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HAZARDOUS WASTE BAKERSFIELD FIRE DEPARTMENT
UNIFIED PROGRAM. CONSOLIDATED FORMS PreventiOM ServiCes
8 :iFE. R 8 FI m 2101HStreet
SMALL QUANTITY HAZARDOUS 'PINE Bakersfield, CA 93301
WASTE GENERATOR INSPECTION �!!'!' 1 phone: 661 -326 -3979 • Fax: 661- 852 -2171
Facility Name: A ,,.�'.• °'"�," a4. t ��C7 "` Date: I ` °
Site Address: e3. Time In: Time Out:
Owner /Operator: C U t Phone: EPA ID #(A C'O�"���
Type of Inspection
d Routine 0. Re- inspection/Follow -up Combined Routine Inspec 0 Joint do a Complaint 0 )Focused 0 -Other
NSENT TO INSPECT GRANTED BY (Name / Title):` a
Tnsp�ection may involve obtaining photographs, review and copying of records, and determination of compliance with hazardous waste haiYdling requirements.
C = Complaint: V = Class I,11 or Minor Violation
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 Analysis "fl.6enerator Knowledge [CCR 66262.401 ,
3030005
Contingency lan information posted near phone [CCR 66262.34(d)(2)]
3010022
Facilit 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)]
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]
1 1
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)]
e'
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
1
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 9 ,. 80I 70 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 <l ton) [CCR 66266.130(c)(4)]
3030004
Pb -acid batteries offsite. within 180 (1 yr. < 1 ton) [CCR66266.81(a)(3)] f
T 1
3030002
Labeling/Marking
Containers are properly labeled [66262.34(f)]
3030007
Excluded recyclable materials marked properly [HSC 25143.9(a)]
1
3050005
Universal waste container properly labeled (CCR 66273.341
1
3030008
Used oil filters marked "drained used oil filters" [CCR 66266.1301
1
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(b)]
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
1
3040003
Waste. sent with authorized transport (gen. eligible) [CCR 66263.411
1
3050001
Waste disposed of to authorized point/ party [HSC 25189.5(a)]
3050002
Failed to properly handle agpliance wastes HSC 25212 a
Fire Protection [66262.34(4)(2)]
3030032
Print and sign in this box for rec=this. gnature rm* yy a gre ent with findings only receipt of report.
INSPECTOR .`'`°--a 44A � f
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 DEPT.
Prevention Services
1a B R 8' F I Z 2101 H Street
UNIFIED PROGRAM INSPECTION CHECKLIST Flit' Bakersfield, CA 93301
A R f11! Tel.: (661) 326 -3979
SECTION 1: Hazardous Materials Business Plan
Fax: (661) 852 -2171
Insoection
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
V =Violation;.1,11 Minor _
Violation
COMMENT: .
ADDRESS
PHONE NO.
NO OF EMPLOYEES
APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
FACILITY CONTACT
BUSINESS ID NUMBER
CorMent to inspect Name/Title
Dan 16J Q-r O( Q
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❑ ROUTINE 'COMBINED ❑ JOINTAGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v G=Qornpliance OPERATION
CERS
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: 1552.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
'y
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: 27292)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Signa tureofRecei t .�
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, Californizr>
Date
White — Business Copy Yellow = Station Copy Pink - Prevention Services FD2155 (Rev 8H14)