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Home My WebLink AboutBUSINESS PLANCHOON SUNG PARK, DMD 5329 OFFICE CENTER COURT PARK DMD CHOON SUNG SiteID: 015-021-002982 Manager CHOON SUNG PARK Location: 5329 OFFICE CENTER CT 105 City BAKERSFIELD BusPhone: (661) 864-1364 Map 102 CommHaz Minimal Grid: 34D FacUnits: 1 AOV: CommCode: BFD STA 11 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title CHOON SUNG PARK DMD / OWNER / Business Phone: (661) 864-1364x Business Phone: ( ) - x 24-Hour Phone (818) 633-0578x 24-Hour Phone ( ) - x Pager Phone (661) 627-0069x Pager Phone ( ) - x Hazmat Hazards: React Contact CHOON SUNG PARK Phone: (661) 864-1364x MailAddr: 5329 OFFICE CENTER CT 105 State: CA City BAKERSFIELD Zip 93309 Owner CHOON SUNG PARK DMD Phone: (661) 864-1364x Address 5329 OFFICE CENTER CT 105 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 L 2 0 2007 C;a~ed on my inquiry of those individuals resrcn<-i~~!e for ob}aininq the information, I certify une;er penalty of la~r+ that { h~~ve personally ®xamined and am farn~liar with the information submitted and belie re the information is true, accurate, and complete. /~ ~ ~r 7~0 ._._._. Signu~ure Date -1- 07/13/2007 ft n ~' F PARK DMD CHOON SUNG ~ Hazmat Inventory = ~ MCP+DailyMax Order = SiteID: 015-021-002982,E By Facility Unit ~ Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax IUnitIMCPI WASTE FIXER R L 5.00 GAL Minl -2- 07f13f2007 h ~ y -3- 07/13/2007 3~ L' F PARK DMD CHOON SUNG SiteID: 015-021-002982 ~ ~ 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: DARKROOM CAS# Liquid Waste PRESSURE TEMPERATURE CONTAINER TYPE T -~mbient ~ Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 5.00 GAL 5.00 GAL 5.00 GAL rii-1GL-1ICIJVUJ LVP'LYVLV~LVIJ %Wt. RS CAS# Silver No 7440224 L1tiG1-l.CC1J LiJ JL~J JL~LtS1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -4- 07/13/2007 Y. 4 ~~ F PARK DMD CHOON SUNG SiteID: 015-021-002982 ~ Fast Format .9 ~ Notif./Evacuation/Medical Overall Site ~ 1-~yCUVy lVVl..L11C:a1.1V11 Employee Notif./Evacuation _, ,~ tUi.J11V 1YV V11 ~ I'J Vq.l, I.LQ V1V11 Emergency Medical Plan 01/06/2006 EYE WASH STATION -5- 07/13/2007 ~, < F PARK DMD CHOON SUNG SiteID: 015-021-002982 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 1<G1G0.OC \.V111.0.1111IlCll 1. l...LC0.11 V~J v~.uc1. lCC5VU1.l.:C 1-1C.:l.1Vdt,lVil -6- 07/13/2007 1 _ :~ F PARK DMD CHOON SUNG SiteID: 015-021-002982 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ 7~JCC:1d1 ricLGdIU~ Utility Shut-Offs INDEPENDENT WATER SHUT-OFF VALVE. 02/27/2007 Fire Protec./Avail. Water FIRE EXTINGUISHER 01/06/2006 Building Occupancy Level 11/30/2006 9 EMPLOYEES -7- 07/13/2007 J! !- [1 F PARK DNID CHOON SUNG SiteID: 015-021-002982 ~ Fast Format ~ ~ Training Overall Site ~ .G (ll~J1VyCC 1tCt 1111111. rayC ~ Held for Future Use nciu 1_vl. ru~.ul.c vac -8- 07/13/2007 fi + PARK DMD CHOON SUNG _________________________________ SiteID: 015-021-002982 + Manager CHOON SUNG PARK DMD BusPhone: (661) 864-1364 Location: 5329 OFFICE CENTER CT 105 Map 102 CommHaz Minimal City BAKERSFIELD Grid: 34D FacUnits: 1 AOV: CommCode: BFD STA 11 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title CHOON SUNG PARK DMD / OWNER / Business Phone: (661) 864-1364x Business Phone: ( ) - x 24-Hour Phone (818) 63.3-0578x 24-Hour Phone ( ) - x Pager Phone (661) 627-0069x Pager Phone ( ) - x Hazmat Hazards: React Contact CHOON SUNG PARK DMD Phone: (661) 864-1364x MailAddr: 5329 OFFICE CENTER CT 105 State: CA City BAKERSFIELD Zip 93309 Owner CHOON SUNG PARK DMD Phone: (661) 864-1364x Address 5329 OFFICE CENTER CT 105 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 ENT'D i~A~ ~. ~ ~00~ 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 familiar with the information submitted and beli ve the information is true, accurate, ar co te. ~~~ 3 ~ a~ Signature Date -1- 03/03/2006 Bakersfield Fire Dept. UNIFIED PR~l3RAM INSPECTION CaECKLIST Environmental Services "*~"~A "'~ "~""' 900 Truxtun Ave., Sui 210 SECTION 1 Business Plan and Inventory Program Bakersfield, CA 93~~?~- Tel: _(661)_326-3979 FACILITY NAME INSPE TION~TE INSPECTION TIME - --- --- -------- ----~ . ~ _ _ _ ta ---------- - .. _ ADDRESS ~ ~ ~ ~~ PHONE No. No. of Empbyees i ---------._._ _.. L._ ------- .. - FACILITYCONTACT Business ID Number l 5-~ - ~"L i Section 1: Business Plan and Inventory Program ~2S ~ O Routine t~-Combined O Joint Agency OMulti-Agency O Complaint O Re-in ANY HAZARDOUS WASTE ON SITE?: "12~YES ^ NO EXPLAIN: Cn.JV~Q?~ ~ta.t1'Z QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT ~66'I ~ 326-3979 _ ____ _ __ Inspector (Please Print) Fire Prevention tst-InlShift of Site White -Environmental Services Yellow • Stettin Copy Business Site Responsible Party (Please Print) o~ B Pink • Business Copy 6t~T- ~'"~~> CITY OF BAKERSFIELD FIRE DEPARTMENT ~a6 ~ OFFICE OF ENVIRONMENTAL SERVICES ~' .y UNIFIED PROGRAM INSPECTION CHECKLIST ~'' ~ gti 1715 Chester Ave., 3'd Floor, Bakersfield, CA 93301 FACILITY NAME ~~ Sc.r.~ P~~ O "'~ n INSPECTION DATE ~ ~27 < a~ Section 4: Hazardous Waste Generator Program EPA ID # ~( ~ ^ Routine ~. Combined ^ Joint Agency ^Muiti-Agency ^ Complaint ^ Re-inspection OPERATION I C I V I COMMENTS I Hazardous waste determination has been made EPA ID Number Authorized for waste treatment and/or storage Reported release, fire, or explosion within 15 days of occurrence Established or maintains a contingency plan and training Hazazdous 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 Weekty 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 Proper management of used oil filters Transports hazazdous waste with completed manifest Sends manifest copies to DTSC 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 =Compliance V=Violation Inspector: t"s\t "~~~ Office of Environmental Services (661) 326-3979 White -Env. Svcs. CROON SUNG PARK, DMD 5329 Office Center Ct., Suite 105 Bakersfield, CA 93309 Telephone: (661) 864-1364 Fax: (661) 864.1561 Pink -Business Copy Business Site Responsible Party UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program • Prevention Services B A F R S F, ~ 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 - aRrM Tel.; (661)-326-3979 _ .Fax: (661) 872-2171 FACILITY NAME - INSPECTION D TE INSPECTION TIME ~ ' ADDRE~ ~ ~ ~ ('`(~ ~ ~~ ~~ ~ ~ O ^ /!.-7L•r J PHt~E~ ~.~~ NO OF E LOYEES ~' FACILITY CONTACT ~ P ` K BUSINESS ID NUMBER 15-021- GU2 ~ SZ GN uN~!' ~ 2 ROUTINE Section 1: Business Plan and Inventory Program ^ 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 ^ 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 ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: QUESTIONS REGARDING TIiIS INSPECTION? PLEASE CALL US A7 (661-) 326-3979 ~ 0 ~ , ~~ ~ Inspector (Please Print) Prevention / 1" In /Shift of Site/Station # usin s Responsible Party ( le Print l~N O _(~ n / ~v X307 White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 ~_ . " .: PARK DMD CHOON SUNG SiteID: 015-021-002982 Manager CHOON SUNG PARK DMD Location: 5329 OFFICE CENTER CT 105 City BAKERSFIELD BusPhone: (661) 864-1364 Map 102 CommHaz Minimal Grid: 34D FacUnits: 1 AOV: CommCode: BFD STA 11 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title CHOON SUNG PARK DMD / OWNER / Business Phone: (661) 864-1364x Business Phone: ( ) - x 24-Hour Phone (818) 633-0578x 24-Hour Phone ( ) - x Pager Phone (661) 627-0069x Pager Phone ( ) - x Hazmat Hazards: React Contact CHOON SUNG PARK DMD Phone: (661) 864-1364x MailAddr: 5329 OFFICE CENTER CT 105 State: CA City BAKERSFIELD Zip 93309 Owner CHOON SUNG PARK DMD Phone: (661) 864-1364x Address 5329 OFFICE CENTER CT 105 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 {.used on my inquiry of those individuals res~3nsii~!e for obta'sning tiie information, I certifiy under ~ienalty of law that I have personally examined and am familiar with the information submitted and believe the information is true , accurat e , and c ~ plete. ~ J ,~l r .2~~' 0 7 N ~ ~ ~ ~ ~ ~ ~~ ~ ~ Signature Date "' " -1- 02/05/2007 ,;. F PARK DMD CHOON SUNG ~ Hazmat Inventory = ~ MCP+DailyMax Order = SiteID: 015-021-002982 ~ By Facility Unit ~ Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP WASTE FIXER R L 5.00 GAL Min -2- 02/05/2007 -3- 02j05/2007 F PARK DMD CHOON SUNG ~ Inventory Item 0001 SiteID: 015-021-002982 ~ Facility Unit: Fixed Containers at Site ~ AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 5.00 GAL 5.00 GAL 5.00 GAL ri1-1Gf1KLVU.~ lrV1~lYV1V~1V1J owt. ~ Rs cAS# Silver No 7440224 t1HGLittL L-'~55J;551~1~1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -4- 02/05/2007 Liquid TWaste ~ Ambient~E ~ AmbientT~E ~ PLASTICTCONTAINERE ~ . F PARK DMD CHOON SUNG SiteID: 015-021-002982 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification _, t .~ ~.:~u~NiV~.cc ivv~..ii / Li V 0.l~UQl..1V11 • i -.. r UlIl 1L. LVVI..ll / r,VCL I: LLClL1Vll ~ Emergency Medical Plan 01/06/2006 ~ EYE WASH STATION -5- 02/05/2007 F PARK DMD CHOON SUNG SiteID: 015-021-002982 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention Release Containment 1..1Cdil ll~J Other Resource Activation -6- 02/05/2007 F PARK DMD CHOON SUNG SiteID: 015-021-002982 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ apeciai nazara~ utility snut-errs ~~eM~~ W Q,fer" s~-u~~ ~ ~vti- Fire Protec./Avail. Water FIRE EXTINGUISHER 01/06/2006 Building Occupancy Level 11/30/2006 9 EMPLOYEES -7- 02/05/2007 i ~~ ~. I ,~~ ," F PARK DNID CHOON SUNG SiteID: 015-021-002982 ~ Fast Format ~ i ~ Training Overall Site ~ _, LuiriVZ.cc 110.111111y ~ rayc ~ rtC1u 1V.L i'UI. ULC V5C i1c1U 1VL tUVUlC V5C -8- 02/05/2007 UNk~i~EIS PROGRAM INSPECTION CHECKLIST ' >3 >: k 5 V~ , n F/RE SECTION 1: Business Plan and Inventory Program ARrM r J Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME t~~tL1~ ~,~ INSPECT ON DAT - .3~2 a ~ INSPECTION TIME ADDRE SS - ~ ~ 532`1 a c~ C ~n-~-e~. ~ Lf id5 PHONE NO. g6µ l~~6~ NO OF EMPLOYEES ~ FACILITY CONTACT t~'~LY ~q~~L_~ BUSINESS ID NUMBER 15-021-01~$-a2-1- p0 ^ Section 1: Business Plan and Inventory Program ROUTINE COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ~0 ^ BUSIr1eSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS - ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS. ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION i ~ ~~ 6~? ~° ,: ~l ^ PROPER SEGREGATION OF MATERIAL ~~ ~. 1~ ^ 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 & ON HAND ~- ~ $ Z. ~ ANY HAZARDOUS WASTE ON SITE? ~~YES ^ NO EXPLAIN: ~ E' S: ~e ~~ xe ~' QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 •~ ~~ Inspector (Please Print) Fire Prevention / 1 In /Shift of Site/Station # Bus' ess Site / R nsible Party (Please Print) /1/,9~/GY y/At1CE.~ White -Prevention Services Yellow -Station Copy Pink -Business Copy ~ FD 2155 (Rev. 09105 ^'r-. -- ~4~s- '~~`~ CITY ®F BAKERSFIELD FIRE DEPARTMENT ~~~ ~~ OFFICE OF ENVIRONMENTAL SERVICES ~' •y UNIFIED PROGRAM INSPECTION CHECKLIST r '~~~~~~ 1715 Chester Ave., 3'd Floor, Bakersfield, CA 93301 FACILITY NAME ~ ~`~ ~ ~ t"~ i~ INSPECTION DATE :3 /2~/ ~ Z Section 4: Hazardous Waste Generator Program EPA ID # ~'t E `~ P ~' ^ Routine ~ Combined ^ Joint Agency ^hulti-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made EPA ID Number ~ ~ ~-. P T Authorized for waste treatment and/or 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 /J Secondary containment provided Conducts daily inspection of tanks Used oil. not contaminated with other hazardous waste /`~ ~ Proper management of,lead acid batteries including labels t'V Proper management of used oil filters Transports hazardous waste with completed manifest Sends manifest copies to DTSC ~ ; ,•„ ~q ~ ~ ~ .- Retains manifests for 3 years y - ~ -~ c~,j ~} ~ ~,.., ~ Retains hazardous waste analysis for 3 years Retains copies of used oil receipts for 3 years /d~jb Determines if waste is restricted from land disposal ~,=~,ompnance v=vtotanon Inspector: /~ ~~~~' '~) (~~~~ Office of Environmental Services (661) 326-3979 usin s Site Responsible Party White -Env. Svcs. Pink -Business Copy.