HomeMy WebLinkAboutBUSINESS PLAN~ ~O-UT,HWEST 'VETERINA.'Ry' H O'~SPIT'Ai'
r. : Tim'Ahd~rso~'DV~
' Mark Hdlland, DVP, ~-,' ~ -'2905'Brund~ge Lane'
"S:K.Cl~rk; DVM '. ~ : ·, Bakersfield, CA.93~04
J61ie E. Be~s, DVM . : 'Voice 661.327 5719
. - .' Fax 661.327.5892
· - Affiliat~ ~ilh Stiern Veterina~ Hospital
SOUTHWEST VETERINARY ~ITAL SiteID: 015-021-002246
Manager : D~ ~ BusPhone: (661) 327-5719
Location: 2905 BRUNDAGE LN Map : 123 CommHaz : Minimal
City : BAKERSFIELD Grid: 0lA FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 03 SIC Code:0742
EPA Numb: DunnBrad:
Emergency Contact / Title Emergency Contact / Title '~..
ANDERSON / DOCTOR /h~~~ /
Business Phone: (661) 327-5719x Business Phone: (~/)~7 -~7~
24-Hour Phone : ~ )~-~l~ 24-Hour Phone : (~6/)[~"~ -O~/'X -
Pager Phone : ( ) - x Pager Phone : ( ) - x
Hazmat Hazards:' Fire ImmHlth DelHlth
Contact : DR ANDERSON Phone: (661) 327-5719x
MailAddr: 2905 BRUNDAGE LN State: CA
City : BAKERSFIELD Zip : 93304
Owner DR ANDERSON Phone: (661) 327-5719x
Address : 2905 BRUNDAGE LN State: CA
City : BAKERSFIELD Zip : 93304
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
I, //,,~,~/-)f,/ ,¥~,J Do hereby certify that ! have
(Tyl~ or p~int name)
reviewed the at~ached hazardous materials manage-
~ [/-~ ~-~ ~;7~' and that it along with
ment plan for ~"~
(Name of Business)'
any corrections constitute a complete and correct man-
agement~ facilit~
/~/~/~
1 12/01/2003
CITY OF BAKERSFIELD FIRE DEPARTMENT ~~ff) 0~
OFFICE OF ENVIRONMENTAL SERVICES ~
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3r'~ Floor, Bakersfield, CA 93301
FACILITY NAME ~O~Olo,."tf~ VC~- ~-~ s~ ~SPECTION DATE ( /~/al
ADD.SS 2~O~ ~~ PHONE NO. ~7- ~?l~
FACILITY CONTACT ~ ~~ BUSINESS ~D NO. ~5-2~0- ~
~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
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
Conta. iners properly labeled ~/ ~LC-~$~ Z,~.I~E-~ t.o~,~'~- ~",.~,C---C~
Housekeeping
Fire Pfotection
Site Diagram Adequate & On Hand
C=Compliance V=Violation
Any hazard.on~ wast.~ on site?: Yes [21 No
Explain: L,~ ~l~ ~--~ ~
Questions regarding this inspection? Please call us at (661) 326-3979 Business 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 .~~V itrC-"~-- ~-ko~(~. INSPECTION DATE [/~'/O /
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 kepi closed when not in use
Weekly inspection of storage area
Ignitable/reactive waste located at least 50 feet from property line
Secondary containment provided v'"' ~'~'-,-5~- 19f~-O~t/3~'
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 Business 8/te Responsible Party
White - Env. Sves. Pink - Business Copy
/ CITY OF BAKERSFIEI~
OI~ICE OF ENVIRONMENTAL ~I~RVICES
1715 Chester Ave., CA 93301 (661) 32~-3979
~* H~RDOUS MATERIALS INVENTORY
'~' CHEMICAL DESCRIPTION
~ · (one ~ ~r ma~al per buSding or ama)
W ~ ADD ~ DELETE ~ REVISE ~ Page ~ of
BUSIES ~ME (~e ~ FACILI~ ~ ~ D~ - ~ng B~n~ ~) 3
201 CHEMI~L LO~TION ~ Y~ ~ No ~2
CHEMI~L LO.TIDE I ~ ' ~ ~ ~G ~ ~ ~~1~ ~ . CONFIDE~IAL (EPC~)
· ~ ~ T~E SECRET D Y~
CHEMI~L ~E j E Subj~ to EPC~ mf~ to ins~s
COM~N ~ EHS* ~ y~
FIRE ~DE ~D C~ES (~pl~e if ~u~t~ by I~ tim ~ 210
~PE ~ PU~ ~ m M~RE ~ w WASTE 211 ~DIOA~ ~ Ym ~ No 212 CURIES 213
~.~s.~s~ D. sou. D, uou,. ~s ~ ~s~.~. ~4~
FED ~RD ~TE~RIES ~ 1 FIRE ~ 2 ~ ~SSURE ~L~SE D 4 AC~ H~L~ ~ 5 ~RONIC H~L~ 216
(~ ~1 ~at app.)
A~u~ANNU~ WAS~ 217 I --'~MDAiLY ~U~ ~ 2t8 I A~DAILY ~U~ ~* 219 STA~ W~ ~DE
UNffS* ~ ~ ~L ~d CU ~ ~ lb L~ ~ ~ TONS ~1 DAYS ON SITE
· E EHS. am~nt m~ ~ m lbs.
STOOGE ~AINER ~ a A~VE~OUND T~K ~ e P~S~NM~ALLIC DRUM ~ i FIBER DRUM ~ m G~SS BO~LE D q ~IL ~R
(Check ag ~at app.)
~ b UNDER~OUND TANK ~ f ~N ~ j ~G ~ n P~S~C BO~LE ~ r O~ER
~ c T~K INSIDE BUILDING D g ~R~Y ~ k ~X ~ o TO~ SIN
~ d S~ DRUM ~ h SILO ~CYLINDER ~ p T~K WA~N
STOOGE PRESSU~ ~ a A~IE~ ~,A~VEA~IE~ ~ ba BELOW A~IE~
STO~GETE~RE ~A~IE~ ~ ~ ~VEA~I~ ~ ba BELOWA~IE~ ~ c CRYOGENIC
i f ~ =7 ~y~ DNo 228
2 ~0 ~1 ~Y~ ~No 232 ~3
3 2~ ~5 ~ Y~ ~ NO 238
4 ~8 ~9 ~ Y~ ~ NO 240 241
5 242 243 ~ Y~ ~ No 2~ 245
' ' ' ' 81G~TURE DA~ 2~
PRINT ~ME & TI~E OF AU~OR~D ~A~ REPRESE~ATIVE
UPCF (7~99) S:\CUPAFORMS~OES2731.TV4.wpd
OF ENVIRONMENTAL RVICES
1715 Chester Ave., CA 93301 (661) 326-3979
H RDOUS MATERIALS INVENTORY
CHEMICAL DESCRIPTION
(one ~ per mammal per buffd~ or ama)
EW ~ ADO ~ DELETE ~ REVISE ~ Page ~ of
:' ..:, ::~,~,:..'~.:';t'~:~;~:-~":'~J~):~ ':::;.:~:':~,~?~(~;~:~}~.~C~'!N~0~A~NL~F~:~?~;~:~;~'~: ::~ ::" '" .J(' J' J~?;::'~';' '?J(~ "."' :~::'" ';!:
BUSINESS ~ME (~e ~ FACILI~ ~ ~ D~ - ~ng Bu~n~ ~) 3
CHEMI~L LO~TION .. t .... / _ . , ~ ~11 CHEMI~L LO~TION
205 I T~E SECRET
207
COM~N ~ EHS*
FIRE ~DE ~D ~SSES (~pl~e ~ ~u~t~ by I~ tim ~i~
210
~AINER
~ s ~LID ~L~UlD ~ g ~S 214
PHYSI~L
STA~
~GEST
215
~TE~RIEs
~ 1 FIRE D 2 ~ ~ 3 P~SSURE ~SE ~ 4 A~ H~L~ ~HRONIC H~ 216
FED
~RD
(~ all that app,) ·
--U~WAS~ 217 ~ ~I~M 218 ~ A~ 219 STA~W~
A.U. DALLY ~U. DALLY ~U.
DAYS ON S~E
uN.s- ~ ~L ~ ~ CU ~ D ~ ~S D m TONS
· ~ EHS, am~nt m~t be in lbs.
STOOGE ~AINER ~ a A~UND T~K ~ ~S~NM~LIC DRUM ~ i FIBER DRUM ~ m G~SS BO~E ~ q ~IL
(Check afl ~at apply)
~ b UNDERGROUND TANK ~ f ~N D j ~G ~ n P~STIC BO~LE ~ r O~ER
~ c T~K INSIDE BUILDING ~ g ~R~Y ~ k ~X ~ o TOTE BIN
~ d S~ DRUM ~ h SILO ~ I CYLINDER ~ p TANK WA~N
STOOGE PRESSU~ ~a A~IE~ ~ ~,A~VE A~IE~ ~ ba BELOW A~IE~ ~4
STOOGE TElEWaRE -~e A~IE~ D ~ ~VE ~1~ ~ ba BELOW A~I~ ~,c ~YOG~IC
1 ~ ~7 OY~ ~No 228
2 I ~0 231 DY~ 0No232 ~3
~ 2~ ~5 ~ Y~ ~ No 236 ~7
~8 ~9 ~ Y~ ~ No 240 241
242 243 ~ Y~ D No 244 2~
PRINT NAME
UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd
Block Wall
Southeast Storage Storage
Kennel Room ~
Exit ~ ·
"Kennel,
Outdoor
Employee
Parking Lot
Kennel
Wes~
" ~ ' " Exits
· ~ '. Isolation. Bath
~', GraDestake Fence
: k Lab/Pharmacy I'
Yard ~ ....' We=
':{ East -- , Surgery
~ Exam 3 Exam
Businee's
office .
Waiting
" Area
. II Surgery
Doctore
Office. Main Ent~7/Exit Clien~
Parking Lot
Brundage Lane
~----'~ Ma£~ Escape Routes
· Fire Extinguisher Locations ......
O Key Storage
FIRE EMER~F~NCY PROTOCOL