HomeMy WebLinkAboutHAZMAT INSPECTION 12-9-2009KERN BUSINESS FORMS MFG. (661) 325-5818
UNIFIED PROGRAM INSPECTION CHECKLIST
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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.
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NO OF EMPLOYEES
BUSINESS ID NUMBER
FACILITY CONTACT
15-021-
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❑ 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:
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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
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BAKERSFIELD FIRE DEPARTMENT
UNIFIED PROGRAM CONSOLIDATED FORMS
Mrt
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Prevention Services
COMMENTS /NOTES/DOCUMENT(S) REVIEWED
MISSING INFORMATION/ UNRESOLVED ISSUES
1501 Truxtun Ave 1sT FLR
HAZARDOUS WASTE GENERATOR
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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)