The URL can be used to link to this page

Home My WebLink AboutBUSINESS PLANROBERT-J REDELSPERGER, DDS INC. SiteID: 015-021-002385 = Manager : . Location: 2106:20TH~ ST %%%~ MapBUsPh°ne:: 102 CommHaz(661) 324-6053: City : BAKERSFIELD~ ~ Grid: 25B FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 01 SIC Code:8021 EPA Numb: ! DunnBrad: Emergency Contact / Title Emergency Contact / Title ROBERT REDELSPERGER ./ DDS / Business Phone: (661) 324-6053x Business Phone: ( ) - x 24-Hour Phone : (. ) - x 24-Hour Phone : ( ) - x Pager Phone : ( ) x Pager Phone : ( ) - x .Hazmat Hazards React Contact : DR ROBERT REDELSPERGER Phone: (661) 324-6053x MailAddr: 2106 20TH ST State: CA City : BAKERSFIELD Zip : 93301 Owner DR ROBERT REDELSPERGER Phone: (661) 324-6053x Address : 2106,.20TH ST State: CA City : BAKERSFIELD ~. Zip : 93301 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: I,,~J~,,~ ~/~. Do hereby certify that I have reviewed ~he a~achsd h~ardous mmsrials mana~e- - . ..... any ~e~ions ~nsfi~e a ~mple~e and ~rr~ man- e~emsm plan ~r my f~ili~y. DR. ROBERT REDELS~RGER ~/ /~ -= ' We~tche~ter Dent~l Art~ ~ ~o~ ~Oth ~treet ~ n..:L[ ' Bakersfield, CA 93301 '.OFFICE OF ENVIRONMENTAL SERVICES ~ FII~ W ~~ ~' . 1715 Chester Ave., Bakersfield, CA (661) 326-3979 HAZARDOUS .MATERIALS MANAGEMENT PLAN INSTRUCTIONS: 7-'D ,/~0~ J. 1. To avoid further action, return this form within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. 5. You may also attach Business Owner / Operator Form and Chemical Description Form(s) to the front of this plan instead of completing SECTION I. below for initial submission. SECTION I: BUSINESS IDENTIFICATION DATA BUSINESS NAME: ROBERT J REDELSPERGER DDS TNC. LOCATION: 2106 20t,h st. MAILING ADDKESS.:. 2106 20th st CITY: Bakersfield STATE: Ca ZIP: 93301pHONE:66-324-6053 PRIMARY ACTIVITY.: 0enti~tr¥ OWNER: Robert Redeisperger PHONE: 661-322-7240 MAILING ADDRESS: 2106 20th st Bakersfieid,Ca. 93301 EMERGENCY NOTIFICATION CONTACT TITLE BUS. PHONE 24 HR. PHONE 1. Robert Redelsperger Pres±dent 324-6053 661-324-6053 1 OF ENVIRONMENTAII~RvICES 1715 Chester Ave., C_A 93301 (661) 326-3979 -.,......41~1~_~,~-.- BUSINESS OWNER / OPERATOR IDENTIFICATION FACILITY INFORMATION Page Of ~.. ,: ..... :., '.:... ..:.q'. FACILi NTIFICATiON . BUSINESS NAME (Same as FACILITY NAME or DBA- Doing Business As) 3 i BUSINESS PHONE 102 Robez't; J. Rede[spez'gez' DDS ]'nc i 661-324-6053 SITE ADDRESS lO3 2106 20t;h Sl; CITY Bakez'sfie]'d lo4: CA i ZIP93301 105 DUN & 106 SIC CODE 107 BRADSTREET t (4 Digit #) COUNTY Kez'n OPERATOR NAME Robez't; Redelspez'gez- OWNERNAME Robe]?t; J Redelspe~ge~ 111 I OWNERPHONE661-324-6053 "21 OWNER MAILING I ADDRESS 2106 20t;h st; 113 i CITY Bake]~sf±eld 114 STATECa ~5 ZIP93301 CONTACT NAME Robe]~'c Redelspe]~ge~ CONTACT MAILING ADDRESS 2~06 20 'ch st; CiTY Bake]~s£±eZd,:t 120 STATEI~ a 121 ZIP 93301 122 NAME Robez't J Redelspez-gez- 123 NAME 1291 TITLE Pz~esident 12s TITLE ~30~ BUSINESS PHONE 661-324-6053 12~ BUSINESS PHONE 131 24-HOUR PHONE 661-324-6053 12~ 24-HOUR PHONE 132 133 PAGER # ... Certification: 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 submitted in this inventory and believe the information is true, 'accurate, and complete. SIGNATI I~F ~F CANNeR/OPERATOR DATE 134 NAME OF DOCUMENT PREPARER 135 ~-~-rv~E-s oPZ OWNER/OPERATOR (print) 136 TITLE OF OWNER/OPERATOR 137 Robez't; Redelspez'gez- Pz'esident; UPCF (7/99) S:\CUPAFORMS\OES2730.TV4.wpd OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 ..,~_~4~11~..~-.- HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ~one forth per matedal per building or area) [] NEW ~j[ADD [] DELETE [] REVISE 200____ Page __ of __ BU'~INESS NAME (Same as FACILITY NAME or DBA - Doing Business As) 3 Robert; J Redelsper.qer BBS 'Tnc 201 CHEMICAL LOCATION [] Yes ~No 202 CHEMICAL LOCATION2106 201;h st; CONFIDENTIAL(EPCRA) 205 TRADE SECRET [] Yes [] No 206 CHEMICAL NAME If Subject to EPCRA. refer to instructions 207 COMMON NAME EHS° [] Yes .~ No 208 xray f~ xer FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 n O n ¢ o~u s t a b le CURIES 213 TYPE [] p PURE [~ m- MIXTURE [] w WASTE 211 RADIOACTIVE [] Yes [~ No 212 PHYSICAL STATE 0, SOLID ~[~' LIQUID •g FED HAZARD CATEGORIES [] 1 FIRE X~ 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 2n 6 (Check all that apply) ANNUAL WASTE 217 MAXIMUM 218 AVERAGE 219 S~i~b j~STE CODE 220 AMOUNT 8 g a I 1 o n-~ DALLY AMOUNT DALLY AMOUNT DAYS ON SiTE 222 UNITS* j~] ga GAL [] cf CU FT [] lb LBS [] tn TONS 221 * If EHS, amount must be in lbs. STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASs BO']-i'LE [] q RAIL CAR 223 (Check all that apply) [] b UNDERGROUND TANK [] f CAN [] j BAG ~ n PLASTIC BOTTLE ' [] r OTHER [] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN [] d STEEL DRUM [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE ~ a AMBIENT [] aa ABOVE AMBIENT [] ba BELOWAMBIENT 224 STORAGE TEMPERATURE [~ a AMBIENT [] aa ABOVE AMBIENT [] ha BELOW AMBIENT [] c CRYOGENIC 225 227 []Yes []No 228 i 229 i 1 226 Borax 233 2 230 231 [] Yes [] No 232 cltric acld 3 234 a i s u 1 f a t e 235 [] Yes [] NO 236 237 4 238 ~ ~,-I-; ...... '~ ~-; -t-,-, 239 []Yes []No 240 241 ° sodium metabisulfate ~.es~.o~,~ . ~R'~'N~: I~:ME' & Ti%E'OF AU¥1:~OAizEI~'(~i3MPANY REPRESENTATIVE SIGNATURE UPCF (7/99) S:\CUPAFORMS\OES2731 .TV4.wpd . CITY oF BAKERSFIEsI~viCES ~ a r OF~CE OF ENVIRONMENTAL 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 HAZARDOUS MATERIALS MANAGEMENT PLAN Section I1.1 - DISCOVERY AND NOTIFICATIONS I. FACILITY IDENTIFICATION BUSINESS NAME (Same as FACILITY NAME o~ DBA - Ooing Business As) 3 Robert J Redeisperger DDS Tnc ADDRESS (For local use only) 476. 2106 20 th st A. LEAK DETECTION AND MONITORING PROCEDURES: visual B. EMERGENCY AND AGENCY NOTIFICATION PROCEDURES: Emergency 911 nonemergency 661-637-0404 · ;.':",.7. ~i~':; ?~,..'~; ~-i;:;: :.:'~-. .,*~,!:~';?*?' +': 3~ ':?~.:~,~:~:,~:'~{.~:E NVI RO N MENTAL MANAGEMENT. C. SPECIFIC RESPONSIBILITIES OF EMPLOYEES: EmpIoyees will notify and initiate proper procedures D. CLOSEST LOCAL MEDICAL FACILITY: San Joaquin Hopspital o~ Mercy on Truxtun UPCF (7/99) S:~PROCEDURE MANUAL~New HMMP form.wpd HA~RDOUS MATERIALS MANAGEM~tl' PLAN Section 11.2 - RELEASE RESPONSE PLAN PRELIMINARY ASSESSMENT A. HAZARD ASSESSMENT AND PREVENTION MEASURES: Proper sa£tey equipment for disposal · ' - .. , · - . ' , - ' '. ' ' 'L: . ~.~.*.;, . - - ,. ..._.,,~,~;~--~,- B.RELEASE CONTAINMENT AND MITIGATION: double dontainers C. CLEAN-UP AND RECOVERY PROCEDURES: soak op with absorbent materials X-ray solutions Services 661-637-0404 ; UPCF (7/99) $:~EDURE MANUAL~New HMMP fo~.w~J HAZARDOUS MATERIALS MANAGEMENT PLAN Section II1.1 - FACILITY AND.LOCALITY INFORMATION UTILITY SHUT-OFFS . - LOCATION OF SHUT-OFFS AT YOUR FACILITY: NATURAL GAS/PROPANE: west side of no~'chwesl; co~'nez' of building, outside ELECTRICAL: northwest side of buildi~.q, outside. WATER: Aiiey SPECIAL: -~ LOCK BOX: YES /('~)~ IF YES, LOCATION: · . : PR!VATE:FI~REPROTECTION I WATER AVAILABILITY '.... '~:..'- . . A. PRIVATE FIRE PROTECTION: Alarm B. WATER AVAILABILITY (FIRE HYDRANT): alley between 19th and 20th on- I~ st Alley between 19th and 20th on D st. ' '" ::~"' ":' ":~:"~;'~'~; :' '¥""~ ~:~' ';:~ ~ '~';' "' ~- '~' ' "~' ~ ' ' " " I · . , -. .... ... .... . . . .... *.:' . ... ... -.:,.~';*.'; A. NUMBER OF EMPLOYEES: 9 B. MATERIALS DATA SHEETS. ON FILE: yes C. BRIEF SUMMARY OF TRAINING PROGRAM: OSHA~medical traing once per year Based on my Inquiry of tho~e individuals responsible fo~ o/otaining the Informalion, I ce~'tify under penalty of law Ihat I have personnaly examined and am familiar with the Information submilted and believe Ihe infom,.aUon la true, accurate, and complete. SIGNATURE OF OWNER DESIGNATED REPRESENTATIVE DATE 477. NAME OF SIONER ~_.~_ //~ 478. TITLE OF $,ONER UPCF (7/99) S:~r~ROCEDURE MANUAL~New HMMP fm'm.wlxl ITE DIAGRAM Bmin.a Nan.: ' B~ ,aaldrm: ,., FAc~.rI~ DIAGRAM Robert. d Redelsperger DOS I~c P~ ?Orh st ,[ . SITE DIAGRAM ! ] FACILITY DIAGRAM Business Name: Business Address: CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROG~M INSPECTION CHECKLIST 1715 Chester Ave., 3~ Floor, Bakersfield, CA 93301 FACILITY NAME i~c~ ~ ~' ~SPECTION DATE ADD.SS ~Io6 ~ ~ S~ PHONENO, ~- FACILITY CONTACT ~ ~ Reo~sPa~ BUSINESS ID NO. 15-210- Section I: Business Plan and lnvento~ Program /~2' ~9~ ~ Routine ~Combined ~ 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 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 hazardous waste on Mte?: ~] Yes [~ No Explain: //,,f,-6~5'~ ~ ! 'x.~?,_ ,~/~//,~ Questions regarding this inspection? Please call us at (66 i ) 326-3979 Bus~/~ite Responsible Party White- Env. Svcs. Yellow- Station Copy Pink- Business Copy Inspector: (.A,J/~ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~~ I3C'~'"~t.. ,4'ZT5 INSPECTION DATE C/z-SA'Z_ Section 4: Hazardous Waste Generator Program EPA ID # [] Routine ~[ Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made 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 kept closed when not in use Weekly inspection of storage area Ignitable/reactive waste located at least 50 feet from property line Secondary containment provided i~ 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 ree.eipts for 3 years Determines if waste is restricted from land disposal C=Compliance V=Violation Office of Environmental'Services (661) 326-3979 B esponsible Party White - [:nv. Svcs. Pink - Business Copy