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HomeMy WebLinkAboutFMC BILING APP, JOB CARD, RECIPT 3.5.19.., .. ..W, ,.. ......,.. b .... Y 4. 3-1 ,�: .... € : ;., _ ....,- 7 ... , . ,. Pe..,. .:•,i. .,-::. ;,..W,.. ..; a ::, ...., , .,,., „ . >. .:. •? >....3 „ c. v ntor .wP,ro ram Sect on.1 B.us.iness,P an and} In, e 4 .eA.w innn,. i._... ......, ...liT ...,., _.,. ,._. ,- .v.+ _. ..,. .._.,. ..w....,.. .e ... .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 14-c- set -vi c6. M6,vrrol 4C .-r^pj%c- C. UVC AAA%.$ _O A 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