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Home My WebLink About3723 auburn_2019 RTCBAKERSFIELD FIRE DEPT. � ... Prevention Services UNIFIED PROGRAM INSPECTION CHECKLISTS 2101 H Street Bakersfield, CA 93301 SECTION 1: Hazardous Materials Business Plan Tel.: (661) 326 -3979 Inspection 24, Fax: (661) 852 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ADDRESS PHONE NO. NO OF EMPLOYEES CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1) 3210043 FACILITY CONTACT BU%SI�INESrtS� ID NUMBER � Consent to Inspect Name /Title Sectijon 1 Business Pla qi a nd Inventor Program Y i ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V C= Compliance OPERATION V= violation; 1,11 Minor C E RS Violation COMMENT APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 3010001 CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1) 3210043 /1001 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 or VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR:2731(c)) EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010 CONTAINERS PROPERLY LABELED (CCR: 66262.34(1), CFC: 2703.5) 3030007 a HOUSEKEEPING (CFC: 304.1) IRE PROTECTION (CFC: 903 & 906) 3030032 SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005 ANY HAZARDOUS WASTE ON SITE? YES ❑ NO Signature ofRecei t , Explain: Inspector: V1 _ZZA%Z:X71> 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: Si re at 'violations h e been correcte s noted) Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 Date c. White - Business Copy Yellow — Station Copy Pink Prevention Services FD2155 (Rev 9/2017) 01", HAZARDOUS WASTE AKERSFIELD FIRE DEPARTMENT UNIFIED PROGRAM CONSOLIDATED FORMS Facility Name: f `' / % 2A5 �G'�(�� i�. Date: Site Address: 7 �tli%�jp,� Time In: ;'� / Time Out: Owner /Operator: c— rIC6 4.,.10 Phone: fp % °%-- � ��,' EPA ID # / SS C� SMALL QUANTITY HAZARDOUS Prevention Services 210.1HStreet �'��`� Bakersfield, CA 9330.1. �� Phone: 661- 326 -3979 ®Fax: 661 - 852 -2171 WASTE GENERATOR INSPECTION T of Lnsuection outine D Re- inspection/Follow -up 0 Combined Routine Inspection 0 Joint Inspection d Complaint n Focused 0 ,Other d .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. f"� — i'..mnln ;n *• 1 7 — !'lee T TT nr Minnr VintatiAn CERS C V HAZARDOUS WASTE RE UIREMENT N/A Violation # COMMENTS Recordkee in documentation Generator has an EPA ID number HSC 25143.131 3010002 Hazardous waste determination made for all wastes 3030005 0 Analysis 0 Generator Knowledge [CCR 66262.401 Contingency plan information posted near hone [CCR 66262.34(d)(2)] 3010022 Facilit personnel demonstrate training/awareness [CCR 66262.34(d)(2)] 3020001 Manifests/Consolidated Manifest receipts complete [CCR 66262.23(a)] 3010008 Blue co (s) of manifest mailed to DISC [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 Onsite recycling reported using UPCF [HSC 25143.10] 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)] 3030017 Satellite containers at or near point of generation [CCR 66262.34(e) 1)(A)] Empty containers are empty [CCR 66262.34(f)] 3030007 Containers inspected weekly [CCR 66262.34(d)(2)] 3030019 Tanks inspected daily CCR 66262.34 d 2 , 40CFR 265.201. 3030027 One container per waste stream at satellite area CCR 66262.34(d)(2)] 3030022 Exclude recyclable materials stored in accordance with local 3010016 ordinance/hazardous materials codes [HSC 25143.10] Accumulation Time Limits Waste is accumulated not more than 90/1$0/270 CCR 66262.34(d)] 3030010 ` Empty containers managed within one year CCR 66262.34(d)] 3030014 Universal waste accumulated less than one year [CCR 66273.15(a)] 3030011 Used oil filters offsite within 180 (1 year <1 ton) -[CCR 66266.130(c)(4)] 3030004 Pb -acid batteries offsite within 180 (1 r. < 1 ton) [CCR66266.81(a)(3)] 3030002 Labeling/Marktng 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 written on spent lead -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 fj] 3030007 ..Treatment Transport and Disposal/Other Have ernut/authorization to do treatment [HSC 25136.21 .3040003. Waste sent with authorized transport ( en. eligible) [CCR 66263.411 3050001 Waste dis osed of to authorized point/party [HSC 25189.5(a)] 3050002 Failed to properly handle a 1' c wastes HSC 25212 a Fire Protection [66262.34(d (2)] 3030032 Print an=boxfo-r s INSPECTOR � I ZZA '�`„? 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: Bakersfield Fire Dept., Prevention Services, 2101 H St. Bakersfield, CA 93301 FD2171 (Rev 9/14) White - Business Copy Yellow- Station Copy Pink- Prevention Serv ices Copy s report. Signatur , es not imply agreement with findings only receipt of report. ZZA '�`„? 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: Bakersfield Fire Dept., Prevention Services, 2101 H St. Bakersfield, CA 93301 FD2171 (Rev 9/14) White - Business Copy Yellow- Station Copy Pink- Prevention Serv ices Copy - ate: Job Mme: :`fob Address: Billing Name: Billing Address: Description of work performed: v ' r a - kz Cti ' s Materials Used: -Labor Lours: MINIMUM SERVICE CHARGE. 2 Ho in town $ a _ 4' Hour out of town $ /hour Material Cost +10% $ ~° TOTAL oft Name of Technician: Date:- Authorized Signature: M�(/-� r fv /'1 Dater Please Print "VN t ,,:;., F s ."° 3t•.d ° ?L$'n.,;�' ..�: . "odd -.,4; �% Carbon Dioxide Annual - Carbon Dioxide Recharge, Dry Chem S/P Annual' Dry Cheat S/P Annual Dry Chem S/P Recharge Dry Chem S/P Recharge. 'Dry.Chem C/O Recharge Cartridge Exchange Halon Annual Halon Recharge Water Pressure Annual Water Pressure Recharge Wet Chem Annual Wet Chem Recharge Haz nflai / Fuel Hydro Testing Hydro Testing Labor; Installation FIRE SYSTEM SERVICE: nnua emi- nnua Restaurant Industrial Cot Clean Agent Description: Single Dual Triple Amerex An Badger Buckeye Pyro Chem Range Guard EQUIPMENT / SUPPLIES / CHEMICAL Item No. Size /LB Description 4 '- fir• •• - -� - p�-•�- •�• �..u�c;lo vufu.11 IG I.USWI11C1. sales agreement. This agreement may not beµalte'red or changed by anyjrepresentative or agentt�us�company orb �f a customer a 9 9 y Restocking•Fee) REC EIVED X:� �, .NT�� NAME Contractor Lic # 800579 r Cal Fire Concern Lic, #E-1008 i in�e�e��d %%�� ".L%%i x EPA # CAL000314703 µ Y ; ` DIR. # 1000012017 µ 1 Email: sales @infiresafety.com' $ $61- 589 =9091' Fpx'66'1- Remit To:', 1 0., Box 22723, Bakersyfi Nalme: J Job Si# r Address: 1 City /State %Zip: Telephone: s P Po # Route" Office A Authorized I3y Service Call' N Net 30 Due on I FIRE EXTINGUISHERS 2.5;941 2 2.51b 51b 101b 201b '- fir• •• - -� - p�-•�- •�• �..u�c;lo vufu.11 IG I.USWI11C1. sales agreement. This agreement may not beµalte'red or changed by anyjrepresentative or agentt�us�company orb �f a customer a 9 9 y Restocking•Fee) REC EIVED X:� �, .NT�� NAME