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Home My WebLink AboutBUSINESS PLANCITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME ~O~'~'[e,' ~ ADDRESS FACILITY CONTACT_~.<'~ e.,'dJ~ INSPECTION TIME.. / Section 1: ~Routine Business Plan and Inventory Program {~ Combined [~ Joint Agency I~l Multi-Agency Complaint Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address ~ ,,, Correct occupancy Verification of inventory materials X .. Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability x~ , 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 ...... X/( ,, C=Compliance V=Violation Any hazardous waste on site?: [~ Yes [~ No Explain: ~..~ a._~.Jr.e ~ ~ ~ Questions regarding this inspection? Please call us at (66 i ) 326-3979 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy ~Ylnspecto~ WES~ERNbENTAL ORTHODONTICS Manager : Location: 4409 MING AVE City : BAKERSFIELD CommCode: BAKERSFIELD STATION 07 EPA Numb: BusPhone: Map : 123 Grid: llA SIC Code: DunnBrad: SiteID: 015-021-002211 (661) 835-5800 CommHaz : Minimal FacUnits: 1 AOV: Emergency Contact ESMERALDA FLORES Business Phone: 24-Hour Phone : Pager Phone : / Title / (661) 835-5800x ( ) -' x ( ) - x Emergency Contact Business Phone: 24-Hour Phone : Pager Phone : / / ( ) ( ) ( ) Title x x x Hazmat Hazards: React Contact : MailAddr: 4409 MING AVE City : BAKERSFIELD Phone: (661) 835-5800x State: CA Zip : 93309 Owner WESTERN DENTRAL CENTERS Address : 4409 MING AVE City : BAKERSFIELD Phone: (661) 835-5800x State: CA Zip : 93309 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: ~ Hazmat Inventory --Alphabetical Order Hazmat Common Name... WASTE FIXER One Unified List Ail Materials at Site ISpooHaz]EPA Hazards] Frm '×~!~x IUnitlMcP R L GAL Min -1- 04/05/2002 WEStERN DENTAL ORTHODONTICS ~ ~nventory Item 0001 -- COMMON NAME / CHEMICAL NAME WASTE FIXER Location FSTATE Liquid SiteID: 015-021-002211 Facility Unit: Fixed Containers at Site Days On Site 365 CAS# Grid: CONTAINER TYPE PLASTIC CONTAINER ~~ Map: -- TY~ ~ PRESSURE ~--------~EMPERATURE Wa s t e~~-Ambi~-/I Ambient Largest Container GAL AMOUNTS AT THIS LOCATION Daily MaximumGAL Daily Average GAL %Wt. Silver HAZARDOUS COMPONENTS IRSI CAS# No 7440224 HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies R NFPA /// USDOT# [ MCP Min -2- 04/05/2002 F WESTERN~ENTAL ORTHODONTICS SiteID: 015-021-002211 Fast Format F N~tif./Evacuation/Medical Agency Notification Overall Site -- Employee Notif./Evacuation Public Notif./Evacuation Emergency Medical Plan -3- 04/05/2002 F WES~ERN~ENTAL ORTHODONTICS SiteID: 015-021-002211 Fast Format ~itigation/Prevent/Abatemt Release Prevention Overall Site Release Containment Clean Up Other Resource Activation -4- 04/05/2002 F WES~ERN~DENTAL ORTHODONTICS SiteID: 015-021-002211 Fast Format S{te Emergency Factors Special Hazards OVerall Site --Utility Shut-Offs Fire Protec./Avail. Water Building Occupancy Level -5- 04/05/2002 F WE~TERN~DENTAL ORTHODONTICS SiteID: 015-021-002211 Fast Format ~raining Employee Training Overall Site Page Held for Future Use Held for Future Use 6 04/05/2002 CITY OF BAKE~RE/ DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 SPECT ONVATE Section 4: Hazardous Waste Generator Program EPA ID # [] 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 V/ ~LC.a.~;{5 ~$~: g.R'L.a,~$1r~: Containers are compatible with the hazardous waste o,-.a ~J,a, Sir'~ f::cxL'a~ C_Oor~7~j 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 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=Violation Inspector: //~J i ~ i //Business Site Respon' le Pa~ Office of Environmental Services (661) 326-3979 White - Env. Svcs. Pink - Business Copy``-/ (661) 835-5800 ORTHODONTICS WESTERN DENTAL CENTER 4409 Ming Avenue Bakersfield, Ca 93309