HomeMy WebLinkAboutBUSINESS PLAN1C \
~ ~ ROBERT E REED DDS
' 4100 TRUXTUN AVE STE 300
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Hazardous Materials/Hazardous Waste Unified Permit
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CONDITIONS OF PERMIT ON REVERSE SIDE
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LOCATION 4100 }TRtJ:XTUN
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Issued by:
Bakersfield Fire Department
OFFICE OF ENVIRONMENTAL SER VICES
1715 Chester Ave., 3rd Floor
Bakersfield, CA 93301
Voice (661) 326-3979
FAX (661) 326-0576
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This oermit is issued for the following:
~ Hazardous Materials Plan
o Underground Storage of Hazardous Materials
o Risk Management Program
o Hazardous Waste On-Site Treatment
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Approved by:
Issue Date
Expiration Date:
June 31), 2003
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REED DDS ROBERT E
Manager ROBERT E REED BusPhone:
Location: 4100 TRUXTUN AVE 390 Map 102
City BAKERSFIELD Grid: 26D
CommCode: BFD STA Ol SIC Code:
EPA Numb: DunnBrad:
SiteID: 015-021-002140
(661) 327-7497
CommHaz Minimal
FacUnits: 1 AOV:
Emergency Contact / Title Emergency Contact / Title
ROBERT E REED DDS / PRESIDENT /
Business Phone: (661) 327-7497x Business Phone: ( ) - x
24-Hour Phone (661) 327-7497x 24-Hour Phone ( ) - x
Pager Phone (661) 331-8976x Pager Phone ( ) - x
Hazmat Hazards: React
Contact ROBERT E REED Phone: (661) 327-7497x
MailAddr: 4100 TRUXTUN AVE 390 State: CA
City BAKERSFIELD Zip 93309
Owner ROBERT E REED DDS Phone: (661) 327-7497x
Address 4100 TRUXTUN AVE 390 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
ENTro ~ u L 2 ~ goo'
Based on my inquiry of those individuals
the information, ! certify
respc~nsii:~ie f:~r ot?tainmg
that I have personally
under' 'aenalty of 1a4;~
d and am famil+ar v~etth the information
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exam
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submitted and heli
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accurate, d comp
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Date
Signature
-1- 07/13/2007
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F REED DDS ROBERT E SiteID: 015-021-002140 ~
~ 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 5.00 GAL Min
-2- 07/13/2007
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-3-
07/13/2007
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F REED DDS ROBERT E SiteID: 015-021-002140 ~
~ 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 TWaste ~ Ambient ~ Ambient ~ PLASTIC CONTAINER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
5.00 GAL 5.00 GAL 5.00 GAL
tiljGHxUVUJ 1..V1~lYV1VL"1V1J
oWt. RS CAS#
Silver No 7440224
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TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R / / / Min
-4- 07/13/2007
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F REED DDS ROBERT E SiteID: 015-021-002140 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
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Employee Notif./Evacuation
Public Notif./Evacuation
ROBERT E REED DDS
05/22/2006
Emergency Medical Plan 05/22/2006
IN CASE OF FIRE, EXIT BLDG THROUGH MARKED EXITS. IN CASE OF INJURY,
DETERMINE SEVERITY OF INJURY AND CALL DOCTOR OR 911.
-5- 07/13/2007
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F REED DDS ROBERT E SiteID: 015-021-002140 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 07/11/2006 ~
MATERIALS ARE LABELED, STORED, AND REPLACED WHEN USED, WITH CAPS TIGHT TO
PREVENT SPILLAGE.
Release Containment 07/11/2006
EMPLOYEES TRAINED ON HOW TO MINIMIZE ACCIDENT IN CASE OF MATERIAL LEAK OR
SPILL.
Clean Up 05/22/2006
SPILLS CLEANED UP, BAGGED IN PLASTIC, AND DISPOSED OF; SHARPS - BFI AND
X-RAY DEVELOPER - SIGMA AND JIM WARREN.
v~.iicl 1ZCw'~Vl.LlI.:C HC:l.1Vdl,1U11
-6- 07/13/2007
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F REED DDS ROBERT E SiteID: 015-021-002140 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
J~JCC:1d1 rid'GcLLUS
Utility Shut-Offs 04/24/2007
GAS - NE CRNR OF BLDG GROUND FLR
ELECTRICAL - SERVICE BEH DOOR N PART OF BLDG PARKING AREA
WATER - NE CRNR OF BLDG GROUND FLR
Fire Protec./Avail. Water 01/11/2007
PRIVATE FIRE PROTECTION - EXTINGUISHERS ON WALL IN LAB.
NEAREST FIRE HYDRANT - 25FT SW OF BLDG ON TRUXTUN AVE.
Building Occupancy Level
9 EMPLOYEES
05/22/2006
-7- 07/13/2007
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F REED DDS ROBERT E SiteID: 015-021-002140 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 01/11/2007 ~
MSDS SHEETS ON FILE IN LAB.
BRIEF SUMMARY OF TRAINING PROGRAM: ALL NEW EMPLOYEES ARE TRAINED IN
HANDLING OF ALL MATERIALS.
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-8- ~ 07/13/2007
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+ REED DDS ROBERT E ___________________________________ SiteID: 015-021-002140 +
Manager
Location: 4100 TRUXTUN AVE 390
City BAKERSFIELD
BusPhone: (661) 327-7497
Map 102 CommHaz Minimal
Grid: 26D FacUnits: 1 AOV:
CommCode: BFD STA O1 SIC Code:
EPA Numb: DunnBrad:
Emergency Contact / Title Emergency Contact / Title
ROBERT E REED DDS / /
Business Phone: (661) 327-7497x Business Phone: ( ) - x
24-Hour Phone (661) 327-7497x 24-Hour Phone ( ) - x
Pager Phone (661) 331-8976x Pager Phone ( ) - x
Hazmat Hazards: ~ - React
Contact Phone: (661) 327-7497x
MailAddr: 4100 TRUXTUN AVE 390 State: CA
City BAKERSFIELD Zip 93309
Owner ROBERT E REED DDS Phone: (661) 327-7497x
Address 4100 TRUXTUN AVE 390 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
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gasesi an m
rastsan~lble for obtalnin~ the nformation,i ~ iduals
under Aen[~ity of lav+t certify
examined and am famiiaawith ~Ve psrsonaNy
submitted and bellav® the intormation~ s true,
accurate nd complete
Signature 6 -- ~ O
Date
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-1- 05/22/2006