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Home My WebLink AboutBUSINESS PLAN 8/13/2007i STRATEGOS MEDICAL GROUP ~~ 9330 STOCI~ALE HWY, #400 ----~- - - -- -- - ~ ~ ,~ ,' ~ ~, ~ ;r> _, ~ ,.~ ,~ ~, ~~ ~. ~~ ~, ~l ~~ i ~~~~ ~. =_c , ~ -y. STRATEGOS MEDICAL GROUP BusPhone: Map 102 Grid: 32 SiteID: 015-021-002987 Manager KAYLENE M GROGAN Location: 9330 STOCKDALE HWY 400 City BAKERSFIELD CommCode: BFD STA 11 EPA Numb: SIC Code: DunnBrad: (661) 654-0400 CommHaz Minimal FacUnits: 1 AOV: Emergency Contact / Title Emergency Contact / Title KAYLENE M GROGAN / STRATEGOS MGR JACLYN BROWN / BAKER OFF MGR Business Phone: (661) 654-0400x Business Phone: (661) 654-0200x 2 4 -Hour Phone ( 6 61) ~- b9q " 2 4 -Hour Phone ( 6 61) 3 3 3- 5 7 9 5 x Pager Phone ( ) - x ~`~~ Pager Phone ( ) - x Hazmat Hazards: React Contact KAYLENE M GROGAN Phone: (661) 654-0400x MailAddr: 9330 STOCKDALE HWY 400 State: CA City BAKERSFIELD Zip 93311 Owner EMMANUEL & STEPHEN STRATEGOS Phone: (661) 654-0400x Address 9330 STOCKDALE HWY 400 State: CA City BAKERSFIELD Zip 93311 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG H - HAZ WASTE GEN Etased on my inc{uiry of those indiuidiaais reseo rih!e f:~r obtaining thF information, I certify under penalty of fav~~ taut I have personally examined and am famesiar ~r;ith the informatian _ - suomittec{ and believe the information is true, accura+.., and complF:a. ~ENT'D S E P 0 4 2007 ~ ~ ~ i3 ~~ Signat~ Date -1- 07/16/2007 s` 5, F STRATEGOS MEDICAL GROUP SiteID: 015-021-002987 ~ ~ 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 10.00 GAL Min n -2- 07/16/2007 ~D 1 ~. -3- 07/16/2007 fi 1 ' F STRATEGOS MEDICAL GROUP SiteID: 015-021-002987 ~ ~ 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# Liquid TWaste ~ Ambient~E ~ AmbientT~E ~PLASTOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 10.00 GAL 10.00 GAL 10.00 GAL HAZARDOUS COMPONENTS %Wt. RS CAS# Silver No 7440224 nraasitcL r~~~~aai~i~lvta TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -4- 07/16/2007 ;i F STRATEGOS MEDICAL GROUP SiteID: 015-021-002987 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification _ , , _.. J.a lltj.J1VYGG LVV l.1L . ~ P.~Vdl: lld LlVll rul~ilc: 1vo~iL . ~ rvacuazion ,G IIICLy Clll:y 1.1C U1Udl r1d11 -5- 07/16/2007 I iy. F STRATEGOS MEDICAL GROUP SiteID: 015-021-002987 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention Release Containment 1.1.Cd11 V~J V 1.11C1 1CC.5~V Ul(.:C t'i(.: l.1Vdl.l Vll -6- 07/16/2007 ''_ -a "i F STRATEGOS MEDICAL GROUP SitelD: 015-021-002987 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~~eclal nazaru5 Utility Shut-Offs .. rltc r.~v~.,c~.../tiVQl1. 1rvGtl~C1 Building Occupancy Level -7- 07/16/2007 ;;. iR. :Y F STRATEGOS MEDICAL GROUP SiteID: 015-021-002987 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training rayC a nG111 tvt l UI.ULC UDC 17c 11A tvt t UI.UlC VAC -8- 07/16/2007 ~~ ~` `Cl~ ~(~`' ~: ~~;~ ,~, ? y. ST'RATEGOS MEDICAL GROUP Gaa~~ Manager KAYLENE M GROGAN Location: 9330 STOCKDALE HWY 400 City BAKERSFIELD CommCode: BFD STA 11 EPA Numb: BusPhone: Map 102 Grid: 32 SIC Code: DunnBrad: SiteID: 015-021-002987 (661) 654-0400 CommHaz Minimal FacUnits: 1 AOV: Emergency Contact / Title E_mergency Contact / Title KAYLENE M GROGAN / STRATEGOS MGR _ 'c.laClyVl ~~V'ovVVt - -- / BAKER OFF MGR Business Phone: (661) 654-0400x Business Phone: (661) 654.-0200.x__ 24-Hour Phone (661) 342-4443x 24-Hour Phone (661) 333-5785 Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React Contact KAYLENE M GROGAN _ _ _ Phone: (661) 654-0400x MailAddr: 9330 STOCKDALE HWY 400 ~ State: CA City BAKERSFIELD Zip 93311 Owner EMMANUEL & STEPHEN STRATEGOS Phone: (661) 654-0400x Address 9330 STOCKDALE HWY 400 State: CA City BAKERSFIELD Zip 93311 Period to Preparers Certif'd: ParcelNo: Emergency Directives: PROG H - HAZ WASTE GEN 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 submi ted and believe the information is true, accur~te, and rgimoletP. /1 ~~b a~ ~~ C~ TotalASTs: _ TotalUSTs: _ RSs: No ~k~n1~ .. _ ENT°D MAC 3 0 2801 Gall Gal =1- 02/16/2007 ~~ R F STRATEGOS MEDICAL GROUP SiteID: 015-021-002987 ~ ~ 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 10.00 GAL Min -2- 02/16/2007 -3- 02/16/2007 F STRATEGOS MEDICAL GROUP ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME WASTE FIXER Location within this Facility Unit DARKROOM SiteID: 015-021-002987 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# STATE TYPE PRESSURE Liquid Waste Ambient TEMPERATURE ~ CONTAINER TYPE Ambient I PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 10.00 GAL 10.00 GAL 10.00 GAL nr~~.~cLVUa ~urirvivr~lv_l~ oWt. RS CAS# Silver No 7440224 ril-~GAt~CL 1-~551'~SJ1~1J!~1V"1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -4- 02/16/2007 F STRATEGOS MEDICAL GROUP SiteID: 015-021-002987 ~ ~ Notif./Evacuation/Medical OveralloSite ~ ~ Agency Notification _, t ,~ L'lll~.J1VyCC 1VV 1.11. ~ LaVQl.. 1.iQ L1V11 i_ ~ /.-. r lLlJl ll~ ivV l.ll ~ LiVQ1~UQl..1 Vll 1+LLlClyClll.Y 1.10 U1l:Ql 2'10111 -5- 02/16/2007 •. F STRATEGOS MEDICAL GROUP SiteID: 015-021-002987 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ tCC1CdSC YLCVCilI-1Vi1 Release Containment .Clean Up v~.iici ncavul.~.c til.l.lVQl.1V11 -6- 02/16/2007 ~ Y `1 F STRATEGOS MEDICAL GROUP SiteID: 015-021-002987 ~ Fast Format ~ ~-Site Emergency Factors Overall Site ~ aNcl..ia.L nd~diu~ ,., V 1.11.E 1.y O11U 1.