HomeMy WebLinkAboutBUSINESS PLAN 3/17/2007X-RAY SOLUTION SRVC, INC.
4700 EASTON DRIVE #45
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X-RAY SOLUTION SERVICE INC
~~~
SiteID: 015-021-000385
Manager _
Location: 4700 EASTON DR 45
City BAKERSFIELD
CommCode: BFD STA 03
EPA Numb: CAR000041012
BusPhone: (661) 834-5770
Map 102 CommHaz Low
Grid: 35A FacUnits: 1 AOV:
SIC Code:8099
DunnBrad:165345570
Emergency Contact / Title Emergency Contact / Title
DAVE WILSON / SERVICE TECH /
Business Phone: (661) 637-0404x Business Phone: ( ) - x
24-Hour Phone (661) 396-8953x 24-Hour Phone ( ) - x
Pager Phone (661) 835-2304x Pager Phone ( ) - x
Hazmat Hazards:
Contact DAVE WILSON Phone: (661) 637-0404x
MailAddr: 4700 EASTON DR 45 State: CA
City BAKERSFIELD Zip 93309
Owner JIM WARREN Phone: (661) 665-0150x
Address 504 WINDSOR PARK DR State: CA
City BAKERSFIELD Zip 93311
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif c d: RSs : No
ParcelNo:
Emergency Directives: -
PROG A - HAZMAT [
~o
B~. Jed on rriy iriguiry of these individuals
the intermatien, 1 certify
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th nformation
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a ura' e, ano S ~ ENT'D MAR 2
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~~~ Dat
gnature
-1- 02/20/2007
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F X-RAY SOLUTION SERVICE INC SiteID: 015-021-000385 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers on Site ~
Hazmat Common Name... ISpecHazIEPA Hazards) Frm ~ DailyMax IUnitIMCPI
DEVELOPER L 250.00 GAL Lowl
FIXER L 250.00 GAL Low
-2- 02/20/2007
-3- 02/20/2007
a ~~
F X-RAY SOLUTION SERVICE INC SiteID: 015-021-000385 ~
~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
DEVELOPER Days On Site
365
Location within this Facility Unit Map: Grid:
SHOP E WALL CAS#
Liquid TMixture ~ AmbRient~E ~ AmbientT~E DRUM/BARRELENONMETAL~
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
250.00 GAL 250.00 GAL 100.00 GAL
HAZARDOUS COMPONENTS
sWt. RS CAS#
Acetic Acid and Water Solution No 64196
- L1tiGtiKL HJ J~JJ1~1~1V1J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / Low
~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
FIXER Days On Site
365
Location within this Facility Unit Map: Grid:
SHOP E WALL CAS#
Liquid TMixtur~AmbRent~E ~ AmbientT~E DRUM/BARRELENONMETA~
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
250.00 GAL 250.00 GAL 100.00 GAL
HAZARDOUS COMPONENTS
%Wt• RS CAS#
Acetic Acid and Water Solution No 64196
HAZARD A SSESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / Low
-4- 02/20/2007
F X-RAY SOLUTION SERVICE INC SiteID: 015-021-000385 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
Agency Notification 04/21/2006
CALL 911. CALL 326-3979 HAZARDOUS MATERIALS, DIVISION BAKERSFIELD FIRE DEPT.
CALL THE OFFICE OF EMERGENCY SERVICES 800-852-7550.
Employee Notif./Evacuation 01/31/2000
VERBAL.
Public Notif./Evacuation
VERBAL.
01/31/2000
Emergency Medical Plan
NEAREST HOSPITAL.
01/31/2000
-5- 02/20/2007
e ;
F X-RAY SOLUTION SERVICE INC SiteID: 015-021-000385 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 09/26/2006 ~
MATERIALS ARE X-RAY DEVELOPING CHEMICALS. MAY BE SOAKED UP.
Release Containment 01/31/2000
WATER VACUUM OR WASH DOWN.
