HomeMy WebLinkAboutBUSINESS PLAN 9/30/2003
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it
Per
Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
This oermit is issued for the followinv:
.. It! Hazardous Materials Plan
, 0 Underground Storage of Hazardous Materials
o Risk Management Program
o Hazardous Waste On-$ite Treatment
LOCATION
5001
93309
"
..
Bakersfield Fire Department
OFFICE OF ENVIRONMENTAL SERVICES'
1715 Chester Ave.t 3rd Floor Approved by:
Bakersfieldt CA 93301
Voice (661) 326-3979
FAX (661) 326-0576 Expiration Date:
Issued by:
,JAN ~ 2001
Issue Date
'June 3j), 2003
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SITE DIAG~l) FACILITY DIAGRAM r><J
Business Name: ~ \AI (), ~V\"M~ DC C'.t;rop\'c,~1Î. Inc.
Business Address: S ðO/ s+C, ì::å~ f;;\wð ~\:::g r9 ('it 9~:S DC¡
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PLAN
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~~~~UL D GUINEY CHIROP~OR INC
SiteID: 015-021-002194
Manager :
Location: 5001 STOCKDALE HWY
City BAKERSFIELD
~ 1.'"
~t,~
BusPhone:
Map : 123
Grid: 02A
( 661 ) 833 - 1018
CommHaz : Minimal
FacUnits: 1 AOV:
CommCode: BAKERSFIELD STATION 07
EPA Numb:
SIC Code:8041
DunnBrad:77-053-9753
Emergency Contact
PAUL GUINEY
Business Phone:
24-Hour Phone :
Pager Phone :
/ Title
/ OWNER
(661) 833-1018x
( ) - x
( ) - x
E~ì-~~Y"CoJta~t\c..~/ Title
'MRffi. OARCIl. / OFFICE MANAGER
Business Phone: (661) 833-1018x
24-Hour Phone : ( ) - x
Pager phone : ( ) - x
Hazmat Hazards:
React
Period :
Preparer:
Certif'd:
ParcelNo:
to
Phone: (661) 833-1018x
State: CA
Zip : 93309
Phone: (661) 833-1018x
State: CA
Zip : 93309
TotalASTs: = Gal
TotalUSTs: = Gal
RSs: No
Contact :
MailAddr: 5001 STOCKDALE HWY
City : BAKERSFIELD
Owner
Address
City
PAUL D GUINEY, DC
: 5001 STOCKDALE HWY
: BAKERSFIELD
Emergency Directives:
"
I,~ Ç;~II\Q...\\' Do hereby certify that I have
. (Type or priniñãili;)
reviewed the attached hazardous materials manage-
ment plan for and that it along with
(Name of Busineaa)
any corrections constitute a complete and correct man-
agement plan for my facility.
~~~
9-3<:$-03
0..-- -..
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09/16/2003
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F PAUL D GUINEY CHIROP~OR INC
I
f= Notif./Evacuation/Medical
Agency Notification
.
SiteID: 015-021-002194 9
Fast Format 9
Overall Site 9
01/03/2001
STORAGE CONTAINERS, EQUIPMENT, TUBING AND FITTINGS WILL BE
LEAKS AND/OR WEAR ON A DAILY BASIS. ANY ABNORMALITIES WILL
OUR SERVICE COMPANY, DIACNeBTIC IMACING WILI.-t BE CALLED FOR
.~o'^-~t'L()^~ Hq,c:..'th.<.G"..~ T~~t'o\o')·,t..s
~ ~ , c¡>r ~~VJ 0-.
Employee Notif./Evacuation
S-(YU..I;'c,c..()~ ~\~~a.('t., Î~~(\O\~'\u
DIABU08TIC IK~GINQ WILL BE NOTIFIED OF ANY SPILLS OR PROBLEMS FOR
CORRECTION. CITY OF BAKERSFIELD FIRE DEPT OFFICE OF ENVIRONMENTAL SERVICES
WILL ALSO BE NOTIFIED.
INSPECTED FOR
BE RECORDED AND
REPAIRS.
01/03/2001
Public Notif./Evacuation
01/03/2001
DR PAUL GUINEY WILL BE RESPONSIBLE FOR NOTIFYING PROPER AUTHORITIES OF
INCIDENT AS WELL AS CONDUCT CLEANUP ACTIVITIES.
