HomeMy WebLinkAboutBUSINESS PLAN
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BBEAD,YARN&ARTSUPPLY' I
· 7701 WHITE LANE #B
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110 I {j)fuW ~ tJ
q~!J01 ENTV JUL 18 2006
This letter is to notify who ever, that Bead
Connection does not have any environmental control
items.
We at one time, before May 2005, had a helium tank
that was disposed of, and since then have nothing at
our business that would have anything to do with the
environment.
I'm in the business of selling beads to make necklace
and bracelets.
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770f 7tIiue~_ #11 .
. ~ eA 933()9
66f-127-9660 . 1_137-9696
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UNIFIED PROGRAM INSPECTION CHECKLIST J '
SECTION 1 Business Plan and I~~ I
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Bakersfield Fire Dept.
Environmental Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
r~l: {~6D..3~6~~279..__
IN~LTIONLATE INSPECTION TIME
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---..-- -.----- ,..--.---...-- .__.._-_._._---_..~.,.,_._._._.-
PHONE No.
FACILITY NAME t/I,
~60-0 ~ _..~ ..~ SvP(h_Y
ADDRE;_IQ l _~_.~t:~ _ ._;;'_~~ ~~~~~..~.~....~..~-~....-.~~..~..~~~~-~-G~.\\~:c~~~....':'."
FACILITY CONTACT
~outine
o Combined
o Joint Agency
CJ Multi-Agency
CJ Complaint
Section 1: Business Plan and Inventory Program
C V
( C=Compliance )
V=Violation
OPERATION
COMMENTS
It..J -1 bA
o 0
ApPROPRIATE PERMIT ON HAND
CJ CJ BUSINESS PLAN CONTACT INFORMATION ACCURATE
CJ LJ VISIBLE ADDRESS
LI LI CORRECT OCCUPANCY
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9___~._.~.~~~=~_SE~~~~~~~~~F~~~E~I~_ un_' _.. muo__ _.... +....._... .
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.~_._l:!_..,,~:..~~~I~~~I~N_~~~~~T~r.1:NT ~~~L1::~~,~~ROCEDURES ~".
c] c] EMERGENCY PROCEDURES ADEQUATE I
Cl'-a-'--c~~~~I~;~~~~~;~~~~"~~;~~'-' ......'...-.-....'...."--t-..-.. ",.... ...- . ,..,. .......-..-...... .,..
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LI _c:.~~:.~~~==~~~~___........_....__..,.._.._.. ..."..."..... .~_f~!S..~'!I'3?_.tt ~._~~0!'~t:i.~.._....
I
LI LI' VERIFICATION OF INVENTORY MATERIALS
o LI VERIFICATION OF QUANTITIES
n n VERIFICATION OF LOCATION
LI LI VERIFICATION OF HAT MAT TRAINING
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LI LI SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?:
DYES
~O
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
,.._._._~J ,J'~.____..,...u.._,___.... ___.mfb___._.._.._._u,.,.__.,...._. ...
Inspector (Please Prinl) Fire Prevention 1 sl-In/Shift of Site
I
While - Environmental Services
Yellow - Stalion Copy
Pink - Business Copy
HAZARDOUS MATERIALS INVENTORY
CHEMICAL DESCRIPTION
CITY OF BAKERSFIELD
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., CA 93301 (661) 326-3979
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DADO
D DELETE
D REVISE
200
(one form per materia/ per building or area)
Page ot
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I. FACILITY I~IFORMATION
."SUSINESS'NAME(Sam';3SFACiL'TY'NAME.clI DBA. Doing BUSiness Asf.
...___..:~C~ _.:i~ f. .^-Il-'i SUffc:-Y
CHEMICAL LOCATION
c{Z.~ oF S-ruru?
'ii MAP'1i (opi/onaij-'"
203
201 CHEIAICAL LOCATION
, CONFIDENTIAL (EPCRA)
GRID # (api/on a!)" '. ,. .,--.---.-. ---- 204-.
DYes 0 No 202
{Aj') rDG- f\lW
;--FACIUf\iiDiTj-1 ~uT"f- r'l r'.
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.__._~-_._----------!
II. CHEMICAL 1,IlfORMATION
CHEMICAL NAME
J:AGu 01\/l
".. 26s""-fRP:DE SECRET'- 0 y~-CI~-;;-2-;;-~'-
I! Subject to EPCRA, refer to instructions
207
COMMON NAME
EHS'
DYes 0 No 208
CAS #
209 'If EHS is:Yc.: all amounts ,below muSl be in lb..
tRRE COOEHAii,RcftLASSESlCompiete'i(requesied by locai fire'chief)
210
I
__......_._________.~..,.... ... ... .....m.
: TYPE . 00 P PURE 0 m MIXTURE
R -\r_\IOACTIVC:
DYes 6~;' -....--;;..;CURIES
..
Ow WAS7=
213
PHYSICAL STATE
o s SOLID
o I LIQUID
~;\s
214
LARGEST CONTAINER
2<71
215
: FED HAZARD CATEGORIES
(Check alllhat apply)
01 FIRE
o 2 REACTIVE
~R"S3 jRE f.:EU",sE
lJ ,; ,~;U'E HEALTH
o 5 CHRONIC HEALTH
216
i--;~~~-;;L WAm---..--- ---..
, AMOUNT
217 :vlA.XIMl!M
DAILY AMOUNT
7..CJ(
<.18 IWI.:RAGE
DAILY AMOUNT
2-<::;(
219 STATE WASTE CODE
220
UNITS.
'6~~~~~ ..---- ";gi-;:;~~.F;
. If EHS, amounl musl be in Ibs.
o Ib LBS
i:J In TONS
221
DAYS ON SITE
222
I STORAGE CONTAINER
. (Check all that apply)
o a ABOVEGROUND TANK
Db UNDERGROUND TANK
Dc TANK INSIDE BUILDING
o d. STEEL DRUM
De PLASTIC/NONMETALLIC DRUM
Of CAN
o g CARBOY
o h SILO
o i FIBER DRUM
Cj BAG
o k BOX
~L1NDER
o m GLASS BOTTLE
o n PLASTIC BOTTLE
o 0 TOTE BIN
o P TANK WAGON
o q RAIL CAR
o r OTHER
223
!------------------- ---- .
i STORAGE PRESSURE
L__._______.___._..
i STORAGE TEMPERATURE
!
I
i
o a AMBIENT ~ ABOVE AMBIENT
o ba BELOW AMBIENT
224
~MBIENT 0 aa ABOVE AMBIENT
%WT
....
. .
. ,- :'-~ ,;~.
HAZARDOUS COMPONENT
o b3 BELOW AMBIENT 0 c CRYOGENIC
_. _0..1...._ ~~S_.._.. CAS #
225
226 i
._...---1___
I
230
227
o Yes 0 No 228
229
1.-.---.-: .._____..L____~__~____
~ 3 . 234 I
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:_._.1........._... .........,.__. _"__"._"
~J_____~:J_=___ ...._ ...
I .
i'PR1N'f"NAME'&fiTLE-oi: AUTHCiRIZE'i5"cOMPAiNREPRESENTA TIVE' '.
I... .. ...__.. 0. ......,.,.___._..
i
231 i 0 Yes 0 No 232
233
235
o Yes 0 No 236
237
239
DYes 0 No 240
241
2~3
DYes 0 No 244
245
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III. SIGNATURE
SIGNA TURE
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UPCF (7199)
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