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Home My WebLink AboutBUSINESS PLANJAMES K. KIRKPATRICK, DDS, INC Manager : Location: 1851 OAK ST A City : BAKERSFIELD CommCode: BAKERSFIELD STATION 01 EPA Numb: BusPhone: Map : 102 Grid: 25C SiteID: 015-021-002287 (661) 327-7301 CommHa z : FacUnits: 1 AOV: SIC Code:8021 DunnBrad: Emergency Contact Business Phone: .( 24-Hour Phone : ( Pager Phone : ( / Title / ) - x ) - x ) - x Emergency Contact Business Phone: ( 24-Hour Phone : ( Pager Phone : ( / / ) ) ) Title X X X Hazmat Hazards: React Contact : MailAddr: 1851 OAK ST A City : BAKERSFIELD Phone: (661) 327-7301x State: CA Zip : 93301 Owner JAMES K. KIRKPATRICK, DDS Address : 1851 OAK ST A City : BAKERSFIELD Phone: (661) 327-7301x State: CA Zip : 93.301 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: = Hazmat Inventory --Alphabetical Order WASTEFIXER__ ~L- One Unified List Ail Materials at Site I DailyMax Unit MCP[ ........ Min_l__ -1- 01/30/2003 FACILITY NAME ,.¥3o,~-5 It~ ~,ta..g. gt~x~t~c, tc D05 Al)DRESS /~'5-! - ~, c..3t~c ~ r FACILITY CONTACT INSPECTION TIME Section !: [~] Routine SSbb / CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3r'~ Floor, Bakersfield, CA 93301 PHONE NO. '~ '2. '~ _ '7 3o i Business Plan and Inventory Program [~l,.Combined [~ Joint Agency [~ Multi-Agency BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES /0 2 O 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 Containers properly labeled ~ ~LC_93~I~ r._$k~-a.~ t..~aeS.~ Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste ~__.~,site?: ffYes C~] No Explain: ~4JA-~ q"~- t~ Questions regarding this inspection? Please call us at (661) 326-3979 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: ~,.I~./L..~ ~,/ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF EN~VIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME~ ADDRESS FACILITY CONTACT INSPECTION TIME Section 1: Business Plan and Inventory Program [~] Routine [~Combined [~, Joint Agency [~ Multi-Agency r sP cwo D^T PHONE NO. '~ '2 '~ ~ ~ ~c~ ~ BUSINESS ID NO. 15-210- ~ NUMBER OF EMPLOYEES ~ Complaint Re-inspection OPERATION C V COMMENTS Appropr'iate 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 o~n. site?: Explain: ~f~&% q"~~ t;~.~ ~[~Yes I~ No Questions regarding this inspection? Please call us at (661) 326-3979 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy --,fidsi'n~ess-~it'e R~sponsibFPa~y~/ Inspector: ~.~ FACILITY NAME ,1 &4,./~ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3r~ Floor, Bakersfield, CA 93301 INSPECTION DATE Section 4: Hazardous Waste Generator Program EPA ID # [] Routine I~ 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'" ~gt.-~-~-~ ~at?.aV~o~- °TRa~/'~ 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 Inspector: L~ t ~ t~,4 Office of EnvironmentaiServices (661) 326-3979 ' B~sine'~s ~i~ l~esponsible ]~rty White - Env. Svcs. Pink - Business Copy ,~ r ~ ~ ( ~ JAMES K KIRPATRICK, DDS, INC. ~1 L1 v 1851 OAK STREET, SUITE A \ ~ KIRKPATRICK DDS INC JAMES K Manager ~, /fir ~ # I7 `'~ Location: 1851 O~ ST A City BAKERSFIELD CommCode: BFD STA Ol EPA Numb: SitelD: 015-021-002287 BusPhone: (661) 327-7301 Map 102 CommHaz Minimal Grid: 25C FacUnits: 1 AOV: SIC Code:8021 DunnBrad: Emergency Contact ~ Title ~ Emergency Contact / Title 3 ` / x Business Ph e• iGG~t) 3z~~ o% Business Phone: ) - x ( 24 -Hour Phone ( ~ ) 3~ 1 -~e~x 24 -Hour Phone ( ) - x Pager Phone ~~ (~~~ ) 33~ -3~3~x Pager Phone ( ) - x Hazmat Hazards: React Contact- ~~ /~1~~~~~'PiL-`f' Phone: (661) 327-7301x MailAddr: 1851 OAK ST A State: CA City BAKERSFIELD Zip 93301 Owner JAMES K KIRKPATRICK DDS Phone: (661) 327-7301x Address 1851 OAK ST A State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG H - HAZ WASTE GEN ENT Ai~C Q ~ ~~QT of those individuals i ry Oa:•cd on my inqu re;;grnsiile fc~r obta~n~ng the information. I certify t I have personally under ~,ena,lty of iaw tha d am familiar with the information examined an iYted and believe the information is true, subrr, com lete. P _ accurat ^ e ' ` ' Date f Sic~p~t,~~e A ~/~ -1- 02/02/2007 F KIRKPATRICK DDS INC JAMES K SiteID: 015-021-002287 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP WASTE FIXER R L 5.00 GAL Min -2- 02/02/2007 -3- 02/02/2007 F KIRKPATRICK DDS INC JAMES K ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME WASTE FIXER Location within this Facility Unit STATE TYPE PRESSURE Liquid TWaste -~mbient SiteID: 015-021-002287 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient -~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 5.00 GAL 5.00 GAL 5.00 GAL rls~~,tucl~~u~ ~ulnrvlvl,iv l %Wt. RS CAS# Silver No 7440224 t1HGHKL 1'~~ ~J;551~1L'1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -4- 02/02/2007 F KIRKPATRICK DDS INC JAMES K SiteID: 015-021-002287' Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ tigency Notizication ~, ~~~~~~ ,~ ,rmployee NOL1L . / ~VaCUaLloll- ~I~ GJ~~hf~ t'11iJ11U 1VU1.11/~VdCUdl.1CJ11 = P~IIIC J..yClll:y 1.1C1111,:Q1 t1d11 r -5- 02/02/2007 F KIRKPATRICK DDS INC JAMES K SiteID: 015-021-002287 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention ,~~ G~~< xe.~ease ~onzainmenL ~~ ~ti ~~~ dean up C. ~ ~~~~ Other Resource Activation -6- 02/02/2007 F KIRKPATRICK DDS INC JAMES K SiteID: 015-021-002287 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .7~JCU1d1 ridGdIUS iTtili-ty Shut-Offs. /J~ ~~- .Fire Protec.jAvail. Water G9 ~'"" Building Occupancy Lever /~. ~~- -7- 02/02/2007 /( {: F KIRKPATRICK DDS INC JAMES K SitelD: 015-021-002287 ~ ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training ; rayc ~. riciu ivi rui.u.LC vac Held for Future Use -8- 02/02/2007 i'r ~:~; + KIRKPATRICK DDS INC JAMES K _________________________ SiteID: 015-021-002287 + Manager BusPhone: (661) 327-7301 Location: 1851 OAK ST A Map 102 CommHaz i Minimal City -: BAKERSFIELD Grid: 25C FacUnits: 1 AOV: CommCode: BFD STA Ol SIC Code:8021 EPA Numb: DunnBrad: Emergency Contact / .Title Emergency Contact / Title / / Business Phone: ( ) - x Business Phone: ( ) - x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React _ _ _ Contact Phone: (661) 327-7301x MailAddr: 1851 OAK ST A State: CA City BAKERSFIELD Zip 93301 Owner JAMES K KIRKPATRICK DDS Phone: (661) 327-7301x Address 1851 OAK ST A State: CA City BAKERSFIELD Zip :93301 Period ~ to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certf'dc RSs: No ParcelNo: 'Emergency Directives: - ~ PROG H - HAZ WASTE GEN ENT'DJUN0~2Q06 Date ~~OQI~ ~' D~ '~s~,~ -r°===__________________________________________________________________________+ 8aaed on my inquiry of those individuals r+~sponslble for obtaining the information, I certify under penalty of law 4hat 1 have personally examined and am familiar with the information submitted and believe tnA information is true, -1- 05/18/2006 ,~ ,,• aA r;xsri ~ FIRE ARTM ,.._ ,.~. <-; _ .,~ _ Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Ted.: (661) 326-3979 Fax: (661) 872-2171 .FACILITY NAME ~ INSPECT~N~DA% INSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES ~as~ a,~K s~. A 327''73~'~ g FACILITY CONTACT BUSINESS ID NUMBER 15-021- ~ I!S ~ ~ Z. ~ „a, Sec tion 1: Business Plan and Invento ry Program - ^ _ __,- ROUTINE ~ COMBINED -- ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ ~/ERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION _ ~ &) ~ ~00~ ~j ^ 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 zz,®~ ~~~ ANY HAZARDOUS WASTE ON SITE? ~'ES ^ NO EXPLAIN: - ~~~~~~~ ~~,r '~. QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention /.1s' !n /Shift of Site/Station # usiness ite /Responsible Party Ple Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 ,~. f ~:~ ;.- - ~~~`~ '~~'~ CIT4' OF BAKERSFIELD FIRE DEPARTMENT ~~ ~ OFFICE OF ENVIRONMENTAL SERVICES ~' •y UNIFIED PROGRAM INSPECTION CHECKLIST °-;~ ~~~ 1715 Chester Ave., 3~d Floor, Bakersfield, CA 93301 Rk P Prt's~.l G X. p ~ /ZS/~ FACILITY NAME k INS ECTION DATE Sectfon 4: Hazardous V6~aste Generator Program EPA ID # ~~ "- ^ Routine ~ Combined ^ Joint Agency ^Muiti-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made EPA ID Number ~ ~~ ~" Authorized for waste treatment and/or storage Reported release, fire, or explosion within IS 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 Secondary containment provided t2~ ,rOS .~eW,1 cY U 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 ~ ~„~~ 1 ~ a ~ 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 ~=~omptrance v=vrotanon Inspector: !~ ~~G.,---- Office of Environmental Services (661) 326-3979 White -Env. Svcs. Pink -Business Copy Business Site nsi a Party ~~ t~