HomeMy WebLinkAboutinspection report 2016Bakersfield Fire Department Prevention e Pod
2101 H St
B E R S P �ID
Bakersfield CA. 93301 w �� r
661- 326 -3911 --
Underground Storage Tank Program
SW Inspection Report
NOTICE TO COMPLY/NOTICE OF VIOLATION
Business Name: Fastbreak Mobil\15- 021 - 03412 -White & Stine Partners
Date: 1 104/2016
Facility has a valid Permit to
Address Name: 4800 White Ln- CAL000397346
Inspector
Name: Shane Gardner #8248557
Inspection Type: Routine
LReport:
I
Final
NVO = No Violation Observed OUT = Out of Compliance NA = Not Applicable UD = Undetermined
COS = Corrected On Site RPT = Repeat Violation
elation Program Requirement ° o SOC. Comments
No O �- v) E- I-
Z O Z M V W
File Review
cility Tank Information
3:0021
Facility has a valid Permit to
Tank 1- 10000 - REG -SW
Operate from the CUPA - 23
®
❑
❑
❑
❑
❑
None
Tank 2- 10000 - REG -SW
Tank 3- 10000- PRM -SW
CCR 16 2712(1); HSC 6.7
Tank 4- 10000- DSL -SW
25284
10010
UST Operating Permit
Application for Facility
information and Tank
information
❑
❑
❑
❑
❑
None
submitted/maintained - 23
CCR 16 2711; HSC 6.7
25286(a)
10001
Current BOE number
submitted to the CUPA
❑
❑
❑
❑
❑
None
and/or CERS - HSC 6.7
25286(c)
3;0011
UST compliance statement
and/or Designated Operator
current certification
❑
❑
❑
❑
❑
None
submitted - 23 CCR 16
2715(a), 2715(b)
10046
A complete and accurate
response plan has been
submitted, approved and
❑
❑
❑
❑
❑
None
maintained - 23 CCR 16
2632, 2634(e), 2641(h),
2712(1)
3:0041
A complete and accurate
plot plan has been
submitted, approved and
]
❑
❑
❑
❑
❑
None
maintained - 23 CCR 16
2632(d)(1)(C), 2711(a )(8)
10006
Owner /Operator has not
made false statements or
representation on any
El
❑
❑
❑
❑
❑
None
required document - HSC
6.7 25299
10003
Owner /Operator has a DO
and/or informed the CUPA
FIE]
❑
❑
r-1
None
of any change (s) within 30
days - 23 CCR 16 2715(a)
sting
Bakersfield Fire Department Prevention
2101 H St
Bakersfield CA. 93301
661- 326 -3911
'�►
PIA
Underground Storage Tank Program
SW Inspection Report
NOTICE TO COMPLY/NOTICE OF VIOLATION
olation
Program Requirement
o 00
SOC
Comments
No
p
�n
°_' a
Z
o
z
v
o>
30002
Owner /Operator has
U r) C_ 11
tested and certified leak
❑
t�
`�'
❑
❑
❑
❑
None
detection equipment
annual) - 23 CCR 16 2638
30048
Secondary containment
testing conducted every
36 months in accordance
®
❑
❑
❑
❑
❑
None
with requirements - 23
CCR 16 2637
30055
Spill buckets have been
C6 - 7 , 5q � �„CCC`
tested annually as
❑
❑
❑
❑
❑
None
required - HSC 6.7 25284.2
10009
Secondary containment
test results submitted to
the CUPA within 30 days
"[
❑
❑
❑
❑
❑
None
after the test - 23 CCR 16
2637(e)
30042
0.1 gph annual line test
performed and passed for
RD
pressurized piping without
❑
LE
❑
❑
❑
❑
None
fail safe or shut down - 23
Yes
CCR 16 2636 (4)
30050
0.1 gallon per hour piping
RD