Emergency Medical Plan
01/03/2001
EMERGENCY FIRST AID KIT IS ON SITE. IF MEDICAL CARE IS NEEDED INJURED PERSON
WOULD BE TAKEN TO MERCY SOUTHWEST.
-5-
09/16/2003
'.,"
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:'P~UL D GUINEY CHIROP~OR INC
I
~ Mitigation/Prevent/Abatemt
Release Prevention
.
SiteID: 015-021-002194 9
Fast Format 9
Overall Site 9
01/03/2001
PLASTIC DOT CONTAINERS ARE USED FOR COLLECTION AND STORAGE OF PHOTOGRAPHIC
FIXER WASTE. THESE CONTAINERS ARE SECONDARILY CONTAINED TO AVOID LEAKS OR
SPILLS. CONTAINERS, TUBING AND EQUIPMENT ARE INSPECTED DAILY TO INSURE THEIR
INTEGRITY.
Release Containment
01/03/2001
IF LEAK OR SPILL IS DETECTED, CONTAINMENT MATERIAL WILL BE PLACED AROUND
AREA OF LEAK OR SPILL TO KEEP IF FROM SPREADING. EQUIPMENT WILL BE TURNED
OFF TO STOP FLOW OF MATERIAL. DIAGNOSTIC.~MI~¡NG WIL~ BE NOTIFIED TO MAKE
NEEDED REPAIRS. ~ov...~c::.~ol"\.tL- \:;k<5-\-n.(.O.. '(... t'tdhf'ol ~}Q.-"
Clean Up 01/03/2001
~W~(1'NL \~~...~ +t\:\-.{'\CI i ~1'tS'"
~DIACÞJ08TIC I~~GING WILL CLEAN UP ANY SPILLED MATERIALS AND DISPOSE OF IT. IF
A RELEASE OF MATERIAL HAS OCCURED, THE PROPER AUTHORITIES WILL BE NOTIFIED.
PHOTOGRAPHIC FIXER WASTE IS REMOVED ON A 6 WK BASIS.
Other Resource Activation
-6-
09/16/2003
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NAGEMENT PLAN
~'3L.\: uS
INSTRUCf¡ONS: ~ø \
1. To avoid further action, return this form within 30 days of receipt.
2. TYPEIPRINT ANSWERS IN ENGLISH.
3. Answer the questions below for the business as a whole.
4. Be as brief and concise as possible.
5. You may also attach Business Owner / Operator Form and Chemical Description Form(s)
to the front of this plan instead of completing SECTION I..below for initial submission.
--
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CITY OF BAKERSFIELD
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Av , CA (661) 326-3979
SECTION I: BUSINESS IDENTIFICATION DATA
BUSINESS NAME: Q ~\ (J, Ç, L<'\ M':::J 'Þ, ( , . (' k, 'ö ~ f<>-<A <'> ~ 1:" c .
LOCATION: -S:ö 0/ sf-ad cQ_c: \~, \du.J~
MAILING ADDRESS: s~~
CITY: ßl~ STATE: (',-ê- ZIP:9ß<5~ PHONE:~/f
PRIMARY ACTIVITY: ~'I ~r"> ~ \'-c- ct-or-
,,'
OWNER: Q&u \ (.., lA ì "~'õ '{) G
MAILING ADDRESS:. SG-.-~
PHONE: ~ ~ '3 -I Gf<L
EMERGENCY NOTIFICATION
.. CONTACT
1. ~I}\J GLL\^~\5 Ðc.
2. fj [\f\C!- ~G...('C' ~\ G-..