Clean Up 01/08/1991
SOAK UP WITH DRY ABSORBENT MATERIAL AND DISPOSE OF.
Other Resource Activation
-6- 02/20/2007
e; ~ ~
F X-RAY SOLUTION SERVICE INC SiteID: 015-021-000385 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
Special riazaras
Utility Shut-Offs 04/21/2006
A) GAS - NONE
B) ELECTRICAL - BLDG 1
C) WATER - UNKNOWN
D) SPECIAL - NONE
E) LOCK BOX - NO
Fire Protec./Avail. Water 04/21/2006
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER, AVAILABLE GARDEN HOSE WITH GOOD
WATER SUPPLY (DOMESTIC) INSIDE BLDG.
FIRE HYDRANT - ACROSS 4630 EASTON E SIDE APPROX 500 FT.
Building Occupancy Level 04/21/2006
2 EMPLOYEES
-7- 02/20/2007
~~
F X-RAY SOLUTION SERVICE INC SiteID: 015-021-000385 ~
Fast Format ~
~ Training Overall Site ~
Employee Training 04/21/2006
MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: PERIODIC DISCUSSIONS REGARDING ONSITE
SPILLS, CLEAN-UP, AND MSDS CHANGES.
Page 2
Held for Future Use
nClu iui ru~ui~ v~~
-8- ~ 02/20/2007
UNIFIED PROGRAM INSPECTION CHECKLIST B E R S F I D
-~__._. __ _ --------___._.._ F/RE
SECTION 1: Business Plan and Inventory Program ~erM r
,.
•
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY (NAME p , ~ INSPECTION DATE INSPECTION TIME
ADDRESS
y~oo ~~Sro~ 02- ~ ~(S ~ PHONE NO.
a~H ~~~o NO OF EMPLOYEES
Z
FACILITY CONTACT
~(~-lJi~. I,JrLSQ~ BUSINESS ID NUMBER
15-021- QOC~3l~~
~~ Section.1, business Plan-and Mv~ntory ~Progcarn ~ ~~
ROUTINE ~ ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ~ C=Compliance OPERATION
V=Violation COMMENTS
- /
h~' ^ APPROPRIATE PERMIT ON HAND
^ BUSIfteSS PLAN CONTACT INFORMATION ACCURATE V
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
^ VERIFICATION OF MSDS AVAILABILITY i
'
^ VERIFICATION OF HAZ MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES C,
~rfJ
t!~" ^ EMERGENCY PROCEDURES ADEQUATE
C~^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
,,_,/
LK ^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
^ YES [B~NO
QUESTIONS REGARD1N~a THIS INSPECTION? PLEASE CALL US AT (661) 326-3,979
~~ ~ ~-
Inspector (Please Print) -Fire Prevention / 1s` In /Shift of Site/Station # i
r
White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09105
+ X-RAY SOLUTION SERVICE II~1~C'__________________________ SiteID: 015-021-000385 +
Manager
Location: 4700 EASTON DR 45
City BAKERSFIELD
,BusPhone: (661) 834-5770
Map 102 CommHaz Low
Grid: 35A FacUnits: 1 AOV:
CommCode: BFD STA 03 SIC Code: ~ o_ I
EPA Numb: ~ ~~ ~ d 00 ~~ ~ ~ ~ ~ DunnBrad: ~ ~S 3~~ ~ rj ~
Emergency Contact / Title Emergency Contact / Title
DAVE WILSON / SERVICE TECH /
Business Phone: (661) 63~T-0404x Business Phone: ( ) - x
24-Hour Phone (661) 39~6~-8953x 24-Hour -Phone ( ) - x
Pager Phone (661) 83~5~-2304x Pager Phone ( ) - x
Hazmat Hazards:
Contact ~3~e ~ ~~-~Oi/) Phone: (661) 637-0404x
MailAddr: 4700 EASTON DR 4:5 State: CA
City BAKERSFIELD ~ Zip 93309
+--------------------- ---------- -------------------------
Owner DP~T - - ~ ~ yn (,~~,~ ~ ~ ~ Phone : ( 6 61) 3
Address 5~'7 ~ Sd y (,v ~ vt aSdv ~ ~~ DY State : CA ~~ ~'~ (>jS~
City BAKERSFIELD -----Zip--_--~.~~ ~~------
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
ENT'D APR 21 2006
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,
re D~jt _ /
-1- 03/02/2006
UNIFIED PROGR~4IVI INSPECTION CHECKLIST;
.. ._,. ~_.w...~e.,_ ~, ..,, .. s.
SECTION 1: Business Plan and Inventory Program
•
BAKERSFIELD FIRE DEPT
>, Prevention Services
fIR/ 900 Trtixtun Ave., Suite 210
/Rrw t Bakersfield, CA 93301
~' Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME ~ ~ INSPECTION DATE INSPECTION TIME
ADDRESS
~-'?oo ~~s~ v~ .~- '# yS HONE NO.
83`1--5"70 O OF EMPLOYEES
FACILITY CONTACT
~v~. ~ (LC, „ ~ USINESS ID NUMBER
15-021- (~6Q~jSj
Section 1: Business Plan and Inventory Program
,ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C
C V ~ C=Compliance OPERATION
V=Violation COMMENTS
^ APPROPRIATE PERMIT ON HAND
^ BUSInPSS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
I4d' ^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
11Y ^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
^ VERIFICATION OF MSDS AVAILABILITY
~ ^ VERIFICATION OF HAZ MAT TRAINING
,.
L5d ^ VERIFICATION OF ABATEMENT SUPPLIES AND
PRO
CEDURES
/
CSI'' ^ EMERGENCY PROCEDURES ADEQUATE
CY ^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ^ YES l:~ NO
EXPLAIN: _
• QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
5 ~ 1:t,~ IV IGNdLS 3 ~ 3
Inspector (Please Print) Fire Prevention / 1s' In /Shift of Site/Station #
White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02105)
~,
~ f`
X-RAY SOLUTION SERVICE INC SiteID: 015-021-000385
Manager DAVE WILSON
Location: 4700 EASTON DR 45
City BAKERSFIELD
BusPhone: (661) 834-5770
Map 102 CommHaz Low
Grid: 35A FacUnits: 1 AOV:
CommCode: BFD STA 03
EPA Numb: CAR000041012
SIC Code:8099
DunnBrad:165345570
Emergency Contact / Title Emergency Contact / Title
DAVE WILSON / SERVICE TECH /
Business Phone: (661) 637-0404x Business Phone: ( ) - x
24-Hour Phone (661) 396-8953x 24-Hour Phone ( ) - x
Pager Phone (661) 835-2304x Pager Phone ( ) - x
Hazmat Hazards:
Contact DAVE WILSON Phone: (661). 637-0404x
MailAddr: 4700 EASTON DR 45 State: CA
City BAKERSFIELD Zip 93309
Owner JIM WARREN Phone: (661) 665-0150x
Address 504 WINDSOR PARK DR State: CA
City BAKERSFIELD Zip 93311
Period to TotalASTs: = Gal
Preparers Tot alUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
based on my inquiry of thasc indiy~it.'u~'s
res;~~~nsih!e fer obtainine~ th~a 's:?formation, i c;erti,y
under penalty of la~~ thar I hati~e perso'a~zlPy
examined and am farni?far with the intarTnation `
submitted and believe the information is true
accurate, and complete.
~~ ,
_
S nature Date
E~AUG
O9 zo
o'
-1- 07/16/2007
i
e
F X-RAY SOLUTION SERVICE INC
~ Hazmat Inventory
~ MCP+DailyMax Order
= SiteID: 015-021-000385 ~
By Facility Unit ~
Fixed Containers on Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
DEVELOPER
FIXER L
L 250.00
250.00 GAL
GAL Low
Low
-2- 07/16/2007
] ~
i
-3-
07/16/2007
I' ~
f
F X-RAY SOLUTION SERVICE INC SitelD: 015-021-000385 ~
~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~
COMMON NAME / CHEMICAL NAME
DEVELOPER Days On Site
365
Location within this Facility Unit Map: Grid:
SHOP E WALL CAS#
Liquid TMixture ~ Ambient~E ~ AmbientT~E DRUM/BARRELENONMETAL~
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
250.00 GAL 250.00 GAL 10.0._00 GAL
--• riHGtLrcl~uuJ ~vl~irulvlJly 1 J
°sWt . _: _ _ . _ _ _ -RS CAS#
Acetic Acid and Water Solution No 64196
t1AG1~CL AS~I;~~1~1.C;1V'1'~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / Low
~ Inventory Item 0002
COMMON NAME / CHEMICAL NAME
FIXER
Location within this Facility Unit
SHOP E WALL
Facility Unit: Fixed Containers on Site ~
Days On Site
365
Map: Grid:
CAS#
Liquid TMixtur~ Ambient~E ~ AmbientT~E DRUM/BNARRELENONMETA~
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
250.00 GAL 250.00 GAL 100.00 GAL
nliGtitCLU u J ~.vrirvly J~,lv 1 J
%Wt. RS CAS#
Acetic Acid and Water Solution No 64196
i'SL-~GL-1[CL Y,~7JJJ.7J1~1tS1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies / / / Low
-4- 07/16/2007
1
- .t
F X-RAY SOLUTION SERVICE INC SiteID: 015-021-000385 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification 04/21/2006 ~
CALL 911. CALL 326-3979 HAZARDOUS MATERIALS DIVISION BAKERSFIELD FIRE DEPT.
CALL THE OFFICE OF EMERGENCY SERVICES 800-852-7550.
= Employee Notif./Evacuation 01/31/2000
VERBAL . - - - _ _- - -- - - - - = - -- - -- -- _ ~- ..
Public Notif./Evacuation
VERBAL.
01/31/2000
Emergency Medical Plan 01/31/2000
NEAREST HOSPITAL.
-5- 07/16/2007
F X-RAY SOLUTION SERVICE INC SiteID: 015-021-000385 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 09/26/2006 ~
MATERIALS ARE X-RAY DEVELOPING CHEMICALS. MAY BE SOAKED UP.
= Release Containment 01/31/2000
WATER VACUUM OR WASH DOWN.
Clean Up 01/08/1991
SOAK UP WITH DRY ABSORBENT MATERIAL AND DISPOSE OF.
Other Resource Activation
-6- 07/16/2007
~ -~
F X-RAY SOLUTION SERVICE INC SiteID: 015-021-000385 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
~Yec:lal ndLaruS
Utility Shut-Offs 03/22/2007
ELECTRICAL - BLDG 1
Fire Protec./Avail. Water 03/22/2007
PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER, AVAILABLE GARDEN HOSE WITH GOOD
WATER SUPPLY (DOMESTIC) INSIDE BLDG.
FIRE HYDRANT - ACROSS 4630 EASTON E SIDE 500FT.
Building Occupancy Level 04/21/2006
2 EMPLOYEES
-7- 07/16/2007
0 ` _
F X-RAY SOLUTION SERVICE INC SiteID: 015-021-000385 ~
Fast Format ~
~ Training Overall Site ~
Employee Training 04/21/2006
MATERIAL SAFETY DATA SHEETS ON FILE.
BRIEF SUMMARY OF TRAINING PROGRAM: PERIODIC DISCUSSIONS REGARDING ONSITE
SPILLS, CLEAN-UP, AND MSDS CHANGES.
rage ~
iiciu ivi. r u~uic ~~c
nciu lVl rul. u.LC Vw7C
-8- 07/16/2007