HomeMy WebLinkAboutBUSINESS PLAN
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UNIFIED PROGRAM INSPECTION CIiECKLIST
SECTION 1: Business Plan and Inventory Prograrn
BAKERSFIELD FIRE DEPT
H a p , Prevention Services
~lt~ 900 Truxtun Ave., Suite 210
~wr~r r Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NA NSPECTION DATE INSPECTION TIME
a ~¢~' ,~l r Y',,~, /CDT l~ ~ ~ / ~ ~'+.
ADDRESS HONE NO. O OF EMPLOYEES
FACILITY CONTACT
~
~L USINESS ID NUMBER
15-021- QLj~~ y ~
-v.-. u ati~~ o
A-~
Section 1: Business Plan and Inventory Program ~~ ~~
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
I
C V (c=Compliance OPERATION
V=Violation COMMENTS
^ APPROPRIATE PERMIT ON HAND
^ BUSIfI@SS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS ~ T`D ~ ~ ~ "I Q Z(,} . .
1 V U
^ CORRECT OCCUPANCY ~
~(^ VERIFICATION OF INVENTORY MATERIALS
/
`
~j
^ VERIFICATION OF QUANTITIES
L~ ^ VERIFICATION OF LOCATION
/
\
~
^ PROPER SEGREGATION OF MATERIAL
^ VERIFICATION OF MSDS AVAILABILITY
^ VERIFICATION OF HAZ MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND
P CEDURES
1~ ^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED
L~ ^ HOUSEKEEPING
/`
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
YES ~ NO
.QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
Inspector (Please Print) Fire revention / tb` In / Sh'rft of Site/Station fk uslnes t / ohool Site Responsible P (Please Print)
White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02/05)
+ BAKERSFIELD VETERINARY HOSPITAL _____________________ SitelD: 015-021-000740 +
Manager BusPhone: (661) 834-6005
Location: 4410 WIBLE RD Map 123 CommHaz High
City BAKERSFIELD Grid: 13C FacUnits: 1 AOV:
CommCode: BFD STA 07 SIC Code:
EPA Numb: DunnBrad:
Emergency Contact / Title Emergency Contact / Title
DR CHARLES P ULRICH / DR JENNIFER MCGRAW / 32y~-4wy+/
Business Phone: (661) 834-6005x Business Phone: (661) 83-~ ~99{x
24-Hour Phone (661) 589-3173x 24-Hour Phone (661) 588-3400x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: Fire Press React ImmHlth DelHlth
Contact Phone: (661) 834-6005x
MailAddr: 4410 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
Eased on my inquiry of those individuals
responsible for obtalnirtg the informatlon, M certify
under penalty of law that I have personally
examined and am famlllar with the information
submitted and believe the information is 4rue,
accurate. and complete.
Signature Date
ENT'p ~q R 2 a
2006
-1- 03/09/2006
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1 Business Plan and Inventory Program
Bakersfield Fire Dept.
Enironmental Services
1715 Chester Ave
Bakersfield, CA 93301
Tel: (661)326-3979
_- .INS ECTIO ATE SPECTION TIM
F ILfTY NAME ' P N D i IN E
t No of Ernpioyees
ADDRESS ;PHONE No.
FACILITYCONTACT iBusiness ID Number
D¢ . c ~r~-c-e~ P c~~Q ~ c~ ~ I s-o2 I- oc~o? ~ ~
Section 1: Business Plan and Inventory Program
Routine ^ Combined ^ Joint Agency ^hulti-Agency ^ Complaint ^ Re-inspection
V
C (C=Compliance
~ OPERATION I
COMMENTS
J
l10 \ V=Violation
APPROPRIATE PERMIT ON HAND
^ BUSINESS PLAN CONTACT INFORMATION ACCURATE
,f
+
^ - --
V -----~------ ~--- ------- - ---- --
6 ~O
I
J ISIBLE ADDRESS
~
-----------------------
- - ~{~
- 5------------------..-------- ----------
- --------- ---
~
-- V`
^ CORRECT OCCUPANCY
~^ VERIFICATION OF INVENTORY MATERIALS i ~' ~ ~- 1 ~ ~~ ~;
^
VERIFICATION OF QUANTITIES S ~. ~~i -- - ~,/~; jar
~ ~ ~
Nf' -----------------------------------
~^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
^ VERIFICATION OF MSDS AVAILABILITYE
VERIFICATION OF FIAT MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
------------------------..---- --------
-- ------------------i-- -
^ EMERGENCY PROCEDURES ADEQUATE
~
,-
L7 L^ --------- --------------- --T
CONTAINERS PROPERLY LABELED ----------------- ------ -----------------------------
~^ HOUSEKEEPING
-------------
---------------------------------
^ FIRE PROTECTION
lJ U SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE: ^ YES
EXPLAIN:
~ ~~~;~ . ~
~C~lr:
QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT (66'I ~ 326-3979
~.
