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HomeMy WebLinkAboutBUSINESS PLAN 10/11/2007 _ _ _ "~ '~ ii ANNA'S CARDS & GIFTS ~! 9000 MING AVE., SUITE #D1 ~~ -_ J /~ ~~~~~ ~t_ JAIL 3 ~~~ ~ ~ ~„ I ~. •, ~; ~, A ~~ ~ ANNAS CARDS & GIFTS SiteID: 015-021-002157 Manager Location: 9000 MING AVE D-1 City BAKERSFIELD BusPhone: (661) 664-0228 Map 123 CommHaz Minimal Grid: 08A FacUnits: 1 AOV: CommCode: BFD STA 09 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title TINA C YU / FAC CONTACT BEVERLY SMITH / LEAD SALES Business Phone: (661) 664-0228x Business Phone: (661) 664-0228x 24-Hour Phone (661) 665-0203x 24-Hour Phone (661) 589-9951x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact Phone: (661) 664-0228x MailAddr: 9000 MING AVE D-1 State: CA City BAKERSFIELD Zip 93311 Owner JOHN & TINA YU Phone: (661) 665-0203x Address 9000 MING AVE D-1 State: CA City BAKERSFIELD Zip 93311 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif' d: RSs : No ParcelNo: Emergency Directives: PROG A - HAZMAT ~~~R~ ~'~~ ~. ~ ~~07 Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of lavr that I have personally examined and am familiar with the information submittP and believe the information is true, acc~ ate, <<nd cam le ;. Si l / ~~ g ure at -1- 06/29/2007 C% F ANNAS CARDS & GIFTS SiteID: 015-021-002157 ~ ~ 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- 06/29/2007 -3- 06/29/2007 ~. F ANNAS CARDS & GIFTS SiteID: 015-021-002157 ~ ~ 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: INSIDE REAR OF STORE CAS# 7440-59-7 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Gas TPure ~-Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Co219100rFT3 Daily 219100m FT3 I Daily 219r00e FT3 I11-1GHlCLVU~7 1,V1~lYV1V~1V 1.7 °sWt. RS CAS# 100.00 Helium No 7440597 IlE]Gt1KL 1-~~ J.7C~.7.71"1P~1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -4- 06/29/2007 F ANNAS CARDS & GIFTS SiteID: 015-021-002157 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 07/11/2006 ~ MAKE SURE EQUIPMENT IS FUNCTIONING PROPERLY, SMELL AND SOUND CAN BE DETECTED IF IT LEAKS. Employee Notif,./Evacuation 04/16/2001 WE SHALL NOTIFY THE CORRECT AGENCY AS LISTED IN THIS INSTRUCTION. Public Notif./Evacuation 07/11/2006 TINA AND I WILL RESPOND TO THE CLEAN-UP ACTIVITIES. WENDY WILL RESPOND TO THE CALLING IF WE ARE OUT OF TOWN. Emergency Medical Plan 04/16/2001 A FIRST AID BOX IS LOCATED IN THE EMPLOYEES TIME CARD AREA AND CALL 911 FOR EMERGENCY. -5- 06/29/2007 F ANNAS CARDS & GIFTS SiteID: 015-021-002157 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 04/16/2001 ~ THE GAS TANK IS LOCATED AT THE SECURE AREA WITH CHAIN IN PLACE. Release Containment 07/11/2006 THE TANK IS VERY CLOSE TO THE BACK DOOR OF THE STORE. IT CAN BE REMOVED VERY QUICKLY. Clean Up 07/11/2006 WE SHALL REMOVE THE TANK OUTSIDE THE STORE, THEN WE WILL CALL THE GAS SUPPLIER TO PICK UP. V1.11C1 iCC.7-V U1 l:C til:LlVClL1V11 -6- 06/29/2007 n , . F ANNAS CARDS & GIFTS SitelD: 015-021-002157 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .7~JCC:1d1 rid'GdlU~ Utility Shut-Offs 04/11/2007 ELECTRICAL - SWITCH IN OFFICE WATER - EMPLOYEES