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HomeMy WebLinkAboutBUSINESS PLAN 2/16/2007 BOBBIS HALLMARK SHOP Manager DEVEREL~RENNELS Location: 8200 STOCKDALE HWY F-3 City BAKERSFIELD SiteID:~015-021-002153 BusPhone: (661) 834-7467 Map 123 CommHaz Minimal Grid: 05B FacUnits: 1 AOV: CommCode: BFD STA 11 EPA Numb: SIC Code: DunnBrad: Emergency Contact / .Title Emergency Contact / Title TOM RODGERS / OWNER DEVEREL RENNELS / MANAGER Business Phone: (661) 834-7467x Business Phone: (661) 834-7467x 24-Hour Phone (661) 396-1050x 24-Hour Phone (661) 327-9010x Pager Phone (661) 706-0569x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth ............ Contact TOM RODGERS Phone: (661) 834-7467x MailAddr: 8200 STOCKDALE HWY F-3 State: CA City. BAKERSFIELD Zip 93311 Owner BOBBIS HALLMARK SHOP Phone: (661) 834-7467x Address 8200 STOCKDALE HWY F-3 State: CA City :BAKERSFIELD Zip 93311 .............. Period to TotalASTs: = Gal Preparers TotalUSTs: _ ~ Gal Certif'd: RSs: No ParcelNo: ............. Emergency Directives: PROG A - HAZMAT Se,50d on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, ~IY I'~ ~ ~ ~ ~ ~ ~Q~~ accurate, and .omplete. ~/~IO~ Signature ate -1- 01/26/2007 i~ B ;~ BOBBIS HALLMARK SHOP 8200 STOCKDALE HWY #F-1 ii~~ 3~~<~ ar ~> ~, t~> Per it to Operil.te Hazardous Materials/Hazardous Waste Unified Permit . CONDITIONS OF PERMIT ON REVERSE SIDE :df¡"r¡f//l /. /¿~~:> ~í:~~ .~!i~ ~; ',. ;~~J '~. -, .__ . ~""""''i''?~' P RMIT # 0 '}':,'., > "..-<f',...:tL..,.......,J:} E ID 15-021-002153 i:"\ì)! '.<~;~:,~~:,,::'\~RP(\~:i1 }";>"!.> BOBBIS HALLMARK SH0~' ...).~;pr\1:"'" / ' ~:I/"',(:> DEVEREL RENNELS '1--.\1 .....;;/ .f~' }1 .'¡"~\, ~ -, .' /t..* "'I ti' 'l "" t·, ' ", /1 .",-' .! 1 ;;, <., ~~~<'«?~,~ ,_ Li - .: .'~''''.J I \~\, ¡, .j ~"'J1?i,¡'~" ~,., .' ,." /:'> !~ r J;rt¡""~'\' ..,. \,..'.... ,,' '\ 1 :~'::.'."'.: (. ~.~ t~' .;:~ 'h,-::t~i~: ~: \\ ~ LOCATION: 8200 STOCKDALE mGHW AY F-3'b.,;;, _~:'].;;:"'.. ~,¡ 'l",} .~~ \\ (::;':){;, "," 'i,~\'( \\ ~~' \..,.,~ \". .. '-" <~ ,_f. -......~ l. 'i.,~~", ~.. <\. \.."- . . Issued by: Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES' 1715 Chester Ave., 3rd Floor Approved by: Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Expiration Date: . June 3j), 2003 CA 93311 '-{. -I i i ~-~-' . ~!I . J ·~~~~---I'· \k v \ ,"~----rL_---"> .P>:> ~ . . ~<ø" . ~~! ~ ,7 --- ~c-T6t-~-7~--'--V- V . ---' ~ ~I ~ .~. ~ '.~~. '=/ . '. ~ §f~. ~ Y ~ ~ . I --~-il~--~-~---~' I[JI I '" _.._a I ~.. ~~ E$J~ 0 ~ II ~~$JE$~ ~. . ."'Of' BOð6L~ .A'''MA'(IC,. St-lOP 8200 SíoQ<.D~C.E J-\wt'f" F-3 FAc.u.. ,"r'r' D/,q 6A!.A#\ - , , . .- ---.._--,- ._~------.__........ ". ~I ~ .-JH--.' Y . , lffi~ ... I \ I I I i I i I I ~ . I ¡ . \ , I I ~------".. [: ~ I \ \ pi <df--/~ fCtA ¡ CA-f ðM , I \ ¡. . , \ I !\ 1 '. ' I l:_~.....__,_._-----'--A>"'----'------'--~-------:----'-'-'-··-.'