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HomeMy WebLinkAboutBUSINESS PLAN ~_\t ~~ -~ .'l ,. FARLEYS BAKER STREET FLORIST SiteID: 015-021-003414 Manager JUDY GARZA Location: 1217 BAKER ST City BAKERSFIELD BusPhone: Map : 103 Grid: 29B (661) 324-9623 CommHaz : Minimal FacUnits: 1 AOV: CommCode: BFD STA 02 EPA Numb: SIC Code:5992 DunnBrad: Emergency Contact JUDY GARZA Business Phone: 24-Hour Phone Pager Phone / Title / OWNER (661) 324-9623x (661) 979-2904 () x Emergency Contact Business Phone: 24-Hour Phone Pager Phone / Title ~661~ 324-9623~ ~ () x Hazmat Hazards: Fire Press ImmHlth Contact : JUDY GARZA MailAddr: 1217 BAKER ST City BAKERSFIELD Period Preparer: Certif'd: ParcelNo: to Phone: (661) 324-9623x State: CA Zip 93305 Phone: (661) 324-9623x State: CA Zip 93305 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Owner Address City JUDY GARZA 1217 BAKER ST BAKERSFIELD Emergency Directives: PROG A - HAZMAT ELL ~~ () rf'~sncn"'i uie'/ pO," !",c'se indilii:h;:!s exa;Ti~\(;,C ~~ , "; 'I;;~ r i'/;~~ .:~'!, i';;~, ';' ;E. ri:n acC' . t. .p In'f"'II,jilO" I'" '.'J' ,~-U;;Le, anc; cc~-nr)I(~t~~ . .. I, ,"~ IJ Lt.:, _ ~f.lJf r /} & _ S~"7)-b'LuY _10 .. ~tf -01 Date - <;:/ 'S" 7~ 5" -1- .); ~ . ~ 07/11/2007 UNIFIED PROGRAM INSPECTION CHECKLIST=? V6W11A;,. '.:~.;f,'D: ~IA4i`.~p4`drS"?;..x5'+'~. P IM.; ,~.:!: -.~., ~. •.~: ... .'i.. -... . .:.~ :'.:... ;'.: ... :.F:'.: . .SECTION 1: Business Plan and Inventory Program BASERSF1tELD FIRE DEPT a Prevention Services ~,tiRS 900 Truxtun Ave., Suite 210 ~~ir Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME NSPECTION DATE INSPECTION TIME / G a /i` -f- 7- /~ - o CQ rJ ~ n ' ADDRESS HO'E NO O OF EMPLOYEES / ~ '/ C / S~ ~ /'- i ~ Z 1 J FACILITY CONTACT ~ ~ ~ USINESS ID NUMBER ~~ I 15-021- ( ~-lt ~ ~ ra s c ~ ~ ---- --- Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION ~~ C V (c=Compliance) OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND . ^ BUSIft@SS PLAN CONTACT INFORMATION ACCURATE C} ^ VISIBLE ADDRESS l~L ^ CORRECT OCCUPANCY (~Y ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES '~ ^ ^ ^ VERIFICATION OF LOCATION PROPER SEGREGATION OF MATERIAL ,VERIFICATION OF MSDS AVAILABILITY ~ U L 19 2006 '~ ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND ROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE _ ^ CONTAINERS PROPERLY LABELED ' ^ HOUSEKEEPING / i ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES ~NO EXPLAIN: - _ __ ~UESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 v a N Inspector (Please Print) Fire Preve lion / 1'~ In / Shift of Sfte/Station q Business Schoo esponsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2048 (Rw. 0210 + FARLEYS FLORIST INC _________________________________ SiteID: 015-021-002269 + =-Manager BusPhone: (661) 324-9623 Location: 1217 BAKER ST Map 103 CommHaz Minimal City BAKERSFIELD Grid: 29B FacUnits: 1 AOV: CommCode: BFD STA 02 SIC Code:5992 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title SCOTT FARLEY / / Business Phone: (661) 324-9623x Business Phone: ( ) - x 24-Hour Phone (661) 872'-4822x 24-Hour Phone ( ) - x Pager Phone (661) 805-4874x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact SCOTT FARLEY Phone: (661) 324-9623x MailAddr: 1217 BAKER ST State: CA City BAKERSFIELD Zip 93305 Owner Phone: (661) 324-9623x Address 1217 BAKER ST State: CA City BAKERSFIELD Zip 93305 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: ~ Emergency Directives: ~ PROG A - HAZMAT Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that 1 have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. y_ ~,6 Signature Date ~AR 10~ ~~06 -1- 03/01/2006 ,/ FARLEYS FLORIST, INC SitelD: 0~5-021-002269 Manager : _~_%%%~ BusPhone: (661) 324-9623 Location: 1217 BAKER ST ~ Map : 103 CommHaz : Minimal City : BAKERSFIELD Grid: 29B FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 02 SIC Code:5992 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title SCOTT FARLEY / / Business Phone: (661) 324-9623x Business Phone: ( ) - x 24-Hour Phone : ( ) - x 24-Hour Phone : ( ) - x Pager Phone : ( ). - x Pager Phone : ( ) - x _ Hazmat Hazards: Fire Press ImmHlth Contact : SCOTT FARLEY Phone: (661) 324-9623x MailAddr: 1217 BAKER ST State: CA City : BAKERSFIELD Zip : 93305 Owner Phone: ( ) - x Address : 1217 BAKER ST State: CA City : BAKERSFIELD Zip : 93305 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: Res: No ParcelNo: Emergency Directives: /~/.~. ~ z ~ z~ I,~~~ ~ hereby ce~i~ that I h ~ o~3 ~ ~ ~ ~iewed the ~ch~. ~.h~ard°us matenals manage- ~ ~ ~=.~ ~~ merit p~n for , ~ and that it ~ong with - ~: ~ ~ ~y ~ions ~nstit~e a complete and corr~ man- ~ agement plan for my facility. 08/05/2003 CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3r'~ Floor, Bakersfield, CA 93301 FACILiTY NAME f~,/e'"J-f/JOt'['£~ INSPECTION DATE ADDRESS /z~w 3 t~q,k~r £~. PHONE NO. ?z.'4 - ? FACILITY CONTACT .cc../7 ~,-/c~ BUSINESS ID NO. 15-210- INSPECTION TIME /fflY" NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program : [~ Routine [~ Combined [~ Joint Agency [~ Multi-Agency [-~ Complaint J~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate ' Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location V Proper segregation of material Verification of MSDS availability Verification of Haz Mat training V Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand 1,/ C=Compliance V=Violation Any hazardous waste on site?: ~] Yes Explain: / ~./ Questions regarding this inspection? Pleas~ call us at (661) 326-3979 Business Site Responsible Party White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: ~~'::~' OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CltECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME f"--'af~-E~5 ,~a..oo,-~¢ INSPECTION DATE ~, ADDRESS ~'9... t ? l'~6,4~ B'I"' PHONE NO. FACILITY CONTACT '.5gCoT~ C-~Z.Cc~ BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program fO 3 [~ Routine O Combined O 3oint Agency O Multi-Agency O Complaint O Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: [~l Yes J~o l~e~ Pa~/ Explain: Questions regarding this inspection? Please call us at (661) 326-3979 Responsible White- Env. Svcs. Yellow- Station Copy Pink- Business Copy Inspector:``/