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HomeMy WebLinkAboutBUSINESS PLAN 9/17/2003 NEW IMAGE DENTISTRY ~iteiDiO~i5_021_002229 Manager : __ ~ BusPhone: (661) 322-8860 Location: 1'801 26TH ST %~7%% Map : 102 CommHaz : Minimal City : BAKERSFIELD Grid: 25B FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 01 SIC Code:8021 EPA'Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title M.A. GHALAMBOR / DDS / Business Phone: (661) 322-8860x Business Phone: ( ) - x 24-Hour Phone : ( ) - x 24-Hour Phone : ( ) - x Pager Phone : ~{ )~ -~4~x Pager Phone : ( ) - x Hazmat Hazards: -React ....... Contact : Phone: (661) 322-8860x MailAddr: 1801 26TH ST State: CA City : BAKERSFIELD Zip : 93301 Owner M.A. GHALAMBOR, DDS Phone: (661) 322-8860x Address : 1801 26TH sT State: CA City : BAKERSFIELD Zip : 93301 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: I, _~.~ F~i~~;C Do hereby certify that I have ('type m' ~m~n! name) ~ ~vie~ed thea~ach~ .h~ardous mm~da~s mana~. any ~ions constituts a ~mplete and ~rr~ man- agement plan ~r my facility. / ~gn~re ~ e -'1- · 09/15/2003 CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 550 17IS Chester Ave., 3r~ Floor, Bakersfield, CA {)3301 FACILITY NAME ~ ~,,~ao~ O~-nna~-to-,'d INSPECTION DATE ~ ADD.SS 'l~° I Z~ ~ sr PHONENO, ~ZZ- ~0 FACILITY CONTACT BUSINESS ID NO. 15-210- ~SPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and lnvento~ Program ~ 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 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 o~n site~: ~LYes [~]No Explain: Questions regarding this inspection? Please call us at (661) 326-3979 sponsible Part/ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME e,./~-,.,.,I t~,ar.~ i)lsovl$'t-a_V 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 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 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: ~ Office of Environmental Services (661) 326-3979 Bu~i onsible Party White - Env. Sves. Pink - Business Copy