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HomeMy WebLinkAboutBUSINESS PLAN C_ ' ROBERT G. OSBORN DDS, INC. 4260 TRUXTUN AVENUE ~; - OSBORN DDS INC ROBERT G _____________________________ SiteID: 015-021-002133 + Manager Location: 4260 TRUXTUN AVE~150 City BAKERSFIELD BusPhone: (661) 322-9885 Map 102 CommHaz High Grid: 25C FacUnits: 1 AOV: CommCode: BFD STA Ol SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Co tact Title ROBERT G OSBORN / DDS' 6-~t1 OSHA COORD Business Phone: (661) 32'2',-9885x Business Phone: (661) 322-9885x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact Phone: (661) 322-9885x MailAddr: 4260 TRUXTUN AVE1150 State: CA City BAKERSFIELD Zip 93309 Owner Phone: (661) 322-9885x Address 4260 TRUXTUN AVEI 150 State: CA City BAKERSFIELD Zip 93309 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 ~'"~~ ~~'" A ~ ~~U~ 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 the information is true. acc rate, and c plete. ^/ 3 (~ Signature Date -1- 02/28/2006 ~ 11:24 CUMMINS WEST INC. i 3278680 ~1 80532?8680 .. Jarrett Electric '' ..~Z . $0332786$0 San Joaquin Valley Unified Air Pollution Control District Sugplement~il Agplication Form LIQUID k'LJELED INTERNAL CUMBUSTIOI~T E1rTG~NES art must be aeeomacasled by a eor,~teted Applteanfwr,ta~Autliority to Cor<struct artd Perniit to TO BE ISSUED TO: P_01 _-- ~. Robe-~ ~5bor~n , D .p~• ~~. `~ LOCATION WHERE THE EQUIPMENT WILY. BE OPERATED: ~~tv D '~1~(`UX'f"I~XI ht~~. # l50 CC~~x~s~'i~.r~_-C~ rtcv~.raa ~vr.~~ura~ivi. ~ Typg'g~~~;se~~ ~ [ ] .Full Time (not liioaiccd to any optratiag schedule) ~ ' r =?~ ~ ; •~ [ ~ Y.ow USe (lirtiitCd to < 1000 hrs/yr for all optradom, including ~oaainteva»ce aad testing) ..,.. generation or other emecgeacy use as >,_ ' '' ~~Y""` .;~] Standby Emergency (limited to nnn-atility etecr:ic power ` cyt approved by the APCO. except for ug W 200 hrs/yt fot mainteaancC anet testing) ~~x`; ~~=,~ Will tbis equipment be used in an electric utility rate reduction program? [ ] YE5 j,~ NO ,:w.,.. . < :~ : ~v;~ i r. ':<: Process tkto Engine Serves: ~ ~~' _1~~~,~41°~'iizvex~~ a:r`w enerator .Puss Data "~ ~ r G Make and Model: Q+fiJ ....... ':.>, . .. '_t~-!~~ieraian°:f7-n~y.~._~..'~ Power Output:--- ~D ~~k Manufacturer: c(,~'~'1jy~S ti:~::. "~~` Model Number: 1~,~1~~. ; w.„; °r Maximum Rated Fower Output ~L ; :~:. I+tiel ~a~a',;~; ~f. ? .+, `+.+A~v y p.., •~ ~~ kW Number of Cylinders: Serial Number: ~ /~ NO-.718 DOC= ,r~~. .BHP Type: [~] Diesel ( ]Gasoline [ ]Other (please specify): Higher Heating Value: BTU/gal Sulfur Content: ~, ~ by Weight del Consumption at Rated Output: ~• ~ gals/l~r Fuel Flow Meter? [ ]YES j~QNO r..i ....<i~i`i•. ~svw.^^i~~~3~~a:i: i~fa •.w..,•y'., :.rV... ~~_ '.`«.y~...N .. .. ^,. Etrti •or~Yy"~ nf~ ::iii :a~ ~' a~te:~vzes~ •~~ .~eo. ~ ...;,.. N~ :.S , K " x - DV Turbochazger - ~. .. ~. , ' .:<- [ ] Itttereooler/Afteccooler ': ,~' { ]Injection Timing Retarded Relative to Standard Timing: degrees ' ~ ,' ~ Positive Crankcase Ventilation System ~~: ~: [ ] Exb~aust Particulate Control lyevice: Specify wlzat type ` ~ `:~. I) nxiciatian Catalyst (VQC & CO Reduction) % VOC control ~ CO control ~ I Reduction Catalyst (NiJx Reduction) __~____ 35 NOx control [ ]Other (please specify): - ---~- L R ~ r. .. .