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Home My WebLink AboutBUSINESS PLAN ~~ ,' (JAMES L. SULLIVAN, DDS ~J I;I ~ 210 S. MONTCLAIR STREET ~ - - -~ 0~ }~ l .. ,.~ , SULLIVAN DDS JAMES L Manager CARIE SMITH Location: 210 S MONTCLAIR ST City BAKERSFIELD SiteID: 015-021-002345 BusPhone: (661) 398-1539 Map 123 CommHaz Minimal Grid: 02A FacUnits: 1 AOV: CommCode: BFD STA 11 EPA Numb: SIC Code:8621 DunnBrad: Emergency Contact / Title Emergency Contact / Title JAMES L SULLIVAN / OWNER / Business Phone: (661) 398-1539x Business Phone: ( ) - x 24-Hour Phone (661) 325-1945x 24-Hour Phone ( ) - x Pager Phone (661) 477-4119x Pager Phone ( ) - x Hazmat Hazards: React Contact CARIE SMITH Phone: (661) 397-0665x MailAddr: 210 S MONTCLAIR ST State: CA City BAKERSFIELD Zip 93309 Owner JAMES L SULLIVAN DDS Phone: (661) 398-1539x Address 210 S MONTCLAIR ST State: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG H - HAZ WASTE GEN ENT'D J U ~ 2 4 2007 Based on my inauira~ of those indivluut~,is respensit;ie for oht.~inirg the information, B :.: -':ify under penalty ~i is nr thai 6 nave pP.rSOr'2I{y examined and am fa rifiar veith the infor,~~ation submitted an ~ i~eliPle.the infarmafiion is true, accurate, ar,~ :omp! ate. a N 7 ~3 ~Z. gnature! ~ Oate -1- 07/16/2007 F SULLIVAN DDS JAMES L SiteID: 015-021-002345 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... ~SpecHazIEPA Hazards) Frm I DailyMax ~UnitIMCP~ WASTE FIXER R L 5.00 GAL Mini -2- 07/16/2007 LOOZ/9Z/LO -~- ~. ~.r ~-= F SULLIVAN DDS JAMES L SitelD: 015-021-002345 ~ ~ 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 I PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 5.00 GAL 5.00 GAL 5.00 GAL - t~~HtcLUUS c.:urirulv~lv-l~~ ~Wt. RS CAS# Silver No 7440224 riE~GKtC1J 1j55L' S51~1L" 1V 1 ~7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -4- 07/16/2007 ,~. F SULLIVAN DDS JAMES L SiteID: 015-021-002345 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 03/27/2007 ~ 911 Employee Notif./Evacuation 03/27/2007 VERBAL - EXIT THROUGH FRONT OR BACK DOOR Public Notif./Evacuation 03/27/2007 VERBAL - EXIT THROUGH FRONT OR BACK DOOR Emergency Medical Plan 03/27/2007 POSTED WITH PHONE NUMBERS -5- 07/16/2007 ~3 ~ F SULLIVAN DDS JAMES L SiteID: 015-021-002345 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention 03/27/2007 SECONDARY CONTAINMENT Release Containment SECONDARY CONTAINMENT 03/27/2007 Clean Up PAPER TOWELS AND MOP 03/27/2007 Other Resource Activation -6- 07/16/2007 of .~ ~ : '~ F SULLIVAN DDS JAMES L SiteID: 015-021-002345 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .7~JCC:1d1 rid"GdIU.~ Utility Shut-Offs Fire Protec./Avail. Water FIRE EXTINGUISHER FIRE HYDRANT: 100FT N ON W SIDE OF ST 03/27/2007 Building Occupancy Level 03/27/2007 13 EMPLOYEES -7- 07/16/2007 ~,.~~: F SULLIVAN DDS JAMES L SiteID: 015-021-002345 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 03/27/2007 ~ BRIEF SUMMARY OF TRAINING PROGRAM: PER OSHA rayC ~ nCl.u ivi r u~uiC use _, r_ .nclu 1V1 L'lAL U1C Ue7~C -8- 07/16/2007 ~~ _ 5~~ 3~ - Prevention Services UNTIE PROGRAM INSPECTION CHECKLIST; 9ooTruxtunAve.,Suite210 B..._ E__.__R_S_ F 1 D ~_~ ,~W .__..______ ~_____.~ _____ ~ ewe .;~ FARE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ;; "erM r Tel.: (661) 326-3979~Qc~n~, II ~ Fax: (661) 872-2171 FACILITY NAME INSPE TION DATE INSPECTION TIME Sw >, V 1 V P N ,DDS ~ 2.G O ADDRESS Zt o S. Ma ~-7 ~<aA~ ~ PHONE NO. X98 '!53 NO OF EMPLOYEES FACILITY CONTACT G4 z.i ~ .~"`^^•~}1-~ USINESS ID NUMBER 15-021-X15-oZ)-OVL Section 1: Business Plan and Inventory Program ^ ROUTINE -~I COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ ~Q APPROPRIATE PERMIT ON HAND ~¢,~ ~a .... tYtsr w >-~ ~p Q ~. a~a~ ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ 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 /~~/ ^ rv/N ^ HOUSEKEEPING ~~ ~~ ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ~s KBF-6013 ANY HAZARDOUS WASTE ON SITE? ~3YES ^ NO EXPLAIN: ~-S~ ~ ~~ r QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 15f In /Shift of Site/Station # White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 i FACILITY NAME S Sect6on 4: Nazar ^ Routine .~ Combined ^ Joint Agency ^Multi-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made EPA ID Number ~X £' ~1,. {~ r Authorized for waste treatment and/or storage Reported release, fire, or explosion within I S 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 tote 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 /~ M Secondary containment provided Conducts daily inspection of tanks Used oil not contaminated with other hazardous waste N~ ~ Proper management of lead acid batteries including labels ~/ Proper management of used oil filters V Transports hazardous waste with completed manifest Sends manifest copies to DTSC ~g ~ ~ o-~-. ~ar Retains manifests for 3 years ~.. ~,q ~ ~ ~ ,,,,., ~ Retains hazardous waste analysis for 3 years Retains copies of used oil receipts for 3 years /N ~ Determines if waste is restricted from land disposal ~,=~,ompuance v=vto[auon Inspector: ~"1 G ~~~ Office of Environmental Services (661) 326-3979 White -Env. Svcs. OFFICE OF ENVIRONMENTAL SERVICES b .y iTNIFIED PROGRAM INSPECTION CHECKLIST ~~ 1715 Chester Ave., 3'd Floor, Bakersfield, CA 93301 dous Waste Generator Program EPA ID # ~"'~ "' Pfi `~ '~~'`~ CITY OF BAKERSFIELD FIRE DEPARTMENT u- LLi ~ A N ADS INSPECTION DATE 2 ~ o Pink -Business Copy d ~u Business Site Responsible Pally T, / ~ a `~ SULLIVAN DD5 J ES L ID 015-021-002345 Sit e : Manager BusPhone: (661) 398-1539 Location: 210 MONTCLAIR ST Map 123 CommHaz Minimal City BAKERSFIELD Grid: 02A FacUnits: 1 AOV: CommCode: BFD STA 11 SIC Code:8621 EPA Numb : DunnBrad : ( ~`~ Emergency Contact / Title mergency Contact / Title JAMES L SUI~LIVAN / DDS ~r`p~( = ~ JANETTE ,TORRES / ' RDA ' 3qa'~ Business Phone: (661) 398 1539x ,-_s-mess Phoz ~ 661) 24 -Hour Phone ( ) - x 24 -Hour Phone (661) ?° ° ~-~' "_= 37~ 19 Pager Phone ( ) - x Pager Phone ( ) - x y11-4~ Hazmat Ha - s`: , ~- React Contac CAREN ARNOLD s Phone: (661) 397-0665x MailAdd ~. _1(YS MONTCL~,IR ST State : CA City BAKERSFIELD Zip 93309 Owner JAMES L SULLIVAN DDS Phone: (661) 398-1539x Address 210 S MONTCLAIR ST State: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers. TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~ PROG H - HAZ WASTE GEN ~~ ` ~N~~ A ~p~7 Eased on my inquiry of tho5o inciivldual~ responsible for obtaining the Inform~tl~tt, ! ~~~tify under penalty of law tha f h~v~ p~r:~anally examined and am fa ~.~ wlth the InfssFrnation s ' m tted and beli re ~ information is true, cc ate, and c mpl to _ ~~~"6 Signature Date t ~$ y -1- 02/16/2007 F SULLIVAN DDS JAMES L SiteID: 015-021-002345 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ I Hazmat Common Name... ISpecHazIEPA Hazards) Frm I DailyMax IUnitIMCPI WASTE FIXER R L 5.00 GAL Mini -2- 02/16/2007 -3- 02/16/2007 ~, , F SULLIVAN DDS JAMES L ~ Inventory Item 0001 ~ COMMON NAME / CHEMICAL NAME I WASTE FIXER Location within this Facility Unit STATE TYPE PRESSURE Liquid TWasteAmbient SiteID: 015-021-002345 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# TEMPERATURE CONTAINER TYPE Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 5.00 GAL 5.00 GAL 5.00 GAL - -- r~~xttLUU~ ~vi~ir~lv~ly 15 %Wt. RS CAS# Silver No 7440224 t1L~GE~KL Lj. 7.7r,.7.71~1~1V 1 a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -4- 02/16/2007 F SULLIVAN DDS JAMES L SiteID: 015-021-002345 ~ Fast Format ~ ~ Notif./Evacuation/Medical -Overall Site ~ r_ ray cit~,.y lvv ~.iiil.d ~.l vll r~lll~J1U1/CC 1VV 1.11 . ~ ~VdC:UdL1Uil rl,~U11c= 1vv1.11 . ~ P~VdC:Udl.lUil Luiciyciluy 1~1CU11:d1 Y1d11 -5- 02/16/2007 F SULLIVAN DDS JAMES L SiteID: 015-021-002345 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ 1<C1CC1.7C r1.CVCll l.1 V11 1<G1C0.e7C l-.V111~Q 111lllCll l„ Clean Up v1.11Ci 1CCw7VUil:C tiC:l.lVdl.lVi1 -6- 02/16/2007 _. F SULLIVAN DDS JAMES L SiteID: 015-021-002345 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ oNc~iai na~.aiu~ Utility Shut-Offs 1.~Ullulily vv~..u~aii\..y 1JC VC1 -7- 02/16/2007 ~, F SULLIVAN DDS JAMES L SiteID: 015-021-002345 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training rciy C ~ nc.i.u iv.~ ru~.uLC vac -~ t r- aaci~.a iv.~ r u~.uic voc -8- 02/16/2007 ~~- 1 ~ {~ + SULLIVAN DDS JAMES L ________________________________ SiteID: 015-021-002345 + Manager Location: 210 S MONTCLAIR ST City BAKERSFIELD BusPhone: (661) 398-1539 Map 123 CommHaz Minimal Grid: 02A FacUnits: 1 AOV: CommCode: BFD STA 11 SIC Code:8621 EPA Numb: DunnBrad: ---------- ----------------- -------- Emergency Contact / Title Emergency Contact / Title JAMES L SULLIVAN / DDS JANETTE TORRES / RDA Business Phone: (661) 398-1539x Business Phone: (661) 397-0665x 24-Hour Phone ( ) - x 24-Hour Phone (661) 398-1539x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: - React _ Contact Phone: (661) _ _ MailAddr: 210 S MONTCLAIR ST State: CA 3~,-~~~~ City BAKERSFIELD Zip 93309 Owner JAMES L SULLIVAN DDS Phone: (661) 398-1539x Address 210 S MONTCLAIR ST State: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: = 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 obtaining the information, I certify under penalty of law that I have personally examined and am fam' ' with the information submitted and beli the 'nformation is true, `accurate, and co t . ~: s ~5 ~ Date ~'Op~ -1- 05/22/2006