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Home My WebLink AboutBUSINESS PLAN3~~ ~ RIGHT HEALTHCARE, INC. 5650 DIS~iRICT BLVD., SUITE 1''1'5 ~T~ 1~~~~ ~~~~ ~~~~1~ ~J ~ ~~ \~~. ,,,~ ~, ~~~ ',' ~ . ~~~ ~~ \~ ' ~, 1~ ~~~ ~~ ~ '~~ \,~A 1~ ~; ~~ ~'~ V ~,y j ( ~.A ~ '~~' ,i.. ~~, `y 1` NLIB Operate Prevention Services Unified Permit: SUBJECT TO CONDITIONS OF PERMIT rr It ¡;f,·.' ;' .I':. .,:. .,t.':.. i .,,-:~. ..!' .' o'.~I.;_ ~ .. . ~ ,r> . .. Permit ID#: 0] 5-000-002047 f.'.'./4""~t<~.,/"'/ ,I. ., ._,.., < RIGHT HEAL THCARÉ ÍÑrf' Location: 1]2] W. Columbus Sdf ">1"~':' r",. t " , . t <, t " ~', .... ,...... "_N _ _'. ...,+ . ,..-... '-- .....~........_'..~'"·_'...._..,.¡~_L..'........_....~__:...~tI~,~.....4.· t. _¡:,;,"~~'. ...~~'-:,'.' ,~"";ï:"") ,-'~''''\'.o '. . . ."., t. THIS PERMIT IS ISSUED FOR THE FOllOWING: þ(Hazardous Materials Plan o Underground Storage of Hazardous Materials o California Accidental Release Program o Hazardous Waste Generator and/or Treatment o Above ground Storage Storage of Petroleum o Paint Spray Boóth ' o Industrial Hood,Suppresslon System ! I I I r':'l·1. . ",-" }. \, . ~ .' ,. .:" .. .... ..... .., , 1-. c.' . .~r::~. ~;/¡~~ 'l:,::'~ }~'! ·t~;·. :"'. ',' ..... ...."-;: : -' ,...~ 'J: ~": ;"":;\ . .," ·,,::::~.Þ"" ' . .... , . "".' : , , , " . , . . '..~";. ·,ji&~ì:~:' ': f ¡ ~.- ¡-~~:'\;:' ~=~<,-;:~~~~;:7~:-:~J::~ ~. ',..~::;": ~.:ï ": , ;. t -." .~ ;: '~". ; ~ ;?';"T."'}: ;. -: . " ,..~:,,: ; 9}301 : 7"~;~,~; !n~t~:,~:,:" . ',' ;.. 1~ - ; ~ . ,\,' > . " ~!~.. " .~"\< ("7;, :;;-,' _':, ,',! ' '~:'''' -. ., ."~!,:'-:~' :-....... _. . f }..; "; ~ ~I, .~.." . -,' «<"'{ß ÞÓ 'R~fÎ¡, \' Issued by; Bakersfield Fire Department OFFICE OF PREVEJ\¡TION SERVICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 852-2171 ~: ,..:..... LLl...L~-LLJ.JL.!.....!> ,,,,,, ."AI"..lIr ~, .' r i i i I r'.\...:. " , ~r> ; ;))""' _._..._.,....~' ... "., >1:,,"., Approved by: 4~~' ph Huey. Director , Prevention Services ,: Expiration Date: .June 30, 2006 ~1736 , ',- , Per LOCA nON " Issued by: it Operil.te to , -F . Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This pennit is issued for the following: iii Hazardous Materials Plan o Underground Storage of Hazardous Materials o Risk Management Program o Hazardous Waste On-Site Treatment 5650 #115 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: ~')S;-DÒ . June 30, 2003 , l ' 2, .i·, . .,. ë ~.¡.f¡. ~ J ~ .. SITE DIAGRAM FACILITY DIAGRAM J. 1 BUIineu Name: ..' - ~.e'. . é' . BUIÍIIeII Address: - - pì,;~~¡I1~ ~~ 1\ S &Ix ersftt'. vi (" S C¡~313 , ' . ' " . ": ·..ttf:~~::~ j' ~" - .;' ot,. ".~. .. ~~ ... - ; ;',' . . . . -::<,..': . '. ," . "t,... ...c. .--.. - . - ---- ... - - -.- - .~- -. - ~-- - --.- ~ N e5 (Tt 10 =t!::¿.l)lf,7 " 8m DfAGRAM" FACILITY DIAGRAM ~~ . ~ S...... Name: \\\ \ So 'f... <',} \ - - ~ :!:>e. N't> \ \4. "'\It ,. 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".__ I i ~- I' i : 1-- ! 1-- ___..._.~___è_.J.._. i i __ 1__ ~---_.,-- ~- : i , _~__ __ L._ ~ - ---, ¡ ! .-- - ~ ~ ---~-- ,!__.: -~-_. .......,--- --<----:'---_.-. , , -¡-.--;+---- .___~___--J_ .--, -.- .-; ~ ~; - . f J)~)~. qiK' .' t ~< (, . ~/ . "'t; ,,- Ii;¿ , '-, SlteID: if :-"... '\ V .1\ '" .) ..JI 'j \: "\'J '" ~ O~usPhone : '\ Map : 123 Grid: 15C 015-021-002047 3)lo-(P -'}ì (661) '62ì-l~ðê CommHaz : Minimal FacUnits: 1 AOV: ~~ -(,. RIGHT HEALTH CARE INC Manager : \\~ \ W~1- (1)lwnblft..5~. Location: 5£50 DIO~RICY bLVU ~~~ City BAKERSFIELD CommCode: BAKERSFIELD STATION 13 EPA Numb: SIC Code:4925 DunnBrad:77-048-8108 Emergency Contact / Title KIMBERLI EBLING / PRESIDENT Business Phone: (661) ~1 1 ~ ö SJ02lo'lPll7 24-Hour Phone : (661) 333-5702x Pager Phone : ( ) - x Emergency Contact / Title HERIBERTO DIAZ / SALES I Business Phone: (661) 027 120Bxßd~-~ï 24-Hour Phone : (661) 333-4904x Pager Phone : (661) 869-9034x Phone: State: Zip : ImmHlth DelHlth ;$)!ø-f.,tl;J,I;') (661) v... ...~x CA 93309-2320 Hazmat Hazards: Contact : \k\0\\>QÃG... ~,~ MailAddr: PO BOX 22320 City : BAKERSFIELD Fire Period : Pre parer: Certif'd: ParcelNo: to Phone: (661) -&L1 1208...c State: CA 391.9- ~ì 1"1 Zip : 4.~3qh -"'i5.