~ .. Please Continue on Reverse .Side ~ ` ___ -- - - ~J01 11:24 CUMMINS WEST INC. ~ 3278680 -~ ~ Jarrett Electric ~ ~° ~'? ~' - ' ~ ..j Mr1~. :.:.V <; ~~'Yi..i.. ~~.M~A~ify.:.~y.: w.;n4~w4'ero'.w:...A..A VA .. <~~V ;t Emtssaon Uat~ a~~main>Efi' `.ra~eic~ ox~~ (If corrected to plher~fjiait-lS%.~; dry: . ~ s, ~~•'+'' • ~:~ ~•. .'Volatile ~irgait~~ •Cu~pd . Particul~te.Mattex l~aoissiaxa3 Sulfuir Oxides (as SOz) ~ .. ~' Source of Emission Factor (~ Emission Tests ~: i 605327$680 •;: . '~.;,•^ .... ~~~ 02, dry: ~~~~'• ppmvd ~.( '.~:::~ :~:M~:s~~: ~... .......:......w ppmvd ~~ ::.. ppmvd • ~ grldscf ppmvd [ ]Manufacturer 's Guarantee ADDITIONAL INFORMATION N0.718 D00~ P. 02 Q,g g/BHP-hr ,,~(~ gIBHP-hr ®-~~m g/BHP-hr ®1~ g/6HP-hr [ ]Other: Normal Operating Schedule: (for emergency equipment. identify- normal testing and maintenance schedule) l~Iours per day y1 Mfr , -i3s~s per week Weeks per yeaz. Nearest Receptor: Distance to nearest Residence 3.vvy feet Distance to nearest 13usiness~ 2 S Peet Examples of Residences includes apartments, horses, dormitories, etc. z Examples of Businesses includes office buidlings, guard posts, factories, etc. ~tt~t-~ Stack Parameters: Height ~o. t{,., feet -~~rrside diameter inches Exhaust temperature _ °F Stack gas flow rate dscfm .. -• Is a rain cap {not a flapper) present on exhaust stack? [~ Yes [ j No Direction of exhaust from structure. or device: [~ Vertical [ ] Horizontal Facility Location: [ ]Urban (area of dense population) [ ]Rural (area flf sparse population) if available, include the manufacturer's specifications of the engine and docutnented exhaust emissions data for the proposed engine. ;~ ~~ 11:24 CUMMINS WEST INC. -~ 32?8680 N0.?18 D004 Exhaust Emission Data Sheet ~~ ~ 60DGCB 60 Hz Diesel Generator Set ENGINE Model: Cummins 46T3.9-G4 Type: 4 Cycle, In-line 4 Cylinder Diesel Aspiration: Turbocharged Compression Ratio: 16.5:1 Emission Control Device: Turbocharger Bore: 4.02 in.~'( 102 mm ) Stroke 4.72 in: (120 corn ) Displacement 239 cu. in. (3.9 liters ) PERFORMANCE DATA STANDBY PRIME BHP ~ 1800 RPM (60 Hz) 102 93 Fuel Consumption (gaUHr) 5.0 4.6 Exhaust Gas Flow (CFM) 505 480 Exhaust Gas Temperature (°F) 925 885 RUST EMISSION DATA ~ (All Values are Grams per HP-Hour) _ COMPONENT STANDBY PRIME HC (Total Unburned Hydrocarbons) 0.31 0.40 NOx (Oxides of Nitrogen as N02) -J:~6r 7.97 CO (Carbon Monoxide) 1.19 0.75 PM (Particulate Matter) 0.16 0.13 S02 (Sulfur Dioxide) 0.60 0.60 TEST CONDITIONS Data was recorded during steady-state rated engine speed (t 25 RPM) with full load (t 2% ). Pressures, temperatures, and emission rates were stablized. Fuel Specification: ASTM D975 No. 2-D diesel fuel with 0.296 sulfur content (by weight), and 42-50 cetane number. Fuel Temperature:. 