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Home My WebLink AboutBUSINESS PLAN CHANNEL ISLANDS ORTHOPEDIC GRP Manager 2.52!Ç~'yL s.A- Location :-d.R2.(.)_~H-. S'þ City BAKERSFIELD /c£t~) ~\\i)~~. J \AWX ! ~ ,,~~~~ . ..r~ ,SlteID: 015-021-002331 //\ \...f(.. ~ t¡ ~ BusPhon~ :q:elr661') 846 -5000 Map : CommHaz Grid: FacUnits: 1 AOV: " CommCode: BAKERSFIELD STATION 01 EPA Numb: SIC Code:8011 DunnBrad: Er~~() Contaçt / Title Emergency Contact / Title \ . _~'S;Ta.(\\ ,~( ö / (y'o.J"C\'t~r / Business Phone: (<(OS) q~t -~SIOX 1'33 Business Phone: ( ) - x 24-Hour Phone: (¡-OS) ?ìO)-S'~jYx 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: React Contact : Phone :- (661) 846-5000x MailAddr: 1830 28TH ST State: CA City : BAKERSFIELD Zip : 93301 Owner Phone: (661) 846-5000x Address : 1830 28TH ST State: CA City : BAKERSFIELD Zip : 93301 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: MOVED FROM THIS LOCATION TO 2525 EYE ST #B, DATE UNKNOWN. SEND BP. ED One Unified List ì All Materials at Site ì f= Hazmat Inventory f== Alphabetical Order Hazmat Common Name... SpecHaz EPA Hazards DailyMax MCP WASTE FIXER R L 5.00 GAL Min " J..\'c-kC'Ols1Ð,f\\QrC Do hereby certify that I have (Type or print name) reviewed the attached hazardous materials manage- CNlM~l ::¡:ç-) f' ment plan for < nd that it along with ( any corrections constitute a complete and correct man- agement plan for my facmty. 04/13/2004 " '.- Daniel A. Capen, M.D. Russell W. Nelson, M.D. John M. Larsen, M.D. Charles L. Herring. M.D. Diplomates, American Board of Orthopedic Surgery Fellows, American Academy of Orthopedic Surgeons Robert E. Henry. M.D. Diplomate, American Board of Physical Medicine and Rehabilitation Please send all correspondence to Oxnard May 7, 2004 Bakersfield Fire Department 1715 Chester Avenue Bakersfield, CA 93301 Attention: Esther Duran RE: Channel Islands Orthopedic Medical Group, 2525 Eye Street, #B, Bakersfield/Hazardous Materials document Dear Ms. Duran: Thank you for returning our call on April 29, 2004, and providing us with additional information. Enclosed please find the hazardous material form you have requested that we complete and return to you. The information requested on pages 3-6 is written in narrative form on the attached letter. Please contact us if your require any additional information. ~~ Licha Castaniero, Manager Channel Islands Orthopedic Medical Group LC/dse Enclosure: Hazardous Materials Form 1700 Lombard Street, Suite 110 - Oxnard, CA 93030 2525 Eye Street, Suite C - Bakersfield, CA 93301 Appointments (805) 988-6510 - (888) 644-6844 · ~ HAZARDOUS WASTE INFORMATION FORM, PAGES 3-6 CHANNEL ISLANDS ORTHOPEDIC MEDICAL GROUP, BAKERSFIELD PAGE 3 Aaency Notification: Corporate office notified by phone. Employee Notification: Posted evacuation signs for emergency exits; verbal overhead announcement to evacuate. Public Notification: Call 911. Emeraency Medical Plan: Injured employees are to be transported to San Joaquin Valley Hospital. PAGE 4 Release Prevention: The xray material is stored in a barrel which has a secondary container as a backup safety measure. Source One comes once a month to clean the container and twice a month to empty the container. Clean up: No plan in place, as the secondary container protects the exposure of chemicals by backing-up the primary container. PAGE 5 Special Hazards: None. Utility Shut-offs: Gas and electric shut offs are located at the back of the building on the right side. Water shut off is located at the back of the building. Fire Protection/Available water: The fire hydrant is located in front of the building, just outside the main entrance, to the left. The office has build-in sprinklers in every room. There are three fire extinguishers: 1. Located at the right front of the office. 