Loading...
HomeMy WebLinkAboutBUSINESS PLAN 1/31/2007II . _ u II BAKERSFIELD VETERINARY HOSP ~~ 5 _°_~I 44.08 WIBLE RD i ~, ~ 3~ BAKERSFIELD VETERINARY INC SiteID: 015-021-000739 Manager ~~ /Z~2 y lic/yC ICo FF Location: 4408 WIBLE RD City BAKERSFIELD ~~-- BusPhone: (661) 832-1150 Map 123 ~CommHaz High Grid: 13C~ FacUnits: 1 AOV: CommCode: BFD STA 07 EPA Numb: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title DR MYLON E FILKINS / ~l~ii/~2 DR JOHN TOLLEY / D(,c1iV~-/2 Business Phone: (661) 832-1150x Business Phone: (661) ~z~;~ g32-1 24=Hour Phone (661) 399-4754x. 24-Hour Phone (lGbl ).~l3-o1~37x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact TERRY WYCKOFF Phone: (661) 832-1150x MailAddr: 4408 WIBLE RD State: CA City BAKERSFIELD Zip 93313 Owner BAKERSFIELD VETERINARY HOSPITAL Phone: (661) 327-4444x Address 323 CHESTER AVE State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: - - _----RSs: - No ParcelNo: Emergency Directives: PROG A - HAZMAT Based on my inquiry of those individuals nsible for obtaining the information, 1 certify ~~~ D F ..; ~ ' respo under penalty of law that I have personally ation f L7 ~ ~ ~oo~ orm examined and am familiar with the in submitted and believe the information is true, accurate, and complete. Date Signature 5~ -1- 01/26/2007 F~BAKERSFIELD VETERINARY INC ~ Hazmat Inventory ~ MCP+DailyMax Order = SiteID: 015-021-000739 ~ , By Facility Unit ~ Fixed Containers on Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP NITROUS OXIDE F P IH G 350.00 FT3 Hi OXYGEN F P IH G 502.00 FT3 Low MINERAL OIL F L 55.00 GAL Min 1 -2- 01/26/2007 -3- 01/26/2007 F~BAKERSFIELD VETERINARY INC SiteID: 015-021-000739 ~ ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME NITROUS OXIDE Days On Site 365 Location within this Facility Unit Map: Grid: - N END OF OPERATING ROOM CAS# 10024-97-2 STATE T TYPE PRESSURE ~ TEMPERATURE ~~ CONTAINER TYPE ~GdS I Pure Above Ambient I Ambient I PORT. PRESS_ CYLINDER AMOUNTS AT THIS LOCATION "" Largest Container Daily Maximum Daily Average 175.00 FT3 350.00 FT3 I ~ 175.00 FT3 nt~~r~cLUU~ ~:ui~irulv~ivl~ °sWt. RS CAS# 100.00 Nitrous Oxide No 10024972 ri1-~GI-~tCL E~aJr,.~.71~1t51V 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F P IH / / / Hi ~ Inventory Item 0001 COMMON NAME / CHEMICAL NAME -_ OXYGEN Location within this Facility Unit NE CRNR STOREROOM 2 STATE T TYPE PRESSURE _ Gas I Pure Above Ambient Facility Unit: Fixed Containers on Site ~ - - -- -- - -- -_ - -_ - Days -On -Site - - - 365 Map: Grid: - CAS# 7782-44-7 TEMPERATURE CONTAINER TYPE Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 251.00 FT3 502.00 FT3 251.00 FT3 HAZARDOUS COMPONENTS oWt. RS CAS# 100.00 Oxygen, Compressed No 7782447 nta~.v~ct~ r~~ a r. ~ ~ri~iv 1 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP. No No No No/ Curies F P IH % / / Low -4- 01/26/2007 F~BAKERSFIELD VETERINARY INC SiteID: 015-021-000739 ~ ~ Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ COMMON NAME / CHEMICAL NAME MINERAL OIL Days On Site 365 Location