..... ","-' .....',.....'" ~ }/GII¿,yJ ~#'l/( J X' k<?0 1'/) U f¡ '(,f:-y. f{ ¿)ðÞY\ , ~ L~J .-~ \l~~---·I- i c ~ \ . , . ·~____IL____ ,/> ~ l!iI . t. /«¿/ ~_! ~ ,7 ----~·---1è5!-·~-7lf·-·-W- 11' ~ ~II~ ~~. .;"$ ~ ~!I"'~ ~ ~ I .___._.' · I .__._~_~._ _~, lIT] I II \ ~\., __a ì d.. ~\. C$~ 0 ~ I ~~$J~ ~ I ^' ¡" ."·m ~ , I t I , I Lt1(::b. II . ~, . .......'.. -- .- .;.,,4'~' e , I " \ , I , I , I , . I ~ . I \ , I I t I I I I 1/ ! . I I , ¡ I \ ' I , i I I . I .1 ¡ \ i \ I i _m'WW" '" , ~. .__.-.-..;,--11>"."'----,--,---------..--.1'----------:------...._"w_.-,.-.....-,·'·..' W ,'. -... ~_._-------_.,.....-_.__.._-_. .---,--.-.,- . ...- ...--------- .---..., ..... ..~.. e··· , - , __H -~..~~ ~ L ;i¿; .i . . .l..r\B· ..~ i~~ I~.'· ,- ~'-~ I . I EB ....1" . t. " ""-'"._- ...~._-_....... ". ) ~---... '-M ~'JI'{l - 1.--' ~ :7 I "- '-... u..¡..J I/'f'-..y f(ÞOI'Þ1 !31<cfrt"/;;' fW411?r ' , CA'I- ().f:(1;; '- G:;.q S Lvt-t-ð¡.;4 c29 ~ lIell~ PYi j::zt/J/( J x )(~y 12> U f¡ 'frt:-y· f( é)ðÞv\ ../ /' e, - ,/ ,/" /' /' / / / ,/ ,./ ,.// / /" /" ¿- /" / ~ ~' ~-. `~~~ F BOBBIS HALLMARK SHOP SiteID: 015-021-002153 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MAP HELIUM F P IH G 219.00 FT3 lain -2- O1/26/~007 -3- 01/26/2007 FrBOBBIS HALLMARK SHOP ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME HELIUM Location within this Facility Unit BALLOON GIFT WRAP COUNTER STATE TYPE PRESSURE _ Gas TPure ~-Above Ambient SiteID: 015-021-002153 ~ Facility Unit: Fixed Containers at Side ~ Days On Sits 365 Map: Grid: --- CAS# 7440-59-7 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER... AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 219.00 FT3 219.00 FT3 219.00 FT3 - riHL,EiKLVUJ 1:V1~lYV1VL'1V1~ °sWt. RS CAS# 100.00 Helium No 7440597 t1E~GKKL A77~~71~11"~1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCA No No No No/ Curies F P IH / / / M1i -4- Ol/26/~007 F~BOBBIS HALLMARK SHOP SiteID: 015-021-002153 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification O1/19/20C71 ~ VISUAL. Employee Notif./Evacuation Ol/19/20d1 PA SYSTEM. _,_ , rl.U/11\. 1VV 1.11. ~ L~V0.l.. UCLL1Vll PA sYs~ Emergency Medical Plan 04/14/206 NEAREST MEDICAL FACILITY IS MERCY SOUTHWEST HOSPITAL. -5- Ol/26/~007 P BOBBIS HALLMARK SHOP SiteID: 015-021-002153 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention Ol/19/20d1 I VISUAL. 1[C1CdSC 1..V111.d111lllCill. ~~ ~~4~h~ ~o~Ph a-~~ -~~ ~,~ P ~:iCan up ~ ~ i ~ t~ ~~ V1.11C1. 1CCSVUI_C:C HLl.1Vdl,lUI1 -6- O1/26/~007 y r !. F BOBBIS HALLMARK SHOP SiteID: 015-021-002153 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ Special tiazaras Utility Shut-Offs 12/26/2006 A) ELECTRICAL - BEH F-2 B) WATER - BEH F-2 C) SPECIAL - NONE D) LOCK BOX - NO Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - SPRINKLERS. NEAREST FIRE HYDRANT - BEH F-2. 