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Home My WebLink AboutBUSINESS PLAN 9/19/2003 Per it to .Operüte Hazardous Materials/Hazardous Waste Unified Permit ~"CONDITIONSOF:,:PER,M,IT ON REVERSE SIDE :', ~, ,:>~" ',", J,<":,.':'::' .:~;. ,of' :':/,'~',~~W~~*;:\:-:~'/:{::' . ' '~. :', , " ' :' ~. ·",:~>:·:~-:;·1~_,~:~·~.,~_ . :'" . ' Permit ID #:: 015-000-000739 BAKERSFIELD VETERINARY .' ...... ~ . LOCATION: 4408 WIBLE RD , , , ' '>. . , Issued by: ¡ , MYlON E.-FILKINS, D,\I.M, {.ERSF/!: JOHN A. TOLLEY, D,\I.M, ~'" . ,(,() CHRISTIAN D, COMEAU, DVM, ~ S'H Ã G .~~A~~· . U3Abt. Å",JiM,(),L cC"'Ji(,,) Bakersfield Veterinary Hospital, Inc. 4408 W!ble Road OFFICE: (661) 832-1150 Bakersfield, CA 93313 FAX: (661) 832-9653 E-MAIL: bvhwla@aol.com I , ' I '--, - ~ - ~ ---.~ -.- -- _. -- - Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Approved by: Issue Date " ',Expiration Date:. .,' '.June 30, 2003 -::~~f/tf~~~;.:~'~·~~-',~:~·. ~:?t<r(~i~J~~~~<{';j~\~t·;~~. :, ",' .' . . ' '. , <I: ,. ~",,'" ./t· i>. ;; W H I T E L A N' E -- ~- ,~~ Western Geophysical Whse. Reliable Moving & Stor.' Scott Insulation \þ N & ~ C C E \þ S .-4 C""I S 4 o .-4 C""I 4, DOWELL AUTO UP. \þ AUTO GLASS SPEC. g 4 JOHNSON BROTHERS INDUSTRIAL CENTER 30Ò~A-B-C-D-E-F-I W I B L E R 0 A D - EAST þ þ, 01' Þ ...:.' & A V E N U E þ w VI o Reliab.le Moving & Storage r-----I I , I Work Yard I I I I I I , ~ '-. ' 1.:...._'___1 G A R L A N D I \1 I I I I' ¡ ,I i !. ¡ ,l 'I ¡, ! R o A D Vacant' --------,- - ,---- I 1 1 I I ,', Stock Trea tmen t ,¡ E1 I STOCK I PENS I I I I Water Shut Off for 4408 L -- .V.H. Wible arge Animal ospital .V.H. WIBLE SMALL ANIMAL OSPITAL 4410 ,I' Retaining Pens: :: S T A B WEST SITE DIAGRAM - WIBLE LARGE ANIMAL HOSPITALŠ BAKERSFIELD VETERINARY HOSPITAL, INC. 4408 WIBLE ROAD, BAKER FIELD, CA 93313 · #, ;<; .. r -- -'-- - I I I tI~ST I I r' FLOOR I I I I I I I I 1- _ __1__ I- 1ST I T I I I I I I I I I I I I 1-- - e EAST .f- EAST DOOR-1ST FLOOR T I I ì I I I I I I I I I I I I I _ _1 FACILITY DIAGRAM - WIBLE LARGE ANIMAL HOSPITAL, BAKERSFIELD VETERINARY HOSPITAL, INC. 4408 WIBLE ROAD, BAKERSFIELD, CA 93313 NDRrlll 2ND FLOOR. STORAGE STORAGE STORAGE 5' urN 1ST FLOOR SQlrTJ:L DOOR- - 1ST FLOOR - - - --f ' '-.- t- - -- - - - - SECOND FLOOR 739 Et~ 7 .' .. ~ e - ~ ACCESS ROAD (NO NAME) WORK ROOM NATURA~ OFFICE I GAS í SHUT-OFF VlØfT EXAM ROOM WORK & STORAGE ROOM #1 (Ø-Nore. ! WATER SHUT-OFF IS ON S.E. CORNER OF ACCESS ROAD AND WIBLE ROAD NEXT TO FIRE HYDRANT r ELECTRICITY SHUT-OFF RECEPTION AREA OFFICE N t· _ :RECE.~T~ONIST , DESK ~ SALE_ITEMS REACH-IN WALK-IN REFRIGERATOR - STAIRWAY TO 2ND FLOOR STORE STORE TOILEJjT RO~M ~~OM . l' _f- fA" ----- - I STORAGE ROOM #2 LARGE ANIMAL EXAM & TREATMENT AREA - - - OXYGEN STORAGE 1 ~" SURGERY ~ $0 "Tit FACILITY DIAGRAM - WIBLE LARGE ANIMAL HOSPITAL, BAKERSFIELD VETERINARY HOSPITAL, INC. 4408 WIBLE ROAD, BAKERSFIELD, CA 93313 FIRST (ßROUND) FLOOR - "" ~- . ' ~ ACCESS ROAD (NO ~AHE) 'r ~J 1\ ~~l RECEPTION AREA 1\ ' I I: 1\ : 1 I r...' ,-' '~ ' ~., ¡ II .[ I ~ EXAM ROOM~,,!\ \;L I --- ffl 1 f :~~~ ~~þ Person discovering fire will notify at least one of all personnel and animals from the building. --~--,~-----------------'""'--~- --.=,--------"--- -"--'---- --. ,--.-- -~ ---------- Call the Fire Department - DIAL 911 - Remain Calm and give the Fire Department a. The name and address of the facility. WORK ROOM 9J II =--:~ - \ \'./ j I NI\TURA~ GI\S ~ SJiUT-OFF OFFICE WIlT WORK & STORAGE ROOM 11 fi)-Nore ! WATER SHUT-OFF IS ON S.E. CORNER OF ACCESS ROAD AND WIBLE ROAD NEXT TO FIRE HYDRANT IN CASE OF FIRE: , 1. -~-'1- 2. I , ELECTRICITY SHUT-OFF OFFICE N i \ t ~~CEPTIONIST DESK n - STAIRWAY TO 2ND FLOOR ') ~,,-..~ SALE. ~ ...:::- ,--. v'- REACH-IN WALK-IN REFRIGERATOR fA". --------,----- --- ---- - LARGE ANIMAL EXAM & TREATMENT AREA ; SURGERY - - - OXYGEN STORAGE 1 ~,. '~ \ ! , I : II~ \ / ) o t~,ler ~o~ person to start evacuation b. c. 3. The a. b. The type of fire" if known. Any other special information (gas explosion, etc) that would be of help to the Fire Department or present a special hazard. Senior person present will: Ascertain that allperso~s and animals are evacuated. ' Determine whether or not the fire is to be attacked with our small Fire Extinguishers. PERSONNEL AND ANIMAL SAFETY HAVE PRIORITY OVER THE BUILDING AND OTHER CONTENTS. ;. If the fire is in the Surgery or Storeoom #4 near the Stored Oxygen Cylinders, evacuate the building immediately and assemble in the Parking Lot of Wible Small Animal Hospital where the Senior Person Present can account 'for you. 5. The Senior Person will either make their self or designate One person available to the Fire Department for assistance and information. All other persons stay out of the way. I UNIFIED PROGRAM nlPECTION CHECKLIST · . SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 ~----- INSPECTION DATE ~lC:l-º3 PHONE No, '32- {(56 Business ID Number 15-021-é)(X)73C; INSPECTION TIME II :'Ji ___ :-,:~r:~-~:-- ~---~----_._-_._--_._~ - Section 1: Business Planand Invèntoryprogram tJ Joint Agency D Multi-Agency D Complaint D Re-inspection C V (c=comPliance) OPERATION COMMENTS . V=Violation ¿ D ApPROPRIATE PERMIT ON HAND --¡---------------'~--------------------- --,-,-,--~--, ----,--------,,--, -,-----------",--,--,--,----,-------'--'-' ,,---,,--- r:;( 0 BUSINESS PLAN CONTACT INFORMATION ACCURATE -------.---....-.--.-------------..-- ------.----.---.--.--------------.-----......-------..----..----- ,.-- ---_._-------_.--------------~- ._.__.~-------_._--_._-------- .._-- ~~~~ ----,--,-,-,----,----------------~---~-----,---- -' ~t:V '\ .~----_._----_._----~ VISIBLE ADDRESS CORRECT OCCUPANCY ----_.._-~-------_._--_. --_.-----_._.----------------------------_.~-~ ----<-------.. D VERIFICATION OF INVENTORY MATERIALS ¿ D VERIFICATION OF QUANTITIES -~ ----------_.._.__._-_._------_._~- r:;r' D VERIFICATION OF LOCATION I ~-¡;;OPER SEGREGATIO;;- MATERI~~---------- , -¿:- D VERIFICATION OF MSDS AV;~LABILI~~--------------- ._---------_._-~-_.~ ---- ---..----. --..-----.-. --..---.-----.-.--.----------------.--.-----.---.....---- .----.-.---.- /?7E:- 308 ~ ~~-~t~~-'-'_~7;¡~~=~=~~~=~~~~~~~=~~-_~~-_~_-- -----------------------.-.--..-.-----------------.----------.---..-----....--- ~ D ~RIFI~~TION OF HAT-MAT TR:NING ----------,------------ -_____________________u______________n____~__________,__ ---------------.----...---.---- -_._-----~---~---_._.~_._--------_._------_._.__._-----,-----.----.---- . D VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~ D EMERGENCY PROCEDURES ADEQUATE I!r'" D CONTAINERS PROPERLY LABELED , ~H~USEKE~;ING ---~-----~------ ,----,- ,~-,---------,-,------------,--,--------,--,------------'-~--- / ,---,------,-,---,- ----,---,--------,---~-------------------,-,--, rgI' D FIRE PROTECTION I ' --------~~----_._._---~_._-------- ------~-~---~_._.._-_._---_._--------_._._--_._---_._-...._------~. ~ D SITE DIAGRAM ADEQUATE & ON HAND t V/ .-.---------.--.---- ----_._-_._----_..__._~-.__.~.__.._~-----_.-----_._--------.-------.-- -_.~~--------------- -_._-----_._--_.__._-_._--~_..~--~~-------~._-._-----.---.--------.---.----..------ ANY HAZARDOUS WASTE ON SITE?: DYES ~ EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~q ~-----~----,- Inspector Badge No, White - Environmental Services Yellow - Station Copy Pink -- Business Copy J/ ._~ ''-" e~ VETERINARY INC ~ · SiteID, 015-02~ BusPhone: (661)832-1150 Map : 123 CommHaz: Low Grid: 13C FacUnits: 1 AOV: ,~' ~ ~_,I .- BAKERSFIELD Manager : Location: 4408 WIBLE RD City BAKERSFIELD dommCode: BAKERSFIELD STATION 07 EPA Numb: SIC Code: DunnBrad: ~mergency Contact / Title Emergency Contact / Title þR MYLON E FILKINS / DR JOHN TOLLEY / IBusiness Phone: (661) 832-1150x Business Phone: (661) 393-2237x ;24 -Hour Phone : (66l) 399-4754x 24-Hour Phone : ( ) - x :Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press IrrimHlth Contact : Phone: (661) 832-1150x MailAddr: 4408 WIBLE RD State: CA City : BAKERSFIELD Zip : 93313 Owner BAKERSFIELD VETERINARY HOSPITAL Phone: (661) 327-4444x Address : 323 CHESTER AVE State: CA I. BAKERSFIELD Zip 93301 Clty : : , Period : to TotalASTs: = Gal I Preparer: TotalUSTs: = Gal Çertif'd: RSs: No ParcelNo: Emergency Directives: F. Hazmat Inventory One Unified List ì f=7 Alphabetical Order All Materials at Site ì Hazmat Common Name.. . SpecHaz EPA Hazards DailyMax MCP rJ1INERAL OIL F L 55.00 GAL Min NITROUS OXIDE F P IH G 350.00 FT3 Hi I' <DXYGEN F P IH G 502.00 FT3 Low I, mYL ø;rl ¡;~~'AlS Do hereby certify that I have (Type Of print name) reviewed the attached hazardous matsrials manage- ment plan fOr3+A!