~ ~~ _~
Ins ctor -------- - ------ Bad a No.------~
Pe 9
White -Environmental Services Yellow -Station Copy
1
-~-{~-Y - ---~
siness Site Res Bible Parry
Pink -Business Copy
UNIFIED PROGRAM INSPECTION CIiECKLIST
SECTION 1: Business Plan and Inventory Program ~' Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS ~,/
- 1. (~ ~ Q ~3~~ - ~~~
.) NOO~EC~ OYEES
FACILITY CONTACT
D~
~L
~ USINESS ID NUMBER
15-021- ~Qlbl`] ~) O
.
..
~~
Section 1: Business Plan and Inventory Program AFC
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V (c=Compliance OPERATION
V=Violation COMMENTS
^ APPROPRIATE PERMIT ON HAND
^ BUSIl1@SS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL I
^ 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
_i
.~
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
QUESTIONS REGARDING T_H\\I11S INSPECTION? PLEASE C/ALL US AT (661) 326-3979
tiT 5~~~+`WK~~cc+ ~ C! ~~~ `
Inspector (Please Print) Fire Preventi~T % 1 ` In /Shift of Site/Station # s es I e/S hool Site Responsible P e Print)
^ YES ~ NO
BAKERSFIELD FIRE DEPT
e ~ s p , D Prevention Services
~1e1 900 Trtixtun Ave., Suite 210
~Rrr t Bakersfield, CA 93301
White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02/05)
BAKERSFIELD VETERINARY HOSPITAL SiteID: 015-021-000740
Manager CHARLES P ULRICH
Location: 4410 WIBLE RD
City BAKERSFIELD
BusPhone: (661) 834-6005
Map 123 CommHaz High
Grid: 13C FacUnits: 1 AOV:
CommCode: BFD STA 07
EPA Numb:
SIC Code:
DunnBrad:
Emergency Contact / Title Emergency Contact / Title
CHARLES P ULRICH / MANAGING PARTNR JENNIFER MCGRAW / PARTNER
_ Business Phone: (661) 834-6005x Business Phone: (661) 834-6005x
24-Hour Phone (661) 589-3173x 24-Hour Phone (661) 588-3400x
Pager Phone ( ) - x Pager Phone ( ) - x
Hazmat Hazards: Fire Press React ImmHlth DelHlth
Contact MIKE KEESE Phone: (661) 834-6005x
MailAddr: 4410 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 ''!!
~tY~B~ ~ 4~ ~
~' ~ ~~~~
PROG H - HAZ WASTE GEN
Qased on my inquiry of those ind!viG!,a
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,
accurat and complP... /~
/7 7
Signature Date
-1- 06/29/2007
F BAKERSFIELD VETERINARY HOSPITAL SiteID: 015-021-000740 ~
~ 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 986.00 FT3 Hi
OXYGEN F IH DH G 502.00 FT3 Low
WASTE FIXER R L 20.00 GAL Min
-2- 06/29/2007
-3- 06/29/2007
F BAKERSFIELD VETERINARY HOSPITAL SiteID: 015-021-000740 ~
~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
NITROUS OXIDE Days On Site
_ 365
Location within this Facility Unit Map: Grid:
STORAGE SHED E SIDE OF BLDG CAS#
10024-97-2
STATE TYPE PRESSURE TEMPERATURE CONTAINER TYPE
Gas Pure Above Ambient Ambient PORT. PRESS. CYLINDER
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum Daily Average
493.00 FT3 986.00 FT3 493.00 FT3
IST 7TDTl/lTTO /'V1TRT]/1TTL~TTm ['~ _-
1117L.1A1W V V U 1. Vl'lr V1V P~LV 1 J
%Wt. RS CAS#
100.00 Nitrous Oxide No 10024972
il!-~Gti1CL tiJ JP~J Jl•1P~1V1J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Hi
~ Inventory Item 0002
COMMON NAME / CHEMICAL NAME
OXYGEN
Location within this Facility Unit
STORAGE SHED E SIDE OF BLDG
STATE TYPE PRESSURE _
Gas TPure Above Ambient
Facility Unit: Fixed Containers at 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 I Daily Average
251.00 FT3 502.00 FT3 251.00 FT3
ruyc~rucl~v V J ~..vl•irvly l;lv 1 S
%Wt. RS CAS#
100.00 Oxygen, Compressed No 7782447
r1tiL~tiCCL HJ JJ'.+J J1"1P~1V1J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP.
No No No No/ Curies F IH DH / / / Low
-4- 06/29/2007
F BAKERSFIELD VETERINARY HOSPITAL
~ Inventory Item 0003
SiteID: 015-021-000740 ~
Facility Unit: Fixed Containers at Site ~
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
5.00 GAL 20.00 GAL 5.00 GAL
nriG.ytcLUU~ ~.vt~irvlv~ly 1 ~
%Wt. RS CAS#
Silver No 7440224
riHGtitCll H. 7.7~JJ1~1~1V 1.7
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R / / / Min
-5- 06/29/2007
Liquid TWaste ~mbient~E ~ AmbientT~E I PLASTOICTCONTAINERE
F BAKERSFIELD VETERINARY HOSPITAL SiteID: 015-021-000740 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification 10/10/2006 ~
CALL 911. ,
EMERGENCY CONTACT: DR CHARLES P ULRICH, 834-6005 BUSINESS, 589-3173 24-HR
PHONE OR DR JENNIFER MCGRAW, 327-4444 BUSINESS, 588-3400 24-HR PHONE.
Employee Notif./Evacuation 10/10/2006
BY WORD-OF-MOUTH. OUR FACILITY IS SMALL, WE DO NOT REQUIRE ALARMS OR BELLS.
WRITTEN EVACUATION PLAN IS POSTED IN THE HOSPITAL. SMOKE/HEAT DETECTORS IN
PLACE MONITORED THROUGH MONITRONICS INC.
Public Notif./Evacuation 10/10/2006
WE DO NOT NOTIFY THE PUBLIC OR OUR NEIGHBORS. WE HAVE TWO CYLINDERS OF
OXYGEN AND ONE CYLINDER OF NITROUS OXIDE. WE HAVE NO NEIGHBORS IN CLOSE
PROXIMITY. ONE PERSON IS DESIGNATED TO ASK THE SENIOR FIREFIGHTER PRESENT
IF NOTIFICATION IS REQUIRED.
Emergency Medical Plan 10/10/2006
'MERCY HOSPITAL, 2215 TRUXTUN AVE, 327-3371 OR EDWARD P BROWN MD, 2531 G ST,
327-7348.
-6- 06/29/2007
F BAKERSFIELD VETERINARY HOSPITAL SiteID: 015-021-000740 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 10/10/2006 ~
WE USE CARE IN THE HANDLING AND STORAGE OF OUR CYLINDERS. CYLINDERS ARE
CHAINED TO PREVENT FALLING OR OVERTURNING. VALVES ARE CHECKED AFTER EACH
USE TO ENSURE NO LEAKS.
Release Containment 11/05/1996
NOT CONSIDERED NECESSARY. IN THE EVENT OF RELEASE OF GASES, WE AERATE OUR
BUILDINGS TO PREVENT HAZARDS TO THE OCCUPANTS. OUR RISK LEVEL IS VERY LOW
AND WE STORE NO POISONOUS GASES. WE KEEP ONLY OXYGEN AND NITROUS OXIDE.
Clean Up 05/21/2003
NO SPECIAL TECHNIQUES, MATERIALS, OR EQUIPMENT IS REQUIRED FOR THE GAS WE
USE.
Other Resource Activation
-7- 06/29/2007
F BAKERSFIELD VETERINARY HOSPITAL SiteID: 015-021-000740 ~
Fast Format .~
~ Site Emergency Factors Overall Site ~
a~c~:lai na~uiu5
Utility Shut-Offs 02/28/2007
GAS - NE CRNR OF BLDG
ELECTRICAL - NE CRNR OF BLDG ON WALL
WATER - FRONT OF BLDG N SIDE CTR
Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - ABC FIRE EXTINGUISHERS.
01/26/2007
FIRE HYDRANT - 30FT FROM NW CRNR OF BLDG E SIDE OF WIBLE RD NEAR ACCESS RD
TO 4408 WIBLE RD.
Building Occupancy Level 03/09/2006
7 EMPLOYEES
-8- 06/29/2007
.- _ -
F BAKERSFIELD VETERINARY HOSPITAL SiteID: 015-021-000740 ~
Fast Format ~
~ Training Overall Site ~
~ Employee Training 10/10/2006 ~
MSDS SHEETS ON FILE.
BRIEF SUMMARY OR TRAINING PROGRAM: WRITTEN INSTRUCTION. ORIENTATION ON
LOCATION OF EXTINGUISHERS; CYLINDERS, EVACUATION ROUTES, NOTIFICATION, ETC.
POSTED FIRE PLANS AND HAZARDOUS MATERIALS INFORMATION.
ra~~
Held for Future Use
Held for Future Use
-9- 06/29/2007
~' 1
BAKERSFIELD VETERInNAJR/Y HOSPITAL SiteID: 015-021-000740
Manager C~,a2lv~c5 I' v~'f~~ ~J~ BusPhone: (661) 834-6005
Location: 4410 WIBLE RD Map 123 CommHaz High
City BAKERSFIELD Grid: 13C FacUnits: 1 AOV:
CommCode: BFD STA 07
EPA Numb:
SIC Code:
DunnBrad:
Emergency Contact / Title~J Emergency Contact / Title
DR CHARLES P ULRICH //)'JAnlA~~N6 !'~-2-~nlC~ DR JENNIFER MCGRAW / ~/.-e~~~'C..
Business Phone: (661) 834-6005x Business Phone: (661) 834-6005x
24-Hour Phone (661) 589-3173x 24-Hour Phone (661) 588-3400x
Pager Phone ( ) - x Pager Phone ( ) - x
_....._...
Hazmat Hazards: Fire Press React ImmHlth DelHlth
,~1
Contact /,IrILLf ~~//
[(L~~S~ ~//1/1 Phone:
(661)
834-6005x
MailAddr: 4410 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
PROG H - HAZ WASTE GEN
Based on my inquiry of those individuals
responsible for obtaining the information, I certify ~N~oR
U ~ L:a ~ ~
~~Q7
under penalty of law that I have personally
examined and am familiar with the information
submitted and believe the information is true,
accurate, and complete.
~~~ ~ ~~ ~1~ ~ 7
Signature Date
-1- 01/26/2007
r
F BAKERSFIELD VETERINARY HOSPITAL SiteID: 015-021-000740 ~
~ 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 986.00 FT3 Hi
OXYGEN F IH DH G 502.00 FT3 Low
WASTE FIXER R L 20.00 GAL Min
-2- 01/26/2007
-3- ~ 01/26/2007
F BAKERSFIELD VETERINARY HOSPITAL SiteID: 015-021-000740 ~
Inventor
It
0001 ili
i i
~
y
em Fac
ty Un
t: F
xed Containers at Site ~
COMMON NAME / CHEMICAL NAME
NITROUS OXIDE Days On Site
365
Location within this Facilit
Unit Ma G
id -----
y p: r
:
STORAGE SHED E SIDE OF BLDG CAS#
10024-97-2
STATE TYPE T PRESSURE ~T
Gas TPure I Above Ambient I TEMPERATURE ~
Ambient ~ CONTAINER TYPE ".
i PORT. PRESS_ CYLINDER I
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum- Daily Average
493.00 FT3 986.00 FT3 493.00 FT3
HAZARDOUS COMPONENTS
%Wt. RS CAS#
100.00 Nitrous Oxide No 10024972
I1tiGtiRL HJ JP~~7.71"1P~1V l~J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F P IH / / / Hi
~ Inventory Item 0002 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME
OXYGEN Days On Site
365
Location within this Facility Unit Map: Grid: ------
STORAGE SHED E SIDE OF BLDG CAS#
7782-44=7
STATE T TYPE T PRESSURE ~~ TEMPERATURE ~~ CONTAINER TYPE ".....
~GaS I Pure i Above Ambient I Ambient I PORT. PRESS_ CYLINDER I
AMOUNTS AT THIS LOCATION
Largest Container Daily Maximum I Daily Average
251.00 FT3 502.00 FT3 251.00 FT3
11tiGH1~LUUJ 1.U1~lYV1V~1V 1.7
%Wt. RS CAS#
100.00 Oxygen, Compressed No 7782447
I1[-1GriRL HJ ~J I:+J .71"1P~1V1J
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies F IH DH / / / Low
-4- 01/26/2007
F BAKERSFIELD VETERINARY HOSPITAL SiteID: 015.-021-000740 ~
~ Inventory Item 0003 Facility Unit: Fixed Containers at Site ~
COMMON NAME / CHEMICAL NAME --
WASTE FIXER Days On Site
365
Location within this Facility Unit Map: Grid: -----
DARKROOM CAS #k
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 20.00 GAL ~ 5.00 GAL
HAZARDOUS COMPONENTS
°sWt .
Silver
HAZARD
RS CAS#
No 7440224
AS SESSMENTS
TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP
No No No No/ Curies R / / / Min
-5-
01/26/2007
F BAKERSFIELD VETERINARY HOSPITAL SiteID: 015-021-00070 ~
Fast Format ~
~ Notif./Evacuation/Medical Overall Site ~
~ Agency Notification 10/10/2006 ~
CALL 911.
EMERGENCY CONTACT: DR CHARLES P ULRICH, 834-6005 BUSINESS, 589-3173 24-HR
PHONE OR DR JENNIFER MCGRAW, 327-4444 BUSINESS, 588-3400 24-HR PHONE.
Employee Notif./Evacuation 10/10/2006
BY WORD-OF-MOUTH. OUR FACILITY IS SMALL, WE DO NOT REQUIRE ALARMS OR BELLS.
WRITTEN EVACUATION PLAN IS POSTED IN THE HOSPITAL. SMOKE/HEAT DETECTORS IN
PLACE MONITORED THROUGH MONITRONICS INC.
Public Notif./Evacuation
10/10/2006
WE DO NOT NOTIFY THE PUBLIC OR OUR NEIGHBORS. WE HAVE TWO CYLINDERS OF
OXYGEN. AND ONE CYLINDER OF NITROUS OXIDE. WE HAVE NO NEIGHBORS IN CLOSE
PROXIMITY. ONE PERSON IS DESIGNATED TO ASK THE SENIOR FIREFIGHTER PRESENT
IF NOTIFICATION IS REQUIRED.
Emergency Medical Plan 10/10/2005
MERCY HOSPITAL, 2215 TRUXTUN.AVE, 327-3371 OR EDWARD P BROWN MD, 2531 G ST,
327-7348.
-6- 01/26/200.7
F BAKERSFIELD VETERINARY HOSPITAL SiteID: 015-021-000740 ~
Fast Format ~
~ Mitigation/Prevent/Abatemt Overall Site ~
~ Release Prevention 10/10/2006 ~
WE USE CARE IN THE HANDLING AND STORAGE OF OUR CYLINDERS. CYLINDERS ARE
CHAINED TO PREVENT FALLING OR OVERTURNING. VALVES ARE CHECKED AFTER EACH
USE TO ENSURE NO LEAKS.
Release Containment 11/05/1996
NOT CONSIDERED NECESSARY. IN THE EVENT OF RELEASE OF GASES, WE AERATE OUR
BUILDINGS TO PREVENT HAZARDS TO THE OCCUPANTS. OUR RISK LEVEL IS VERY LOW
AND WE STORE NO POISONOUS GASES. WE KEEP ONLY OXYGEN AND NITROUS OXIDE.
Clean Up 05/21/2003
NO SPECIAL TECHNIQUES, MATERIALS, OR EQUIPMENT IS REQUIRED FOR THE GAS WE
USE.
Other Resource Activation
-7- 01/26/2007
F BAKERSFIELD VETERINARY HOSPITAL SiteID: 015-021-000740 ~
Fast Format ~
~ Site Emergency Factors Overall Site ~
J~1Cl:1dl Ild'Gdl US
Utility Shut-Offs
A) GAS - NE CRNR OF BLDG
B) ELECTRICAL - NE CRNR OF BLDG ON WALL
C) WATER - FRONT OF BLDG N SIDE CTR
D) SPECIAL - NONE
E) LOCK BOX - NO
12/20/2005
Fire Protec./Avail. Water
PRIVATE FIRE PROTECTION - ABC FIRE EXTINGUISHERS.
01/26/2007
FIRE HYDRANT - 30FT FROM NW CRNR OF BLDG E SIDE OF WIBLE RD NEAR ACCESS RD
TO 4408 WIBLE RD.
Building Occupancy Level
7 EMPLOYEES
03/09/2005
-8- 01/26/2007
.~ _.
F BAKERSFIELD VETERINARY HOSPITAL SiteID: 015-021-000740 ~
~ Fast Format ~
~ Training Overall Site ~
~ Employee Training 10/10/2006 ~
MSDS SHEETS ON FILE.
BRIEF SUNIl~IARY OR TRAINING PROGRAM: WRITTEN INSTRUCTION. ORIENTATION ON
LOCATION OF EXTINGUISHERS, CYLINDERS, EVACUATION ROUTES, NOTIFICATION, ETC.
POSTED FIRE PLANS AND HAZARDOUS MATERIALS INFORMATION.
rayC ~
raclu tvt r UI.ULC V.7~C
nCLU LVL l UI.ULC UAL'
-9-
01/26/2007