12/26/2006 Building Occupancy Level 12/26/2006 18 EMPLOYEES -7- 01/26/2007 } n ~y F BOBBIS HALLMARK SHOP SiteID: 015-021-002153 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 10/13/200 ~ NO MSDS SHEET ON FILE FOR HELIUM. BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES ARE INSTRUCTED TO BE CAREFUL IN HANDLING HELIUM CYLINDER AND TO KEEP THEM CHAINED TO THE BASES PROVIDED FOR KEEPING THEM SECURE. THEY ARE TO CALL 911 IN THE EVENT OF AN EMERGENCY. rayc c. nciu ivi r u~.uic v.7C nciu Lvt r ul.uLC V.7'C -$- 01/26/2007 UNIFIED PROGRAM INSPECTION CHECKLIST:'' SECTION 1: Business Plan and Inventory Program ` ~,. BAKERSFIELD FIRE DEPT Prevention Services ~~Rj 900 Tnixtun Ave., Suite 210 ~aRtr~1 f Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME NSPECTION DATE INSPECTION TIME ADDRESS HONE NO. EIy~LOYEES OOF ~ZG~ ,S~oc/t/f~l' i J~~y ~CI^ 27-f~' 10/ ~ ((~~ FACILITY CONTACT USINESS ID NUMBER is-o2~- v~~Z~S3 ~ c ~~11 Section 1: Business Plan and Inventory Program ~~~ l ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V (c=compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ~ , ~ -,, Y " ^ BUSIIlBSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ PROC VERIFICATION OF ABATEMENT SUPPLIES AND URES EMERGENCY PROCEDURES ADEQUATE CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ~$ NO EXPLAIN: ~GG ~~"~4~~-c~ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (lease Print) Fire Prevention / 1s` In / Shift of Site/Station # White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02!05) + BOBBIS HALLMARK SHOP ________________________________ SiteID: 015-021-002153 + Manager DEVEREL RENNELS Location: 8200 STOCKDALE HWY F-3 City BAKERSFIELD BusPhone: (661) 834-7467 Map 123 CommHaz Minimal Grid: 05B FacUnits: 1 AOV: CommCode: BFD STA 11 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title TOM RODGERS / OWNER DEVERL RENNELS / MANAGER Business Phone: (661) 834-7467x Business Phone: (661) 834-7467x 24-Hour Phone (661) 396-1050x 24-Hour Phone (661) 327-9010x Pager Phone - (661) 706-0569x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact TOM RODGERS Phone: (661) 834-7467x MailAddr: 8200 STOCKDALE HWY F-3- State: CA City BAKERSFIELD Zip 93311 Owner BOBBIS HALLMARK,. SHOP Phone: (661) 834-7467x Address 8200 STOCKDALE HWY F-3 State: CA City BAKERSFIELD Zip 93311 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: ~ Emergency Directives: PROG A - HAZMAT ENT q p R 14 2006 Based on my inquiry of those individuals responsible for obtaining the information, I cartlfy under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. ~' r r Signature Date t______________________________________________________________________________+ -1- 03/13/2006 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program FACIt.ITY NAM ADDRESS