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Home My WebLink AboutBUSINESS PLANSERENITY CAT HOSPITAL 3150 PANAMA LANE SUITE #L \ ~ p ' -. ~ 5erenit at os ita~ C h y P f Cherry K. Johnson D.V.M. Practice limited to cats. `~ Feel the PURR... ~~ ~~ - 1 3150 ('anama Ln-Suite L " - ~ (GG1) 837-1228 (1 Cat) Bakersfield CA 93313 ~~~~ ~ t UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME Sf~-~fc'rt{_ ~i sP~-r»r~ ADDRESS _3__iS_~ P~;~_ ~ c~L_~____s-_n_/__ e_-__ FACILITYCONTACT D (~-- Jo ~15~ to r~- opt PHONE No. No. of ~~ . 122,5 u~m~e~ ._._. _ . _. 15-02 l - N~ Section 1: Business Plan and Inventory Program O Routine ~ombined D Joint Agency ^Mnlti-Agency O Complaint ^ Re-inspection C V ncel OPERATION ( `V=Violatl0n ^ ^ PERMIT ON HAND APPROPRIATE ^ ^ 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 AVAILABILITYE ^ ^ VERIFICATION OF HAT MAT TRAINING ^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ ^ EMERGENCY PROCEDURES ADEQUATE ^ ^ CONTAINERS PROPERLY LABELED ^ ^ HOUSEKEEPING ^ ^ FIRE PROTECTION ^ ^ SITE DIAGRAM ADEQUATE 8c ON HAND COMMENTS ANY HAZARDOUS WASTE ON SITE: ~-YES ^ NO ,.,/ r EXPLAIN: ~~ t C% 1~`~t"~- C~``rt-- QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT ~G6'I~ 3Z6-3979 ___w t ^-~-s __ - - -- ---- 3 ---------- Inspector Badge No.: White -Environmental Services Yalbw • Station Copy Business Site Responsible Party I~l~~-d'u'(L.+.~.1~,. ~jyk,~C~CF2C t.~.~CL.-~+J'~, ~..SSi" Pink -Business Copy ~~~`. ~~~`e CITI' OF BAKERSFIELD FIRE DEPARTMENT w c~,V' FACILITY NAME S~~"`'' `t' ~''°`r ~`'~'~~`- INSPECTION DATE Z~! ~Z-(~4 Section 4: Hazardous Waste Generator Program EPA ID # ~~~ ^ Routine ~- Combined ^ Joint Agency ^Muiti-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS 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 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 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 Retains copies of used oil receipts for 3 years Determines if waste is restricted from land disposal ~=~ompuance v=vtotanon Inspector; W ~~ s Office of Environmental Services (661) 326-3979 White -Env. Svcs. ~ OFFICE OF ENVIRONMENTAL SERVICES b y UNIFIED PROGRAM INSPECTION CHECKLIST .~ "~°' ti 1715 Chester Ave., 3~d Floor, Bakersfield, CA 93301 Business Site Responsible Party Pink -Business Copy ~ r~ .I ~~~ ~~~~ r ~ :i~ ti\ SERENITY CAT HOSPITAL SiteID: 015-021-002881 Manager CHERRY JOHNSON DVM Location: 3150 PANAMA LN L City BAKERSFIELD BusPhone: (661) 837-1228 Map 123 CommHaz Minimal Grid: 24C FacUnits: 1 AOV: CommCode: BFD STA 13 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title CHERRY JOHNSON DVM / ~ w v~~C ^~ ~ / Business Phone: (661) 837-1228x Business Phone: ( ) - x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React Contact CHERRY JOHNSON DVM Phone: (661) 837-1228x MailAddr: 3150 PANAMA LN L State: CA City BAKERSFIELD Zip 93313- Owner CHERRY JOHNSON DVM Phone: (661) 837-1228x Address 3150-PANAMA LN L State: CA City BAKERSFIELD Zip 93313 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG H - HAZ WASTE GEN ENl~p ~~ ~ zoos Based on my ingi.;iry of those individuals responsible for obtaining the information, N <certify under penalty of iativ that ! have personall y examined and am familiar with the information submitted and believe the information is true , accurate, and complete. c d~ .~-`1.0-7 Sign u Date -1- 02/06/2007 c ~_ F SERENITY CAT HOSPITAL ~ Hazmat Inventory ~ MCP+DailyMax Order = SiteID: 015-021-002881 ~ By Facility Unit ~ Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP WASTE FIXER R L .00 GAL Min ~~4~~' -2- 02/06/200 F SERENITY CAT HOSPITAL SiteID: 015-021-002881 ~ ~ 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# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Waste Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container / Daily Maxim Daily Average 5. 0 0 GAL ~1 t} G 0 GAL ~I s.1 ~ 5 GAL HAZARDOUS COMPONENTS %Wt. - RS ~ CAS# Silver No 7440224 tiAGHK11 ASSJ;~~1~11;1V"1'~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -4- 02/06/2007 ~_ a F~ F SERENITY CAT HOSPITAL SiteID: 015-021-002881 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ riycllVy 1VVl..L1ll.al..1V11 Employee Notif./Evacuation Public Notif./Evacuation Emergency Medical Plan -5- 02/06/2007 ,_, F SERENITY CAT HOSPITAL SiteID: 015-021-002881 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention lCC1Cd5C l..UilLdlill[LCill. - ~.i~all vim- C~ C ~ ~~ ~-v r V~ i ~ V 1.11C1_ 1CC~VUi UC t]U L1 Vdl.1 V11 -6- 02/06/2007 v F SERENITY CAT HOSPITAL SiteID: 015-021-002881 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~rv~:idl. ndc~diu~ ~_ i'11C r1 Vl..C I:./tiVdT1 WdI.CL D LL111A 111y - l/l~F>'UL.ld11C:y LCVC1 `J -7- 02/06/2007 tY ~!' `Q F SERENITY CAT HOSPITAL SiteID: 015-021-002881 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training rage ~ _ _ nciu Lvi rul,uiC UDC azciu 1.vi r u~.ULC V5C -8- 02/06/2007 .. _ ~ !~~ UNIFIED-PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program Prevention Services >j F R s F , , n 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 ARTM ~ r Tel.: (661) 326-3979 2171 F 661 872 ax: ( ) - FACILITY NAME ~ INSPECTI/9N DATE ~ ~ INSPECTION TIME .S-E ~ tVtT ~.Pr f}-zS Oi^T'AL / 3 a ADDRESS - - - ~ r ~ ~ ~ J s o ~~ .~~,~~ LN ~. PHONE NO. ~ - ~ z,~ NO OF EMPLOYEES - r ~ FACILITY CONTACT - - ~ - BUSINESS ID NUMBER J~'~i,.I~SG;_,, 15-021-GIS-d2) -tao Section 1: Business Plan and Inventory. Program. ^ ROUTINE ~ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ( C=Compliance OPERATION V=Violation COMMENTS ^~0 APPROPRIATE PERMIT ON HAND e~~~ ~ a. i. N-e-..~ 1Pa.~ ,,.~ ~ ~q ~ ~'i ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS - ^ CORRECT-OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS _ ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ENT's A ^ 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 (~ 1 /~1c ~~ n„Q w - 5 ~ ~~ /vc a~g ~,~ r V l Grl, ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? '~ YES ^ NO EXPLAIN: ~°`'~4 ~t~,ur 88 QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~.~r~~-- Inspector (Please Print) Fire Prevention / 1°` In /Shift of Site/Station # B I ess Site /Responsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 ` T~"~ CITY OF BAKERSFIELD FIRE DEPARTMENT b~ OFFICE OF ENVIRONMENTAL SERVICES •''' UNIFIED PROGRAM INSPECTION CHECKLIST ~~4~'~P 1?15 Chester Ave., 3'd Floor, Bakersfield, CA 93301 FACILITY NAME S ~ tZ~ ~7 I T y C~'r I-fds~~-fly INSPECTION DATE ~ ~~ Section 4: Hazardous Waste Generator Program EPA ID # ~~~''` ~ T ^ Routine J~ Combined ^ Joint Agency ^Muiti-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made EPA ID Number ~~~,ti,. ~ (- 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 ~~ Secondary containment provided Conducts daily inspection of tanks Used oil not contaminated with other hazardous waste ` ~ /~ lq Proper management of lead acid batteries including labels N/~ Proper management of used oil filters ~ ~ Transports hazardous waste with completed manifest Sends manifest copies to DTSC ~ o,, i„ , ,, „R c l ~ G., ~._,. Retains manifests for 3 years so l ~~ .-~..~ ,~~,~~ 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=vrotanon Inspector; //~~~'~'~^~ ` Office of Environmental Services (661) 326-3979 Siriess Site Responsible arty White -Env. Svcs. Pink -Business Copy