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FACILITY NAME
INSPECTION DATE
INSPECTION TIME.
LAS
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ADDRESS
PHONE NO.
NO OF EMPLOYEES
FACILIT `CONTACT
BU. INESS ID NUMBER
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❑ ROUTINE I rCOMBINED 0 JOINT AGENCY ❑ .MULTI= AGENCY • ❑ COMPLAINT ❑ RE- INSPECTION
C V = omp lance OPERATION
C E R S
V= Violation; 1,11 Minor`
Violation
COMMENT
APPROPRIATE PERMIT ON HAND .. (BMC: 15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1),
1010008
VISIBLE ADDRESS. (CFC: 505.1, BMC: 15.52.020)
CORRECT .00CUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
ter^
VERIFICATION OF QUANTITIES " (CCR: 2729.4)
1010006
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704:1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR; 2732)
1020002
:VERIFICATION OF ABATEMENT SUPPLIES &.PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE ` (CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED .(CCR: 66262.34(f); CFC: 2703.5)'.
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC:'903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR; 2729:2)
1010005
NY: HAZARDOUS WASTE ON SITE? °g!:7YES 0,-NO
Sig natur ec'
Explain:
.t
Inspector:.
POST. INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by'
0 Within 5 days of correcting all of,the violations, sign and return a copy of this page to: Signature (that all .violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street,: California 93301
Date
White — .Business Copv Yellow - Station Copy Pink — Prevention Services. FD2155 (Rev 8//14)
HAZARDOUS WASTE BAKERSFIELD FIRE DEPARTMENT
UNIFIED PROGRAM CONSOLIDATED FORMS Prevention Services
H H R s F r ...n 2101 H Street
SMALL QUANTITY HAZARDOUS FIRE Bakersfield, CA 93301
WASTE GENERATOR INSPECTION ARTNJVI Phone: 661 - 326 -3979 +Fax: 661-852 -2171
Facility Name: Date: Co
Site Address: O Q `5, C—iL 4 i* f2 P- 4 Time In: Time Out:
Owner /Operator: YA 1; Phone: EPA ID #
Type of Inspection
0 Routine 0 Re- inspection/Follow -up ombinec Rutiaotien--- -B-�Mfff nspectibn 0 Complaint 0 Focused 0 Other
A-CONSENT TO INSPECT GRANTED BY (Name / Title):
Inspection may involve obtaining photographs, review and copying, 'o records, and determination of compliance with hazardous waste handling requirements.
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C
V
�
HAZARDOUS WASTE REQUIREMENT
N/A
CERS
Violation #
COMMENTS
Recordkee in documentation
Generator has an EPA ID number HSC 25143.131
3010002
Hazardous waste determination made for all wastes
0 Anal sis nerator Knowledge [CCR 66262.40)
3030005
Contin enc ` lan information posted near phone [CCR 66262.34(d)(2)]
3010022
Facility personnel demonstrate training/awareness [CCR 66262.34(d)(2)]
3020001
Manifests/Consolidated Manifest receipts complete [CCR 66262.23(a)]
3010008
Blue co (s) of manifest mailed to DTSC [CCR 66262.23(a)(4)]
30100.11
Bills of Ladin recei is availabl6: [CCR 66262.40(a)]
3010010
LDRs available and com lete [CCR 66268.7(a)]
3030006
Onsite recycling reported using UPCF [HSC 25143. 101
3030001
Container /tank management
Containers are in good condition CCR 66262.34(d)(2)]
3030013
`
Containers are closed except when adding/removing [CCR66262.34(d )(2)
3030017
Satellite containers at or near point of generation [CCR 66262.34(e) 1 A ]
Empty containers are empty CCR 66262.34(l)]
3030007
,,
Containers inspected weekly [CCR 66262.34(d)(2)]
3030019
Tanks inspected daily CCR 66262.34 d 2 , 40CFR 265.201
3030027
One container per waste stream at satellite area CCR 66262.34(d)(2)]
3030022
Exclude recyclable materials stored in accordance with local
ordinance/hazardous materials codes HSC 25143.101
3010016
Accumulation Time Limits
Waste is accumulated'not more than 90600,2750 CCR 66262.34(d)]
3030010
Empty containers managed within one ear CCR 66262.34(d)]
3030010
Universal waste accumulated less than one year [CCR 66273.15(a)]
3030011
Used oil filters offsite within 180 (1 year <1 ton) [CCR 66266.130(c (4)]
3030004
Pb -acid batteries offsite within 180 (1 yr. < 1 ton) [CCR66266.81(a)(3)
3030002
Labeling/Marking
Containers are properly labeled [66262.34(f)]
3030007
Excluded recyclable materials marked properly [HSC 25143.9(a)]
3050005
Universal waste container properly labeled (CCR 66273.341
3030008
Used oil filters marked "drained used oil filters" [CCR 66266.1301
3030004
Date written on spent lead -acid batteries CCR 66266.81(a)(6 )(B)]
3030003
"Used Oil" marked on all used oil tanks /containers CCR 66279.21
3030007
Tank marked with "haz waste" , contents, start date (66262.34(f)]
3030007
Treatment Transport and Disposal/Other
Have permit/authorization to do treatment HSC 25136.21
3040003
Waste sent with authorized transport (gen. eligible) CCR 66263.411
3050001
Waste disposed of to authorized poin!/ art [HSC 25189.5(a)]
3050002
1
Failed to properly handle appliance wastes CHSC 25212 a
t
Fire Protection [66262.34(d)(2)]
1
1 3030032
Print and sign in this box for receipt of this report. Signature does not imply agreement with findings only receipt of report.
INSPECTOR
POST INSPECTION INSTRUCTIONS.
• Correct the violation(s) noted above by `' I`' Signature (that all violations have been.eorrected as noted)
• Within 5 days of correcting all of the violations, sign and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H St. Bakersfield, CA 93301 Date
FD2171 (Rev 9/14)
White — Business Copy Yellow— Station Copy Pink- Prevention Services Copy