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Home My WebLink AboutBUSINESS PLANa~ _~ RYAN_ CHIROPRACTIC f - 2701-GALLOWAY -DRIVE #402 - -_' _ =~ RYAN CHIROPRACTIC Manager .: ~Rw~eS ~ ~v~ Location: 2.701 CALLOW~Y DR 402 City BAKERSFIELD CommCode: KCFD STA 65 EPA Numb: 3Nn5 SiteID: 015-021-002190 BusPhone: (661) 589-3427 Map 102 CommHaz Minimal Grid: 20C FacUnits: 1 AOV: SIC Code:8041 DunnBrad: Emergency Contact / Title Emergency Contact / Title DR JAMES D RYAN. / OWNER SMI / X-RAY TECH Business Phone: (661) 589-3427x Business Phone: (661) 861-9729x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React Contact ~-~a~_'`~5 _l_ ~A__~ _ ___ _ _ Phone: (661) 9-3427x 5 8 MailAddr: 2701 GALLOWAY DR 402 _ __ _ State:~~CA ~ . . _ _ _ City BAKERSFIELD Zip 93312 Owner DR JAMES D RYAN Phone: (661) 589-3427x Address 2701 GALLOWAY DR 402 State: CA City BAKERSFIELD Zip'. 93312 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG H HAZ WASTE GEN ~ ~~ l ~`N~°~ MA ~` ~ ~ ~'~~~ based on my inquiry of those indi:°iisua.`s respcnsib!e for obtaining the information, I certify under penalty of- law that I have pers~na.IGy _ _ __ __ _ _ examined and am ' miliar with the information submi.ted and bF~i ve the information is true, accur te, and co pl te. Si ature Date -1- 02/06/2007 ~. F RYAN CHIROPRACTIC SiteID: 015-021-002190 ~ ~ 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 Mini -2- 02/06/2007 LOOZ/90/ZO -£- ,_ -, F RYAN CHIROPRACTIC SiteID: 015-021-002190 ~ ~ 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# STATE TYPE T PRESSURE TEMPERATURE ~~ CONTAINER TYPE Liquid Waste ~ Ambient ~ Ambient I PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 5.00 GAL 5.00 GAL 5.00 GAL t~~,t~tcL~u~ ~ui~irulv~N~l~S $Wt. RS CAS# _ Silver __. No 7440224 nrj~HxL t~~~r,aari~iv 1 a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -4- 02/06/2007 F RYAN CHIROPRACTIC SiteID: 015-021-002190 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 02/28/2001 ~ ALL FITTINGS AND CONTAINERS IN X-RAY DEVELOPING ROOM ARE CHECKED DAILY TO ENSURE PROPER FIT. INSPECTION IS MADE FOR LEAKS OR CONTAINERS BECOMING MORE THAN HALF FULL. Employee Notif./Evacuation 02/28/2001 _CALL OFFIC_E_OF EN_VIR_ONMENTAL_ SERVICES AND SIGMA MEDICAL IMAGING WHO HANDLE DEVELOPER AND WASTE REMOVAL . `_ `_ ~~ l -^ '~ -' - - --_ - ._-~_, . ..r_ _ ___~ -- - ~ - _ Public Notif./Evacuation 04/18/2006 DR RYAN IS RESPONSIBLE FOR MONITORING AND NOTIFICATION. ANY LEAKS OR SPILLS ARE IMMEDIATELY RELAYED TO DR RYAN. Emergency Medical Plan 02/28/2001 CALL-911. -5- 02/06/2007 ~~ F RYAN CHIROPRACTIC SiteID: 015-021-002190 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 02/28/2001 ~ ALL MATERIALS ARE CONFINED TO DEVELOPING ROOM AND ARE SEGREGATED IN SEPARATE CONTAINERS. Release Containment 04/18/2006 __WASTE IS STORED IN A_CONTAINER THAT CAN ADEQUATELY HOLD ALL WASTE, EVEN IF ~_ f _ DEVELOPER WERE COMPLETELY EMPTIED : ~ " '~-``~` - -'- - - ~' - -"- ~ --~-° - - -- _ - - ---_-- =- -- - - Clean Up 02/28/2001 CALL SIGMA MEDICAL IMAGING WHO HANDLE ALL DEVELOPER NEEDS. WASTE IS REMOVED EVERY 4-6 WEEKS BY SMI. Other Resource Activation -6- 02/06/2007 ~. F RYAN CHIROPRACTIC SiteID: 015-021-002190 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ J~.JG l: 1cL1 naz.alu~ Utility Shut-Offs 01/11/2007 A) GAS - N/A B )ELECTRICAL - Tn1-END OF"HAI~I;WA~ REAR~ENTR-S-WAL- L-------t __ __ ~ _ _ ~ _ C) WATER - BATHROM W END OF HALLWAY D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 01/11/2007 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER S WALL HALF WAY DOWN