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HomeMy WebLinkAboutBUSINESS PLAN r. ~ \- " .~.,~ ~..... ._ Hl\I~IP PLA~ l\11~~P , , 51 T E DIAGRAM ~ F A~L' TY DIAGRAM .. 3u.s:::ess :-fame: 1:' NI ~ ('V eo f7t IY1 A:'~a :-1ap # I 0: / , . ,/'\ ¡/I \, - - Nc="':~ ~ame 0: Ar'.!a:' Sou:r1, ~MJ 13Jh.(erif7k!J \µ h tt-l "L-PrcJ e 6 çL 'P7Jl-o L-OCO K f!"'1U~ý fy :Je-Þ {)JYW .----- \,Je¡J'O ~ \5 ~ :Sf'AfT€("N~ [ V' 1h iYÍ ~ , .:::t: ~tJ'¡''¡' s: \: (0\ ~ I ~ .::S ~ 8fflh~ - ~ \)o¡V\5 LÐ,J C 'f fA e (805) 834011841 1475 While Lane Bakersfield. CA 93307 " LlfVf~ , ' , tit " ..-v}ò ." > "f' 4 '?:. 1 "' _ M & --nn;':, · ~M IMAGINE THAT 215-000-000004 Overall Site with 1 Fac. Unit Page 1 ~ 02/23/94 General Information Location: 1475 WHITE LN Community: BAKERSFIELD STATION 01 Map: 124 Haz:1 Type: 1 Grid: 18C FlU: 1 AOV: 0.0 Contact Name LORA LEE ROUNDY HEIDI ROUNDY Title OWNER ;131- ~öl S- MOTHER Business Phone 24-Hour Phone (805) 834-1184 x (805) 397-7603 (805) 861-0570 x6451 (805) 834~1746 Administrative Data Mail Addrs: 1475 WHITE LN City: BAKERSFIELD Comm Code: 215-001 BAKERSFIELD STATION 01 D&B Number: 550-41-3870 State: CA Zip: 93307- SIC Code: Owner: LORA LEE ROUNDY Address: 1475 WHITE LN City: BAKERSFIELD Phone: (805) 834-1184 State: CA Zip: 93307- Summary ÒÚf C) !- GI ~ iJý£rS '" e e 02/23/94 IMAGINE THAT 215-000-000004 Hazmat Inventory List in MCP Order 02 - Fixed Containers on Site PIn-Ref Name/Hazards Form Max Qty MCP 02-001 HELIUM ~ Fire, Pressure, Immed Hlth Gas Page 2 976 Minimal FT3 --------~ e e 02/23/94 IMAGINE THAT 215-000-000004 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 02-001 HELIUM ~ Fire, Pressure, Immed Hlth Gas 976 Minimal FT3 CAS #: 7440-59-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: OTHER Daily Max FT3 ----r-- Daily Average FT3 --r-- Annual Amount FT3 -- 976 I 488.00 I 7,320.00 Storage r Press T Temp ~ Location PORT. PRESS. CYLINDER Above AmbientlSW WALL BY COUNTER - Conc l 100.0% Helium Components r; MCP -¡Guide Minimal I 12 e e 02/23/94 IMAGINE THAT 215-000-000004 00 - Overall Site Page 4 <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 WE WOULD CONTACT FLINTCO IF WE HAD A PROBLEM WÌTH OUR HELIUM TANKS. <2> Employee Notif./Evacuation WE HAVE A FRONT AND BACK DOOR EXIT FQR EMPLOYEES AND CUSTOMERS. WE ALSO HAVE A PANIC BUTTON WITH OUR ALARM SYSTEM WHICH WOULD NOTIFY THE POLICE IN CASE OF AN EMERGENCY. <3> Public Notif./Evacuation WE HAVE FRONT AND BACK DOOR EXITS. <4> Emergency Medical Plan NEAREST HOSPITAL e e 02/23/94 IMAGINE THAT 215-000-000004 00 - Overall Site Page 5 <E> Mitigation/Prevent/Abatemt <1> Releage Prevention HELIUM TANK CHAINED TO WALL. TANK COVERS LEFT ON WHEN NO IN USE. <2> Release Containment TANK VALVE CLOSED EACH NIGHT. <3> Clean Up <4> Other Resource Activation e e 02/23/94 IMAGINE THAT 215-000-000004 00 - Overall Site Page 