HomeMy WebLinkAboutBUSINESS PLAN
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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
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Date
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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:``/