~~D TotalASTs: = Gal TotalUSTs: = Gal RSs: No Owner Address : City RIGHT HEALTH CARE INC PO BOX 22320 : BAKERSFIELD Emergency Directives: -1- 08/26/2003 -:\ '\ ;; ::;:. FRIGHT HEALTHCARE INC f= Hazmat Inventory f== MCP+DailyMax Order SiteID: 015-021-002047 By Facility Unit Fixed Containers at Site ì ì ì DailyMax IUnitlMCP 1+ee.O"O FT3 Low \lQ.OO.DD Hazmat Common Name... specHazlEPA Hazards Frm I F IH DH G OXYGEN -2- 08/26/2003 ;;::.. -3- 08/26/2003 -~- .1'.... FRIGHT HEALTHCARE INC f= Inventory Item 0001 == COMMON NAME / CHEMICAL NAME OXYGEN SiteID: 015-021-002047 ì Facility Unit: Fixed Containers at Site ì Days On Site 365 Location within this Facility Unit WAREHOUSE Map: Grid: CAS# 7782-44-7 STATE - TYPE Gas Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 23.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum a4001406.60 FT3 Daily Average tÚl.OD 1400.00 FT3 %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low HAZARD ASSESSMENTS ""4- 08/26/2003 ç- SiteID: 015-021-002047 9 Fast Format =¡ Overall Site =¡ 10/18/2000 FRIGHT HEALTH CARE INC I f= Notif./Evacuation/Medical Agency Notification UPON RECEIPT/DELIVERY OF TANKS, THE TECHNICIAN WILL CHECK FOR LEAKS USING SOAP AND WATER. DAMAGED TANKS WILL BE REPORTED TO MANAGEMENT, DOCUMENTED AND THEN RETURNED TO THE SUPPLIER. Employee Notif./Evacuation 10/18/2000 EMPLOYEES SHALL CONTACT MANAGEMENT IMMEDIATELY REGARDING ANY TYPE OF SPILL. IF THE SPILL IS LIFE THREATENING THE EMPLOYEE IS TO NOTIFY 911 AND THE OFFICE OF EMERGENCY SERVICES AT 1-800-852-7550. IF THE INCIDENT IS NOT AN EMERGENCY THE FIRE DEPT WILL BE NOTIFIED. Public Notif./Evacuation 10/18/2000 WHOMEVER IDENTIFIED THE PROBLEM FIRST SHALL NOTIFY MANAGEMENT AND DOCUMENT THE INCIDENT. MANAGEMENT WILL THEN CONTACT THE FIRE DEPT. Emergency Medical Plan 10/18/2000 UPON ANY MEDICAL EMERGENCY EMPLOYEE WILL CALL 911. FOR ANY NON EMERGENCY INJURIES EMPLOYEE IS TO GO TO BAKBRß~~~LU uccUPATIONAL MEDICAL CROUl A~. 4~OO CALI~ORNIA AVE, 327 1111. MANAGEMENT IS TO BE NOTIFIED IN ALL ßus\ne~ ~lfu f\).Q:¡\Vûut.i (£t,: G4D\ \(UXtun f\~.).$.tù.te-~~Ò) 3d~..;.ìS3lo 0 -5- 08/26/2003 ,Ý SiteID: 015-021-002047 ì Fast Format ì Overall Site ì 10/18/2000 FRIGHT HEALTH CARE INC I f= Mitigation/Prevent/Abatemt Release Prevention ALL CYLINDERS ARE CONTAINED IN A CYLINDER CART. ALL REMAIN IN AN UPRIGHT POSITION AT ALL TIMES. CYLINDERS ARE CHECKED FREQUENTLY FOR DAMAGES AND/OR LEAKS. Release Containment 10/18/2000 ALL HAZARDOUS MATERIAL IS KEPT IN THE WAREHOUSE IN CYLINDER CARTS TO INSURE THAT ANY RELEASE OF MATERIAL IS CONFINED TO A SMALL AREA. THE ONLY HAZARDOUS MATERIAL KEPT ON SITE IS OXYGEN. Clean Up 10/18/2000 IN THE INSTANCE OF A SPILL OR LEAK, BAY DOOR IS TO BE OPEN TO ALLOW FOR VENTILATION AND CYLINDERS ARE TO BE REMOVED AND RETURNED TO THE PROPER Other Resource Activation -6- 08/26/2003 ,. 1"'- SiteID: 015-021-002047 9 Fast Format 9 Overall Site ì I FRIGHT HEALTHCARE INC I f= Site Emergency Factors r== Special Hazards Utility Shut-Offs A) GAS - ~ Sf., e..cn-ù' oÇ- ß~\d\~ . . PuÀ~. B) ELECTRICAL - BREAKER BOX IN oFtICE. S t.. c..or(\e.c r::§- Õ C) WATER - 8U.l.l~ .LV I \\)£. S\d~ c;Ç'eu.i\d\ \C\.~ - \(\ (\--cn-r D) SPECIAL - N/A ~ E) LOCK BOX - NO 10/18/2000 Fire Protec./Avail. Water 10/18/2000 PRIVATE FIRE PROTECTION - .,grRINICLEK ;j";S'fEI;J kMV FIRE EXTINGUISHERS IN BLDG. 3 ¡COO ~.~ '-(\0\- \%LÙ-Jf'~ NEAREST FIRE HYDRANT - l'.DJACBU1' 'fO DLD~. ~(D). lDO '-{ú..r0.5 ~+ of ÞLÙ.td~ l,r) +\ì e.. 0. \. \ . "-J Building Occupancy Level -7- 08/26/2003 ;,.,/ :;,;..r FRIGHT HEALTHCARE INC SiteID: I F Training Employee Training WE HAV~MPLOYEES AT THIS FACILITY. WE HAVE MSDS SHEET COPIES IN RED BINDERS ON EACH DESK. 015-021-002047 ì Fast Format ì Overall Site ì 10/18/2000 BRIEF SUMMARY OF TRAINING PROGRAM: DESCRIPTION OF THE HAZARDOUS MATERIALS, IMMEDIATE HAZARDS TO HEALTH, RISKS OF FIRE OR EXPLOSION, IMMEDIATE PRECAUTIONS TO BE TAKEN IN THE EVENT OF AN ACCIDENT OR INCIDENT, IMMEDIATE METHODS FOR HANDLING SMALL OR LARGE FIRES, INITIAL METHODS FOR HANDLING SPILLS OR LEAKS IN THE ABSENCE OF FIRES AND PRELIMINARY FIRST AID MEASURES. I Page 2 I I Held for Future Use I I Held for Future Use I -8- 08/26/2003 .-'-'~4";'':'''.~.....t.-a.>-,...:~...........;...:.",,--,.:...::,.~~ a r- r- : \ r;-- I' 1~ ...__._--~._--~~,}~ " H r-- I IWfiJY" / . ~~tSIL-CJ ~ ~~ II p~Þ.P~f I :~ ~.;; /41JJY.rh ~ ! =:J \ r 17' 1ÿV~ r~- G'o ~¢ ê 1\ .!')- U .. ì "n ----f}/J,- I ) ~-1~ t5 ~ ~ I ~":~ ~ f- < i ~ I C ~ ~ ~ ~ ~ _ 7~. - Wi ,~ · ~- -< t-j~ Area Map .. ., 1/ ~ i'X '/.. \ ~~rli 5 I I I I '"' .......... - - -. --- -- ~. -'. - lÞ\üm'nu~~1 1~/'II?