-Vllw7 t'11C r.LVI.CI~~!'iVd11 Wdl.Cl D 1111u1111~. VC:U U~JdilC: ~/ LCVC1' -7- 02/16/2007 ;, ~., F STRATEGOS MEDICAL GROUP SiteID: 015-021-002987 ~ Fast Format ~ ~~Training Overall Site ~ ~ Employee Training rayv ~ Held for Future Use Held for Future Use -8- 02/16/2007 - ~ Prevention Services ~ UNIFIED PROGRAM INSPECTION CHECKLIST R E R s r ~ . n 900 Truxtun Ave:, suite 210- -, Fr•Re Bakersfield, CA 93301 SECTION 1: Business'Plan and Inventory Program . - "RrM r Tel.: (661) 326-3979 Fax:. (661) 872-2171 FACILITY NAME - - ~ - //~ ~ _ f' J INSPECTION.DATE -: ~ INSPEC1TIQN TIME ~, ~ ~ J ADDRESS 2 PHONE NO. NO OF EMMPLOYE FACILITY CONTACT - ~ BUSINESS ID NU 615-021- - - __ _ _ _ -__ ~ .. __ _ _ _ _ _ ~-T T _ Section 1: Business Plan and Inventory Program ~/ s " 0 -~ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ -MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ( C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ~~ ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY - ^ VERIFICATION OF INVENTORY MATERIALS ,_,/ h,A ^ 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 ANY HAZARD~O~S WASTE ON SITE?. YES ^ NC EXPLAIN: ~~/ ~, 1J~ ~''~/~~ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 s~~, i~~rjlj ~ G Q,~.. Inspector (Please Print) Fire Prevention / 1s~ In /Shift of Site/Station # ~ Business Site / R sponsible Pa y (Please Print) White -Prevention Services Yellow -Station Copy Pink -Business Copy _ FD 2155 (Rev. 09/05 + STRATEGOS MEDICAL GROUP _____________________________ SitelD: 015-021-002987 + Manager KAYLENE M GROGAN BusPhone: (661) 654-0400 Location: 9330 STOCKDALE HWY 400 Map 102 CommHaz Minimal City BAKERSFIELD Grid: 32 FacUnits: 1 AOV: CommCode: BFD STA 11 SIC Code:. EPA Numb: DunnBrad: - Emergency Contact / Title Emergency Contact / Title KAYLENE M GROGAN / STRATEGOS MGR CANAAN SANCHEZ / BAKER OFF MGR Business Phone: (661) 654-0400x Business Phone: (661) 654-0200x 24-Hour Phone (661) 342-4443x 24-Hour Phone (661) 444-6573x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React --Conaaet~ ~KAYLENE° M GROGAId -- _-- - ~ -- - -Phone: -(661)°-654-0400x-- MailAddr: 9330 STOCKDALE HWY 400 State: CA City BAKERSFIELD Zip. 93311 Owner EMMANUEL & STEPHEN STRATEGOS Phone: (661) 654-0400x Address 9330 STOCKDALE HWY 400 State: CA City BAKERSFIELD Zip 93311 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT PROG H - HAZ WASTE GEN Based on my inquiry of those individuals responsible for obtaining the infiormation, 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, a d com e. L/ n 7 U~ Sign re Date a ~ goo 6 -1- 03/13/2006 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Progra rn ~2 FACILITY NAME ST2A-"ti~9U S /tt,~-~ cam ~~-nh~P ADDRESS ~ 3 ~ Szzx~~c #~ ~ FACILITYCONTACT Bakersfield Fire Dept. Environmental Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 9330~EC 2 '1 Tel: (661)_326-3979 _ __ _ 2005 W~SPE);TION~iT~ INSPECTION TIME PHO'N'//NE--JJ~,NIO/--vv--JJ--- No. of Empbvees Dumber 15-02 - ~1! Section 1: Business Plan and Inventory Pn~gram .