HomeMy WebLinkAboutBUSINESS PLAN (2)~ H STREET DENTAL
~' ~ i 100717TH STREET
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CITY OF BAKERSFIELD
*POST CONSPICUOUSLY* ,
*NON-TRANSFERABLi I
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BUSINESS TAX CERTIFICATE IS HEREBY GRANTED. LICENSEE IS TO COMPLY WITH ALL LAWS AND ORDINANCES. ISSUANCE OF THIS LICENSE DOES NOT CONSTITUTE AUTHORIZATION TO
CONDUCT BUSINESS IF LICENSEE HAS NOT COMPLIED WITH ALL APPLICABLE LAWS AND ORDINANCES. THIS LICENSE IS ISSUED WITHOUT VERIFICATION THAT THE LICENSEE IS SUBJECT
TO OR EXEMPT FROM LICENSING BY THE STATE OF CALIFORNIA.
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+ H STREET DENTAL =_______-~____________________________ SiteID: 015-021-002347 +
Manager ~q-~.(~ ~4~i~.r 5
Location: 2007 17TH ST
City BAKERSFIELD
CommCode: BFD STA O1
EPA Numb:
BusPhone: (661) 631-1113
Map 102 CommHaz Minimal
Grid: 25D FacUnits: 1 AOV:
SIC Code:8621
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
DUANE CALKINS / /
Business Phone: (661) 631-1113x Business Phone: ( ) - x
24-Hour Phone ((~61) ~`~i' - ~6`~x 24-Hour Phone ( ) - x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: React
Contact DUANE CALKINS
MailAddr: 2007 17TH ST Phone: (661) 631-1113x
+~ ~~~ ~ $ X006 State: CA
~
City BAKERSFIELD 1~9
Zip 93301
Owner ~~:==a~: =PQO~~a~ Phone: (661) 631-1113x
Address 2007 17TH 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
~1~-~ ~~~~~ -_
Based on my inquiry of those individuals
responsible for obtaining the information, I certify
under penalt f law that I have personally
exami d a familiar with the information
sub ' ted d lieve the information is true,
~ ~ ~_ ~~ ~
Date
-1- 02/28/2006
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+ H STREET DENTAL =_______---___________________________ SiteID: 015-021-002347 +
+= Inventory Item 0001 =__-~--_________= Facility Unit: Fixed Containers at Site +
+_= COMMON NAME / CHEMICAL NAME ______________________________+________________+
WASTE FIXER Days On Site
SPENT PHOTOGRAPHIC FIXER I 365
Location within this Facility Unit Map: Grid: +----------------+
IN CABINET IN DARK ROOM I CAS#
+= STATE _+= TYPE ___+_= PRE"~SSURE ___+ TEMPERATURE __+___= CONTAINER TYPE _____+
Liquid ~ Waste ~ Amb~.ent ~ Ambient ~ PLASTIC CONTAINER
+_________________________=+ AMOUNTS AT THIS LOCATION =________________________+
Largest Container I Daily Maximum I Daily Average
+_______+______________ HAZARDOUS COMPONENTS =_____________+___+_______________+
sWt (Silver (NoS) CAS#74402241
+_______+___+______+_______=__= HAZARD ASSESSMENTS =__+_________+________+_____+
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No I No/ Curies R I / / / I I Min
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-4- 02/28/2006