HomeMy WebLinkAboutBUSINESS PLAN it to Oper te
Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
This permit is issued for the followincj:
I~ Hazardous Materials Plan
~'¥ :'~'~!~ ~:>~--.-- [] Underground Storage of Hazardous Materials
[] Risk Management Program
..... ~ ):' % j_ [] Hazardous Waste On-S,te Treatment
CINDERELL FLOWERS,
~: :: ~. ~.? : ...... :' ',r,,~,.~.,,,~:~~ ,~'. ?>+, :,..~ ~.,. ..... ~ '~;
LOCATION 311 ::CHES~R ...............A¢~':'":: 3'~ · .~ B~RSFIELD:":~A .~ 93301
Issued by: Bakersfield Fire Depa~ment
OFFICE OF EN~R ONMENTAL SER VICES
1715 Chester Ave., 3rd Floor Approved by: ~ 8 ~ ~'0~ '
~C. ~Y,)~ Issue' ~te
Bakersfield, CA 93301 OmceofEvm~S~ic~ '
~r~r Voice (661) 326-3979
~,~2~ FAX (661) 326-0576 Expiration Date:
ITE DIAGRAM [ '~- ! FACILITY DIAGRAM
Business Name:
Business Address:
CINDERELLA FLOWERS & GIFTS SiteID: 015-021-002177
Manager : BusPhone: (661) 327-2784
Location: 311 CHESTER AVE Map : 103 CommHaz : Minimal
City : BAKERSFIELD Grid: 31C FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 06 SIC Code:
EPA Numb: DunnBrad:
Emergency Contact / Title Emergency Contact / Title
BRYANT & LORI ASTLE / OWNERS /
Business Phone: (661) 327-2784x Business Phone: ( ) - x
24-Hour Phone : (800) 320-2784x 24-Hour Phone : ( ) - x
Pager Phone : ( ) - x Pager Phone : ( ) - x
Hazmat Hazards: Fire Press ImmHlth
Contact : Phone: (661) 327-2784x
MailAddr: 311 CHESTER AVE State: CA
City : BAKERSFIELD ~C~D_ Zip : 93301
Phone: (661) 327-2784x
Owner BRYANT & LORI ASTLE 'J4~ 25,^_
Address : 311 CHESTER AVE
~U~l
State:
CA
City : BAKERSFIELD ~NVI~,~m,.._- Zip : 93301
Period : to ..v~-~ 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... [SpecHaz EPA Hazards I Frm DailyMax Unit MCP
HELIUM F P IH G 438.00 FT3 MiL
I, ,'~¢-.~/3'r- ./~.5'/'/.~_. Do hereby ce~i~ that I have
' ~y~ or pdnt name)
reviewed the attached h~ardous materials manage-
ment plan for~lO~LA ~ and that it along with
(Na~ of Busine~)
any corrections constitute a complete and correct man-
agement plan for my ~acili~.
-~- o~/o~/~oo~
CINDERELLA FLOWERS & GIFTS SiteID: 015-021-002177
~ Inventory Item 0001 Facility Unit: Fixed Containers at Site
~lV~Vl~ ~Vl~ / ~±~_/'"~1~ ~Y-~IvI~
HELIUM Days On Site
365
Location within this Facility Unit Map: Grid:
INSIDE SALES & REAR DOOR CAS#
7440-59-7
~ STATE ~ TYPE { PRESSURE i TEMPERATURE CONTAINER TYPE
Gas {Pure Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container I Daily Maximum Daily Average
219.00 FT3I 438.00 FT3 219.00 FT3
HAZARDOUS COMPONENTS
%Wt. RNo~ CAS#
100.00 Helium 7440597
HAZARD ASSESSMENTS
TSecretl ~S Bi°HaZNo N No Radioactive/Amount No/ Curies FEPA HazardSp IH NFPA/// USDOT# I MCPMin
-2- 01/04/2001
CITY OF BAKERSFIELD
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., Bakersfield, CA (661) 326-3979
HAZARDOUS MATERIALS MANAGEMENT PLAN
INSTRUCTIONS:
1. To avoid further action, return this form within 30 days of receipt.
2. TYPE/PRINT ANSWERS IN ENGLISH.
3. Answer the questions below for the business as a whole.
4. Be as brief and concise as possible.
5. You may also attach Business Owner / Operator Form and Chemical Description Form(s)
to the front of this plan instead of completing SECTION I. below for initial submission.
SECTION I: BUSINESS IDENTIFICATION DATA
LOCATION: .~}~ C4'{E~'Y ~2-
MA[LXNG ADDP~SS:
CITY: U'~IE~>t:::I[5~--I~) STATE: ~ ZIP: (Z PHONE:
PRIMARY ACTIVITY:
MAILrNG A~D~ESS: ~
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:
2
SECTION II.2: RELEASE RESPONSE PLAN
A. HAZARD ASSESSMENT AND PREVENTION MEASURES: C ~ D([t~ ~ -'Fdloo ~.~
B. RELEASE CONTAINMENT AND/OR MITIGATION: ~)k~L,q I ~D'T
C. CLEAN-UP AND RECOVERY PROCEDURES: I')~ /00'~ /:~l%f
UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR,FACILITY) .., '.,
NATURAL GAS/PROPANE: .'~
ELECTRICAL: ~7~i/--
WATER: 'FaO
SPECIAL:
LOCK BOX:. YES~ IF YES, LOCATION:·
PRIVATE FIRE PROTECTION/WATER AVAILABILITY
A. PRIVATE FIRE PROTECTION:
B. WATER AVAILABILITY (FIRE HYDRANT):
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION III: TRAINING
NUMBER OF EMPLOYEES:
MATERIAL SAFETY DATA SHEETS ON FILE:
BRIEF SUMMARY OF TRAINING PROGRAM:
CERTIFICATION
I, ~/~ ~~.~ CERTIFY THAT THE ABOVE INFORMATION
IS ACCURATE. I UNDERSTAND 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 CONSTITU
' SI~NX~LE TITLE DATE
4
Since 1948 Bryant & Lori Astle
311 Chester Ave. o Bakersfield, CA 93301
(805) 327'2784 · Fax (805) 327-2546 · (800) 320-2784
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301
FACILITY NAME C/,O'~t~-~c-'ta-'a INSPECTION DATE ['L
ADDRESS ~lI ~t~.C'~ PHONE NO. 32."7-
FACILITY CONTACT BUSINESS ID NO. 15-210-
INSPECTION TIME NUMBER OF EMPLOYEES F"L.-
Section 1: Business Plan and Inventory Program
[~ Routine {~l Combined ~ Joint Agency [~ Multi-Agency ~ Complaint [~ 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 IM~tO& ~.,~-~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
Explain:Ally hazardous waste oil site?: [~Yes ~..o (~ '~ _~,ons~ible
Questions regarding this inspection? Please call us at (661) 326-3979 Busines~ Site Resp ' Party
White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: ~]t~