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HomeMy WebLinkAboutBUSINESS PLAN 7/18/2007® .PHYSICIANS AUTOMATED LAB _ Y 2801 H STREET ` ~~ t = PHYSICIANS AUTOMATED LAB INC SiteID: 015-021-002333 Manager BRUCE SMITH Location: 2801 H ST City BAKERSFIELD CommCode: BFD STA O1 EPA Numb: BusPhone: (661) 325-0744 Map 103 CommHaz Moderate Grid: 19C FacUnits: 1 AOV: SIC Code:8011 DunnBrad: Emergency Contact / Title Emergency Contact / Title BRUCE SMITH / MT (ASCP) / Business Phone: (661) 325-0744x Business Phone: ( ) - x 24-Hour Phone (800) 675-2271x 24-Hour Phone ( ) - x Pager Phone (661) 331-9646x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact BRUCE SMITH Phone: (661) 325-0744x MailAddr: 2801 H ST State: CA City BAKERSFIELD Zip 93301 ' Owner C BRUCE SMITH MT (ASCP) Phone: (661) 325-0744x Address 2801 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 ~~' R~ ~`\~eC`' ~~, tnQ~~- ,. ENT~D J U ~ i ~ ~~~~ 8asnd on red„~~^'f ,^ !~Y inrauiry of these indivicluais unpor ! 7i` far obtaining the informatio penalt y °f few !ha examined and am famili s n, !certify t I have personally ar ubmitted and believe the accurate, and c with the information information i omp ,,e. ~ s true, ~'~' ,~ Si na 9 ture ----- i Date -1- 07/13/2007 ~. r. F PHYSICIANS AUTOMATED LAB INC ~ Hazmat Inventory ~ MCP+DailyMax Order = SiteID: 015-021-002333 ~ By Facility Unit ~ Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP WASTE ALCOHOL ~ DH L 55.00 GAL Mod XYLENE ~ F IH DH L 55.00 GAL Mod CARBON DIOXIDE F P IH G 50.00 FT3 Min .~~~ ~a~ z n 3'? ~~~ `' -2- 07/13/2007 ~_ ~ f -3- 07/13/2007 ~' ~ ` F PHYSICIANS AUTOMATED LAB INC ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME WASTE ALCOHOL Location within this Facility Unit OUTSIDE SW CRNR OF BLDG SiteID: 015-021-002333 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Waste Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum 55.00 GAL 55.00 GAL Daily Average 55.00 GAL ~• tll-1GKCCLVUb 1.V1~lYV1VL"1Vlb %Wt. RS CAS# Isopropyl Alcohol No 67630 ri!-~GEjtCL 1-~.7.7L",w7~71~1L'1V15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Mod ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME XYLENE Location within this Facility Unit STATE TYPE PRESSURE Liquid TMixtur~ Ambient AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL nraurucLV~o ~.vrirvlvnlvta - %Wt• RS CAS# 77.00 Xylene, Mixed No 1330207 20.00 Ethylbenzene No 100414 rltiGriRL L'iJ AP~J.71"1L11V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 1330207 TEMPERATURE CONTAINER TYPE ~ Ambient DRUM/BARREL-METALLIC -4- 07/13/2007 ~" ,, . F PHYSICIANS AUTOMATED LAB INC ~ Inventory Item 0004 COMMON NAME / CHEMICAL NAME CARBON DIOXIDE Location within this Facility Unit STATE TYPE PRESSURE _ Gas TPure ~-Above Ambient SiteID: 015-021-002333 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 124-38-9 TEMPERATURE CONTAINER TYPE Cryogenic INSUL.TANK / CRYOGENIC AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 50.00 FT3 50.00 FT3 50.00 FT3 tiA'L,Att11VU5 LV1~lYV1Vt51V'1'~ oWt. RS CAS# 100.00 Carbon Dioxide No 124389 t~~titcL r-~~,~~,~~in~;lv~l~a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Min Y -5- 07/13/2007 S . S. F PHYSICIANS AUTOMATED LAB INC SiteID: 015-021-002333 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 02/26/2007 ~ EVACUATE AFFECTED AREA. CALL 911 OR FIRE DEPT. NOTIFY IMMEDIATE SUPERVISOR. IDENTIFY THE DEGREE OF HAZARD. ELIMINATE HAZARD IF SAFE TO DO S0. CLEAN UP, IF POSSIBLE, USING APPROPRIATE MATERIALS. CHECK AREA FOR HARMFUL RESIDUES. DOCUMENT. Employee Notif./Evacuation Emergency Medical Plan -6- 07/13/2007 F PHYSICIANS AUTOMATED LAB INC SiteID: 015-021-002333 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention , Release Containment 02/26/2007 ALCOHOL - FLAMMABLE LIQUID STORAGE CABINET IN THEIR ORIGINAL SHIPPING CONTAINERS. XYLENE - FLAMMABLE LIQUID STORAGE CABINET IN THEIR ORIGINAL SHIPPING CONTAINERS. CARBON DIOXIDE - TWO 50-LB TANKS CHAINED TO THE WALL AND STORED IN AN UPRIGHT POSITION IN ORIGINAL CONTAINERS. ~o~tra~~v~ - F~a~m,rnae~~, L~ ~ ~ S-~~a~ Gr.~b~~~r i ~ -i-ha.~~. O~'~~~n~ ~h~pp~~ J CI.~nnsz'\S . Clean Up 02/26/2007 WEARING THE PROPER SAFETY EQUIPMENT, GLOVES, GOWN, FACE SHIELD, USE THE CHEMICAL SPILL KIT OR FIRE EXTINGUISHERS TO NEUTRALIZE, ABSORB, AND REMOVE ALL CONTAMINATED MATERIAL. Other Resource Activation -7- 07/13/2007 ,~ F PHYSICIANS AUTOMATED LAB INC SiteID: 015-021-002333 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~ Special Hazards Utility Shut-Offs 02/26/2007 ELECTRIC - BACK OF BLDG OUTSIDE, REAR W PARKING LOT WATER - BACK OF BLDG OUTSIDE, NEAR W PARKING LOT NEXT TO ELECTRICAL BOX Fire Protec./Avail. Water 02/26/2007 FIRE EXTINGUISHERS FIRE HYDRANT - ACROSS ST 28TH & H Building Occupancy Level ' -8- 07/13/2007 ~,, ~~• F PHYSICIANS AUTOMATED LAB INC SiteID: 015-021-002333 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 02/26/2007 ~ BRIEF SUMMARY OF TRAINING PROGRAM: PERIODIC FIRE DRILLS ARE HELD; ANNUAL REVIEW OF SAFETY & MSDS; EMPLOYEE SAFETY ORIENTATION GIVEN AT HIRE DATE AND ANNUAL THEREAFTER; VIDEO ON FIRE EXTINGUISHER OPERATION GIVEN ANNUALLY; AND PROPER USE OF PERSONAL PROTECTIVE EQUIPMENT GIVEN ANNUALLY. rayc ~ Held for Future Use Held for Future Use -9- 07/13/2007 PHYSICIANS AUTOMATED LAB INC SiteID: 015-021-002333 Manager 3~LUel; ~~~~ BusPhone: (661) 325-0744 Location: 2801 H ST Map 103 CommHaz Moderate City BAKERSFIELD Grid: 19C FacUnits: 1 AOV: CommCode: BFD STA O1 EPA Numb: SIC Code:8011 DunnBrad: Emergency Contact / Title Emergency Contact / Title BRUCE SMITH / MT (ASCP) / Business Phone: (661) 325-0744x Business Phone: ( ) - x 24-Hour Phone (800) 675-2271x 24-Hour Phone ( ) - x Pager Phone (661) 331-9646x Pager Phone ( ) - x Hazmat Hazards: DelHlth Contact BRUCE SMITH Phone: (661) 325-0744x MailAddr: 2801 H ST State: CA City BAKERSFIELD Zip 93301 Owner C BRUCE SMITH MT (ASCP) Phone: (661) 325-0744x Address 2801 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 ~ ~ ~~ ~~ G~~~ L°Jed on my inquiry of those individuals feSponsible far obtaini ng the information, I certify under penalty of law that I h e ENT F E ~ 2 ~ ~Q~7 ave personally xamined and am familiar with the informati submitted and b li on e eve the information is true, accurate, and complete. ~~~ ature y 7/~ ~ Date °-- -1- 02/06/2007 F PHYSICIANS AUTOMATED LAB INC SiteID: 015-021-002333 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP WASTE ALCOHOL DH L 55.00 GAL Mod xy ~ ~.~, ~ ~ ~ ~o~ C~~bc~ rte; ox ~ fie. ~= P i ~-~ ~ 5~ .co ~3 M; ~ -2- 02/06/200 -3- 02/06/2007 T ~ P PHYSICIANS AUTOMATED LAB INC ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME WASTE ALCOHOL Location within this Facility Unit OUTSIDE SW CRNR OF BLDG SiteID: 015-021-002333 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# STATE TYPE PRESSURE Liquid TWaste ~ Ambient TEMPERATURE CONTAINER TYPE Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL I 55.00 GAL - nt~~t~rcl~~ua ~:vl~ir~lv~lvl~ ~Wt. RS CAS# Isopropyl Alcohol No 67630 t1HGKtCL L-~~JJL" Ja1~1t51V 1 7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies DH / / / Mod - ~.