HomeMy WebLinkAboutHazmat Business Plan 10/07
.+ TINER DENTAL CORP =================================== SiteID: 015-021-002848 +
Manager : Ameet Chopra DDS
Location: 820 34TH ST 201
City BAKERSFIELD
BusPhone:
Map : 103
Grid: 19B
(661) 327-7878 -\
CommHaz : Low
FacUnits: 1 AOV:
CommCode: BFD STA 04 SIC Code:
EPA Numb: DunnBrad:
+==============================================================================+
+=======================================+===================================~==+
Emergency Contact / Ti tIe ~ Emergency Contact / Ti tIe 'f
Ameet Chopra DDS / SURGEON ~M(c4-(lh AKIM ALEXANDER / BACK OFFICE MGR
Business Phone: (661) 327-7878x Business Phone: (661) 327-7878x
24-Hour Phone : (916) 798-4915x 24-Hour Phone : (661) 342-1894x
Pager Phone () - x Pager Phone : () x
+---------------------------------------+--------------------------------------+
I Hazmat Hazards: Fire Press React ImmHlth DelHlth I
+------------------------------------------------------------------------------+
Contact : TRUDY WHITE Phone: (661) 327-7878x
MailAddr: 5708 PIRRONE RD State: CA
City : SALIDA Zip : 95368
+------------------------------------------------------------------------------+
Owner MR DAVIS C/O MANCO ABBOTT Phone: (661) 334-4800x
Address : 5000 CALIFORNIA AVE State: CA
City : BAKERSFIELD Zip : 93309
+------------------------------------------------------------------------------+
Period to TotalASTs: = Gal
Preparer: TotalUSTs: = Gal
Certif'd: RSs: No
parcelNo:
+------------------------------------------------------------------------------+
Emergency Directives:
PROG A - HAZMAT
PROG H - HAZ WASTE GEN
Based on ""'v inquiry of those injividlJa~s
,--,.."',,,;::,;... for v.)tait ,i, '1:1 ii ItI illiofllll:dion, I certilY
unde: penalty of law that I have personally
examined and am familiar with the information
submitted and believe the information is true.
accurate, and complete. .
JD 3)'01-
Date
+========================================================~-==:==================+
~ -1- ~~- " 10/26/2007
~ ~ ~
+ TINER DENTAL CORP =================================== SiteID: 015-021-002848 +
+= Hazmat Inventory ========================================= By Facility Unit +
+== MCP+DailyMax Order ============================== Fixed Containers at Site +
+--------------------------------+-------+-----------+-----+----------+----+---+
I Hazmat Common Name... ISpecHaz/EPA Hazards I Frm I DailyMax IUnitlMcpl
+--------------------------------+-------+-----------+-----+----------+----+---+
OXYGEN F IH DH G 843.00 FT3 Low
NITROGEN F P IH G 510.00 FT3 Min
WASTE FIXER R L 4.00 GAL Min
+==============================================================================+
-2-
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.+ TINER DENTAL CORP =================================== SiteID: 015-021-002848 +
+= Inventory Item 0003 =============== Facility Unit: Fixed Containers at Site +
+== COMMON NAME / CHEMICAL NAME ==============================+================+
OXYGEN I Days On Site I
365
Location within this Facility Unit Map: Grid: +------------____+
I CAS # I
7782-44-7
+=============================================================+================+
+= STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+
I Gas I Pure I Above Ambient I Ambient I PORT. PRESS. CYLINDER I
+=========+==========+===============+===============+=========================+
+==========================+ AMOUNTS AT THIS LOCATION =========================+
I Largest Container I Daily Maximum I Daily Average I
843.00 FT3 843.00 FT3 422.00 FT3
+==========================+=========================+=========================+
+=======+============== HAZARDOUS COMPONENTS ==============+===+===============+
I %Wt. I I RSI CAS # I
100.00 Oxygen, Compressed No 7782447
+=======+==================================================+===+===============+
+=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+
/Tsecret/ RSI BioHazI Radioactive/Amo~t I EPA Hazards I NFPA I USDOT# I MCP I
No No No No/ Curles F IH DH / / / Low
+=======+===+======+====================+=============+=========+========+=====+
+========================== MISC. LOCAL AGENCY DATA ===========================+
Ag.Definedl: Ag.Defined2: Ag.Defined3: Ag.Defined4:
Ag.Defined5:
Ag.Defined6:
Ag.Defined7:
Ag.Defined8:
Ag.Defined9:
Ag.Definel0:
+- Ag.Definell -------------------------------------___________________________+
+==============================================================================+
-3-
10/26/2007
+ TINER DENTAL CORP =================================== SiteID: 015-021-002848 +
+= Inventory Item 0001 =============== Facility Unit: Fixed Containers at Site +
+== COMMON NAME / CHEMICAL NAME ==============================+================+
NITROGEN I Days On Site I
365
Location within this Facility Unit Map: Grid: +----------------+
I CAS # I
7727-37-9
+=============================================================+================+
+= STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+
I Gas I Pure I Above Ambient I Ambient I PORT. PRESS. CYLINDER I
+=========+==========+===============+===============+=========================+
+==========================+ AMOUNTS AT THIS LOCATION =========================+
I Largest Container I Daily Maximum I Daily Average I
510.00 FT3 510.00 FT3 255.00 FT3
+==========================+=========================+=========================+
+=======+============== HAZARDOUS COMPONENTS ==============+===+===============+
I %Wt. I I RSI CAS # I
100.00 Nitrogen No 7727379
+=======+==================================================+===+===============+
+=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+
I TSecretI RS/BioHaz/ Radioactive/Amount I EPA Hazards I NFPA I USDOT# I MCP I
No No No No/ Curies F P IH / / / Min
+=======+===+======+====================+=============+=========+========+=====+
+========================== MISC. LOCAL AGENCY DATA ===========================+
Ag.Definedl: Ag.Defined2: Ag.Defined3: Ag.Defined4:
Ag.Defined7:
Ag.Defined5:
Ag.Defined6:
Ag.Defined8:
Ag.Defined9:
Ag.Definel0:
+- Ag.Definell -------------------------------------------_____________________+
+==============================================================================+
-4-
10/26/2007
+ TINER DENTAL CORP =================================== SiteID: 015-021-002848 +
+= Inventory Item 0004 =============== Facility Unit: Fixed Containers at Site +
+== COMMON NAME / CHEMICAL NAME ==============================+================+
WASTE FIXER I Days On Site I
365
Location within this Facility Unit Map: Grid: +----------------+
I CAS# I
+=============================================================+================+
+= STATE =+= TYPE ===+== PRESSURE ===+ TEMPERATURE ==+==== CONTAINER TYPE =====+
I Liquid I Waste I Ambient I Ambient I PLASTIC CONTAINER I
+=========+==========+===============+===============+=========================+
+==========================+ AMOUNTS AT THIS LOCATION =========================+
I Largest Container I Daily Maximum I Daily Average I
4.00 GAL 4.00 GAL 4.00 GAL
+==========================+=========================+=========================+
+=======+============== HAZARDOUS COMPONENTS ==============+===+===============+
I %Wt. I I RSI CAS # I
Silver No 7440224
+=======+==================================================+===+===============+
+=======+===+======+=========== HAZARD ASSESSMENTS ===+=========+========+=====+
/Tsecret/ RSIBioHazl Radioactive/Amo~t I EPA Hazards I NFPA I USDOT# I M~P I
No No No No/ Curles R / / / Mln
+=======+===+======+====================+=============+=========+========+=====+
+========================== MISC. LOCAL AGENCY DATA ===========================+
Ag.Definedl: Ag.Defined2: Ag.Defined3: Ag.Defined4:
Ag.Defined5:
Ag.Defined6:
Ag.Defined7:
Ag.Defined8:
Ag.Defined9:
Ag.Define10:
+- Ag.Definell ----------------------------------------------------------------+
+==============================================================================+
-5-
10/26/2007
+ TINER DENTAL CORP =================================== SiteID: 015-021-002848 +
+= Inventory Item 0004 =============== Facility Unit: Fixed Containers at Site +
+==================+=========+====== WASTE DATA ===========+===================+
I TreatedN~n Site I CA Code I US Code I GAL Generated/Mo. I GAL Generated/Yr. I
+------------------+---------++--------+-------------------+-------------------+
I Treatment UnitID: I Unit Type: I
+-----------------------------+------------------------------------------------+
Agency-Defined Text Label
+==============================================================================+
-6-
10/26/2007
+ TINER DENTAL CORP =================================== SiteID: 015-021-002848 +
+================================================================= Fast Format +
+- Notl'f /Evacuatl'on/Medl'cal ------------------------------------ Overall Sl'te +
-. ------------------------------------
+== Agency Notification =========================================== 05/09/2007 +
CALL 911.
NON-EMERGENCY CALL 326-3979.
+==============================================================================+
+--- Employee Notl'f /Evacuatl'on ----------------------------------- 05/09/2007 +
--- . -----------------------------------
VERBAL NOTIFICATION AND CALL 911.
+==============================================================================+
Pub I , t'f /E ' 08/11/2003
+==== lC No 1. vacuatlon ==================================== +
LOCAL NURSE WOULD CALL ALL CLIENTS
+==============================================================================+
+===== Emergency Medical Plan ===================================== 05/09/2007 +
MEMORIAL HOSPITAL, 420 34TH ST, 327-1792
+==============================================================================+
-7-
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+ TINER DENTAL CORP =================================== SiteID: 015-021-002848 +
+================================================================= Fast Format +
+= Mitigation/Prevent/Abatemt =================================== Overall Site +
+== Release Prevention ============================================ 08/11/2003 +
GASES ARE CHAINED AND STORED WITH PROPER VALVES AND FITTINGS
+==============================================================================+
+--- Release Contal'nment ------------------------------------------ 08/11/2003 +
--- ------------------------------------------
SHARPS CONTAINERS FOR NEEDLES AND TEETH
+==============================================================================+
+---- Clean Up ---------------------------------------------------- 08/11/2003 +
---- ----------------------------------------------------
ALL CONTAINERS ARE PICKED UP BY SECURITY ENVIRONMENTAL
+==============================================================================+
+===== Other Resource Activation ==============================================+
I I
+==============================================================================+
-8-
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.+ TINER DENTAL CORP =================================== SiteID: 015-021-002848 +
+================================================================= Fast Format +
+= Site Emergency Factors ======================================= Overall Site +
+== Special Hazards ===========================================================+
I I
+==============================================================================+
+=== Utility Shut-Offs ============================================ 05/30/2007 +
DOOR N END OF BLDG E OF ELEVATOR
+=============================:================================================+
, / 'I / /
+==== Flre Protec. Aval . Water =================================== 02 02 2007 +
PRIVATE FIRE PROTECTION. THREE FIRE EXTINGUISHERS:
ONE IN EMPLOYEE LUNCH ROOM, AND ONE BY X-RAY ROOM.
ONE IN FRONT OFFICE,
+==============================================================================+
+_____ BU1'ldl'ng Occupancy Level ----------------------------------- 03/03/2006 +
----- -----------------------------------
15 EMPLOYEES
+==============================================================================+
-9-
10/26/2007