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HomeMy WebLinkAboutBUSINESS PLANMACK MD FACS INC JOEL D SiteID: 015-021-002327 Manager ~ JOEL D MACK Location:' 1.801 28TH ST City "BAKERSFIELD BusPhone: (661) 327-2777 Map 102 CommHaz Minimal Grid: 24D FacUnits: 1 AOV: CommCode: BFD STA Ol EPA Numb: SIC Code:8011 DunnBrad: Emergency Contact / Title Emergency Contact / Title JOEL D MACK MD / OWNER / Business Phone: (661) 327-277 7x Business Phone: (~I~r) 3~7 -az~~x 24-Hour Phone (661) 327-277 7x 24-Hour Phone (~~r ) 3~~ -~7~~x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React Contact JOEL D MACK Phone: (661) 327-2777x MailAddr: 1801 28TH ST State: CA City BAKERSFIELD Zip 93301 Owner JOEL D MACK MD FAGS INC Phone: (661) 327-2777x Address 1801 28TH 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 ~NT'D Jug ` ~_. t?aced an my inquiry of these individuals I certify tion i f , orma n res~~~;nsih'< far ,~"~+.o;ning the uno,:,a~ pen?Ity c. la'v~r that 1 have personally examir!<;d ar,d am familiar with the information submitteri :~!'~~° hQli~~ve the information is true, accurate, and complete. / ~_ ~ -1-~~` 6~ Signature Date -1- 07/12/2007 F MACK MD FAGS INC JOEL D SiteID: 015-021-002327 ~ ~ 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 10.00 GAL Min -2- 07/12/2007 -3- 07/12/2007 F MACK MD FAGS INC JOEL D ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME WASTE FIXER Location within this Facility Unit DARKROOM STATE TYPE PRESSURE Liquid TWaste -~mbient SiteID: 015-021-002327 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 5.00 GAL 10.00 GAL 10.00 GAL r1~~,yrcL~ua wl~iruiv~iv 15 °sWt. RS CAS# Silver No 7440224 t1L~GHKL H7~J;~51~11;1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -4- 07/12/2007 F MACK MD FAGS INC JOEL D SiteID: 015-021-002327 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification Employee Notif./Evacuation Public Notif./Evacuation Emergency Medical Plan -5- 07/12/2007 F MACK MD FAGS INC JOEL D SiteID: 015-021-002327 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention 1CCICCL.7C 1.V111. CL 111L11C11L Clean Up 03/01/2007 CALIFORNIA IMAGING PICKS UP X-RAY CHEMICALS IF SPILL HAPPENS. MOP AND DISPOSE OF LIQUID IN TRASH. V1~11G1 itC w7Vl.Lt VC L'11. 1.1V0.1~1 V11 -6- 07/12/2007 t F MACI{ MD FAGS INC JOEL D SitelD: 015-021-002327 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ Special Hazards Utility Shut-Offs 03/01/2007 GAS - SIDE OF BLDG ELECTRICAL - SIDE OF BLDG WATER - FRONT OF BLDG SPECIAL - ACCESS TO UTILITIES IS LOCKED Fire Protec./Avail. Water 03/01/2007 2 DRY CHEMICAL FIRE EXTINGUISHERS FIRE HYDRANT - H & 27TH Building Occupancy Level 03/01/2007 3 EMPLOYEES -7- 07/12/2007 F MACK MD FAGS INC JOEL D SiteID: 015-021-002327 ~ Fast Format ~ ~ Training Overall Site ~ Employee Training 03/01/2007 BRIEF SUMMARY OF TRAINING PROGRAM: SAFETY MEETINGS ON HOW TO HANDLE WASTE. rayc ~ nciu l.vi ruI.ULC UDC nclu iui ru~uie use -8- 07/12/2007 }., -;.r1 + MACK MD FACS INC JOEL D _____________________________ SiteID: 015-021-002327 + Manager BusPhone: (661) 327-2777 ,Location: 1801 28TH ST ~ Map 102 CommHaz Minimal City BAKERSFIELD Grid: 24D FacUnits: 1 AOV: CommCode: BFD STA 01 SIC Code:8011 EPA.Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title JOEL D MACK MD FAGS / / Business Phone: (661) 327-2777x Business Phone: ( ) - x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React Contact JOEL D MACK MD FAGS Phone: (661) 327-2777x MailAddr: 1801 28TH ST State: CA City BAKERSFIELD Zip 93301 Owner JOEL D MACK MD FAGS INC Phone: (661) 327-2777x Address 1801 28TH 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 ~~~~ ENr~ ~u~ ~ ~ ~a~s ~~ ~~o Based on my inquiry of those individuals ~ \ responsible for obtaining the 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. ~ zz " nature Date t______________________________________________________________________________t -1- 05/18/2006 \~ MAC~~;, MD" FRCS INC JOEL D Manager Location: 1801 28TH ST City BAKERSFIELD CommCode: BFD STA Ol EPA Numb: SiteID: 015-021-002327 1 BusPhone: (661) 327-2777 Map 102 CommHaz Minimal Grid: 24D FacUnits: 1 AOV: SIC Code:8011 DunnBrad: Emergency Contact / ;-_ Title Emergency Contact / Title JOEL D MACK MD FACS / c"~t,,v N G jL ~ / Business Phone: (661) 32'7-2777x Business Phone: (~f ) 3~-? - .'t777x 2 4 -Hour Phone ( ) - x 2 4 -Hour Phone ( io(a r ) •3~.~7 - ~~?7 x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React Contact JOEL D MACK MD Phone: (661) 327-2777x MailAddr: 1801 28TH ST State: CA City BAKERSFIELD Zip 93301 Owner JOEL D MACK MD FACS INC Phone: (661) 327-2777x Address 1801 28TH 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 ©~~ ~ 0?ased on my inquiry of tho.3e individurz.E~; '® \`~`r ~ responsible for obtaining the information, !certify ~`' under penalty of law that I have personali~ examined and am familiar with the information submitted and believe the information le true, accurate, and complete. ~~ ~ ~ ~~ Signature Date ~- -1- 02/02/2007 F MACK Mff FACS INC JOEL D SiteID: 015-021-002327 ~ ~ 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 10.00 GAL Min -Z- 02/02/2007 -3- 02/02/2007 F MACK, MD` FAGS INC JOEL D ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME WASTE FIXER Location within this Facility Unit DARKROOM STATE TYPE PRESSURE Liquid TWaste ~ Ambient SiteID: 015-021-002327 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 5.00 GAL 10.00 GAL 10.00 GAL nr~~r-sicLVU~ ~vl~irviv~ly l~~ %Wt. RS CAS# Silver No 7440224 ri1~GEiKL i~a 7L' aJ1~1i51V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R ~ / / / Min -4- 02/02/2007 F MA~K~MD~FACS INC JOEL D SiteID: 015-021-002327 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ rlyCllc:y 1VV1.111Ud1.1V11 --. _. - _/ Employee_Notif./Evacuation = - ..~ ~. ,~ --.C_lL4JllV 1VV l.1L ~ ~ V0.l.:UQl.1 V11~ _~ Emergency Medical Plan ,_ 1 -5- 02/02/2007 F MACK„MD'FACS INC JOEL D SiteID: 015-021-002327 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ Release~Prevention 'Release-Containment = ~_ _~ .- ~,..i.call v~ ~Y`'~'~' "~- ~ ~,.~~~ ~~ Vl.llct iCCDVI.l.l.. l..c tyl.. l.1VQl.1 V11 -6- 02/02/2007 F MACK;,NID'FACS INC JOEL D SiteID: 015-021-002327 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ -j J~JCI: LGil 17C1GQ1 U.~ ~/ .Utility Shut-Offs_~ ~. I 7 v`"/~ ~ J r Fire Protec./Avai-1. Water:-~ ~__ Building Occupancy Lev"el 3 ~e.~ -7- 02/02/2007 .;, <.- . i F MAC,~,.,NID"FAGS INC JOEL D SiteID: 015-021-002327 ~ Fast Format ~ ~ Training Overall Site ~ -! lrlll~JlVyCC 1IQ111111y / r ~~ p~ c~-~ rayc ~ neiu tur ru~ure use nciu 1_uL r u~uie use -$- 02/02/2007