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Home My WebLink AboutBUSINESS PLAN 9/1/2007 ,( AUBURN ANIMAL HOSPITAL Manager KRISTY UTT Location: 3713 AUBURN ST City BAKERSFIELD SitelD: 015-021-000190 BusPhone: (661) 872-0363 Map 103 CommHaz Low Grid: 15D FacUnits: 1 AOV: CommCode: BFD STA 08 EPA Numb: SIC Code:0742 DunnBrad: Emergency Contact / Title Emergency Contact / Title KRISTY K UTT / OWNER TERRI HAYES / Business Phone: (661) 872-0363x Business Phone: (661) 872-0363x 24-Hour Phone (661) 392-7099x 24-Hour Phone (661) 392-7099x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact KRISTY UTT Phone: (661) 872-0363x MailAddr: 3713 AUBURN ST State: CA City BAKERSFIELD Zip 93306 Owner KRISTY UTT DM Phone: (661) 392-7099x Address 7001 UPLANDS OF THE KERN DR State: CA City BAKERSFIELD Zip 93308 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT - Fused 9n my in~uir_y of-those- respr=;t~hr~ ~~,r ob~ i i individuals - - - - -- ---- - - - - a n na the informat under penalty of lair that I have exatrined d ion, I certify person ll an am fiamiliar with the sul_,mitfed and hPlieve.the informat accur te, and co l a y information ion is true ~~ ~ mp ete. , , ~ , G9~~~ Signature °-''°~"°°--- O t O` ~ /~~ ~j~-~~ ` ~" / a e -1- 06/29/2007 F AUBURN ANIMAL HOSPITAL SiteID: 015-021-000190 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP OXYGEN F P IH G 251.00 FT3 Low -2- 06/29/2007 -3- 06/29/2007 i F AUBURN ANIMAL HOSPITAL ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME OXYGEN Location within this Facility Unit SURGERY RM STATE TYPE PRESSURE _ Gas TPure Above Ambient SiteID: 015-021-000190 ~ Facility Unit: Fixed Containers on Site ~ Days On Site 365 Map: Grid: CAS# 7782-44-7 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 251.00 FT3 251.00 FT3 125.00 FT3 rir~~titcliw5 wi~ir~lvr:LVLS %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 t1HGL~KL r~~5t5551~11'~lvla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low -4- 06/29/2007 ~ i F AUBURN ANIMAL HOSPITAL SiteID: 015-021-000190 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 09/21/2000 ~ CALL 911. Employee Notif./Evacuation 09/21/2000 DIAL 911. Public Notif./Evacuation 07/13/2006 OWNER OR RECEPTIONIST WILL NOTIFY ANY CUSTOMERS ON PREMISES AND EVACUATE VIA NEAREST EXIT. Emergency Medical Plan 07/13/2006 LOCAL HOSPITAL: KERN MEDICAL CENTER, 1830 FLOWER ST, 326-2000. -5- 06/29/2007 ,, ~~ F AUBURN ANIMAL HOSPITAL SiteID: 015-021-000190 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 05/22/1992 ~ TANKS ARE CHAINED TO WALL. Release Containment 05/22/1992 APPROVED PRESSURIZED CYLINDERS. Clean Up GASSES ONLY AT THIS SITE. 05/22/1992 V1.11CL iCCSVULC:C L'~C:L1VaL1071 -6- 06/29/2007 F AUBURN ANIMAL HOSPITAL SiteID: 015-021-000190 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~~~c:lcii nci~atus Utility Shut-Offs 06/06/2007 GAS - N SIDE SHOPPING CTR ELECTRICAL - N SIDE SHOPPING CTR WATER - E SIDE OF BLDG Fire Protec./Avail. Water 01/25/2007 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. FIRE HYDRANT - PARKING LOT 15FT FRONT NE CRNR OF BLDG. Building Occupancy Level 03/10/2006 6 EMPLOYEES -7- 06/29/2007 _~ _ ~ ~h F AUBURN ANIMAL HOSPITAL SiteID: 015-021-000190 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 07/13/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES INSTRUCTED TO EVACUATE AND DIAL 911. rays a Held for Future Use nC1u ic.~i t'UI.u.LC UDC -8- 06/29/2007 ~~ Vic. r-f- 3~a ~ ~3 y~ ~ ~a ~~ ~~~,,,~1~~~0o, ~~y,~ Bakersfield Fire Dept. l1NBIalE® PROD M INSPECTIO CHECKLIST ~ Enironmental Services ::: 1.715 Chester Ave SECTION 1 BUSICIESS ~18C1 and Inventory Program Bakersfield, CA 93301 'i ~ Tel: (661)326-3979 i• FACILITY NAME INSPECTION DATE INSPECTION TIME -- --_~~~~--/~~~~1 _~ ~~1---------- --- - ------ -- -- -- ---- -- - - -- k ~~--- ~~,,~ ADDRESS ~ PH ~- -- No. of Employees /f~ FACILITYCONTACT ' Business ID Number f ~ 5-021- ~qo ' ~ Section 1: Business Plan and Inventory Program Routine ^ Combined ^ Joint Agency ^hulti-Agency ^ .Complaint ^ Re-inspection C V \V=VioationnCe~ OPERATBOM COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE 1 - tY1 ^ VISIBLE ADDRESS --....