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SECTION 1: Hazardous Materials Business Plan
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FACILITY NAME
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INSPECTION DATE
INSPECTION TIME
COMMENT
ADDRESS"
PHONE NO.
NO OF EMPLOYEES
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
FACILITY CONTACT
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
BUSINESS ID NUMBER
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
Consent to Inspect Name /Title
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i< ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V = ompiance 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)
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
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VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
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CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
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FIRE PROTECTION (CFC: 903 & 906)
3030032
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SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? b YES ❑ NO
i matureofRecei -t
Explain: ,
Inspector•,_. ... s-
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 — Prevention Services FD2155 (Rev 8//14)
HAZARDOUS WASTE BAKERSFIELD FIRE DEPARTMENT
UNIFIED PROGRAM CONSOLIDATED FORMS B B R S F I D Pievent1011 Sel'VICeS
2101 H Street
HAZARDOUS WASTE GENERATOR D FIRE r Bakersfield, CA 93301
INSPECTION REPORT Phone: 661 - 326 -39.79 • Fax: 661 -852 -2171
Facility Name `? ;? ' c > xa' -c d ga r Date , !
1
Site Address" �- Time In Time Out
Owner /Operator � N o I " "*y
'� �»�`" Phone Misc..
Type of Inspection Inspection Consolidation EPA ID #
�U Routine ❑ Re- inspection/Follow -up ❑ Combined Routine Inspection ❑ Joint Inspection ❑ Complaint .. ❑ Focused 0 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.
T _ rlasc T Vinlntinn TT _ Clase TT'Vinl'atinn M _ Minnr Vinlatinn
Oil
II
M
11 Code
HAZARDOUS WASTE REQUIREMENTS
Y❑
N
N/A
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
GR03
Contingency plan information posted near phone
GR04
Facility personnel demonstrate training /awareness
GR05
Manifests /Consolidated Manifest receipts complete
='
GR06
Blue copy(s) of manifest mailed to DTSC
GR07
TSDF signed copy of manifest available Win 35
days of waste shipment
,
GR08
I Bills of Ladin recei " is available
°
GR09
LDRs available and complete
GR10
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
GCO4
Containers inspected weekly
GC05
Tanks inspected daily
GC06
Satellite containers at or near point of generation
GC07 '
Satellite containers under control of operator
GC08
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 1 year
GA03
Empty containers managed within one year
GA04
Universal waste accumulated less than one year
GA05
Used oil filters offsite within 180 (1 year if <1 ton)
GA06
Pb -acid batteries offsite within 180 (1 yr. if < 1 ton)
ro
Labeling/Marking
GLO1
Containers are properly labeled
GLO2
Satellite containers have 2° ASD marked once full
GL03
Excluded recyclable materials marked properly
GL04
Universal waste container properly labeled
GL05
Used oil filters marked "drained used oil filters"
GL06
Date written on spent lead -acid batteries
GL07
"Used Oil" marked on all used oil tankskontainers
.� ,
GLO8
Tank marked with "haz waste" , contents, start date
A'
GL09
Empty containers marked with date emptied
Treatment, Trans ortand Disposal/Other
Print and sign in this box for receipt of this report. Signature does
aa2t imply agreement with findings, only receipt of report.
`y
GTO1
Have ermit/authorization to do treatment
, `'
GT02
Waste sent with authorized transport (gen. eligible)
GDO1
Waste disposed of to authorized point/party
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 Signature (that all violations have been corrected as noted)
• 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
Date
FD2171 (Rev 11/13)
White — Prevention Services Copy Yellow— Business Copy