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Home My WebLink AboutBUSINESS PLAN i C ;' CENTRAL VALLEY OCCUPATIONAL ~ 4100 TRUXTUN AVE #200 u ~~ ~ Per "tI LOCATION: - Issued by: It Opera.te to Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This permit is issued for the following: ~ Hazardous Materials Plan o Underground Storage of Hazardous Materials o Risk Management Program o Hazardous Waste On-Site Treatment CA 93309 Bakersfield Fire Department OFFICE OF ENVIRONMENTAL SERVICES· 1715 Chester Ave., 3rd Floor Approved by: Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 Expiration Date: AUG Issue Date June 30, 2003 :?i CENTRAL VALLEY OCCUPATIONAL MED BusPhone: Map 102 Grid: 26D SiteID: 015-021-002138 Manager ALEX BENAVIDES Location: 4100 TRUXTUN AVE 200 City BAKERSFIELD CommCode: BFD STA O1 EPA Numb: SIC Code: DunnBrad: (661) 632-1540 CommHaz Minimal FacUnits: 1 AOV: Emergency Contact / Title Emergency Contact / Title BRYAN PAT TERSON / OFFICE ADMIN / Business Phone: (661) 632-1540x Business Phone: ( ) - x 24-Hour Phone (661) 632-1540x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React Contact BRYAN PATTERSON Phone: (661) 632-1540x MailAddr: 4100 TRUXTUN AVE 200 State: CA City BAKERSFIELD Zip 93309 Owner CENTRAL VALLEY OCCUPATIONAL MED Phone: (661) 632-1540x Address 4100 TRUXTUN AVE 200 State: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG H - HAZ WASTE GEN ENT .1 U L 2 5 ~Op1 Based on my inquiry of those individuals respr;;~:~ibl2 for obtaining the information, 1 certify under penalty of lavr that I have personally examined and am familiar with the information submitted and believe the information is true , accurate, and ~. mplete. ~~ ,~ Sigr ture Date -1- 07/10/2007 r F CENTRAL VALLEY OCCUPATIONAL MED SiteID: 015-021-002138 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... ~pecHa~ EPA Hazards) Frm I DailyMax IUnitIMCPI WASTE FIXER R L 5.00 GAL Mini -2- 07/10/2007 C y -3- 07/10/2007 F CENTRAL VALLEY OCCUPATIONAL MED SiteID: 015-021-002138 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE FIXER Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE CAS# Liquid TWaste -~mbient~E ~ AmbientT~E ~ PLASTOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 5.00 GAL 5.00 GAL 5.00 GAL I1tiGtiRLVUJ 1.U1~lYUlVi',1V 1.7 %Wt. RS CAS# Silver No 7440224 izr~ars~cL r~a ~na~rt~tvla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -4- 07/10/2007 F CENTRAL VALLEY OCCUPATIONAL MED SiteID: 015-021-002138 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification LdIl~J1VyCC 1VV 1.11./P.~VdGUdl.1 Ui1 ~- rw.~1 i~., ivV t.lt ~ r,VdC:Udl.1 V11 r~lllctyCllLy 1.1CU1C:d1 t'1di1 -5- 07/10/2007 F CENTRAL VALLEY OCCUPATIONAL MED SiteID: 015-021-002138 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ iCCLCCi.7-C 2'LCVC11l.LVi1 LCCLCCi ~7C l.Vll l.. CLL11lllCll 1. I.LCCIll 11~J V 1.1101 1CCAV LLLt,:C 1•'1C.:LL VGLLLVll -6- 07/10/2007 F CENTRAL VALLEY OCCUPATIONAL MED SiteID: 015-021-002138 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ -~ -,- IJ t.JG \.10.1 110.40.1 LA A7 ! 1 - ~'1___i ALL V V 111 ~.Y ~.7111,LV -Vlta r1iC YLVI..CC:./tiVc111. WciL~r Building Occupancy Level 04/24/2007 35 EMPLOYEES -7- 07/10/2007 F CENTRAL VALLEY OCCUPATIONAL MED SiteID: 015-021-002138 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training rayc c. Rclu iv1 r u~.,ulc ~.r~c nclu ivi ru~ure use -8- 07/10/2007 _ \ t. " ~. .l. + CENTRAL VALLEY OCCUPATIONAL MED _____________________ SiteID: 015-021-002138 + Manager Location: 4100 TRUXTUN AVE 200 City BAKERSFIELD BusPhone: (661) 632-1540 ,Map 102 CommHaz Minimal Grid: 26D FacUnits: 1 AOV: CommCode: BFD STA O1 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title BRYAN PATTERSON / OFFICE ADMIN / Business Phone: (661) 63,2-1540x Business Phone: (~~/ ) ~~ -f~'~x 2 4 -Hour Phone ( ) 5 q ~^$- x 2 4 -Hour Phone ( ) S A ~~ x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React Contact BRYAN PATTERSON Phone: (661) 632-1540x MailAddr: 4100 TRUXTUN AVE 200 State: CA City