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HomeMy WebLinkAboutHazmat Business Plan 07/07 - .!'llIf CENTRAL CARDIOLOGY MEDICAL CLINIC Manager Location: City JENNIFER BRAVO 2901 SILLECT AVE., STE #100 BAKERSFIELD, CA 93308 BFD STA 01 .BusPhone: Map : 102 Grid: 25D CommCode: EPA Numb: SIC Code:8011 DunnBrad: Emergency Contact Title Business Phone: (661) 323-8384x#154 24-Hour Phone (661) 589-8542x Pager Phone () x Emergency Contact JENNIFER BRAVO Business Phone:(661) 323-8384 #154 24-Hour Phone Pager Phone Hazmat Hazards: Fire Owner Tetsue Ishimori MD Address 2901 Sillect Ave., Ste #100 City Bakersfield, CA 93308 Con tac t : Jennifer Bravo Mai lAddr: 2901 Sillect Ave., Ste #100 City BAKERSFIELD, CA 93308 ~. Period Preparer: Certif'd: ParcelNo: ~ TO-fulASTs: TotalUSTs: RSs: No to ------'.- . Emergency Directives: PROG A - HAZMAT P c:l :.:, e ci 0 n n ~ :,/ ~ nq u j "y' of t !')(') '-',;(~ r n d 1\/ id 1.1::" 1 ~':; il;1rn-~"r;1ir~n i ~:' u ry ,1~'"h'-,' U--':j '( 1 ht1V\'~' (1i~1 8x:-):nin~~;-! and arn fa ::'l;~jar 'vVd~l the inh'H':natton ~ubmilt(?d clnci bc:l~e''./n thA inforn1rlt!on IS true. ~ . gnature :::;-/13/ ~ J--- Date L5 -i--€ ~~ f-![2; \b ~~ -1- SiteID: 015-021-002271 (661) 323-8384 CommHaz : Low FacUnits: 1 AOV: / Title / ASST ADMIN (661) 323-8384x154 () x () x ImmHlth DelHlth (661) 323-8384x CA 9~JOL q,33coi' (661) 823-8384x CA 93301 = Gal Gal = 07/10/2007 F CENTRAL CARDIOLOGY MEDICAL CLINIC I f= Site Emergency Factors Special Hazards SiteID: 015-021-002271 9 Fast Format 9 Overall Site 9 Utility Shut-Offs 01/29/2007 ELECTRICAL - MAIN N SIDE OF BLDG GAS - SHUT-OFF VALVES W SIDE OF BLDG Fire Protec./Avail. Water WATER SW CRNR OF BLDG 01/29/2007 Building Occupancy Level -7- 07/10/2007 , , , " F CENTRAL CARDIOLOGY MEDICAL CLINIC I F Training Employee Training SiteID: 015-021-002271 1 Fast Format 1 Overall Site 1 10/20/2006 BRIEF SUMMARY OF TRAINI:ijG PROGRAM: OSHA COMPLIANCE AND TRAINING QUARTERLY TRAINING HELD IN ACCORDANCE WITH FACILITY IIPP Page 2 Held for Future Use Held for Future Use -8- 07/10/2007