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Home My WebLink AboutBUSINESS PLAN 10/25/2007a' 0 H ' H aH ~y a~ M D+ U O~ W N M r-I i - J - ~~ ~ ~ ~ ~ ~ ~ W ~~ w ~, hU ~ ,~-. _ .y. MERCY PLAZA RESPIRATORY SiteID: 015-021-002443 Manager ROBERT MILLER Location: 1329 34TH ST City BAKERSFIELD BusPhone: (661) 324-9411 Map 103 CommHaz Low Grid: 19A FacUnits: 1 AOV: CommCode: BFD STA 04 EPA Numb: SIC Code:4925 DunnBrad: Emergency Contact / Title Emergency Contact / Title DALE TAYLOR / OWNER ROBERT MILLER / OPERATIONS MGR Business Phone: (661) 324-2545x Business Phone: (661) 324-9411x 24-Hour Phone (661) 664-9264x 24-Hour Phone (661) 328-1972x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact DALE TAYLOR Phone: (661) 324-9411x MailAddr: 2323 16TH ST 100 State: CA City BAKERSFIELD Zip 93301 Owner DALE TAYLOR Phone: (661) 324-9411x Address 2323 16TH ST 100 State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT Eased on my inquiry of those individuals responsible far o'. raining the information, I certify und~:r penalty of lavr that I have personally examined and am familiar Nrith the information submitted an,l believe the information is true, te and complete. accura / ID ZS ' ~7 (. _ '' -~~~~' ( Signature Date ,~5 -1- 07/12/2007 ~l ~~ _ - ~ ~~~ UNLFIED PROGRAM- INSPECTION:CHECKLIST', .A F R s t, n -FIRE . SECTLON 1: Business Plan and Inventory Program AerM Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: {661) 872-2.171 FACILITY NAME M G P, q l ~ ' ' ~ ~ INSPECTION DATE INSPECTION TIME 2 r Z~ t o e, S ~ ~a` ~ o ADDRESS ~ 1 , 1_ - PHONE NO. 3~- 5~-~~ NO OF-EMPLOYEES ~Z 3 ~ 3 ~ ~ s FACILITY CONTACT BUSINESS ID NUMBER 15 02 Oh ZL~ 1 - - - - _ _ f - Section 1: Btasiness 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 ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS [ [ ~~ ny Iy' ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS - ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL "Q ^ VERIFICATION OF MSDS AVAILABILITY ~ ~I ^ 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 - ANY HAZARDOUS WASTE ON SITE? `~`t~- ~ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE caLL us AT (661) 326-3979 ~~~~ Inspector (Please Print) Fire Prevention / 1~' In /Shift of SitelStation # ~p~ ~~~~ Busi~ Hess Site /Responsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business. Copy FD 2155 (Rev. 09/05 ,` MERCY PLAZA RESPIRATORY SiteID: 015-021-002443 Manager ROBERT MILLER Location: 1329 34TH ST City BAKERSFIELD BusPhone: (661) 324-9411 Map 103 CommHaz Low Grid: 19A FacUnits: 1 AOV: CommCode: BFD STA 04 EPA Numb: SIC Code:4925 DunnBrad: Emergency Contact / Title Emergency Contact / Title DALE TAYLOR / OWNER ROBERT MILLER / OPERATIONS MGR Business .Phone: (661) 324-2545x Business Phone: (661) 324-9411x 24-Hour Phone (661) 664-9264x 24-Hour Phone (661) 328-1972x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact DALE TAYLOR Phone: (661) 324-9411x MailAddr: 2323 16TH ST 100 State: CA City BAKERSFIELD Zip 93301 Owner DALE TAYLOR Phone: (661) 324-9411x Address 2323 16TH ST 100 State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT l di id i ENT'D FEB 2 6 2007 s v ua n ~.asc*d on my inquiry of those resp~rinlbit~ for obtaining the information, I certify un~iar penalty of law that 1 have personally e;tar~ined and am familiar with the information subrrlitted and believe