---. -.__.._ _..._.... ^ C ~ - ORRECT OCCUPANCY ---- -- - -- --- -- ~ --~Q(~5 _,.__.......-.._...._---------------------..______ 1~ - EN-T"t~ ~~ " _~ ^ VERIFICATION OF INVENTORY MATERIALS , ^ VERIFICATION OF QUANTITIES LN ^ VERIFICATION OF LOCATION ^ -- - PROPER SEGREGATION OF MATERIAL ----------- ---------- ------------ - -- - --------- ------___. -_...- n SL- -_ ^ VERIFICATION OF MSDS AVAILABILITYE --- -- ^ VERIFICATION OF HAT MAT TRAINING V ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES y ~ ~{. ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED (~ - HOUSEKEEPING -- - _ Y - _._. • ... ---- FIRE PROTECTION t ~ --- ---. __ _ ..__ . . _..... .. - - -- ---- ---...----- ^ SITE DIAGRAM ADEQUATE 8c ON HAND ANY HAZARDOUS WASTE ON SITE?: ^ YES ~NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT ~C)C'I ~ 326-3979 1 spector (Please Prinl) Fire Prevention 1st-InlShift of Site White -Environmental Services Yellow -Station Copy ess Sit~onsible Party (Please Print) g Pink -Business Copy ~~ a F AUBURN ANIMAL HOSPITAL SiteID: 015-021-000190 Manager - : k. Q rs l3~ ~ r i , p,~...: Location: 3713 AUBURN ST City BAKERSFIELD BusPhone: (661) 872-0363 Map 103 CommHaz Low Grid: 15D FacUnits: 1 AOV: CommCode: BFD STA 08 EPA Numb: SIC Code:0742 DunnBrad: Emergency Contact / Title Emergency Contact / Title KRISTY K UTT / OWNER TERRI HAYES / Business Phone: (661) 872-0363x Business Phone: (661) 872-0363x 24-Hour Phone (661) 392-7099x 24-Hour Phone (661) 392-7099x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact KRISTY UTT Phone: (661) 872-0363x MailAddr: 3713 AUBURN ST State: CA City BAKERSFIELD Zip 93306 Owner KRISTY UTT Phone: (661) 392-7099x Address 7001 UPLANDS OF THE KERN DR State: CA City BAKERSFIELD Zip 93308 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~} PROG A - HAZMAT `~ Based on my inquiry of those inr~ividuals EItl~~D responsible for obtaining the informGtl i tif n J(l~ Q ~' ZQa7 , a cer y under penalty of la~v that I haue personally examined and am familiar with the information submitted and believe the information is true, acc urat e, and complete. ~, ~ Signature pate -1- 05/21/2007 F AUBURN ANIMAL HOSPITAL SiteID: 015-021-000190 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP OXYGEN F P IH G 251.00 FT3 Low -2- 05f21f2007 -3- 05/21/2007 F AUBURN ANIMAL HOSPITAL SiteID: 015-021-000190 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: SURGERY RM CAS# 7782-44-7 = STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas TPure -Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 251.00 FT3 251.00 FT3 125.00 FT3 • HAZARDOUS COMPONENTS °sWt. RS CAS# 100.00 Oxygen, Compressed No 7782447 riAGHKL A7~1'~551~1t;1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Low -4- 05/21/2007 0 F AUBURN ANIMAL HOSPITAL SiteID: 015-021-000190 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 09/21/2000 ~ CALL 911. Employee Notif./Evacuation 09/21/2000 DIAL 911. Public Notif./Evacuation 07/13/2006 OWNER OR RECEPTIONIST WILL NOTIFY ANY CUSTOMERS ON PREMISES AND EVACUATE VIA NEAREST EXIT. Emergency Medical Plan 07/13/2006 LOCAL HOSPITAL: KERN MEDICAL CENTER, 1830 FLOWER ST, 326-2000. -5- 05/21/2007 F AUBURN ANIMAL HOSPITAL SiteID: 015-021-000190 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 05/22/1992 ~ TANKS ARE CHAINED TO WALL. Release Containment 05/22/1992 APPROVED PRESSURIZED CYLINDERS. Clean Up GASSES ONLY AT THIS SITE. 05/22/1992 V1.11C1 1CC .5VUi l:C til: 1.1 VGY l.1 V11 -6- 05/21/2007 F AUBURN ANIMAL HOSPITAL SiteID: 015-021-000190 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~7~lCV1Q1 r1GlG Q1 U~7 Utility Shut-Offs 01/25/2007 A) GAS - N SIDE SHOPPING CTR B) ELECTRICAL - N SIDE SHOPPING CTR C) WATER - E SIDE OF BLDG D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 01/25/2007 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. FIRE HYDRANT - PARKING