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HomeMy WebLinkAboutBUSINESS PLAN 3/17/2007X-RAY SOLUTION SRVC, INC. 4700 EASTON DRIVE #45 ~~ ~. -~ F= 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 irt ll ~~ y respu; Bible tt~r c~fi~t;~trt # ave t{~at 1 have persona enalty ® under p ue t o i cl , r s th nformation eeamin ed and bElie ~ sub p1ete a ura' e, ano S ~ ENT'D MAR 2 2 zQp7 ~~~ Dat gnature -1- 02/20/2007 z 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