~ - -- / l Floor Plan 40' '" \\~\ \D. t()\~m'a"!-. ~ 3.3D\ Reception Clertcal Executive I Office I I - Work Room SInk ArtlDeslgn ~ U\ r- Conference Room I OX'<~~N' ÎAN\(S --- ~'\o('A.~ r;r~ \\"{t\"'~~ Ii };SO' ~~\+ J I 1/2 1/2 Bath Bath Shop 8~~,~ \ S'c 1'1: î.t I'/\\J L \ ~;~Cb~ I.oo4t PIJ.\:. H:\~" A \ \F .'( ~ 'RiØt HEAL THCARE, INC. Your Company That Cares ,. U Eddie Diaz Marketing Executive 5650 District Blvd, Suite 115 Bakersfield, CA 93313 HOME OXYGEN AND DURABLE MEDICAL EQUIPMENT (661) 827-1208 . Pager (888) 206-9476' Fax (661) 827-0782 ,.". ¡.-;...~\' ,..\~\. e CITY OF BAKERSFIELfI OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 FØ/ HAZARDOUSMATEIDALS MANAGEMENT PLAN . -\'\'\e: \q,l\~ F""r-,~lV: INSTRUCTIONS: ?- 0 L\ 1 \2~-I'5 C- L JUl 2 52 E:Jj 1 T 'd furth, th' c. 'th' 30 d \ 30f ,By:. '000 . 0 avOl er ctI , etum IS Lorm WI In ays 0 receIpt. . ~ 2. TYPE/PRINT WERS IN ENGLISH. ~ 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. 5. You may also attach Business Owner / Operator Form and Chemical Description Form(s) to the front of this plan instead of completing SECTION I. below for initial submission. SECTION I: BUSINESS IDENTIFICATION DATA BUSINESS NAME: ~t \-\eO IthcQrp I tnr . LOCATION: Sl.oSö J-:J\~')trìC+ ß' \Jet. ~ns fukers..f1.ßltL p, D, ( 0'1-. MAILING ADDRESS: d d 3d 0 q~D' CITY: ~O}ç> r~~.oJd STATE: lliZIP:d3;)D PHONE: Rd!-}:J{)8 ~ PRIMARY ACTIVITY: Dtl((lb)¿ N-e Ò-ìrCLt Ç~meVl C OWNER: PHONE: MAILING ADDRESS: EMERGENCY NOTIFICATION CONTACT L JAimbu LL t bllng 2.llli.ìheL+r\ f) \ (L L TITLE BUS. PHONE 24 HR. PHONE Pr€ ~¡cien+ <:2fX7~ J{j/)? 333 ~ 57lJQ (~ \{>$ <g 8/-) ()tJ ~ (3:33- L¡q¡) t¡ 1 _ e HAZARDOUS MATEmALS MANAGEMENT PLAN : cI ",'-,;: I _-ì~.~.J.... ~~ ,/ SECTION ILl: DISCOVERY AND NOTIFICATIONS A. LEAK DETECTION AND MONITORING PROCEDURES: Upon re.ee-ìpt I de1 ìùuL.) of -\-aJì't..$, +he.. te-CJînì ~LCuî uS! \,\ c.,he..e.l. tl)( \ea.'t:s u..C;;\~ SOO:þ Qr\d LÙo..:kf . txJ.m~e.ð. tClnk.S ~Ù\ be,., re..-porte..ð +0 C'f\QnCltjeme.o.t¡ dDc.-umtnkd 'ðnd +h€Aì (tJ-u..'f\e4 , tD Trìe. f)Qpp)ì€-í. B. EMPLOYEE AND AGENCY NOTIFICATION: L~~\~'1i.e..'S 'éÌ$Ù\ ~1\\ûCft- f00J\~eme.nt- 'IrnMe.olìo...-~4 ("~cvà.~ ÛS\ $ ty p e. ~ Sp \ \ \. ~.ç. \-h €-. S P \ \ \ \ S \ l-f'e..- - ,th rea. +Ó\ \ "'9 -The.- ~?\~ye.e,., \S tö f\o-\\ç~ q.. l - \ (}.~à \)\e. ().Ç-+ic€.. c* ç me.r0e.n~ ~\),c.e.s @ \ -'ðDD-<6S~ - í S5D. l+ fu€- ine.\ò.e.n-t- \s no+ CUì €Jy\e.ccJ~--"9 the.... Ç-i í(. De...p N-1-Î'{)e-0+ Lù\' \ be. n Df\f-¡ td.. C. ENVIRONMENTAL RESPONSE MANAGEMENT: ~'V-\Df)'ìe.ûcu ·\ð.~-t\.ç;t<;, t\tìt. 0n:x:J\e.0) fií'S-t 5r-al\ fìDt-ify m~f\G\t.\e.mto+ crc\ döC-.umb)+ tht. $\Qiclen+ . f\J\~emen+ lJ0\ \ \ ¥r\t() C:...ûn~oc.-+ the.. Ç-'íQ.. D~{tn''llJì+-, D. EMERGENCY MEDICAL PLAN: U~CD em\.) me.c\\coJ €.ff'-e-f9U'C..lj eJO\P\Dyu... U))\\ C-o...l\ <1.. \- \. ~Dr OJìLj f\m- eme-í~Ùìc...~ '\(\JlÅ.';e..s e.rnp\Dye..~ \'5 10 gD to ßüKeí6f\e.1d Oc.c-u-pGl1ì0011 \ N\ecli ca.\ G\rDU-p oJr ~ "\SßD tlt \ \-tDí fì 'lOl ~D~4 PnDìe: LLtLQ$ 3~ì -Y41l . fVlÛ\nC\.lð.erne.nt \ s -\ù be í\ ötì-f-kd. 'Ln 0...\.1. U\ S+Ûof'\c..~s . 2 e e HAZARDOUS MATEIDALS MANAGEMENT PLAN .~ ~ SECTION III: TRAINING NUMBER OF EMPLOYEES: (p MATERIAL SAFETY DATA SHEETS ON FILE: ~;es \(\ r~ bì~5 On Q0.eh dð;t BRIEF SUMMARY OF TRAINING PROGRAM: tx-E:c.r\pt\0"\ cf the..hO-LClrð.Ou-s rno-.1t.r\o.lS Imme..cL~ ho. "LC\.JO-s 'Ìú h e.o...l1-\\ ~\st.<; 6t f\íe.- Oí ~p\ösìo(". T('ì(\mW.-\Cl.-\t...- p('~<1.utÌCr\c;; -\ù ~ -tú..\:..Q.~ ìn m~ el,H~Jì-1- of o.n (}.OCìde.nt' or ìncidurt. J-mmuli Cl--\e \ì\e.--\-t\öðts .{be- han cI \Î~ 5(nL\.!\.,\ 0\ \ 0-( lj e.- -Pi res Irì\\-\~~ me-+1ìt6S *or hMo..l~ 6Ç5\\\$0 CJ )eo..l.LS Co the.. abs~ bf.{1íeS ?( .er, m'\ nð-\ y -Çk ~t ÛL-~ m ·e.O.s LU"'es CERTIFICATION I,Jh\í"'r\~.(1 \ t:'::b) ì f\f><\ CERTIFY THAT THE ABOVE INFORMATION IS ACCURATE. I UNDERstAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. /fm.fn1 ~. tJ. J J'/J~ SIGNATURE {{AD Q~nt- TITLE 7/13)/.)D DATE 4 ,'- ~".'.-.¡". -- T . e HAZARDOUS MATEIDALS MANAGEMENT PLAN SECTION 11.2: RELEASE RESPONSE PLAN A. HAZARD ASSESSMENT AND PREVENTION MEASURES: p\ \\ Q Lj \" nd er $ o.r e., 0.J>\"TQ \Jì eß.. m û cy) \ f\d U c.{lr-r A\) \€.