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HomeMy WebLinkAboutBUSINESS PLAN 3/26/2007__ 7~\ ~ ~ PAUL D GUINEY CHIROPRACTOR 5001 STOCKDALE HWY ~f7~~ `7~~~ ~1~1, ~,,. ~~~ uJ (,~ 1 `~ - ~ !f t'~ Prevention -Services I~NIFIED PROGRAM INSPECTION CHECKLIST'S -D 900 Truxtun Ave., suite 210 B B R_S.. F 1 -_~__ --~ ~-_~. -:::_-- _._~_-~- ~ ~_ ~- _ ~ . ~ :---, E - Flee Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ~ AR>rM r Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME ~ .,~ ~ ~ ~ ~ G ~ . Q-o o e~~~Ta ~ INSPE TION DATE 3 ~ Z bl d INSPECTION TIME ADDRESS Soo I ~~ ~ G~~0., ~ ~ ~ P~~N~ y 1~ ~~ NO OF EMPL~eS FACILITY CONTACT BUSINESS ID NUMBER ~RU, ~ ~ ~ ~ ti G 15-021- o iS --a Z~ ~ o0 Section 1: Business Plan and.Inventory Program ^ ROUTINE COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compfiance~ OPERATION V=Violation - COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIf1eSS 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 ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ,~~ ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND -\ 1 1 .1~~ rc~sr-Dais ANY HAZARDO~U`~S WASTE ON SIT ~ ~© YES ^ NO EXPLAIN: "' ~ ~~~ ~ + `~ C QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 C E~>~> ti} ~- ~l Inspector (Please Print) Fire Prevention / 1s' In /Shift of Site/Station # White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 _~• °'~~ FACILITY NAM Section 4: Ha E ~ U ~ N ~ ` I I ~- o ~' B ~ ~?a ~. INSPECTION DATE --3 ~~~ / zardous Waste Generator Program EPA ID # ~k ~~ ~ ~ ^ Routine ~ Combined ^ Joint Agency ^Muiti-Agency ^ Complaint ^ Re-inspection ~~5~~ _T~z_ CITY OF BAKERSFIELD FIRE DEPARTMENT ~6 ro~ OFFICE OF ENVIRONMENTAL SERVICES `~~' , y~ UNIFIED PROGRAM INSPECTION CHECKLIST ?.~k•E"'~gti 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 OPERATION C V COMMENTS Hazardous waste determination has been made EPA ID Number CX ~ °`" ~~ 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 n~~~ fir-} ~a.-j'a s ~rpv~~J Containers in good condition and not leaking TO ~~ Containers are compatible with the hazardous waste Containers aze kept closed when not in use Weekly inspection of storage area Ignitable/reactive waste located at least 50 feet from property line /~/ ~ Secondary containment provided Conducts daily inspection of tanks Used oil. not contaminated with other hazardous waste ~ ~ Proper management of lead acid batteries including labels N Proper management of used oil filters P~ Transports hazardous waste with completed manifest ~ ~ S ' 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=Comp) iance~V=Violation Inspector: ~6 , ~ ~ ~ r ~"'I ~"~ `~ Office of Environmental Services (661) 326-3979 White -Env. Svcs. Pink -Business Copy `~ ~, Ja Business Site Responsib Party .. ,, GUINEY CHIROPRACTOR INC PAUL Manager ALEJANDRA PRECIADO Location: 5001 STOCKDALE HWY City BAKERSFIELD SiteID: 015-021-002194 BusPhone: (661) 833-1018 Map 102 CommHaz Minimal Grid: 35C FacUnits: 1 AOV: CommCode: BFD STA 11 EPA Numb: SIC Code:8041 DunnBrad:77-053-9753 