integrity test conducted
every three years (pre-
❑
❑
®
❑
❑
❑
None
❑
January 1984) - 23 CCR
Yes
16 2643 d
30051
Piping integrity test or
overfill integrity test
conducted every two
❑
❑
®
❑
❑
❑
None
years (pre - January 1,
1984 ) - 23 CCR 16 2643(e)
30029
Lined or repaired steel
tank was inspected within
RP
10 years of lining and
19
❑
❑
❑
❑
❑
None
❑
every 5 years after - 23
Yes
CCR 16 2663
30028
Tank lining certification
submitted to the CUPA
within 30 days, proper
❑
❑
❑
None
tests and inspector used -
23 CCR 16 2663
30067
ELD testing conducted
every 36 months on USTs
located within 1,000 feet
❑
❑]
❑
❑
❑
None
of a public drinking well -
23 CCR 16 2644.1(a 3
10005
ELD testing results sent
to the board and the
CUPA within 60 days of
None
completion of the test - 23
CCR 16 2644.1(a) 5)
30056
SIR Report submitted
annually to the CUPA - 23
❑
❑
'1]
❑
El
None
CCR 16 2646.16)
Bakersfield Fire Department Prevention
2101 H St
Bakersfield CA. 93301
661 - 326 -3911
Underground Storage Tank Program
SW Inspection Report
NOTICE TO COWLY/NOTICE OF VIOLATION
olation
Program Requirement
o
SOC
Comments
No
o
Q
o
CO)
a
as
Q)0
z
O
z
M
V
W
of
30064
CUPA was properly
notified within the
prescribed number of
❑
❑
El
❑
❑
None
hours prior to testing - 23
CCR 16 2637(1), 2638(e),
2643(g), 2644.1(a)(4)
Install /Repair
30009
Permits obtained to
install, replace, repair, or
❑
❑
❑
❑
❑
None
modify part of the UST
system - 23 CCR 16 2712
UST System Observation
.neral Monitoring
30003
Leak detection system
maintains continuous
RD
monitoring that activates
❑
❑
❑
❑
❑
None
❑
an audible and visual
Yes
alarm - 23 CCR 16 2632,
2634, 2636, 2666
30017
Product piping outside the
UDC is fail -safe and shuts
down the pump or
❑
❑
❑
❑
❑
None
restricts flow - 23 CCR 16
2636(0 (5)
30018
Turbine sump monitor
activates an audible and
RD
visual alarm or stops the
❑
❑
®
❑
❑
❑
None
❑
flow of at the dispenser -
Yes
23 CCR 16 2636(0(1)
30019
Monitoring system in the
UDCs activates an
audible and visual alarm
❑
❑
❑
❑
❑
None
or stops the flow at the
UDC - 23 CCR 16
2636 (0(1)
30043
Leak detection equipment
RD
properly programmed or
properly operated - 23
®
❑
❑
❑
❑
❑
None
❑
CCR 16 2632, 2634, 2636,
Yes
2666
30005
System constructed with
a monitoring system
capable of detecting entry
N]
❑
❑
❑
❑
None
into secondary
containment - HSC 6.7
25291 b
^00014
Correct leak detection
equipment installed for
RD
the type of system
❑
❑
❑
❑
❑
None
❑
present - 23 CCR 16 2638,
Yes
HSC 6.7 25290.1, 25290.2,
25291
^00015
Sensor located in the
RD
proper position /location -
❑
❑
❑
❑
❑
None
❑
23 CCR 16 2630(d), 2641(a)
Yes
Bakersfield Fire Department Prevention
2101 H St
Bakersfield CA. 93301
661-326-3911
Underground Storage Tank Program
SW Inspection Report
NOTICE TO COMPLY/NOTICE OF VIOLATION
olation
Program Requirement
46 r-
(D .0
SOC
Comments
No
O
a
CO)
0
I
0.
