HomeMy WebLinkAboutBUSINESS PLAN (2)- -- - --- -
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li ~ INDUSTRIAL MEDICAL GROUP
_ _ -. _-_ l 2501 G STREET
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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.
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-8- 07/12/2007
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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
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F INDUSTRIAL MEDICAL GROUP SiteID: 015-021-002238 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
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F INDUSTRIAL MEDICAL GROUP SiteID: 015-021-002238 ~
Fast Format ~
~ Training Overall Site ~
_ ~mpioyee •rraining
Q- ;~!oNT~ S~~ r
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D/c'ic~~~,~~~/
C 6%J 3~ 7 - ~ ~a-~
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11C1U 1VL lUI..UIC U.7-C
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-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