HomeMy WebLinkAbout161 QUANTICOUNIFIED PROGRAWINSPECTION CHECKLIST
I. SECTION 1: Business Plan and Inventory Program
FACILITY NAME Af, t
BAKERSFIELD FIRE DEPT.
INSPECT N D TE
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Prevention ServicesJARSFIED
FARE 2101 H Street
Rrm r Bakersfield, CA 93301 .
FACILITY CONTACT
Tel. :.. (661) 326 -3979
BUSINESS ID NUMBER
Fax: (661) 852 -2171
FACILITY NAME Af, t
1S1l"C
INSPECT N D TE
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INSPECTION TIME
ADDRESS b Ql,,k , (.,C.;,
PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT
ALL Q K-
BUSINESS ID NUMBER
Consent to Inspect Name/Title
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
Section 1: Business Plan.and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND BMC: 15.65.080) ALL Q K-
0 Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY CBC:401)
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
VERIFICATION OF QUANTITIES CCR: 2729.4)
VERIFICATION OF LOCATION CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL CFC: 2704.1)
VERIFICATION OF MSDS AVAILABILITY' CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
CONTAINERS PROPERLY LABELED (CCR: 66262.34(8, CFC: 2703.5)
HOUSEKEEPING CFC: 304.1)
FIRE PROTECTION CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES NO Si natu eef- ei
Explain:
POST INSPECTION INSTRUCTIONS:
Correct the violation(s) noted above by Signature (that all violations have been corrected as noted)
Within 5 days of correcting all of the violations, sign and return a copy ofthis page to:
Bakersfield Fire Dept., Prevention Services, 2101. H Street, California 93301 /
Date
White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance I Pink — Prevention Services Copy FD2155 (Rev 6//10)
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
e K_RR3FIE u
F /RE
ARTM r
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT
ALL Q jam.
BUSINESS ID NUMBER
Consent to Inspect Name/Title
Business PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C V l
C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND BMC: 15.65.080) ALL Q jam.
Business PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY CBC: 401)
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
VERIFICATION OF QUANTITIES CCR: 2729.4)
VERIFICATION OF LOCATION CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL CFC: 2704.1)
VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
CONTAINERS PROPERLY LABELED (CCR: 66262.34(17, CFC: 2703.5)
HOUSEKEEPING CFC: 304.1)
FIRE PROTECTION CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES NO Signature-of-Receiit
Explain: v
PUS "1' INSPECTION INS7'RUC 1ONS:
Correct the violation(s) noted above by
Within 5 days of correcting all of the violations, sign and return a copy ofthis page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
g _"j
Signature (that all violations have been corrected as noted)
Date
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 61/10)
HAZARDOUS WASTE BAKERSFIELD FIRE DEPARTMENT
UNIFIED PROGRAM CONSOLIDATED FORMS Prevention Services
1501 Truxtun Ave 1sT FLR
HAZARDOUS WASTE GENERATOR Hers r Bakersfield, CA 93301
INSPECTION REPORT Phone: 661- 326 -3979 • Fax: 661 -852 -2171
Facility Name (-'
yC
1 1 Date r C/ // > // Z
Site Address 17 \ yt G 1n > Time In Time Out
Owner /Operator Phone Misc.
Type of Inslection Inspection Consolidation EPA ID #
Routine Re- inspection/Follow -up Combined Routine Inspection Joint Inspection Complaint Focused Other
Integrated or Multi -Media Inspection CUPA Facility 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, II - Class II Violation, M - Minor Violation Pa a of
1 11 M Code I HAZARDOUS WASTE REQUIREMENTS Y N N/A COMMENTS/NOTES/DOCUMENT(S) REVIEWED
MISSING INFORMATION/ UNRESOLVED ISSUES
Recordkeepingidocumentation
GR01 Generator has an EPA ID number
GR02 Hazardous waste determination made for all wastes
Analysis Generator Knowledge
GR03 Contin ency plan information posted near phone
GR04 Facility personnel demonstrate training/awareness
GR05 Manifests/Consolidated Manifest receipts complete
GR06 Blue co (s) of manifest mailed to DTSC
GR07 TSDF signed copy of manifest available w /in 35
days of waste shipment
GRO8 Bills of Lading/receipts available
GR09 LDRs available and complete
GR 10 I Onsite recycling reported using UPCF
Container /tank management
GCO1 Containers are in good condition
GCO2 Containers are closed except when adding/removing
GC03 Empty containers are empty
GC04 Containers inspected week)
GC05 Tanks inspected daily
GCO6 Satellite containers at or near point of generation
GC07 Satellite containers under control ofoperator
GCO8 One container per wastestream at satellite area
GC09 Exclude recyclable materials stored in accordance
with local ordinance,/hazardous materials codes
Accumulation Time Limits
GA01 Waste is accumulated not more than 90/180/270
GA02 Satellite wastes accumulated for less than I year
GA03 Empty 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
LabetingtMarking
GL01 Containers are properly labeled
GL02 Satellite containers have PAID marked once full
GL03 Excluded recyclable materials marked properly
GL04 Universal waste container properly labeled
GL05 Used oil filters marked "drained used oil filters"
GLO6 Date written on spent lead -acid batteries
GL07 Used Oil" marked on all used oil tanks/containers
GLO8 Tank marked with "haz waste" , contents, start date
GL09 Empty containers marked with date emptied
Treatment, Transport and Disposal/Other Print and sign in this box for receipt ofthis report. Signature does
not imply agreement with findings, only receipt ofreport.