RESTROOM SPECIAL - GAS TANK IS CHAINED WITHOUT LOCK Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER FRONT OF STORE. NEAREST FIRE HYDRANT - NEAR BLDG ELECT ROOM. 01/24/2007 Building Occupancy Level 03/10/2006 8 EMPLOYEES -7- 06/29/2007 r~ F ANNAS CARDS & GIFTS SiteID: 015-021-002157 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 07/11/2006 ~ MSDS SHEETS ON FILE. BRIEF SiJNII~fARY OF TRAINING PROGRAM: WE CONDUCT SAFETY TRAINING DURING THE STAFF MEETING. rayc a nciu ~.vt ru~.ul.c vac Held for Future Use -8- 06/29/2007 (//Ply/ ANNAS CARDS & GIFTS Manager Location: 9000 MING AVE D-1 City BAKERSFIELD CommCode: BFD STA 09 EPA Numb: SiteID: 015-021-002157 BusPhone: (661) 664-0228 Map 123 CommHaz Minimal Grid: 08A FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact TINA C YU Business Phone: 24-Hour Phone Pager Phone Hazmat Hazards: / Title / FAC CONTACT (661) 664-0228x (661) 665-0203x ( ) - x Contact MailAddr: 9000 MING AVE D-1 City BAKERSFIELD Emergency Contact BEVERLY SMITH Business Phone: 24-Hour Phone Pager Phone / Title / LEAD SALES. (661) 664-0228x (661) 589-9951x ( ) - x Fire Press ImmHlth Phone: (661) 664-0228x State: CA Zip 93311 Owner JOHN & TINA YU Phone: (661) 665-0203x Address 9000 MING AVE D-1 State: CA City BAKERSFIELD Zip 93311 Period to Preparers Certif'd: ParcelNo: Emergency Directives: PROG A - HAZMAT TotalASTs: _ TotalUSTs: _ RSs: No ~Moo~ ~N~~"D ~-~R 14 ~OQ7 Based on my inquiry of those individua~iS responsible for obtaining the information, !certify under penalty of law that I have personally examined and am familiar with the informatian submitted and believe the information is true, ac e, c plete. (f / r T_ I ~r ~~ S' nature Date Gal Gal -1- 03/26/2007 F ANNAS CARDS & GIFTS ~ Hazmat Inventory = ~ MCP+DailyMax Order = SiteID: 015-021-002157 ~ By Facility Unit ~ Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP HELIUM F P IH G 219.00 FT3 Min -2- 03/26/2007 -3- 03/26/2007 F ANNAS CARDS & GIFTS SiteID: 015-021-002157 ~ ~ 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: INSIDE REAR OF STORE CAS# 7440-59-7 ~GasATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE TPure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 219.00 FT3 219.00 FT3 219.00 FT3 nt~~tatc~vu~ ~vinrvlv~i~~t~~ ~Wt. RS CAS# 100.00 Helium No 7440597 ri1•~GAYCL AJ aL' ~~1°1i51V 1_J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -4- 03/26/2007 F ANNAS CARDS & GIFTS SiteID: 015-021-002157 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 07/11/2006 ~ MAKE SURE EQUIPMENT IS FUNCTIONING PROPERLY, SMELL AND SOUND CAN BE DETECTED IF IT LEAKS. Employee Notif./Evacuation WE SHALL NOTIFY THE CORRECT AGENCY AS LISTED IN THIS INSTRUCTION. 