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HomeMy WebLinkAboutBUSINESS PLAN 11/6/2003 Per it Operöte to Hazardous Materials/Hazardous Waste Unified Permit , CONDITIONSOFPERMITO.N REVERSE SIDE . i . r· ~>. . - " '.-- , This permit Is Issued for the following: ItJ Hazardous Materials Plan o Underground Storage of Hazardous Materials o Risk Management Program o Hazardous Waste On-Slte Treatment Permit ID #:: 015-000-001973 COMPREHENSIVE BLOOD & LOCATION: 650t TRUXTUN AVE Issued by: Bakersfield Fire Department . OFFICE OF ENVIRONMENTAL SER VICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 326-0576 , , Approved by: Issue Date .' .' . , . ..:, " ,'~: ,:.¡ . J ' '<: I : , ., . ·.!,Expifation Date: , .'.:.: .'¡ 'j ,June 30, 2003 " i I (Ý) r- <J .--.. c~w w ~ I CoMp~~f)Ì\ít, ~lPocl ~ ÚvvI4br ÚA~ ~ 8vsi.V\6S (p9D\ \rt.A-~-\-u.(\. ~. ~eld: ßu~SS ~a,\'\I\.L. O\d&vt.Ss v~\.\*ì \)ÌGt~ '@ ~ Q o 0 t~ \{\ c c c c c [] [] c ~ ~ ~ e o WN11«I , a:=r:::J .. D5D .. ~ ~~ ...., PLABIIA ~ LOU«E . 3 "~ PllARllAOY ,,;;> .. ..... ~. e K1 eclvi wi - Loo.œ e,.,.. 8\\r(J.f\c£s!al{ '!> U:: u.+i\ì~ S~\,(t ofF's j~.. ~lltttYCtOOS Mot~~s f-:: ~,t?"e, \~&\fl.IN\*~ . þ..~ Spri{l.~S~s\eM$ lV'\ evd\v(. ~ - - ~ 0J.t ~OJeMðY\+ (p50l ICDY"^~re.,~nsìw.. ß\ood ~ ~ Certf-t:<- -r~t1.~. ~.ç¡eld : 'B> Ùs\~s. t-\o..~ ) ~~\~SS ~Îess ~lbv'~ 1\ r ;þ "'"'"'"' .... - e e . ø SITE PLAN H;¡:- HCl'uwdoo~ }VIAteht£l.s \.{ -:: \J.t\ \i\1{ sw.d pHs (!:: fil"e- ~ðrav1+S AU offic:Q5 /a'í(Q$ oxe 'Y~\-t&eá \:''1 ~tvW\a;\i(.. s~ñl\~ s'i'?~s ICII'ImD <D~ ø ;".&I~.:œ".III'&m ø io~ftW"_"IrÆ"- ø GtIllo"l:r.'.r.NI"--- <Ð _.......tIIUC................. <Ð~ (!) ... NIl..... <Ð Ø'af.B' -=.-........... C!>~~~.......CICIfCIIft @) ..... NHI'.... (!)~... @ =:Ii:f:::=:-...:.... œ ;:.:..::..CICIIM!I....... ~ :::. =:,. -:.. M1IR ~ :¡¡..'WUi.~~. ~== ¡;¡ ~1aIII\.ft'M-"_... ~-- ~::' 4) ~WiIl'-..r...,. 8 ~~MI'...anlÐlØM e aï.......................... I.........,.,..an".... "l'GCIIIØII'It.,..,.,.. .,......MI'I'IIIM........" ==::1..-............,.,.... ,., e Mr.......,...-...· M'IWfJ ~ ~'iEii~~ 8 ~'"..dr'"... 30' S'tk- \)\Q8,Ovm iZ\ ~ ---- .-- ~ SEARPROL ASSQCIATBS '~:r=.. ~¡: MEDICAL OFFICE BUILDING --- --- -.. ~m=. ~ ~ f-I A-1 I UNIFIED PROGRAM aPECTION CHECKLIST. SECTION 1 Business Plan and Inventory Program Bakersfield Fire Depit. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME J --- "~D '- ~;-v--L-"};__l~ML__ +- __~~__________________ ADDRE~ I ~~Ó\ - \-'~~-__-ful~_________ FACI~NTACT ~ A1'- \ INSPECTION DATE INSPECTION TIME ~-------- No, of Employees ~lZ - 'lZd.."l~n~___ Business ID Number 15-021-00 i 9'13 Section 1: Businèss Plan and Inventory Program (] Routine_ (] Combined (] Joint Agency (] Multi-Agency o Complaint ORe-inspection c V ( C=Compliance ) V=Violation OPERATION COMMENTS o ApPROPRIATE PERMIT ON HAND -b --------------------------------------- -------J:;~--------~~~~----~-~-----;J--1s-- o 'BUSINESS PLAN CONTACT INFORMATION ACCURATE C'Ùf" I "V ~ VS O~ - ___.___.___..._._.____.._________ _____._________....____,______._+__._. ________..__,__________·_·_~.m__.______·..__·__·____·____· VISIBLE ADDRESS ._--_._-----_.~_._-----_._----_.__. ...-- .. _.._-_._-------_._--_._~---_._------------_._--- .~.-- .----------.-....--.----.--..-- CORRECT OCCUPANCY \--~~eA-------~e--t----~-¡----~-ft- VERIFICATION OF INVENTORY MATERIALS ._---~----------- ._-------,- -.