HomeMy WebLinkAboutBUSINESS PLAN11/5/2008UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
e E R s F I . D 900'IYuxtun Ave., Suite 210
FiRE Bakersfield, CA 93301
AR~M ~
~ Tel.: (661) 326-3979
F
661
8
ax: (
)
72-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
6s u s ~-s - d 26- M~./
ADDRESS
z o/Y~ ~ I/ r~ PHONE NO.
8>z -3 ~ O OF EMPLOYEES
FACILITY CONTACT USINESS ID NUMBER
15
021
C~Q~ J
/ -
-
~`~~~~w~' ~ ~ '~~ ~~ ~ ~~' ~ ~ ~ ~ ~
~
~
Sect~on 1~ t~B.usines_s~Plan: and~lnve'ntory P~ogram, ~ ,.
:~ , h.z~~ s ~,r ~ ,~~ . ~~ , ~
^ ROUTINE COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ( c=comP~iance~ OPERATION
V=Violation COMMENTS
~ ^ APPROPRIATE PERMIT ON HAND
I~ ^ BUSIIlBSS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
~ ^ CORRECT OCCUPANCY
I~ ^ VERIFICATION OF INVENTORY MATERIALS
~ ^ VERIFICATION OF QUANTITIES
~ ^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
~I ^ 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 HAZARDOUS WASTE ON SITE? L~YES ^ NO
EXPLAIN: _ 1- t~ Q( ~7 L~/h / C', ~. ~
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
~2'I ~N ~ g~-
Inspector (Please Print) Fire Prevention / 1~' In / Shift of Site/Station #
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/OS
+ LONGS DRUG STORE 270 ________________________________ SiteID: 015-021-000991 +
Manager : TRACY GRIMSLEY
Location: 2690 MT VERNON ~VE
City : BAKERSFIELD
BusPhone: (661) 872-3444
Map : 103 CommHaz : High
Grid: 22A FacUnits: 1 AOV:
CommCode: BFD STA 08
EPA Numb: CAL921363469
SIC Code:5912
DunnBrad:00-691-0004
+______________________________________________________________________________t
+____________________.---- +________ ~--.'~~-_ ~~u- _-_____________+
~
~ /~
~~
- 5~~~
~
C
on
t
Title
Emergency Emergency C
on
Title
a
T~ / STC~fiv~:E MANAGER '1'~f~?-~~ / ASSIST MANAGER
Business Phone: (661) 872~-3444x Business Phone: (661) 872-3444x
2 4- Hour Phone : ( 6 61) '_~~~=~~~ 7~ 7~.~'~ 7 2 4- Hour Phone : ( 6 61) ~83-9x g~~{- 7S
Pager Phone : ( ) - x Pager Phone : ( ) - x
+---------------------------------=-----+--------------------------------------+
~ Hazmat Hazards: Fire Press React ImmHlth DelHlth ~
+--------------------------------------------------------'---------------------+
Contact : Phone: (661) 872-3444x
MailAddr: 2690 MT VERNON ~VE State: CA
City : BAKERSFIELD Zip : 93306
+------------------------------------------------------------------------------+
Owner LONGS~DRUG STO~IS CA INC Phone: (925) 937-1170x
Address : 141 N CIVIC DR State: CA
City : WALNUT CREEK Zip : 94596
+------------------------------------------------------------------------------+
Period . to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
+------------------------------------------------------------------------------+.
~ Emergency Directives: ~~
9/8/05 BUSINESS PLAN SEN'~."..
+______________________________________________________________________________+
-1- O1/13/2006
+ LONGS DRUG STORE 270 _____ __________________ __ ______ _ SiteID: 015-021-000991 +
+= Hazmat Inventory ________ __________________ __ ______ ____'__ = By Facil ity Unit +
+_= MCP+DailyMax Order _____ __________________ __ _____ Fixed Containers on S ite +
+--------------------------------+-------+-----------+-----+---------- +---- +---+
~ Hazmat Common Name... ~SpecHaz~EPA Hazards~ Frm ~ DailyMax ~Unit ~MCP~
+--------------------------------+-------+-----------+-----+---------- +---- +---+
PROPANE E F P IH G 363.90 FT3 Hi
BLEACH R IH L 200.00 GAL Hi
POOL ACIDS E R IH S 100.00 LBS Hi
FIXER PART A R IH L 20.00 GAL Hi
DEVELOPER PART A R IH L 10.00 GAL Hi
FUEL ADDITIVES F P R IH L~ 5.00 GAL Hi
DEVELOPER PART A R IH L 5.00 GAL Hi
AMMONIA SOLUTION F R IH L 100.00 GAL Mod
DEVELOPER PART C R IH L' 5.00 GAL Mod
DEVELOPER PART C R IH L 5.00 GAL Mod
ANTIFREEZE F IH L' 400.00 GAL Low
CAMPING FUEL F P IH L' 75.00 GAL Low
FIXER PAR.T B R IH L' 2 0. 0 0 GAL Low
PHOTOGRAPHIC BLEACH IH L 20.00 GAL Low
FIXER L 10.00 GAL Low
DEVELOPER L 5.00 GAL Low
DEVELOPER PART B F R IH L' 5.00 GAL Low
DEVELOPER L 5.00 GAL Low
DEVELOPER PART B F R IH L 5.00 GAL Low
HELIUM F P IH G 488.00 FT3 Min
PHOTO CHEMICAL CONTAINING SILVE L~ 220.00 LBS Min
WASTE FIXER R L 75.00 GAL Min
MOTOR OIL F DH L, 50.00 GAL Min
PHOTO CHEMICAL CONTAINING SILVE S' 30.00 GAL Min
PHOTOGRAPHIC STABILIZER IH L 1.00 GAL Min
FERTILIZER F R IH S' 1000.00 LBS UnR
HERBICIDES F IH S 400.00 LBS UnR
INSECTICIDES F IH L: 200.00 GAL UnR
PESTICIDES F IH S 50.00 LBS UnR
+______________________________________________________________________________+
-2- O1/13/2006
-3- O1/13/2006
+ LONGS DRUG STORE 270 ________________________________ SiteID: 015-021-000991 +
+= Inventory Item 0017 _______________ Facility Unit: Fixed Containers on Site +
+_= COMMON NAME / CHEMICAL ~AME ______________________________+________________+
PROPANE Days On Site
365
Location within this F~cility Unit Map: Grid: +----------------+
PHOTOLAB PRODUCT STORAGE/JANITORIAL AREA I CAS# I
74-98-6
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PR~'ISSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Gas ~ Pure ~ Abov~ Ambient ~ Ambient ~ PORT. PRESS. CYLINDER ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Co181195rFT3 ~ Daily 363190m FT3 I Daily 363r90e FT3 I
+__________________________+_________________________+_________________________+
+_______+______________ HAZ'~RDOUS COMPONENTS =_____________+___+_______________+
I 100t00IPropane IYesl ~S# ~4986I
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBNo~Hazl RN~d~oa~ctive/Cuoies I FPP HalHrds I%F%A/ I USDOT# I HiP I
+_______+___+______+____________________+_____________+__=______+________+_____+
+= Inventory Item 0004 _______________ Facility Unit: Fixed Containers on Site +
+_= CONIMON NAME / CHEMICAL 1dAME ______________________________+________________+
BLEACH Days On Site
365 I
Location within this Fa~cility Unit Map: Grid: +----------------+
PHOTO LAB & SE CORNER SAL~~S FLOOR & WAREHOUSE I ~ g1574 I
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PR:&,''SSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Liquid ~ Pure ~ Ambu~nt ~ Ambient ~ PLASTIC CONTAINER I
