HomeMy WebLinkAboutBUSINESS PLAN
RAYMOND PEDERSEN, SiteID: 015~021-002298
Manager : %%.%%%% BusPhone: (661) 324-9532
Location: 1729 26TH ST .Map : 102 CommHaz :
City : BAKERSFIELD ~ Grid: 25B FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 04 SIC Code:8021
EPA Numb: DunnBrad:
Emergency Contact / Title Emergency Contact / Title
RAYMOND PEDERSON / DDS /
Business Phone: (661) 324-9523x Business Phone: ( ) - x
24-Hour Phone : ( ) - x 24-Hour Phone : ( ) - x
Pager Phone : ( ) - x Pager Phone : ( ) - x
Hazmat Hazards: ~ . .... React
Contact : RAYMOND PEDERSEN Phone:' (661) 324-9523x
MailAddr: 1729 26TH ST State: CA
City : BAKERSFIELD Zip : 93301
Owner RAYMOND PEDERSEN Phone: (661) 324-9523x
Address : 1729 26TH ST State: CA
City : BAKERSFIELD Zip : 93301
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No ~
ParcelNo:
Emergency Directives:
I, ,~lto~.~v,~, Do hereby ce~i~ that ~ have
I (~ or ~nt name)
?~ . reviewed the a~a~hed haza~ous mate~als manage~
~3 ~ y)~.z~T., ~ ment plan for ~'~~'/~'~,~,~ ~ s~=~.) ~ and that it ~ong with
~ ~.,Z~{;[7_.~.~~ any co~e~ions con~ute a complets and'corm~ man-'
agemem plan ~r my ~cility.
1 10/16/2003
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CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME ~t-(~.t~ p~.¢~,/ ~ ~SPECTION DATE t~/~
ADD.SS {~ ~ ~ PHONE NO. ~Z~ -
FACILITY CONTACT ~ PCmc~¢E~ BUSINESS ID NO. 15-210-
~SPECTION TIME NUMBER OF EMPLOYEES
Section 1: Business Plan and Invento~ Program ~/
~ 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 /,A/K$~ F~.,Z... -- P~'r~ C~O,-~o
Verification of quantities ~'"~_,_At.. ~ (~O ~
Verification of location In.l~,Bl~r OtX'OC. t~an,q
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 ~'~L.C,A-e~ /.9~ ee/-O~Z. CO'A~r~' ~ ~
Housekeeping
Fire Protection
Site Diagram Adequate & On Hand
C=Compliance V=Violation.
Explain:Any hazardous waste on site?: ~Yes ~]No ~/vt 'e~a
Questions regarding this inspection? Please call us at (661) 326-3979 Busin~ss~it rty [
White - Env, Svcs. Yellow - Station Copy Pink - Business Copy Inspector: "' V ,/odC---"~ //
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME ~~ P~~-~J O0~ INSPECTION DATE
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 //ICL(.., (--~c, O't~---
EPA ID Number (Phone: 916-324-1781 to obtain £PA 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 traitfing
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
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
C=Compliance V=Violation
Inspector: I/A'~
Office of Environmental'Services (661) 326-3979 CI~l~S~l~t~ l~spons~ble Party
White - Env. Sves. Pink - Business Copy