£LJ¡'L'Vv{-n:4M~d1 that it along with . (1'5am8 of BUBIn0sa) any corrections constitute á complete and oorrect man- agement plan for my facility. 03/21/2003 . F BAKERSFIELD VETERINARY INC f=Inventory Item 0002 ~_ COMMON NAME / CHEMICAL NAME ¿MINERAL OIL . SiteID: 015-021-000739 9 Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit ]NSIDE W WALL OF TREATMENT AREA Map: Grid: CAS# 8042-47-5 ~ STATE r:.iquid . TYPE Pure PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE DRUM/BARREL-METALLIC Largest Container 55.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 55.00 GAL Daily Average 55.00 GAL I HAZARDOUS COMPONENTS .%Wt. RS CAS# 100.00 Mineral Oil No 8020835 AR A ME T TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F / / / Min I HAZ D SSESS N S / f=: Inven!.9ry-'-Item 0003 =T COMMON NAME / CHEMICAL NAME -v:ROUS OXIDE I Location within this Facility N END OF OPERATING ROOM Facility Unit: Fixed Containers on Site ì Days On Site 365 Unit Map: Grid: CAS# 10024-97-2 - TYPE Pure PRESSURE ---- TEMPERATURE Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 175.00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 350.00 FT3 Daily Average 175.00 FT3 . %Wt. HAZARDOUS COMPONENTS RS CAS# rr.OO.OO Nitrous Oxide No 10024972 ARD A SME T T$ecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi HAZ SSES N S -2- 03/21/2003 , .' . BAKERSFIELD VETERINARY INC nventory Item 0001 COMMON NAME / CHEMICAL NAME , XYGEN . SiteID: 015-021-000739 9 Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit NE CORNER STOREROOM #2 Map: Grid: CAS# 7782-44-7 .STATE - TYPE Gas Pure PRESSURE Above Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container 251. 00 FT3 AMOUNTS AT THIS LOCATION Daily Maximum 502.00 FT3 Daily Average 251.00 FT3 '%Wt. RS CAS# ioo.oO Oxygen, Compressed No 7782447 HAZARDOUS COMPONENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ - Curies F P IH / / / Low HAZARD ASSESSMENTS -3- 03/21/2003 . F BAKERSFIELD VETERINARY INC I f= Notif./Evacuation/Medical r=:.. Agency Notif,ication LALL 911. Employee Notif./Evacuation . SiteID: 015-021-000739 ì Fast Format ì Overall Site ì 03/26/1999 ] 03/26/l999 Public Notif./Evacuation 03/26/1999 WORD OF MOUTH. WE ARE A SMALL BLDG AND HAVE NO NEED FOR BELLS OR ALARMS. ØUR HAZARD IS LOW AND OUR BLDG IS NOT VERY CLOSE TO OTHER BLDGS. WE DO NOT NOTIFY THE PUBLIC. ONE PERSON IS DESIGNATED TO ASK THE SENIOR FIREMAN PRESENT IF ANY TYPE OF NOTIFICATION IS NECESSARY. Emergency Medical Plan 03/26/1999 ~ERCY HOSPITAL - 2215 TRUXTUN AV - 327-3371 OR EDWARD P BROWN, MD - 2531 G ST - 327-7348. -4- 03/21/2003 . F BAKERSFIELD VETERINARY INC I f= Mitigation/Prevent/Abatemt Release Prevention . SiteID: Ol5-021-000739 ì Fast Format ì Overall Site ì 09/20/l993 /Release Containment 09/20/1993 / 'XYGEN CYLINDERS PROPERLY CHAINED, PROPER VALVES & FITTINGS. WE STORE ONLY OXYGEN. IF IT GETS RELEASED, WE AERATE THE BUILDING TO PREVENT HAZARD TO OCCUPANTS. Clean Up SPECIAL MATERIALS OR TECHNIQUES ARE REQUIRED FOR CLEAN UP. 09/20/1993 Other Resource Activation -5- 03/21/2003 .. . . F BAKERSFIELD VETERINARY INC I F7 Site Emergency Factors ¡== Special Hazards Utility Shut":Offs SiteID: 015-021-000739 9 Fast Format 9 Overall Site 9 I 03/26/1999 GAS - NEXT TO BLDG ON E SIDE E TRICAL - ON E WALL OF BLDG ATER - SE CORNER OF ACCESS RD NEAR FIRE HYDRANT SPECIAL - NONE :8) LOCK BOX - NO Fire Protec./Avail. Water 03/26/1999 PROTECTION - WE HAVE ABC EXTINGUISHER FOR OUR PERSONNEL TO USE FIRE IF IT IS SAFE TO DO SO. FIRE HYDRANT - 150 FT W OF THE NW CORNER OF THE BLDG ON THE E SIDE OF WIBLE RD NEAR THE ACCESS RD TO 4408 WIBLE RD. Building Occupancy Level -6- 03/21/2003 .. . F BAKERSFIELD VETERINARY INC I F Training I E ployee Training . SiteID: 015-021-000739 ì Fast Format ì Overall Site ì 03/26/1999 9 EMPLOYEES AT THIS FACILITY (NEVER ALL PRESENT AT ONCE) . ~E HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING: WRITTEN I~STRUCTIONS. ORIENTATION ON LOCATION OF EXTINGUISHERS, CYLINDERS, EVACUATION ROUTES, EVACUATION, ETC POSTED FIRE PLANS AND HAZARDOUS MATERIALS INFORMATION. Page 2 [ I I Held for Future Use Held for Future Use -7- 03/2l/2003 GS30tb 6;).; {);).f- (jj673i /;U -/1D 7 r!.. UNIFIED PROGRAM I.ECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 I FACILITY NAME ,) INSPE~ON D,TE INSPECTION TIME ~ A.K~~r-;G..!) Vé~I.YtY ¢:Jpç,fI'rIAI- / U::r AN.~ ~~'c.. '" 3__ _'~I91___________,_______ I ADDRE-~~44D <'6-'-----~-:-¡=~---n- ------ --- _,__LL --- - -- --- -- - -------,------- ,_on PHòNE -No, No, of 4ees , -------'--, --------, -'-'-'-'---, ,----,----,------------------------------,-,---,---'-'-------r--,---'-----'--'-' ¡ FACILlTYCONTACT Business 10 Number I é- W(.(;l(A~ 15-021- ~ Section 1: Business Plan and Inventory Program LJ Routine LJ Combined LJ Joint Agency, LJ Multi-Agency LJ Complaint LJ Re-inspection C V ( C=Compliance ) V=Violation OPERATION COMMENTS ,0 LJ ApPROPRIATE PERMIT ON HAND ______.._._~_._~____~___~~_~_________.._~~_._..__. __.______.___.__.__n___....__.______ __ .__._._ _,.___.__ ___. . .__.___...______.__.___ _ _ ._.n_ _____ _.__.".'_. -.-.... .-.....-...-.--- ._-.,------_... __ 0 0 BUSINESS PLAN CONTACT INFORMATION ACCURATE _.._. _______________________ _____._.___.__.____ __ _.___....._. .. __h._. _.._~___ .n. _._ _ ~ . _ . _ _ .__.......____ __ ____ ....._. _. ..._ n._"'_'_.' _ .___,_-'_, _ __._ : 0 0 VISIBLE ADDRESS --.--------.-----.-.---.---.-.------.-.-------------.-.-----.------.----- ..---.-.------.----.-.---- .-... -----.-....---- '0 0 CORRECT OCCUPANCY .~. -~~:~~:~~~;:~~~~~~=~~-....... ~~~~~~;~~~< -_~~~~~~~~~ ~ G¡) ~9_c:J___~~_R~~~AT~~ OF _~OC~~'~~___________,__~________. ,~..!..I??_~~y~~~,__ _~~_,ct.,cJ~~n_ nm_, o LJ PROPER SEGREGATION OF MATERIAL __~._..______________.___________._._~___ ._______.__.__________...._....__.___._ __ ._.___._________._ __.. ._.__..._.__ ___ __ ,._ _..~_____.___.n___ _._._.__. ______ _..____...._u. o 0 VERIFICATION OF MSDS AVAILABILlTYE ·_____~__~._____._____.____._.____._________.u______ ._... .______....._____... .____....__ _ __.._..._.____..__._________-.. .___ _._ ___··.~h.__.._.·_·___ .._._. ---..-...-.---.- _no __._____._____...._ : 0 0 VERIFICATION OF HAT MAT TRAINING ~________~.___.__.________________._._ _.__ ____ ____.n... .._ _..___ .__.._____..__ __. _.___.____..__..___ . _ _ u._.__________ __._......._....n._._..__ ._ LI 0 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES _._____~__~_________._.____u______...._._._.___._.___u__.._ ._..__._ .__._._.___._____ .___.._.__.__..._...____.__...._.._._...._..._.._. __._._ ____h__.___ _.. _____...___~_.__ _ _____ o 0 EMERGENCY PROCEDURES ADEQUATE ~-_--_-__,_________,_,__,_,___'_'___n______'__n_'__.."_________,,____,________, ____,___ ______ '.In'____'________,_,,,_'__'_'n' _,,,,__,,_____ _, ,,__ - --.." - , -- LJ LJ CONTAINERS PROPERLY LABELED I ',____,_,__",_,_______, __ ,,_____ _____,_,__ ,___,___,__ ,____,__ _ ________'______n..',m' _'__~m-'---' __________ , ,_ _, ,_",_____'mu_'_ __, ,m m, ,_, _ ,,____m____ ______,_ LJ 0 HOUSEKEEPING 1 ~~~n_~~~-~I~~!~~~~~;~~_~~~~_~~~~~=~~~~n_-~.~~ =_~,~-_=,~'~,~~~~. ~~~__~~--_-_~~=~..~-_~~,~_,~.~~~~~~~,~-~~-~.-_---_-~-. ~,.~_-___~~~~ --- -- 0 0 SITE DIAGRAM ADEQUATE & ON HAND .. . . -. -.-- ..- .....--.-- .----------..-.- -. . ---'.--~-----_. ANY HAZARDOUS WASTE ON SITE?: DYES )8 No EXPLAIN: aUESTONW~::'S INSPECTION? PL~~ CALL~ ~~ (661) 326-3979 b . Inspector Badge No, I' r/ite Responsi Ie Party White . Environmental Services Vellow - Station Copy Pink . Business Copy ,. ... :::.,t; ~,~2~~~~;'< I. FACILITY INFORMATION BUSINESS NAME (s.m.. FACILITY ÑÄMËÕt-D8A. Däij~iiïs-Ãs)-" ,'.. -- .-- -, BA~. "Er. '+k~~~ _,_. l.c~ ""~'~~~ _. _~t.,,;oJf'..) CHEMlCALLOCATION M~:,,1Zrl':>-c>1=' C)Pe'?A-ïlN6- ~ÐM FACILlTYIDtll~-rr~-':-- '-7--,r-MAPtI(CfØ/jOM/) _hH' ...,-- .--- ~¡I:.: ':";~'.-,:'~~.R.:"::t:~''':' Io..-._L__. L ---.---...---..------.-. 'r" ,_,~i; i'-.r'._ - II. CHEMICAL._I~FORMATlON, ~:~';~:,\;{~,'-~,:·~:f i 205 , TRADE SECRET D Yes D No 206 If Subject to EPCRA. reler to insIrucIions . CITY OF BAKERSFIEYil. <eICE OF ENVIRONMENTAL_RVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION r¡(NEW DADO D DELETE D REVISE 200 .-.-.. ...~----_. ..-...--..-- -.. . .__. _..."' __ n__ _. .__." .._ _.___.._______ ~ -~._-_._.._- (one ronn per _/eriM per buiØing Of' area) PI9It d '> . ...... 7 -,". <.,!-~.:.. '~" ·./~~t;~~ ':. 3 201 CHEMICAL LOCATION.. 0 0 ' CONFIDENTIAl (EPCRA) - Yes No 202 .., - -2õ3..~-GRìÖï;{oi:IÏionaÏ)--'- 204 CHEMICAL NAME C!),c. YU-.v .