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