-.----.- -----_._-------_._.._~-----_.__._----+--,-.. ~ VERIFICATION OF QUANTITIES , l]---~ERIF~CATION- OF-LOC~;~N ~==---=~=~=~~_~ -~~=~~~=~~=~~-OV 14--;;~~-~~~L~~~_~:~~-~ 1ël 0 PROPER SEGREGATION OF MATERIAL ./L ,'- .r- ----------------------r------------------------------------------- __________________u_ ~- Q VERIFICATION OF MSDS AVAILABllI1YE ' ~---- ------------------------------ -------------------------------------------- -------------- tf 0 VERIFICATION OF HAT MAT TRAINING rtt 0 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES 't/i.. 0 EMERGENCY PROCEDURES ADEQUATE -~_._----------_._--_._-------- --_._-~~--------------------------------_. .---.-.------------...---- ¥- ~~~NT~NE~ PROPERLY . LABELED ___________ ____ _______________________________________________________ 't\ 0 HOUSEKEEPING -~--~-- ..-----.---- ----------.+-~._--_._---- ----.----- '~ ~~:E PR~TECTION ________________ __________________________________________ , LJ SITE DIAGRAM ADEQUATE & ON HAND ------_._--_._--~-_._--- ,-------_.._---~-_._-----_._-_._-_.._-----_.__._._-----------,~ ----._-.._---- -----.--.---.--.--+-..-..---,------...---..---------.---------- EXPLAIN: ANY HAZARDOUS WASTE ON QUESTIONS REGARDING TH INSPECTION? I?LEASE CALL US AT (661) 326-3979 AÆ __ ~ cocn___ ~~ Badge No. a e F /ì1 CZ/J ~ #/ . White - Environmental Services Yellow -- Station Copy - - . ... ..:;. Manager : Location: 6501 TRUXTUN AVE City BAKERSFIELD ~~ . '\,~~~ .~ BusPhone: Map : 102 Grid: 34A ~ SiteID: 015-021-001973~ ~z.Z-220b (661) ~~é 81.99 CommHaz : Minimal FacUnits: 1 AOV: COMPREHENSIVE BLOOD ~ANCER CTR CommCode: BAKERSFIELD STATION 11 EPA Numb: ""Tt~..... ~I Business Phone: 24-Hour Phone Pager Phone Emergen / / (661) (661) ( ) / Title H / x. Ii ~ U 'i'g~Il Business Phone: (661) 322-2206x 24-Hour Phone : ( ) '2D1 -ZSL'Ix Pager Phone : () X Hazmat Fire React ImmHlth DelHlth Owner Address City RAVI PATEL MD INC 6501 TRUXTUN AVE BAKERSFIELD Phone: (661) State: CA Zip 93309 Phone: (661) State: CA Zip 93309 TotalASTs: Gal TotalUSTs: = Gal RSs: No Contact : MailAddr: 6501 TRUXTUN AVE City BAKERSFIELD Period Preparer: Certif'd: ParcelNo: to Emergency Directives: t ~T roý ~/e~r"i ':8(,","',; ..,.~>.,\ r .. , . (YP90rprintname) ~.~_..." .,<\..~ (~d~~t;/ ,J1é~.i ~ .~',.;.'.'~."~ ::::n t:©~¿::;;~dBb::l+iC-.'ié:¡.:s¡ '~;ê::. ~ p ou,"" and ,., ." 'ò (~Gt&lam58) msn h é:llcng t:J:':.::-' 81ny OOIif®©1~@~~ OOUî)$~i~ßJ~~ ~ oompl®~~ Btnd corí"\3ct rnan- ~®m~m ~~tãJlFù ~©ú" m~ ~@ld~ißy. \ ~a;ât- ø7ftJ -- -1- 08/04/2003 FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave, Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave. Bakersfield, CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 · - ImPortant - Do Not Discard Dear Business Owner: California law requires that all businesses which at any time during the year handle reportable quantities of hazardous materials, file a Hazardous Materials Business Plan and inventory of hazardous materials with the local administering agency. Your business has filed such a plan. This same regulation requires these businesses to: · Review the Business Plan submitted to detennine if revisions are needed · Certify to the administering agencies the review was made and necessary changes were