-----_.. ----------. ..- ..-. ".. ,,---- - "---æ~-- COMt.()N NAME ! EHS' Dyes ONo 208 . CAStI 209 - .--. ...--------.- . ...... -_..-- . -- -.. .. . .._- . FIRE;CODE HAZARD a.ASSES (CompIeIe if ~by IaaII lire i:iIiif----:------ - - --,-- ._-- p-' -,- -----. 210 TYPE ;JiG..PIJRE o w WAS7: -'-;,-:-:-~' R.-.~~'----O Y~- ~ _. ..p..- -.---. ..- _......_-- --- , o m MIXTURE , PHYSICAL STATE 'fZ-g GAS 214 : lAAGEST CONTAINER '2 ç I -~.,.__._--_.._- - .--..-.-.-. D s saUD 0 I lIQUID .--,-.-- i FED HAZARD CATEGORIES : (Check afllllat apply) ¡ ANNUAl WASTE ! AMOUNT lilt REACTIVE Jlf...3 PRESSURE RELEASE o 4 ACUTE HEALTH 212 i CURIES 213 215 ---.,- 217 i MAXJt4t.f ,r;. '"") . DAIlY AMOUNT ..::> {J ~ I ~ o ga GAL fild cu~-'--'D-~ ~S--- 0 ~'~~-_._---------. . If EHS. amount must be in Ibs. o 5 CHRONIC HEALTH 219 ¡ STATE WASTE CODE I 221 i DAYS ON SrTE I ':3')' o 1 FIRE ...- - .....~.._...._--_._.__._.._---_.- 218 J AVERAGE ; DAILY AMOUNT '2..:) I UNITS' STORAGE CONTAINER (CheCk aU /hat apply) o i FIBER DRUM OJ BAG Ok BOX ÞI1 CYLINDER D m GlAss BOTTLE o n PLASTIC BOTTLE Do TOTE BIN o p TANK WAGON o a ABOVEGROUND TANK Db UNDERGROUND TANK DC TANK INSIDE BUILDING o d S'ÆEL DRUM o 1/ PlAS11CINONMETALUC DRUM Of CAN 09 CARBOY o h SILO --..... ._. _...... - -.-.--..-..---- STORAGE PRESSURE )i!l.. aa ABOVE AMBIENT o ba BELOW AMBIENT D . AMBIENT --.-----..-------....-. -...-.-.- . ..-..... ......, ..-.---. STORAGE TEMPERATURE ~ AMBIENT 0 sa ABOVE AMBIENT 0 ba BelOW AMBIENT , y:~~f:~~<~:'~::~~W~9Ñ~Ñf;(·::f:::: I I 3 ; I, 234 ... ,__.____._____." _, ._.' - --,-_:.. ~-~~.9-~~.L 231 I 0 Yes 0 No 232 ! ---.-¡----..-..-..-......' -;-- __________--"Ï0_y~O... ~I ==------~--:~~~:. ~: ~ '::";"/"-'~;1'~'!"'!''': .:......... ...., ". ..' '.:'ï";' ...... '. . ··;~,,~~_~'·,~·,:~:~0HQ;. ~IGNATURE ;. , :.;..~,,:-::~;.;.~ . ~~:~:~:'.:~.' .);;;:.:'~ '~.: ';. ::·"~i':·~·'· .::,: .'. , SKiÑÃTURE--'---'-- 2 2301 I --.....- ~-_...-._--- ---.---... ..._,-_.~_.~ ___._.M...__·_ 4 238 5 242 .. .-... -.... -... -...-.-....-.....--.---...- .'-. ,---,---_.,-~.~_..- --------- -..-.--.- UPCF (7/99) 216 ' 220 222 o q RAIL CAR o r OTtlER 223 224 o c CRYOGENIC 225 229 233 237 241 245 S:\CUPAFORMS\OES2731.TV4.wpd CHEMICAL LOCATION ,N S ~- ,. ., A -'G"'" /In 201 CHEMICAL LOCATION - D D , (), r:;;- -r.,µ, !AI . L l,. to'''' Tt<Cv.:\.TMG..J'} '"'" <;. Gt-\ ' CONFIDENTIAl.. (EPCRA) - Ves No 202 FAC,ILJ'TYIO'~-rr'-':-- '---'1nWri(oø~ ---,- ...,-. .---'- ---2õ3TGRióïï(opÍionaÎ¡- ~ ¡ L-L.~: .__.________~__,_ ,~t!.T;~X :<' IL CHEMICAL I....FORMATlON CITY OF BAKERSFIE~ <eICE OF ENVIRONMENTAL_RVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MA rERIALS INVENTORY CHEMICAL DESCRIPTION .r¡t...NEW DADO D REVISE 200 (] DELETE -_.þ.. ...þþ----" --,. --.--.. . "-_. _..... -- ..--.-. _... ..- -.._~..------- : ::.,£: "oi~~~.~~;,:'· I. FACILITY INFORMATION " BUSINess N.AAE (SIÍn~. i:AClUTYÑAMëõr-DBA :bäiñ9-ãüïiñ(-Ãsï-oo- . .,- -- --- -, . ~~. ,veri _~~.f(, ... L!:~, ,~~_"":',t;1L (u....Ju_) ~_...__._._-- (OM tbnn per _"'rial "., building or area) Page d . :. ::, . <:~.;~.~.~'... ·.)~~f~~:~ :. 3 204 '," '.:' ·:~:~t~~~:':xt.::<·~~~ i 205 : TRADE SECRET 0 Ves D No 206 If SuÞjed to EPCRA. reler to inslnlc:llons ! EHS· 0 Ves D No 208 , ,-- . -----I o~~,!:>·._',:'o:' ...~~~-.",~ç, , 209 l ..fHO -·111' "t~1Ie_"'- i , 3.~:;~~·:.~"bt.....-:;; FIRE CODe HAZARD ClASSES (CompIece if requeádby IOcIIIIre ~---- - ----, -.. -, --.- ----.- CHEMICAL N.AAE M '''''~L. O'L. ~-_.. -.--------.. ....- .--- .... -. .. .. -'._-- - ..-'~~-- COMMoN NAIoE - .. ---... --- -- --_.- . ..... --. --... . -- ... .' . CAS' TYPE ~ PURE D m MIXTURE D VI WAS,: -·-;,:-:-·;-;,~AC~;;;-----O v.--,Þj(Ño -_....~_._--_..._-_..._-- --- PHYSICAL STATe ,0 II GAS_...____~~~~~~NT~R ____.~S- o . saUD æ(LIQUID ---.-.-- FED HAZARD CATeGORIES (Check all Ihat apply) ¡ ANNUAl WASTE : AMOUNT ø;.. FIRE D 5 CHRONIC HEALTH D 2 REACTIVE o 3 PRESSiJRE RELEASE 04 ACUTE HEALTH -.--.,- ....- _._...__.":'--_._--_.._.__._...~----_. 217 ! ~NT . S-ç __,___~~~.L~~~_______,~~ __. UNITS· I.. ãt; GAL 0 d CU FT 0 Ib LaS 0 III TONS . If EHS. amount must be In Ills. STORAGE CONTAINER (Check an /118/ apply) D i FISER DRUM· C¡ BAG Ok BOX o I CYLINDER o. ABOVEGROUND TANI< D b UNDERGROUND TANI< Dc TANK INSiDe BUILDING l84. STEEl DRUM o e PlAST1CINONMETAlUC DRUM DfCAN o II CARBOY o h SILO D m GlASS BOTTLE D n PlASTIC BOTTLE Do TOTe BIN D p TANK WAGON --..... --. .--.....- ....-.--.-..------ STORAGE PRESSURE st. AMBIENT D aa ABOVE AMBIENT D ba BELOW AMBIENT -.----..---.-------.......-...--.- . -._.- ..-. . .--.....--. STORAGE TEMPERAT\JRE ;a . AMBIENT 0 II ABOVE AMBIENT 0 ba BELOW AMBIENT f'~~~w~~{~~~:~~~"~~~~~:(,~~;;!::)~~' .:.. __..,._"____'._____ _ __, .__,"_ _____~_, ~_~~_D_~_~_L 231 I Dves DNo 232 ¡ I I -_.-.._---_._-------_._-.. ..._._-~-_.~ ....-... -. ---.-,--.-..-----....' -;- 235 : D Ves D No 236 I --.--"-"- ..--..,...---,... ..--------1-----~-"-1 ------ --- --- ~tr- 0 No ... I . __ ___243 __ Dves ~No 2441 -":J.·I' ! : "': "'.:.... .' ~ ~:-1~~3ï1{"T...' : .: ~. : f;'" , /. .'::- " ".... ':' .. .'P',., -~' ~~IJ. SIGNATURE. :::'>;~--,; " .:;~,. . .;~7.:·~:..: . -:.~~.-: . ;~ .:.~":'~~ ~: ';,,:..~,'~ ,:. ; '" S NTA ' ,- .. --, SiGNATURe '----.---- : 1 2 2301 I I I 3 : I 234 .-.-...--.- 238 242 4; :~:.~~:;:i~~$~~~~f.:":'" ., ¡" ,i'1-'áF, -- , :·.....1'1:.&.;.;..:'..I:..ì-...."':.:·:,;,.: ---.---..-...-.-- -------- -....---.- .. .. .-.. .....--... --.-.-.,--.,.--.---... ...-. UPCF (7/99) 210 212 ¡ CURIES 213 215 , 219 ¡ STATe WASTe CODE I 221 i DAYS ON SITE I 216 220. 222 D q RAIL CAR D r OTHER 223! 224 ! o c CRYOGENIC 2251 I 229 ' 233 : 237 i I i I 241 i ¡ I 245 ! i DA 3.1 \ 7-1 t)"~ S:\CUPAFORMS\OES2731.TV4.wpd ,: :.:,~::'.~l~~:1~::~ I. FACILITY INFORMATION BUSINESS NAAE (s.m. . FACILITY ÑAMËÕtD8A . Ooiñg Büsinãï-Ãs)'-' . ,- - - - --.- ~(;!ù>he:,-.o _ .._V~.. ~~( ,_ _.",,_. CHEMICAL LOCATION . to' #-~." '" ..~,.... ...."'0.,........"" Pi ." t"':>^--\.A.À 201 CHEMlCALLOCATION ~ 0 0 N ~ .., ',; V- ........,C ~ r . f'\ll V' I ~r",- ' CONFIDENTIAL (EPeRA) - Ves No 202 FACR.fTYID. ~ITL_[~'---"~-MÄPi(ã9,*,~~~~,__ ..~~,,~~--~iÖ~{ÒÞÏio~-,-- 204 "",~',.zé,::!'~.(::.~' II.CHEMlCALltIIFORMATlON., ,:':::: . :~:Ú::,~,':;.;;::~_·':::·~:;; ¡ 205 : TRADE SECRET 0 Ves 0 No 206 If SuÞjeCI to EPCRA. relet to InsIructions CITY OF BAKERSFIEI..a <eICE OF ENVIRONMENTAL_RVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ~W DADO D REVISE 200 D DELETE ._.. ,..~~..____. -_..._.__ ~.. ...__ "R'___ . ..-. -_... . -- .---'-' --.. ,,- _._....------ .. ...._------- CHEMICAL NAAE tJ{\n.où~ ð)C.d:) ~ ---...-.-_.' -.--------. ...- .... .m _.. _. .. -,----- - .._~~- ! EHS' COMMON NAME (0... fotm per m.lerl8/ per building or area) Page d > o' -..,' :':-. : .;.~'.~~.:....~. ·./tt~~~:··:·· 3 Dves DNo 208 . ~~ .' - .____________._ . ...... ......__ . __ _... . -0_- . FIRE. CODE HAZARD CLASSES (Complete if requesteOÞy IcIC8I lite ~------- - -_.--, -.-..-.--,------. TYPE ~ PURE ---~¡....-_._-_._---_..._-- --- ¡ ---_._--- --_._. --.-----.- 210 o m MIXTURE ;.. : R.-.OtOACTIVE OVes ONo 212 CURIES 213 o w WAS.: ¡t..g GAS 1?~- PHYSICAL STATE 214 ' LARGEST CONTAINER o . SOUD o I LIQUID ..--.----- __...________.. __0-___._. FED HAZAAO CATEGORIES (Chedc all t/IaI apply) ANNÚAL WASTE AMOUNT )1!J4. PRESS\JRE RELEASE o 5 CHRONIC HEALTH 216 ,. <St~;;~':, :-:}~~$' '-. - -- '~' ":'::,.~~~{~~', __. ..,_m____oo,,____·, __,. . ___u ".---~-L~-~~-9-~_~ ,L 231 lOves 0 No 232 : .--.-,"'---------..-' -~- =~-=-~ ---=u-_-~:~~i:i: ~ '~~''I' ; ~.. ..." .' .~: "~t:ti··"':...· - .:- ~". :;:. . I. f:;- " ':, : - ,.;, .. '·P',. .':. dlJ. SIGNATURE . .' ..~~-,.. ·;~7.:·::~., '~~.i.~....:: '~;'~'.¡'~.';. ;";".' ~ ".: , '" 'SiðÑÃTURE' ,.-.-.--- fi!JG. A.:ure HEALTH o 1 FiRe 02 REACTIVE -.--,- 217 ' MAXDotJM ¡ CAlLY AMOUNT I UNITS' --.,.-- - .----.--------.-.--- ---.-----. ~ c-7"'\. 218 i AVERAGE .-- .~.... '-J : DAILV AMOUNT I ì ~ __._______L-._.___.__._____.__. __ ____ _~. o II GAL Rt.d CU FT 0 III LBS 0 In TONS , If EHS. -.,1 must be in Ills. STORAGE CONTAINER (Check al1 /118/ 'ppIy) o I FIBER DRUM OJ BAG Ok BOX &CVLlNOER o. ABOVEGROUND TANK o Þ UNDERGROUND TANK DC TANK INSIDE BUILDING o d STæL DRUM a e PlASTlCINONMETALUC DRUM a,CAN o 9 CARBOV a h SILO Om GLASS BOTTLE o n PlASTIC BOTTLE o 0 TOTE BIN a p TANK WAGON ..-...---. .--.....- .--.----.----- STORAGE PRESSURE :Ii( aa ABOVE AMBIENT o Þa BELOW AfÆIENT o . AMBIENT -----"---~--------_.-._...._.- . .--- .,_.. .__...._--~- STORAGE TEMPERATURE .J5G. AMBIENT a aa ABOVE AMBIENT a Þa BELOW AMBIENT ;'~,:::t¥J}{~l~:~~~:~~š.