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Contii~ne~rG~ I Daily 200100m G~ I Daily 332r00e GAL I
+__________________________+_________________________+_________________________+
+_______+______________ HAZ~RDOUS COMPONENTS =_____________+___+_______________+
I 30t00ISodium Hypochlorit~ ~ INosl CAS#7681529I
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBNo~Hazl RN~d~oa~ctive/Curies I EPA RalHrds I/F~A/ I USDOT# I Hip I
+_______+___+______+--------------------+-------------+_________+--------+_____+
-------------- ------------- --------
-4- O1/13/2006
+ LONGS DRUG STORE 270 ________________________________ SiteID: 015-021-000991 +
+= Inventory Item 0007 _______________ Facility Unit: Fixed Containers on Site +
+_= CODM~ION NAME / CHEMICAL ~AME ______________________________+________________+
POOL ACIDS I Days On Site I
365
Location within this F~cility Unit Map: Grid: +----------------+
SALES FLOOR & WAREHOUSE I CAS# I
7647010
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= P1~~'ISSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Solid ~ Pure ~ Ambi!~nt ~ Ambient I PLASTIC CONTAINER ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Cont2~00rLBS ~ Daily 100100m LBS I Daily 900r00e LBS I
+__________________________+_________________________+_________________________+
+_______+______________ HAZ~RDOUS COMPONENTS =___________=_+___+_______________+
I 1Ot00IMuriatic Acid ! IYesl ~S#7647010I
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBNo~Hazl RN~d~oauctive/Cu~l'es ( EPA RalHrds I jF~A/ I USDOT# I HiP I
+_______+___+______+____________________+_____________+_________+________+_____+
+= Inventory Item 0022 _______________ Facility Unit: Fixed Containers on Site +
+_= COMMON NAME / CHEMICAL 1~AME ______________________________+________________+
FIXER PART A I Days On Site I
CP-47 L2-R BLEACH FIXER - PART A 365
Location within this Fa~cility Unit Map: Grid: +----------------+
PHOTO LAB PRODUT STORAGE I CAS# (
7783-18-8
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= Pk:~,"~SSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
I Liquid ~ Mixture ~ Amb~.~nt I Ambient I PLASTIC CONTAINER I
+_________+__________+_______________+_______________+___=_____________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Cont0150rGAL ~ Daily M2x~im~u~m G~ Daily A~e~ra~~ge G~ I
+__________________________'+_________________________+_________________________+
+_______+______________ HA~~RDOUS COMPONENTS =_____________+___+_______________+
%Wt. RS CAS#
30.00 Ferric Ammonium EDTA No 0
5.00 Benzoic Acid No 65850
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBNo~Hazl RN~d~oa~ctive/Curl'es I EPA RalHrds I%F~A/ I USDOT# I HiP I
+_______+___+______+____________________+_____________+_________+________+_____+
-5- O1/13/2006
+ LONGS DRUG STORE 270 ________________________________ SiteID: 015-021-000991 +
+= Inventory Item 0025 _______________ Facility Unit: Fixed Containers on Site +
+_= CONIMON NAME / CHEMICAL ~AME ______________________________+________________+
DEVELOPER PART A I Days On Site I
CN-16 LN1-R DEVELOPER PAF~:T A 365
Location within this F~ucility Unit Map: Grid: +----------------+
PHOTO LAB PRODUCT STORAGE I ~7757-83-7I
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PR~'ISSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
I Liquid ~ Mixture ~ Amb~.~nt ~ Ambient ~ PLASTIC CONTAINER ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Cont0i25rG~ ~ Daily M10100m G~ I Daily AlOr00e GAL I
+__________________________+_________________________+_________________________+
+_______+______________ HAZ~.RDOUS COMPONENTS =_____________+___+_______________+
°sWt. RS CAS#
40.00 Potassium Carbonate No 584087
5.00 Sodium Sulfite No 7757837
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBNo~Hazl RNd~~o~uctive/Cu~ies I EPA RalHrds I%F%A/ I USDOT# I HiP I
+_______+___+______+_______'`_____________+_____________+_________+________+_____+
+= Inventory Item 0010 _______________ Facility Unit: Fixed Containers on Site +
+_= CONIMON,NAME / CHEMICAL L'~AME ______________________________+________________+
FUEL ADDITIVES I Days On Site I
365
Location within this Faucility Unit Map: Grid: +----------------+
SALES FLOOR & WAREHOUSE ~ CAS# I
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PR:&~"ISSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Liquid ~ Mixture ~ Ambu.~nt ~ Ambient ~ PLASTIC CONTAINER ~
+_________+__________+_______________+_______________+___=_____________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Container ~ Daily Maximum I Daily Average I
0.12 GAL 5.00 GAL 30.00 GAL
+__________________________+_________________________+_________________________+
+_______+______________ HAZl~RDOUS COMPONENTS =_____________+___+_______________+
°sWt. ~ RS CAS#
60.00 Methyl Alcohol No 67561
20.00 Methyl Ethyl Ketor~e No 78933
20.00 Ethylene Glycol No 107211
+-------+--------------------------------------------------+---+---------------+
------- ------------ --------------------------- --- ---------------
+_______+___+______+______=___= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBNo~Hazl RN~d~o~uctive~Curies I FPP RalHrds /F%A/ I USDOT# I HiP I
+_______+___+______+____________________+_____________+_________+________+_____+
-6- O1/13/2006
+ LONGS DRUG STORE 270 ________________________________ SiteID: 015-021-000991 +
+= Inventory Item 0019 _______________ Facility Unit: Fixed Containers on Site +
+_= COMMON NAME / CHEMICAL ~AME ______________________________+________________+
DEVELOPER PART A I Days On Site I
CP-47 LP1-CR DEVELOPER/RE~LENISHER PART A 365
Location within this F~cility Unit Map: Grid: +----------------+
PHOTO LAB PRODUCT STORAGE I CAS# I
7757-83-7
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= P~~'SSURE ___+ TEMPER.ATURE __+___= CONTAINER TYPE _____+
I Liquid I Mixture ~ Ambuent ~ Ambient I PLASTIC CONTAINER I
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Container I Daily Maximum I Daily Average I
0.50 GAL 5.00 GAL 5.00 GAL
