HomeMy WebLinkAboutBUSINESS PLAN~ ~
~ ~ ~ ~ CARDSMART
~ 4450 COFFEE ROAD ~
- - - - -- - - - l -- ', _ e - - _~ -_
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~~
CARDSMART ~ SiteID: 015-021-003043
Manager KIM TISH
Location: 4450 COFFEE RD
City BAKERSFIELD
BusPhone: (661) 588-1566
Map 102 CommHaz Minimal
Grid: 16C FacUnits: 1 AOV:
CommCode: KCFD STA 61
EPA Numb:
SIC Code:
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
KIM TISH / MANAGER/BUYER /
Business Phone: (661) 588-1566x Business Phone: ( ) - x
24-Hour Phone (661) 900-2676x 24-Ho ur Phone ( ) - x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: Fire Press ImmHlth
Contact KIM TISH Phone: (661) 588-1566x
MailAddr: 4450 COFFEE RD State: CA
City BAKERSFIELD Zip 93308
Owner DAVID STRICKLING Phone: (661) 588-1566x
Address 4450 COFFEE RD State: CA
City BAKERSFIELD Zip 93308
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
~Nfi~ ~ ~
~
~
~ ~~~~
Based on my inquiry of these indivir~~~i~
responsible for obfiaining the information, I ceFtify
under penalty of iaw that i have personally
examined and am familiar with the information
submitted and believe the information is true,
accurate, and complete.
Signature Date
-1- 07/10/2007
T
~i~ -/
F CARDSMART SiteID: 015-021-003043 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers at Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
HELIUM F P IH G 219.00 FT3 Min
-2- 07/10/2007
-3- o~/io/aoo~
a
~ CA.RDSMART SiteID: 015-021-003043 ~
~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
HELIUM Days On Site
365
Location within this Facility Unit Map: Grid:
N SIDE SALES COUNTER CAS#
7440-59-7
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _
Gas TPure Above Ambien~ Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
219.00 FT3 219.00 FT3 219.00 FT3
- ru-~~rjxLUUS uui~irulv~ly 15
sWt. RS CAS#
100.00 Helium No 7440597
riE'+GE~KL 1-~.7~7L' J.71~1L" 1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Min
-4- 07/10/2007
F CARDSMART SiteID: 015-021-003043 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
HC~. ei1C~/ 1VV1.111Cd1.1.Vil
Prlll~JlVyCC lVVl.11 ~ L~Vdl:Udl.lVll
i~
t lAiJlll. iVV l.11 ~ B~VQGUdl.1 V11
rJ lllClyClll:y l~1C U11:d1 t"1 d11
-5- 07/10/2007
3
F CARDSMART SiteID: 015-021-003043 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
1CC1Cd.~.-C t'1_CVCll l.1 V11
iCC1Cd.7-C 1.V111.d111lllCll l..
1..1Cd11 V~J
Vl.ilCl. tcC~c~urc:e r-~cLlvaLlon
-6- 07/10/2007
F CARDSMART SiteID: 015-021-003043 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
.7~JC C:1d1 Ild'G dl. U.5
U1.1111.~/ ~ilUl.-V11S
i~
t'11C r1Vl.C l:./tiVd11 Wdl.Cl
Building Occupancy Level
-7- 07/10/2007
F CARDSMART SiteID: 015-021-003043 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training
rayc ~
nc.iu l.vl ru~utc ~cc
nc.LU ivi ru~.utc vac
-8- 07/10/2007
~.A~n~so ss~os~oos s~o~ 7z os/~.3jo7
• RETURN Tr•SENDER
4FaRnS~ART -H~LLt~'ARK
MD~1ED LEFT NO AADRESS
E R S F I D vNABLE Ti7 FORWARD
F/RE ~~~v~rr To ~E~E~
ARTM T • ~ !!!„I!~!,l,l~~!!!„!I!„!„!!!Ill,,,,!!!„!!!„!!!„!!!!„!!!
July 10, 2007
IMPORTANT!
RONALD 7. FRAZE, ; DO NOT DISCARD
FIRE CHIEF
Dear Business Owner:
GARY HUTTON, ~
SENIOR DEPUTY CHIEF i California Law requires that all businesses, which at any time during the
ADMINISTRATION i year handle reportable quantities of hazardous materials, file a Hazardous
Materials Business Plan, including inventory of hazardous materials, with
DEAN CLASON, the local administering agency. Your business has filed such a plan.
DEPUTY CHIEF
OPERAnONS/TRAINING This same regulation requires businesses to review the business plan
submitted to determine if revisions are needed and to certify to the
KIRK BLAIR, ~ administering agencies that the review was made and that any necessary
DEPUTY CHIEF ; changes were made to the plan. AS a reminder, you are required to
FIRE SAFETY/PREVENTION SERVICES notify your administering agency within ~Q davs of any changes,
j including: increase of a hazardous material, handling of a new
hazardous material, change in business ownership, change in
business address, or change of business name.
HOWARD H. WINES III,
DIRECTOR '~ To facilitate this review we have enclosed a computer printout of the plan
PREVENTION SERVICES
FIRE SAFETY S ~ submitted. Please review this Ian in its entiret and make an necessa
p Y y ry
ERVICES. ENVIRONNENTAI SERVICES
1600 Truxtun Avenue, suite 4oi ;
i revisions on the printout (jp t~ jpJ~). When the review and revisions are
Bakersfield, CA 93301 completed, sign and date the first page of the plan in the appropriate
OFFICE: 661-326-3979 space certifying that the plan is complete and correct, to the best of your
FAX: 661-852-21711 knowledge. Immediately return the revised business plan to 1600
Truxtun Avenue, Suite 401, ATTN: 7EANNI PEARSON.
Please note that one of the conditions of your "Permit to Operate"
is that you review your business plan annually.
If you should have any questions, or if we can be of any assistance, please
i do not hesitate to call at 661-326-3678.
Sincerely,
Jeaww~ ~ea~sow
]eanni Pearson
Accounting Clerk
Enclosure
MART
Kim Tish '
Manager/Buyer
~~._ ~ (se~~ see-t5ss
aaso cones goad Fax: (~~) sse-~2a3
Bakersfield. CA 93308 Einall: klmtishlQyahoo.~n
CARD$MAR~
Natalie Collins
Manager/Purchaser
(661) 588-1566
4450 Coffee Road Fax: (661) 588-1263
Bakersfield, CA 93308 Email:nataliewaits@gmail.com
';~ - :.~
,, ,
+ CARDSMART ___________________________________________
Manager s rrn t~~ BusPhone:
Location: 4450 COFFEE RD Map 102
City BAKERSFIELD Grid: 16C
CommCode: KCFD STA 61 SIC Code:
EPA Numb: DunnBrad:
SiteID: 015-021-003043 +
(661) 588-1566
CommHaz Minimal
FacUnits: 1 AOVs
Emergency Contac ~,`1J~ Title Emergency Contact / Title
.~~ / MANAGER/PURCH /
Business Phone: (661) 588-1566x Business Phone: ( ) - x
24-Hour Phone ((o(Q J) Q60 -~')t'ox 24-Hour Phone ( ) -. x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards:' Fire Press _ ImmHlth
--
Contact ~lY1~L f -5h ~!~(~'1c2~ Phone: (661) 588-1566x
MailAddr: 4450 COFFEE RD ~ (JJ State• CA
City BAKERSFIELD Zip 93308
+-------------------------------,-fifi-~-l---~(-f;------------------------------------+
Owner C~ ~zt'r'tGf~t I`~ Phone : ( 6 61) 5 8 8 -15 6 6x
Address 4450 COFFEE RD State: CA
City BAKERSFIELD Zip 93308
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
,Emergency Directives: ~ ~
PROG A - HAZMAT
Qi?sed on my inquiry of those individuals
responallale for obtaining the information, I certify
under penalty of law that I have personally
examined and, , m famiifar with the Information
submitted a beilgve the information is true,
accurate, a complete.
EN~"D Ap _ -
R~92~0
6
-1- 03/28/2006
1 t.~- .
UNIFIEDvI?RO~GRAM INSPECTION CHECKLIST
SECTION 1 Business .Plan and Inventory Program
Bakersfield Fire Dep~ 1 S?~
Environmental Services ~ ~S
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel: (661)_326-3979 _ _ _
FACILITY NAME
9 J INS(PJEyCTION DA E INSPECTION TIME
IZ•7 ~5
__
ADDRESS
~ ~~~-^/~-
44-SD ~9,,~-~~.~
~
~~ .................._
._ _ 1
-..---------.._. _.__.._-
PHONE~1No. ~~yy /1 No. of Employees
SSSD- ~JrOb
~~
------- - --- - - --- - .- --- .
---------...._--------.._._...- ------...----
FACILITYCONTACT .-..._._..------------------------....-.._._
~L/ Business ID Number
15-021-
Section 1: Business Plan and Inventory Program
.Routine ^ Combined O Joint Agency ^Mutti-Agency O Complaint ^ Re-inspection
C V (v=Vioatoinnce~ OPERATION COMMENTS /t_
~ / ~~• V
~
^ ^ APPROPRIATE PERMIT ON HAND
_ _
l _ _._.
^ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE
^ ^ VISIBLE ADDRESS
^ ^ CORRECT OCCUPANCY
^ ^ ~ VERIFICATION OF INVENTORY MATERIALS ~~~t
+ -I()V~
^
--- ^
--- VERIFICATION OF QUANTITIES
- ---- ---
Z ~~ ~
^ ^ . VERIFICATION OF LOCATION N 5 t 0~ ~ ~~~ CG~cJr~~/2..
^ ^ PROPER SEGREGATION OF MATERIAL
^
--- ^
---- VERIFICATION OF MSDS AVAILABILITYE
-- ------ ------- ------ - --- _ _ ------- -_
--
~-~
~D
^
^
VERIFICATION OF HAT MAT TRAINING
! - --_
- _ -
_-., _ _--
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~nn
Q
~ -._ _._ ----__ .
^
^
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
I -- -- .. _...... ._. _. _... ...-.. .. C~r, _.
..
..
... _ _, _ -
~/~i Y -- - - ---. __.....___
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^ ------
^ -.___........ ------------- -------------._._._..........._..
EMERGENCY PROCEDURES ADEQUATE I
i ...- -- --. _.._ ._ .-.._.... - _... __ .
_._
~~
^ ^ CONTAINERS PROPERLY LABELED
^ ^ HOUSEKEEPING
^ ~ FIRE PROTECTION ~ ~
^ ^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE: YES
EXPLAIN: ~ ~t ~ne-~
~o ~ts~oSc o,F ~SC~ F
^ No
(,..aa~s'ZZ r-~~ , Y ~ 6 Z - B~~ r-u2 yes
Tv €3c-~ ~ S w cam ~= S i~r~
QUESTIONS` REG1ARDING THIS INSPECTION? PLEASE CALL US AT ~F/l>G'I~ 326-3979
W / "2= S 'P( 3
Inspector (Please-Print) Fire Prevention 1st-In/Shift of Site
White • Environmental Services Yellow -Station Copy
rs~~
0
u iness Site Responsible aAy (Plea nt)
Pink • Business Copy