within this Facility Unit Map: Grid: INSIDE W WALL OF TREATMENT AREA CAS# 8042-47-5 STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE Liquid TMixture~Ambient ~ Ambient DRUM/BARREL-METALLI~ AMOUNTS AT THIS LOCATION "" Largest Container Daily Maximum Daily Average 55.00 GAL 55.00 GAL 55.00 GAL tiE~GA1CL V u 5 l: V 1~1Y V1V 1",1V 1 J %Wt. RS CAS# 100.00 Mineral Oil No 8020835 t1E~GHKL 1-~.7~1;J51~1J;1V 1.7 TSecret RS BioHaz Radioactive/Amount. EPA Hazards NFPA USDOT# M~F No No No-~ No/ Curies F / / / Min -5- 01/26/2007 F~BAKERSFIELD VETERINARY INC SiteID: 015-021-000739 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site ~ ~ Agency Notification 10/10/2006 ~ CALL 911. EMERGENCY CONTACT: DR MYLON E FILKINS, 832-1150 BUSINESS, 399-4754 24-HOUR PHONE AND DR JOHN TOLLEY, 393-2237 BUSINESS. Employee Notif./Evacuation 10/10/2006 WORD-OF-MOUTH. WE ARE A SMALL BUILDING AND HAVE NO NEED FOR. BELLS OR ALARMS . Public Notif./Evacuation 10/10/2006 OUR HAZARD IS LOW AND OUR BUILDING IS NOT VERY CLOSE TO OTHER BUILDINGS. 61E DO NOT NOTIFY THE PUBLIC. ONE PERSON IS DESIGNATED TO ASK THE SENIOR FIREFIGHTER PRESENT IF ANY TYPE OF NOTIFICATION IS NECESSARY. Emergency Medical Plan 10/10/2006 MERCY HOSPITAL, 2215 TRUXTUN AVE, 327-3371 OR EDWARD P BROWN MD, 2531 G ST; 327-7348. -6- 01/26/2007 F~BAKERSFIELD VETERINARY INC SiteID: 015-021-000739 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 10/10/2006 ~ OXYGEN CYLINDERS PROPERLY CHAINED, PROPER VALVES AND FITTINGS. Release Containment 10/10/2006 WE ONLY STORE OXYGEN. IF IT GETS RELEASED, WE AERATE THE BUILDING TO PREVENT HAZARD TO OCCUPANTS. Clean Up 10/10/2006 NO SPECIAL MATERIALS OR TECHNIQUES ARE REQUIRED FOR CLEAN-UP. Other Resource Activation -7- 01/26/2007 F~BAKERSFIELD VETERINARY INC SiteID: 015-021-000739 ~ Fast Formal ~ ~ Site Emergency Factors Overall Site ~ especial nazaras Utility Shut-Offs A) GAS - NEXT TO BLDG E SIDE B) ELECTRICAL - E WALL OF BLDG C) WATER - SE CRNR OF.ACCESS RD NEAR FIRE HYDRANT D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water PRIVATE FIRE PROTECTION - ABC EXTINGUISHER. 12/20/200& FIRE HYDRANT - 150FT W OF NW CRNR OF BLDG ON E SIDE OF WIBLE RD NEAR ACCESS RD TO 4408 WIBLE RD. Building Occupancy Level 11 EMPLOYEES 12/20/2006 12/20/2006 -8- 01/26/2007 F~'BAKERSFIELD VETERINARY INC SiteID: 015-021-000739 ~ Fast Format ~ ~ Training Overall Site ~ ~ Employee. Training 10/10/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: WRITTEN INSTRUCTIONS. ORIENTATION ON LOCATION OF EXTINGUISHERS, CYLINDERS, EVACUATION ROUTES, EVACUATION, ETC, POSTED FIRE PLANS, AND HAZARDOUS MATERIALS INFORMATION. -9- 01/26/2007 + BAKERSFIELD VETERINARY IN~C _________________________= SiteID: 015-021-000739 + Manager Location: 4408 WIBLE RD City BAKERSFIELD BusPhone: (661) 832-1150 Map 123 CommHaz High Grid: 13C FacUnits: 1 AOV: CommCode: BFD STA 07 EPA Numb: SIC Code: DunnBrad: ----------------------------------------- Emergency Contact / Title Emergency Contact / Title DR MYLON E FILKINS / DR JOHN TOLLEY / Business Phone: (661) 832-1150x Business Phone: (661) 393-2237x 24-Hour Phone (661) 399-4754x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: Fire Press ImmHlth Contact MailAddr: 4408 WIBLE RD City BAKERSFIELD Phone: .(661) 832-1150x State: CA Zip 93313 Owner BAKERSFIELD VETERINARY HOSPITAL Phone: (661) 327-4444x Address 323 CHESTER AVE State: CA City BAKERSFIELD Zip 93301 Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT Based on 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 tha information submitted and believe the information is true, accurate, and comp A o Sign ure -.'°e -- - --~...~~,~_ Dat e S° ~~ ~pR ~ ~ 2006 -1- 03/09/2006 UNIFIED PRO(aRAM INSPECTI®N CHECKLIST SECTION 1: Business Plan and Inventory Program ~ Fax: (661) 872-2171 FACILITY NAME NSPECTION DATE ~ INSPECTION TIME ~3v s ~ ~, r~;r1 ~ _br ~o-~ ADDRESS. HONE NO. O OF EMPLOYEES FACILITY CONTACT USINESS ID NUMBER 1 5-021- 00073 l Section 1: Business Plan and Inventory Program ~~~ ~ ,~ . ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS ____ _ _ _-- ^ APPROPRIATE PERMIT ON HAND ^ BUSIn@SS 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 1 ANY HAZARDOUS WASTE ON SITE? ^ YES NO EXPLAIN: - QUESTIONS REG~AR'DjING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~C ~i JT'9 ~ ~.r%d ~r~ -7 G ~'a~-~ Inspector (Please Print) Fire Prevention / 1" In /Shift of Site/Station q uslness Si hoot Si Responsib y (Please Print) BAKERSFIELD FIRE DEPT Prevention Services ~«~ 900 'IYuxtun Ave., Suite 210 ~Rrn t Bakersfield, CA 93301 White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02/05) UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmentail Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME ~. ~ I INSPECTION DATE ;INSPECTION TIME ~.. -~.~_- V~~R-!!~`~?- ~---~-~ -a`~r -~-AC._ _ ---- ------ - - ----- -- - --- -9_15=U3--- f ~' --------- ADDRESS PHONE No. ! No. of Employees FACILITYCONTACT ~ (Business ID Number my ~ ~. r~~K~n~S is-o21-c~73q Section 1: Business Plan and Inventory Pn~gram Routine ^ Combined ^ Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection C V ncel OPERATION ti i COMMENTS J \V=Vioa o n ^ APPROPRIATE PERMIT ON HAND B USINESS PLAN CONTACT INFORMATION ACCURATE ^ - --- -------- -- -- VISIBLE ADDRESS 'L00~ ~ _ _--- ~ ~ ^ CORRECT OCCUPANCY QG ^ V ERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ~~j` T.~ v ~ ~ ; ~,~ LY L^ VERIFICATION OF LOCATION ~~~ ~ ~ G~ ~p~: ~ '7~ ^ PROPER SEGREGATION OF MATERIAL ^ MSDS V AVAILABILITYE ERIFICATION OF LY ^ VERIFICATION OF HAT MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES i --- --- ' - - ^ EMERGENCY PROCEDURES ADEQUATE CY ^ CONTAINERS PROPERLY LABELED ~ ^ HOUSEKEEPING LY ^ FIRE PROTECTION j 6d ^ SITE DIAGRAM ADEQUATE 8c ON HAND ANY HAZARDOUS WASTE ON SITE: ^ YES EXPLAIN: ~ ~ r LJ/I V V ..~ ,~; ~/ QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT ~GF)'I ~ 3Z6-3979 .~~~--_~_____ -_- U_~______. Inspector Badge No. White -Environmental Services Yellow -Station Copy Business S' Respon ' e Party ~j G (\/~ Pink -Business Copy