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Home My WebLink AboutBUSINESS PLAN 3/13/2007Ii SHIVINDER S. DEOL YID -- - 4000 STOCKDALY HWY SUITE B r n~ ., ~~~ ~~=~ .~ UNIFIED PROGRAM INSPECTION CHECKLIST ~' ' r/tt ~^.. '-.~V,^'.:?,-i~9kypeTr'7"R. r:.e''.:. .'e.Ar ~. F 1. a:,.. i.-r~:.~: .w. ..' ,;.~ .::t ... ...:'K" - , .SECTION 1: Business Plan and Inventory Program ~ BAKERSFIELD FIRE DEPT Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME NSPECTIO DATE INSPECTION TIME ADDRESS ' ` o Oo ~a G L ~ ~` 4 t1 ~~ 2~ •~ ~ ~~~~ /~J~ O OF EMPL_ _ OYEES "y-) FACILITY CONTACT ~ USINESS ID NUMBER 15-021- ~~D ~~ ~ Section 1: Business Plan and Inventory Program ^ ROUTINE ~ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION --~ C V (c=compliance) OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON NAND ~~. _ ~ C1 i ~ay~-}~ ~~ 1 ~ 1 D U ~1~{' ^ BUSIt1QSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ~NT'~ I' f f? R ~, 6~U~/ ^ VERIFICATION OF LOCATION ^ ^ PROPER SEGREGATION OF MATERIAL VERIFICATION OF MSDS AVAILABILITY O ~ ~ r ~ ~ ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING I l ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDO~ S WASTE Oy~SITE? ~ES ^ NO --- EXPLAIN: ~A.! ~- ~°j..r~_ t ~. o-~ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL U9 AT (881) 928-3879 Inspector (Please Print) Fire Prevention / 1`~ In / hilt of Ske/Station >t White -Prevention Services Yellow -Station Copy Pink -Business Copy FD20~8 (Rev.02/O5) ~~ ~ ~`~ '~~`~ CITY OF BAKERSFIELD FIRE DEPARTMENT ~~ OFFICE OF ENVIRONMENTAL SERVICES .y UNIFIED PROGRAM INSPECTION CHECKLIST WF gti,~~ 1715 Chester Ave., 3'd Floor, Bakersfield, CA 93301 ......r FACILITY NAME J~~. t v ~ ~ ~, o ~ ~Q- d ~ M 17 INSPECTION DATE ~ ~ ~ ~ ~-'~ Section 4: Haaardous Waste Generator Program EPA ID # ~X ~ "`~~'[ ^ Routine -~ Combined ^ Joint Agency ^Multl-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made EPA ID Number ~' Xd „~, ~- 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 >~~~,1, 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 N 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 ~ p y` (~~ Q,~ Retains manifests for 3 years ~ ~a ~, fir 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=vtotatton Inspector: ~ ~~~~'`-"' ~ `f Office of Environmental Services (661) 326-3979 White -Env. Svcs. $usiness ~ e Responsible Party Pink -Business Copy DSOL MD 7:A7C SHIVI~N~DhE~R S(~D=n-o -= Si ~eID: O1S-021-0023d~ i~a~zager U~~~r^"'~ ~ "lI~" BusPhvz];:: (66y) 325-7452 Location: 4000 STdCRDALE 1[fnTX E Map l;i :3 'ommHaz Minima]. City HAKERSFIELD Grid: 0 ~ !~ ?acUza•i.ts : 1 AOV CommCode: BF`ri STA 07 EPA Numb: E~tnergeney Contact / Title Emerg y SHIVINDER S DEAL MD / Business Phone: (667.