HomeMy WebLinkAboutBUSINESS PLAN 4-2003
: MICHAEL A BANDUCCI, DDS SiteID: 015-021-002339
Manager : BusPhone: (661) 324-3783
Location: 1711 30TH ST Map : 102 CommHaz :
CitY : BAKERSFIELD 'Grid: 24D FacUnits:~ 1 AOV:
CommCode: BAKERSFIELD STATION 01 SIC Code:8621
EPA Numb: DunnBrad:
Emergency Contact / Title Emergency Contact / Title
LORI KEITH / /'
Business Phone: (661) 324-3783x Business Phone: ( ) - x
24-Hour Phone : ( ) - x 24-Hour Phone : ( ) - x
Pager Phone : ( ) - x Pager Phone : ( ) - x
Hanmar Hazards: React(
Contact : Phone: (661) 324-3783x
MailAddr: 1711 30TH ST State: CA
City : BAKERSFIELD Zip : 93301
Owner MICHAEL A BANDUCCI, DDS Phone: (661) 324-3783x
Address : 1711 30TH ST State: CA
City : BAKERSFIELD Zip : 93301
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: Res: No
ParcelNo:
Emergency Directives:
---- Hanmar Inventory One Unified List
--Alphabetical Order Ail Materials at Site
Hazmat common Name... ISpooHazlEPA HazardsI Frm I DailyMax lUnitlMCp
WASTE FIXER R L 2.00 GAL Min
~ _ . . /Do hereby ce~¢~ th~
~ev~ewe~ the attached hazardous ma~ed~s
ment pian for'~~ and that ~t ~long
(~me of Buslne~)
any cormmions ~nsfitute a ~mplete and ~rr~
,~ ~ ~~" / 04/21/2003
MICHAEL A BANDUCCI. DDS SiteID: 015-021-002339
= Inventory Item 0001 Facility Unit: Fixed Containers at Site
~lV~Vl~N N-;%J.Vl~ / ~1~ N~J.Vl~
WASTE FIXER Days On Site
SPENT PHOTOGRAPHIC FIXER 365
Location within this Facility Unit Map~ Grid:
INSIDE DARK ROOM' CAS#
F STATE ~TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid [Waste. Ambient- I Ambient I pLAsTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I- Daily Average
2.00 GAL 2.00 GALI 2.00 GAL
HAZARDOUS COMPONENTS
wt. I CAS#
Silver N 7440224
HAZARD ASSESSMENTS
TSecret RS, BioHaz, Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No N° IINo No/ Curies R · /' / / Min
2 04/21/2003
MICHAEL A BANDUCCI, DDS SiteID: 015-021-002339
Fast Format
F Notif./Evacuation/Medical overall Site
Agency Notification
-- Employee Notif./Evacuation
Public Notif./Evacuation
Emergency Medical Plan
-3- 04/21/2003
MICHAEL A BANDUCCI, DDS SiteID: 015-021-002339
Fast Format
F Mitigation/Prevent/Abatemt Overall Site
Release Prevention
Release Containment
Clean Up
Other Resource Activation
[ ·
-4- 04/21/2003
F MICHAEL A BANDUCCI, DDS SiteID: 015-021-002339
Fast Format
F Site Emergency Factors Overall Site
iSpecial Hazards
--Utility Shut-Offs
Fire'Protec./Avail. Water
Building Occupancy Level
-5- 04/21/2003
MICHAEL A BANDUCCI, DDS SiteID: 015-021-002339
Fast Format
F Training Overall Site
Employee Training
Page 2
Held for Future Use
Held for Future Use
6 04/21/2003
crrY OF BAKERSFIELD FIRE DEPARTMENT~'~'''~ .~.
OFFICE OF ENVIRONMENTAL SERVICES
JN.r, eo P.OCl , ,NSPeCT,ON C.ECKL.ST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME MtC..ul,~t~, 6. ~,at4~ INSPECTION DATE
ADDRESS ~ ~ ~ '~'~ 'ha, PHONE NO.
FACILITY CONTACT_ l {~{'"1 ~(~,,i'~'~ BUSINESS ID NO. 15-210-
INSPECTION TIME NUMBER OF EMPLOYEES
Section 1: Business Plan and Inventory Program
[~ Routine ~Combined [~ Joint Agency [~1 Multi-Agency [..] Complaint ~ Re-inspection
OPERATION C V COMMENTS
Appropriate permit on hand l~J~f.,~ ~! q"'~
Business plan contact information accurate
Visible address
Correct occupancy
Verification of inventory materials o,A0~.
Verification of quantities 2-- ~,~,/-. "- l'2- ~e..
Verification of location t~d%'O~' ~'~l~
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
Anyhazardolls-wasteo'site?:Explain: ~xt'~ ~ ~,~..~. ~Yes ,No~_
Questions regarding this inspection'?. Please call us at (661) 326-3979 Business Site Responsible Party
White- Env. Svcs, Yellow - Station Copy Pink- Business Copy Inspector:
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor,. Bakersfield, CA 93301
FACILITY NAME tn~,~C"~-k- ,a~ ~-d~tat.~, , OO~ INSPECTION DATE
Section 4: Hazardous Waste Generator Program EPA ID # C ~.t..~ ~
[] 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 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 ~ ~}L.~-~0~
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 t~.,~,.,],~
Inspector: ~ t t~t~$
Office of Environmental Services (661) 326-3979 ~usiness Site R~sponsible Party
White - Env. Sves. Pink - Business Copy