HomeMy WebLinkAboutBUSINESS PLAN 7/25/2003
BRUCE A ~SSEE, DDS SiteID: 015-021-0022'48
Manager:
~~, ~ %%~usPhone: (661) 324-0234
Location: 1731 26TH ST .~% Map : 102 Com~az :
City : BAKERSFIELD ,' ~v- Grid: ~SB FacUnits 1 AOV:
CommCode: BAKERSFIELD STATION 04 //SIC Code:8021
EPA Nu~: /~DunnBrad:
Emergency Contact / Title / Emergency Contact / Title
Business Phone: (~1) ~z~-oz~fx/ Business Phone: ( ) x
24-Hour Phone : (~1) &~ _o2~¢~ 24-Hour Phone : ( ) - x
Pager Phone : (~1) ~-O~ ' Pager Phone : ( ) - x
Hazmat Hazards: ~J~4~ X-C~/ ~/~' React
Contact : ~ru~. /3d'~~/ Phone: (661) 324-0234x
MailAddr: 1731 26TH ST / State: CA
City : BAKERSFIELD / . Zip : 93301
Owner ~ru~ ~/~.~ Phone: (661) 324-0234x
Address : 1731 26TH ST State: CA
City : BAKERSFIELD Zip : 93301
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
(Tyce or, ~rint name)
reviewed the attached hazardous materials manage-
(~sme of Business)
any corrections ~nstitute a complete and corre~ man-
agement plan for my facility.
-1- 07/15/2003
BRUCE A MASSEE, DDS SiteID: 015-021-002248
~ Inventory Item 0001 Facility Unit: Fixed Containers at Site
WASTE DATA
Treated On SiteNo CA Code I US Code I GAL Generated/Mo. GAL Generated/Yr.
Treatment UnitID: Unit Type: /
Agency-Defined Text Label ' ~
-4- 07/15/2003
BRUCE A ~SSEE, DDS SiteID: 015-021-002248
Fast Format
F Notif./Evacuation/Medical Overall Site
Agency Notification
~ Employee Notif./Evacuation
Public Notif'./Evacuation
Emergency ~ed±cal Plan ·
-5- 07/15/2003
BRUCE A MASSEE, DDS SiteID: 015-021-002248
Fast Format
F Mitigati°n/Prevent/Abatemt Overall Site
Release Prevention
Release Containment
Clean Up
Other Resource Activation
-6- 07/15/2003
BRUCE A MASSEE, DDS SiteID: 015-021-002248
Fast Format
~ Site Emergency Factors Overall Site
Special Hazards
--Utility Shut-Offs
Fire Protec./Avail. Water
Building Occupancy Level ,/'
7 07/15/2003
fi/BRUCE A MASSEE, DDS SiteID: 015-021~-~00~248
'
F Training
'~ I Employee Training,
'Page . 2
Held for Future Use
Held ~or Future Hse
8 07/15/2003
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3~ Floor, Bakersfield, CA 93301
FACILITY NAME ~ A- ~55~ ~o5 ~SPECTION DATE
ADD.SS ~ t ~ ~ PHONE NO. ~ -
FACILITY CONTACT BUSINESS ID NO. 15-210-
~SPECTION TIME NUMBER OF EMPLOYEES
Section 1: Business Plan and Invento~ Program /0~~ /
~ Routine ~Combincd ~ 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
Explain:Any hazardo.awas,e on site?:t~~ F-'-/9~' ~¥es [~No
Questions regarding this inspection? Please call us at (661) 326-3979 Business Site'Responsible Party/'
White - Env. Svcs. Yellow - Station Cooy Pink - Business Copy Inspector: (~/~v__~ ,,,//
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME ~c~;~ ~ n4~ ~05 INSPECTION DATE 12./'-z,a/o(
Section 4: Itazardous Waste Generator Program EPA ID #
[] Routine )I~ 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 kep~ closed when not in use
Weekly inspection of storage area
Ignitable/reactive waste located at least 50 feet from property line ~
Secondary containment provided ( t,,' ~ ~e.X/,r~
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: ~ ~ M'C..,~ .,
Office of Environmental' Services (661) 326-3979 Business Site Responsible Party
White - Env. Svcs. Pink - Business Copy