HALLWAY. NEAREST FIRE HYDRANT - FRONT OF BLDG NEAR ENTR TO SHOPPING CTR OFF ROSEDALE HWY. Building Occupancy Level 03/28/2006 1 EMPLOYEE -7- 02/06/2007 F RYAN CHIROPRACTIC SiteID: 015-021-002190 ~ Fast Format ~ ~ Training Overall Site ~ Employee Training O1/11/2007•~ MSDS SHEET IN THE DEVELOPER ROOM BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES ARE TRAINED AS TO MATERIALS USED IN DEVELOPER. ALSO TRAINED TO INSPECT FOR LEAKS, SPILLS, AND CONTAINERS THAT ARE GETTING FULL. THEY ARE TAUGHT TO NOTIFY DR RYAN IMMEDIATELY WITH ANY CONCERNS OR PROBLEMS, AND TO CONTACT SIGMA MEDICAL IMAGING WITH ANY QUESTIONS OR CONCERNS. Page 2 Held for Future Use i'1C1U LVL 1'UI.ULC V.7'C -8- 02/06/2007 __ ~ ~„_ _~ RYAN CHIROPRACTIC SiteID: 015-021-002190 Manager JAMES D RYAN Location: 2701 GALLOWAY DR 402 City BAKERSFIELD BusPhone: (661) 589-3427 Map 102 CommHaz Minimal Grid: 20C FacUnits: 1 AOV: CommCode: KCFD STA 65 EPA Numb: SIC Code:8041 DunnBrad: Emergency Contact / Title Emergency Contact / Title DR JAMES D RYAN / OWNER SMI / X-RAY TECH Business Phone: (661) 589-3427x Business Phone: (661) 861-9729x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React Contact JAMES D RYAN ~ Phone: (661) 589-3427x MailAddr: 2701 GALLOWAY DR 402 State: CA City BAKERSFIELD Zip 93312 Owner DR JAMES D RYAN Phone: (661) 589-3427x Address 2701 GALLOWAY DR 402 State: CA City BAKERSFIELD Zip 93312 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG H - HAZ WASTE GEN ~~I~® ~V ~~~ ~ ~ 2oa~ Sas~d on my inquiry of those individuals I certify n ti , o responsii~le fzr eh;:~±ining the informa rr that l t?ave personally f la , ur?aer pen.aity o =~m,ned and am familiar with the information ex , submitjp~' anr~ '~.~~I;nvp 'h° information is true, accurate and camplet~. ~ - 5 7~ ~o - - Dat Signat~ re -1- 07/16/2007 n ~~, ; F RYAN CHIROPRACTIC = ~ Hazmat Inventory = ~ MCP+DailyMax Order = SiteID: 015-021-002190 ~ By Facility Unit ~ Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP WASTE FIXER R L 5.00 GAL Min -2- 07/16/2007 c=am ~--,~ ~. -3- 07/16/2007 r ~~ F RYAN CHIROPRACTIC SiteID: 015-021-002190 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME j CHEMICAL NAME WASTE FIXER Days On Site 365 Location within this Facility Unit Map: Grid: X-RAY PROCESSOR CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TWaste Ambient ~ Ambient -~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 5.00 GAL 5.00 GAL 5.00 GAL tic~~r~tcLw~ ~ul~iruiv~iv~l~ %Wt. RS CAS# Silver No 7440224 riAGA.KL A5~1=;~51~1~1V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -4- 07/16/2007 ~~ F RYAN CHIROPRACTIC SiteID: 015-021-002190 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 02/28/2001 ~ ALL FITTINGS AND CONTAINERS IN X-RAY DEVELOPING ROOM ARE CHECKED DAILY TO ENSURE PROPER FIT. INSPECTION IS MADE FOR LEAKS OR CONTAINERS BECOMING MORE THAN HALF FULL. Employee Notif./Evacuation 02/28/2001 CALL OFFICE OF ENVIRONMENTAL SERVICES AND SIGMA MEDICAL IMAGING WHO HANDLE DEVELOPER AND WASTE REMOVAL. Public Notif./Evacuation 04/18/2006 DR RYAN IS RESPONSIBLE FOR MONITORING AND NOTIFICATION. ANY LEAKS OR SPILLS ARE IMMEDIATELY RELAYED TO DR RYAN. Emergency Medical Plan 02/28/2001 CALL 911. -5- 07/16/2007 ~y,~ y F RYAN CHIROPRACTIC SiteID: 015-021-002190 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 02/28/2001, ALL MATERIALS ARE CONFINED TO DEVELOPING ROOM AND ARE SEGREGATED IN SEPARATE CONTAINERS. Release Containment 04/18/2006 WASTE IS STORED IN A CONTAINER THAT CAN ADEQUATELY HOLD ALL WASTE, EVEN IF DEVELOPER WERE COMPLETELY EMPTIED. Clean Up 02/28/2001 CALL SIGMA MEDICAL IMAGING WHO HANDLE ALL DEVELOPER NEEDS. WASTE IS REMOVED EVERY 4-6 WEEKS BY SMI. Other Resource Activation -6- 07/16/2007 r.