yJ
GTOI Have permit/authorization to do treatment
GT02 Waste sent with authorized transport en. eligible)
GD01 Waste disposed of to authorized point/party
GHOI 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 Signature (that all violations have been corrected as noted)
Within 5 days of correcting all of the violations, sign and return acopy ofthis page to: /.
Bakersfield Fire Dept., Prevention Services, 1501 Truxtun Avenue, California 93301 Z--
Date
FD2179 (Rev 1021/08)
White — Prevention ServicesCopy Yellow— Business Copy
HAZARDOUS WASTE BAKERSFIELD FIRE DEPARTMENT
UNIFIED PROGRAM CONSOLIDATED FORMS 3 r R R S Prevention Services
R/i 1501 Truxtun Ave 1sT FLR
HAZARDOUS WASTE GENERATOR ffffFA8 r Bakersfield, CA 93301
INSPECTION REPORT Phone: 661 - 326 -3979 • Fax: 661 - 852 -2171
Facility Name ( It.1 \ Date t/c)
Site Address 1 i G f\ i Time In Time Out
Owner /Operator Phone Misc.
Type of Inspection Inspection Consolidation EPA ID #
Routine Re- inspection/Follow -up Combined Routine Inspection Joint Inspection Complaint Focused Other
Integrated or Multi -Media Inspection CUPA Facility 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 1 Violation, 11 - Class 11 Violation, M - Minor Violation Pane of
1 II M HAZARDOUS WASTE REQUIREMENTS YCodeII NI N/AI COMMENTS /NOTES(DOCUMENT(S) REVIEWED
MISSING INFORMATION/ UNRESOLVED ISSUES
Recordkee in documentation
GR01 Generator has an EPA ID number
GR02 Hazardous waste determination made for all wastes
Analysis Generator Knowledge ALL TL / Q
GR03 Contin ency plan information posted near phone
GR04 Facility personnel demonstrate training/awareness
GR05 Manifests/Consolidated Manifest receipts complete
GRO6 Blue co (s) of manifest mailed to DTSC
GR07 TSDFsigned copy of manifest available w /in 35
days of waste shipment
GR08 Bills of Ladin g recei is available
GRO9 LDRs available and complete
GR10 I Onsite recycling reported using UPCF
Container /tank management
GC01 Containers are in good condition
GCO2 Containers are closed except when adding/removing
GC03 Empty containers are empty
GC04 Containers inspected week)
GC05 Tanks inspected daily
GCO6 Satellite containers at or near point ofgeneration
GC07 Satellite containers under control of operator
CrC08 One container per wastestream at satellite area
GCO9 Exclude recyclable materials stored in accordance
with local ordinance /hazardous materials codes
Accumulation Time Limits
GAOL Waste is accumulated not more than 90/180/270
GA02 Satellite wastes accumulated for less than I year
GA03 Empty containers managed within one year
GA04 Universal waste accumulated less than one year
GA05 Used oil filters offsite within 180 (1 ear if <l ton
GA06 Pb -acid batteries offsite within 180 l yr. if < I ton
Labeling/Marking
GL01 Containers are pro erl labeled
GL02 Satellite containers have 2 AS marked once full
GL03 Excluded recyclable materials marked properly
GLO4 Universal waste container properly labeled
GL05 Used oil filters marked "drained usedoil filters"
GL06 Date written on spent lead -acid batteries
GL07 Used Oil" marked on all used oil tanks/containers
GLO8 Tank marked with "haz waste" , contents, start date
GLO9 Empty containers marked with date emptied
Treatment, Transport and Disposal/Other Print and sign in this box for receipt ofthis report. Signature does
not imply agreement with findings, only receipt of report.
Z /
GT01 Have permit/authorization to do treatment
GT02 Waste sent with authorized trans ort (gen. ell ible
GDOI Waste disposed of to authorized point/party
GHOI Failed to Droverly
POST INSPECTION INSTRUCTIONS:
Refer to the back of this inspection report for regulatory citations and corrective actions
Correct the violation(s) noted above by gigniure (that all violations have been corrected as noted)
Within 5 days of correcting all of the violations, sign and return a copy ofthis page to:
Bakersfield Fire Dept., Prevention Services, 1501 Truxtun Avenue, California 93301 —-
Date
FD2179(Rev IOr 1/08)
While — Prevention Services Copy Yellow— Business Copy