made to the plan To facilitate this review, we have enclosed a computer generated printout of the Business Plan you previously submitted. Please review the plan in its entirety and make any necessary revisions/changes on the printout. When the review and revisions are completed, sign the first page of the plan in the appropriate space certifying the plan is complete and correct. Return the Business Plan along with any revisions to this office within 30 days of recei ving. If you have any questions, please do not hesitate to contact us. Yours trul y, w-~~è.- f+. ~'?) / ~ð.r-(¿ 7ft} 4t -S. (Vû M^fA.-tcf- ,.... I)?~ ~OL\à1 '-- l~5~-. ~ ~ ~ '> ~;":,d.~ ~~ Director of Prevention Services .~7 RHlkec P:\leuers\Huey\Haz Mat Business Plan ~ JlAáre,.e.L"t\d~ NvA."t.~\J., bbY~~W~~~~Y~AW~')') ~ F COMPREHENSIVE BLOOD ~ANCER f= Hazmat Inventory f== MCP+DailyMax Order CTR . SiteID: 015-021-001973 ì By Facility Unit ì Fixed Containers at Site 9 Hazmat Common Name... SpecHaz EPA Hazards DailyMax MCP OXYGEN Zco u..LVh..c-- F IH DH G WASTE FIXER R L ~ {;(:Þ tt SòlVL ~~Wlù~ê~1 LVù9Ffr\ bS- qa.t~s,. cl llqu,{Jc..\wWA~'-1) ~ ¿uØ2-lL Q \ W£.~¿,,~ FT3 Low 5.00 GAL Min µ~ HaZ8£dot:ls-Materia!s What Where How Much Low Melt Temp(1S8°F) Cleaning Supply Closet Approx. 50 Lbs, Bismuth Alloy & Linear Accelerator Vault Encapsulated 1125 seed Treatment planning room Up to 180 mCi F18 in form of FOG PET Trailer Up to 720 mCi Diesel Generator PET Trailer Fuel Varies Radioactive Check Sources PET Trailer Total of 7 mCi (Cs137, CoS7 &Na22) 8)SOa $ J ~m C 11 NfY}OJ<g N m [) r1 ..... ------, -2- 08/04/2003 'VYf A. f "" .ø.l.V.'" 4oY...LV ,. ~ YY~"Z"Z"''V~VV "'.&.\J'~ ~U.&."'4~ ~vv~ -. . " n ,>~~,- '. . . .~ II S DSH.R. Simon and Company, Inc. (800) 638-9460 I VI for chemical Emergency~ (800) 424-9300 Section 1 Identification Chemical Name: Chemblend Fixer MSDS Number: C8 Chemical Family: Working Solution Date: 12195 Section 2 Composition {Ingredients reguired}: Name CAS Num&er ACGIH (TLV) OSHA (PEL) Ammonium Thiosulfate 7783-18-8 Not Established Not Estahlist1ed Sodium Bisulfite 7631-90-5 5mglm3 Not Established Sodium Acetate 127-09-3 Not Established Not Established Sodium Sulfite 7757-83-7 Not Established 3 Not Established Aluminum Sulfate 10043-01-3 2mglm Not Established Section 3 Hazards Identification: Warning! Contains: Sodium Bisulfite May irritate eyes or skin Inhalation may irritate respiratory tract Section 4 First Aid Measures: 'Eyes: Immediately flush eyes with water for fdteen minutes. Seek medical help. Skin: Remove contaminated clothing. Rush skin for fIfteen minutes. If symptoms , p-erslst¡ seek medical help. Ingestion; ConsciOUS subject immediately give large amounts of water and induce . vomiting. Unconscious person: èá.l1 for medical help immediately Do not give anything by mouth to an unconscious person. Inhalation: Remove subject to fresh air. If symptoms persist, seek medical help. Section 5 Fire Fighting Measures: Flash Point: None Extinguishing Media: Use media for surrounding material Fire Fìghtfng l'rocedures; No speciaf ~rocedures Unusual Fire and Ex on Hazards: None Small spills may be mopped up. Soak spilt with saw dust, sand, oil dry. or any' other absorbent material. DisPQSe of recovered material in accordance with all federal. state, and local regulations. Section 7 Handling and Storage: No special storage requirements. Section 8 Exposure Controls: NOfSH approved respirator for mists. No specia( ventilation is necessary, except in small enclosed areas where a local exhaust fan sl10uld be used. Use latex neoprene gloves, safety glasses with side-shields or chemical goggles. Wear a chemical resistant apron. Section 9 Physical Chemical Properties: Boiling PaInt: >212°F Solubility rn Water: Comp'lete Appearance: Colorless Odor: Sfight Ammonia Oäor SpeCific Gravity: 1.08 @ 1SoC pH Level: 4.2 @2SoC -- -- ------ v~, ..." øø .w.v.".&.v..a..,¡.I""zt.4. ~C)l:Þ.."t:.&.U~ê)V -- ';).LuJ!1A 1UL1J.L~A1.. j ~U04 .," . ,.-"- to- ..-:-- . . .;-i" M S D SH.R. Simon and Company, Inc. {80m 638-9460 for chemical Emergency~ (BOO} 424-9300 Section 10 Stability and Reactivity; Chemblend Fixer Chemical Stabili!y; Stable. Incompatibility: Strong Alkaline Materials. Deoomposition Produots: None. Hazardous Polymerization, will not occur. Section 11 Toxicology Information: May irritate eyes, skin and respiratory tract. May cause skin rash. May cause allergic reactions in some people. InhaJation may cause adverse reactions in susceptible individuals, especially asthmatics. Section 12 Ecological Information; Small quantities diluted with water followed by secondary waste treatment system should not cause adverse environmental effects. Section 13 Disposal Considerations: Dispose of recovered materials through a licensed contractor or a waste water treatment system. Comply with all federal, state and local regulations. Section 14 Transportation Information: For transportation regarding this product, contact H,R. Simon & Company, Inc. (800) 638-9460. Section 15 Regulatory Information; Materials known to state of California to cause cancer: None Materials known to state of California to cause adverse reproductive effects: None Carcinogenicity Classification (components present at 0.1 % of more): International Agency for Research of Cancer (IARC): None American Conference of Govemmentallndustrial Hygienists (ACGIH): None National Toxicology Program (NTP): None Occupational Safety and Health Administration (OSHA): None Chemicals subject to the reporting requirements of Section 313 or Title III of the Superfund Amendments Reauthorization Act (SARA) of 1986 and 40 CFR Part 372: None Section 16 Other Data: NFPA HAZARD CODES (O=LEAST; 4=MOST) HEAL TH:::1 FlAMMABIL/1Y=O REACTIVITY=O SPECIFIC HAZARD=O Notø; fhI4¡ MSOS ro/aIœ onIy1lOth9 maIIÐI1B1 horoIn. andc10as net reI8œ ift ~~ WÏlhany9lher mat6lial or !R œlS8, T hili MSOS Is based on In!omla!lonprovldeØ by us and Is ÞeIIewd 110 be accurate, allnOUgh no ~ or warran\)" j¡¡ pnw!ded or implied by the company In 1hI911!9peCL s; lICe IN! use Of ~ )fOCIud is in the elldusive CO/IfR I of IN! user. it is U\e U!el"s lespon$ibiIiIy 10 4IMm1in9 re c:ondftIona at Bale use" SueII CCftCS\iOII$ ftII,I$I comøIY.,; II ~ rogulatioo$. 2 '71 V.." .£." 00 ».I.VJ....Lv..L.. C l1.4. ..h''''......LV.&"..hl 09-11-1998 02:Ø7PM FROM H,R.SIMON " ~.R. S!KOJl .&~J.J ~vn"n,'.' 4....· ~?515 Kar.eDC~ C.~ " ,..; a"1 t i.or~, M~ 2 0 ~.L~ ø.u:.U¿vA.L. ! TO 12094410153 P.02 Ig uu¡:; \. IY\ ~ o. Fir;. 