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Home My WebLink About3001 ANTONIO AVE HMBP 6.11.15UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Hazardous Materials Business Plan Inspection "RTM BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME 4L : -j( t_A, COMMENT INSPECTION DATE NSPECTION TIME ADDRESS 3010001 HONE NO. O OF EMPLOYEES FACILITY CONTACT 1010008 USINESS ID NUMBER Consent to Inspect Name/Title VISIBLEADDRESS (CFC: 505.1, BMC: 15.52.020) CORRECT OCCUPANCY (CBC: 401) Section 1: Business Plan and Inventory Program ❑ ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V = ompianc, OPERATION V =Violation; 1,11 Minor CERS Violation COMMENT APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 3010001 b BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008 VISIBLEADDRESS (CFC: 505.1, BMC: 15.52.020) CORRECT OCCUPANCY (CBC: 401) VERIFICATION OF9NVENTORYVATERIALS (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 OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010 CONTAINERS PROPERLY LABELED (CCR: 68262.34(1), 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? 1:1 YES ❑ NO Sig=Wre of Its. Explain: Inspector: 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 Street, California 93301 Signature (that all violations have been corrected as noted) Date White — Business Copy Yellow — Station Copy Pink — Prevention Services FD2155(Rev 8//14) HAZARDOUS WASTE UNIFIED PROGRAM CONSOLIDATED FORMS HAZARDOUS WASTE GENERATOR INSPECTION REPORT Facility Name Q'OC.E �� C N fv< 0 Site Address -� I f -.0 /1 ) h B B R 9 F I D R /RE ARTM T Vk� BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661 - 326 -3979 • Fax: 661 - 852 -2171 Date v // — )� Time In Time Out Owner /Operator Phone Misc. Type of InspeMion Inscection Consolida5on EPA ID # VCSoutine ❑ Re- inspection/Follow -up ❑ Combined Routine Inspection ❑ Joint Inspection ❑ Complaint ❑ Focused ❑ Other ❑ Integrated or Multi-Media Inspection CUPA Facility ID# 11 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. I - Class I Violation. II - Class if Violation. M - Minor vml.,;..• I II I M I Code - - - -' --- - --- HAZARDOUS WASTE REQUIREMENTS Y N N/A Pa e_of_ COMMENTS /NOTESMOCUMENT(S) REVIEWED MESSING INFORMATION/ UNRESOLVED ISSUES Recordkee im documentatlom has an EPA ID number =Generator waste determination made for all wastes ieaem[or Knowled e lam infomafion sled near hone rsonnel demonstrate nainin awareness Manifests/Consolidated Manifest recei B com lete Blue co y(s) of manifest mailed to DTSC TSDF signed copy of manifest available w /in 35 Bills of Ladin cei is available I -DA Onsite rec clip re rted usin UPCF Container /tad, mama m- JGCO9 C Containers are closed exce t when addin removin Satellite containers at or near int of enem on Satellite containers under control of o erator One contai ttno at satellite area Exclude recyclable materials stored in accordance with local ordmance/hazardous materials codes Accumulation Time Limits GAOL I Waste is accumulated not more than 90/1801270 GA02 I Satellite wastes accumulated for less than 1 year GA03 GA04 Empty containers managed within one year Universal waste accumulated less than one year ,. GA05 I Used oil filters offsite within 180 (1 year if <1 inn) GA06 I Pb -acid batteries offsie within 180 (1 yr. if < 1 too) LaheBn kin ontainers are properly labeled atellite containers have 2 ASD ,narked once full XGL07 xcluded rec clable materials marked properly niversal waste container ro erl labeled sed oil filters marked "drained used oil filters" >O ate written on spent lead -acid batteries sed Oil" marked on all used oil tank s/conminers GLOB Tank marked with "haz waste" , contents, start date GL09 Em containers marked with date emptied 4GnI GT02 I GDOI Treatment. Transport and Disposal/Other Have Permitfauthorization to do treatment Print and sign in this box for receipt of this report. Signature does not imply a ment with findings, only receipt of report . 17 Waste sent with authorized transport (gen. eligible) Waste disposed of to authorized point/ party GHOI Failed m properly handle appliani ce wastes r' • Refer to the back of this inspection report for regulatory citations and corrective actions • Correct the violations) noted above by _ • Within 5 days of correcting all of the violators, sign and retum a copy of this page to: Bakersfield Fire Dept., Prevention Services, 2101 H St. Bakersfield CA 93301 Signature (that all violations have been corrected as noted) Date FD2171 (Rev 11 /13) Wltim- Pmvenuou semi Copy Yellow- B.n.en Copy