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HomeMy WebLinkAboutBUSINESS PLAN 2/7/20071 THOMAS W. FRANK, DDS 4101 EMPIRE DRIVE, SUITE 100 ~, . ; ; FRANK DDS INC THOMAS W Manager DONNA FRANK Location: 4101 EMPIRE DR 100 City BAKERSFIELD SiteID: 015-021-002335 BusPhone: (661) 324-6511 Map 102 CommHaz Minimal Grid: 26D FacUnits: 1 AOV: CommCode: BFD STA Ol EPA Numb: SIC Code:8021 DunnBrad: Emergency Contact / Title Emergency Contact / Title THOMAS W FRANK / OWNER DONNA FRANK / BUSINESS MGR Business Phone: (661) 324-6511x Business Phone: (661) 324-6511x 24-Hour Phone (661) 303-7384x 24-Hour Phone (661) 871-9695x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React Contact DONNA FRANK Phone: (661) 324-6511x MailAddr: 4101 EMPIRE DR 100 State: CA City BAKERSFIELD Zip 93309 Owner THOMAS W FRANK DDS Phone: (661) 324-6511x Address 4101 EMPIRE DR 100 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 Based on my inquiry of those lndlvlduals responsible for obtaining the information, t certify under penalty of law that I have personally examined and am familiar with the information ' submitted and believe the information is true , accurate, and complete. ~Nfi'D ~ ~ ~ ~ 2007 z a na re D to -1- 01/31/2007 ~. F FRANK DDS INC THOMAS W SiteID: 015-021-002335 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP WASTE FIXER R L 5.00 GAL Min -2- 01/31/2007 -3- 01/31/2007 F FRANK DDS INC THOMAS W SiteID: 015-021-002335 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE FIXER Days On Site 365 Location within this Facility Unit Map: Grid: DARKROOM _ - CAS# Liquid TWaste ~mbRient~E ~ AmbientT~E ~ PLASTOICTCONTAINERE -AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 5.00 GAL 5.00 GAL 5.00 GAL • nr~~rjttlivu~ ~ui~irulv~lv~t~5 oWt. RS CAS# Silver No 7440224 riAGHKL AJ7~551~1~1V 1~5 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -4- 01/31/2007 F FRANK DDS INC THOMAS W SiteID: 015-021-002335 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 05/17/2006 ~ OFFICE SUPERVISOR NOTIFIES EMPLOYEE OF LEAK. CALL JIM WARREN 637-0404 FOR WASTE PICK-UP. CALL 911 IF MAJOR SPILL. Employee Notif./Evacuation 05/17/2006 OFFICE SUPERVISOR NOTIFIES EMPLOYEE OF LEAK. CALL JIM WARREN 637-0404 FOR WASTE PICK-UP. CALL 911 IF MAJOR SPILL. ,._ t U3J1ll.. 1VV 1.11. ~ 1'+V QI. UClV1Vll 1 ~v6llc. ¢.v~u~S .l~c~d~• ~-(~~'~j~, c~vo~s ~/~ c~~f,, F2CrT 5~ cV~'Yv~~ ~ (n ~an ~r(~~ ~ ~' Emergency Medical Plan 09/13/2006 MERCY HOSPITAL, 2215 TRUXTUN AVE, 632-5000. POLICE/FIRE DEPT CALL 911. -5- 01/31/2007 F FRANK DDS INC THOMAS W SiteID: 015-021-002335 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 05/17/2006 ~ SEE SITE MAP FOR LOCATION OF THE 3 FIRE EXTINQUISHERS. SPILL KIT MAINTAINED IN SAME LOCATION AS WASTE FIXER (DARKROOM). EMPLOYEE NOTIFIES SUPERVISOR IN CASE OF LEAK/SPILL WHO THEN NOTIFIES EMERGENCY CONTACTS. ~~,cs~ (a~;~ ~G~'I'Ol1 ~~UM. 2 • ~j~ 3.I~v~ea m Release Containment 05/17/2006 Si USE OF SAFETY SORBENT CONTAINED WITH SPILL KIT FOR CLEAN-UP. CONTACT JIM WARREN 637-0404 FOR WASTE PICK-UP. CONTACT 911 IF MAJOR LEAK/SPILL. Clean Up 05/17/2006 USE OF SAFETY SORBENT CONTAINED WITH SPILL KIT FOR CLEAN-UP. CONTACT JIM WARREN 637-0404 FOR WASTE PICK-UP. .CALL 911 IF MAJOR LEAK/SPILL. V1.11C1 iCC~V LL3.LC a`jl: l.lVdl,1U11 -6- 01/31/2007 - - {_ F FRANK DDS INC THOMAS W SiteID: 015-021-002335 ~ Fast Format ~. ~ Site Emergency Factors Overall Site ~ .7~JCl:ld1 ildGdtU~ Utility Shut-Offs ~t-~s_ ~ n1~f~.r- ~Shvf ~ - o{~ (oc:a~ soli Cv~f caGovn~ of b~~jd r ~(P.Gtv'~c h1~'~Y ~5~vf ro~~ (o~-o~ rr1 elec-ft~~~((~cwM o~ /~for~ EGSf' S~d~. Fire Protec./Avail. Water (z~ a~~l ~ ~ ~ C ~~ ~~~ ~~~ 11~ ~c~~c ( ~vrin -tn sav~t lve~1- corner of ~ ' I Building Occupancy Level 05/17/2006 9 EMPLOYEES -7- 01/31/2007 L a ~ . F FRANK DDS INC THOMAS W SiteID: 015-021-002335 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 11/17/2006 ~ MSDS ON FILE IN BINDER IN F~`E E .~~~~m, BRIEF SUMMARY OF TRAINING PROGRAM: A.LL EMPLOYEE TRAINING AND PROCEDURES IN SAFETY MANUAL BINDER IN BREAKROOM. rayo ~ nci~.a ivL r u~.uiC v5C 17c 111 1V1 rul.ulC V5C -8- 01/31/2007 i FRANK DDS INC THOMAS W Manager DONNA FRANK Location: 4101 EMPIRE DR 100 City BAKERSFIELD CommCode: BFD STA O1 EPA Numb: SiteID: 015-021-002335 BusPhone: (661) 324-6511 Map 102 CommHaz Minimal Grid: 26D FacUnits: 1 AOV: SIC Code:8021 DunnBrad: Emergency Contact / Title Emergency Contact / Title THOMAS W FRANK / OWNER DONNA FRANK / BUSINESS MGR Business Phone: (661) 324-6511x Business Phone: (661) 324-6511x 24-Hour Phone (661) 303-7384x 24-Hour Phone (661) 871-9695x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React Contact DONNA FRANK Phone: (661) 324-6511x MailAddr: 4101 EMPIRE DR 100 State: CA City BAKERSFIELD Zip 93309 Owner THOMAS W FRANK DDS Phone: (661) 324-6511x Address 4101 EMPIRE DR 100 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 ~°N`~'~ ,~~~ ~ 4 ~~~~ °a^°ad on my inq~.~iry of those individuals rest~r_°,~vible fcr obtaining the infon~nation, I certify ~:nder r~enalty of law that I have personally examined and am familiar with the information suamitted and ~:elieve the information is true , acc rate, an d complete. u te ~ ~~ Signature Dat -:. ... _ . ~:. -1- 07/11/2007 ~i'~~g ~'~' ' Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST B A e R 5 r , ,; 900:Truxtun Ave., Suite 210 Flee Bakersfield, CA 93301 SECTION 1~: Business Plan and Inventory Program , "Rr"' . Tei.: (661) 326=3979 Fax: (661) 872-2171 FACILITY NAME ~ s ~ ~ INSPE TION DATE ~~Z~/ INSPECTION TIME ,~ ~N n ~ c, a ADDRESS L-~'I o IF ~'~ PHONE NO. j ~2~ -,65 ' NO OF EM~OYEES iV~ >',2,,E FACILITY CONTACT - BUSINESS ID NUMBER 15-021-0 is ~ a 2/ -o a -- --- -_ -- .Section 1: Business Plan and Inventory Program ~- ^ ROUTINE ...~ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION. C V ~ C=Compliance OPERATION V=Violation COMMENTS ^~ APPROPRIATE PERMIT ON HAND ~ ", G ~ ~~ ~~ ~~ ~ GI p~.~=.~1.~G-. ^ BUSIfIeSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ~rD ^ VERIFICATION OF HAZ MAT TRAINING ~ 9 [, ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ ~- FIRE PROTECTION S ~~ I C. F ''C I Q G ~ 't / ~"~ w t S N EaL ~I~r ^ SITE DIAGRAM ADEQUATE & ON HAND - ANY HAZARDOUS WAyS.TE ON SIjE? ~ YES ^ NO EXPLAIN: ~J7 °~ ~ ` F ~ 1 h 6 g- 3~ ~ ~~~~ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1°` In /Shift of Site/Station # Bus s White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 ~-- .~D ~, 4~~ ~`~ CITY OF BAKERSFIELD FIRE DEPARTMENT ~t ~~~ ~ OFFICE OF ENVIRONMENTAL SERVICES d°' , .y UNIFIED PROGRAM INSPECTION CHECKLIST y?;t~ ~gti~ 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 n•.......• ~/ d~ FACILITY NAME 'C 2-~'y ~ ~ ~-5 INSPECTION DATE Z~ I Section 4: Hazardous Waste Generator Program EPA ID # ~~€ ~-~" ^ Routine ~ Combined ^ Joint Agency ^Multl-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made EPA ID Number ~.,~~ e~ ~ -j- 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 tine 0-J ~.,,~ Secondary containment provided Conducts daily inspection of tanks Used oil not contaminated with other hazardous waste ~/ ~ Proper management of lead acid batteries including labels j/ ~ Proper management of used oil filters N ~, 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 t;=~ompttance v=vtolatton Inspector: ~ ' `r~j~"'~~ Office of Environmental Services (661) 326-3979 White -Env. Svcs. ' e esponst y Pink -Business Copy ~ t i °~i A + FRANK DDS INC THOMAS W _______________________ ~ ____= SiteID: 015-021-002335 + Manager Location: 4101 EMPIRE DR 100 City BAKERSFIELD BusPhone: (661) 324-6511 Map 102 CommHaz Minimal Grid: 26D FacUnits: 1 AOV: ` ' ~ CommCode : BFD STA O l 1~ SIC Code : 8 021 EPA Numb: ~~ ~ DunnBrad: ~s Emergency Contact / Title Emergency Contact / Title THOMAS W FRANK / OWNER DONNA FRANK / BUSINESS MGR Business Phone: (661) 324-6511x Business Phone: (661) 324-6511x 24-Hour Phone (661) 303-7384x 24-Hour Phone-:_.(661) 871-9695x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React Contact Phone: (661) 324-6511x MailAddr: 4101 EMPIRE DR 100 State: CA City BAKERSFIELD Zip 93309 Owner THOMAS W FRANK DDS Phone: (661) 324-6511x Address : 4101 EMPIRE DR 100 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 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 and believe the information is true, accurate, and complete. j ~~ n v _ ~ q i ~~d~ ~ignature Dat ENT'D S ~ P ~. 3 2006 t______________________________________________________________________________+ -1- 05/17/2006