unidentified substance or vapors are involved in these incidents, it is always prudent to assume they are toxic or hazardous until determined otherwise, b) IMMEDIA TEL Y, ascertain the location of any incident involving hazardous materials and contact the Business Emergency Coordinator and make the appropriate dispatch of emergency equipment. c) THE BUSINESS EMERENCY COORDINATOR or his/her designee, will contact 911 and the County Health Department who will initiate the emergency response plan. The Emergency Coordinator is to notify neighbors on all sides of the facility if necessary, d) SCENE MANAGEMENT shall be the responsibility of the emergency Coordinator until the arrival of public safety response personnel. In such instance, the Business Emergency Coordinator will cooperate with and support the lawfully designated Scene Manager. e) PROTECTION OF SCENE- It is imperative to protect responders and by-standers from injury or contamination, Personnel first on the scene should immediately take steps to secure the area and establish perimeter control at a safe distance until such time as agency personnel, e,g" police or fire, arrive and assume this responsibility, f) EV ACUATION- The Scene Management Officer must determine if there is any potential danger to individuals in the area and take appropriate steps to notify and evacuate the business and neighbors, In major incidents, County and/or City Disaster Officials will be involved, Evacuation, reception and care will be followed as described in the County Major Disaster Plan, g) CLEAN - UP RESPONSIBILITY is determined by the cause of the incident. If caused by this company, this company has the responsibility to clean up (either by company personnel or approved contractor), h) DECONTAMINATION- Appropriate steps must be taken to decontaminate all victims and response personnel. Local hospitals have facilities to assist in this procedure. Care must be taken to avoid spread of contamination by response vehicles leaving the scene, Victims may be contaminated, i) EMERGENCY MEDICAL RESPONSE- When needed the Business Emergency Coordinator or his/her designee should contact the business physician and appropriate hospital and other medical services if transported by (company employees), If 911 is called, County Communications will be responsible for dispatching all necessary ambulances and coordinating reception of victims at appropriate hospitals, They will follow normal prescribed procedures and supplement with specific exchange of information of contamination is involved, 3 j) IDENTIFICATION- As requested, County Communication will relay information between the response units at the scene and certain other agencies, In all incidents, follow procedure in the order listed in this Plan, Use supplemental information as required, Use pre-established and current call lists. k) QUESTIONS - All questions regarding requirements of Business Plans should be directed to the Division of Environmental Health, County Health Department. BUSINESS RESPONSE PLAN Hazardous Materials Incidents a) FIRES- Sound the fire alarm, Advise that hazardous materials are involved. Call 911- County Emergency Operation Coordinator and the County Health Department. Notify Business Emergency Coordinator, Assist in implementing Evacuation Plan. b) DRAINAGE OR WATERWAY INCIDENTS- Notify the Business Emergency Coordinator, When there is a potential for hazardous material of any type to enter drainage ditches or waterways, call 911and give full particulars, they will make notifications, ~ \ c) NATURAL GAS LEAKS- Leaks may occur in large transmission lines, in the secondary mains, in the lines connecting mains to the building, or buildings, P,G,&E, will respond to all such incidents, either on public or private property, In the event of breaks or leaks, or smell of gas is reported, call 911. Fire departments will be dispatched, and in the event of major incidents, a Scene Management Officer will be required, as in other hazardous material incidents. d) OTHER SPILLS OR LEAKS - Notify 911 AND The County Health Department e) Releases to be Reported a) This business will, upon discovery, immediately report any release or threatened release of a hazardous material to the County Health Department, and to the Officer of Emergency Services, This business will provide all State, City, County, Fire, and Public Health or Safety Personnel and emergency rescue personnel with access to the facility, b) Release- is defmed as spilling, leaking, pumping, pouring, emitting, emptying, discharging, injecting, escaping, leaching, dumping, or disposing into the environment, unless permitted or authorized by a regulatory agency, c) Threatened Releases means a condition creating a substantial probability of harm when the probability and potential of harm make it reasonably necessary to take immediate action to prevent, reduce, or mitigate damage or persons, property, or the environment. 