-mcÙf) Ú) o.fì U?f)~Y\1- ?DS\ n D~ CtT QL\t\me.s, ~'-) \\ f\d.e.c-s C^-r t- 0)) e elL~ frt'1 U ro 1"\ lJ fur do.m~e..s Q..f\o ) Dr te.Q.:'L.s. B. RELEASE CONTAINMENT AND/OR MITIGATION: F\ \ ì ho.;wrclo us Oì Ov-\e..C ì cJ i ~ le.r-r Îf\ -tnt-- lùwVì ö~ m C!j\ \ í'\.de.r CJ)úts -\-D ÙìSLLre- thOvr- <^^~ (cl~ crt- rn-DJt..cì Gt-~ \~ (J)rrH f"'\e..ð. -\-ö Cl- ~ OStD.. . TY\i. ()(\~ ho:¿ßJMu--S rrwdù'ì oJ te.pr- Dr\ S\~ \6 Dx-lDCj~. C. CLEAN-UP AND RECOVERY PROCEDURES: Tn the.- \nst(üÎc-~ of- 0.. Spì\' Dr \ffiK¡ bOlL) ol?Or is T-ö be., op Q..n -\-0 0\\ o\.Ûfor ve.n ti \ a. 11 lY\ o.ne\ OJ \ \ nderS a\~ -tD De.- feff\00.e..d. Qc\d rt.,-\Üfn eel i-o th~ \)rDpe.-r vf_VìCÌ or f UTILITY SHUT -OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY) NATURAL GAS/PROPANE: -----1Ù IA ELECTRICAL: _ß~e('I\'Y.í ~l)^ \() M-f\~, WATER: SloSD Oi-:')trir.t ß)})rJ. JJ=. J()ì SPECIAL: JD / ~ LOCK BOX: YE 0 IF YES, LOCATION:_ PRIVATE FIRE PROTECTION/W A TER AVAILABILITY A. PRIVATE FIRE PROTECTION: S~r\n~\e..r S\\<;\-ùîî \1" ß\..L\\d.'IC1!j' ç:\rt. Ç.x1-\0Cðw~n~ In bLÙ\~' B. WATER A V AILABILITY (FIRE HYDRANT): See. \-\'iÔJCV\:~ Að~Cle..e..n+- To ßu-\\cl~ 3 ~¡::¡õwârdWT¡'es - 'HãZ7tííìâfHàñdlernofregfslered'"#=''''' __<,<-"~'~"A_____m__m,«~,~_.....^^·,·,,<""""''.'c'''~w.«W''^' »Y_~''''''''''<''~:':'',:~"~~:,:>,:>':,,";,,,*_~M''''''''''',m,','''',m'', "W.,'.j~"'.j~N,,_""" "".~,~~Jl!:!'] ,uu,,,,,__ ,.,,'..'.« 'W"lf_#~"W"W -u__.",¥"..-C,.,:.,_..._«, _;""W" .'<'" From: To: Date: Subject: Stanley Perry Howard Wines; Steve Underwood Wed, Mar 8, 2000 7:34 PM Haz/Mat Handler not registered First off--thanks for the help fellows on District BL. and Aldrin Ct. Now I have another business that requires a visit if one of you are available in the near future, If 'B' shift is on duty please advise as we would like to be involved. Right Healthcare Inc. 5650 District BI. #115 Office ¿;;;:..---- B f?-k ~ 5630 District BI. #122 Storage unit Kim Ebling-owner 827-1208 ?>(C~E 5'C""'0 'f7~,< They have approx. 40-50 02 cylinders (115 Liters ea,) on hand, They have notfiled with us. They have no MSDS available, no known training, etc, They say that they are unaware that compressed gas/air cylinders have to be declared. Any assistance would be greatly appreciated. Thanks, Stan Perry, Captain 13-B. CITY OF BAKERSFIE~ _ICE OF ENVIRONMENTAIII:RVICES 1715 Chester Ave., CA 93301 (661) 326-3979 BUSINESS OWNER I OPERATOR IDENTIFICATION FACILITY INFORMATION Page Of . "" ~!:','~':{/ ? ,)\L;ßþ,,_~i~+.' {r,,£'i:1:t!r,0,>(i' ~/¡ë,::~:~·~.J: ';':Ú:\~ L0F~èít;;I:t'l;IDËtrtÎfÎ(;:~ 1:( , ' ,t~" -.J~'f~, '.;'"' >,,;/~~~·t ~)?_.~ '~:;1'~ ;.'l'.:', '_' ,,', -"'''If<" :. '~., < '-" 1 Year Beginning 102 103 104 CA ZIP q331 .3 105 1 '- COUNTY ~e( I OPERATOR NAME 106 SIC CODE (4 Digit #) 107 I 113 I ! i 129 ~ TITLE I BUSINESS PHONE , 24-HOUR PHONE ! PAGER # 130 : 131 132 ' i Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted in this inventory and believe the information Is true, accurate, and complete. SIGNATURE OF OWNER/OPERATOR DATE 134 NAME OF DOCUMENT PREPARER \ id.Julf- 135 : I ~ I - DO E OF OWNER/OPERATOR I 137 I I UPCF (7/99) S:\CUPAFORMS\OES2730.TV4.wpd HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION I CITY OF BAKERSFlFa o FICE OF ENVIRONMENTAL~ERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 200 (one fonn per material per building or area) Page of FACILITY ID # CHEMICAL NAME COMMON NAME DYes 0 No 208 CAS # G!r~~f~!aà ;H~fii~~:~si~E~~ .. TYPE P PURE o m MIXTURE o w WASTE 211 RADIOACTNE DYes o I LIQUID ~S 214 LARGEST CONTAINER £- o 2 REACTIVE ~RESSURE RELEASE o 4 ACUTE HEALTH o 5 CHRONIC HEALTH 216 PHYSICAL STATE o s SOLID FED HAZARD CATEGORIES (Check all that apply) ANNUAL WASTE AMOUNT 01 FIRE 217 MAXIMUM DAILY AMOUNT UNITS· 0 ga GAL cf CU FT . If EHS, amount must be in Ibs, 218 AVERAGE DAILY AMOUNT I 4 o Ib LBS 0 In TONS 220 221 222 STORAGE CONTAINER (Check all that apply) o a ABOVEGROUND TANK o b UNDERGROUND TANK DC TANK INSIDE BUILDING o d STEEL DRUM De PLASTIClNONMETALLlC DRUM Of CAN o g CARBOY o h SILO o i FIBER DRUM OJ BAG ok~ œ1CYLlNDER o m GLASS BOTTLE o n PLASTIC BOTTLE 00 TOTE BIN oP TANK WAGON o q RAIL CAR o r OTHER 223 STORAGE PRESSURE ~MBIENT ~IENT o aa ABOVE AMBIENT o ba BELOW AMBIENT 224 STORAGE TEMPERATURE o aa ABOVE AMBIENT o ba BELOW AMBIENT o c CRYOGENIC 225 226 I 2 230 3 234 4 238 242 227 o Yes 0 No 228 231 o Yes 0 No 232 235 DYes 0 No 236 239 DYes 0 No 240 243 o Yes 0 No 244 229 233 237 241 245 Prt5ìdf1\t- JIæÌh1rä~ ~ xi UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd Operate Prevention Services Unified Permit: SUBJECT TO CONDITIONS OF PERMIT [I Per It ,..