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Home My WebLink AboutBUSINESS PLANI/I q1~~ SiteID: 015-021-001923 BusPhone: (661) 327-9617 Map 102 CommHaz Minimal Grid: 26D FacUnits: 1 AOV: SIC Code: DunnBrad: ..~ US HEALTHWORKS MEDICAL GROUP = Manager LIZ MARTINEZ Location: 1800 WESTWIND DR 301 City BAKERSFIELD CommCode: BFD STA O1 EPA Numb: Emergency -Cnntgct / Tit.le___-_ EmerQenrv C'nn-tact /. Title , ~~ $1.~12L --~'; Cel1,~ Y-~~ er ; L i2 ~ ~4utG~ ~t''PP,~'- ! t f1 Su~l~iSo~` _ - rusiness Phone : (.lclal ~ )~~' ~g41~''x~ 1 5_f Business Phone : (Gvl )3~~ - ~h!?'x 24-Hour Phone ~(,t~hl; ),~7 a~ - J10?~x 24-Hour Phone ( ) - x _ Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: React Contact T"•~`~12 1~/~Dl,if~~-'t~2 Phone: (661) 327-9617x/~;~ MailAddr: 1800 WESTWIND DR 301. State: CA City BAKERSFIELD Zip 93301 Owner US HEALTHWORKS MEDICAL GROUP Phone: (661) 327-9617x Address 1800 WESTWIND DR 301 State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG H - HAZ WASTE GEN ~ ~ ~1""DAPP~~~~~, ~~~~ ~acc~d on my inquiry of those individuals ibls3 for obtasning the ~nformatio lly r~~pon~ ersona dnr~ar penalty of law that I have p ith the information examinod and am familiar w eie the information is true, submitted and beli l accurs~te, and comp / . ~~1~ - !-~~ 1 ~1.~~ Jti Daze i ature ~/ -1- 03/27/2007 F US HEALTHWORKS MEDICAL GROUP SiteID: 015-021-001923 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazard~Frm I DailyMax IUnitIMCPI WASTE FIXER R L 5.00 GAL Mini -2- 03/27/2007 LOOZ/LZ/£0 -£- L J ~, F US HEALTHWORKS MEDICAL GROUP SiteID: 015-021-001923 ~ ~ 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 RM CAS# STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid Waste_=mbient ~ Ambient ~LASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 5.00 GAL 5.00 GAL 5.00 GAL riHG1~tCLVUJ ~:JMPOlvl;lvlJ %Wt. RS CAS# Silver No 7440224 t1L~GH2CL l-~JJJ;JJ1~1~1V1J TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R / / / Min -4- 03/27/2007 F US HEALTHWORKS MEDICAL GROUP SiteID: 015-021-001923 ~ Fast Format ~ -~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 10/25/2001 PHONE 911. Employee Notif./Evacuation the ~~nf~r ma~nfa~ns a /is~ of ussD~i~~~ ~~~~ rvurn,berS ~D aid ~~ ~ ~?o~i~,~cafi'o.~v © F ass~~ia~~s ~~~ Case a~ emc~,genc~ ~. i5~~~ Public Notif./Evacuation iutciycii~.1r i•icui~.ax rlai.t 1 ~ln 2l'~'12/~~cy SiluafiD~il~ ~ aSSOCCa,~ i5 ,frans~D~~d fo ~ ~~~~ ~2 from f~- SCeh~ ©~ ~ G~Ufu/~ or 6tcG~d2i'1~/ i~ ~e- ~/-~ut cannot ~. say ha~d~ cvi~irn ~ een~ei s~~~ ~ `~' -5- 03/27/2007 n r, F US HEALTHWORKS MEDICAL GROUP SiteID:-015-021-001923 ~ Fast Format ~ ~~~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 10/25/2001 ~ WEEKLY SERVICE CHECKS ON EQUIPMENT. Release Containment 10/25/2001 SECONDARY CONTAINMENT UNDER WASTE FIXER. = Clean Up 10/25/2001 = ~'_'- ~tli{o fn ~Q t'-'1.e.d iCu,1 ~rr1 ~9~n, ~SeI U,~'ar15 Other Resource Activation -6- 03/27/2007 r• - c F US HEALTHWORKS MEDICAL GROUP SiteID: 015-021-001923 ~ Fast Fnrmat ~ Site Emergency Factors Overall Site ~ ~7~JCC:1d1 ridGd1.U5 Utility Shut-Offs 05/05/2006 A) GAS - W END BLDG B) ELECTRICAL - S END BLDG C) WATER - W END BLDG D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 05/05/2006 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. NEAREST FIRE HYDRANT - E END BLDG. Building Occupancy Level` -7- 03/27/2007 1 ~. ~ ~ ' i~~~ F U~HEALTHWORKS MEDICAL GROUP SiteID: 015-021-001923 ~ Fast Format ~ Training Overall Site ~ Employee Training ~ro~~sses ~a~ han~li~N~ docum~¢n~atia~v Df hauudous fc~a~s~l-e /m~~cals and ~or~i n~- inC~ents is e~~b~ish~d ~ ~/lowed, Gonsis~en,~ with L~.SI~~ ha2~-~ C om~uni Cl~i, ~iUN yak e Dues . S1'a~~' is ~~vSfT'u.~~Cd ~ use aPp~oprca~ proms ham. ~~~~- ~,~~ s~ ~~ons d~~~q ~Pas~e. tv ~~Za~dous ~na~~~~'~ PIl NC~2ardo cis ~'lak«a is ~nuv~~~ U~~ ~s, ma cr~fa cn~d and pl~eed i~l fem. rayC ~ Held for Future Use RG 141 ivi i• u~. uic vac -8- 03/27/2007