HomeMy WebLinkAboutBUSINESS PLAN 3/14/2001
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SiteID: 015-021-002189
THE YELLOW ROSE
CommCode: BAKERSFIELD
EPA Numb:
,-~ç~r;RIVED
~ ~II; 1 9 2001
STAT If /0"9
- Y:
BusPhone:
Map : 123
Grid: 15C
(661) 836-3396
CommHaz : Minimal
FacUnits: 1 AOV:
Manager :
Location: 6401 WHITE LN
City BAKERSFIELD
SIC Code:
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
BRENDA HARBIN / OWNER /
Business Phone: (661) 836-3396x Business Phone: ( ) - x
24-Hour Phone : ( ) - x 24-Hour Phone : ( ) - x
Pager Phone : ( ) - x Pager Phone : ( ) - x
_, Ha,?IDa~_~H£Lzards : ----- '---- ' -- ------- F:!-:r:e Press ImmHlth
- - - - -, , "
Contact : Phone: (661) 836-3396x
MailAddr: 6401 WHITE LN State: CA
City : BAKERSFIELD Zip : 93309
Owner BRENDA HARBIN Phone: (661) 836-3396x
Address : 6401 WHITE LN State: CA
City : BAKERSFIELD Zip : 93309
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
Emergency Directives:
One Unified List 1
All Materials at Site 1
p= Hazmat Inventory
p== As Designated Order
Hazmat Common Name...
SpecHaz EPA Hazards
DailyMax
MCP
(Type 0' prim name)
F P IH
--~ - - - ---.-----=..;;: -~.---..;- --'
Do hereby certify that ¡ have
G
244.00 FT3
Min
HELIUM
i'
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(Narr..e of Bumñ$<!$)
and that it along v~'¡th
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reviewAd the ath~rohc.o¡ h-'z,",va! '. '
" .' ,¡~..- Iv ¡¡i;l at au",: r¡'l::<f"'r¡a¡.... '''''.'');''-{'''-
."., ! s ,~...'t7 ...") f; lÜ.¡ ,r,{dt:-:-
ment plan for
any corrections constitute a complete and correct man-
agement plan for my facility.
Signarc/rti
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01/04/2001
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0001
CHEMICAL NAME
Facility Unit:
e
SiteID: 015-021-002189 9
Fixed Containers at Site ì
F THE YELLOW ROSE
F Inventory Item
F= COMMON NAME /
HELIUM
Days On Site
365
Location within this Facility Unit
INSIDE BEHIND SALES COUNTER
Map:
Grid:
CAS #
7440-59-7
STATE - TYPE
Gas Pure
PRESSURE
Above Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PORT. PRESS. CYLINDER
Largest Container
244.00 FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
244.00 FT3
Daily Average
244.00 FT3
%wt. ~I~-
100.00 Helium
._~ZAROOUS COMgO!'l~N'!'S_ ~ ~ . ~-I;r¡·- CAS#~44~~71
HAZARD ASSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Min
- - ---"
- ---, --------- .- - - - --- -------
-2-
01/04/2001
~~
Yellow- f7losø
All Occasion Florist
Gift~hoppe
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custome1;
Satisfaction
Guaranteed
Monday - Friday
8:30 AM - 5:30 PM
Saturday
9:00 AM - 1:00 PM
Major Credit
Cards Accepted
Brenda Harbin, Owner
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CITY OF BAKERSFIELD FIRE DEPART ÈÑT 0 f
OFFICE OF ENVIRONMENTAL SERVICES r7
UNIFIED PROGRAM INSPECTION CHECKLIST jdtri I
FACILITY NAME~ ~ C::AV~" 3ï:ßf:p]J:~:A 93::~ /:
ADDRESS ~4ò l WH-( rG W --tt.- l04 PHONE NO. <61<ó - :$:3'% '
FACILITY CONTACT BUSINESS ID NO. 15-210- N'&J ~lrS'n.:-
INSPECTION TIME NUMBER OF EMPLOYEES S
Section 1:
Business Plan and Inventory Program
~outine
D Combined
D Joint Agency
D Multi-Agency
D Complaint
D Re-inspection
OPERATION C V COMMENTS
Appropriate penn it on hand
Business plan contact infonnation accurate
Visible address
Correct occupancy
Verification of inventory materials f{ E1.-( V""1
Verification of quantities '2-44- c.ç:::'
Verification of location IN'S''í>c ß6-{ Ni) ~L6 Cd ...............
'U-
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
White - Env, Svcs,
Yellow· Station Copy
Pink· Business Copy
uJN'C-'5
C=Compliance
V=Violation
Any hazardous waste on site?:
Explain:
DYes ~o
Questions regarding this inspection? Please call us at (661) 326-3979
HAZARDOUS MATERIALS INVENTORY
CHEMICAL DESCRIPTION
a CITY OF BAKERSFIEL~
OF~E OF ENVIRONMENTAL SftVICES
1715 Chester Ave., CA 93301 (661) 326-3979
NEW
DADD
D DELETE
D REVISE
200
(one form per material per building or al8a)
Page of
CHEMICAL NAME
3
, ,;,i,::\ ~é'\:;:~~~~}," ~~t;/:'< '
..
2011 CHEMICAL LOCATION
~ T't:""'L I CONFIDENTIAL (EPCRA)
203 GRID # (opoonal)
o Yes 0 No 202
204
CHEMICAL LOCATION
~'4-L~
207
COMMON NAME
CAS #
209
FIRE CODE HAZARD CLASSES (Complete if requesled by local fire chief)
TYPE
210
~URe o m MIXTURE o w WASTE 211 RADIOACTIVE OVes ONo 212 CURIES 213
o s SOLID o I LIQUID P4-GAS, 214 LARGEST CONTAINER 7-<+4- 215
PHVSICAL STATE
FED HAZARD CATEGORIES
(Check all that apply)
ANNUAL WASTE
AMOUNT
o 1 FIRE 0 2 REACTIVE
~PRESSURE RELEASE
o 4 ACUTE HEALTH
05 CHRONIC HEALTH 216
217 MAXIMJM
DAIL V AMOUNT
'"Z- ~ 218
AVERAGE
DAIL V AMOUNT
219 STATE WASTE CODE 220
UNITS·
o ga GAL !if.sL CU FT
. If EHS, amounl must be in Ibs.
o Ib LBS
o In TONS
221
DA VS ON SITE
222
STORAGE CONTAINER o a ABOVEGROUND TANK De PLASTlCINONMETAlLlC DRUM o i FIBER DRUM o m GLASS BOTTLE o q RAIL CAR 223
(Check all that apply) Db UNDERGROUND TANK Of CAN OJ BAG o n PlASTIC BOTTLE o r OTHER
DC TANK INSIDE BUILDING o g CARBOY Ok BOX o 0 TOTE BIN
o d STEEL DRUM o h SILO þ!fçVLINDER o ø TANK WAGON
STORAGE PRESSURE o a AMBIENT peL., ABOVE AMBIENT o ba BELOW AMBIENT 224
STORAGE TEMPERATURE )a:.aAMBIENT o sa ABOVE AMBIENT o ba BELOW AMBIENT o c CRVOGENIC 225
2 J 230 231 OVes o No 232 233
'!
3 234 235 OVesONo 236 237
4 238 ..~!.' 239 o Ves 0 No 240 241
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