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HomeMy WebLinkAboutHAZMAT INSPECTION 12-9-2009KERN BUSINESS FORMS MFG. (661) 325-5818 UNIFIED PROGRAM INSPECTION CHECKLIST ... ....... B V 1) 13 F I 5, . ....... D .......... x IF Im®r 9 ARTAF T Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME INSPECTION PATE INSPECTION TIME ADDRESS AUG PHONE NO. j�� 2 NO OF EMPLOYEES BUSINESS ID NUMBER FACILITY CONTACT 15-021- ... ... .... T ❑ ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION C V r C=Compliance) OPERATION COMMENTS V=Violation ❑ APPROPRIATE PERMIT ON HAND ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY �MATERIALS N) ❑ VERIFICATION OF QUANTITIES JR7 ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE �P ❑ CONTAINERS PROPERLY LABELED '&z ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND KBF-6013 ANY HAZARDOUS WASTE ON SITE? ❑ YES ,k0l NO EXPLAIN: -te GL QUESTIONS REGARDING THIS INSPECTI N? PLEASE CALL US AT (661) 326-3979 Bu p5-nsible Party (Please Print) Inspector (Please Print) Fire Prevent' / I" in / Shift of Site/Station # HAZARDOUS WASTE II E BAKERSFIELD FIRE DEPARTMENT UNIFIED PROGRAM CONSOLIDATED FORMS Mrt $ R y a i Prevention Services COMMENTS /NOTES/DOCUMENT(S) REVIEWED MISSING INFORMATION/ UNRESOLVED ISSUES 1501 Truxtun Ave 1sT FLR HAZARDOUS WASTE GENERATOR �R T�► r Bakersfield, CA 93301 INSPECTION REPORT GRO1 Generator has an EPA ID number Phone: 661 -326 -3979 • Fax: 661 -852 -2171 Facility Name g V .& /'P 1 _ Site Address '� C.. C3 �s..d� Date Time In Time Out Owner /Operator Phone Misc. Type 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. I - Class I Violation, LI - Class II Violation, M - Minor Violation Page of I II M Code HA ZARDOUS WASTE REQUIREMENTS Y N N/A COMMENTS /NOTES/DOCUMENT(S) REVIEWED MISSING INFORMATION/ UNRESOLVED ISSUES Recordkee in documentation GRO1 Generator has an EPA ID number GR02 Hazardous waste determination made for all wastes ❑ Analysis ❑ Generator Knowledge , GR03 Contingency lan information posted near phone GR04 Facility personnel demonstrate training/awareness GR05 Manifests/Consolidated Manifest receipts complete GR06 Blue copy(s) of manifest mailed to DTSC GR07 TSDF signed copy of manifest available w /in 35 days of waste shipment GR08 Bills of Lading/receipts available GR09 LDRs available and complete GRIO Onsite recycling reported using UPCF Container /tank management GCOI Containers are in good condition GCO2 Containers are closed except when adding/removing GC03 Empty containers are empty GC04 Containers inspected weekly 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 GC09 Exclude recyclable materials stored in accordance with local ordinancethazardous materials codes Accumulation Time Limits GA01 Waste is accumulated not more than 90/180/270 GA02 Satellite wastes accumulated for less than 1 year GA03 Empty containers managed within one year GA04 Universal waste accumulated less than one year GA05 I Used oil filters offsite within 180 (1 year if <1 ton) GA06 I Pb -acid batteries offsite within 180 (1 yr. if < 1 ton) Labeling/Marking GLOI Containers are properly labeled GL02 Satellite containers have 2" " ASD marked once full GL03 Excluded recyclable materials marked properly GL04 Universal waste container properly labeled GL05 Used oil filters marked "drained used oil filters" GL.06 Date written on spent lead -acid batteries GL07 "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 Treatment, 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. GTO1 Have pen-nit/authorization to do treatment GT02 Waste sent with authorized transport (gen. eligible) GDO1 Waste disposed of to authorized point/part GHO1 Failed to properly handle appliance wastes POST INSPECTION INSTRUCTIONS: • Refer to the back of this inspection report for regulatory citations and corrective actions • Correct the violation(s) noted above by • Within 5 days of correcting all of the violations, sign and return a copy of this page to: Bakersfield Fire Dept., Prevention Services, 1501 Truxtun Avenue, California 93301 White — Prevention Services Copy Signature (that all violations have been corrected as noted) Date Yellow— Business Copy FD2179 (Rev 10/21/08)