0 Ru~jvJty-O Goggle; . GlovDs .., . ¡ ¡It(:·, " ," , SilmON 1 PAne..." InformatIon .' _, ,. , PI'OduQ Name: e1rioœLmm - AUTOMATIC X-ray DEVELOP!R ., . , :. WO~J(I.NG,.STRE~GT~; Aaady -To · Use Formu1à: Aqueou~ mixture . ~ " , , Chemtca1FaJ'Ì' ilY~ 'Frhotograp}:ûc,:dev$!Qper lr:fct1natìon Pnone, ;{j410) :636,-5'555,' 100·638-9460 For, Ernergèr1ty OnJ)'~·C.UCHEMTReC,: 1-ð00-4~4·9300 ~'e Prepar;d: Janu~ry·1;1991. &: REPLENISHER ' . : Department or Tran$por1a~K:)n : S/"Jpçing Name ~ Ammonium Compounds; Haz.afÕOus eJassiflCaticn· Not applicat>le . ' . ' , " .; , aEcjloNil;~L~; a'riø: H~zardous:lno rlodlet:rts Inrom\att9" . A. Principal" cø~~:ehts ,CJ;S(1) f I'cm:nl' ACGIHm OSHA(3) . . : ¡ '.'. ." : 11..V PEL .~ ; . ":' J . .. ¡. S.A.R..A '. . TPQ (4) ~Q(5) 1000 Ib I.J)$O(6) LCSO , Unk(7) Unk 400mgMg . Unk S6SmClIKg . UtIk Un1c Unk Unk Unit WlSier. . , ; i 7732·18·5 ,8$ ·96 nIa H)'drOqù¡nò~. * ' : . ;23-3t.9~ <2 Pott\ntum Hfdr:oxt~.~ ~ '31.0-58-3, < 2 1 Sodium S'Ilfltø 1 . 715'1-S3~1:;. .< 3 Pota&lÚ~IU!ft t~trabotai. ' · ,.:: : < 1 , , ,I, ' B. P'ecau\Øn~,L_IS~atGi'rtents: , Wamlng~:' èau.s~~ Eye b\Jrns, m.y ca~se $kin Iritalion and allergic akin reaCtion, Avoid ccntad with' sk.in änd .yes. In:ee.'$e of GPnt~ flllsh "lthplenty'~1 water. For eyes, gel meà¡cal"8tt.~lon. Mdltio~1 ,dvisory; Áv~id ·brøâlhin",r·\lapor. Un with adequate v.~iI~tion.: Uu aþp'ropriate 'eye protediOn. ' nlbber §bY" a,nd ¡ip,ol'l whel'thanclJin9., . . : .' .'. ',. ¡:. í., . ", ,'.. . : · S.A',ltA: Secrionsþoï. 304,313 HlZIU'doù, Ccmpant1U,,·.. S.A,P-.AS=tlon'"!04 'Haz'.,dous·C1ftTIpon=nt·, ',' , (1) Chcm:ïca,1 AbtEr4ct Scrvl" R'B~&JY, (2)Amc:ric:an Confcrenc& of GovcmmaaWIndt,).$U'W Hrgic,µsu Thrtsho1d Limit Va1~e. (3) ~'ona1 Sa!et)' ~il1i~\1\ ~50'~tion i>cnnissib}e Exposwe-.lJœjt~ (4) Thtes1lo1d Planning Quanlity. (5) RepoI'\6~lc QuaIJtir;y. (6),Med.i~ Li:tha1 þoso IIdministcted 10 TW. (7) Unknøwn. .! . . . . . . ~ . . n/á i . oIa .' n/a 500 Ib5 1 b 2mg1m3 2mgJm3 2mghn3(Ceiling) nla nla nla ~mg/m~ nIa ~nIB tva ,nle. n/a "fa IEt?~Q~lJJlf'W~J~J Q~ :. . . " '. " ~ .' -. : · Appeårance and Odor :Pale yellow, odorless (iquld ,. ~iè GravitY (Water .1) ~ 1.082 · pH: ,fij)pfbx. :1 ð !40 · eo~ing..~qí~: ~ ~12°F (100°0) · FreezEfpólrít: < $2"F (OOP) . · EV,éPrat~n Rá1e (n-Butyl Aceta1e ..1) : nla " '", ;* '. . . : . · Odor T1ueshòiå: nla , · Vapor Pre$$ur~ : approx. 17 mmHg @ 20°C · Vapor De~lIy (Air - 1) : awrox. 0.6 mmHg · Percent,Vol~líIe by Volume: approx. 90% · Solubility In Water : Co~le\é " ' · Ooeff. Wafe~/OiJ Dist: nls- . /' øcî1ptJ IV fJtfê'and .l;JtðtolJQn Huard Data . .! . t '", .' ' · Ftåsh Point: nOne" , . - " . · 'EX\ingÚ1sh1ng Media: Cry chemical; C02, Wæer spray · U:niJs~al,f:¡rQ åòët'explosion Hazarøs:none j . ". ~ . . . ! " " · Ff~mmable Umfts : lEL ·,·none; UEL -none · s~'al'ÀreFighting ProcedL res : none .. . . '. con\ìnu , . 1 '. , . ~ --, ~H-l5§ë ê2=êàPf(- FRÕI,r-H~R~Sl~ .........-. ............v..~TO 121!19441øl53 P.03 'f!:. V'''' ., ,. ~ blaollay ~ I¡;'UIWIV ." ..