+__________________________+_________________________+_________________________+
+_______+______________ HAZ~RDOUS COMPONENTS =_____________+___+_______________+
I ~7t00ITriethanolamine INosl CAS# 102716I
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
TSecret RS BioHaz Radioa~ctive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies I R IH I~~~ I I Hl I
+_______+___+______+____________________+_____________+_________+________+_____+
+= Inventory Item 0006 _______________ Facility Unit: Fixed Containers on Site +
+_= COMMON NAME / CHEMICAL I~TAME _____._________________________+________________+
AMMONIA SOLUTION Days On Site
365 I
Location within this Fa~cility Unit Map: Grid: +----------------+
SALES FLOOR & WAREHOUSE ~ CAS# I
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= P~&.'ISSURE ___+ TEMPER.ATURE __+___= CONTAINER TYPE _____+
~ Liquid ~ Mixture ~ Amb~.ent ~ Ambient I PLASTIC CONTAINER ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Container I Daily Maximum I Daily Average I
1.00 GAL 100.00 GAL 100.00 GAL
+__________________________+_________________________+_________________________+
+_______+______________ HAZ~RDOUS COMPONENTS =___________=_+___+_______________+
°sWt. RS CAS#
30.OOIAmmonium Hydroxid~ INo I 1336216I
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNoretlNoSIBNo~Hazl RN~d~oa~ctive/Cu~les I FPA RalHrds I jF~A/ I USDOT# I Mod I
+_______+___+______+____________________+_____________+_________+________+_____+
-7- O1/13/2006
+ LONGS DRUG STORE 270 ________________________________ SiteID: 015-021-000991 +
+= Inventory Item 0021 _______________ Facility Unit: Fixed Containers on Site +
+_= CODM~ION NAME / CHEMICAL ~AME ______________________________+________________+
DEVELOPER PART C~ I Days On Site I
CP-47 LPl-CR DEVELOPER/RE~LENISHER PART C 365
Location within this F~cility Unit Map: Grid: +----------------+
PHOTO LAB PRODUCT STORAGE I ~111-30-8I
+_____________________________________________________________+_=______________+
+= STATE _+= TYPE ___+_= P~~ISSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Liquid ~ Mixture ~ Amb~.~nt ~ Ambient ~ PLASTIC CONTAINER ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Container ~ Daily Maximum I Daily Average I
0.15 GAL 5.00 GAL 5.00 GAL
+__________________________+_________________________+_________________________+
+_______+______________ HAZ~RDOUS COMPONENTS =_____________+___+_______________+
~Wt. RS CAS#
40.00 Potassium Carbonat~ No 584087
15.00 Potassium Hydroxidl~ No 1310583
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBNo~Haz RN~d~o~ictive/Curies I EPA RalHrds I%F~A/ I USDOT# I Mod I
+_______+___+______+____________________+_____________+_________+________+_____+
+= Inventory Item 0027 _______________ Facility Unit: Fixed Containers on Site +
+_= COMMON NAME / CHEMICAL ~TAME ______________________________+________________+
DEVELOPER PART C ~ I Days On Site I
CN-16 LN1-R DEVELOPER PAl~T C 365
Location within this Fa~cility Unit Map: Grid: +----------------+
PHOTO LAB PRODUCT STOR.AGE I CAS# I
111-30-8
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PF~~'SSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Liquid ~ Mixture ~ Ambu~nt ~ Ambient I PLASTIC CONTAINER I
+_________+__________+_______________+_______________+___=_____________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Container I Daily Maximum I Daily Average I
0.12 GAL 5.00 GAL 5.00 GAL
+__________________________+_________________________+_________________________+
+_______+______________ HAZ~.RDOUS COMPONENTS =_____________+___+_______________+
I$Wt. I I RS) CAS# I
15.00 p-Phenylenediamin~ No 106503
+_______+__________________________________________________+___+_______________+
+_______+___+______+_______=__= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBNo~Hazl RN~d~oauctive/Cu~ies EPA RalHrds I%F~A/ USDOT# I Mod I
+_______+___+______+____________________+_____________+__=______+________+_____+
-8- O1/13/2006
+ LONGS DRUG STORE 270 ________________________________ SiteID: 015-021-000991 +
+= Inventory Item 0011 _______________ Facility Unit: Fixed Containers on Site +
+_= COMMON NAME / CHEMICAL ~AME ______________________________+________________+
ANTIFREEZE Days On Site
. 365
Location within this F~cility Unit Map: Grid: +----------------+
SALES FLOOR & WAREHOUSE ~ CAS# I
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= P1~&~'ISSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Liquid ~ Pure ~ Ambu~nt ~ Ambient ~ PLASTIC CONTAINER ~
+---------+__________+-----:----------+_______________+_________________________+
--------- ---------------
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Contii~n~erG~ ( Daily 400100m G~ I Daily 100r00e GAL I
+__________________________+_________________________+_________________________+
+_______+______________ HAZ~.RDOUS COMPONENTS =___________=_+___+_______________+
I 100t00lEthylene Glycol INosl CAS# 107211I
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBNo~Hazl RN~d~oauctive/Curl'es I FPA HalHrds I%F~A/ I USDOT# I Low I
+_______+___+______+____________________+_____________+_________+________+_____+
+= Inventory Item 0012 _______________ Facility Unit: Fixed Containers on Site +
+_= CONIMON NAME / CHEMICAL I~TAME ______________________________+________________+
CAMPING FUEL Days On Site
365
Location within this Faucility Unit Map: Grid: +----------------+
SALES FLOOR & WAREHOUSE I CAS# I
70892103
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PF~~,'ISSURE ___+ TEMPER.ATURE __+___= CONTAINER TYPE _____+
~ Liquid ~ Pure ( Ambu~nt ~ Ambient I METAL CONTAINR-NONDRUM ~
+_________+__________+_______________+_______________+___=_____________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Container ~ Daily Maximum I Daily Average I
1.00 GAL 75.00 GAL 50.00 GAL
+__________________________+_________________________+_________________________+
+_______+______________ HA2~2DOUS COMPONENTS =____=________+___+_______________+
I 100t00IKerosene ' INosl CAS70892103I
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBNo~Hazl RN~d~oa~ctive/Amo es I FPP HalHrds I~F~A/ I USDOT# I Low I
