HomeMy WebLinkAboutHazmat Business Plan 05/08
WEINBERG DDS INC MICHAEL
#0773 P.002/008
SITE ID 015-021-002315
Manager: LAURIE PILLADO
Location: 3115 LATTE LN., STE 100
City: BAKERSFIELD, CA 93312
CommCode:BFD STA 01
El?A Numb;
BFD STA 01. !1331J.. SIC Code: 8621.
DuDnErad:
Emergency Contact / Title rEVLergency Contact I
ESTHER. CASTILLO / TREATMENT COORD /
Business Phone: {661) 587-7002 Business Phone:) X
24-Hour Phone ; ( ) - x 24-Ho'UJ; Phone :) x
. Pager Phone () :,c Pager Phone : () :x:
+---------------------------------~-----+--------------------------------------+
I Hazmat Hazards: React I
CONTACT ESTHER CASTILLO
MailAddr: 3115 LATTE LN, STE 100 State: CA
City : BAKERSFIELD Zip : 93312
+----------------------------------------------~-------------------------Pijf---T
Owner MICHAEL WEINBERG DDS INC Phone: (661) 587-7002
Address 3115 LATTE LN, STE 100 State: CA
City ; BAKERSFIELD, CA 93312
+---------------------------------------------------------------------~--------+
Period to TotalABTs: - Gal
Preparer: TotalUS'rs:;; Gal
certif I d: RSs: No
Pa.rcelNo;
Title
+-------------------------------------~----~~-~~-----~~----------~-------------+
Emergency Directives;
PROG H - HAZ WASTE GEN
th e IndIviduals
~a$9d on rny~Ylrv ~1fl~,lcertIfY
rtilSPOntI~e torlt ~ 1~~thQt I nave personallY
l.lC'\cSer ~n9 ~ am kunllll.\f with tl'\t1lmormatiOn
cmmlMd lilfI...! 6a.u__ \nO Infofmatlon Ie trUe.
~lt\Ad tlm3 aw_
7g;irfj;B4r
+==========_~_=====__==_==___~_~~~~~~~~~~~=~~~~c~~~~~~~S~_g~~====~=~=====~~=~=~+
-1-
05/06/2008
08/2812005 23: 48 6615877004 \Y EINBERG
VUD O/O/~VVO ~:~~:~~ ~M ~AV~
'!/VV~
110773 P.003/008
rax be rver
+ WEINBERG DDS INC MICHAEL ~~~;;;;;==~====~=S2=S.___~.a SiteID: O~5-021-0023~5 +
+= Hazmat ~ventory _E=:=======~~~~M_~______==m=====~__====_= By Facility unit +
+~. MCP+DailyMax Order -~========--=====~~~~~~~====== Fixed Containers at Site +
+--------------------------------+-~-----+-----------+-----+--------~-+----+---+
I Hazmat Common Name... I SpecHaz I EFA Hazarda I Frm I DailyMax I Unit I MCP I
+--------------------------------+-------+-----------+----~+----------T----+---+
WE NOW USE DIGITAL X-RAYS AND NO FIXER TO DISPOSE OF.
-2-
05/06/2008
08/28/2005
COB
23: 50 6615877004 WEINBERG
~/e/Z006 Z:43:34 YM YAUc
b/OO~
110773 P.004/009
1" ax oe;rver
+ WEINBERG DDS INC MICHAEL ========;~~~=========~~~=~~~ SiteID: O~5~02~-002315 +
+= Inventory Item 0001 ~ea~~~~~~~~~;== Facility unit: Fixed Containers at Site +
+-- COMMON ~ / CHEMICAL NAME =~~==_=__===_~~=============w=+=============~==+
I Days on Site I
365
+----------------+
I CAS# I
+_;=~_g=_______me~~_~~__~_;;====~a_____B~~.=~~~_=_.*._______~=+=~====~~;~~~____+
Looation withLn this Facility Unit
DARKROOM
Map:
Grid:
+_ STATE -+- TYPE ===+== PRESSURE ~-=+ TEMPERATURE ==+==== CONTAINER TYPE =====+
I Liquid I Waste I Ambient I Ambient I PLASTIC CON'XAJ:NER I
+==~~~~~~~+~=~~;;_-~-+--~;;========..+=.-.-..~-s--~~-+~_~___w_________~=====::=+
+==~=~====================~+ AMOUNTS AT THIS LOCATION =======w==;========~==~~=+
I Largest Container I Daily Maximum I Dai~y Average I
5.00 GAL 5.00 GAL 5.00 GAL
+_______m=m.~~3~=======~===+:=~~==~ft----------~--;~~~+W;M~~~C~=======~=~===~=e=+
+~~:=~~=+=~~========;== HAZARDOUS COMPONENTS
I %Wt. I
Silver
~m_~~sa_=~~~~~+~~~+==~~~~=========+
lN~SI
CM# I
7440224
+======~+=ft__~___=____=;w;~==========~~=~~=~=_5m~~-_5.___B~+~~~+~~~~~:===~===~~+
+::=====+~~=+======+=========== HAZARD ASSESSMENTS ~D_+m=m~mas__+c===m_c~+=_c=m+
I TSecret I RS I BioHaz I Radi.oacti ve/Am01;Ult I EPA Hazards I NFPA I USDOT# I M? I
No No No No/ Cur~es R / / / Min
+mmm~~==+:==+c=====+_==============c~~~=+=============+;========+========+==~~=+
+_=________==___===___==___ MISC. LOCAL AGENCY DATA ______________a_m__________+
Ag.Defined1: Ag.Defined2: Ag.Defined3: Ag.Defined4:
Ago . DefiD..edS :
Ag . Defined8 :
++ Ag+Definell ----------------------------------------------------------------+
Ag.Defined6:
Ag. Defined9 :
Ag.Defined7:
Ag.De.fine10:
+=~;~_~=__=:---~=======~~~~=c=~~========o~---====~c==~=~______=__-==~"=~~~==:G&+
-3-
05/06/2008
08/28/2005
23:50 6615877004
WEINBERG
vIY'~~VU ~,~~;~~ ~n ~~vc
~/VVt:l
#0773 P.008/009
rax oerver
+ WE~ERG DDS INC MICHAEL =:=~~~~;___.~___~==~~~a2==== SiteID: 015-021-002315 +
+_=====~;__~===_==~=~~~===~~======~====~~~~===~~====~~~===_ZR=__== Fast Format +
+. site Emergency Factors _=~=~===~=====~=~~==3____=====~=====_== Overall site +
+=_ Special Hazards =========~===_~=====a.C====~===w======Q=~===-_-_R_~========+
I
+~~~_=_~~.~~c=====_~:==__=~==;=~~~~~_~~.___~=~=~_~~==_;~~===_~~~~~=;=___~__=~ft_+
+=a_ Utility Sbut-offs ~=========2__.__=====_==========~===-~====== 03/08/2007 +
GAS - PARKING LOT S SIDE OF BLOO BACK WALL
ELECTRICAL - E SmE WALL OF BLDG
WA.Tlm. - BACK WALL S S:IDE OF BLOO - METER BE CR.NR OF PAR'KJ:E"G LOT
+.___==~~==__~==~=;_:==~_~=~~~~~~g__~___E===~=;_~====_=;~=;_;=~~~~~_;=__2~_~_a=+
+==== Fire Protec.jAvail. Water =~==~===================~===___.w~_ 03/08/2007 +
WE HAVE TWO FIRE EXTINGUISHERS ON THE PREMISES.
FIRE HYDRANT-YES, STILL 2 FIRE EXTINGUISHERS.
FIRE HYDP.ANT - ~.N.G. 1 "iTII & 5:-
+===== Building Occupancy Level ___~=~~======K==~~=_=====_.=======~ 03/08/2007 +
+.____==;_~w~=~:===_g_~~~_;===a.==:==~==_ww~===:_;==~~~=~~~2~~====_a_.~____====+
10 EMPLOYEES
+_=~__~====~=~~~:~:=___==~==;===~~~~~____.~=~___o:======~~_~===_____m~=;_==_==~+
-7-
05/06/2008