TITLE
BUS. PHONE
24 HR. PHONE
G~I'~, i3J-IOlf-
r~5 -(G (~
6~~~ ~o...St I f'~ \-(61 R
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HAZARDOUS MATERIALS MÁNAGEMENT PLAN
, ........ ""I' .,
SECTION 11.1: DISCOVERY AND NOTIFICATIONS
A. LEAK DETECTION AND MONITORING PROCEDURES:
s<::k\'~ C:oh ~\ <,~p~ , Q<1, v-.:l ~ ~~~ IT '"'- ~ Î f\ ~ q ~ : t\-:\ "5 l' ~; 1I ~
ì I'S ~'-~ ¢c, \~c-.\c.s c-C>lo~ w~~(y\,\ c.. ~'"\ ~, G:.~ 6Jb C\of~ ltl~J ~
~ ,e (ß' I ~ 0..-£) O~~ Sltr \) \ ú...., ~è fV\. ~ <'-va- \ I}J '¡ C....S V\as1-i. c... 't:^"'("~ ì ^~ ~ ~
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B. EMPLOYEE AND AGENCY NOTIFICATION:
\J\~X~\À)jk,~'i~ ~~
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~-t ~ F\~ ~.~-t (~Iì,!c'w,.,J;<f),,\
S~Î\)'\U2A-- ~ cL.o k. ~
C. ENVIRONMENTAL RESPONSE MANAGEMENT:
\J(l ~~~ \ ç;1.A-~"~ ~ ~\,e~ ~o",i~ ~ ~ ~
C~f- ~ ~ &4 ~ (µ).- c..öY\~cJf- ~~
~
D.· EMERGENCY MEDICAL PLAN:
(1Y\'~\0't~~ F~\r.£k~ Kli-\A ,~~ J
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':' HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION II.2: RELEASE RESPONSE PLAN
A. HAZARD ASSESSMENT AND PREVENTION MEASURES:
~~c::..s +\~ \). C) ( -r- CQV'\.~l(\.Q..~ ~ ~ ¢Or Co [\ e.~ì('n,\ ~
~~r~ ~~ '~~(5to'Sr~~\'-'~0 ..çl\l-.~~ W~S~ I ~~,^~·(l'\.trS' ~ ~~c.o~~;;~
c::..af'..~'~"'~ -\0 {:)\lð~~ \«u-h a~.Ç' ~ ~ Ihr,\ ~V\~,'t(,\~rJ' 1 ~L ¡ "h'q..9-4. v-.~f """Cù\,ç;}- C'\.A.Q.....,
·\~s ~<t..&'~ ~ -To \"~~f ~ ~ \^ ~s \'å,-¡
B. RELEASE CONTAINMENT AND/OR MITIGATION:
'(L~ ~~Spìll ~~ ICOY\~,~~~~",<\- Î"~-À w--01 k ~
~ ~-I-b ~~ ~ ~ \~ Cd- ~'"'" ~~. (1. \A~f~~~
~~ ~ ~~. ~ -\:9> ~ ~[(J\JJ '1 ~((.J~r\~. yJì c-'S hG~ì/-;C- I.~
~ ~ ~ ~ Î1'eJ~~ ~~-..s ~ \J
C. CLEAN-UP AND RECOVERY PROCEDURES: A
DiO-<)f\ört'"v L~c:...~¡~ ~ ~'-^-~ ~~ 0cv+~('~~ ~&.l~
~.~ " ~ C-.. \~ ~ \fv\c-J-~.1. k~ (J GC~~ I ~ ~ ~~ \1J-'Gtt
~~,
~ "<:I~"" ~~~\V ~,~~\ ~ 'It) (,~~\I~ ~ c....... ~ w\c. ~
UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY)
NATURALGASIPf:0PANE: Ol\.,~ç~(.eu R.~d(.,~ - Of\ w('~~ <;;'I~'L .,
~:~Cf~t:~~:- ?j'~~~:::-;,';.~ (~~:~"^ \ J;. ~M~ .Ni~
SPECIAL:
LOCK BOX: YE~ IF YES,LOC~TION:
PRIVATE FIRE PROTECTIONIW A TER AVAILABILITY'
A. PRIVATE FIRE PROTECTION: Fì(u'" ..r¿~\-i"Sv..lr~ J-ft.J...Q S'Urit(er ru,~'^-...
B. WATERAVAILABILITY(FIREHYDRANT): ow!- 6~J..,,~ ~ E~s;4- '\i~
3
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., HAZARDOUS MATERIALS MANA GEM T PLAN
~i
SECTION III: TRAINING
NUMBER OF EMPLOYEES: i
MATERIAL SAFETY DATA SHEETS ON FILE: Yç¿~
BRIEF SUMMARY OF TRAINING PROGRAM:
r,^,-~l~ ~ ~~ \J~(tb~ l~1.N ~ íQ..S~()r-eQ ~ Co. ~ <"'~f;,1/1
~~~rcic~s ~C1...~~r·\~· \ \~ ~ro c~ ~ d/J..ò &Q C'v--crr- s-f-r~
~ ~ ~ (\I.J.-^,\'~(,.f 0'\ j() 'Se 0(:..', ~ ~ k t'o<t-i'£)i~ <>^.9... fG' ~ k.D - .