FACIIITYCONTACT Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-39 INSPECTION DATE INSPECTION E PHONE No. No. of Employees 66i - 39d-/~~' f 3 Business ID Numt~er 15-021-DoZ ~5 ~3 Section 1: Business Plan and Inventory Program Routine ^ Combined ®Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection C V l V=Vb atiolnnce) OPERATION ~^ APPROPRIATE PERMIT ON HAND ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ~^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY I ^ VERIFICATION OF INVENTORY MATERIALS ~^ VERIFICATION OF QUANTITIES `N: ^ VERIFICATION OF LOCATION Ud ^ PROPER SEGREGATION OF MATERIAL Q~^ VERIFICATION OF MSDS AVAILABILITYE VERIFICATION OF HAT MAT TRAINING ~^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES EMERGENCY PROCEDURES ADEOUATE J ^ CONTAINERS PROPERLY LABELED -- ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND COMMENTS ANY HAZARDOUS W/ASTE ON SITE: YES ^ NO EXPLAIN: ~f e LJ UFO) QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT (66~) 326-3979 Inspector Badge No., Waite • Environmental Services Yellow - Statbn Copy Busi ss Site Responsible Par-y Pink -Business Copy UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY N ME }/I~~hI !1 ~ .... K ._~.. .t -'f,!.S~i[-~--~--~'--"-..~~//--II~~- Q#1 ~ ll ------ ----- -----...--------- ~---- ------ _ --' INSPEC~TlAIO~N DATE INSPECTION TIME ~~s ~----.. -O ~ ~~m . . - - ADORES - - - . .- 1 ~ LQ~ PHONE No. N pl FACILITYCONTACT i r ~ r~v~e S v OG~ Business ID Num er IS-021-©OoZl~3 Section 1: Business Plan and Inventory Program Routine ^ Combined ^ Joint Agency ^Muiti-Agency D Compi,3int O Re-inspection C V \V=Vioatonncel OPERATION ^ I,~ APPROPRIATE PERMIT ON HAND COMMENTS ~^ 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 AVAILABILITYE ^ ~ VERIFICATION OF FIAT MAT TRAINING ^ VERIFICATION. OF ABATEMENT SUPPLIES AND PROCEDURES y - ^ ~' EMERGENCY PROCEDURES ADEQUATE -------- --- ~j L~ ^ CONTAINERS PROPERLY LABELED --- ------------------------------------- ^ HOUSEKEEPING ^ FIRE PROTECTION ~ ~ ' ^ ~ SITE DIAGRAM ADEQUATE S~ ON HAND ANY HAZARDOUS WASTE ON SITE: ^ YES ~ NO EXPLAIN: // j QUESTIONS REGARf ,DING THIS INSPECTIONS PLEASE CALL US AT ~6B'I~ 3X-3979 Inspector Badge No White -Environmental Services Yellow -Station Copy Business Site es Ie Party Pink -Business Copy ~1 .,; ~OBBIS HALLMARK SHOP ~ . ,r'.--\. f ,~ / ' I I ( /¡' /' '- "," ", SiteID: 015-021-002153 Manager DEVEREL RENNELS Location: 8200 STOCKDALE HWY F-3 City BAKERSFIELD 'l..