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Home My WebLink AboutBUSINESS PLAN 8/22/2006I B ~ BANFIELD PET HOSPITAL __ t ; 4100 MING AVE. ~/ ,I ~~ ~~ 1-t i UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Pian and Inventory Program • Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACT TY NAME INSPECTION DATE INSPECTION TIME ADDRESS PHONE No. No. of Employees FACILITYCONTACT .___ ~ (~~ Business ID Number i s-o2 i- v v~ y Section 1: Business Plan and Inventory Program ~(o Routine. ^ Combined O Joint Agency ^Mutti-Agency ^ Complaint ^ Re-inspection C V nce~ OPERATION t COMMENTS on \V=Vioa ^ APPROPRIATE PERMIT ON HAND ~, ^. BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ~ ^ CORRECT OCCUPANCY 1 I(J ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL y , - - ^ $ a ,. - I~ ^ ---- ---- VERIFICATION OF MSDS AVAILABILITYE - - ,r 5 '^O~~ ^ VERIFICATION OF HAT MAT TRAINING - --- ~I ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~J ^ ^ EMERGENCY PROCEDURES ADEQUATE CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING -- - - - LY ^ --- - - - FIRE PROTECTION --- ---------------------- --- ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ~t.-. QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US A~661) 326-3979 _-~ ~ -- -----_ __-~ ---,-n- - - ~z~! Inspe dge No. usiness ite Resp Bible Party White -Environmental Services Yellow -Station Copy Pink -Business Copy YES ~No 1 ~/ ~ ~ ~ T, r + BANFIELD PET HOSPITAL 86 ____________________________ SiteID: 015-021-002059 + Manager BusPhone: (661) 396-8216 Location: 4100 MING AVE Map 123 CommHaz Low City BAKERSFIELD Grid: 02C FacUnits: 1 AOV: CommCode: BFD STA 07 SIC Code: EPA Numb: DunnBrad: Emergency Contact / "]["itle Emergency Contact / Title / HOS:P DIRECTOR / ~° Business Phone: (661) 39.6-8216x Business Phone: (661) 396-8216x 2 4 -Hour Phone ((t to/) S y'br' - 33 ~~x 2 4 -Hour Phone (~t21 )j 3 3 t/vN7 x P~ger Phone ( ) - x ' Pagqe~r Phone ( ) - x +---ru.e,Ls., h.ild~er~---------..------------ -+----7~g-.v%d_Eg~gv_i c_l~t~-c~_--------------+ Hazmat Hazards: Fire React ImmHlth DelHlth Contact Phone: (661) 396-8216x MailAddr: 4100 MING AVE State: CA City BAKERSFIELD Zip 93309 Owner BANFIELD PET HOSPITAL Phone: (661) 396-8216x Address 4100 MING AVE State: CA City BAKERSFIELD Zip 93309 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 indlviduais responsible for obtaining the Information, 1 certify under penalty of law that I have personally examined and am familiar with the Information submitted and believe the information is 4rue, accurate, and complete. Signature Date ENT'D APR 1 ~ 2006 -1- 03/09/2006 • UNIFIED PROGRAM INSPECTION CHECI(LIST .ebS'YE~s"5*~.-;dt"C+.i?i~1'1i:fiW.4S2*„~*'_$v'°`x•-u1i X.M'Lt:. ,.P .a:+..t :~/,4wd~F"Vd - -. ._.. 9':. _n,i.d _=..~ ,nu ...+.m~~. ~.. _._s. SECTION 1: Business Plan and Inventory Program BAKERSFIELD FIRE DEPT Prevention Services art ~~RI 900 Trtixtun Ave., Suite 210 ,ARrAI T Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME~h ^`~~ / P~~ ) /OS~ (~~ f // -l r~//~ C r` NSPECTION DATE 1l-/~- os- INSPECTION TIME i~~° ADDRESS ~/V~ I y~ov lr~c~ ~ r'l' HONE NO. ~c~- 39.6-~z i~ NO OF EM OYEES FACILITY CONTACT f~~r1y~l~~ C~sli-~.k~ ~Gl 9?9 ^ << zZ USINESS ID NUMBER is-o2,-poav~ Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOIPJT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V (c=Compliance` OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND r L~l ^ BUSIt18SS PLAN CONTACT INFORMATION ACCURATE C'~ ^ VISIBLE ADDRESS I~ ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ~ ^ VERIFICATION OF QUANTITIES ~ / LQ ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY L d , _ ,// LrJ ^ VERIFICATION OF HAZ MAT TRAINING Ltd ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE 8 ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN YES ~ NO .QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (667) 326-3979 Inspector (Please Print) Fire Prevention / 1 ~ In /Shift of Site/Station H White -Prevention Services Yellow -Station Copy Pink -Business Copy - FD2049 (Rev. 1YL05) y. BANFIELD PE/T HOSPITAL 86 = Manager 71 G~ ~~: L',~c.