~": ,.:f,·· .~. . ..,f-.~.'" '!. , ~. "'~';. .~-... .,: ·,-i~~k~ ~ . ::' . ~~ if'" -, Permit ID#: 015-000-002047 .l'.,/f~,,~,/J RI G HT HEALTH CARÉ ÎN'{J:~· ::J, .'~ "\0:\"-,.:;....; :'''' Location: 1121 W. Columbus Str.; .,r (.: I~:' . i ~'. :¡. ., .. . '~ 1. \. ., .. ..~ , ~.- .....~ --'- -.. .'. 'J._......__.~_....._......\_"'_,......~....<>--."'......_~~~.....:...Q!.......~~:.,;.:. to THIS PERMIT IS ISSUED FOR THE FOLLOWING: þl(Hazardous Materials Plan o Underground Storage of Hazardous Materials o California Accidental Release Program o Hazardous Waste Generator and/or Treatment o Above ground $torage Storage of Petroleum o Paint Spray Booth o Industrial Hood Suppression System ! .~ " ". . · . ~ ,", ,.".. ..... .' · ;~7:-''''1 :'I: - t~:;.i:i~; '-. . ",,' . , . . " '..~ -' ;. . jiâ~~:~:· : j ¡ ~.- I,:l:,\;:·, 't7::~"'\ \ -'. t I . .:"':.'..: :.:~;: ·t~~:~~i;l\~ß: :; j~>.> ~_.,_. ~"".'''' .B~~~ryr¡â, .. " ,~:.,,~A :.,;,ò,.'~) <q'r.~~~~1;~~1,:~~1;':~':-:~:'F;( '~ , .\t'''..'-''. -.' , '~". :, ~ Ii ...._.~ ...,11" ~.~ '; .: '; :;¡ }'; 93301 ..' ~!.'.:';!:.. ? ' ~~ .. -' : 1"~}; (i~~;;~;~,., . . ,t.' . ' .. 1;- ~Ä,' - .. "~5~f:t~f;;:.~;:.,.;:';\,;;~\ ~\~-_.'~.:' ......~...: :" "',.,... ....,.- ··r'.':>,....:. Issued by; Bakersfield Fire Department ·Of<7ICE OF PREVEl\iTION SERVICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 852-2171 ~;:.. ,_e LU_.L~.LU.JL!..J1 ~I". "."AIIT..IIT . ; - ~ - " . U'~ ; ;j/""' .........,...._,.........v-..~..... .:.' . ......~ ".",... · >1:."., Approved by: ì 4~~- ph Huey, Director ' Prevention Services I Expiration Date: dune 30, 2006 1:11736 ·' '.. . .... ',\ Per it Operftte to Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This pennit is Issued for the following: Ii1 Hazardous Materials Plan o Underground Storage of Hazardous Materials o Risk Management Program o Hazardous Waste On-Site Treatment PERMIT ID # 015-021-002047 LOCATION 5650 '. Issued by: 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: ....,JÇ-DÖ . June 30, 2003 , ¡ -. ,f il" '.' ê ~.r.(. '"'i,. J ~ .. sm DIAGRAM FACILITY'DIAGRAM r ~ BUlÛleUName: .... ~f· . .. r. Bum- AddnIu: .. 0\S~~~ ~~ 1\ S ~y e rst'<'t'_\t1 ~J'\ 'j~3)3 , . , .' ,...,- ;;'..' . . 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II ¡ ~·__I_u+_~__ ~---1--+j---;_:- :--~-i- j--+ -+-+ +-~ -t' ~i: ':;: +-+--i-~---t,-l---++~ : - -:_-1-~-i--T-+ !t 1ij--.Hj~.ttjjj~trltJ- _IL{]Jl·-j··j.·· .=.1=· i ·j=U~m~r:·-=r1-.. -:=1-': ·rJ1 --t'-+-1~~'+-ic-- ¡-T-1-1- t--+-H--~- -¡ ·H-f{' ~--L--i~+;--+-T~!':t__]~j-_ ¡',_- 'j~+_-_CJ~j-~.i -I I -f--1-'-rî--r':--¡-j-:--Tr--m--1-- I ' I ,'t-¡--- -'-î --: 'I I ¡ ! : i ! ¡ : ! 1 i 4.+-6 JmLJJJ :-:······~~=Li=:~t_+~r~- crr:J;11;~:Fj-~-T=H ,.~... , r-..:" ,- j. H~O'1 , H t-_ni . , ¡ : ! ¡ ! .~, ::;æ; , '. . . ~ 'LJ, !.ù\N~ b,)\~~tx.O b)\N~~t..C fì1 I ' 1 r -In I , i I ¡ -"-. ., ¡ L - .,.- .,... ~; l____J_ .' It®. 'RjØt HEALTHCARE, INC. Your Company That Cares u Eddie Diaz Marketing Executive 5650 District Blvd. Suite 115 Bakersfield, CA 93313 HOME OXYGEN AND DURABLE MEDICAL EQUIPMENT (661) 827-1208' Pager (888) 206-9476' Fax (661) 827-0782 ,.. ,,~\ - ,.''''''',~\. e CITY OF BAKERSFIELII OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 FØ/ HAZARDOUSMATE~~~~~MEL~;~~rv INSTRUCTIONS: ?- 0 L\ 112~-IS c..0 Ay. JU£ :: 5200;15 1. To avoid further cti , etum this form within 30 da\~freceiPt.- .~ 2. TYPE/PRINT WERS IN ENGLISH. ~ 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. 5. You may also attach Business Owner / Operator Form and Chemical Description Form(s) to the front of this plan instead of completing SECTION 1. below for initial submission. SECTION I: BUSINESS IDENTIFICATION DATA BUSINESS NAME: ~+ \--\eO \-t\îcQrp , "tnr . LOCATION: 5~S{) J--:J\~tr-ìC+ ß' \Jel. ~ns fukerstlßltL p, o. { O'j... MAILING ADDRESS: d d 3d 0 q~D' CITY: ~Q}C? (~.ç;.£üd STATE: lliZIP:a3:;1ð PHONE: RdÎ-}/)öR ~ PRIMARY ACTIVITY: Du( rIb)~ .e Ò-ì r 0...{ ç ('6u I P{y)f'VI é OWNER: PHONE: MAILING ADDRESS: EMERGENCY NOTIFICATION CONTACT I. JAimber LL ~ hi ìnJ 2.1\.lli.bfLtf\ f) í tl L TITLE Pí€ c;¡rJPfì+ (SJlp$ BUS. PHONE 24 HR. PHONE <:¡f).7~J~lJ'ð> 333~S7lJd '2 [) ì-) gð ~ (S:33~ t¡qt; If 1 e e HAZARDOUS MATEIDALS MANAGEMŒNTPLAN : _i.' t ;7' --"-.,- .. ~"''\ SECTION 11.1: DISCOVERY AND NOTIFICATIONS A. LEAK DETECTION AND MONITORING PROCEDURES: Upon ref.e-ìpr / del ìùuL) of -\-CLr) ~.