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HomeMy WebLinkAboutBUSINESS PLANWHITE OAKS FLORIST -~ 9160 ROSEDALE HWY #500 'r% WHITE OAKS FLORIST SiteID: 015-021-002175 Manager JAMI GRAHAM Location: 9160 ROSEDALE HWY 500 City : BAKERSFIELD BusPhone: (661) 836-0801 Map 123 CommHaz Minimal Grid: 16C FacUnits: 1 AOV: CommCode: KCFD STA 65 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title JAMI GRAHAM / OWNER / Business Phone: (661) 836-0801x Business Phone: ( ) - x 24-Hour Phone (661) 393-1081x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact JAMI GRAHAM Phone: (661) 836-0801x MailAddr: 9160 ROSEDALE HWY 500 State: CA City BAKERSFIELD Zip 93312 Owner JAMI GRAHAM Phone: (661) 393-1081x Address 9160 ROSEDALE HWY 500 State: CA City BAKERSFIELD Zip 93312 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: ~ RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ENT'D J U ~ 2 5 2Q07 t'asc~d rn my inquiry G# those iadiviuu2?s re~[~;;~c;l~!2 #Gr C9~St';nar;~ thF. ir1#OrrTlail:)rl, ~ C2rt1#y unuEr penalty G# lay! that t have peraunaity examined and am #am'sli2r with the in#c~rmation su;~mitted and fie; eve the in#ormation is true, accurate, and cor,~plete. ~qj l / U 7 .l_ _.) Signatu a Date -1- 07/16/2007 tt F WHITE OAKS FLORIST = ~ Hazmat Inventory = ~ MCP+DailyMax Order = SiteID: 015-021-002175 ~ 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- 07/16/2007 ~1: 'i A -3- 07/16/2007 ~~ i F WHITE OAKS FLORIST SiteID: 015-021-002175 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME ~ELIUM Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE W WALL OF REAR SHOP CAS# 7440-59-7 ~GasATE TPureE ~-AboveSAmbEent AmbientT~E PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 219.00 FT3 219.00 FT3 219.00 FT3 HAZARDOUS COMPONENTS %Wt. RS CAS# 100.00 Helium ~ No 7440597 tiAG.'~.ttU H~~~a~1~1tS1V'15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / j Min -4- 07/16/2007 ~~ F WHITE OAKS FLORIST SiteID: 015-021-002175 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 03/21./2001 ~ LEACK DETECTION IS CHECKED MONTHLY BY HELIUM CO. Employee Notif./Evacuation tl.LiJ11V LVV V11 ~ taVQV LLGiL1V11 Emergency Medical Plan GO TO MERCY SW ON OLD RIVER RD AND STOCKDALE HWY. 03/21/2001 -5- 07/16/2007 F WHITE OAKS FLORIST SiteID: 015-021-002175 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 03/21/2001 ~ HELIUM TANK IS CHAINED TO THE WALL AT ALL TIMES. Release Containment 03/21/2001 YOU CANNOT CONTAIN A GAS RELEASE. Clean Up EVACUATE AND CALL FIRE DEPT. 03/28/2006 Vl.i1G1 iCGaVUiI:C til:L1VCLL1V11 -6- 07/16/2007 'r- o i ,+ F WHITE OAKS FLORIST SiteID: 015-021-002175 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~7~JCC:ld1 ridGdIUS Utility Shut-Offs 04/18/2007 GAS - BEH STORE MIDDLE OF BLDG ELECTRICAL - BREAKER BOX INSIDE BACK DOOR WATER - BEH STORE MIDDLE OF BLDG Fire Protec./Avail. Water 01/05/2007 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER. NEAREST FIRE HYDRANT - PARKING LOT BEH BLDG ALONG SIDE FENCED CANAL. Building Occupancy Level 03/28/2006 6 EMPLOYEES -7- 07/16/2007 ~= ;. F WHITE OAKS FLORIST SiteID: 015-021-002175 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 01/05/2007 ~ BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES ARE INSTRUCTED TO NEVER REMOVE CHAIN OR TANK FROM WALL. IF ACCIDENT HAPPENS, TO EVACUATE BLDG AND CALL 911. ra.y~ ~ nciu ivi ru~.uic vac nclu iui. r u~uic u~c -8- 07/16/2007 .. ~r 3~fb~~ WHITE OAKS FLORIST SiteID: 015-021-002175 Manager ~ c~.rn~ ~ r o-~c~.~ Location: 9160 ROSEDALE HWY 500 City BAKERSFIELD • CommCode: KCFD STA 65 EPA Numb: BusPhone: (661) 836-0801 Map 123 CommHaz Minimal Grid: 16C FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title N ~~~ ~ OWNER ~ k / ~ 4 Business Phone: 661) 836-0801x Business Phone: ( ) - x 24-Hour Phone :'(661) 393-1081x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact ~c;,~~ ~~~-~Q~ Phone: (661) 836-0801x MailAddr: 9160 ROSEDALE HWY 500 State: CA City BAKERSFIELD Zip 93312 Owner ~Gm~ ~ co-~c,~, Phone: (661) 393-1081x Address 9160 ROSEDALE HWY 500 State: CA City BAKERSFIELD Zip 93312 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ~ ~ ~~~~~ A D n r~ H (' I~ ~ 0 ~~~7 Based on my inquiry of those indi'i~1~E~i#~ y tl ~ f per~onall response Pin alt oofalav gthat have i Y tion r d p - e un ed and am familiar with the informa i n exam the information is true, submitted and beli lete. accurate, and comp i {L/~ ~' t D . a t ur Signa -1- 02/20/2007 F WHITE OAKS FLORIST SiteID: 015-021-002175 ~ ~ 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- 02/20/2007 -3- 02/20/2007 L. 1 F WHITE OAKS FLORIST SiteID: 015-021-002175 ~ ~ 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 W WALL OF REAR SHOP CAS# 7440-59-7 ~GasATE T TYPE PRESSURE ~ TEMPERATURE ~~ CONTAINER TYPE ~ I Pure Above Ambient I Ambient I PORT_ PRESS. CYLINDER I AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 219.00 FT3 219.00 FT3 219.00 FT3 nr~t,titcl~vu~ ~.vl~irvlvlJlvt~ %Wt. RS CAS# 100.00 _ Helium ~ ~ - No 7440597 L1HG1-~ICL L-~. 