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Home My WebLink AboutBUSINESS PLAN 7/25/2007__ ~~' ~ VERNON C SORENSON MD 3838 SAN DIMAS STREET B-100_ ,r ~r SORENSON MD VERNON C Manager BRENDA MULLINS Location: 3838 SAN DIMAS ST B100 City BAKERSFIELD SiteID: 015-021-002275 BusPhone: (661) 326-0088 Map 103 CommHaz Minimal Grid: 19B FacUnits: 1 AOV: CommCode: BFD STA 04 EPA Numb: SIC Code:8011 DunnBrad: Emergency Contact / Title Emergency Contact / Title TERESA STRANATHAN / HEAD NURSE PAUL IRMEN / X-RAY TECH Business"Phone: (661) 326-0088x Business Phone: (661) 326-0088x 24-Hour Phone (661) 549-3209x 24-Hour Phone ((~~0)) 32-x -1$lo~x Pager Phone ( ) - x Pager Phone (~~~ )Sly -dp~o~ x Hazmat Hazards: ImmHlth DelHlth Contact TERESA STRANATHAN Phone: (661) 326-0088x MailAddr: 3838 SAN DIMAS ST B100 State: CA City BAKERSFIELD Zip 93301 Owner VERNON C SORENSON MD Phone: (661) 326-0088x Address 3838 SAN DIMAS ST B100 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 ~~~ ~ ~ ~~~ Based on my inquiry of Those indi~~iduals responsib4~ tt;r c~t~air;in,~ the informa on, ! certify under ;penalty of iati~r that i ha~ie personally examinecS and am fiamiliar vrith the information submitted and i7eiieve the information is true, accurate, and complete. _~~ - - ~ vy~ ^, ) yo~ Si , u ~ Date -1- 07/16/2007 ~ ~~ F SORENSON MD VERNON C ~ Hazmat Inventory = ~ MCP+DailyMax Order = SiteID: 015-021-002275 ~ By Facility Unit ~ Fixed Containers at Site ~ Hazmat Common Name... ISpecHazIEPA Hazards) Frm I DailyMax IUnitIMCPI WASTE FIXER IH DH L 2.00 GAL Minl -2- 07/16/2007 -3- 07/16/2007 F SORENSON MD VERNON C SiteID: 015-021-002275 ~ ~ 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: X-RAY RM CAS# Liquid Twaste ~ AmbRent~E ~ AmbientT~E -~STOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 5.00 GAL 2.00 GAL 1.50 GAL -- 111iGHKLVU.7 1.V1~lYV1VL"1V 1.7 oWt. RS CAS# Silver No 7440224 r1HC~r~tcL r-~a~~~alnr~lvl~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / Min -4- 07/16/2007 F SORENSON MD VERNON C SiteID: 015-021-002275 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification _ , t ,... L'lll~/1VyCC 1VV 1.11.. ~ P~Vdl..udl..l Vll ~~ t UiJlll: 1VV 1.11. ~ P.~VdI.UdL1V11 P~LIICLyClll.y 1.1C C11 C:d1 t'l dll -5- 07/16/2007 .~ F SORENSON MD VERNON C SiteID: 015-021-002275 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention Release Containment t.1CQ11 V~J Other Resource Activation -6- 07/16/2007 F SORENSON MD VERNON C SiteID: 015-021-002275 ~ Fast Format ~ Site Emergency Factors Overall Site ~ ~ Special Hazards 12/08/2006 ~ PHOTOGRAPHIC FIXER IS MAINTAINED AND SERVICED BY: X-RAY SOLUTION SERVICE, JIM WARREN OWNER, 637-0404 BUSINESS, 835-2304 PAGER. Utility Shut-Offs ,_ ri.cc rLVt.c~:. ~rivciil. wci~ci Building Occupancy Level -7- 07/16/2007 _/ .~ ~ . :. F SORENSON MD VERNON C SiteID: 015-021-002275 ~ Training Overall Site ~ Employee Training rayc c. Held for Future Use nC1u lV1 rUI.UiC U~S'C -8- 07/16/2007 o _ 9 SORENSON MD VERNON C Manager ~~Jre-+~d~ 1~'~~~~ins Location: 3838 SAN DIMAS ST~ B1.00 City BAKERSFIELD CommCode: BFD STA 04 EPA Numb: SiteID: 015-021-002275 BusPhone: (661) 326-0088 Map 103 CommHaz Minimal Grid: 19B FacUnits: 1 AOV: SIC Code:8011 DunnBrad: Emergency Contact / Title Emergency Contact / Title ~'~¢;~~ ~~c..S~<'c~ o.l`~~ / HEAD NURSE -`l?[tJ~i(; :.~ ~F~~e.-/~ / X -RAY TECH Business Phone: (661) 326-0088x Business Phone: (661) 326-0088x 24-Hour Phone (loll )S~I~/ -~~o~ x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: ImmHlth DelHlth Contact -~ _ KI'~:~~~~;.5'~E~~?