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Home My WebLink AboutBUSINESS PLAN ''-'6~ N"~')ST'R Y '' : '1621 ?7_IH STREET · BAKERSFIELD, CALIFORNI.A 93301 (661) 327-4479 · FAX (661) 327-0987 MICHAEL WEINBERG, DDS, INC SiteID: 015-021-002315 Manager : BusPhone: (661) 327-4479 Location: 1621 17TH ST Map : 103 CommHaz : City. : BAKERSFIELD Grid: 30C FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 01 SIC Code:8621 EPA Numb: DunnBrad:. Emergency Contact / Title Emergency Contact / Title ESTHER CASTILLO / / Business Phone: (661) 327-4479x Business Phone: ( ) - x 24-Hour Phone : ( ) - x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: React Contact : ESTHER CASTILLO Phone: (661) 327-4479x MailAddr: 1621 17TH ST State: CA City : BAKERSFIELD Zip : 93301 Owner MICHAEL WEINBERG, DDS, INC Phone: (661) 327-4479x Address : 1621 17TH ST State: CA City : BAKERSFIELD Zip : 93301 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: ~ RSs: No .ParcelNo: Emergency Directives: = Hazmat Inventory One Unified List --Alphabetical Order Ail Materials at Site Hazmat Common Name... ISpocHazlEPA HazardsI. Frm DailyMax IUnitlMcP WASTE FIXER R L 5.00 GAL Min (Type or ~nt name) / reviewed the ~ach~d hazardous rnateria~s men~ plan for ~/~-/-~,/~,~'~,~-'~'c~.h~ ii along wi~h ' (~e of ~) ~y ~ions ~nst~u~e a ~mple~ ~d ~r~ man- ~eme~ pan ~r my MICHAEL WEINBERG, DDS, INC SiteID: 015-021-002315 ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~~ ~vl~ / ~£~ ~Vl~ WASTE FIXER Days On Site SPENT PHOTOGRAPHIC FIXER 365 .Location within this Facility Unit Map: Grid: INSIDE DARK ROOM CAS# FSTATE ~ TYPE PRESSURE --~ TEMPERATURE I CONTAINER TYPE Liquid /Waste I Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum I Daily Average 5 . 00 . GAL I 5 . 00 GAL I 5 . 00 GAL HAZARDOUS COMPONENTS %Wt. RI RSI CAS# Silver ~ 7440224 HAZARD ASSESSMENTS TSecret S BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No N No No/ Curies R / / / Min 2 04/21/2003 MICHAEL WEINBERG, DDS, INC SiteID: 015-021-002315 Fast Format ~Notif./Evacuation/Medical Overall Site -~Agency Notification Employee Notif./Evacuation Public Notif./Evacuation ~ Emergency Medical Plan 3 04/21/2003 MICHAEL WEINBERG, DDS, INC SiteID: 015-021-002315 Fast Format F Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention ~Release Containment Clean Up Other Resource Activation -4- 04/21/2003 F MICHAEL WEINBERG, DDS, INC SiteID: 015-021-002315 I Fast Format F Site Emergency Factors Overall Site Special Hazards --Utility Shut-Offs Fire Protec./Avail. Water Building Occupancy Level r5- 04/21/2003 MICHAEL wEINBERG, DDS, INC SiteID: 015-021-002315 Fast Format ~ Training Overall Site Employee Training -- Page 2 --Held for Future Use Held for Future Use -6- 04/21/2003 CITY OF BAKERSFIELD FIRE DEPARTMENT 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~ ~{a~~M~ ~ t~ ~SPECTION DATE ~/t ADD.SS {~t ~ ~ 5~ PHONENO. ~7- FACILITY CONTACT ~Sqher/3~ ]//~ BUSINESS ID NO. I5-210- SPECT O NVU E OV E VrOVEES Section I: Business Plan and Invento~ Program / 0 ~ ~ ~ ~ - ~ ~ Routine ~ombined ~ Joint Agency ~ Multi-Agency ~ Complaint ~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials ~'- ~.,t~t.. I.~-~mS~'C~ ~-a.. Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection / Site Diagram Adequate & On Hand C--Compliance V=Violation Any haza. rd,.us_ waste on site,: ~Yes [~No Explain: /-,~-~ ~ Questions regarding this inspection? Please call us at (661) 326-3979 Business Site Responsible Party White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: t.~ OFFICE OF ENVIRONMENTAL SERVICES ." UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3r~ Fi°°r, Bakersfield,CA 93301 FACILITY NAME r~ lC, ~a,~.-t,,)ffn, a~:~ac~ ~ t.~c. INSPECTION DATE "3/t cd ADDRESS lto2. t I'-/~ 5'~ PHONE NO. ~"2~, FACILITY CONTACT.~. "/-her' f~.s ~/./.~_ BUSINESS ID NO. 15-210- ~ INSPECTION TIME NUMBER OF EMPLOYEES Section 1: BUsiness Plan and Inventory Program J (~ ~" ~ d) ~ ~ [21 Routine [~mbined [~ Joint Agency ~ Multi-Agency [-~ ComPlaint ~ Re-inspection ~ OPERATION C V COMMENIS Appropriate permit on hand ~ b3~'~ ~-'~, ~ <2~ TC'~ Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials ~'~ ~ t.~ , 'L,,a~ ~C- Verification of quantities Verification of location ~t,~$,t~- ~ ~ Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled H0,usekeeping,,~ , Site Diagram Adequate & On Hand C=Compliance V=Violation Questions regarding this inspection? Please call us at. (661) 3-26-39~9 Business Site Responsible Party White - Env. Svcs. Yellow..- Station Copy Pink- Business Copy Inspector: CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME/V{ CCtt~ t.,O~:~,O~ 'b~3~ ~,,z<.._ INSPECTION DATE Section 4: Hazardous Waste Generator Program EPA ID # ~//4 [] Routine ~ Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made .~LL.- ( ~ EPA ID Number (Phone: 916-324-1781 to obtain EPA ID #) Authorized for waste treatment and/or storage Reported release, fire, or explosion within 15 days of occurrence Established or maintains a contingency plan and training Hazardous waste accumulation time frames Containers in good condition and not leaking Containers are compatible with the hazardous waste Containers are kepi closed when not in use Weekly inspection of storage area Ignitable/reactive waste located at least 50 feet from property line Secondary containment provided Conducts daily inspection of tanks Used oil not contaminated with other hazardous waste Proper management of lead acid batteries including labels Proper management of used oil filters Transports hazardous waste with completed manifest Sends manifest copies to DTSC Retains manifests for 3 years Retains hazardous waste analysis for 3 years Retains copies of used oil receipts for 3 years Determines if waste is restricted from land disposal Inspector: r~ e ,,.~.~.~ .... office of Environmental' Services (661) 326-3979 Business ~ite Responsible Party White - Env. Svcs. Pink - Business Copy