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HomeMy WebLinkAboutBUSINESS PLAN 7-2007 r L,. ~ . '~ REED CHIROPRACTIC CENTER SiteID: 015-021-002192 Manager DEBORAH REED BusPhone: .(661) 322-3997 Location: 1715 30TH ST Map 102 CommHaz Minimal City BAKERSFIELD Grid: 24D FacUnits: 1 AOV: CommCode: BFD STA O1 SIC.Code:8041 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title KELLY REED / OWNER DEBORAH REED / OWNER Business Phone: (661) 322-3991x Business Phone: ( ) - x 24-Hour Phone (661) 322-3997x 24-Hour Phone (661) 204-8129x Pager Phone ( Pager Phone ( ) - x Hazmat Hazards: React Contact KELLY REED Phone: (661) 322-3997x MailAddr: 1715 30TH ST State: CA City BAKERSFIELD Zip 93301 Owner KELLY C REED DC Phone: (661) 322-3997x Address 1715 30TH 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 ENT'D .1 ~ ~ p ~~~~ of those individuals i ry (~a^ed an my inqu rv~~c;~ ielc: f,ar at~~tairsing the information, !certify that I have Personally ~ 'N uncfe~ P~naity of ia v~ined ~~nd am familiar Keith the information e~ar submitt9d anc+ he6ieve the information is true, accurate, and complete. ~7`/~ ~~ ~`" "v' Date 6ignatur -1- 07/13/2007 FREED CHIROPRACTIC CENTER SiteID: 015-021-002192 ~ ~ 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 5.00 GAL Minl -2- 07/13/2007 -3- 07/13/2007 F REED CHIROPRACTIC CENTER ~ Inventory Item 0001 SiteID: 015-021-002192 ~ Facility Unit: Fixed Containers at Site ~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 5.00 GAL 5.00 GAL 5.00 GAL titaG.'~tCLVU~ C:V1~lYV1V~1V1'S %Wt. RS CAS# Silver No 7440224 nxGKtcL AaJl"~5~1°1tS1Vla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -4- 07/13/2007 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid WasteAmbient ~ Ambient ~STIC CONTAINER ~ -_ F REED CHIROPRACTIC CENTER SiteID: 015-021-002192 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 03/27/2001 ~ VISUAL CHECK. Employee Notif./Evacuation VERBAL. 03/27/2001 Public Notif./Evacuation 911, DIAGNOSTIC IMAGING 861-9729. 03/27/2001 Emergency Medical Plan SAN JOAQUIN HOSPITAL. 03/27/2001 -5- 07/13/2007 F REED CHIROPRACTIC CENTER SiteID: 015-021-002192 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 03/27/2001 ~ SELF CONTAINED. -- ___ --- Release Containment 03/27/2001 CONTAINED. Clean Up 05/22/2006 MOP UP WITH TOWEL AND PLASTIC SHOES, TONER GIVE TO DIAGNOSTIC IMAGING. ~,_ v ~.iici i~c~v ui. ~.c ray. ~.iva~.ivii -6- 07/13/2007 ~ S> F REED CHIROPRACTIC CENTER SiteID: 015-021-002192 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ oj/c~..i.a.~ nac~aiua Utility Shut-Offs A) GAS - N/A B) ELECTRICAL - PANEL BOX S END OF BLDG C) WATER - S END OF BLDG ON GROUND D) SPECIAL - NONE E) LOCK BOX - NO 03/27/2001 Fire Protec./Avail. Water 01/11/2007 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. NEAREST FIRE HYDRANT - 500FT SE H ST & ALLEY. Building Occupancy Level 07/25/2006 1 EMPLOYEE -7- 07/13/2007 ~ ~~ o-, FREED CHIROPRACTIC CENTER SiteID:. 