+_______+___+______+____________________+_____________+_________+________+_____+
-9- O1/13/2006
+ LONGS DRUG STORE 270 ________________________________ SiteID: 015-021-000991 +
+= Inventory Item 0023 _______________ Facility Unit: Fixed Containers on Site +
+_= CONIl~fON NAME / CHEMICAL NAME ______________________________+________________+
FIXER PART B Days On Site
CP-47 LP2-R COLOR BLEACH ~IXER PART B 365 I
Location within this F~cility Unit Map: Grid: +----------------+
PHOTO LAB PRODUCT STOR.AGE I 0043-O1-3I
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PR~SSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Liquid ~ Mixture ~ Amb~~nt ~ Ambient ~ PLASTIC CONTAINER I
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Container I Daily Maximum I Daily Average I
0.50 GAL 20.00 GAL 20.00 GAL
+__________________________+_________________________+_________________________+
+_______+______________ HAZpiRDOUS COMPONENTS =_____________+___+_______________+
sWt. RS CAS#
40.00 Ammonium Thiosulfa~te No 7783188
10.00 Potassium Bisulfite No 1310618
7.00 Ammonium Sulfite No 10196202
+_______+__________________________________________________+___+_______________+
+_______+___+______+______=___= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBN Hazl RN~d~oauctive/Cu~ies I EPA RalHrds I~F~A/ I USDOT# I Low I
+_______+___+______+____________________+_____________+__=______+________+_____+
+= Inventory Item 0028 _______________ Facility Unit: Fixed Containers on Site +
+_= CONIMON NAME / CHEMICAL 1'~TAME ______________________________+________________+
PHOTOGRAPHIC BLEACH I Days On Site I
CN-16 LN2-R COLOR FILM BL~'~P,CH REPLENISHER 365
Location within this F~cility Unit Map: Grid: +----------------+
PHOTO LAB PRODUT STORAGE I 12124-97-9I
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= P12~'ISSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Liquid ~ Mixture ~ Ambu.ent ~ Ambient ~ PLASTIC CONTAINER ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Conta~i5e~rG~ ~ Daily M2x~im~u~m G~ I Daily A2e~r~ag~e G~ I
+__________________________+_________________________+_________________________+
+_______+______________ HA7.~RDOUS COMPONENTS =_____________+___+_______________+
°sWt. RS CAS#
20.00 Ferric Ammonium EDTA No 0
15.00 Ammonium Bromide No 12124979
7.00 Maleic Acid No 110167
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSecretl RSIBioHazl Radio~uctive/Amount I EPA Hazards I NFPA I USDOT# I MCP I
No No No No/ Curies IH /// Low
+_______+___+______+____________________+_____________+_________+________+_____+
-10- O1/13/2006
+ LONGS DRUG STORE 270 ________________________________ SiteID: 015-021-000991 +
+= Inventory Item 0029 _______________ Facility Unit: Fixed Containers on Site +
+_= CON~lON NAME / CHEMICAL ~AME ______________________________+________________+
FIXER I Days On Site I
CN-16 LN3-R FIXER 365
Location within this F~cility Unit Map: Grid: +----------------+
PHOTO LAB PRODUCT STOR.AGE ~ ~ CAS# I
+__________________________'=__________________________________+________________+
+= STATE _+= TYPE ___+_= P~~~SSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Liquid ~ Mixture ~ Ambu~nt ~ Ambient ~ PLASTIC CONTAINER ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Container I Daily Maximum I Daily Average I
0.50 GAL 10.00 GAL 10.00 GAL
+__________________________+_________________________+_________________________+
+_______+______________ HAZ~F4RDOUS COMPONENTS =_____________+___+_______________+
$Wt. RS CAS#
50.00 Ammonium Thiosulfaute No 7783188
5.00 Ethylenediamine Tetraacetic Acid ~ No 60004
5.00 Ammonium Bisulfite No 10192300
+_______+__________________________________________________+___+_______________+
+_______+___+______+______=___= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSecretl RSIBioHazl Radioauctive/Amount I EPA Hazards I NFPA I USDOT# I MCP I
No No No No/ Curies %// Low
+_______+___+______+____________________+_____________+_________+________+_____+
+= Inventory Item 0018 _______________ Facility Unit: Fixed Containers on Site +
+_= COMMON NAME / CHEMICAL 1'~AME ______________________________+________________+
DEVELOPER I Days On Site I
CP-47 LPl-5 COLOR DEVELOP~'R STARTER 365
Location within this Faucility Unit Map: Grid: +----------------+
PHOTO LAB PRODUCT STORAGE ~ CAS# I
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= P1~~'ISSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Liquid ~ Mixture I Ambu.~nt I Ambient I PLASTIC CONTAINER ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Container I Daily Maximum I Daily Average I
0.25 GAL 5.00 GAL 5.00 GAL
+__________________________+_________________________+_________________________+
+_______+______________ HAZ~RDOUS COMPONENTS =_____________+___+_______________+
%Wt. RS CAS#
10.00 Potassium Chloride No 7447407
10.00 Sodium Bicarbonate No 144558
7.00 Potassium Carbonate No 584087
+_______+__________________________________________________+___+_______________+
+_______+___+______+______==__= HAZARD ASSESSMENTS =__+_________+________+_____+
TSecret RS BioHaz Radio~uctive/Amount EPA Hazards NFPA USDOT# MCP
No No No I No/ Curies I I/// I I Low I
+_______+___+______+------==------------+-------------+---------+________+-----+
------ ------- ------------- --------- -----
-11- O1/13/2006
+ LONGS DRUG STORE 270 ________________________________ SiteID: 015-021-000991 +
+= Inventory Item 0020 _______________ Facility Unit: Fixed Containers on Site +
+_= CONIMON NAME / CHEMICAL ~AME ______________________________+________________+
DEVELOPER PART B I Days On Site I
CP-47 LP1-CR DEVELOPER/RE1?LENISHER PART B 365
Location within this Fa~cility Unit Map: Grid: +----------------+
PHOTO LAB PRODUCT STORAGE I CAS# I
74-19-7
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= P~ISSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Liquid ~ Mixture ~ Amb~.~nt ~ Ambient ~ PLASTIC CONTAINER ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =__=_____________________+
I Largest Container ~ Daily Maximum I Daily Average I