~Çß~~~Nr;?;}:~;:.!:,;:,~?: .:.. ' 2 2301 I 3 ¡ 234 i 4 238 I 5 242 ---.- ,- ----.---------.--.. ...-.--.--.- ---.-.-...--. ;;f;f:!~~r~~~;~g~~~· '~. PRI ---.---.-------..--.,.. -------- -.....--. - . .... .--.. _.... _... -_._.-.__.__.,_._-,-_._~.. _.. 215 219 ¡ STATE WASTE coœ 220, I i DAYS ON srre 222 . 2211 a q RAIL CAR Or OTHER 223 224 o c CRYOGENIC 2251 I 229 : 233 237 241~ 245 ! I , DA 'J (It.-tO,,> UPCF (,7/99) S:\CUPAFORMS\OES2731.TV4.wpd ,".1 :... .. - . , + BAKE~SFIELD VETERINARY INC -------------------------- -------------------------- SiteID: 015-021-000739 + Manager : Location: 4408 WIBLE RD I . Clty BAKERSFIELD BusPhone: Map : 123 Grid: 13C (661) 832-1150 ComrnHaz : Low FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 07 SIC Code: EPA Numb: DunnBrad: +==============================================================================+ +=~=====================================+======================================+ Emergency Contact / Title Emergency Contact / Title ID~u:r~~:sEp~~~~~N~66i) 832-11S0x D~ ~~ ~~~:~II~R / ~~~C~ : 24-Hour Phone : (661) 399-4754x ~~ ;::~.;~::: . ~~~î~ ____~~-~3c¡3- Pager Phone : () x Pager Phone : () x 12-37 +---------------------------------------+--------------------------------------+ I Hazmat Hazards: Fire Press ImrnHlth I +-~----------------------------------------------------------------------------+ ~ontact : Phone: (661) 832-l150x MailAddr: 4408 WIBLE RD State: CA ~ity : BAKERSFIELD Zip : 93313 +-~----------------------------------------------------------------------------+ 0wner BAKERSFIELD VETERINARY HOSPITAL Phone: (661) 327-4444x Address : 323 CHESTER AVE State: CA City : BAKERSFIELD Zip : 93301 +------------------------------------------------------------------------------+ Þeriod to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No +-~----------------------------------------------------------------------------+ Emergency Directives: I +=T============================================================================+ +=Hazmat Inventory ========================================= One Unified List + +=T Alphabetical Order ================================= All Materials at Site + +-~------------------------------+-------+-----------+-----+----------+----+---+ I Hazmat Common Name... ISpecHazlEPA Hazards Frm I DailyMax IUnitIMCP +-~------------------------------+-------+-----------+-----+----------+----+---+ 0XYGEN F P IH G 498.00 FT3 Low I; a41-UfJ U<-;e L~¡"¡ (Type or print n"r'VJ) Do hereby certify that I have røviewed the atíaGhed hazardous materials manage- ment plan for~/l.Jh.l.-1O dTN.~á that it along with : (Name of Business) any corrections constitute a complete and correct man- ~gement plan for rgy facility. I +-l---------,--~-~it:£t-------------------------------------------------+ -~----------- - ----- - - -----,~------------------------------------------ : ðo//~~L- . " 'gnature D8te 1 03 /2 1/2 0 02 e e + BAKERSFIELD VETERINARY INC ========================== SiteID: 015-021-000739 + +=Inventory Item 0001 =============== Facility Unit: Fixed Containers on Site + +=~ COMMON NAME / CHEMICAL NAME ==============================+================+ ~XYGEN I Days On Site I 365 +----------------+ I CAS# I 7782-44-7 +=============================================================+================+ +=¡STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+ I Gas I Pure I Above Ambient I Ambient I PORT. PRESS. CYLINDER I +=~=======+==========+===============+===============+=========================+ I +=7========================+ AMOUNTS AT THIS LOCATION =========================+ I Largest Container I Daily Maximum I Daily Average I 498.00 FT3 498.00 FT3 498.00 FT3 +==========================+=========================+=========================+ +=~=====+============== HAZARDOUS COMPONENTS ==============+===+===============+ I ,%Wt. I RSI CAS# I 100.00 Oxygen, Compressed No 7782447 +=======+==================================================+===+===============+ +=~=====+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+ ITsecret RSBioHaz Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP I No No No No/ Curies F P IH / / / Low +=~=====+===+======+====================+=============+=========+========+=====+ Location within this Facility Unit NE CORNER STOREROOM #2 Map: Grid: -2- 03/21/2002 e e + BAKERSFIELD VETERINARY INC ========================== SiteID: 015-021-000739 + +================================================================= Fast Format + += Notif./Evacuation/Medical ==================================== Overall Site + +== Agency Notification =========================================== 03/26/l999 + CALL 911. +==============================================================================+ +-~- Employee Notl'f /Evacuatl'on ----------------------------------- 03/26/1999 + -~- . ----------------------------------- WORD OF MOUTH. WE ARE A SMALL BLDG AND HAVE NO NEED FOR BELLS OR ALARMS. +==============================================================================+ +-~-~ Publl'C Notl'f /Evacuatl'on ------------------------------------ 03/26/1999 + ---- . ------------------------------------ 0UR HAZARD IS LOW AND OUR BLDG IS NOT VERY CLOSE TO OTHER BLDGS. WE DO NOT ~OTIFY THE PUBLIC. ONE PERSON IS DESIGNATED TO ASK THE SENIOR FIREMAN PRESENT IF ANY TYPE OF NOTIFICATION IS NECESSARY. +=~============================================================================+ +-~--- Emergency Medl'cal Plan ------------------------------------- 03/26/1999 + ----- ------------------------------------- ~ERCY HOSPITAL - 2215 TRUXTUN AV - 327-3371 OR EDWARD P BROWN, MD - 2531 G ST - 327-7348. +==============================================================================+ -3- 03/21/2002 e e + BAKERSFIELD VETERINARY INC ========================== SiteID: 015-021-000739 + +================================================================= Fast Format + +=Mitigation/Prevent/Abatemt =================================== Overall Site + +=J Release Prevention ============================================ 09/20/1993 + 0XYGEN CYLINDERS PROPERLY CHAINED, PROPER VALVES & FITTINGS. +==============================================================================+ +-~,- Release ContaJ.'nment ------------------------------------------ 09/20/1993 + --- ------------------------------------------ WE STORE ONLY OXYGEN. IF IT GETS RELEASED, WE AERATE THE BUILDING TO PREVENT HAZARD TO OCCUPANTS. +=~============================================================================+ +-~.-- Clean Up ---------------------------------------------------- 09/20/1993 + ---- ---------------------------------------------------- NO SPECIAL MATERIALS OR TECHNIQUES ARE REQUIRED FOR CLEAN UP. +=~============================================================================+ +===== Other Resource Activation ==============================================+ I I +=þ============================================================================+ -4- 03/21/2002 e e :"... . + BAKERSFIELD VETERINARY INC ========================== SiteID: 015-021-000739 + +=~=============================================================== Fast Format + += .Site Emergency Factors ======================================= Overall Site + +=d Special Hazards ===========================================================+ I I +=9============================================================================+ +-~- Utl'll'ty Shut-Offs -------------------------------------------- 03/26/1999 + --- -------------------------------------------- , A) GAS - NEXT TO BLDG ON E SIDE $) ELECTRICAL - ON E WALL OF BLDG C) WATER - SE CORNER OF ACCESS RD NEAR FIRE HYDRANT ill) SPECIAL - NONE E) LOCK BOX - NO +=~============================================================================+ +-~-- Fl're Protec /Aval'l Water ----------------------------------- 03/26/1999 + -~-- .. ----------------------------------- PRIVATE FIRE PROTECTION - WE HAVE ABC EXTINGUISHER FOR OUR PERSONNEL TO USE TO FIGHT THE FIRE IF IT IS SAFE TO DO SO. FIRE HYDRANT - 150 FT W OF THE NW CORNER OF THE BLDG ON THE E SIDE OF WIBLE RD NEAR THE ACCESS RD TO 4408 WIBLE RD. +==============================================================================+ +=~=== Building Occupancy Level ===============================================+ I I +==============================================================================+ -5- 03/21/2002 "/' I, " . e e + BAKERSFIELD VETERINARY INC ========================== SiteID: 015-021-000739 + +================================================================= Fast Format + +=Training ========~============================================ Overall Site + +== Employee Training ============================================= 03/26/1999 + WE HAVE 9 EMPLOYEES AT THIS FACILITY (NEVER ALL PRESENT AT ONCE) . WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING: WRITTEN INSTRUCTIONS. ORIENTATION ON LOCATION 9F EXTINGUISHERS, CYLINDERS, EVACUATION ROUTES, EVACUATION, ETC POSTED FIRE PLANS AND HAZARDOUS MATERIALS INFORMATION. +=h============================================================================+ +=== Page 2 ===================================================================+ I I +==============================================================================+ , H ld f F t U I=C== e or u ure se =====================================================1 +==============================================================================+ +=~=== Held for Future Use ====================================================+ I I +=~============================================================================+ -6- 03/21/2002 .... f ,~ . - -' ~--:J¡ '7 :1",,\E1TVRD 1[~J[;...