HomeMy WebLinkAboutBUSINESS PLAN Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF .PERMIT ON REVERSE SIDE
This permit is issued for the followin=_:
[] Hazardous Materials Plan
[] Underground Storage of Hazardous Materials
[] Risk Management Program
E] Hazardous Waste On-Site Treatment
PERMIT ID # 015-021-002166
BAKERSFIELD ::..
LOCATION 1401 93304
Issued by: Bakersfield Fire Department- ' '.- : -- . -.. . ~' ~
OFFICE OF ENVIRONMENTAL SERVICES' BEC 1 4 2000
. (.. Ralpi[Hucy, ~j Issue Date
Bakersfield, CA 93301 .. .OfficeorEvironm~a'lScrviccs -
Voice (661) 326-3979
FAX(661) 326-0576 Expiration Date: Juice 30.. ~}O03
BAKERSFIELD RUFFINO CHIROPRACTIC - SiteID: 015-021-002166
Manager : BusPhone: (661) 324-4568
Location: 1401 CALIFORNIA AVE Map : 103 CommHaz : Minimal
City : BAKERSFIELD Grid: 3lA FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 03 SIC Code:8041
EPA Numb: DunnBrad:
+= .....
Emergency Contact / Title Emergency Contact / Title
THOMAS W MANZELLA / OWNER CHARLES J RUFFINO / OWNER
Business Phone: (661) 324-4568x Business Phone: (661) 324-4568x
24-Hour Phone : (661) 391-9522x 24-Hour Phone : (661) 323-6247x
Pager Phone : ( ) - x Pager Phone : ( ) - x
....................................... + ......................................
Hazmat Hazards: React
Contact : Phone: (661) 324-4568x
MailAddr: 1401 CALIFORNIA AVE State: CA
City : BAKERSFIELD Zip : 93304
Owner THOMAS W MANZELLA/CHARLES RUFFINO Phone: (661) 324-4568x
Address : 1401 CALIFORNIA AVE State: CA
City : BAKERSFIELD Zip : 93304
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
Emergency Directives:
+= Hanmar Inventory One Unified List +
+== Alphabetical Order Ail Materials at Site +
................................ + ....... + ........... + ..... + .......... + .... +- - -+
Hazmat Common Name... ISpooHazlEPA HazardsI Frm I DailyMax IUnitlMCPI
................................ + ....... + ........... + ..... + .......... + .... +- - -+
WASTE FIXER R L 5.00 GAL Min
I, ~l~-~:m~ J~ ~J J~ DO hereby cei~ity that i have
· (TyPe or print name)
reviewed 'the affached h~ardous materials manage-
ment plan f~~~ and that it alo~ with
(Na~ of ~sine~)
any corre~ions constitute a complete and corre~ man-
agemen~ plan for my f~cili~.
-1- 03/21/2002
+ BAKERSFIELD RUFFINO CHIROPRACTIC SiteID: 015-021-002166
+= Inventory Item 0001 Facility Unit: Fixed Containers at Site
+== COMMON NAME / CHEMICAL NAME +---
WASTE FIXER I Days On Site 1365
Location within this Facility Unit Map: Grid: + ................
+ ----+ ___+
+= STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+ .... CONTAINER TYPE
I Liquid I Waste I Ambient I Ambient I PLASTIC CONTAINER
~ ~ + + + ------+
~ ~ AMOUNTS AT THIS LOCATION
I Largest Container Daily Maximum I Daily Average
5.00 GAL 5.00 GAL 5.00 GAL
~ ~ +
~ ~ HAZARDOUS COMPONENTS +===+
RS
1%Wt' [Silver INo I CAS#7440224
~ +===4 ~ HAZARD ASSESSMENTS ===4 ~ +=====
ITSecretl RSIBioHazl Radioactive/Amount I EPA Hazards NFPA USDOT# I MCP
No No No No/ Curies R / / / Min
~ ~===~ ~ ~ ~ ~ =+=====+
-2- 03/21/2002
+ BAKERSFIELD RUFFINO CHIROPRACTIC SiteID: 015-021-002166 +
+ - Fast Format +
+= Notif./Evacuation/Medical Overall Site +
+== Agency Notification == 12/13/2000 +
STORAGE CONTAINERS, EQUIPMENT, TUBING AND FITTINGS WILL BE INSPECTED FOR
LEAKS AND/OR WEAR ON A DAILY BASIS. ANY ABNORMALITIES WILL BE RECORDED AND
DIAGNOSTIC IMAGING WILL BE NOTIFIED.
+
+=== Employee Notif./Evacuation 12/13/2000 +
DIAGNOSTIC IMAGING WILL BE NOTIFIED OF ANY SPILLS OR PROBLEMS FOR
CORRECTION. CITY OF BAKERSFIELD FIRE DEPT OFFICE OF ENVIRONMENTAL SERVICES
WILL ALSO BE NOTIFIED.
+ .... Public Notif./Evacuation -- 12/13/2000 +
DR MANZELLA IS RESPONSIBLE FOR NOTIFYING PROPER AUTHORITIES AND/OR AGENCIES
OF INCIDENT AS WELL AS CONDUCT CLEANUP ACTIVITIES.
~ Emergency Medical Plan -- 12/13/2000 +
CALL 911 IMMEDIATELY, CONTACT PROPER AUTHORITIES.
-3- 03/21/2002
+ ~AKERSFIELD RUFFINO CHIROPRACTIC SiteID: 015-021-002166
, Fast Format
+= Mitigation/Prevent/A~atemt Overall Site
+== Release Prevention 12/13/2000
PLASTIC DOT CONTAINERS ARE USED FOR COLLECTION AND STORAGE OF PHOTOGRAPHIC
FIXER WASTE. THESE CONTAINERS ARE SECONDARILY CONTAINED TO AVOID LEAKS OR
SPILLS. CONTAINERS, TUBING AND EQUIPMENT ARE INSPECTED DAILY TO INSURE THEIR
INTEGRITY.
+------
+=== Release Containment - 12/13/2000
IF A LEAK OR SPILL IS DETECTED, CONTAINMENT MATERIAL WILL BE PLACED AROUND
ARE OF LEAK OR SPILL TO KEEP IT FROM SPREADING. IF NECESSARY, EQUIPMENT WILL
BE TURNED OFF TO STOP THE FLOW OF MATERIAL. DIAGNOSTIC IMAGING WILL BE
..... Clean Up 12/13/2000
DIAGNOSTIC IMAGING WILL CLEANUP ANY SPILL MATERIALS AND DISPOSE OF IT. IF A
RELEASE OF MATEIRAL HAS OCCURED THE PROPER PEOPLE WILL BE NOTIFIED.
PHOTOGRAPHIC FIXER WASTE IS REMOVED ON A ONCE A MONTH BASIS.
Other Resource Activation
4 03/21/2002
+ ~AKERSFIELD RUFFINO CHIROPRACTIC == SiteID: 015-021-002166 +
~ Fast Format +
+= Site Emergency Factors Overall Site +
+== Special Hazards +
+=== Utility Shut-Offs 12/13/2000
A) GAS - BACK OF BLDG S SIDE
B) ELECTRICAL - E SIDE INSIDE BLDG
C) WATER - NW SIDE OUTSIDE BLDG
D) SPECIAL - NONE
E) LOCK BOX - NO
+
+ .... Fire Protec./Avail. Water 12/13/2000
PRIVATE FIRE PROTECTION - 4 FIRE EXTINGUISHERS.
NEAREST FIRE HYDRANT - ACROSS ALLEY, SE CORNER.
+
..... Building Occupancy Level --+
-5- 03/21/2002
BAKERSFIELD RUFFINO CHIROPRACTIC SiteID: 015-021-002166 +
Fast Format +
+= Training Overall Site +
+== Employee Training - 12/13/2000 +
WE HAVE ONE EMPLOYEES AT THIS FACILITY.
WE DO HAVE MSDS SHEET ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM; EMPLOYEE IS TRAINED ERBALLY HOW TO
RESPOND TO A LEAK OR SPILL OF HAZARDOUS MATERIALS. THESE PROCEDURES ARE ALSO
DEMONSTRATED. THE PHONE NUMBERS OF AGENCIES AND/OR AUTHORITIES TO BE
NOTIFIED ARE POSTED. EMPLOYEES ARE ISNTRUCTED TO NOTIFY THE CONTACT PERSON
WHO WILL THEN CALL FOR SERVICE, CLEANUP AND DISPOSAL.
+=== Page 2 ---+
+ .... Held for Future Use ---+
Held for Future Use ~
+ ~
6 03/21/2002
:: ' CITY OF BAKERSFIELD
OFFICE OF ENVIRONMENTAL SERVICES
tl~l~ ~-}'~l~]~rr 1715 Chester Ave., Bak~~l) 326-3979
HAZ~0.US ~TE~ MANAGE~ENT',PLAN ",
~STRUCTIONS:
1. To avoid ~er action, ream this fo~ wi~in 30 days of receipt.
2. T~E~T ANS~RS ~ ENGLISH.
3. ~swer ~e questions below for ~e business ~ a whole.
4. Be as bdef ~d concise as possible.
5. You may ~so a~ach~us~ess Omey / ~erator. Fo~ ~d-Chemical Description Fo~(s)
to ~e ~ont' of ~is pl~ ~stead of complet~g SECTION I. below for initi~ submission.
SECTION I: BUSINESS IDENTIFICATION DATA
EMERGENCY NOTIFICATION ' '
CONTACT TITLE BUS. PHONE 24 HR. PHONE
,.'~/,.-_~ '~. ~.,,,.~/~. ~.c~ (%/) ~~~e/-~:~a.
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION II. 1: DISCOVERY AND NOTIFICATIONS
A. LEAK DETECTION AND'MONITORING PROCEDURES:
B. EMPLOyEE AND AOENCY NoTIFIcATION:
C. ENVIRONMENTAL RESPONSE MANAGEMENT:
D. EMERGENCY MEDICAL PLAN:
~ ~ ~ CITY OF BAKERSFIELDi
OF E OF ENVIRONMENTAL SE~RVICES
'r~,~~r 1715 Chester Ave., CA 93301 (661) 326-3979
~~~' BUSINESS OWNER I OPE~TOR IDENTIFICATION
FAClLI~ INFORMATION
..... ' ~ ; "' ~" "" ' ' Page
FACILI~ ~D · ~:~ ~%~: ~ Year Beginning lOO Year Ending
BUSINESS~ [~~NAME (S~eas FA~ILI~ N~E or DBA- Doing Business ~) ~ ~ ~O~~~~'~ ~~~.~ ( ~- ~ ~ [ .3 ~ BUSINESS PH~~ ~
DUN& 106 SICCODE ~[~ t 107
B~DSTREET _ _ · ,._ ,~ (4 Digit ~)
COUN~
OPE~TOR NAME ~09 OPE~TOR PHONE ~10
CONTACT NAME % "' CONTACT PHONE
CONTACT MAILINGADDRESS ~~ 6~~~ .
NAME 123 NAME
TITLE__ ~ ~ 125 TITLE ~3o
BUSINESS PHONE~ ~ ~t ) ~ ~ ~ ,26 BUSINESS PHONE ,3,
24-HOUR PHONE 127 24-HOUR PHONE Gl ~ ~Z ,32
, -;~., - ~. ~ z ~t :~(::;:~ ~ ~y ~ ~ ~ ~ ~ ::~ ~:~,~ ~-~?::' ~:~:,~: ,. ~,~ : ~,~ ::~ ::~ :~, ?~ ~.: ~' ~ '~' ,:~:'~'
Ce~ifica~on: Based on my inqui~ of ~ose individuals responsible for ob~ining the information, I ~i~ under penal~ of law ~at I have personally examined
and am familiar with ~e info~ation submiffed in this invento~ and believe the info~ation is tree, accurate, and ~mplete.
SIGNA~ E O~E~OPE~TO DATE ~34
~ OF OWNE~OPE~TOR~nt) ~3s TITLE OF OW~E~OPE~TOR ~ ~37
UPCF (7799) S:\CUPAFORMS\OES2730.TV4.wpd
,.~ rlRg ~ OFFICE OF ENVIRONMENTAL SERVICES
t nttrtw r 1715 Chester Ave., CA 93301 (661) 326-3979
"'~'"~~~':"~-"' HAZARDOUS MATERIALS INVENTORY
CHEMICAL DESCRIPTION
(one fo~ per mate~al per building or ama)
~ NEW ~ ADD ~ DELETE ~ REVISE 200 . Page of
FACILI~ ID ~ [~.?~ ~? ' 1 203 ~ GRID * (opt~naO
' ..... 205 T~DE SECRET
1
CHEMICAL N~E ~ Y~ - ~NO 206
If Subj~ to EPC~. refer to instm~i~s
FIRE CODE H~RD C~SSES (~plete if ~u~t~ by I~1 fire
210
~PE ~ p PURE ~m MI~URE ~ wWASTE 2111 ~DIOACTIVE ~Y. ~ 2~2 ~ CURIES= '~ 213
PHYSICAL STA~ ~ s SOLID ~LIQUlD ~ g ~S 214 ~RGEST CO~AINER 215
FED H~RD ~TEGORIES ~ 1 FIRE ~ 2 R~CTNE ~ 3 PRESSURE REL~SE ~ 4 ACUTE H~L~ ~5 CHRONIC H~LTH · ~ 216
(~ all that apply) ·
ANNU~ WASTE 217 ~IMUM 218 ,
~A~U~ ~ STATE WASTE CODE 2~
UNITS* ~ ~L ~ ~ CU ~ ~ lb LBS ~ tn TONS 221 ~
DAYS
ON
SITE
~2
· If EHS. am~nt must ~ in tbs.
STOOGE CO~AINER ~ ABOVEGROUND TANK ~ e P~STI~NONM~ALLIC DRUM ~ i FIBER DRUM ~ m G~SS BO~LE ~ q ~IL CAR 2~
(Check afl ~at apply)
~ b UNDERGROUND TANK ~ f CAN ~ j BAG ~n P~TIC BO~LE ~ r OTHER
~ c T~K INSIDE BUILDING ~ g CAR~Y ~ k aOX ~ o TOTE BIN
~ d S~EL DRUM ~ h SILO ~ I CYLINDER ~ p TANK WA~N
STOOGE PRESSURE ~ AMBIE~ ~ aa ABOVE AMBIE~ ~ ba BELOW AMBIE~ 224
STOOGE TEM~TURE ~AMBIENT ~ aa A~VE AMBIE~ ~ ba BELOW AMBIE~ ~ c CRYOGENIC
.............. 7o~.:,~ ~.~,~:,~:., ~.~ ~,,:~4~ ~;~/~)~<-~;?:: ~.~ :~.~;~RDOUS~GDM~O~E~:;.~;~,~ ~ :,~r~:~'::~..~,, .... ~,~ ~m
SIGNATURE DATE 246
UPCF (7/99) S:\CUPAFORMS\OES2731 .TV4.wpd
~-~oYdC SUBsra
% DUTY OFFICER FACT SHEETS
SMALL QUANTITY GENERATORS
.DENTAL .MEDICAL AND VETERINARY
JEADO-4B September 2000 J
The Duty Officers of the Department of Toxic Substances Control (DTSC) prepared this fact sheet to provide more .
