The URL can be used to link to this page

Home My WebLink AboutBUSINESS PLAN 7/7/2006"i PERRY D. WONG, DDS 4120 TRtTXTUN AVE #A ~. ~~! 1' ` ~~ i, ,j + WONG DDS PERRY D ____________________________________ SiteID: 015-021-002134 + Manager Location: 4120 TRUXTUN AVE A City BAKERSFIELD CommCode: BFD STA O1 EPA Numb: BusPhone: (661) 327-8497 Map 102 CommHaz Minimal Grid: 26D FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title PERRY D WONP~GDDS / / Business Phone: (661) 327-8497x Business Phone: ( ) - x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React Contact Phone: (661) 327-8497x MailAddr: 4120 TRUXTUN AVE A State: CA City BAKERSFIELD Zip 93309 Owner PERRY D WONG DDS Phone: (661) 327-8497x Address 4120 TRUXTUN AVE A 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 ~~ 0 Based on my inquiry of those individuals responsible for obtaining the information, I certify nd tiC~ 1 i \ , ,~ u er pen,~ity of law that I have personally examined arrd am familiar with the information ~ ~J submitted and believe the information is true , accurate, and complete. ____~~~~~pt 7-7-Z,oOG Signature pate fNj~ ~~ ~ ~ ~~p6 t______________________________________________________________________________+ -1- 05/23/2006 " Per -- LOCATION: e Issued by: it Operate to Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE This permit is issued for fthe following: ø Hazardous Materials Plan . 0 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: June 30, 2003 ,4 . ~ FAX Transmittal Cover Sheet BAKERSFIELD CALIFORNIA Bakersfield Fire Dept. Office of Environmental Services 1715 Chester Ave. · Bakersfield, CA 93301 FAX No. (6()I..) 326-0576 · Bus No. (:66l) 326-3979 Today's Date j·þ/o I Time 8 :~ò No. of Pages I TO. 0... "ï'""--. \^lo :((::?f::"Œir:::}(:~::t::\\::.. . re. t", . LJ __ ,,;(\',:: \? :::\i.q~~::?:::?:~ :??::::::::,.. . . ,.;:.' ,.::;::::.., .:.:::::::::::::;:::~:::::.::::::::::::. ....::.:.... . . ...........:. .:::::;.;.......::::::::;:;::.;..::::. .':' " ,,:.' ":;:::::;:::,' .....::::::;:;:::.... ....:::::::. ····::::ù:~:::::. ··::::~;;i¡:~rt:~::~;~;~~;}!:: ............................ .......... ...... ,:;'. \:;:::::;" ',:;:'::::::::;=::::::::';"::::::. FAX ~~t~~;::::~:;:!.~"':';5::':~i:;:::::::::::{::~:::4:: ("I, ail:::. ..... ,.::{:::::::;::\::::::::i;;\,==::;;::;;::~::::::;:'::;;::;::}::::: .J';~:t::;:;:~';'::::::::~ ")~ ~:::~::::::;D '1 ::ª:~:~;::. ::';',':. ;:;;.;.............;.;.;:::;:;:;.. ::::tt¡::::¡·:·::;::¡:¡i¡:i¡.¡!!::·.:;~ >;':,:!¡',~:::\.jj:::j~;!:¡:¡:¡:;:::::;;::.!':;!~!!:: ,.::;:;:;;.::::;.',.;:::::;:;:;:::;:::.' .::::;:. " ... .......:: :~;:\; ·~:~:~~~~~¡~;f~~t¡~¡f~:!:~:t~ :{::':'~:~""";~ ::::~:::; ;::::;:::::::::;:;:::::;:::;:::;::;:~:!: ';::'" ..;......;;.. ~:::) ;~;~;~;~;~;~;~;;~;.;;;;;;;;;;;;;;;;r ...... .. .... .. ::.;.;.:;:.:;:;:.;. :. "::; ::;:;::.::; ;': ::: ;.::: :.:::::::::~:: :::::;;.;., :;;.~;;;: .;:;:;:;:;~;i;;~;;:;;;;;;;;;;;;~;;;~~i¡ :;:;::;.: .:.:;;.;::::::::::"':':':';':'::;::;::~:¡ .. .... ", .......:.:.:.;.:.. ;......::,:.:.. .",'.. .' .. ..... ............ ..... COMM~\e;:&~R::~~'d!~~§r" 1~(J:::º:,::....,.,...:E:i.:...~" .:....-. _ "'_~ ~;...:L!J .' ,. .:'fI""..-1i.......~.,. .,., ~/d ~ f'\C;.. 04/23/01 08:59 ~661 326 0576 BFD HAZ MAT DIV ~001 *************************** *** ACTIVITY REPORT *** *************************** TRANSMISSION OK TXlRX NO. 9691 CONNECTION TEL 3268498 CONNECTION ID START TIME 04/23 08:53 USAGE TIME 06'38 PAGES 11 RESULT OK Telephone (661) 327-8497 Office Hours By Appointment ':> _ -;0 PERRY D. WONG, D.D.S. Practice Limited to Endodontics :) 4120 TRUXTUN AVENUE, SUITE A BAKERSFIELD, CA 93309 .. r. e ,.--) :; ,?1 cÞ CITY OF BAKERSFIELD FIRE J[JIEP T OFFICE OF ENVIRONMENT AI. SERVICES -'12i LC-, UNIFIED PROGRAM INSPECTION CHECKLIST \ O).-~ 1715 Chester Ave., 3rd Floor, BakerdieHd, CA 93301 ",....,/ ç\'t> \ G INSPECTION DATE (ò("3( /~ PHONE NO. 3"2.7- <?;497 BUSINESS ID NO. 15-210- ;.,JEr,J NUMBER OF EMPLOYEES S- FACILITY NAME pC~Y' D, WONG-, O'Y; ADDRESS 41~ë) If"U)LTtJ¡J ,M sfE- A FACILITYCONTACT"ßRt~ ~L€r INSPECTION TIME Section 1: Business Plan and Inventory Program o Routine ~ombined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERATION C V COMMENTS Appropriate penn it on hand ttC-ASe (þt'fI'1Pt£'rE ~ í2£?rutUJ Business plan contact infonnation accurate .AfPUcA-T1P¡.) wHEN REc}D ¡¡( ~41(....,- Visible address Correct occupancy Verification of inventory materials 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 C=Compliance V=Violation Any hazardous waste on site?: ~es 0 No Explain: w~îË Fp~·C-4- Party Questions regarding this inspection? Please call us at (661) 326-3979 White - Env. Svcs, Yellow - Station Copy Pink - Business Copy Inspector: W tN'(?> ;;0. . _~J . ¡ ,-- f"ìL--:J '7 r2-_~'! U-- /.-- .) ,) ; ~I~Y ¡ ~~ J CITY OF BAKERSFIELD FIRE DEP A T OFFICE OF ENVIRONMENTAL SERVICES . -12l L C UNIFIED PROGRAM INSPECTION CHECKLIST '0) - ~ 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301. ,,/ r ç\S \ ~ INSPECTION DATE (6(-,3, f IwvU PHONE NO. 3'27- <R497 BUSINESS ID NO. 15-210- ~ NUMBER OF EMPLOYEES S- FACILITY NAME pc.-Q.R.l( Q. WopJG-, 0 ~ ADDRESS 4 f~c) "'Tf'U)t11J¡J Av -$* A FACILITY CONTACT,,&al'~ ~LEr INSPECTION TIME Section 1: Business Plan and Inventory Program. o Routine ~ombined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERATION C V COMMENTS . Appropriate pennit on hand ?lC.A~e COtÞ1P'é-ré ~ fZ.tE'\ùarJ Business plan contact infonnation accurate AfPuc!t'rf(/¡) wHC-,J R€c..' ::> ,ff þq/lnl.,., Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location . Propèr 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 C=Compliance V=Violation Any hazardous waste on site?: ~es 0 No Explain: !~"'>~ F''''-C-4.- White - Env. Svcs, Yellow - Station Copy Pink - Business Copy ~ \~~- ~¡¡.. Businéss Site Respons~, Party WINE> Inspector: Questions regarding this inspection? Please call us at (661) 326-3979 e CITY OF BAKERSFIELD IFIRE DEP ARTMJENT OFFICE OF ENVn~ONMJENTAL SERVICES UNIFIED PROGJRAM IlN§IPJECTION CHECKLIST 1715 Chester Ave.9 3rd .lFHI{)()Ir9 Bmkersfield, CA 93301 FACILITY NAME ?c.