--·..,...._'...1 . -, - ...,,". __ " tc . ,._ Hazardou$ Coco," Products : S~lfur dioxide . · HWU~ Polymerization : W~II not occur $;CTIOH \n tt..tth Haza'3t D~t. ]'oxJcolOSleðl ProoerUtS " . · Effects of OYer ~sure:. " · ~S .: May Qause burning or kTitatio'n of eyes and rT1.ICQUS men:\bt3nês. SKIN ~ May CàUse :lrritatiOn ~or ~Ie~ reaction. Non carcinogenic. · FiSt' ~: ¡ ,. I,., : " .. . . EVJ:S ~ RJshlwfth water for at leaSt' 5 mi~es, get mecfiCal .8ttenUon.: , . . SK~N ~ Wash with plehty of water. If allêrgic reaction deveJaps seek meldical attention. ., iNGESTION ;; AIcaIi"'80lc.IfkM. Seek Immediare ~I acMse gMng ;rull delails Of amount swallowed and ~o~lcit)'. : . · TeratogeniCity: ~!i " " . . , · R,~Jve TO:íJëity: ~a ' ., Mutagèrilc:~: IV"'; · S)'~rgistl,.:P~: f\'a - . . " , , ~EcTION 'II p~ut¡qns ~or Sa'A HandUna Bnd Use : ..". . '.. '. ~ . ~'.". ": . . .... . . . . ... · SpiltRespcmse ~ ~8~r P~~w.e clothing as specified In sec1Jon VIII. K 'ederal, state and/or Ioc.allaws permit, neutrii1fz.e w~~ ~iuí;n bisutfit,-'rid flush to sewer wit'" large amounts of waler. , - " · Waste DlS' )Osal t" fege-ra~,; 'state arç¡o; kxallaws permit, lush neutralized mat~ñallO sewsr wlth la'1ie amounts of water.. Qth~lWlsi dlspo'i of contaminated prOduct.and materials used In cleaning up the :spill In a manner app-toved for this malerial. Consult proper FÐd~ral, Slat. and'or .Local,regulatory agencies 1o . asce""ln p(Oþer dlaþOsar.ptOCØdures. ' '; , .,.Har)dling .ncs ~rage: " ".' , . · Ke~ co'1.1~r IÍgh11)ì se'a'~.: . -. . ".., . . ,e, Do not 5tor.e ,or consume food, .~r1nk or tobacto in area where, they tMr become contamin.ated with thIs ,mat~r:IaI. ,I, . '. . , , .. Stør, ~\r~'40·F (4taC). '. A~td Incompatible oubstances. · AVOid un~84tY personal contact. : ,'. :" Wa~h thoiÓughly ~r ~~lIng. ::"~S=TION '~111 Contro," Measur@, : . J j' . · Respiratory: Nøne should be need~ '. Eye ptotectiOh t Safety Glasses or GogoIes. ; '; . V~~~at~n ': ~r gen~ral ventilation " - · Skfn Proteçtion;: Impervious gloves llhould be ~orn. .. Ot~r P:~{tCtIVø. Equ~nt : As, nepess~ry to prevent eye. and akin çO~act. ' .". . 1 · The use of a" nO~lkallne (aCid tYpe) hand cleaner will minimize the posSibili1y of aile rgi¢ reaction. . ' , .. · . . " · . ~: '! .. . .... ........-.i..., 11M ......... ..,_..:..........._~.....~.._._..._~..................... __ ".........,.~..... ~.......:: ...._...... ...~ __~....... _... _ -.ç _... _..... ....",.~__ r· 'I" .. . , The Infòrm;¡tion QOntained In thIs materia1 safety data shêØt (s furnished w)thout warranty of any kInd.The user . $hOú1dcOôSidet~ls data a supplement to other InfonnaUon gathered and must make Independent . detétmlnat)on of suttablli~ and co,rrp(eteness of tnrormation from thts and other sources to assure prope~ use and'd¡spiO~al·of tl¡¡ls mat~rlarandthe hea1thend safety of employees and customers, 'fhfs statemen~ is ' , tncorporat$das part of this Material Safety Dat~ S~eel. .' . . . : ~. ~ . . . I This MSDS" CO!TIial oonfonns wilh OSHA R.c¡ulltion (7.9 CFR 1910.1200) and is bueci ~ OS HA Farm J 74 . . . ' 2 . ' , !', . " . , . TOT~L P.11')3 .- Q - CITY OF BAKERSFllEl.D IFBRE DEPARTMENT OFFICE OF ENVIRONMENT AIL SERVICJES UNIFIED PROGRAM UNSPECTRON CHECKLIST 1715 Chester Ave., ,3rd K;~l[)or, !Bakersfield, CA 93301 CÙ1V\(;)re~~(~ ucA fACII.IIITY NAME . \ ~ (1A\.íUrd ADDRESS (,"'-'Tn ~t ~ FACILITY CONTACT _ ~ 'e . INSPECTION TIME ~ ¡tvi I ¡tV INSPECTION DATE ,\ 'l. - \ to - L.o(¡L PHONE NO. "$<:'7.. - z:?:.-o(£) BUSINESS ID NO. 15-210- ()""L \ - ÚÚ 1 C14-- ~ NUMBER OF EMPLOYEES J Z S- Sedñonn TI: Business Plan and Inventory Progr£lm ~ Routine o Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERA TION C V COMMENTS Appropriate pennit on hand v ,/ Business plan contact infonnation accurate / d~ rI ;./ /fWM I"t' '--" rI -, Visible address Correct occupancy i/ ~ .. ~ ( .I I Veri fication of inventory materials / ~J ~~r _;L.