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Home My WebLink AboutBUSINESS PLAN ITE DIAGRAM Business Name: DIAGRAM ! Business Address: C_.~i I~,.,~.~ -~'3c. ~- '~::~ ~'~_-,,~.~ ~. ~ ~/~ I ITE DIAGRAM~ FACILITY DIAGRAM Business Name:- ~, ~h,~ o c~,t_-~-,'~ Business Ad~e~: ~oi ~l~ ~r ¢ qO~ ~ecs'~,e ¢ CA RYAN CHIROPRACTIC SiteID: 015-021-002190 ~- BusPhone: (661) 589-3427 Manager : Location: 2701 CALLOWAY DR 402 ~"" ~ Map : 102 CommHaz : Minimal City : BAKERSFIELD ~C~ Grid: 20C FacUnits: 1 AOV: ~U~3 CommCode: COUNTY STATION 65 SIC Code:8041 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title DR JAMES D RYAN / OWNER SMI / X-RAY TECHS Business Phone: (661) 589-3427x Business Phone: (661) 861-9729x 24-Hour Phone : ( ) - x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: React Contact : Phone: (661) 589-3427x MailAddr: 2701 CALLOWAY DR 402 State: CA City : BAKERSFIELD Zip : 93312 Owner DR JAMES D RYAN Phone: (661) 589-3427x Address : 2701 CALLOWAY DR 402 State: CA City : BAKERSFIELD Zip : 93312 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: I. '~o~ {~,l~'"'- Do hereby certify that ~ have (TyPe o~ ixtnt reviewed the attached hazardous materials manage- ment p~an for~,~,~ ~C,,~-opcoc~and that it along ~ith any corrections constitute s cOmplete and correct man- .agement plan for my facility,,. i 1011712003 RYAN CHIROPRACTIC SiteID: 015-021-002190 Manager : BusPhone: (661) 589-3427 Location: 2701 CALLOWAY DR 402 ~ Map : 102 CommHaz : Minimal City : BAKERSFIELD ~' Grid: 20C FacUnits: 1 AOV: CommCode: COUNTY STATION 65 '/ SIC Code:8041 EPA Numb: ~/ DunnBrad: Emergency Contact / Title Emergency Contact / Title JAMES D RYAN / OWNER /' Business Phone: (661) 589-3427x Business Phone: ( ) - x 24-Hour Phone : ( ) - x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: ......... ~ i .~ ~ - ~-React ............. Contact : Phone: (661) 589-3427x MailAddr: 2701 CALLOWAY DR ~02 State: CA City : BAKERSFIELD Zip : 93312 Owner DR JAMES D RYAN Phone: (661) 589-3427x Address : 2701 CALLOWAY DR 402 State: CA City : BAKERSFIELD Zip : 93312 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: =Hazmat Inven[ory One Unified List --As Designated Order All Materials at Site Hanmar Common Name... ISpocHazlEPA HazardsI Frm DailyMax Iunit MCP WASTE FIXER .... ~ R ~- ~L 5.00 GAL Min ~Y~ or p~nt na~) reviewed the aEached haza~ous materials ma~age- ment plan for~ ~%~o~mc~nd ~h~ i~ along with ina~ of BUsings) any corrections constitute a complete and correct man- agement plan for my facili~. S~gna~r9 J Oa~ -1- 01/04/2001 RYAN CHIROPRACTIC SiteID: 015-021-002190 ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site -- COMMON NAME / CHEMICAL NAME WASTE FIXER Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE XRAY PROCESSOR CAS# ~ STATE ~ TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Liquid /Waste Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 5.00 GAL 5.00 GAL 5.00 GAL ...... ~ ........... ~HAZARDOUS~COMPONENTS ...... -- -~ %~t. [ ~S CAS# Silver N 7440224 HAZARD ASSESSMENTS TSecret N~SIBioHazl Radioactive/Amount EPA Hazards NFPA I USDOT# MCP No No No/ Curies R / / / Min 2 01/04/2001 OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 HAZARDOUS MATERIALS MANAGEMENT PLAN INSTRUCTIONS: 1. To avoid further action, return this form within 30 days of receipt. 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. .... 47----B~- ~g-b-fi~f~-d-c-~ncise_as~possibte: 5. You may also attach Business Owner / Operator Form and Chemical Description Form(s) to the front of this plan instead of completing SECTION I. below for initial submission. SECTION I: BUSINESS IDENTIFICATION DATA BUSINESS NAME: v', ~---~,~'o~ce, e It ~t CITY: ~k~6~ k[ STATE: C& ZlP:q~31& PHO~lbg~ fgq~ 3qa~ OWNER: ~e~mes ~'Q~ o.m ....... PHONE: MAILING ADDRESS: ~"/01 C~l.[,t~a,~ ~r ~ qo;;) ba~"~L.