HomeMy WebLinkAboutHAZ-MAT INSPKERN PRINT SERVICES - (661) 325 -5818 - KPS -2215
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
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Consent to Inspect Name /Title
1010008
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ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V = ,ompianc.e 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: 15.52.020)
✓
CORRECT OCCUPANCY (CBC: 401)
”
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1. 010006
VERIFICATION OF LOCATION (CCR: 2729:2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704:1)
VERIFICATION OF SD.S AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 273.1(c))
r
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
.'
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
f
HOUSEKEEPING' (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND : (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? 0 YES ❑ NO
i •nature ofRecei iDt %
✓
'
Explain: > k F
Inspector:
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by 7 • 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., Preventiori.Services, 2101 H Street,, California 93301
Date
White —Business Copy Yellow.— Station Copy Pink - Prevention Services FD2155 (Rev 804)
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
-V =Violation; 1,11 Minor
Violation
COMMENT
ADDRESS
PHONE NO.
NO OF EMPLOYEES
APPROPRIATE PERMIT ON HAND (BMC: 15.6 5.080)
FACILITY CONTACT
BUSINESS ID NUMBER
ewe
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1);
1010008
Consent to Inspect Name /Title
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B'” ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V OPERATION
CERS;
-V =Violation; 1,11 Minor
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC: 15.6 5.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1);
1010008
VISIBLE.'ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
�-.
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004 ,
j,r/
VERIFICATION OF QUANTITIES (CCR`. 2729.4)
1010006
VERIFICATION OF LOCATION (CCR`. 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
fir'
J
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
t ✓
+ .
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: 2729:2)
1010005
ANY HAZARDOUS WASTE ON SITE? YES ❑ NO
f
Signature ofRecei t
fL l / rsr 1 C� Cam. Q p�
Explain:
`C. , 4A , ✓ 't -�
Inspector :.
POST INSPECTION INSTRUCTIONS:
• Correct the violations) noted above by,�r /
•. 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 Copy . Yellow — Station Copy Pink :— Prevention Services FD2155' (Rev 8H14)
HAZARDOUS WASTED BAKERSFIELD FIRE DEPARTMENT
UNIFIED PROGRAM CONSOLIDATED FORMS Prevention Services
ERSr''i9 210iHStreet
MID
SMALL QUANTITY HAZARDOUS PINK Bakersfield, CA 93301
WASTE GENERATOR INSPECTION
Phone: 661- 326 -3979 a Fax: 661- 852_ -2171
Facility Name: Date: c :..� •. f '?
Site Address: ; ., '7� '2_ . * l Time In• Time Out
OwnerlOperator: �. c° S , t , '�.. Phone: EPA ID `t '" 2 1 4
Type of Inspection
0 Routine 0 Re- inspection/Follow -up : omtined Routine Inpection 0 Joint Inspection 0 Complaint 0 Focused 0 Other
ONSENT "TO `INSPECT GRANTED BY (Name / Title):"
Inspection may involve obtaining photographs, review and copyinof records, and determination of compliance with hazardous waste handling requirements.
C = Com taint V Class 1, 11 orMinor Violation
C
V
HAZARDOUS WASTE REQUIREMENT -
N/A I
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 generator Knowledge. [CCR 66262.401 .
:3030005
r„
Contingency lan information posted near phone [CCR 66262.34(d)(2))
3010022
Facili ersonnel demonstrate training/awareness [CCR 66262.34(d)(2)]
3020001
Manifests/Consolidated Manifest receipts com lete [CCR 66262.23(a)]
3010008
Blue co (s) of manifest mailed to DTSC [CCR 66262.23.(a)(4)]
l
3010011
Bills of Ladin recei is available [CCR 66262.40(a)]
3010010
LDRs available and complete [CCR 66268.7(a)]
.3030006
Onsite rec clin re orted using UPCF [HSC 25143.101
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)]
Satellite containers at. or near p ointof generation {CCR 66262.34(e) 1 A)]
[
3030017.
• ;
Enn pty containers are empty CCR 66262.34 ]
3030007
Containers 'ins ected•weekl [CCR 66262.34(4)(2)
3030019
Tanks inspected daily CCR 66262.34 d 2 ; 40CFR 265.201
l
3030027.
One container. er.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 n90,821270 CCR 66262.34C
3030010
EmptV containers mana ed within one year CCR 66262.34 d
3030010 `
UniversaIwaste accumulated less than one year . [CCR 66273.15(a)]
3030011
Used oil filters offsite within 180 (l year <l ton) [CCR 66266.130(.c)(4)]
3030004.
.