m4,
I- (a
010
Z
0
Z
M
0
W
30062
Facility is in compliance
with not tampering with or
RD
disabling leak detection
❑
❑
❑
❑
❑
None
F-1
devices or alarms - HSC
Yes
6.7 25299(a)(9)
30034
Tag/sticker on affixed
monitoring equipment
being certified, repaired,
EP
F ❑
❑ 1
El
❑
❑
None
or replaced - 23 CCR 16
2638(o
thodic Protection
30009
Impressed-current system
is turned on and
RP
functioning properly and
❑
❑
❑
None
❑
inspected as required - 23
Yes
I CCR 16 2635(a)(2)
igle Walled
Tank Monitoring
30004
Automatic tank gauge
tests the tank at least
RD
once per month at 0.1
[__j
❑
❑
None
❑
gallons per hour - 23 CCR
Yes
16 2643(b)(2)
30005
The 0.2 gallons per hour
continuous in tank leak
RD
detection test is being
None
❑
conducted - 23 CCR 16
Yes
2643(b)(5)
30006
Monthly 0.2 gallons per
hour automatic tank
RD
gauging test on a single
[Y]
❑
n
El
❑
R
None
❑
wall tank is being
Yes
conducted - 23 CCR 16
2643(b)(1)
'50 0 0 2
Automatic tank
gauging/continuous in
RD
tank leak detection
❑
❑
KI
❑
❑
❑
None
❑
system installed/properly
Yes
functioning - 23 CCR 16
2643, HSC 6.7 25292(a)
30030
Weekly manual tank
gauging performed in
RD
accordance to the
None
❑
required specifications -
Yes
23 CCR 16 2645
30022
Groundwater and/or
vadose zone monitoring
❑
El
None
conducted as required -
23 CCR 16 2647, 2648
igle Walled
Piping Monitoring
30052
Piping monitored hourly
and a 0.2 gph monthly or
RD
0.1 gph annual line
"'I
LAJ
❑
❑
❑
R
None
94
integrity test is performed
Yes
- 23 CCR 16 2641(a),
2643(c)
ie Leak
Detector
Bakersfield Fire Department Prevention
2101 H St
Bakersfield CA. 93301
661-326-3911
Underground Storage Tank Program
SW Inspection Report
NOTICE TO COMPLY/NOTICE OF VIOLATION
ollation
Program Requirement
'8 r-
0
soc
Comments
No
I--
n
<
a
U)
0
0 .
co 73
Z
0
Z
n
0
W
0 >
30012
Line leak detector
installed on pressurized
RD
piping system - HSC 6.7
None
❑
25290.1(h), 25290.2(8),
Yes
25291(1), 25292(e),
2636(1) (2)
30026
Line leak detectors detect
a 3 gph leak and/or
RD
audible and visual alarm
None
❑
function properly - 23
Yes
CCR 16 2636(0(6),
2666(c)
30027
Turbine shuts down when
a leak is detected or
RD
when line leak detector is
❑
[--j
None
F-1
disconnected - 23 CCR 16
Yes
2666
30025
Pressurized piping able to
detect a 3.0 gph leak
RD
within an hour, and
❑
❑
❑
❑
❑
None
❑
restricts the flow or
Yes
alarms - 23 CCR 16
2636 (0(2)
ction Piping
30053
Suction piping sloped to
drain back into storage
RD
tank, one check valve and
❑
❑
❑
❑
❑
None
❑
inspections conducted -
Yes
23 CCR 16 2636(a)(3),
2641(b)
condary Containment
30008
UDC, sumps, and/or
other secondary
containment in good
El
M
❑
❑
❑
None
condition and/or are free
of debris/liquid - HSC 6.7
25290.1, 25290.2, 25291
30047
Secondary containment
maintained tight and has
been confirmed by testing
❑
❑
❑
❑
❑
None
- 23 CCR 16 2662; HSC 6.7
25290.1(c)(2), 25290.2(c)(2),
25291 a , 25292(e)
30060
Entry fittings in secondary
containment for UST
system maintained
None
tight/sealed - 23 CCR 16
2630, 2635(d), 2636(c),
2666
30020
Spill bucket is installed
and has a functional drain
RP
valve or other means to
❑
r-1
❑
❑
None
❑
remove liquid - 23 CCR 16
Yes
2635 2665
Bakersfield Fire Department Prevention
2101 H St
Bakersfield CA. 93301
661-326-3911
Underground Storage Tank Program
SW Inspection Report
NOTICE TO COWLY/NOTICE OF VIOLATION
Diation
Program Requirement
"6 C
W .O
SOC
Comments
No
:R.