# 2q~f7 ^ Routine ^ Combined ^ Joint Agency ^Mnlti-Agency ^ Complaint O Re-in C V OPERATION ~ n~ tl COMMENTS 3~}'' l V=vio a on ~ / ^ --- ^ --- APPROPRIATE PERMIT ON HAND --- - --- --- ------ ----- --------- ~- --- ----------__. __..__. _.._ . __ _____.. ____. .. _ ...... ---- . _. , . _...... _... _....----- I V --- _..._.._ _~l ....__. \ ^ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ ^ VISIBLE ADDRESS ^ ^ CORRECT OCCUPANCY ^ ^ ~ VERIFICATION OF INVENTORY MATERIALS ~ [n~~SZZ ~~ ~t-2 ^ ^ VERIFICATION OF QUANTITIES C. (~ C ~/~L ^ ^ .VERIFICATION OF LOCATION l~sr~~ . (~ fyj,~ ~1 ^ ^ PROPER SEGREGATION OF MATERIAL ^ ^ VERIFICATION OF MSDS AVAILABILITYE ^ ^ VERIFICATION OF HAT MAT TRAINING ! ~ ^ ^ VERIFICATION OF ABATEMENT SUPPLIES ANO PROCEDURES - ~~ ~~' ^ ^ EMERGENCY PROCEDURES ADEQUATE ~ ^ CONTAINERS- PROPERLY LABELED ~- pc~sc ~~ ~~s~ Ft~cC~2.. ~Rc1~ ^ ^ HOUSEKEEPING ^ ^. FIRE PROTECTION ~ ^ ^ SITE DIAGRAM ADEQUATE ~ ON HAND ANY HAZARDOUS WASTE ON SITE: YES ^ NO EXPLAIN: f~~`S~ I tk~'~- QUESTIONS REGARDING THIS INSPECTIOtJ~ PLEASE CALL US AT ~6G'I ~ 326-3979 ~~ Inspector (Please Print) Fire Preven on 1sNn/Shift of Site Vyhite -Environmental Services Velbw -Station Copy ~ its Responslb Party ( lease Print) B Pink -Business Copy T r .k ~4~`- ~~~`~ CITY OF BAKERSFIELD FIRE DEPARTMENT ~~ d ~~~ FACILITY NAME S f'2/~-~-~G-oS ""'~'c~-i- ~P INSPECTION DATE 31 ~ ~ / 6~ Section 4: Hazardous Waste Generator Program EPA ID # `~~~ ^ Routine (~-- Combined ^ Joint Agency ^Multf-Agency ^ Complaint ^ Re-inspection OPERATION C 1 V I COMMENTS I Hazardous waste determination has been made I ~ I PCC~C ~A~C-t- U/45t pr'i:cJ ^'1 EPA ID Number 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 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 :~ Strategos Medical Group INTERNAL MEDICINE Kaylene M. Grogan Office Manager 9330 Stockdale Hwy., Suite 400, Bakersfield, CA 93311 y (bbl) 654-0400 • fax: (661) 664-2633 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 S Inspector: ~/`JI "2~ Office of Environmental Services (661) 326-3979 Business Site Responsible Party White -Env. Svcs. Pink -Business Copy OFFICE OF ENVIRONMENTAL SERVICE5 y UNIFIED PROGRAM INSPECTION CHECKLIST ~ ''° ti ~ 1715 Chester Ave., 3'~ Floor, Bakersfield, CA 93301 ~~ ~ ' CITY OF DAI{ERSFIELD .~ s B ~ E R F ' ° OFFICE OF ENVIRONMENTAL SERVICES ~ ~' ~ 6 P/RB ~RTM T 1715 Chester Ave., CA 93301 (661) 326-3979 • _ ~ W4r n.~^~° ~.....y.