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Home My WebLink AboutBUSINESS PLAN 5/3/2002_ r: ~ ~ DEDICATED DENTAL-TOWN & COUNTRY 8200 STOCKDALE HWY. -- - - ~ . Oì5" ~ 02.1- 002.377 . CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd r~'loor, Bakersfield, CA 9330J ¡l-¡ntJ/ f J/lnð/7 $S Of) I D Joint Agency INSPECTION DATE PHONE NO. BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES /23 - ó5't!r , 80 d)( o Complaint ~!3/Óê- , F ACILITY NAME'~ 4- (pV1Vì<t'( D('--JíI~myÞ ADDRESS ß"Z.cO ~~ 1Vt-4 FACILITY CONTACT INSPECTION TIME Section 1: GSf75s-' Business Plan and Inventory Program I(~ D Routine ~Combined D Multi-Agency D Re-inspection OPERA TlON C V COMMENTS Appropriate pennit on hand pvL"f.-J (f'(ÚÙ>4. ('f S('i'"£ Business plan contact infonnation accurate Visible address Correct occupancy Veri fication of inventory materials Verification of quantities S-~f... WA';~ ,f)x.C.IZ... Verification of location ~n~_ 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 v ?~ lAð Gt.. ~R4Vlb6r) ) Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: Explain: 'QYes DNo ~ Questions regarding this inspection? Please call us at (661) 326-3979 White - Env, Svcs. Yellow· Station Copy Pink· Business Copy Inspector: 0/~ · CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield,CA 93301 FACILITYNAME~ 1t ~ oCrúf1Sry¿fj INSPECTION DATE s: I -S/ÔJ- Section 4: Hazardous Waste Generator Program EPA ID # o Routine Æf-Combined 0 Joint Agency 0 Multi-Agency 0 Complaint ORe-inspection OPERATION C V COMMENTS Hazardous waste determination has been made EP A ID Number (Phone: 916-324-1781 to obtain EP A 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 Secondary containment provided J f~ feõvll)t 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 fÌ"om land disposal C=Compliance V=Violation I '\( --- Inspector: V\..../ ' AJt:::::) Office of Environmental Services (661) 326-3979 White - Env. Svcs, Pink - Business Copy 10/04/2007 10:46 6618342526 TOWN AND COUNTRY PAGE _ 02 - ~.. DEI7ZCATEb DENTAL-TOWN & CQUNTRY Site2D: 015-021-402379 ~ a a, Manager l~ ~' 1 f~ 1--U h r1 HusPha:rie: (661) 834,9842 Location: $200 ~TOCRIaALE HWY M-9 Map 123 CommHaz Minimal City : BAICERSFIELD Grid: 05B FacUnits: 1 ApV: CvmmCOde: HFD STA 1~. EPA Numb: SIC CodE:8021 DunnBrad: ~r Emerge~r Coz7.t~~ct{ r / Title y Emergency Cantact / Title ~ G i r n l-vnrt ~Lt4hagPr / Business phone: (b(v1 ~'3y Sv~Z Business Phone: ( ) - x 24-Hour Phone t' ~Gr 3~t`1 55l x 24-Hour Phone { ) - x 1 Pager Phone r lava( 34~ Pager Phone : ( ) - x Hazmat Hazards: ~, React Contact ~ Y~r 4'1 ~~iti!'~.~1~ Prione: ~P~ ) - ~ x MailAddr: 8200 STOCKDAD,E HWY M-9 State: CA City BAKERS~'1ELD Zip 93311 Ovmer INTERDBNT YNC Pk],one : ( ) - x Address 222 N SEpULVEDA BLVD State: CA City EL SEGUNDQ .Zip 9Q245 Period to TotalASTs: = Gal Freparer: TotctlUSTs: - Gal Certif`d: RSs: No Parcel~o: Emergency DixeCtives: FROG H - HAZ WASTE GEN ~~ ~~~~ ::~. _~.. 07/11/2007 - Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST...: R F R S F. ,, 900TruxtunAve., suite2io .~K~.,,~~~ __~:~~~~~~_._A...~, _~_ ~ _ -~ F~Re Bakersfield, CA 93301 .-_ SECTION 1: Business Plan~and Inventory Program "R'M T Tel.: (661) 326-3979y - Fax: (661) 872-2171° - FACILITY NAM E INSPECTION DATE INSPECTION TIME " ~y / r l ~-y ADDRESS PHONE NO. NO OF EMPLOYEES - ~?~ uJ g3:3 -iS~ - FACILITY CONTACT - - '. - BUSINESS ID NUMB R a.S 15-021- a~j~s~' Section 1: Business Plan andlnventory Program ' ~^ ROUTINE ^ COMBINED ^ JOINT AGENCY- ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ( C=Compliance 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 ~, ~ l ~ ^ ^ VERIFICATION OF MSDS AVAILABILITY ^ ^ VERIFICATION OF HAZ MAT TRAINING ^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES - u w ^ ^ EMERGENCY PROCEDURES ADEQUATE ~~~ ~,~ ~~ ~ ^ ^ CONTAINERS PROPERLY LABELED ~~ ~. ~ % ~~~ / ~ r ^ ^ HOUSEKEEPING ~ ~ ~ ; ~ .~~~~ .~~0~ / ^ ^ FIRE PROTECTION ~ ~ ^ ^ SITE DIAGRAM ADEQUATE & ON HAND ~ ANY HAZARDOUS WASTE ON SITE? EXPLAIN: i ~ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661} 326-3979 Inspector (Please Print) Fire Prevention / 1s` In /Shift of Site/Station # ^ YES ^ NO Business Site /Responsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 0/5' - {)2-I- 00237'1 CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENT AI. SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd f·'loor, Bakersfield, CA 9330J fl/J1û/r /llJ1o/7 6t,/ o Routine ~Combined o Joint Agency INSPECTION DATE PHONE NO. BUSINESS ID NO. 15-210- NUMBER OF EMPLOYEES /13 - ()::Çð 80 ;.y o Complaint Ç¡ 3 /ó 1- , FACILITY NAMEílL->...v 4- ~¡<t'1 D6JT1smy ADDRESS .cgl..oO ~~ 11-1-"") FACILITY CONTACT INSPECTION TIME Section 1: éSf75S- Business Plan and Inventory Program liC", o Multi-Agency ORe-inspection OPERA TION C V COMMENTS Appropriate permit on hand tvL."'-V 1't~..... (f SITE Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities u,) 6-t>(. WA-"; 'íl:- ñ .Þ({]"L Verification of location ~ 0.""'''_, , 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 V' ? l.C.A.Sé: LAc> Gt.. (f?~V!DC~ ) Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: Explain: QYes ONo \(c\;u;v,- Questions regarding this inspection? Please call us at (661) 326-3979 White - Env, Svcs. Yellow - Station Copy Pink - Business Copy Inspector: 0/ .vt? CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~ tl ~ 'OCrJfl·yy¿f) INSPECTION DATE 5:/'S !6}_ Section 4: Hazardous Waste Generator Program EP A ID # o Routine ~Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERATION C V COMMENTS Hazardous waste determination has been made EP A 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 Secondary containment provided J f~ f~i.Jd>é 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 Inspector: ~ {I\.JE: 5 Office of Environmental Services (661) 326-3979 White - Env. Svcs, Pink· Business Copy