6 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NONE B) ELECTRICAL - EAST WALL BY BACK DOOR C) WATER - NONE D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - OVERHEAD SPRINKLERS, FIRE EXTINGUISHER BY BACK DOOR (EAST WALL, BURGLAR ALARM. FIRE HYDRANT - CORNER OF SOUTH H & WHITE LANE (BY WENDY'S) <4> Building Occupancy Level Î, . e e 02/23/94 IMAGINE THAT 215-000-000004 00 - Overall Site Page 7 <G> Training <1> Page 1 WE HAVE 4 EMPLOYEES AT THIS FACILITY DO YOU HAVE MATERIAL SAFETY DATA SHEETS ON FILE? BRIEF SUMMARY OF TRAINING: WE SELL HELUIM BALLOONS - EVERYONE KNOWS TO SHUT VALVE OFF EACH NIGHT. OUR TANK IS CHAINED TO THE WALL. HELIUM IS USED ONLY FOR BALLOONS. <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use J , ~. .. 02/23/94 e e IMAGINE THAT 215-000-000004 00 - Overall Site Page 8 <M> Inspections R WATKINS R HUEY R. WATKINS 08/04/92 FOLLOW UP / / 08/10/92 FOLLOW UP OK / / 08/12/93 OK / / " r .. 'Iii e e 02/23/94 IMAGINE THAT 215-000-000004 00 - Overall Site Page 9 <M> Events "M" Overall List R WATKINS 08/04/92 FOLLOW UP / / NEED MSDS SHEETS EXTINGUISHER NEEDS SERVICE R HUEY 08/10/92 FOLLOW UP OK / / R. WATKINS 08/12/93 OK / / - ~p~ Bakersfield Fire DepttÞ HAZARDOUS MATERIALS DIVISION Date Completed 8 - 4 - q-z. , e Business Name: l ¡vi. A6t,~ ~ ~lAT J Location: l4'15 U1t1tTS L~ Business Identification No. 215-000 OéY)(X) 4_ (Top of Business Plan) Station No. 5 Shift ß Inspector l0A1K u\)5 / TZ-Dr_ f Adequate Inadequate RECEIVED ~ LJ Verification of Inventory Materials ~ LJ 'AUG 0 6-1992 Verification of Quantities Verification of Location ~ LJ HAZ. MAT. DIV. Proper Segregation of Material ~ LJ Comments: ~ Verification of MSDS Availablity Number of Employees ~ Verification of Haz Mat Training ments: Verification of Abatement Supplies & Procedures Comments: D ~ rn! D LJ Emergency Procedures Posted Containers Properly Labeled Comments: Verification of Facility Diagram Special Hazards Associated with this Facility: ~ rn/I D LJ D Violations: ~~ MATéRt.A\ <5dE--ry ~ATA 'SHE:ß-r é~ t \N6 l) \5 H ES 1<- N E:E:Ì)S Sc{<--\I l CE,. ~~ ~f.àge~~ ~ M.---' FD 1652 (Rev. 1-90) All Items O.K. Correction Needed o ~ White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy OK e e Bakersfield Fire Dept. Hazardous Materials Dìvisìon 2130 "G" Street Bakersfield, CA. 93301 REr.~IVED FE 8 2 2 1991 Ansid........... . #~ &Jbn i HAZARDOUS MATERIALS MANAGEMENT PLAN~G--I 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 brief and concise as possible. ~ECTION 1: BUSINESS IDENTIFICATION DATA j) BUSINESS NAME: ,~fY}rY"17rf)e- r¡-ha~t r /'-1 7/; LA) hlfe- LQI)fJ/ (5;)me STATE: Cd- ZIP: W¿?7PHONE: X3V-)J rLj LOCATION: MAILING ADDRESS: CITY: R }{ +-d ¡:: ¿ T ~.