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Home My WebLink AboutBUSINESS PLAN (3)r_ Michael Weinberg ~~5 Inc - - ~ 1621 17th St __ _. r n x. -r*,' WEINBERG DDS INC MICHAEL Manager TEENA SMITH-CARLILE Location: 1621 17TH ST City BAKERSFIELD CommCode: BFD STA O1 EPA Numb: SiteID: 015-021-002315 BusPhone: (661) 327-4479 Map 103 CommHaz Minimal Grid: 30C FacUnits: 1 AOV: SIC Code:8621 DunnBrad: Emergency Contact / Title Emergency Contact / Title ESTHER CASTILLO / TREATMENT COORD / Business Phone: (661) 327-4479x Business Phone: ( ) - x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React Contact ESTHER CASTILLO Phone: (661) 327-4479x MailAddr: 1621 17TH ST State: CA City BAKERSFIELD Zip 93301 Owner MICHAEL WEINBERG DDS INC Phone: (661) 327-4479x Address 1621 17TH ST State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG H - HAZ WASTE GEN ENr~p ~ U L 2 s ~A~' °'~s~d an my inquiry of those indiviUUal:, re~ponricrie ;~~r oi,t:a~nin3 the in#orrnation, ! rert~#y ur,r;cr pQnafty of lah~ that I have personally examir.erJ and a;r, #arniliar with the in#erma±iort submii#ed and believe the in#ormation is true, acc~~rate, «nd complete. ~~~a~ Signature pate -1- 07/16/2007 r. ~~ F WEINBERG DDS INC MICHAEL SiteID: 015-021-002315 ~ ~ 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- 07/16/2007 -3- 07/16/2007 F WEINBERG DDS INC MICHAEL SiteID: 015-021-002315 ~ ~ 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 ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 5.00 GAL 5.00 GAL 5.00 GAL riHGHKLVUJ 1.V1~lYV1VJ;1V1J %Wt. RS CAS# Silver No 7440224 IIHGHKL 1-~J JP~JJ1~1~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -4- 07/16/2007 F WEINBERG DDS INC MICHAEL SiteID: 015-021-002315 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 04/24/2007 ~ CALL 911 Employee Notif./Evacuation VERBAL NOTIFICATION AND EXIT THROUGH FRONT OR BACK DOORS. 04/24/2007 Public Notif./Evacuation VERBAL NOTIFICATION AND EXIT THROUGH FRONT OR BACK DOORS. 04/24/2007 Emergency Medical Plan -5- 07/16/2007 F WEINBERG DDS INC MICHAEL SiteID: 015-021-002315 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 04/24/2007 ~ SECONDARY CONTAINMENT Release Containment 04/24/2007 SECONDARY CONTAINMENT Clean Up 03/08/2007 WE HAVE A SPILL KIT TO CLEAN UP MESS. THE COMPANY IS THEN CALLED TO PICK UP WASTE. V1.11C1 iCCw7VUll:C 1'il:L1VClL1V11 -6- 07/16/2007 F WEINBERG DDS INC MICHAEL SiteTD: 015-021-002315 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ especial nazarus Utility Shut-Offs GAS - PARKING LOT S SIDE OF BLDG BACK WALL ELECTRICAL - E SIDE WALL OF BLDG WATER - BACK WALL S SIDE OF BLDG - METER SE CRNR OF PARKING LOT 03/08/2007 Fire Protec./Avail. Water WE HAVE TWO FIRE EXTINGUISHERS ON THE PREMISES. FIRE HYDRANT - SE CRNR 17TH & H 03/08/2007 Building Occupancy Level 03/08/2007 11 EMPLOYEES -7- 07/16/2007 F WEINBERG DDS INC MICHAEL SiteID: 015-021-002315 Fast Format ~ Training Overall Site ~ Employee Training 03/08/2007 BRIEF SUMMARY OF TRAINING PROGRAM: SAFETY