$, +he.. \ec-h()ì ¿Leu) USI \\ e-he-cl. -tl)( \ro.¥.$ u..C;IN) ßOO-"'þ Qr\d LÙlUU' . \:::xJ.m~e.J tC\.f\ kS \Þ\\ \ be.- re..-portW +D fY\Q0tlejeme..rt+-, dD~umÙì-kd '6.nd +heft (~+u("ne..d . tD 1tìe s~-pp)ì~r. B. EMPLOYEE AND AGENCY NOTIFICATION: £..rnÇ>$)~~e.s f.Ì\(k~\ ~f\~ /Y'CV1~ement- 'lfnMwtìCL-tely ;~oJ'd~ CU\ \-) ty p e- ~ Sp Ù \. -=.L.ç. th e. s p \ \ \ \ s \ l~c.. --+h (€.a. +~ \ ~9 -\-he., ~?\~ye-e.- \S 1-() f\D¥,Ç'1 C\ - \ - \ o.(ì~ \he.- ~+ìL€- c* ç mu-0e.n~ :x.r1J1Le.S @ 1-~DD-<6S~ - í 55D. l+ me. inc.\åle.í\-t- \s fìO+ CLn err'\e.ccJ£~ tr\€- \=-\íL Dt-pw--t-metìt Lù\\\ b€- noflf-ìut C. ENVIRONMENTAL RESPONSE MANAGEMENT: ~'n.DrneùQ..f ·\d~~\.{;t'S t'vìt- )Jrcb\to"\ firs-t 5'rúL\ fìDt-¡-fy Nì?--flG.L\ement 6rd döt.u.\f'1ìtn+ -\'he._ \(\Qiclet\+. tv\~emen+ LÑ\ \ \ ¥r\t() e..Dn-ì-ocJ· the. ç.'íCL D~{t-{YVlJ)+-. D. EMERGENCY MEDICAL PLAN: U~Cr\ em ~ mec\ \ c.oJ €.-fí'e.( <3 U'Llj e.t"í\ P\Dy u- L01\ \ Q.o.-l \ q - \ - 1 .. Ç-Dr ML) f\m- emer~Ùìc..~ '\(\~UI\€-S em9\Dye~ \S 10 go to ßaKersf\e.;\¿ OCCll-pGltìOfYl \ N\e£ii ad G\rou.p oj- t l\SßD Q.Q \ \-ÇDr fì 'tal f\D~4 PhDîe.: lLtLQ$ 3~-' -Y41l . f\JI.Û\nC\.Jj-eme.nt \ s -to be It oti-fkd 'LYì o.l.l U\ s1-Cuìe~s. 2 -~.."." .. ,J I e e HAZARDOUSMATEmALS~AGEMENTPLAN SECTION II.2: RELEASE RESPONSE PLAN A. HAZARD ASSESSMENT AND PREVENTION MEASURES: Rn CLj\\rde-rs Ore-- C..I~\-TQ\.nui ~ Û CY)\f\du C-'\rT, A\ì ftmcÙn .Ú\ On U?f\:Cjf\r ~D'S\ 1~ ()t) 0.1'- QUt)m es, l'1\$\d.e.cs (\fi.. 0))€ceJL~ frtttUffit'\l) ibr dt\m~e..s ~ð ) Dr l~Q'c..s. B. RELEASE CONTAINMENT AND/OR MITIGATION: P\ \ì ho.:w.rclOLt:z> OìOv-\t.C ìQÀ i~ ~-T ~(\ -\nt- iJJCUe)ìð~ 0 ~\\,,-du. uvtS tD 'ÙìSLLrt- --\1\Ov-r ~~ (V~ ~ fYL<À..+U-I(t.~, l '\~ t.Ðn-H t"\e.ß" ~ 0.- ~ OSeA. ~ Y\'i-. Ö0~ hæ-UJJcLöLLS ~! (\; te.pt Dr\ s\+e..r\6 D~lD~U). C. CLEAN-UP AND RECOVERY PROCEDURES: Tn me.- \nstcLtìC-~ ðf- (),. Sp\\\ Dr leû.Jk bOlL) ol?Or i'S T-ö be., ~e.-() -\-ö 0\\ OlOt-or \Jenii \a.t\lY\ b..nc\ OJ'\nderS are..., -tD 'De.- fe-ff\o\JM C\.Dd (~·\u.:{n eel +0 -m~ $rDper v·e..nd. or f UTILITY SHUT -OFFS (tOCA TION OF SHUT -OFFS AT YOUR FACILITY) NATURAL GAS/PROPANE: _..JJJ.JA ELECTRICAL: -ß'ff rl'tf.[ ~l)J,'\n Mf'\c£.... WATER: SloSD Oi~trì('+ ßJ1Y'). ~ JOt SPECIAL: (U J ~ LOCK BOX: YE 0 IF YES, LOCATION:. PRIVATE FIRE PROTECTION/W A TER AVAILABILITY A. PRIVATEFlREPROTECTI01-l: Srr\rÙ:..1e..r S~sKrn '11'" \5\..L\\d."Nj' Ç\rt. [~¥.0<ðlli~ner ln \:2>\.-Ù\~ . lB. WATER AVAILABILITY (FIRE HYDRANT): hre. t\~<i(CLA:~ Að~Q<:e..n-\- To ßLl\\Ò.~ 3 _ e HAZARDOUS' MATERIALS MANAGEMENT PLAN ~ ".- ....~" . ~10,_ c { ,.. SECTION III: TRAINING NUMBER OF EMPLOYEES: I.D MATERIAL SAFETY DATA SHEETS ON FILE: ~;e..s \0 rW. Þì~5 On Q.O..cJ\ Jest BRIEF SUMMARY OF TRAINING PROGRAM: ~f:::tr\ ph ()"\ ct- me.- hO:Zwdo u..s. (no---ttr\ ú-.ts Imme..cL~ ho. "LOJd.s '\ù h e.o...l tt\ t\\St..5 t:f f\re.. ()í ~p\ösìo("l Ifì(\~\Q-\L y('Qf..QutÌ £:r\S -\ù bt. --rCl-k.Q./î tn me... e.,ùe.n1· of (}Jì Û\..ccìde.m- Dr incident. ~mcnulio..--\e \ì\e..,-\t\ocÅS {bt "d(ì d lh-5 Srn¿Lf\.,\ 0\ \ o'{,lj e.- ~íes .lÎl\·\"\C\..~ me-mt0..s +Ör hOJ\ð..h.f~ 09\\\$ CJ \ea..\LS l.f) +he...obs~ bf-Ç;r€S ?(.el ~ m \ nCU' y -Ç\r~-t ÛL-~fYì -e..o.. S LtC-e$ Ii . CERTIFICATION 1,_\h\0ì~.(1 \ ~b) ¡ f\l'1i: CERTIFY THAT THE ABOVE INFORMATION IS ACCURATE. I UNDERstAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PERJURY. I 1m foJ.~ tfJ ~ Ù J- SIGNATURE ({lI. P ü~nt- TITLE 7 II 3)/J[) DATE 4 â'rd' '\ívTn"ês''':----Frãzltv1'ãt~'Hañ'a'i':e'r~':::~ñ::öt'i::'rë'girstêrê'a:':~"'<""'<"'" """"'~"">"""»"»>";""c~m_,,«~ ~«':':~':""":~~':>";""»·"·__'__·____""__",'Úh";X' . '.w"""'W"W"""«W=~==«« """'«,O~;_W««':<':,",",=~..,.,,", ~H-=,,';>=;':"""""';'<m;"',;'<M" ~,~,~~..;"~~""",,,,,,,~",",,;-;,:~ "«"'~":':<'~:"';::::",**"m,"~';""';-;-';"> .::,=:::':::,::::~~ÆJ] w,'_ "'-' ,w"wm,wpw,w""""""p"";,,,,«« From: To: Date: Subject: Stanley Perry Howard Wines; Steve Underwood Wed, Mar 8, 2000 7:34 PM Haz/Mat Handler not registered First off--thanks for the help fellows on District BL. and Aldrin Ct. Now I have another business that requires a visit if one of you are available in the near future. If 'B' shift is on duty please advise as we would like to be involved. Right Healthcare Inc. 5650 District BI. #115 Office ¿;;:.