HomeMy WebLinkAboutHAZ-WASTE INSP 1/29/1998
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rrl Floor, Bakersfield, CA 93301
FACILITY NAME
INSPECTION DATE
Section 4:
Hazardous Waste Generator Program
EPA ID #
o Routine
o Combined
o Joint Agency
o Multi-Agency
o Complaint
ORe-inspection
OPERATION C V COMMENTS
Hazardous waste determination has been made
EPA ID Numbcr (Phone: 916-324-17Rl to obtain EPA ID #)
Authorized for waste treatment and/or storage
Reported release, tire, or explosion within 15 days of occurance
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
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 tilters
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
Determ ines if waste is restricted from land disposal
C=Compl iance
V=Vjo!ation
Inspector:
Oftìce of Environmental Services (805) 326-3979
White - Env. Svcs.
Business Site Responsible Party
Pink - Business Copy
~~~~.......--.--:::;:::-:::==-= - ~~~--:---:.............~---_--.:...-...-..~-~---.,-....,-,-_"",:"~-':_-_._--,.__...",""---..:-..::;..,",",,,, ;"'-~~"._~~.:-:...._-~;;;~......:'
Diagnostic Radiology
Nuclear Medicine
Ultrasound
Mammography
CT Scan
MRI
Lenny Kushman, C.N.M.T., A.R.R.T.
Chief Technologist, Nuclear Medicine
Truxtun Radiology
Medical Group
(805) 325-6800
FAX (805) 325-4734
~-1817 Truxtun Avenue, Bakersfield, CA 93301-,
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME
INSPECTION DATE
Section 5:
o Routine
Hazardous Waste Tier Permit Treatment Program
o Combined 0 Joint Agency 0 Multi-Agency
o Complaint
ORe-inspection
Onsite Treatment Unit Tier:
DPBR DCA DCESW
Unit number & name:
o CESQT 0 CEL
o CECL
OPERATION C V COMMENTS
All hazardous wastes treated are generated onsite
Onsite treatment notification forms available and complete
Onsite treatment unit tier and/or count is correct on form
Unit number is correct on notification form
Number of tanks or containers is correct on form
Treatment monthly volume is correct on form
Waste identification & treatment is correct on form
Complies with residual management requirements
Properly closed a treatment unit
Complies with tank and containment certification
Developed and maintains a written inspection log
Meets pretreatment standards for waste discharge
Developed and maintains a Closure Plan on site IPBRI
Developed and maintains a Waste Analysis Plan and Waste Analysis
Records IPBRI
Maintains Training Records on site IPBRI
Obtained local permits for treatment operations IPBRI
Identifies and labels Treatment Units IPBRI
C=Compliance
V=Violation
Inspector:
Office of Environmental Services (805) 326-3979
Business Site Responsible Party
CA=Conditionallyauthorized
CECL=Conditionally exempt commercial laundry
CEL=Conditionally exempt limited
White· Env. Svcs.
CESW=Conditionally exempt specified wastestream
CESQT=Conditionally exempt small quantity treatment
PBR=Pennit by rule
Pink· Business Copy
5T :~.:- ~F 1~lIF~RNIA-ENVIRONMENT AL PROT,E
OEP~RTMENT OF TOXIC SUBS
-
~ I
PETE WILSON. Governor
CES CONTROL '
Q
CHECKLIST AND INITIAL VERIFICATION INSPECTION REPORT FOR
Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers
FACILITY NAME: Jí.u~ Ion. I?a.dr"% 1 '1 EPA ID NUMBER: C llt.. CJtJOð 1 '7~...:< II
PHYSICAL ADDRESS: /<6/7 Trv¥fh", I7ve. t!5c..kFr5hi-l,þ ll7. '133ö(
FACILITY CONTACT-NAME: H¡i::/r flø.ç.ff PHONE: ý(5) 3"<S'-f,,gtJò
SIC CODE(S): ~Dll INSPECTION DATE: \.hl1, ':<.3) 17"15 Local II
NOTIFIED UNIT COUNT:
CORRECT UNIT COUNT:
PBR
PBR
CA
CA
CESW --L-
CESW -1-
CESQT _
CESQT _
TOTAL -L-
TOTAL -1-
,F
This checklist and inspection report identify violations 'of state law regarding onsite treaters of hazardous waste,
operating under an onsite pennitting tier. This inspection verifies the infonnation provided on fonn DTSC 1772. It also
covers generator requirements, although a separate checklist may be used for those requirements. A checkmark indicates
violation of the law, which are explained in more detail on the attached note sheets. The governing laws are the Health and
Safety Code (HSC) and Title 22 of the California Code of Regulations (22 CCR).
//
Generator Standards: /..---"--
Each inspecrion agency may use rheir own generaror inspecrion checklisr or protocols. which are summarized below. A full
evaluarion of each irem or documenr is nor conducred during rhe Verificarion Inspecrion, unless serious deficiencies are suspecred.
NO
1. ðA
Contingency plan has been prepared (adequately minimize releases, has alarm/communication
system, lists emergency equipment and phone numbers for emergency coordinators).
Written training documents and records prepared for employees handling hazardous waste.
Meet container management standards (storage time limits, closed, labelled, compatibility,
inspected weekly, in good condition, with ignitables/reactives 50 feet from property line).
Meet tank management standards (either secondary containment or integrity assessments, plus
storage time limits, labelled, compatibility, inspected daily, in good condition, with
ignitables/reactives 50 feet from property line).
All wastes are properly identified.
2'óf¡
3.011..
4. J(lf-f
5. 0"
Treatment Items-Facility Wide: (Facility musr submir a revised Form 177210 correcr errors or omissions.)
6. Pfc All units under PBR, CA, and CE are properly indicated on Form DTSC 1772. (Add any new
units with unit sheets or correct tier on the unit sheet.)
7. OK All generator identification information on Form DTSC 1772 is correct.
8. Of.., The submitted plot plan/map adequately shows the location of all regulated units.
9. DR There are records documenting compliance with sewer agency pretreatment standards and
industrial waste discharge requirements, where applicable.
1O.ð'" Generator has prepared/maintained source reduction documents requirements (SB 14/SB
1726). For many wastes, a checklist or plan is required only if annual hazardous waste volume
is over 5,000 kilograms (approx 11,000 pounds or 1,350 gallons). HSC 25244.15, 25244.19-.21
For CA or PBR notifiers:
11.k'tf The generator has an annual waste minimization certification. (PBR submit with renewals.)
Onsite Checklist (A)
Page 1 of -L-
August 2, 1994
! ST ATE OF CALIFORNIA-ENVIRONMENTAL PROTE
PETe WILSON. Governor
"",:"
- ~
DEPAR'TMENT OF TOXIC SUBST CES CONTROL
~
CHECKLIST AND INITIAL VERIFICATION INSPECTION REPORT FOR
Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers
UNIT SHEET
Complete one unit sheet for each unit either listed in the notification or identified during the inspection.
Unit Number: ¡:¡.
Notified Tier: C E5l.V
Unit Name: £/VN' pf~ CD (/pr 'j
Correct Tier:
Notified Device Count:
Correct Device Count:
Tanks I
Tanks -è
Containers f
Containers J
For each Unit:
NO
v
../
-1.L'
v
12.0/ All hazardous wastes treated are generated onsite.
13. The unit notification is accurate as to the number of tank(s) and/or container(s).
14. trr The estimated notification monthly treatment volume is appropriate for the indicated tier.
15. The waste identification/evaluation is appropriate for the tier indicated.
16. The wastestream(s) given on the notification fonn are appropriate for the tier.
17. The treatment process( es) given on the notification fonn are appropriate for the tier.
18. The residuals management infonnation on the fonn is correct and documented for the unit.
19. The indicated basis for not needing a federal permit on the notification fonn is correct.
20. There are written operating instructions and a record of the dates, volumes, residual
management, and types of wastes treated in the unit.
21. There is a written inspection schedule (containers-weekly and tanks-daily).
22 There is a written inspection log maintained of the inspections conducted.
23. If the unit has been closed, the generator has notified DTSC and the local agency of the
closure.
For each CA or PBR unit:
24. óV~The generator has secondary containment for treatment in containers.
For each PBR unit:
25. There is a waste analysis plan
26.N0 There are waste analysis records.
27. There is a closure plan for the unit.
Unit Comments/Observations: (If this is a unit that was not included on the notification form. the violation is operating
without a permit-HSC 25201 (a). Also note if the activity is currently ineligible for onsite authorization.)
Onsite Checklist (B)
Page +- of J-
August 2, 1994
5T ATE OF CALIFORNIA-ENVIRONMENTAL PROTÈ N AGENCY
~
DEPARTMENT OF TOXIC SUBSTANCES CONTROL
PETE WILSON, Governor
.
CHECKLIST AND INITIAL VERIFICATION INSPECTION REPORT FOR
Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers
SIGNATURE SHEET
Onsite Recycling: Only answer. if this facility recycles more than 100 kilof!rams/monrh of hazardous waste onsite.
NO
28. Ofì. The appropriate local agency has been notified. HSC 25143.10
29. Activities claimed under the onsite recycling exemption are appropriate. HSC 25143.2 et sec.
Releases:
If there has been a release, provide the following information: number of releases, date (s) , type(s) and quantity of
materials/waste, and the causers). Use unit sheet or aaach additional pages.
YES-
30'M Within the last three years, were there any unauthorized or accidental releases to the
ð environment of hazardous waste or hazardous waste constituents from onsite treatment units?
31. Within the last three years, were there any unauthorized or accidental releases
to the environment of hazardous waste or hazardous waste constituents from any location at
this facility?
For purposes of a Tiered Pennitting inspection, an unauthorized and/or accidental
release to the environment does not include spills contained within containment systems.
This report may identify conditions observed this date that are alleged to be violations of one or
more sections at the California Health and Safety Code (HSC) or the California Code of Regulations,
Title 22 (22 CCR) relating to the management of hazardous waste. The violations may be described in
more detail on the attached note sheets. If any violations are noted, the facility is required to the submit
a signed Certification of Return to Compliance within 60 days, unless otherwise specified. (A
certification fonn is provided.) If any corrections are needed to the initial notification, the facility will
submit a revised notification within 30 days to the Department of Toxic Substances Control with a copy
to the local enforcement agency.
Inspector(s) :
Lead Inspector: H
Signature: /15:.' 6 /: -.5)
Print Name: j).:: J.....s t./. li (-
Title: )f&(:¡ <,(l'cP()VS 5,-, b" ¡""tce; ~k:'" IJ5 -f
Agency: Þr¡:,{. Tc,Y/~ ..5¿¿ l51c,4/r..s <'::,t..-lrD I
Phone Number: ';;0'/ j;l '11-3 7{Ó
Other Inspector:
Signature:
Print Name:
Title:
Agency:
Phone Number:
Facility Representative:
Your signature acknowledges
t of this report and does not imply agreement with the findings.
