The URL can be used to link to this page

Home My WebLink AboutBUSINESS PLAN 8/11/2003 Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON .REVERSE SIDE This _oermit is issued for the followin~j; [] Hazardous Materials Plan [] Underground Storage of Hazardous Materials [] Risk Management Program [] Hazardous Waste On-Site Treatment PERMIT ID # 015-021-002178 CHRISTYS BRUNDA LOCATION 3050 CA 93304 Issued by: Bakersfield Fire Depa~ment OFFICE OF fN~RONMENTAL 1715 Chester Ave., 3 rd Floor Approved by: C ~lpgH~. D~~ ~ss~e rote Bakersfield, CA 93301 om~ofE~~~i~=~ Voice (661) 326-3979 ~~~ F~ (661) 326-0576 ExpimtionDate: J~e 30~ 2003 CHRISTYS BRUNDAGE ~iteID: 015-021-002178 Manager : ~ ~ BusPhone: (661) 323-7924 Location: 3050 BRUNDAGE LN Map : 123 CommHaz : Minimal City : BAKERSFIELD Grid: 0lA FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 03 SIC Code: EPA Numb: DunnBrad: +--- Emergency Contact. / Title Emergency Contact / Title ~j%~Z.~_I~5~%.~/ MANAGER JOHN LITTLE / OWNER Business Phone: (661) 323-7924x Business Phone: (661) 323-7924x 24-Hour Phone : (661) 324-6653x 24-Hour Phone : (661) 330-~28x Pager Phone : ( ) - x Pager Phone : ( ) - x ....................................... + ...................................... Hazmat Hazards: Fire Press ImmHlth Contact : Phone: (661) 323-7924x MailAddr: 3050 BRUNDAGE LN State: CA City : BAKERSFIELD Zip : 93304 Owner JIM & CHRISTY LITTLE Phone: (661) 836-3731x Address : 6300 GLENROCK wY State: CA City : BAKERSFIELD Zip : 93309 Period : to TotalASTs: = Gal Preparer: ~'~ TotalUSTs: = Gal Certif'd: ~i~~.~~. RSs: No ParcelNo: ~ Emergency -1- 07/30/2003 + CHRISTYS BRUNDAGE FL( SiteID: 015-021-002178 + +=- Fast Format + += Notif./Evacuation/Medical --- Overall Site + +== Agency Notification --- 02/12/2001 + NONE LISTED. =+ +=== Employee Notif./Evacuation 02/12/2001 + CALL 911 AND THE OFFICE OF EMERGENCY SERVICES AT 1-800-852-7550. + ..... Public Notif./Evacuation -- - 02/12/2001 + JOHN LITTLE OR CHRISTY LITTLE RESPONSIBLE IF NOT ON SITE~ WILL TAKE RESPONSIBILITY. .]2rw%q~lo~.~ Emergency Medical Plan 02/12/2001 + CALL 911, OR KAISER PERMANENTE, 3501 STOCKDALE HWY, 328-9831. + ----+ -4- 07/30/2003 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester. Ave., Bakersfield, CA (661) 326-3979 HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: ~,~, te~"~ 0 6 200/ 1. To avoid further action, return this form within 30 days of receipt. "*vlq~O~, 2. TYPE/PRINT ANSWERS IN ENGLISH. ot~g?ltlCt,,, 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. 5. You may als° attach Business Owner / Operator Form and Chemical Description Form(s) to the fi'ont of this plan instead of completing SECTION I. below for initial submission. SECTION I: BUSINESS IDENTIFICATION DATA ~L~G ~D~SS: CITY: ~¢VS~ e~ ~ STATE: C~ ZIP:q'5~PHONE(~b~ P~Y ACTIVITY: ~(~ ] ~~[ EMERGENCY NOTIFICATION CONTACT TITLE BUS. PHONE 24 HR. PHONE HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION II. 1' DISCOVERY AND NOTIFICATIONS A. LEAK DETECTION AND MONITORING PROCEDURES: B. EMPLOYEE AND AGENCY NOTIFICATION: C. ENVIRONMENTAL RESPONSE MANAGEMENT: D. EMERGENCY MEDICAL PLAN: HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION II.2: RELEASE RESPONSE PLAN A. HAZARD ASSESSMENT AND PREVENTION,MEASURES: ....... B. RELEASE CONTAINMENT AND/OR MITIGATION: C. CLEAN-UP AND RECOVERY PROCEDURES: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY) ELECTRICAL: SPEC~: LOCK BOX: ~S~ IF ~S, LOCATION: PRIVATE FIRE PROTECTION/WATER AVAILABILITY A. PRIVATE FIRE PROTECTION: B. WATER AVAILABILITY (FIRE HYDRANT): 3 HAZARDOUS MATERIALS MANAGEMENT PLAN 'SECTION III: TRAINING NUMBER OF EMPLOYEES: [~ ~TERI^L S~ETY DATA SHEETS ON FILE: B~EF S~Y OF T~~G PROG~: CERTIFICATION I, ~'©~XYk L i ~.[ P~ CERTIFY THAT THE ABOVE INFORMATION IS ACCURATE. I LINDERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. · ' TITLE DATE 4 CHRISTYS BRUNDAGE FLORIST SiteID: 015-021-002178 Manager : BusPhone: (661) 323-7924 Location: 3050 BRIINDAGE LN Map : 123 CommHaz : Minimal City : BAKERSFIELD Grid: 0lA FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 03 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title JOHN LITTLE / / Business Phone: (661) 323-7924x Business Phone: ( ) - x 24-Hour Phone : (~) ~%~-5]~1x 24-Hour Phone : ( ) - x Pager Phone : (~)%%0 -~x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact : Phone: (661) 323-7924x MailAddr: 3050 BRUNDAGE LN State: CA City : BAKERSFIELD Zip : 93304 Owner CHRISTYS BRUNDAGE FLORIST Phone: (661) 323-7924x Address : 3050 BRUNDAGE LN State: CA City : BAKERSFIELD Zip : 93304 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: ~ Hazmat Inventory One Unified List -- As. Designated Order Ail Materials at Site Hazmat Common Name... ISpooHazlEPA HazardsI Frm I DailyMax IUnitlMCP HELIUM F P IH G 219.00 FT3 Min 1 01/04/2001 CHRISTYS BRUNDAGE FLORIST SiteID: 015-021-002178 ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site HELIUM Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE SW CORNER OF SHOP CAS# 7440-59-7 F STATE ~ TYPE i PRESSURE i TEMPERATI/RE CONTAINER TYPE Gas /Pure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average 219.00 FT3I 219.00 FT3 219.00 FT3 HAZARDOUS COMPONENTS 100.00 Helium N 7440597 HAZARD ASSESSMENTS TSecretl ~SIBioHaz Radioactive/Amount I EPA Hazards[ NFPA USDOT# MCP No N No 'No/ Curies F P IH / / / Min 2 01/04/2001 CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME a~'~ ~~~ ~SPECTION DATE ADD'SS ~~ ~~ PHONE NO. ~Z3 - FACILITY CONTACT_~ L~ BUSINESS ID NO. 15-210- ~SPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program (4~outine [~ Combined [~ Joint Agency [~l Multi-Agency ~ Complaint [~l 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 /t~5; 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 ~o Explain: Questions regarding this inspection? Please call us at (661) 326-3979 /Bu~ness Site Responsible Party White- Env. Svcs. Yellow- Station Copy Pink- Business Copy Inspector: