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Home My WebLink AboutBUSINESS PLAN'T-- ~ ~ TINER DENTAL CORP Manager "~~v~ ~ ~ L.D1~l ~ ham, Location: 820 34TH ST 201 City BAKERSFIELD CommCode: BFD STA 04 EPA Numb: ~in~5 BusPhone: Map 103 Grid: 19B SIC Code: DunnBrad: SiteID: 015-021-002848 (661) 327-7878 /~,~ CommHaz : ~F ~(~~ FacUnits: 1 AOV: Emergency Contact / Title Emergency Contact / Title JORGE ARCE DDS / SURGEON KIM ALEXANDER / ~ Business Phone: (661) 327-7878x Business Phone: ~ (661 3 8x 2 4 -Hour Phone (G•~ ~-'-~~-.~-z.~'' ~ 2 4 -Hour Phone ( 6 61 } •~~ -o ~~33-~e- {~ Pager Phone ~.7.~,-~6 ~~~-~- • .~.~i.f Pager Phone ( ~ ) ~~ - ~~C~l..~xx c••d ~,~ ~ Hazmat Hazards: Fire Press Reac t ImmHlth DelHlth Contact TRUDY WHITE Phone: (661) 327-7878x MailAddr: 5708 PIRRONE RD State: CA City SALIDA Zip 95368 Owner MR DAVIS C/O MANGO ABBOTT Phone : ( 661) ~~•4-P8'S'4'2x' Address 5000 CALIFORNIA AVE State: CA ~~~~~ City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: - RSs: No ParcelNo: Emergency Directives: PROG A HAZMAT _ PROG H HAZ WASTE GEN ~O ~'rx~~t~ on my inquiry of those individuals respra;~:xEt~l~ i~7r obtaining the information, I certify under penalty of law that.l have personally :xamined and am farnillar with the information submitted and b li •~}(~~~ e eve the information is true, accurate, and complete ~ ~ ~ `~`.~~ 4~5t . ~~ ~ Signature Date -1- 05/17/2007 f ~ F TINER DENTAL CORP SiteID: 015-021-002848 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP OXYGEN F IH DH G 843.00 FT3 Low NITROGEN F P IH G 510.00 FT3 Min WASTE FIXER R L 4.00 GAL Min -2- 05/17/2007 -3- 05j17j2007 C ~ F TINER DENTAL CORP SiteID: 015-021-002848 ~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 7782-44-7 ~Ga.SATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE TPure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 843.00 FT3 843.00 FT3 422.00 FT3 t1ti~HtcLUU~ ~:uinrviv~iv l5 %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 tiF',GHtCL HJ~L' J~1~1L' 1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME NITROGEN Location within this Facility Unit STATE TYPE PRESSURE _ Gas TPure Above Ambient Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 7727-37-9 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 510.00 FT3 510.00 FT3 255.00 FT3 nr~~r~tcLVU~ ~vl~irviv~iv 1 ~ %Wt. RS CAS# 100.00 Nitrogen No 7727379 ril'.GH2C1J 1+~.~1;5~1Y1r,1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -4- 05/17/2007 F TINER DENTAL CORP SiteID: 015-021-002848 ~ ~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE FIXER Days On Site 365 Location within this Facility Unit Map: Grid: CAS# Liquid TWaste ~ Ambient~E ~ AmbientT~E -~STCICT ONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 4.00 GAL 4.00 GAL 4.00 GAL i7..LiAtiLCLVVJ I. VI°lYV1V L'1V1J oWt. RS CAS# Silver No 7440224 I1t~GtiiCL tiJ .7P~.7.71~1L~1V 1 .7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -5- 05/17/2007 F TINER DENTAL CORP SiteID: 015-021-002848 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 05/09/2007 ~ CALL 911. NON-EMERGENCY CALL 326-3979. Employee Notif./Evacuation 05/09/2007 VERBAL NOTIFICATION AND CALL 911. Public Notif./Evacuation 08/11/2003 LOCAL NURSE WOULD CALL ALL CLIENTS Emergency Medical Plan 05/09/2007 MEMORIAL HOSPITAL, 420 34TH ST, 327-1792 -6- 05/17/2007 F TINER DENTAL CORP SiteID: 015-021-002848 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 08/11/2003 ~ GASES ARE CHAINED AND STORED WITH PROPER VALVES AND FITTINGS Release Containment SHARPS CONTAINERS FOR NEEDLES AND TEETH 08/11/2003 Clean Up 08/11/2003 ALL CONTAINERS ARE PICKED UP BY SECURITY ENVIRONMENTAL v~.ticl ncavut~.c ri~.~.iva~.lvi1 -7- 05/17/2007 !' ~ F TINER DENTAL CORP SiteID: 015-021-002848 ~ Fast Format ~ Site Emergency Factors Overall Site ~ .7~1C 1:10.1 nac. cti.u~ Utility_ Shut-Offs ~lks pew p~oPe~~-y ~9~~-~i~~e.