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INSPECgTIIONj DATE
INSPECTION TIME
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MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
ADDRESS
PHONE NO.
NO OF EMPLOYEES
G
CR: 2729.1)
1010008
FACILITY CONTACT
BUSINESS ID NUMBER
i a . � 7i�> A �__
I S__ (321— 033 tai �47
Consent to Inspect Name/Title
CORRECT OCCUPANCY
(CBC: 401)
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❑ ROUTINE `OMBINED ❑ JOINTAGENCY
MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
3010001
C V = omplance OPERATION
V =Violation; 1,11 Minor
CERS
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BM
:15.65.080 )
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (0
CR: 2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, B
C: 15.52.020)
CORRECT OCCUPANCY
(CBC: 401)
'f
VERIFICATION OF INVENTORY MATERIALS (OCR:
2729.3)
1010004
VERIFICATION OF QUANTITIES (CC
R: 2729.4)
1010006
VERIFICATION OF LOCATION (OCR:
2729.2)
PROPER SEGREGATION OF MATERIAL (
FC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR:
729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CR:
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
$ITE DIAGRAM ADEQUATE & ON HAND
CCR: 2729.2)
1010005
�-
ANY HAZARDOUS WASTE ON SITE? ❑YES b�h1O
Signature of Receipt ,
xplain:
> 27 'C-_
Inspector: I-A Oq
POST INSPECTION INSTRUCTIONS:
t a Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations; sign and return a copy of thii page to: Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
4 White — Business Copy Yellow — Station Copy Pink Prevention Services
FD2155 (Rev 8//14)
HAZARDOUS WASTE BAKERSFIELD FIRE DEPARTMENT
UNIFIED PROGRAM CONSOLIDATED FORMS Prevention Services
a >.RSFI n 2101HStreet
SMALL QUANTITY HAZARDOUS Bakersfield, CA 93301
WASTE GENERATOR INSPECTION Phone: 661 - 326 -399 •Fax; 661 -852 -2171
Facility Name:""" �_ - ..
...�. ,,-- � �- t� �� r �1� �. Z:: Date:.
Site Address: f'�, �_ ( �'": L Time In: Time Out:
Owner /Operator: t; r,.F " " r✓ Phone: EPA ID # � ...�'.�CO,1.e 1 Y,
T,_ype of inspection .
a Routine 0 Re- inspection/Follow -up `Combined Routine Inspection 0 oint In tion 0 Complaint, Focused 0 Other
O CONSENT TO INSPECT GRANTED BY (Name/ Title): %
Inspection may involve obtaining photographs, review and copying of records, and liet6mination of compliance 4itb hazardous waste handling requirements.
C
-
V
-a
I=iAZARl50U5 WASTE REQUIREMENT
N/A
CER5
Violation #
COMMENTS
Recordkee in documentation
Generator has an EPA ID number HSC 25143.13
3010002
Hazardous waste determination made for all wastes
Q Analysis Tenerator Knowledge [CCR 66262.40
3030005
Contin enc lan information posted near phone [CCR 66262.34( (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(x)(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 25143.1
3030001
Container /tank management
Containers are in good condition CCR 66262.34(d 2
3030013
Containers are closed except when addin removin [CCR66262.34 d)(2
]
3030017
1 fi' � � -L/
Satellite containers at or near point of generation CCR 66262.34(e) (1) A
]
.1 t
Em containers are empty [CCR 66262.34
3030007
Q oAJec— i4S-, ,sO "r
Containers inspected weekly [CCR 66262.34(d)(2
3030019
- . 01 00- / ,J
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 25143.10
3010016
Accumulation Time Limits
Waste is accumulated not more than 90/180/270 CCR 66262.34(d)
3030010
Empty containers managed within one year JCCR 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 r. < 1 ton [CCR66266.81(a)(3
]
3030002
Labeling/Marktng
Containers are properly labeled [66262.34(]
3030007
Excluded rec clable materials marked properly [HSC 25143.9(a)L
3050005
Universal waste container pro2erly labeled (CCR 66273.34
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)
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 point/ party [HSC 25189.5(a
3050002
Failed to properly handle appliance wastes CHSC 25212(a
Fire Protection [66262.34(d)(2)]
3030032
Print and sign in this box for receipt of this report. Signature does not imply, agreement
with findings only receipt of report:
INSPECTOR t...If .
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by Signature (that all violations have been corrected 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