0.12 GAL 5.00 GAL ' 5.00 GAL
+__________________________+_________________________+___=_____________________+
+_______+______________ HAZ~RDOUS COMPONENTS =___________=_+___+_______________+
I 40t001p-Phenylenediamin~ INosl CAS# 106503I
+_______+__________________________________________________+___+_______________+
+_______+___+______+______=___= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBNoHazl RN~d~oa~ctive/Cu~l'es I FPA RalHrds I jF~A/ I USDOT# I Low I
+_______+___+______+____________________+_____________+__=______+________+_____+
+= Inventory Item 0024 _______________ Facility Unit: Fixed Containers on Site +
+_= COMMON NAME / CHEMICAL 1~TAME ______________________________+________________+
DEVELOPER I Days On Site I
CN-16 LN1-5 DEVELOPER STPI~TER 365
Location within this Faucility Unit Map: Grid: +----------------+
PHOTO LAB PRODUCT STORAGE ~ CAS# I
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= P1~~"ISSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Liquid I Mixture ~ Ambu~nt ~ Ambient ~ GLASS CONTAINER ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =___________________-__--+
I Largest Container ~ Daily Maximum I Daily Average I
0.12 GAL 5.00 GAL 5.00 GAL
+__________________________+_________________________+___=_____________________+
+_______+______________ HAZ~RDOUS COMPONENTS =_____________+___+_______________+
%Wt. RS CAS#
10.00 Potassium Carbonat~ , No 584087
10.00 Sodium Carbonate No 497198
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No I No I No/ Curies I (/// ( I L°w I
+_______+___+______+____________________+_____________+__=______+________+_____+
-12- O1/13/2006
+ LONGS DRUG STORE 270 ________________________________ SiteID: 015-021-000991 +
+= Inventory Item 0026 _______________ Facility Unit: Fixed Containers on Site +
+_= COMMON NAME /.CHEMICAL ~AME ______________________________+________________+
DEVELOPER PART B I Days On Site I
CN-16 LNl -R DEVELOPER PAR:'T" B 3 65
Location within this Facility Unit Map: Grid: +----------------+
PHOTO LAB PRODUCT STORAGE I CAS#4-19-~I
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= P1~'SSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Liquid ~ Mixture ~ Amb~i~nt I Ambient ~ PLASTIC CONTAINER ~
+_________+__________+_______________+_______________+___=_____________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Container ~ Daily Maximum I Daily Average I
0.12 GAL 5.00 GAL 5.00 GAL
+__________________________+_________________________+_________________________+
+_______+______________ HAZ~RDOUS COMPONENTS =_____________+___+_______________+
°sWt. RS CAS#
10.00 Hydroxylamine Sul~ate No 10039540
7.00 Hydroxylamine ~ No 7803498
+_______+__________________________________________________+___+_______________+
+_______+___+______+______==__= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBNo~Hazl RN~d~oa~ctive/Curies I FPA RalHrds jF~A/ USDOT# Low
I (
+_______+___+______+____________________+_____________+_________+________+_____+
+= Inventory Item 0016 _______________ Facility Unit: Fixed Containers on Site +
+_= CONIl~ION NAME / CHEMICAL L~TAME ______________________________+________________+
HELIUM Days On Site
365 I
Location within this Fa~cility Unit Map: Grid: +----------------+
PHOTO LAB PRODUCT STORAGE/JANITORIAL AREA I ~440-59-7I
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= P1~:~?~SSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Gas ~ Pure ~ Abov~ Ambient ~ Ambient I PORT. PRESS. CYLINDER I
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Co244100rFT3 I Daily 488100m FT3 I Daily 488r00e FT3 I
+__________________________+_________________________+_________________________+
+_______+______________ HAZ~RDOUS COMPONENTS =___________=_+___+_______________+
I 100t00IHelium ` INosl CAS#7440597I
+_______+-------------------------------------------------- --- ----
------------------------------- ------- +---+_---___________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBNo~Hazl RN~d~oa~ctive/Curl'es I FPP HalHrds I%F~A/ I USDOT# I Min I
+_______+___+______+____________________+_____________+_________+________+_____+
-13- , O1/13/2006
+ LONGS DRUG STORE 270 ________________________________ SiteID: 015-021-000991 +
+= Inventory Item 0031 _______________ Facility Unit: Fixed Containers on Site +
+_= COMMON NAME / CHEMICAL ~AME ______________________________+________________+
PHOTO CHEMICAL CONTAINING SILVER I Days On Site I
METAL SLUDGE FROM SILVER gEARING WASTE ~ 365
Location within this Fa~cility Unit Map: Grid: +----------------+
WAREHOUSE - SILVER RECOVEfl~Y SYSTEM ; I CAS# I
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PR:~'~SSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Liquid ~ Waste ~ Ambu~nt I Ambient ~ DRUM/BARREL-NONMETAL I
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Co~~Ol00rLBS ~ Daily 220100m LBS I Daily 220r00e LBS I
+__________________________+_________________________+_________________________+
+_______+______________ HAZ~RDOUS COMPONENTS =_____________+___+_______________+
I ~Ot50ISilver (NoSI CAS#7440224I
+_______+__________________________________________________+___+_______________+
+_______+___+______+______=___= HAZARD ASSESSMENTS =__+_________+________+_____+
TSecret RS BioHaz Radio~uctive/Amount EPA Hazards NFPA USDOT# MCP
I No INo I No I No/ Curies I I/// I I Min I
+_______+___+______+____________________+_____________+_________+________+_____+
+= Inventory Item 0015 _______________ Facility Unit: Fixed Containers on Site +
+_= CONIMON NAME / CHEMICAL 1~JAME ______________________________+________________+
WASTE FIXER
WASTE PHOTOGRAPHIC FIXER
Location within this Farcility Unit
INSIDE REAR OF PHOTO LAB
Days On Site
365
Map: Grid: +----------------+
I CAS# I
DO11
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= P1~~'ISSURE ___+ TEMPER.ATURE __+___= CONTAINER TYPE _____+
~ Liquid ~ Waste I Ambu.ent ~ Ambient I PLASTIC CONTAINER ~
+_________+_______=__+_______________+_______________+___=_____________________+
+__________________________+ AMOUNTS AT THIS LOCATION =__=_____________________+