Print Name: ;f: Uc- ~~/I""--
Date: I /W /ç .J-
Signature:
Title:
Onsite Checklist (C)
Page -L of L
August 2, 1994
5T 1J:E qF ,Ç(-l).F0RNIA-ENVIRONMENT AL PRO ION AGENCY
), ~~.. \ --
.
PETE WILSON, Governor
DEPARTMENT OF TOXIC SUBSTANCES CONTROL
e
CHECKLIST AND INITIAL VERIFICATION INSPECTION REPORT FOR
Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers
NOTE SHEET
This sheet includes inspector observations and expands upon the violations identified on the checklist (by number). In some
cases, it indicates how the facility should correct the violations. It also includes the lI£lmes of any others participating in this inspection.
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Onsite Checklist (D)
Page -L of J-
August 2, 1994
--..- --.-----:-;;;~-.....,.,.----
-;:"::-,,,
~~~\,Ç;~L!FORN~A'ENVIR~NMENT AL PROT
-. - ~, .,
DEPÀRTMENT OF TOXIC SUeST
CES CONTROL
PETE WILSON. Governor
TIERED PERMITTING
CERTIFICATION OF RETURN TO COMPLIANCE
For Pennit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers
In the matter of the Violation cited on : l \ 1....~ \ Ç-S-
As Identified in the Inspeètion Report dated \ \ t..l ( ~ J
Conducted by : yt'"J7'ï loÇ Ïbx:;¡;-c. .PC/IS sn<wCC'-') c C1 "'TYt..4L
(agency(s))
I certify under penalty of law that:
1. Respondent has corrected the violations specified in the notice of violation
cited above.
2. I have personally examined any documentation attached to the certification to
establish that the violations have been corrected.
3. Based on my examination of the attached documentation and inquiry of the
individuals who prepared or obtained it, I believe that the information is true,
accurate, and complete.
4. I am authorized to fil~ this certification on beha}f of the Respondent.
5. I am aware that there are significant penalties for submitting false information,
including the possibility of fme and imprisonment for knowing violations.
L é"(;"{A"-P KC/JIfr... ~^'
Name (Print or Type) )
L~~~~r
Sig ture
S;q. ¡:::;'ry op¡::;.~ ~
Title
''1-(7... J /Rr
Date Signed
T(l () yr (/^/ !<Ao.Çot. ð/
Company Name
(' Þ=\ c... 0000 91-;; V-I.;
EPA ID. Number
DTSC-RETCOMP,CRT (8/94)
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0\(,011 i::SlTE0~~S 3~ASTE TREATMENT !TIFICATION FORM
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FACILITY SPECIFIC NOTIFICATION
For Use by Hazardous Waste Gcner.ltors Perfon1Úng Treatment
Under Conditional Exemption and Conditional Authorization,
and by PCrtIÚt By Rule Facilities
~
o
rnitial
Revised
Please r~er to the artached Instructions ~ore completing thisform. You may 1JCtif¡for more than ant! permitting tier by using this
no/iftcalionform, DTSC I m. You mUSI arlaeh a .reparare unit specific 1JC/ificarionformfor each unit ar /his loearion. There are
different unit specific notificationforms for tach ofthefour caregories and an additional1JCtificationformfor transportable treatme/1/
units (lTU's). You only have to submi/ forms for the tier(s) thar cover your unit(s). Discard or recycle the other unused form:;.
Number each page of your completed lIOtificarion package and indicare the total number of pages ar the top of each page altk
'Page _ of _ '. Put your EPA ID NumbO' on each page. Please provide all of the infomuuion requested; allfields must be
completed e;:cept those that stare 'if different' or 'if available'. Please type the informmion provided on this form and any
artachments.
The notificarion will not be considered complete without payment of/he appropriarefeefor each tiO' under which you are opO'!1.ting.
(Please note that the fee is pO' TIER not pO' UNIT. For example, if you opO'ate 5 units but thq are all Conditionally AUlhori:.ed,
you only ù¡;":; ;1,140, NOT 51Ïmt!;f $1,140. lfyo/¡l. operate airy Pl!rmit by Rule units and any units under Conditionai.";';.¡tiwri:.a1Ìo/1
you owe $2,280.) Cheder should be made payable to the Department of Toxic Substances COnITol and be stapkd to the top of this
form. Please write your EPA. lD NumbO' on the check. Fill in the check numbO' in the bo:t abow:.
..
1. NOTIF1CATION CATEGORIES
¡ndicare rhe number of units you operate in each riO'. This will also be rhe number of unit spedfic 1JCtificaJionforms you musr (urach.
CondiJionally E:u:mpt Small Quantiry Treat1nt!1lt operaJion.r may not Opera1e IIIÚtS lUldt!rarry odu:r tier.
A.
Conditionally Exempt-Small Quantity Treatment
(Form DTSC 1772A)
Fee per Tier
(nol ~r taUl)
$ 100
Nwnber of units and attached unit specific notifications
B.
-$..
Condi tionall y Exempt-spec/;ified.-.W'ãšt"'eštream
~ ~ce$ Cenlt
;o~.'(). ~ EnlorCIri?¡&/ ,1>.
Conditionally Autho' '.~.;) t;.<:.'ð é','....t;;;.
.~ ~'I> <ì! r'
~;;j ~"ª
Permit by Rule " 4 \
(Form DTSC 1772B)
$ 100
----
----
APR 0 81993
(Form DTSC 1772q
$1.140
C.
D.
(Form DTSC 1772D)
$1,140
---------
---------
L Total Number of Uni~ California D~ptH'mon'
~::\ 01 H~(l\lh f,\Jrvl~OU
GENERA TOR IDENTITICA TION $4 eRA WI ~ ~'\ 0
Total Fee Attached $ 1'00 .
II.
NAJ.\Π(Company or Facility)
(DBA-Doing Busincu ~)
PHYSICAL LoÇA TION
EPA ID NUMBER CAL 0 º- Q.. Q. ~ ~ ~ L ± BOE NUMBER (if available) H_.EC· _ _ _ _ _ _ __
Trl.Aj.h'^ ~'^--O,(.()/~ 'I
¡g/7 1(/JJ+~},L ,I
CITY
. ~Ck-WS~'¿ t ct.
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§1h.OJìÌ-l
(Firs!. . ¡me)
CA
ZIP ~D3C / -
For DTSC Us.: OrJy
RCgiOnL
COUNTY
CON! Acr PERSON
-r:€n\~ kJ'D~ PHONE NUMBER( ߌJ ) J3. ç - (~gcÖ
(US( ¡me)
DTSC 1772 (1/93)
Pag: 1
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MAn.ING ADDRESS, ~:
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tr
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COMPANY NAME (DBA)
~I)\ ~
STREET
CITY
STATE
ZIP
COUNTRY
(only çocnplcl4 if ¡ ()( USA)
CONTACT PERSON
PHONE NUMBERL-> .
(First Name)
(Lase Name)
ID. TYPE OF COl\1PANY: STANDARD INDUSTRIAL CLASSIFICATION (SIC) CODE:
Use either one or two SIC codes (a four digit munbà) thal best descriþe your company's products, services, or industriai activity.
\
Example:
First:
lli..L
P1wtofinishin~ lab
tlt~L~~ t c. \~lI\.ì ~s of
MeeCe" ì d- \Jcli.;~'<:;
3672
Printed drcuit boardr
7384
Second:
IV. PRIOR PERMIT STATUS: Chedc yes or no to each question:
YES
o Did you fiIe a PBR Notice of Intent to Operate (DTSC Form 8462) in 1992 for this location?
o Do you now have or have you ever held a state. or, federal hazardous waste facility full permit or interim
sums for any of these treatment units?
D Do you now have or have you ever held a sute or federal full permit or interim sUtus for any other
hazardous waste activities at this location?
o Have you ever held a variance issued by the Department of Toxic Substances Control for the treatment you
are now notifying for at this l0t4tion?
rEI Has this location ever been inspected by the sute or any local agency as a hazardous waste generator?
NO
~ 1.
Œ1 2.
[21 3.
m 4.
0 5.
V. PRIOR ENFORCE;\1L'IT IDSTORY: Not requiredfrom gasera:tors only notifying a.r œndi.tional1y acnpt.
YES
o
NO
rf1
Within the last three years, has this facility been the subject of any convictions, judgments, seulements, or fUla.l
orders resulting from an action by any local, state, or federal environmental, hazardous waste, or public he.alth
~nforcement agency?
(For the purposes of this form. a notice of violation does not constitute an order and need not be reported unless
it was not corrected and b.::c.ame a fin31 order.)
o
If you answered Yes. check this box and attach a listing of COQvictions, judgments, settlements, or orders and a copy
of the cover sbeet from each document. (See the Instructions for more information)
DTSC 1772 (1/93)
Page 2
...
. f .' EP-A ID NUMBER C-i\-L DO'l í( 2· '-t
VI. ATTACHl\-ŒNTS:
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Page 3 of ~
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ø
l.
2.
A plot plan/l113.p detailing the location(s) of the covered unit(s) in relation to the facility boundMies.
A unit specific notification form for each unit to be covered at this location.
VII. CERTmCA TIONS: ThLr form must be signed by an authorized corporate officer or arry other person in the comparry who
has operational con/rol and performs deci.rion-makingfunctions that govun operation ofthefaciliry (per title 22, California
Code of Regulations (CCR) section 66270.11). All three copies must have original s;gn.atsl1'a.
Waste Minimization I certify that I have a program in place to reduce the volume, quantity, and toxicity of waste generated to the
degree I have determined to be economically practicable and that I have selected the practicable method of treatment, storage, or
disposal currently available to me which minimizes the present and future threat to human health and the environment.
Tiered Pennittin2 Certification I certify that the unit or units described in these documents meet the eligibility and operating
requirements of state statutes and regulations for the indicated permitting tier, including generator and secondary containment
requirements. I understand that if any of the units operate under Permit by Rule or Conditional Authorization, I will also be required
to provide required financl¡J assunt:lCe5 l:y January 1, 1994, and conduct a Phase I environmentalassessmï:nt by january 1, 1995.
\
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance
\l,ith a system designed to assure that qualified persönnel properly gather and evaluate the information submitted. Based on my inquiry
of the person or persons who manage the system, or those directly responsible for gathering the information. the information is, to
the best of my knowledge and belief. tme, accurate, and complete.
