HomeMy WebLinkAboutBUSINESS PLAN 7/17/2007MICHAEL McMAHON, M.D. ~ `
i, 1314 L STREET
-i
MCMAHON DDS MICHAEL B SiteID: 015-021-002434
Manager CAROLYN STANDRIDGE
Location: 1314 L ST
City BAKERSFIELD
BusPhone: (661) 325-5796
Map 103 CommHaz Minimal
Grid: 30C FacUnits: 1 AOV:
CommCode: BFD STA 06
EPA Numb:
SIC Code:
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
CAROLYN STANDRIDGE / OFFICE MANAGER /
Business Phone: (661) 325-5796x Business Phone: ( ) - x
24-Hour Phone ( ) - x 24-Hour Phone ( ) - x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: React
Contact CAROLYN STANDRIDGE Phone: (661) 325-5796x
MailAddr: 1314 L ST State: CA
City BAKERSFIELD Zip 93301
Owner MICHAEL B MCMAHON Phone: (661) 325-5796x
Address 1314 L 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
~EN~~® J U L ~ 4 ~~07
based on my inquiry of those individuals
responsita!e for obtaining the information, I certify
under penalty of la+v that 1 have personally
examined and am familiar with the information
submitted and believe the information is true,
accurak
e, and complete.
\
Signatur Date
-1-
07/12/2007
F MCMAHON DDS MICHAEL B SiteID: 015-021-002434 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers at Site ~
Hazmat Common Name... ISpecHazIEPA Hazards Frm I DailyMax ~UnitIMCPI
WASTE FIXER R L 5.00 GAL Mini
-2- 07/12/2007
-3- o~/ia/aoo~
F MCMAHON DDS MICHAEL B SiteID: 015-021-002434 ~
~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
WASTE FIXER Days On Site
SPENT PHOTOGRAPHIC FIXER 365
Location within this Facility Unit Map: Grid:
EXT STORAGE RM CAS#
STATE- T TYPE PRESSURE TEMPERATURE
Liqui~ Waste Ambient ~ Ambient
CONTAINER TYPE
PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
5.00 GAL 5.00 GAL 5.00 GAL
t1HGHKLVUJ 1:V1~lYV1VL"1V15
%Wt. RS CAS#
Silver No 7440224
t1HGF~t<1J H.7.7L' .7.71~1L" 1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R / / / Min
-4- 07/12/2007
F MCMAHON DDS MICHAEL B SiteID: 015-021-002434
Fast Format
~ Notif./Evacuation/Medical Overall Site
~ Agency Notification
Employee Notif./Evacuation
,~
L'U3J.L 11. 1VV 1.11 ~ P~VQl.U0.1.1 V11
Emergency Medical Plan
911
02/28/2007
9
-5- 07/12/2007
F MCMAHON DDS MICHAEL B SiteID: 015-021-002434 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
iCC1Cds5'C t'I.CVCll l.1 V11
Release Containment
~..~cali vN
V1.11C1 iCC.7V ULGC 1'il: l..lVdl.l Vll
-6- 07/12/2007
F MCMAHON DDS MICHAEL B SiteID: 015-021-002434 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
~~c~:iai raac~aiua
Utility Shut-Offs
GAS - IN ALLEY
ELECTRIC - PANEL IN ALLEY
02/28/2007
Fire Protec./Avail. Water
FIRE HYDRANT - 14TH & L ST
02/28/2007
Building Occupancy Level 02/28/2007
LEVEL 1
-7- 07/12/2007
F MCMAHON DDS MICHAEL B SiteID: 015-021-002434 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 02/28/2007 ~
BRIEF SUMMARY OF TRAINING PROGRAM: MONTHLY TRAINING.
rayc ~
nclu tvt L'UI. LLLC U5C
nc 1lA 1VI 1'UI, LLLC U.S'L''
-8- 07/12/2007
~;
+ MCMAHON DDS MICHAEL _________________________________ SiteID: 015-021-002434 +
Manager CAROLYN STANDRIDGE
Location: 1314 L ST
City BAKERSFIELD
BusPhone: (661) 325-5796
Map 103 CommHaz Minimal
Grid: 30C FacUnits: 1 AOV:
CommCode: BFD STA 06
EPA Numb:
SIC Code:
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
CAROLYN STANDRIDGE / /
Business Phone: (661) 325-5796x Business Phone: ( ) - x
24-Hour Phone ( ) - x 24-Hour Phone ( ) - x
Pager Phone ( ) - x ,Pager Phone ( ) - x
4 Hazmat Hazards: React
Contact CAROLYN STANDRIDGE Phone: (661) 325-5796x
MailAddr: 1314 L ST State: CA
City BAKERSFIELD Zip 93301
Owner MICHAEL B MCMAHON Phone: (661) 325-5796x
Address 1314 L 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 ~ APR
7 2006
Based on my inquiry of those Individuals
responsible for obtaining the informatlgn I Certify
exam ned anld am famillaa with athe information
submitted and believe the information is true,
accurate, and complete.
Signature 3 ` ~~ ~ O~~
Date-~
-1- 03/08/2006
UNIFIED PROGRAM INSPECTION CHECI~CLIST
SECTION 1 Business .Plan and Inventory Program
J Bakersfield Fire Dept.
Environmental Services
"~'~"` 900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
_ ~ " Tel ~ (fifi l l 32fi-3979
FACILITY E ` INSPECTION DATE INSPECTION TIME
o mpo ce
ADDRESS Ste'`- o. o. y s
' i
_1.31_ ----_~ ._._ __----_-_____~~.~'el~_._ _ . ~~s.------- _ _- _ __ _._ 3zs s-_~~~ ---- _ _---------
FACILITYCONTACT / - ~ / / J j - / I Business ID Number ~J
~ C1 ~-.L/ 1.1/.~ ` f/ ~ 15-021-
Section 1: Business Plan and Inventory Program
outine O Combined O Joint Agency ~ Multi-Agency O Complaint O Re-inspection
•
ANY HAZARDOt1S WASTE ON SITE?: jYES ^ (VO ~ 1 ~'
EXPLAIN:~~ _ ~ G+/ d~'I ~? ~ /'~1~t-7 ~ , c
•
QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT ~66'I ~ 326-3979
f" . ~,
Inspector (Please Print) Fire Prevention tst-In/Shift of Site
White -Environmental Services Yellow -Station Copy
Business Site Responsibl PaAy (Ple se Print)
rn
g
Pink -Business Copy