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