HomeMy WebLinkAboutBUSINESS PLAN 7/17/2007E!~IART OOS
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STEWART DDS INC THOMAS H
Manager..: Ste- ~ a ~^- 'P~ ~ 1~. ec ; ,,..~
Location: 3809 SAN DIMAS ST B
City BAKERSFIELD
CommCode: BFD STA 04
EPA Numb:
SiteID: 015-021-002361
BusPhone: (661) 327-3971
Map 103 CommHaz Minimal
Grid: 19B FacUnits: 1 AOV:
SIC Code:8621
DunnBrad:
Emergency Contact /
Title Emergency Contact / Title
rr
SHARON DICKERING / `O}}[mac .~b.~4..~,er ~ THOMAS H STEWART / DDS
Business Phone: (661) 327-3971x v Business Phone: (661) 327-3971x
24-Hour Phone ((ola~) (p-Q -loloSlx ~ 24-Hour Phone ,G,obt )333 -4O33x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: React
Contact SHARON DICKERING Phone: (661) 327-3971x
MailAddr: 3809 SAN DIMAS ST B State: CA
City BAKERSFIELD Zip 93301
Owner THOMAS H STEWART DDS INC Phone: (661) 327-3971x
Address 3809 SAN DIMAS ST B 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~D ~ ~ ~ 1 ~ ~oV/
Oa~~~ar~ 'on ~~'~ inquiry of those individuals
p s~h(e :'rr oht~.ining the infc
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rrnation, D c;ertity
r~rle` i:~cnaity o6 ia~v that I ha
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ve personally
71i?lE'r,~ a,„~ am fa.miiiar t~ith the information
su;,rr,itteri and ~,
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eve the information is true,
accurate, and compiete.
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-1- 07/16/2007
F STEWART DDS INC THOMAS H SiteID: 015-021-002361 ~
~ 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- 07/16/2007
-3- 07/16/2007
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F STEWART DDS INC THOMAS H SiteID: 015-021-002361 ~
~ 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:
UNDER DARKROOM CABINET CAS#
= STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid Waste ~ Ambient ~ Ambient ~STIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
5.00 GAL 5.00 GAL 5.00 GAL
HALARDUUS CUMPUNENTS
oWt. RS CAS#
Silver No 7440224
l1liGtiiCL Y..7 .7~A.71"1~1V l.~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R / / / Min
-4- 07/16/2007
F STEWART DDS INC THOMAS H SiteID: 015-021-002361 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification
Employee Notif./Evacuation
,~
ruuii~ lvv~l_t . ~ ~va~.ual..i~ll
PrlllCtt~. Glll:y 1.1C 1A1 ~: GL1 r1C111
-5- 07/16/2007
F STEWART DDS INC THOMAS H SiteID: 015-021-002361 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
K~1edSC YZeVeill.l.Vi1
Release Containment
dean up
V1.11C1 1CC.~Vl.L1 l:C til: l.lVQl.l Vll
-6- 07/16/2007
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F STEWART DDS INC THOMAS H SiteID: 015-021-002361 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
~rc~:LaL na~aLUS
V1.11.L 1.y 4711LL1.-VL1~7
1'LLC rLVI.CI.:.~t]V 0111. YY Ct I..CL
1J 1111lAllly VVVUj.J0.11t.Y LIGVGL
-7- 07/16f2007
...
F STEWART DDS INC THOMAS H SiteID: 015-021-002361 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training
rays t.
n~lu tV1 rt,Ll.ul.C Uwe
nciu iv.[ r uuure use
-$- 07/16/2007
D.D.S., INC.
3809 San D~mas, State B
Bakersfield, CA 93301
327-3971
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3r" Floor, Bakersfield, CA 93301
INSPECTION DATE
PHONE NO. 32"7- '~5' 7
BUSINESS ID NO. 15-210-
NLIMBER OF EMPLOYEES
FACILITY NAME ql
ADDRESS .3goq
FACILITY CONTACT-~a_ea ~,.
INSPECTION TIME
Section 1: Business Plan and Inventory Program
[~l Routine [~ Combined [~ Joint Agency ~ 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 ' ~~-.
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
Explain:
I~ No
Questions regarding this inspection? Please call us at (661 ) 326-3979
Business Site Respons~.~ Party
White - Env. Svcs. Yellow - Station Copy Pink- Business Copy Inspector:
FACILITY NAME
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
DOs
INSPECTION DATE
Section 4: Hazardous Waste Generator Program
EPA ID # ~--'ff~ dzxzx::)oc?/9~3
[] 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 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 -- cl"~:..q t'~D t~/,~45~ ~ ood,,J
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:
Office of EnvironmentaiServices (66 l) 326-3979 Business Site Respons~v,.~ Party
White - Env. Svcs. Pink - Business Copy