HomeMy WebLinkAboutBUSINESS PLAN GALLAGHER FAMILY
CHIROPRACTIC
~ttealth at its best"
DR. BRETT D. G,4LIAGHER
Chiropractor
1665 F Street Palmer Graduate
Bakersfield, CA 93301 (661). 324-7724
CITY OF BAKERSFIELD FIRE DEPARTMENT
omc og s avtc S
1715 Chester Ave., 3~a Floor, Bakersfield, CA 93301
FACILITY NAME ~~ ~"q ~~ ~SPECTION DATE
ADD.SS 166g ff, Sr PHONE NO. 3~-
FACILITY CONTACT BUSINESS IDNO. 15-210-
~SPECTION TIME NUMBER OF EMPLOYEES
Section 1: Business Plan and Inventory Program
J~j Routine ~Combined J~j Joint Agency J~ Multi-Agency [~ Complaint J~j Re-inspection
OPERATION C'¥ 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
Containers properly labeled
Housekeeping
Fire Protection
Site Diagram Adequate & On Hand
C=Compliance V=Violation
Any hazardous waste on site?: '~-¥es [~No
Explain: /~d~$ '1'~ f::'t
Questions regarding this inspection? Please call us at (661) 326-3979 (/"' ""J3t~sin~s Site l~3Js~onsible
White- Env. Svcs. Yellow- Station Copy Pink- Business Copy Inspector: ~,~1~ ,,x~5'-'5 '
, crrY OF BAKERSFIELD FIRE DEPARTMENT /02 2.~f/~ /
,, OFFICE OF ENVIRONMENTAL SERVICES
· ~ UNIFIED PROGRAM INSPECTION CHECKLIST
17.15 Chester Ave., 3~ Floor, Bakersfield, CA 93301
FACILITY NAME ~~ ~ ~~ ~SPECTION DATE II
ADD.SS [~ ~ ~r' PHONENO. 3~-~7Z4
FACILITY CONTACT BUSINESS ID NO. 15-210-
~SPECTION TIME NUMBER OF EMPLOYEES
Section 1: Business Plan and Invento~ Program ~
~ Routine . ~Combined ~ Joint Agency ~ Multi-Agency ~ Complaint ~ Re-inspection
OPERATION C V COMMENTS
Appropriate pe~it on hand
Business plan contact info~ation accurate
Visible address
Co.ecl occupancy
Verification o~nvento~ materials ~~ ~t
'Verification of qu~n~ies ~ ~
Verification of location I~O~ ~~
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
Si~e Diagram Adequate & On Hand
C=Compliance V=Violation
Any hazardouswasteonsit'?: ~Ye, ,No ~~.:~. '"
Explain: ~~ ~ ~
Quesfons reg~ding ~is inspection? Pleas~ call us ~:~.(661)~26-3979 ~~si~s Sitd
w~it~- ~,,. s,~. W,o~- sta~io, Copy el,k- a~i~e~s 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 ~ ~ ~.,o ~q.,cb~ee.~cg~ INSPECTION DATE b[/JO/o7
Section 4: ltazardous Waste Generator Program EPA ID #
I"1 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 kept closed when not in use
Weekly inspection of storage area
Ignitable/reactive waste located at least 50 feet from property line
econda~~provided ~.~ ?~__.4~ ~~
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=Violationl t,~'~ ~~~~ff/~
Inspector: L'~ '
Office of Environmental Services (661) 326-3979 ponsible Party
White - Env. Svcs. Pink - Business C
~~o[~---~' CITY OF BAKERSFIEI
~ FII~ ~ OFFICE OF ENVIRONMENTAL SERVICES
t~mr~l~rr 1715 Chester Ave., CA 93301 (661) 326-3979
"~~'~' H~RDOUS MATERIALS INVENTORY
CHEMICAL DESCRIPTION
(one fo~ per matedal per building or ama)
NEW ~ ADD ~ DELETE ~ REVISE 200 Page
BUSlNESS~E (Same ~ FACILI~ NAME or DBA - D~ng Busings ~) 3
CHEMI~L LO~TION /~{O~ ~~ ~C~ ~--~" ~ ~--~ 201;, CONFIDENTIALCHEMICAL LO~TION(Epc~)
.,:, ~, .,.. ;~ ~,.~ · , II. C~EMICAL INFORMATION ~, "- - ;'.~ ~:~
205 ~ T~DESE~ ~Y~ ~ 206
CHEMI~L ~ME
207 ~
COM~N~ ~ EHS* ~ Y~ ~ No 208
FIRE CODE H~D C~ES (~plete if r~u~t~ by I~1 fire ~ie0
210
~PE D p PURE D m MIXTURE ~ASTE 2:: RADIOACTIVE ~ Y~ D No 212 i CURIES 213
PHYSICAL STA~ ~ s SOLID ~LIQUID ~ g ~S 214 ~RGESTCONTAINER ~ 215
FED H~RD CATE~RIES ~ 1 FIRE ~ 2 REACTIVE ~ 3 PRESSURE RELEASE .~ ACUTE H~LTH ~ 5 CHRONIC H~LTH 216
(Ch~ all that apply)
UNITS' ~ga GAL ~ d CU FT ~ (b LBS ~ tn TONS 221 DAYS ON SffE ~2 · If EHS, am~nt must be in tbs.
STOOGE CONTAINER ~ a ABOVEGROUND T~K ~P~S~ONMETALLIC DRUM ~ i FIBER DRUM ~ m G~SS BO~LE ~ q ~IL ~R 223
(Check all that apply)
~ b UNDERGROUND TANK ~ f CAN ~ j BAG ~ n P~STIC BO~LE ~ r O~ER
~ c T~K INSIDE BUILDING ~ g ~R~Y ~ k BOX ~ o TOTE BIN
~ d STEEL DRUM ~ h SILO ~ I CYLINDER ~ p T~K WAGON
STOOGE PRESSURE ~ AMBIENT ~ aa ABOVE AMBIENT ~ ba BELOW AMBIENT ~4
'1 .
227 Y~ ~ No 228 229
2 230 231 ~ ~y~ ~No 232 233
4 ~8 2~0 ~ Y~ ~ ~o 240
5 242 243 ~Y~ ~No 2~ ~ 245
PRINT NAME & TI~E OF AU~ORiZED COMPANY REPRESE~AT[VE SIGNATURE DA~ 246
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