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Home My WebLink AboutBUSINESS PLANr 4' THOMPSON FAMILY CHIROPRACTIC Manager MICHAEL A THOMPSON Location: 5300 LENNOX AVE 302 City BAKERSFIELD CommCode: BFD STA 11 EPA Numb: SiteID: 015-021-002165 BusPhone: (661) 852-0712 Map 102 CommHaz Minimal Grid: 34D FacUnits: 1 AOV: SIC Code:8041 DunnBrad:77-033-6796 Emergency Contact / Title Emergency Contact / Title MICHAEL A THOMPSON / OWNER / Business Phone: (661) 852-0712x Business Phone: ( ) - x 24-Hour Phone (661) 663-8553x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React Contact MICHAEL A THOMPSON Phone: (661) 852-0712x MailAddr: 5300 LENNOX AVE 302 State: CA City BAKERSFIELD Zip 93309 Owner MICHAEL A THOMPSON DC Phone: (661) 663-8553x Address 5300 LENNOX AVE 302 State: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG H - HAZ WASTE GEN ~N~`D ~~~ ~ ~~~~ E:azd on n,y inquiry of those indiiriduals resaonsi~a,=va for obtaining the information, I certify under pvn4ity of ivd that I have personally exa!nined and a`n famii~:.~ Nith the information suiarni*ted and t~elie~~~ t~-,z information is true, aCLi' =.t°, ano ~^mp'et` . /O ~ ~~ ~ir~nat~.. - Dat„ v -1- 10/02/2007 r -~ F THOMPSON FAMILY CHIROPRACTIC SiteID: 015-021-002165 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... ISpecHazIEPA Hazards) Frm I DailyMax IUnitIMCPI WASTE FIXER R L 5.00 GAL Mini -2- 10/02/2007 -3- 10/02/2007 F THOMPSON FAMILY CHIROPRACTIC SiteID: 015-021-002165 ~ ~ 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: DEVELOPING RM CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid ~aste -Cmbient ~ Ambient -~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 5.00 GAL 5.00 GAL 5.00 GAL t1AGt~tCLVU7 ~:V1~1rV1vt51v15 %Wt. RS CAS# Silver No 7440224 t1HGKttL A~~~~~1~1~1V 1'~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -4- 10/02/2007 F THOMPSON FAMILY CHIROPRACTIC SiteID: 015-021-002165 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 05/22/2006 ~ VISUAL INSPECTION DAILY BY OWNER. BI-MONTHLY SERVICE THROUGH CALIFORNIA IMAGING SOLUTIONS. Employee Notif./Evacuation 05/22/2006 VERBAL, AS NEEDED. CALL TO CALIFORNIA IMAGING SOLUTIONS TO HANDLE SERIOUS SPILLS. Public Notif./Evacuation CALL CALIFORNIA IMAGING SOLUTIONS IF LEAK/PROBLEM ARISES. 12/13/2000 Emergency Medical Plan 05/22/2006 IN THE EVENT OF A MINOR INJURY/OR CHEMICAL BURN, CONTACT MING/ASHE MEDICAL FOR EVALUATION AND TREATMENT. FOR SERIOUS INJURY, CALL 911 FOR EMS. -5- 10/02/2007 F THOMPSON FAMILY CHIROPRACTIC SiteID: 015-021-002165 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 05/22/2006 ~ PLACE FIXER COLLECTION JUG IN PLASTIC 2-IN DRIP TRAY. tCC1CdCC 1.V111,d1i1lllClll. Clean Up 05/22/2006 RUBBER GLOVES, PLASTIC BUCKET, GOGGLES IN DARK ROOM. BAG OF KITTY LITTER TO ABSORB ANY SPILL. v~.iic1. iZCaVUi~c L~l..l..1VG.1.1V11 -6- 10/02/2007 F THOMPSON FAMILY CHIROPRACTIC SiteID: 015-021-002165 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~J~JCC:1d1 i1dGdIU~y' Utility Shut-Offs 03/02/2007 GAS - E END OF BLDG ELECTRICAL - E END OF BLDG WATER - E END OF BLDG Fire Protec./Avail. Water 01/11/2007 PRIVATE FIRE PROTECTION - SPRINKLER SYSTEM AND FIRE EXTINGUISHER IN OFFICE. NEAREST FIRE HYDRANT - 200FT FROM FRONT OF OFFICE ON STINE RD. Building Occupancy Level 05/22/2006 1 EMPLOYEE -7- 10/02/2007 _ . .. F THOMPSON FAMILY CHIROPRACTIC SiteID: 015-021-002165 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 05/22/2006 ~ MSDS SHEET ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: REVIEW OF FACILITY EXITS, EVACUATION PROCEEDURES/ROUTE, REVIEW OF FIRE EXTINGUISHER USE/LOCATION, LIST OF PHONE NUMBERS, POLICE, FIRE, EMS, FIRST AID KIT USAGE/LOCATION AN INSTRUCTION IN CASE OF A FIXER/CHEMICAL SPILL. rayc c ric.iu ~..vi r u~.uic voc aaciu .~vi i'u~.utc ~~c -s- l0/02/200~ ~.? + THOMPSON FAMILY CHIROPRACTIC ________________________ SiteID: 015-021-002165 + Manager Location: 5300 LENNOX AVE 30'2 City BAKERSFIELD BusPhone: (661) 832-1282 Map 102 CommHaz Minimal Grid: 34D FacUnits: 1 AOV: ~~ CommCode: BFD STA 11 SIC Code:8041 EPA Numb: DunnBrad:77-033-6796 Emergency Contact / Title Emergency Contact / Title MICHAEL A THOMPSON / OWNER / Business Phone: (661) 832-1282x Business Phone: ( ) - x 24-Hour Phone (661) 663-8553x 24-Hour Phone ( ) - x Pager Phone ( ) - •x Pager Phone ( ) - x Hazmat Hazards: React Contact Phone: (661) 832-1282x MailAddr: 5300 LENNOX AVE 302 State: CA City BAKERSFIELD Zip 93309 Owner MICHAEL A THOMPSON DC Phone: (661) 663-8553x Address 5300 LENNOX AVE 302 State: CA City BAKERSFIELD ~ Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: ~ Emergency Directives: ~ PROG H - HAZ WASTE GEN Based an my inquiry of those individuals EN1"D re~por1s31bie for obtaining the information, I certify JUA' under penalty of law that I have personally ,v ~ ~ 206 examined and am famili with the information submitted and a information is true, accut~ a ,,, .. ~r~ re Date -1- 05/22/2006