If r--~\ò~ ~ ~ ~ ~ "ð"", c...o~~.:i ~~f ro~ wht, \l.M.-U ~
ç:y..JL{! ~a\ .fer V\<J.-- f ~~ .\ &-\S ~ {l~
A
CERTIFICATION
I, ~ (}U\ ç, <..:\ ~ ~ . CERTIFY THAT THE ABOVE INFORMATION
IS ACCURATE. I UND RSTAND THAT THIS INFORMATION 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 INFORMATION CONSTITUTES PERJURY.
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SIGNATURE
OW~Qr
, TITLE
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DATE
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I
. BUSINESS OWNER I OPERATOR IDENTIFICATION
FACILITY INFORMATION
e CITY OF BAKERSFIEL.:e
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., CA 93301 (661) 326-3979
Page _ or
: FACILITY ID #
. I. FAèll_íTYÎÖ~EN+I~íCATION 'a'¡~;, '"",~;~'.
···'.f ..:~ ·.'f;~"'-.;~~_,-'j;,;,_i. ~,..' .....,.,"'......<_._;:...._... .... .....,.... "',".' ,','-
1 Year Beginning 100 Year Ending
;;tOO!}
3 BUSINESS PHONE
~G/- F:s]-/o/f
101
102
103
l<t~
<S
~ ZIP 91
106 SIC CODE
(4 Digit #)
____,____.'.v.____._"______.
105
107
I
106 :
I
I CONTACT MAILING
I ADDRESS s: c....
I CITY
119 :
!
, I
122 I
129 !
TITLE 125 TITLE 130 i
126 131 ¡
I
127 24-HOUR PHONE 132 ¡
128 PAGER #
, ,.
~
I J.--f' - C> Q)
136 TITLE OF OWNER/OPERATOR
I
I
135 ¡
I
¡
137/
I
Certification: Based on my Inquiry of those Individuals responsible for obtaining the Information, I certify under penalty of law that I have personally examined
and am familiar with the information submitted In this inventory and believe the Information Is true, accurate, and complete.
SIGNATURE OF WNERJOPERATOR DATE 134 NAME OF DOCUMENT PREPARER
UPCF (7/99)
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e CITY OF BAKERSFIELoe
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., CA 93301 (661) 326-3979
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HAZARDOUS MATERIALS INVENTORY
CHEMICAL DESCRIPTION
DADO
200
D DELETE
D REVISE
"~;'!~~?'t~S)~;~~"YF: .«~':',:~~)~f;~. +,;::+:~!,{:':~),~~:,f;:~~::'..h'~'-:,~?f~ ';¡:-: '
. fAc::ILITY;,INfQRMA TION,.'~;?~ .'..~».},;::;::"~;.... .,:"
203
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I CHEMICAL NAME
1~£;;:;'.,.Æ~~.,~ç{/r/:,,>,·'t~~;;';f~i~~~' ~i~:; .::",",' ¡-j ':'~:""':~'-'>:~'lb:L,~':3~'~;~' ,/;; .".,'
:ÇHEMIC~t.: INFORMA TION;'J¡:'';~'¡:J i"'~; r
;, ,j'~ .',.....:;,..,:'¡,:",,, 'I:'~ ',~.;~,,~ ~"" ~;' ~~ .....,. ,',' V',I;, , ,: '.'~.~ 'cL :~' ':f "t,., .:}
D Yes D No 206 I
If Subject to EPCRA. refer 10 instructions
207
I COMMON NAME
EHS·
(one form per material per buildIng or aree)
Page -L 'of
DYes DNo
I
3 ,
I
I
I
202 I
-----1
204 I
o Yes~No 208
:yr.:-':,.·.. (.¡{i;';!..~;',\."\ ,'-,' :.";>.~' . -:,.<~'
209 ;. °If EHS íi'Y es, ., alllIIIOIÍDIS bèlow íinist be in Ibs.
" ' i,~.Úì'; ::?~,,\ t';:,,:'~ "~; ':, . ~,\ \~~'~~$;; ,'.
i CAS#
,
r FIRE CODE HAZARD CLASSES (Complete I requested by local fire chIef)
I
ì
I TYPE 0 p PURE 0 m MIXTURE
I
!'
