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Home My WebLink AboutBUSINESS PLAN 7/13/2007C i~l CENTENNIAL MED GRP l ;;.,_1801 16TH STREET ~~/ // '~1 r' ..a /r CENTENNIAL MEDICAL GROUP Manager SUE COX BusPhone: Location: 1801 16TH ST Map 102 City BAKERSFIELD Grid: 25D CommCode: BFD STA O1 SIC Code: EPA Numb: DunnBrad: SiteID: 015-021-002975 (661) 326-8989 CommHaz Minimal FacUnits: 1 AOV: Emergency Contact / Title Emergency Contact / Title SUE COX / OFFICE MANAGER TOM BELL / COO Business Phone: (661) 326-8989x Business Phone: (661) 326-8989x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone (661) 428-8587x Pager Phone (661) 303-4016x Hazmat Hazards: React Contact SUE COX Phone: (661) 326-8989x MailAddr: 1801 16TH ST State: CA City BAKERSFIELD Zip 93301 Owner CENTENNIAL MEDICAL GROUP Phone: (661) 326-8989x Address 1801 16TH ST State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers Tot alUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG H HAZ GE I ~~ ~ ~ ~ ~ ~ ~ ~~~"~ - WASTE N 1\ 8a red on my inquiry of those individuals responsible far 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. 7 13~0-~„~ Signature Date -1- 07/10/2007 f F CENTENNIAL MEDICAL GROUP SiteID: 015-021-002975 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax IUnit~MCPI WASTE FIXER R L 1.00 GAL Minl -2- 07/10/2007 -3- 07/10/2007 F CENTENNIAL MEDICAL GROUP SiteID: 015-021-002975 ~ ~ 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# STATE TYPE PRESSURE TEMPERATURE ~~ CONTAINER TYPE Liquid TWaste ~mbient ~ Ambient I PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 8.00 GAL 1.00 GAL 1.00 GAL t1E~L,AtCL V U 5 l: V1~lY V1V t51V 1 J %Wt. RS CAS# Silver No 7440224 nt~~.ytcl~ tiaa~~~l~i1J1~1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -4- 07/10/2007 F CENTENNIAL MEDICAL GROUP SiteID: 015-021-002975 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 01/20/2006 ~ IN CASE OF SPILL, CALL X-RAY SOLUTIONS FOR CLEAN-UP Employee Notif./Evacuation 01/20/2006 NO NEED FOR EVACUATION FOR SPILL IN DARKROOM. CLEAN SPILL AND VENTILATE AREA (DARKROOM HAS OWN FAN). t'l1.{.J11C: 1v CJ 1.11. / ~VdCUdL1CJII Emergency Medical Plan 01/20/2006 INHALATION: MOVE TO FRESH AIR. TREAT SYMPTOMATICALLY. GET MEDICAL ATTENTION IF SYMPTOMS OCCUR. EYES: IMMEDIATELY FLUSH WITH WATER FOR AT LEAST 15 MINUTES. GET MEDICAL ATTENTION IF SYMPTIONS OCCUR. SKIN: WASH WITH SOAP AND WATER. GET MEDICAL ATTENTION IF SYMPTIOMS OCCUR. INGESTION: DRINK 1-2 GLASSES OF WATER. GET MEDICAL ATTENTION. -5- 07/10/2007 _ ; F CENTENNIAL MEDICAL GROUP SitelD: 015-021-002975 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 01/20/2006 ~ FIXER WASTE FLOWS TO STORAGE CONTAINER STORAGE CONTAINER SITE WITHIN ANOTHER CONTAINER IN CASE OF ACCIDENTAL OVERFLOW FIXER WASTE PICKED UP REGULARLY BY X-RAY SOLUTIONS COMPANY Release Containment 02/22/2007 FIXER WASTE STORAGE CONTAINER SITS WITHIN ANOTHER CONTAINER WHICH WOULD HOLD ANY OVERFLOW OR SPILLAGE. Clean Up 01/20/2006 FOR ACCIDENTAL OVERFLOW SPILLS - CALL X-RAY SOLUTIONS. ABSORB SPILL WITH INERT MATERIAL THEN PLACE IN A CHEMICAL WASTE CONTAINER. FLUSH RESIDUAL SPILL AND AREA WITH WATER. FOR LARGE SPILLS, DIKE FOR LATER DISPOSAL. PREVENT RUNOFF FROM ENTERING DRAINS, SEWERS, AND STREAMS. Other Resource Activation -6- 07/10/2007 ,: F CENTENNIAL MEDICAL GROUP SiteID: 015-021-002975 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ S~JCC:1c11 rid'GdrUS Utility Shut-Offs 01/29/2007 GAS: OUTSIDE BACK S SIDE OF OFFICE NEAR CTR OF BLDG ELECTRICAL: INSIDE STORAGE AREA E END OF BLDG ELECT RM WATER: OUTSIDE BACK S SIDE OF BLDG MOST W CLOSEST TO F ST OVERHEAD SPRINKLER SHUT-OFF: OUTSIDE BACK S SIDE OF BLDG MOST E CLOSEST TO G ST Fire Protec./Avail. Water 01/29/2007 FIRE HYDRANT - SE CRNR F & 16TH STS ALARM COMPANY: TEL TEC SECURITY SYSTEMS INC, 5020 LISA MARIE CT, 397-5511 Building Occupancy Level 10/20/2006 40 EMPLOYEES -7- 07/10/2007 F CENTENNIAL MEDICAL GROUP SiteID: 015-021-002975 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 10/20/2006 ~ BRIEF SUMMARY OF TRAINING PROGRAM: KNOWLEDGE OF MSDS BOOKS/SHEETS. KNOWLEDGE OF CLEAN-UP SUPPLIES. KNOWLEDGE OF EMERGENCY RESPONSE PHONE NUMBERS. rayc a Held for Future Use nclu iul. r utruiC u~c -8- 07/10/2007 ~~ ~. 1? .. .-: CENTENNIAL MEDICAL GROUP SiteID: 015-021-0029'75 Manager SUE COX ~ BusPhone: (661) 326-8989 Location: 1801 16TH ST Map 102 CommHaz Minimal City BAKERSFIELD Grid: 25D FacUnits: 1 AOV: CommCode: BFD STA O1 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title SUE COX / OFFICE MANAGER i TOM BELL /~~2-F OpPiY'Gi'll Business Phone: (661) 326-8989x Business Phone: (661) 326-8989x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone (661) 428-8587x Pager Phone (661) 303-4016x ............... Hazmat Hazards: React ............... Contact SUE COX Phone: (661) 326-8989x MailAddr: 1801 16TH ST State: CA City BAKERSFIELD Zip 93301 .............. Owner CENTENNIAL MEDICAL GROUP Phone: (661) 326-8989x Address 1801 16TH ST ~ State: CA City BAKERSFIELD Zip 93301 ............... Period to TotalASTs: = real Preparers TotalUSTs: = Qal Certif' d: - RSs : No ParcelNo: Emergency Directives: PROG H - HAZ WASTE GEN ENS ~Ee 2 2 2007 Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of la~v that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. ~ - ~ -1- ~4 Signature Date '..~" I -I- Ol/29/~b07 -~; F CENTENNIAL MEDICAL GROUP ~ Hazmat Inventory ~ MCP+DailyMax Order = SiteID: 015-021-002975 ~ By Facility Unit ~ Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit I~+tCP WASTE FIXER R L 1.00 GAL lain -2- Ol/29/~607 -r -3- O1/29/~007 ~, F CENTENNIAL MEDICAL GROUP SiteID: 015-021-0029`75 ~ ~ 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 ~ AmbRient~E ~ AmbientT~E ~PLASTICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily. Average 8.00 GAL 1.00 GAL 1.00 GAL riAGE~KLVU~ 1:V1~lYV1VL"~1V'15 %Wt. RS CAS# Silver No 7440224 t11~L,HKL HS~JL"~J71~1Y;1V15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MC1 No No No No/ Curies R / / / Mi -4- 01/29/2007 K F CENTENNIAL MEDICAL GROUP SiteID: 015-021-0029'75 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 01/20/2006 ~ IN CASE OF SPILL, CALL X-RAY SOLUTIONS FOR CLEAN-UP Employee Notif./Evacuation 01/20/2006 NO NEED FOR EVACUATION FOR SPILL IN DARKROOM. CLEAN SPILL AND VENTILATE AREA (DARKROOM HAS OWN FAN). ru.n.tic ivozit . ~ ~vacuaLion Emergency Medical Plan 01/20/2006 INHALATION: MOVE TO FRESH AIR. TREAT SYMPTOMATICALLY. GET MEDICAL ATTENTION IF SYMPTOMS OCCUR. EYES: IMMEDIATELY FLUSH WITH WATER FOR AT LEAST 15 MINUTES. GET MEDICAL ATTENTION IF SYMPTIONS OCCUR. SKIN: WASH WITH SOAP AND WATER. GET MEDICAL ATTENTION IF SYMPTIOMS OCCUR: INGESTION: DRINK 1-2 GLASSES OF WATER. GET MEDICAL ATTENTION. -5- O1/29/~007 '~ F e` F CENTENNIAL MEDICAL GROUP SiteID: 015-021-0029'75 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~~Release Prevention O1/20/20~6 FIXER WASTE FLOWS TO STORAGE CONTAINER STORAGE CONTAINER SITE WITHIN ANOTHER CONTAINER IN CASE OF ACCIDENTAL OVERFLOW _ FIXER WASTE PICKED UP REGULARLY BY X-RAY SOLUTIONS COMPANY Release Containment x~ Was-. s'fz~r-a~e, Cor~~-~h~`°' ~wh~c~ wo~n~cl over--~l o w cx- s~ ~ 11 a~,e . Co -'~~- Gtn rte' s~-~ W t'~ i en G~h ~~ ~~~d ~~~ ~ ~~_~'~ ~~ _ . - ~ ,y, Clean Up O1/20/20d6 FOR ACCIDENTAL OVERFLOW SPILLS - CALL X-RAY SOLUTIONS. ABSORB SPILL WITH INERT MATERIAL THEN PLACE IN A CHEMICAL WASTE CONTAINER. FLUSH RESIDUAL SPILL AND AREA WITH WATER. FOR LARGE SPILLS, DIKE FOR LATER DISPOSAL. PREVENT RUNOFF FROM ENTERING DRAINS, SEWERS, AND STREAMS. v~.iict Ac.7vul~:c til:l.lVQl-1V11 -6- O1/29/~007 ,/ ~ ` // ~ 1 «~ j F CENTENNIAL MEDICAL GROUP SiteID: 015-021-002975 ~ ' Fast Form~€ ~ ~ $:ite Emergency Factors Overall Site ~ Special Hazards Utility Shut-Offs 01/29/200`1 GAS: OUTSIDE BACK S SIDE OF OFFICE NEAR CTR OF BLDG ELECTRICAL: INSIDE STORAGE AREA E END OF BLDG ELECT KM WATER: OUTSIDE BACK S SIDE OF BLDG MOST W CLOSEST TO F ST OVERHEAD SPRINKLER SHUT-OFF: OUTSIDE BACK S SIDE OF BLDG MOST E CLOSEST TO G ST Fire Protec./Avail. Water 01/29/200`7 FIRE HYDRANT - SE CRNR F & 16TH STS ALARM COMPANY: TEL TEC SECURITY SYSTEMS INC, 5020 LISA MARIE CT, 397-5511 Building Occupancy Level 10/20/2006 40 EMPLOYEES -7- 01/29/zoo? -b: 1~ ~/ i F CENTENNIAL MEDICAL GROUP SiteID: 015-021-0029'75 ~ ~,~ Fast Format ~ ~ Training Overall Si~~ ~ Employee Training 10/20/20(76 ~ BRIEF SUMMARY OF TRAINING PROGRAM: KNOWLEDGE OF MSDS BOOKS/SHEETS. KNOWLEDGE OF CLEAN-UP SUPPLIES. KNOWLEDGE OF EMERGENCY RESPONSE PHONE NUMBERS. rage ~ nCl.u ivi ruuuiC u~c Held for Future Use -8- Ol/29/~007 •~~~, ~~ + CENTENNIAL MEDICAL GROUP ____________________________ SiteID: 015-021-002975 + Manager SUE COX BusPhone: (661) 326-8989 Location: 1801 16TH ST Map 102 CommHaz Minimal City BAKERSFIELD Grid: 25D FacUnits: 1 AOV: CommCode: BFD STA 01 -SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title SUE COX / OFFICE MANAGER TOM BELL / Business Phone: (661) 32'6-8989x Business Phone: (661) 326-8989x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone (661) 42'8-8587x Pager Phone (661) 303-4016x Hazmat Hazards: React Contact SUE COX Phone: (661) 326-8989x MailAddr: 1801 16TH ST State: CA City BAKERSFIELD Zip 93301 Owner CENTENNIAL MEDICAL GROUP Phone: (661) 326-8989x Address 1801 16TH ST State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN ~Itl 1 W IYI~I'( U O ~~~0 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. 3 Z -0 (p Signature Date -1- 02/28/2006 + CENTENNIAL MEDICAL GROUP ____________________________ SiteID: 015-021-002975 + += Inventory Item 0001 _______________ Facility Unit: Fixed Containers at Site + +_= COMMON NAME / CHEMICAL NAME ______________________________+________________+ WASTE FIXER Days On Site SPENT PHOTOGRAPHIC FIXER ` 365 Location within this Facility Unit Map: Grid: +----------------+ INSIDE DARKROOM ~ CAS# += STATE _+= TYPE ___+_= PRESSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+ Liquid I Waste I Ambu.ent ~ Ambient ~ PLASTIC CONTAINER +__________________________-~ AMOUNTS AT THIS LOCATION =________________________+ Lar est Container Dail Maximum Dai Avera e ~' ~,~ ~9~@-- GAL I ', J ~ GAL I ~ ~,`~y -~S-A~9.- GAL +_______+______________ HA2'ARDOUS COMPONENTS =_____________+___+_______________+ %Wt' ISilver INoSI CAS#74402241 +_______+___+______+__________= HAZARD ASSESSMENTS =__+_________+________+_____+ ITSNcoretlNoSIBN Hazl RNod~ostctive/Cu~ies I EPA HRazards jF~A/ USDOT# I Min -4- 02/28/2006 ~ ~. Sul COX 1801 16th Street, Office Manager Suite A i scoxQcmg.md Bakersfield, CA 93301 (661) 326-8989 tel (661) 326-8991 fax ! www.cmg.md r { Centennial Medical Group (~P " ~ Bakersfield Fire Dept. UNIFIED. PROGRAM INSPECTION CHECMCLIST Environmental Services SECTION 1 Business Plan and Invent0 Pro rare 900 Truxtun Ave., suite 210 ry 9 Bakersfield, CA 93 Tel: (661)_326-.3979 ?' ~~QS _ _. FACILITY NAME INSPECTION OA E INSPECTION TIME ... ADDRESS PHONE No. No. of Employees FACILITYCONTACT Business ID Number i 15-0 ~_ N~`~J Section 1: Business Plan and Inventory Program ~ 2,q 7 S O Routine ~-Combined O Joint Agency OMulti-Agency O Complaint O Re- n . ~ ANY HAZARDOUS WASTE ON SITE?: DYES ^ NO EXPLAIN: iAJV~RTC` ~ ~4~ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT ~BC'I ~ 3Z6-3979 t.-~~^ti~ P ~3 Inspector (Please Print) Fire Prevention 1st-In/Shift of Site White -Environmental Services Yellow -Station Copy usiness Site Respon ble PaAy (Please Print) Pink -Business Copy j J SITE DIAGRAM Business Name: Centennial Medical Group Business Address: 1801 16th Street, Suite A Bakersfield, CA 93301 fixer developer Door Processor closet sink Counter/ Workspace flasher Film processor Overflow waste Container Darkroom ~ Film bin T~~~r Spent photographic fixer--- Corrosive liquid ~~~5 NORTH FACILITY DIAGRAM Business name: Centennial Medical_Grou~ Business Address: 1801 16t Street. Suite A Bakersfield, CA 93301 F St NORTH offices Truxton Radiology parking and buildings 16v' Street patient parking Doctor office Business office Storage area c~ N N N d dumpster alley Santa fe cafe Employee parking Truxton radiology employee parking --fenced restaurant ® Electrical room -shut off Water -shut off ^ Gas -shut off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Overhead sprinkler -shut off G St _,~ ITE DIAGRAM Business Name: Centennial Medi_c_al_Group Business Address: 1801 16t Street, Suite A Bakersfield, CA 93301 I -- ------ --- - ~ OFRCE t EXAlA 1 ~ EXgM OFFICES OFFICE 8 OFFCE OFFlOE 4 OPE!! OFFICE E I ® - OFFICE ,I ® ~ ~' ~' - - ~ i ~ , , _ I ~ ~~ mae ~~' F ~ /4n~ IXAM 4 ` UND ~. ~ aEOOR~s F'JiOCEDURE t i T.R. 1 ~ / EXAA1 6 EXAM 8 yy~_ ~ I. I } C~Y~ - _ - i ' ~ ~------- - ~~,,~~,,pp~,, - - ~ ,~ ~ ~~I . ~ ~~W LABEA ST-~ EXAM 7 EXAM a BTARION S EXAM 8 EXAM 10 OFFI~ 6 ~~ M~ ~ ~~ ----- - i _ ~ - PMEN BERYER F'8.E8 PROCEDURE 2 ~~ ~ EXAM 12 ~ ~~ ~ ~ EXAM 14 ' OFFCE 8 WAIT S ~ ~ OFFlOE 0 TELEMED ~ OEXIBOAN. ~ ~ WURK JAM. M TION EXAtM 16 HWR BTOR BTOR. t' 88 ~, II X-RAY I A`` STp~p _ CONFERENCE I I ® _` LOUN(;IE OFFlOE 10 ! j . OFFICE 8 OFFICE 7 I; ~~ I TOR. T.R ~ ~ ~ r< ~il - ii I---- -- - - -- ---- _- - ® Fire extinguisher ® Fire pull NORTH Area within yellow box protected by automatic sprinkler system Hazardous material -spent photographic fixer Corrosive liquid ® Biohazard waste -blood-borne pathogens y'~ -~.