HomeMy WebLinkAboutBUSINESS PLANl ~~
KERN RADIOLOGY SAN DIhiAS
- _ - -- _-~- -3535 SAN. DIMAS #10 - _ _- _
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KERN RADIOLOGY SiteID: 015-021-001921
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S ~jv" glo029
Manager E>$
~' BusPhone: (661) ~3 T,
Location: 3535 SAN DIMAS ST 10 Map 103. CommHaz Minimal
City BAKERSFIELD Grid: 19B F Units: 1 AOV:
CommCode: FD STA 04 SIC Co :8011-
EPA Numb: D ad:
Emergency Contact Title E rgency Contact / TitleC~"
NIP'S'OIQ" ~ GER 3Z6g~a ~ ~' /
Business Phone: (661) Business Phone: (661) 8~x~uO91D
24-Hour Phone ( } - 24-Hour Phone (661}
-max
Pager Phone ( 6 61) {+Z Pager Phone ( 6 61) .~-~~ °~ - '~~ ~ fig'
Hazmat Hazards: React ~
Contact I~i~ C~.°/IIZGj SZ tti/j~{ Phone : ( 661) .~ ~'' '' "~'-"~r
MailAddr: PO BOX 2388 ~~ l /State: CA
City BAKERSFIE Zi` 93303 04
Owner KERN IOLOGY MEDICAL GROUP INC Phone: (6 3~? x
Address PO B 2301 BAHAMAS DR State: CA °~~,
City B RSFIELD Zip 93303
Period to TotalASTs: = Gal
Prepare TotalUSTs: = Gal
Certif ~ d: RSs : No
ParcelNo:
Emergency Directives:
~D nP', TT .~ .-. ... -
svlVlS~Tr-~1'].L'~G YYAJIL VL1V
~`Nr~ F~~
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X007
Based on my inquiry of thcase Irtc3i~tiduais
responsible for obtaining the Inharrt~ati~an, ! ~prtify
under penalty of law that ! hr~vp por~c~nally
examined and am familiar with the ir~farrnation
submitted and believe the information is true,
accurate
,
and com ete.
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Signature Date
~ I
7Jn
-1- 02/02/2007
F KERN RADIOLOGY SiteID: 015-021-001921 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers at Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
WASTE R L 30.00 GAL Min
~b~`~ ,
-2- 02/02/200
-3-
02/02/2007
F KERN RADIOLOGY
~ Inventory Item 0001
COMMON NAME / CHEMICAL NAME
WASTE FIXER
SPENT PHOTOGRA IC FIXER
Location withi this Facility Unit
DARKROOM BET EXAM
STATE TYPE PRE URE _
Liquid Waste Ambient
AMOUNT
Largest Container
30.00 GAL
SiteID: 015-021-001921 ~
Facility Unit: Fixed Containers at Site ~
Days On Site
365
Map: Grid:
CAS#
CONTAINER TYPE
PLASTIC CONTAINER
THIS LOCATION
Maximum Daily Average
X0.00 GAL 30.00 GAL
~u~ w1~ir~1V~1V"1"5
%Wt. RS CAS#
Silver No 7440224
i
riAG1~ttL A~SL'~SS1~li:1V"1"5
TSecret RS B'oHaz Radioactive/Amount EPA Hazards N USDOT# MCP
No No No No/ Curies R / / Min
n ~Fe
-4-
02/02/2007
F KERN RADIOLOGY SiteID: 015-021-001921 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification 09/28/2000 ~
UPON DISCOVERY OF A SPILL OR ACCIDENTAL DISCHARGE OF HAZARDOUS WASTE,
FACILITIES PERSONNEL MUST IMMEDIATELY NOTIFY THE EMERGENCY RESPONSE
COORDINATOR. NOTIFY NE PERSONNEL MUST IMMEDIATELY NOTIFY THE EMERGENCY
RESPONSE COORDINATOR. NOTIFY NEIGHBORS, CHP, OES AND THE NATIONAL RESPONSE
CENTER,
CALL 911, GENERAL ELECTRIC, CALIFORNIA IMAGING SOLUTIONS. USE PUBLIC ADDRESS
SYSTEM AND FIRE ALARMS.
Employee Notif./Evacuation 02/19/1999
ALL EMPLOYEES ARE TO EVACUATE AT THE EXIT NEAREST THEIR LOCATION.
Public Notif./Evacuation
09/28/2000
ALL EMPLOYEES UPON EVACUATION ARE TO MEET AT THE NE CORNER OF THE PARKING
LOT FOR AN EMPLOYEE COUNT.
Emergency Medical lan
~~ ~hySiu ~= ~ cep
R HALL
GOLDEN EMPIRE AMBULANCE; MEMORIAL HOSPITAL AND/OR EMERGENCY ROOM;
HOSPITAL AND/OR EMERGENCY ROOM.
09/28/2000
AMBULANCE;
MERCY
-5- 02/02/2007
F KERN RADIOLOGY SiteID: 015-021-001921 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 02/19/1999 ~
WASTE IS STORED IN RED AIR TIGHT HAZARDOUS WASTE CONTAINERS. PROCESSING
CHEMICALS ARE STORED IN PLASTIC CONTAINERS.
Release Containment 09/28/2000
50 POUNDS OF KITTY LITTER ON PREMISES AT ALL TIMES. HAZARDOUS WASTE
CONTAINMENT AND CLEAN UP KIT.
Clean Up 09/28/2000
SPREAD KITTY LITTER, USE SQUEEGEE AND DUST PAN. INSERT INTO HAZARDOUS WASTE
CONTAINER. WE HAVE HAZARDOUS WASTE DISPOSAL CONTRACT WITH BFI.
V1.11C 1_ 1[C~V UI.LC LiU l.lVdl.l Uil
-6- 02/02/2007
F KERN RADIOLOGY SiteID: 015-021-001921 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
~J~JC I:l Cl1 I1C1G ClL U.7-
Utility Shut-Offs
A) GAS - OUTSIDE W SIDE OF BLDG
B) ELECTRICAL - CENTRAL HALLWAY
C) WATER -
D) SPECIAL - NONE
E) LOCK BOX - NO
02/19/1999
Fire Protec./Avail. Watez
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER IN MAIN HALLWAY.
NEAREST FIRE HYDRANT - 34TH ST & SAN DIMAS S SIDE OF 34TH ST.
12/13/2006
Building Occupancy Level 12/13/2006
4~ EMPLOYEES - ' ~ ~ ~~ ~r`^^"x-- ~Z
5 ~~ fie, CJ,r~('-e -~-~- s ~ ~ ~~
-~- 02/02/200
a`- ~
F KERN RADIOLOGY SiteID: 015-021-001921 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 12/13/2006 ~
MSDS SHEETS ON FILE IN A COMPLIANCE BINDER.
BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES ARE TRAINED ON ALL
CHEMICALS USED AND ON ALL MACHINES. THE EMPLOYEES ARE TRAINED ON THE
EVACUATION PLAN AND HOW TO HANDLE ANY EMERGENCY.
ruy~ ~
Held for Future Use
nciu Lvi. ru~.uic vac
-8- 02/02/2007
s
+ KERN RADIOLOGY =\,_____________________________________ SiteID: 015-021-001922 +
Manager :. DE ~o~ Ce ~~ BusPhone: (661) 633-5740
Location: 3535 SAN DIMAS ST 2 Map 103 CommHaz Minimal
City BAKERSFIELD Grid: 19B FacUnits: 1 AOV:
CommCode: BFD STA 04
EPA Numb:
SIC Code:8011
DunnBrad:
Emergency Contac~ / Title. Emergency Contact ~ / Title ~~
/ -S~r3~E'H~'E MGR / R
Business Phone : ( 6 61) °~3-3~-~.r'~9x ~ Business Phone : ( 6 61) "~
24 -Hour Phone ( ) - x 24 -Hour Phone ( 661)_' ~~'x 3~~~ ~'~
Pager Phone ( 6 61) '' ~+ ~ ~ ~ '' °° 3~Z-(e212 Pager Phone ( 6 61) 2-81~fr~9~x~pl ~l''`j~
Hazmat Hazards: React
Contact - ~:'zYY'y Stu.rZ Phone: (661) ~~Z '-~~
MailAddr: PO BOX 2388 State: CA
City BAKERSFIELD Zip 93303 3~~" 9~aU
Owner KERN RADIOLOGY MEDICAL GROUP INC Phone: (661) 8-1~
Address 2 3 01 BAHAMAS DR State : CA `~~'Irt ^ 4i (r o G
City BAKERSFIELD Zip 93309
Period to
Preparers
Certif'd:
ParcelNo:
TotalASTs: = Gal
TotalUSTs: = Gal
RSs: No
Emergency Directives: ~ L`
PROG H - HAZ WASTE GEN ~ ~ ~- "
"1
Based on my inquiry of those individuais
responsible for obtaining the information, 1 certify ~ P
under penalty of law that I have personally ~~[
examined and am familiar with tY+e information ~ p~, 0
submitted and believe the information is true, 1/ 0
accurate, and com te. (,/ ~~
_ r< ~~~ ~ I ~ ~ 1~~
ignature Date
~b~
/~~ 14
Zpp6
-1- 05/18/2006
RAl1A INSPECTI N CHE~LIST
UNIFIED PROG
~~~
SECTION 1 Business ,Plan and Inventory Program
Bakersfield Fire Dept.
Environmental Services
v~~ 900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel: (661)-326-3979 __ _ _ _ _
FACILITY NAME INSPECTION DATE INSPECTION TIME
--- - --- -~--- _. _ _._. _ HONE t E
~ ADDRESS P o. No. o mployees
~s"3 S s~.~ ~ ~ M.~-s (I ~ Z.
FACILITYCONTACT Business ID Number
15-021- ) ~~(
Section 1: Business Plan and Inventory Program
~'12outine ^ Combined ^ Joint Agency OMulti-Agency ^ Complaint ^ Re-inspection
C V \ V=vo atolnnCe l OPERATION COMMENTS
^ APPROPRIATE PERMIT ON HAND
^ BUSINESS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
,~ ^ ~ VERIFICATION OF INVENTORY MATERIALS i
•
(~ ^ VERIFICATION OF QUANTITIES
^ .VERIFICATION OF LOCATION ---~
f~I
---- ^
- -- PROPER SEGREGATION OF MATERIAL
-_.. --- ---- ------- --- --...- - - --- - --.........- --- ..._... -- -
- - - - .__._.. - . _ . _ .
~)
^
VERIFICATION OF MSDS AVAILABILITYE I
----- ---
I~
----
C~ ---
^ --- ------_- _--- - ----.--- - - --- .....-..._ .. --- ...... . ...... _
VERIFICATION OF FIAT MAT TRAINING f. .. ..- -
'
~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
1
lil ^ EMERGENCY PROCEDURES ADEQUATE
C~' ^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
^. FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON PIANO
ANY HAZARDOUS WASTE ON SITE: ^ YES ^ NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (I361) 326-3979
Inspector (Please Print) Fire Prevention 1st-In/Shik of Site
White • Environmental Services Yellow • Statron Copy
Business Site Responsible Party (Please Print)
Pink • Business Copy