~w WASTE 211 RADIOACTIVE DYes
ONo
212
CURIES
..
210 ,
213 j
I
-j
215 '
I PHYSICAL STATE
I
i'--
I
o 8 SOLID ~ LIQUID
o 9 GAS
214 LARGEST CONTAINER ..s
o 5 CHRONIC HEALTH
216
FED HAZARD CATEGORIES
(Check all Ihat apply)
ANNUAL WASTE
AMOUNT
o 1 FIRE 0 2 REACTIVE
o 3 PRESSURE RELEASE
o 4 ACUTE HEALTH
217 MAXIMUM
DAILY AMOUNT
218' AVERAGE
DAILY AMOUNT
UNITS·
o ga GAL D ct CUFT
. If EHS. amount must be In Ibs.
o In TONS
o Ib L8S
STORAGE CONTAINER
(Check aI/thaI apply)
...:8t e PLASTIClNONMETALLlC DRUM
Of CAN
o 9 CARBOY
o h SILO
o a ABOVEGROUND TANK
o b UNDERGROUND TANK
o c TANK INSIDE BUILDING
o d STEEL DRUM
o I FIBER DRUM
OJ BAG
Ok BOX
D I CYLINDER
o m GLASS 80TTLE
o n PLASTIC BOTTLE
o 0 TOTE BIN
o p TANK WAGON
STORAGE PRESSURE
~a AMBIENT
~ a AMBIENT
o ba BELOW AMBIENT
o c CRYOGENIC
225
o aa ABOVE AMBIENT
D ba BELOW AMBIENT
STORAGE TEMPERATURE
o aa ABOVE AMBIENT
219 STATE WASTE CODE 220 I
·221
DAYS ON SITE
222
o q RAIL CAR
o r OTHER
223
224
226
227 o Yes 0 No 228
231 DYes 0 No 232
235 DYesONo 236
239 DYes 0 No 240
243
2
230
3
234
4
.238
5
242
229
233
237
241
245
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FIRE CHIEF
RON FRAZE
ADMINISTRATIVE SERVICES
2101 oH" Street
Bakersfield. CA 93301
VOICE (661) 326-3941
FAX (661) 395-1349
SUPPRESSION SERVICES
2101 oH" Street
Bakersfield, CA 93301
VOICE (661) 326-3941
FAX (661) 395-1349
PREVENTION SERVICES
1715 Chesler Ave.
Bakersfield. CA 93301
VOICE (661) 326·3951
FAX (661) 326'0576
ENVIRONMENTAL SERVICES
1715 Chesler Ave,
Bakersfield, CA 93301
VOICE (661) 326,3979
FAX (661) 326-0576
TRAINING DIVISION
5642 Victor Ave.
Bakersfield. CA 93308
VOICE (661) 399,4697
FAX (661) 399,5763
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October 31, 2000
Paul Guiney, D.C.
5001 Stockdale Hwy.
Bakersfield, CA 93309
RECENEO
DEC , 9 ~nnn
~ð~'CES
EN"\~"~' ~r.,f1
Dear Dr. Guiney:
Waste x-ray developer "fixer" solution is a considered a hazardous waste
because of the levels of silver in the waste which have been found to be
toxic. Typically, the fixer waste is collected in a plastic jug or silver
recovery process unit located near or below the x-ray developing machine.
The Bakersfield Fire Department Office of Environmental Services is the
Certified Unified Program Agency (CUP A) which regulates the handling
of all hazardous wastes generated in the City of Bakersfield. In order for
your business to be properly permitted, PleaSPlete and return the
enclosed forms as well as site diagram with n 30 ys of receipt of this
letter.
A newsletter, fact sheet and hazardous waste label are included for your I c.... s - [)
benefit. Please ensure that the waste fixer container is properly label~t e..J(
all times. We also require that the container be placed within a tray to T r~
contain any leaks or spills of the hazardous waste. \)
Thank you for your prompt attention to these forms and diagram. If you
have any questions please call me at 326-3979.
Sincerely,
IJ... 'I..
C)(þ
t.A.,.
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c::p{cJ~ ,~
Howard H. Wines, III
Hazardous Materials Specialist
HHW led
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