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HomeMy WebLinkAboutBUSINESS PLANa ~I H z a al o~ ~~ AN O ao -__~ ~~ -, i ~} i LINDSEY ORNAMENTAL SiteID: 015-021-002389 Manager LARRY LINDSEY Location: 900 24TH ST 104 City BAKERSFIELD CommCode: BFD STA 04 EPA Numb: BusPhone: (661) 321-0451 Map 103 CommHaz High Grid: 30A FacUnits: 1 AOV: SIC Code:5712 DunnBrad: Emergency Contact / Title Emergency Contact / Title LARRY LINDSEY / OWNER MONICA LINDSEY / OWNER Business Phone: (661) 321-0451x Business Phone: (661) 321-0451x 24-Hour Phone (661) 805-1244x 24-Hour Phone (661) 805-1244x Pager Phone (661) 599-2447x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact LARRY LINDSEY Phone: (661) 321-0451x MailAddr: 900 24TH ST 104 State: CA City BAKERSFIELD Zip 93301 Owner LARRY & MONICA LINDSEY Phone: (661) 321-0451x Address 900 24TH ST 104 State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT , ENT'D MAY 0 3 2007 ~~ Lased on my inquiry of those individuals responsib'e for obtaining the information, !certify under penalty of !aw that ! have personally eramined and am familiar with the information submitted and believe the information is true, accurate, and com lete. ~~~~~ nature Date -1- 02/02/2007 ~, l ~ F LINDSEY ORNAMENTAL SiteID: 015-021-002389 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ACETYLENE E F P IH G 118.00 FT3 Hi OXYGEN F IH DH G 249.00 FT3 Low CO2 F P IH G 50.00 GAL Min -2- 02/02/2007 -3- 02/02/2007 F LINDSEY ORNAMENTAL ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME ACETYLENE Location within this Facility Unit SHOP STATE TYPE PRESSURE _ Gas TPure Above Ambient SiteID: 015-021-002389 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 74-86-2 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 118.00 FT3 118.00 FT3 118.00 FT3 t11~Y,Hx1JlJU5 1:V1~lYV1V r;1V'1'~ %Wt. RS CAS# 100.00 Acetylene Yes 74862 riF~GHl[L A55L'~SS1~1L"~1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME OXYGEN Location within this Facility Unit SHOP STATE TYPE PRESSURE _ Gas TPure ~-Above Ambient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 7782-44-7 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 249.00 FT3 249.00 FT3 249.00 FT3 riHGHKLVU~J 1.V1~lYV1VtS1V1.7 %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 nrjaytcl~ t~a~~aal~i~lvl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -4- 02/02/2007 ,, . F LINDSEY ORNAMENTAL SiteID: 015-021-002389 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME CO2 Days On Site 365 Location within this Facility Unit Map: Grid: SHOP CAS# 128-38-9 ~GasATE TPureE ~-AboveSAmbEent AmbientT~E PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 50.00 GAL 50.00 GAL 50.00 GAL ruyc~r~LV va ~.viirvi~aly t J %Wt. RS CAS# 100.00 Carbon Dioxide No 124389 TTT r/T T1T TAAT1A PtT RT'ITTTA L3tiGtiRL tiA w7 L~.7 ~71.1P~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -5- 02/02/2007 F LINDSEY ORNAMENTAL SiteID: 015-021-002389 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 05/18/2006 ~ PRAXAW 800-772-9247 ;Employee Notif./Evacuation ~a/v''~ ,~ ru~i~.~. i~v~.ii . / ~va~ua~.ivri Emergency Medical Plan 05/18/2006 MEMORIAL MEDICAL, 34TH ST -6- 02/02/2007 :. F LINDSEY ORNAMENTAL SiteID: 015-021-002389 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention , Release Containment .., Other Resource Activation -7- 02/02/2007 _ n F LINDSEY ORNAMENTAL SiteID: 015-021-002389 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ J~JCL 1011 11dG Gtl. U5 Utility Shut-Offs , ~r.~-c.~e_ ~ ~ ,_ r ii.c rivt,c~ . ~ r~vai.L . rva~ci ~~~ ~ W~ ~ Building Occupancy Level ~_~n~~ 11/29/2006 2 EMPLOYEES ~ ~W i~.'P~S fl~~ '-' ~,r ~ ~ N~.o ~ ~c~. 'n~-~~.~..~ -$- 02/02/200 t F LINDSEY ORNAMENTAL SiteID: 015-021-002389 ~ Fast Format ~ ~ Training Overall Site ~ Employee Training , ~: i ~ - ,~a ~s rayC ~ ilc 111 tUt t UI.ULC 1.1~C i1C 1lA 1VL t'UI.. U.LC Un7'C -9- 02/02/2007 SALES OFFICE l ~' s ~; 1 2301 P STREET :. ~ ~ ~ - BAKERSFIELO, CA 93301 ~~IO INVOICE NO. ~® ~, ~=~ -.~j ~--. •' WAREHOURE: 101TRUXfUN - 24.HR. PHONE:(661) 322-6001 a~ ~ n STATE FIREMARSHALL LIC. #E546. - TOLL FREE: (800) 272-6326 ~ - ~~V ~ D.O.T, A105 C H P. CA 7948 ORDERDESK FAX: (661) 322-0127 q. { - CA CORP.fED I D NO. 95-2599411 oFFICE FAx: (ssi) 32z-so5o ~ CONTRACTORS LIC. #520781-C16 '~...~' SALES w~-SERVICE TO L / ' /.a. ; -`p , ` s . r;. '; , , •,c~ r'_ LOCAOTBON. t- b1 > OMONTHLY :°~ANNUAL OSHOP ' PRE-ANNUALSERVICEAPPROVAL j, f ~ _ s, :' ~ _.. t-.. d .. OQUARTERLY OEQUIPMENT OT/I X ~ ~~, OSEMIANNUAL - ~j CALL OUT INVOICEDATE REQ. NO. LUST. P.O: NO. - WORKORDEREDBY _TELEPHONE ND. FAX NO.. ~. .. ..- - CASH CHECK CREDIT CARD CHARGE CODE _ , SERVICE PERSON CUSTOMER NO .,- - - TERMS_ ¢'~_¢Y._F'.( V~ _- ~ ~~ .... ...- ~ _ %. ~ ~'~ a~.. ,. , ... ..,, ~ SERVICE FOLLOW UP DATE., DESCRIPTION OF FIRE/SAFETY EQUIPMENT PRODUCTS AND SERVICES ~ ~ ~ TOTAL RATE NON TAXABLE TAXABLE ~ ~ • QUANTITY 1' - ` ~'"~ ANNUAL SERVICE ' DCP DCC ~_, ~ ~_/ ~~ ~ ' ~ ~ -" DRY CHEMICAL '- _• ~ 2, COMPLETE SERVICE DCP DCC _ DRY CHEMICAL. 3 ANNUAL SERVICE _ COz , 4 COMPLETE SERVICE TOTAL POUNDS »> 5, ANNUAL SERVICE WATER'/ FOAM WATER- FOAM I 6 COMPLETE SERVICE ' WATER/FOAM: WATER- FOAM - ~ HYDRO TEST DCP DCC _ DRY°CHEMICAL $ HYDRO TEST. GO g HYDROYEST WATER/FOAM - WATER FOAA4 - - i 10: ANNUAL SERVICE HALON 1 OTHER , . _. HAL--ONu _._ - ~ :.:.> _ .._:.OTHER . '; 11 - COMPLETE SERVICE HALON/OTHER HALON - OTHER - ~ I - - 12 HYDRO TEST HALONIOTHER - HALON -- `OTHER _ 13 _ - , 14 _ -- ~ 15 - ___.__ 16 -- - 17 ______ 1 ~ r 19 ~ ~ -` ,; ,. . ," , s ,< a , -- - 20 °~, ,r''~ ~ - 1 21 ~ R p, c ~ ~ ~ , Y --- - 22 Fw 1 r ( J- --_ - 23 --- 24 25 MISCELLANEOUS'SUPPLIES^ NITROGEN GOVERNMENT REGULATORY COMPLIANCE COST RECOVERY FEE ` °SUB TOTAL ~ ", ,•a^. _ ~. f ~ '_ - ~ NON-TAXABLE . -. . - . • . :. - , ' ~ 5UB TOTAL ~ ,~. ,~. TAXABLE MATERIAL SAFETY DATA SHEET AVAILABLE ON REQUEST ® SALE$TAX [~ -._ ~" : F ~(>. - ; ~y - _,,~ ... ~ TOTAL DUE ~ -, ~• -;. 1 HAVE AUTHORIZED THE ABOVE WORK AND HAVE READ THE TERMS AND CONDITIONS . . ~ T!-IIS INVOICE - ON REVERSE SIDE OF THIS FORM: THERE tS NO WARRANTY?EXPRESSED OR IMPLIED. c~~~oca~~, c~~~ Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST~i B E R s F. _ 900TruxtunAve., Suite2lo __..___ _~__ , __.~.~.._..~ .__ .w _..1~ FiRe _D .Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ARTM T Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ~ n -~ // i o ~ s'~ ADDRESS ~t j~ PHON NO. u / NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER ~ ~ 15-021-p 0~.3 8 ~ ~ ~ Section 1; Business Plan and Inventory Pregram (~ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS APPROPRIATE PERMIT ON HAND ^ BUSineSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ~ ~o® ^ 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 ANY HAZARDOUS WASTE ON SITE? ^ YES ®NO EXPLAIN: 0 QUESTIONS REG~I ~~RDING~IS INSPECTION? PLEASE CALL US AT (661) 326- Inspector (Please Print) Fir Prevention 1 s In /Shift of SitelStation # ner-Dula ~~ White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 't T + LINDSEY ORNAMENTAL __________________________________ SiteID: 015-021-002389 + Manager LARRY LINDSEY BusPhone: (661) 321-0451 Location: 9.00 24TH ST 104 Map 103 CommHaz High City BAKERSFIELD Grid: 30A FacUnits: 1 AOV: CommCode: BFD STA 04 SIC Code:5712 EPA Numb: DunnBrad: +______________________________________________________________________________t Emergency Contact / Title Emergency Contact / Title LARRY LINDSEY / OWNER MONICA LINDSEY / OWNER Business Phone: (661) 321-0451x Business Phone: (661) 321-0451x 24-Hour Phone (661) 805-1244x 24-Hour Phone (661) 805-1244x Phone (~~,~`) ~~ -7,ce Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact LARRY LINDSEY Phone: (661) 321-0451x MailAddr: 900 24TH ST 104 State: CA City BAKERSFIELD Zip 93301 Owner LARRY LINDSEY Phone: (661) 321-0451x Address 900 24TH ST 104 State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif' d: RSs : No ParcelNo: Emergency Directives: ~ PROG A - HAZMAT Based on my inquiry of thaw ir,diviquais responsible for obtaining the Information, I certify undar penalty of law 4hat I have personally examined and am familiar with the Information submitted and believe the Information is true, accurate, and co late. "gnature '~ Date / ~~ -1- 03/06/2006 UNIFIED PROGRAM INSPECTION CHECKLIST Bakersfield Fire Dept. Environmental Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 DF~ J 5 Tel: (661)_326-3979 ___-____ __ _ SECTION 1 Business Plan and Inventory Program • FACILITY NAME INSPECTION DATE INSPECTION TIME ~; nc~Se.~ drrlG,,nn_2~n~a\ ._....._._..___.._._.... __4-b-_~_ /~//c~ ADDRESS PHONE No. No. of Employees i~ _ o c~ 2 `I --------~~~=~-'~-=- --- - -~ ---~ ©~------------- , _-- - -.- -- --- --.._ -_ _- - - ..__. -- 3 21-=-~?~-151..---- ~Z _ --- - - - FACIUTYCONTACT Business ID Number ~,rr L-„~ca ~ 15-021- '~, Section 1: Business Plan and Inventory Program (Routine D Combined O Joint Agency OMulti-Agency ^ Complaint ^ Re-inspection C] C V OPERATION ~ t n~ COMMENTS l V=vio a on ^ APPROPRIATE PERMIT ON HAND ^ .BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ -.,. VISIBLE ADDRESS _--._.__.__ .-~._..-- --....._ __ --- --_ _ -__. _ . _ . _.--- _ Cor('et~- .. A~•!~,SS..__ !.S . ~' 1 may.... ^ CORRECT OCCUPANCY - --- ^ - -- ~ VERIFICATION OF INVENTORY MATERIALS - ---- - ----- ------ -- -------- ___.._....._. ------ -- ..... -....._._ ... __ ____ . __ ^ ... - I VERIFICATION OF QUANTITIES . ~. ^ .VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL c~ ----- ^ --- VERIFICATION OF MSDS AVAILABILITYE . . ._ ---- ----- -- -------- ------ . )H ^ . . . . ................... -- --- -._. ._ .... -- - VERIFICATION OF HAT MAT TRAINING f -....._. - _._... _._...._- - ._ ........._ _.. _ ... .._....-_.....-.....---- - ------- .. -- - --- ___.... ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ~ ANY HAZARDOUS WASTE ON SITE?: ^ YES '~NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661 ~ 326-3979 / (~ ^~- `~f ~_``~,~--~~- b -------- ---.--~--~ ~_.__-~/%~~~. 111 _ Inspector (Please Print) Fire Prevention 1st-InlShift of Site a Site Responsible Ay (Please Print) Whfle - EnvvonmeMal Services Yellow -Station Copy Pink -Business Copy I T, LINDSEY ORNAMENTAL SiteID: 015-021-002389 Manager LARRY LINDSEY Location: 900 24TH ST 104 City BAKERSFIELD BusPhone: (661) 321-0451 Map 103 CommHaz High Grid: 30A FacUnits: 1 AOV: CommCode: BFD STA 04 EPA Numb: SIC Code:5712 DunnBrad: Emergency Contact / Title Emergency Contact / Title LARRY LINDSEY / OWNER MONICA LINDSEY / OWNER Business Phone: (661) 321-0451x Business Phone: (661) 321-0451x 24-Hour Phone (661) 805-1244x 24-Hour Phone (661) 805-1244x Pager Phone (661) 599-2447x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact LARRY LINDSEY Phone: (661) 321-0451x MailAddr: 900 24TH ST 104 State: CA City BAKERSFIELD Zip 93301 Owner LARRY & MONICA LINDSEY Phone: (661) 321-0451x Address 900 24TH ST 104 State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ~N~~ JUG ~ ~ ~D~~ 3ased on my inr~uiry of those indhiiduais responsible f~~r otatair,ing the information, I certify under penalty of iavr that I have personally examined and am fan°,iliar o~~ith the 'snformation submitted and :aeiieve the information is true, accurate, and corrtp~~ ,e. ~ Signature - Date -1- 07/12/2007 i F LINDSEY ORNAMENTAL SiteID: 015-021-002389 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP ACETYLENE E F P IH G 118.00 FT3 Hi OXYGEN F IH DH G 249.00 FT3 Low CO2 F P IH G 50.00 GAL Min -2- 07/12/2007 -3- o~/ia/aoo~ F LINDSEY ORNAMENTAL SiteID: 015-021-002389 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: SHOP CAS# 74-86-2 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Gas TPure ~-Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 118.00 FT3 118.00 FT3 118.00 FT3 tlt~~tilcl~~u5 wl~ir~lv~iv l a ~Wt. RS CAS# 100.00 Acetylene Yes 74862 ti1~GKKL a'1. 7 7~.7.71~1L' 1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0001 ~ COMMON NAME / CHEMICAL NAME { OXYGEN Location within this Facility Unit SHOP Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 7782-44-7 ~GasATE ~PureE -~AboveSAmbEent AmbPeRATURE- PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATION Largest Co249100rFT3 Daily 249100m FT3 I Daily 249~OOe FT3 ri1~G1-~KL V U .7 1. V1~lY V1V ~1V 1.7 ~Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 ti1~Gt1KL L~~JJ;J~1~iL',LVla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -4- 07/12/2007 ~: F LINDSEY ORNAMENTAL SiteID: 015-021-002389 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME CO2 Days On Site 365 Location within this Facility Unit Map: Grid: SHOP CAS# 128-38-9 ~GasATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE TPure ~-Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 50.00 GAL 50.00 GAL 50.00 GAL - HAZARDOUS COMPONENTS oWt. RS CAS# 100.00 Carbon Dioxide No 124389 iltiGtitCL L-~.7.71SJ~1~1~1V-1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -5- 07/12/2007 r F LINDSEY ORNAMENTAL SiteID: 015-021-002389 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 05/18/2006 ~ PRAXAW 800-772-9247 Employee Notif./Evacuation NO EMPLOYEES 05/03/2007 Public Notif./Evacuation Emergency Medical Plan 05/18/2006 MEMORIAL MEDICAL, 34TH ST -6- 07/12/2007 F LINDSEY ORNAMENTAL SiteID: 015-021-002389 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ iCC1Cd5C t".LCVC11l..lUll iCC1Cd.5.-C l.Vlll.dlill[lCi1L l.1GQ.11 Vt./ V 1.110 1. 1CC.7'CJ UI LE.'' 1-1C l.1VdL1O11 -7- 07/12/2007 F LINDSEY ORNAMENTAL SiteID: 015-021-002389 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ _, o~c~.ia.i nac~aiu~ Utility Shut-Offs REAR OF BLDG 05/03/2007 - -- Fire Protec./Avail. Water 05/03/2007 FIRE EXTINGUISHERS AND WATER AVAILABLE IN THE BATHROOM Building Occupancy Level 05/03/2007 OWNER/OPERATOR -8- 07/12/2007 ,~ .. F LINDSEY ORNAMENTAL SiteID: 015-021-002389 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training rc~yc a riciu Lvi ru~.u.LC ~~c nciu ivi ru~..ul.c u~c -9- 07/12/2007