~+~a~n Phone • ( 6 61) 3 2 6- 0 0 8 8x MailAd dr: 3838 SAN DIMAS ST B100 State: CA _ City BAKERSFIELD Zip 93301 Owner VERNON C SORENSON MD Phone: (661) 326-0088x Address 3838 SAN DIMAS ST B100 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 cc~~ ~ r' ,~ ~~0/ Based an my inc~a;rY ,~f fhoae ira~iividuals int€~rnjatio thy ~ ; responsible for ohtatn~ng rsonaiiy e of law that i have P lt tian y under pena nd am familiar with the infiorma true d , a examine itted and believe the infarmat~an is subm accurate, and complete. ~ / ~ /0 ~ / / ~ ( Date •. Signature - -1- 02/06/2007 SORENSON MD VERNON C SiteID: 015-021-002275 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP WASTE FIXER IH DH L GAL Min_ ~.. 00 Cs q L ` -2- 02/06/2007 } -3- 02/06/2007 F SORENSON MD VERNON C SiteID: 015-021-002275 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME WASTE FIXER Days On Site 3 6 5. Location within this Facility Unit Map: Grid: X-RAY RM CAS# Liquid TWaste ~Ambient~E ~ AmbientT~E ~ PLASTICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Avera_g~e 5 . 0 0 GAL 2 < O GA L 5-r0'0"'~ GAL ( •- ' ,, Jr'~ ~~vu c~AL HAZARDOUS COMPONENTS ~Wt . RS CP,S# Silver No 7440224 t1AG1-11.~tL 1-~~~L''~~1~1J;1V"1"5 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies IH DH / / / Min -4- 02/06/2007 s F SORENSON MD VERNON C SiteID: 015-021-002275 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification ,~ P~ult/1vyGG 1VV l~1l ~ L,v dl:Udl,1V11 ~- rU1J.L ll: 1VV 1..11. ~ L' VdC.:Udl~1 V11 r+lllCLt~. C11C: ~/ 1~1C U1Ccl.1 Y1a71 -5- 02/06/2007 ~ SORENSON MD VERNON C SiteID: 015-021-002275 ~ Fast Format ~ •~ Mitigation/Prevent/Abatemt Overall Site ~ 1CC1CGl.7-C t'I.CVCll l.1 V11 Release Containment I.lCQ11 V~J V 1.1101 iCG.7Vt111:C 1°11. 1.1V0.1,.1 V11 -6-. 02/06/2007 - r ., ~:. F SORENSON MD VERNON C SiteID: 015-021-002275 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~ Special Hazards 12/08/2006 ~ PHOTOGRAPHIC FIXER IS MAINTAINED AND SERVICED BY: X-RAY SOLUTION SERVICE, JIM WARREN OWNER, 637-0404 BUSINESS, 835-2304 PAGER. Utility Shut-Offs t'1LC Y1CJl..CC:. /1~Vd11. WdLC1 DU11U111t~. VC.: l: l1Nd11C~y LCVC1 -7- 02/06/2007 z ~ SORENSON MD VERNON C SiteID: 015-021-002275 ~ Fast Format ~ ~ Training Overall Site ~ ~LREJ1p~/~~ 1id1111i1C~ YdyC G AC1l.L 1Vl t'UI. UlC VAC 1ZC1~.1 1Vt tUI.UIC VAC -8- 02/06/2007 + SORENSON MD VERNON C ________________________________ SiteID: 015-021-002275 + Manager BusPhone: (661) 326-0088 Location: 3838 SAN DIMAS ST B100 Map :.103 CommHaz Minimal City BAKERSFIELD Grid: 19B FaCUnits: 1 AOV: CommCode: BFD STA 04 SIC Code:8011 EPA Numb: DunnBrad: Emergency Contact /t,,,;~„i Title ~ d Emergency Contact / Title ~ CZ~~~~~ ~ / HEAD NURSE SCOTT BOLL / X-RAY TECH Business Phone: (661) 326-0088x Business Phone: (661) 326-0088x. 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: ImmHlth DelHlth ---- - -- _ ~ '~~a - ~,i~-a ge~~ Contact l Phone: 326-0088x-- (661) MailAddr: 3838 SAN DIMAS ST B100 State: CA City BAKERSFIELD Zip 93301 Owner VERNON C SORENSON MD Phone: (661) 326-0088x Address 3838 SAN DIMAS ST B100 State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No .ParcelNo: Emergencv Directives: PROG H - HAZ WASTE GEN ENT'D DEC 0 8 2006 ~M~~~ 5 Based on my inquiry of those individuals responsible for obtaining the information, t certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurat and complete. ~~ b i n ure Date -1- 12/01/2006 i'