The URL can be used to link to this page

Home My WebLink AboutBUSINESS PLAN 2/22/2007SULTZE CHIROPRACTIC 345 H STREET i '~ SULTZE CHIROPRACTIC Manager ~inlL ~ i1~~-4r.~el I Location: 345 H ST City BAKERSFIELD CommCode: BFD STA 06 EPA Numb: SiteID: 015-021-002093 BusPhone: (661) 327-2588 Map 103 CommHaz Minimal Grid: 31C FacUnits: 1 AOV: SIC Code:4941 DunnBrad:77-025-4824 Emergency Contact / Title Emergency Contact / Title STUART A SULTZE DC / OWNER JON R MORRIS DC / EMPLOYEE Business Phone: (661) 327-2588x Business Phone: (661) 327-2588x ~~~~ 24-Hour Phone (661) H3~9~3~x ~ 24-Hour Phone (661) 872-4575x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: RSs Fire Press ImmHlth Contact Gale G n'1~~-ehe~l ~ Phone: (661) 327-2588x MailAddr: 345 H ST State: CA City BAKERSFIELD Zip 93304 Owner STUART A SULTZE DC Phone: (661) 327-2588x Address 345 H ST State: CA City BAKERSFIELD Zip 93304 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: Yes ParcelNo: Emergency Directives: PROG H - HAZ WASTE GEN Lased on my inquiry of those individuals responsible for obtaining the information, I ~~rtl#y under en lt f l ~N~® ~ p a y o aw that I have p~~bgs~ally I examined and am familiar with 4he Infarrrration submitted and believe the information is true, g v ~~p~ accurate, and complete_ ~~nature Date -1- 02/16/2007 -2- 02/16/2007 F SULTZE CHIROPRACTIC SiteID: 015-021-002093 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ -3- 02/16/2007 F SULTZE CHIROPRACTIC SiteID: 015-021-002093 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME WASTE FIXER Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE BLDG CAS# Liquid TWaste ~-Ambient~E ~ AmbientT~E ~ PLASTOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 5.00 GAL 5.00 GAL 5.00 GAL ritiAL-iRLVViJ L.V1~lYV1V81V1J %Wt• RS CAS# Silver No 7440224 ritiL~tiRL L"1J JL' JJ1.1L~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No Yes No No/ Curies F P IH / / / Min -4- 02/16/2007 F SULTZE CHIROPRACTIC SiteID: 015-021-002093 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 06/02/2006 ~ X-RAY REGULAR INSPECTIONS BY MXR MERRY X-RAY/SOURCEONE HEALTHCARE 559-292-9729. Employee Notif./Evacuation 12/13/2000 VERBAL/TELEPHONE. rlL1.111C: 1VV1.11 / PrVdCUdl.1U11 Emergency Medical Plan 12/13/2000 EMPLOYEES TRAINED IN CPR AND CALL 911. -5- 02/16/2007 '~.i5 F SULTZE CHIROPRACTIC SiteID: 015-021-002093 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 06/02/2006 ~ MXR MERRY X-RAY/SOURCEONE HEALTHCARE Release Containment 06/02/2006 MXR MERRY X-RAY/SOURCEONE HEALTHCARE Clean Up MXR MERRY X-RAY/SOURCEONE HEALTHCARE 06/02/2006 V1.11C1 xC~vuic:C HC:L1VaL1Oi1 -6- 02/16/2007 F SULTZE CHIROPRACTIC SitelD: 015-021-002093 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .7~JCC:1d1 tldGdLU~ Utility-Shut-Offs 05/09/2006 A) GAS - OUTSIDE OFFICE B) ELECTRICAL - UTILITY RM IN OFFICE C) WATER - OUTSIDE OFFICE D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. FIRE HYDRANT - WITHIN 60FT OF BLDG. 01/23/2007 Building Occupancy Level 4 EMPLOYEES 05/09/2006 -7- 02/16/2007 . ' ~. ~: F SULTZE CHIROPRACTIC SiteID: 015-021-002093 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 05/09/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: STAFF MEETINGS/HANDBOOK. rays a •ac.LU ivi r u~..uic vac nclu tvl. r ul,uiC UwyC -8- 02/16/2007 r~ ~~ - + SULTZE CHIROPRACTIC _________________________________ SiteID: 015-021-002093 + Manager BusPhone: (661) 327-2588 ,Location: 345 H ST Map 103 CommHaz Minimal City BAKERSFIELD Grid: 31C FacUnits: 1 AOV: CommCode: BFD STA 06 SIC Code:4941 EPA Numb: DunnBrad:77-025-4824 t______________________________________________________________________________t Emergency Contact / Title Emergency Contact / Title STUART A SULTZE DC / OWNER JON R MORRIS DC / EMPLOYEE Business Phone: (661) 327-2588x Business Phone: (661) 327-2588x 24-Hour Phone (661) 835-0937x 24-Hour Phone (661) 872-4575x Pager Phone ( ) - x Pager Phone ( ) - x rH Hazmat azards: RSs Fire Press ImmHTth Contact : _ - __ Phone: (661) 327-2588x - _ _ _ -MailAddr: 345 H ST State: CA City BAKERSFIELD Zip 93304 Owner STUART A SULTZE DC Phone: (661) 327-2588x Address 345 H ST State: CA City BAKERSFIELD Zip ~: 93304 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: Yes ParcelNo: ~ Emergency Directives: PROG H - HAZ WASTE GEN Based on my inquiry of those individuals responsible for obtaining the informatlon, I c®ptify under penalty of law tha4 I have personally examined and am familiar with the infor~atian submitted and believe the information is tr e, accurate, and comp t ur ~~~~~ e Date ~~~~ ~5 ~d~~ ~'y~'~__ ENrp JAN o ,~ zoos -1- 05/09/2006 _- ___ _- _ _- -- -__ ___ - -T- _--_-_ _ - - ~~~~~ ~- ~~~~ Prevention Services UNIFI~~D~ROGRAM INSPECTION CHECKLIST B_, FR_s,;, D "900TruxturlAve.,suite210 :` F~RF `:= Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ' ° ~ r~ Tel.: (661) 326-3979 _ Fax: (661) 872-2171 FACILITY NAME INSPECyION DATE INSPECTION TIME ADDRESS ti ~ ~ 3 S PHONE NO. ~ NO OF EMPLOYEES y t-f - s-t- 2s~ _ FACILITY CONTACT BUSIN SS ID NUMBER 15-021- o 15-0 2- aoL 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 ~`'~ ^ BUSIfIeSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS R ~~ ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ~ ^ PROPER SEGREGATION OF MATERIAL \ ^ ~1 VERIFICATION OF MSDS AVAILABILITY {~ .~~~C, G~ti$`r~~ MS D ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED /~ V ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND X93 ANY HAZARDOUS WASTE ON SITE? ,AYES ^ NO a'`S~2 ~~ j'C6 ~ EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1s` In /Shift of Site/Station # usiness ite / R sponsible arty (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 "- _ _ _ 'r' ~04~` `r~'`~ CITY OF BAKERSFIELD FIRE DEPARTMENT ~w r7~ OFFICE OF ENVIRONMENTAL, SERVICES ^ Routine '® Combined ^ Joint Agency ^hulti-Agency ^ Complaint ^ Re-inspection c b ~~' 1 • • ~d~ UNIFIED PROGRAM INSPECTION CHECKLIST ~'._~ ~~ 1715 Chester Ave., 3~d Floor, Bakersfield, CA 93301 FACILITY NAME S~ ~'1"`ZE Gtk t ~o P21~cr. C INSPECTION DATE ~' /-S ~~ Sectaon 4: Hazardous Waste Generator Program EPA ID # ~c~ifh OPERATION C V COMMENTS Hazardous waste determination has been made EPA ID Number ~j(, 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 ~, E ~t ~~5~~ ~ ~ be 1 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 IJ ~ Secondary containment provided ~, ~ ~ e ~ , r s S~cc)~ Ca Conducts daily inspection of tanks Used oil not contaminated with other hazardous waste ~ Proper management of lead acid batteries including labels /V/.,~ Proper management of used oil filters ~ ~ Transports hazardous waste with completed manifest Sends manifest copies to DTSC Retains manifests for 3 years ~~,~ n,G Retains hazardous waste analysis for 3 years Retains copies of used oil receipts for 3 years 1v Determines if waste is restricted from land disposal ~=t/ompr~ance v=v~otanon Inspector: Office of Environmental Services (661) 326-3979 White -Env. Svcs. Pink -Business Copy ~LA~ Business Site Responsible Party ;a~,~ .~