~ I "'''' / \ Verification of quantities /1f) Verification of location ,/ / JVMv-;) 0 ¡;; f L r Z Ik-trJ·-t..-g 0 Proper segregation of material ~ p "" V erification of MSDS availability ./ Verification of Haz Mat training ./ Verification of abatement supplies and procedures 1/ f\ A~/I - ·.~AJ^ - 1/ - .... IT y\\ Emergency procedures adequate tI " t 1"\'!C7f"- '-7 .H / rlÆH Y. i.... Containers properly labeled / f " Housekeeping ,/ Fire Protection ./ / Site Diagram Adequate & On Hand / C=Compliance V=Violation ¥ !\J{)AJJ- oJ.o LA -~~ /] MJ -:-'<~^",S eøh p t2. c"'- Any haZ£lIrdollls waste on site?: ~ Yes 0 No Explain:LJM~<:=r ~~} b' () 0J.~W-_.",_._ Questions regarding this inspection? Please call us a/(661) 326-3979'\ \ /' .~.-..- = White - Env. Svcs, Yellow· Station Copy Pink· Business Copy .f:'~ ~ ..1 - ,<:::- . FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 SUPPRESSION SERVICES 2101 "H" Street Bakersfield, CA 93301 VOICE (661) 326-3941 FAX (661) 395-1349 PREVENTION SERVICES 1715 Chester Ave, Bakersfield, CA 93301 VOICE (661) 326-3951 FAX (661) 326-0576 ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 VOICE (661) 326-3979 FAX (661) 326-0576 TRAINING DIVISION 5642 Victor Ave, Bakersfield, CA 93306 VOICE (661) 399-4697 FAX (661) 399-5763 e .~ May 3, 2001 Comprehensive Blood & Cancer Center 6501 Truxtun Avenue Bakersfield, CA 93309 Dear Business Owner: I Enclosed, please find the Site and Facility Diagram Instructions packet. When your Hazardous Materials Management Plan and Inventory were submitted it was lacking the diagram portion. Please draw and submit the diagram( s) of your facility by June 8, 2001. The diagram should include the following: 1) 12) 3) 4) 5) 6) 7) 8) name of your business; business address; indicate which direction is North; the cross streets neighboring business addresses (within 300 feet) entrances and exits location of utility shut-offs; location of the nearest fire hydrant; portions of the building protected by automatic sprinkler system; and most importantly the location of the hazardous material(s). 9) If you have any questions, please feel free to call me at (661) 326-3658, Thank you for your assistance. Sincerely, RALPH E. HUEY, DIRECTOR OFFICE OF ENVIRONMENT AL SERVICES ~;r Esther Duran, Accounting Clerk II Office of Environmental Services ED\db Enclosures ~~ C'/' ¿/ :/' /""?" j/ u7P // (/~) ~~ ,]~1/'-Off~~ !/u/ 'Ur.-/N/,IU//ld~ .tj/o/~ ,/'t(:)C'/'-ð .'::Y/i£l'/t· ,j(!} 0e/lR/~r ;. ~ Bakersfield Pain Medicine CJer Comprehensive Blood & Cancer Center Son T. Dính, M.D. Specializing in Pain Management (661) 325-8499 6501Truxtun Avenue FAX (661) 322-3064 Bakersfield, CA 93309 A Medical Corporation CITY OF BAdFIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA 93301 (805) 326-3979 ¡ù:;) ~ '"3'-1 ~ ~~FACILITYINFORMATION \\L " Page_Ot_ .. " v', ,·..·.··,>;y,:0··~.~~;~t;;'.;~;t~;?,;ts;ç~Ác"L.rfzYip~~.~]ì~~'ÇðÏI9~·¥'~:.·...··.········/· .. . ICf73 . : . . " ~ ;,' '," . ',..,. . :.,~-:"~~:¢,:' . :~,;::: > ,~ ......' t~ . ,"", :~":' .j FACILl1Y ID # 1 Year Beginning 100 101 j BUSINESS PHONE 102 , 3 'Z.'Z - Z?06 I ! SITE ADDRESS GS-O ( 103 I TQ.J XTUI0 I I ~ CITY 104 CA ZIP 105 DUN& 106 SIC CODE 107 BRADSTREET (4 Digit #) COUNTY OPERATOR NAME R.Av 1 ?t1- Tf=l- 1'--1 .' 