11--
:)
<
a
CO
0
(L
4) *j
%. cc
CIO
Z
0
Z
M
0
Ix
30054
Spill bucket maintained in
RP
good condition and free of
E]
&t
E]
None
9
debris and/or liquid - 23
Yes
CCR 16 2635(b), 2715(c)(2)
30019
Spill bucket to has a
minimum capacity of five
1:1
❑
❑
❑
❑
None
gallons - 23 CCR 16
2635 2665
-erfill
30035
UST system is operated
to prevent unauthorized
RP
release, including spills
❑
❑
r-1
None
❑
and overfills - HSC 6.7
Yes
25292.1(a)
30036
Overfill prevention system
has not been overridden
RP
and meets overfill
None
❑
requirements - 23 CCR 16
Yes
2635 b (2), 2665
On
Site Records
rtifications
3.'0023
Required designated
operators or contractors
maintain a proper and
C-1
Ly
❑
❑
❑
None
current ICC certification -
23 CCR 16 2715
3.'0024
Service technician, installer,
and/ or employee maintain a
E3
❑ El
None
proper license - 23 CCR 16
2715
3.'0031
Employee or contractor
obtained and maintained
proper manufacturer
None
certification - 23 CCR 16
2715
10007
Submit/maintain current
Certificate of Financial
Responsibility/mechanism
of financial assurance - 23
❑
❑
❑
None
CCR 16 2711; 23 CCR 18
2808. 1 , 2809-2809.2; HSC
6.7 25292.2; HSC 6.75
25299.30-25299.34
10007
Positive statement of
compatibility for UST
system components
1:1
❑
1:1
❑
❑
submitted and maintained on
site - 23 CCR 16 263 1
signated Operator
10004
Copies of DO inspections
for last 12 months and list
of trained employees
None
maintained - 23 CCR 16
2715
Bakersfield Fire Department Prevention
2101 H St
Bakersfield CA. 93301
661- 326 -3911
Yd -
Underground Storage Tank Program
SW Inspection Report
NOTICE TO COMPLY/NOTICE OF VIOLATION
olation
Program Requirement
o
SOC
Comments
No
d
z
O
z
n V
W
o>
30013
Designated operator
properly conducted the
monthly inspection and
E
❑
❑
❑
❑
❑
None
the reports are complete -
23 CCR 16 2715
30010
DO notified operator of
any condition observed
during the monthly
Ep
❑
❑
❑
❑
❑
None
inspection that may
require action - 23 CCR 16
2715(d)
30012
DO employee training
performed, current for at
least one employee on
3
❑
❑
❑
❑
❑
None
site, and a log kept - 23
CCR 16 2715(c)(6), 2715
gs
30001
Leak detection alarm
logs, maintenance and
records of appropriate
❑
❑
❑
❑
❑
None
follow -up actions
maintained - 23 CCR 16
2632, 2634, 2712(b)
30020
Unburied fuel piping
RD
visually inspected at least
yam'
❑
❑
❑
❑
❑
None
❑
monthly and log kept -
_V
Yes
HSC 6.7 25281.5(b)(3)
30049
Suction pipe monitored
daily and results logged -
4
❑
C)�
❑
❑
❑
None
23 CCR 16 2643(d
30057
When SIR results indicate
failure: The facility met all
RD
corrective action
❑
❑
❑
❑
❑
None
❑
requirements - 23 CCR 16
Yes
2646.1(d
30058
All Statistical Inventory
RD
Reconciliation (SIR)
❑
R
❑
❑
❑
None
❑
requirements met - 23
Yes
CCR 16 2646.1
intenance/Tests
10008
Monitoring, maintenance,
repairs, linings, and
RD
upgrade records
1:1
El
El
1:1
E]
None
❑
maintained for the proper
Yes
time period - 23 CCR 16
2712(b)
Bakersfield Fire Department Prevention
2101 H St
Bakersfield CA. 93301
661- 326 -3911
l
R-1
Underground Storage Tank Program
SW Inspection Report
NOTICE TO COMPLY/NOTICE OF VIOLATION
olation
Program Requirement
o
SOC
Comments
No
0::1-
=
in
0
a.