7471;.7.'~1~1L" 1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -4- 02/20/2007 F WHITE OAKS FLORIST SiteID: 015-021-002175 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 03/21/2001 ~ LEACK DETECTION IS CHECKED MONTHLY BY HELIUM CO. _ ~ r /.. ~lll~llVyCC 1VV 1..11. ~ P~VGi 1~LLdl,.l Vll t U1J111.: 1VV 1.11. / L' VdUUdl.l Vll Emergency Medical Plan. 03/21/2001 GO TO MERCY SW ON OLD RIVER RD AND STOCKDALE HWY. -5- 02/20/2007 .. '~ F WHITE OAKS FLORIST SiteID: 015-021-002175 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 03/21/2001 ~ HELIUM TANK IS CHAINED TO THE WALL AT ALL TIMES. Release Containment 03/21/2001 YOU CANNOT CONTAIN A GAS~RELEASE. Clean Up EVACUATE AND CALL FIRE DEPT. ~,_ 03/28/2006 v~.iicL nc~vut~c .e~~.~lva~.lv11 -6- 02/20/2007 ~, ~ ~e F WHITE OAKS FLORIST SiteID: 015-021-002175 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .7~JCC:1d1 rid'GdLU.b' Utility Shut-Offs 01/05/2007 A) GAS- = BEH STORE' MIDDLE'- OF"~ BLDG _ ~ - , ~' "~ ~ ~ - B) ELECTRICAL - BREAKER BOX INSIDE BACK DOOR C) WATER - BEH STORE MIDDLE OF BLDG D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER. 01/05/2007 NEAREST FIRE HYDRANT - PARKING LOT BEH BLDG ALONG SIDE FENCED CANAL. Building Occupancy Level 03/28/2006 6 EMPLOYEES -7- 02/20/2007 ~«~. ~ i~r .} F WHITE OAKS FLORIST SiteID: 015-021-002175 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 01/05/2007 ~ BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES ARE INSTRUCTED TO NEVER REMOVE CHAIN OR TANK FROM WALL. IF ACCIDENT HAPPENS, TO EVACUATE BLDG AND CALL 911. rayc ~ Held for Future Use nClu luL t'ul.uLC Uwe ~~ -8- 02/20/2007 ~ ~~; BAKERSFIELD FIRE DEPT tr Prevention .Services UNIFIED PROGRAM INSPECTION CHECKLIST- ~,~~~ 9ooTruxtunAve., Suite 210 ~~~..,~._~.<,~~__~...~~~.~...::~;.:, . r.:,, x:,t,~.a._-,....,~.~.:~,<.. .u:., . ,R.:y~, ~ ~::~~~• ~wr~r t Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ~ Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME NSPECTION DATE INSPECTION TIME ©-~ c~S //' ~ as ADDRESS HONE NO. O OF EMPLOYEES ~ I r:(J ~ FACILITY CONTACT USINESS ID NUMBER `_ /~ 1 ~ /i/v(f 5~7 ~ ~j49415-021- Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compfiance~ OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ~_ ^ BUSIf12SS PLAN CONTACT INFORMATION ACCURATE ___ ___ --- --"--' - _ - ^ VISIBLE ADDRESS ^ 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 CEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: Q STIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (681) 326-3979 Inspector (Please Pnnt) Fire Prevention / 1" In /Shift of Site/Station # ^ YES ~VO Y_ _ I U~Si t I White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02/05) ~; + WHITE OAKS FLORIST __________________________________ SiteID: 015-021-002175 + Manager BusPhone: (661) 836-0801 Location: 9160 ROSEDALE HWY 500. Map 123 CommHaz Minimal City BAKERSFIELD Grid: 16C FacUnits: 1 AOV: CommCode: KCFD STA 65 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title SHARON NELSON / OWNER / Business Phone: (661) 836-0801x Business Phone: ( ) - x 24-Hour Phone (661) 393-1081x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact ~ Phone: (661) 836-0801x MailAddr: 9160 ROSEDALE HWY 500 State: CA City BAKERSFIELD Zip 93313 Owner SHARON L NELSON Phone: (661) 393-1081x Address 9160 ROSEDALE HWY 500 State: CA City BAKERSFIELD Zip 93313 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~ PROG A - HAZMAT Based an my inquiry of thnae In~9lviduals responsible for obtaining the (nfAtrneflan, I certify under penalty of law that I have ~ersanally examined and am familiar with th® Information submitted and aelieve the information is true, accurate, and ompl , ~Gk ~ Signatur Date ~Nt® ~ ~~ ~~. ~6 t______________________________________________________________________________+ -1- 03/28/2006