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Home My WebLink AboutBUSINESS PLANR ii~~FLD ENDOSCOPY CENTER ~/ ~4U8 COMMERCIAL WAY __ ___~ ~J __ $AKERSFIELD ENDOSCOPY CENTER Manager ROBERTA LAUGHLIN Location: 1408 COMMERCIAL WY City BAKERSFIELD SiteID: 015-021-002323 BusPhone: (661) 327-4455 Map 102 CommHaz Moderate Grid: 25B FacUnits: 1 AOV: CommCode: BFD STA 11 EPA Numb: SIC Code:8011 DunnBrad: Emergency Contact / Title Emergency Contact / Title RAMESH GU PTA MD / MEDICAL DIR / Business Phone: (661) 327-4455x Business Phone: ( ) - x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Contact DEBORAH DURIN Phone: (661) 327-4455x MailAddr: 1408 COMMERCIAL WY State: CA City BAKERSFIELD Zip 93309 Owner RAMESH GUPTA MD Phone: (661) 327-4455x Address 1408 COMMERCIAL WY State: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK ®®~~ ~~yy yy ~~ g q'7 1'~~tll ~~I~ ~+ ~ ~~~+~/ inqu~rY of those individuals 4 certify tion m ; , y on the infiorma Based • ersonally responsible for obtaining ~ that 1 have p under penalty of la« rmat on is true, d f eil o examine the re and believ itted subm lete. ccurate, and comp a LL pate Signature -1- 06/29/2007 F BAKERSFIELD ENDOSCOPY CENTER SiteID: 015-021-002323 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... ISpeCHazIEPA Hazards) Frm I DailyMax IUnitIMCPI DIESEL L 60.00 GAL Low COMPRESSED AIR G 250.00 FT3 Min -2- 06/29/2007 -3- 06/29/2007 ;~. ~ .~ F BAKERSFIELD ENDOSCOPY CENTER ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME DIESEL Location within this Facility Unit OUTSIDE N SIDE OF BLDG (BACK-UP GEN) Days On Site 365 Map: Grid: CAS# Liquid TMixture ~ Ambient~E ~ A~PeRATURE ABOVEOGROIINDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 60.00 GAL 60.00 GAL 50.00 GAL - ru-~~r~tcLVUS ~vi~irviv~lvla %Wt. RS CAS# 100.00 Fuel Oil No. 1 No 70892103 t1AGHKIJ 1~5~i;JJ1~1J'~1V 1 7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Low ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME COMPRESSED AIR Days On Site 365 Location within this Facility Unit Map: Grid: PROCEDURE EQUIP CLEAN-UP RM CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Gas TMixture Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 250.00 FT3 250.00 FT3 250.00 FT3 nt~aytcL~u~ tr~rirvtvnlvla %Wt. RS CAS# 100.00 Air No 0 riE~GEiKL 1-~~7.7~J.71~1C,1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / Min SiteID: 015-021-002323 ~ Facility Unit: Fixed Containers at Site ~ -4- 06/29/2007 F BAKERSFIELD ENDOSCOPY CENTER SiteID: 015-021-002323 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 02/22/2007 ~ CALL 911 Employee Notif./Evacuation 02/22/2007 ALL EMPLOYEES WILL BE NOTIFIED BGY THE PAGING SYSTEM AND WILL USE OUR EVACUATION PLAN. Public Notif./Evacuation N/A 02/22/2007 Emergency Medical Plan 02/22/2007 WE HAVE RNS AND PHYSICIANS THAT WILL TRIAGE UNTIL EMERGENCY PERSONNEL ARRIVES. -5- 06/29/2007 ~~• F BAKERSFIELD ENDOSCOPY CENTER SiteID: 015-021-002323 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention -- Release Containment t.1GG11 lJl.! Other Resource Activation -6- 06/29/2007 F BAKERSFIELD ENDOSCOPY CENTER SiteID: 015-021-002323 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ J~JCU1d1 nd~dlu5 Utility Shut-Offs THERE ARE EMERGENCY SHUT-OFFS 02/22/2007 Fire Protec./Avail. Water FIRE HYDRANT IN FRONT OF BLDG. 02/22/2007 Du11U111t~. VI: I~U~Jdlll:y LCVC1 -7- 06/29/2007 J~ _~ ;~i F BAKERSFIELD ENDOSCOPY CENTER SiteID: 015-021-002323 