¡~ JL .li..:J - BAKERSFIELD VETERINARY INC SiteID: 215-000-000739 : I ~A./ R_~ 5 1999 BusPhone: (805) 832-1150 "i~~ /- Ma::> : 123 CommHaz: Low \~-,.. ' \.:JL'd: 13C FacUnits: 1 AOV: Manager : Location: 4408 WIBLE RD City BAKERSFIELD CommCode: BAKERSFIELD STATION 07 :ç:PA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency.C.s>ntac:t / Title / - - - -- - '-- .'-- / DR MYLON E FILKINS DR 'J,OHN.:A--. - TOLLEY~:~ Business Phone: (805) 832-1150x Business Phone: (805) 832-1150x 24-Hour Phone : (805) 399-4754x 24-Hour Phone : (805) /5~JJ)-o6~,'~ ) Pager Phone 9 . Pager Phone : ( - x : (805) 638;.7490x Hazmat Hazards: Fire Press ImmHlth I Contact : Phone: ( ) - x MailAddr: 4408 WIBLE RD State: CA City : BAKERSFIELD Zip : 93313 Owner BAKERSFIELD VETERINARY HOSPITAL Phone: (805) 327-4444x Address : 323 CHESTER AVE State: CA City : BAKERSFIELD Zip : 93301 :Period : to TotalASTs: = Gal :preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: One Unified List ì All Materials at Site ì p= Hazmat Inventory p== As Designated Order Hazmat Common Name. . . SpecHaz EPA Hazards DailyMax MCP OXYGEN F P IH I, ~Dtkl ThL~ Do hereby certify that I have (Type or print name) reviewed the attached hazardous materials manage- ment plan for.B \J 1::/ and that it along with ~amG 01 Bus!noss) any corrections constiiute a complete and correct man- agement plan for my facility. G 498 FT3 Low -1- 03/01/1999 'Õ e e F BAKERSFIELD VETERINARY INC f= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME OXYGEN SiteID: 215-000-000739 ì Facility Unit: Fixed Containers on Site ì Days On Site 365 Location within this Facility Unit ~E CORNER STOREROOM #2 Map: Grid: CAS # 7782-44-7 STATE - TYPE Gas Pure PRESSURE Above Ambient TEMPERATURE Ambient CONTAINER TYPE PORT. PRESS. CYLINDER Largest Container FT3 AMOUNTS AT THIS LOCATION Daily Maximum 498.00 FT3 Daily Average 498.00 FT3 HAZARDOUS COMPONENTS %Wt. RS CAS # lOO.OO Oxygen, Compressed No 7782447 HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low -2- 03/01/1999 "õ e e Employee Notif./Evacuation SiteID: 215-000-000739 ì Fast Format ì Overall Site ì 10/29/1990 1 10/29/1990 F BAKERSFIELD VETERINARY INC I p= Notif./Evacuation/Medical r=:' Agency Notification LL 911 WORD OF MOUTH. WE ARE A SMALL BUILDING AND HAVE NO NEED FOR BELLS OR Public Notif./Evacuation 10/29/1990 OUR HAZARD IS LOW AND OUR BUILDING IS NOT VERY CLOSE TO OTHER BUILDINGS. WE DO NOT NOTIFY THE PUBLIC. ONE PERSON IS DESIGNATED TO ASK THE SENIOR FIREMAN PRESENT IF ANY TYPE OF NOTIFICATION IS NECESSARY. Emergency Medical Plan 12/05/1996 MERCY HOSPITAL - 2215 TRUXTUN AV - 327-3371 OR EDWARD P. BROWN, M.D. - 2531 G ST - 327-7348. -3- 03/01/1999 _ e SiteID: 215-000-000739 ì Fast Format ì Overall Site ì 09/20/1993 F BAKERSFIELD VETERINARY INC I f= Mitigation/Prevent/Abatemt Release Prevention OXYGEN CYLINDERS PROPERLY CHAINED, PROPER VALVES & FITTINGS. Release Containment 09/20/1993 WE STORE ONLY OXYGEN. IF IT GETS RELEASED, WE AERATE THE BUILDING TO PREVENT HAZARD TO OCCUPANTS. Clean Up 09/20/1993 NO SPECIAL MATERIALS OR TECHNIQUES ARE REQUIRED FOR CLEAN UP. Other Resource Activation I -4- 03/01/1999 e e F BAKERSFIELD VETERINARY INC I p= Site Emergency Factors ~ Special Hazards Utility Shut-Offs SiteID: 215-000-000739 ì Fast Format ì Overall Site ì I 10/29/1990 A) GAS - NEXT TO BUILDING ON EAST SIDE B) ELECTRICAL - ON EAST WALL OF BUILDING C) WATER - SOUTHEAST CORNER OF ACCESS RD NEAR D) SPECIAL - NONE E) LOCK BOX - NO FIRE HYDRANT Fire protec./Avail. Water 10/29/1990 PRIVATE FIRE PROTECTION - WE HAVE ABC EXTINGUISHER FOR OUR PERSONNEL TO USE TO FIGHT THE FIRE IF IT IS SAFE TO DO SO. FIRE HYDRANT - 150 FEET WEST OF THE NORTHWEST CORNER OF THE BUILDING ON THE EAST SIDE OF WIBLE ROAD NEAR THE ACCESS ROAD TO 4408 WIBLE ROAD Building Occupancy Level -5- 03/01/1999 ::; ·'i e e " / F BAKERSFIELD VETERINARY INC I F Training Employee Training SiteID: 215-000-000739 1 Fast Format ì Overall Site 1 10/29/1990 WE HAVE 9 EMPLOYEES AT THIS FACILITY (NEVER ALL PRESENT AT ONCE) WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: WRITTEN INSTRUCTIONS. ORIENTATION ON LOCATION OF EXTINGUISHERS, CYLINDERS, EVACUATION ROUTES, EVACUATION, ETC. POSTED FIRE PLANS AND hAZARDOUS MATERIALS INFORMATION. Page 2 I I I Held for Future Use Held for Future Use -6- 03/01/1999 -. ._-.- _..--:::~~.-;-:;.... ~._.;;;_.__...._..- P,ernait to Operil.te Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This permit is issued for the following: '::H~pirdous Materials Plan "". round Storage of Hazardous Materials agement Program " . Waste 4408 PERMIT ID# 015-021.Q00739 BAKERSFIELD VETERINARY LOCATION Issued by: WIBLE Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 ~ oice (805) 326-3979 FAX (805) 326-0576 ~~. ph Huey, ffice of ental Servi es June 30, 2000 Approved by: Expiration Date: - _....... ~; - .;.;, '\ ,-.; e. ~ ÞIt- !',4U.'YJ. AN~ot..A8Éflêf¿e: + BAKERSFIELD VETERINARY INC ~lE(Gt~1rw~==:¡========= SiteID: 215-000-000739 + Operator: ~;" ~IBUSPhone: (805) 832-1150 Location: 4408 WIBLE RD \ DEG 41~9-"r¡ Map : 123 OvrlHaz: Low City BAKERSFIELD /) , ,,) ¡ Grid: 13C FacUnits: 1 AOV: CommCode: BAKERSFIELD 'STA~,' (' I J SIC Code: EPA Numb: -.------ DunnBrad: +==~===========================================================================+ +=====================================;r+======================================+ j Emergency Contact / Title ~_. Emergency Contact / Title ~ D \ MYLON E. FILKINS / '. / Business Phone: (805) 832-1150x Business Phone: (805) 832-1150x 24-Hour PHone: (805) 399-4754x 24-Hour PHone: (805) SJ4 1256x 3iQ4' 3 Pager Phone : () x Pager Phone : ( ) - x +--~------------------------------------+--------------------------------------+ I Hazmat Hazards: Fire Press ImmHlth I +--~---------------------------------------------------------------------------+ Contact : Phone: () x MailAddr: 4408 WIBLE RD State: CA City : BAKERSFIELD Zip : 93313 +--~-----------------------~------------------------~~-------------------------+ Owner BAKERSFIELD VETERINARY HOSPITAL Phone: (805) 327-4444x Address : 323 CHESTER AV State: CA city : BAKERSFIELD Zip : 93301 +--~---------------------------------------------------------------------------+ P~riod to TotalASTs: = Gal Pteparer:, TotalUSTs: = Gal Cértif'd: EHSs: No +--+---------------------------------------------------------------------------+ First Response Directives: +==~===========================================================================+ + H t I 0 U ·f· d L· t + =azma nventory ========================================= ne n~ ~e ~s +=='MCP+DailyMax Order ================================= All Materials at Site + +--t-----------------------------+-------+-----------+-----+----------+----+---+ I Hazmat Common Name... ISpecHazEPA Hazards Frm DailyMax UnitMCP +--~-----------------------------+-------+-----------+-----+----------+----+---+ OXYGEN F P IH G 498 FT3 Low ~ru-"f A .lJTù<~ I, ' Do hereby certify that I have , (fype or print I'r.roo) re*iewed the at.ta~hed hazardous materials manage- : " <"ßq'¿~A~ V~nì?II'l4(lY men. plan for-':kE>()lT4L- and that it along with ~ , (Name of Business) any corrections constitute a complete and correct man- I agøment plan for my facility. +==~===========================~==~============================================+ , . ,"",~.~>. '. :.~.;~,. ~'.., " ....~;: ";~.t.". 