HomeMy WebLinkAbout04 MLA17-00019 LIQUOR & CANNABIS PLAN (0002) r
. DocuSign Envelope ID:1A0D31D8-2B86-46B7-B710-8839FFA3978A
Washington State License Number 412943
f6040283380010001
�,` ?," Liquor and Cannabis Board UBI Number
OLYMPUS GARDENS
Trade Name
�� • C
Operating Plan Required Elements— Producer/Processor t
Submission of an operating plan that demonstrates the applicant is qualified to hold the marijuana
license applied for is required as part of the application process listed in Washington
Administrative Code (WAC) 314-55-020. This operating plan must include a floor plan and/or site
plan which illustrates the entire operation being proposed.(WAC 314.55.020(11))
Please describe how your operating plan complies with the requirements listed in the
WACs indicated below. Additional sheets may be attached if necessary.
1. SECURITY (WAC 314-55-083) ac , O,�4-, 7;
a. Will all employees wear an identification badge? COU
07 YES ',
b. Does your location have a security alarm system on all perimeter doors and windows?
0 YES
c. Does your video surveillance system and recording device meet the following
requirements?
YES
IR Minimum camera resolution of 640 x 470
[1:1 Internet protocol (IP) compatible
(fl Recorded images clearly and accurately display the time and date
IT Surveillance system storage device is secured on-site in a locked box
E] Camera recordings must be continuously recorded twenty-four hours a day
r"i5 Surveillance recordings must be kept for a minimum of forty-five days
i"n System includes image acquisition, video recording, management and monitoring
hardware and support systems
Camera placement allows for the clear and certain identification of any individual or
activity on the licensed premises including all areas where marijuana is grown,
cured or manufactured
PO Box 43098,3000 Pacific Ave. SE,Olympia WA 98504-3098,(360)664-1600,Icb.wa.gov
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DocuSign Envelope ID: I ADD31D8-2B86-46B7-13710-8839FFA3978A
6040283380010001
UBI Number
2. TRACEABILITY (WAC 314-55-083(4))
a. Will you use a third party vendor for your traceability software?
L YES
X NO
If you selected YES, please list the name of the vendor/software:
If you selected NO, please describe how you will comply with traceability requirements:
USING LCB MJ TRACEABILITY SYSTEM
b. Is the system listed above compatible with the LCB's traceability system?
,17 YES
3. TRANSPORTATION OF PRODUCT (WAC 314.55.085)
a. Quarantine:
1. Will all product be placed in quarantine 24 hours prior to transport?
YES
2. Will all product be entered into the traceability system?
ffl YES
b. Manifest:
1. Will the manifest be printed and attached to the product during transport?
I YES
c. Will the product be transported in a locked safe and secure storage compartment that is
secured to the inside body/compartment of the vehicle?
YES
4. DESTRUCTION OF WASTE PRODUCT (WAC 314-55-097)
a. Will waste be secured on site 72 hours prior to rendering it unuseable?
Fr YES
b. Will all waste be disposed of in compliance with local and state laws, rules and
regulations?
YES
c. Will you grind or chip non-dangerous waste and mix it with 50% non-marijuana waste?
ft] YES
L.
PO Box 43098, 3000 Pacific Ave.SE,Olympia WA 98504-3098,(360)664-1600,lcb.wa.gov
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DocuSign Envelope ID: 1 A0D31 D8-2BB6-46B7-8710-8839FFA3978A
U61 Number 6040283380010001
5. DESCRIPTION OF OPERATION AND PREMISES
a. Standardized Scale
Will your scale meet the requirements listed below:
YES
in Licensees are required to have at least one scale on the licensed premises for the
traceability and inventory of products.
rfl The scale(s) used must have a National Type Evaluation Program (NTEP)
Certificate of Conformance (COC). If a scale meets this requirement it should have
an ID name plate on it with the COC number.
Licensees must register their scale(s) on a business license application with
- Business Licensing Services through the Department.
b. Marijuana Production
YES NO
❑ x❑ Indoor Grow
F-1 —1 Outdoor Grow
c. Sizecategory (plant canopy):
(l Tier 1
Tier 2
❑ Tier 3
d. List the total square feet you will dedicate to plant canopy for each:
Recreational: 10,000 OUTDOOR GREENHOUSES
Medical: NA
e. Describe the type of eight foot fencing and material used to encompass your outdoor grow
or to connect exterior buildings on the licensed premises:
CHAIN LINK WITH SCREEN MESH TO BLOCK VISION
f. I acknowledge that all soil amendments, fertilizers, pesticides and other crop aids used will
be compliant with LCB standards listed in WAC 314-55-084:
L❑ YES
PO Box 43098,3000 Pacific Ave. SE,Olympia WA 98504-3098,(360)664-1600,Icb.wa.gov
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DocuSign Envelope ID:1A0D31 D8-2886-46B7-8710-8839FFA3978A
UBI Number 6040283380010001
6. PROCESSING OPERATION
a. List the types of finished products that will be created on your licensed premises (such as
useable marijuana, infused products and edibles):
USEABLE MARIJUANA AND DRY SIFTED HASH
b. Describe the processing methods and equipment you will use to create the items listed
above (WAC 314-55-104):
AFTER THE PLANTS HAVE DRIED, THEY WILL BE TRIMMED WITH A SATILLITE SL DRY TRIMMING MACHINE.