I am aware that there are substantial penalties for submitting false information, including the possibility of fmes and imprisonment
for knowing violations.
_~h(tí^JP. ~r\~þ\-t',~O¡'\,
Name ( rint or Type!. ~..
" ) 1 /,(Ì. '1 /1 íJl.-,¡¡.,
Li.L '/ IJ / W~ L/1JS. )
Sj
D·ÇÇì ~ t Nl{iJry~{~ ~(
Title
1+- (-S3
Date Signed
OPERATING REQUIREMENTS:
Please note that gel¡eraIOrS trearing hazardous waste onsile are reqúired to comply with a number of operating requirements which
díJJer depending on the tia(s) under which one operates. These operaring requirements are setforrh in the statUles and regulations,
some of which are referenced in the Tier-Specific Factsheers.
SUBMISSION PROCEDURES:
You must submit two copÍe$ of this completed notification by cerrified mail, return receipt requested. to:
DeparrmenJ of T~c Substances Control
Form 1m
.Onsite Hazardous Wa.rte Trearmenl Unit
400 P Street, 4th Floor (walk in only)
P.O. Box 806
Sacramento, CA 95812..()8()6.
You must also submit OM COTJY of the notificarion and attachments to the local regulatory agency in your jurisdiction as listed in the
inslTUction materials. You must also retain a copy as parr of your opuating record.
All three forms must h.a.~ original signatures. not photocopies.
DTSC 1772 (1/93)
Page 3
CONDITIONAy EXE~ ~'SPECIF1ED 'ASTESTREAMS
UNIT SPECIFIC NOTIFICATION
(pursuant to Health and Safety Code Section 25201.5(c»
UNIT NAME S: I \J OC" r1.. "-ç CiI2 <>'V'I UNIT ID NUMBER
NUMBER OF TREATMENT DEVICES: --L Tank(s) -L Contm1er(s)
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Each unit must be clearly identified and labeled on lhe plot plan attached to F onn 1 m. Assign your own uniqru number 10 each
unit; The nwnber can be sequential (1, 2, J) or using any system you choose.
Enter the estimated monthly total volume of hazardous waste treared by this unit. This should be the maximum or highest amount
treated in any month. Indicate in the naT7'alive (Section II) if your operations have seasonal variations.
I. W ASTESTREAMS AND TREATMENT PROCESSES:
pounds andlor .12>0 gallons
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Estimated Monthly Total Volume Treated:
The following are the eligible wastestreams and treatment processes. Please check all applicable boxes:
1.
Treats resins mixed. in accordance with the manufacturer's instructions.
2.
Treat contaÍDers of 110 gallons or less capacity that contained hazardous waste by rinsing or physical processes,
such as crushing, shredding, grinding, or puncturing.
3.
Drying special wastes, as classified by the department pursuant to title 22, CCR, section 66261.124, by pressing
or by passive or heat-aided evaporation to remove water.
4.
Magnetic separation or screening to remove components from special waste, as classified by the department pursuant
to title 22, CCR, section 66261.124.
5.
Neutralize acidic or alkaline (base) wastes from the regeneration of ion exchange media used to demineralize water.
(This waste cannot contain more than 10 percent acid or base by weight to be eligible for conditional exemption.)
6.
Neutralize acidic or alkalÍDe (base) wastes from the food processing industry.
7.
Recovery of silver from photo finishing. The volume limit for conditional exemption is 500 gallons per generator
(at the same location) in any calendar month.
8.
Gravity separation of the following, including the use of flocculants and demulsifiers if
a. The settling of solids from the waste where the resulting aqueouslliquid stream is not hazardous.
b. The separatiqn of oil/water mixtures and separation sludges, if the average oil recovered per month is less
than 25 barrels (42 gallons per barrel).
9.
Neutralizing acidic or alkaline (base) Imtèr.ial by a state certified laboratory or a laboratory operated by an
educational institution. (To be eligible for conditional exemption, this waste cannot contain more than 10 percellt
acid or base by weight.)
DTSC I772B (1193)
Page 9
EPA i[; NUMB-ER C.At~?¿U(Çf"7(L Lf ' ,
COAIONALL y EXE~ - S~CIFIED W~AMS
UNIT SPECIFIC NOTIFICATION
(pursuant to Health and Safety Code Section 25201.S(c»
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II. NARRA TIVE DESCRIPTIONS: Provide a brief description of the spedfic waste treated and the trealment process used.
1. SPECIFIC WASTE TYPES TREATED: S¿QeV\ + u. ~êJ -r; '!..e.(/ f;è l-v'. WI. ~c{¡c<À..l
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2. TREATMENT PROCESS(ES) USED: lÀ'S(!.J h'-,:« 1'6 (;'I0:;·f-fy-e.'^-+eJ IV\. CÃ Sl/¡)~¡/
(~CÒLJ'<./I 0..\-'1\+ ,&cfV,) {C 1 V\. CA. (JJN) Co...lA.l'-I({/ G'G~ ~>cck\~~J."
m. RESIDUAL MANAGEME!'I'T: Check Yes or No to each question as it applies to all residuals from this trealment unit.
YES NO
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1. Do you discharge non-hazardous aqueous waste to a publicly owned treatment works (POTW)/sewer?
2. Do you discharge non-hazardous aqueous waste under an NPDES permit?
3. Do you have your residual hazardous waste hauled offsite by a registered hazardous waste hauler?
If you do, where is the waste sent? Check allth!lt apply.
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a.
Offsite recycling
b.
Thermal treatment
c.
Disposal to land
d.
Further treatment
4. Do you dispose of non-hazardous solid waste residues at an off site location?
5. Other method of disposal. Specify:
IV. BASIS FOR NOT NEEDING A FEDERAL PER!\fiT:
In order to demonstrale elig ibiIiry for one of the onsite trearment tiers, facilities are required to provide the basis for determining thaI
a hazardous waste permit is not required under the federal Resource Conservarion and RecoYf!1'Y Act (RCRA) and the fetkral
regularions adopted under RCRA (TItle 4(J, Code of Federal RegulaJions (CFR)).
Choose the reason(s) tlw.1 describe the opera/ion o/your onsite trea/ment units:
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2.
DTSC 1772B (1/93)
The hazardous waste being treated is not a hazardous waste under federal law although it is regulated as a hazardous
waste under California state law.
The waste is treated in wastewater treatment units (tanks), as defined in 40 CFR Part 260.10, and discharged to a
publicly owned treatment works (P01W)/sewering agency or under an NPDES permit. 40 CFR 264. 1 (g)(6) and
40 CFR 270.2.
Page 10
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EPA [D NUMBER
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CONDITION ALL Y EXE:'vœr . SPECIFIED W ASrESTREAMS
UNIT SPECIFIC NOTIFICATION
(pursuant to Health and Safety Code Section 2S20t.5(c»
Page j¡¿ of i
IV. BASIS FOR NOT NEEDING A FEDERAL PERMIT: (continued)
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3.
The waste is treated in elementary neutralization units, as defined in 40 CFR Part 260.10, and discharged to a
POTW/sewering agency or under an NPDES permit. 40 CFR 264.1(g)(6) and 40 CFR 270.2.
4.
The waste is treated in a totally enclosed treatment facility as defined in 40CFR Part 260.10; 40 CFR 264.1 (g)(5).
5.
The company generates no more than 100 kg (approximately 27 gallons) of hazardous waste in a· calendar month
and is eligible as a federal conditionAlly exempt small quantity generator. 40 CFR 260.10 and 40 CFR 261.5.
6.
The waste is treated in an accumulation tank or container within 90 days for over 1000 kg/month generators and
130 or 270 days for generators of 100 to 1000 kg/month. 40 CFR 262.34,40 CFR 270. 1 (c)(2)(i) , and the Preamble
to the March 24, 1986 Federal Register.
7.
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Recyclable materials are reclaimed to recover economically significant amounts of silver or other precious metals,
40 CFR 261.6(a)(2)(iv), 40 CFR 264.1 (g)(2), and 40 CFR 266.70.
Empty container rinsing and/or treatment. 40 CFR 261.7.
Other. Specify:
V. TRAJ.'iSPORTABLE TREATMENT UNIT: Check Yes or No. Please refer to the Instructionsfor more informaJion.
YES NO
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DTSC 17ï2B (lí93)
Is this unit a Transportable Treatment Unit?
If you answer;ed yes, you must also complete and attach Fonn 1772E to this page.
The Tier-SpOOfic Factsheets contain a summary of the operating requirements far-this category.
Pte.3sé review those requirements carefully before completing or submitting this notificatiôn package.
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TRUXT. RADIOLOGY MEDICAFROUP
DEPARTMENT OF NUCLEAR MEDICINE
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POLICIES AND PROCEDURES
SUBJECT: FIRE SAFETY
REVISED: 2/2/93
R.S.O.
Each employee shall attend an annual fire safety INSER VICE.
The proper response to fire or smoke is R.A.e.E.
R = Remove patients immediately ITom fire or smoke area.
A = Place fire alarm with the operator and give her the exact location.
C = Contain the smoke or fire by closing all doors to rooms and corridors.
E = Extinguish the fire, (when safe to do)
1. Remove individuals from the immediate fire and smoke area. Always remove
people before placing fire alarm.
2. Place the fire alarm by calling the operator at ext 100. Be sure to take this step
immediately after rescuing , so that appropriate emergency response personnel
are notified and can start to the scene of the fire.
3. Contain the fire and smoke by closing all the doors in the area.
4. After all the doors are closed in the fire area, attempt to extinguish the fire if it
is safe to do so. All employees shall be familiar with the location and
operation of fire extinguishers through the fire safety program.
5. If the fire or water threatens your area, initiate the following procedures;
A. Remove all patients from the fire area.
B. Turn off all x-ray equipment and main line switches for all equipment,
however, leave all lights on.
e.' - Turn off all water in the darkroom. Turn off all fans, blowers and dryers.
D. Remove all records (identified for removal) ITom the building or fire area.
E. Place all other records in file and storage areas as space provides.
F. Keep telephone lines clear.
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G.
H.
Close all de. .
Use the fire extinguisher until the arrival of the Fire ~artment ifit is
safe to do so. .
6. If the fire is not in your area, be alert, be guided by the instructions of the
supervisor In your area.
rl Supervisors will direct activities of the staff members in their areas.
( 1 ) Assign personnel to take fire extinguishers and report to the scene
of the fire.
(2) Calm and reassure any patients who may be in your area.
(3) Turn off all equipment at the main switches.
(4) Turn off all water in the darkroom. Turn off fans, blowers and
dryers.
(5) Assign personnel to close all doors, file cabinets, etc.