1- ~ ì .. e e + BAKERSFIELD VETERINARY INC ========================== SiteID: 215-000-000739 + += [nventory Item 0001 =============== Facility Unit: Fixed Containers on Site + +== COMMON NAME / CHEMICAL NAME ==============================+= Days On Site =+ OXYGEN I 365 I +----------------+ , Location within this Facility Unit CAS# I NE CORNER STOREROOM #2 7782-44-7 +=============================================================+================+ += STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+ I Gas I Pure I Above Ambient I Ambient I PORT. PRESS. CYLINDER I +==~======+==========+===============+===============+=========================+ +==~======================= AMOUNTS STORED AND IN USE =========================+ I Lf,gst Cont.this Loc FT3 DailyMax this Loc FT3 I DailyAvg this Loc FT3 , 498.00 498.00 +--~-----------------------+-------------------------+-------------------------+ ,DailyMax Stored FT3 I DailyMax Open Use FT3 DailyMax Closed Use FT3 I +==========================+=========================+=========================+ +==T====+============== HAZARDOUS COMPONENTS ==============+===+===============+ %Wt. IEHS CAS# 100.00 Oxygen, Compressed No 7782447 +==~====+==================================================+===+===============+ +==~====+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+ TsecretIEHSBioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP . " No ' NG> No,·" No/ Curies F P IH / / / Low +--~----+---+------+--------------------+-------------+---------+--------+-----+ UFC Article 80 Control Zone: USDOT Hazards I~ Cabinet? Sprinklered Area? +==9====================================+======================================+ +========================== MISC. LOCAL AGENCY DATA ===========================+ ~g.Defined1: Ag.Defined2: Ag.Defined3: Ag.Defined4: Ag.Defined5: Ag.Defined6: Ag.Defined7: Ag.Defined8: Ag.Defined9: Ag.define10: +- ~g.Define11 ----------------------------------------------------------------+ +==~===========================================================================+ -2- · e - + BAKERSFIELD VETERINARY INC ========================== SiteID: 215-000-000739 + +================================================================= Fast Format + += Notif./Evacuation/Medical ==================================== Overall Site + +== :Agency Notification =========================================== 10/29/1990 + CALL 911 +==============================================================================+ +==~ Employee Notif./Evacuation =================================== 10/29/1990 + WORD OF MOUTH. ALARMS. WE ARE A SMALL BUILDING AND HAVE NO NEED FOR BELLS OR +==============================================================================+ +==== Public Notif./Evacuation ==================================== 10/29/1990 + OUR HAZARD IS LOW AND OUR BUILDING IS NOT VERY CLOSE TO OTHER BUILDINGS. WE DO NOT NOTIFY THE PUBLIC. ONE PERSON IS DESIGNATED TO ASK THE SENIOR FIREMAN PRESENT IF ANY TYPE OF NOTIFICATION IS NECESSARY. +==9===========================================================================+ +===== Emergency Medical Plan ===================================== 10/29/1990 + MERCY HOSPITAL 2215 TRUXTUN AV 327-3371 OR EDWARD P. BROWN, M.D. 2531 G ST 327-7348 +==============================================================================+ -3- ~ e e + BAKERSFIELD VETERINARY INC ========~================= SiteID: 215-000-000739 + +================================================================= Fast Format + += Mitigation/Prevent/Abatemt =================================== Overall Site + +==Re1ease Prevention ============================================ 09/20/1993 + I O~YGEN CYLINDERS PROPERLY CHAINED, PROPER VALVES & FITTINGS. +==============================================================================+ +=== Release Containment ========================================== 09/20/1993 + WE STORE ONLY OXYGEN. IF IT GETS RELEASED, WE AERATE THE BUILDING TO P~EVENT HAZARD TO OCCUPANTS. +==============================================================================+ +==== Clean Up ==================================================== 09/20/1993 + NOI SPECIAL MATERIALS OR TECHNIQUES ARE REQUIRED FOR CLEAN UP. +===~==========================================================================+ +===~= Other Resource Activation ==============================================+ +===~==========================================================================+ -4- ~ e e ¡ + BAKERSFIELD VETERINARY INC ========================== SiteID: 215-000-000739 + +==F============================================================== Fast Format + += Site Emergency Factors ======================================= Overall Site + +==, Special Hazards ===========================================================+ +==============================================================================+ +=== Ut1l1ty Shut-Offs ============================================ 10/29/1990 + A) GAS - NEXT TO BUILDING ON EAST SIDE B)~ ELECTRICAL - ON EAST WALL OF BUILDING C)¡ WATER - SOUTHEAST CORNER OF ACCESS RD NEAR FIRE HYDRANT D) SPECIAL - NONE E): LOCK BOX - NO +===r==========================================================================+ +---~ F~re Protec /Ava~l Water ----------------------------------- 10/29/1990 + ---I · . ¿. ----------------------------------- PR~VATE FIRE PROTECTION - WE HAVE ABC EXTINGUISHER FOR OUR PERSONNEL TO USE TO: FIGHT THE FIRE IF IT IS SAFE TO DO SO. FIRE HYDRANT - 150 FEET WEST OF THE NORTHWEST CORNER OF THE BUILDING ON THE I EAST SIDE OF WIBLE ROAD NEAR THE ACCESS ROAD TO 4408 WIBLE ROAD +===7==========================================================================+ -5- ~ .~ e e I + B~KERSFIELD VETERINARY INC ========================== SiteID: 215-000-000739 + +================================================================= Fast Format + += Slite Emergency Factors ======================================= Overall Site + +==~== Building Occupancy Level ===============================================+ +==*===========================================================================+ -6- .a ~!.. ~ - e + BAKERSFIELD VETERINARY INC ========================== SiteID: 215-000-000739 + +==~============================================================== Fast Format + += Training ===================================================== Overall Site + +==;Emp1oyee Training ============================================= 10/29/1990 + W~ HAVE 9 EMPLOYEES AT THIS FACILITY (NEVER ALL PRESENT AT ONCE) WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: WRITTEN INSTRUCTIONS. ORIENTATION ON LOCATION OF EXTINGUISHERS, CYLINDERS, EVACUATION ROUTES, EVACUATION, ETC. POSTED F[RE PLANS AND hAZARDOUS MATERIALS INFORMATION. +==k===========================================================================+ +==f Page 2 ===================================================================+ +==============================================================================+ -7- I' i' ! i e e / ~ 06/30/93 BAKERSFIELD VETERINARY INC 215-000-000739 Overall Site with 1 Fac. Unit Page 1 General Information ~ocation: 4408 WIBLE RD Map: 123 Hazard: Low Community: BAKERSFIELD STATION 07 Grid: 13C F/U: 1 AOV: 0.0 r-t- Contact Name Title Business Phone - 24-Hour,Phone M¥LON E. FILKINS (805) 832-1150 x (805) 399-4754 WAYNE E. KNITTEL (805) 832-1150 x (805) 834-1256 , Administrative Data ~ail Addrs: 4408 WIBLE RD D&B Number: City: BAKERSFIELD State: CA Zip: 93313- :Comm Code: 215-007 BAKERSFIELD STATION 07 SIC Code: Owner: BAKERSFIELD VETERINARY HOSPITAL Phone: (805) 327-4444 Address: 323 CHESTER AV State: CA City: BAKERSFIELD Zip: 93301- Summary RECEiVED I 'SiP 0 1 1993 .. HAZ. MAT. OlV. -.JEf'fM'f A cJ ldc.Ic-&t\o1.\ I, Do hereby certify that I hav.~ (Type or print nama) , reviewed the attached hazardous materials manage- &~,~ \.