4 Responsibilities a) It is the responsibility of the Business Emergency Coordinator to respond to all Hazardous Materials Incidents; ensure that the recessary notification to emergency response agencies are made; manage the scene until relieved by agencies who have jurisdictional responsibility for coordination of the scene, He/she has the responsibility to complete the necessary reports of the incident and make them available to the Facility Manager or his/he designee, b) It is the responsibility of all employees to conduct his/her job on a safe manner and in accordance with safety rules designated to protect employees, public health and the environment. c) Current inventory information on hazardous materials/hazardous waste handled and stored on site in addition to a current business response plan shall be maintained on file with the County Health Department. d) A current facility map will be maintained on file with the County Health Department indicating locations where hazardous materials are normally stored, e) A current copy of the business response plan and a facility map shall be sent to the local fire agency or fire district in which the business is located, f) This information is to be made available to all employees and public agencies at all times, 5 Evacuation Plan Response to Fire, Explosion, Spill or Major Hazardous Material Emergency Incident. a,) Purpose- to evacuate employees, contractors and other personnel to a safe location in an orderly manner in the event of an emergency, b.) Notification- Call 911 c,) Alarm- (Describe what the business will use as an alarm in an emergency and who is responsible to sound it), It is the responsibility of the Store Manager to verbally notify the employees to evacuate the building, d,) Supervisory Personnel- (describe responsibilities) The Store manager is the emergency response coordinator in case of an evacuation, The Assistant manager is the alternate emergency coordinator, e,) Evacuation Signal- (Describe a specific signal) The store manager or alternate will give the notification to evacuate verbally, f,) Exit Routes - (Describe and indicate on business plot plan, show primary and alternate routes, if applicable) The primary exit route is the front door by the sales floor, The alternate evacuation is out the warehouse door in the rear of the store, g.) Assembly - (Describe an assembly location for all evacuees to proceed to in the event of evacuation so that all personnel can be accounted for, All employees must be made aware of this location, and it must be enough from the hazardous materials storage location to be safe) The primary staging area is in the parking lot outside ofthe front sales door, In case it is unsafe to be in that location the alternate staging area is in the rear of the store by the loading dock or the warehouse door exit, 6 TRAINING - Describe a training program for new employees and yearly refresher training, This plan must contain at least the following information: a,) Familiarization with this Plan, evacuation signal and assembly point. New employee training is conducted within the first 10 days (START Module 101 Safety and Loss Prevention), Annual evacuation training is conducted through materials distributed on the SOURCE intranet and the training is documented on the Quarterly Safety Training Forms, The plan is updated eve!)' year or when there are personnel changes, b,) Safety rules of your business, including, procedures for safe handling of hazardous material, emergency response responsibilities, and use of emergency response equipment and supplies A syllabus of each subject is to be written and maintained on site, Documentation of training for each employee is to be maintained on site, Training for the safe handling of hazardous materials are conducted for new employees in the START modules Safety and Loss Prevention, Hazardous Materials Handling, Hazardous Materials Handling for Managers, and in the W orkSafe Manual. Detailed training instructions are maintained in the Safety Manual Chapter 10, Training and Documentation, c,) Annual refresher training, a.) Describe your program to familiarize employees with the Business Response Plan: Each year a quarterly training topic covers the emergency response plan, Each employee must attend training and participate in a mandato!)' evacuation drill. b,) Describe how employees will be familiarized with safety rules, hazardous materials training procedures, and emergency response responsibilities, Each quarter employees are required to complete safety training and monthly safety meetings are held to discuss safety concerns, new products and processes, Fire extinguishers, eye wash stations and emergency exits are inspected monthly and a more complete inspection is completed each quarter on the "Quarterly Safety Self Inspection" Form c.) Describe how employees will be given annual (or more often) refresher training: Refresher training is distributed via the intranet from the Cleveland headquarters as well as instructions on how the training is conducted, This training is documented on a Safety Training Form and sent to the District Office and a copy is kept in the Store file, NOTE: It is required that training records be kept on each employee in order to be prepared for emergencies and to reduce your liability, Training records are required of Hazardous Waste Generators by law, Trade Secrets Reference Section 25511 of AB 2185. Trade Secrets infonnation will be noted on the inventory fonn with special note to the County Health Department. 