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_~ S. ~ RADIOGRAPHIC CENTER B I K 015-021-002383 Sit ID A ERSF ELD e : Manager JUDY HURT BusPhone: (661) 322-2089 Location: 2920 F ST B-2 Map 102 CommHaz Minimal City BAKERSFIELD Grid: 24D FacUnits: 1 AOV: CommCode: BFD STA Ol SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title JUDY HURT / OWNER / Business Phone: (661) 322-2089x Business Phone: ( ) - x 24-Hour Phone (661) 872-7196x 24-Hour Phone ( ) - x Pager Phone (661) 477-7165x Pager Phone ( ) - x Hazmat Hazards: React Contact JUDY HURT Phone: (661) 322-2089x MailAddr: 2920 F ST B-2 State: CA City BAKERSFIELD Zip 93301 Owner JUDY HURT ~ Phone: (661) 322-2089x Address 2920 F ST B-2 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 ~ f t f n ~ ~ ~ ~~ Caused on my inquiry of these individuals responsible for obtaining the information, I certify under penalty of lavr that I have personally examined and am familiar with the information submitted and believe the inform lion is true, accu ~te, nd complete. /~ ~ 0 i S' e D to -1- 06/29/2007 9 t F BAKERSFIELD RADIOGRAPHIC CENTER SiteID: 015-021-002383 ~ ~ Hazmat Inventory By Facility 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 -2- 06/29/2007 -3- 06/29/2007 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TWaste Ambient ~ Ambient, -~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container .Daily Maximum Daily Average 5.00 GAL 5.00 GAL 5.00 GAL -r HAZARDOUS COMPONENTS , o ~ ~., . Silver RSI CAS# No I 7440224 ril-~L,HK1J 1-~~ ~~~J1~1~1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -4- 06/29/2007 F BAKERSFTELD RADIOGRAPHIC CENTER SiteID: 015-021-002383 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ F BAKERSFIELD RADIOGRAPHIC CENTER SiteID: 015-021-002383 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 04/04/2007 ~ HAZMAT 800-852-7550. X-RAY SOLUTIONS 637-0404, PG 835-2304. ALL NUMBERS POSTED ON DARKROOM WALL ABOVE PROCESSORS. INSTRUCTIONS FOR SPILLS POSTED IN DARKROOM. KITTY LITTER FOR SPILLS AVAILABLE AT ALL TIMES. Employee Notif./Evacuation 04/04/2007 MONITOR CONTAINERS DAILY TO DETERMINE LEVELS. CALL JIM WARRENS X-RAY SOLUTION SERVICE TO PICK UP, AS NEEDED. MONITOR CONTAINERS TO AVOID SPILLS. KEEP KITTY LITTER AVAIABLE AT ALL TIMES IN CASE OF SPILLS; WEAR GLASSES (SAFETY GLASSES PROVIDED) WHEN HANDLING, ALSO GLOVES. READ AND SIGN ALL MSDS SHEETS FOR SAFETY PRACTICING. ALSO GOOD VENTILATION IS NECESSARY; TWO COMMERCIAL EXHAUST FANS IN DARKROOM. _.. t 11U11V 1VVV11~~VQVU0.V1ll11 Emergency Medical Plan 04/04/2007 SAN JOAQUIN HOSPITAL, 2612 EYE ST-EMERGENCY. ALSO, BUDGET MEDICAL, DR BIRD, NEXT DOOR IN OUR BUILDING. -5- 06/29/2007 r F BAKERSFIELD RADIOGRAPHIC CENTER SiteID: 015-021-002383 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention 07/24/2006 DOUBLE CONTAINERS, CHECK CONTAINERS DAILY. X-RAY SOLUTION SERVICE COMES EVERY FRIDAY. THEY ALSO CLEAN ALL PROCESSORS ONCE EVERY 4 TO 6 WEEKS. NOTIFY MANAGER, JUDY HURT. Release Containment CLEAN UP CONTAINMENT AND CALL NOTIFY JUDY HURT, MANAGER. 