I Largest Con30100rG~ ~ Daily M75im~u~m G~ I Daily A50r00e GAL I
+__________________________+_________________________+_________________________+
+_______+______________ HAZ~.RDOUS COMPONENTS =___________=_+___+_______________+
I %Wt• ISilver INosl CAS#7440224I
+_______+__________________________________________________+___+_______________+
+_______+___+______+______=___= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNoretlNoSIBNoHazl RNo~oa~ctive/Curies ( EPA Razards I jF~A/ I USDOT# I Min I
+_______+___+______+____________________+_____________+__=______+________+_____+
-14- O1/13/2006
+ LONGS DRUG STORE 270 ________________________________ SiteID: 015-021-000991 +
+= Inventory Item 0009 _______________ Facility Unit: Fixed Containers on Site +
+_= CONIMON NAME / CHEMICAL NAME ______________________________+________________+
MOTOR OIL Days On Site
365
Location within this F~cility Unit ~ Map: Grid: +----------------+
SALES FLOOR & WAREHOUSE I 8020835 I
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PF~~"ISSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Liquid ~ Pure ~ Ambii.~nt ~ Ambient ~ BOX ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest ContOi25rG~ I Daily M50100m G~ I Daily 300r00e GAL I
+__________________________+_________________________+_________________________+
+_______+______________ HAZ~R.DOUS COMPONENTS =_____________+___+_______________+
I 100t00IMotor Oil, Petrole~xm Based INoSI CAS#8020835I
+_______+__________________________________________________+___+_______________+
+_______+___+______+______=___= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBN Hazl RN~d~oauctive/Cu~ es I FPA HazarDH I jF%A/ I USDOT# I Min
+_______+___+______+____________________+_____________+_________+________+_____+
+= Inventory Item 0032 _______________ Facility Unit: Fixed Containers on Site +
+_= CONIMON NAME / CHEMICAL 1'~AME ______________________________+________________+
PHOTO CHEMICAL CONTAINING SILVER Days On Site
SILVER FLAKE FROM ELECTRO~LYTIC SRU 365 I
Location within this Facility Unit Map: Grid: +----------------+
WAREHOUSE - SILVER RECOVEE~Y SYSTEM ~ ~ CAS# I
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PR~"ISSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Solid ~ Waste ~ Amb~..~nt ~ Ambient ~ PLASTIC CONTAINER ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Con30100rG~ ~ Daily M30100m G~ I Daily AlOr00e GAL I
+__________________________+_________________________+_________________________+
+_______+______________ HAZ~.RDOUS COMPONENTS =_____________+___+_______________+
I 94t00ISilver INosl CAS#7440224I
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+__=______+________+_____+
TSecret RS BioHaz Radio~ctive/Amount EPA Hazards NFPA USDOT# MCP
No No I No I No/ Curies I I~/ // I I Min I
+_______+___+______+____________________+_____________+_________+________+_____+
-15- O1/13/2006
+ LONGS DRUG STORE 270 ________________________________ SiteID: 015-021-000991 +
+= Inventory Item 0030 _______________ Facility Unit: Fixed Containers on Site +
+_= CONIMON NAME / CHEMICAL ~AME ______________________________+________________+
PHOTOGRAPHIC STABILIZER ~ Days On Site
CN-16 LN4-R SAFER STABIL7[ZER 365 I
Location within this Fa~.cility Unit Map: Grid: +----------------+
PHOTO LAB PRODUCT STOR.AGE ~ CAS# I
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= P~'SSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Liquid ~ Mixture ~ Amb~.ent ~ Ambient ~ PLASTIC CONTAINER ~
+_________+__________+_______________+_______________+___=_____________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Container ( Daily Maximum I Daily Average I
0.05 GAL 1.00 GAL 1.00 GAL
+__________________________'+_________________________+_________________________+
+_______+______________ HAZ'~.RDOUS COMPONENTS =___________=_+___+_______________+
I 15t00ITriazole INosl CAS# 288880I
+_______+__________________________________________________+___+_______________+
+_______+___+______+_______=__= HAZARD ASSESSMENTS =__+_________+________+_____+
TSecret RS BioHaz Radioarctive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies I IH I/// I I Min I
+_______+___+______+--------------------+-------------+_________+________+_____+
-------------- -------------
+= Inventory Item 0013 _______________ Facility Unit: Fixed Containers on Site +
+_= CONIMON NAME / CHEMICAL NAME ______________________________+________________+
FERTILIZER Days On Site
I 365 I
Location within this F~cility Unit Map: Grid: +----------------+
SALES FLOOR/WAREHOUSE I CAS# I
0
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= P~:~,''SSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Solid ~ Pure ~ Amb~.~nt ~ Ambient ~ BAG I
+_________+-----_-___+_______________+_______________+____---------------------
- - - ---------------------+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Con20100rLBS ~ Dailyl000100m LBS I Daily2000r00e LBS I
+__________________________+_________________________+_________________________+
+_______+______________ HA7~,RDOUS COMPONENTS =___________=_+___+_______________+
I%Wt. I I RSI CAS# ~
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
TSecret RS BioHaz Radioa~ctive/Amount EPA Hazards NFPA USDOT# MCP
No No No I No/ Curies I F R IH I~~~ I I U~ I
+_______+___+______+____________________+_____________+_________+________+_____+
-16- , O1/13/2006
+ LONGS DRUG STORE 270 ________________________________ SiteID: 015-021-000991 +
+= Inventory Item 0002 _______________ Facility Unit: Fixed Containers on Site +
+_= CONIl~ION NAME / CHEMICAL ~AME ______________________________+________________+
HERBICIDES Days On Site
365 I
Location within this F~cility Unit Map: Grid: +----------------+
SALES FLOOR/WAREHOUSE SAL~"IS FLOOR/WAREHOUSE I CAS# (
0
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PI~~'ISSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~~Solid ~ Pure ~ Amb~~nt ~ Ambient I GLASS CONTAINER I
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Cont1100rLBS I Daily 400100m LBS I Daily 600r00e LBS I