015-021-002192 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 05/22/2006 ~ BRIEF SUMMARY OF TRAINING PROGRAM: INITIAL BRIEFING. rayv ~ Held for Future Use nc.LU ivi r u~.utc vac -8- 07/13/2007 ,. _ ~, + REED CHIROPRACTIC CENTER ____________________________ SiteID: 015-021-002192 + Manager BusPhone: (661) 322-3997 Location: 1715 30TH ST Map 102 CommHaz Minimal City BAKERSFIELD Grid: 24D FacUnits: 1 AOV: CommCode: BFD STA O1 ~ SIC Code:8041 EPA Numb: DunnBrad: Emergency Contact / Title Titl Emergency Contac~t- ~ / KELLY REED / OWNER , _ ~ <J ~'ti'~ la''~'~ ~'~ Business Phone: (661) 322-3991x Business. Phone: (___, ~ _ x 24-Hour Phone (661) 322-399'7x 24-Hour Phone (~6~) p'~j4~- ~~a~x`~ Pager Phone (661) 636-8999x Pager Phone ( ) - x Hazmat Hazards: React Contact Phone: (661) 322-3997x MailAddr: 1715 30TH ST State: CA City BAKERSFIELD Zip 93301 Owner KELLY C REED DC Phone: (661) 322-3997x Address 1715 30TH ST State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: --------------------------;r~ ------------------------------------- Emergency Directives: ~~ ~~ PROG H - HAZ WASTE GEN '~ ENl~© ~~~ ©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 infor ~ l submitted and believe the information is t uen accurate, and complete. Signatu ~~~ 'S^~~2~~~s Date -1- 05/22/2006 t` ~ cif ` '~. REED,-,CHIROPRACTIC CENTER SiteID: 015-021-002192 Manager ~ ~L30 i2/4tF R~ Location: 1715 30TH ST City BAKERSFIELD BusPhone: (661) 322-3997 Map 102 CommHaz Minimal Grid: 24D FacUnits: 1 AOV: CommCode: BFD STA Ol EPA Numb: SIC Code:8041 DunnBrad: Emergency Contact / Title Emergency Contact / Tit 1_e KELLY REED / OWNER ____ / ~~~ JQ-eei.P Business Phone: (661) 322-3991x Business Phone: ( )` - x 24-Hour Phone (661) 322-3997x 24-Hour Phone (661) 204-8129x Pager Phone (661) 636-8999x Pager Phone ( ) - x Hazmat Hazards: React Contact ~(-ej~l.~ d~-~-~~ ,' Phone: (661) 322-3997x MailAddr: 1715 30TH ST State: CA City BAKERSFIELD Zip 93301 Owner KELLY C REED DC Phone: (661) 322-3997x Address 1715 30TH 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 Eased on my inquiry of those individuals responsible for obtaining the information,. P certify ersonalty that I have f l lt - n' ENT'D F p aud y o under pena HB ~ ~ ~Q07 examined and am familiar with the information submitted and believe the information is true, accurate, and complete. Signat ~e Date -1- 02/06/2007 F REED CHIROPRACTIC CENTER SiteID: 015-021-002192 ~ ~ 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 5.00 GAL Min -2- 02/06/2007 -3- 02/06/2007 F REED CHIROPRACTIC CENTER SiteID: 015-021-002192 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE FIXER Days On Site 365 Location within this Facility Unit Map: Grid: X-RAY PROCESSOR CAS# Liquid TWaste ~ AmbRent~E ~ AmbientT~E _~STOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 5.00 GAL 5.00 GAL 5.00 GAL ti1~Lt~ttl~uu~ 1:V1~lYV1Vt;iV i'S °sWt. RS CAS# Silver No 7440224 ru~~t~xL r~~~~a5i~i~ty 1'a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -4- 02/06/2007 F REED CHIROPRACTIC CENTER SiteID: 015-021-002192 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 03/27/2001 ~ VISUAL CHECK. Employee Notif./Evacuation 03/27/2001 VERBAL. Public Notif./Evacuation 03/27/2001 911, DIAGNOSTIC IMAGING 861-9729. Emergency Medical Plan 03/27/2001 SAN JOAQUIN HOSPITAL. -5- 02/06/2007 F REED CHIROPRACTIC CENTER SiteID: 015-021-002192 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 03/27/2001 ~ SELF CONTAINED. Release Containment 03/27/2001 CONTAINED. Clean Up 05/22/2006 MOP UP WITH TOWEL AND