-~~/, Fire Protec./Avail. Water 02/02/2007 PRIVATE FIRE PROTECTION. THREE FIRE EXTINGUISHERS: ONE IN FRONT OFFICE, ONE IN EMPLOYEE LUNCH ROOM, AND ONE BY X-RAY ROOM. Building Occupancy Level 15 EMPLOYEES 03/03/2006 -8- 05/17/2007 ,' ;:- -,, F TINER DENTAL CORP SitelD: 015-021-002848 ~ Fast Format ~ Training Overall Site ~ Employee Training 01/23/2007 MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES HAVE RECEIVED OSHA TRAINING. rayc a Held for Future Use Held for Future Use -9- 05/17/2007 L" - - Prevention Services UNIFIED PROGRAM INSPECTIECKLIST .. 9ooTruxtunAve., Suite-210 e a r-.e s r_~ ~~.~. _:_~. __~.~~_, __~_~,~.~,~__,~~~ _~~.=. ~~..~,~~:_ _ -~.~.._~: ;_ ~ {`'~ F~eE Bakersfield,.CA93301 SECTION 1: Business Plan and Inventory Program °~aR~~ r . Tel.: (661) 326-3979 - Fax: (661) 872-2'171 ' 1 FACILITY NAME ~ ~ ~ INSPE TION ATE , ~ INSPECTION TIME Dv E (~ ~ L i~TA L. Co,e }~ -~ p ADDRESS ~~ ~ ~ ~ ~ ~ P~~E NO.^ ~~~ ~ NO OF E~ EES FACILITY CONTACT BUSINESS ID NUMBER 15-021-~IS^-bZl -OO 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 ^ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ;~ ~ CORRECT OCCUPANCY ~ ~ N~ ~~~. ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ 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 t1;G:~~gCC.. rnu,s(,,~ ~ti+~1~ CdVP ^ FIRE PROTECTION m h v~ ~s~.v-~ .1 /Jt ~~l Sol ~ )c^~ ~1 ^ SITE DIAGRAM ADEQUATE & ON HAND Z~~ ANY HAZARDOUS WASTE ON SIT ? ~ES ^ NO ~~ V~ ~.S~F. l ~'C Q" EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~ ~ 2x-.---- 2 Inspector (Please Print) Fire Prevention / 1~` In /Shift of Site/Station # Business Site Responsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy ~ FD 2155 (Rev. 09/05 ~y4 ~~a CITY OF BAKERSFIELD FIRE DEPARTMENT ~~ ~ OFFICE OF ENVIRONMENTAL SERVICES ~' •y UNIFIED PROGRAM INSPECTION CHECKLI5T % P ?'k~,`' ;gti,~ 1715 Chester Ave., 3'd Floor, Bakersfield, CA 93301 FACILITY NAME ~ N E ~-- ~ NT A ~ GdR P INSPECTION DATE~9 0 Section 4: Hazardous Waste Generator Program EPA ID # ~xE ~-(~ ~' ^ Routine ~ Combined ^ Joint Agency ^Muiti-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made EPA ID Number ~~ ~ ~-~ j~_ 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 0`~ ~ Secondary containment provided AA ~ w r e d 5e. c,c~~~ ~ f1J •'~` Conducts daily inspection of tanks Used oil not contaminated with other hazardous waste J~ .~ Proper management of lead acid batteries including labels Proper management of used oil filters ~ Transports hazazdous waste with completed manifest Sends manifest copies to DTSC Retains manifests for 3 years ~' o-' i ~o C ~v - °+ ~,~, ~ t Retains hazardous waste analysis for 3 years sad ~~ n-- Retains copies of used oil receipts for 3 years Determines if waste is restricted from land disposal ~=~,ompuance v=vtotanon Inspector: ~~~~ k--~^ Office of Environmental Services (661) 326-3979 Busines ite Responsible Party White -Env. Svcs. Pink -Business Copy ~b 1 UNIFIED PROGRAM INSPECTION CHECKLIST ~% SECTION 1 Business Plan and Inventory Prog • -= - ~l ~r /J ~h~~ P rFACILITY NAME A / \ 1 ~ ~t~r-r-~ ./~ -'1 / .rte a< 1 i ADDRESS FACILI7YCONTACT ~~ ~a~ t~~ 3 ~ 5 a-'7 a- /t'~; Bakersfield Fire ,D~pt. Environmental Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel: X661) 326-3979 INSPEC ON ATE INSPECTION TIME S 9~a~ 1~ -~ PH E No. No. of Employees Business ID Number ~ s-o2 ~ -/~h2 ~y~ Section 1: Business Plan and Inventory Program ~51 Routine ^ Combined ^ Joint Agency OMulti-Agency ^ Complaint ^ Re-inspection C v C=Compliance } OPERATION COMMENTS V=Violation ^ APPROPRIATE PERMIT ON HAND ~ -- --- ------ ---...-- ---- _ _ ----- - -- ~ °fb . Cb~4,t~ e ~ ~~J Ow rt,clr' s ...._ ,' BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS r~ Y-- -------_--------------....- ---...------..-.... --- ---.. _.-..__....-- -_ t- --.._.__..----. _.._.. __ - --.. -_ __...__. ........-- ----.-....._. _.._..-- - -- __--. _...__. ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: ^ YES ^ NO EXPLAIN: • QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT ~6C'I ~ 326-3979 ----- Cl ~ _ -- ~ ~'' - ---- _ _ - - - Inspector (Please Print) Fire Prevention 1st-In/Shift of Site Business Site Responsible Party (Please Print) White -Environmental Services Yelknv -Station Copy Pink • Business Copy