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HomeMy WebLinkAboutBUSINESS PLAN 7/13/2007~.> ~~~, ~' ~`. s ~~~ ~~~~ ~~ Q. i~ i. ~I j CROSSTOWN CHIROPRACTIC -- L 2225 E STREET ~~ ,~ --_ 07!30!2007 16:02 661-324-0482 DR. SEARING PAGE 02/08 III` 3'i;~~iIle"~.rr~z.'.T~ic7i~'CiS. •~s~.... iZLa~~~. ' Ld4t xva. t ~ ~i& 7, ~.,7~C~'..' ..k" : z ~ Z ~ Vii' s ~'. ~.~ t:: C:.'-1 ~r J~~~~T~r~,?~EARTNG BusPliog .{6~~,~q.324--2142 . .22:25 E ST._ _ _...~. T,~._„~.~. .~~,~L..;-.,.~.A~,.....~+~~~~3....,.:_-TdLi n ti ma'1 ~t~yyy~~..r ~ .y.~~*~[11iv I~ SP.~kt1z~C Grid: pa.e~'a~~a.~24'T2~~ E..~~~a~...xG~~u D..,.._.-w._.._.._.._.~...~.,~_....,_._....._r... SzC Cc~ _ _ ~ 93 3 0 ~.,M,.-,._~._-- - J 1 ~'~,~r~: Corttaet / Title FsmergencyµCor~;~;rt :;;t?~ Title ,R SBARING / owrr~ f _ ..:.....FS]1S~~B.~..P~fJ]1~~..~.~~~~ '~~4..-..~1~2X..-......•...._. _...S1~1IlE:S~.~21~1LE.~...~._.~....~.. w...~_..____.._._..~r-.,,..... ~~'c~'ct:t{vp~ ~ - x ~4-Hour Phone { ) - x Fage~ Phone ( ) - x Pager Phase s { ) - x r -• ... •, N~.~tttat Hazards : Reset ~ ~Coxlta.Ct JULIANN£ R 3EAR3NG Phorie : (661 } 324 - 2 ~~ 2x ~ M~T.]„Addr:... 2225...E....gT ......... State .. .. . . . . 3 ~ ... . ity . . ............5'AKSRBFIELD ~ .... .. .... . .. .. ...... ............. ........ .. ................... ................ ....:........ ................ _...... ~i~O .:........~~3~1 .. .. .. ................................ f)t+rile7C DR JtJLZAIQNS R $E1~RING P$One: (~61) 324-2142~C :: ;"; `'.`" - , Address x25 SST States CA City : R~~~FIELD Zip 93301 period to TptalASTs: Gal prepar~:r ::. - TotalUSTs : Gal Certif ~. d: RSs : Nc~ E'arcelNsa : Emergency Directives: PR4C~ H : - .~ w~sT~ c~ ENT'D J l~ L 3 ~ ~q07 -i' ' •';{:' Si ;- n'1`;,rrll;;t;~Y.'^. I rr.f,IiV } h,;'....,. ray ,w,;-,,,< ;!i~, ;nt~rm,;a'icn l_ ;r,~a, ... ,~ ,.,;~; •~i,. ~, °~i• ~ah.ire Flue ' : i.~ ;~ ~ ~,; .:~;~: ,1 . .. r ' _`,'~~ '~ -*- r r ! 7 07/10/x007 3 07/30/2007 16:02 661-324-0482 DR. SEARING PAGE 03!08 ' CROSSTOWN CHIRbPRACI'IC -- S~.telDz D15-D21-002977 HaZtllat Inventory Sy FaC~.lity IInit MCP+DaiiyM~uc Order Fred Coataineze at Site , Hazmdt Comrt~on Name... SpecHaz 8PA Hazards Frm Da.i3,y~tax Unit MC'f' 9PASTE FIXER R L 5.0 p t3AL Min' •' t ~,x i ' a~ : ~ . ~ '4,1 ~r:: ~~: a' .:(~ ' 1~. i . ; r ~ C /~ I L :S: .i ~; ~.. 1 ' n , . I. .~~~ T .. . i-ur. . ! . ~~_ ~~~ ,~. 