HomeMy WebLinkAboutBUSINESS PLAN- -
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M I MID-TOWN FAMILY DENTISTRY
2427 H STREET
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MID-TOWN FAMILY DENTISTRY
Manager VERONICA FIMBRES
Location: 2427 H ST
City BAKERSFIELD
CommCode: BFD STA 01
EPA Numb:
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SiteID: 015-021-002273
BusPhone: (661) 861-0577
Map 103 CommHaz Minimal
Grid: 30A FacUnits: 1 AOV:
SIC Code:8021
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
MARK THOMAS / OWNER VERONI CA FIMBRES / MANAGER
Business Phone: (661) 861-0577x Business Phone: (661) 861-0577x
24-Hour Phone (661) 201-8454x 24-Ho ur Phone ((,~;p~) ~~'l -$7~~
Pager Phone (661) 201-8454x Pager Phone ((~p~ )'j~~ -g'77Sx
Hazmat Hazards: React
Contact MARK THOMAS Phone: (661) 201-8454x
MailAddr: 2427 H ST State: CA
City BAKERSFIELD Zip 93301
Owner MARK THOMAS Phone: (661) 201-8454x
Address 2427 H 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 ~~
ENT'D MAY 3 0 2007
Fyas~~d on my inq~~iry of those individuals
re non•:~ibie for obtaining the information, I certify
under den
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and am fa ' iar with the information
exarrl6~c
mined and bei' a the information is true,
accurate, p
ianature Date
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-1- 05/22/2007
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F MID-TOWN FAMILY DENTISTRY SiteID: 015-021-002273 ~
~ 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- 05/22/2007
-3- 05/22/2007
F MID-TOWN FAMILY DENTISTRY SiteID: 015-021-002273 ~
~ 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 -~mbRent~E ~ AmbientT~E ~ PLASTCICT ONTAINERE
AMOUNTS AT THIS LOCATION -
Largest Container Daily Maximum ~aily Average
5.00 GAL 5.00 GAL 5.00 GAL
ri1~GEitCLVU~ 1;V1~lYV1VL'1V1~
cwt. _ Rs cAS#
Silver No 7440224
t1HG1~KL H5 Jt55~1~1~1V 15
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R / / / Min
-4- 05/22/2007
F MID-TOWN FAMILY DENTISTRY SiteID: 015-021-002273 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification 04/18/2007 ~
911
Employee Notif./Evacuation
VERBAL NOTIFICATION. EVACUATION THROUGH FRONT ,OR BACK DOORS.
04/18/2007
Public Notif./Evacuation
VERBAL NOTIFICATION. EVACUATION THROUGH FRONT OR BACK DOORS.
04/18/2007
Emergency Medical Plan
911
04/18/2007
-5- 05/22/2007
F MID-TOWN FAMILY DENTISTRY SiteID: 015-021-002273 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 04/18/2007 ~
SECONDARY CONTAINMENT
Release Containment 04/18/2007
SECONDARY CONTAINMENT
Clean Up 04/18/2007
ABSORBANT FOR SMALL SPILLS. CALL STERLCYCLE FOR LARGE SPILLS.
Other Resource Activation
-6- 05/22/2007
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F MID-TOWN FAMILY DENTISTRY SiteID: 015-021-002273 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
~ Special Hazards
Utility Shut-Offs 04/18/2007
GAS: W SIDE OF BLDG
ELECTRICAL: W SIDE OF BLDG
WATER: W SIDE OF BLDG
Fire Protec./Avail. Water
FIRE EXTINGUISHERS
FIRE HYDRANT: 25TH ST BEH BLDG
04/18/2007
Building Occupancy Level
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-7- 05/22/2007
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F MID-TOWN FAMILY DENTISTRY SiteID: 015-021-002273 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 04/18/2007 ~
BRIEF SUNlNIARY OF TRAINING PROGRAM: OSHA TRAINING REVIEW MSDS
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-8- 05/22/2007