} 325-7452x Business Ph 24-I•iou]K PhorLe ( ) - x 24-~-Iour Pho pager Pho]Ca,e ( ) - x Pager Phone Haamat Hazards: Contact SHIVINDER S DEO:f~ 1~3 PY1 MailAddr: 4000 STOCKDALE ~3wX B St City BA'fC~RSFTE~,D Zi Owner SHIVINDER S DE07~ MD P~7 Address 4000 STOCKDALE :EiWY B St City BAKERSFIELD Zi Qeriod to Totai.F. Preparers Totalt Cc~rtif ' d: Parce~.7va Emergem.cy Directives: FROG H - HAZ WASTE GEN C~ E4ased an any inquiry of lhR±se indiuiri~al. responsible for obtaining the ink~rr~atiun, {rt~rrify under penalty .1 law that I h~r~ve perennsally examined and am familiar with the inf~ariration .ubmittP.d and helfeve the info°mation is Erne, arcriratr, an ~ lete. ~.~._ ~-30 _d n~~ture Date -1- s7:c coa~_ : gc ~~ DunnSra ~: enc Co ~: i~at • / Title ~: use : ( } ~ x _ ( l - x I~ec ..".t ~: iae: (661) 325-7452x to : C.A. X3309 ~.':ke; {661) 325-7452x . 'lYe : CA E : ~330~ r 'rs : Coal S 'Ts , = Coal F.9s; No rD Fig 2 ~ 2007 of/3o/~bo~ + DEOL MD INC SHIVINDER S _____________________________ SiteID: 015-021-002306 + Manager Location:. 4000 STOCKDALE HWY B City BAKERSFIELD BusPhone: (661) 325-7452 Map 123 CommHaz Minimal Grid: 02A FacUnits: 1 AOV: CommCode: BFD STA 07 SIC Code:8011 EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title SHIVINDER S DEOL MD / / Business Phone: .(661) 325-7452x Business Phone: ( ) - x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React _-= - _ --= Contact SHIVINDER S DEOL MD Phone: (661) 325-7452x MailAddr: 4000 STOCKDALE HWY B State: CA City BAKERSFIELD ~ Zip 93309 Owner SHIVINDER S DEOL MD Phone: (661) 325-7452x Address : 4000 STOCKDALE HWY B State: CA City ~ BAI{ERSFIELD ~ Zip 93309 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 individu~l9 responsible for obtaining the information, I certify under penalty of law that V have personalty . _ examined and am familiar with.the information submitted and believe the information is 4rue, accu te, and complete. -- --_-° ~'-~ 1 , i ignature ~ Date `no ch~a~- ENT MAY 1 ~ 2006 ,~ -1- 05/15/2006 + DEOL MD INC.SHIVINDER S _____________________________ SiteID:- 015-021-002306 + Manager Location: 4000 STOCKDALE HWY B City BAKERSFIELD BusPhone: (661) 325-7452 Map 123 CommHaz Minimal Grid: 02A FacUnits: 1 AOV: CommCode: BFD STA 07 EPA Numb: SIC Code:8011 DunnBrad: Emergency Contact / Title Emergency Contact / Title SHIVINDER S DEOL MD / / Business Phone: (661) 325-7452x Business Phone: ( ) - x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React Contact SHIVINDER S DEOL MD Phone: (661) 325-7452x MailAddr: 4000 STOCKDALE HWY B State: CA City BAKERSFIELD Zip 93309 Owner SHIVINDER S DEOL MD Phone: (661) 325-7452x Address 4000 STOCKDALE HWY B State: CA City BAKERSFIELD Zip 93309 Period to Preparers Certif'd: ParcelNo: TotalASTs: = Gal TotalUSTs: = Gal RSs: No Emergency Directives: PROG H - HAZ WASTE GEN ENT'D J U L 0 6 2006 Based on my inquiry of those individuals responsible for 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, accurate, and complete. $Ignature Date ~^0'~~ s5~ -1- 07/06/2006 ~~ DEOL MD INC SHIVINDER S Manager SHIVINDER S DEOL Location: 4000 STOCKDALE HWY B City BAKERSFIELD CommCode: BFD STA 07 EPA Numb: SiteID: 015-021-002306 BusPhone: (661) 325-7452 Map 123 CommHaz Minimal Grid: 02A FacUnits: 1 AOV: SIC Code:8011 DunnBrad: Emergency Contact / Title Emergency Contact / Title SHIVINDER S DEOL MD / OWNER / Business Phone: (661) 325-7452x Business Phone: ( ) - x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React Contact SHIVINDER S DEOL Phone: (661) 325-7452x MailAddr: 4000 STOCKDALE HWY B State: CA City BAKERSFIELD Zip 93309 Owner SHIVINDER S DEOL MD Phone: (661) 325-7452x Address 4000 STOCKDALE HWY B State: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: EN ~ PROG H - HAZ WASTE GEN T D JUG X007 F3ased or, my inquiry of those individuals responsibie for abtai~,ing the informati ! on, certify under penalty of taw that I have personally exa i m ned and am familiar with the information submitted and believe th e information is true, accurate, and complete. ~~ "° "~-~ ~ ~ Z~ ~ i nature Date ~---"" -1- 07/11/2007 it F DEOL MD INC SHIVINDER S SiteID: 015-021-002306 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... ISpecHaz EPA Hazards Frm~ DailyMax IUnit~MCPI WASTE FIXER R L 30.00 GAL Minl -2- 07/11/2007 -3- o~/ii/aoo~ F DEOL MD INC SHIVINDER S ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME WASTE FIXER Location within this Facility Unit DARKROOM SiteID: 015-021-002306 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# STATE TYPE PRESSURE Liquid TWaste ~ Ambient TEMPERATURE ~~ CONTAINER TYPE Ambient I PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 30.00 GAL 30.00 GAL 30.00 GAL riAGA1CLVUb 1:V1~lYV1Vt;1Vl5 %Wt. RS CAS# Silver No 7440224 t11~GKKL 1-1~ 5L"5~1~1L'1V1~ TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -4- 07/11/2007 R F DEOL MD INC SHIVINDER S SiteID: 015-021-002306 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification P~Lll~J1VyCC 1VV l.1L / P~VdC: I.Ld L1Vi1 _~_ ~ i.- t UJ,J11V lVV x.11 ~ P~VQt.Udl..l Vll P~LIIGLy Clll:y 1~1C U11.:d1 Y1d11 -5- 07/11/2007 S ~ F DEOL MD INC SHIVINDER S SiteID: 015-021-002306 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention iCC1C0..7C t. V111.0.111LLLC11L l.1 CCLll V~J V 1..1101 1CC.7VUIVC 1'91: 1.1VQl~l Vll -6- 07/11/2007 F DEOL NID INC SHIVINDER S SiteID: 015-021-002306 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ _, ,_ •7~lG 1.1Q1 naaaiua Utility Shut-Offs t'1lC r1Vl~Cl:./1'iVd11 WdI..CL Building Occupancy Level -~- 0~/11/200~ ,; F DEOL NID INC SHIVINDER S SiteID: 015-021-002306 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training rayc ~ Held for Future Use nclu ivi ru~uic u5c -8- 07/11/2007 ,", r:--:'-;: ~ SiteID: 015-021-002306 .- .,-- SHIVINDER S. DEOL, MD~NC Manager : Location: 4000 STOCKDALE HWY B City BAKERSFIELD NO" . 