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Home My WebLink AboutBUSINESS PLAN,~ ~, ~_ 7 i ~ _.. ~~ h ADVANCED CHIROPRACTIC ~l --- -' ~_ 5300 CALIFORNIA:AVENUE -= ~~ _ _ _- I: ~~ '~JJ ~'` r, ~N ~-=~~ ~' . :Y ~ ~ ~nn~EE~ ~~1 1 „y T: ADVANCED CHIROPRACTIC Manager STEVE SALYERS Location: 5300 CALIFORNIA AVE 320 City BAKERSFIELD SiteID: 015-021-001670 BusPhone: (661) 323-6857 Map 102 CommHaz Minimal Grid: 34D FacUnits: 1 AOV: CommCode: BFD STA 11 EPA Numb: SIC Code:8041 DunnBrad: Emergency Contact / Title Emergency Contact / Title STEVE SALYERS / OWNER GREG HEYART / OWNER Business Phone: (661) 327-7024x Business Phone: (661) 327-2622x 24-Hour Phone (661) 665-9530x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React Contact STEVE SALYERS Phone: (661) 323-6857x MailAddr: 5300 CALIFORNIA AVE 320 State: CA City BAKERSFIELD Zip 93309 Owner STEVE SALYERS Phone: (661) 323-6857x Address 5300 CALIFORNIA AVE 320 State: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG H - HAZ WASTE GEN ENT'D J U L 16 2007 Based on my inquiry of those indi~i~uals ~Fnmg the information, V certify obt f z ar responsible under penalty of law that i ha,~e per~;onaiiy examined and am familiar with the infiormation submitted and helie4~e the infiormation is true, accurate ~ d •,omple ,~,, ~l ` 3 0.~ ignature Date -1- 06/29/2007 F ADVANCED CHIROPRACTIC SiteID: 015-021-001670 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... ISpecHazIEPA Hazards) Frm I DailyMax IUnitIMCPI WASTE FIXER R L 5.00 GAL Minl -2- 06/29/2007 -3- 06/29/2007 'i t' F ADVANCED CHIROPRACTIC SiteID: 015-021-001670 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 5.00 GAL 5.00 GAL 5.00 GAL - riAY,L-1KLVU~ 1:V1~lYV1VL"~1V"1'S %Wt. RS CAS# Silver No 7440224 ru~~r-ucL r~~~~aal~i~iv1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -4- 06/29/2007 Liquid TWaste ~mbient~E ~ AmbientT~E ~ PLASTOICTCONTAINERE ,; F ADVANCED CHIROPRACTIC SiteID: 015-021-001670 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 05/05/2006 ~ THREE DAILY VISUAL CHECKS OF FIX SOLUTION TANK AND TRAY FOR LEAKS. Employee Notif./Evacuation 05/05/2006 DR SALYERS, CALL 326-3979 OES AND X-RAY SOLUTIONS 637-0404. Public Notif./Evacuation 05/05/2006 NOTIFY DR SALYERS, CALL X-RAY SOLUTIONS CO 637-0404. Emergency Medical Plan 05/05/2006 NO EMPLOYEE MAY TOUCH CHEMICALS. WASH WITH SOAP AND WATER IF EXPOSURE OCCURS AND REPORT TO DR SALYERS. GO TO MERCY HOSPITAL IF CONTAMINATED -5- 06/29/2007 F ADVANCED CHIROPRACTIC SiteID: 015-021-001670 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 05/05/2006 ~ LEAVE TANK IN 5-GAL TRAY. IF SPILL IS CONTAINED IN TRAY, LEAVE ALONE AND CALL X-RAY SOLUTIONS 637-0404. IF NOT CONTAINED, CALL FIRE DEPT FIRST AND X-RAY SOLUTIONS NEXT; THIRD, CALL 326-3979 OES. Release Containment 05/05/2006 CONTAINER COLLECTED EVERY 6 MO OR SOONER; IF NEEDED. NO MORE THAN 5 GAL ON PREMISIS AT A TIME. TANK TO BE LEFT IN A WATERPROOF TRAY AT ALL TIMES. Clean Up 05/05/2006 CALL X-RAY SOLUTIONS 637-0404. V1.11CL 1[.CSVULGC EiUl.lVdl.lVi1 -6- 06/29/2007 F ADVANCED CHIROPRACTIC SiteID: 015-021-001670 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ w7~JCC:1d1 ISd'GdI U.7' Utility Shut-Offs 02/22/2007 --UTIL-ITY-SH°UT=OFFS-IN-~UTILITY CLOSET BET THE TWO COMMUNITY BATHROOMS IN QUAD AREA. Fire Protec./Avail. Water 05/05/2006 NEAREST FIRE HYDRANT - SW CRNR CALIFORNIA AVE & OFFICE CENTER CT. Building Occupancy Level 05/05/2006 2 EMPLOYEES -7- 06/29/2007 ,~~. F ADVANCED CHIROPRACTIC SiteID: 015-021-001670 ~ Fast Format ~ ~ Training Overall Site ~ Employee Training 05/05/2006 MSDS SHEETS ON FILE IN OFFICE DARKROOM. BRIEF SUNIl~IARY OF TRAINING PROGRAM: EMPLOYEES NOT ALLOWED TO CLEAN UP UNDER ANY CIRCUMSTANCE. rayc ~ - nciu tvL ru~.uiC u5C nclu Dui ruLUre use -8- 06/29/2007 `/ ::~.. UNIE~DkP~ROG'RAM INSPECTION CHECKLIST '`''T"'~® Prevention Services a A r; R--"~ ;_"'~D 900 Truxtun Ave., Suite 210 ._..,.:~.A.