-t:r l~~ h· I ·th ment plan for and t at It a ong WI (Name of BUSineM) any corrections constitute a complete and correct man- agement plan for my facility. e e 06/30/93 BAKERSFIELD VETERINARY INC 215-000-000739 Hazmat Inventory List in MCP Order Page 2 02 - Fixed Containers on Site P1n+Ref Name/Hazards Form Max Qty MCP 498 Low FT3 02-001 OXYGEN . Fire, Pressure, Immed Hlth Gas '- e e 06/30/93 BAKERSFIELD VETERINARY INC 215-000-000739 02 - Fixed Containers on Site Page 3 Hazmat Inventory Detail in MCP Order 02""'001 OXYGEN ~ Fire, Pressure, Immed Hlth Gas' 498 Low FT3 CAS #: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: MEDICAL AID OR PROCESS Daily Max FT3 --r- Daily Average FT3 ~ Annual Amount FT3 498 I 498.00 I 10,000.00 Storage r Press T Temp -:ì Location PORT. PRESS. CYLINDER Above AmbientNE CORNER STOREROOM #2 - Conc l ' 100.0% Oxygen, Compressed Components I-=:- MCP ----rGuide Low I 14 ;¡ e e 06/30/93 BAKERSFIELD VETERINARY INC 215-000-000739 00 - Overall Site Page 4 <D> Notif./Evacuation/Medical <1> Agency Notification C~LL 911 <2>'Employee Notif./Evacuation W0RD OF MOUTH. WE ARE A SMALL BUILDING AND HAVE NO NEED FOR BELLS OR ALARMS. <3> Public Notif./Evacuation OYR HAZARD IS LOW AND OUR BUILDING IS NOT VERY CLOSE TO OTHER BUILDINGS. WE DØ NOT NOTIFY THE PUBLIC. ONE PERSON IS DESIGNATED TO ASK THE SENIOR FIREMAN PRESENT IF ANY TYPE OF NOTIFICATION IS NECESSARY. <4> Emergency Medical Plan MERCY HOSPITAL 2215 TRUXTUN AV 327-3371 OR EDWARD P. BROWN, M.D. 2531 G ST 327-7348 iì- ~ l~ .. e e 06/,30/93 BAKERSFIELD VETERINARY INC 215-000-000739 00 - Overall Site Page 5 <E> Mitigation/Prevent/Abatemt <1> Release Prevention QXYGEN CYLINDERS PROPERLY CHAINED, PROPER VALVES & FITTINGS. <2> Release Containment WE STORE ONLY OXYGEN. IF IT GETS RELEASE, WE AERATE THE BUILDING TO PREVENT HAZARD TO OCCUPANTS. <3> Clean Up NO SPECIAL MATERIALS OR TECHNIQUES ARE REQUIRED FOR CLEAN UP. ) <4> Other Resource Activation "' : <~ ' ,. e e 06/30/93 BAKERSFIELD VETERINARY INC 215-000-000739 00 - Overall Site Page 6 <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - NEXT TO BUILDING ON EAST SIDE B) ELECTRICAL - ON EAST WALL OF BUILDING C) WATER - SOUTHEAST CORNER OF ACCESS RD NEAR FIRE HYDRANT D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water P~IVATE FIRE PROTECTION - WE HAVE ABC EXTINGUISHER FOR OUR PERSONNEL TO USE T0 FIGHT THE FIRE IF IT IS SAFE TO DO SO. F~RE HYDRANT - 150 FEET WEST OF THE NORTHWEST CORNER OF THE BUILDING ON THE EAST SIDE OF WIBLE ROAD NEAR THE ACCESS ROAD TO 4408 WIBLE ROAD <4>, Building Occupancy Level a I~ . ,~ e e 06/30/93 BAKERSFIELD VETERINARY INC 215-000-000739 00 - Overall Site Page 7 <G> Training ,<1> Page I WE HAVE 9 EMPLOYEES AT THIS FACILITY (NEVER ALL PRESENT AT ONCE) WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE BRIEF SUMMARY OF TRAINING: WRITTEN INSTRUCTIONS. ORIENTATION ON LOCATION OF EXTINGUISHERS, CYLINDERS, EVACUATION ROUTES, EVACUATION, ETC. POSTED FIRE PLANS AND hAZARDOUS MATERIALS INFORMATION. <2>,page 2 as needed <3>.Held for Future Use <4> Held for Future Use " I ~ , I ' BAKERseELD VETERINARY INC 215-0.000739 Overall Site with 1 Fac. Unit General Information RECE1VED:'age OCT f 6 1990 Ans'd. ... 1 Ò~/27/90 .. Le.cat ie.y,/: 4408 WIBLE RD Map: 123 Haza\'~d : Lelw I deY'lt Number: 215-000-000739 Gt~ i d : 13C Area elf Vul: 0.0 ---,- CelY'lt act Name Ti tIe Busi Y'less Phe'Y'le ~ 24 HClut~ Phclne MYLON E. FILKINS (805) 832-1150 x I (805) 399-4754 WAYNE E. KNITTEL (805) 832-1150 x (805) 834-1256 Admi Y'tÍ strat i ve Data Mail Add rs : 4408 WIBLE RD D&B Number: City: BAKERSFIELD State: CA Zip: 93313- , CI:)r.1r11 Ce,de: 215-007 BAKERSFIELD STATION 07 SIC Ce,d e : Owner: BAKERSFIELD VETERINARY HOSPITAL PhoY'le: (805 ) 327-4444 Addt~ess : 323 CJESTER AV State: CA City: BAKERSFIELD Zip: 93301- SI.lmrnary o~ ~ I WILFRED G. OWEN (Type or print nama) Do !-;0fCby carmy that ij hav~ reviewed the atiached haz::tiâ,;¡¡.s materials mSlnage- ment plan ior BVH¿U" ,_ ~_":lnd thai i~ ellong with (l\I.-.¡'f:0 t:; t;.us¡ni-$ any corrections constituie a comp!sïe and eorrsct man- ~gsmenï plan 101' my 1aciliiy. (J)~~ 10-1-90 Datø (;8/27/90 ,¡; BAKERJltELD VETERINARY INC 215-0~000739 Hazmat Inventory List in Reference Number Order Page 2 02 - Fixed Containers on Site Pln~Ref Name/Hazards FClrm Quarlt i ty MCP ,02-001 OXYGEN Cylindet 498 LClw FT3 d8/27/'30 BAKERS.ELD VETERINARY INC 215-0__00073'3 00 - Overall Site Page 3 <D> Notif./Evacuation/Medical <1> Agency Notification CALL '311 <2> Employee Notif./Evacuation W:>rd of MJuth. We are a small building and have no need for bells or alarms. <3> Public Notif./Evacuation Wr hazard is low and our building is not very close to other buildings. We do not notify the public. cne persòn; is designated to ask the Senior Firanan present if any type notification is necessary. <4> ,EmergeYlcy Medical Play, MERCY HOSPITAL 2215 TRUXTUN AV 327-3371 OR EDWARD P. BROWN, M.D. 2531 G ST 327-7348 d8/27/90 BAKERsttELD VETERINARY INC 215-0e-0007'39 00 - Overall Site Page 4 (E) Mitigation/Prevent/Abatemt (1) Release Prevention OXYGEN CYLINDERS PROPERLY CHAINED, PROPER VALVES & FITTINGS. I (2) Release Containment \oE store only Oxygen. If it gets released, we aerate the building to prevent hazard to occupants. (3) CleaY'1 Up No special materials or techniques are required for clean up. (4) Other'" Resc.urce Activatic'Y'1 · . BAKER.ELD VETERINARY INC 215-0e000739 00 - Overall Site Page 5 i t18/27/90 <F} Site Emergency Factors <1} Special Hazards l\bneeocœpt in,cònfined spaces. <2} ¡Utility Shut-Offs A) GAS - NEXT TO BUILDING ON EAST SIDE B) ELECTRICAL - ON EAST WALL OF BUILDING C} WATER - SOUTHEAST CORNER OF ACCESS RD NEAR FIRE HYDRANT D) SPECIAL - NONE E~ LOCK BOX - NO (3) Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - ?????????????? We have "AOC" extinguishers for our persormel to use to fight the fire if it is safe to do so. FIRE HYDRANT - ??????????? Nearest fire hydrant is approximately 150 feet west of the northwest corner of the building on the east side of Wible Road near the access road to 4408 Wible Road. (4) Held for Future use , ~, . BAKERJltELD VETERINARY INC 215-0~000739 00 - Overall Site . Page 6 ¡.., (;8/27/90 <G> Tt~a i rlÌ rig <1> Page 1 WE HAVE 17 EMPLOYEES AT THIS FACILITY 9 - Never all present at once. WE HAVE MATERIAL SAFETY DATA SHEETS ON FILE Yes. ' BRIEF SUMMARY OF TRAINING: 1. Written Instructions. 2. Orientation on location of extinguishers, cylinders, evacuation routes, evacuation, etc. 3. Posted Fire Plans and "Hazardous Materials" hInjfiJ>rmation". <2> Page 2 as needed < 3 > I He 1 d f cor F u t u t~e Use , <4> Held fc,r Future Use 'I 1 CITY of BAKERSFIELD . HAZARDOUS MATERIALS INVENTORY Farm and Agtlculture [] Standard Business t3 BAKERSFIELD VETERINARY NO~AKE~~~QffRIN~CRETS Page ~_ of ~! BïSINEîS NAME: HOSPITAL, INC. OWNER NAME: HOSPITAL, INC. NAME OF THIS FACILITYò' ___ L ÇATI N'_ 4408 Wible Road A9DRES~' ~pdpl" AvpnllP STANDARD IND. CLASS C DE:____ ___ ----.---.-- ~ 6Y~ IP:_ R:aI<E'r9fiE'ldr.ca.Ll.£¡;¡,rnia Q'l'l13___ ~ATY~ ~tp:--13a.k.er-~fi"'ld ('¡¡liforJ:1i¡¡ 93301 DUN AND BRADSTREET NUMBER t N : (ß05>.ß32-11150 RERMR to-'-ms#ilIfflONSrDTrPROPER CODES - - _- - - - - - - - - I 2 3 ;4 5 6 8 9 10 II 12 13 U Tr~ns TYlle ~u Average Annual Hea$ure Cant Cant Cant Use Location "here 'by Hailes of IIixture/Ccllconents Code Code Ant Ant Est Units Type Press Temp Code Stored In FacIlIty 'It See InstructIons U ,498 FT3 04 02 04 NE CORNER OF STORAGE ROOM PhYSical end Health Ha~ard [ C.A.S. Humber 7782-44-7 Component II Name & C.A.S. Number ICheck all that applYI rnx Fire Hazard [] Reactivity [] De I ayed ~ Sudden Re I ease Health of Pressure I\ilo . COlllponent 12 Hallie & C.A.S. Humber ~ Immed18te Health Component 13 Ph~~iC~1 ,~d ~ealth Hajard C.A.S. Humber Component 11 Name & C.A.S. Number ( ec a t at apply [] Reactivity [] Dela(ed [] suddf" Re I ease [] . Component' 2 Hame & C.A.S. Humber [] Fire Hazard Immed18te Hea th o Pressure Health Component 13 Hame & C.A.S. Humber Ph~~ical ,nd ~ealth Haiard I C.A.S. Number Component .1 Name & C.A.S. Humber ( eck a I t at apply [] Reactivity [] . Component 12 Hame & C.A.S. Number [] Fire Hazard [] De 1 ared [] SUddf" Release I mmed 18 te I Hea th o Pressure Health Component 13 Name & C.A.S. Number cal and Health Ha~ard ( eck all that applYI [] Fire Hazard [] Reac~ivity [] Delayed [] Sudden Release Health of Pressure [] . Component 12 Nallle & C. A. S. Number ImmedIate Health Component 13 Nallle & C.A.S. Number EMERGENCY CONTACTS . '1Na~~' M. E. FILKINS r¥ffeERINARIAN z¡~~5~n6il-4754 tl2rß~e W. E. KNITTEL Íertifiç3tio~ (Reed and t¡ign afj~r c9mp7eting. Çl77. sections) . . . certIfy un~er penal\ï 0 law thet I have persona I~l examlne~ a~d an famllla( Ylth the in(ormatlon $ublllltted In this and all attaçhed documents. anQ t at.!baSed on my Inquiry 0 hose IndivIduals responsible for obtaIning the Infornatlon. I believe that t~he , ~ submItted InformatIon IS tru~, accurate, and complete. '~ f~ . wi Ifred g. owe,n, business manager B, N~~e ~rd orlclsl title Of owner/operator UR owner/operator's autnorlzed representative ' ns .. ; ,I I I VE,.W~ ~AR I AN (805) 834-125~_____ i ZTlffT/j~ Oct 1. 1990 U1tnfQr:ea '" -- ..............-,-,._........--._~_._.