PROTECTIVE GLOVES AND EYE WEAR IF NECESSARY WORN AT ALL TIMES. THE PRODUCT WILL THAN BE
SORTED- USEABLE AND NON-USEABLE MATTER.NON-USEABLE MATERIALS WILL BE COMPOSTED. USUABLE
MARIJUANA WILL BE CUT, TRIMMED AND SIFTED WITH SIFT BUCKETS FOR HASH AND PROPERLY WEIGHED
AND PACKAGED FOR FLOWER.
c. Describe the packaging for all finished products (usable and infused) to include how they
will be sealed:
HEAT SEALED PLASTIC BAGS AND OR GLASS JARS WITH HEAT SHRINK.
d. Describe what information will be listed on labels affixed to your finished products (please
indicate any differences between usable marijuana and marijuana-infused products):
THE FOLLOWING INFORMATION WILL BE ON EACH PACKAGED ITEM-
WARNING, THIS PRODUCT HAS INTOXICATING EFFECTS AND MAY BE HABIT FORMING. SMOKING IS
HAZARDOUS TO YOUR HEALTH- THERE MAY BE HEALTH RISKS FOR BREAST FEEDING OR PREGNANT WOMEN-
FOR USE BY ADULTS 21 YEARS AND OLDER ONLY- KEEP OUT OF REACH OF CHILDREN-MARIJUANA CAN
IMPAIR, CONCENTRATION, COORDINATION AND JUDGMENT- DO NOT OPERATE VEHICLE OR MACHINERY UNDER
THE INFLUENCE OF THIS DRUG- ALSO STATEMENTS FOR ALL PESTICIDES APPLIED AND GROWING MEDIUMS
DURING PRODUCTION AND PROCESSING.
PO Box 43098,3000 Pacific Ave.SE,Olympia WA 98504-3098, (360)664-1600, Icb.wa.gov
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• DocuSign Envelope ID:1A0D31D8-28B6-46B7-B710-8839FFA3978A
UBI Number 6040283380010001
e. Will all soil amendments, fertilizers, pesticides and other crop aids used be compliant with
LCB standards listed in WAC 314-55-084:
YES
7. QUALITY ASSURANCE PROTOCOLS (WAC 314-55-102)
a. Will all quality assurance testing be done by an accredited third party lab approved by the
LCB:
r YES
8. EMPLOYEES COMPENSATION AND BENEFITS DATA (WAC 314-55-020)
a. Will you provide a living wage (at least one hundred fifty percent of the state minimum
wage)to eighty-five percent or more of your employees?
E YES D NO
b. Will you provide health insurance to at least eighty-five percent of your hourly employees?
[� YES D NO
c. Will you provide a defined benefit pension plan to at least eighty-five percent of your hourly
employees?
❑ YES C NO
d. Will you provide five or more paid sick days annually to at least eighty-five percent of your
hourly employees?
E YES C NO
e. Is there a signed labor peace agreement or collective bargaining agreement with a labor
organization in place?
YES C NO
PO Box 43098,3000 Pacific Ave.SE,Olympia WA 98504-3098, (360)664-1600,Icb.wa.gov
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DocuSign Envelope ID: 1A0D3108-26136-46B7-B710-8839FFA3978A
6040283380010001
MI Number
9. ATTACH FLOOR PLAN /SITE PLAN (architectural plans are accepted but not required).
Plans must be drawn to scale. Please ensure your Floor Plan/Site Plan includes a key
referencing the specific areas listed below. For your convenience, an example key is
attached.
a. Physical barrier/perimeter fencing enclosing the licensed premises including all gates
b. Grow area(s) dedicated to medical marijuana
c. Grow area(s) dedicated to recreational marijuana
d. Processing area(s)
e. Quarantine area(s)
f. Label all rooms
g. Points of ingress/egress to the licensed premises
h. Location of all doors and windows
I. Location of secured Surveillance System Storage Device
j. Location of all cameras and alarms
k. Designated Waste area(s)
"---DocuSogned by
titStik. SMitiLk-
11/28/2016
"------(€.4e4o7vrc5400
Signature Date
Click 'yes' to attach floor plan 171 YES
PO Box 43098,3000 Pacific Ave.SE,Olympia WA 98504-3098, (360)664-1600,Icb.wa.goy
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. DocuSign Envelope ID:1A0031D8-2BB6-4687-8710-8839FFA3978A
UBI Number
kEY FOR ALL MARIJUANA FLOOR PLANS
0 Surveillance Camera:You must have 100% camera coverage.If you do not have 360'
cameras,you will need a minimum of two cameras in each room.Draw arrows to
indicate all directions the camera is capturing.
R Retail Display Case
POS Retail Point of Sale
XXX Sight Obscured Fencing
MI UMOM Fencing
A Security Alarm:Sensorthat is required on all exterior doors and windows
Surveillance System Storage:Room,Closet,Lockbox or other secured location
" Door or entry into a Retail and Non-Retail Premise
IW Window:All exterior windows require an alarm
II Gate through fenced area:All gates require an alarm
IDENTIFY ALL ROOMS AND AREAS ON THE FLOOR PLAN TO INCLUDE THE FOLLOWING:
• Grow Area—Area where marijuana is grown
• Processing Area—Area where processing of any kind will occur
• Quarantine Area—Area that marijuana or marijuana infused products are kept before being
removed or transported
• Security Room/Controlled Access Area—All areas restricted to the general public.
• Waste Area—Area waste will be held prior to destruction
Note:If architectural plans or any other form of floor plan is submitted,you must provide a key.
PO Box 43098,3000 Pacific Ave. SE,Olympia WA 98504-3098, (360)664-1600, Icb.wa.gov
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