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HomeMy WebLinkAboutBUSINESS PLANii AT THE OAKS PET HOSPITAL '' ii 9887 CAMINO MEDIA ~s ~~ - AT THE OAKS PET HOSPITAL SiteID: 015-021-002245 Manager Location: 9887 CAMINO MEDIA City BAKERSFIELD CommCode: BFD STA 15 EPA Numb: BusPhone: (661) 665-8950 Map 123 CommHaz Low Grid: 06D FacUnits: 1 AOV: SIC Code:0742 DunnBrad: Emergency Contact / Title Emergency Contact / Title TEG SIDHU DVM / OWNER / Business Phone: (661) 665-8950x Business Phone: ( ) - x 24-Hour Phone (661) 345-5828x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: - Fire Press ImmHlth DelHlth Contact TEG SIDHU DVM Phone: (661) 665-8950x MailAddr: 9887 CAMINO MEDIA State: CA City BAKERSFIELD Zip 93309 Owner TEG SIDHU DVM Phone: (661) 665-8950x Address 9887.CAMINO MEDIA State: CA City BAKERSFIELD ~ Zip ~: 93309 - ' Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT ~N~~ ~~~ ~ ~C~p~ QaJed on my inquiry of those individuals the information, I certify responsible for obtadning f law that I have personally under penalty o ue t o ~ 'I , r is nformation exa the ~ bel feve m fitte b d an su complete.. accurgte~ a~ _v mate ----- . Signature -1- 06/29/2007 7 Y F AT THE OAKS PET HOSPITAL SiteID: 015-021-002245 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP OXYGEN F IH DH G 498.00 FT3 Low NITROGEN F P IH G 200.00 FT3 Min -2- 06/29/2007 -3- 06/29/2007 F AT THE OAKS PET HOSPITAL ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME OXYGEN Location within this Facility Unit TREATMENT RM SiteID: 015-021-002245 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: 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 I Daily Average 498.00 FT3 498.00 FT3 498.00 FT3 tiH~HtcLVUJ ~Vi~irViv~iv~1~J %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 riHGHKL HJJ~JJr1~lY1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME NITROGEN Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 7727-37-9 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas TPure -Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Co200100rFT3 Daily 200100m FT3 I Daily 200r00e FT3 i1HL~HiCLVUJ 1.V1~lYV1V~1V1J %Wt. RS CAS# 100.00 Nitrogen No 7727379 riEiGHKL HJJ~JJ1~1~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min -4- 06/29/2007 F AT THE OAKS PET HOSPITAL SiteID: 015-021-002245 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ s-~y~llcy 1VV1.111Cd1.1Vi1 Employee Notif./Evacuation Public Notif./Evacuation Emergency Medical Plan -5- 06/29/2007 F AT THE OAKS PET HOSPITAL SiteID: 015-021-002245 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention Release Containment l.1Cd11 V~J V 1.11C 1. i'CC .S'V Ul. (.:C liC: l.lVdl.1 V11 -6- 06/29/2007 F AT THE OAKS PET HOSPITAL SiteID: 015-021-002245 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ aNc~:.Lal. na~aiu~ Utility Shut-Offs Fire Protec./Avail. Water Building Occupancy Level 12/28/2006 13 EMPLOYEES -7- 06/29/2007 .~ ::- F AT THE OAKS PET HOSPITAL SiteID: 015-021-002245 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training rage ~ nclu Lvi r u~. u.CC V.