5 11103 BusPhone: Map : 123 Grid: 02A (661) 325-7452 CommHaz : FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 07 EPA Numb: SIC Code:8011 DunnBrad: Emergency Contact / Title Emergency Contact / Title SHIVINDER S. DEOL / MD / Business Phone: (661) 325-7452x Business Phone: ( ) - x 24-Hour Phone : ( ) - x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: React to Phone: (661) 325-7452x State: CA Zip : 93309 Phone: (661) 325-7452x State: CA Zip : 93309 TotalASTs: = Gal TotalUSTs: = Gal RSs: No Contact : SHIVINDER S. DEOL, MD MailAddr: 4000 STOCKDALE HWY B City : BAKERSFIELD Owner Address City Period : Preparer: Certif'd: ParcelNo: SHIVINDER S. DEOL, MD : 4000 STOCKDALE HWY B : BAKERSFIELD Emergency Directives: ~~~2! (U(Q_;: -.- u u .~.2oe ~ ~~ 0. .c.cI'G>O o.o.u::: >o~'6 E :::._GlIQ EE:¡;Uo. æ.f~õ õõ§~ >0>0°10 EE()~ ·-33Ec ßfI~l! c(c(õlii Eã¡¡E _ ~.2.Qc( ~ ...r~~'¡ 5i E:¡; e -ac( ° üi~ ã. 111- is It;ï ,-'------ - Ù 3: ~ ò :æ cO J > o ~ w V\ Q ffi ~ ~ 1< :> s: C/) :EO «0 u..C NICE ~~8 J;J;= I NN<tI C'>C'>E ~~- I ~~o <O<O..c: ~~! itæ:2 <II õ Q) 'C !,~ 1~ Do hereby certify that I have (Type or print name) reviewed ïhe attached hazardous materials maì1age· ment plan for 5$1'.2u(~ and that it along with (Name of Bo8Ù'l&8I) any corrections constitute a complete and correct man· agement.plan for my facility. :::. o Q) C ...' C Q) :ê -g :;J :~ fJ)a-,..c: ~~~ :I:CI>O Q)«~ ;¡¡u§ ~:2a¡ OQ).c 0:;:: ~ éñ~E Q) ~ ~Æ~ ~A<-~tÑ 10 ;30- 03 Date __ J~ -1- 10/21/2003 '. ¡':f-/Y> ð r f'e /7 ss ()ó/ 393S-Y CITY OF BAKERSFIEI,D FIRE DEPARTMENT OFFICE OF ENVIRONMENT AI.. SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd 1·'loor, Bakersfield, CA 9330J 7G FACILITY N,1.ME_:SU 'V,ND(9'L S. 't)EOL,MO ~. INSPECTION DATE I?,-/ 14/01 ADDRESS ~ $~!)Þo.~ btW s'iE-- ß. PHONE NO. ~2S: 74~2. FACILITY CONTACT BUSINESS 10 NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES 1;?3()2 A- fÓ/I Section 1: Business Plan and Inventory Program II o Routine f4.. Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERA nON C v COMMENTS Appropriate peonit on hand Business plan contact infoonation accurate Visible address Correct occupancy Verification of inventory materials WAS '("'E r.'JCGt- Verification of quantities 3D 6A<- Verification of location INÇI()¡£ ~ (2a>fVt 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 V ?~~ ~ !fl&-TAV erw:;.usHé f2-. Site Diagram Adequate & On Hand C=Compliance V=Violation White - Env, Svcs. Yellow· Station Copy Pink - Business Copy ~~Iep Inspector: NINES Any hazar~oqs waste on site?: Explain: Wìð6 æ f l)u9l.... ;4 Yes 0 No Questions regarding this inspection? Please call us at (661) 326-3979 · CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME Stlw"ot~ $, Ct=oL IlÆI) lrJC..-. INSPECTION DATE f'-/'4/ð{ EPAID# ,J/A Section 4: Hazardous Waste Generator Program ~ Combined o Routine o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERATION C V COMMENTS Hazardous waste determination has been made EPA ID Number (Phone: 916-324-1781 to obtain EPA ID #) 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 ~ondary containme~provided / PLeASE ~d)é At WA:ST£' rClc@2.... 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 C=Compliance V=Violation V->INe~ ~ Business Site Responsible Party Inspector: Office of Environmental Services (661) 326-3979 White - Env. Svcs. Pink - Business Copy