+__________________________+_________________________+_________________________+
+_______+______________ HAZ.~RDOUS COMPONENTS =_____________+___+_________=_____+
I 100t00IHerbicides ' INosl CAS# OI
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBi~Hazl RN~d~o~uctive/Curies I FPA HalHrds I jF~A/ I USDOT# I U~ I
+_______+___+______+____________________+_____________+_________+________+_____+
+= Inventory Item 0001 _______________ Facility Unit: Fixed Containers on Site +
+_= CONIMON NAME / CHEMICAL l~TAME ______________________________+________________+
INSECTICIDES ; Days On Site
365 I
Location within this F~cility Unit Map: Grid: +----------------+
SALES FLOOR/WAREHOUSE SAL~,',S FLOOR/WAREHOUSE I CAS# I
0
+_____________________________________________________________+________________+
+= STATE _+= TYPE ___+_= PF~~''SSURE ___+ TEMPERATURE __+____, CONTAINER TYPE _____+
~ Liquid ~ Pure ~ Ambuent ( Ambient ~ GLASS CONTAINER ~
+_________+__________+_______________+_______________+_________________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Contii~ne~rG~ I Daily 200100m G~ I Daily 200r00e GAL I
+__________________________+_________________________+___=_____________________+
+_______+______________ HAZ~RDOUS COMPONENTS =_____________+___+_______________+
I 100t00 Insecticides INoSI CAS# OI
+_______+__________________________________________________+___+_______________+
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
ITSNc~retlNoSIBNo~Hazl RN~d~oa~ctive/Curles I FpA HalHrds I%F~A/ I USDOT# I U~C~P I
+_______+___+______+____________________+_____________+_________+________+_____+
-17- O1/13/2006
+ LONGS DRUG STORE 270 ________________________________ SiteID: 015-021-000991 +
+= Inventory Item 0003 _______________ Facility Unit: Fixed Containers on Site +
+_= COMMON NAME / CHEMICAL ~AME ______________________________+________________+
PESTICIDES Days On Site
I 365 I
Location within this F~cility Unit Map: Grid: +----------------+
SALES FLOOR & WAREHOUSE S'~I,ES FLOOR & WAREHOUSE I CAS# I
0
+-------------------------------------------------------------+---_------------+
--------------------------------------------------- - ----------------
+= STATE _+= TYPE ___+_= PF~:~'~SSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
~ Solid ~ Pure I Ambu~nt ~ Ambient ~ GLASS CONTAINER ~
+_=_______+__________+_______________+_______________+___=_____________________+
+__________________________+ AMOUNTS AT THIS LOCATION =________________________+
I Largest Cont1100rLBS ~ Daily M50100m LBS I Daily 200r00e LBS I
+__________________________+_________________________+_________________________+
+_______+______________ HAZ~RDOUS COMPONENTS =_____________+___+_______________+
I 100t00IPesticides INosl CAS# OI
+_______+__________________________________________________+___+_______________+
~
+_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+
TSecret RS BioHaz Radioa~ctive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies I F IH I/// I I UnR I
+_______+___+______+____________________+_____________+_________+________+_____+
-18- O1/13/2006
+ LONGS DRUG STORE 270 ________________________________ SiteID: 015-021-000991 +
+_________________________________________________________________ Fast Format +
+= Notif./Evacuation/Medic~l ____________________________________ Overall Site +
+_= Agency Notification ___________________________________________ 07/11/2000 +
CALL 911.
+______________________________________________________________________________+
+__= Employee Notif./Evacu~tion ___________________________________ 07/11/2000 +
MEMBER OF MGMT WILL BE I~~ORMED AND WILL CALMLY EVACUATE CUSTOMERS AND
COWORKERS TO NEAREST EXI']C'S. 911 WILL BE DIALED IN AN EMERGENCY. MEMBER OF
MGMT WILL TAKE ATTENDANCE AT MEETING AREA. PHARMACIST WILL BE NOTIFIED TO
ADMINISTER FIRST AID. ALL~~EMPLOYEES WILL LISTEN AND RESPOND TO INSTRUCTIONS
ON CALMLY EVACUATING THE ~LDG.
+______________________________________________________________________________+
+___= Public Notif./Evacuation ____________________________________ 10/21/1998 +
ANY NECESSARY EVACUATION INSTRUCTIONS WILL BE GIVEN OVER THE INTERCOM
SYSTEM INFORMING EVERYONE HOW TO SAFELY EVACUATE THE PREMISES IN THE EVENT
OF AN EMERGENCY. IF AN EI~iERGENCY IS NOT OCCURING, BUT THE STORE NEEDS TO BE
EVACUATED, OUR EMPLOYEES GdILL VERBALLY ASK THE PUBLIC TO LEAVE THE STORE.
EVERY EMPLOYEE RECEIVES 'P~AINING ON HOW TO RESPOND AND CLEAN UP A CONSUMER
PRODUCT SPILL.
+______________________________________________________________________________+
+____= Emergency Medical P]l~.n _____________________________________ 10/05/2000 +
KERN MEDICAL CENTER, 1830 FLOWER ST, 326-2000 OR
MEMORIAL HOSPITAL, 420 34lTH ST, 327-1792 OR
STATION ##8 FIRE DEPT, 227L3 UNIVERSITY, 326-3968 OR
GOLDEN EMPIRE AMBULANCE, 8~01 18TH ST.
+_________________________________________________________;_____________________+
-19- O1/13/2006
+ LONGS DRUG STORE 270 ________________________________ SiteID: 015-021-000991 +
+_________________________________________________________________ Fast Format +
+= Mitigation/Prevent/Abat~mt ___________________________________ Overall Site +
+_= Release Prevention ____________________________________________ 07/11/2000 +
KEEP CURRENT INVENTORY L~ST AND UPDATE AS NEW PRODUCTS ARE INTRODUCED TO
THE PUBLIC. KEEP EMPLOYE~'IS TRAINED IN CLEANING UP HAZARDOUS PRODUCT SPILLS.
KEEP FIRE EXTINGUISHERS W'~RKING. INFORM ALL EMPLOYEES OF MEETING PLACE IN
THE EVENT OF EVACUATION. KEEP CLEANUP SUPPLIES IN ORDER.
+______________________________________________________________________________+
+__= Release Containment __________________________________________ 10/05/2000 +
LIQUID RELEASE - SEWER D1~INS & RAIN WATER DRAINS WILL BE DANIMED.
GAS/AIRBORN RELEASE - STC~~E WILL BE EVACUATED. POOL CHEMICALS FIRE/STORE
FIRE, USEAGE OF FIRE EXT][~GUISHERS.
+______________________________________________________________________________+
+___= Clean Up ____________________________________________________ 05/22/1992 +
CLEAN UP MATERIALS ARE AV~ILABLE TO ALL EMPLOYEES AND ARE EASILY ACCESSABLE.