-a.R...V t)... W~&, 'í.>OS INSPECTION DATE ( (J 1"'5 I / 'ù:JW , Section 4: Hazardous Waste Generator Program EP A ID # o Routine ~ Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERATION C V COMMENTS Hazardous waste determination has been made EPA ill Number (Phone: 916-324-1781 to obtain EPA ID #) Authorized for waste treatment and/or storage Reported release, fire, or explosion within 15 days of occurrence Established or maintains a contingency plan and training Hazardous waste accumulation time frames Containers in good condition and not leaking Containers are compatible with the hazardous waste Containers are kept closed when not in use Weekly inspection of storage area I ". , cn ~ ~ -~ e wasæ locaæo ö. ..... -- / Secondary containm~t provided SufM<.t0J{ c'fO HdL\) S-6Al,.. :\ ~ P"C-As'é f[2...chlt ð e '- '"' . l/ Used oil not contaminated with other hazardous waste Proper management of lead acid batteries including labels Proper management of used oil filters Transports hazardous waste with completed manifest Sends manifest copies to DTSC Retains manifests for 3 years Retains hazardous waste analysis for 3 years Retains copies of used oil receipts for 3 years Determines if waste is restricted ftom land disposal C=Compliance V=Violation Inspector: r ~ ' Nr3 Office of Environmental Services (661) 326-3979 White - Env. Svcs, Pink - Business Copy . CITY OF BAKERSFIELa OFrfCE OF ENVIRONMENTAL ~VICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one rom! per matørlal per building or are8) Page of , CHEMICAL LOCATION CHEMICAL NAME LÙ~ \""E ç: ( :x:C..R.... 207 COMMON NAME EHS' o Yes 0 No 202 204 o Yes 0 No 206 If Subject to EPCRA. refer to instnJdions o Yes 0 No 208 i I CAS # 209 FIRE CODE HAZARD ES (Complete it requested by JocaIIIre cIûeI) TYPE o m MIXTURE ~'D OpPURE RADIOACTIVE DYes DNa .,.,STE . 211 214 LARGEST CONTAINER s- PHYSICAL STATE ogGAS o s $OUD FED HAZARD CATEGORIES (Check aU !hat apply) .,.,NNUAL WASTE .,.,MOUNT o 2 REACTIVE o 4 ACl1TE HEAL T1i o 1 FIRE o 3 PRESSURE RELEASE o 5 CHRONIC HEAl T1i MAXIMUM DAILY AMOUNT ~ odCUFT . If EHS. amount must be In Ibs. UNITS' 218 AVERAGE DAILY AMOUNT o Ib L8S 0 In TONS 217 s- s- -zø STORAGE CONTAINER (Check an that apply) De PlASTlCINONMETAlLIC DRUM Or CAN o g CARBOY o h SILO o a ABOVEGROUND TANK Db UNDERGROUND TANK DC TANK INSIDE BUILDING o d STEel DRUM o FIBER DRUM OJ BAG o k BOX 01 CYUNDER o m GU\SS BOTTLE ~TlC BOTTLE 00 TOTE BIN o p TANK WAGON STORAGE PRESSURE ~ AMBIENT STORAGE TEMPERATURE ~AMBIENT 226 2 230 3 234 4 238 5 242 o sa ABOVE AMBIENT o ba BELOW AMBIENT o sa ABOVE AMBIENT o ba BELOW AMBIENT o c CRYOGENIC 225 210 212 CURIES 213 , ¡ 215 ! i i 216 ! 219 STATE WASTE COOS 220 221 DAYS ON SITE 222 o q RAIL CAR o r OT1iER 223 224 227 o Yes 0 No 228 23~. 0 Yes 0 No 232 235 o Yes 0 No 236 239 o Yes 0 No 240 243 DYes DNa 244 229 233 237 241 245 UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd