HomeMy WebLinkAboutBUSINESS PLAN 1/14/2008
+ ~ALG~ENS 7909 ====================================== SiteID: 015-021-002984 +
Manager : BRAD HAGGARD
Location: 4949 GOSFORD RD
City BAKERSFIELD
BusPhone:
Map : 123
Grid: 17D
(661) 858-0215
CommHaz : Low
FacUnits: 1 AOV:
CommCode: BFD STA 09 SIC Code: 5912, 7384
EPA Numb: TBD DunnBrad: 93-1 3-6651
+===========--=~=============================================================+
+=======================================+======================================+
Emergency Contact / Title Emergency Contact / Title t
BRAD HAGGARD / STORE MANAGER AGNES MACAPAGAL / DIST PHOTO SUPR
Business Phone: (661) 858-0215x Business Phone: (559) -681-1287
24-Hour Phone : (661) 665-9456x 24-Hour Phone : (559) 681-1287
Pager Phone : () x Pager Phone () - X
+---------------------------------------+--------------------------------------+
I Hazmat Hazards: Press ImmHlth DelHlth I
+------------------------------------------------------------------------------+
Contact : 3E CO % REGULATORY DEPT Phone: (760) 602-8700x
MailAddr: 1905 ASTON AVE State: CA
City : CARLSBAD Zip : 92008
+------------------------------------------------------------------------------+
Owner WALGREENS CORP Phone: (847) 914-2264x
Address: 200 WILMOT RD MS2171 State: IL
City : DEERFIELD Zip : 60015
+------------------------------------------------------------------------------+
Period to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
+------------------------------------------------------------------------------+
Emergency Directives:
PROG A - HAZMAT
+==============================================================================+
+= Hazmat Inventory ========================================= One Unified List +
+== PlanArea + Ref No Order ============================= All Materials at Site +
+--------------------------------+-------+-----------+-----+----------+----+---+
I Hazmat Common Name... ISpecHazlEPA Hazards I Frm I DailyMax IUnitlMCpl
+--------------------------------+-------+-----------+-----+----------+----+---+
REFRIGERANT P IH DH G 258.00 FT3 Low
HELIUM P IH G 220.00 FT3 Min
SPENT PHOTO SOLUTIONS CONTAINING SILVER
Based on my inquiry of those individuals
,,,"'tJ""l:llrM': for ootailllng 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.
"M....o-;\ . l. '-;;:) i~~ 1 4 ZOOB
Signature Date
+==============================================================================+
-1-
12/26/2007
+ WALG~EENS 7909 ====================================== SiteID: 015-021-002984 +
+=' Inventory Item 0002 =============== Facility Unit: Fixed Containers at Site +
+== COMMON NAME / CHEMICAL NAME ==============================+================+
REFRIGERANT I Days On Site I
(R-22) 365
Location within this Facility Unit Map: 1 Grid:G-5+----------------+
REF SYS I CAS # I
75-45-6
+=============================================================+================+
+= STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+
I Gas I Pure I Above Ambient I Ambient I IN MACHINE/EQUIP I
+=========+==========+===============+===============+=========================+
+==========================+ AMOUNTS AT THIS LOCATION =========================+
I Largest Container I Daily Maximum I Daily Average I
258.00 FT3 258.00 FT3 258.00 FT3
+==========================+=========================+=========================+
+=======+============== HAZARDOUS COMPONENTS ==============+===+===============+
I l~~~ooIChlorodifluoromethane IN~SI CAS# 754561
+=======+==================================================+===+===============+
+=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+
I TSecretI RSI BioHazI Radioactive/Amo~t I EPA Hazards I NFPA I USDOT# I MCP I
No No No No/ Curles P IH DH 3/0/0/ 2.2 Low
+=======+===+======+====================+=============+=========+========+=====+
0003 =============== Facility Unit: Fixed Containers at Site +
CHEMICAL NAME ==============================+================+
I Days On Site I
365
Location within this Facility Unit Map:1 Grid:G-6 Days on Site 365
Hallway Outside Office CAS# 7440-59-7
=============================l=:~~~:~:======l
+= STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+
I Gas I Pure I Above Ambient I Ambient I PORT. PRESS. CYLINDER I
+=========+==========+===============+===============+=========================+
+==========================+ AMOUNTS AT THIS LOCATION =========================+
I Largest Container I Daily Maximum I Daily Average I
220.00 FT3 220.00 FT3 110.00 FT3
+==========================+=========================+=========================+
+=======+============== HAZARDOUS COMPONENTS ==============+===+===============+
I %Wt. I I RSI CAS # I
100.00 Helium No 7440597
+=======+==================================================+===+===============+
+=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+
/Tsecretl RSIBioHazl Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP I
No No No No/ Curies P IH ;0/0/0/ 2.2 Min
+=======+===+======+====================+=============+~=======+========+=====+
+= Inventory Item
+== COMMON NAME /
HELIUM
-2-
12/26/2007