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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