99 +_ 9 ° F (at fuel pump inlet) - Intake Air Temperature: 77 t 9 ° F Barometric Pressure: 29.6 t 1 in. Hg ~ Humidity: NOx measurement corrected to 75 grains H2Oflb dry air The NOx, HC, CO and PM, emission data tabulated here were taken from a single engine under the test conditions of 40 CFR 89. Data for the other components are astlmated. These data ars subject to Instrumentation, and engine to engine variablAty. Engine aperatlon with excessive air intake or exhaust restriction beyond pubUshed maximum Iimtts, Or with Improper maintenance, may resuR to elevated emission levels. Onan Corporation oats and spedRcations subject fo Changa without Nodce. EDS - 103C ~ , 11:24 CUMMINS WEST INC. -~ 3278680 a. N0.718 0005 60DGCB ONAN GENERATOR SET ~~ A ATA SHEET EXH UST EMISSION D ;~~, { ,. r The. engine used in rator set is certified to r ~,. ` comply with 199 CARB Mobile .Off- H ighway em issior~im~its when tested per ISO 8178 D2. ~. ~: .+ Y~- ~_ ~' ENGINE Model: Cummins 4BT3.9-G4 Type: ~. 4 Cycle. In-Line 4 Cylinder Diesel Aspiration: Turbocharged Compression Ratio: 18.5:1 Emission Control Deviva: Turbocharger Bore:. 4.02 in. (102 mm ) Stroke: 4.72 in. (120 mm ) Dispiacement: 239 cu. in. (3.9 Ifters ) Standby HP: 102 HP ( 76.1 kW ) U.S. Environmental Protection Agency -Mobile Off Highway Tier i Limits ~~ COMPONENT (Alt Values are Grams Der HP-Hour) ~=176 HP <17b HP NA I3.S ~ 8.8 . ~~ ~ ~i:4 NA HC (Total Unburned Hydrocarbons ) NOx (Oxides of Nitrogen as N02 ) CO (Carbon Monoxide ) PM (Pat'<i~uiar Matter ) Engine operation with excessive air intake or exhaust restriction beyond published maximum Limits, or with _ improper meilttenance, may result in elevated emission levels. Onan Corporation beta er-d Spe~icadons Sub/aet ro Change tMlhout Notice. EDS - 168A Ae~~~-(~ ~e,EA ----.. .. -- ~ s' W~~ F,x~~ ~saE U~vhowS .Sc~' La.~N ~~tA ;-~.~ ~./~ PAO bEM,aS~o~S ~ 5'•b'' x 11~ So ~[i~T .,P Cow 3 sro2y '; ..1 ~,~.~ F. gee ~.s~ 1.1 ~aoaras •~ ~oT ~2lQO ~ev~ctv~, ~~~. Z D~ 90 ~{ZOU Tt~vx~N~ aft, ~ty~, `'rR CITY OF BAKERSFIEI.D FIRE DEPARTMENT ~ ~ ° OFFICE OF ENVIRONMENTAL SERVICES ~ ~'~ UNIFIED PROGRAM INSPECTION CHECKLIST f. ~w„''' ;~~~_ 1715 Chester Ave., 3'd Floor, Bakersfield, CA 93301 FACILITY NAME ~~ KD6,f/L~ ©5Kc~2rJ ~,l/~ ADDRESS ~2(v0 T~~r~!/ _ ~' 1~~ FACILITY CONTACT ~ ~a y ~'/ ~~- INSPECTION TIME ~ `~ '''` ~ v~ INSPECTION DATE ~~ !3 a f7 PHONE NO. 3 ZZ - 9 88 BUSINESS ID NO. 15-210- ~ ~ 3 NCIMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program Routine ^ Combined (,~ Joint Agency ^Mu1ti-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials 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 C=Compliance V=Violation ~ Any haz r ous waste ~ site?: Yes ^ No ~~~~ ~`7i ~ Explain: ~~~~.~ t'~s~~/'-- Questions regarding this inspection? Please call us at (661) 326-3979 sible Party While -Env. Svcs. Yellow -Station Copy Pink -Business Copy I11SpeCtOr:~ ~Q I~ / ~. \__~ ,, ;. .. OSBORN DDS INC G ROBERT Manager STEPHANIE CRAVEN BusPhone: Location: 4260 TRUXTUN AVE 150 Map 102 City BAKERSFIELD Grid: 25C CommCode: BFD STA O1 SIC Code: EPA Numb: DunnBrad: SitelD: 015-021-002133 (661) 322-9885 CommHaz High FacUnits: 1 AOV: Emergency Contact / Title Emergency Contact / Title STEPHANIE CRAVEN / OFFICE MANAGER GWEN MOSS / OSHA COORD Business Phone: (661) 322-9885x Business Phone: (661) 322-9885x 24-Hour Phone (661) 324-OOlOx 24-Hour