~. ~-~C~C.~r..~c~. ~,(~ve~.,7 ~(~~ . ~~`~',n~- C~. ~~,,~ttf'~C"`~ x....11 C~`~-~~, ~~ p la ~ -4- 02/06/2007 r F PHYSICIANS AUTOMATED LAB INC SiteID: 015-021-002333 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~_ l~~Glll.Y 1VV 1.1111..dV1V11 _ 7 r / ~-. L'lllj.JlVyGC 1VV loll ~ rJVdl.Udl.1 V11 /~ ru1J111r iVV1.11 ~ L~VdC.:LLdl.1V11 IJ ulC 1. l~. Ci1C:y 1.1C U1C:d1 Y1c3i1 -5- 02/06/2007 F PHYSICIANS AUTOMATED LAB INC SiteID: 015-021-002333 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ xelease rrevenLion = tCC1Cd~7"C l..Vlll.dlill[lCill. l.1Cd11 UiJ v~.11ci 1CC~VU.LI:C liC:l.lVdl.1VI1 -6- 02/06/2007 F PHYSICIANS AUTOMATED LAB INC SiteID: 015-021-002333 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ A~JCC:1d1 !ld'Gdl_US U1.1111.~/ Ai1LLl.-ULLS.' ris_c rl..~~c~.~s-~.vdli. wd~cL DU11U1111~. VI: I: U~J dlll:y LCVC1 -7- 02/06/2007 1 1 ~ F PHYSICIANS AUTOMATED LAB INC SiteID: 015-021-002333 ~ Fast Format ~ ~ Training Overall Site ~ Employee Training, rayc ~ Held for Future Use nciu i.vt r u~.ui.c vac -8- 02/06/2007 ~, `~, + PHYSICIANS AUTOMATED LAB INC ________________________ SiteID: OI5-021-002333 + Manager BusPhone: (661) 325-0744 Location: 2801 H ST Map 103 CommHaz Moderate City BAKERSFIELD Grid: 19C FacUnits: 1 AOV: CommCode: BFD STA O1 SIC Code:8011 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title BRUCE SMITH / MT (~,ASCP) / Business Phone: (661) 32'S~-0744x Business Phone: ( ) - x 24-.Hour Phone (800) 675-2271x 24-Hour Phone ( ) - x Pager Phone (661) 331-9646x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact BRUCE SMITH Phone: (661) 325-0744x MailAddr: 2801 H ST State: CA City BAKERSFIELD Zip 93301 Owner C BRUCE SMITH MT' (ASCP) Phone: (661) 325-0744x Address 2801 H ST State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: _ Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: ~ Emergency Directives: ~ PROG A - HAZMAT PROG H - HAZ WASTE GEN ENT'D MAR 0 8 2006 Based on my inquiry of those individuals responsible for obtaining the information, I certify unde-r penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. it' 3~~ b Signature Date . ~ """" ,~ ~°" 0 ~~~v/"` -1- 02/27/2006 :~ ~ D 0 °~ UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program ~~ "~ ~ ~ Prevention Services e A r: R s r , ,; 900 Truxtun Ave:, Suite 210 FIRE Bakersfield, CA 93301 . D ARTM Tel.: (661)326-3979~EP~N~ Fax: (661).872-217 FACILITY NAME fa.G 1 1 L MG~1 G A(.-, Q~ w ~ INSPECjI INSPECTION TIME ~ ~~ © ~* ~ ADDRESS ~~ i, HO N E NO. ~ O OF EMPLOYEES n ~~ ( ~ C ~ !/ J J ~l ~ ~ /~ W FACILITY CONTACT BUSINESS ID NUMBER 15-021-©1,5--~~1 -ea .Section 1: Business Plan and Inventory Program ^ ROUTINE COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ ~I.f APPROPRIATE PERMIT ON HAND '~ I' ~. PG /L, ~. ~ -~, r~'o' O a r a ^ BUSIneSS 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 (n~ ~ IUmecC MS.~-S Gr ~?CE~2 ~ j~eJ~J~ v ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ' ^ F~IOUSEKEEPING \ ~ ^ ~9J FIRE PROTECTION ~ha-'~.,~.~ ( N'' Smr~b GA s1,.v ~ ^ SITE DIAGRAM ADEQUATE & ON HAND -3zg ANY HAZARDOUS WASTE ON SITE? ~~® YES ^ NO EXPLAIN: ~ 4 S~ ~ ~ ~ ~ e' ~ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~~ ~~ Inspector (Please Print) Fire Prevention / 1" In /Shift of Site/Station # White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 ,_', ~4~`I ~~`~ CITY OF BAKERSFIELD FIRE DEPARTMENT ~~d b~ OFFICE OF ENVIRONMENTAL SERVICES ~' •y UNIFIED PROGRAM INSPECTION CHECKLIST t~ ~~~ 1715 Chester Ave., 3~d Floor, Bakersfield, CA 93301 ~ yac,~~~ c. w~ES~- c.~.~ ~Q~~~p FACILITY NAME ~~"'~ h~A L ~'~ INSPECTION DATE ~ ~ O-. ,_ Section 4: Hazardous Waste Generator Program EPA ID # ~~ `" ~ ~ ^ Routine ® Combined ^ Joint Agency ^ Multi-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made EPA ID Number ~~K ~, ~ ~" 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 aze 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 ~ ~1 Proper management of used oil filters Transports hazazdous waste with completed manifest Sends manifest copies to DTSC ~ f ( a r ~ ~ ~ ~ ~,~ y. ti,Y, Retains manifests for 3 yeats 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 ~=~ompnance v=vtotanon Inspector: ~ ~G~ ~L------ Office of Environmental Services (661) 326-3979 White -Env. Svcs. es. Si Re ponsible Party Pink -Business Copy ' - -' ;,s~~.-..x,ia.:as<•k..=3;.-^=` .. -. , ~..-=:..:..,=•.~,.:1:..-sA:., ' 4u'"~..- .. . - .. -. ,. ~ v,l .-, :'„~. ti ~:_. _ v -... a ~... a.i ...o-~+..- .... o ., ~ - _ ` „ ,w~r:s`' ... -~5=.~ -,a ~ i-" *• - ~ - - ._ ,~- Bakersfield Fire Dept. UIVII°IE® PR®Gi~A11A INSPECTI®N CHECKLIST ~ Enironmental services _ _ ~~ - - 1.715 Chester Ave SECTION 1 Business Plan and Inventory Program' ~ Bakersfield, CA 93301. FACILITY NAME ' INSPECrTISON DATE INSPECTCION'TIME ._ ~i"1 ~ e"~': ~ ti ~i 1n. _ L) 1 ~. t ~c.' ~.. ~._ f 1 (U~~ d r..... ~,,r,,,,r .~,.~ , ,f,~ . ADDRESS PHONE No. No. of Employees ''. FACILITYCONTACT Business ID Numher 3c•t,c.~ , i h 15-021- ~ Q a 33 3 ., ., ,.: Section 1: ;Business Plan and Inventory Program Routine ^ Combined ^ Joint Agency ^ Mul#i-Agency ^ Complaint. ^ Re-inspection C ~ IV=Vioatioinnce~ OPERa4TION ~ COMMENTS ^~^ APPROPRIATE PERMIT ON HAND ' lJ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^' CORRECT OCCUPANCY L~l ^ VERIFICATION rOF INVENTORY MATERIALS - -- - --------. ------ -- E ~^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION _ ^ ,PROPER SEGREGATION OF MATERIAL ~ ~ --- - - ®~ ^ VERIFICATION OF MSDS AVAILABILITYE ^'r^ . VERIFICATION OF HAT MAT TRAINING ' ,~;> ^~^ VERIFICATION OF .ABATEMENT SUPPLIES AND PROCEDURES @~ ^ EMERGENCY PROCEDURES ADEQUATE - { (~N' ^ CONTAINERS PROPERLY LABELED ^ ^"''~ HOUSEKEEPING ~`~' ®'~^ FIRE PROTECTION ~ ~^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE: ~ES ^ NO EXPLAIN: t ~JA~ C (a 1 ~ F1 ti.,c-~ , ? _ ~ .~ QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALLUS AT ~66`I~ 326-3979 ,, .~,~ ~ ~ _ ~ - ,~ , Inspector (Please Pnnt) Fire Prevention 1st-In/Shift of Site t Bu~ess Site'Responsible'Party (Please Print) `~... 8 White -Environmental Services Yellow -Station Copy Pink -Business Copy ~ i• • UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Environmental Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel: (661_)_326-3979 _ F I ITY NAME INSPECTION DATE INSPECTION TIME ADDRES PHONE o No. of Employees ~ X01 ~--( =' ~ ?~~' 4744 /SZ- _ ..__ - FACILITYCONTACT Business ID Number [L_ ., I ~,. ~ L__ . -a. 15-021- ~. ~I`jl~l Section 1: Business Plan and Inventory Program C9'~ioutine O Combined O Joint Agency OMulti-Agency O Complaint O Re-inspection ANY HAZARDOUS WASTE ON SITE?: ^ YES ^ NO EXPLAIN: • QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Pn~ Fire Prevention 1st-In/Shift of Site White -Environmental Services Yellow -Station Copy Business S e~tesponsibla arty (Please Print) B Pink • Business Copy