~, F RYAN CHIROPRACTIC SiteID: 015-021-002190 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ o~c~.iai nac.aiu~ Utility Shut-Offs 05/29/2007 ELECTRICAL - W END OF HALLWAY REAR ENTR S WALL WATER - BATHROOM W END OF HALLWAY Fire Protec./Avail. Water 01/11/2007 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER S WALL HALF WAY DOWN HALLWAY. NEAREST FIRE HYDRANT - FRONT OF BLDG NEAR ENTR TO SHOPPING CTR OFF ROSEDALE HWY. Building Occupancy Level 1 EMPi,OYEE 03/28/2006 -7- 07/16/2007 ~~ h , F RYAN CHIROPRACTIC SiteID: 015-021-002190 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 01/11/2007 ~ MSDS SHEET IN THE DEVELOPER ROOM BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES ARE TRAINED AS TO MATERIALS USED IN DEVELOPER. ALSO TRAINED TO INSPECT FOR LEAKS, SPILLS, AND CONTAINERS THAT ARE GETTING FULL. THEY ARE TAUGHT TO NOTIFY DR RYAN IMMEDIATELY WITH ANY CONCERNS OR PROBLEMS, AND TO CONTACT SIGMA MEDICAL IMAGING WITH ANY QUESTIONS OR CONCERNS. ruyc ~ Held for Future Use Held for Future Use -8- 07/16/2007 .r .,. + RYAN CHIROPRACTIC ___________________________________ SiteID: 015-021-002190 + Manager Location: 2701 GALLOWAY DR 402 City BAKERSFIELD BusPhone: (661) 589-3427 Map 102 CommHaz Minimal Grid: 20C FaCUnits: 1 AOV: CommCode: KCFD STA 65 SIC Code:8041 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title DR JAMES D RYAN / OWNER SMI / X-RAY TECHS Business Phone: (661) 589-3427x Business Phone: (661) 861-9729x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React Contact Phone: (661) 589-3427x MailAddr: 2701 GALLOWAY DR 402 State: CA City BAKERSFIELD Zip 93312 Owner DR JAMES D RYAN Phone: (661) 589-3427x Address :2701 GALLOWAY DR 402 State: CA City BAKERSFIELD Zip 93312 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: ~ RSs: No ParcelNo: Emergency Directives: ~ PROG A - HAZMAT PROG H - HAZ WASTE GEN EN~~ APR 1 ~ X006 Based on my inquiry of those Indlvlduala responsible for obtafning the Information, I eertlfy under penalty of law that I have R®rsonally examined a.nd am familiar with thq information subm' ted and believe the Information is 4rue, accur te, and compf au„9.4 ~ - ~-(~C~ Sig ature Date -1- 03/28/2006 ,• ?~ 1~ UNIFIED PROGRAM INSPECT~I®N CHECKLIST ~ki~-.,:a. ::G3.a'~s-s;~'M:,5~4.. ut5 g ~..,.,:.cr .<.-.. .: M~t.c~~s.. -r.:,. A, .!. ..-: :.,,. _>....,.rs., ...,... _, .;,n^. SECTION 1: Business Plan and Inventory Program BAKERSFIELD FIRE DEPT Prevention Services ~/tl 900 Truxtun~Ave:, Suite 210 ~R>r~1 ~ Bakersfield, CA 93301 ''~ Tel.: (661) ' 326-3979 Fax: (661) 872-2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ~ ~ ~~ ' ADDRESS HONE NO. O OF EMPLOYEES G ~- FACILITY CO TACT USINESS ID NUMBER 15-021- /Qi7i /l/' "'_ 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 ^ BUSinBSS 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 L~ ,1~1 ^ VERIFICATION OF HAZ MAT TRAINING , \ j~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND CEDURES 1~ ^ EMERGENCY PROCEDURES ADEQUATE / \ ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING I~ ^ FIRE PROTECTION /~ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDO/~US~,W. AST~E ON SITE? ~°YES ^ NO EXPLAIN: ~ •! r~/s / l r ~ __- _ _ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 I spector (Please Print) Fire Prevention / 1s' In /Shift of Site/Station # White -Prevention Services Yellow -Station Copy Pink - Business Copy FD2049 (Rav. 02105)