'y+.. ~ x r ~.i. '~ Fii; 't'ic' `.:~~;: i. l F. • ~ ~ ~ i' '~, 5 r. 1 i, S ~ `.I~ ~ . , . i ±'~ jS.. ;~ ;i ;: ~. • a~;~J.,C~j~QrJ ~: :~: 1 07/1o/aoo7 ~ 3 07!30!2007 16:02 661-324-0482 DR. SEARING PAGE 04/08 F CRdSSTOWN CHIRpQRACTTC Sit,elD: 015-021-002977 ~ ~ Inventory Item, 0001 - Facility Unit: Fixed Cantainexs at Site q COMMON NAME / CfLFSMIGAL NAME WASTE FIXE]~ flays On Sate 3 55 Location within this Facility Unit Map: Grid: X-RAY RM CAS# Liquid Waste I "~~z~tURE ~ AmbieRATURE -~ST~CTCONT.A.INERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 5.00 GRL 5.00 GAL 5.00 CA'C. HAZARDOUS COMPONk~7'~'S - ~... $"Wt . Si~,ver RS CAS# No 7440224 kiAGAKD ASS~%SSMENTS TSecret RS SiaHaz Radioactive/Amount EFA Hazards NF'PA USDOI'#$ MCP No ~Ta No No/ Cuxzes R / / f Min -4- b7/~,0/2007 07/30/2007 16:02 661-324-0482 DR. SEARING PAGE 05108 F GROSSTOW~T CHIROPRACTIC SiteZD: 015-021-002977 ~ Fait Format ~ ~ Motif./Evacuation/Medical - Overall Site 9 ~ Agency Notificat~.on 04/06/2007 ~ N/A Employee Nata.£./Evacuation - 04/06/2007 N/A Public Nota.f./Evacuation --- p4/06/2007 N/A Emexgex~cy Medical Plan - - 04/06/2007 MERCY HOSFITA.L ENIERGEIiTCY -5- 07/10/2007 07/30/2007 16:02 661-324-0482 DR. SEARING PAGE 06/08 ~ CROSSTOWN CHIROPRACTIC SitelD: 015-021-Op2977 ~ ~ Fast Format ~ ~ ~iitigata.on/Prevent/Abatemt Ovexall Site ~ ~ Release Preverrti~n - 04/06/2007 q SEGQNDARY CONTATNM~7T Release Coxltairunent o4/p6/2007 SECaNDAEtY CaNTAINNiENT C1e3Zl, Up - 04/06/2007 ABSCRS WITH KITTY LITTER AND DISPOSE v~.11C~ ~C~SCJLLl'C:~ 1''aCLI.V3LIQI]. -6- p7/10/20p7 J 07/30/2007 16:02 661-324-0482 DR. SEARING PAGE 07108 F CROSSTOWN CHIROPRACTIC SiteID: O1S-021-002977 ~ ~ Fast Foarmat ~ ~ Site Emexgeric~r Factors Overall Site q ~~o~:.La~L na~ri{u~ Utility Shut-Offs - O~k/06/2007 GAS : WEND OU'T'SIDE ELECTRICAL: DOWNSTAIRS MEIJS RM Fire Protee./Avail. Water -- 04/06/2007 k'IRE EXTINGUISHERS Building Occupancy Level 04/06/2007 3 EMPLpXEES -7- 07/10/2007 07/3012007 16:02 661-324-0482 DR. SEARING PAGE 08/08 ~ CROSSTOiRN CHIROPRACTIC - SiteID: 015-021-00277 ~ • Fast ~'v]Cma'C ~ ~ Training Overall Site ~ Employee Training 04/06/2007 ~ BRIEF SUMMARY OF TRAINING PROGRAM: SAFETY 1"~EETING ANA MSDS rdye d t7 e t a L OI' k'U.tLlrE US E Held for Future Use -8- 07/].0/2007 ;r~' _,;~' 04-1900 03 ~ 09 P . 02 ~~ t i I ..- - -•-- - - - - . . -•-• --- -- :; :. ~ ~ ~~n ::. i ~TC_:c.c~Txc - ~i~e~: ox5-a~i-aoa97~ :~•.; ~: r:.DR IAISN~ R SE~~~G TT~u6£'h~sue: (~o~,) 324-242 '.i~ G~k~a;.gm}:;~, ~~.~ ~. ST Map = I02 C'oaun]3a8 M.matl ;I, _ ,'~~, ~ ~~•~ FLU Grid: ~wB ~'aCIIrei.te: 1 AO~T: ;~ ~~ ~~ ~ ~ ; ~: ~F17 ~STA O1 SIC C'.CdB: '= Brad: _ `~ ;;;:i ~~d~ :;r'' ''' '':~ `:~::i _ :~ `' ~ ti ~~ ~~ • A ~~'~' :; ..:; ~ ~.~ ;; ',`. ~. "• 4~ i. ' , •,... . ~:i. :: i'~~ -~~ `;:~' ~S ,~ :~'; •'•; . ~: ~i :?~ .+, . . ~ ~ 1 ~ 1~ 'y.. . d. ' ~ '~~ ~~~ Cdn • act ~ T~.*'Z~ Emergency Contact / Title ~: s / oc~ ~ F {6611 32~-2z92x Bttsi"lesas Phor~. ( ) - ~c ;, ( i - 3c ~ pager ~hoa]~ E ~ ~ x , ~ d~G'I~ : 1'2~dC~ s ~s~t ; .: I!R ICE R .4EAItxNG Phara~a : { 651 T 3 24 - 2142x ~` Zaa ~:; ~ s~ st~.~:~. c~ "~~, j:.. FIRZ,D dig 93~ta1. ~~ `~ ~ ~'~D& R a~BARZbTG ~-ktotae: (6611 X24-~1.51?.x ' ~ ~ ~ ~':` ~~2 ~ ST State: CA ~~, ~ • ~ ICU Zip 93~ 0~. 1~iQ~d. ° .: ~. i to ~~ Tat~t3A5Ts : ~ Gal ~~ s :~ i 7o3i3ST$ : GaZ ~. ~~ S 1 •~ ~•'~~ ' Ji~1SN Y~ - . ; I , I ~~ : ' ; ~.~ ... ~ . ~:' ~~ APR 6 2007 , j = i . ~~ i . ; . .. ~ • ' ~ , . i ~ ' ased on rRY inq+~!rY 9~ thost~ lddiviatfA~t ~., aAOr+~ f ee+MY ' • ~ ~ ~e br aE~~~ 9 } a~pet8liy user penAtty p7 lew tRaY h11~ 0 ~ ~r,oglpr. ' ~ gxarnKced ana arr San~lisr ~r+1h iti~h8~ ~~ bgli~vb '~1B 1~~flr!l+311C:1 15 ~1'q2, i ~ I nd accarate, a ~:p1e98 i . i .: , r i • ; ~ . ste ~8dx:re I ~ ~ ~ / ~ { • i , ~ ' I .-.. ~~ --_ ~1411T c I ..... , ..,~.,: ; ~3C~~7C' t~~'~ai1P .f ) -- ;.:..., tea ~. ~_ ~:~~~: F 21 ~ E ~T der : ; ~~~. i2cd:: v ___.V...._,...-....._.__.__.._._.................._........._.....__...... _............._...._...-__ __._._ .~ ~~ te~1.01:~2'~2~x~~977 - t: ~. t *'~ ~ CA BusPho~e-~; (6~~~~~_324-2142 {( .e~~ ~ ~ Sz:;~:, ~~O Grid: ~p~.e Fa~~~~~$3241? ~~ F ode : * H~~~~, ~~,U SIC Co~l~ ; ~ ~ 3 ~ 1 ~~~~~~umb:.....w.w-.._...._.............._ .. __.___..~-....._.~..__-.......~_.....-._........_..I2uu~Araj3:._._......__.......-........ _~__._---__._......._........ .~'9Q~~: Contact / Title ~~~R SEARING / OWNER ~~~ s ~ nA Q a .P,hone.;M_.1f.61.).....324.:.2142x ~,.. ~. 'c~~'.~ee~:i~ves ~ x Pager Phone ( ) - x s r -- .. .x ^..r Hazmat Hazards: Emergency Con~;~t wi, ~ .~.Suaa.nes~._.Phaae~....,.~,..._....a... 24-Hour Phone ( ) Pager Phone ( ) React Title ~_..__..~s. - x - x ECnntact JULIANNE R SEARING Phone: (661) 324-2142x MailAddr: 2225 ST E . State: CA . .._ _ ~ City" _ ... .. _....._ _ BAKEI2SFYR~_., ..._ - > . - - Zip , 933'1_._ Owner DR JULIANNE R SBARING Phone: (661) 324-2142x ;Address 2225 8 ST State: CA !City BARERSFIELD Zip 93301 Period : - to TotalASTs: = Gal ~Preparer: TotalUSTs: = Gal 4Certf~d: RSs: No ~ParcelNo: {Emergency Directives: ~PROG H - HAZ WASTE GEN ~ ~~~~ C, .. i'. i:~F? ....