Phone (661) 399-1359x Pager Phone ( ) - x Pager Phone (661) 319-7875x Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact GWEN MOSS Phone: (661) 322-9885x MailAddr: 4260 TRUXTUN AVE 150 State: CA City BAKERSFIELD Zip 93309 Owner G ROBERT OSBORN DDS Phone: (661) 398-9080x Address 4260 TRUXTUN AVE 150 State: CA City BAKERSFIELD Zip 93309 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - PROG H HAZMAT AZ IV 1 ~IV~i ~ ~~ (~ - H WASTE GEN ~ ~~ Based on my inquiry of those individuals the information, 1 certify responsible for obtaan~ng f laver that I have personally under penalty o examined and am familiar with the information submitted and believe the information is true, accurate, and complete. ~~ ~~ R__._ Date Signature -1- 07/13/2007 o .. F OSBORN DDS INC G ROBERT SiteID: 015-021-002133 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP NITROUS OXIDE F P IH G 250.00 FT3 Hi OXYGEN F TH DH G 502.00 FT3 Low WASTE FIXER R L 5.00 GAL Min DIESEL, EMERG. GEN. FUEL L 55.00 GAL UnR -2- 07/13/2007 ' ~ -3- 07/13/2007 ,. ~ ~ F OSBORN DDS INC G ROBERT SiteID: 015-021-002133 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME NITROUS OXIDE Days On Site 365 Location within this Facility Unit Map: Grid: UTILITY ROOM CAS# 10024-97-2 ~GasATE TPureE -~AboveSAmbEent AmbPeRATURE PORTCOPRESSERCYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 250.00 FT3 250.00 FT3 250.00 FT3 tll'.GE~tCLVUD lrV1~lYV1VI;1V1~ cwt. Rs cAS# 100.00 Nitrous Oxide No 10024972 nr~~r-ucL r~aalJa~l~i~ivla TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: UTILITY ROOM CAS# 7782-44-7 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Gas TPure -Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Co251100rFT3 Daily 502100m FT3 I Daily 251r00e FT3 r1LiGEitCLVU.7 LV1~lYV1V~1V 1.7 oWt. RS CAS# 100.00 Oxygen, Compressed No 7782447 riEiGEitVJ 1-~.7~JiSJJ1~liS1V 1 ~7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low -4- 07/13/2007 F OSBORN DDS INC G ROBERT ~ Inventory Item 0003 COMMON NAME / CHEMICAL NAME WASTE FIXER Location within this Facility Unit X-RAY ROOM SiteID: 015-021-002133 ~ Facility Unit: Fixed Containers at Site ~ '~ Days On Site 365 Map: Grid: CAS# Liquid TWaste ~Ambient~E ~ AmbientT~E ~PLASTOICTCONTAINERE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 5.00 GAL 5.00 GAL 5.00 GAL ru~~t~tc~~u~ ~.~inrvlvr,lvl~ %Wt. RS CAS# Silver No 7440224 tiF~G1~K1J H.7 ~ ri ~7.71~1L' 1V l r7 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min ~ Inventory Item 0004 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME DIESEL, EMERG. GEN. FUEL Days On Site 365 Location within this Facility Unit Map: Grid: CAS# STATE TYPE r PRESSURE TEMPERATURE CONTAINER TYPE Liquid~Mixture I Ambient ~ Ambient OTHER - SPECIFY AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL HAZARDOUS COMPONENTS %wt. RSA CAS# nr~ZARD AS SESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies / / / UnR -5- 07/13/2007 F OSBORN DDS INC G ROBERT SiteID: 015-021-002133 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 10/17/2006 ~ FIXER IS CONTAINED IN A PLASTIC 5-GAL CONTAINER WHICH HAS SECONDARY CONTAINMENT UNDER IT. WHEN 5-GAL CONTAINER IS FULL WE CONTACT JIM WARREN TO REMOVE AND DISPOSE. Employee Notif./Evacuation 03/15/2006 CONTACT GWEN MOSS OR DR OSBORN BY CALLING 24-HR ANSWERING SERVICE AT 322-9885. Public Notif./Evacuation GWEN MOSS WILL TAKE CARE OF CALLING ANY AUTHORITIES. SURE ALL IS TAKEN CARE OF. 10/17/2006 DR OSBORN WILL MAKE Emergency Medical Plan 10/17/2006 WE HAVE EVACUATION PLAN IF NEEDED, MEETING PLACES, PERSON TO REPORT TO. WE HAVE A MEDICAL DOCTOR TO SEE IF ANY ACCIDENTS OCCUR, DR DAVE DOUGHERTY. -6- 07/13/2007 F OSBORN DDS INC G ROBERT SiteID: 015-021-002133 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 10/17/2006 ~ OXYGEN IS STORED WITH CHAIN AROUND IT TO PREVENT IT FROM FALLING OVER AND IT IS TURNED ON AND OFF EACH DAY. NITROUS OXIDE IS STORED WITH CHAIN AROUND IT TO PREVENT IT FROM FALLING OVER AND IT IS TURNED ON AND OFF EACH DAY. SCAVENGER SYSTEM IS USED TO REMOVE ANY UNUSED PORTION DURING OPERATION. FIXER IS CONTAINED IN 5-GAL CONTAINER AND SECONDARY CONTAINER AND REMOVED BY JIM WARREN. GENERATOR. Release Containment Clean Up 10/17/2006 ALL EMPLOYEES WILL REFER TO THE MSDS MANUAL AND FOLLOW APPROPRIATE PROTOCAL. JIM WARREN REMOVES WASTE FIXER AS NEEDED. -7- 07/13/2007 .. ~ ti. " F OSBORN DDS INC G ROBERT SiteID: 015-021-002133 Fast Format ~ Mitigation/Prevent/Abatemt Overall Site ~ Other Resource Activation -8- 07/13/2007 :~ `` F OSBORN DDS INC G ROBERT SiteID: 015-021-002133 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ a7~Jt'C:1d1 ridGdLUS Utility Shut-Offs 10/17/2006 A) GAS - E SIDE OF BLDG NEXT TO EXIT DOOR B) ELECTRICAL - E SIDE OF BLDG ELECT RM C) WATER - E SIDE OF BLDG D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 02/05/2007 PRIVATE FIRE PROTECTION - SPRINKLERS IN OFFICE, FIRE EXTINGUISHERS, AND ALARM SYSTEM. NEAREST FIRE HYDRANT - FRONT OF OFFICE. Building Occupancy Level 7 EMPLOYEES o2/2s/2oo6 -9- 07/13/2007 F OSBORN DDS INC G ROBERT SiteID: 015-021-002133 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 10/17/2006 ~ MSDS SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: YEARLY TRAINING IS PROVIDED FOR ALL EMPLOYEES. WE OFFER TRAINING IN INJURY & ILLNESS PREVENTION, HAZARD COMMUNICATIONS, EXPOSURE CONTROL AND EMERGENCY ACTION PLANS. rayc ~ Held for Future Use _, t_ 11G1U 1V1 L' kl..UlG V~7 C'i -10- 07/13/2007 • r / Bakersfield Fire Dept. UNIFIED PROGRAM INSPECTION CHECKLIST V Environmental Services - =_-- ~~'a"~`~"'~°~` •'~"''`"~~ 900 Truxtun Ave., Suite 210 SECTION 1 Business .Plan and Inventory Program Bakersfield, CA 93301 Tel: (661)_326-3979 __ _ _ FACILITY NAM INSPECTION DATE INSPECTION TIME ADDRESS PHONE No. ~~~ No. of Employees FACILITYCONTACT Business ID Number Section 1: Business Plan and Inventory Program Routine O Combined O Joint Agency DMulti-Agency O Complaint O Re-inspection C] • ANY HAZARDOUS WASTE/O~N SITE//?: ~ Q~~ESp ^ NO EXPLAIN: ~ )~ fL- t ~ T.~ITt ~ QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT ~GB'I ~ 326-3979 Inspector (Please Print) Fire Prevention 1st-In/Shik of Site White -Environmental Services Yellow -Station Copy Rusin Site Responsible Party (Please Print) 8 Pink • Business Copy