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Home My WebLink AboutBUSINESS PLAN 10/1/2007= CALIFORNIA FOOT DOCTORS Manager LORI BRASCHLER Location: 4000 STOCKDALE HWY C City BAKERSFIELD CommCode: BFD STA 03 EPA Numb: SiteID: 015-021-002252 BusPhone: (661) 832-3600 Map 102 CommHaz Minimal Grid: 35C FacUnits: 1 AOV: SIC Code:8043 DunnBrad: Emergency Contact / Title Emergency Contact / Title JIM MALONE DPM / SECRETARY / Business Phone: (661) 832-3600x Business Phone: ( ) - x 24-Hour P hone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React Contact JIM MALONE Phone: (661) 832-3600x MailAddr: 4000 STOCKDALE HWY C State: CA City BAKERSFIELD Zip 93309 Owner JIM MALONE Phone: (661) 832-3600x Address 4000 STOCKDALE HWY C State: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif' d: RSs : No ParcelNo: Emergency Directives: PROG H - HAZ WASTE GEN ENT ocT ~ 2 OD7 t3ased on my inquiry of those individuals responsible far obtai i n ng the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and beli eve the information is true, ac ate, and complete. ~, ~~ ~) -~~ _ ignature r Date -1- 07/10/2007 F CALIFORNIA FOOT DOCTORS SiteID: 015-021-002252 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm ~ DailyMax IUnitIMCPI WASTE FIXER R L 1.00 GAL Minl -2- 07/10/2007 -3- 07/10/2007 F CALIFORNIA FOOT DOCTORS SiteID: 015-021-002252 ~ ~ 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 CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TWaste ~ Ambient ~ Ambient ~ PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 20.00 GAL 1.00 GAL 1.00 GAL riAL,H.t<1JVU5 C:V1~lYV1V1'~1V"1"5 oWt. RS CAS# Silver No 7440224 t1HGH1t1J 1-~~~L' S~1~11;1V 1.7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -4- 07/10/2007 F CALIFORNIA FOOT DOCTORS SiteID: 015-021-002252 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 03/22/2007 ~ 911 Employee Notif./Evacuation 03/22/2007 VERBAL Public Notif./Evacuation VERBAL 03/22/2007 Emergency Medical Plan 03/22/2007 911 -5- 07/10/2007 F CALIFORNIA FOOT DOCTORS SiteID: 015-021-002252 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention Release Containment 03/22/2007 SECONDARY CONTAINMENT Clean Up SPILL KIT 03/22/2007 Other Resource Activation -6- 07/10/2007 F CALIFORNIA FOOT DOCTORS SiteID: 015-021-002252 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .~Nc~.ia.L nac~atu~ Utility Shut-Offs 03/22/2007 GAS: NE CRNR OF BLDG ELECTRICAL: SE SIDE OF BLDG WATER: W SIDE OF BLDG Fire Protec./Avail. Water 03/22/2007 FIRE EXTINGUISHERS FIRE HYDRANT: CRNR STOCKDALE HWY & MCDONALD WY Building Occupancy Level 04/13/2007 7 EMPLOYEES -7- 07/10/2007 ,~ F CALIFORNIA FOOT DOCTORS SiteID: 015-021-002252 ~ Fast Format ~ ~ Training Overall Site ~ Employee Training 03/22/2007 ~ BRIEF SUNIl~IARY OF TRAINING PROGRAM: OSHA TRAINING rayc ~ nciu ivi ru~uic vac Held for Future Use -8- 07/10/2007 ~ v ~~~ I Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST! B p R_5_F 1 __n 9ooTruxtunAve., suite2lo ~~ ----- - = Fine Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ~~ ARAM ~ Tel.: (661) 326-3979 a ~ Fax: (661) 872-2171 FACILITY NAME INSPwEC~TION D TE INSPECTION TIME ADDRESS l.~ O C70 S'fi ~'''~ C ~ PHONE NO. ~ ° 3~Z~ g NO OF EMPLOYEES o c, ,a z E I- -s FACILITY CONTACT BUSINESS ID NUMBER 15-021-6 )S ~OZ) ~ 00 Secfion 1: Business Plan and lnventorX Progca~m . - ^ ROUTINE COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIf12SS 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 AVAILABILITY ENT'D MA R 2 2 ZQQ7 ^ ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED a~ ~ ~o ~~r,,,d~ ~ ~x ~ ~ ,-i-~~, s ^ HOUSEKEEPING \ t ~ ~,.,` pt /~ Q~i~ W oy-~0,~ ~~c, Q, n e~ ^ FIRE PROTECTION ~C (tea ~ ~1('e7 ~ e5~e- ~ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? AYES ^ NO EXPLAIN: ~ ~ S~ L ~ L tC~ P ~' ~$Z ~ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention / 1s` In /Shift of Site/Station # Business Site / Re onsible Party (Please i White -Prevention Services Yellow -Station Copy Pink -Business Copy - FD 2155 (Rev. 09/05 ~,. ~'~`. ~T~` CITY OF BAKERSFIELD FIRE DEPARTMENT ~~~4 c ~~ ~' CA4 FACILITY NAME C'/~-1 ~~~N ~ A ~acst" ~ a/~'o~S INSPECTION DATE --~ ~ ~'~'/ ~~ Section 4: Haaardous Waste Generator Program EPA ID # ~ ~ ~" r~rt ^ Routine ~ Combined ^ Joint Agency ^hulti-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made EPA ID Number ~~~ ti. ~~- Authorized for waste treatment and/or storage Reported release, fire, or explosion within I S 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 N l,~ Secondary containment provided Ot7~~~ ~~G~=-.~a~ Cc~n.-}"a:,-~ 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 9'~ ~~ Transports hazardous waste with completed manifest Sends manifest copies to DTSC Retains manifests for 3 years Retains hazardous waste analysis for 3 years n ~, ~... ~ . t r e r Retains copies of used oil receipts for 3 years ~/ ~ x , ~~ ~1~~ Determines if waste is restricted from land disposal ~,=~ompuance v=vtotaaon Inspector: ~~lc ~~ j -~ - ~~ i<) ~Q Office of Environmental Services (661) 326-3979 Business a Respol]S 1 Party White -Env. Svcs. Pink -Business Copy OFFICE OF ENVIRONMENTAL SERVICES •~ UNIFIED PROGRAM INSPECTION CHECKLIST "'~ ti ~ 1715 Chester Ave., 3~d Floor, Bakersfield, CA 93301 Y~ `~ ~' / ~~~ V CALIFORNIA FOOT DOCTORS SiteID: 015-021-002252 Manager ~a ~4'~,~f BusPhone: (661) 832-3600 Location: 4000 STOCKDALE HWY C Map 102 CommHaz Minimal City BAKERSFIELD Grid: 35C FacUnits: 1 AOV: CommCode: BFD STA 03 EPA Numb: SIC Code:8043 DunnBrad: Emergency Contact /"- Title Emergency Contact / Title JIM MALONE DPM / ' ',~,~ ~ / Business Phone: (661) 83.2-3600 ~ usiness Phone: ( ) - x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React Contact JIM MALONE Phone: (661) 832-3600x MailAddr: 4000 STOCKDALE HWY C State: CA City BAKERSFIELD Zip 93309 Owner JIM MALONE Phone: (661) 832-3600x Address 4000 STOCKDALE HWY C State: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG H - HAZ WASTE GEN C1 O~ () f~~~sod nn my inquiry of those individuals raspon~ible tar obtaining the inf~rmatl~rl, l e~rtl#y under penalty ~i law that I have personally i ` [ r~ C NT'~ ~ P ~ ~ ex$m n€~d rind am i emillar with thca information . l~e . : zoo? submitted and believe theme#ormation is true, accurate, and ~ mplete.,.~- ~r 6 "~6 . ~ Signatui Date -1- 03/27/2007 r .,tr F CALIFORNIA FOOT DOCTORS ~ Hazmat Inventory ~ MCP+DailyMax Order = = SiteID: 015-021-002252 ~ By Facility Unit ~ Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP WASTE FIXER R L 1.00 GAL Min -2- 03/27/2007 fi~i -3- 03/27/2007 ~ 5' F CALIFORNIA FOOT DOCTORS SiteID: 015-021-002252 ~ ~"'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 CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Waste Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average 20.00 GAL 1.00 GAL 1.00 GAL - r~~r~tcLUUS uui~iruiv~iv'1'S oWt. RS CAS# Silver No 7440224 t1HL,FIKL l:a ~L'S51~iL'1V1'S TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -4- 03/27/2007 F CALIFORNIA FOOT DOCTORS SiteID: 015-021-002252 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 03/22/2007 911 Employee Notif./Evacuation 03/22/2007 VERBAL Public Notif./Evacuation VERBAL 03/22/2007 Emergency Medical Plan 911 03/22/2007 -5- 03/27/2007 F CALIFORNIA FOOT DOCTORS SiteID: 015-021-002252 ~ Fast Format ~ ,~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention -- Release Containment SECONDARY CONTAINMENT Clean Up SPILL KIT 03/22/2007 V1.11G1 L<C w7VUl l.G t]1. 1.1V0.1.1 V11 03/22/2007 -6- 03/27/2007 !~ F CALIFORNIA FOOT DOCTORS SiteID: 015-021-002252 ~ Fast Format ~ ,~ Site Emergency Factors Overall Site ~ oNc~..La.~ nac.a.~ua Utility Shut-Offs 03/22/2007 GAS: NE CRNR OF BLDG ELECTRICAL: SE SIDE OF BLDG WATER: W SIDE OF BLDG Fire Protec./Avail. Water FIRE EXTINGUISHERS FIRE HYDRANT: CRNR STOCKDALE HWY & MCDONALD WY 03/22/2007 Building Occupancy Level -7- 03/27/2007 ., i- F CALIFORNIA FOOT DOCTORS SiteID: 015-021-002252 ~ Fast Format ~ ~~ Training Overall Site ~ ~ Employee Training 03/22/2007 ~ BRIEF SUMMARY OF TRAINING PROGRAM: OSHA TRAINING ra~c ~. iac llA 1V1 1' l1 l.Ulc Va7C nclu ivt rul.ulC UDC -8- 03/27/2007 ~,~ ~« + CALIFORNIA FOOT DOCTORS _____________________________ SiteID: 015-021-002252 + Manager Location: 4000 STOCKDALE HWY C City BAKERSFIELD BusPhone: (661) 832-3600 Map 102 CommHaz Minimal Grid: 35C FacUnits: 1 AOV: CommCode: BFD STA 03 EPA Numb: SIC Code:8043 DunnBrad: Emergency Contact / Title Emergency Contact / Title JIM MALONE / DPM / Business Phone: (661) 83.2-3600x Business Phone: ( ) - x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React Contact JIM MALONE Phone: (661) 832-3600x MailAddr: 4000 STOCKDALE HWY C State: CA City BAKERSFIELD Zip 93309 Owner JIM MALONE Phone: (661) 832-3600x Address 4000 STOCKDALE HWY C State: CA City BAKERSFIELD 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 individuals responsible for obofaia~9tnat ~I fhavet~personally under penalty examined a am familiar with the information submitted bel eve the information is true, Date ~~~$~ 5~ -1- 05/11/2006