The URL can be used to link to this page

Home My WebLink AboutBUSINESS PLAN~ - ,. I H Street Dentc-I 2007 17th St 1, C, H STREET DENTAL SiteID: 015-021-002347 Manager DUANE CALKINS Location: 2007 17TH ST City BAKERSFIELD CommCode: BFD STA 01 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 / MANAGER / Business Phone: (661) 631-1113x Business Phone: ( ) - x 24-Hour Phone (661) 589-6695x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React Contact DUANE CALKINS Phone: (661) 631-1113x MailAddr: 2007 17TH ST State: CA City BAKERSFIELD Zip 93301 Owner CLARENCE K AU DDS Phone: (661) 631-1113x Address 2007 17TH 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 WASTE GEN ENT'D J U L 17 ~~~~ Based on my inquiry of those individuals responsibie for obtaining the information, i certify under penalty ;~f 9a4v that I have personally examine r., an, familiar with the information submi-.ed d bel ~ve the information is true, accu te, nd compl ,te. 6 . ~ ~' Sig ~.. Dat -1- 07/11/2007 -, p H STREET DENTAL SiteID: 015-021-002347 ~ ~ 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 4.00 GAL Min -2- 07/11/2007 -3- o~/ii/aoo~ r '~' F H STREET DENTAL ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME WASTE FIXER Location within this Facility Unit CABINET IN DARKROOM SiteID: 015-021-002347 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# STATE TYPE PRESSURE Liquid TWaste ~ Ambient TEMPERATURE CONTAINER TYPE Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 5.00 GAL 4.00 GAL 4.00 GAL ti1~Gl~itLVU~ ~:V1~irvlv~lY1J %Wt. RS CAS# Silver No 7440224 t1AGditC.L ti~a~aai~i~iv-1~~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -4- 07/11/2007 F H STREET DENTAL SiteID: 015-021-002347 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ r~ycll~y 1VV41111..0.1.1V11 Employee Notif./Evacuation ,~ rLLiJ11l.: 1VV 1.11. / P~V0.1..U0.1~1 V11 P~lllC l.y Clll:y 1.1C U1C:d1 t'1d11 -5- 07/11/2007 F H STREET DENTAL SiteID: 015-021-002347 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 02/22/2007 ~ SOLUTION IN 5-GAL PLASTIC CONTAINER. Release Containment 01/31/2007 USED SOLUTIONS REMOVED BY X-RAY SOLUTIONS SERVICE INC, 4700 EASTON DR 45 Clean Up PERFORMED BY X-RAY SOLUTIONS SERVICE INC, 4700 EASTON DR 45 02/22/2007 V1~11C1 iLC7VUl l..C 1'11. V.LV0.L1V11 -6- 07/11/2007 F H STREET DENTAL SiteID: 015-021-002347 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ J~JC 0.:1611 nc«a.i ua Utility Shut-Offs 02/22/2007 NO SHUT-OFF - EXCESS DRAINS INTO 5-GAL PLASTIC CONTAINER. Fire Protec./Avail. Water MATERIAL IS NOT FLAMMABLE. 02/22/2007 Building Occupancy Level 02/22/2007 7 EMPLOYEES -7- 07/11/2007 ~ ~ _ l~ F H STREET DENTAL SiteID: 015-021-002347 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 02/22/2007 ~ BRIEF SUMMARY OF TRAINING PROGRAM: EXPLAINED DURING REGULAR STAFF MEETINGS. rayc c. nciu ivi. r u~uic vac nclu i~L ru~uic ~5c -8- 07/11/2007 \ ~~~ t H STREET'"DENTAL Manager DUANE CALKINS Location: 2007 17TH ST City BAKERSFIELD SiteID: 015-021-002347 BusPhone: (661) 631-1113 Map 102 CommHaz Minimal Grid: 25D FacUnits: l.AOV: CommCode: BFD STA O1 EPA Numb: SIC Code:8621 DunnBrad: Emergency Contact / .-Title Emergency Contact / Title DUANE CALKINS /, f~ Ar~A-U ~- ~ / Business Phone: (661) 631-1113x Business Phone: ( ) - x 24-Hour Phone (661) 589-66'$5x 24-Hour Phone ( ) - x Pager Phone ( ) - ~ x Pager Phone ( ) - x Hazmat Hazards: React Contact DUANE CALKINS Phone: (661) 631-1113x MailAddr: 2007 17TH ST State: CA City BAKERSFIELD Zip 93301 Owner CLARENCE K AU DDS ~ 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 H - HAZ WASTE GEN Based on my inquiry of those individuals , responsible for obtaining the informati on, i Certify under penal law that I have personall y examined ~ d am familiar with the information submitt nd bel ~~ DD F eve the information is true, accur e d ~ [7 7 2 2 ~0~ , compete. / r ~~~~~~ Si Date -1- 01/31/2007 F H STREET DENTAL SiteID: 015-021-002347 ~ ~ 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 4.00 GAL Min -2- 01/31/2007 -3- 01/31/2007 /Liquid TWaste ~ AmbRent~E ~ AmbientT~E ~ PLASTCICT ONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 5.00 GAL 4.00 GAL I 4.00 GAL • nr~~titcLVU~ ~:ui~irulv~iv 15 ~Wt. RS CAS# Silver No 7440224 t1HGE1tCL H~JL'JJ1~1L'1V15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -4- ~ 01/31/2007 F H STREET DENTAL SiteID: 015-021-002347 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ F H STREET DENTAL SiteID: 015-021-002347 ~ Fast Format ~ ~ Notif._/Evacuation/Medical Overall Site ~ ~_Agency Notification ~. ~- ~~ ~<r~ ,~ ~P~lll~J1VYCC. 1VV 1.1.1 / LiVCI I.: UGiL1V11 ~~) Public Notif:%Evacuation l L v~-a~ 1 ~ /r.~ ~ Emergency Medical- Plan ,~v~ ~~~~ -5- 01/31/2007 F H STREET DENTAL SiteID: 015-021-002347 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention,. Release Containment 01/31/2007 ~\ USED SOLUTIONS REMOVED BY X-RAY SOLUTIONS SERVICE INC, 4700 EASTON DR 45 = dean up - ~ 1 a ~~ '~'~-1'~c=~ ~ x.--/~ S is ` ~~~~ ~.-~ ~ S y Other Resource Activation -6- 01/31/2007 F H STREET DENTAL SiteID: 015-021-002347 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~ Special Hazards "Utility Shut-Offs /l/~ SSf-~-~'~-_ cr-~ __ ~it,~~j dim-~-~~~ ~ ~;~ v G A-~1 Fire Protec./Avail. Water ;Building Occupancy LeveT- S, ~ ~~ ~~ -7- 01/31/2007 ,~., F H STREET DENTAL SiteID: 015-021-002347 ~ Fast Format ~ ,Training Overall Site ~ ~mploy_ee . _rraining = -~ ~ ~ - J rays ~ Held for Future Use aaciu i.vi r u~.uic vac -8- 01/31/2007