m°
O
z
=
0
W
o>
10002
Records of cathodic
protection systems testing
❑
❑
❑
❑
❑
None
maintained - 23 CCR 16
2635, 2712(b)
1cumentation
30033
Failure to maintain on site
an approved monitoring
NA
❑
❑
❑
❑
❑
None
plan - 23 CCR 16 2632,
2634, 2711, 2712(1)
30037
Written agreement between
the tank owner and tank
operator to monitor the tank
❑
❑
❑
❑
❑
None
system is maintained - 23
CCR 16 2620(b); HSC 6.7
25284(a)(3)
30061
Suspected or actual
unauthorized release
RD
reported in appropriate time
❑
❑
❑
❑
❑
None
❑
frame - HSC 6.7 29294,
Yes
29295
neral Operating Requirements
,mit Condition
/Approval
30039
Compliance with all
operating permit conditions
❑
❑
❑
❑
❑
None
- 23 CCR 16 2712; HSC 6.7
25299
30059
UST system maintained in
accordance with
❑
❑
❑
❑
❑
None
exclusion/exemption status -
HSC 6.7 25281.6, 25283.5
30014
Owner /Operator received
approval and has
implemented a training
❑
❑
®
❑
❑
❑
None
program at an unstaffed
facility - 23 CCR 16
2715(f)(2)
30015
Facility exhibited that the
method used to monitor the
tank meets the monitoring
❑
❑
❑
❑
❑
None
methods in 2643(f) - 23
CCR 16 2643
d Tag
30045
Red Tag information is
legible and has not been
❑
❑
❑
❑
❑
None
tampered with - 23 CCR 16
2717.1(g)
30044
Facility did not allow for
deposit of petroleum into a
UST that has a red tag
❑
❑
❑
❑
❑
None
affixed to the fill - 23 CCR
16 2717.1(f)
tall/Repair
Bakersfield Fire Department Prevention
2101 H St
Bakersfield CA. 93301
661 -326 -3911
a� "c C�nY'2;,
y
S H R S F I D
FIRE
ART// T
Underground Storage Tank Program
SW Inspection Report
NOTICE TO COWLY/NOTICE OF VIOLATION
olation
Program Requirement
o
SOC
Comments
No
=
a.
0
d°
z
O
z
93
0
a:
o >
3:0066
Repaired and retested the
system due to a failed ELD
test when located within
❑
❑
❑
❑
❑
None
1000' of public well - HSC
6.7 25292.4(d), 25292.5(c)
50018
Existing SW piping is
constructed of FRP,
cathodically protected steel,
❑
❑
❑
❑
❑
None
RP
❑
or steel clad with FRP - 23
Yes
CCR 16 2666(b); HSC 6.7
25292(e)(2)
50021
Striker plate installed and
positioned correctly - 23
❑
❑
❑
❑
❑
None
CCR 16 2631(c), 2662(d)
50004
Corrosion protection
installed for USTs and
cathodic protection system
❑
❑
❑
❑
❑
None
RP
❑
meets the consensus
Yes
standards - 23 CCR 16
2635(a)(2)(A)
❑ There were no violations noted for this inspection.
