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Home My WebLink AboutBUSINESS PLAN _: ° MITCHELL S. BRONSON, DDS 2021 BRUTTDAGE LANE_ _ SEP 2 3 2003 .~, U i~ + BAKERSFIELD ENDODONTICS _____________________________ SiteID: 015-021-002311 + Manager Location: 2021 BRUNDAGE LN City BAKERSFIELD BusPhone: (661) 322-2071 Map 123 CommHaz Minimal Grid: OlB FacUnits: 1 AOV: CommCode: BFD STA 06 SIC Code:8021 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title MITCHELL S BRONSON / DDS / Business Phone: (661) 32,2-2071x Business Phone: ( ) - x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: ~ React _ --~Cont-ac tom'::-"M3TCH°ELL=-S-BRONBON~- - - = ~- -~°-- -- - -- - Phone-:---(6 61) - 3 2 2 ==2 0 71x - - MailAddr: 2021 BRUNDAGE LN State: CA City BAKERSFIELD Zip 93304 Owner MITCHELL S BRONSON Phone: (661) 322-2071x Address 2021 BRUNDAGE LN State: CA City BAKERSFIELD Zip 93304 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: ~ Emergency Directives : ~~ ~~~ ~~ -FROG`-H = ~~- ~~, ~ -^ro -~ ~ ~ d2~2„e~.~~ ~ IN e ^ased on my inquiry of those individuals `- ~ ~~N~r+o~ale fat~obtaining the information, (certify--_ _ . under p~Aalty t~f law that V have personally auamined ant am famlilar with the information gttk~rttltteGf and kaellbYA the information is true, ~t3~tlr~tt;, and complete. _ ~~~s 6~Lal~r, ENT'D JUN 2 9 2006 M~c-'~u4~~ Date -1- 05/15/2006 '~: MITCHELL S. BRONSON,,~S, INC Manager Location: 2021 BRUNDAGE LN City BAKERSFIELD CommCode: BAKERSFIELD STATION 06 EPA Numb: T J SiteID: 015-021-002311 ti~~~ ~ BusPhone: (661) 322-2071 ~~Q~' Map 123 CommHaz Grid: O1B FacUnits: 1 AOV: SIC Code:8021 DunnBrad: Emergency Contact / Title Emergency Contact / Title MITCHELL S. BRONSON / DDS / Business Phone: (661) 322-2071x Business Phone: ( ) - x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React Contact :-MITCHELL S: BRONSON Phone: (661) 322-2071x MailAddr: 2021 BRUNDAGE LN State: CA City BAKERSFIELD Zip 93304 Owner MITCHELL S. BRONSON Phone: (661) 322-2071x Address 2021 BRUNDAGE LN State: CA City BAKERSFIELD Zip 93304 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directive s: jnit~%it,4.eG1 ~ (~ru~ss, f~S ~ 1, Do hereby certify that I hav® ~ ~ _ (Type or print name) reviewed the attached hazardous materials manage- ~ ~ ° r ~ ,T ~Qn~ s w i~ j _ . r .~ _ l~ went plan for ar~d that it along with o r ~ o ~. trJ Cl~ z ~ ~ - _ (Name of Busine8a) o ~ any corrections constitute a complete and correct man- ~,nz d O N 9 d 0 0 ~ z o agement plan for my facility. ~~ .~ r z9 ~~ cn d w w o z ~~ro ~. ~ _ - --- -- ~ -1- 09/12/2003 ~r~ or ~' /7~~ SSGO/ ~` '~~'' CITY OF BAKERSFIELD FIRE ®EPARTMENT b OFFICE OF ENVIRONMF.NTAI. SERVICES .y UNIFIED PROGRAM INSPECTION CHECKLIST . d ~w wg~,i!~ 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 3 ~3~ FACILITY NAME ~ t TC~ S ~"'~U c7AS INSPECTION DATE 7~3 t ~n 1 _ AllDRESS 2o-zl 3~1~'~~-G~C PHONE NO. ~'Z2' ~j"~/ FACILITY CONTACT_ - BUSINESS (D NO. 15-21 U- ~'~`~ INSPECTION TIME NUMBER OF EMPLOYEES `7 /,c~'L)/~ ~+ Section 1: Business Plan and Inventory Program 8'0~ ^ Routine ~ombined ^ Joint Agency ^Mu1ti-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand ~LC~S'G ~pu-TF G,r.(>/-n/ Q~G~9 Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials ~d 5T E ~,,~~ Verification of quantities $- ~~~ Verification of location INsrd>E ~E Ce2N~L al= ~~,;~ 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 Ltp,~ S~t~ ~ ~p,-0,f,q~ ,4~fl ~ ~~~ , Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: (Yes ^ No Explain: ~S ~ Fx~C._ Questions regarding this inspection? Please call us at (661) 326-3979 White -Env. Svcs. Yellow -Station Copy Pink -Business Copy usiness Site Re nsible Party Inspector: ~ ~^~~ ~-riuuu 4~`` CITY OF BAKERSFIELD FIRE DEPARTMENT b~ OFFICE OF ENVIRONMENTAL SERVICES ~~ UNIFIED PROGRAM INSPECTION CHECKLIST ~k+~,'~gti~ 1715 Chester Ave., 3'd Floor, Bakersfield, CA 93301 FACILITY NAME ~'1/l t'rGc~art.C, S- ~~.- ~ (, ~ S INSPECTION DATE Section 4: Hazardous Waste Generator Program ^ Routine I~Combined ^ Joint Agency EPA ID # ^ 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 ,/ '~~,Cr~~ Jt~~ d,~2~~ n 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=Complianc~e - 1 V=Violation Inspector: w ~~~~ Office of Environmental Services (661) 326-3979 White -Env. Svcs. Pink -Business Copy /~~/~-t Site Respons~j(le Party /7 CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROG~M INSPECTION CHECKLIST 17IS Chester Ave., 3~ Floor, Bakersfield, CA 93301 FACILITY NAME ~,~~ ~ ~~ oa~ ~SPECTIONDATE 7~ ADDRESS ~l ~e~ PHONE NO. ~'~/ FACILITY CONTACT BUSINESS ID NO. 15-210- ~SPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Invento~ Program ~ Routine ~ombined ~ Joint Agency ~ Multi-Agency ~ Complaint ~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand ei~/-.-/?l~3'~ Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials /...a'&~5 ?"t~ Verification of quantities ~ Verification of location ~A/~;t,~ 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 ~ )[::~L6P.<.~ ' Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site,, ~Ye, ~No Explain: ~~ Questions regmding mis inspection? Please call us at (661) 326-3979 ~s~ss Site Re~nsible Pan~ White - Env. Svcs. Yellow - Station Co~y Pink - Business Copy