HomeMy WebLinkAboutBUSINESS PLAN 2/3/2011
·Per
it· to
Opercate
.
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Issued by:
\ '
Hazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
This pennlt Is Issued for the following:
~ Hazardous Materials Plan
a Underground Storage of Hazardous MaterIals
a Risk Management Program
a Hazardous Waste On-Slte TreathMN'lt
CA 93301
Bakersfield Fire Department
OFFICE OF ENVIRONMENTAL SER VICES·
1715 Chester Ave., 3rd Floor Approved by:
Bakersfield, CA 93301
Voice (661) 326-3979
FAX (661) 326-0576 Expiration Date:
Issue Date
'June 30, 2003
.
.
~--
Appointment Reminder
For:
On:
Mon.
Tues.
Wed.
Thurs.
Fri.
Sat.
at
AM/PM
This time is reserved just for you. If you are unable to keep your appointment,
please let us know at least 24 hqµrs ;n advance so that we may schedule a new
time for you. Charges rñày be made for broken appointments.
Thank you for your consideration.
L.....-..______
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JAMES H PEYTON, DDS
-::)\j J.:\
Manager : ~ MILLER
Location: 2212 TRUXTUN
City BAKERSFIELD
CommCode: BAKERSFIELD STATION 01
EPA Numb:
SiteID: 015-021-002299
AVE
BusPhone:
Map : 102
Grid: 25D
(661) 323-1888
CommHaz :
FacUnits: 1 AOV:
SIC Code:8021
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
JAMES H PEYON / DDS, OWNER /
Business Phone: (661) 323-1888x Business Phone: ( ) - x
24-Hour Phone : (661) 664-9476x 24-Hour Phone : ( ) - x
Pager Phone : (661) 632-9952x Pager Phone : ( ) - x
Hazmat Hazards: ~- h _ - - ~ - -~_.React
- -
Contact : JAMES H PEYTON, DDS Phone: (661) 323-1888x
MailAddr: 2212 TRUXTUN AVE State: CA
City : BAKERSFIELD Zip : 93301
Owner JAMES H PEYTON, DDS Phone: (661) 323-1888x
Address : 2212 TRUXTUN AVE State: CA
City : BAKERSFIELD Zip : 93301
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif1d: RSs: No
Emergency Directives:
One Unified List ì
All Materials at Site ì
f= Hazmat Inventory
f== Alphabetical Order
Hazmat Common Name. . .
SpecHaz EPA Hazards
DailyMax.
MCP
WASTE
F_~XER1..0~.p~ ~ ~ -lA D --. R - _ L
(Typeorpì1~~) \\ 0 hereby certify that , have
reviewed the attached hazardous materials manage-
ment plan foi3 o..'{'Wh \-\ ~ ..L ~aW .
(Nameof~)\~Q",NU that It along with
any COrrections COnstitute a complete and correct man-
agement plan for my facility.
5.00 FT3
Min
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DIre
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01/30/2003
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SiteID: 015-021-002299 9
Facility Unit: Fixed Containers at Site 9
F JAMES H PEYTON,DDS
p= Inventory Item 0001
== COMMON NAME / CHEMICAL NAME
WASTE FIXER
SPENT PHOTOGRAPHIC FIXER
Location within this Facility Unit
Days On Site
365
Map: Grid:
CAS#
STATE - TYPE
Liquid Waste
PRESSURE
Ambient
TEMPERATURE
Ambient
CONTAINER TYPE
PLASTIC CONTAINER
Largest Container
5.00 FT3
AMOUNTS AT THIS LOCATION
Daily Maximum
5.00 FT3
Daily Average
5.00 FT3
I .
%Wt.
Silver
Hl.\ZARDOUS COMPONENTS :
~
-
CAS#
7440224
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R / / / Min
HAZARD ASSESSMENTS
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01/30/2003
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Public Notif./Evacuation
SiteID: 015-021-002299 9
Fast Format 9
Overall Site 9
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F JAMES H PEYTON, DDS
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p= Notif./Evacuation/Medical
r== Agency Notification
Employee Notif./Evacuation
Emergency Medical Plan
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01/30/2003
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Other Resource Activation
SiteID: 015-021-002299 1
Fast Format ì
Overall Site ì
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F JAMES H PEYTON,DDS
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f= Mitigation/Prevent/Abatemt
r== Release Prevention
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Clean Up
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01/30/2003
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SiteID: 015-021-002299
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01/30/2003
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~AMES H PEYTON, DDS
SiteID: 015-021-002299
Man~ger: Jv.ø~ t'\\ .........(.¡1...
Location: 2.001:) lc)'1'H ST. ;;1;;l/;}.~{);<'+i.(f)Av<:;
City BAKERSFIELD
CommCode: BAKERSFIELD STATION 01
EPA Numb:
BusPhone:
Map : /o;l.
Grid: 2S'1)
(661) 323-1888
CommHaz :
FacUnits: 1 AOV:
SIC Code:8021
DunnBrad:
Emergency Contact / Ti tl~&L Emergency Contact / Title
:J fI't1 t.> \.\, ~~>/\ ~tI ¡pes / ovJ /
Business Phone: (bb\ ) 3'2,,> - \ 'b~~ x Business Phone: ( ) - x
24-Hour Phone : ((:PI ) ~6~ - 't\16 x 24-Hour Phone : ( ) - x
Pager Phone : (Ø,\) b"?1.. -qa.SJ..x Pager Phone : ( ) - x
Hazmat Hazards: "k(Z~ f <)(~{l..
- '. - -- - -~- . ., - - -- --:.--- -- - - ~ -<""- - ".-,. ___ - _ -.....r - ~- "---
Contact : JAMES H PEYTON, DDS Ave. Phone: (661) 323-1888x
MailAddr: 200:; 19TII EYI' ;J~ I;). T7?U~T£vn State: CA
City : BAKERSFIELD Zip : 93301
Owner JAMES H PEYTON, DDS Phone: (661) 323-1888x
Address : 2095 19TH OT é:ló< / G/ r'R u )< ú.--YJ Ave State: CA
City : BAKERSFIELD Zip : 93301
Period : to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
Emergency Directives:
Hazmat Common Name...
SpecHaz EPA Hazards
One Unified List 9
All Materials at Site 9
DailyMax
f= Hazmat Inventory
f== Alphabetical Order
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. I, :!ltt1€S~~''1TOvJ - Do hereby certify that I~have
(rype or print name)
reviewed the attached hazardous materials manage-
ment plan for ~e:.S!+, ~íO¡VJ r?P5and that it along with
~ame of Business)
any corrections constitute a complete and correct man-
agement plan for rgy facility.
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Date
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08/20/2002
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F ðAMES H PEYTON/DDS
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Employee Notif./Evacuation
SiteID: 015-021-002299 ;
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Overall Site;
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Emergency Medical Plan
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08/20/2002
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f= Mitigation/Prevent/Abatemt
r== Release Prevention
r=== Release Containment
Clean Up
SiteID: 015-021-002299 9
Fast Format 9
Overall Site 9
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08/20/2002
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f= Site Emergency Factors
r== Special Hazards
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SiteID: 015-021-002299 9
Fast Format 9
Overall Site 9
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Fire Protec./Avail. Water
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Occupancy Level
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08/20/2002
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SiteID: 015-021-002299 9
Fast Format 9
Overall Site 9
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Page 2
Held for Future Use
Held for Future Use
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08/20/2002
41,.
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/7
5511 ð I
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
3933:;-
\. /
I022ÇD /
f6.2/
FACILITY NAME ~~ It P£=I(~ D05
INSPECTION DATE
to /t7/0/
Section 4:
Hazardous Waste Generator Program
EP A 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 Number (Phone: 916-324-1781 to obtain EPA ID #)
Authorized for waste treatment and/or storage
Reported release, fire, or explosion within 15 days of occurrence
Established or maintains a contingency plan and training
Hazardous waste accumulation time frames
Containers in good condition and not leaking
Containers are compatible with the hazardous waste
Containers are kept closed when not in use
Weekly inspection of storage area
Ignitable/reactive waste located at least 50 feet from property line
Ý '- " It
Secondary containment provided t>l..GÆ5e ~(Ze)J't () € TTlAY ~ Fp<~
Conducts daily inspection of tanks
Used oil not contaminated with other hazardous waste
Proper management of lead acid batteries including labels
Proper management of used oil filters
Transports hazardous waste with completed manifest
Sends manifest copies to DTSC
Retains manifests for 3 years
Retains hazardous waste analysis for 3 years
Retains copies of used oil receipts for 3 years
Determines if waste is restricted from land disposal \
C=Compliance V=Violation ~. kÆ_
Inspector: W\^-Î~
...., -
Office of Environmental Services (661) 326-3979 Business Site R~sible Party
WhIte - Env. Svcs.
Pmk - Busmess Copy
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