detailed information about-the-hazardou~ wa~ste'requirerhd~ts and exYnipti¥~ for &ntal, medical and veterinary
facilities. Because they have some unique waste streams, these facilities frequently contact our Duty Officers for
guidance. This fact sheet addresses what is and is not considered hazardous waste in those contexts, and describes
some aspects of recent regulatory relief granted to businesses which generate waste considered hazardous solely
because of its silver content. Throughout this fact sheet, numbers in bold (66263.42) represent citations from Title
22, California Code of Regulations (22 CCR), or, when preceded by "HSC," fi.om the California Health and Safety
Code. Clicking on the bold numbers will take you to sites containing the regulations. If you generate hazardous
waste, you should consult with your Certified Unified Program Agency (CU"PA). Finally, DTSC strongly encourages
all businesses generating hazardous waste to consider waste minimization, source reduction and pollution prevention.
Go to the Duty Officer FAQs for useful links.
Does DTSC regulate the disposal of sharps and expired pharmaceuticals?
No, the Department of Health Services Environmental Management Branch regulates storage,
transportation and disposal of infectious and medical wastes. Sharps and most expired
pharmaceuticals, while dangerous, are regulated by the Medical Waste Management Act, not the
Hazardous Waste Management Act. With some exceptions (HCS 118030), you must use a
registered hazardous waste hauler to transport medical waste. HSC 118000
What can I do with waste formalin and gluteraldehyde?
Formalin is commonly used as a tissue preservative. Formalin is a generic mixture containing
formaldehyde; it may also contain methanol and other chemicals. Gluteraldehyde is the active
ingredient in a number of brands of sterilizing solutions. DTSC is currently examining the issue
of formaldehyde and gluteraldehyde toxicity and treatment options for the wastes.
Formalin solutions may vary in their toxicity, depending on the formulation. Some
manufacturers have related to DTSC that formulations containing greater than 2.9%
formaldehyde may fail the aquatic bioassay tests. Generators may characterize their waste
formalin by having it analyzed or by getting toxicity information from their .supplier, if it is
1
available: If toxicity information is not available for their brand of formalin, and the generator
does not want to characterize it by laboratory analysis; they may assume that it is hazardous and
either send it off as a hazardous waste or use one of the DTSC-certified technologies to treat the
formalin pnsite~ prior, to disposal:. Tiered permiging autho.rization-may be required to conduct the
treatment...~ Contact.your local CUPA or the DTSC Duty Officer. '- ,'. : . :.. ·
Gluteraldehyde degrades after mixing and most likely becomes non-hazm'd0us within the
allowed hazardous waste accumulation time. However, the DTSC has not completed studies of
the degradation timeline nor the toxicity threshold, and therefore cannot make a recommendation
for retention time or toxicity threshold. As long as the degradation occurs unaided by the
generator (addition of heat, chemicals, aeration, etc.) and it occurs within the allowed
accumulation time, authorization from the DTSC is not required. Generators of waste
gluteraldehyde should check with their suppliers to see if they have data to support
determinations that the waste will degrade to non,hazardous levels over a set period of time. If
the data is not available, generators will have to produce their own supporting data to make the
determination, or handle the wastes as hazardous wastes.
The new sterilant, ortho-phthaldehyde (OPA), is becoming more common in the health care
marketplace. One manufacturer has informed DTSC that the use-dilution fails the aquatic
bioassay and is thus hazardous waste. They are exploring a statutory solution to the treatment
issue, iCurrently~, the?e is. n° certified technology'that may be used to destroy OPA under the
This fact sheet will be amended when additional policy is developed. Until that time, generators
of waste formaldehyde and gluteraldehyde are required to characterize their waste according to
the state waste identification and characterization requirements. Contact your local
environmental health program or your DTSC DUty Officer for additional guidance in this area.
