HomeMy WebLinkAboutBUSINESS PLAN 10/12/2004® PANAMA WIBLE FAMILY DENTISTRY
3150 PANAMA LANE #1
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~~ `J Panama Wible Family Dentistry
~~/ 3150 Panama Ln., # I
Bakersfield, CA 93313
(661) 396-0156
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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1 Business Plan and Inventory Program
FACILITY NAME
ADDRESS ~7 i _
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FACILITYCONTACT
^ Routine ~Combin
C V ncel OPERATION
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^ ^ 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 AVAILABILITYE
^ ^ VERIFICATION OF HAT MAT TRAINING
^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
^ ^ EMERGENCY PROCEDURES ADEQUATE
^ ^ CONTAINERS PROPERLY LABELED
^ ^ HOUSEKEEPING
^ ^ FIRE PROTECTION
^ ^ SITE DIAGRAM ADEQUATE & ON HAND
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Bakersfield Fire Dept.
Enironmental Servi~~
1715 Chester Ave l X3.0
Bakersfield, CA 93301
~,, Tel: (661)326-3979
INSPECTION DATE INSPECTION TIME
PHONE No. No. of Employees
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Business ID Number
Section 1: Business Plan and Inventory Program ~~ct (~
ed ^ Joint Agency ^ Muiti-Agency ^ Complaint e-ins n
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ANY HAZARDOUS WASTE ON SITE: DYES ^ NO
EXPLAIN: ~`~`~ ~% ~~ 7~(."'1.
COMMENTS ~ 4'`' `°}~,
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT ~66'I) 326-3979
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Inspector Badge No.,
White • Environmental Services Vellow -Station Copy
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usiness Site Responsible Party
Pink • Business Copy
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Vt~'`~ -~~z. CITY OF BAKERSFIELD FIRE DEPARTMENT
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FACILITY NAME Q~`'~~'"1n` ~~~~ Fn~o~U 7C~TrS1/~{~ INSPECTION DATE Co l CZIa¢
Section 4: Hazardous Waste Generator Program -EPA ID # ~~- C~x`~o h6~2'3
^ Routine ~- Combined ^ Joint Agency ^hulti-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 aze 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 o
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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 yeazs
Retains hazazdous waste analysis for 3 years
Retains copies of used oil receipts for 3 years
Determines if waste is restricted from land disposal
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Inspector: ~ ~~ ~5
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
Business Site Responsible Party