-----.. B V1k ~ 5630 District BI. #122 Storage unit Kim Ebling-owner 827-1208 p:>t C~& S'C-v-vo 'f7~/>( They have approx. 40-50 02 cylinders (115 Liters ea.) on hand. They have not filed with us. They have no MSDS available, no known training, etc. They say that they are unaware that compressed gas/air cylinders have to be declared. Any assistance would be greatly appreciated. Thanks, Stan Perry, Captain 13-B. CITY OF BAKERSFIEI..Jl _ICE OF ENVIRONMENTAIla:RVICES 1715 Ches~er Ave., CA 93301 (661) 326-3979 BUSINESS OWNER I OPERATOR IDENTIFICATION FACILITY INFORMATION Page _ Of _ ~;\!{ ~:::,.yTJ_ ':U:sj~Y'>~}\:r;~'/tHÄ+',$¿~j;%ir:l{ ,fÇ¿~~~t'P:t'~·'~~~>~:S," >f'Aéíi1.:ìY}ítlENTIEiëA:T,o ,; :<. ..t,:,,';:~< ·:--.;::;tt"<¿<:~;¿"~'t~ ~1,'~-\' ,W~~;) ;~'v,f~:Ä\,~h~~~lå}j",,~-:-, ·1 Year Beginning 101 102 103 104 CA ZIP q331 .3 105 1 ~ COUNTY ~e( I OPERATOR NAME 106 SIC CODE (4 Digit #) 107 . 119 ' TITLE 125 TITLE 130 ¡ I BUSINESS PHONE 126 131 24-HOUR PHONE 127 132 . ! PAGER # N Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted in this inventory and believe the information Is true, accurate. and complete. SIGNATURE OF OWNER/OPERATOR DATE 134 NAME OF DOCUMENT PREPARER 135 : , I I i 137 I I ! ¡dJu1J- UPCF (7/99) S:\CUPAFORMS\OES2730.TV4.wpd I CITY OF BAKERSFlFa o FICE OF ENVIRONMENTAL~ERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY I: CHEMICAL DESCRIPTION ~ DADD D DELETE D REVISE 200 (one fottn per material per building or area)· Page of i .1 I COMMON NAME ! Dyes ~ 202 204 Dyes D No 206 €J\ CAS # 210 TYPE P PURE D m MIXTURE D w WASTE 211 RADIOACTIVE Dyes o I LIQUID ~S 214 LARGEST CONTAINER £- 02 REACTIVE ~RESSURE RELEASE o 4 ACUTE HEALTH o 5 CHRONIC HEALTH PHYSICAL STATE o s SOLID FED HAZARD CATEGORIES (Check all that apply) ANNUAL WASTE AMOUNT o 1 FIRE 216 217 MAXIMUM DAILY AMOUNT UNITS· 0 ga GAL d CU FT . If EHS. amount must be in Ibs. 218 AVERAGE . DAILY AMOUNT I (( o Ib LBS 0 In TONS STORAGE CONTAINER (Check all that apply) o a ABOVEGROUND TANK Db UNDERGROUND TANK o c TANK INSIDE BUILDING o d STEEL DRUM De PLASTfCINONMETALLlC DRUM Of CAN o g CARBOY o h SILO D i FIBER DRUM OJ BAG ok~ I1!'íéYLlNDER o m GLASS BOTTLE o n PLASTIC BOTTLE 00 TOTE BIN op TANK WAGON D q RAIL CAR D r OTHER 223 STORAGE PRESSURE ~MBIENT o àa ABOVE AMBIENT o ba BELOW AMBIENT 224 226 227 DYes 0 No 228 229 I 2 230 231 DYes 0 No 232 233 3 234 235 oYesoNo 238 237 4 238 239 DYes 0 No 240 241 242 243 o Yes 0 No 244 245 £lCiJò UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd · - z Hazardous Matermls/Ita ardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This rmrmit is Issued for the followinq; [] Hazardous Materials Plan E] Underground Storage of Hazardous Materials E] Risk Management Program [] Hazardous Waste On-Site Treatment PERMIT ID # 015-021-002047 RIGHT HEAT THCARE LOCATION 5650 #1 Issued by: Bakersfield Fire Department . · 1715 Chester Ave., 3rd Floor Approved by: ~ RalpgHuey, D~ ) Issue Date Bakersfield, CA 93301 Omce orEviro~Services Voice (661) 326-3979 FAX (661) 326-0576 Expiration Date: June 30, 2003 SITE DIA FACILITY DIAGRAM 9 bt HEALTHCARE, INC. ~ Your Company That Cares Eddie Diaz Marketing Executive 5650 District Blvd. Suite 115 Bakersfield, CA 93313 HOME OXYGEN AND DURABLE MEDICAL EQUIPMENT (661) 827-1208 · Pager (888) 206-9476 · Fax (661) 827-0782 OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 HAZARDOUS MATERIALS MANAGEMENT PLAN 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. 5. You may also attach Business Owner / Operator Form and Chemical Description Form(s) -to the front of this plan instead of completing SECTION I. below for initial submission. SECTION I: BUSINESS IDENTIFICATION DATA · Busn,,mss NmE: Ph'~C~+ '\4.e_0 ~ncace Thc, CITY: ~.P C~1~ STATE: Pm~YACTIVITY:, Ducabl~ ~_~4ic~ OWNER: PHONE: MAILING ADDRESS: EMERGENCY NOTIFICATION CONTACT , TITLE BUS. PHONE 24 HR. PHONE HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION II. 1' DISCOVERY AND NOTIFICATIONS A. LEAK DETECTION AND MONITORING PROCEDURES: B. EMPLOYEE AND AGENCY NOTIFICATION: C. ENVIRONMENTAL RESPONSE MANAGEMENT: D. EMERGENCY MEDICAL PLAN: Ph~e. ~m) HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION II.2: RELEASE RESPONSE PLAN A. HAZARD ASSESSMENT AND PREVENTION MEASURES: B. ~LEASE CONTENT ~/OR ~TIGATION: C. CLEAN-UP AND RECOVERY PROCEDURES: 4v ~c ¢emo~ ~d' rc~rn~' ~ ~c 9rop~ v,c~or. . UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY) NATURAL GXS/PROPANE: ELECTRICAL: SPEC~: fO / LOCK BOX: YEs~.