HomeMy WebLinkAboutBUSINESS PLANi
~ PEDERSEN FAMILY CHIROPRACTIC
_ _ _ _ ___ 3900 TRUXTUN AVENUE ____ _ ______~
I
+ TATSUNO CHIROPRACTIC ________________________________ SiteID: 015-021-002979 +
Manager JEANNE N TATSUNO'
Location: 3900 TRUXTUN AVE~
City BAKERSFIELD
CommCode: BFD STA O1
EPA Numb:
BusPhone: (661) 322-6021
Map 102 CommHaz Minimal
Grid: 26D FacUnits: 1 AOV:
SIC Code:
DunnBrad:
Emergency Contact / 'T'itle Emergency Contact / Title
DR TED T PEDERSEN / DOC'T'OR JEANNE N TATSUNO / MANAGER
Business Phone: (661) 325-4446x Business Phone: (661) 325-4446x
24-Hour Phone (661) 59'9'-1345x 24-Hour Phone (661) 747-0683x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: React
Contact JEANNE N TATSUN~' Phone: (661) 322-6021x
MailAddr: 3900 TRUXTUN AVE~ State: CA
City BAKERSFIELD Zip 93309
Owner GEORGE TATSUNO Phone: (661) 322-6021x
Address 3900 TRUXTUN AVE~ State: CA
City BAKERSFIELD Zip 93309
Period to
Preparers
Certif'd:
ParcelNo:
TotalASTs: _
TotalUSTs: _
RSs: No
Gal
Gal
Emergency Directives:
PROG A - HAZMAT
PROD H - HAZ WASTE GEN
ENT'D JvN z s coos
Based an 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
submitted and believe thr~ information is true,
accurate, ar~r! c~.~mpiete.
Signature uate
-1- 02/28/2006
_.. e\ _ i
~- -- NC.f.~a~ ,
I ~~ ~ ~~ -
l _v_ ~~ ~ fir. Zed 2: Pedersen
CHIROPRACTOR
j - (;~ .usL-S ~f''~rs~r~nJ_ :s x-ate 1
f = _ _ ~ _ _ _ _ ,3900 Truxtun Avenue ~ ~
Bakersfield, CA 93309 !
ins. Dept. _
} sea-2a2s (661) 325-4446 -
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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1 Business Plan and Inventory Program
Bakersfield Fire Dept.
Environmental Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 9330(~EC 1 1 105
Tel: (661)_326-3979 _
FACILITY NAME
C~Et ~ P~cn.c~-I c. f n!G
~~TSr~~d WSPECTION DATE
L} ~2~ oS INSPECTION TIME
ADDRESS
2~7
/
o PHONE No. No. of Empbyees
~
~~
3~d~ ~~~twrJ
FACILITYCONTACT Business ID Number
5
02
/`~~
-
1
1.
Section 1: Business Plan and Inventory Program 2c~-]
^ Routine (~6ombined ^ Joint Agency OMulti-Agency ^ Complaint ^ Re-inspection
C V (C=Compliance OPERATION COMMENTS l~'~ ~
`V=Violation J ~ J
^ ^ APPROPRIATE PERMIT ON HAND (, v
^ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE
^ ^ VISIBLE ADDRESS
^ ^ CORRECT OCCUPANCY
^ ^ ~ VERIFICATION OF INVENTORY MATERIALS i („JV~fj~ ~=i~Cr`.2
^
-- ^
_ -- VERIFICATION OF QUANTITIES
----_.. ----------- ---........_ __ _._._.._..... __ .. _ . _.._._..._---..... ~ (~(~
I "-- . .. _......... _. _.. .. . --.. _ .. _.._ _._._._...
^ ^ .VERIFICATION OF LOCATION t~~~C +'t!y
^ ^ PROPER SEGREGATION OF MATERIAL
^ ^ VERIFICATION OF MSDS AVAILABILITYE I
^
^
VERIFICATION OF HAT MAT TRAINING ~
! Q
L
~{1 T 1
`J t
----
^ - -.
^ .._...- -..-----------------------..__._._-. .__
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES _ _
~ ~/
^ ^ EMERGENCY PROCEDURES ADEQUATE ~
--
^ -----
^ ---.......__._._-_._..---------- _--------- -------------------...__ ._.
CONTAINERS PROPERLY LABELED }}
L__. _
- / ~~
t~C~ a~ ~,~--~P
^ ^ HOUSEKEEPING
^ ^. FIRE PROTECTION ~
^ ^ SITE DIAGRAM ADEQUATE Sr ON HAND
ANY HAZARDOUSpW~ASTE ON SITED'?: YES ^ NO
EXPLAIN: C/-'v"~ V -+J~Z-
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT ~66'I~ 3Z6-3979
~ ttl,~c-~ P~~3
Inspector (Please Print) Fire Prevention tst-InlShik of Site
White • Environmental Services Yellow -Station Copy
Busi ess Site espo ble Party (Plea
Pink -Business Copy
,~' ' 6
T
c~ 1
FACILITY NAME T ~TS~~~ C~ ~ ~'~~ ~- INSPECTION DATE ~ l2 ~/dr
Section 4: Hazardous Waste Generator Program EPA ID # 'J~~
^ Routine C~Combined ^ Joint Agency ^hulti-Agency ^ Complaint ^ Re-inspection
OPERATION C V COMMENTS
Hazardous waste determination has been made ,~L I `~'~1nn.~ ~~ .
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
Hazazdous 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
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
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Inspector: ~c >~~
Office of Environmental Services (661) 326-3979 BusirieSS Site Res Bible P
White -Env. Svcs. Pink -Business Copy
.~p~5`~ `rct'`~ CITY OF BAKERSFIELD FIRE DEPARTMENT
~d ~ OFFICE OF ENVIRONMENTAL SERVICES
~' y~ IN HEC I
UNIFIED PROGRAM SPECTION C KL S
~ `~gti~O 1715 Chester Ave., 3`d Floor, Bakersfield, CA 9334