~~) ~'\\~ \. \. BusPhone: Map : 123 Grid: 05B (661) 834-7467 CommHaz : Minimal FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 11 EPA Numb: SIC Code: DunnBrad: Emergency Contact TOM RODGERS Business Phone: 24-Hour Phone : Pager Phone : / Title / OWNER (661) 834-7467x (661) 396-1050x (661) 706-0569x Emergency Contact DEVERL RENNELS Business Phone: 24-Hour Phone : Pager Phone : / Title / MANAGER (661) 834-7467x (661) 327-9010x ( ) - x Hazmat Hazards: Fire Press ImmHlth Period : Preparer: Certif'd: ParcelNo: to Phone: (661) 834-7467x State: CA Zip. : 93311 Phone: (661) 834-7467x State: CA Zip : 93311 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Contact : MYRA GENTRY MailAddr: 8200 STOCKDALE HWY F-3 City : BAKERSFIELD Owner Address : City BOBBIS HALLMARK SHOP 8200 STOCKDALE HWY F-3 : BAKERSFIELD Emergency Directives: I! .£-Ðt:::-I?~I!-¡'ffr? 00 hereby certify that I have ¡1Bv,e1NHd ~·llt': aHaCrH:¡d nazardous materials manage- Iment olan fo; ß/)Æ6/~ ¥(lMI)IIJf{d 'that i~ along with , ( M"e of BÜ~lne&¡;) ~y corrections constitute a comf»lsts and oorrsct man- ~ement plan for my ¡acilitlf· ~ ~,3-¿;>~. Signature tmto -1- 07/15/2003 -It - FACILITY NAME 8 ADDRESS 'l:2 (!Jf) FACILITY CONTACT el/eYe INSPECTION TIME IF He;;;;. CITY OF BAKERSFIEI-D FIRE DEPARTMENT OFFICE OF ENVIRONMENT At SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd I;'loor, Bakersfield, CA 93301 INSPECTION DATE /2-7 -ð~ PHONE NO. ~3£f - 7'1 ~ 7 BUSINESS 10 NO. 15-210- EJ0210 NUMBER OF EMPLOYEES If Section I: Business Plan and Inventory Program r::rR'outine o Combined o Joint Agency o Multi-Agency o Complaint D Re-inspection OPERA TION C V COMMENTS Appropriate pennit on hand ~ ~ NP r- ð¿f }¡h¡, // Business plan contact infonnation accurate 1""'- ..- 7 Visible address 1/ 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 1./ Verification of abatement supplies and procedures 1/ ./ Emergency procedures adequate ./ Containers properly labeled ./ Housekeeping ./ Fire Protection It/' Site Diagram Adequate & On Hand ..,/ JV'¿ ø/ k ,Jf'JÝbV/¿ .-.A , C=Compliance V=Violation Any hazardous waste on site?: Explain: DYes ~o ~ /1 C- Questions regarding this inspection? Please call us at (661) 326-3979 ! ., ., White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: ,~'7 , '~ - .. - BOBBIS HALLMARK SHOP Manager : /Jet/ere( 1?~J4e/f Location: 8200 STOCKDALE HWY City BAKERSFIELD Î;"J lC"' e )1 ;~ .J / / .' _1)~f7 2001 BY·/ \ ~L '-., SiteID: 015-021-002153 sPhone: p : 123 rid: 05B (661) 834-7467 CommHaz : Minimal FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 11 EPA Numb: SIC Code: DunnBrad: Emergency contaÆ / Title Ot.bøz,t- Emergency Contact / Title MYRA GENTRY ~#t ~¿þJCUD'Pm~ IMPRINT f)t2f/~ ( l?t2ilHe.,(s / h!qj1q µr Business Phone: ( 61) 834-7467x Business Phone: (¿~I ) 8311 -71'CTx 24-Hour Phone : (f,Ç,/) 39~ -/45Ðx 24-Hour Phone : «(,'/) j?-? -9¿)/~ x Pager Phone : (¿¿,¡) ';06 -¿:)~9x Pager Phone : ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact : M Yþ~ ~eh-H-y Phone: (661) 834-7467x MailAddr: 8200 STOCKDALE HWY F-1 State: CA City : BAKERSFIELD Zip : 93311 Owner BOBBIS HALLMARK SHOP Phone: (661) 834-7467x Address : 8200 STOCKDALE HWY F-1 State: CA City : BAKERSFIELD Zip : 93311 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: One Unified List ì All Materials at Site ì SpecHaz EPA Hazards DailyMax MCP F P IH G 219.00 FT3 Min f= Hazmat Inventory p== As Designated Order Hazmat Common Name... HELIUM "\, k~ J? ð¿;.~cu.r$. Do hereby certify that I have . (Type or print n~) reviewed the attached hazardous materials manage- ment plan for8,,6iJ,":s ~.#'h1~ that it along with. , (Name 01 Business) any corrections constitute a c~mplete and correct man- agement plan for my facility. ~~ J-,-CX~ 12/04/2000 ......ß _ ~ e e F BOBBIS HALLMARK p= Inventory Item = COMMON NAME / HELIUM SHOP 0001 CHEMICAL NAME SiteID: 015-021-002153 ì Facility Unit: Fixed Containers at Site ì Days On Site 365 Location within this Facility Unit BALLOON GIFT WRAP COUNTER Map: Grid: CAS # 7440-59-7 - TYPE Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 219.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 219.00 FT3 Daily Average 219.00 FT3 %wt. ·1 100.00 Helium HAZARDOUS COMPONENTS CAS # I 7440597 ~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min HAZARD ASSESSMENTS -2- 12/04/2000 ëoç.#...... J> l' e e CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 HAZARDOUS MATEIDALS 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 1. below for initial submission. SECTION I: BUSINESS IDENTIFICATION DATA BUSINESS NAME: ;3066/; ¡¡~/iÞn¿¡r¡6( Shr LOCATION: MAILING ADDRESS: g'~ S1ðckcle,te-l-!¡v< P-.3 CITY: I3qKr!K!,¿t:I STATE: (!/J- ZIP:9~~JJ PHONE:t??1I1~-74f67 {(¿Pr / ~( ~.:/s I- c; ~.;4&- PRIMARY ACTIVITY: OWNER: ¡;. h/i .¡... ~I""D ( It ()~Jc::.r-J PHONE: t?J- 39(, .-Æõð MAILING ADDRESS: 7&1 C,¿;Þ'n/~ð f)~,/ ðe..<;:-re.( &"k't?.r5'¡;;Ø¡é./J cr.J.:Jð9 EMERGENCY NOTIFICATION ( CONTACT 1. 76h'1 I? t:u:J2J-e Ÿ'-5 2. D42I/-th ( æn/l~/s TITLE BUS. PHONE 24 HR. PHONE CJLv/VÞ t?j-J%--/¿J~¿J ~ÇI-39Ç -,f'?oo MO¡/1Qvl"- ~?I/"hY-?~C7 ¡;'Ç,/-3.J..7-9ð/O q 1 e e r~? ~'~ HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION ILl: DISCOVERY AND NOTIFICATIONS A. LEAK DETECTION AND MONITORING PROCEDURES: 1I/~5q1/ ,,' B. EMPLOYEE AND AGENCY NOTIFICATION: t #- 575 {r"/JA- c. ENVIRONMENTAL RESPONSE MANAGEMENT: ¡[/ð ~,,~ . . D. EMERGENCY MEDICAL PLAN: ;f/~~;-e.5r- ß¿~~I h¿/'~í? /.5 /l4¿j"¿7 S~ U/~ 2 ;¡~ -1"'-,! tit e HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION II.2: RELEASE RESPONSE PLAN A. HAZARD ASSESSMENT AND PREVENTION MEASURES: <: 1/( 5?1.PL{ B. RELEASE CONTAINMENT AND/OR MITIGATION: ¡f/tP¥ ,.' C. CLEAN-UP AND RECOVERY PROCEDURES: /Yø~ UTILITY SHUT -OFFS (LOCATION OF SHUT -OFFS AT YOUR FACILITY) NATURAL GAS/PROPANE: M/1~ ,./ /10 GSt1J,5'¿/'Z//<":e 7ô S~/1-€- ELECTRICAL: 13. U1 ¡;~I P-d/.. WATER: !3.1L/¡/,,: p--~ SPECIAL: ~ LOCK BOX: YESéfÇY IF YES, LOCATION: PRIV ATE FIRE PROTECTIONIW A TER AVAILABILITY A. PRIVATE FIRE PROTECTION: 5/,/,,/;'/(//r.s B. WATER AVAILABILITY (FIRE HYDRANT): /J~jIJ ¡C/:L 3 e - ';f.... ~ HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION III: TRAINING NUMBER OF EMPLOYEES: It¡ MATERIAL SAFETY DATA SHEETS ON FILE: ¡Vø BRIEF SUMMARY, OF TRAINING PROGRAM: , ¡¿ A1~~ "I ¡J~ ~CVIL~þþ-~Ä.,~--¡ ~~aJk~~~Þffi ~~þ~~~1 ~ tV/ß-f;;: ~ 9 ¡ I þ.. ~~~ ~ ~. CERTIFICATION !, -;-:; PY/ /?