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HomeMy WebLinkAboutBUSINESS PLAN (2)- -- - --- - - - - -- -- li ~ INDUSTRIAL MEDICAL GROUP _ _ -. _-_ l 2501 G STREET -- -- - - fi ~~ INDUSTRIAL MEDICAL GROUF Manager LARRY M CHO Location: 2501 G ST City BAKERSFIELD SiteID: 015-021-002238 BusPhone: (661) 327-2225 Map 102 CommHaz Minimal Grid: 25B FacUnits: 1 AOV: CommCode: BFD STA Ol EPA Numb: SIC Code:8011 DunnBrad: Emergency Contact / Title Emergency Contact / Title LARRY M CHO / D IRECTOR / Business Phone: (661) 327-2225x Business Phone: ( ) - x 24-Hour Phorie ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React Contact LARRY M CHO Phone: (661) 327-2225x MailAddr: 2501 G ST State: CA City BAKERSFIELD Zip 93301 Owner LARRY M CHO Phone: (661) 327-2225x Address 2501 G 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 ~N~'°~ J U ~ 3 ® 200 [3ased an my ir:quiry of thnstis individuals responsible far obtaining the informati on, !certify under penalty of law that I have personall exami d y ne and am familiar with the information submitted and beli eve the information is true, accurate, and complete. Signature ~ - °° °---~- -~~ ~~ Date -1- 07/12/2007 ,, ; F INDUSTRIAL MEDICAL GROUP SiteID: 015-021-002238 ~ ~ 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- 07/12/2007 F INDUSTRIAL MEDICAL GROUP SiteID: 015-021-002238 ~ ~ 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: DARKROOM CAS# Liquid TWaste ~ AmbRient~E ~ AmbientT~E ~PLASTOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 5.00 GAL 5.00 GAL 5.00 GAL _. rlti~tirct~uu~ ~ulnrulv~iv l oWt. RS CAS# Silver No 7440224 tiL~L,H.itL .HS~~JJ1~1~1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -4- 07/12/2007 -' ~ ' F INDUSTRIAL MEDICAL GROUP SiteID: 015-021-002238 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification rJlll~JlVyCC 1VV1.11 / P~VdUUdl.1V11 • i~ tUiJ l.LV 1VVL11 ~ L~VQI.:Udl.1 V11 Emergency Medical Plan 02/22/2007 PER MSDS -5- 07/12/2007 _. ~., F INDUSTRIAL MEDICAL GROUP SiteID: 015-021-002238 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention 1CC1CC1.7C L.Vll 1. C11111I1C 111. Clean Up 02/22/2007 CALIFORNIA IMAGING SERVICES 337-9729 Other Resource Activation 9 -6- 07/12/2007 F INDUSTRIAL MEDICAL GROUP SiteID: 015-021-002238 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ JL.ICV 1Q1 17GLGQ1l.lw7 Utility Shut-Offs 02/22/2007 GAS, WATER & ELECTRIC - S SIDE OF BLDG NEAR REAR ENTR Fire Protec./Avail. Water FIRE EXTINGUISHERS FIRE HYDRANT - 25TH ST BET G & H STS 02/22/2007 Building Occupancy Level 02/22/2007 16 EMPLOYEES -7-~ 07/12/2007 F INDUSTRIAL MEDICAL GROUP SiteID: 015-021-002238 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 02/22/2007 ~ BRIEF SUMMARY OF TRAINING PROGRAM: NETnT EMPLOYEE ORIENTATION; MONTHLY SAFETY MEETINGS; AND EMERGENCY CONTACT - CALIFORNIA IMAGING SERVICES 337-9729. rayc ~ nciu iui r u~.utc u~c nclu tvi. ruLUic u5c -8- 07/12/2007 ~, ~ _ \,z INDUSTRIAL MEDICAL GROUP Manager LARRY M•CHO Location: 2501 G ST City BAKERSFIELD SiteID: 015-021-002238 BusPhone: (661) 327-2225 Map 102 CommHaz Minimal Grid: 25B FacUnits: 1 AOV: CommCode: BFD STA Ol EPA Numb: SIC Code:8011 DunnBrad: Emergency Contact / Title Emergency Contact / Title LARRY M CHO / DIRECTOR / Business Phone: (661) 327-2225x Business Phone: ( ) - x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React Contact LARRY M CHO Phone: (661) 327-2225x MailAddr: 2501 G ST State: CA City BAKERSFIELD Zip 93301 Owner ;~,~(Z{Z.~ '(~ . ~(~ ? Phone: (661) 327-2225x Address 2501 G ST State: CA City BAKERSFIELD Zip : 93301 Period to TotalASTs: = Gal Preparers Tot alUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG H - HAZ WASTE GEN ENT'D ~° ~ ~ 2 2 ~~07 F3ased on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that 4 have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. ~~~_ Z 20 07 Dat Signatui -1- 02/01/2007 F INDUSTRIAL MEDICAL GROUP SiteID: 015-021-002238 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... ISpecHazIEPA Hazards) Frm I DailyMax IUnitIMCPI WASTE FIXER R L 5.00 GAL Minl -2- 02/01/2007 -3- oa/ol/aoo~ F INDUSTRIAL MEDICAL GROUP SiteID: 015-021-002238 ~ ~ 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: DARKROOM CAS# Liquid TWaste ~ Ambient~E ~ AmbientT~E -~STOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 5.00 GAL 5.00 GAL 5.00 GAL rlr~~r~xlivu~ ~ulnrc~lv~N'1'~ %Wt. RS CAS# Silver No 7440224 t1AGE1tCL ASSI;S~1~1J;1V'1'~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -4- 02/01/2007 n F INDUSTRIAL MEDICAL GROUP SiteID: 015-021-002238 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification ~~ L~Lll~J1VyCC 1VV1;11. / r,VdC:UcLl.1V11 i.- t Ul/111. 1VV 111 ~ P~VQ.I..UQI. .L V11 'Emergency Medical Plan = ~~ /Yl SLR S -5- 02/01/2007 F INDUSTRIAL MEDICAL GROUP SiteID: 015-021-002238 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention , iCC1Cd.7"C 1.O111.d111111C11L - Clean Up Cam/ n',~i+/~ff- / dY/R-~/A1G- sl;~~~ C~ ~~~~ 33~~ 9~a~ Other Resource Activation -6- 02/01/2007 y , "l F INDUSTRIAL MEDICAL GROUP SiteID: 015-021-002238 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ -~ .~~c~.l.ai nac~dl.ua - V1.111.V~. Jlll.lV-Vllb ~ w ~~ au1tu111y VI; I:U~Jdi1C;~% L~VC1 = ~! ,~rnr~y~3 /G~ -~- o2/oi/2oo~ /. _r. i `r. F INDUSTRIAL MEDICAL GROUP SiteID: 015-021-002238 ~ Fast Format ~ ~ Training Overall Site ~ _ ~mpioyee •rraining Q- ;~!oNT~ S~~ r ~~~ ~ cep D/c'ic~~~,~~~/ C 6%J 3~ 7 - ~ ~a-~ ra~c c. 11C1U 1VL lUI..UIC U.7-C nciu tVl i'UI.U.LC UDC -8- 02/01/2007 - ~ ` ~ ~ ~ ' ~~ ~~~" Prevention Services =,~:"iJll-V~IFIED PROGR~4M INSPECTION CHECKLIST'.' R A >.R S .F . n 90o Truxtun Ave., Suite 210 ~.~... _. ~..~~ ..~ ..,~_ a~A,~ ~.Be_~_~~_ ~~~W,--- _,~..~~~,.__ __.- ~ ~, ~ - Fief Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ,-"RT ~ Tel.: (661) 326-3979 ~, `~- ' ~ ~ Fax: (661) 872-2171 FACILITY NAME INSP C~fION A TE INSPECTION TIME ~J-"'~ws~Q-~~c. ~EDt clot, G~2ow~ a /J ADDRESS 250 ( ~ ~ PHONE NO. ~i~ '~~ NO OF'E~M(P~LOYEES W FACILITY CONTACT BUSINESS ID NUMBER 15-021- O IS •QZ) -ci0 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 ^ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ ^ VERIFICATION OF MSDS AVAILABILITY ~ ~~~ Inn t ~~ ~ V~ ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING EA'ti~g "r ^ FIRE PROTECTION ~ ~, } ^ SITE DIAGRAM ADEQUATE & ON HAND ~~' ANY HAZARDOUS W~A.STE O SITE? YES ^ NO EXPLAIN: ~G~' ~" ~~ ~(;.e~ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1s` In /Shift of Site/Station # White -Prevention Services Yellow =Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 .~ ~~ ?`~ _'~~`~ CITY OF BAKERSFIELD FIRE DEPARTMENT ~~ OFFICE OF ENVIRONMENTAL SERVICES -y UNIFIED PROGRAM INSPECTION CHECKLIST ;w ~gti,~t, 1?15 Chester Ave., 3'd Floor, Bakersfield, CA 93301 ''~WI11V'" FACILITY NAME_ ~ +~ p ks ~ Rt a ~. M E ~ ~ c a r- ~~ w aP INSPECTION DATE ~ -~-~ ~ Section 4: Hazardous Waste Generator Program EPA ID # ~~ ~~ ^ Routine [(~ Combined ^ Joint Agency ^hulti-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made EPA ID Number 2~~j i^' Authorized for waste treatment and/or storage Reported release, fire, or explosion within I S 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 ~ ` G Sends manifest copies to DTSC ~ ~ ~. Retains manifests for 3 years ~S cl 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 L=c:ompl~ance v=v~olat~on Inspector: ~' ~~ s21 L ~ ~ S Office of Environmental Services (661) 326-3979 White -Env. Svcs. siness Site Responsible Party Pink -Business Copy :~ _, s,. ^.,-. + INDUSTRIAL MEDICAL GROUP ____________________________ SiteID: 015-021-002238 + Manager LARRY M CHO BusPhone: (661) 327-2225 Location: 2501 G ST Map 102 CommHaz Minimal City BAKERSFIELD Grid: 25B FacUnits: 1 AOV: CommCode: BFD STA O1 SIC Code:8011 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title LARRY M CHO / DIRECTOR / Business Phone: (661) 327-2225x Business Phone: ( ) - x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React Contact -LARRY~IK CH0 ~ Phone: (661) 327-2225x MailAddr: 2501 G ST State: CA City BAKERSFIELD Zip 93301 Owner Phone: (661) 327-2225x Address 2501 G 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 based on my inquiry of those individt,~ !~ responsible for obtaining the information, I cer~if;~ 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. ~. ~l~j 6h1.~r~~ ~~ pd Signatu e _ Da e ~N~ /!~ ~ ~s Zo 06 -1- 05/18/2006