~ ~~,- rl' ; 'il<^^~ iili!?,~lµii=l~,+[!'' ~ C C?1,"}~ '.~:~.. gin,,..;#.y~ ~ 4s~~r, #h~# ; ?~ <+n~ r~ ~'_ot~a41', -u~ r,':~. o., r:r~ :t i-!'? ~ty-l.rhp{i~~ ! ',f li, ~Y ~ i" . t.,.: ..~ %s. ~ r. ! ..,t;. R;, i'? 1 FGCfT1~ i:{^.E ~;i t...?"1'!~'""r? _~?"pit ;;ali(-31/t; i!h E5 !!`tf:?iiEl`c71lpi'! iS #iU."., r2::Cli'.'~1#c,, it11i;1 CCJI'(~S>iC3#s;'. ~~~~ ~ 3 0~ ~„r r ~ .F ' f '. t.- -1- 0~/10/200~ CROSSTOWN CHIROPRACTIC SiteID: 015-021-002977 Hazmat Inventory y acili~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 (~`` q ' ` °11 . R„T .-.. 5.t 7 A .A. 3 7 < ~Sn h1 7~ ~_~n~GTnwnT ('HTRnPRAC"TTC S1tPID• 015-021-002Q77~ ~ 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 RM CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TWaste ~-Ambient ~ Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 5.00 GAL 5.00 GAL 5.00 GAL r~~s~tu~w5 wMruNr~N~l~a ~Wt. RS CAS# Silver No 7440224 tiAGEiKL K.5'.S15a~MJ,S'1V'1~5 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT## MCP No No No No/ Curies R / / / Min -4- 07/10/200', _ F CROSSTOWN CHIROPRACTIC SiteID: 015-021-0029773 • Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 04/06/2007 N/A Employee Notif./Evacuation 04/06/2007 N/A Notif./Evacuation 04/06/2007 SitelD: 015-021-002977 ~ - Fast Format ~ ~oDP- 04/06/2007 ~ Mitigation/Prevent/Abatemt ~ Release Prevention SECONDARY CONTAINMENT' na /(16/2007 ..~, --• Release Containment SECONDARY CONTAINMENT Clean Up -~ ABSORB WITH KITTY LITTER AND DISPOSE 04/06/2007 ~I Other Resource Activation I 07/10/2~~ -6= CHIROPRACTIC SiteID: 015-021-002977 ~ -- Fast Format ~ ~ Site Emergency Factors ~ Special Hazards Utility Shut-Offs GAS: WEND OUTSIDE ELECTRICAL: DOWNSTAIRS MENS RM 04/06/2007 Fire Protec./Avail. Water 04/06/2007 =I FIRE EXTINGUISHERS Building Occupancy Level 04/06/2007 3 EMPLOYEES -7- 07/10/ IC SitelD: 015-021-002977 ~ - -- ~ Training Overall Site ~ ~ Employee Training 04/06/2007 ~ BRIEF SUMMARY OF TRAINING PROGRAM: SAFETY MEETING AND MSDS rays c, Held for Future Use -8- 07/10/20 ,, ~~'I !'F' . .~ ; ` ~ ' ;. iaa _ , ,~ ~ • ~i~ .'' }I;i: •:. •; ~;. ~ r•i~ 1' ~! ~ ~ .:. ,. 1. ~., i.Y s. ~, ::~+ r :.~I :~' I , ; ~• ,. ~~. . ~ • ,•. i; ~.~ ~• ~i ~ 1 ~ ]` . i f ~i~ ~ • i . A• ~..F~ .i" ;.. I y',:: ::.~ ,i• }} 1•~:~ ~ ' ':~. ;. _~ ~I I~~ '1 ! I ~ ~: _ ~, )i i ! :1;~~~. 