Remember that the patients and their families will react to you. STAY CALM If you are in
doubt of what you should be doing or where you should be, check with your supervisor.
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TRUXTtþ¡ RADIOLOGY MEDICA~ROUP
1817 TRUXTUN AVE
BAKERSFIELD, CA 93301
POLICIES AND PROCEDURES
SUBJECT: EVACUATIONPLAN
REVISED:
01/01/96
R.S.O.
During the course of your employment with TRMG, it might become necessary to evacuate the
facility due to fire, bomb threat, or chemical hazard rrom the railroad. To assure that you are able
to accomplish this with as little panic as possible, TRMG has developed the following plan for
evacuating the facility.
1.
Patients and personnel in the west wing of the facility, this includes X-ray, CT,
patient waiting room, the breakroom, doctor's reading room and darkroom are
the exit at the south end of the building, or the exit in the patient waiting
to use
area.
2. Patients and personnel in the MRI suite and Dr. Shah's office should use the
exit by the time clock.
3. Patients and personnel in the rront office, waiting area, and children's playroom
can exit out of the closest exit from the lobby.
4. Patients and personnel in the Women's center, U.S., Nuclear Medicine, and Dr.
Patel's office should use the exit at the east end of the building in Nuclear
Medicine.
5. Personnel who are on the second floor should use either set of stairs and exit
from either the door by the time clock or the rront door.
It is the responsibility of all personnel to assure that all patients are escorted out of the building to
a safe area. ALL PERSONNEL AND PATIENTS ARE TO MEET IN THE
PARKING LOT ADJACENT TO DR. PRAGATI PATEL"S OFFICE ON THE EAST SIDE.
ACROSS THE ALLEY.
EACH SUPERVISOR IS RESPONSffiLE FOR MAKING A FINAL CHECK IN THEIR
AREA TO ASSURE THAT NO ONE IS LEFT BEHIND.
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INDUSTRIAL WASTEWATER DISCHARGE PERMIT
City of Bakerstield
Public Works Department
Wastewater Division
Permit Number:
2-BK-P033
PERMITTEE MUST READ THIS MATERIAL IN ITS ENTIRETY
Business Name:
Truxtun Radiology Medical Group
Surcharge Account: 7333 - 11530
Responsible Official:
Rick Hurst
Title:
Manager
Facility Address:
1817 Truxtun Ave.. Bakersfield. CA 93301
MaiHng Address:
1817 Truxtun Ave.. Bakersfield. CA 93301
The above Industrial Vser (IV) is hereby authorized to discharge industrial wastewater to the City of
Bakersfield sewerage system subject to said IV's compliance with the City's Municipal Code Chapter
14.12, any applicable provisions of Federal or State law or regulation, the terms and conditions set
forth herein, and any laws that may become effective throughout the duration of this permit.
Noncompliance with any term or condition of this permit shall constitute a violation of the City's
Municipal Code Chapter 14.12.
This permit is granted in accordance with the survey/application filed with the City of Bakersfield on
January 1. 1995 and in conformity with data submitted to the City in support of the above
survey/application.
Effective Date:
June 1. 1996
Expiration Date:
June 30. 1999
Recommended Approval by:
{\* 0. i);.,,~
., Joe Turner
Wastewater Superintendent
c;-3D-Qc.,
Date
Approved by:
/ 2-'1.. /L, /~
Ratxl M. Rojas, Public Works Director
Fred Kloepper, Wastewater Manager
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Date
Page 1 of 2
Revised May 30. 1996
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Permit No. 2-BK.P033
PART A: WASTEWATER DISCHARGE LIMITATIONS AND MONITORING REQUIREMENTS
1. Description of Outfall
Outfall
Description
1
Samples shall be taken after the final stage of each silver recovery treatment system prior
to discharging into any sewer drain. Complete sets of composite and grab samples must be
taken from each distinct silver recovery system.
2. During the effective period of this permit, or until further notice, the discharge shall not exceed the
following effluent limitations.
DAILY SAMPLE SAMPLE EPA TEST
PARAMETER MAX FREQUENCY TYPE METHODS (1)
Flow (2) Daily Estimate/Log
pH 5.0-12.0 (3) units 4/year Grab (4) 150.1
Silver (Ag) < 5.0 mg/L 4/year Composite (5) 272.1,272.2,200.7
(1) See 40CFR Part 136, Table IB for approved test procedure cross reference.
(2) Currently no flow limit, IU may use chemical purchase records to estimate average daily discharge.
(3) Minimum Federal pH limit is 5.0 units.
(4) Must be measured on-sité immediately after sampling.
(5) A minimum of four time or flow proportional samples shall be taken over daily duration
of discharge to generate the composite sample.
Note:
All samples shall be collected, preserved, and analyzed in accordance with the procedures established in 40
CFR Part 136 and amendments thereto.
PART B: SPECIAL CONDITIONS/COMPLIANCE SCHEDULES
1. Records detailing methods of recycle, re-use, or disposal of materials such as spent fixer and developer must
be maintained at the permitted site for at least three (3) years. Any records involved in any enforcement
action with local, state, or federal agencies shall be maintained until all proceedings are finalized.
2. Permitted IU must implement and maintain a periodic self-testing procedure to check silver content in treated
effluent with a low concentration silver test indicator (i.e. 0-15 parts per million-ppm).
Note: ppm is approximately equal to milligram per liter (mg/L).
3. All self-monitoring results submitted to the City must include copies of the most recent waste manifests and/or
liquid waste disposal receipts.
4. The discharger shall comply with the Standard Provisions and Reporting Requirements dated October 1, 1996
which are part of this Permit.
Page 2 of 2
Revised August 12. t997
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CIlY OF BAKERSFIELD 4t
WASTEWATER DIVISION
STANDARD PROVISIONS AND REPORTING REQUIREMENTS
FOR
INDUSTRIAL WASTEWATER DISCHARGE PER.i\1ITS
OCTOBER 1, 1996
PART I: STANDARD PROVISIONS
SECTION A. GENERAL CONDITIONS
1. Severability
The provisions of the Industrial Wastewater Discharge Permit are severable, and if any provision
of the permit, or the application of any provision of the permit to any circumstance, is held invalid,
the application of such provision to other circumstances, and the remainder of the permit, shall not
be. affected thereby.
2. Duty to Comply
The Industrial User (IU) must comply with aU conditions of the permit. Failure to comply with
the requirements of the permit may be grounds for administrative action, or enforcement
proceedings including civil or criminal penalties, injunction relief, and summary abatements.
3. Duty to Mitigate
The IU shall take all reasonable steps to minimize or correct any adverse impact to the public
treatment plant or the environment resulting from noncompliance with the permit, including such
accelerated or additional monitoring as necessary to determine the nature and impact of the
noncomplying discharge.
4. Permit Modification
a) The terms and conditions of the permit may be subject to modifications by the City at any time
as limitations or requirements, as identified in the Bakersfield Municipal Code (BMC) Chapter
14.12, are modified or other just cause exists.
b) The permit may also be modified to incorporate special conditions resulting from the issuance
of a special order.
c) The terms and conditions may be modified as a result of the EPA promulgating new federal
pretreatment standards.
d) Any permit modifications which result in new conditions in the permit shall include a
reasonable time schedule for compliance if necessary.
C:\S93\STDPROV.PMT
Page 1 of 8
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STANDARD PROVISIONS ANL. {{EPORTING REQUIREMENTS -
SECflON A. GENERAL CONDITIONS (Continued)
5. Permit Termination
The permit issued to the IV by the City may be revoked when, after inspection, monitoring or
analysis, it is determined that the discharge of wastewater to the public sewer is in violation of
federal, state, or local laws, ordinances, or regulations. Additionally, falsification or intentional
misrepresentation of data or statements pertaining to the permit application or any other required
reporting form, shall be considered sufficient cause for permit revocation.
6. Property Rights
The issuance of the permit does not convey any property rights of any sort, or any exclusive
privileges, nor does it authorize any injury to private property or any invasion of personal rights,
nor any violation of Federal, State, or local laws or regulations.
7. Limitation on Pennit Transfer
The penn it becomes void upon change of owner/operator, operations, or location of an existing
facility. Change of ownership shall obligate the new owner to seek prior written approval of the
City for continued discharge to the sewerage system.
8. Duty to Reapply
If the ID wishes to continue an activity regulated by the permit after the expiration date of the
permit, the IU must submit an application for a new permit at least ninety (90) days before the
expiration date of the permit.
9. Continuation of Expired Permits
An expired permit will continue to be effective and enforceable until the permit is reissued if:
a) The IV has submitted a complete permit application at least ninety (90) days prior to the
expiration date of the user's existing permit.
b) The failure to reissue the permit, prior to expiration of the previous permit, is not due to any
act or failure to act on the part of the rD.
10. Dilution
No IV shall increase the use of potable or process water or, in any way, attempt to dilute an
effluent as a partial or complete substitute for adequate treatment to achieve compliance with the
limitations contained in the permit.
SECI10N B. OPERATION AND MAINTENANCE OF POLLUTION CONTROLS
1. Proper Operation and Maintenance
The IV shall at all times properly operate and maintain all facilities and systems of treatment and
control (and related appurtenances) which are installed or used by the IU to achieve compliance
C:\S93\STDPROV.PMf
Page 2 of 8
STANDARD PROVISIONS At REPORTING REQUIREMENTS e
SECfION B. OPERATION AND MAINTENANCE OF POLLUTION CONTROLS (continued)
with the conditions of the permit. Proper operation and maintenance includes but is not limited
to: effective performance, adequate funding, adequate operator staffing and training, and adequate
laboratory and process controls, including appropriate quality assurance procedures. This provision
requires the operation of back-up or auxiliary facilities or similar systems only when necessary to
achieve compliance with the conditions of the permit.
2. Duty to Halt or Reduce Activity
Upon reduction of efficiency of operation, or loss or failure of aU or part of the treatment facility,
the IU shall, to the extent necessary to maintain compliance with its permit, control its production
or discharges (or both) until operation of the treatment facility is restored or an alternative method
of treatment is provided. This requirement applies, for example, when the primary source of power
of the treatment facility fails or is reduced. It shall not be a defense for an IU in an enforcement
action that it would have been necessary to halt or reduce the permitted activity in order to
maintain compliance with the conditions of the pennit.
3. BY9ass of Treatment Facilities
a) Bypass is prohibited unless it is unavoidable to prevent loss of life, personal injury, or severe
property damage or no feasible alternatives exist.
b) The IU may allow bypass to occur which does not cause effluent limitations to be exceeded,
but only if it is also for essential maintenance to assure efficient operation.
c) Notification of bypass:
(1) Anticipated bypass. If the IU knows in advance of the need for a bypass, it shall submit
prior written notice, at least ten days before the date of the bypass, to the City.
(2) Unanticipated bypass. The IU shall immediately notify the City and submit a written
notice to the POTW within 5 days. This report shall specify:
(i) A description of the bypass, and its cause, including its duration;
(ii) Whether the bypass has been corrected; and
(iii) The steps being taken or to be taken to reduce, eliminate and prevent a
reoccurrence of the bypass.
4. Removed Substances
Solids, sludge, filter backwash, or other pollutants removed in the course of treatment or control
of wastewaters shall be disposed of in accordance with Section 405 of the Clean Water Act and
subtitles C and D of the Resource Conservation and Recovery Act.
C:\S93\STDPRQV.PMT
Page 3 of 8
- -
STANDARD PROVISIONS AN.... REPORTING REQUIREMENTS
SECfION C. MONITORING AND RECORDS
1. Representative Sampling
Samples and measurements taken as required herein shall be representative of the volume and
nature of the monitored discharge. All samples shall be taken at the monitoring point(s) specified
in the permit and, unless otherwise specified, before the effluent joins or is diluted by any other
wastestream, body of water or substance. All equipment used for sampling and analysis must be
routinely calibrated, inspected and maintained to ensure their accuracy. Monitoring point(s) shall
not be changed without notification to and the approval of the City.
2. Flow Measurements
If flow measurement is required by this permit, the appropriate flow measurement devices and
methods consistent with approved scientific practices shall be selected and used to ensure the
accuracy and reliability of measurements of the volume of monitored discharges. The devices shall
be installed, calibrated, and maintained to ensure that the accuracy of the measurements are
consistent with the accepted capability of that type of device. Devices selected shall be capable of
measuring flows with a maximum deviation of less than 10 percent from true discharge rates
throughout the range of expected discharge volumes.
3. Analytical Methods to Demonstrate Continued Compliance
All sampling and analysis required by the permit shall be performed in accordance with the
techniques prescribed in 40 CFR Part 136 and amendments thereto, otherwise approved by EP A,
or as specified in the permit.
4. Additional Monitorine: bv the IV
If the IV monitors any pollutant more frequently than required by the permit, using test procedures
identified in Section C.3 above, the results of this monitoring shall be included in the IV's self-
monitoring reports.
5. Inspection and Entry
The IV shall allow the City, or an authorized representative, upon the presentation of credentials
and other documents as may be required by law, to:
a) Enter upon the IV's premises where a regulated facility or activity is located or conducted, or
where records must be kept under the conditions of the permit;
b) Have access to and copy, at reasonable times, any records that must be kept under the
conditions of the permit;
c) Inspect at reasonable times any facilities, equipment (including monitoring and control
equipment), practices, or operations regulated or required under the permit;
d) Sample or monitor, for the purposes of assuring permit compliance, any substances or
parameters at any location; and
C:\593\STDPROV.PMT
Page 4 of 8
STANDARD PROVISIONS A' REPORTING REQUIREMENTS e
SECTION c. MONITORING AND RECORDS (Continued)
e) Inspect any production, manufacturing, fabricating, or storage area where pollutants, regulated
under the permit, could originate, be stored, or be discharged to the sewer system.
6. Retention of Records
a) The IV shall retain records of all monitoring information, including aH calibration and
maintenance records and all original strip chart recordings for continuous monitoring
instrumentation, copies of all reports required by the permit, and records of all data used to
complete the application for the permit, for a period of at least three (3) years from the date
of the sample, measurement, report or application.
This period may be extended by request of the City of Bakersfield at any time.
b) All records that pertain to matters that are the subject of special orders or any other
enforcement or litigation activities brought by the City shall be retained and preseJVed by the
IV until all enforcement activities have concluded and all periods of limitation with respect to
any and all appeals have expired.
7. Recording of Results
For each measurement or sample taken pursuant to the requirements of the permit, the IV shall
record the foHowing information:
a) The date, exact place, time, and methods of sampling or measurements, and sample
preservation techniques or procedures;
b) Who performed the sampling or measurements;
c) The date(s) the analyses were performed;
d) Who performed the analyses;
e) The analytical techniques or methods used; and
t) The results of such analyses.
8. Falsifying Information or Tampering with Monitoring Equipment
Knowingly making any false statement on any report or other document required by the permit or
knowingly rendering any monitoring device or method inaccurate, is a crime and may result in the
imposition of criminal sanctions and or civil penalties.
C:\S93\STDPROV.PMI'
Page 5 of 8
STANDARD PROVISIONS t~ REPORTING REQUIREMENTS-
PART II: REPORTING REQUIREMENTS
1. The IV shall notify the City at (805) 326-3249 immediately upon any accidental or "slug" discharge
to thc public sewer of any material whose nature and quantity might be reasonably judged to
constitute a hazard to Public Works personnel, treatment works, or the environment, or which
results in a temporary noncompliance with Categorical Pretreatment standards or local limits. The
notification shall include location of discharge, date and time thereof, type of waste, including
concentration and volume, and corrective actions taken. The IV's notification of accidental releases
in accordance with this section does not relieve it of other reporting requirements that arise under
local, State, or Federal laws. Fonnal written notification describing circumstances and remedies
shall be submitted to the City within five (5) days of the occurrence.
Slug Load - Any pollutant (including Biochemical Oxygen Demand) released in a discharge at a
flow rate or concentration which will cause a violation of the specific discharge prohibitions in 40
CFR 403.5(b) to 403.12(f).
2. If a compliance schedule is issued, the IV shall submit a progress report to the City no later than
fourteen (14) days following each date in the compliance schedule. This report must indicate
whether or not the increment of progress was met on the date, the reason(s) for any delay, and
what steps are being taken by the IV to return to the schedule established. In no event shall more
than three (3) months elapse between such progress reports to the City. Within ninety (90) days
following the final compliance date as specified, the IV shall submit a final compliance report. The
IV will be required to sample its wastewater for the pollutants specified in Part A.2 of the pennit,
and report compliance. Any reasons for not complying and any steps being taken by the IV to
comply shall be part of the report.
3. The IV's self-monitoring results obtained shall be submitted prior to the end of each monthly,
quarterly, or semiannual sampling period in conjunction with the sampling frequencies in Part A.2
of the pennit. The reports shall indicate the nature and concentration of all pollutants in the
effluent for which sampling and analyses were perfonned during the months directly preceding the
submission of each report. The following certification statement shall be submitted with all self-
monitoring reports in accordance with Bakersfield Municipal Code Section 14.12.325(A6):
"] certify under penalty of law that this document and all attachments were prepared under my
direction or supervision in accordance with a system designed to assure that qualified personnel
properly gather and evaluate the information submitted. Based on my inquiry of the person or
persons who manage the system, or those persons directly responsible for gathering the information,
the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
] am aware that there are significant penalties for submitting false information, including the
possibility of fine and imprisonment for knowing violations."
If the IV monitors any pollutant more frequently than required by the pennit, using test procedures
prescribed in 40 CFR Part 136 or amendments thereto, or otherwise approved by EP A or as
specified in the pennit, the results of such monitoring shall be included in any calculations of actual
daily maximum. The results shall be reported in the monthly, quarterly, or semiannual report.
4. All reports shall be submitted to the following address:
City of Bakersfield
Wastewater Division
8101 Ashe Road
Bakersfield, CA 93313
C:\S93\STDPROV.PMr
Page 6 of 8
, STANDARD PROVISIONS ,~ REPORTING REQUIREMENTS.
PART III: ADDITIONAL REPORTING REQUIREMENTS
1. Planned Changes
The IV shall give notice to the City 90 days prior to any facility expansion, production increase, or
process modifications which results in new or substantially increased discharges or a change in the
nature of the discharge.
2. Anticipated Noncompliance
The IU shall give advance notice to the City of any planned changes in the pennitted facility or
activity which may result in noncompliance with pennit requirements.
3. Automatic Resampling
If the results of the IU's wastewater analysis indicates a violation has occurred, the IV must notify
the City within 24 hours of becoming aware of the violation and repeat the sampling and pollutant
analysis and submit, in writing, the results of this repeat analysis within 30 days after becoming
aware of the violation.
4. Signatory Requirements
a) All applications, reports, or infonnation submitted to the City must be signed by the
responsible official as designated on page 1 of the pennit, or by a duly authorized
representative of the individual designated on page 1 of the pennit.
b) If the representative named in 4(a) above as principal signatory is no longer responsible for
such, the IV shall submit written notification to the City stating the newly authorized
representative's name and title. The notification must be submitted to the City prior to or
together with any reports to be signed by an authorized representative.
5. Operatin~ Vpsets
Any IU that experiences an upset in operations that places the IV in a temporary state of
noncompliance with the provisions of either the pennit or with Bakersfield Municipal Code Chapter
14.12, shall infonn the City within 24 hours of becoming aware of the upset.
A written follow-up report of the upset shall be filed by the IU with the City within five days. The
report shall specify:
a)
Description of the upset, the cause(s) thereof and the upset's impact on the IV's
compliance status;
b)
-Duration of noncompliance, including exact dates and times of noncompliance, and if not
corrected, the anticipated time the noncompliance is expected to continue; and
c)
AJI steps taken or to be taken to reduce, eliminate and prevent recurrence of such an
upset.
C:\593\STDPROV.PMT
Page 7 of 8
· . STANDARD PROVISIONS 'J REPORTING REQUIREMENTS-
PART III: ADDITIONAL REPORTING REQUIREMENTS (continued)
The report must also demonstrate that the treatment facility was being operated in a prudent
workmanlike manner.
A documented and verified operating upset shall be an affirmative defense to any enforcement
action brought against the IV for violations attributable to the upset event.
6. Annual Publication
A list of all IV's which were subject to enforcement proceedings during the twelve (12) previous
months shall be annually published by the City in the largest daily newspaper within its seIVÏce area.
Accordingly, the IV is apprised that noncompliance with the permit may lead to an enforcement
action and may result in publication of its name in an appropriate newspaper in accordance with
this section.
7. Civil and Criminal Liability
Nothing in the permit shall be construed to relieve the IV from civil and/or criminal penalties for
noncompliance under Bakersfield Municipal Code Chapter 14.12 or State or Federal laws or
regulations.
8. Penalties for Violations of Permit Conditions
The Bakersfield Municipal Code Section 14.12.410 provides that any person who violates a permit
condition is subject to a civil penalty not to exceed Twenty-Five Thousand Dollars ($25,000) per
day of such violation. Any person who willfully or negligently violates permit conditions is guilty
of a misdemeanor, and upon conviction is punishable by a fine not to exceed One Thousand
Dollars ($1,000), imprisonment not to exceed six (6) months, or both. The IV may also be subject
to sanctions under State and/or Federal law.
9. Recovery of Costs Incurred
In addition to civil and criminal liability, the IV violating any of the provisions of the permit or the
Bakersfield Municipal Code Chapter 14.12 or causing damage to or otherwise inhibiting the City's
wastewater disposal system shall be liable to the City for any expense, loss, or damage caused by
such violation or discharge. The City shall bill the IV for the costs incurred by the City for any
cleaning, repair, or replacement work caused by the violation or discharge. Refusal to pay the
assessed costs shall constitute a separate violation of Bakersfield Municipal Code Section 14.12.410.
10. Confidential Information
Except for data determined to be confidential under Bakersfield Municipal Code Section 14.12.130,
all reports required by the permit shall be available for public inspection at the office of the
Wastewater Division in accordance with 40 CFR 403.14(b). -
C:\593\STDPROV.PMr
Page 8 of 8
TRlJ;fG
e e
TRUXTUN RADIOLOGY MEDICAL GROUP
Hazardous Materials Clean-up
Revised:
1/6/97, 1/6/98
~lrJ lì46-v~
Each employee will attend an in service on Hazardous Materials annually.
The first step is CONT AINMENT. As soon as a spill of any kind has occurred, insure that there is as
minimal spread as possible. This can be done by pouring Cat litter completely around the spill. The cat litter
can be found in each darkroom and by each laser camera. Pour as much litter as needed, in this case more is
better.
Remove all patients from the area of the spill so that they are not exposed to any of the fumes that may be
present.
To insure that you are not exposed to any unnecessary chemicals, please wear gloves, goggles, filtration
mask, disposable coverall, and disposable booties.
Notify the lead tech for that area, as well as the safet officer.
Slowly sweep t e cat litter towards the center of the spill with the broom provided for this purpose. Allow as
much time as necessary for the cat litter to absorb to the spíll. When you feel that the cat litter has absorbed
all the of the spill, sweep up the litter using the dustpan attached to the broom and place it in the red waste
can provided. When the spíll is completely dry, place all of the disposables you are wearing in the can as
well. (EXCEPT FOR THE GOGGLES).
7. If during the course of cleaning of the spill, you get some of the chemicals on you, IMMEDIATELY report it
to you lead technologist. Flush the area with water, and have a doctor look at the site. If you splash some of
the chemical into your eyes, there is an eye wash station in the Women's center darkroom. You must fill out
an incident report, and then be sent to seen by a doctor.
8. Seal the can and place it in the nuclear medicine department for pick up by BFI Medical Waste.
9. An incident report must be filled out, by the technologist that cleaned up the spill. One copy goes to the
Safety Officer, a copy to the Administrator, and a copy to the Comptroller.
w~/ ù-Q
f>~S
TRAfG
e e
TRUXTUN RADIOLOGY MEDICAL GROUP
Hazardous Materials
Revised:
l/6/97, l/6/98
1. All hazardous chemicals are stored in containers adjacent to each of the x-ray processors.
2. All of the x-ray processors have been installed in accordance with local codes. The are vented directly out of
the building.
3. The chemical byproducts of processing film is filtered through an approved waste treatment system. These
tanks are changed on a quarterly basis by Jim Warren X-ray Solution Service.
4. In accordance with state, county and city regulations, the waste water leaving the treatment system is
monitored quarterly. Samples are taken and sent to the lab for analysis. These report are verified and sent to
the county.
5. The closed treatment tanks are stored in the facility for no longer than 30-60 days after closer. They are
disposed of by Jim Warren X-ray Solution Service. A copy of the manifest is kept on file both here and with
Jim Warren X-ray Solution Service.
"'-
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;.--
4IÞ MATERIAL SAFETY DATA SHEE~
000000401/F/USA - D-0028.615
Approval Date: 06/22/1994
Print Date: 06/25/1994
Page 1
------------------------------------------------------------------------------
1. CHEMICAL PRODUCT AND COMPANY IDENTIFICATION
Product Name: KODAK RP X-OMAT LO Fixer and Replenisher Working Solution
Catalog Number(s):
884 4664 - To Make 16,800 gallon (U.S.) - Part A
883 0747 - To Make 2,400 gallon (U.S.)
853 7136 - To Make 2,400 gallon (U.S.)
831 2373 - To Make 200 gallon (U.S.) - Part A
842 4855 - To Make 200 gallon (U.S.) - Part A
121 2448 - To Make 20 gallons (U.S.)
840 0251 - To Make 10 gallons (U.S.)
849 3553 - To Make 4 gallons (U.S.)
852 2492 - To Make 16,800 gallons (U.S.) - Part B
180 5159 - To Make 100 gallons (U.S.) - Part B
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Manufacturer/Supplier: EASTMAN KODAK COMPANY, Rochester, New York 14650
For Emergency Health, Safety & Environmental Information, call: 716-722-5151
For Other Information, call the Marketing and Distribution Center in Your
Area.
Synonym (s) :
KAN 965573, D-0028.615; Contains: PCD 5869 - Part A, PCD 5597 -
Part B
------------------------------------------------------------------------------
2. COMPOSITION/INFORMATION ON INGREDIENTS
Weight % - Component - (CAS Registry No.) - EC Classification*
80-90
10-15
1-5
< 1
< 1
< 1
Water (007732-18-5)
Ammonium thiosulfate (007783-18-8)
Acetic acid (000064-19-7)
Ammonium sulfite (010196-04-0)
Sodium acetate (000127-09-3)
Aluminum sulfate (010043-01-3)
------------------------------------------------------------------------------
3. HAZARDS IDENTIFICATION
LOW HAZARD FOR RECOMMENDED HANDLING
HMIS Hazard Ratings:
Health - 0, Flammability - 0, Reactivity - 0, Personal Protection - B
NFPA Hazard Ratings:
Health - 1, Flauunabil i ty - 0, Reactivity (Stabi Ii ty) - 0
e
MATERIAL SAFETY DATA SHEET4IÞ
~
000000401/F/USA - D-0028.615
Approval Date: 06/22/1994
Print Date: 06/25/1994
Page 2
------------------------------------------------------------------------------
NOTE: HMIS and NFPA ratings involve data and interpretations that may vary
from company to company. They are intended only for rapid, general
identification of the magnitude of the specific hazard. To deal adequately
with the safe handling of this material, all the information contained in this
MSDS must be considered.
------------------------------------------------------------------------------
4. FIRST-AID MEASURES
Inhalation: Move to fresh air. Treat symptomatically. Get medical attention if
symptoms occur.
Eyes: Immediately flush with plenty of water for at least 15 minutes. Get
medical attention if symptoms occur.
Skin: Wash with soap and water. Get medical attention if symptoms occur.
Ingestion: Drink 1-2 glasses of water. Seek medical attention.
------------------------------------------------------------------------------
5. FIRE FIGHTING MEASURES
Extinguishing Media: Use appropriate agent for adjacent fire.
Special Fire-Fighting Procedures: Wear self-contained breathing apparatus and
protective clothing. Fire or excessive heat may produce hazardous
decomposition products.
Hazardous Combustion Products: None (noncombustible), (see also Hazardous
Decomposition Products section)
Unusual Fire and Explosion Hazards: None
------------------------------------------------------------------------------
6. ACCIDENTAL RELEASE MEASURES
Flush to sewer with large amounts of water. Otherwise, absorb spill with
vermiculite or other inert material, then place in a container for chemical
waste. Clean surface thoroughly to remove residual contamination.
------------------------------------------------------------------------------
7. HANDLING AND STORAGE
Personal Precautionary Measures: Use with adequate ventilation. Wash
thoroughly_after handling.
Prevention of Fire and Explosion: Keep from contact with oxidizing materials.
Storage: Keep container tightly closed. Keep away from incompatible substances
(see Incompatibility section).
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4IÞ MATERIAL SAFETY DATA SHEET4IÞ
000000401/F/USA - D-0028.615
Approval Date: 06/22/1994
Print Date: 06/25/1994
Page 3
------------------------------------------------------------------------------
------------------------------------------------------------------------------
8. EXPOSURE CONTROLS/PERSONAL PROTECTION
Exposure Limits:
ACGIH Threshold Limit Value (TLV):
Acetic acid: 25 mg/m3 TWA; 37 mg/m3 STEL
Aluminum sulfate: 2 mg/m3 TWA, as Al soluble salts
OSHA (USA) Permissible Exposure Limit (PEL - 1971 Table Z-l Values):
Acetic acid: 25 mg/m3 TWA
Aluminum sulfate: 15 mg/m3 TWA, as Al metal total dust; 5 mg/m3 TWA, as Al
metal respirable fraction
Ventilation: Good general ventilation (typically 10 air changes per hour)
should be used. Ventilation rates should be matched to conditions.
Respiratory Protection: None should be needed.
Eye Protection: It is a good industrial hygiene practice to mInImIze eye
contact. Wear safety glasses with side shields (or goggles).
Skin Protection: It is a good industrial hygiene practice to mInImIze skin
contact. For operations where prolonged or repeated skin contact may occur,
impervious gloves should be worn.
Recommended Decontamination Facilities: Eye bath, washing facilities, safety
shower
------------------------------------------------------------------------------
9. PHYSICAL AND CHEMICAL PROPERTIES
Physical Form: Liquid
Color: Colorless
Odor: Odorless
Specific Gravity (water = 1): 1.085
Vapor Pressure at 20 C (68 F): 24 mbar (18 mm Hg)
Vapor Density (Air = 1): 0.6
Volatile Fraction by Weight: 80 %
Boiling Point: >100 C (>212 F)
Solubility in Water: Complete
pH: 4.35
Flash Point: None, noncombustible liquid
------------------------------------------------------------------------------
4IÞ MATERIAL SAFETY DATA SHEET4IÞ
000000401/F/USA - D-0028.615
Approval Date: 06/22/1994
Print Date: 06/25/1994
Page 4
------------------------------------------------------------------------------
10. STABILITY AND REACTIVITY
Stability: Stable
Incompatibility: Strong acids, bases, sodium hypochlorite (bleach), strong
oxidizing agents
Hazardous Decomposition Products: Ammonia, chloramine, nitrogen oxides (NOx) ,
sulfur dioxide
Hazardous Polymerization: Will not occur.
------------------------------------------------------------------------------
11. TOXICOLOGICAL INFORMATION
Effects of Exposure:
Inhalation: Expected to be a low hazard for recommended handling.
Eyes: No specific hazard known. May cause transient irritation.
Skin: Low hazard for recommended handling.
Ingestion: Expected to be a low ingestion hazard.
------------------------------------------------------------------------------
12. ECOLOGICAL INFORMATION
This section has not been completed.
------------------------------------------------------------------------------
13. DISPOSAL CONSIDERATIONS
Discharge, treatment, or disposal may be subject to national, state, or local
laws. Flush to sewer with large amounts of water.
------------------------------------------------------------------------------
14. TRANSPORT INFORMATION
- For transportation information regarding this product, please phone the
Eastman Kodak Distribution Center nearest you: Rochester, NY (716) 588-3536
or 588-3573 or 588-3035; Oak Brook, IL (312) 954-6000; Chamblee, GA (404)
455-0123; Dallas, TX (214) 241-1611; Whittier, CA (213) 945-1255; Honolulu,
HI (808) 833-1661.
-
------------------------------------------------------------------------------
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4IÞ MATERIAL SAFETY DATA SHEET4IÞ
000000401/F/USA - D-0028.615
Approval Date: 06/22/1994
Print Date: 06/25/1994
Page 5
------------------------------------------------------------------------------
15. REGULATORY INFORMATION
- Material(s) known to the State of California to cause cancer: None
- Material(s) known to the State of California to cause adverse reproductive
effects: None
- Carcinogenicity Classification (components present at 0.1% or more):
- International Agency for Research on Cancer (IARC): None
- American Conference of Governmental Industrial Hygienists (ACGIH): None
- National Toxicology Program (NTP): None
- Occupational Safety and Health Administration (OSHA): None
- Chemical(s) subject to the reporting requirements of Section 313 or Title
III of the Superfund Amendments and Reauthorization Act (SARA) of 1986 and
40 CFR Part 372: None
------------------------------------------------------------------------------
16. OTHER INFORMATION
US/Canadian Label Statements:
LOW HAZARD FOR RECOMMENDED HANDLING
Keep out of reach of children.
For additional information, see Material Safety Data Sheet (MSDS) for this
material.
Additional hazard precautions for containers greater than 1 gallon of liquid
or 5 pounds of solid:
IN CASE OF SPILL: Absorb spill with inert material, then place in a
chemical waste container. Flush residual spill or area with water. For
large spills, dike for later disposal. Prevent runoff from entering
drains, sewers, and streams.
------------------------------------------------------------------------------
The information contained herein is furnished without warranty of any kind.
Users should consider these data only as a supplement to other information
gathered by them and must make independent determinations of suitability and
completeness of information from all sources to assure proper use and disposal
of these materials and the safety and health of employees and customers and
the protection of the environment. The information relating to the working
solution is for guidance purposes only, and is based on correct mixing and use
of -the product according to instructions.
4IÞ MATERIAL SAFETY DATA SHEE~
200000418/F/USA - C-0133.500D
Approval Date: 02/16/1994
Print Date: 02/19/1994
Page 1
------------------------------------------------------------------------------
1. CHEMICAL PRODUCT AND COMPANY IDENTIFICATION
Product N arne : KODAK RP X-OMAT Developer Replenisher Working Solution
Catalog Number (s) : 124 9259 - To Make 10 gallons (U. S . )
171 6828 - To Make 20 gallons (U. S . )
i:' 131 8989 - To Make 200 gallons (U. S . ) - Part A
0
0 817 0748 - 200 gallons (U . s . )
0 To Make - Part A
I~ 0\
.... 162 0509 - To Make 200 gallons (U. s . ) - Part B & C
....
I I
IV 851 2295 - To Make 2400 gallons (U. S . )
I
.... 859 7494 - To Make 2400 gallons (U. S . )
....
I 831 7018 - 5400 gall ons (U. S . )
.... To Make - Part B
\Q
841 4161 - To Make 5400 gall ons (U.S.) - Part C
Manufacturer/Supplier: EASTMAN KODAK COMPANY, Rochester, New York 14650
For Emergency Health, Safety & Environmental Information, call: 716-722-5151
For Other Information, call the Marketing and Distribution Center in Your
Area.
Synonym(s):
KAN 441665, C-0133.500, Contains: PCD 5468 - Part A, PCD 5228 -
Part B, PCD 5250 - Part C
------------------------------------------------------------------------------
2. COMPOSITION/INFORMATION ON INGREDIENTS
Weight 7. - Component - (CAS Registry No.)
85-90
5-10
2
1-5
1-5
1-5
Water (007732-18-5)
Potassium sulfite (010117-38-1)
Hydroquinone (000123-31-9)
Potassium acetate (000127-08-2)
Glutaraldehyde bis (sodium bisulfi te) (007420-89-5)
Potassium hydroxide (001310-58-3)
------------------------------------------------------------------------------
3. HAZARDS IDENTIFICATION
WARNING] CONTAINS: Hydroquinone (000123-31-9), potassium hydroxide
(001310-58-3)
CAUSES SKIN AND EYE IRRITATION
MAY CAUSE ALLERGIC SKIN REACTION
HMIS Hazard Ratings:
Health - 2, Flammability - 0, Reactivity - 0, Personal Protection - C
NFPA Hazard Ratings:
Health - 1, Flammability - 0, Reactivity (Stability) - 0
·
MATERIAL SAFETY DATA SHEET4IÞ
~
200000418/F/USA - C-0133.500D
Approval Date: 02/16/1994
Print Date: 02/19/1994
Page 2
------------------------------------------------------------------------------
NOTE: HMIS and NFPA ratings involve data and interpretations that may vary
from company to company. They are intended only for rapid, general
identification of the magnitude of the specific hazard. To deal adequately
with the safe handling of this material, all the information contained in this
MSDS must be considered.
------------------------------------------------------------------------------
4. FIRST-AID MEASURES
Inhalation: Move to fresh air. Treat symptomatically. Get medical attention if
symptoms occur.
Eyes: Immediately flush with plenty of water for at least 15 minutes. Get
medical attention.
Skin: Immediately flush with plenty of water and wash with a non-alkaline
(acid) type of skin cleaner. If skin irritation or an allergic skin reaction
develops, get medical attention. Remove contaminated clothing and shoes. Wash
contaminated clothing before reuse. Destroy or thoroughly clean contaminated
shoes.
Ingestion: Drink 1-2 glasses of water. Seek medical attention.
------------------------------------------------------------------------------
5. FIRE FIGHTING MEASURES
Extinguishing Media: Use appropriate agent for adjacent fire.
Special Fire-Fighting Procedures: Wear self-contained breathing apparatus and
protective clothing. Fire or excessive heat may produce hazardous
decomposition products.
Hazardous Combustion Products: None (noncombustible), (see also Hazardous
Decomposition Products section)
Unusual Fire and Explosion Hazards: None
------------------------------------------------------------------------------
6. ACCIDENTAL RELEASE MEASURES
Flush to sewer with large amounts of water. Otherwise, absorb spill with
vermiculite or other inert material, then place in a container for chemical
waste. Clean surface thoroughly to remove residual contamination.
------------------------------------------------------------------------------
7. HANDLING AND STORAGE
Personal Precautionary Measures: Avoid contact with eyes, skin, and clothing.
Use with adequate ventilation. Wash thoroughly after handling. The routine use
o
e
MATERIAL SAFETY DATA SHEE IÞ
200000418/F/USA - C-0133.500D
Approval Date: 02/16/1994
Print Date: 02/19/1994
Page 3
------------------------------------------------------------------------------
of a nonalkaline (acid) type of hand cleaner and regular cleaning of working
surfaces, gloves, etc. will help minimize the possibility of a skin reaction.
Prevention of Fire and Explosion: No special precautionary measures should be
needed under anticipated conditions of use.
~ Storage: Keep container closed. Keep away from incompatible substances (see
o
~ Incompatibility section).
~
~
I
~ ------------------------------------------------------------------------------
I
~ 8. EXPOSURE CONTROLS/PERSONAL PROTECTION
I
~
~
Exposure Limits:
ACGIH Threshold Limit Value (TLV):
Hydroquinone: 2 mg/m3 TWA
Potassium hydroxide: 2 mg/m3 Ceiling
OSHA (USA) Permissible Exposure Limit (PEL):
Hydroquinone: 2 mg/m3 TWA
Potassium hydroxide: 2 mg/m3 Ceiling
Ventilation: Good general ventilation (typically 10 air changes per hour)
should be used. Ventilation rates should be matched to conditions. Use process
enclosures, local exhaust ventilation, or other engineering controls to
maintain airborne levels below recommended exposure limits.
Respiratory Protection: None should be needed.
Eye Protection: Wear safety glasses with side shields (or goggles).
Skin Protection: Wear impervious gloves and protective clothing appropriate
for the risk of exposure.
Recommended Decontamination Facilities: Eye bath, washing facilities, safety
shower
------------------------------------------------------------------------------
9. PHYSICAL AND CHEMICAL PROPERTIES
Physical Form: Liquid
Color: Yellow
Odor: Slight
Specific Gravity (water = 1): 1.086
Vapor Pressure at 20 C (68 F): 24 mbar (18 mm Hg)
Vapor Density (Air = 1): 0.6
Volatile Fraction by Weight: 85-90 %
Boiling Point: >100 C (>212 F)
.
MATERIAL SAFETY DATA SHEET4IÞ
. I
200000418/F/USA - C-0133.500D
Approval Date: 02/16/1994
Print Date: 02/19/1994
Page 4
------------------------------------------------------------------------------
Solubility in Water: Complete
pH: 10.3
Flash Point: None
------------------------------------------------------------------------------
10. STABILITY AND REACTIVITY
Stability: Stable
Incompatibility: Strong acids
Hazardous Decomposition Products: Carbon dioxide, carbon monoxide, sulfur
dioxide
Hazardous Polymerization: Will not occur.
------------------------------------------------------------------------------
11. TOXICOLOGICAL INFORMATION
Effects of Exposure:
Inhalation: Expected to be a low hazard for recommended handling.
Eyes: Causes irritation.
Skin: Causes irritation. May cause allergic skin reaction.
Ingestion: Expected to be a low ingestion hazard. May cause irritation of
the gastrointestinal tract.
------------------------------------------------------------------------------
12. ECOLOGICAL INFORMATION
Introduction: This environmental effects summary is written to assist in
addressing emergencies created by an accidental spill which might occur during
the shipment of this material, and, in general, it is not meant to address
discharges to sanitary sewers or publically owned treatment works.
Summary: Data for the major components of this material have been used to
estimate the environmental impact of this material. However, this material,
itself, has not been tested for environmental effects. This material is a
moderately alkaline aqueoús solution, and this property may cause adverse
environmental effects.