BAKERSFIELD Zip 93309 Owner CENTRAL VALLEY OCCUPATIONAL MED Phone: (661) 632-1540x Address 4100 TRUXTUN AVE 200 State: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: - Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: ~ Emergency Directives: ~ ~ i 0~ PROG H - HAZ WASTE GEN Lb ~• 1 ENT'O ~U~ 2 4 2006 Eased on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that 1 have personally examined and am familiar with the information submitted and believe the information is true, accurate, and c plete. Sign re Date ISM°~g~ 55e~ ~~ ~ e-S -1- 05/12/2006 1 -t CENTRAL VALLEY OCCUPATIONA~/L MED Manager :~~ ~t'JC ~/)~~~C/~,f Location: X1.00 TRUXTUN AVE 200 City BAKERSFIELD BusPhone: Map 102 Grid: 26D SiteID: 015-021-00213$ CommCode: BFD STA O1 EPA Numb: SIC Code: DunnBrad: (661) 632-1540 CommHaz Minimal FacUnits: 1 AOV: Emergency Contact / Title Emergency Contact / Title BRYAN PATTERSON / OFFICE ADMIN / Business Phone: (661) 632-1540x Business Phone: ( ) - x 24-Hour Phone (661) 632-1540x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x ............. -- - - - - - - Hazmat Hazards: React Contact BRYAN PATTERSON Phone: (661) 632-1540x MailAddr: 4100 TRUXTUN AVE 200 State: CA City BAKERSFIELD Zip 93309 ............ Owner CENTRAL VALLEY OCCUPATIONAL MED Phone: (661) 632-1540x Address 4100 TRUXTUN AVE 200 State.: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: = Coal Preparers TotalUSTs: = Girl Certif'd: RSs: No ParcelNo: ...... Emergency Directives: PROG H - HAZ WASTE GEN ~'V I ~ ~~ Based on my inquiry of those individuals responsible for obtaining the information I certify , under penalty of law that ! have personally examined and am familiar with the information submitted and believe th i e nformation is true, accurate, and complete. ~ ~ - ~-- 'ig ure Date -1- O1/29/~007 BAKERSFIELD FIRE DEPT. e BFIR~ ` ~- n Prevention Services ABfM f 900 Truxtun Ave., Ste..210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: 661) 852-2101 OCCUPANCY DISTRICT BLOCK NO. ATE _ TO ( \ , \ ~ ( ~~^ TITLE IRM R BA ~ 5 ~ ~ NY ADDR SS (C Y_~T ZIP) ~~~ ~ COM~A USINESS PHONE OME PHONE ~ CORRECT ALL VIOLATIONS VIOLATION ` ~ REOUI EMENTS w ~ ' ~ ~ I L U V COMBUSTIBLE WASTE /DRY 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) VEGETATION 2 Provide non-combustible containers with tight fitting lids for the storage of combustible waste and rubbish pending its safe disposal. (U.F.C.) COMBUSTIBLE STORAGE 3 Relocate combustible storage to provide at least 3 feet clearance around motor fuse box/fire door (N. E.C.) (U.F.C.) q Relocate fire extinguisher(s) so that they will be in a conspicuous location, hanging on brackets with The top to the extinguisher not more than 5 feet above the floor. (N.F.P.A. No. 10) EXTINGUISHERS 5 Provide and install (amount) _____ approved (type & size) __________________ portable fire extinguisher to be immediately accessible for use in (area) _____________________________ (U.F.C.) g Re-charge all fire extinguishers. Fire extinguishers shall be services at least once each year, and/or after each use, by a person having a valid license or certificate. (U.F.C.) 7 Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit SIGNS (door/window) to fire escape. (U.F.C.) g Provide and maintain appropriate numbers on a contrasting background and visible from the street to indicate the correct address of the building. (B. M.C.) (U.F.C.) g Repair all (cracks/holes/openings) in plaster in (location) ______________________________________. FIRE DOORS/ FIRE SEPARATIONS Plastering shall return the surface to its original fire resistive condition. (U.B.C.) 10 Remove/repair (item 8 location) ___________________________ __ _____ _____ _______ Self-closing doors shall be designed to close by gravity, or by the action of a mechanical device, or by an approved smoke and heat sensitive device.' Self-closing doors shall have no attachments capable of - preventing the operation of the closing device. (U.F.C.) EXITS 11 Remove all obstruction from hallways. Maintain all means of egress free of any storage. (U.F.C.) ~~ 12 Provide a contrasting colored and permanently installed electric light over or near required exit (location) _. ___.