0 . :;.:;~;i1!1t21~:¿¥1j;i~:~}~~:\~:¡t~Sfi;~fiEi}.%t<~::(::~?;'l1i~t>~~;~~ t:*113\¡ÖWNERUNF,Ø~M~::¡;1 :,::«<t:'<:~;" \ 7¿;::~+i~;. ~~~:~;:¢~, ~y«, :-~.;(j}'¡ -:'~~;§;',~~~hç·~<.::,~:';}.$'&;·;:~~"'~: OPERATOR PHONE ~\' 132.:2 - 2 LCG OWNER NAME RDJ 1 PA'/E-L OWNER MAILING ADDRESS bs-o I ~JXìV¡J CONTACT MAILING ADDRESS 6~ol T'f2U)(T()tV A- CITY 120 STATE 121 ZIP S"] 309 ·:'·::·:M~í~~Ng!~q~~~~~!~ji;~:g'~)~:~~~f1"t!¡:¡·.:!';~1~~,~~~~è~~~~;~'\l·[';';%r\ 123 NAME LÞ0R.277.D Vo'71-l 125 TITLE y - ÇU¡.<I ~4 126 BUSINESS PHONE '3 '2 -z _ -z..W6 127 24-HOUR PHONE ofÇic.£ -rJ;: {2ðu.s. "",rio E?.xC~NGG NAME ~é TITLE Ene _ BUSINESS PHONE ..~.JlM I D'Í i),Q. 00 I 3'2... '2 -'2'"206 '[sO <;" / '84 I - Z "3 '.S 3 24-HOUR PHONE PAGER # 128 PAGER # ¡\;,si~~';¡\wi~~~~'~;9~BÍíií:ç~~~~(';: ' Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted in this inventory and believe the information is true, accurate, and complete, SIGNATURE OF OWNER/OPERATOR DATE 134 NAME OF DOCUMENT PREPARERt I <p{ - ¿J I'Nï:;S NAMES OF OWNER/OPERATOR (pMn!) 136 TITLE OF OWNER/OPERATOR 113 116 I I 118 I i 119 i I I 122 I . . ,- ~. ~-' .";... -: ' .'. ....., é ~ 129 130 131 132 I 133 I ! + 7 ~ 'íI CP- &stt-\€-O fer ¥ ~~ DES FORM 2730 (7/98) P:\OES2730,TV4.wpd HAZARDOUS MATERIALS INVENTORY Chemical Description Form (one form per materia/ per building or area) Page of . CITY OF BAKERS FIe> OFFICE OF ENVIRONMENTALSERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 o DELETE 200 o REVISE 3 NAME or DBA - Doing Business As) L... ß Cc.... CHEMICAL LOCATION IN Ç, 'f>E x - RAY D~ (2Q:),",,- 1 MAP # (optional) 203 o yesGJ No 202 204 "'(·¡+~¡¡iÇijE'M;~;I~~ORMAÌ10~;:>}<;; " ·'·'·«;f:",\~}·j:)';i;1~~~ii..:~<:; '"" j! ,'" 205 TRADE SECRET 0 Yes ~ No 206 If Subject to EPCRA, refer 10 iinstructions CHEMICAL NAME W'A!s -r é €? .t(cJr¡C>6IlAP i-( t c.. ç::-¡ k CSf2- 207 COMMON NAME EHS' OYes~No 208 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 209 ;t!~~f~~~~~f~~~~r1.~~:~?i,j I 210 i I I CAS # TYPE o P PURE o m MIXTURE PHYSICAL STATE o s SOLID ~ I LIQUID FED HAZARD CATEGORIES 01 FIRE o 2 REACTIVE (Check all that apply) ANNUAL WASTE --5V 217 MAXIMUM AMOUNT DAILY AMOUNT . w WASTE RADIOACTIVE o Yes l?ìtNo 211 OgGAS 214 LARGEST CONTAINER o 4 ACUTE HEALTH !a 5 CHRONIC HEALTH o 3 PRESSURE RELEASE 218 AVERAGE DAILY AMOUNT ç '2..... UNITS' .ga GAL 0 ct CU FT . If EHS. amount must be in Ibs. o tn TONS o Ib LBS STORAGE CONTAINER (Check a/I that apply) ,ÃfÍ!e PLASTIC/NONMETALLIC DRU,-,\ Of CAN o 9 CARBOY o h SILO o i FIBER DRUM OJ BAG Ok BOX o I CYLINDER o m GLASS BOTTLE o n PLASTIC BOTTLE o 0 TOTE BIN o p TANK WAGON o a ABOVEGROUND TANK o b UNDERGROUND TANK o c TANK INSIDE BUILDING o d STEEL DRUM STORAGE PRESSURE o aa ABOVE AMBIENT o ba BELOW AMBIENT at a AMBIENT STORAGE TEMPERATURE o aa ABOVE AMBIENT o ba BELOW AMBIENT o c CRYOGENIC 225 ~ a AMBIENT 212 CURIES 213 215 216 219 S~TE WASTE CODE 00 I ( DAYS ON SITE :?<õ S- 220 222 221 o q RAIL CAR o r OTHER 223 224 226 SI(...VGtL 2 230 3 234 4 238 227 o Yes 0 No 228 231 o Yes 0 No 232 235 o Yes 0 No 236 239 "- o Yes 0 No 240 -;7<: 229 233 237 241 Form 2731(3199) ~. ... ~ -'" - e ~ S~r"\llS8EU¿ 4-404 ~f~8D CYi