HomeMy WebLinkAboutBUSINESS PLAN (2)~ PARTY WORKS #2
- -- - ~, 4440 MING AVE. _ _ _
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PARTYWORKS 2 SiteID: 015-021-001930
Manager AGGIE NOVALTA
Location: 4440 MING AVE
City BAKERSFIELD
CommCode: BFD STA 07
EPA Numb:
BusPhone: (661) 837-8096
Map 123 CommHaz Minimal
Grid: 02C FacUnits: 1 AOV:
SIC Code:7359
DunnBrad:
Emergency Contact / Title Emergency_Contact / Title -
BEV PASCUA-YBANEZ / MANAGER via~,Ci~. ~t~,ejyu ~y / ASST MANAGER
Business Phone: (661) 837-8096x Business Phone: (661) 837-8096x
24-Hour Phone (661) 721-9014x 24-Hour Phone (661) $~9-5~9.~7
Pager Phone (661) 333-6896x Pager Phone (661) ~3(p~-~~jld'
Hazmat Hazards: Fire Press ImmHlth
Contact LINDA REESER _ __ ___ ~ ~ ~ ~ ~ Phone : ( 5 5 9 ) 6 2 5 - 3 8 01x11
MailAddr: 1917 W CALDWELL AVE State: CA
City VISALIA Zip 93277
Owner ROBERT FOX Phone: (559) 625-3801x10
Address-: 1917 W CALDWELL AVE State: CA
City VISALIA Zip 93277
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
t3es~d on my inCUiry of those individuals
res~en ~;b~2 it~r oh'rai,~incj the information, I certify
unifier psnnlty c la~.U th«t I have personally
~t~tsmir,~ a.nd am famiiiar with the information
suhmitted and relieve the information is True; __
accurate, and complete.
~
Dat
gnature
ENT ~~~ 31
20
07
-1-
07/13/2007
~:
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1 Business Plan and Inventory Program
Bakersfield Fire Dept.
Enironmental Services
1.715 Chester Ave.
Bakersfield, CA 93301
Tel: (661)326-3979
FACILITY NA~A
o~ S-~--------- --- --- ----- INSPECTION DATE
~-~ "06
N
N INSPECTION TIME
- -- ---
f E
l
N
ADDRESS
qty o ~Y1 ~ ~. ~~~-------- - __ o.
O
E
3~- ~o~c o. o
mp
oyees
-/~------
FAGLITYCONTACT
- N` Business ID Number
15-021- Oo 1 ~ 30
N
Q
J~'
. ;~ ~ ~~ ~ ~ ~ ~ ~ Section 1:Business Pian and Inventory: Program ~ ~ .
Routine ^ Combined O Joint Agency ^hulti-Agency ^ Complaint ^ Re-inspection
1r
u
~+ V nce~ OPERATION
ti COMMENTS
on
\V=Vioa
' ^ APPROPRIATE PERMIT ON HAND
^ BUSINESS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
--- - ---
^ CORRECT OCCUPANCY _ -~' '
- ---
^ ----------
VERIFICATION OF INVENTORY MATERIALS
- -------`D~
~_200~
- V-~.-- - -------
-------------------------------- - -------
^ VERIFICATION OF QUANTITIES
^
^ VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL
^
VERIFICATION OF MSDS AVAILABILITYE - - ---- - --------------
D
^ VERIFICATION OF HAT 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
EXPLAIN:
^ NO
QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT (661 ~ 326-3979
Insp r Badge No.