~~~~ 5 Location: 4100 MING AVE City BAKERSFIELD CommCode: BFD STA 07 EPA Numb: ~0~~ SiteID: 015-021-002059 BusPhone: (661) 396-8216 Map 123 CommHaz Low Grid: 02C FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / ~'itle TRACI CHILDERS / HOSP DIRECTOR DAVID ESPERICUETA / ;~c.,~Q,C'.fv~- Qf`/~G4t'~i Business Phone: (661) 396-8216x Business Phone: (661) 396-8216x 24-Hour Phone (661) 588-2315x 24-Hour Phone (661) 333-4047x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire React ImmHlth DelHlth Contact DR JOE DENDY Phone: (661) 396-8216x MailAddr: 4100 MING AVE State: CA City BAKERSFIELD Zip 93309 Owner BANFIELD ANIMAL PET HOSPITAL Phone : ( :5~3) $.~ ~ -L¢.73~ Address PO BOX 13998 State:'OR City PORTLAND Zip 97213-0998 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN ~~ Baa~~l an rrry inquiry of those individuals tif ' ENT"0 MAY ~ 0 207 y s~,~ fc~r c~btalhing the infarmation, I cer respons under penalty of 14w that t have personally examined and ar°n far~lllpr with the information submitted and believe the information is true, plete. m accurate, and co / ~ ..~G' ~~'li~- ~ U~-('D~''~-~ ~ ~ ~ ~ v Signature Date -1- 05/02/2007 -, F BANFIELD PET HOSPITAL 86 SiteID: 015-021-002059 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP OXYGEN WASTE FIXER F IH DH G R L 300.00 5.00 FT3 GAL Low Min -2- 05/02/2007 -3- 05/02/2007 F BANFIELD PET HOSPITAL 86 SiteID: 015-021-002059 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: OPERATING RM CAS# 7782-44-7 ~GaSATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE -TPure Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Co145100rFT3 Daily 300100m FT3 I Daily 300r00e FT3 r1t~~t~tcLVUa wlnrvlv~iv-.~S oWt. RS CAS# 100.00 Oxygen, Compressed No 7782447 IIHGHSCSJ Hw7 w7l;a.7.71~11:.1Vi~7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low ~ 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: CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Waste ~mbient ~ Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 5.00 GAL 5.00 GAL 5.00 GAL I1LiGtiCCLVU~J 1..V1~lYV1VrJ1Vlw7 oWt. RS CAS# Silver No 7440224 riHLKCCL 1-iw 7 ~7 J_"a ~7 w71~1L' 1V 1 ~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -4- 05/02/2007 F BANFIELD PET HOSPITAL 86 SiteID: 015-021-002059 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ riycll~y 1VV1.1111~Q1.1V11 Employee Notif./Evacuation Public Notif./Evacuation l~uiciycll~.y i•icu.i~,a.L riall -5- 05/02/2007 ,, ., F BANFIELD PET HOSPITAL 86 SiteID: 015-021-002059 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention Release Containment 9 1~1G0.11 V~/ t_ V 1.1161 L<G~7VUIVG 1`lt. l.lV0.l.1 V11 -6- 05/02/2007 F BANFIELD PET HOSPITAL 86 SiteID: 015-021-002059 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ a~JCC:1d1 ndGdIUS u~lli~y ~nuz-~==s r1iC t'IVI.CC:. /HVd11. Wc1L~r- Dullutily v~:uuj~duuy LCVC1 -7- 05/02/2007 .. ,. .. F BANFIELD PET. HOSPITAL 86 SiteID: 015-021-002059 ~ Fast Format ~ ~ Training Overall Site ~ _, L'J lll~JlVycc 11GL111111y rayc c nclu tvi r ul,uLC USC 11c 1tA 1Vi ruL U1.C V.7-C -8- 05/02/2007