-,t I. D . :it-- DUN ~ BRADSTREET NUMBER: t;qJ-Lj /~ 5 D'70 SIC CODE: PRIMARY ACTIVITY: ~f)/nM ,Ç/OI1 V' fi'H ¡ßOI/ f¡fI/~ / OWNER: L()ß,) k_ ß//J1d/. . , ) MAILING ADDRESS: ~YY)e'/ SECTION 2: EMERGENCY NOTIFICATION: CONTACT 1. LoRrP, l~() (J/!rrJ¡ 2, /Ip/c!' ~tll1t11 TITLE OVJ7'f;e.- r;, II; f Æ? BUS, PHONE 24 HR, PHONE C¡-W-/J it¡ 1b1-[))7() 1.</5J 39}-7ba<; ~?Lj- ) 7 tit 1. F0159' _ Bakersfield Fire Dept. e Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN ~.---) ~ .;,.",' ..' '. .' "~ .. . ,(~e~' . SECTION 3: TRAINING: NUMBER OF EMPLOYESS: tf MATERIAL SAFETY DATA SHEETS ON FILE: ~~·zy.u1~ f¡f, ~ ~ Œw JiiiJ¿µ ~j(yJØ~. ¡J ~ JþJ ;bd?rv~. ~ SECTION 4: EXEMPTION REQUEST: I CERTIFY UNDER PENALTY OF PERJURY THAT MY BUSINESS IS EXEMPT FROM THE REPORTING REQUIREMENTS OF CHAPTER 6.95 OF THE IICALlFORNIA HEALTH & SAFETY CODEII FOR THE FOLLOWING REASONS: ./ WE DO NOT HANDLE HAZARDOUS MATERIALS. /' ;U;-O HAND~~ltfÒÙ~A TERIALS, BUT THE QUANTITIES AT NO TlMEEXCEED THE MINIMUM REPORTING QUANTITIES. ~( OTHER (SPECIFY REASON) I, CERTIFY THAT THE ABOVE INFOR- MA 10 S A CURATE. I DERSTAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM1S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODEII ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURAT INFORMATION CONSTITUTES PERJURY. TITLE DATE 2. FD159' I ~ ,t>. " e Bakersfield Fire Ðepe Hazardous Materials Division HAZARDOUS MATERIALS MANAGEMENT PLAN Facility Unit Name: ~(:rl/)~ff SECTION 6: NOTIFICATION AND EVACUATION PROCEDURES: A, . ~ oL(}b Jd a/ B. EMPLOYEE NOTIFICATION AND EVACUATION: ~ J,<J-6v ~4ßa~dorn ~.ø:J;b ~ ' ú)11'~. ' V;.~, 7;Jvak/ Jl4f!: CU ¡aði#0 ~J~ (){,V?J! cwa/Ym :~ .wf(icJv þM (I~.~ ~,¡/n AXMiJa! Mi ~;ørY' . C. PUBLIC EVACUATION: (j)J/ ~ fM'ii "t ~,JZjdøøv ~ D, EMERGENCY MEDICAL PLAN: Th~ ~&& 3. R)1~ e Bakersfield Fire Dept. e Hazardous Materials Division --~ ~ - j.,~. HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION, PREVENTION AND ABATEMENT PLAN: A. RELEASE PREVENTION STEPS: H ~Li (,HVt ~ /( (),/th/ eIJ TO iAí8t-L " ,f}ðJ1< Ú)1IfW) t-e-¡r OrJ ~ NOr )}J .Me B. RELEASE CONTAINMENT AND/OR MINIMIZATION: T7}N/<.' V lYL-1I e i GL 0 ~ fli) e{jd 146 h 'T C. CLEAN-UP PROCEDURES: ~4 SECTION,S: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY): NATURAL GAS/PROPANE: AjA ELECTRICAL: £w l-v'e-tL- b 7 b~ 1JtJðfr WATER: ¡V/4 SPECIAL: LOCK BOX: YE@ IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY: B, PRIVATE FIRE PROTECTION:. }.v' cJr~e-r hy b~~ ÐtYiJy (eljsrwß1..&) () vr¿.¡-/fe+Þ >Ph'ìvKlet'1/ P¡ re ~n fJ '.) bu r6Lßr ft1,.1:YY)'V\ . WATER AVAILABILITY (FIRE HYDRANT): /, '-ve,j'[)""'\) \ {,or-(liý DJ 5~~ If. 11 Í/¡'lr~ L~ l b r f ~ /}0o by k,~c, 4. FD159\' A. CITY of BAKERSFIELD ~HAZARDOUS MATERIALS . NON-TRADE SEC OWNER NAME: J...orlf tee !<Ou.,./f) ADDRESSl· L<:Jõ ~~. ~TY~ Z P:- ~' P ON t: It: . 0 R FER TO U; ~, ,~> .