2. Back of the office on the left side of kitchen. 3. Left middle side of office. There are six emergency exits. Buildina occupancy level: Ground floor. PAGE 6 Employee trainina: Evacuation practice as well as general information about evacuation, emergency supplies, exits, shut off valves, etc., is provided once a year to employees. ,\ ; . ! .perate Prevention Services Unified Permit: SUBJECT TO CONDITIONS OF PERMIT '.. r Per It to ~...,..J.:-....~~-~,J.:~:;"'~ f ,.. ~:-~"'t. r~ ~ 'to '. . Ji-..·· , ,..(;f":··' ; .' ",' ~ ' . .;w' ..; ,~" ,.... ¿..:,1..' ,_ . ¡! ·~.~:'\:;l~~~; .;,,f', /'.,,'. .f;,' ~ ' . , .~ ", ~ ' . ,',::" i', " i -. , ,,/'.. + .... !-.,/.'.'.' . '·.l :~..I.{~.f\;..., '. ,,', ' , r J...,.~ . , .~ . .... .f~;l;~;~~ \, ,; Permit 10#: 015-000-002331 l,·/~:~~'~(/ '. .<~"'- ; tl CHANNEL ISLANDS 01trQÔPED~CJGB~r,;_.. '!, "'.'..,-..'1.. f" _. "., .1,~'-b~'¡"·"J":·,,,,·.. ,':". Location: 2525 Eye Street #B ::':, . ~ :': ..:,::-',' ":B~~r.šfiéJa, :,' r¡':':'h CA . t ""f;; ":'id~~:;~":~~'''~'' .: .,t{\:~~_8f1~(." . i.,.' 'i-;.,. '\-', .'~.. " ,.;.:!:r-~-:r::..;'... .... .../: ::J: . '.. _. r" ~ ' . " ~\~, ;:~1:;':' '., ,'~' '. .~ J~; ':" ' .~ '"-t. . ..,," .... -- ¡ . .- ....... \. <"~"';"';~.ç:' -.' . . . ' ,~ ',- "';":. ','. .t!.J~~t~): /' 't.... . ·".r.. . . 'I':.~w Issued by: Bakersfield Fire Department O¡-'7ICE OF PREVENTION SERVICES 1715 Chester Ave., 3rd Floor Bakersfield, CA 93301 Voice (661) 326-3979 FAX (661) 852-2171 Expiration Date: ~;~~:.-:". - B '" J: B R S F I I·L D , "". ..'AII'..'" Approved by: .w _.. ~ __. ....'_ 'I~ ._....".._..._""".¡-...._~_...._+_'!!_,!_...-i-_~~~,.. t!·· THIS PERMIT IS ISSUED FOR THE FOLLOWING: I i . Ii Hazardous Materials Plan I o Underground Storage of Hazardous Materials o California Accidental Release Program Dr Hazardous Waste Generator and/or Treatment o Above ground ~torage Storage of Petroleum o Paint Spray Booth o Industrial Hood Suppression System . ~~"'T--';""~~ ; ! r~;~,:.{J : 93301 :, ¡ ";.-:.1 ,-''','' \ ! , . . ~ ¡ ) ~ ! I i , \ i , ~ ~ f' " .'_ 4.v. D',eetm : Prevention Services .', June 30, 2006 1d1736 - <¡'RRECTlON N0¡fE J33/ BAKERSFIELD FIRE DEPARTMENT N:: 998 j<Z -:Ð 2ß ø S-r fl/Ý'I,1 LocatioJ1 rt{f1 \ 5~{)U Sub Div. . Blk. . Lot You are hereby required to make the following corrections at the above location: Cor. No 70~ pRD\f tl)E:, A~ L6tl'5l aJé 2A-/D ß,C P"iR€ t5xT7NGUI~ - /'Vt) T ìO exc:.£L-o 7~ F-¡ 1)L<;~Ct 1õ íZ6Aa{ 6m~I5#.et. ~~ Completion D7c for Corrections I - 7 - 0"2...- Da te 17..../"'Z.. 7 D I f..J -- LV l,vE-5 f r Inspector l 326-3979 . . Lj / ð/C¡ CITY OF BAKERSFIEI..D FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd I~loor, Bakersfield, CA 93301 FACILITY NAMECIlAtJNG"L. 1~5 ~.~., ADDRESS (<1,'30 ~ ~ 'S>T --:J;/;: "0 FACILITY CONTACT INSPECTION TIME INSPECTION DATE 12 1"1....7 4/ PHONE NO. ~46 - ~~ BUSINESS ID NO. 15-21 0- ~ NUMBER OF EMPLOYEES "7 /ð22.l/ 0 %1)// Section I: Business Plan and Inventory Program /6 o Routine ~ Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERATION C V COMMENTS Appropriate pennit on hand Business plan contact infonnation accurate Visible address Correct occupancy Verification of inventory materials S- ~l- ~ Fl~ (~1l(. ) Verification of quantities "30 G..AL- ~L Verification of location 1f\J<· O~ D~,~" 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 ~ ç'~ CrJ { N'SP Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: 'R5Í Yes CJ No Explain: WA.~-rE f='"t),8'L- ~~. . Business Site Responsible Party Questions regarding this inspection? Please call us at (661) 326-3979 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: w( I\.1E;5" ,; I it,. ..~'.. /~. -'. ....~., ,. LJ/Ó/<j :\ ." CITY OF· BAKERSFIEl.D FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chestèr Ave., 3rd F'loor, Bakersfield, CA 93301 'i ":.~'I J FÆCILITYNAMEC~N,"{,.~.$ ~. ~p... ADDRESS 1~1O ~~ 'S>-:r~NIJ FACILITY GONT ACT INSPECTION! TIME . \ \, " Section 1:< Business Plan and Inventory. Prògram t'~ . . - j " INSPECTION DATE.. . ,i/Î"'L~"I. k>/ PHONE NO. . <846 <>0 ~~ BUSINESS ID NO. 15-21 0- ~ . NUMBER OF EMPLOYEES '7 ¡Ó2l. Y D ¡all /4;. D Routine' Btcomb'ined . D Joint Agency· D Multi-Agency o Complaint D Re-inspection ;., . ., OPERATION C V COMMENTS , . Appropriate pennit on hand '. Business plan contactinfonnation accurate . . Visible address Correct occupancy Verification of inventory materials S- CA&.. ~. ~IX6't.. (~(., \ "' .. Verification of quantities '30 (J"At- ~t. Verification of location ,AJ(. oe ~..¡, Proper segregation of material . . Verification of MSDS availability . Verification of Haz Mat training .. Verification of abatement súpplies and procedures Emergency procedures adequate Containers properly labeled II ~ ·~l~ O\J rA!SP Housekeeping Fire Protection Site Diagram Adequate & On Hand C~Compliance V=Violation Any hazardous waste on site?: ìÓ Yes Explain: ~s-rE. rf'q}< En- . DNo ~~~~ ~{'~, < .,~- : Business Site Responsible Party I" / . Inspector: l-JltVt5 ,. Questions regarding this inspection? Please call us at (661) 326-3979 . White· Env. Svcs. Yellow· Station Copy Pink - Business Copy . . L/ / Ole¡ CITY OF BAKERSFIEl.,D FIRE DEPARTMENT OFFICE OF ENVIRONMENTAl., SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Hoor, Bakersfield, CA 93301 FACILITY NAMEC'AAtVNG(... 1Sl.JJ.Jf)5 ~. (9P ~ ADDRESS 1<L3D ~~ ~T --:J:t:llö FACILITY CONTACT_ INSPECTION TIME INSPECTION DATE 12 1"7...7 41 PHONE NO. cg46 - ~~ BUSINESS ID NO. 15-21 0- ~ NUMBER OF EMPLOYEES '7 lð 22. (jO %/)// Section 1: Business Plan and Inventory Program I~ o Routine Œ( Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERA nON C v COMMENTS Appropriate pennit on hand Business plan contact infonnation accurate Visible address Correct occupancy Veri fication of inventory materials S- c.Al- ~ FtXS'L- (~'(lc.. ') Verification of quantities "30 ~L ~L Verification of location ,Nt,;'Oe D~-_ 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 ~ç'~ O\J { IIJSP Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: ~ Yes 0 No Explain: WM'fE ~t ~c.n- -~. . Business Site Responsible Party Questions regarding this inspection? Please call us at (661) 326-3979 White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: WINE> · CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~wNf:l- I S(.OI\j"S)s ~"'1hbPéÖIC ~ INSPECTION DATE 1"'2../'2-7 /01 Section 4: Hazardous Waste Generator Program EP A ID # o Routine 1- Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERATION C V COMMENTS Hazardous waste determination 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 V /P~ t'P..dVtøG 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 C=Compliance W I tJ'G-5 V=Violation Inspector: Office of Environmental Services (661) 326-3979 White - Env. Svcs. Business Site Responsl e ãî'ty Pink - Business Copy