~.~~.:. _...:~~..~-. ...., _~ ~~~~~.~ ,~~ ~~.~~~.~ ~,,. :m::...~x~: ....~m;~~~ FIRE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program aRrM Tel.: (661) 3zs-3979 T ~ Fax:- (661) 872-2171 ~~- FACILITY NAME INSPECTION DATE / INSPECTION TIME ~Cb~fl+JGe.ID 61{11?-O ~AC.'T t C ~~ a ~ ADDRESS S3oc7 CRS-t~o2.rol~ Ao~ 3~-a P ONE NO. 2~ °6 7 NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER 15-021-0 tS ~OZ.,I - ~ 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 ^ BUSIITeSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ..p - ^ VERIFICATION OF INVENTORY MATERIALS ~ • ~ ¢~ ~ ,, , OQ~ ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY f (l ~'w. ~ ri s.-~s Mvt.! ~ loc. q,..r7~ ~ t 0C ^ VERIFICATION OF HAZ MAT TRAINING 1"'~~ fi'r' ° ~' ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING -.,® ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON S(I~TE? ~-~YES ^ NO EXPLAIN: ~~ ~+ ~ -~"~ h°>~- p ~ ~t61d ~~ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~ 1 ` c~~~~ ~-~ Inspector (Please Print) Fire Prevention / 1" In /Shift of Site/Station # usiness Site / Responsibl ar White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 ~ !` ~04y' T~ze CITY OF BAKERSFIELD FIRE DEPARTMENT ~~ ~~ OFFICE OF ENVIRONMENTAL SERVICES ~~' , • • ~~ UNIFIED PROGRAM INSPECTION CHECKLIST °-~~gw 1715 Chester Ave., 3'd Floor, Bakersfield, CA 93301 FACILITY NAME ~ ~~ AN`-~ -~ C11- 1 2v ~ (LtiG-1't L INSPECTION DATE 3 ~2~/ a, Section 4: Hazardous Waste Generator Program EPA ID # ~`~ ~`"` P ~ ^ Routine .l~ Combined ^ Joint Agency ^Multf-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made EPA ID Number Ii7~ ~ rv.(~ t" 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 tote 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 N /~, Secondary containment provided Conducts daily inspection of tanks Used oil not contaminated with other hazardous waste 9J /~ Proper management of lead acid batteries including labels N /. Proper management of used oil filters ~ Transports hazardous waste with completed manifest Sends manifest copies to DTSC Retains manifests for 3 years >C ~ 12A~- 5v) ~ ----~ Retains hazardous waste analysis for 3 years ~~"' ~'t Retains copies of used oil receipts for 3 years - ~/~ Determines if waste is restricted from land disposal ~=~ompttance v=vtotanon Inspector: G>~G;~-iC~ ~-s ~T Office of Environmental Services (661) 326-3979 White -Env. Svcs. Pink -Business Copy 1• Business Site Responsible Party r_ ,~,. ADVANCED CHIROPRACTIC SiteID: 015-021-001670 Manager ~~/~~ ~~"L`~~ Bus Phone : ( 6 61) 3 2 3- 6 8 5 7 Location: 5'400 CALIFORNIA AVE ~ Map 102 CommHaz Minimal City BAKERSFIELD 3~~ Grid: 34D FacUnits: 1 AOV: CommCode: BFD STA 11 EPA Numb: SIC Code:8041 DunnBrad: Emergency Contact / Title Emergency Contact / Title STEVE SALYERS / OWNER GREG HEYART / OWNER Business Phone: (661) 327-7024x Business Phone: (661) 327-2622x 24-Hour Phone (661) 665-9530x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React ~L V Contact ~~~ r'T~l ~_ ~. ~~- _~~ - ~ Phone`^~(661)r 323-6~857x MailAddr: 5300 CALIFORNIA AVE 340 State: CA City BAKERSFIELD Zip' 93309 Owner STEVE SALYERS Phone: (661) 323-6857x Address 5300 CALIFORNIA AVE 340 State: CA City BAKERSFIELD Zip 93309 .Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG H - HAZ WASTE GEN ' ~~ ~~ ~,T ~ ~ ~Q .._ -- - O, - - E;a~ed 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 be ' ve the information is true, accurat , JC-~y. --2~-0 ~ ature Date -1- ~ 01/24/2007 F ADVANCED CHIROPRACTIC SiteID: 015-021-001670 ~ ~ 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- 01/24/2007 -3- 01/24/2007 ]' ~ F ADVANCED CHIROPRACTIC SiteID: 015-021-001670 ~ ~ 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: ~ CAS# STATE TYPE PRESSURE TEMPERATURE ~ CONTAINER TYPE Liquid TWaste ~mbient ~ Ambient I PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 5.00 GAL 5.00 GAL 5.00 GAL IIEiGEiCCLU U.7 1.U1~lYUlV ~1V 1 S Silver - - __ ~ --~~ ~ _ -~ __--" No ~ ~- "`~- --"74-4.0224 . - --- 171-~GY~1CU H. 7 JP~J J1°1rJ1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -4- 01/24./2007 F ADVANCED CHIROPRACTIC SiteID: 015-021-001670 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 05/05/2006 ~ THREE DAILY VISUAL CHECKS OF FIX SOLUTION TANK AND TRAY FOR LEAKS. Employee Notif./Evacuation 05/05/2006 DR SALYERS, CALL 326-3979 OES AND X-RAY SOLUTIONS 637-0404. Public Notif./Evacuation NOTIFY DR SALYERS, CALL X-RAY SOLUTIONS CO 637-0404. 05/05/2006 Emergency Medical Plan 05/05/2006 NO EMPLOYEE MAY TOUCH CHEMICALS. WASH WITH SOAP AND WATER IF EXPOSURE OCCURS AND REPORT TO DR SALYERS. GO TO MERCY HOSPITAL IF CONTAMINATED. -5- 01/24/2007 F ADVANCED CHIROPRACTIC SiteID: 015-021-001670 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 05/05/2006 ~ LEAVE TANK IN 5-GAL TRAY. IF SPILL IS CONTAINED IN TRAY, LEAVE ALONE AND CALL X-RAY SOLUTIONS 637-0404. IF NOT CONTAINED, CALL FIRE DEPT FIRST AND X-RAY SOLUTIONS NEXT; THIRD, CALL 326-3979 OES. Release Containment 05/05/2006 CONTAINER COLLECTED EVERY 6 MO OR SOONER, IF NEEDED. NO MORE THAN 5 GAL ON PREMISIS AT A TIME. TANK TO BE LEFT IN A WATERPROOF TRAY AT ALL TIMES. Clean Up 05/05/2006 CALL X-RAY SOLUTIONS 637-0404. ~,_ V 1~11G1 itG~VU1l..G 1"1l~l~J.VQl.1 Vll -6- 01/24/2007 F ADVANCED CHIROPRACTIC SiteID: 015-021-001670 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~P~c:lai na.~a.ru~ Utility Shut-Offs - --- -- ~~ ~i~i~ Fire Protec./Avail. Water NEAREST FIRE HYDRANT - SW CRNR CALIFORNIA AVE & OFFICE CENTER CT. 05/05/2006 Building Occupancy Level 05/05/2006 2 EMPLOYEES -7- 01/24/2007 .__~,~ F ADVANCED CHIROPRACTIC SiteID: 015-021-001670 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 05/05/2006 ~ MSDS SHEETS ON FILE IN OFFICE DARKROOM. BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES NOT ALLOWED TO CLEAN UP UNDER ANY CIRCUMSTANCE. Page 2 rieia =or ruLUre use n~lu ivi ru~u1.C ~~C -8- 01/24/2007 y" `~. + ADVANCED CHIROPRACTIC ______________________________= SiteID: 015-021-001670 + Manager BusPhone: (661) 323-6857 Location: 5300 CALIFORNIA AVE 340 Map 102 CommHaz Minimal City BAKERSFIELD Grid: 34D FacUnits: 1 AOV: CommCode: BFD STA 11 SIC Code:8041 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title STEVE SALYERS / OWNER GREG HEYART / OWNER Business Phone: (661) 327-7024x Business Phone: (661) 327-2622x 24-Hour Phone (661) 665-953Ox 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React Contact Phone: (661) 323-6857x MailAddr: 5300 CALIFORNIA AVE 340 State: CA City BAKERSFIELD Zip 93309 Owner STEVE SALYERS Phone: (661) 323-6857x Address 5300 CALIFORNIA AVE 340 State: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~ PROG H - HAZ WASTE GEN 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 lie , t informatio is true, accurat o e ~, .S' ~ ~ Signature Da e ENT'D MAY 2 6 2006 ~°~$ ~~ -1- 05/05/2006