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
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na re
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-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.
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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