___________________________ to clearly indicate it as an exit. (U.F.C.) STORAGE 13 Remove all storage and/or other obstructions from fire escape landings and stairways stair shafts. (Fire escapes/stair shafts are to be maintained free from obstructions at all times.) (U.F.C.) 14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved EtECTRICALAPPLIANCES electrical outlets where needed. (N.E.C.) (U.F.C.) 15 Remove multiple attachment cords from specific electrical convenience outlet (one plug per outlet) (N.E.C.) (U.F.C.) OUTDOOR BURNING 16 Violation of Section 1102 dealing with recreational fires or open burning. (U.F.C.) FIREWORKS 17 Violations of Section 7802 (U.F.C.) or 8.49.040 of the Bakersfield Municipal Code (B.M.C.) regarding reworks. OTHER 18 ~ t ob S ~~~ - l-o b 'd f k~ ~. ~ON (DATE) ~' ~4- QS AN INSPECTION WILL BE MADE, IF NO COMPLIANCE PERSON RECEIVING NOTICE OF VK7LATK7N HAS BEEN MADE, ADDITIONAL REGULATORY ACTION MAY BE INITIATED. ^ AN ENFORCEMENT ORDER WILL BE SENT BY CERTIFIED MAIL PROVIDING A HEARING DATE. siGNAruRE AFTER VIOLATIONS ARE CORRECTED, RETURN THIS BY ORDER OF THE FIRE CHIEF DATE COMPLETED: NOTICE BY MAIL OR IN PERSON TO: - BAKERSFIELD FIRE DEPT. INSPECToR SIGNATURE INSPECTOR SIGNATURE OFFICE OF PREVENTION SERVICES LEGEND: C.F.C. CALIFORNIA FIRE CODE 900 TRUXTUN AVE., SlI1TE 21D U.B.C. UNIFORM BUILDING CODE BAKERSFIELD, CA 93301 B.M.C. BAKERSFIELD MUNICIPAL CODE N.F.P.A. NATIONAL FIRE PROTECTION ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD1916 (REV. o2iosl 2 .~ Jr: ~~ t,J~ ~,~ d~ c` ~ c,-~?,ra ~~ ~ ~~ ~ ~. bob@storarcon truction.ws ~- -310-~ f ~ S ~~~- ~~ 6 ~~~a~ o -~ CENTRAL VALLEY OCCUPA~NAL MED . / ~s --------------------- --------------------- SiteID: 015-021-002138 + Manager Location: 4100 TRUXTUN AVE 200 City BAKERSFIELD , ~~~ , ft.\\t, \. ~ BusPhone: Map : 102 Grid: 26D (661) 632-1540 CommHaz : Minimal FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 01 SIC Code: EPA Numb: DunnBrad: +==============================================================================+ +=======================================+======================================+ I Emergency Contact / Title Emergency Contact / Title ~~'(~ ?~e.:SvI\.J / OFFICE ADMIN / Business Phone: (661) 632-1540x Business Phone: () x 24-Hour Phone : () x 24-Hour Phone : () x Pager Phone : () x Pager Phone : () x +---------------------------------------+--------------------------------------+ I Hazmat Hazards: React I +------------------------------------------------------------------------------+ Contact: Bf,A-v 'p,,\"'''''',So~ Phone: (661) 632-1540x MailAddr: 4100 TRUXTUN AVE 200 State: CA City : BAKERSFIELD Zip : 93309 +------------------------------------------------------------------------------+ Owner CENTRAL VALLEY OCCUPATIONAL MED Phone: (661) 632-1540x Address : 4100 TRUXTUN AVE 200 State: CA City : BAKERSFIELD Zip : 93309 +------------------------------------------------------------------------------+ Period to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: +------------------------------------------------------------------------------+ Emergency Directives: +==============================================================================+ -1- 07/30/2003 LISA HOCKERSMr.;.· Office Administrator (661) 632-1540 (661) 632-1538 Fax Email:Lisah@cvomg.com J'1Cf\ ÜŒRSFIELD FIRE DJEP ARTMENT I ENVIRONMENTAL SERVICES tOGRAM INSPECTION CHECKLIST rAve., 3rd FDooi', Bakell"sfneld, CA 93301 Plct ( Oif-;;xo 0 IG 4100 TRUXTUN AVENUE SUITE 200 BAKERSFIELD, CA 93309 - ----------~............... ------ ---- FACILITY NAME C-'C-NT'~'- V~-Ý 00::.. MØ INSPECTION DATE ADDRESS +{tJo ~x::rv,.j ~ '2cð PHONE NO. FACILITY CONTACT LI$4 ~(¡z.