~ IF YES, LOCATION: PRIVATE FIRE PROTECTION/WATER AVAILABILITY A. PRIVATE FIRE PROTECTION: B. WATER AV~L~ILITY (FI~ ~~T): 3 HAZARDOUS MATERIALS. MANAGEMENT PLAN SECTION III: TRAINING NUMBER OF EMPLOYEES: ~ MATERIAL SAFETY DATA SHEETS ON FILE: BRIEF SUMMARY OF TRAINING PROGRAM: CERTIFICATION I, I~ cr-,Y~_,, ~ { g~O~i nto, CERTIFY THAT THE ABOVE INFORMATION IS ACCURATE. I UNDERS~TAND THAT THIS INFORMATION WILL BE USED TO FULFILL MY FIRM'S OBLIGATIONS UNDER THE "CALIFORNIA HEALTH AND SAFETY CODE" ON HAZARDOUS MATERIALS (DIV. 20 CHAPTER 6.95 SEC. 25500 ET AL.) AND THAT INACCURATE INFORMATION CONSTITUTES PER.R.IRY. SIGNATURE oL TITLE DATE HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION II.2: RELEASE RESPONSE PLAN A. HAZARD ASSESSMENT AND PREVENTION MEASURES: · 0.~ h~'~ cc)\\ r~. ecs C~re~ m~_r,~ m a B. ~LEASE CONTENT ~/OR MITIGATION: C. CLEAN-UP AND RECOVERY PROCEDURES: UTILITY SHUT-OFFS (LOCATION OF SHUT-OFFS AT YOUR FACILITY) NATURAL GXS/PROPANE: /'~/'A Et, ECTmCA.t,: ~rer,~,r ~ ~ .~ ~~. sP~c~: ~/~ LOCK BOX: ~~ IF ~S, LOCATION: PRIVATE FIRE PROTECTION/WATER AVAILABILITY A. PRIVATE FIRE PROTECTION: B. WATER AVAILABILITY (FIRE HYDRANT): 3 Howard W~nes - Haz/Mat Handler no.t_.reg~stered Page From: Stanley Perry To: Howard Wines; Steve Underwood Date: Wed, Mar 8, 2000 7:34 PM Subject: Haz/Mat Handler not registered First off--thanks for the help fellows on District BL. and Aldrin Ct. Now I have another business that requires a visit if one of you are available in the near future. If 'B' shift is on duty please advise as we would like to be involved. Right Healthcare Inc. 5650 District BI. #115 Office ~ ~ ~'~r'~--'?.._ i?t. E-'"~'C- ~",~.,--~ 5630 District BI. #122 Storage unit Klm Ebling-owner 827-1208 They have approx. 40-50 02 cylinders (115 Liters ea.) on hand. They have not filed with us. They have no MSDS available, no known training, etc. They say that they are unaware that compressed gas/air cylinders have to be declared. Any assistance would be greatly appreciated. Thanks, Stan Perry, Captain 13-B. 'OPFICE OF ENVIRONMENTAI_~ERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 *'~~~' BUSINESS OWNER/OpE~TOR IDENTIFICATION FACILI~ INFORMATION FACtLI~ ID, :: ~ ~ /~ Year .e0innin0 .00 Year Endin0 BUSINESS ~ME (Same as FACILI~ NAME or DBA- Doin0 Bmlness ~) 3 BUSINESS PHONE a02 103 DUN & ~ SiC CODE cou~w ~ecD CONTACT ~L~ ..... O ~gD 3g3'-gWO~ 24-HOURPHONE ~. 5 g~ ,2, 24~OURPHONE ~g_ ~qOq ,, Cedi~mUon: Based on my inqui~ of ~ose individuals responsible for ob~ining the Infomation, I ~i~ under penal~ of law that I have personally examined and am ~millar ~th ~e info~aflon submi~d In ~is invento~ and believe ~e info~afion Is tree, accurate, and ~mplete. NAM--~- OR(~dnt) ~ES OF OWNE~OPE~T ~3s I TI~ OF OWNE~OPE~TOR ff~ ~37 UPCF (7/99) S:\CU PAFORMS\OES2730,TV4.wpd ~ ~t~z ~ OFFICE OF ENVIRONMENTAL'SERVICES t~p~A m r_~lrr 1715 Chester Ave., CA 93301 (661) 326-3979 . '~'~~' H~RDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one fo~ per materialper building or ama) ~ ADD ~ DELE~ ~ REVISE ~ Page ~ ' of BUSINESS ~ME (S~e ~ FACILI~ ~ME ~ O~ - ~ng Busin~ ~) 3 C~E~CAL~O~TION FACILI~ID~[~} ~ ~~,i' ~, : ],~.~,. 1 ~P~(bp~haO ' '2~ GRIO~(~na0 ~5 T~DE SECRET ~ Y~ EH~' '~ Y~ ~0 FED ~ ~TE~RIES ~ I ~mE ~ 2 R~CT~ ~nESSURE ~SE ~ 4 ACU~ H~Lm ~ 5 CHRONIC H~LTH 216 (Ch~ all ~at apply) A~U~ ~ OAILYA~O~ ~ OAILYA~O~ I,q~ C ~C ~' UNffS' D ga ~L ~d CU ~ D lb LBS D tn TO~S 221 [OAYS ON S=E STOOGE ~AINER ~ a ABOvEGROuND T~K ~ e P~STI~ONM~ALLIC DRUM ~ i FIBER DRUM ~ m G~SS BO~LE ~ q ~IL CAR (Check afl that apply) ~ b UNDERGROUND TANK ~ f ~N ~ j BAG ~ n P~STIC BO~LE ~ r O~ER ~ c TANK INSIDE BUILDING ~ g ~R~Y ~k~ ~'o TOTE BIN ~ d S~EL DRUM ~ h SILO~1 CYLINDER ~ p TANK WA~N STOOGE PRESSURE . ~IE~ ~ ~ A~VEAMBIE~ ~ ba BELOW A~IE~ ~4 STOOGE TEM~TURE ~IE~ ~ aa A~VE A~IE~ ~ ba 8ELOWAMBIE~ ~ c CRYOGENIC ~ 226 ~7 ~ Y~ ~ ~ 228 2 ~0 23~ ~ Y~ ~ No 232 I 3 2~ 235 ~ Y~ ~ ~. 236 m7 4 ~8 ~g ~Y~ ~ 240 5 242 243 ~ Y~ ~ No 2~ 245 PRI~ NAME & TITLE OF AU~ORgED COMPA~ REPRESE~ATIVE SIG~TURE DATE 2~ UPCF (7~99) S:\CUPAFORMS\OES2731.TV4.wpd