[~ EMERGENCY NOTIFICATION CONTACT TITLE BUS. PHONE 24 HR. PHONE HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION II. 1' DISCOVERY AND NOTIFICATIONS A. LEAK DETECTION ANDMONITORING PROCEDURES: B. EMPLOYEE AND AGENCY NOTIFICATION: C. ENVIRONMENTAL RESPONSE MANAGEMENT: D. EMERGENCY MEDICAL PLAN: P.~L q-l-t, HAZARDOUS MATERIALS MANAGEME~I[~ PLAN SECTION II.2: RELEASE RESPONSE PLAN A. HAZARD ASSESSMENT AND PREVENTION MEASURES: B. RELEASE CONTAINMENT AND/OR MITIGATION: C. CLEAN-UP AND RECOVERY PROCEDURES: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY) NATURAL GAS/PROPANE: SPEC~: LOCK BOX: YES~ IF ~S, LOCATION: PRIVATE FIRE PROTECTION/WATER AVAILABILITY 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. ' - S / -J TITLE DATE CITY OF BA EPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~d~o,d C. t4~ce.o~c. INSPECTION DATE ADDRESS '2"to~ C^t.co~,'rt" '~-MtOT.., PHONE NO. FACILITY CONTACT BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program [] Routine j~Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection OPERATION C VI COMMENTS Appropriate permit on hand Business plan contact information accurate ,~ '~L ~-,,4~~ Cc~P~-7-~- ~ Visible address Correct occupancy Verification of inventory materials (~ ~-0~o ~ 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 ~.~V~ ~c(_~$~ C. on~o.C."r~ ~ C=Compliance V=Violation Any hazardous waste on site?: [~,,Yes [~l No Questions regarding this inspection? Please call us at (661) 326-3979 Business Site R~p~sible Party White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: CITY OF BA~~,PARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 'i FACILITy NAME ~Z~a.,4 C.u','a. oc'~aor,c.,. INSPECTION DATE '7/Z- ADDRESS '2.tO ~ CAt. co,.~,,tr' '~,~07... PHONENO. FACILITY CONTACT BUSINESS ID NO.. 15-210- INSPECTION TIME NUMBER oF EMPLOYEES ~Section 1: · Business Plan and Inventory Program . [~l Routine~ j~LC0mbined. [~l Joint Agency [~] Multi-Agency [~l Complaint [~l Reqnspection OPERATION C V COMMENTS Appropriate permit on hand · Business plan contact information accurate '~l.~.ae~: 'Cc~pcF..-7'~-~ ~ ~ Visible address Correct occupancy: materials Verification of inventory ' (~ ~',~Tn~,~t~. O'.. ~ Verification Of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection· '.. Site Diagram Adequate & On Hand '~ ]Pt.E. nA$~: Co,~e.,7.-r& ~ C=Compliance 'V=Violation Any hazard°us waste on site?: [~Yes [~No~"~Lx~ ~ k-,x <---.,,.c~. Questions regarding this inspection? Please call us at (661) 326-39?9 :i . Business Site Re/sp°~sible Party White - Env. Svcs. Yellow - Station Cop~ 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 ~'~J~-'~ ~"{'{:'~3e/z/~'r'tc-' INSPECTION DA'rE Section 4: Hazardous Waste Generator Program EPA ID # J~outine~~ [] Joint Agency [] Multi-Agency [] Complaint [~ Re-inspection OPERATION C V COMMENTS Hazardous xvaste determination has been made EPA ID Number (Phone: 916-324-1781 to obtain EPA ID#) Authorized for waste treatment and/or storage Reported rclcasc, fire, or explosion within 15 days of occurance Established or maintains a contingency plan and training Hazardous waste accumulation time frames Containers in good condition and not leaking Containers are compatible ~vith 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 no~ contaminated with other hazardous waste Proper management of lead acid batteries including labels Proper management of used oil filters Transports hazardous xvaste with completed manifest Sends manifest copies to DTSC Retains manifests tbr 3 years Retains hazardous waste analysis for 3 years Retains copies of used ()il receipts for 3 years Determines if waste is restricted fi'om land disposal C=Compliance V=Violation Office of Environmental Services (805) 326-3979 Business Site Respl~nsible Party \Vhite - Env. Svcs. Pink - Business Copy ~ R YAN _CHIROPRACTIC D~r. James D. Ryan ~ Mon. 7-12 3-6:30 Tues. 3-6:30 Wed. 7-12 3-6:30 Thurs. 9:30-12:30 Fri. 7-12 3-6:30 Sat. - By Appointment 'N (661) 589-3427 [3 n-MART [3 RYAN ~ 2701 Calloway, #402 Bakersfield, CA 93312 ~ R.e~y ~w, ~- DATE: DATE: M ~..~) T T TH TH I= ~...~ I= S ;' S KEEP SPREADING THE