-----~-- , ' · -------------- e CITY oj' BAKERSFIELD "WE CARE" FIRE DEPARTMEt-:í D, S, NEEDHAM FIRE CHIEF 2í01 H STREET BAKERSFIELD, 93301 326-39î 1 September 4, 1990 Mr. My~on Fi~kins Bakers£ie~d Veterinary Inc. 4408 Wib~e Road Bakers£ie~d, Ca. 93313 Dear Mr. My~on Fi~kins: Enc~osed you wi~~ £ind a computer printout of the Hazardous Materia~s Management P~an that is current~y in our computer, we have highlighted the areas that need to be revised. Also due to a change in the law that went into e£fect January, 1989, we need to have a new inventory £orm (enclosed) filled out. These £orms ~ be filled out and returned to our of£1ce by September 28, 1990. If you have any questions please don't hesitate ,to contact us at (805) 326-3979. Sincerely Yours, Ralph E. Huey Hazardous Materials Coordinator REH:vp Enclosures ~ " f· / ~/·rv \r"··~.. ~;r/ 4W · BAKERSFIELD CITY FIRE DEPAR~ 0 ~ /} 2130 "G" STREET WS lS T I BAKERSFIELD, CA 93301 ð R£CE\'JEO (805) 326-3979 3 ,~ t'} n '987 \~ -- \1' JUl ,u 'd ~I\S ............ "\. ,.# " 4...~ -..- OFFICIAL USE ONLY ID# \ ~OS d9- USINESS NAME HAZARDOUS MATERIALS BUSINESS PLAN AS A WHOLE t\t\"-'" '3'3 , FORM 2A u'iU' INSTRUCTIONS: 1. To avoid further action, return this form by 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer th~ questions below for the business as a whole. 4. Be as brief and concise as possible. RECEIVED AUG 1 3 1987 Ans'd. ........... SECTION 1: BUSINESS IDENTIFICATION DATA A. BUSINESS NAME: BAKERSFTF.T.D VF.'I'F.RTNARY H()~PTTAT , TNr B. LOCATION / STREET ADDRESS: 4408 WIB~E ROA~ CITY: Bakersfield CA ZIP'_ <13313 BUS. PHONE: (805) WD-11,)() . SECTION 2: EMERGENCY NOTIFICATIONS In case of an emergen~y involving the release or threatened release of a hazardous material, call 911 and 1~800-852-7550 or 1-916-427-4341. This will notify your local fire department and the State Office of Emergency Services as required by law. EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME AND TITLE DURING BUS. HRS. AFTER BtS. HRS. A. MYLON E. FILKINS, DVM Ph# 832-1150 Ph# 399-4754 B. WAn-mE. KNITTEL, DVM Ph# 832-1150 Ph# 834-1256 SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE A. NAT. GAS/PROPANE: Next, to ,Bldg. on Eas,t side aoproximately centpr of R1ng <'1.<.11 B. ELECTRICAL: On F.~~t W~ll nf Rl~g ~T NO~Th ~ait CQrRQr gf ~làg. C. WATER: S.E. Corner of "A~~p~~" Rn~n ~nn Wih1" Rn~~ ,,.,,~~ ~i:r9 MYEraRt D. SPECIAL, @ " E. LOCK BOX: YES/ ~O IF YES, LOCATION: IF YES, DOES IT CO~TAIN SITE PLANS? FLOOR PLANS? YES YE_S ~ MSDSS? KEYS? YES /~ YES /~ - 2A - .);." , e e ¡ , , .,' ..,' ' J , · SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE NO SECT I ON'l' S...; ,0. LOCAL EMERGE~CY :.fEDICAL ~. '., :.. ~'n MERCy'H~ŠpfÆAL EMERGENCY ROOM 2215 Truxtun Avenue Bakersfield, CA 93301 ASSISTANCE FOR YOUR BUSINESS AS A WHOLE CALL: EDWARD P. BROWN, M.D. Tel. 327-7348 2531 G Street Bakersfield, CA 93301 '. SECTION 6: EMPLOYEE TRAINING E~PLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL A~D REFRESHER TRAI~ING IN THE FOLLOWING AREAS. CIRCLE YES OR NO A. METHODSÞòR SAFE HANDLING OF HAZARDOUS ~IATER IALS: . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES:..............:........... C. PROPER USE OF SAFETY EQUIPMEKT:.... .............. . D. EMERGENCY EVACUATION PROCEDURES:.... ... ...... .... E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS:...... . IXITIAL YES @ ~~~ i~ YES .0 YES REFRESHER YES (9) i YES YES YES YES SECTION 7: HAZARDOUS MATERIAL · CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POU~OF A SOLID. 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS:. " '" ~ NO I. MYLON E. FILKINS, DVM , certify that the above information is accurate. I understand that this information will be used to fulfill my firm's obligations under the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95 Sec. 25500 Et AI.) and that inaccurate information constitutes perjury. SIGNATURE President DATE 7-12-87 . . - 20 - e I , KERN COUNTY FIRE DEPARTMENT I. D. , FORM 4A-l page_ of - NON-TRADE SECRETS - ! HAZARDOUS MATERIALS INVENTORY NAME': : BAKERSFIELD VETERINARY HOSPITAL OWNER NAME: Bakersfield Veterinary InctAC I L I TY BUSINESS lJTRT.F. T.A1H::F. ANTMAT J..!nc::pITAl Hospital, UNIT ,: ADDRESS: 4408 Wible Road ADDRESS: 323 Chester Avenue FACILITY UNIT NAME: CITY, ZIP: Bakersfield, cA 93313 CITY,ZIP: Bakersfield. CA 93301 PHONE ,: 832-1150 PHONE , : 327-4444 10FFICIAL USE CFIRS CODE ONLY 1 2 3 4 5 6 7 8 9 10 TYPE MAX ANNUAL CONT USE LOCATION IN ·THIS ~ BY HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMICAL OR COMMON NAME ,CODE GUIDE \) P , ~.E. CORNER OF STOREROOM 498 10,000 FT3 4 27 #2 -- Oxygen OXID , ! , -- I - - I , : II , - ('If ~ A A SIGNATURE: .t.l/d/.,j .E' A NAME": lJTT FR F.11 r. : OWEN TITLE: Qffice Manaf8r DATE: 7--1f:87 EMERGENCY CONTNCT: DR. MYLON E. FILKINS. DVM Vice President ¡ PHONE # BUS HOURS: 832-1150 -' TIT E: t:- " I AFTER BUS HRS: 399-4754 -. -¡---- - EMERGENCY CONTA:CT: DR. lJAYNF. F. KNT'T"T'F.T" DVM TITLE: VF.'T'F.RTNARTAN -PRINCIPAL BUSINESS ACTIVITY: FULL SERVICE LARGE ANIMAL HOSPITAL ~ PHONE , BUS HOURS: R':\?-11,)0 AFTER BUS HRS: 834-1256 HMCU-9 .- 01. Underground Tank 02. Aboveground Tank 03. Fixed Pressurized Tank 04. Portable Pressurized Cylinders 05. Insulated Tank (Includes Cryogenics) 06. Drums or Barrels - Metallic 07. Drums or Barrels - Non-Metallic 08. Carboy(s) 09. Glass Container(s) 10. Plastic Container(s) 11. Box(cs) 12. Bag(s) 13. Metal Containers (Not Drums) l~. In Machinery or processing equipment 15. B1n(s) 99. OTHER - Specify on separate sheet I; I CONTAINER CODES -- ------------- ------------ - ~-.--._--,--_..- -. .-.-.----..-------.-.--------.----..-- ,.-----~--,-- . e TYPE CODES ". f / P = Pure M Mixtures of pure ~ubstances W = Wastes '(Also add appropriate waste code) UNIT CODES LBS = Pounds TON = Tons (2,000 lbs) GAL = Gallons BBL = Barrels (42 gals) Ft3 = Cubic Feet CUR · Curies USE CODES 01. Additive 23. Herbicide 02. Adhesive 24. Insecticide 03. Aerosol 25. Instructional 04. Anesthetic 26. Lubricant 05. Bactericide 27. Medical Aid or Process 06. Blasting 28. Neutralizer I 07. Catalyst 29. Painting 08. Cleaning 30. Pesticide 09. Coolant 31. Plating 10. Cooling 32. Preservative 11. Drilling 33. Refining 12. Drying 34. Sealer 13. Emulsifier/Demulsifier 35. Spraying 14. Etching 36. Sterilizer 15. Experimental 37. Storage 16. Fabrication 38. Stripper 17. Fertilizer 39. Washing 18. Formulation 40. Waste 19. Fuel 41. Water Treatment 2Ø. Fungicide 42. Welding Soldering 21. Grinding 43. Well Injection I 22. Heating 44. 011 Treatment 99. OTHER-Specify on HAZARD CODES EXPL - Exp]osi,'e CMLQ - Combustible Liquid C~SL - Combustible Solid CRMT - Corrosive Material FLGS - FlammabJe Gas F~LQ - Flammable Liquid FLSL - Flammable Solid NFLG Non-Flammable Gas OGFX - Organic Peroxide OXI:> - Oxidizer CRYO - Cryogenics ORMA - Anesthetic. Irritant ORME - Hazardous Waste aRMS - Other regulated Material B,C,and D PSNA - Poison A (Gas) PSNB - Poison B (Liquid or Solid) RADr - Radioactive WATR - Water Reactive ETIO Etiological Agent PYRO - Pyrophoric. Hypergolic or spontaneously combustible . : ,"J ,. 6./: e . .. i, BAKERSFIELD CITY FIRE DEPARTME~T 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL USE ONLY ID# ------ BUSINESS NMIE: BUSINESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS 1. To avoid further action. this form must be returned hy: 2. TYPE/PRI~T YOUR A~SWERS I~ ENGLISH. 3. Answer the questions below for THE FACILITY U~IT LISTED BELON 4. Be as BRIEF and CONCISE as possible. Wible Large FACILITY UNIT# AnimAl Hn~piraíACILITY UNIT NA~E:Bakersfie]d VeterinAry Hn~p;ral, Inc. SECTION 1: MITIGATION. PREVENTION, ABATEMENT PROCEDURES ItuR ~ 0< fir v~ . ~ ~~ . SECTION 2: NOTIFICATION AND EVACGATION PROCEDGRES AT THIS [;7IT OXLY SEE ATTACHED FIRE PLAN 3,\ - · e .' ,.. " ". ~ ~, . '. SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY A. Does this Fac!! i ty Unit contain Hazardous Materials? . . . , , YES NO If YES I see B. If NO, continue with SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secret YES ~o If No. complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (white form #4A-l) If Yes, complete a hazardous materials inventory for~ marked: TRADE SECRETS ONLY (yellow form #4A-2) in addition to the non-trade secret form. List only the trade secrets on form 4A-2· SECTION 4: PRIVATE FIRE PROTECTION SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RE~PONDERS SECTION 6: LOCATIO~ OF UTILITY SHUT-OFFS AT THIS UNIT O~LY, A. ~AT. GAS/PROPANÈ: B. ELECTRICAL: C. \vATER: D. SPECIAL: E, LOCK BOX: YES / NO IF YES, LOCATION: IF YES, SITE PLANS? FLOOR PLA~S? YES / NO YES / ;';0 NSDSs? KEYS" YES / \0 YES I \0 - 3B -