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124 UNION AVENUE (3)
t UjiTFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program 4I ArM R S F I IS L D FIRE R T BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME , lit INSP T`I O' N ID TE INSPECTION TIME 10 %Z1 I h 4'a ADDRESS PHONE N( 9£ NO OF ELvIPLOYEES G t FACILITY CONTACT BUSINESS ID NUMBER 1111- VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020) Consent to Inspect Name /Title r CORRECT OCCUPANCY CBC: 401) I " VERIFICATION OF INVENTORY MATERIALS Section 1: Business Plan and Inventory Program ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION C v c C= Compliance OPERATION V= Violation COMMENTS M-_" APPROPRIATE PERMIT ON HAND BMC: 15.65.080) BUSIfteSS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1111- VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020) CORRECT OCCUPANCY CBC: 401) I " VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3) 1900'e VERIFICATION OF QUANTITIES CCR: 2729.4) M--' VERIFICATION OF LOCATION CCR: 2729.2) I! 1 M"' PROPER SEGREGATION OF MATERIAL CFC: 2704.1) 09" VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b)) IDS VERIFICATION OF HAZ MAT TRAINING CCR: 2732) Ml" VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) n-010 EMERGENCY PROCEDURES ADEQUATE CCR: 2731) 11 CONTAINERS PROPERLY LABELED CCR: 66262.34(1), CFC: 2703.5) HOUSEKEEPING CFC: 304.1) Gc,,, no*" FIRE PROTECTION CFC: 903 & 906) m,-' SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? LI ES NO Signature ofReceipt Explain: 0 POST INSPECTION INSTRUCTIONS: Correct the violation(s) noted above by Within 5 days ofcorrecting all of the violations, sign and return a copy ofthis page to Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 Signature (that all viol gns•h vabeenCOrrected-as.noted) 71 Date' White —Business Copy Yellow — Business Copy to be Sent in afler return toCompliance Pink — Prevention Services Copy FD2155 (Rev 6//10) ess J r , II M Code HAZARDOUS WASTE YI BAKERSFIELD FIRE DEPARTMENT UNIFIED PROGRAM CONSOLIDATED FORMS CONIMENTS/NOTES/DOCUMENT(S) REVIEWED NHSSING INFORMATION/ UNRESOLVED ISSUES Prevention Services Recordkee in documentation 1501 Truxtun Ave 1 FLR HAZARDOUS WASTE GENERATOR o AORIRMWW T Bakersfield, CA 93301 INSPECTION REPORT, Phone: 661 - 326 -3979 •Fax: 661 - 852 -2171 Li ry9A,,Jo GR02 6Z7 / Facility Name r 1 Cc //r es Date Site Address ,y 1 • ,4,i oriel nAje • GR03 r , 1 Time ln7* r Time Out o Cr y Y160 16 OOwner /Operator . F62 p• I Q,.. ,t C r r e r Phone'? tssc Type of Inspection Inspection Consolidation EPA tE { 6.(/ j7 V Routine Re- inspection/Follow -up Combined Routine Inspection Joint Inspection Complaint Focused Other Integrated or Multi -Media Inspection r ` CUPAFacility ID# CONSENT TO INSPECT GRANTED BY (Name/ Title): Inspection may involve obtaining photographs, review and copying of records, and determination of compliance with hazardous waste handling requirements. 1 -Class I Violation, 11 -Class 11 Violation, M -Minor Violation Page of 1 II M Code HAZARDOUS WASTE REQUIREMENTSI YI NI N/AI CONIMENTS/NOTES/DOCUMENT(S) REVIEWED NHSSING INFORMATION/ UNRESOLVED ISSUES Recordkee in documentation GRO1 Generator has an EPA ID number GR02 Hazardous waste determination made for all wastes Analysis Generator Knowledge GR03 Contingency Ian information posted near phone GR04 Facility personnel demonstrate training/awareness GR05 Mani rests/Consolidated Manifest receipts com fete GR06 Blue co (s) of manifest mailed to DTSC GR07 TSDF signed copy of manifest available who 35 days of waste shipment GROG Bills of Ladin • recei is available GR09 LDRs available and complete GRID I Onsite recycling reported using UPCF Container /tank management r r J A) i GC01 Containers are in good condition A / I I1J J , 1 , AIA'2 _ , f•_ GCO2 Containers are closed except when addin removin GC03 Empty containers are empty GC04 Containers inspected weeklyL GC05 Tanks inspected daily GC06 I Satellite containers at or near point of generation GC07 Satellite containers under control of operator b GCO8 One container Per wastestream at satellite area e' GC09 Exclude recyclable materials stored in accordance with local ordinance/hazardous materials codes 1 o_. G ..0 .-1P „ V. AccumulationAccumulation Time Limits GA01 Waste is accumulated not more than 90/180/270 GA02 Satellite wastes accumulated for less than I year r GA03 Elppty containers managed within one year GA04 Universal waste accumulated less than one year GA05 Used oil filters offsite within 180 (I year if <1 ton) GA06 Pb -acid batteries offsite within 180 I yr. if < I ton k Labeling/Marking GL01 Containers are properl labeled 10 GL02 Satellite containers have 2 ASD marked once full te G1_03 Excluded recyclable materials marked properly GL04 Universal waste container properly labeled b GL05 Used oil filters marked "drained used oil filters" GL06 . Date written on spent lead -acid batteries 1Y H GL07 Used Oil" marked on all used oil tanks /containers r GLOB Tank marked with "haz waste", contents, start dale GL09 Empty containers marked with date emptied Treatment Transport and Disposal/Other Print and sign in this box for receipt of this report. Signature does not imply agreement with findings, only receipt of report. GT01 Have permit/authorization to do treatment GT02 Waste sent with authorized transport (en. eligible ) GDOI Waste disposed of to authorized oint/ art GH01 Failed to properly handle appliance wastes POST INSPECTION INSTRUCTIONS: Refer to the back of this inspection report for regulatory citations and corrective actions Correct the violation(s) noted above by Within 5 days of correcting all ofthe violations, sign and return a copy of this page to: Bakersfield Fire Dept., Prevention Services, 1501 Truxtun Avenue, California 93301 Signature (that all violations have been corrected as noted) Date FD2179 (Rev 1021108) White — Prevention Services Copy Yellow— Business Copy u.+ MO *68I <Z JSH I 'm!oc I)razpotivwun ue Ir, atsent snopmzell Jo paso(slp AulucII PILL 1040 091 SZ/(g)591 S )s1-11 nlwz!11 lot] amAt A3111 uayAt atseet palrpll0suoa Jo romoc stun e pasnpomoc sue.n paJats!xaJ g 3111 of panel All 111.1. 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