It is expected to have t~e following properties: A low biochemical oxygen
demand and little potential to cause oxygen depletion in aqueous systems, a
high potential to affect some aquatic organisms, a moderate potential to
affect secondary waste treatment microbial metabolism, a low potential to
affect the germination and/or early growth of some plants, a low potential to
persist in the environment, a low potential to bioconcentrate. After dilution
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MATERIAL SAFETY DATA SHEET4IÞ
200000418/F/USA - C-0133.500D
Approval Date: 02/16/1994
Print Date: 02/19/1994
Page 5
------------------------------------------------------------------------------
with a large amount of water, followed by secondary waste treatment, this
material is not expected to cause adverse environmental effects.
------------------------------------------------------------------------------
13. DISPOSAL CONSIDERATIONS
Discharge, treatment, or disposal may be subject to national, state, or local
laws. Flush to sewer with large amounts of water.
------------------------------------------------------------------------------
14. TRANSPORT INFORMATION
- For transportation information regarding this product, please phone the
Eastman Kodak Distribution Center nearest you: Rochester, NY (716) 588-3536
or 588-3573 or 588-3035; Oak Brook, IL (312) 954-6000; Chamblee, GA (404)
455-0123; Dallas, TX (214) 241-1611; Whittier, CA (213) 945-1255; Honolulu,
HI (808) 833-1661.
------------------------------------------------------------------------------
15. REGULATORY INFORMATION
- Material{s) known to the State of California to cause cancer: None
- Material{s) known to the State of California to cause adverse reproductive
effects: None
- Carcinogenicity Classification (components present at 0.1% or more):
- International Agency for Research on Cancer (IARC): None
- American Conference of Governmental Industrial Hygienists (ACGIH): None
- National Toxicology Program (NTP): None
- Occupational Safety and Health Administration (OSHA): None
- Chemical{s) subject to the reporting requirements of Section 313 or Title
III of the Superfund Amendments and Reauthorization Act (SARA) of 1986 and
40 CFR Part 372: Hydroquinone
------------------------------------------------------------------------------
16. OTHER INFORMATION
US/Canadian Label Statements:
CONTAINS: Hydroquinone (000123-3l-9), potassium hydroxide (001310-58-3)
WARNING]
CAUSES SKIN AND EYE IRRITATION
MAY CAUSE ALLERGIC SKIN REACTION
Avoid contact with eyes, skin, and clothing.
Wash thoroughly after handling.
FIRST AID: In case of eye contact, immediately flush eyes with plenty of
water for at least 15 minutes. In case of skin contact, wash skin with soap
·
MATERIAL SAFETY DATA SHEET4IÞ
~
4
200000418/F/USA - C-0133.500D
Approval Date: 02/16/1994
Print Date: 02/19/1994
Page 6
------------------------------------------------------------------------------
and plenty of water. Get medical attention. Remove contaminated clothing and
shoes. Wash clothing before reuse. Destroy or thoroughly clean contaminated
shoes.
Keep out of reach of children.
For additional information, see Material Safety Data Sheet (MSDS) for this
material.
Additional hazard precautions for containers greater than 1 gallon of liquid
or 5 pounds of solid:
Since emptied containers retain product residue, follow label warnings
even after container is emptied.
------------------------------------------------------------------------------
The information contained herein is furnished without warranty of any kind.
Users should consider these data only as a supplement to other information
gathered by them and must make independent determinations of suitability and
completeness of information from all sources to assure proper use and disposal
of these materials and the safety and health of employees and customers and
the protection of the environment.
~
I
.
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME ~,-t.rtJ ~A OIl> Lo(:f.l
INSPECTION DATE
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Section 5:
o Routine
Hazardous Waste Tier Permit Treatment Program
. Combined 0 Joint Agency 0 Multi-Agency 0 Complaint 0 Re-inspection
Unit number & name: A (J,. (TS w!g COAl;:
o CESQT 0 CEL 0 CECL
Onsite Treatment Unit Tier: r~
o PBR 0 CA ...cESW '- ~)
OPERATION C V COMMENTS
AIl hazardous wastes treated are generated onsite t/
Onsite treatment notification forms available and complete V
Onsite treatment unit tier and/or count is correct on form V
Unit number is correct on notification form (/ ~-L1"~ 0,.) {AJ"SPéc.."T1cvJ
Number of tanks or containers is correct on form c/ t.1
Treatment monthly volume is correct on form ..r. e.o fJ.JtC-cr C~ -V "2AC (;.fN\o~
Waste identification & treatment is correct on form ./
Complies with residual management requirements vi
Properly closed a treatment unit V
Complies with tank and containment certification M ~
Developed and maintains a written inspection log V
Meets pretreatment standards for waste discharge V IN()~ WW f)tSc:.l~ p02M.r 2·6~fb3 ~
Developed and maintains a Closure Plan on site IPBR\ ^1 'Æ
Developed and maintains a Waste Analysis Plan and Waste Analysis <::: ....
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Records [PBR /
Maintains Training Records on site IPBRJ ')
Obtained local permits for treatment operations IPBR (
Identifies and labels Treatment Units (PBR /
Inspector:
Office of Environmental Services (805) 326-3979
C=Compliance
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V=Violation
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Business Site Responsible Party
CA=Conditionallyauthorized
CECL=Conditionally exempt commercial laundry
CEL=Conditionally exempt limited
White· Env. Svcs.
CESW=Conditionally exempt specified wastestream
CESQT=Conditionally exempt small quantity treatment
PBR=Pennit by rule
Pink· Business Copy
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CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROÇRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FA C I LITY NAME .,-(2. v}t íu,J 't2J>cr> fc) 1-t>GH
INSPECTION DATE
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Section 4:
Hazardous Waste Generator Program
EPA ID # C.AL OCðQQ7ß2.'t
o Routine
iJt Combined
o Joint Agency
o Multi-Agency
o Complaint
ORe-inspection
OPERATION C V COMMENTS
Hazardous waste determination has been made V ex. ~L-«? p¿;.e.. c.. c. ¡-(yJ dlvJ
EPA ID Number (Phone: 916-324-1781 to obtain EP A ID #) V
Authorized for \vaste treatment and/or storage r/
Reported release, tIre. or explosion within 15 days of occurance tJ ~
Establishcd or maintains a contingency plan and training V'
Hazardous waste accumulation time frames ./
Containers in good condition and not leaking V
Containers are compatible with the hazardous waste V
Containers are kept closed when not in use 1/---
Weekly inspection of storage area V
Ignitable/reactive waste located at least 50 feet from property line to Ä
Secondary containment provided V
Conducts daily inspection of tanks V
Used oil not contaminated with other hazardous waste tV ~
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Proper management of lead acid batteries including labels ¡J, ~
Proper management of used oil filters IJ %4
Transports hazardous waste with completed manifest V
Sends manifest copies to DTSC V
Retains manifests for 3 years ¡/
Retains hazardous waste analysis for 3 years V
Retains copies of used oil receipts for 3 years tJ .~
Determ ines if waste is restricted fì'om land disposal ,/
C=Compliance
V=Violation
Inspector:
Office of Environmental Services (805) 326-3979
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Business Site Responsible Party
Pink - Business Copy
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EPA ID c-ALOOÒD~18~Y
FILE TYPE
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STATE OF CALIFORNIA-ENVIRONMENTAL PROT AGENCY
Jiel?kRTMENT OF TOXIC SUB ANCES CONTROL
400 P Street, 4th Floor
P.O. Box 806
Sacramento, CA 95812-0806
PETE WILSON, Governor
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(916) 323-5871
01/10/94
EP A ID: CAL000097824
TRUXTUN RADIOLOGY
STEPHANIE TEMPLETON
1817 TRUXTUN AVE.
BAKERSFIELD, CA 93301
For fadlity Iocøted at:
1817 TRUXTUN AVE.
BAKERSFIELD. CA 93301
Authorization Date: 01110/94
Dear Conditionally Authorized and/or Conditionally Exempt Facility:
ACKNOWLEDGEMENT OF UNITS OPERATING UNDER CONDITIONAL AUTHORIZATION AND/OR
CONDITIONAL EXEMPTION
The Department of Toxic Substances Control (DTSC) bas received your facility specific notification (form
DTSC 1772) and forms for Conditional Authorization and/or Conditional Exemption for Specified Wastestreams (form
DTSC 1772B and/or 1772C). Your notifications are administratively complete, but have not been reviewed for technical
adequacy. A technical review of your notifications will be conducted when an inspection is performed. At any time,
you may be inspected and will be subject to penalty if violations of laws or regulations are found.
The Department acknowledges receipt of your completed notification for the treatment unit(s) listed on the last
page of this letter. These units operating under Conditional Authorization or Conditional Exemption are authorized by
California law without additional Department action, pursuant to Health and Safety Code sections 25200.3 and 25201.5.
Your authorization to operate continues until you notify DTSC that you have stopped treating waste and have fully
closed the unit(s). You will be charged annual fees calculated on a calendar year basis for each year you operate and
have not notified DTSC that the units have been closed.
You must notify the DTSC 60 days before first treating hazardous wastes in any new unit. You must also
notify the DTSC whenever any of the information you provided in these notifications changes. To revise information,
mail a cover letter to the above address explaining the changes, attach only the pages of your notification package that
have changed, and re-sign and date at the signature space on page 3 of form 1772.
Your status to operate under Conditional Authorization and/or Conditional Exemption is contingent upon the
accuracy of information submitted by you in the notifications mentioned above, and your compliance with all applicable
requirements in the Health and Safety Code. Any misrepresentation or any failure to fully disclose all relevant facts
shall render your authorization to operate null and void.
You are also required to properly close any treatment unit. Additional guidance on closure will be issued and
distributed to all authorized onsite facilities later this year.
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Page 2
EP A 10: CAL000097824
If you have any questions regarding this letter, or have questions on operating requirements for your facility,
please contact the nearest DTSC regional office, or this office at the letterhead address or phone number.
Sincerely,
'fLt,^_,8. (C--
Michael S. Homer, Chief
Onsite Hazardous Waste Treatment Unit
Permit Streamlining Branch
Hazardous Waste Management Program
Enclosure
cc: SUSAN LANEY
DTSC REGION I
SURVEILLANCE & ENFORCEMENT BR.
10151 CROYDON WAY, SUITE 3
SACRAMENTO, CA 95827
STEVE MCCALLEY
KERN COUNTY
ENVIRON. HEALTH SERVICES DEPT
2700 M STREET, SUITE 300
BAKERSFIELD, CA 93301
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Page 3
ENCLOSURE 1
Urrit8 tI1IIhoriuxl to 0J'f!"t* at tIIis locøtiofI:
UNDER CONDITIONAL AUTHORIZATION:
UNDER CONDITIONAL EXEMPTION:
A
EPA ID: CAL000097824