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HomeMy WebLinkAboutBUSINESS PLAN (2)j,;3URMAN/WILSON il o B ~~u401 TRU TUN AVE -- - -- - - ~ ~1 i. ._ BAKERSFIELD PULMONARY SLEEP & MED SiteID: 015-021-002270 Manager ROBERT LAUGHLIN Location: 6401 TRUXTUN AVE City BAKERSFIELD BusPhone: (661) 323-5300 Map 102 CommHaz Low Grid: 33B ~FacUnits: 1 AOV: CommCode: BFD STA 11 EPA Numb: SIC Code:8011 DunnBrad: Emergency Contact / Title Emergency Contact / Title ROBERT LAUGHLIN MD / CO-OWNER / Business Phone: (661) 323-5300x Business Phone: ( ) - x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire React ImmHlth DelHlth Contact ROBERT LAUGHLIN Phone: (661) 323-5300x MailAddr : -64 Ol TRUXTUN AVE ~ -- - - - State : CA- - ~ -- City BAKERSFIELD Zip 93309 Owner BAKERSFIELD PULMONARY SLEEP & MED Phone: (661) 323-5300x Address 6401 TRUXTUN AVE 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 ~~~¢~ ~r E~ ~1 ~ ~~ • . ~~ • Based on my inquiry of those individuals nsible for obtaining the information, I certify respo under penalty of lavr that I have personally examined and am familiar with the information ubmitted and believe the information is true, • c ate, ~+ completE ~ ~01 _ ignature date -1- 06/29/2007 i F BAKERSFIELD PULMONARY SLEEP & MED ~ Hazmat Inventory ~ MCP+DailyMax Order = SiteID: 015-021-002270 ~ By Facility Unit ~ Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP OXYGEN F IH DH G 1000.00 FT3 Low WASTE FIXER R L 5.00 GAL Min -2- 06/29/2007 -3- 06/29/2007 i~ F BAKERSFIELD PULMONARY SLEEP & MED = ~ Inventory Item 0002 ~ COMMON NAME / CHEMICAL NAME I OXYGEN Location within this Facility Unit STATE TYPE Gas Pure SiteID: 015-021-002270 ~ Facility Unit: Fixed Containers at Site ~ Days On Site 365 Map: Grid: CAS# 7782-44-7 = PRESSURE TEMPERATURE CONTAINER TYPE Above Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 241.00 FT3 1000.00 FT3 1000.00 FT3 nxc~tucLVUJ ~.vl~irvivl,lvtJ %Wt. RS CAS# 100.00 Oxygen, Compressed No 7782447 I1HGtli[L H JJP~JJ1.1P~1V 1 J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Low ~ 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: X-RAY DARKROOM CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Waste Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 5.00 GAL 5.00 GAL I 5.00 GAL ruyurucLV~a ~.vl•1rv1.v~lvtS %Wt. RS CAS# Silver No 7440224 ruyc,t~t~ ti JJP..JJ1.1L~1v1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/` Curies R / / / Min -4- 06/29/2007 r F BAKERSFIELD PULMONARY SLEEP & MED SiteID: 015-021-002270 ~ Fast Format ~ ~ Not-if./Evacuation/Medical Overall Site ~ Agency Notification P~ILl~J1VyCC 1VU1,11. / ~VdC:Udl.1CJi1 Public Notif./Evacuation l:a LllCit~Clll:y 1.1C U1Ud1 t'l dll -5- 06/29/2007 F BAKERSFIELD PULMONARY SLEEP & MED SiteID: 015-021-002270 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention ---- Release Containment l..l CCL11 V~J v~tier rce5ourc:e r~cLivaLion -6- 06/29/2007 l\ F BAKERSFIELD PULMONARY SLEEP & MED SiteID: 015-021-002270 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ .7~JC 1:1Q1 na~ai u~ Utility Shut-Offs Fire Protec./Avail. Water iJU1llAllly VV\.. U1.J 0.11t.Y LGVG1 -7- 06/29/2007 ~~o a •i s ,Y F BAKERSFIELD PULMONARY SLEEP & MED SiteID: 015-021-002270 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee Training Page 2 nciu tvi rut~U.LC VAC D nclu ic~i ruLUie use -$- 06/29/2007