+______________________________________________________________________________+
+____= Other Resource Activation ______________________________________________+
+______________________________________________________________________________+
-20- Ol/13/2006
+ LONGS DRUG STORE 270 ________________________________ SiteID: 015-021-000991 +
+_________________________________________________________________ Fast Format +
+= Site Emergency Factors _______________________________________ Overall Site +
+_= Special Hazards ___________________________________________________________+
+______________________________________________________________________________+
+__= Utility Shut-Offs ____________________________________________ 05/22/1992 +
A) GAS - NW CORNER OF BL~'G ON OUTSIDE
B) ELECTRICAL -• NEXT TO ~:~,";CEIVING DOOR ON S SIDE OF BLDG
C) WATER - NW CORNER OF B'LDG ON INSIDE
D) SPECIAL - NONE
E) LOCK BOX - SE FRONT W1~L,L
+~~~~~~~~~~~~~~~~~_____~__~'~___________________~~~~~~~~__ I~~~~_-~~~~~____-____~+
+___= Fire Protec./Avail. V~ater ___________________________________ 10/21/1998 +
PRIVATE FIRE PROTECTION - OVERHEAD FIRE SPRINKLER SYSTEM THROUGHOUT THE
STORE. FIRE EXTINGUISHEI~~ STRATEGICALLY LOCATED THROUGHOUT THE STORE.
FIRE HYDRANT - N OF THE 1'~I~"~ CORNER OF OUR STORE ON COLiJNIBUS ST .
+______________________________________________________________________________+
+____= Building Occupancy L~vel _______________________________________________+
+______________________________________________________________________________+
-21- O1/13/2006
+ LONGS DRUG STORE 270 ________________________________ SiteID: 015-021-000991 +
+_________________________________________________________________ Fast Format +
+= Training _____________________________________________________ Overall Site +
+_= Employee Training _____________________________________________ 10/21/1998 +
WE HAVE 50 EMPLOYEES AT ~HIS FACILITY.
WE HAVE MATERIAL SAFETY ~~TA SHEETS ON FILE.
BRIEF SUMMARY'OF TRAINING PROGRAM: ALL OUR EMPLOYEES ARE TR.AINED ON HOW TO
HANDLE SMALL SPILLS, HOW TO READ THE MSDS AND WE HAVE MONTHLY TRAINING
MEETINGS.
+______________________________________________________________________________+
+__= Page 2 ___________________________________________________________________+
+______________________________________________________________________________+
+___= Held for Future Use _____________________________________________________+
+______________________________________________________________________________+
+____= Held for Future Use ____________________________________________________+
~ ~ ~
+______________________________________________________________________________+
-22- , O1/13/2006
+ LONGS DRUG STORE 270 ________________________________ SiteID: 015-021-000991 +
+= Full Format ___________________ Type+Category+Sub-Category+Date2(ASC) Order +
+____________________________________________________________ One Unified List +
+________________________________ INSPECTIONS =________________________________+
+------------------------------------------------------------------------------+
~Reference Dates Summary.Description ~
+------------------------------------------------------------------------------+
~DAVIES 08/26/1996 ~K ~
BRYAN 10/12/1995 ~K
NEEDS UPDATE OF STORE LAx~UT TO INCLUDE FILM DEVELOPMENT.
DURAN 10/13/1994 ~K
07/18/1988 ~K
OK
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
~Reference Dates Summary Description ~
+------------------------------------------------------------------------------+
~SHAPZIAN 10/20/1993 d~K ~
SHAPAZIA 10/27/1992 (3K
SHAPAZIA 11/13/1991 d~K
+______________________________________________________________________________+
-23- O1/13/2006
+ LONGS DRUG STORE 270 ________________________________ SiteID: 015-021-000991 +
+= Full Format ___________________ Type+Category+Sub-Category+Date2(ASC) Order +
+____________________________________________________________ One Unified List +
+________________________________ INSPECTIONS =________________________________+
~ ~
+------------------------------------------------------------------------------+
~Reference Dates Summary Description ~
+------------------------------------------------------------------------------+
~SHAPAZIA 10/23/1990 d~K I
SHAPAZIA 10/17/1989 d~K
+------------------------------------------------------------------------------+
~BUSINESS PLAN PROGRAM ROUTINE INSPECTION I
+------------------------------------------------------------------------------+
~Reference Dates Summary Description ~
+------------------------------------------------------------------------------+
~ANGELLO 09/06/2005 ~7"PDATE BUSINESS PLAN. ~
ROE 09/22/2004 43K
B.PERRY 11/19/2003 ]~USINESS PLAN UPDATED, HOUSEKEEPING
BUSINESS PLAN NEEDS UPDA'~'~'ID, REMOVED ALL EXTENSION CORDS
TILFORD 11/17/2002 ~KAY
UPDATE INFORMATION BP
BPERRY 12/06/2001 d~K
BUSINESS PLAN CONTACT INF~RMATION NEED UPDATE INFORMATION
+______________________________________________________________________________+
-24- O1/13/2006
+ LONGS DRUG STORE 270 ________________________________ SiteID: 015-021-000991 +
+= Full Format ___________________ Type+Category+Sub-Category+Date2(ASC) Order +
+____________________________________________________________ One Unified List +
+________________________________ INSPECTIONS =________________________________+
IBUSINESS PLAN PROGR~M ROUTINE INSPECTION I
+------------------------------------------------------------------------------+
~Reference Dates Summary Description ~
+------------------------------------------------------------------------------+
~KUNZLER 08/22/2000 ~K ~
THOMAS 12/22/1999 ~K
BOWMAN 12/16/1998 ~K
UNABLE TO VERIFY MSDS SHE~T AVAILABILITY.
EMERGENCY PROCEDURES NOT P'OSTED.
700 FT3 OF HELIUM.
DAVIES 09/16/1997 ~K
+------------------------------------------------------------------------------+
~HAZARDOUS WASTE GENERATOR JOINT AGENCY INSPECTION I
+------------------------------------------------------------------------------+
~Reference Dates Summary Description ~
+------------------------------------------------------------------------------+
~WINES 12/16/1998 Q~K ~
+------------------------------------------------------------------------------+
ICONDITIONALLY EXEMPT (CE) ROUTINE INSPECTION I
+------------------------------------------------------------------------------+
~Reference Dates Summary Description ~
+------------------------------------------------------------------------------+
IDTSC 10/13/1994 1~0 CONTINGENCY PLAN OR OPS LOGS I
12/07/1994 1~ETURN TO COMPLIANCE
+______________________________________________________________________________+
-25- Ol/13/2006
+ LONGS DRUG STORE 270 ________________________________ SiteID: 015-021-000991 +
+= Full Format ___________________ Type+Category+Sub-Category+Date2(ASC) Order +
+____________________________________________________________ One Unified List +
+________________________________ INSPECTIONS =________________________________+
~CONDITIONALLY EXEMPT (CE) JOINT AGENCY INSPECTION ~
+------------------------------------------------------------------------------+
~Reference Dates Summary Description ~
+------------------------------------------------------------------------------+
~WINES 12/16/1998 ~K ~
+______________________________________________________________________________+
-26- O1/13/2006