TRAINING DONE ANNUALLY AND DISCUSSED IN MONTHLY STAFF MEETINGS AS NEEDED. SAFETY MANUAL KEPT CURRENT (OSHA & INFECTIOUS MATERIAL). rc~yC L Held for Future Use Held for Future Use -8- 07/16/2007 ~; it - WEINBERG DDS INC MICHAEL Manager e,~.G1., VYVII`W1~~9=~, Location: 162117TH ST City BAKERSFIELD CommCode: BFD STA Ol' EPA Numb: ~f~og~ SiteID: 015-021-002315 BusPhone: (661) 327-4479 Map 103 CommHaz Minimal Grid: 30C FacUnits: 1 AOV: SIC Code:8621 DunnBrad: Emergency Contact / -Title /~-~~~ -, ESTHER CASTILLO ~~-t.~1-~YY1~l=:Y~~ _ Emergency Contact / / Title Business Phone: (661) 327-4479x Business Phone: ( ) - x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React Contact : ESTHER CASTILLO Phone: (661) 327-4479x MailAddr: 1621 17TH ST State: CA City BAKERSFIELD Zip 93301 Owner MICHAEL WEINBERG DDS INC Phone: (661) 327-4479x Address 1621 17TH ST State: CA City BAKERSFIELD Zip 93301 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 respcnsibie for obtaining the information, I certify ersonally t I have th ENT'D MAR 7 2Q07 p a under penalty of lavr examined and am familiar with the information submitted and believe the information is true, accurate, an complete. ~~ ~ ~S 3so~ Signature ~~~ Date ~~ '111 -1- 02/20/2007 F WEINBERG DDS INC MICHAEL SiteID: 015-021-002315 ~ ~ 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- 02/20/2007 -3- o2/ao/aoo~ 1 `a F WEINBERG DDS INC MICHAEL SiteID: 015-021-002315 ~ ~ 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 ~ Ambient .Ambient ~LASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 5.00 GAL 5.00 GAL 5.00 GAL -- .r~~r~tcLUU~ ~urirui~r~ly l a oWt. RS CAS# Silver No 7440224 t1HGHKIJ 1~~5L'S~1~1L'1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -4- 02/20/2007 F WEINBERG DDS INC MICHAEL SiteID: 015-021-002315 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification Employee Notif./Evacuation _,_ , ,.-. J-U1Jlll. LVV I..ll . ~ JjVQ~.U0.l.1 Vll L'JlllCl~Glil.y 1.1G lAlV0.1 r1CL11 -5- 02/20/2007 ,, . F WEINBERG DDS INC MICHAEL SiteID: 015-021-002315 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ Ke1~cLSe YIeV~i1L1Ui1 Release Containment l.1Cd11 V~J _- -- ~ -- ~.~~ ~o ~; ~ ~ ~~. i L . V1.11G1 1\G~V UlI..G Al..L1 VQ1..1 V11 -6- 02/20/2007 F WEINBERG DDS INC MICHAEL SiteID: 015-021-002315 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ o~c~,iai na~uiu~ = Utility Shut-Offs Cj Q~' ~ d~ ~sEr~~,~p ~ f/~d~k.~~~l~ ~~/J`~~/ ~ G~.~r~li mire rrotec . /_rwail . water ~.~., ~.Q,~,;2, ~~ ~ ~~ ~-xtin~~c ~s~i~rS"c~, ~ne, ~r.~erv~ ~~c.5 , ~~ ~- Sozc~-~s'f ce-~.~r a `7 ~l ~j~ D lA111A111y Vl:l:-u~JCllll: ~/ LCVC1 1.~ l~.~zc, tl ,QxKQI,a,~e.~~ -~- 02/20/200 F WEINBERG DDS INC MICHAEL SiteID: 015-021-002315 ~ Fast Format ~ ~ Training Overall Site ~ Ldll~JlVyCC 1LGi 1111111,. ~ ..~ ~~' ~.-roc rc1yC ~ nclu tVl tuI.ULC V.7C nclu Lvt r uI.ULC V.7-C -8- 02/20/2007 ,;. ~' ~- ~` ~ Prevention Services UNIFIED PROGRAM INSPECTION` CF~- ~CKLIST' H A F R S ~ ,__ . D 90o Truxtun Ave., Suite 210' .a ~,~~z~ ,.~,ao~ ~..~ ,~~ ~:~,,.~,« .~,~,~e~~ ~~ ~~~ ~. ~u~~ ~~~_~, _..~~ ~~...A,_ FrRE Bakersfield, CA 93301 SECTION 1: Business Plan-and Inventory Program ~; ~ Tel.: (661) 326-3979 <.~~`~ Fax: (661) 872-2171 FACILITY NAME W~~N p~ ~h INSPECT ON D E _ INSPECTION TIME ~2 ~ D ADDRESS ~ ~~ I ' ~ ~ PHO~~O, ~~~ OOF~MPLOYEES 11 FACILITY CONTACT ~ BUSINESS ID NUMBER 15-021-O-S,~o_Z)-.O - 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 ^ BUSIIIeSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ~ ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ~N I !D A ! 1 \ ~i "~ ~Op~ ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ~3"r,~ ANY HAZARDeOU~S WASTE ON SITE? ~ YES ^ NO EXPLAIN: w G' s ~-C~3.C 'e '~ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 G.~~---- Inspector (Please Print) Fire Prevention / 1" In /Shift of Site/Station # usl ite / esp sl le Party (Please Print) White -Prevention Services ~ Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 . `~ ~0~`''- -T~+°~ CITY OF BAKERSFIELD FIRE DEPARTMENT ~ ~~ OFFICE OF ENVIRONMENTAL SERVICES ~' • • ~~ UNIFIED PROGRAM INSPECTION CHECKLIST ~'~~.~ti t 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~ ~ I N~£~~ ~3~5 INSPECTION DATE ~/'~~/~J Section 4: Hazardous Waste Generator Program ^ Routine ~ Combined ^ Joint Agency EPA ID # `li~~ '`- ~' r ^ Multi-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made EPA ID Number ~ ~ry_,,,~, --~ 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 line ~ ~ Secondary containment provided Conducts daily inspection of tanks Used oil. not contaminated with other hazardous waste N ~,,F Proper management of lead acid batteries including labels ~~~ Proper management of used oil filters i7 Transports hazardous waste with completed manifest Sends manifest copies to DTSC Retains manifests for 3 years )( - 2A% Sr~ ,jt'~~-s Retains hazardous waste analysis for 3 years Retains copies of used oil receipts for 3 years ~ , j~ Determines if waste is restricted from land disposal C=Compliance V=Violation Inspector: ~~ Office of Environmental Services (661) 326-3979 White -Env. Svcs. r Business ite Responsible Patty Pink -Business Copy + WEINBERG DDS INC MICHAEL ____________________________ SiteID: 015-021-002315 + Manager BusPhone: (661) 327-4479 Location: 1621 17TH ST Map 103 CommHaz Minimal City BAKERSFIELD Grid: 30C FacUnits: 1 AOV: CommCode: BFD STA Ol SIC Code:8621 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title ESTHER CASTILLO / / Business Phone: (661) 327-4479x Business Phone: ( ) - x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React Contact ESTHER CASTILLO Phone: (661) 327-4479x MailAddr: 1621 17TH ST State: CA City BAKERSFIELD Zip 93301 Owner MICHAEL WEINBERG DDS INC Phone: (661) 327-4479x Address 1621 17TH ST State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: ~ RSs: No ParcelNo: Emergency Directives: PROG H - HAZ WASTE GEN L~~ ~ `'~,~, ~~ °~ i ~ ~ ~~06 ~S $ 0~ t 5 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, ature _ Date -1- 05/23/2006