07/24/2006 Clean Up 10/09/2006 PUT DOWN KITTY, LITTER SCOOP INTO SEALED CONTAINER. CALL X-RAY SOLUTION FOR PICK UP. ONLY A MAX OF 11 GALS OF X-RAY FIXER IS KEPT ON HAND. ALWAYS IN PLAIN SIGHT IN DARKROOM: PLASTIC SCOOP, KITTY LITTER, SAFETY GLASSES, AND GLOVES. ' NOTIFY JUDY HURT AND X-RAY SOLUTION SERVICE 637-0404 PG 835-2304. v~.iaci icc~vui~.c 1-~1~1.1V0.1.1V11 -6- 06/29/2007 F BAKERSFIELD RADIOGRAPHIC CENTER SitelD: 015-021-002383 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ _, ,_ .~~c~.ial. nac~aiua Utility Shut-Offs 04/04/2007 GAS - E SIDE OF BLDG NEXT TO PARKING LOT IN FRONT OF CHRISTIAN MEDICAL SERV ELECTRICAL - BREAKER BOX IN REAR OF OFFICE NEXT TO EMPLOYEE RESTROOM WATER - OUTSIDE BLDG IN FLOWERBED Fire Protec./Avail. Water 04/04/2007 THERE ARE SEVERAL FAUCETS ON THE S SIDE OF BLDG BETW OUR OFFICE AND STE B-1 AND ON W SIDE OF BLDG NEXT TO EXIT DOOR. Building Occupancy Level. 04/04/2007 3 EMPLOYEES -7- 06/29/2007 ., - ;: F BAKERSFIELD RADIOGRAPHIC CENTER SiteID: 015-021-002383 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 05/10/2006 ~ MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES ARE REQUIRED TO READ AND SIGN MSDS SHEETS. WE HAVE A SAFETY TRAINING MANUAL WITH ALL SAFETY REQUIREMENTS BY HAZMAT. FIRST AID AND CPR. ALL EMPLOYEES ARE CURRENT. rayc ~ nciu Lvi rui.u.~..c ~~c _~ ~ r_ aaciu ivi i~ u~..uic vac -8- 06/29/2007 / ~ ~~ \~ ~ ~J t3.~ER'SFIELD RADIOGRAPHIC CENTER Manager ~,.'i~ ~~-~~" Location: 2920 F ST B-2 City BAKERSFIELD CommCode: BFD STA O1 EPA Numb: SiteID: 015-021-002383 BusPhone: (661) 322-2089 Map 102 CommHaz Minimal Grid: 24D FacUnits: 1 AOV: SIC Code:' DunnBrad: ~ Emergency Contact / Title Emergency Contact / Title JUDY HURT / OWNER f Business Phone: (661) 322-2089x Business Phone: ( ) - x 24-Hour Phone (661) 872-7196x 24-Hour Phone ( ) - x Pager Phone (661) 477-7165x Pager Phone ( ) - x Hazmat Hazards: React Contact JUDY HURT Phone: (661) 322-2089x MailAddr: 2920 F ST B-2 State: CA City BAKERSFIELD Zip 93301 Owner JUDY HURT Phone: (661) 322-2089x Address 2920 F ST B-2 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 ,, n n l /,~'1l ~V fJUs~;ca un my inquiry of those individuals on3ible for obtaining the information, 1 certify resp under penalty of law that I have personally ith the information ~~~ ~ q ~® ~ ~~~~ ~"'~ 1~ examined and am familiar w u e, submitted and believe the information is tr accurate, and complete. ~ ~~~ ,..c atur _ Da e -1- 01/26/2007 F ~AKE~SFIELD RADIOGRAPHIC CENTER SiteID: 015-021-002383 ~ ~ Hazmat Inventory By Facility 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 Minl -2- 0l/26/200~ -3- 01/26/2007 F~BAKEKSFIELD RADIOGRAPHIC CENTER SiteID: 015-021-002383 ~ ~ 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: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Waste Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 5.00 GAL 5.00 GAL 5.00 GAL HAZARDOUS COMPONENTS °sWt. RS CAS# Silver No 7440224 tiF~L,Hl[L A~S.C~551~1L~1V'1'S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -4- 01/26/2007 F'BAKEI~SFIELD RADIOGRAPHIC CENTER SiteID: 015-021-002383 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 07/24/2006 ~ HAZMAT 