HomeMy WebLinkAboutBUSINESS PLAN 1/31/2007II . _
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II BAKERSFIELD VETERINARY HOSP
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_°_~I 44.08 WIBLE RD
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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 ~ ~ ;
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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