¿;{I¡¡-e r J . CERTIFY THAT THE ABOVE INFORMATION IS ACCURATE. I UND STAND 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. S!t!~ ~~ , , TITLE /-/ð-o/ DATE 4 - ~.~- ~__r~r· --- e -----=-=r~---=-== . ~ " e ,BOBBI'S ~~0fOP 8200 Stockdale Highwa,y, F-) f)akersf¡cld, CaliÇomia 9))11 MYRA GENTRY Custom Imprinting rhone 8)+-7+67 Fax 8}+-)6ü+ - - -~-----' - . - , . ... ,,~ ~ v r '. '7,1 \4 t :;Lt0 CITY OF BAKERSFIELD FI P ARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 e l :U3~()Ç~ f( C -FØ( FACILITY NAME ~I'~ (~~ S~ ADDRESS S<2.ðð ~.7tX~~ ~ ç:'... « FACILITY CONTACT INSPECTION TIME INSPECTION DATE , (I "'L( ( C() PHONE NO. iS34-7~7 BUSINESS ID NO. 15-210- ~ v, NUMBER OF EMPLOYEES~ 4 Section 1: Business Plan and Inventory Program Q..Routine o Combined D Joint Agency D Multi-Agency D Complaint D Re-inspection OPERATION C V COMMENTS Appropriate pennit on hand Business plan contact infonnation accurate Visible address Correct occupancy ... Verification of inventory materials kJ8-<./v1V\. Verification of quantities ~(c, C.~ Verification of location ßp...LCßt'i 6-1 r-:r wf2Ap Cövv-rc:A..... 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: DYes ~o White - Env. Svcs, Yellow· Station Copy Pink - Business Copy at!!. sf!:::Si:::;'rty '. Inspector: W I~~ Questions regarding this inspection? Please call us at (661) 326-3979 ~ , .. .-¡;j . '7 Î 1\L-b t)3-(j; fS ,},{ C 1 :' CITY OF BAKERSFIELD FI P ARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST, !X'~f '~'. , 1715 Chester Ave.,3rd FloQr, Bakersfield, CA 93~()1".1f(þj ~~:, ",~-~~-~-.~~- ....., ¡ ! . 'oJ FACILITY NAME ~II~ ~MN'!L Stl.P ADDRESS S<Zðð ~'7"tXK~M.c!' ~ ç: -, FACILITY CONTACT INSPECTION TIME INSPECTION DATE "/'1..' ( q) PHONE NO, ..g 34- 7407 BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES ~ 14 '~'A:' /( " / Section 1: Business Plan and Inventory Program ø.. Routine o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERATION C V . COMMENTS Appropriate pennit on hand Business pl~n contact information accurate , Visible address . Correct occupancy Verificatiön of inventory materials " A(et<!lN\ Verification of quantities 'Lf t1 C.~ Verification of location " 'ß,p..("l.o,J 6:1 r-r wf2AP C ov ,.In:..4.-. .. 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: DYes' ,Y(..NO White - Env. Svcs. Yellow - Station Copy Pink - Business Copy ~17~ Business Site Resp nsible Party Inspector: W I Nt:: j Questions regarding this inspection? ,,,Please call us at (661) 326-3979