Is scrap dental amalgam a hazardous waste? What about the lead foil from x-
ray film?
If you send Pieces of hardened dental amalgam for recycling, they are considered to be scrap
metal, not hazardous waste. If you merely discard those pieces of hardened dental amalgam, it is
hazardous waste. Further, because amalgam contains mercury (and, generally, copper), the
amalgam cannot be considered an exempt silver-only waste.
Similarly, the lead foil from dental x-ray film is scrap metal if sent for recycling; otherwise it is a
hazardous waste.
2
What does SB 2111 (Costa, 1998), dealing'with "silver-only wastes," mean for
dental, medical and veterinary-establiShments?
For man'y d~rithl; medical and vetei'inary establishments, the only hazardous w~tste'~ou generate
is x-ray fixer. Its regulation has been Changed b~, ~h~at:Senate Bill 2111 (CoSta)~ now Codified as
California Health and safety Code section It$C 25143.13. Because there are nuances involved,
we have pi'epa/ed the ~following highlights. : -.:
In my office, photo fixer is the only waste I produce and it is less than 27
gallons (100 kilograms or 220 pounds) per month. What am I required to do?
Senate Bi~ll_21~1.! _le.s~en~ed- y,~u~_re~gt!la..to_ry Load_a:grcat ~¢al..You no longer-nee'.d:an' EPA-"
(Generator) Identification Number. You no longer need a Tiered Permit to treat the'fixer onsite
before it is discharged to the sewer.
You may not, however, discharge the untreated fixer directly to the sewer. You must treat it fn:st
to remove the silver (using a silver recovery unit), or have it taken to a permi,'tted recycler or
disposal facility. All recovered silver must be reclaimed. Furthermore, you must notify your
local sanitation department if you discharge to-the .sewer, However you do not need to use'a '
manifest or a transporter registered with this Department when shipping'either' ~e s'iiver or the
fixer. '
My office generates:
· a total of less than 100 kilograms of federally-regulated (RCRA)hazardous'
waste per month (that is about 220 pounds or 27 gallons), and
· I generate other hazardous wastes in addition to photo fixer.
What am I required to do?
Unlike the example above, because fixer is not your only hazardous waste, you need a state ID
Number for shipping those other hazardous wastes and those wastes must be 'manifested.
Although you do not need a Tiered Permit to treat the fixer before it is discharged, you will need
a Tiered Permit if you treat other hazardous wastes onsite.
Like the example above, you may not discharge fixer directly to the sewer. You must treat it first
to remove the silver (silver recovery unit), or have it taken to a permitted recycler or disposal
facility. To fit this category, any recovered silver must be reclaimed. You must notify your local
sanitation department if you discharge to the sewer.
My office generates more than 100 kilograms of federally-regulated (RCRA)
hazardous waste per month (that is, about 220 pounds or 27 gallons), but less
than 1,000..~!ograms (2,200 pounds or. 270 gallon~).0f federallY regulated.
waSte per month. What are my requirements? ..
You must.have an EPA ID Number for shipping those other hazardous wastes, and those wastes
must be manifested. Although you do not need a Tiered Permit to treat the fixer' before it is
discharged, you will need a Tiered Permit if you treat other hazardous wastes.
Like the first example above, you may NOT discharge fixer directly to the sewer. You must treat
it first to remove the silver (silver recovery unit), or have it taken to a permitted recycler or
disposal facility. To fit this category, any recovered silver must be reclaimed. You must notify
your local sanitation department if you discharge to the sewer.
I have been offered a chemical that solidifies my photo waste, and the
salesman claims that it can be disposed of to the municipal trash dumpster
after it has been solidified. Can this system be used in California without a
permit or other authorization?
Not without a permit. The regulatory exemptions from permitting requirements are meant to
encourage recycling of precious metals. Conducting treatment for the purposes of disposal
would require a treatment permit and the resulting waste would have to be sampled to verify that o
it met Federal and State land disposal requirements.