- j{ INVENTORY of Page -L__ ~-- ------ :I:M1t'6/ DF:--- B ER -.sq- - - - - RETS NAME OF THIS FACllITYÒ' STANDARD IND. CLASS C DUN AND BRADSTREET NUM BusIness Standard o and Agticulture Farm U ~ixture{ço~conents Instruc Ions J , by Wt CODES 12 on Where n FacI' Ity 11 Use Code 10 Cont Temp 9 Cont Press 8 Cont Type 1 Dys SIte 6 Measure UnIts 5 Annua Est 4 Average Amt 3 Max Allt 2 TYQe Code 1 Tr&ns Code Nalles of See loc~t Stored I on by {O(A..~ s:w. ""t1tL ,,, ,,-/ 2. Ót..¡ ~6S- FT3 ?'1)0 fr3 FTj I L.f ~8' PíJ '1~6 p lA \?ol HeL/úl"Vt Number Number C,A.S C.A,S Component 11 Name He¿,~~ Component 12 Name mmediate Health Component 13 Name o Number )¡¡r, Sudden Re I ease p.J of Pressure S Delayed Health C.A o and Health Ha~ard a II that apply I Reactivity o Hazard re pr~~~~f o Number C.A,S NUllber Number Number C.A.S C.A.S C.A.S NUle & Name Name Component I .2 .3 Immediate Component Health Component o Sudden Release of Pressure NUlllber o De 1ayed Health C,A.S o Physical aod Health Ha~ard (Check all that applYI Reactivity o re Hazard o Number Number NUllber C,A.S C.A.S C.A.S & Nallle Nallle Name Component I 12 13 Immediate Component Health Component o Sudden Re I ease of Pressure Number o S De J ayed Health C,A o ty v th Ha~ard applYI React o ond Hea a 11 that Hazard Fire PhyS i ca (Check o NUllber C.A.S. NUllber C.A.S Nalle Name I '2 Component mmediate Component Health Component o Sudden Release of Pressure NUllber o s Delayed Health C.A o Physics I and Health Hla~ard (Check all that app YI o o Number C,A,S Name 13 Reactivity re Hazard 1311 - , I) 1(6 zrlWT1i~ 1~?-')b01 ~r phone subllitte~ in this and all Inforllatlon. I belIeve that (If~~ÍI/eNC~ Ttt- Certifjçatjoq fReed and $ign afjßr c9mpleting Ç117 sections) 1 certIfy under enal~ 0 Is th t I have persona Iy exam)n Q a d III familIar it the informatIon attaçhed docÚllen~sl an~ t at ~ase~ on IIY InquIry 0 lhose Inâlvl~ua's responslb1e ~or obtaInIng the submItted Infor~atlon IS true, accurate, and cOllplete tt EMERGENCY CONTACTS lIDefr'ãofic e e CITY of BAKERSFIELD "WE CARE" FIRE DEPARTMENT D. S. NEEDHAM FIRE CHIEF January 24, 1991 2101 H STREET BAKERSFIELD, 93301 326-3911 Imagine That! 1475 White Lane Bakers£ield, Ca. 93307 Attention: Laura It has come to my attention that in July Barbara Brenner £rom the Hazardous Materials Division paid you a visit and requested that you £ill out a Hazardous Materials Management Plan £or the h€li~m used in your store. This plan was due by August 1, 1990. C<9/r.pres~d 9C<St""i At this time I am sending you a new packet o£ in£ormation in case you have lost it. We do need to have these £orms filled out and returned to this o££ice by February 8, 1991. 1£ we have not received the £orms or heard £rom you by this date you could incur civil liabilities up to $2,000.00 per day £or each day o£ non compliance. Please do not hesitate to contact us i£ you have any questions or problems with the £orms. Sincerely, Valerie Pendergrass Hazardous Materials Division ENCLOSURES