7 CHECKLIST FOR EMERGENCY RESPONSE Actual or anticipated SpilllRelease ACTIVITY PERSON RESPONSIBLE 1. Recognize spill, release or potential Person observing hazard 2. Notification of personnel in immediate Person observing vicinity 3, Immediate action to prevent or Business Emergency Action neutralize, Team, 4, Notification of City/County Emergency Business Emergency Action Responders, Teams, 5, Evacuation of persons from the area, if Business Emergency Action deemed necessary, Team, 6, Notify CHEMTREC, If applicable, Business Emergency Action furnish material safetv data sheets for Team or County, the material involved, 7, Assign knowledgeable business Business Emergency Action representative to incident commander, Team, 8, Complete clean up, Business Emergency Action Team, .9, Complete final report, Business Emergency Action Team, 8 Employee Training Plan (Hazardous Materials Business Plan Module) Authority Cited: HSC, Section 25504(c); Title 22, Div. 4.5, Ch. J 2, Art. 3 CCR All facilities that handle hazardous materials must have a written employee training plan, This plan is a required module of the Hazardous Materials Business Plan (HMBP) , A blank plan has been provided below for you to complete and submit if you do not already have such a plan, If you already have a brief written description of your training program that addresses all subjects covered below, you are not required to complete the blank plan, below, but you must include a copy of your existing document as part of your HMBP, Check all boxes that apply, [Note: Items marked with an asterisk (*) are required.]: 1. Personnel are trained in the following procedures: i:8I Internal alarm/notification * i:8I Evacuation/re-entry procedures & assembly point locations* IZI Emergency incident reporting i:8I External emergency response organization notification i:8I Location( s) and contents of Emergency Response/Contingency Plan IZI Facility evacuation drills that are conducted at least (specify) annually (e.g. "Quarterly", el 2, Chemical Handlers are additionally trained in the following: (i,e. inhalation, ingesl 3. Emergency Response Team Members are capable of and engaged in the following: Personnel rescue rocedures Shutdown of 0 erations Liaison with responding agencies Use maintenance, and re lacement of emer enc res onse e ui ment Refresher training, which is provided at least annually * Emergency response drills, which are conducted at least (specify) annually (e.g. "Quarterly", el 9 Record Keeping (Hazardous Materials Business Plan Module) All facilities that handle hazardous materials must maintain records associated with their management. A summary of your record keeping procedures is a required module of the Hazardous Materials Business Plan (HMBP), A blank summary has been provided below for you to complete and submit if you do not already have such a document. If you already have a brief written description of your hazardous materials record keeping systems that addresses all subjects covered below, you are not required to complete this page, but you must include a copy of your existing document as part of your HMBP. Check all boxes that apply, The following records are maintained at the facility, [Note: Items marked with an asterisk (*) are required.]: jgI jgI [8J jgI [8J jgI o [8J A copy of the Inspection Check Sheet(s) or Log(s) used in conjunction with required routine self-inspections of your facility must be submitted with your HMBP, (Exception: A vailable from your local agency is a Hazardous Materials/Waste Storage Area Inspection Form that you may use if you do not already have your own form. If you use the example provided, you do not need to attach a copy.) 10 02/08/2006 17:22 , 1 8 9 10 11 1Z 13 14 IS l' J7 )3 1!1 ]() ZI n 13 :M .Z! 16 Z7 6618370551 SHERWIN WILLIAMS8101 PAGE 01 p.4ge 1 of_ 02/08/2005 17:22 5518370551 PJhl"L UJ ~ ElUr - ~ SHERWIN WILLIAMS8101 T , &~ I I. PAGE 02 ,rJb V- 3./ 8~" ~, ,.,,1fA,IcI/~ W/UI""'S '''~ '111 s~nHUrri!!~P/U /r ~'2. M ,4N ~/"tE:. JftA 31b~ k'/~ ~ ';#~f~,{/1#/J &I. Ivl" (:17-1Z/7 ?.f14' -! ~ ~ 1 MAIN '" ;r - ... ':I - ~ ~et€ 0.. ~"'L ~ ~ ~ \:: i - h . r . . .. ~ ~ ~ ... &::I. ~ ~ ~ ~JD ~~ >> ~ 4; 'lI ~&"f '14 '1ItUII~' .,~~ ..- , ,0 - - --- -- '. . ~r ..~ ~, ;.; - f IffnW uP.1ll) Te6LS' ~ , ~of ~i ~s eMf. x~ nJ Jr1~ ~ V'J l.o&. ~~I, \1' ~ ~=~~ ~ lVt..k. "lr~S ~"'"...,,~ ~ J a JUt,t<. F.Vt#f J tu\i · :I '-' il I ~ :J ~ I ~ :l !~! ~ ~i;gri~ ~~ti ~ ~ i6i:3~ ~ ~ .,,\/ -c ~! (; ~; - I ~. :r . 1 ,