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Home My WebLink AboutBUSINESS PLAN 4/11/2007r, ~~ +~* ~~-\ ~ ` SABOL & KEENE CHIROPRACTIC ~ -- ;: _ 6647 MING AVE. -- .~-- ~3Gt L ~ ai ~~s1 ~~ ;~ - UNIFI ~ PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program ~~~ Prevention Services e F a s F_, ,_, -900 Truxtun Ave., Suite 210 F/RE Bakersfield, CA 93301 AerM r . Tel.: -(661) 326-3979 Fax: (661) 872-2171 FACILITY NAME SA ~3 a L ~; kc- e ,,, E 4 !-F I ~ vd~QA~-'T - L INSPECT ON DATE i' . n o INSPECTION TIME ADDRESS- ~6y ~ ~ MIDI ~ u` HONE NO. ~ 8.~7"2Zzs NO OF E LOYEES -- FACILITY CONTACT ~ BUSINESS ID NUMBER 15-021-C~IS .~Zl - oa Section 1: _Business Plan and Inventory. Program ^ ROUTINE 1~7 COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY 0 ^ VERIFICATION OF INVENTORY MATERIALS ~Q ''~ f"'~ , ^ VERIFICATION OF QUANTITIES f~~~. ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ^~ VERIFICATION OFMSDSAVAILABILITY Jy ~G.^~~ r~s-~ S ^ 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 1 -~. 1~6~ ANY HAZARDOUS WASTE ON SITE? -~L3YES ^ NO EXPLAIN: L^~ CL~ ~ '~ ~ ~~ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (667) 326-3979 Inspector (Please Print) Fire Prevention / 1~` In /Shift of Site/Station # sine a esponsible Party a se rin White - PreventionServices Yellow -Station Copy Pink' Business Copy FD 2155 (Rev. 09/05 r ~. ~4~`- `'~~` CITY OF BAKERSFIELD FIRE DEPARTMENT ~~ e~~ FACILITY NAME ~(a~ o i ~ , k~-4 n~ C~ • ~o f~~-~-T~c INSPECTION DATE ~ ~ l ~ Section 4: Hazardous Waste Generator Program EPA ID # ~ X~~`' ~ ^ Routine ~ Combined ^ Joint Agency ^hulti-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made EPA ID Number ~~~ ,~,, ~a ~' Authorized for waste treatment andlor storage 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 ?~ ~q Secondary containment provided Conducts daily inspection of tanks ' Used oil. not contaminated with other hazardous waste A, Proper management of lead acid batteries including labels ~/~ Proper management of used oil filters ~ /fj Transports hazardous waste with completed manifest Sends manifest copies to DTSC jl/1 J(~ Retains manifests for 3 years Retains hazardous waste analysis for 3 years Retains copies of used oil receipts for 3 years Determines if waste is restricted from land disposal ~=~ompuance ~v=w~otanon Inspector: C ,'/LL~~°'- Office of Environmental Services (661) 326-3979 White -Env. Svcs. OFFICE OF ENVIRONMENTAL SERVICES y UNIFIED PROGRAM INSPECTION CHECKLIST _;t~ `9'" ti ~ 1715 Chester Ave., 3'd Floor, Bakersfield, CA 93301 Business Site Responsible Party Pink -Business Copy f ;i SABOL ~E$1~'r CHIROPRACTIC SiteID: 015-021-002168 Manager Location: 6647 MING AVE City BAKERSFIELD CommCode: BFD STA 09 EPA Numb: BusPhone: (661} Map 123 CommHaz Minimal Grid: 09B FacUnits: 1 AOV: SIC Code:8041 DunnBrad:77-028-2354 Emergency Contact / Title Emergency Contact / Title JASON SABOL / OWNER y (S'~~ MIKE SABOL / Business Phone: (661} __ . ______ Business Phone: (661) -8~3.9r=2~2.2~x 24-Hour Phone (661) z "'' ' "' ^=_-C1~S37y 24-Hour Phone (661) 831-6458x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React Contact Phone: (661) __. _--_-- MailAddr: 6647 MING AVE State: CA ~'~y ~5`iy City BAKERSFIELD Zip 93309 Owner JASON C SABOL DC Phone: (661) `__. _____ Address 6647 MING AVE State: CA i33~ l'S~l~~ City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: _ Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG H - HAZ WASTE GEN '. _ ~.,~... 's .,1 f~^~n {' .~r' ,~~ -1- 10/08/2007 F SABOL ``' T.A.-. CHIROPRACTIC SiteID: 015-021-002168 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ __ _ __ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP WASTE FIXER R L 5.00 GAL Minl -2- 10/08/2007 -3- 10/08/2007 F SABOL ~~ CHIROPRACTIC SiteID: 015-021-002168 ~ ~ 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 I Ambient ~ Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 5.00 GAL 5.00 GAL 5.00 GAL t11-~GHJ.CLJVUJ 1:V1~lYV1V1';1V 15 %Wt. RS CAS# Silver No 7440224 nr~t,titcl~ r-~~ a~~~l~i~lv1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -4- 10/08/2007 F SABOL ~ CHIROPRACTIC SiteID: 015-021-002168 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 12/13/2000 ~ VISUAL. Employee Notif./Evacuation 12/13/2000 CALL 911, CALL OFFICE OF EMERGENCY SERVICES AND BAKERSFIELD OFFICE OF ENVIRONMENTAL SERVICES. Public Notif./Evacuation DR ~ WILL NOTIFY AUTHORITIES. ~~ ~~~~ 12/13/2000 Emergency Medical Plan 12/13/2000 LOCAL HOSPITAL, IF NEEDED. -5- 10/08/2007 F SABOL & ~ CHIROPRACTIC SiteID: 015-021-002168 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 12/13j2000 ~ WASTE IS STORED IN COVERED CONTAINER AND CHECKED WEEKLY FOR LEAKS. Release Containment 12/13/2000 SPILL TRAY. Clean Up MID-STATE X-RAY HANDLES IT. 05/22/2006 Other Resource Activation -6- 10/08/2007 F SABOL ~--CHIROPRACTIC SiteID: 015-021-002168 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~pecia.~ riazaras Utility Shut-Offs GAS - BACK OF BLDG ELECTRICAL - BACK DOOR WATER - BACK OF BLDG 04/11/2007 Fire Protec./Avail. Water FIRE EXTINGUISHERS 04/11/2007 Building Occupancy Level 04/11/2007 EMPLOYEES ~. -7- 10/08/2007 .. ,_ F SABOL ~~ CHIROPRACTIC SiteID: 015-021-002168 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 05/22/2006 ~ MSDS SHEET ON FILE IN FRONT OFFICE. rays ~ ilclu LV1 r uVUtc V5C nCiu tvi rul.ulC U5~ -8- 10/08/2007 Bakersfield Fire Dept. UNIFIED PROGRAM INSPECTION CHECKLIST Enironmental services 1715 Chester Ave SECTION 1 Business Plan and Inventory Program Bakersfield, CA 93301 ~~'~~,~ ` Tel: (661)326-3979 FACILITY NAME INSPE TION S9ATE INSPECTION TIME ADDRESS n 'LQ~--------- PHO E No. ~- ----- -No. of Employees -- ------ ~-------_~_.----_-__...---~0~-------------- --- ----. _ ---. __.___.. __... -- FACILITYCONTACT t3usiness ID Number is-o2i- z.rG~ Section 1: Business Plan and Inventory Pn~gram ~-Routine ^ Combined O Joint Agency ^hulti-Agency ^ Complaint ^ Re-inspection C V tio^ncel OPERATION J ~V=V oa ^ ^ APPROPR{ATE PERMIT ON HAND ^ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ _ ^ VISIBLE ADDRESS ---,--- --------.__.._-•-^- -__--.. ^ ^ CORRECT OCCUPANCY ^ ^ VERIFICATION OF INVENTORY MATER4ALS ^ ^ VERIFICATION OF QUANTITIES ^ ^ VERIFICATION OF LOCATION ^ ^ PROPER SEGREGATION OF MATERIAL ^ ^ VERIFICATION OF MSDS AVAILABILITYE ^ ^ VERIFICATION OF HAT MAT TRAINING ^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCE DURES ^ ^ EMERGENCY PROCEDURES ADEQUATE ^ ^ CONTA R P P INE S RO ERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ ^ SITE DIAGRAM ADEQUATE H~ ON HAND ~Z-w~s~ ~~~,~--c~SP~7~+J cry 3 Z6 -- 3699 L.~/l~~ 'F~7CLZ /C~ ~+L ~~s.n~ t~/~rtKR~-~ ~~-~-~'`~ `~=`-' ....~'~----cam- Lz°~. _.- ..~_ ~/'..._... Ni~','~~ ~S/~oot ~/ p~c.~SE 2c~c~c.E K~z-waste mot` t' LC`~'3 C PfZtIJ ~C S~c~.A2Y G'~~r~/ ~ IA, n/rv~~yvT' ANY HAZARDOUSW/~AS~TE OWN SITE-~~: y~~ES ^ NO EXPLAIN: ~""` ~ / L. ` ~^~ QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT (66~) 326-3979 __-------------`~ __... _.._..- ---------------- ~ ~._Q~z~~~9~~~.------ ---- Inspector ~ Badge No. Business Site Responsible Party Wnne • Envvonmentai Services YeHOw • Stettin Copy Pmk -Business Copy