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HomeMy WebLinkAboutBUSINESS PLAN 6/9/2003 - --- KL- . Jll9\L 3 2003 /,/~J" . ;:;/ . '-~/ SiteID: 015-021-002313 INTERACTIVE HEALTH CARE Manager : Location: 5397 TRUXTUN AVE City BAKERSFIELD CommCode: BAKERSFIELD STATION 11 EPA Numb: BusPhone: Map : 102 Grid: 34B (661) 634-9900 CommHaz : FacUnits: 1 AOV: SIC Code:8011 DunnBrad: Emergency Contact / Title Emergency Contact / Title FRANCISCO GARCIA / MD AMBIKA SOFTA / MD Business Phone: (661) 634-9900x Business Phone: (661) 634-9900x 24-Hour Phone : ( ) - x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Pager Phone : ( ) - x ÞIazma.t Hazards .: h. .~ React ----- Contact : Phone: (661) 634-9900x MailAddr: 5397 TRUXTUN AVE State: CA City : BAKERSFIELD Zip : 93309 Owner Phone: (661) 634-9900x Address : 5397 TRUXTUN AVE State: CA City : BAKERSFIELD Zip : 93309 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 f== Alphabetical Order Hazmat Common Name... SpecHaz EPA Hazards DailyMax _ _ _ _ WAS,TE . E.IXEE_ . . ... R . L 5 . 00 GAL Min - - ."" ". I~ v~T,~JIJ2(cr~~~r~bY ~®úiß~ ft~~ ~ Û'n@f®~~- ~----~--~.~~---~~--- ~nt~) i'®~~sw\Sd ih@; ~Wached ha2:a~dous .mQ\i~fi~!$ m~lfTI~~Œr ð , J I A r!kœ(.1tv tzr--<- h¿1 (Çz/f Gr~ M®úì)~ [9)~úì) ~©[j' (f\;t-It( ¿l(.ff ~ ~nð ~h~~ ¡~ ®~©Júì)~ W¡~Û1 «í\'!oiiø @J 1B1oo~» ~V OO~~@1iîJ® OO(i1)~~~~® lID oom~!®ft® ~1J'b©1 OOfú"~ m~ffVa ~®m®rn¡ ¡9)ij®lfTI~[j' mv 91ãì©Ö~ijft~. 6--C¡--oJ i1:Jo -1- 01/30/2003 --. /I~ . '3 53~~\ CITY OF BAKERSFŒUI) lFBRIE rr:ÞIEP ARTMIENT OFFICE OF ENViRONMENT AIL SERViCES UNIFIED PROGRAM llNSPJEC1fllON CHECKUI§T 1715 Chester Ave., 3rd [·'BolOr, HblktersfneBd, CA 9330» lIfr'ð/J INSPECTION DATE ~1136kJ PHONE NO, 634 - er70V ' BUSINESS 10 NO. 15-21 0- ~ NUMBER OF EMPLOYEES ~o JJ.q:õy.. (~'"3(f~) /ó '2. 3'1/3 / I fbll FACILITY NAME tl\J'{(."lI1.a1VC: ~~ ADDRESS ~3<7'1 '\"R.U}lTtlJ FACILITY CONTACT INSPECTION TIME Section I: Business Plan and Inventory PrlOgram o Routine ~Combined o Joint Agency OJ Multi-Agency o Complaint ORe-inspection OPERA nON C v COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy Veri fication 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 1/ ?LØ9E t...AßEt- WA<s re- F,xGR... Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Pink - Business Copy W 1Nt-3 Any lunza~us waste un site?: Explain: iA:SrE ÇiJteL. rives ONo Questions regarding this inspection? Please call us at (661) 326-3979 White - Env. Svcs, Yellow - Station Copy Inspector: . ¡lé I . 5 53~~LI CITY OF BAKERSFIELD !FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd J;'Ioor, Bak~rsfield, CA 9330J FACILITY NAME ,~~~ INSPECTJNDATE· II h(j~¡ ADDRESS 5:39"1 ~~T~cJ PHONE NO. {, 34 - ~OV . FACILITY CONTACT BUSINESS ID NO. 15-210-. ~ INSPECTION TIME NUMBER OF EMPLOYEES ~D ~"A (SJ=.~"W~) /tJ2.3-¥ß II f()1I I/p'{; / d Section 1: " \\, " Business Plan and Inventory Program o Routine ~èombined. 0 Joint Agency o Multi-Agency o Complaint ORe-inspection OPERATION C V COMMENTS Appropriate peon it on hand Business plan contact infoonation accurate ',- Visible address , Correct oécupancy .- " Veri tication of inventory materials . Verification of quantities -,- Veritication of location Proper segregation of material ~ .. , Verification of MSDS availability ., ""-.-" \ Verification of Haz Mat training j : \ ~ Verification of abatement supplies and procedures ~, " ,- . .. p,~'."-' '. ¡"i-" . .," Emergency procedures adequate Containers properly labeled v f\c~sç ~ç~ WÞ\sre ~I}t~ ¡ Housekeeping , Fire Protection ~ Site Diagram Adequate & On Hand -- h ..- -7. .'. , ¡;/ C=Compliance V=Violation !, Any haza~us waste on site?: Explain: /AS~ Fí ;tc.~ lZ.ÍVes ONo .0;,' - , ( US'!,ess Site Responsible partY Inspector: W f~::S ,,I "'¡ ",, . Questions regarding this inspection? Please call us at (661) 326-3979 White - Env. Svcs. Yellow· Station Copy Pink - Business Copy · FACILITY NAME I Ví'C~vE +lCA:L11+Cb'té- MC-f'.) 1c...A-i..- Ó/Z..Ø.JÞ Section 4: Hazardous Waste Generator Program INSPECTION DATE t,{ ¡-~ð 10 1 EP A ID # o Routine p-combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERATION C V COMMENTS Hazardous waste detennination has been made 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 Ignitable/reactive waste located at least 50 feet from property line Secondary containment provided 1/ V ?LC~e 'ff2òV I DC:: Conducts daily inspection of tanks Used oil not contaminated with other hazardous waste Proper management of lead acid batteries including labels Proper management of used oil filters Transports hazardous waste with completed manifest Sends manifest copies to DTSC Retains manifests for 3 years Retains hazardous waste analysis for 3 years Retains copies of used oil receipts for 3 years Detennines if waste is restricted from land disposal /'0. C=Compliance V=Violation (j¡ Inspector: lA}lNES )) Office of Environmental Services (661) 326-3979 C. l1fSiness Site Responsible Party White - Env, Svcs. Pink - Business Copy . CITY OF BAKERSFIE4 OFliCE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION :~W ¡ !.;~": 'c'(,<>;i\:~:j;:p;~:; ..,. . I BUSINESS NAME (Same as FACILITY NAMEör6BA=oöingl'3usiïïëSi-Ašr-'- . , / J'\.f¡-c-«Ae-'T1 ~ ;-{CA-L~ DADO D REVISE 200 D DELETE --~-_.-- ._~.._.._._.__._. -'--------_. ..,-_.---"...---- '--'-'-'- I. FACILITY INFORMATION .--.<--------.--.--- "-- "._ .__._u_u_______..___ 204 i CHEMICAL lOCATION _ 201: CHEMICAL LOCATION - Ir-JS/QC; o~ /<J1..¡ : CONFIDENTIAL (EPCRA) FACILITY 10# 111Ir1Tla-E;¡r... ;.:ïh.-TT----:--~-¡-1f-MAP#(öPTional) --- ------- --.--- nn--203-T-GRI57iTopïional)-.-- ~ I:", ; i ,\:' .",~M~:~>~':~:it;: ..' ,..LL-'----LL-----1--~;~HEM-;~~~~~;~;;M~ TI~;;--- ----c-L----~--, (one form per material per building or area) Page of o Yes 0 No 202 ..-.-.------.-......-..-.--------...---------- . TRADE SECRET ;,h' . '\-<"'. ., (.". ." "-_..----- 205 i I I i i .-.-.-..---1 207 ! I CHEMICAL NAME : I ¡ I I I I i o Yes 0 No 206 ! If Subject to EPCRA, refer to instructions ~ T'é- r-/X~ ---'-- ------~ ___'__'__ _. __" _h. ------_.- COMMON NAME --.---. -. ----_.. ---..-. ------------.-. i EHS' __ - ___--_1 __.___ " t '" .~»~. _,v>< ' ~ 209 ) _ 'If EHS ~?es;~ all ~~~~~,.n~~ be^~;~f .' ~.;:.,·"t <"'~"';;-" ''';;$_,\^-.:~ . -",_>", . CAS # FIRE CODE HAZARD CLASSES (Complete if requested by local fiiec:hiãff-----------·-'-- --- ---- - .--.. ___. __ _____n_____ TYPE --------~--..--·-..·o-----'--m. ..-.---------- ---- o P PURE 0 m MIXTURE ~ WASTE <.: ~ ' R~DIOACTIVE 0 Yes 0 No ---,-.---.---------- --f--- _.______.______h____ --. o s SOLID ~ LIQUID 0 g GAS 214 1 LARGEST CONTAINER ~ ---- ._----------_._-_.._._------~- '--- ----.- - - ..------.-----.------ o Yes 0 No 208 210 213 PHYSICAL STATE' 212 I CURIES 215 FED HAZARD CATEGORIES (Check all that apply) ANNUAL WASTE AMOUNT o 3 PRESSURE RELEASE % ACUTE HEALTH 0 5 CHRONIC HEALTH "____..u _ "____. _ __ __.______ _ _._______..~_ AVERAGE DAILY AMOUNT 01 FIRE o 2 REACTIVE -----.--.--.., ------.----------.- -.... -- 216 s- 00"__'_'___'___" __n ___.. ~ 217 : MAXIMUM ~. 218 ..) L./ 1 DAILY AMOUNT .::> _______ -L_____________________._ UNITS' 0 9a GAL 0 d CU FT 0 Ib LBS . If EHS, amount must be in Ibs, o tn TONS -+-_.__.__._---- STORAGE CONTAINER (Check all that apply) ~ PLASTIClNONMETALUC DRUM Of CAN o g CARBOY o h SILO o m GLASS BOTTLE o n PLASTIC BOTTLE o 0 TOTE BIN o P TANK WAGON o i FIBER DRUM OJ BAG o k BOX o I CYLINDER o a ABOVEGROUND TANK o b UNDERGROUND TANK o c TANK INSIDE BUILDING o d STEEL DRUM - 219 STATE WASTE CODE 220 221 DAYS ON SITE 222 o q RAil CAR o r OTHER 223 ._---_..__...__._-_._~~-~-------------. ., ._----._--,- 224 ~----------- --_._----...~--- ---- ...- -----,--, .~--_._-------- STORAGE PRESSURE ~ AMBIENT o aa ABOVE AMBIENT o ba BELOW AMBIENT . - - . .. . . HAZARÒOUS-,COMP9NENT· ,__~____--c- 227 231 0 Yes 0 No 232 _ .-_____ ----._____________L_ 235 , 0 Yes 0 No 236 I ~"~-~--= ~ -=:~~<~-=~~-~-~~-~-::~ :[. .. ,,,,:,:, <l,;{ ,., JiÙi!.:-;SIGNA TURE '; "~;','.'.' ·f· -, <, ··/;~~~~,;:i¡¡,',!;~·.;.J,i.:,·.:~:.:,':,','........,..., j)i·',;1:!~:., ;;. .t,;:,: ." .>C.~. COM~PRESENTÃfivE . . '--~sïGÑÃiU~Ë-'_--L~-_-_-'-----'-' o aa ABOVE AMBIENT o ba BELOW AMBIENT EIj~ -' o Yes 0 No 228 I , I 2 230 3 234 4 238 5 242 ------ ., .-~-_.._--------_._--_.._- ---. -. -_._--_._---~_._--------- --------+--_.-.-_._---- -------...------.--.------- ._-_.._._._----~_. ----...--.- _~__._______..._...___._ ____________ _____n______ _._ .___.,_..__~_._. ~.._...._.________._..___._______~___, UPCF (7/99) 229 233 237 241 245 S:\CUPAFORMS\OES2731.TV4.wpd