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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
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BAKERSFIELD FIRE DEPT.
FACILITY NAME
CERS
INSPECTION DATE
INSPECTIONJJME
Violation
x
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ADDRESS
PHONE NO.
NO OF EMPLOYEES
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APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
BUSINESS ID NUMBER
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FACILITY CONTACT
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VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
Consent to Inspect Name /Title
CORRECT OCCUPANCY (CBC:401)
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ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V = ompiance OPERATION
CERS
Violation
COMMENT
V =Violation; 1,11 Minor
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
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BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
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VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC:401)
-
VERIFICATION OF INVENTORY MATERIALS (CCR: 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)
_
g a
: "a?
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? 2rYES ❑ NO
Signature ofRecei t
c
Explain: °
Inspector:
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 93301
Date
White — Business Cony Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 8//14)
J "-u A t _
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r�� lnrZ' °c tE s
' .
BAKERSFIELD FIRE DEPARTMENT
HAZARDOUS WASTE Prevention Services
UNIFIED PROGRAM CONSOLIDATED FORMS B E R S F T D 2101 H Street
QUANTITY HAZARDOUS J'�'R�' Bakersfield, CA 93,301
SMALL AR r;" Phone: `661 -326 -3979 • Fax: 661- 852 -2171
WASTE GENERATOR INSPECTION
D '
f � '� �., � 4, ate:
Facility Name: U r
Y
k
' z . r r "- Time In: t t a �w Time Out:{{
Site Address: "' i
/ ( fir' EPA ID #
Phone: �., h,
Owner /Operator: 1
Tyne °of Inspection
� Re -ins ection/Follow -up 0 Combined Routine Inspection 0 Joint Inspection 0 Complaint 0 Focused 0 Other
,Routine P f
0 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.
C = Complaint: V = Class L Il or Minor Violation
N/A ViolatRS ion # COMMENTS
C V HAZARDOUS WASTE RE UI CE
REMENT i
Recordkee in documentation 3010002 I
Generator has an EPA ID number HSC 25143.13
3030005.
Hazardous waste determination made for all wastes CCR 66262.40]
0 Anal sis k0enerator Knowled e [ 3010022
Contin enc Plan information osted near hone [CCR 66262.34 d)(2)]
, 3020041 i
Facili ersonnel demonstrate training/awareness awareness [CCR 66262.34(d)(2)] 3010008 {
Manifests/Consolidated Manifest receipts Complete
[CCR 66262.23(a)] I
Blue co (s) of manifest mailed to DTSC [CCR 66262.23(a)(4)] 1 3010011
CCR 66262.40(a)] 3010010
[
Bills of Udin recei is available 3030006 ;
EDRs available and complete CCR 66268.7 a)
Onsite rec clin re ooed
sing UPCF [
HSC 25143.10] 3030001
Container /tank mane ement 3030013
CCR 66262.34 d 2 j
Containers are in ood condition 3030017
Containers are closed exce t when ad& I rernovin a [CCR66262.34()(2)]
Satellite containers at or near point of eneration rCCR 66262.34(e) (1) A ] 3030007
F.mnty containers are empty-
One 66262.34
V...Empty e container per waste stream at satellite area
clude recyclable materials stored in accordance
dinance/hazardous materials codes
Accumulation
aste is accumulated not more than 90!1.80/270
containers mans ed within one ear
niversal waste accumulated less than one ear
sed oil filters offsite within 180 (1 ear <l ton)
-acid batteries offsite within 180 (1 yr. < 1 ton)
Containers are property iavowu
Excluded rec clable materials marked to erl
Universal waste container to -rl labeled `
Ile, Used . oil -. .filters marked "drained used oil filters"
Date written on spent lead -acid batteries [CCR
Used Oil marked on all used oil tanks /containers
Tank marked with "haz waste', contents, start date
Treatment Transport and
Have ermit/authorization to do treatment
Waste sent with authorized trans ort ( en. eli ible
Waste disposed of to authorized point/ party
Failed to ro erly handle.appliance wastes
Fire Protection
Print and sign in this box for receipt of this report. Signature
2.34 d 2
3030022
3010016
25143.10]
1
5262.34(4)1—
3030010
5262.3414)L
3030010
i6273.15(a)]
3030011
5.130(c (4))
3030004
66.81(a)(3)]
3030002
i6262.34(f)]
3030007
25143.9(a)]
3050005
t 66273.341
3030008
66266.1301
3030004
91(a)(6
3030003
6279.21
3030007
.16262.34
3030007
sal/Other
SC 25136.2] (
3040003
R 66263.411 1
3050001
does not im
21
agreement with findings only receipt of report.
POST INSPECTTOIINSTRUCTIONS:
' Y Signature (that all violations have been corrected as noted)
• 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: Date
Bakersfield Fire Dept., Prevention Services, 2101 H St. Bakersfield, CA 93301
, ; ..i A.: c! FD2171 (Rev 9/14)
White - Business Conv Yellow- Station COPY Pink- Prevention Services Copy