04/16/2001 Public Notif./Evacuation TINA AND I WILL RESPOND TO THE CLEAN-UP ACTIVITIES THE CALLING IF WE ARE OUT OF TOWN. 07/11/2006 WENDY WILL RESPOND TO Emergency Medical Plan 04/16/2001 A FIRST AID BOX IS LOCATED IN THE EMPLOYEES TIME CARD AREA AND CALL 911 FOR EMERGENCY. -5- 03/26/2007 F ANNAS CARDS & GIFTS SiteID: 015-021-002157 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 04/16/2001 ~ THE GAS TANK IS LOCATED AT THE SECURE AREA WITH CHAIN IN PLACE. Release Containment 07/11/2006 THE TANK IS VERY CLOSE TO THE BACK DOOR OF THE STORE. IT CAN BE REMOVED VERY QUICKLY. Clean Up 07/11/2006 WE SHALL REMOVE THE TANK OUTSIDE THE STORE, THEN WE WILL CALL THE GAS SUPPLIER TO PICK UP. Other Resource Activation -6- 03/26/2007 F ANNAS CARDS & GIFTS SiteID: 015-021-002157 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~Nc~.iai nct~,aiu5 Utility Shut-Offs 09/21/2006 A) GAS - N/A B) ELECTRICAL - SWITCH IN OFFICE C) WATER - EMPLOYEES RESTROOM D) SPECIAL - GAS TANK IS CHAINED WITHOUT LOCK E) LOCK BOX - NO Fire ProteC./Avail. Water 01/24/2007 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER FRONT OF STORE. NEAREST FIRE HYDRANT - NEAR BLDG ELECT ROOM. Building Occupancy Level 03/10/2006 8 EMPLOYEES -7- 03/26/2007 F ANNAS CARDS & GIFTS SiteID: 015-021-002157 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 07/.11/2006 ~ MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: WE CONDUCT SAFETY TRAINING DURING THE STAFF MEETING. ruyc a nciu ivi ru~uLC u~c Held for Future Use -8- 03/26/2007 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program _n • BAKERSFIELD FIRE DEPT Prevention Services w~t~ 900 Truxtun Ave., Suite 210 ~t>rr ~ Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAM ~ NSPEC ION q~TE INSPECTION TIME t f/ ,v,uA s ~ ~ (: ZN (v 6 ~ t 5 ,.vs . . ADDRESS ~Of~ ,ve ve > HONE NO. ~ 6 S-o 2cT~ O OF EMPLOYEES Z FACILITY CONTACT 1 f,~Q i~ ~ USINESS ID NUMBER 15-021- tX~ ZI S ~ Section 1: Business Plan send Inventory Program G S ~3~~D ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION • C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ ~ APPROPRIATE PERMIT ON HAND / L~J ^ BUSIfI@SS PLAN CONTACT INFORMATION ACCURATE Lf ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ J IJ ^ PROPER SEGREGATION OF MATERIAL VERIFICATION OF MSDS AVAILABILITY ~~~ ---- L~ ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PRO EDURES ^ EMERGENCY PROCEDURES ADEQUATE h h( / ll//~~ ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE 8 ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ^ YES C3' NO •OUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (861) 326-3979 (~' ~ Inspector (Please Print) Fire Prevention / t" In /Shift of Site/Station # usiness Site/School Site Res sible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02105) • UNIFIED PROGRAM INSPECTION CHECKLIST '. SECTION 1: Business Plan and Inventory Program BAKERSFIELD FIRE DEPT s I Prevention Services f~~~ 900 Trtixtun Ave., Suite 210 sw>rr s Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME NSPy~TIO DATE NSPECTION TIME A; - S ~ ~ ~~z~l~ v b ~,~ ~~ ADDRESS (fin n HONE NO~/s~ ~~Z~O V~I O OF E(`'M~~PLOYEES `OtJO ~~ /~ a ~ 1 FACILITY CONTACT -. USINESS ID NUMBER ~s-o2~- c~ ~ ~ ~s4 6` ~~ ~ ~ ~v~,~,M ~ , Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION ~~/ - ~ `(u • C V (c=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND . ^ BUSIrt@SS PLAN CONTACT INFORMATION ACCURATE ~ ^ VISIBLE ADDRESS 1 ® ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ~ ^ VERIFICATION OF QUANTITIES / L~ ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ((~~ EE~~~j ~~~j ~NT~ ©V ~ ~ ~~" ^ VERIFICATION OF HAZ MAT TRAINING LY ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES C~ ^ EMERGENCY PROCEDURES ADEQUATE ~( C.Y ^ CONTAINERS PROPERLY LABELED {~ V" I~ ^ HOUSEKEEPING Ga" ^ FIRE PROTECTION G7~ ^ SITE DIAGRAM ADEQUATE 8 ON HAND ANY HAZARDOUS WASTE ON SITE? I!