800-852-7550. X-RAY SOLUTIONS 637-0404, PG 835-2304. ALL NUMBERS POSTED ON DARKROOM WALL AB/O,V,,E PROCESSORS. INSTRUCTIONS FOR SPILLS POSTED IN DARKROOM . ~G~ ~G~~'~' `- /.,l~G~ G~L~~` ~1L-CL~-j Employee Notif./Evacuation 10/09/2006 MONITOR CONTAINERS DAILY TO DETERMINE LEVELS. CALL JIM WARRENS X-RAY SOLUTION SERVICE TO PICK UP, AS NEEDED. MONITOR CONTAINERS TO AVOID SPILLS. KEEP KITTY LITTER AVAIABLE AT ALL TIMES IN CASE OF SPILLS; WEAR GLASSES (SAFETY GLASSES PROVIDED) WHEN HANDLING, ALSO GLOVES.. READ AND SIGN ALL MSDS SHEETS FOR SAFETY PRACTICING. ALSO GOOD-- -~3-@N IS NECESSARY; TWO COMMERCIAL EXHAUST FANS IN DARKROOM . P~a'-f ~ ( ~-f"l ~%~ -. ruc~lic l~ozi= . ~ ~vacuaLion ~[ ~~,~ ~ ~ Emergency Medical Plan 10/09/2006 SAN JOAQUIN HOSPITAL, 2612 EYE ST- EMERGENCY. ALSO, BUDGET MEDICAL, DR BIRD, NEXT DOOR IN OUR BUILDING. -5- 01/26/2007 ~, F BAKERSFIELD RADIOGRAPHIC CENTER SiteID: 015-021-002383 ~ Fast Format ~ ` ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 07/24/2006 ~ DOUBLE CONTAINERS, CHECK CONTAINERS DAILY. X-RAY SOLUTION SERVICE COMES EVERY FRIDAY. THEY ALSO CLEAN ALL PROCESSORS ONCE EVERY 4 TO 6 WEEKS. NOTIFY MANAGER, JUDY HURT. Release Containment 07/24/2006 CLEAN UP CONTAINMENT AND CALL NOTIFY JUDY HURT, MANAGER. Clean Up 10/09/2006 PUT DOWN KITTY~,LITTER~SCOOP INTO SEALED CONTAINER. CALL X-RAY SOLUTION FOR PICK UP. ONLY A MAX OF 11 GALS OF X-RAY FIXER IS KEPT ON HAND. ALWAYS IN PLAIN SIGHT TN DARKROOM: PLASTIC SCOOP, KITTY LITTER, SAFETY GLASSES, AND GLOVES. NOTIFY JUDY HURT AND X-RAY SOLUTION SERVICE 637-0404 PG 835-2304. V 1.11G1 1CC w7VLL1 l:C L"1U LIVGLL1V11 -6- 01/26/2007 ~~ :: F BAKEI2SFIELD RADIOGRAPHIC CENTER SiteID: 015-021-002383 ~ ' Fast Format ~ ~~~~~~ Site Emergency Factors Overall Site ~ ' ~ Special Hazards Utility Shut.-Offs Breaker box is in the rear of the office located next to~the em~lor employee restroom. Water shut off is located directly outside of building in the flower,~jed. Gas shut off is located on the east side of building next to the parking lot, in front of Christian Medical Services. r11C ri vt. cc:. /liV Ctll. WcL I.Cl There are several faucets loca::ed both on the south side of the building in between our office and suite B-l, and on the west side of our building next to our other exit door. Building Occupancy Level 07/24/2006 ~'~~ -7- 01/26/2007 ' lR/~ '` // F`BAKSI2SFIELD RADIOGRAPHIC CENTER Training Employee Training MSDS SHEETS ON FILE. SiteID: 015-021-002383 ~ Fast Format ~ Overall Site ~ 05/10/2006 ~ BRIEF SUMMARY OF TRAINING PROGRAM: ALL EMPLOYEES ARE REQUIRED TO READ AND SIGN MSDS SHEETS. WE HAVE A SAFETY TRAINING MANUAL WITH ALL SAFETY REQUIREMENTS BY HAZMAT. FIRST AID AND CPR. ALL EMPLOYEES ARE CURRENT. rayc c. rac.iu Lvi ru~..uic Vic r1C1V. 1Vi t UI.UiC V5C -s- ~ oi/26/200~ !; T~ FIftLL ~~ .~~,r ~ ~ •® ~- 1i .µ ~~ ~~~ ____ _--~ ,, u v o 't x {~~ 2 Q p.. \" ~ ~~ . ~~ ~.. ~ ~ ~. ~ Y 0' 0 r ~~~ r ~~ ~ ,~ -~ ~~ j ~ ~ AST tT1 oR~ ~~ ~j'rO~A~~ i ~ --~_~-~°e-- i ~ rho ~~ .~~ I _~ ~~~ 1 ./'~ - - l /~ - , ~, r,_ :F~ ~ ~~ ~ Prevention Services UNTIED PROGRAM INSPECTION CHECKLIST ~'~ B n F R s ~, . ~ 900 Truxtun Ave., Suite 210 °: FIRE Bakersfield, CA 93301. SECTION 1: Business Plan and Inventory Program ° "~'"~, Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME ~1jP~~~ ~E~~~ R~)o ~~~~N ~c. e.E~T~,~ INSPEC ION DATE ~ ~Z o~ INSPECTION TIME ADDRESS ~, PHONE NO. NO OF LOYEES FACILITY CONTACT BUSINESS ID NUMBER 15-021-©I s ~~zr ~ a i- ` ^ Section 1: Business, Plan and Inventory Program ROUTINE COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIIIeSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES r ~N~ ^ 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 P~~~s ~ ~nc~ ,~ q ~-~ - - ANY HAZARDOUS ~W^A~STE ON SITEv ~] YES ^ ND EXPLAIN: `''~ °'S~ ~ ~1 x e~1" ~~ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 G ~c, ~~- r--, Inspector (Please Print) Fire Prevention / 1s` In /Shift of Site/Station # Busines ite Responsible Party (Please Print) White -Prevention Services ~ Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 ~!_. „' ` '~~`~ CITY OF BAKERSFIELD FIRE DEPARTMENT ~~~p OFFICE OF ENVIRONMENTAL SERVICES -y,I UNIFIED PROGRAM INSPECTION CHECKLIST W ~gti,~-~~ 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME~~~-~ t E ~-.n .~~~ ~ o ~ QA~ ~' C INSPECTION DATE ~1 ~ I Z J ~ '~ -r Section 4: Hazardous Waste Generator Program EPA ID # ~ ~ '~~ ^ Routine C~ Combined ^ Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made EPA ID Number jJ)C ~ ~ r 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 N l,~J- Secondary containment provided Conducts daily inspection of tanks Used oil not contaminated with other hazardous waste ~ A Proper management of lead acid batteries including labels /~ Proper management of used oil filters Transports hazardous waste with completed manifest Sends manifest copies to DTSC Retains manifests for 3 years ~- ~~~ Sv1 ~''~~ -~-- ~ Retains hazardous waste analysis for 3 years Retains copies of used oil receipts for 3 years /V Determines if waste is restricted from land disposal =c;ompnance v=vtotatton Inspector: C~~~- Office of Environmental Services (661) 326-3979 White -Env. Svcs. Pink -Business Copy siriess Site Responsible Party t •,. + BAKERSFIELD RADIOGRAPHIC CENTER _____________________ SiteID: 015-021-002383 + Manager BusPhone: (661) 322-2089 Location: 2920 F ST B-2 Map 102 CommHaz Minimal City BAKERSFIELD Grid: 24D FacUnits: 1 AOV: CommCode: BFD STA Ol SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title JUDY HURT / OWNER W:I~I,LIAM-B=A'3~~ER~ / ~dER Business Phone : ( 6 61) - 3 2.2 - 2 0 8 9x -°-~ h©ne~:~ ( 6 61) 8 3.4-- 4.1.1 lx 2 4 -Hour Phone ( 6 61) 8 7.2 - 719 6 x 2.4~:Hou-r="Phone ( ) ~_ -~'x Pager Phone (J (~ /) rj/~~ - 7~~`,~X ~P.age-r-~.P.hone~ ( ) - x Hazmat Hazards: React Contact Phone: (661) 322-2089x MailAddr: 2920 F ST B-2 State: CA City BAKERSFIELD Zip 93301 Owner JUDY HURT Phone: (661) 322-2089x Address 2920 F ST B-2 State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~ a~~ PROG H - HAZ WASTE GEN ~ O ~t ENT'D ~ U ~ 2 ~ 20 I 06 ~~ 0 Based on m inquiry of those individuals Y 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. ~~~ S' atur Da -1- 05/10/2006