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 02/22/2007 ~ BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES ARE TRAINED BY OUR HAZARD COMMUNICATIONS PLAN. WE DO INSERVICE YEARLY. rayc ~ nClu tVL rULULC U.5'C nciu tvi rul.U1C u5C -8- 06/29/2007 -`~ - 7 BAKERSFIELD ENDOSCOPY CENTER Manager ~vl~-,-~~ /~t,u yh~"'~' Location.: 1408 COMMERCIAL WY City BAKERSFIELD SiteID: 015-021-002323 BusPhone: (661) 327-4455 Map 102 CommHaz Moderate Grid: 25B FacUnits: 1 AOV: CommCode: BFD STA 11 EPA Numb: SIC Code:8011 DunnBrad: Emergency Contact / Title Emergency Contact / Title RAMESH GUPTA MD / N!-ev~~~~ .~~~"tCfor~ / Business Phone: (661) 327-4455x Business Phone: ( ) - x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x ............... Hazmat Hazards: Contact la-ewr~4k- pw~~~J Phone: (661) 327-4455x MailAddr: 1408 COMMERCIAL WY State: CA City BAKERSFIELD Zip 93309 ... Owner RAMESH GUPTA MD Phone: (661) 327-4455x Address 1408 COMMERCIAL WY State: CA City BAKERSFIELD ~ Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif ' d: RSs : No ParcelNo: .............. Emergency Directives: PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally ~N~t~ ~ ~ ~ ~~~ examined and am familiar with the information submitted and believe the information is true, accurate, and co lete. ~~~Zvf-~ J o7 ~~0 ~ Signature Date -1- ~O1/25/2b07 r, ~ F BAKERSFIELD ENDOSCOPY CENTER ~ Hazmat Inventory ~ MCP+DailyMax Order = SiteID: 015-021-002323 ~ By Facility Unit ~ Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit 1t+ICP DIESEL L 60.00 GAL Low COMPRESSED AIR G 250.00 FT3 inn -2- O1/25/2i~07 a -3- Ol/25/2b07 r, F BAKERSFIELD ENDOSCOPY CENTER SiteID: 015-021-002323 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME DIESEL Days On Site 365 Location within this Facility Unit Map: Grid: OUTSIDE N SIDE OF BLDG (BACK-UP GEN) CAS# STATE TYPE ~~ PRESSURE TEMPERATURE LiquidMixture I Ambient ~ Ambient CONTAINER TYPE ABOVE GROUND TANK AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 60.00 GAL 60.00 GAL 50.00 GAL HAZARDOUS COMPONENTS °sWt. RS CAS# 100.00 Fuel Oil No. 1 No 70892]:3 t1E~G.'-1KL Ha 5~5J1~1r,1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCA No No No No/ Curies / / / Lava ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME COMPRESSED AIR Days On Site 365 Location within this Facility Unit Map: Grid: PROCEDURE EQUIP CLEAN-UP RM CAS# STATE Gas TYPE PRESSURE TEMPERATURE Mixture Above Ambient Ambient CONTAINER TYPE PORT. PRESS. CYLINDER , AMOUNTS AT THIS LOCATION "" Largest Container Daily Maximum Daily Average 250.00 FT3 250.00 FT3 250.00 FT3 ru~GtatcLVU~ winrviv.~ly 15 %Wt. RS CAS# 100.00 Air No 0 tlE~GE~tC.L H~7.7 L" .7 J1~1L' 1V l TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MC1~ No No No No/ Curies / / / Min -4- O1/25/2d07 F BAKERSFIELD ENDOSCOPY CENTER SiteID: 015-021-002323 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification ~~r,,.~~~y l,,l ~~ Gee ~l/l = Employee Notif./Evacuation ~ ~ .,e ~u~ Lv y.e e. uJ _i_ ~ - r /~ rU)„/11~.. LYV I..lt . ~ L' V0.l...U0.1J1V11 ~// emergency i~ieaical rlan ~~ ~~ ~5 ~ ~,c,~e~-c_a~ ,t~~-Cam G~-~ ~~-" ~" 0 . -5- O1/25/2b07 ;~ .; F BAKERSFIELD ENDOSCOPY CENTER SiteID: 015-021-002323 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention Release Containment 1.100.11 ut/ V 1~11G1 LccavulVC 1-11: 1.1VQ1..1 V11 -6- 01/25/2007 F BAKERSFIELD ENDOSCOPY CENTER SiteID: 015-021-002323 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ Special Hazaras Utility Shut-Offs Fire Protec./Avail. Water Building Occupancy Level -7- Ol/25/~b07 2'" ~' ~ '- F BAKERSFIELD ENDOSCOPY CENTER SiteID: 015-021-00233 ~ - Fast Format ~ ~ Training Overall Site ~ ....... ~ Employee Training a~ ~~~-~~ a.