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HomeMy WebLinkAboutBUSINESS PLANHazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF..PERMIT ON REVERSE SIDE This ~'mit is issu~l for the follow~ng: [] Hazardous Materials Plan E! Underground Storage of HazardOus Materials [] Risk Management Program El Hazardous Waste On-Site Treatment PERMIT ID # 015-021-002173 PIONEER NURSERY LOCATION 715 Issued by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Approved by: ' Exi~iration Date: Office of Evironm~aff[ Services - Issue Date June 30; 2003 Name. o · ~-~, ITE DIAGRAM Bu~ine~ Name: ~ ~ ~'~ Business Address: .- J PIONEER NURSERY SiteID: 015-021-002173 Manager : Location: 715 L ST City : BAKERSFIELD CommCode: BAKERSFIELD STATION 04 EPA Numb: BusPhone: (661) 322-4748 Map : 103 CommHaz : Minimal Grid: 31C FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact / Title MIKE MARTINI / MANAGER Business Phone: (661) 322-4748x 24-Hour Phone : (661) 399-7700x Pager Phone : ( ) - x Emergency Contact / Title NINA MARTINI / AUNT Business Phone: (661) - x 24-Hour Phone : (661) 322-6397xHM Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact : MailAddr: 715 L ST City : BAKERSFIELD Phone: (661) 322-4748x State: CA Zip : 93304 Owner PIONEER NURSERY - NELLIE COFFEE Address : 715 L ST City : BAKERSFIELD Phone: (661) 322-4748x State: CA Zip : 93304 Period : Preparer: Certif'd: ParcelNo: to TotalASTs: = TotalUSTs: = RSs: No Gal Gal Emergency Directives: ' ' UVpe'ar I~'im name) r~vi®~ed the aAached hazardous maC,dais ~n~ge- ~o~and ~i i~ ~ong wi~h men~ p~an any ~e~ions ~ns~i~u~ ~ comp~e~ $~ ~rr~ man- ag~m~ni plan for my ~acility. -1- 09/26/2003 CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME T_~/~]//~ Al)DRESS "/!~ L- '~ FACILITY CONTACT ~[~/~-~ I,~MOI~ INSPECTION TIME _~0 b/.l~/~ INSPECTION DATE / PHONE NO. BUSINESS ID NO. ~- NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program j//Routi.n~ [~ Combined [~ Joint Agency [~ Multi-Agency [~ Complaint [~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand ,/ Business plan contact information accurate Visible address V/ ~,-'[- ~>~0~,~' 0q4 ~ 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?: Explain: Yes ~ Questions regarding this inspection? Please call us at (66 i) 326-3979 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy ' 'Bu~ne~ite Responsible Party Inspector: ~. b'~ ~0 ~ PIONEER NURSERY Manager :. Location: 715 L ST City : BAKERSFIELD CommCode: BAKERSFIELD STATION 04 EPA Numb: SiteID: 015-021-002173 BusPhone: (661) 322-4748 Map : 103 CommHaz : Minimal Grid: 31C FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact / Title MIKE MARTINI / Business Phone: (661) 322-4748x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Emergency Contact Business Phone: ( 24-Hour Phone : ( Pager Phone : ( / Title / ) - x ) - x ) - x Hazmat Hazards: Fire Press ImmHlth Contact : MailAddr: 715 L ST City : BAKERSFIELD Phone: (661) 322-4748x State: CA Zip : 93304 Owner PIONEER NURSERY Address : 715 L ST City : BAKERSFIELD RECEiVeD Period : Preparer: Certif'd: to Phone: (661) 322-4748x State: CA Zip : 93304 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Emergency Directives: = Hazmat Inventory --As Designated Order Hazmat Common Name... HELIUM One Unified List Ail Materials at Site ISpooHaz EPA Hazardsl Frm F P IH I,~,1~<~,_ lq,,~F,I~/_L~/Do hereby certify that I have Hype or'pnn! reviewed the attached h~a~ous ment plan fo~.~s~ /~~and ~ha~ it a~ong with any corrections constitute a complete and correc~ man~ G DailyMax Unit MCP 244.00 FT3 Min agement plan for my facilib/. 1 01/04/2001 PIONEER NURSERY SiteID: 015-021-002173 Inventory Item 0001 Facility Unit: Fixed Containers at Site ~tV~Vl~ ~Vl~ / ~ 1 ~_/A_IJ ~vl~ HELIUM Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE W WALL OF FLOWER ROOM CAS# 7440-59-7 FSTATE ~ TYPE Gas /Pure PRESSURE TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container I 244.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 244.00 FT3 Daily Average 244.00 FT3 %Wt. 100.00 Helium HAZARDOUS COMPONENTS  S CAS# N 7440597 TSecretNo N~S BioHazNo HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F P IH NFPA/// I USDOT# Min 2 01/04/2001 CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., BakerSfield, CA (661) 326-3979 HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: 2. 3. 4. 5. To avoid further action, retum this form within 30 days of receipt. TYPE/PRINT ANSWERS IN ENGLISH. Answer the questions below for the business as a whole. Be as brief and concise as possible. 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 BUS.SS LOCATION: MAILING ADDRESS: -'~/' CITY: ,~ ]~ ~ ~,~/O~--'~?h _/- L 'Tz i 5?" STATE:~_'J~ ZIP: PRIMARY ACTIVITY: OWNER: £dd/d- MAILING ADDRESS: PHONE~-27 -CL./") C/~2~--' EMERGENCY NOTIFICATION CONTACT x,,,,,,.,--,q- TITLE BUS. PHONE 24 HR. PHONE HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION II. 1: DISCOVERY AND NOTIFICATIONS LEAK DETECTION AND MONITORING PROCEDURES: Bo EMPLOYEE AND AGENCY NOTIFICATION: Co ENVIRONMENTAL RESPONSE MANAGEMENT: Do EMERGENCY MEDICAL PLAN: 2 HAZA~RDOUS MATERIALS MANAGEMEgT PLAN SECTION II.2: RELEASE RESPONSE PLAN A. HAZARD ASSESSMENT AND PREVENTION MEASURES: B. RELEASE CONTAINMENT AND/OR MITIGATION: Co CLEAN-UPANDRECOVERY PROCEDURES: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY) NATURAL GAS/PROPANE: ELECTRICAL: WATER: ~ ,~ LC tS,/ SPECIAL: LOCK BOX: YESO IF YES, LOCATION: PRIVATE FIRE PROTECTION/WATER AVAILABILITY A. PRIVATE FIRE PROTECTION: J~'t 're(= ~- ~O'~/t76~o Bo WATER AVAILABILITY (FIRE HYDRANT): 3 HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION III: TRAINING NUMBER OF EMPLOYEES: o,) MATERIAL SAFETY DATA SHEETS ON FILE: BRIEF SUMMARY OF TRAINING PROGRAM: CERTIFICATION M^ IS ACCURATE. I UNDERSTAND THAT THIS I~ORM~TION 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. SIGNATURE .; ? FACILITY NAME qZ>~oxtc"c:~cc t, Jofcsa--tq ADDRESS '7 t S-- t._ 5"r' FACILITY CONTACT tMr~,~: /[,t~e'c~l,,O' INSPECTION TIME CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 INSPECTION DATE PHONE NO. .3 2.2._ BUSINESS ID NO. NUMBER OF EMPLOYEES 15-210- Section 1: Business Plan and Inventory Program 6~l~Routine l~ Combined [21 Joint Agency [21 Multi-Agency [~1 Complaint [~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials ~'~ ~ O ~ Verification of quantities ~' ~ 4 Co' ~'ff' Verification of location ffq<,~O~r" {,,d td'zk.t.C r_,,ff 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?: Explain: Yes ~No Questions regarding this inspection? Please call us at (661) 326-3979 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy usiness Site Res~ble Party Inspector: (.~ FACILITY NAME ADDRESS .-}~ FACILITY CONTACT INSPECTION TIME CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 INSPECTION DATE PHONE NO. .322.. BUSINESS ID NO. NUMBER OF EMPLOYEES 1 '7.//-t zC9 48' 15-210- Section 1: Business Plan and Inventory Program ~Routine [] Combined [] Joint Agency [] Multi-Agency [] Complaint [21 Re-inspection OPERATION ' C V COMMENTS Appropriate permit on hand Business plan contact information hccurate 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?: Explain: [] Yes ~No Questions regarding this inspection? Please call us at (661) 326-3979 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy "~B~us~td~,b~'' Inspector: