HomeMy WebLinkAboutBUSINESS PLAN 2/6/2007F M HANNA, DDS
~1' 3809 SAN DIMAS, SUITE A
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HANNA DDS F M ~1~ ,,~n
Manager ' "~ ~~ ~`~
Location: 3809 SAN DIMAS ST A
City BAKERSFIELD
SiteID: 015-021-002362
BusPhone: (661) 322-7696
Map 103 CommHaz Minimal
Grid: 19D FacUnits: 1 AOV:
CommCode: BFD STA 04
EPA Numb:
SIC Code:8621
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
F M HANNA DDS / OWNER /
Business Phone: (661) 322-7696x Business Phone: ( ) - x
24-Hour Phone ( ) - x 24-Hour Phone ( ) - x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: Reac t
Contact F M HANNA DDS Phone: (661) 322-7696x
MailAddr: 3809 SAN DIMAS ST A State: CA
City BAKERSFIELD Zip 93301
Owner F M HANNA DDS Phone: (661) 322-7696x
Address 3809 SAN DIMAS ST A State: CA
City BAKERSFIELD Zip 93301
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
PROG H - HAZ WASTE GEN
ENT'D F ~ B ~ ~ 2007
Eased on my inquiry of those individuals
responsible far obtaining the information, I certify
under penalty of law that I have persanally
examined and am familiar with the information
submitted and believe the information is true,
accurate, and com {ete.
•~,• ignatur Dat
-1- 01/31/2007
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F HANNA DDS F M SiteID: 015-021-002362 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers at Site ~
Hazmat Common Name... ~SpecHaz~EPA Hazards) Frm I DailyMax IUnitIMCPI
WASTE FIXER
R L 5.00 GAL Minl
-2- 01/31/2007
-3- 01/31/2007
F HANNA DDS F M
~ Inventory Item 0001
COMMON NAME / CHEMICAL NAME
WASTE FIXER
Location within this Facility Unit
DARKROOM UNDER COUNTER
STATE TYPE PRESSURE
Liquid TWaste Ambient
SiteID: 015-021-002362 ~
Facility Unit: Fixed Containers at Site ~
Days On Site
365
Map: Grid:
CAS#
TEMPERATURE ~~ CONTAINER TYPE
Ambient I PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
5.00 GAL 5.00 GAL 5.00 GAL
rlt~~.ytcLUU~ uul~irulvl,lV~1~5
%Wt. RS CAS#
Silver - No 7440224
t11~GHKL HSat;~~1~1L'1V1~
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R / / / Min
-4- 01/31/2007
F HANNA DDS F M SiteID: 015-021-002362 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
Agency Notification
~[RY1VYeC 1VUl.1L . / C~VdCUdl.1Ui1
N~ c~~~
Public.Notif./Evacuation
Nc~ c~~~
Emergency Medical Plan
~ ~ G~ ~-z
-5- 01/31/2007
F HANNA DDS F M SiteID: 015-021-002362 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
Release Prevention
:Release Containment =
C~~'~e
~l.1CdLl V~J
Other Resource Activation
-6- 01/31/2007
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F HANNA DDS F M SiteID: 015-021-002362 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
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DU11ul11CJ, VC: C:U~JdilC:~/ LCV~1 _ ,
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F HANNA DDS F M SiteID: 015-021-002362 ~
Fast Format ~
~ Training Overall Site ~
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-8- 01/31/2007
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+ HANNA .DDS F M _______________________________________ SiteID: 015-021-002362 +
Manager
Location: 3809 SAN DIMAS A
City BAKERSFTELD
BusPhone: (661) 322-7696
Map 103 CommHaz Minimal
Grid: 19D FacUnits: 1 AOV:
CommCode: BFD STA 04 SIC Code:8621
EPA Numb:' DunnBrad:
Emergency Contact / Title Emergency Contact / Title
/ /
Business Phone: ( ) - x Business Phone: ( ) - x
24-Hour Phone ( ) - ~ x 24-Hour Phone ( ) - x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: React
Contact F M HANNA DDS Phone: (661) 322-7696x
MailAddr: 3809 SAN DIMAS A State: CA
City BAKERSFTELD Zip 93301
Owner F M HANNA DDS Phone: (661) 322-7696x
Address 3809 SAN DIMAS A State: CA
City BAKERSFTELD Zip 93301
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif ' d: RSs : No
ParcelNo:
Emergency Directives: ~
PROG H - HAZ WASTE GEN
~N~ /!l
~ p ~ 2~0
6
~~
~t~~~d do my inquiry bf those individuals
respanei~l~ ft~r ~~talrli~~ the information, I certify
under pe.~~lt 9f I~w 4hat I have personally ~~
examined an~mrn f€drr-Illnr with the information
submitted and beti®ve th® information is true,
accurate, c plat .
~ L ~~
nature Date
-1- 06/26/2006
r~ :T
HANNA. DDS FARID M SiteID: 015-021-002362
Manager FARID M HANNA
Location: 3809 SAN DIMAS ST A
City BAKERSFIELD
BusPhone: (661) 322-7696
Map 103 CommHaz Minimal
Grid: 19D FacUnits: 1 AOV:
CommCode: BFD STA 04
EPA Numb:
SIC Code:8621
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
FARID M HANNA DDS / OWNER /
Business Phone: (661) 322-7696x Business Phone: ( ) - x
24-Hour Phone ( ) - x 24-Hour Phone ( ) - x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: React
Contact FARID M HANNA Phone: (661) 322-7696x
MailAddr: 3809 SAN DIMAS ST A State: CA
City BAKERSFIELD Zip 93301
Owner FARID M HANNA DDS Phone: (661) 322-7696x
Address 3809 SAN DIMAS ST A State: CA
City BAKERSFIELD Zip 93301
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives:
PROG H - HAZ WASTE GEN
ENT'D ~~t 2 ®
Bas
d
i 20
07
e
on my
nquiry of those individuals
responsible fix obtaining the information, i certify
under penalty of law that I have personally
examined and am familiar with the information
submitted and believe the information is true,
accu~ d compl .t ;.
Signature Date
-1- 07/11/2007
~ ~
F HANNA DDS FARID M SiteID: 015-021-002362 ~
~ Hazmat Inventory By Facility Unit ~
~ MCP+DailyMax Order Fixed Containers at Site ~
Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP
WASTE FIXER R L 5.00 GAL Min
i
-2- 07/11/2007
-3- 07/11/2007
F HANNA DDS FARID M SiteID: 015-021-002362 ~
~ 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 UNDER COUNTER CAS#
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Liquid Waste Ambient Ambient PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
5.00 GAL 5.00 GAL 5.00 GAL
T/1TT/1 h/"~LIT /~l~TT1TT I'1
t1HGHiCLVUA 1.V1~lYV1V~1V 1J
°sWt. RS CAS#
Silver No 7440224
t1EiG1'ittL Fla a>J J al~ll';ly 15
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R / / / Min
-4- 07/11/2007
r
F HANNA DDS FARID M SiteID: 015-021-002362 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
HC~. Ci1C;~/ 1VU1.111C;dl.lUil
Employee Notif./Evacuation
,~
rui.lllt. 1VV1.11. / LiVCLI~UQl~lV11
1'+LllCllj Clll:y P1C 1.11Ud1 Y1d11
-5- 07/11/2007
F HANNA DDS FARID M SiteID: 015-021-002362
Fast Format
~ Mitigation/Prevent/Abatemt Overall Site
~ Release Prevention
Release Containment
~lcall vN
V1.11G1 itGi7VUtl.c 1°1~:LIVGLL1V11
9
9
-6- 07/11/2007
_ , , -.
F HANNA DDS FARID M SiteID: 015-021-002362 ~
Fast Format ~
~ Site Emergency Factors overall Site ~
~rc~:lcx.i ncic~ctiu~
Utility Shut-Offs
,.. ,
1-il.c r1.v~.c~..~rlVaii. vva~,c1.
D U11lA.L lly Vl.: I: U~J0.111.y LCVC1
-7- 07/11/2007
_, :.
F HANNA DDS FARID M SiteID: 015-021-002362 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training
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nciu .~vi r u~..uic vac
nciu ivi r u~.uic vac
-8- 07/11/2007