I understand that batteries, fluorescent lamps and high-intensity discharge
lamps are now called "universal wastes." What does that mean for me?
Universal wastes include mercury-containing thermostats and most consumer-type batteries
(nickel-cadmium or Ni-Cd, lithium, silver button, mercury, alkaline, small sealed lead-acid
batteries used for burglar alarms and emergency lights --- but not auto batteries), as well as
fluorescent and high-intensity discharge (HID) lamps. While all of these could be classified as
hazardous wastes, if they are managed according to the universal waste regulations they are not
considered hazardous wastes. The current regulations are "emergency.regulations," valid for a
limited time. Until the regulations are adopted in final form, changes may occur.
If the total of all the hazardous wastes that you generate each month - federally-regulated, state-
regulated, and universal waste is less than 100 kilograms (220 pounds), and you do not
generate more than 1 kilograms (2.2 pounds) of"acutely" or "extremely'' hazardous waste, you
are called a "Conditionally Exempt Small Quantity Universal Waste Generator" and may dispose
of your fluorescent lamps in the trash at a rate of no more than 25 per day unless your local waste
4
hauler forbids it. There is no such disposal allowance for the other universal wastes. Worn out
nicad and other rechargeable batteries from medical equipment should not be disposed of to the
trash; many local health departments have small-business waste programs as part of their
household hazardous waste program and can accept these types of wastes from businesses for a
small fee.
If you do not qualify as a Conditionally ExemptGenerator, please visit the DTSC Website for
information. You can find more information about universal wastes on the DTSC website under
"What's New".
If you cannot find the answer m your question in this fact sheet, please contact the Duty Officers directly. You can call them at 800-728-6942, or
contact them via the Department ol'Toxic Substances Control websile -. http:/::www.dtsc.~a.gov -- click on Frequently Asked Queslions, and you
will go to a map of California with links to the Duty Officers' email.
DISC Duty Offi-cer~ l~rovicl~e infor~ ~uidance 0nly re~arding management of hazardous waste for the convenience of thc public. 'Such advice is
not binding upon DTSC, nor does it have the force of law. If you would like a formal opinion on a matter by DISC, please contact the responsible
program office directly. You should also refer to the statutes and regulations, DTSC Policies and Procedures, and other fomml documents.
lfyou believe that you have received incorrect information from a Duty Officer, plea,se contact one of the Regional Coordinatons (Carol Northrup in
Northern ~alifornia, at 510-540-3919; John Hinton in Southero Califbrnia, at 818-551-2823). We also encourage you to complete a Cai.:EPA
I Customer Satisfaction survey {http://www.calepa. ca.?v/about.~custsvc.htm~ so that we may improve our Du~ Officer Pro,,ram.
.5
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION II.2: RELEASE RESPONSE PLAN
A. HAZARD ASSESSMENT AND PREVENTION MEASURES:
B. ~EASE CONTENT A~/OR ~TIGATION:
C. CEE~-~ ¢ ~COV~ ~EOC~D~S:
UTILITY S~T-OFFS (LOCATION OF S~T-OFFS AT YO~ FACILI~
SPECtra.: /O
LOCK BOX: YES~ IF YES, LOCATION:
PRIVATE FIRE PROTECTION/WATER AVAILABILITY
A. PRIVATE FIRE PROTECTION:
B. WATER AVAILABILITY (FIRE HYDRANT):
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION III: TRAINING
NUMBER OF EMPLOYEES:
MATERIAL SAFETY DATA SHEETS ON FILE:
BRIEF SUMMARY OF TRAINING PROGRAM:
CERTIFICATION
IS ACCURATE. I UNDERSTAND THAT THIS INFORMATION WILL BE USED TO
FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY
CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND
THAT INACCURATE INFORMATION CONSTITUTES PERJURY.
TITLE DATE
4