:Pb -acid batteries offsite within 180 (1 . < 1 ton) [CCR66266.81(a)(3)]
3030002
Labeling/Marking
Containers, are properly. labeled ' [66262.34(f)]
3030007
Excluded recyclable 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 wri tten on s ent lead -acid batteries [CCR 66266.81 (a)(6)(13)]
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 ermit/authorization. o' do. treatment" HSC 251362]
1
'3040003
Waste sent with authorized transport (gen. eligible) CCR 66263.41
3050001
Waste disposed of to authorized point/ party [HSC 25189.5(a)]
[
3050002
Failed'to ro erl handle a fiance wastes HSC 25212 a
-4-
Fire Protection [66262.34(4)(2))
3030032
Print and sign In this box for receipt. of this report. Signature does not imply agreement with findings only receipt of report.
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ggee
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
ADDRESS
PHONE NO.
NO OF EMPLOYEES
I�
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
FACILITY CONTACT
BUSINESS ID NUMBER
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020).
Consent to Inspect Name/Title
!�
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❑ ROUTINE 'COMBINED ❑JOINT AGENCY ❑ MULTI - AGENCY ❑COMPLAINT ❑ `RE- INSPECTION
C V C=Compliance OPERATION
V= Violation; 1,11 Minor
CERS
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: 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))
0.
VERIFICATION OF HAZ MAT TRAINING (CCR; 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
L,
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
1
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES -P—NO
i nature ofRecei
Explain:
Inspector: — A Aj
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 Copy Yellow - Station Copy Pink — Previrntidn`'Services FD2155 (Rev 8//14)
`
'VERIFICATION OF LOCATION (CCR: 2729.2) "
PROPER. SEGREGATION OF MATERIAL .. (CFC: 2704.,1)
OF SDS AVAILABILITY (CCR: 2729.2:(3)(b))
VERIFICATION
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: 2729.2) 1010005
;-
ANY HAZARDOUS WASTE ON SITE? YES . ❑ .NO i natureofRecei t r
,,.
Explain:
Inspector: 'gip, ,,� C
POST INSPECTION INSTRUCTIONS:
•
Correa 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 R Street, California 93301
Date
White .Business Copy Yellow — Station Copy .: ;,Pink — Prevention Services . FD2'155 (Rev 9/2017)
G=Goompfiance
ERATION C
CERS
v =Violation; ►,I► Minor ,:: V
Violation:
COMMENT
APPROPRIATE PERMIT ON HAND - (
(BMC: 15.65.080)` 3
3010001 "
CERS INFORMATION ENTERED & UPDATED ANNUALLY -(CCR: 2729:1) 3
3210043
VISIBLE, ADDRESS (
(CFC :505.1, BMC: 15.52.020);,
" C
CORRECT OCCUPANCY (
(CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (
(CCR: 2729:3), 1
1010004
'VERIFICATION OF QUANTITIES (
(CCR: 2729.4) 1
1010006
'VERIFICATION OF LOCATION (CCR: 2729.2) "
PROPER. SEGREGATION OF MATERIAL .. (CFC: 2704.,1)
OF SDS AVAILABILITY (CCR: 2729.2:(3)(b))
VERIFICATION
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: 2729.2) 1010005
;-
ANY HAZARDOUS WASTE ON SITE? YES . ❑ .NO i natureofRecei t r
,,.
Explain:
Inspector: 'gip, ,,� C
POST INSPECTION INSTRUCTIONS:
•
Correa 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 R Street, California 93301
Date
White .Business Copy Yellow — Station Copy .: ;,Pink — Prevention Services . FD2'155 (Rev 9/2017)
ANY HAZARDOUS WASTE ON SITE? YES . ❑ .NO i natureofRecei t r
,,.
Explain:
Inspector: 'gip, ,,� C
POST INSPECTION INSTRUCTIONS:
•
Correa 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 R Street, California 93301
Date
White .Business Copy Yellow — Station Copy .: ;,Pink — Prevention Services . FD2'155 (Rev 9/2017)
;._
omp iance
C V OPERATION
CERS
`
V=Violation; 1,11 Minor,
Violation.
COMMENT
#
APPROPRIATE PERMIT ON HAND (BMC: 1' 5.65.080)
3010001
I
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
3210043
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
E,
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORYMATERIALS(CCR: 2729.3)
101"0004
,r
P
VERIFICATION OF QUANTITIES . (CCR: 2729.4)
1010006
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION'OF•,MATERIAL (CFC: 2704.1)
'
Il°'
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))
.
w
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
. 1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007'
HOUSEKEEPING (CFC: 304.1)
IF
FIRE PROTECTION (CFC: 903 & 906)
; .3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS. WASTE ON SITE? YES E1,'N0
i natureofRecei t
Explain:
` 9t":`5" ,
Inspector:—]q ii LK,"
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
• Within 6 days of correcting all of the.violations, sign and return a copy of this page to: Signature (that allviolations have been corrected as noted)
Bakersfield Fire Dept.,"Prevention Services, 2101 H Street, ,California .93301 -
bate
White —`Business Copy Yellow - Station Copy Pink —'Prevention Services FD2155 (Rev. 9/2017)