the information is true, -rate, an ,omplete. ~ _ °~ ,/~ Dat igt at~are -1- 02/05/2007 F MERCY PLAZA RESPIRATORY SiteID: 015-021-002443 ~ ~ ~azmat 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 19430.00 FT3 Low -2- 02/05/2007 _3_ 02/05/2007 F MERCY PLAZA RESPIRATORY SiteID: 015-021-002443 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: S WALL E CRNR CAS# 7782-44-7 ~GasATE T TYPE T PRESSURE TEMPERATURE CONTAINER TYPE I Pure I Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 337.00 FT3 19430.00 FT3 I 11725.00 FT3 - riti~x~cl~vu5 ~:ul~irulvl;lv'1'~ °sWt. RS CAS# 100.00 Oxygen, Compressed No 7782447 t1AGHKL .H551:;7~1~1L1V'1'a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -4- 02/05/2007 F MERCY PLAZA. RESPIRATORY SiteID: 015-021-002443 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 02/21/2003 ~ IN CASE OF FIRE SURROUNDING BUILDINGS WILL BE NOTIFIED BY THE BIO-ENGINEER. CUSTOMER SERVICE REPRESENTATIVE SHALL NOTIFY THE FIRE DEPT & OWNERS Employee Notif./Evacuation 02/21/2003 FIRE/EARTHQUAKE "SEE ATTACHMENT A Public Notif./Evacuation Emergency Medical Plan 02/21/2003 MEMORIAL HOSPITAL 420 34TH STREET BAKERSFIELD CA 93305 -5- 02/05/2007 F MERCY PLAZA RESPIRATORY SiteID: 015-021-002443 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 02/21/2003 ~ BIO-ENGINEER TO ASSESS OXYGEN LEAK, SECURE LEAK & TEST ATMOSPHERE IN FACILITY TO (>21%) FOR OXYGEN ENRICHED ATMOSPHERE Release Containment 02/21/2003 OXYGEN LEAK BIO-ENGINEER TO SECURE VALVE & VENT TO ATMOSPHERE, TEST INSIDE FACILITY WITH OXYGEN ANALYER TO ENSURE THE ATMOSPHERE IS NOT OXYGEN ENRICHED (21%>) . Clean Up 02/21/2003 BIO-ENGINEER TO CONTINUE TO VENT AND TEST UNTIL ATMOSPHERE HAS A 20.90 OXYGEN LEVEL. V1.11C1 1CC.7VU1l.:C 1"11: L.L VCi l.1 V11 -6- 02/05/2007 F MERCY PLAZA RESPIRATORY SiteID: 015-021-002443 ~ ' Fast Format ~ ~ Site Emergency Factors Overall Site ~ Special Hazaras ~c~r`~ltiw~s~ Cvr ~u' o~ ~u; ld::u _;r~1LC YL VI:..CG.~HV d11. _ WdI.CL ~ LL /vor-~1~ e.~~ ear per o~ 3~k'^ ~ K ~ ~~~s~~k;o~ , ~~~zl S~Pp~y N 34t`' sr W ~ ~ s ~ ~ ~oc~-~t,~~ Building Occupancy Level 2-3 EMPLOYEES 03/03/2006 -7- 02/05/2007 F MERCY :PLAZA RESPIRATORY SiteID: 015-021-002443 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 02/05/2007 ~ MSDS SHEETS ON SITE AT TRANSFILL STATION AND IN MASTER AT 2323 16TH ST BRIEF SUNIl~fARY OF TRAINING PROGRAM; IN-SERVICE TRAINING FOR TRANSFILLING (QUARTERLY) FIRE FIGHTING TRAINING (SEMI-ANNUAL) EMERGENCY EVACULATION (ANNUALLY/NEW EMPLOYEES) rayc c, Held for Future Use nciu ivi ru~uic ~~C -8- 02/05/2007 ~.. + MERCY PLAZA RESPIRATORY _____________________________ SiteID: 015-021-002443 + Manager DALE TAYLOR BusPhone: (661) 324-9411 Location: 1329 34TH ST Map 103 CommHaz Low City BAKERSFIELD Grid: 19A FacUnits: 1 AOV: CommCode: BFD STA 04 SIC Code:4925 EPA Numb: DunnBrad: Emergency Contact / ~"itle Emergency Contact / Title DALE TAYLOR / OWNER ROBERT MILLER / OPERATIONS MGR Business Phone: (661) 324-2545x Business Phone: (661) 324-9411x 24-Hour Phone (661) 664-9264x 24-Hour Phone (- ) ~~-oo~ Pager Phone ( ) - x Pager Phone (~+~') ~2~= t~?2x Hazmat Hazards: Fire ImmHlth DelHlth Contact DALE TAYLOR Phone: (661) 324-9411x MailAddr: 2323 16TH ST 100 State: CA City BAKERSFIEL.D Zip 93301 Owner DALE TAYLOR Phone: (661) 324-9411x Address 2323 16TH ST 100 State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif ' d: RSs : No ParcelNo: Emergency Directives: ~ PROG A - HAZMAT ~~~~ ~~~ 1 2006 Eiased on my inquiry of those individuals responsible for obtaining khe 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, accurate, and complete. Signature Date -1- 03/03/2006 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Progra FACILITY ADDRESS ~irc- -----~ ~Gt., _ ~e,S_~ -rain - -- __ _- -- - ---13 ~--- --- - -- _ ___- - --- -_ ---- ------- -- -- __. _ - - - Bakersfield Fire Dept. ' Environmental Services 900 Truxtun Ave., Suite 2l0 Bakersfield, CA 93301 Tel: X661_)__326-3979 __ _ _ INSPECTION DATE INSPECTION TIME f P~ E No. No. of Employees 32~!~9`~~J-- --- _ ----- -- - Business ID Number 15-021- ~'~ ~ .~ Section 1: Business Plan and Inventory Program ~~Routine ^ Combined O Joint Agency ^Mnlti-Agency ^ Compiaint ^ Re-inspection C V l V=vio atlonnce \ OPERATION ^ APPROPRIATE PERMIT ON HAND COMMENTS ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ ~ VERIFICATION OF INVENTORY MATERIALS Ir1 ~I ~` ^ VERIFICATION OF QUANTITIES ~ ^ .VERIFICATION OF LOCATION '(~ ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITYE ~`~- ^ VERIFICATION OF HAT MAT TRAINING ' ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES -- l ^ EMERGENCY PROCEDURES ADEQUATE l I ~J ^ CONTAINERS PROPERLY LABELED ^ ~ HOUSEKEEPING _ ~ _ _- ... ~ r ~/~ ~ ~ . ~-.~_ .. - ~-O'rl~ts .......... ~ ~ .. C _ --- - / _ ~~ .. ^ (~. FIRE PROTECTION ~ ~. "\ ~ ~ p ~/~[ ^ SITE DIAGRAM ADEQUATE ~ ON HAND ANY HAZARDOUS WASTE ON SITE?: ^ YES ~NO EXPLAIN: • QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (BB1 ~ 32G-3979 I- Inspector (Please Print) Fire Prevention 1st-In/Shik of Site White -Environmental Services Yelknv -Station Copy Bus ess Si Responsible Party (Please Print) Pink -Business Copy UNIFIED PROGRAM INSPECTION CHECKLIST ,, - _ SECTION 1 Business ,Plan and Inventory Program • Bakersfield Fire Dept. ' Environmental Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel: (661)_326-3979 FACILITY NAME WSPECTION GATE INSPECTION TIME ~ ) _ __ s=S D6 ---- ----. _ _P_~~ - ___~_a.zrt_...- 2~ ~.~~ _ . _ ..__ _ _ - - -_ _----- ..__ - ---~--------- ---1~ ~-^ . _._. __ ADDRESS ~ ( ~~ PHONE No. No. of Employees FACILITYCONT~G~~-6-----E/-.-.X_...---..:---- ----___.._...----._...--------°--------...-. ...._.._._...___.._ _.._..._._._...... --1-.~~.~L.__ .---1 ~^ ---.._.._.. sines ID Number ~D ~ w~ ~ I ~ 15.021 _~y~3 Section 1: Business Plan and Inventory Program ~f Routine ^ Combined ^ Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection • C V nCe~ OPERATION ~ l t COMMENTS V=vio a o n ^ APPROPRIATE PERMIT ON HAND ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ ~ VERIFICATION OF INVENTORY MATERIALS i ~. ^ VERIFICATION OF QUANTITIES ^ .VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITYE ^ VERIFICATION OF FIAT MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~~Y ®~ 20~1L` - ~J[J ^ EMERGENCY PROCEDURES ADEQUATE I _--- --- '- -- - _ I~ ^ CONTAINERS PROPERLY LABELED ^ -HOUSEKEEPING ^. FIRE PROTECTION l~ ^ SITE DIAGRAM ADEQUATE 8~ ON HAND ANY HAZARDOUS WASTE ON SITE?: ^ YES ~ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT ~66')~ 326-3979 h~s'ector (Please Print) ~Plie revention 1st-INShik of Site White -Environmental Services Yellow -Station Copy Rusin Sit Responsible Party (Please Print) ~ Pink -Business Copy