White -Environmental Services Yellow -Station Copy
Bu Hess Site Responsible Party
Pink -Business Copy
PARTYWORKS 2
Manager AGGIE NOVALTA
Location: 4440 MING AVE
City BAKERSFIELD
CommCode: BFD STA 07
EPA Numb:
SiteID: 015-021-001930
BusPhone: (661) 837-8096
Map 123. CommHaz Minimal
Grid: 02C FacUnits: 1 AOV:
SIC Code:7359
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
BEV PASCUA-YBANEZ / MANAGER ANGEL ANAYA / ASST MANAGER
Business Phone:. (661) 837-8096x Business Phone: (661) 837-8096x
24-Hour Phone (661) 721-9014x 24-Hour Phone (661) 827-9483x
Pager Phone (661) 333-6896x Pager Phone (661) 246-5578x
Hazmat Hazards: Fire Press ImmHlth
Contact LINDA REESER - ~ Phone: (559) 625-3801x11
MailAddr: 1917 W CALDWELL AVE State: CA
City VISALIA Zip 93277
Owner ROBERT FOX Phone: (559) 625-3801x10
Address 1917 W CALDWELL AVE State: CA
City VISALIA Zip 93277
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
ENT'D F' E B 21 2007
Based on my inquiry of those individuals
responsible far obtaining the information, I certify
under penalty of laws that t have personally
examined and am familiar with the infarmation
submitted and believe the information is true, _ _ _ _
_ _ _ _
~ ~- _-'
accurate, and co lete. ~
_
~m ~-I/ ~ D 7
_
ig ature Date
-1- 02/05/2007
F PARTYWORKS 2
~ Hazmat Inventory =
~ MCP+DailyMax Ordez
= SiteID: 015-021-001930 ~
By Facility Unit ~
Fixed Containers at Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
HELIUM F P IH G 8769.00 FT3 Min
-2- 02/05/2007
_3_ 02/05/2007
F PARTYWORKS 2 SiteID: 015-021-001930 ~
~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
HELIUM Days On Site
19 T CYLINDERS & 40 SMALL ONES 365
Location within this Facility Unit Map: Grid:
CAS#
7440-59-7
STATE T TYPE T PRESSURE ~~ TEMPERATURE ~~ CONTAINER TYPE
~Ga.S I Pure I Above Ambient I Ambient I PORT_ PRESS_ CYLINDER I
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
8769.00 FT3 8769.00 FT3 8769.00 FT3
HAZ
ARDOUS COMPONENTS
- -°sWt . - - -- - - - - - ~- ~- -_ . RS CAS#
100.00 Helium No 7440597
ilri[~tiiCL tii J iJ Gw7 A1"1L'1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Min
-4- 02/05/2007
F PARTY(nTORKS 2 SiteID: 015-021-001930 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
t'a~Glll.1/ lVV1.1111..QL1V11
Employee Notif./Evacuation
_,_, _ ,~
rt,wl.lc: 1VCJL1= . ~ ~vacuaLlon
~ulCiyClll:y 1"1CU1Ud1 rlci.il
-5- 02/05/2007
F PARTYWORKS 2 SiteID: 015-021-001930 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
1CCICCL.7-C t'iCVCll l~1 V11
Release Containment
Clean Up
~,_
vt~ilci ,RG.7VLL1t.G t'11~1~.LVC~l.1V11
-6- 02/05/2007
F PARTYWORKS 2 SiteID: 015-021-001930 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
a~JCC:1d1 I7dGdl_ U.y."
Utility Shut-Offs;
Fire Protec./Avail. Water
Building Occupancy Level 05/19/2006
13 EMPLOYEES
-7- 02/05/2007
F,PARTYWORKS 2 SiteID: 015-021-001930 ~
Fast Format ~
~ Training Overall Site ~
employee -braining
Held for Future Use
Held for Future Use
-8-
02/05/2007
;.
+ PARTYWORKS 2 ________________________________________ SiteID: 015-021-001930 +
Manager AGGIE GAMBOL BusPhone: (661) 837-8096
Location: 4440 MING AVE Map 123 CommHaz Minimal
City BAKERSFIELD Grid: 02C FacUnits: 1 AOV:
CommCode: BFD STA 07 SIC Code:7359
EPA Numb: DunnBrad:
Emergency Contact / Title Emergency Contact / Title
~~~. piq-~it~- - ~I fi~N'~ ~-- / MANAGER ~ 11f~~L ~}NAy A' / ASST MANAGER
Business Phone: (661) 837-809.6x Business Phone: (661) 837-8096x
2 4 -Hour Phone ( 6 61) 7 a 1 ~ ~ r7 f '~
~'"'`' 2 4 -Hour Phone _
( 6 61) ~ ~'1 - ~ ~ g3 {fca e,
Pager Phone (661) 3~:~ ~-WY~Ib Cs;l.l- Pager Phone (~,~( ) ~~~, - 537 Ce".tL
Hazmat Hazards : - - _ - ,_-.Fire-_- Press _ ~ ~ ImtnHlth _ _
Contact LINDA REESER Phone: (559) 625-3801x11
MailAddr: 1917 W CALDWELL AVE State: CA
City VISALIA Zip 93277
Owner ROBERT FOX Phone: (559) 625-3801x10
Address 1917 W CALDWELL AVE State: CA
City VISALIA Zip 93277
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif ' d: RSs : No
~ ParcelNo:
Emergency Directives:
PROG A - HAZMAT
_ - ' ^ k~a~ed an my quiry of those individuals
responsibly for obtaining the information, I certify
under penalty of lavr that I have personally
examined and am farrtiliar with the information
submitted and believe the information is true,
accurate, and plete.
i ,nature T ~ `'~~~
Date
ENr~ ~~~ z
~ X006
-1- 05/19/2006