LOT 15FT FRONT NE CRNR OF BLDG. Building Occupancy Level 03/10/2006 6 EMPLOYEES -7- 05/21/2007 F AUBURN ANIMAL HOSPITAL SiteID: 015-021-000190 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 07/13/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES INSTRUCTED TO EVACUATE AND DIAL 911. rayc t. nc.i.u ivi r uLUiC u~c nclu iui ruuure use -8- 05/21/2007 ~, + AUBURN ANIMAL HOSPITAL =,~____________________________ SiteID: 015-021-000190 + _ - Manager BusPhone: (661) 872-0363 Location: 3713 AUBURN ST Map 103 CommHaz Low City BAKERSFIELD Grid: 15D FacUnits: 1 AOV: CommCode: BFD STA 08 SIC Code:0742 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title KRISTY K UTT / OWNER TERRI HAYES / Business Phone: (661) 872-0363x ~ Business Phone: (661) 872-0363x 24-Hour Phone (661) 39.2-7099x 24-Hour Phone (661) 392-7099x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact KRISTY UTT Phone: (661) 872-0363x MailAddr: 3713 AUBURN ST State: CA City BAKERSFIELD Zip 93306 Owner KRISTY UTT Phone: (661) 392-7099x Address 7001 UPLANDS OF THE KERN DR State: CA City BAKERSFIELD Zip 93308 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ~ Based on my inquiry of those individuals responsible for obtaining the information, I certify ~ `~~ ! 1(~ o\ under penalty of law that I have personally examined and am familiar with the information /~ , G submitted and believe the information is true, ~ J accurate, and complete. ~3 / -z3~ Signa r Date F~j~ U~ ~ ~ ?pp6 -1- 03/10/2006 UNIFIED PROGRAM INSPECTION CHECKLIST Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 SECTION 1 Business Plan and Inventory Program • iy --- FACILITY NAME INSPEC ION ATE INSPECTION T E ADDRESS PH E N No. of Employees _ _ 3~~~~ -~~ -------------------------------------- ~a_" o3G3 --. ~G_._------- - FACILITYCONTACT Business ID Number /~ S 1$-02 l -®~/ l~ Section 9 : Business Plan and Inventory Pn~gram 'Routine ^ Combined O Joint Agency ^MultI-Agency O Complaint ^ Re-inspection C V ncel OPERATION tl ~ J V=Vioa on ^ APPROPRIATE PERMIT ON HAND ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ~. ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ~- ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ~, ^ PROPER SEGREGATION OF MATERIAL . ~ ^ VERIFICATION OF MSDS AVAILABILITYE y~- ^ VERIFICATION OF HAT MAT TRAINING `'~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES {~ ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE St ON HAND COMMENTS ANY HAZARDOUS WASTE ON SITE: ^ YES ~.NO EXPLAIN: • - QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT ~GC)'I ~ 3X-3979 ------%'~~1~~~~------- ---- ~'i3-------- Inspector Badge No., White -Environmental Services Yellow • Statbn Copy UNIFIED PROGRAM - :.. ~~ECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. ~' Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS PHONE No. No. ofC,Employees --~Zl-~---~~1~~ .-------- ----------------...--------------- ----- ~? Q3~3 _..-~-_. ----------- FACILI7YCONTACT Business ID Number ~, ~ - 15-021-Q0o190 Section 1: Business Plan and Inventory Program ~ Routine ^ Combined O Joint Agency ^Mutti-Agency ^ Complaint ^ Re-inspection G V ncel OPERATION t l COMMENTS \V=Voa n o (~. ^ APPROPRIATE PERMIT ON HAND ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY Q y ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES - ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ~. ^ VERIFICATION OF MSDS AVAILABILITYE ^ ~ VERIFICATION OF AT TRAINING ~, ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~. ^ -- ---- EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED i -- ---- ^ -------- ------------------------ __ __-t HOUSEKEEPING - ---------- --------------°----- --- -------_ _ ----°------------._.. ~, ^ FIRE PROTECTION ^ ~ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE: ^ YES ~, NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT (661) 326-3979 ~~ Inspector Badge No. ~ Business S' R sponsible Perty ~' ~,~ While ~ Envvonmentai Services Yellow - Slatan Copy Pink Business Copy