~. C Held for Future Use -8- 06/29/2007 Bakersfield Fire Dept. UNIFIED PR®C;RANI INSPECTI®N CHECKLIST ~; Enironmentai Services ;~ _ ~ ~ ~ ~ s ,- ~ 1715 Chester Ave . SECTION 1 Business Plan and Inventory Program Bakersfield, CA 93301 ~'~ Tel: (661)326-3979 FACILITY NAME ~ INSPECTION DATE INSPEC ION TIME ADDRESS PHONE No. No. of Employees - 9~ ~-_C.~~_ ~?~d_~ --- ----------- - ------- --- GG.~__~_~~_ o_ _ __ - ~ - FACILITYCONTACT Business ID Number Taw ~~ ~~ .'~ i s-o2 i - ~'~'~ 5 Section 1: Business Plan and inventory Program ^ Routine ^ Combined ^ Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection C V \V=Vioationncel OpERATBON J COMMENTS ^ PERMIT ON HAND APPROPRIATE ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ------ ---- 1~ - ------------------- VISIBLE ADDRESS ~^ CORRECT OCCUPANCY ---- ,,( dO~ ^ VERIFICATION OF INVENTORY MATERIALS _ - ~ ~ ~C J /-~~yY f ~ ~ ~ ~ 7i' C• S` ` ~^ ---- VERIFICATION OF QUANTITIES 1 ------------------ ____ ______ . -..---- - ----- -__..-_ - I VERIFICATION OF LOCATION PROPER SEGREGATION OF MATERIAL /(?' ^ VERIFICATION OF MSDS AVAILABILITYE ^ VERIFICATION OF HA~MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ENT'D MAR 15.2(?~~ ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ~ - --- ^ ----------------------------------_------- --- SITE DIAGRAM ADEQUATE & ON HAND I - -- --------- --- ------...__.... ---------------- ------ ----_ ANY HAZARDOUS WASTE ON SITE: ^ YES ~NO EXPLAIN: No f~~/T~~/~ T ,CAR. o v ~i~/~l~P/l~~y "'~ J ~OC,r /~~ -j'N' j~~G. ¢~_ 1 ~6~~ sr~'Y~ F~d~-z .~l~iDi'~~ti ~i ~LC~S' ~~~r~ ~ ono ~ 7 ~v'p ~ ~ ~,~~~~ /tJ~ .~j<%C~X~ QUESTIONS REGARDING THIS SPECTION? PLEASE CALL US AT ~66'I ~ 3X-3979 _- -- ~~_--- ------~i--i~~--- ~'~~----- k spector lease Print) Fire Prevention 1st-InlShift of Site Business Site Responsible Party (Please Print) N White -Environmental Services Yellow -Station Copy Pink -Business Copy -. UNIFI-ED PROGRAM INSPECTION CHECKLIST ~ ~ Prevention Services R e R s-P I ~_D 900 Truxtun Ave., Suite 210 _~~mm__~ - _ _ ~~.:-~ ~_,~~.. ~ ..~ ~ ~~.. ~_~..~.~ A~ ~.~~~~ ~~~_u::. - ~~.~~,~... _~ _ FaiRE - ~ Bakersfeld, CA 93301 SECTION 1:. Business-Plan and Inventory Program aRrM TeL: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME ~ ~ - INSPECTION DATE INSPECTION TIME - - //- 2 c/-D (, - / Ste, ~:,,. ADDRESS PHONE NO. NO OF EMPLOYEES 66 FACILITY CONTACT - -- SI ES ID NU ER ~ ' ® S 15-021- pp ' :. ~- Section 1: Business Plan and Inventory Program ' ~~~ ^ ROUTINE COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION ~-~ C V ~ C=Comptiance~ OPERATION V=Violation COMMENTS ^ ^ APPROPRIATE PERMIT ON HAND ~ ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ~ ,_ / YQ ^ VISIBLE ADDRESS f? 7 ^ CORRECT OCCUPANCY ~ / ~J ^ 'VERIFICATION OF INVENTORY MATERIALS ~~y~ ~~~~TC fI~YEI~I~D~ ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY G/~GC C-7E'T Flro/Lf OQJ/STR/glgTo,/Z ^ IeIY VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ~.~ \ O ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES IYd N~ EXPLAIN: I eyL1N1~E/~f /r~P C`N /~t3, /gza~~fluS osg~%~~7~F~l~, ~~i ~ierr~~ .~ „... QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~1reaaFC, T~+~n/c ~'ENt:~iN~~IS"~ ~4f!!~ Inspector (Please Print) Fire Prevention / In /Shift of Site/Station # White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09105