~ YES ^ NO ~G, _ ~ <J~~~~, ,, _.f( EXPLAIN: ieitQ~ T~(~ r5 ~UESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (881) 328-3979 Inspector (Please Print) Fire Prevention / 1°' In /Shift of Site/Station # Business Site/School Site Responsible arty (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02/05) ~ ~. + ANNAS-.CARDS & GIFTS _________________________________ SiteID: 015-021-002157 + Manager BusPhone: (661) 664-0228 Location: 9000 MING AVE D-1 Map 123 CommHaz Minimal City BAKERSFIELD Grid: 08A FacUnits: 1 AOV: CommCode: BFD STA 09 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title TINA C YU / FAC CONTACT BEVERLY SMITH / LEAD SALES Business Phone: (661) 664-0228x Business Phone: (661) 664~0228x 24-Hour Phone (661) 665-0203x 24-Hour Phone (661) 589-9951x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact ;_ .. _ _.. _.: -- Phone: (661) 664-0228x MailAddr: 9000 MING AVE D-1 State: CA City BAKERSFIELD Zip 93311 Owner JOHN & TINA YU Phone: (661) 665-0203x Address 9000 MING AVE D-1 State: CA City BAKERSFIELD Zip 93311 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: ~ Emergency Directives: ~ PROG A - HAZMAT Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information . submit and believe the information is true, sccu~r~te, nd cAt`,holeta. ~ D ~N~ ~U~ T l 2006 ~~~~ 5 -1- 06/15/2006 UNIFIED PROGRAM INSPECT~I®N CHECKLIST; 3. k'.-.. .~S'xtiA.~.F..~.tt,.:.~x.;.... :R9'~,_xE ~... :.,. ,.w,.e.~a._ ,.~ -...~,. _.~L. .._._ -. _. u:tGx ,_-.:'A: SECTION 1: Business Plan and Inventory Program BAKERSFIELD FIRE DEPT s P I Prevention Services ~Ite 900 ZYuxtun Ave., Suite 210 ~RrM t Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME / INSPECTION DATE INSPECTION TIME C~iF /d ~~ O Q~vr..~5. ADDRESS HONE O. O OF EMPLOYEES i QOvI~ //~ / ~' / - D7Z FACILITY CONTACT USINESS ID NUMBER ~ 15-021- OOZf,S~ J l N ; Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION ~J C V ~ C=Compliance OPERATION V=Violation COMMENTS _ ___ LI!'^ APPROPRIATE PERMIT ON HAND D C~ BUSIC1eSS PLAN CONTACT INFORMATION ACCURATE ~~VC~L~ 5~'„'-~c~/ °`~~ C Y C r~ er ~, ~p.c,~at ^~ ^ VISIBLE ADDRESS ~7 i 1 ~ . ~ ~ ~ S, ~L ~lJ ^ CORRECT OCCUPANCY L " f ^ VERIFICATION OF INVENTORY MATERIALS ~ , / L tY O VERIFICATION OF QUANTITIES - / tad ^ VERIFICATION OF LOCATION L~ ^ PROPER SEGREGATION OF MATERIAL , l~ ^ VERIFICATION OF MSDS AVAILABILITY ' C~ ^ VERIFICATION OF HAZ MAT TRAINING LAY ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED LH~ ^ HOUSEKEEPING L~1 ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE ~ ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES L~i'NO EXPLAIN: .QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1s' In /Shift of Site/Station # usiness Site/School Site R sponsible Parry (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02/05)