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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