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HomeMy WebLinkAboutBUSINESS PLAN 2/7/2007® PARKVIEW JULIAN CONV. 1801 JULIAN AVENUE `~ - - ~, PARKVIEW JULIAN CONVALESCENT Manager ~~ ~~~ G • ~.tfSi' Location: 1801~JULIAN AVE City BAKERSFIELD CommCode: BFD STA 05 EPA Numb: BusPhone: Map 123 Grid: 13B SIC Code: DunnBrad: SiteID: 015-021-001170 (661),831-9150 CommHaz Low FacUnits: 1 AOV: Emergency Contact / Title Emergency Contact / Title FRANK DENHAM / OWNER DOUGLAS G RICE / ADMINISTRATOR Business Phone: (661) 831-9150x Business Phone: (661) 831-9150x 24-Hour Phone (661) 871-8741x 24-Hour Phone (661) 664-0799x Pager Phone ( ) - x Pager Phone (661) 319-4888x Hazmat Hazards: Contact DON PERRY Phone: (661) 350-5851x MailAddr: 1801 JULIAN AVE State: CA City BAKERSFIELD Zip : 93304 Owner FRANK DENHAM Phone: (661) 871-8741x Address 4100 SILL PL State: CA City BAKERSFIELD Zip 93306 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif~d: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG C - COMM HOOD Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law t'iat I have personally examined and am famili• r with the information ENT submitted and believe th~ . information is true, FE B 2 6 2007 c ate, and complete. ~ .-~ , a ' i ature Date -1- 02/05/2007 ~n F PARKVIEW JULIAN CONVALESCENT SiteID: 015-021-001170 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP OXYGEN L 1330.00 FT3 Low -2- 02/05/2007 ?~ -3- 02/05/2007 P, ~ F PARKVIEW JULIAN CONVALESCENT SiteID: 015-021-001170 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: S END OF BLDG CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Pure Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATIONI Largest C1330100rFT3 Daily1330100m FT3 l Daily1330r00e FT3 ti1~GlittLVUJ 1:V1~lYV1VL'1VlJ %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 riAGAK1J A~5~55M~1V'1'S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / j Low -4- 02/05/2007 r. c', F PARKVIEW JULIAN CONVALESCENT SiteID: 015-021-001170 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ t~yClll:y 1VV1.111Ud1.1V11 Employee Notif./Evacuation 03/08/2000 EVACUATION ROUTES POSTED AND PROCEDURES ON FILE. ALL PATIENTS WOULD BE ESCOURTED BY STAFF TO ASSEMBLY AREA. r U3.J111: 1vV l.1t ~ l~VdULLdl.1 Vi1 Emergency Medical Plan 03/08/2000 SAN JOAQUIN HOSPITAL - 2615 EYE ST - 327-1711. -5- 02/05/2007 ~., T~ F PARKVIEW JULIAN CONVALESCENT SiteID: 015-021-001170 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 03/08/2000 ~ OXYGEN CYLINDERS PROPERLY CHAINED AND USE ONLY PROPER VALVES AND FITTINGS. 1~.G1C0.r7G l..Vll l..0.111L11C11L t.1 C0.11 IJ~J V 1.11CL 1CC5VUI. C:C tic;~lvazlon -6- 02/05/2007 _ •,. F PARKVIEW JULIAN CONVALESCENT SiteID: 015-021-001170 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ Special riazaras Utility Shut-Offs 04/07/2006 A) GAS - W SIDE BLDG OUTSIDE KITCHEN B) ELECTRICAL - W SIDE ADJ TO LAUNDRY C) WATER - N CRNR OUTSIDE DINING RM D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec.~/Avail. Water 02/05/2007 PRIVATE FIRE PROTECTION - WEBB FIRE PROTECTION AND INDEPENDENT FIRE AND SAFETY AND SPRINKLER SYSTEM. FIRE HYDRANT - NE CRNR OF BLDG Building Occupancy Level 03/22/2006 120 EMPLOYEES -7- 02/05/2007 .:~ F PARKVIEW JULIAN CONVALESCENT SiteID: 015-021-001170 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 01/04/2007 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ALL TRAINING IS DONE BY DIRECTOR OF STAFF DEVELOPMENT FOR ALL DEPTS. ra.y C ~ Held for Future Use nciu ivi ru~uLC vaC -8- 02/05/2007 PARKVIEW JULIAN CONVALESCENT SiteID: 015-021-001170 Manager DOUGLAS G RICE Location: 1801 JULIAN AVE City, BAKERSFIELD CommCode: BFD STA 05 EPA Numb: BusPhone: (661) 831-9150 Map 123 CommHaz Low Grid: 13B FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title FRANK DENHAM / OWNER DOUGLAS G RICE / ADMINISTRATOR Business Phone: (661) 831-9150x Business Phone: (.661) 831-9150x 24-Hour Phone (661) 871-8741x 24-Hour Phone (661) 664-0799x Pager Phone ( ) - x Pager Phone (661) 319-4888x Hazmat Hazards: Contact DON PERRY Phone: (661) 350-5851x MailAddr: 1801 JULIAN AVE State: CA City BAKERSFIELD Zip 93304. Owner FRANK DENHAM Phone: (661) 871-8741x Address 4100 SILL PL State: CA City BAKERSFIELD Zip 93306 Period to TotalASTs: = Gal Preparers- - - TotalUSTs: _ Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG C - COMM HOOD ~Nr~ ~ F RUC ~ r .~ .- .. L .. ~~ s` r' !` jai ;Fi (' ~ ., tfi rc~; ..~ '•s ZO® ., ~ 117 - •,t ~ "... i.f ~t ! .. ~~ ~ +; ;i'~~,7 ~ 1~ L ~ti _ •V ~ c.'.: ,'fir r ~ Z :. ~.~ i.. - ,. . r., ~ ,,_. ~ ;4 ~ t ' ` / F~ ~ `~ v -1- 07/13/2007 + PARKVIEW JULIAN CONVALESCENT ________________________ SitelD: 015-021-001170 + Manager BusPhorie: (661) 831-9150 Location: 1801 JULIAN AVE Map 123 CommHaz Low City BAKERSFIELD Grid: 13B FacUnits: l AOV: CommCode: BFD STA 05 SIC Code: EPA Numb: DunnBrad: Emergency Contact' J Title Emergency Contact / Title FRANK DENHAM / OWNER / ADMINISTRATOR Business Phone: (661) 831-9150x Business Phone: 0661) 831-9150x 2 4 -Hour Phone ( 6 61) 8 71- 8 741x 2 4 -Hour Phone (-6~) ~s~-z, ~~~ Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Contact DON PERRY Phone: (661) 323-6109x MailAddr: 1801 JULIAIQ AVE State: CA ~r~-(j -~s~ City BAKERSFIELD Zip 93304 Owner FRANK DENHAM Phone: (661) 871-8741x Address 4100 SILL PL State: CA City BAKERSFIELD Zip 93306 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG C - COMM HOOD ~~y~~ G ~m~-o,~q R ~ c~ ~~ 3(q - ~f ~~~ ~~ Based on my inquiry of tha~8 indlvidU4le responsible for pb#aining the Informa4ipn, I certify under penalty Qf I~zw that I have ppersonally examined and rim familiar with the information submitted and bellevp the informatian is true, rate, an omplete. ~ _C~ ~~ 3 b ignature Dat ENT'D APR 0 7 ~pp~ -1- 03/22/2006 0~5` T~ CITY OF BAKERSFIELD FIRE DEPARTMENT b OFFICE OF ENVIRUNMF.NTAL SERVICES ~' y UNIFIED PROGRAM INSPECTION CHECKLIST `w„''"~tip~ 1715 Chester Ave., 3'd Floor, Bakersfield, CA 93301 FACILITY NAME a.r kVict,~1 J;~(rctK. .+v ADDRESS I yr, c FACILITY CONTACT ~. ~- 1~a,~rt,` . INSPECTION TIME~,~~~,~/S =eZc~ ~,~ ~ , INSPECTION ATE ~~ / ©3 PHONE NO. ,~G'I ~ sal -- Y S~ BUSINESS ID NO. 15-210- ~/'7C~ Nt1MBER OF EMPLOYEES r~~ auP.ra~c' r° Section 1: Business Ptan and Inventory Program Routine ^ Combined 0 Joint Agency ~] Multi-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Q ti~~~ Visible address Correct occupancy ~/ Verification of inventory materials G~_ ~ Verification of quantities him,' /tee Da7~~0 ~//~~~ Verification of location ~~~ ~ ~ ~~ ~ Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: ^ Yes ~ No Explain: Questions regarding this inspection? Please call us at (661) 326-3979 White -Env. Svcs. Yellow -Station Copy Pink - Business Copy J l Business Site Respon. a Party Inspector: ~~ ca.'~~- r ~' - 4S~, lpC~ °Ec1ui#able Healthcare Accessibility For CaliFarnia" _ Office of Statewide Health Planning and Development Facilities Development Division 1600 9th Street, Room 420 Sacramento, CA 95814-6476 (916)654.-3362 Fax (916) 654-2973 www.oshpd.ca.gov/fdd ATTN: RON FRAZE 15005 BAKERSFIELD FD 2101 H STREET BAKERSFIELD, CA 93301 Facility Name: Parkview Julian Convalescent-20217 1801 Julian Avenue Bakersfield, CA 93304 Dear Fire Chief: DATE 9/4/07 OSHPD NO SS061709-15 SUB 0 This is to advise you that OSHPD has received plans for the above listed project that is located within your jurisdictional boundaries. The plans will be reviewed to ensure compliance with state codes as well as any local codes that are more restrictive. Should you desire to review the project working drawings, please contact: Mr Frank J. Cantelmi M21190 Frank Cantelmi, Mechanical Engineer 2130 F Street, Suite B Bakersfield, CA 93301 (661) 324-5252 It is requested that you provide any comments that you may have within 30 days from the date of the transmittal. In order to facilitate an early plan review response to the applicant, we request your input or request for a set of plans within the next seven days. Lack of response will be construed to mean that no more restrictive local standards exist. Should you have any questions regarding this matter, please do not hesitate to contact me at (916) 654-2860. cc: Project File Facility Representative Sincerely, ~(/}~ Sudheer Karnik j) ~ ~ Senior Architect o. ,h~ V 14:t ~:: C~ IPOPP~~ 325/TR Triage State of California -Health and Human Services Agency Review9 v191103 Arnold Schwarzenegger, Governor p5~ JpC~ NEq:uitable He~ItF~c~re Accessibility For CafiForni~" Office of Statewide Health Planning and Development Facilities Development Division 1600 9th Street, Room 420 Sacramento, CA 95814-6476 (916) 654-3362 Fax (916) 654-2973 vvww.oshpd.ca.gov/fdd ATTN: RON FRAZE 15005 BAKERSFIELD FD 2101 H STREET DATE 8/30/07 OSHPD NO SS071559-15 SUB 0 BAKERSFIELD, CA 93301 Facility Name: Parkview Julian Convalescent-20217 1801 Julian Avenue Bakersfield, CA 93304 ----rrojeet-~itte -?;~~H ,4N+C-f~L C-H~tNGE-6UT VV~FFd6~WE - Dear Fire Chief: This is to advise you that OSHPD has received plans for the above listed project that is located within your jurisdictional boundaries. The plans. will be reviewed to ensure compliance with state codes as well as any local codes that are more restrictive. Should you desire to review the project working drawings, please contact: Mr Frank J. Cantelmi M21190 Frank Cantelmi, Mechanical Engineer 2130 F Street, Suite B Bakersfield, CA 93301 (661) 324-5252 It is requested that you provide any comments that you may have within 30 days from the date of the transmittal. In order to facilitate an early plan review response to the applicant, we request your input or request for a set of plans within the next seven days. Lack of response will be construed to mean that no more restrictive local standards exist. Should you have any questions regarding this matter, please do not hesitate to contact me at (916) 654-2860. Sincerely, Sudheer Karnik Senior Architect ,'. r~. cc: Project File ~~''" Facility Representative ~ ' s: ~, „o~«,. 325/TR Triage State of California -Health and Human Services Agency Reviews ~fs~ X03 Arnold Schwarzenegger, Governor