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Home My WebLink AboutBUSINESS PLAN 8/14/2003 ",i":" '\:;.. ~.,....-....:.. /... + BURMAN' /WILSON, D D S _-------------------------4IÞ-- . . . ------------------------------ / SiteID: 015-021-002281 + Manager : Mic..hç.c..i e. ;DO{"""ð,., :Dj)~ Location: 6401 TRUXTUN AVE 200 City BAKERSFIELD ~330'} t'!.\~ í\~ ~\\'u BusPhone: Map : Grid: (661) 631- 5585 CommHaz : FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 11 SIC Code:8021 EPA Numb: DunnBrad: +==============================================================================+ +=======================================+======================================+ Emergency Contact / . Title Emergency Contact / Title ¡V¡¡,d,,,-<.J c. ß.,r....c.":Þ~ / Ow¥\(.r Joh" c. /,.J./so"\ J)D5 / 0/;""'- Business Phone: (4'" ) 3~J -~'ilt,. x Business Phone: (&&1) (,31 -SS.f'S x 24 - Hour Phone : ( (,CI ) 11{ 1 - If (/10 x 24 - Hour Phone : (tI"') 741 - '-/(,;)&' x Pager Phone () x Pager Phone () x +---------------------------------------+--------------------------------------+ Hazmat Hazards: React I +------------------------------------------------------------------------------+ Contact : J)e.lohl'(... o.N5 Phone: (661) 631-5585x MailAddr: 6401 TRUXTUN AVE 200 State: CA City : BAKERSFIELD Zip : 93309 +--------------------------------------~~--------------------------------------+ Owner fV\jCh&...e../ C.l>vr.......è.... ])í)~ l.Joh.... C. WI l.so,.., J)J>5 Phone: (661) 631-5585x Address: 6401 TRUXTUN AVE 200 State: CA City : BAKERSFIELD Zip : 93309 +------------------------------------------------------------------------------+ Period to TotalASTs: = Gal Preparer: TotalUSTs: Gal Certif'd: RSs: No ParcelNo: +------------------------------------------------------------------------------+ I Emergency Directives: I +==============================================================================+ += Hazmat Inventory ========================================= One Unified List + +== Alphabetical Order ================================= All Materials at Site + +--------------------------------+-------+-----------+-----+----------+----+---+ I Hazmat Common Name... ISpecHazEPA Hazards Frm I DailyMax UnitMCP +--------------------------------+-------+-----------+-----+----------+----+---+ WASTE FIXER R L 5.00 GAL Min +==============================================================================+ -1- 07/28/2003 ~. ~ (.t~~. "+ BURMAN/WILSON, D.D.S.4It=========================4IÞ== SiteID: 015-021-002281 + += Inventory Item 0001 =============== Facility Unit: Fixed Containers at Site + +== COMMON NAME / CHEMICAL NAME ==============================+================+ WASTE FIXER I Days On Site I SPENT PHOTOGRAPHIC FIXER 365 Location within this Facility Unit Map: Grid: +----------------+ INS IDE DARK ROOM I CAS # I +=============================================================+================+ += STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+ I Liquid I Waste I Ambient I Ambient I PLASTIC CONTAINER I +=========+==========+===============+===============+=========================+ +==========================+ AMOUNTS AT THIS LOCATION =========================+ I Largest Container I Daily Maximum I Daily Average I 5.00 GAL 5.00 GAL 5.00 GAL +==========================+=========================+=========================+ +=======+============== HAZARDOUS COMPONENTS ==============+===+===============+ I %Wt . I IRS I CAS# I Silver No 7440224 +=======+==================================================+===+===============+ +=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+ I TSecretI RSIBioHazl Radioactive/Amo~nt I EPA Hazards I NFPA I USDOT# I M~P I No No No No/ Curles R / / / Mln +=======+===+======+====================+=============+=========+========+=====+ +==================+=========+====== WASTE DATA ===========+===================+ I TreatedN~n Site I CA Code I US Code I GAL Generated/Mo. I GAL Generated/Yr. I +------------------+---------++--------+-------------------+-------------------+ I Treatment UnitID: I Unit Type: I +-----------------------------+------------------------------------------------+ Agency-Defined Text Label x- Ko.