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NUNEZ DDS INC JOSEPH M
Manager ERNELLE TRUBEY
Location: 1957. 19TH ST
City BAKERSFIELD
BusPhone:
Map 102
Grid: 25B
SiteID: 015-021-003420
CommCode: BFD STA O1
EPA Numb: '
SIC Code:
DunnBrad:
(661) 325-6907
CommHaz Minimal
FacUnits: 1 AOV:
Emergency Contact / Title Emergency Contact / Title
JOSEPH M NUNEZ / PRESIDENT /
Business Phone: (661) 325'-6907x Business Phone: ( ) - x
24-Hour Phone : ( ) - x 24-Hour Phone : ( ) - x
Pager Phone (661) 331-6417x Pager Phone ( ) - x
Hazmat Hazards: React
Contact JOSEPH M NUNEZ Phone: (661) 325-6907x
MailAddr: 1957 19TH ST State: CA
City BAKERSFIELD Zip 93301
Owner JOSEPH M NUNEZ DDS Phone: (661) 325-6907x
Address 1957 19TH 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
t3asnd on my inquiry of those indi~riduals
ihle for obtaining the information, I certify
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under penalty of la~~rr that I have personally
examined and am familiar with the information
d and believe the information is true,
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ENT JUL 31 200
7
-1- 07/13/2007
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F NUNEZ DDS INC JOSEPH M SitelD: 015-021-003420 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers at Site ~
Hazmat Common Name... SpecHaz EPA Hazard Frm r DailyMax IUnitIMCPI
WASTE FIXER
R L 5.00 GAL Mini
-2- 07/13/2007
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-3-
07/13/2007
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F NUNEZ DDS INC JOSEPH M
~ Inventory Item 0001
COMMON NAME / CHEMICAL NAME
WASTE FIXER
SPENT PHOTOGRAPHIC FIXER
Location within this Facility Unit
SiteID: 015-021-003420 ~
Facility Unit: Fixed Containers at Site ~
Days On Site
365
Map: Grid:
CAS#
STATE T TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid I Waste ~ Ambient ~ Ambient ~ PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum ~ Daily Average
5.00 GAL 5.00 GAL 5.00 GAL
-- rir~.~r~tcLVUS ~vrirvlv~ly 15
%Wt. RS CAS#
Silver No 7440224
riL~GL-1tCL HJ5~~51~1~1V1a
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R / / / Min
-4- 07/13/2007
F NUNEZ DDS INC JOSEPH M SiteID: 015-021-003420 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
tit~CllC:y 1VV1.111C:dl.1Vi1
r.LLl~11V1/CC 1VV1.11 . f ~VdC:Udl.1Vi1
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r UiJl ll. 1VV loll f P.~VQI.:Udl.l Vll
LdllCly Clll:y 1"1C111Ud1 Y1d11
-5- 07/13/2007
F NUNEZ DDS INC JOSEPH M SiteID: 015-021-003420 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention
iCC1Cd5C 1.V111.d111lllClll.
Clean Up 02/26/2007
CONTACT PATTERSON DENTAL FOR CLEAN-UP.
V1..11Gt itG .7Vt.L1 L.G tltr l~l.VQl.1 V11
-6- 07/13/2007
F NUNEZ DDS INC JOSEPH M SiteID: 015-021-003420 ~
Fast Format ~
~ Site. Emergency Factors Overall Site ~
o~c~iai na~aiu5
Utility Shut-Offs 02/26/2007
GAS - RIGHT REAR BLDG (CARPORT)
ELECTRIC - RIGHT REAR BLDG (CARPORT)
WATER - LEFT REAR BLDG (CARPORT)
Fire Protec./Avail. Water 02/26/2007
FIRE EXTINGUISHER 1ST FLR BUSINESS OFFICE AND 2ND FLR STAFF ROOM.
Building Occupancy Level 02/26/2007
7 EMPLOYEES
-7- 07/13/2007
~1 .~ ~
t:
F NUNEZ DDS INC JOSEPH M SiteID: 015-021-003420 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 02/26/2007 ~
BRIEF SUMMARY OF TRAINING PROGRAM: ANNUAL REVIEW ON 01/26/07.
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-8- 07/13/2007