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UNIFIED .PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
BAKERSFIELD FIRE DEPT.
Prevention Services
B E R,3 F
FPIR
1 B L.o.
2101 H Street -
aRrM r Bakersfield, CA 93301
Tel.: (661).326 -3979
Fax: (661) 852 -2171
FACILITY NAME
N fi (2) TA , f 9 A
INS EC 10 ATE INSPECTION TIME
ADDRESS
FIE
PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name/Title
Section 1: Business Plan and Inventory Program
ROUTINE' COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C V C= Compliance OPERATION
V= Violation
COMMENTS
4( APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
VISIBLE ADDRESS. CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY CBC: 401)
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
a
VERIFICATION OF QUANTITIES CCR: 2729.4)
VERIFICATION OF LOCATION CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL CFC: 2704.1)
VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES& PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE CCRR: 2731)
CONTAINERS PROPERLY LABELED (CCR: 66262.34(0, CFC: 2703.5)
HOUSEKEEPING CFC: 304.1)
FIRE PROTECTION CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES NO SiEnatureofReceipt
Explain:
POST INSPECTION INSTRUCTIONS:
0 Correct the violation(s) noted above by
P Within 5 days of correcting all of the violations, sign and return a copy orthis page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Signature that all violatio s have been corrected as noted)
Date
White —BusinessCopy Yellow — Business Copy to be Sent in alter return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6010)
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
1 tF /
AR
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979 .
Fax: (661) 852 -2171
FACILITY NAME
p
INSPECTION ATE INSPECTION TIME
ADDRESS
40 PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name/Title
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C V c C= Compliance OPERATION
V= Violation
COMMENTS
0 1; APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
Business PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
C
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY CBC: 401)
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
VERIFICATION OF QUANTITIES CCR: 2729.4)
VERIFICATION OF LOCATION CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL CFC: 2704.1)
VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
CONTAINERS PROPERLY LABELED (CCR: 66262.34(0, CFC: 2703.5)
HOUSEKEEPING CFC: 304.1)
FIRE PROTECTION CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES NO Signature of Receipt
y
Explain:
oil—
POST INSPECTION INSTRUCTIONS:
Correct the violation(s) noted above by
Within 5 days ofcorrecting all of the violations, sign and return a copy ofthis page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
CI. I /"' )
Signatep (that all violations have been corrected as noted)
Date
White — Business Copy Yellow— Business Copy to be Sent in alter return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6//10) - .
HAZARDOUS WASTE BAKERSFIELD FIRE DEPARTMENT
UNIFIED PROGRAM CONSOLIDATED FORMS Prevention Services
11R/ 1501 Truxtun Ave 1sT FLR
HAZARDOUS WASTE GENERATOR 9ArFP&ARC/ r Bakersfield, CA 93301
INSPECTION REPORT Phone: 661 - 326 -3979 • Fax: 661 -852 -2171
Facility Name (1 No N to
Gt I tvv s ran S i o ti Date
Site Address () t: v t]p(Q L Time In Time Out
Owner /Operator Phone Misc.
Tvpe of Inspection Inspection Consolidation EPA ID #
Routine Re- inspection/Follow -up Combined Routine Inspection Joint Inspection Complaint Focused Other
Integrated or Multi -Media Inspection CUPA Facility ID#
CONSENT TO INSPECT GRANTED BY (Name/ Title):
Inspection may involve obtaining photographs, review and copying of records, and determination of compliance with hazardous waste handling requirements.
1 -Class 1 Violation, II -Class R Violation, M -Minor Violation Pape of
I 11 M I Code HAZARDOUS WASTE REQUIREMENTS Y N N/A COMMENTS /NOTES/DOCUMENT(S) REVIEWED
MISSING INFORMATION/ UNRESOLVED ISSUES
Recordkee in docttmentation
GR01 Generator has an EPA ID number
GR02 Hazardous waste determination made for all wastes
Analysis Generator Knowledge
C
GR03 Contin geney plan information posted near phone
GRO4 Facility personnel demonstrate traininglawareness
GR05 Manifests/Consolidated Manifest receipts complete
GR06 Blue co (s) of manifest mailed to DTSC
GR07 TSDF signed copy of manifest available w /in 35
days of waste shipment
GRO8 Bills of Ladin recei is available
GRO9 LDRs available and complete
GR10 Onsite recycling reported using UPCF
Container /tank management
GC01 Containers are in good condition
GCO2 Containers are closed except when adding/removing
GC03 Empty containers are empty
GCO4 Containers inspected week)
GC05 Tanks inspected daily
GC06 Satellite containers at or near point of generation
GC07 Satellite containers under control of operator
GC08 One container per wastestream at satellite area
GCO9 Exclude recyclable materials stored in accordance
with local ordinance/hazardous materials codes
Accumulation Time Limits
GA01 Waste is accumulated not more than 90 /180/270
GA02 Satellite wastes accumulated for less than I year
GA03 Empty containers managed within one year
GA04 Universal waste accumulated less than one year
GA05 Used oil filters offsite within 180 l year if <I ton
GA06 Pb -acid batteries offsite within 180 l yr. if < 1 ton
Labeling/Marking
GLOI Containers are ro rl labeled
GL.02 Satellite containers have 2" AS marked once full
GL03 Excluded recyclable materials marked properly
GLO4 Universal waste container properly labeled
GL05 Used oil filters marked "drained used oil filters"
GLO6 Date written on spent lead -acid batteries
GL 07 Used Oil" marked on all used oil tanks/containers
GL08 Tank marked with "haz waste" , contents, start date
GL09 Empty containers marked with date emptied
Trealtnent, Transport and Disposal/Other Print and sign in this box for receipt of this report. Signature does
not imply agreement with findings, only receipt of report. GT01 Have permit/authorization to do treatment
GT02 Waste sent with authorized transport (en. eligible)
GDOI Waste disposed ofto authorized poi nU party
GH01 Failed to properly handle appliance wastes
POST INSPECTION INSTRUCTIONS:
Refer to the back of this inspection report for regulatory citations andcorrective actions- '
Correct the violation(s) noted above by Signature (that all violations have been corrected as noted)
Within 5 days ofcorrecting all of the violations, sign and return a copy ofthis page to: U -» Bakersfield Fire Dept., Prevention Services, 1501 Truxtun Avenue, California 93301
Date
FD2179 (Rev 10/21/08)
White — Prevention Services Copy Yellow— Business Copy
HAZARDOUS WASTE BAKERSFIELD FIRE DEPARTMENT
UNIFIED PROGRAM CONSOLIDATED FORMS Prevention Services
PINE 1501 Truxtun Ave 1sT FLR
HAZARDOUS WASTE GENERATOR s r Bakersfleld, CA 93301
INSPECTION REPORT Phone: 661- 326 -3979 • Fax: 661 - 852 -2171
Facility Name iv, I Date
Site Address 4o i C + ` t ')"A (I - L h' Time In Time Out
Owner /Operator Phone Misc
Routine Re- inspection/Follow -up Combined Routine Inspection Joint Inspection Complaint Focused Other
Integrated or Multi -Media Inspection CUPA Facility ID#
CONSENT TO INSPECT GRANTED BY (Name / Title):
Inspection may involve obtaining photographs, review and copying of records, and determination of compliance with hazardous waste handling requirements.
I - Class I Violation, II - Class 11 Violation, M - Minor Violation Pa a of
1 11 M Code I HAZARDOUS WASTE REQUIREMENTS I Y NI I N/A COMMENTS /NOTES/DOCUMENT(S) REVIEWED
MISSING INFORMATION/ UNRESOLVED ISSUES
Recordkee n documentation
GR01 Generator has an EPA ID number
GR02 Hazardous waste determination made for all wastes
Analysis Generator Knowledge
I- L 1
GR03 Contingency Ian information posted near phone
GR04 Facility personnel demonstrate training/awareness
GR05 Manifests/Consolidated Manifest receipts complete
GR06 Blue co (s) of manifest mailed to DTSC
GR07 TSDF signed copy of manifest available Win 35
days of waste shipment
GRO8 Bills of Ladin recei is available
GRO9 LDRs available and complete
GR10 I Onsite recycling reported using UPCF
Container /tank mana ement
GCOI Containers are in good condition
GCO2 Containers are closed except when adding/removing
GC03 Empty containers are empty
GC04 Containers ins ected week)
GC05 Tanks inspected daily
GC06 Satellite containers at or near point of generation
GC07 Satellite containers under control ofoperator
GCO8 Onecontainer per wastestream at satellite area
GC09 Exclude recyclable materials stored in accordance
with local ordinance/hazardous materials codes
Accumulation Time Limits
GA01 Waste is accumulated not more than 90/180/270
GA02 Satellite wastes accumulated for less than I year
GA03 Empty containers managed within one year
GA04 Universal waste accumulated less than one year
GA05 Used oil filters offsite within 180 I year if <1 ton
GA06 Pb -acid batteries offsite within 180 l yr. if < I ton
Labels arkin
GLOI Containers are ro erl labeled
GL02 Satellite containers have 2 AS marked once full
GL03 Excluded recyclable materials marked properly
GLO4 Universal waste container properly labeled
GI-05 Used oil filters marked "drained used oil filters"
GLO6 Date written on spent lead -acid batteries
GI-07 Used Oil" marked on all used oil tanks/containers
GLO8 Tank marked with "haz waste" , contents, start date
GL09 Empty containers marked with date emptied
Treatment, Transport and Dis l/Other and sign in this box for receipt of this report. Signature does
mply agreement with findings, only receipt of report. GT01 Have permit/authorization to do treatment
GT02 Waste sent with authorized trans ort ( en. eli ible
not
GD01 Waste dis sed of to authorized oint/ art
GH01 Failed to properly handle appliance wastes
POST INSPECTION INSTRUCTIONS: —1p. I / r r-
Refer to the back of this inspection report for regulatory citations and corrective actions C-/ i '__ -^ 116`'
Correct the violation(s) noted above by Signature (that all violations have been corrected as noted)
Within 5 days of correcting all ofthe violations, sign and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 1501 Truxtun Avenue, California 93301
Date
FD2179(Rev 10/2 1 /08)
White — Prevention Services Copy Yellow— Business Copy