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Home My WebLink AboutBUSINESS PLANGARGER JpNATHAN DMD TREET 2901 H S ,~. ~- GARGER DMD JONATHAN a-~e-r~~~ri~sb~ Manager Location: 2901 H ST City BAKERSFIELD CommCode: BFD STA 01 EPA Numb: SiteID: 015-021-002382 BusPhone: (661) 327-7306 Map 103 CommHaz High Grid: 19C FacUnits: 1 AOV: SIC Code:8021 DunnBrad: Emergency Contact / Title ~ Emergency Contact / Title JONATHAN it,~fv'i GARGER DMD / DENTIST ;;'"°-^~- ~"-*Tr~ / OFFICE MANAGER Business Phone: (661) 327-7306x CS'r'~~S y Business Phone: (661) 329-2306x 24-Hour Phone (661) 342-4508x 24-Hour Phone (661) 3~~_-~ Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth DelHlth Contact : .JONATHAN GARGER Phone: (661) 327-7306x MailAddr: 2901 H ST State: CA City BAKERSFIELD Zip 93301 Owner JONATHAN GARGER DMD Phone: (661) 327-7306x Address 2901 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 EN~°~ ,1 U ~. ~. ~ ~,~~~ ~'G" ?d on m~,~ inquiry of those individuals r?suc~.'?steip• '.'a~f p~f'c+inilig the information, I certify undF~r penaity of lay^~ that I have personafhr oxarnined and am familiar with the information subrr;itted and ~eNeve the information is true, accurate, and complete. r ~ _. ~ I /J~ 47 ,.e ~ _ Sig 3ture Date lot ~ -1- 07/11/2007 F GARGER DMD JONATHAN SiteID: 015-021-002382 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP NITROUS OXIDE OXYGEN F P F IH IH DH G G 973.00 502.00 FT3 FT3 Hi Low -2- 07/11/2007 -3- o~/il/aoo~ ~ 5 F GARGER DMD JONATHAN ~ Inventory Item 0002 COMMON NAME / CHEMICAL NAME NITROUS OXIDE Location within this Facility Unit OUTSIDE NE CRNR OF BLDG STATE TYPE PRESSURE _ Gas ~ure ~ove Ambient SiteID: 015-021-002382 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 10024-97-2 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 486.00 FT3 973.00 FT3 973.00 FT3 - t~c,1-~.ttliuu~ ~uinruiv~,ly 15 $Wt. RS CAS# 100.00 Nitrous Oxide No 10024972 riHGF~tCL 1~J J~551~1~1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME OXYGEN Location within this Facility Unit OUTSIDE NE CRNR OF BLDG Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 7782-44-7 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE _ Gas TPure -Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Co251100rFT3 Daily 502100m FT3 I Daily 251r00e FT3 nr~c~.yrcLUU~ ~urirulv~ly 1 ~ ~Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 tis~GHt[L EiJ ~~5.71~1L"1Vla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -4- 07/11/2007 F GARGER DMD JONATHAN SiteID: 015-021-002382 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 02/26/2007 ~ CALL 911 AND AIR GAS. Employee Notif./Evacuation 02/26/2007 GO OUTSIDE. Public Notif./Evacuation 02/26/2007 GO OUTSIDE. Emergency Medical Plan 02/26/2007 CALL 911. -5- 07/11/2007 ~~ F GARGER DMD JONATHAN SiteID: 015-021-002382 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 02/26/2007 ~ TANKS ARE CHAINED TO WALL IN OUTSIDE CLOSET. 1CC1Cd5C 1. Vil l.d 111LLLCi1L ~.icall v~ V1.11Ci 1CCaVUL I:C 1'il:LlVdl.1 V11 -6- 07/11/2007 f i - ~ F GARGER DMD JONATHAN SiteID: 015-021-002382 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .7~JCC:1d1 ridGdLUS Utility Shut-Offs 02/26/2007 GAS - E WALL OF BLDG ELECTRIC - E WALL OF BLDG WATER - FRONT OF BLDG AT GATE ENTR Fire Protec./Avail. Water 02/26/2007 FIRE EXTINGUISHER OUTSIDE OF BLDG IN MIDDLE OF COURTYARD AND INSIDE BLDG. FIRE HYDRANT - FRONT OF BLDG Building Occupancy Level 02/26/2007 10 EMPLOYEES -7- 07/11/2007 ~I. .. F. ~ F GARGER DMD JONATHAN SiteID: 015-021-002382 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 02/26/2007 ~ BRIEF SUMMARY OF TRAINING PROGRAM: TRAINING DONE UPON NEW HIRE. SHOW HOW TANKS ARE CHAINED TO WALL, WHERE LOCATED, AND HOW TURNED OFF AND ON AFTER EACH PATIENT USE. rayc ~ Held for Future Use aic.iu ivi i'u~.utc vac -8- 07/11/2007 Bakersfield Fire Dept. UNIFIED PROC'R~4M INSPECTION CHECKLIST / ~ Enironmental services SECTION 1 Business Plan and Inventory Program 1715 Chester Ave Bakersfield, CA 93301 ~~ Tel: (661)326-3979 FACILITY NAME ~ INSPECTION DATE INSPECTIOI ADDRESS PHONE No. No. of Emplc ~ S~ Zvi ~ 1 ~-------------- - -- ----- ---------. ---- -- 3 Z. 7-1~~ -- -- -~' FACILITYCONTACT Business ID Number I5-021- Section 1: Business Plan and Inventory Program C9~outine ^ Combined ^ Joint Agency ^hulti-Agency ^ Complaint ^ Re-inspection C V IV=Voationnce~ OPERATION COMMENTS ~~ V l o la-t t.::,s ^ ^ APPROPRIATE PERMIT ON HAND ^ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE LZY VISIBLE ADDRESS L~ CORRECT OCCUPANCY i~ ®~VERIFICATION OF INVENTORY MATERIALS LZY ®~VERIFICATION OF QUANTITIES i~VERIFICATION OF LOCATION LJ ^ PROPER SEGREGATION OF MATERIAL LtiY i~VERIFICATION OF MSDS AVAILABILITYE I!~' ^ VERIFICATION OF HAT MAT TRAINING L'7 ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES L'~ ^ EMERGENCY PROCEDURES ADEQUATE ~^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING l~ ^ FIRE PROTECTION "`L`7 ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDtOU~S WASTE ON SITE: ~ES ^ NO EXPLAIN:. ~~/95fC ~/~(CY' QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT 661 326-3979 ^/ ~ ~ ) Inspector (Pleasel"rint) Fire Prevention 1st-InlShift of Site White -Environmental Services Yellow -Station Copy Bu ne s i esponsibl arty Ie~rint) rn g Pink -Business Copy + GARGER DMD JONATHAN _________________________________ SiteID: 015-021-002382 + Manager BusPhone: (661) 327-7306 Location: 2901 H ST Map 103 CommHaz High City BAKERSFIELD Grid: 19C FacUnits: 1 AOV: CommCode: BFD STA O1 SIC Code:8021 EPA Numb: DunnBrad: +______________________________________________________________________________t Emergency Contact / Title Emergency Contact / Title JONATHAN GARGER / DMD~ JOYCE HANCE / OFFICE MANAGER Business Phone: (661) 32T-7306x Business Phone: (661) 329-2306x 24-Hour Phone (661) 342'-4508x 24-Hour Phone (661) 833-0405x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact Phone: (661) 327-7306x MailAddr: 2901 H ST State: CA City BAKERSFIELD Zip 93301 Owner JONATHAN GARGER.DMD Phone: (661) 327-7306x Address 2901 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 ~~~ ~ ~~~~ Based on my inquiry of those individuals responsible for obtaining the information, I certify 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. g tur k~'~.._ - Da e -1- 02/27/2006