~'11+ BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES 1I)3~() ( NT:,-u 1"3 Section 1: Business Plan and Inventory Program o Routine Øt0mbined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERATION C V COMMENTS Appropriate penn it on hand IV'C~ FC~(r . .s::'1'f"'C Business plan contact infonnation accurate PLC:..9ó~ eo-.pté-tt' tt Wl.4f<. - I¡J Visible address Correct occupancy Verification of inventory materials ðRÎ.Aivt~ aN INÇ,r Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand r<.!Ä-5F ~Ú~ (f ~,-(A..J C=Compliance V=Violation Any hazardous waste on site?: Explain: t......J'A.} íG F, J<; ~ ~es 0 No White - Env. Svcs, Yellow - Station Copy Pink - Business Copy , e Responsible Party Inspector: LAJI NC"> Questions regarding this inspection? Please call us at (661) 326-3979 e CITY OF BAKER.SFIELD IFIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROG~M INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 INSPECTION DATE 1'/'3/0{] ¡J¡A- FACILITYNAMECL-v~ J~GJ! ðc.c. ~~ Section 4: Hazardous Waste Generator Program o Routine ~ Combined EP A ID # o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERA nON C v COMMENTS Hazardous waste determination has been made .;Á <....L (rr~ D~ EP A ID Number (Phone: 916-324-1781 to obtain EP A ID #) Authorized for waste treatment and/or storage "-..... Reported release, fire, or explosion within 15 days of occurrence ) Established or maintains a contingency plan and training / Hazardous waste accumulation time frames / Containers in good condition and not leaking ( Containers are compatible with the hazardous waste \. Containers are kept closed when not in use ~ Weekly inspection of storage area ì Ignitable/reactive waste located at least 50 feet from property line / Secondary containment provided / Conducts daily inspection of tanks / Used oil not contaminated with other hazardous waste I I Proper management of lead acid batteries including labels , \ Proper management of used oil filters ~ Transports hazardous waste with completed manifest \ Sends manifest copies to DTSC ) Retains manifests for 3 years / Retains hazardous waste analysis for 3 years / Retains copies of used oil receipts for 3 years ( Determines if waste is restricted trom land disposal ÎI C=Compliance V=Violation BUS~~~ible Party Inspector: W ( ME$ Office of Environmental Services (661) 326-3979 White - Env. Svcs. Pmk - Busmess Copy .. CITY OF BAKERSFIELiI OFPltE OF ENVIRONMENTAL ~VICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ~W DADD D REVISE 200 (one fonn per material ptJr building or area) Page of , ¡' :", , ;f:Þ.r~~W~i~ì~~6ii~ÀTíð~:~;t.~¡~~~~~.:>·· BUSINESS NAME (Same as FACILITY NAME or DBA . Doing Business As) CE!,Pr'ê-AL ~<:V ~, kG-()... 6rtðVt> CHEMICAL LOCATION INS, ') é 3 ,_. 2011 o Yes 0 No 202 204 CHEMICAL NAME ~ 'Ié: r ~C'""L o Yes 0 No 206 If Subject to EPCRA, refer 10 instructions 207 o Yes 0 No 208 COMMON NAME CAS # 209 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 . ¡ ; TYPE o P PURE o m MIXTURE ð-w. WASTE 211 RADIOACTIVE DYes ONo 212 I CURIES 213 i . ; PHYSICAL STATE o s SOLID ~IQUID OgGAS 214 lARGEST CONTAINER c- 215 . FED HAZARD CATEGORIES o 1 FIRE o 2 REACTIVE o 3 PRESSURE RELEASE o 4 ACUTE HEALTH o 5 CHRONIC HEAlTH 216 : (Check all thaI apply) ANNUAL WASTE 56 217 I MAXJMJM S 218 AVERAGE 219 STATE WASTE CODE 220i AMOUNT DAILY AMOUNT DAILY AMOUNT I I UNITS' ~GAL OclCUFT o Ib LBS o In TONS 221 DAYS ON SITE 2221 I If EHS, amounl must be ,n Ibs. STORAGE CONTAINER o a ABOVEGROUND TANK r&:e. PlASTlCINONMETALLlC DRUM o i FIBER DRUM o m GlASS BOTTLE o q RAIL CAR 223 (Check all that apply) o b UNDERGROUND TANK Of CAN OJ BAG o n PlASTIC BOTTLE o r OTHER o c TANK INSIDE BUILDING o 9 CARBOY Ok BOX o 0 TOTE BIN o d STEEL DRUM o h SILO o I CYLINDER o P TANK WAGON STORAGE PRESSURE )J-a AMBIENT o sa ABOVE AMBIENT o ba BELOW AMBIENT 224 STORAGE TEMPERATURE ~IENT o as ABOVE AMBIENT o ba BELOW AMBIENT o c CRYOGENIC 225 I I I i 2 230 231 DYes 0 No 232 233 I . I 3 234 235 OYesONo 236 237 I 4 238 239 DYes 0 No 240 241 I 5 242 243 DYes 0 No 244 245 I UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd