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Home My WebLink AboutBUSINESS PLAN~- -- ~ RIVERWALK III MEDICAL PLAZA `, - - - - 9500 STOCKDALE HWY. ~, BUSINESS HEALTH NETWORK Manager ~,(~ `~a.~ ~.n~j4~c~h Location: 9500~TOCKDALE HWY 101 City BAKERSFIELD CommCode: BFD STA 11 EPA Numb: 97x7 SiteID: 015-021-002332 BusPhone: (661) 326-7536 Map 102 CommHaz Minimal Grid: 32 FacUnits: 1 AOV: SIC Code:8011 DunnBrad: Emergency Contact / Title Emergency Contact Title / RICHARD E SALL MD / OWNER ~-` ~ A(' `mil (.~~~i Business Phone: (661) 326-7536x Business Phone: (661 326-7536x 24 -Hour Phone ((do1) °oat~- "> S34c 24 -Hour Phone (~~) 3a~ - ~s3x~ Pager Phone ( ) - x Pager Phone (~~~ ) ~;~~ -?jg~ x Hazmat Hazards: React Contact A~~v~t\ Q~~V=o~1 Phone: (661) 326-7536x MailAddr: 9500 STOCKDALE HWY 101 State: CA City BAKERSFIELD Zip 93311 Owner . RICHARD E SALL MD MPH Phone: (661) 326-7536x Address 9500 STOCKDALE HWY 101 State: CA City BAKERSFIELD Zip 93311 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG H - WASTE GEN .- ~~ Based on my inquiry of those individ~.+als respcnsible far obtaining the information, I i;~;rtify 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- 04/19/200? :,. r ~ BUSINESS HEALTH NETWORK SitelD: 015-021-002332 ~ ~ Hazmat Inventory By Facility Unit e ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax .Unit MCP W R (~ R L 5.00 GAL Min ;~~ ~ ~ a r < ~~. `-~ ~~, X ~ a~ Q~~~~ ~,\~~ ~_ ~ ~~~~~ ~-~~~ 1 -2- 04/19/2007 -3- 04/19/2007 i . F BUSINESS HEALTH NETWORK SitelD: 015-021-002332 3 ~ 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 5.00 GAL 5.00 GAL 5.00 GAL ruj~ritcLVUS cvi~ir~iv~;iv 1 °sWt . RS CAS# Silver No 7440224 t1HGKKL HJ .7L",~J1Y1.C;1V 1 a TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -4- 04/19/2007 F BUSINESS HEALTH NETWORK SiteID: 015-021-002332 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ tly Gll~.y 1VV 1~1111,:d L1V11 i~ rJLLl~J1VyCC 1VVl.1L / P~Vdl:Udl.1V11 Public Notif./Evacuation _ , .., l~uiciycla~.Y i•icui~.a~. riall -5- 04/19/2007 Y - F BUSINESS HEALTH NETWORK SiteID: 015-021-002332 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ itGLCQe7C rLCVCll l.1 V11 .RC LCGi.7C l..Vll l.. C1111LllCll 1. V 1GC0.11 tJtJ V 1~11CL 1CCSVl.LL UC HLl.1 VcLG1OI1 -6- 04/19/2007 ~~ .. :~ F BUSINESS HEALTH NETWORK SitelD: 015-021-002332 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~ Special Hazards Utility Shut-Offs, Fire Protec./Avail. Water_ DU.L 1lA Illy VI: I. U~J CL11lJy LCVC1. -7- 04/19/2007 ., ~'' F BUSINESS HEALTH NETWORK SiteID: 015-021-002332 ~ Fast Format ~ ~ Training Overall Site ~ :Employee Training rays ~ nciu Lvi r u~.uic vac Held for Future Use -8- 04/19/2007 ~ , ~~ ~~ ,~~ v ~ `~. ~q~~~~~ Message Page 1 of 1 David Weirather -River Walk III Medical Plaza, 9500 Stockdale Highway From: "Derek Holdsworth" <dholdsworth@ksagrouparchitects.com> To: <dweirath@bakersfieldfire.us> Date: 12/16/2004 2:52 PM Subject: River Walk III Medical Plaza, 9500 Stockdale Highway Dave: We received today your letter regarding the stairway at the above project. I appreciate your timely response. Unfortunately, the State of California Inspector will not accept the letter without the reference to the specific code section per my previouls a-mail. The wording they would prefer is as follows: "We have reviewed the plan for the stairway and the dimension for the above referenced site and have determined that the stairway will meet the configuration and dimensions that will accomodate the carrying of a gurney or stretcher as set forth in State Code Section A17.1 1996 3122.6 (b), 3121.11 (a), 304(e), and therefore approved". For your reference, the same code section is the 2001 UBC, Section 3003.5a, exception 4, and 3003.5a.1 a. The letter, however must reference the State code section, not the UBC. If you coud re-issue the letter with the above wording, it would appreciate it. I apologize for the inconvenience, but the State has informed us that they will not accept the letter as it is currently written. If you call me at my office, we will come by and pick up the letter to save the time in the mail. If you have the ability to make a PDF fi{e of the letter on your letterhead, you can also a-mail it to me. All the State needs is a copy. Sincerely KSA Group Architects Derek Holdsworth AIA Executive Vice President file:!/C:\Documents%20and%20Settings\dweirath\Local%20Settings\Temp\GW }000O1.H... 12/16/2004 Prevention Services UNIFIED PROGRAM `INSPECTION .CHECKLIST A F R s F I , n 900Trttxtun Ave., Suite 210 _ - Fine. Bakersfield, CA 93301 SECTION 1: Business Plan and-Inventory Program "'~'M T Tel.: (661)-.326-3979 - - ~ Fax: -(661) 872-2171 FACILITY NAME 0 - J~~' ~uTfi u~ 2 INSPECTION DATE INSPECTION TIME ADDRESS PHONE N0. NO OF EMPLOYEES ~~yy~~ G/CJ G(J Zi FACILITY CONTACT ~ ~ ~~, BUSINE SID NUMB R . 15-021- Ot~~-9'7~ i / - - __ Section 1: Business Plan and Inventory Program ~~~ ^ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSP CTION C V ~ C=Compliance OPERATION V=Violation COMMENTS (~ ^ APPROPRIATE PERMIT ON HAND ^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS :-. ^ CORRECT OCCUPANCY ` " I~, ^ VERIFICATION OF INVENTORY MATERIALS ~ , ~ ~~:~ -~ ~~f ^ VERIFICATION OF QUANTITIES ~ ~~- ~ .-~ (~, ^ VERIFICATION OF LOCATION /~ I~ ^ PROPER SEGREGATION OF MATERIAL - ^ VERIFICATION OF MSDS AVAILABILITY ~: ~' ~ ~` < ~:, ` ~I ^ VERIFICATION OF HAZ MAT TRAINING + ~~,. ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE '~ ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING '1~I ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: d `v- c, Q Ir ^ YES ~ NO ~I~ Qr ah SIT~P . ~- 1 ~ ZQ.c~ how QUESTIONS REGARDING THIS INSPECT{ON? PLEASE CALL DS AT (661) 326-3979 ,~ Inspector (Please Print) Fire Prevention / 1s`.In /Shift of Site/Station # B siness Site / Res onsib e a (Peas not White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 + BUSYNESS HEALTH NETWORK Manager Location: 2811 H ST City BAKERSFIELD CommCode: BFD STA 01 EPA Numb: ~ri^~ ~- BusPhone: h°s ~° ~G, she Map 103 Grid: 19C SitelD: 015-021-002332 + (661) 321-3781 CommHaz Minimal FacUnits: 1 AOV: SIC Code:8011 DunnBrad: Emergency Contact / Title Emergency Contact / Title RICHARD E SALL MD / BRYAN PATTERSON / Business Phone: (661) 321-3781x Business Phone: (661) 321-3781x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React Contact BRYAN PATTERSON Phone: (661) 321-3781x MailAddr: 2811 H ST State: CA City BAKERSFIELD Zip 93301 Owner RICHARD E SALL.MD MPH Phone: (661) 321-3781x Address 2811 HST State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif~d: RSs: No ParcelNo: Emergency Directives : ; ~~j ~ ~. _ ~ ~~ ~~\ PROG H HAZ WASTE GEN ~ ~~ 9 ~~~~ ; = ~ ~l. ,o ~~~ ~. ~~ a3~ ~N~ ~- l 5~a ~ ,3'~ ~ o~' -1- 05/11/2006 -- r~,,~, a ~,~~-J UNIFIED PROGRAM INSPECTION CHECKLIST » SECTION 1 Business .Plan and Inventory Program i~2Z~~ Bakersfield Fire Dept. Environmental Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301~EG 2::j 2405 Tel: X661) _326-3979 __ FACILITY NAME ~~ OFD r...~i t~P acs. ~c-~-r uric-~,- ear _ _ _. INS C ON ATE INSPECTION TIME , c~-- ADDRESS .~~0 ST~c+~cc . ~~ _ __ _ X20 2 PHONE No. No. of Employees 324 ~2~ _ _ __ _ FACILITVCONTACT Business Il) Number _ 15-021- /~AZ~ Section 1: Business Plan and Inventory Program ~ ~•,`~ 7,6 ^ Routine Combined ^ Joint Agency ^MuIti-Agency ^ Complaint ^ Re-inspection _ C V ~c=Compliances OPERATION V=Violation COMMENTS ~ I ~ t "~~~ -i V`c, ^ ^ APPROPRIATE PERMIT ON HAND P~i~vx ZSr ~ i 640 ~ ~-~c,>N ~~ om' ^ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ' ^ ^ VISIBLE ADDRESS ^ ^ CORRECT OCCUPANCY ^ ^ ~ VERIFICATION OF INVENTORY MATERIALS ~ (..~5't C.: Ft,C, ^ ^ VERIFICATION OF QUANTITIES S- ~~~ ^ ^ .VERIFICATION OF LOCATION l'~-)5~1~ ~~ l~~~y~.` ' ^ ^ PROPER SEGREGATION OF MATERIAL ~ ^ ^ VERIFICATION OF MSDS AVAILABILITYE - I ~~ ~~nn O [ ' y ' Y ---- ----- ---------------- --- ......._. ------. ._. ...._ ---- ^ ^ VERIFICATION OF HAT MAT TRAINING . .. r ----.. .._._....__ ._......C~~ _ - ------- -- - _ .. .. D ^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES _. __. ( ~v~ ^ ^ EMERGENCY PROCEDURES ADEQUATE ~ ^ ^ CONTAINERS PROPERLY LABELED ^ ^ HOUSEKEEPING ^ ^. FIRE PROTECTION _. _.. __ ~ i ^ ^ SITE DIAGRAM ADEQUATE ~ ON HAND ANY HAZARDOUS WASTE ON SITE?: YES ^ NO EXPLAIN: ~•~' ~ ~t X rf'2 QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT ~GC)') ~ 326-3979 _ ~~~ ~~ Inspector (Please Print) Fire Prevention 1st-InlShik of Site Whfte -Environmental Services Yellow • Station Copy B ine Sde Responsib - - (Ple ----- Pink -Business Copy ~04y~- -~~` CITY OF BAKERSFIELD FIRE DEPARTMENT ~e y~ CA4 FACILITY NAME ~~~~ ~~ 1 ~~ INSPECTION DATE ~ / ~ ~or Section 4: Hazardous Waste Generator Program EPA ID # ^~/~ ^ Routine ~- Combined ^ Joint Agency ^Multf-Agency ^ Complaint ^ Re-inspection OPERATION C V .COMMENTS Hazardous waste determination has been made EPA ID Number Authorized for waste treatment and/or storage Reported release, fire, or explosion within IS 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 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 P P~/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 from land disposal ~=~ompuance v=vtotaaon Inspector: ~J~t=-j Office of Environmental Services (661) 326-3979 White -Env. Svcs. OFFICE OF ENVIRONMENTAL SERVICES y UNIFIED PROGRAM INSPECTION CHECKLIST '~ ti ~ 1715 Chester Ave., 3'd Floor, Bakersfield, CA 93301 Busin s St es sible Party Pink -Business Copy ,,- ,' ,..,...-.. _= CITY O F I$A ItERS FIEL D .~^^w.o B E R S F l ° OFFICE OF ENVIRONMENTAL SERVICES ARTM ~ 1715 Chester Ave., CA 93301 (661) 326 3979 ~, .~Y...'.~~_~~...' HAZARDOUS MATERIALS INVENTORY ~ CHEMICAL DESCRIPTION (one Porn per material per building or area) I ~IEW ^ ADD ^ DELETE ^ REVISE 200 Page _ of _ I' i ~ I. FACILITY INFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) ~~~ ~ ~ ~~~ ~ '~'~T ~~ C ~ C 3 i y 9t U~/~. ~~<-~-1trS~ Uf c I r "l~ ~~c1..)~ /1/lG(~ IC~Cr ____ -_____ _ _ _r _ __.__ __ _ I CHEMICAL LOCATION r ~ S~ Q L ~/~.tL (~ 20 i' CONFIDENTIAL (EPCRA) ^ Yes ^ No 202 i FA IC LITY ID # - -~ ~ ~- i ~ ~ f - 1~ MAP # (ophonaq - ~ - ~ 203 GRID # (opfronaq - ~ -- I i 204 i ! I ~ ' r ~ i • L_.1._ --_ _____- -_____ - ---: ._---------_-._..------.~~. .. ~ I 10. CiiEMICAL INFORMATION ' , _ i _ _- . _..._ . ._._. ..._...... _ _.,.. _. ............... ._... _....--_. _...___.__ 205 TRADE SECRET ^ No ~ I ^ Yes AM ' 206 ' I 5 ~ CHEMICAL N E i ~ If Sub'ed to EPCRA, refer to instructions ~ C~~ c C- ~i ~c~`2 ' _ _ _ .. - _.. ...--- . --- ---__. . _ - - - _ __ . . . _ ----- ---- -- zoi COMMON NAME ~ EHS' ^ Yes ^ No I 206 CAS # ~ 209 ~ •If EHS is'Yts,' all ampunts below must be in tbs. I i FIRE CODE HAZARD CLASSES (Complete iF requested by local fre chief) I 210 j~,•, - TYPE ^ p PURE ^ m MIXTURE ~ WAST°_ ~' ; R-.L~IOACTIVc ^ Yes ^ No 212 ~ CURIES - ~ i - - - 4 -- 213 , - - _ .... --- --- --- ---.._._~.-- -- - - - ------- --- -- - - _ - - -- - - - - PHYSICAL STATE LARGEST CONTAINER ^ s SOLID [~LLIQUID ^ g GAS 214 215 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESSURE f:ELEi;SE ~L 4 4CU~E HEALTH ^ 5 CHRONIC HEALTH 216 . (Check all that apply) _ ---- ----- - - - - -- - - ---~ - - ---- ----- i - ANNUAL WASTE 217 w14XIMUM 218 A.VLRAGE p- 219 STATE WASTE CODE ~ ' 220 i ~ DAILY AMOUNT DAILY AMOUNT J AMOUNT UNITS' ~ga GAL ^ d CU FT ^ Ib LBS ^ to TONS 221 i DAYS ON SITE 222 ' i ~ _ ' If EHS, amount must be in lbs. ~ I STORAGE CONTAINER ^ a ABOVEGROUND TANK ~ PLASTIClNONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 i (Check all that apply) i ^ b UNDERGROUND TANK ^ f CAN ^ j BAG ^ n PLASTIC BOTTLE ^ r OTHER I ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN ^ d STEEL DRUM ^ h SILO ^ I CYLINDER ^ p TANK WAGON I i STORAGE PRESSURE ~a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT ' i 224 STORAGE TEMPERATURE ~-a AMBIENT ^ as ABOVE AMBIENT ^ be BELOW AMBIENT ^ c CRYOGENIC 225 %1NT ' HAZARDOUS COMPONENT 1 I zzs ~ 2 230 3 i 234 4 ~ 238 5 I 242 -EHS CAS # 2z~ ~ ^ Yes ^ No 228 23t ^ Yes ^ No 232 - ---I ~-- ---- 235 I ^ Yes ^ No 236 i 239 ! ^ Yes ^ No 240 --._.. __ i ------------- -----------'--- 243 ~ ^ Yes ^ No 244 229 233 237 241 245 III SIGNATURE PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE DATE 246 I _~ _~ / -I UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd ' - Mohawk Medical Group ` Mary N. Milkie-Andrews, M.D. I -. ~ - (661) 321-3465 9500 Stockdale Hwy., Ste. 202 • Bakersfield, CA 93311 Office Hours by Appointment Mohawk. Medical Group Stephen Newbrough, M.D. (661) 324-9829 I i ~ 9500 Stockdale Hwy., Ste. 202 • Bakersfield, CA 93311 Office Hours by Appointment FIRE CHIEF RON FRAZE ADMINISTRATIVE SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (661) 326-3911 FAX (661) 852-2170 SUPPRESSION SERVICES 2101 "H" Street Bakersfield. CA 93301 VOICE (661) 326-3941 FAX (661) 852-2170 PREVENTION SERVICES filE SAfETY SERVICES' ENVIRONMENTAL SERVICES 900 Truxtun Ave.. Suite 210 Bakersfield. CA 93301 VOICE (661) 326-3979 FAX (661) 852-2171 FIRE INVESTIGATION 1715 Chester Ave.. 3'd Floor Bakersfield. CA 93301 VOICE (661) 326-3951 FAX (661) 852-2172 TRAINING DIVISION 5642 Victor Ave. Bakersfield. CA 93308 VOICE (661) 399-4697 FAX (661) 399-5763 December 17, 2004 Mr. Derek Holdsworth, AlA KSA Group Architects 4660 American A venue, Suite 200 Bakersfield, CA 93309 RE: River Walk ill Medical Plaza, 9500 Stockdale Hwy Dear Mr. Holdsworth: We have reviewed the plan for the stairway and the dimension for the above referenced site and have determined that the stairway will meet the configuration and dimensions that will accommodate the carrying of a gurney or stretcher as set forth in State Code Section A17.11996 3122.6 (b), 3121.11 (a), 304(e), and, therefore, approved." For your reference, the same code section is the 2001 UBC, Section 3003.5a, exception 4, and 3003.5a. 1a. Should you have any other questions or concerns, please feel free to contact me at 661 - 326-3706. David Weirather, Plans Examiner DW:db Nálp''l(/IIÙ~r¡!he Yf;i/JI'llll,lml;!; (ì~O-'l< çyllo/Jr(j e):l/a{/}l/ QCIC¡¡~/nå(/Jr1f"