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Home My WebLink AboutBUSINESS PLANHazardous, Permit ID#:: 015-000-000362 CARETRAN INC C 0 N D IT! 0 N S!O F :~iP,:E R MI~:ii. 0 . . .. ;..: ....,. . . .:- . ..:,. '.::- .i~i~I Hazardous Materials Plan'?.,:~.:,.~ .:.-:!..~..~:'.,::.:~:. ?-..j....- ,.. Hazardous Materials :~_:...: ::~ ',n Risk Management.. P ~r<xgram ¢i' ':.:. ;: .'i ': .-. :.: · :n Hazardous Waste On-SiteTmatment: LOCATION: 7420 DISTRICT BLVD C Issuedby: · . :..,, , ;~ . -'..,, .. :g::,. . - . , · .,-. .', .. Bakersfield F~re Department :~,.'..~ Voice {661) 326-3979 F~ (661) 326-0576 ' Expi~tionDate: Issue.Date SlTI{I DIAGRAM~ Business Name: Business Address: NORTH 1. OXYGEN STOWAGE AREA 4. MAINTENANCE AREA 7. EXERCISE AREA 10. FILE ROOM 13. BKEAKROOM 16. OFFICE 19. SHOW ROOM 12' 16 18 2 WAREHOUSE 5. MEDICAL STOWAGE 8. OFFICE 1 !. BATHROOM 14..OFFICE 17. BATHROOM 20. OFFICE FIRE HYD. ELECT SUPPLY ·ROOM , 9 3. ELECTRiCAL ROOM , §. OFFICE 9. OFFICE 12:. OFFICE 15. CLASSROOM 18.WAITING ROOM + CARETRAN INC · /~ ~,'1~ , Manager : ~RODERT ,;~iLLER Location: 7420 DISTRICT BLVD C~~ City : BA~RSFIELD SiteID: BusPhone: (661) 831-8689 Map : 123 CommHaz : Low Grid: 16C FacUnits: 1 AOV: SIC Code:7352 DunnBrad:ll-273-3936 CommCode: BAKERSFIELD STATION 09 EPA Numb: 015-021-000362 + Emergency Contact / Title Emergency Contact / Title MANUEL LEE MILLER / CLINICAL DIR ~ODERT ~iLLER'~~/ ~ MANAGER Business Phone: (661) 831-8689x Business Pho~?"~61) 831-8689x' 24-Hour Phone : (661) 834-6738x 24-Hour Phone ~ (661) 396-8394x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards:__ .Fire Press Imnnqlth I ........... -~ ~-.~...~ '- ~ ~-~-~ _+ Contact : - Phone: (661) 831-8689x MailAddr: 7420 DISTRICT BLVD C .State: CA I City : BAKERSFIELD Zip : 93313 Owner MANUEL LEE MILLER Phone: (661) 834-6738x Address : ~808 DE ETTE State: CA City : BAKERSFIELD Zip : 93313 ........... + Period : to ,,, Preparer: ~/9~ y~ /~///~.f~ Certif'd: ParcelNo: /~Z Emergency Directives: TotalASTs: = Gal TotalUSTs: = Gal Res: No .--1- 07~30/2003 RAM { CTION CHECKLIS SECTION 1 Business Plan and Inventory Program Bakersfield Fire pt. Enir°nmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: {661)326-3979 FACILITY NAME , - ' · INSPECTION DATE INSPECTION TIME ADDRESS ~ P No, of Employees FACILITYCONTACT Business ID Number .," , ]5-021- OOO'~bZ "~ Routine [] Combined [] Joint Agency []~ Multi-Agency [] Complaint [] Re-inspection C V (' C=Compliance ) OPERATION \ v=violation ~' [] 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 AVAILABILITYE ~ [] VERIFICATION OF HAT MAT TRAINING ~ ~] VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~' [] EMERGENCY PROCEDURES ADEQUATE [~, [] CONTAINERS PROPERLY LABELED [] HOUSEKEEPING (~ [] FIRE PROTECTION COMMENTS. ~;~ [~ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: [] YES (,~ No EXPLAIN: QUESTIONS REGARDING THIS INSPECTION~ PLEASE CALL US AT (661) 326-3979 . White - Environmental Services Yellow * Station Copy Business Site Responsible Party Pink- Business Copy FACILITY NAME ADDRESS 3 q2 FACILITY CONTACT_ -P . INSPECTION TIME CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 INSPECTION DATE PHONE NO. BUSINESS IDNO. 15-210- NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program [~outine ~ Combined [~ Joint Agency {~ Multi-Agency [~ Complaint {~l 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 Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: [~ Yes ~No Explain: Questions regarding this inspection? Please call us at (661) 326-3979 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy CARETRAN Manager : Location: City : INC RECEIV SiteID: 215-000-000362 [ ~S~P 2 ~ 1999 / BusPhone: (661) 831-8689 · 7420 DISTRICT BL Map : 123 CommHaz : Low' BAKERSFIELD ~ '~: ~ Grid: 16C FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 09 EPA Numb: SIC Code:7352 DunnBrad:ll-273-3936 Emergency Contact MANUEL LEE MILLER Business Phone: 24-Hour Phone : Pager Phone : / Title / CLINICAL DIR (661) 831-8689x. (661) 834-6738x ( ) - x Emergency Contact / Title ROBERT MILLER / OPS MANAGER Business Phone: (661) 831-8689x 24-Hour Phone : .(661) 396-8394x Pager Phone. : ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact : MailAddr: 7420 DISTRICT BLVD C City : BAKERSFIELD Phone: (661) 831-8689x State: CA Zip : 93313. ~ · Owner .MANUEL LEE MILLER Address : 5808 DE ETTE City : BAKERSFIELD Phone" (661) 834-6738x State: CA Zip : 93313' Period : Preparer: Certif'd: to TotalASTs: = TotalUSTs: = RSs: No Gal Gal Emergency Directives: = Hazmat Inventory --Alphabetical Order Hazmat Common Name... OXYGEN ISpecHazI EPA HazardsI Frm F P IH I, ~7~-- ~L,///~.~'~.Do hereby certify thru I have (T~,p~ ~t ~) reviewed ~he a~ache~ h~ardous minerals manage- mere plan for[~~~ a~d ~he~ i~ aion~ ~i~h any corre~ions cons~i~u~ a ~mple~e and ~e~ man- G One Unified List Ail Materials at Site '1 DailyMaX' lUn~it{McP 7500 FT3 LOw agernent plan ;or my Pacili~y. -1- 08/17/1999 CARETRAN INC ~ Inventory Item 0001 -- COMMON NAME / CHEMICAL NAME OXYGEN Location within this Facility Unit NW CORNER OF STOREROOM IN OXYGEN CAGE SiteID: 215-000-000362 Facility Unit: Fixed Containers on Site Map: Grid: Days On Site 365 CAS# 7782-44-7 F STATE ~ TYPE Gas /Pure PRESSURE , TEMPERATURE Above Ambient I Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 250.00 FT3 AMOUNTS AT THIS LOCATION Daily MaximUm 7500.00 FT3 Daily Average 5000.00 FT3 HAZARDOUS COMPONENTS %Wt. I 100.00 Oxygen, Compressed N 7782447 HAZARD ASSESSMENTS Radioactive/Amount EPA Hazards No/ Curies F P IH NFpA /// IUSDOT# MCP Low -2- 08/17/1999 F CARETRAN INC SiteID: 215-000-000362 Fast Format = Notif./Evacuation/Medical --Agency Notification 911 FOR FIRES. VENT FOR LEAKY/FAULTY VALVE. Overall'Site 08/17/1999 -- EmploYee Notif./Evacuation 08/17/1999 EMPLOYEES GIVEN QUARTERLY TRAINING ON FIRE FIGHTING AND EVACUATION Public Notif./Evacuation 08/17/1999 GENERAL MANAGER OR OPERATIONS MANAGER TO NOTIFY SURROUNDING BUSINESSES VERBALLY. Emergency Medical Plan 08/17/1999 2 RNS ON STAFF, ALL EMPLOYEES CPR QUALIFIED, 2 ACLS STAFF MEMBERS AND FIRST AID BOX ON SITE. 08/17/1999 i CARETRAN INC ~~&~&~A~~~~A~ SiteID: 215-000-000362 i~ Mitigation/Prevent/Abatemt ~~~~~~&~ Overall Site i~ Release Prevention ~~~~~~~~~ '08/17/1999 O o ALL TANKs ARE CAPPED AND CHAINED TO PREVENT TANKS FROM FALLING OVER. ' o BAY DOOR FOR VENTII..~TION. . O o VENTILATE. O O o FOR NEJ~R-B¥ FIR~S WHICH COULD BE 0~ IMMINENT DANGER TO CARETRglq MEDICAL o SUPPLY CENTER~ ~E CAN REMOVE ALL CYLIlq'DERS FROM THE VICINITY ~ITHIN'J~"0~' o MINUTES USING CARETRAN VEHICLES. ~ O -4- 08/17/1999 i CARETRAN INC ~~~~~~~~ SiteID: 215-000-000362 i~ Site Emergency Factors ~~~~~~~~OveraI1 Site i~ Special Hazards ~~~~~~~~~~~~i O O O o A) GAS - N/A o B) ELECTRICAL - N END OF BLDG o C) WATER - SE SIDE OF BLDG o D) SPECIAL - NONE o E) LOCK BOX -· YES, N END OF BLDG O O ' 0 0 0 0 i~& Fire Protec./Avail. Water ~~&~&~&&~&~~&~&&~&~ 08/17/1999 i O O o PRIVATE FIRE PROTECTION - PORTABLE FIRE EXTINGUISHERS. o O O O O O O o FIRE HYDRANT - NE CORNER OF REAR PARKING LOT. o, O O O O O O o8/17/ 99 CARETRAN INC ~~~&~~~~~~ SiteID: 215-000-000362 i~ Trainin~ ~~~~~~~~~~~ Overall Site i~ Employee Trainin~ ~~~~~~~~~ 08/17/1999 ° ·WE HAVE 12 EMPLOYEES AT THIS FACILITY. WE DO HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING: TRANSFILLING PROCEDURES, SAFE HANDLING AND STORAGE, FIRE FIGHTING AND EVACUATION PROCEDURES.. a~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~f ·08/17/1999 INSTRUCTIONS: 2. 3. 4. CITY OF BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 To avOid further action return this'f°rm within 30 days of receipt.: TYPE/PRINT ANSWERS 'IN ENGLISH. Answer the questions'below for the business as a whole. Be as brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA . / LOCATION: ~/~ 5/.9t~ ~ .. ~~O ~D~SS~q~ ~ 0 t~ ~ ' D~'~ CITY:--~~ ~/~ STA~: PRIMARY ACTIVITY: MAILING ADDRESS: SIC CODE: SECTION 2: EMERGENCY NOTIFICATION CONTACT 1. /~.. ~//Z~,~ 2. TITLE BUS. PHONE 24 HR. PHONE · I~'ZARDOUS MATERIALS MANAGEMENT PLAN · SECTION 3:. TRAINING NUMBER OF EMPLOYEES: BRIF. F SUMMARY OF TRAINING PROGRAM:, SECTION 4: EXEMPTION REQUEST I CERTIFY UNDER. PENALTY OF PERJURY TfiAT MY BusINEss .IS EXEMPT FROM THE REPORTING~R~Q~SOF_CHAPT~R 6.95. OF· THE "C_AL_~ IFomm_A HEALTH · & SAFETY CODE" FOR THE FOLLOWING REASONS:- - WE DO N6T HANDLE HAZARDOUS MATERIALS. ',- ' WE DO HANDLE HAzARDous' MA~S, BUT THE QUANTITIES AT -::'NO :TI/~iEXCEED THE'MINIMUM.REPORTING QUANTITii~S. OTHER (SPECIFY REASON) ~CTION $:' CERTIFICATION I, > CERTIFY THAT THE ABOVE INFORMATION IS ACCURATE. I UNDERSTAND THAT TillS INEOKMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDous MATERIALS (DIV. 20 CHAPTER 6.95. SEC. 25500 ET AL.) AND THAT INACCURATE INFO~TION CONSTITUTES -P..ERJURY. SIGNATURE TITLE DATE 2 Ao HAZARDOUS MATI~RIAL$ MANAGZM~NT PLAN SECTION 6: NOTIFICATION AND EVACUATION PROCEDURE,~ · AOENC¥ NO~IF~CATIoN P~OC~DtamS Bo EMPLOYEE NOTIFICATION AND EVACUATION: Do EMERGENCY 'MEDICAL PLAN: 3 HAZARDOUS. MATERIALS MANAGEMENT PLAN SECTION 7: MITIGATION. PREVENTION AND ABATEMENT PLAN' Ao RELEASE PREVENTION STEPS: RELEASE CONTAINMENT AND/OR MINI~ZATION: - Co CLEAN-UP PROCEDURES: SECTION 8: UTILITY sHUT-OFFS _(LOCATION OF SHUT-OFFS AT YOUR FACILITY)_ WATER: SPECIAL: NATURAL OAS/PROPANE: ELECTRICAL.: LOCK BOX: ~O IF YES, LOCATION: SECTION 9: PRIVATE FIRE PROTECTION/WATER AVAILABILITY A. PRIVATE FIRE PROTEC'TIoN: Bo WATER AVAILABILITY (FIRE HYDRANT): CITY oF -BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA '(805) 326-3979 HAZARDOUS. MATERIALS INVENTORY FACILITY DESCRIPTION CHECK n:.,B. USINESS IS A FARM \ uusn, mss $~U~m ~&~ '~ FACILITY NAME NA~ OF BUS--SS ~'~ { C~~ ~' ~ % k ) ¢'P SIC CODE OWNER/OPERATOR l-~ ~J ~ MAILING ADDRESS 7q~O CITY zm 9~BI3 EMERGENCY CONTACTS TITLE ' BUSINESS PHONE ~~/- ~ ~9' 24 HOUR PHONE ~-of-~. {' .~/~(~' ~ ~)~/ CKEM~CAL DESCRIPTION INVENTORY STATUS: New ~Addition [ ] Revision [ ] Deletion [ ] common Xame:- Chemical Name: 4) Physical & Health Ha~rd Categories Fire [ ] Reactive [ ) WASTE CLASSIFICATION 6) PHYSICAL STATE Solid [ ] Liquid 7) AMOUNT AND TIME AT.FACILITY Max~,,m Daily Amount "7-.3"-~_--~ Average Daily Amount Largest Size Container # Days on Site ~. MIXTURE: List the t~e most ~ardeus l) M/A' COM~Nm~ chemical components or 2) any AHM components- 3) 10)LOCATION 1) INVENTORY STATUS: New[ 2) Comm°n Name: Chemical Name: 4) Physical'& Health Hazard Categori,es Fire'[ 5) WASTE CLASSIFICATION ] Reactive Check if chemical is a NON Trade Secret [ ] Trade Sec~t [ 3) DOT # (optiona~)~. ~-~ ~ ff-/~)~': AHM[ ] CAS# PHYSICAL HEALTH ] S~dd~ Release of Pressure 1~. Immediate Health' (Acute) [ ] Delayed Health (Chronic) [ (3-digit cede fi-om DHS Form 8022) USE CODE . _~_.~.,'7<' c-~ [,~ Pu~e [ ] Mixtur~ [ ] waste [ ] Raaioa~tive [ ] UNITS oF MEASURE 8) STORAGE COD~ ~ ] Addition [' ] Revision [ ] Deletion [ ] CAS# % WT Check if chemical is a NON Trade' Secret [' AIl Year, $, F, lVl, A, M, $, $, A, S, O, N, D 9) MIXTURE: List the..t~.~ most ~hazaraous 1) chem/cal components or 2) any ~ components 3) I 0)LOCATION COMPONENT CAS// % WT AHM I certify under penalty 6f law, that I have personally examined and am familiar with the informati0non this and all attached documents. I believe the submitted information is true, accurate and complete. // . , , /./ __ f PRINT Name & Title of ~Authorized Company Representative / ., ~gnature / l~a~e ' Circle Which Months: 7) AMOUNT AND TIME AT FACILITY Maximum Daily Amount Average Daily Amouat Annual Amount Large.~ Size Container # Days on Site Lb~[ ]Gal[ ]fO[ Cu~= [ ] 8) STORAGE CODES a) Contain~ b) Pressure: c) Temperature Waste['] ~oe~ve[ ] . PHYSICAL . HEALTH ] Sudd_~ Release of Pressure [ ] lmmedia~ Health (Acute) [ (3-dig~t code froTM DHS FoTM 8022) USE C~)DE ] Tra~ Sec~ / [ ] 6) PHYSICAL STATE Solid [ ] Liquid [ ] C-~.[ ] 3) DOT # (optional) AHM[ ] CAS// ] Delayed Health (Clinic) [ [ ] [ .]