Emergency Contact / Title Emergency Contact / Title PAUL GUINEY / OWNER ALEJANDRA PRECIADO / OFFICE MANAGER Business Phone: (661) 833-1018x Business Phone: (661) 833-1018x 24-Hour Phone (661) 706-2345x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React Contact -~-~~=U ~U'~~n CoA~c2c r9-S Phone: (661) 833-1018x MailAddr: 5001 STOCKDALE HWY State: CA City BAKERSFIELD Zip 93309 Owner PAUL D GUINEY DC Phone: (661) 833-1018x Address 5001 STOCKDALE HWY State: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif' d: RSs : No ParcelNo: Emergency Directives: PROD H - HAZ WASTE GEN -- E~i~"D J U L 18 2007 pied on my inquiry of those indi~~iduals the information, I certify i ng responsible far obtain that I have personally + ~ . under penaity .of law amined and am familiar with the information ue t , .ex r submitted and believe the information is accurate, and complete. Date Sig a` -1- 07/11/2007 -~ F GUINEY CHIROPRACTOR INC PAUL SiteID: 015-021-002194 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ I Hazmat Common Name... ~SpecHaz EPA Hazards Frm DailyMax IUnitIMCPI WASTE FIXER R L 3.00 GAL Minl -2- 07/11/2007 -3- 07/11/2007 F GUINEY CHIROPRACTOR INC PAUL SitelD: 015-021-002194 ~ ~ 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 PROCESSOR CAS# = STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TWaste ~ Ambient ~ Ambient -~STIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 3.00 GAL 3.00 GAL 3.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# Silver No 7440224 tiAGAt~C1J AS SL'~SS1~1J;1V~1"5 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -4- 07/11/2007 F GUINEY CHIROPRACTOR INC PAUL SiteID: 015-021-002194 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 05/17/2006 STORAGE CONTAINERS, EQUIPMENT, TUBING AND FITTINGS WILL BE INSPECTED FOR LEAKS AND/OR WEAR ON A DAILY BASIS. ANY ABNORMALITIES WILL BE RECORDED AND OUR SERVICE COMPANY, SOURCEONE HEATLHCARE TECHNOLLOGIES, WILL BE CALLED FOR REPAIRS. 9 Employee Notif./Evacuation 05/17/2006 ~'~ ~e r~~~0 f~4~ c.~ C~ e tr: ~ c-a~ C, o r P o r ~ o ~ NE~~ri~~T:~~;r:==~i~aesrg~xe~ri ~:,a..WILL BE NOTIFIED OF ANY SPILLS OR PROBLEMS FOR CORRECTION. BAKERSFIELD FIRE DEPT OFFICE OF ENVIRONMENTAL SERVICES WILL ALSO BE NOTIFIED. Public Notif./Evacuation 05/17/2006 DR PAUL GUINEY WILL BE RESPONSIBLE FOR NOTIFYING PROPER AUTHORITIES OF INCIDENT, AS WELL AS CONDUCT CLEAN-UP ACTIVITIES. Emergency Medical .Plan 05/17/2006 EMERGENCY FIRST AID KIT IS ON SITE. IF MEDICAL CARE IS NEEDED, INJURED PERSON WOULD BE TAKEN TO MERCY SOUTHWEST. -5- 07/11/2007 F GUINEY CHIROPRACTOR INC PAUL SiteID: 015-021-002194 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site ~ Release Prevention 05/17/2006 PLASTIC DOT CONTAINERS ARE USED FOR COLLECTION AND STORAGE OF PHOTOGRAPHIC FIXER WASTE. THESE CONTAINERS ARE SECONDARILY CONTAINED TO AVOID LEAKS OR SPILLS. CONTAINERS, TUBING AND EQUIPMENT ARE INSPECTED DAILY TO ENSURE THEIR INTEGRITY. Release Containment 05/17/2006 IF LEAK OR SPILL IS DETECTED, CONTAINMENT MATERIAL WILL BE PLACED AROUND AREA OF LEAK OR SPILL TO KEEP IT FROM SPREADING. EQUIPMENT WILL BE TURNED OFF TO STOP FLOW OF MATERIAL. SOURCEONE HEALTHCARE TECHNOLOGIES WILL BE NOTIFIED TO MAKE NEEDED REPAIRS. Clean Up 05/17/2006 ~lAerry ~`fL~ C.~.erh~~.a,Q Cyr sv ~~ o~ WILL CLEAN UP ANY SPILLED MATERIALS AND DISPOSE OF IT. IF A RELEASE OF MATERIAL HAS OCCURED, THE PROPER AUTHORITIES WILL BE NOTIFIED. PHOTOGRAPHIC FIXER WASTE IS REMOVED ON A 6-WEEK BASIS. V1.11C1 iCCSVILiC:C Ei(~l.1Vdl.1V11 -6- 07/11/2007 F GUINEY CHIROPRACTOR INC PAUL SiteID: 015-021-002194 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~ Special Hazards Utility Shut-Offs 03/27/2007 GAS - W SIDE OUTSIDE BACK DOOR ELECTRICAL - 3 PANELS: X-RAY RM, BATHROOM, AND BACK OFFICE WATER - BATHROOM & X-RAY PROCESSING RM Fire Protec./Avail. Water 03/27/2007 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER AND SPRINKLER SYSTEM. NEAREST FIRE HYDRANT - BACK DOOR E SIDE. Building Occupancy Level 05/17/2006 1 EMPLOYEE -7- 07/11/2007 F GUINEY CHIROPRACTOR INC PAUL SiteID: 015-021-002194 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 05/17/2006 ~ MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES ARE TRAINED VERBALLY HOW TO RESPOND TO A LEAK OR SPILL OF HAZARDOUS MATERIALS. THESE PROCEDURES ARE ALSO DEMONSTRATED. THE PHONE NUMBERS OF AGENCIES TO BE NOTIFIED ARE POSTED. EMPLOYEES ARE INSTRUCTED TO NOTIFY THE CONTACT PERSON WHO WILL THEN CALL FOR SERVICE CLEAN-UP AND DISPOSAL. rctyC G Held for Future Use nc.~u ivi rut.uic ~~c -8- 07/11/2007 i~ ,~ GUINEY CHIROPRACTOR INC PAUL Manager ALEJANDRA PRECIADO Location: 5001 STOCKDALE HWY City BAKERSFIELD CommCode: BFD STA 11 EPA Numb: SitelD: 015-021-002194 BusPhone: (661) 833-1018 Map 102 CommHaz Minimal Grid: 35C FacUnits: 1 AOV: SIC Code:8041 DunnBrad:77-053-9753 Emergency Contact / Title Emergency Contact / Title PAUL GUINEY / OWNER ALEJANDRA PRECIADO / OFFICE MANAGER Business Phone: "(661) 833-1018x Business Phone: (661) 833-1018x • 2 4 -Hour Phone ( ~ b /) ~ ° fo - ~3~s x 2 4 -Hour Phone ( } - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards:- React Contact ALEJANDRA.PRECIADO - -- --Phone: (661}- 833-1.018x MailAddr: 5001 STOCKDALE HWY State: CA City BAKERSFIELD Zip : .93309 Owner PAUL D GUINEY DC Phone: (661) 833-1018x Address 5001 STOCKDALE HWY 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 ~ ~~'~7 Based on my inquiry of those individuals obtaining the information, 1 certify f _„__ _ or responsible 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. Signature Date -1- 01/31/2007 ;, F GUINEY CHIROPRACTOR INC PAUL SiteID: 015-021-002194 ~ ~ 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 3.00 GAL Min -2- 01/31/2007 -3- 01/31/2007 t':, ~ F GUINEY CHIROPRACTOR INC PAUL SiteID: 015-021-002194 ~ ~ 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 PROCESSOR ~ CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Waste Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 3.00 GAL 3.00 GAL 3.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# Silver No 7440224 I11iGHICL H.7.71~,.7.71~1~1V l w7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -4- 01/31/2007 i~ F GUINEY CHIROPRACTOR INC PAUL SiteID: 015-021-002194 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 05/17/2006 STORAGE CONTAINERS, EQUIPMENT, TUBING AND FITTINGS WILL BE INSPECTED FOR LEAKS AND/OR WEAR ON A DAILY BASIS. ANY ABNORMALITIES WILL BE RECORDED AND OUR SERVICE COMPANY, SOURCEONE HEATLHCARE TECHNOLLOGIES,-WILL BE CALLED FOR REPAIRS. 9 Employee Notif./Evacuation 05/17/2006 SOURCEONE HEALTHCARE TECHNOLOGIES WILL BE NOTIFIED OF ANY SPILLS OR PROBLEMS FOR CORRECTION. BAKERSFIELD FIRE DEPT OFFICE OF ENVIRONMENTAL SERVICES WILL ALSO BE NOTIFIED. Public Notif./Evacuation 05/17/2006 DR PAUL GUINEY WILL BE RESPONSIBLE FOR NOTIFYING PROPER AUTHORITIES OF INCIDENT, AS WELL AS CONDUCT CLEAN-UP ACTIVITIES. Emergency Medical Plan 05/17/2006 EMERGENCY FIRST AID KIT IS ON SITE. IF MEDICAL CARE IS NEEDED, INJURED PERSON WOULD BE TAKEN TO MERCY SOUTHWEST. -5- 01/31/2007 F GUINEY CHIROPRACTOR INC PAUL SiteID: 015-021-002194 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 05/17/2006 ~ PLASTIC DOT CONTAINERS ARE USED FOR COLLECTION AND STORAGE OF PHOTOGRAPHIC FIXER WASTE. THESE CONTAINERS ARE SECONDARILY CONTAINED TO AVOID LEAKS OR SPILLS. CONTAINERS, TUBING AND EQUIPMENT ARE INSPECTED DAILY TO ENSURE THEIR INTEGRITY. = Release Containment 05/17/2006 IF LEAK OR SPILL IS DETECTED, CONTAINMENT MATERIAL WILL BE PLACED AROUND AREA OF LEAK OR SPILL TO KEEP IT FROM SPREADING. EQUIPMENT WILL BE TURNED OFF TO STOP FLOW OF MATERIAL. SOURCEONE HEALTHCARE TECHNOLOGIES WILL BE NOTIFIED TO MAKE NEEDED REPAIRS. Clean Up 05/17/2006.. SOURCEONE HEALTHCARE TECHNOLOGIES WILL CLEAN UP ANY SPILLED MATERIALS AND DISPOSE OF IT. IF A RELEASE OF MATERIAL HAS OCCURED, THE PROPER AUTHORITIES WILL BE NOTIFIED. PHOTOGRAPHIC FIXER WASTE IS REMOVED ON A 6-WEEK BASIS. Other Resource Activation -6- 01/31/2,007 t T F GUINEY CHIROPRACTOR INC PAUL SiteID: 015-021-002194 ~ Fast, Format ~ ~ Site Emergency Factors Overall Site ~ _, ~.7j/c~..1a1 R0.GCLlUA Utility Shut-Offs ~ 01/31/2007 A) GAS - W SIDE OUTSIDE BACK DOOR B) ELECTRICAL - 3 PANELS: X-RAY RM, BATHROOM, AND BACK OFFICE C) WATER - BATHROOM & X-RAY PROCESSING RM D) SPECIAL - NONE D) LOCK BOX - NO Fire Protec./Avail. Water 11/20/2006 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER AND FULL SPRINKLER SYSTEM. NEAREST FIRE HYDRANT - BACK DOOR E SIDE. Building Occupancy Level 05/17/2006 1 EMPLOYEE -7- 01/31/2007 ~ "a. F GUINEY CHIROPRACTOR INC PAUL SitelD: 015-021-002194 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 05/17/2006 ~ MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: EMPLOYEES ARE TRAINED VERBALLY HOW TO RESPOND TO A LEAK OR SPILL OF HAZARDOUS MATERIALS. THESE PROCEDURES ARE ALSO DEMONSTRATED. THE PHONE NUMBERS OF AGENCIES TO BE NOTIFIED ARE POSTED. EMPLOYEES ARE INSTRUCTED TO NOTIFY THE CONTACT PERSON WHO WILL THEN CALL FOR SERVICE CLEAN-UP AND DISPOSAL. rc~yc ~ nc.LU i.vi ru~.uic vac Held for Future Use -8- 01/31/2007