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Home My WebLink AboutBUSINESS PLAN ,FIRST DENTAL "Where y~u'r Smile comes first' SAEKYU OH, D.M.D. -' 1900 Brundage Lane Bakersfield, CA 93304 (661) 323-1111 /'7 CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVmONMENTAL SERVICES UNIFIED PROG~M INSPECTION CHECKLIST 171~ Chester Ave. Y~ Floor, Bakersfield, CA FACILITY NAME ~t~ ~c~ ~SPECTIONDATE ADD.SS i~O0 ~~ PHONE NO. 323-l~ FACILITY CONTACT ~ BUSlNESS ID NO. 15-210- ~SPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program I~ Routine [~LCombined [~ Joint Agency [~ Multi-Agency [~l 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 Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation ~~i Any hazardous waste on site?: '~Y-es [~ No ' "' Questions regarding this inspection? Please call us at (66 I) 326-3979 s Site ResP°~sible Part/y ~:'? .... -~ .<5~ 0 ~ / CITY OF BAKERSFIELD FIRE DEPARTMENT - "' 'i OFFICE OF ENVIRONMENTAL SERVICES /.~..~)/~ ' & ~, '~., UNIFIED pROG~M INSPECTION CHECKLIST ~/ 171~ Chester Ave, 3~" Floor, Bakersfield, CA 93301 .ADD.SS ~ ~~ PHONE NO. ZZ~ ~t{ {~ FACILITY CONTACT ~ BUSINESS ID NO; 15-210- ~ ~SPECTION TIME NUMBER OF EMPLOYEES S?'tion 1: Business Plan and Invento~ 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 wa~e on site?: ~'~Y. es ~] l~I0 ~ ' . Explain: ~,H~'~: ~;~O~, ...,,~-. Questions regarding this inspection? Please call us at (661) 326-3979 "~ ' Business Site Responsible Pa~' 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 ~{Z%5' ~(_..--~ya~ INSPECTION DATE Section 4: tlazardous Waste Generator Program EPA ID # [] Routine J~ 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 Reportext 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: ~.J t Office of EnvironmentaIServices (661) 326-3979 Business Site Responsible Party White - Env. Svcs. Pink - Business Copy ~~o,~.~---~. ' O~iCiTY OF BAKERSFIEI ~ trttrm ~ CE OF ENVIRONMENTAL SERVICES tr~n~rr~rr 1715 Chester Ave., CA 93301 (661) 326-3979 **~'~~'~' H~RDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION W (one ~ per ~M~al per building or a~a) ~ ADO ~ OE~E ~ REVISE 200 Page ~ c'*..~:* .4::~:~ ~;:~:~*, *, .' I. FACILI~ INFORMATION :?:~:~,;:.=. ~"~: ~.:~v,~:~.,~;~;,~*~*~.?~.~.~h' BUSINESS ~ (~e a FACILI~ ~-~b'~'~=~"~'~'~y 3 CONFIDE~IAL (E~) FACIL~ lO' ~ ' ~-~-:?'~--'~.P.,op~na0 ........................ ~"+~,jD,(op~na0 . .~.;~ ~ .~.:..~ ~. ;:~,.~. ~.. :..~.., ~2~...~:::~ T~DE SEC~ CHEMI~L ~ ~7 ' COM~N ~ ~ EHS* FIRE ~DE H~ C~ES (~pl~e if ~ by t~ fire ~i~ 210 ~PE ~ p PURE ~ m ~RE ~w WA~ Z:: : ~OIOACT[V~ ~ Y~ ~ ~ 212 ~ CURIES 213 -.~- I PHYSI~STA~ ~ s ~LID IQUID ~ g ~S 214 ~ ~RGEST~NER ~ 215 FED H~RD ~ES ~ 1 FIRE ~ 2 R~ ~ 3 PRESSURE REL~SE ~ 4 AC~ H~L~ ~. CHRONIC H~LTH 216 (~ ~1 mat ~) ~NU~WA~E 217 ~I~M 218 i AVENGE 219 ~ STA~W~DE A~U~ ~ '~ DAILYA~U~ ~ [ OAILYA~U~ ~ UN.S* ~ ~ ~ ~ CU~ ' ~ lb LBS ~ tn TONS ~1 ] DAYSON ' ff EHS, ~nt m~ ~ in lbs. STOOGE CO~AINER ~ a A~VE~UND T~K ~ e P~NM~ALLIC DRUM ~ i FIBER DRUM ~ m G~SS BO~LE ~ q ~IL (Check all ~at ap~) ~ b U~ERGROUND TANK ~ f ~ ~ j ~G ~ P~S~C BO~LE ~ r O~ER ~ C T~K I~IDE BUILDING ~ g ~Y ~ k aox ~ o TO~ BIN ~ d S~EL DRUM ~ h SILO ~ I CYLINDER ~ p T~K WA~N STO~GEP~ ~ A~IE~ ~ ~ ~VEAMBIENT ~ ~a BELOWA~IE~ STOOGE ~~ ~ ~IE~ ~ ~ ~VE ~tE~ ~ ~a BELOW ~IE~ ~ c CRYOGENIC Y~ 2 2~ t ~1 ~Y~ ~No232 233 ~ ~5 ~ ~ ~ ~ No 23~ 237 ~ ~9 J ~y~ ~ 240 241 I PRINT ~ & SIG~TURE UPCF (7/99) S:\CUPAFORMS~.OES2731.TV4.wpd