7 j7 his report shall serve as a "NOTICE TO COMPLY" for Minor Violations, and a "NOTICE OF VIOLATION" for
his
violations. You are, hereby, ordered to correct the above noted violations within 30 days, or according to
correction summaries provided. Formal enforcement and /or penalty assessment may be initiated for any
violations noted, and for those not corrected in a timely manner. (NOTE: If this is a preliminary report, a final report
will follow.)
Inspectors Signature: `-- Date:
Inspector: Enter # of Violations: RD: '2._ RP: I-
Check one box for facility Significant Operational Status (SOC) to be reported to SWRC13 and US EPA:
❑ SOC with both Release Detection and Release Detection (Facility has no Release Prevention and no Release
Prevention Violations)
UNot in SOC (Facility has both Release Prevention and Release Detection Violations)
SOC with Release Detection only (Facility has no Release Detection violations but one or more Release Prevention
violations)
❑ SOC with Release Prevention only (Facility has no Release Prevention violations but one or more Release Detection
violations)
Owner/Operator; c5 t - s -r .
Facility: V4 t R I C
Address. L4 CD (D t L
A
Notice' Of Violation: Qass H nd /or Class l Violations were found during this inspection as
noted in the following Su ma of Violations.
H
The violations indicated in this inspection report must be corrected within 30. days, unless
Otherwise noted.
Formal enforcement will be initiated for all Class l Violations, and for any Class 11 violations. not
corrected within the required timeframe. This report does not represent that there are no other
violations at this facility. A re- inspection may occur to determine compliance status.
SUMMARY OF VIOLATIONS
Item
#
VIOLATION
REQUIREMENT FOR CORRECTION
OF VIOLATION
DATE FOR
CORRECTION'
uoc-
Pz— "ere r, } C �+�C _
71(/
.J`.1,j€.1A tLY'r:x�.+
VA
0 /%J'7 f t It
P- A<:z 14�� � d ^.� 5 4—.. ti " i ,Q
inspectors
Signature: w 14 R. 0 LIZ
Received by:
Phone: -
TPrint.Name:
EDE
Date:
White - Business Copy Yellow — Business Copy to be sent in after Return -to- Compliance Pink - Prevention Services Copy
I
BAKERSFIELD FIRE DEPARTMENT
HAZARDOUS WASTE
UNIFIED PROGRAM CONSOLIDATED FORMS Preventi ®n Services
914E R S F I D 2101 H Street
A066US
SMALL QUANTITY HAZARDOUS- PINK Bakersfleld, CA 93301
0 S A&rmfr Phone: 661-326-3979 • Fax: 661-852-2171
WASTE GENERATOR INSPECTION
Facility Name: -AST V\-\ Date:
Site Address: 4 r Time In: Time Out:
-T; ------
Owner/Operator: 'Atnt Phon6: EPA ID
Type of Inspection
0, Routine 0 Re-inspection/Follow-up>-IeU'mbined Routin �Oection Jqi4it Inspection 0 Complaint 0 Focused 0 Othe'r
0 CONSENT TO INSPECT GRANTED BY (Name / Title):
Inspection may involve obtaining photographs, review and copying of recof"d1 s, an determination of compliance with hazardous waste handling requirements.
d"l--- T TT
C
V
- - - - - -- - - -
IV
HAZARDOUS WASTE REQUIREMENT
I NIA
CERS
Violation #
COMMENTS
' Xk6iftkepifig/documentation
Generator has an EPA ID number (HSC'25143.131
3010002,
Hazardous waste determination made for all wastes
0 Anal ,sis „,"eneraf6y'K,.nowledgo- [CCR 6,6202,-40]
3030005
Contingency,planinformation posted near phone [CCR 66262.34(d)(2)]
3010022
Facility personfiil demohitfaid training/awareness [CCR 66262.34(d)(2)]
3020001
Manifests/Consolidated Manifest receipts complete [CCR 66262.23(a)]
3010008
IN,
Blue co (s) of manifest mailed to DTSC [CCR 66262.23(a)(4))
3010011
Bills of Lading/receipts available [CCR 66262.40(a)]
3010010
LDRs available and complete [CCR 66268.7(a)]
3030006
Onsite recycling reported using UPCF [HSC 25143.10]
3030001
Container/tank -management
Containers are in good condition [CCR 66262.34 (d)(,))]
3030013
Containers are.closed except when,.adding/removirig, [CCR66202.34(d)(2)]
30300;17!.
Satellite containers at or near point of gen I era on [CCR 66262.34(e)(1) (A)]
Empty containers are empty [CCR 66262-34(f)]
3030007
Containers inspected weekly [CCR 66262.34(d)(2)]
3030019
Tanks inspected daily [CCR 66262.34(d)(2),40CFR 265.2011
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 . , : ; fHSC25143.--,10]
3010016
Accumulation Time Limits
Waste is accumulated not more than 90/180/270 [CCR 66262.34(d)l_
3030010 ,
-7
Empty containers rnanag.edwithin one year,-, "MY [CCR 6626154(d)1
"3050010”'
Universal waste accumulated less than one' can _[CCR,662733 5(a)]
•3030011
�ear <1 ton) [CCR 66266.130(c)(4)]
Used oil filters offsite within 180 (1 y
3030004
Pb-acid batteries offsite within 180 (1 yr. < I 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 pro2erly labeled (CCR 66273.341
3030008
Used oil filters marked "drained used oil filters" [CCR 66266.130]
3030004
Date written on spent lead-acid batteries . [CCR 66266.8 1 (a)(6)(B)l
3030003
"Used Oil" marked on all used oil tanks/containers [CCR 66279.21(b))
3030007
Tank marked with "haz waste" , contents, start date [66262.34(f)]
3030007
Treatment, Transport and Dis posal/Other
Have permit/authorization to do treatment [HSC 25136.2]
3040003
Waste sent with authorized transport (gen. eligible) [CCR 66263.41]
3050001
Waste of to authorized point/p art y [HSC 25189.5(a)]
3050002
.disposed
Failed to properly. handle appliance wastes [HSC 25212(a))
Fire Protection [66262.34(d)(2))
3030032
%P_r1nt and sign in this box for receipt of this report. Signature does not imply agreement with findings only receipt of report.
SPECTOR-
POST INSPECTION INSTRUCTIONS:
• 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, 2101 H St. Bakersfield, CA 93301
White Business.Copy Yellow-- Station, Copy
Signature (that all violations have been corrected as noted)
Date
FD2171 (Rev 9/14)
Pink- Prevention, Services Copy
BAKERSFIELD FIRE
DEPTO
Prevention Services
B R 8 F T 0 2101 H Street
UNIFIED PROGRAM INSPECTION CHECKLIST FIRE Bakersfield, CA 93301
Tel.: (661) 326-3979.
SECTION 1: Hazardous Materials Business Plan Fax: (661) 852-2171
Ins !on
FACILITY NAME INSPECTION DATE INSPECTION TIME
Mom
❑ ROUTINE COMBINED ❑ JOINTAGENCY ❑ MULTI-AGENCY ❑ COMPLAINT 'El RE-INSPECTION
V C=(;ompliance OPERATION
CERS
T
Violation
COMMENT
ADDRESS
PHONE NO.
NO OF EMPLOYEES
NO
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
FACILITY CONTACT
BUSINESS ID NUMBER
Consent t'bktnspect Name/Title
1010008
Mom
❑ ROUTINE COMBINED ❑ JOINTAGENCY ❑ MULTI-AGENCY ❑ COMPLAINT 'El RE-INSPECTION
V C=(;ompliance OPERATION
CERS
V=Violation; 1,11 Minor
Violation
COMMENT
NO
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 OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS 2729.3)
1010004
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)
10100 5
WNY HAZARDOUS WASTE ON SITE? ❑ YES
Signatureof leceip
�Q:NO
Explain:
C
Insvector:_51/ -r ,-I f— P _3
POST INSPECTION INSTRUCTIONS:
• 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: Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California :9330
Date
White Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 8#14)