3 I . . .~;,.:' ~ ~ ~ ; ; .~!• ~~ I , . s .~.;,v '. ~ . ' ~.. , ' 3 ages •;~~~ . ~ • - - •• • •• •• •• • •+ • ~ a refut, v:;IY I W iV t iLX ~6TV9~' P.03 ~-~~ri~ 5~.~8I~s O1S-~~~ -002917 ~ ~rd~r ~ By ~8tcilZt~r Viaa.t q -- _-- ~-ixad c~cmtre at Site ~ .an Name... SPeaHa~~BPA Ha~a~rd~ Fxtia ~ Dei2y~[ax Ctait MCP ~ L .16 . DO dIAI, bQf.~ _z.. a~/~5/~ao~ .rr cvr ~vv r ~ : Yd 1'AU~ VVtiI VZ(] t'8X ti~r'Y8l P.04 ~~ ~ - _. rim 9itel~: 0~,5-QZ1-00297'7 ~ ~~•~, :~:::.., I em~ OOOZ 9aciiit uiaa.t: Fi~aecl to ~ •'• :il / C'~~AF, b~1M$ Y Ck~t~tx~8 at Si ~:. I _Y' •~~~ I. ~ .,_ • ~' ...; : ; ; 44 ' cid~ ~ ~ • was e i~ • . ;.: ,. " • ~ `~' ;,; ,. i ~t CaAta i i Days Oa ~i~e 369 dais Pac=lily t7n3t Mai: 4rid: ~# ~835[AtE 1'EM.i~,7~RE Ambient__ ~ A'a~Uiea~ STS leis T~G$ ~CAT'~ON D~i.Iy Maximum s . oo c~nr. ~ ITS Z'YP~ PLA~TTC C'ONTAI~IBR Y13I.1.~' 3l't-~rS~ s.n~ ~, ~ s . oa c~- :::~, •~ ~ ' ,, :.i~ ,~~ ~. ~~ r .I:• I ~V:Li~~ii . A ~ ~!• , rr~'• .a; . ,,. , s~ . ~: ,,. ~'~ ~ ; : _ ;•;•:.;. l . ' l ` +; .~ ~ I j `:3i ~ • I ~• 1 ~ '~ ~' r .• •~: . :'+ ~ i i • ~ 1 . I ~•. ;~~ .; ~~ ~ ~ :~ ~ i i ' ~ ~. ~ 1 ~ I ~ ' ' i . ~~ ' ))f ~ ' ~ i 1 i I ~ . i ~' t Y; Ii ~ ~. ~. ~ _! iiii ~ ~ '' , ,i::•e: ;' ~~ ~~~ ~'O 7444Z2~ ~]_~'^ y. ~S H~ZA~1,7 ASSESSh~]~~~5~~~I .Y~4 L~ Y ~~~V 1.I.if ~ ~~ J.~f~~Ki LA 3~0/ Vies R -4- r f 1 pia ~3j26j~Ufl7 L SEP-04-1900 03 11 P.05 • j r;~i~LL411,~'iA,.. ~ J1 GG71f ~VV I ~: ~~ ~~J~' ~~•~~~3.~ ~•a~ r~~~~~ ~, ~ i "1: ~ : ~ i ~: .. ,. ., _ ' :.~t i .i . ••.; ~c~rz~ sitern: d15-oar.-.vaZS7~ ~ •~'~ / da.cal i . .t1~~.~'~~1~a~ ficaLiflu Dve~a~.I Site `'{' ~;: . :~ ~~/ ;~' ~. '~a,: i Y••;~' ~~~ ~: I. ! i:: ~~' :' :.;, ~. .•,~ ~' l;: 1.' ' ~, 7 ~.b1~ee ~~7~i ~ . /C1],Sticm _ I. is i if .~ Y i i .I .. ~ <s'~ r'.i', ~ :::.1 ~ ~ ~ ~.~ .~: ::;. i.,• ~.• I ~~~; 4~ ...~'a': 3. ; .. ~ I -r.;, . - - ~-~. ~~ ;~~~'' '_'r: ~:-'~~ . lEv~.caatic,n. Medical 1>ian ~ ~ i.°~' ~ I ~°~~ -5- o3/a6/aoo~ ~SEP-04-190 03 11 P.06 i• ~li M~'i YAi I V/ YV• V V V / V ~ iV ii'iML V V1iR+ Y+++ • +wr+ rfva • va . '~ I ~,' ~ I ' ~'. i ~f . E: , .~! ~ I i ~`~:;~•; „~°~cg c site~ri: nt5-oar.-aaa9~~ ~ .;: •'~ ~ Fort ~ .. ' ~ ' Ic~f Pr t f a~emt - z ita ~ •~•~~''~' a' ~ Ab irve ~Y S • ''":~. ~•: ...;:: ;'.~ ;: i ~.•'~ i„!: ~ I •1 . ~ ~ ... .•~ ~ ' I ry,~~ ',,ll_; l4ii~l~ti~ rr~ CG ~'~'~ ~ ., n ,,yam C-,;'l ~;_ 1 ~' ~ i1.'1 i / y j ~:~. ~~- •~~" .~:~: ::,. ;µ;,~;. ;,. , •:;; '' , L• 4 ~ tr^ i jjfVVrrr(( ~-~~ ~ / 7. :;I,: ~ ~ ~~~ 'SEP-04-1900 03 11 p, 07 .;: r. •ta•y.,. ten;. ~ „rd~ Luu r ~ : 4th PACE OQ5l034 ~'ax S~rv~r ..~:~~ .. ,, :. }~.. ~ _ •~ 3iteID~ 015-021-0029?7 ~ ~~ - ~ F~Ctors Foriuat ~ av~erail 5i~e q ~~~~~~~~ ~~~ ~~~ ~ -7- a~/~s/aoo~ ~SEP, @4-19@0 @3=12 ~ I ~ ~. ' _ ~ ~. `; i~ , . ~ . ,~ R.08 .,i z~f ~u~ r ;~ :4tf NAGS 0~010.l0 F,~X ~~TVE7T ~~yF.~,a.,~t ~'oxmya.~ ~ ~~ I: i~,~ i. 1' ~ ~ ti (~:''r 1.. ,' .,~; i.. `.c . , ~:..~ . .,,; ;,~.:. !! I'~F 1. ~y~!.31• i~ j i '~: f... ~` 11 ~' . ' _.. ' ~•t' -8- G3d2rMnn~ ,. _ :. ~SEP-04-1900 03 12 P, 09 :1,:.`i i. ~ . ,'..,.•~y. i .f 1 . ~~:; ~''~' , ~ - OIS•-021-00277 ~ ::~ r F3Gtor$ last Fo~.t ~ ~!~.:~ :.~.: s overall SYt~ ~ . c•. ~ ~ - ~~, Q3 / Z6 f ~Qq7 TOTRL P.09 ~. + CROSSTOWN CHIROPRACTIC ______________________________ SiteID: 015-021-002977 + Manager DR JULIANNE R SEARING BusPhone: (661) 324-2142 Location: 2225 E ST Map 102 CommHaz Minimal City BAKERSFIELD Grid: 25B FacUnits: 1 AOV: CommCode: BFD STA Ol SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title JULIANNE R SEARING / OWNER / Business Phone: (661) 324-2142x Business Phone: ( ) - x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React Contact DR JULIANNE R SEARING Phone: (661) 324-2142x MailAddr: 2225 E ST State: CA City BAKERSFIELD Zip 93301 Owner DR JULIANNE R SEARING Phone: (661) 324-2142x Address 2225 E ST State: CA .City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif ' d: RSs : No ParcelNo: Emergency Directives: ~ PROG H - HAZ WASTE GEN ENT J~ ®~ ZpD6 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 comp~te~, ~ ~ 0,6 `~so ~ -1- 05/31/2006 ~~~~® ,... ~~ DR. JULIANNE R. SEARING 2225 "E" ST (661) 324-2142 BAKERSFIELD, CA 93301 FAX (661) 324-0482 Bakersfield Fire Dept. UNIFIED PROGRAM INSPECTION CHECKLIST Environmental Services _;,~.4 ~° - ~ '"'"~~"`~`"` 900 Truxtun Ave., Suite 210 SECTION 1 Business ,Plan and Inventory Program Bakersfield, CA 93301 Tel: (661) 326-39'~e FACILITY NAME INSPECTION DA E INSPECTION TIME C:(L~s~-I?TJ;..-~1 C~:cr4'j~p-Ja'riC. -__. ~#-~~ ADDRESS ~~~~ ('~~ - ----- --___..._.. PHONE No. No. of E s ~p 32~-zt~2 ~~ >G s ~ ----------.--------_.--------------..___. _ Business ID Number FACILITYCONTACT ~ 5_ 1 _ ~~_ Section 1: Business Plan and Inventory Program ~2g ? 7 ^ Routine ^ Combined ~ Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspec Ion C V ~ V=Vio atonnCe J OPERATION p /~,, ~ `~ I / COMMENTS ` ^ ^ APPROPRIATE PERMIT ON HAND N~) ~,t~ Std ` ^ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ ^ VISIBLE ADDRESS ^ ^ CORRECT OCCUPANCY ^ ^ VERIFICATION OF INVENTORY MATERIALS ~~~,g,t-~ ~.~'~~~ ^ ^ VERIFICATION OF QUANTITIES ~ ~ ^ ^ .VERIFICATION OF LOCATION (NS r ~ ^ ^ PROPER SEGREGATION OF MATERIAL ^ ^ VERIFICATION OF MSDS AVAILABILITYE l M --- ^ ----- ^ -----...- ---..-..---------- - _ _- - - - ~ _ . ----------_ -_ VERIFICATION OF HAT MAT TRAINING _~ -._._ _. _ ._ _- _ _ ~~ ' ~~ ~ . _ _. _ --- ----- -----_ ~ r ~l ^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES l ~ -- ---- __ _ - -- - I. _ _ __...-._...__._ .._ .. -. ~~. ......--- --- ----._.... .. ---- ^ ^ EMERGENCY PROCEDURES ADEQUATE / ^ ^ CONTAINERS PROPERLY LABELED ~~~~~ '1_ ,n ..~, ~~JS,P ^ ^ HOUSEKEEPING i ^ ^• _ FIRE PROTECTION _ ....---- -.................. _ _ --. .-_ .... - ....~... ~ ^ ^ SITE DIAGRAM ADEOUATE & ON HAND ANY HAZARDO``U--S11W,AIISTE ON SITES?: OYES ^ NO EXPLAIN: yW'~~ ~''1KC'~/ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT ~B6'I ~ 326-3979 Inspector (Please Print) Fire Prevention 1st-In/Shik of Site '~--~. B e ite - - -- Party (Plea Print) rn White -Environmental Services Yellow - Statbn Copy Pink • Business Copy .. •~~ 1) F~~ 1 cc'~GJ ~`\ ~ d " .4~ ~~ ~ 1 ~~~~4tid'.~A CITY OF EAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Eakersfield, CA 93301 FACILITY NAME ~~~~''`~ ~` /t~P1t~T'~ INSPECTION DATE ~" ~~-~<~s Section 4: Hazardous Waste Generator Program EPA ID # ~~~ ^ Routine ~ Combined ^ Joint Agency ^Muhi-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made A(.C., t.~~ O>~ EPA ID Number Authorized for waste treatment and/or storage Reported release, fire, or explosion within 15 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 the 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 Secondary containment provided Conducts daily inspection of tanks Used oil. not contaminated with other hazardous waste Proper management of lead acid batteries including labels Proper management of used oil filters Transports hazazdous waste with completed manifest Sends manifest copies to DTSC Retains manifests for 3 years Retains hazazdous waste analysis for 3 years Retains copies of used oil receipts for 3 years Determines if waste is restricted from land disposal ~=~ompnance !! v= v totat~on Inspector: t~ C•~~ Office of Environmental Services (661) 326-3979 White -Env. Svcs. ~ , ~ c iness Sit Respo le arty Pink -Business Copy