HomeMy WebLinkAboutBUSINESS PLAN (2)
~ r ~ r I WESTERN DENTAL ORTHODONTICS
4409 MING AVE.
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WESTERN DENTAL ORTHODONTICS
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Location: 4409 MING AVE
City BAKERSFIELD
CommCode : BFD ~ STA 07
EPA Numb:
BusPhone-:-
Map 123
Grid: 02C
SIC Code:
DunnBrad:
(661) 835-5800
CommHaz Minimal
FacUnits: 1 AOV:
Emergency Contact / Title. Emergency Contact / Title
KELLY KILLMAN ~ / ~ P~.h ~, `~' /
Business Phone: (661) 835-58"OOx ~ Business Phone: ( ) - x
24-Hour Phone (661) 393-8037x 24-Hour Phone ( ) - x
Pager -Phone s ( _ ~) - - - _ - x Pager Phone ~ ~ : ( )- - x -
Hazmat Hazards: React
Contact KELLY KILLMAN Phone: (661) 835-5800x
MailAddr: 4409 MING AVE State: CA
City- - BAKERSFIELD Zip 93309
Owner WESTERN DENTAL CENTERS Phone: (661) 835-5800x
Address 4409 MING AVE State: CA
City BAKERSFIELD Zip 93309
-Pe-rzoel-. - t- Tot" alA s : _. Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
PROG H - HAZ WASTE GEN
based on my inquiry of those individuals
responsible for obtainin
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under penalty of law that I have personally
examined and am familiar with the information
submitted and believe the information is t
rue,
accurate, and complete. - _
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Signature ~~ Date
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SiteID: 015-021-002211
-1- 05/18/2007
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UNIFIED PROGRAM INSPECTION CHECKLIST;' ~~i~
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.SECTION 1: Business Plan and Inventory Program ~ y
BAKERSFIELD FIRE DEPT
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME NSPECT ON DA E NSPECTION TIME
'~ E STc, cZ ti ~ ~ ~'i i.L ®~'C N ~ U ~"f r L 13
ADDRESS ONE NO. O OF EMP YEES
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FACILITY CONTACT
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a USINESS ID NUMBER
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Section 1: Business Plan and Inventory Program
^ ROUTINE COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V (C-~°"'Dli~) OPERATION
V=Valation COMMENTS
^ APPROPRIATE PERMIT ON HAND
BUSItI@SS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
^ . VERIFICATION OF QUANTITIES ~Al~a
~1tltl
^ 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 8 ON HAND
ANY HAZARDOUS WASTE ON SITE? /YES ^ NO
EXPLAIN: Q ~~ ~,~'~-l --
QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT (881) 326-3979
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Inspector (Please Print) Fire Prevention / t" In Shift of Site/Stetion # Business Site/School SNe Responsible Party Print)
White -Prevention Services Yellow -Station Copy Pink - Buainesa Copy FD2049 (Rev. 02/05)
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4~Ow~`- ~~~`" CITY OF BAKERSFIELD FIRE DEPARTMENT
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FACILITY NAME ~ ~~ ~cZ N ~~1"i At- C~ 2~~}~ ps~~,~ ~TSPECTION DATE
Section 4: I~azardous Waste Generator Program
^ Routine ,'~ Combined ^ Joint Agency
EPA ID # ~i '~ E ~->P~
^Multi-Agency ^ Complaint ^ Re-inspection
OPERATION C V COMMENTS
Hazardous waste determination has been made `
EPA ID Number ~~ ~ ,,~
Authorized for waste treatment and/or stogie
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 are 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 ~1i
Proper management of used oil filters
Transports hazardous waste with completed manifest
Sends manifest copies to DTSC
Retains manifests for 3 years
Retains hazardous waste analysis for 3 years ~~T ~ C ~ ~
Retains copies of used oil receipts for 3 years
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Determines if waste is restricted from land disposal 0~ . S o Q
C=Compliance V=Violation
Inspector: t ~~ ~~~~ ~~
Office of Environmental Services (661) 326-3979
White -Env. Svcs.
~ OFFICE OF ENVIRONMENTAL SERVICES
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•y UNIFIED PROGRAM INSPECTION CHECKLIST
=~ ti ~ 1715 Chester Ave., 3'd Floor, Bakersfield, CA 93301
Pink -Business Copy
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Business Site esp able Party
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