-ï 5o/~¡"O"""5 Ser_J,'c.e.. ~Jr)C. ~lOO £c...~JO'ì ']h.. .sUI"J-~.#- 1../5 :]c..k.tr.s t u..l cl C t4- q 3.307 ß¿iI I) £¡ '3 ì - oL(c c..¡ +==============================================================================+ -2- 07/28/2003 G L( tl..J1I} J µ /Î f'J P U) I '-.5 ð tv ':ùÙ5 ~ ro40 I r ~LI xr u IV ~ve 11 2.00 CofP I.. 32,3'" ZC}J{.. ~ 31 - 5fð'f ~ ~ ~oP' ~ ~~ ~ ~ ~ _----oø ~ ~ t ~ 0P7 C ~... STOR ... _ ~ STERII.[ .. . ~ ~~ ~OP! C ~OP4 DR'S BURMAN AND WILSON L-I o 1!Jr BAKERSFIELD, CA. APPROX. 3211 SQ. FT. OP2 c::D'dJ PRIVATE OmcE or:rrn OP1 c::D'dJ STAFF' LOUNGE W/D 0 srOIil. RESTROOM DUCTINQ -----------{i}---- ------ SIT WN AREA lAB SIT DOWN Aft (Çj (ÇJ gggggg Ci"f. , -C) [p~ OFt oor::ro [p~ 'y Of10 DUCTINQ ..... \. '- e - . e · )fmIJI f /) SSdó! 1/6 ;)KS-3f .' ~/ ~. CITY OF BAKERSFIEI,D FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKI..IST 1715 Chester Ave., 3rd .'Ioor, Bakersfield, CA 93301 FACILITY NAME ßuR.rtwJ (lNll.>~ t)-O$. ADDRESS b4ö I 'lQ..J1)(.:rvrJ S1"E 2.oð FACILITY CONTACT INSPECTION TIME INSPECTION DATE "'ð' r to 10 ( PHONE NO, ð, '3 ( - ~S- BUSINESS ID NO. 15-210- NC-c,J NUMBER OF EMPLOYEES 17 /02..330 IltJ2/ II SectioHll 1: Business Plan and Inventory Program o Routine Øc0mbìned o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERA nON C v COMMENTS Appropriate permit on hand WI Lc.... C:;0N1) "1'0 YðV t ^>l J'VtA.(.,..o Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials uJMT~ FiK.(Á. Verification of quantities ..Ç" - (;.AL Verification of location ItJ$ If)¡: 01<- ~ 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 Þ (£-tIt'5€ <:i><Pl.C~ <í S~ ~ C=Compliance V=Violation Any hazardous waste on site?: ~y es 0 No Explain: kJPc:s"'fé; r~ F/~-L While - En\l, S\lCS. Yellow - Station Copy Pink - Business Copy ((~'\~~~f\~ 7· Business Site Responsible Party Inspector: W t/\/"'C"-<> . Questions regarding this inspection? Please call us at (661) 326-3979 FACILITY, NAME ß(lØ~ !ÿJQ4,$~ ADDRESS" ~tì 0 ~t.9K~JJ $"lf: \,,.F ACILlTY CONTACT \ INSPECTION TIME \ II . ///?7!J! Y /7 5566/ / I c-- ;)[f5'3f . ~O'-'m~t...........> ,.cD?O èi;ö q;;, !.. . =- -'I'Y ~~ " " CITY OF BAKERSFIEIJD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave" 3rd Floor, Bakersfield, CA 93301 ,,~. öS, ~(j) ¡INSPECTION DATE' ,~ { , I ð (j' ,.: ¡PHONE NO. (Ó ~; p S''S'''"'?1'S'" BUSINESS ID NO. 15-210- t.JC-&J NUMBER OF EMPLOYEES a1l 10.2330 !f02 I J Section I: \ Business Plan and Inventory Program II o Routine \ , 91combined o Joint Agency o Multi-Agency o Complaint ORe-inspection " OPERA TION C V COMMENTS Appropriate pennit on hand WU...r!- ~f[.""",j) "'TO YM g..j t"\4. ¿fu., Ib>- Business plan contact infonnation accurate Visible address ............'" , Correct occupancy V erification of inventory materials e;JA'';;Í{f. ~ ,#;.C~ Verification of quantities .Ç~~b Verification of location o4JS'f)C' f)~~ I , 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 í)U:ðI)€ ~£.~ J1 S~ ~ C=Compliance V=Violation Any hazardous waste on site?: ~Yes 0 No Explain: ~15f; r~· rr, ¡t8- / White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Q~ '"'\l\.t~\-fG\I~ . -' Business Site Responsible Party 1/ Inspector: W f~~ J Questions regarding this inspection? Please call us at (661) 3'î():3979 . . CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ßuQ.~ (WI LSo-<J 905 INSPECTION DATE ~ lrø(d/ 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 detennination has been made EPA ID 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 Ignitable/reactive waste located at least 50 feet from property line " Secondary containment provided ~ W!).S1E Cc::MIT'4..vz:-"t.- II ?LBXS6 ff'IÐVlöé '('C2Af( ~ ~ù& 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 Determines if waste is restricted from land disposal rt C=Compliance V=Violation Inspector: Office of Environmental Services (661) 326-3979 White - Env. Svcs. W ,,.,) e-S \:~~f\~~1Ii Q~ Business Site Responsible Party Pink - Business Copy