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.ROUTINE ` ❑ COMBINED ❑, JOINT AGENCY
E].' MULTI- AGENCY ❑ COMPLAINT ❑ RE INSPECTION
C= Compliance
C ` V. , OPERATION CERS
V= Violation; 111 Minor
Violation COMMENT'
APPROPRIATE PERMIT ON-HAND. {BMC: 15.65.080) 3010001
CERS INFORMATION ENTERED '& UPDATED ANNUALLY (CCR: 2729.1) 3210043
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 OFABATEMENT SUPPLIES & "PROCED'URES (CCR: 2731'(c)''
EMERGENCY.PROCEDU.RES ADEQUATE (CCR: 2731) 1010010
CONTAINERSPROPERLY,LABELED `(CCR: 66262.34(17, CFC: 2703.5) 3030007
..
HOUSEKEEPING (CFC: 304.1) .
FIRE-PROTECTION (CFC. 903 & 906) 3030032
f
" $ITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729:2) 1010005
NY HA2ARDOUS!WAST`E ON SITE? r r E$ ❑. NQ: Si nature ofRecei t.
Explain.tJf` "t1LC E.77tA ��",J�C Div ry' ,� ".:i- ;; -�fi!: Caa~it"M.tic':avi (�tCK"'
Inspectors �' e�L.- �C,�,. -'',,.
POST INSPECTION INSTRiT TIONS:
• "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, rioted)
Bakersfield " Fire Dept,. Prevention Services, 2101 H Street, California 93301
Date
Whiter Business Copy Yellow — Statio`n
'Co py. Pink — Prevention` Services FD2155 (Rev 9/2017)
3
White — Customer /Original Yellow - Station, Copy 'rfn : PreNepr iris n ervices
FD 2022 tRev.10 /2017)''
'V -
C
%,Vlll
V
1Q1111• ♦
HAZARDOUS WASTE REQUIREMENT
N/A
CER5
Violation #
COMMENTS
Recordkee in documentation
Generator has an EPA ID number HSC 25143.131
3010002
,r
F
Hazardous waste determination made for all wastes'
0, Anal sis. ' B Generator Knowled a {CCR 66262.401
3030005
Contingency lan information posted near phone [CCR 66262.34(d)(2)]
3010022
Facility ' ersonnel demonstrate trainiri 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-
Onsiterecycling reported using UPCF [HSC 25143:10]
3030001
Container /tank mane ement
/
Containers are in good condition CCR 66262.34(d)(2)]
3030013
Containers are closed except when adding/removing [CCR66262.34(d)(2)]
Satellite containers at or near " point of generationfCCR 66262.34(e)(1) (A)]
3030017
Empty containers are empty (CCR 66262.34(f)] "
3030007
Containers ins ected weekly. _ (CCR 66262.34(d)(2)]
3030019
Tanks inspected daily CCR,66262.34 d 2 40CFR 265.20 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 25143.101,
3010016
Accumulation Time Limits
Waste is accumulated not more, than 90/180/270 " CCR 66262.34(d)]
3030010
Emt)ty containers managed within one year CCR 66262.34(d)]
3030010
'3030011
Universal waste accumulated less than one year. (CCR 66273.15(a)]
-
Used oil filters.offsite within L 180 (1 year <1 ton) JCCR 66266.130(c)(4)]
3030004
Pb-acid batteries offsite within 180 (1' r. < 1 ton) [CCR66266.81(a)(3)] "
3030002
Labeling/Marking
Containers are properly labeled [66262.34(f)]
3030007
Excluded ,rec 'clable 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 16ad-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 'Dis sal/Other
Have permit/authorization to do treatment {HSC 25136.2]
3040003
Waste sent Lwith, authorized transport en. eligible) [CCR 66263.41]
3050001',
Waste disposed of to authorized pint/ art [HSC 25-189.5(a)], ,
3050002
-
Failed to properly handle appliance wastes . fHSC 25212 a
Fire Protection [66262,34(d)(2)l
3030032,"
Print and sign in this box for receipt of this report. Signature does not imply agreement with findings only receipt of report.
M
PLAN REVIEW
NMI!
LIST OF DEFICIENCIES
BAKERSFIELD FIRE DEPT.
Prevention Services
2 101 H Street
Bakersfield, CA 93301
Tel.: (661) 3326-3979
Fax: (661) 852-2171
Page 1 of 1
Project: --::�ijj L'JS V- --QA \/i Permit #: 18-/0006131
Location: "'N- y
Date. Received: 12 Date Reviewed: '/6
..1-L
-rk ;r%11 i items were noted as not meetina code or conditions of approval:
The above referenced items shall be corrected before plan review can resume.
If there are any questions, please call Shane Gardner at (661) 326-3650.
VV "%4
Description
She
I
f > L CA P 9- S E,
C-1 -r
Cag- I r- I C A -rl Qr^! Z
I C.C. 1 11-0 S c
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M6,vrrol 4C
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The above referenced items shall be corrected before plan review can resume.
If there are any questions, please call Shane Gardner at (661) 326-3650.
UNDERGROUND STORAGE TANK
IMP
PERMIT APPLICATION M .. r
B E R S F i D
FIRE
FACILITY ADDRESS ; la N1 9zzr �
4833 Bainessf'aFk-
A RT r
TO CONSTRUCT- INSTALL NEW TANK (NEW FACILITY) /NEW
TYPE OF BUSINESS
Gas Station
TANK INSTALL (EXISTING FACILITY) /MOD -MINOR MOD
TANK OWNER
Sullivan I I C,'
i
Permit #
X
TYPE OF APPLICATION: 0 NEW TANK INSTALL /NEW FACILITY
((-HP(-k' <IRIF MII Y) rl MODTFTCATTON OF FACTI TTY
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661- 326 -3979 a Fax: 661 - 852 -2171
Page 1 of 1
❑ NEW TANK INSTALL /EXISTING FACILITY
n MTNOR MODTFTCATTON OF FACTLTTY
STARTING DATE/
3 -20 -2018
PROPOSED' COMPLETION DATE
10 -15 -2018
FACILITY NAME
Sully's Buena Vista
EXISTING FACILITY PERMIT #
FACILITY ADDRESS ; la N1 9zzr �
4833 Bainessf'aFk-
CITY
Bakersfield
ZIP CODE
93311
TYPE OF BUSINESS
Gas Station
APN #
TANK OWNER
Sullivan I I C,'
PHONE #
ADDRESS
1000 Truxtun Ave
CITY
Bakersfield
ZIP CODE
93301
CONTRACTOR
Sunset Mechanical and Construction
CA LICENSE #
1 589517
ICC #
5249952
ADDRESS
4617 K*mber Ave
CITY ,
—Rakp-rsfield
ZIP CODE
93307
PHONE #
322 -0660
BAKERSFIELD CITY BUSINESS LICENSE #
On file
WORKMANS COMP #
WAS- 5028403
INSURER
lCW Group
BRIEFLY DESCRIBE THE WORK TO BE DONE: install new fueling station
WATER TO FACILITY PROVIDED BY
Calif Water
DEPTH TO GROUND WATER 200
SOIL TYPE EXSaCld AT SITE
# OF TANKS TO BE INSTALLED
2
ARE THEY FOR MOTOR FUEL?
❑ YES ❑ NO
SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE?
❑ YES ❑ NO
THIS SECTION IS FOR STORAGE TANK IDENTIFICATION
TANK #
VOLUME
UNLEADED
REGULAR
PREMIUM
DIESEL
OTHER
TANK MANUFACTURER
1
20,000
X
Mordem
2
20,000
12,000
8,000
Tank Testing Company
NAME OF TESTING COMPANY
Leak Detection Technologies
PHONE NUMBE
20- 509 -3720
MAILING ADDRESS
1889 N Oracle Tucson AZ 85705
NAME OF TESTER
ICC#
THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS
PERMIT AND ANY OTHER STATE, LOCAL, AND FEDERAL REGULATIONS. THIS FORM HAS BEEN COMPLETED UNDER
PENALTY OF PER7URY, AND TO THE BEST OF MY KNOWLEDGE IS TRUE AND CORRECT.
NAME OF TESTER
ICC#
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
FOR OFFICIAL USE ONLY
DATE APPROVED
APPROVED BY