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3232 RIO MIRADA, SUITE B-3~
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~`~` 04/23/2013 04:21 FA% 661.327 1071 CARE MED ~AKERSFIELD 10003/0010
+ DARE MBDICAL ==___________________________~_________= SiteID: 015-421-002931 +
Manager BusPhone: (661) 327-1070
Location: 3232 RIO MxRADA RD B-3 Map 102 CommHaz Low
City BAKERSFIELD Grid: 14D FacUnits: 1 AOV:
CommCode: KCFD STA 64 SIC Code:8082
EPA Numb: DunnBrad:
Emergency Contact / ~"itle Etttergency Contact / Title
JAKE HALL J RCP I
Business Phone: (661) 327-1070x ~tisiness Phone: ( ) - x
24-Hour Phone {661.) 319-1929x ~-Hour Phone ( } - x
Pager Phone ( ) - x ~~ger Phone { ) - x
Hazmat Hazards: Fire ImmHlth DelHlth ,
Contact Phone: (661) 327-1070x
MailAddr: 3232 RIO MIRADA RD B-3 State: CA
City ~: BAKERSFIELD Zip 93308.
Owner Phone: (661) 327-107Ox
Address 3232 RIO MIRADA RD B-3 State: CA
City BAKERSFIELD Zip 93308
Period to TotalASTs: = Gal
Preparers TotalUSTS: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
ENT'D JUN 0 ~ 2006
f3ssed on my inq airy of those irtdfvldu~ls
resl3onslbfe tar obtelnfnp the h~forrr~tlon, I certify
under I)enafty of ta~n~ that I h~vs ~,arsa~tnlly
exsrnined end eni familiar with tha Intormatlon
submitted and bnlleve tho I~~tnrmatlon fs true,
aocurate, and cotnniPm7
---~-~,_
hate
-1- 03/23/2006
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CARE MEDICAL SiteID: 015-021-002931
Manager JAKE HALL
Location: 3232 RIO MIRADA RD B-3
City BAKERSFIELD
BusPhone: (661) 327-1070
Map 102 CommHaz Low
Grid: 14D FacUnits: 1 AOV:
CommCode: KCFD STA 64
EPA Numb:
SIC Code:8082
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
JAKE HALL / RCP/MANAGER /
Business Phone: (661) 327-1070x Business Phone: ( ) - x
24-Hour Phone (661) 319-1929x 24-Hour Phone ( ) - x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: Fire ImmHlth DelHlth
Contact JAKE HALL Phone: (661) 327-1070x
MailAddr: 3232 RIO MIRADA RD B-3 State: CA
City BAKERSFIELD Zip 93308
Owner MATT KNEELAND Phone: (661) 327-1070x
Address 3232 RIO MIRADA RD B-3 State: CA
City BAKERSFIELD Zip 93308
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif' d: RSs : No
ParcelNo:
Emergency Directives:
PROG A - HAZMAT
~'N~~ ~ ~ T ~ ~
X00
7
E3G ,ed on my inquiry of those individu2!s
responsible for obtaining the information, I Certify
under penalty of law t hat I have personally
examined and am fa ili with the information
submitted nd eli ~ e information is true,
accurate dnd , e.
~u ~5~~
ignature Date
-1- 07/10/2007
a
F CARE MEDICAL SiteID: 015-021-002931 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers at Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
OXYGEN F IH DH G 930.00 FT3 Low
-2- 07/10/2007
-3- o~/io/aoo~
:,
F CARE MEDICAL
~ Inventory Item 0001
~ COMMON NAME / CHEMICAL NAME
I OXYGEN
Location within this Facility Unit
STATE TYPE PRESSURE _
Gas TPure ~-Above Ambient
SiteID: 015-021-002931 ~
Facility Unit: Fixed Containers at Site ~
Days On Site
365
Map: Grid:
CAS#
7782-44-7
TEMPERATURE CONTAINER TYPE
Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
6.00 FT3 930.00 FT3 930.00 FT3
rlr-~~xrcLVUS ~~1~iruiV~iV1~
%Wt. RS CAS#
100.00 Oxygen, Compressed No 7782447
t11~GE~iCL L~i.5 .5L" 551~1L" 1V 1 J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Low
-4- 07/10/2007
3
F CARE MEDICAL SiteID: 015-021-002931 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification
_ ~ ~ r /.~
.uu~~iVycc 1VV1.11 ~ L~V0.l.U0.1~1V11
r U1J11t. 1VV 111 ~ JJ V Ql:LLdl.l Vll
~u~ctycll~:y 1~1CUll:dl Yldll
-5- 07/10/2007
F CARE MEDICAL SiteID: 015-021-002931 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
1CC1C0..7-C t'1_C VCll l.1 V11
1ZG 1G0..7G \.V111.0.111111C111.
L.1C0.11 V1J
V 1..1161 1CC w'~VUl. I:C 1-]1: 1.1Vdl.l Vil
-6- 07/10/2007
F CARE MEDICAL SiteID: 015-021-002931 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
aZ/c~1c1i nac~cllu~
V1.1111~y w711U 1.-V11~5
i-
t'11C r1Vl.C l:. ~LiV 0111. WGL I.Cl
D U1111111y VI: I: L.L~JGLlll:y LCVC1
-7- 07/10/2007
It
F CARE MEDICAL SiteID: 015-021-002931 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training
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-8- 07/10/2007