~w rdye nclu ivi r ul.uLC VAC nC1u lUl ru~ur~ use -8- Ol/25/~007 Bakersfield Fire Dept. Enironmental Services UNIFIED PROGRAM INSPECTION CHECKLIST ,.- ~. ~~:~,~ - - 1715 Chester Ave SECTION 1 Business Plan and Inventory Program Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME INSPECTION DATE INSPECTION TIME - --- --~iq~gSF_!~Q -~ ~®Os-COP-~-- -~ ~}-~+ 1 -~- -~ ~~-~-- -- ~ ~ -__ --- ADDRESS /-1 a tl 1 ~~~ HONE No. Na. of Employees FACILITYCONTACT Business ID Number QE~~i~ ~ u~x~ ~I 4 15-021-Qfj Section 1: Rusin®ss Plan and Inventory Program ,Routine ^ Combined ^ Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection C ~ IV=Vioationnce~ OPERAT60N COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION r ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITYE ^ VERIFICATION OF HAT MAT TRAINING ~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE f~ ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE: ^ YES ~ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661 ~ 3Z6-397J .~~ --- ---1;N-, -,~r~~--------------~~=-1~ -------- Inspector (Please Print) Fire Prevention 1st-InlShift of Site White -Environmental Services Yellow -Station Copy ~. 'Business Site Responsi ItS a Party (Please Print rn N Pink -Business Copy ~ `~: + BAKERSFIELD ENDOSCOPY CEhTTER ________________________ SiteID: 015-021-002323 + Manager Location: 1408 COMMERCIAL WY City BAKERSFIELD BusPhone: (661) 327-4455 Map 102 CommHaz Low Grid: 25B FacUnits: 1 AOV: CommCode: BFD STA 11 EPA Numb: SIC Code:8011 DunnBrad: Emergency Contact / Title Emergency Contact / Title RAMESH GUPTA / MD / Business Phone: (661) 327-4455x Business Phone: ( ) - x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Contact Phone: (661) 327-4455x MailAddr: 1408 COMMERCIAL WY State: CA City BAKERSFIELD Zip 93301 Owner RAMESH GUPTA MD Phone: (661) 327-4455x Address 1408 COMMERCIAL WY State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~ PROG A - HAZMAT PROG T - ABOVEGROUND STOR1'~GE TANK ENT'D M~~ ~7 2Q~96 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 believe the information is true, accurate, and complete. Signature Date -1- 03/03/2006 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan anti Inventory Program • Prevention Services F a s F , ._„ A - 900 TYtzxtun Ave.,' Suite 210 _ Fine Bakersfield, CA 93301 aer~ t Tel.: (661) 326-3979 2171 872 F 661 - ax: ( ) FACILITY NAME ~ 3 (~ ~ ~ INSPECTION DATE I l - a -off INSPECTION TIME ~ ~ ~ S ,-,~ o s ~ ~ M~ DI~E~ ~ ~ ~ M M ~R~I ~ / ~ [J/ PHONE NO. ~7 NO OF EMPLOYEES O _ FACILITY CONTACT BUSINESS I NUMBER ~~ ~~ 15-021- ~~ ~ --- - - _ Section 1: Business Plan and Inventory Program ~V ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND '(~, ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE E~ ~ /0 /f~ ^ / VISIBLE ADDRESS - ~®~~ I~ ^ 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 ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES ~ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661 ~ 326-3979 rn Inspector (Ple Print) Fire Prevention / 1s~ In /Shift of Site/Station # Business Site /Responsible Party lease Print) _ White -Prevention Services _ Yellow -Station Copy Pink -Business Copy FD 2155 (R - '---___-o.... _ -