PLASTIC SHOES, TONER GIVE TO DIAGNOSTIC IMAGING. V1.11G1 iCC.7VUtl:C tiC:l.lVdl.lCJil -6- 02/0.6/2007 F REED CHIROPRACTIC CENTER SiteID: 015-021-002192 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~1JCC:1 C11 I1GYG dl U~ Utility Shut-Offs 03/27/2001 A) GAS - N/A B) ELECTRICAL - PANEL BOX S END OF BLDG C) WATER - S END OF BLDG ON GROUND D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 01/11/2007 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. NEAREST FIRE HYDRANT - 500FT SE H ST & ALLEY. Building Occupancy Level 07/25/2006 1 EMPLOYEE -7- 02/06/2007 F REED CHIROPRACTIC CENTER SiteID: 015-021-002192 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 05/22/2006 ~ BRIEF SUMMARY OF TRAINING PROGRAM: INITIAL BRIEFING. rayc c. i3C1u 1VL 1'UI~l,L1.C USC 11c 11A 1V1 lUt~lA1C V5C -8- 02/06/2007 ~ ~ ~ -Z ?= j ~ ` tJ - ~~-`-~~' Prevention-Services _ UNIFIED .PROGRAM INSPECTION CHECKLIST Suite 210 900 Truxtun Ave. . - _ ~ A A, F R s F , . „ ~ ~ " i FiRe v'ARrM t , Bakersfield, CA 93301 SECTION 1: -Business Plan and Inventory Program Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME - 12GG--~ ~~r~~~~ftL INSPECT ON DA E 2b ~ INSPECTION TIME ADDRESS ~ ^ ~ ~ ~ ~-~_ s t 11 - - PHONE NO. ~ ZL-395 NO OF EMPLOYEES ~., FACILITY CONTACT - BUSINESS ID NUMBER - 15-021- 015.01-(~ (5v ~ ^ 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 ~.c, TJ ^ BUSIf1eSS 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 AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ~ ^ CONTAINERS PROPERLY LABELED ^~ ~ ~OO/ ^ HOUSEKEEPING ~,_s, 1t ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTELON SITE? ~~[~YES ^ NO EXPLAIN: ~ ~'STe ~1 ~ ~ .1`721 -I QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (681) 326-3979 Inspector (Please Print) Fire Prevention / 1~~ In /Shift of Site/Station # Busi ess Site esponsible Party (Please rin White -Prevention Services Yellow -Station Copy Pink -Business Copy - FD 2155 (Rev. 09/05 ~.~ ~ ~~ ~ ~0~~` T~~'" CITE' OF BAKERSFIELD FIRE DEPARTMENT ~~~ ~ OFFICE OF ENVIRONMENTAL SERVICES ~' y UNIFIED PROGRAM INSPECTION CHECKLIST ~~ ~~P 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~G-E-~ ~~~ ~ Q,df aZA ~~ ~ ~- INSPECTION DATE ~ ~~ 1 ~~ Section 4: Hazardous Waste Generator Program ^ Routine ~ Combined ^ Joint Agency EPA ID # Fx ~ ~~`' ~' fi ^ Multi-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made EPA ID Number S" ~ ~ ~..- P ~" Authorized for waste treatment and/or storage Reported release, fire, or explosion within I S 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 /~ ~ Secondary containment provided Conducts daily inspection of tanks Used oil. not contaminated with other hazardous waste /U ~ Proper management of lead acid batteries including labels 1'i1 ,t~ Proper management of used oil filters ~ .~ Transports hazardous waste with completed manifest Sends manifest copies to DTSC Retains manifests for 3 years ~'^ rG L p ,-..., Retains hazardous waste analysis for 3 years Retains copies of used oil receipts for 3 years ,~ Determines if waste is restricted from land disposal C=Compliance V=Violation Inspector: G lam' %~r Office of Environmental Services (661) 326-3979 White -Env. Svcs. ~ ~~~~ B iness Site Responsible Party Pink -Business Copy