~~_~~.,.' HAZARDOUS MATERIALS INVENTORY aR CHEMICAL DESCRIPTION (one form per materia/per building orarea) NEW ^ ADD ^ DELETE ^ REVISE 200 Page _ of _ I. FACILITY INFORMATION ~ ' ... _ _ _ _ __ _~- Same as FACILITY NAME or DBA -Doing Business As) S N AM E ( i BUSIN E S 3 ., ~ /~ ~ ~ ~ ~ ', S 1'~/'r\ l"~-t~ S --1•'v[t:~ ~G/~~. C.~2JV1P CHEMICAL LOCATION r~s t ~ s ~ 201 CHEtA1CAL LOCATION ,,p ~/a'Z~ 1'~~ CONFIDENTIAL (EPCRA) ^ Ye~J No 202 --- I FACILITY ID # ~ ~ ~ 1 I ~ ~ i 1 MAP # (optionap - 203 ~, GRID # (ophonaq 204 ~ _ ~.~ _ 1.~._~ ~--L- ----------------_ _ _ -----. __. __." .- --------_._._ _. _.._- ... - --- I - .. t il. CiiEMiCAL ltVFORMATION f _...___ __. _. __._ . _._.__ T~~ 205 ~ TRADE SECRET ^ Yes L~(Jo 206 CHEMICAL NAME r- ~ ~ I' Subject to EPCRA, refer to instructions Vim/"~ ' ~ ~X L`2 ~- ._. . . -----'- -_.-._---------- - ~ -- ~ ----. _ . .- . - _. -- - ----.. 207 f COMMON NAME EHS' ^ Yes Lrf'No 208 CAS # 209 •If EHS is'Yes,' all amounts below must be in lbs. I FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) 210 i _ TYPE ...,._ - - ----- - -..__. _. ... -- ~ ~ --- ~ ------~----i CURIES ... ^ p PURE ^ MIXTURE ~w WASTE ~ R-J?IOACTIVE ^ Yes ~,tJo 212 ~ I - --__.--------- ..__ ..._ _.- ~ -----' ---- ---- --..._'--- ---__. _ _. ' 213 r PHYSICAL STATE ^ s SOLID , LARGEST CONTAINER ~ LIQUID ^ g GAS 214 j 215 I FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PR'tSSiiRE F:ELEASE ~4 ACUTE HEALTH ^ 5 CHRONIC HEALTH 216 i (Check all that apply) ANNUAL WASTE 217 M4XIMUM 218 ~ AVERAGE - ~ ~ ~ ~ ~ ~ 219 j STATE WASTE CODE ~ DAILY AMOUNT ~~ AMOUNT ~ I DAILY AMOUNT i ~ 220 - ..-- --~------- _ .. .._. -. ---- - ~ -- ~. ----------------~ --.. _ . --- ~---'----- UNITS' ~a GAL ^ d CU FT ^ Ib LBS L7 to TONS 221 I DAYS ON SITE 222 ' ' If EHS, amount must be in lbs. ~ STORAGE CONTAINER ^ a ABOVEGROUND TANK ~~((~~ PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR l J"~'G 223 y) (Check all that app ^ b UNDERGROUND TANK ^ f CAN C j BAG ^ n PLASTIC BOTTLE ^ r OTHER ~ ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ' ^ d STEEL DRUM ^ h SILO ^ I CYLINDER ^ p TANK WAGON STORAGE PRESSURE I~J.a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE ~ a AMBIENT ^ as ABOVE AMBIENT ^ be BELOW AMBIENT ^ c CRYOGENIC 225 ; . ,, ~ -:' %WT HAZARDOUS COMPONENT ,. ,,. - - ~... _ _. EHS CAS # , ---- --- ------_..- - ----- - ---- --_ __ ~ _ - - ._ ._ _ .._ _ . _ __.~ --T 1 i 226 i - 227 _a ^ _. 229 2 3 4 5 230 __i 234 i 238 242 TIVE Yes No 228 I ~ 231 ^ Yes ^ No 232 ~ 233 235 ^ yes ^ No 236 237 239 i ^ Yes ^ No 240 i 241 i 243 ^ Yes ^ No 244 ~ 245 .._...___-~._....... _.. _._......_._..__.._.__... -._.,-'--"-----...--I-'-------_._._ ___.-'-.. Lam..,,------ _-._-_.___ . IIL SIGNATURE j ' I S11GNA/ITURE l ~ _-..___._..------...----_---- DfAT~E ---246 UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd