HomeMy WebLinkAbout2201 s union ave tank install 8.30.19 HMBP SQG FI APPS/lor^,\'N
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan \`VIII///
Inspection
FACILITY NAME TINE
ADDRESC R. - -- - - -- PHA
i. VtiiGAJ t Lt .F-[
FACILITY CONTACT
W Inspect Name Title
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
DATE INSPECTION TIME
EMPLOYEES
C V IF a.a OPERATION
V.V.I on; 1,111
CE RS
Violation
Section
1: Business Plan and Inventory Program
APPROPRIATE PERMR ON HAND (BW: 15.86.080
ROUTINE
❑
COMBINED ❑
JOINTAGENCY ❑ MULTI AGENCY ❑ COMPLAINT
❑
RE- INSPECTION
C V IF a.a OPERATION
V.V.I on; 1,111
CE RS
Violation
COMMENT
APPROPRIATE PERMR ON HAND (BW: 15.86.080
3010001
CERS INFORMATION ENTERED B UPDATED ANNUALLY (MR: 2]28.1)
3210043
VISIBLEADDRESS (CFO: 505.1, BMC: 15.52.020)
/
CORRECTOCCUPANCY (Cei 401)
VERIFICATION OF INVENTORY MATERIALS (CCR:2729.3)
1010004
/
VERIFICATION OF QUANTITIES (CCR:2729.4)
1010003
/
VERIFICATION OF LOCATION (CCR:2729.2)
/
PROPER SEGREGATION OF MATERIAL (CFO: 21
/
VERIFICATION OF SEE AVAILABILITY (OCR: 2729.2Dbb))
VERIFICATION OF HAZ MAT TRAINING PER: 2732)
1020002
VERIFICATIONOFABATEMENTSUPPL SSPROCEOURES (CCR: 2731(x))
EMERGENCY PROCEDURES ADEQUATE (CCR:2731)
1010019
CONTAINERS PROPERLY LABELED ( CCR :86232.34( ¶,CFC:2703.5)
3030007
/
HOUSEKEEPING (DEC: 3041
/
FIRE PROTECTION GI 903 a 9061
20300.32
/
SITE DIAGRAM ADEQUATE B ON HAND (CCR:2729.2)
1010005
NY HAZARDOUS WABTE ON 61TE7 ❑YES NO
i fore r `]-.
Explain:
POST rASPECtiON INSTRUCUONS: I
• Correct the violations) noted above by _,I ' !i1
• Within 5 days of correcting all of the violation, sign and. soppy of this page be
Ba field Hre Dept,, Prevention Services, 2101 H Sneer, California 93301
Signature Uw all violations have been cmteeted as noted)
White - Business On, Yenow - Sadon Copy Pit - Prevention Services FD2155 UI 92017)
HAZARDOUS WASTE
` ^'
BAKERSFIELD FIRE DEPARTMENT
UNIFIED PROGRAM CONSOLIDATED FORMS
CEPS
Violation#
Prevention Services
SMALL QUANTITY HAZARDOUS
C °
street
Bakersfield, 93301
Bake
WASTE GENERATOR INSPECTION
1
Phone: 661 - 326 26 -3979 • Fax: 661 - 852 -2171
Facility Name: I IA I I rI ) f/ / ( /� Date: f- 30 — i9
Site Address:
Time IN: Tune Out:
Ownedo'drator: ( SJ✓, ti, tieroz Phone: 4AI-�t ?'34/17 EPA M#_rALOd& /3 -797%
TW of horect an
v Routine - Re- inapeation/Follow -up n Combined Rmdme Insyation n Joint InspgI,n - Complaint - Focused n Other
CONSENT TO INSPECT GRANTED BY (Name / Title): —
Impection may involve obtaining phoogophs, review and copying ofmcords, and dro m ination of comp :ante with hazardous waste handling requirrements.
C
V
HAZARDOUS WASTE RE UIREMENT
NIA
CEPS
Violation#
COMMENTS
Reeordkee in /documentation
Generator has an EPA R) number HSC , 5 143.131
1
3010002
Hazardous waste determination made for all wastes
IAralysis 1106nemtor Knowledge CCR 6626200
3030005
Contin w laninformatiov oocdnem hone CCR66262.34d 2
3010022
a
Facili ovnel damonstorw hamin a CCR 66262.34 d (2)
3020001
Manifmt9COnsolidated Manifest re=el co late CCR 66262.23 a
3010008
Blue c (s ofmanifeat mailed to DTSC CCR 66262.23(a)4)
3010011
Bills ofladin recei is available CCR 66262.4 a
3010010
LDRS available mad coo lase CCR 66268.0 a
3030806
Make recclin reored usin UPCF FISC 25143.10
3030001
Coutder /tankmame ereent
Cmossmers are in cad condition CCR 6626234(d) 2)
3030013
Containers are closed exc when addin rem n CCR66262.34(d)(2)
3030017
Satellite containers at or near of motion CCR 6626234 (e) (1) A
e
Em t wamineo me em CCR 6626234(Q
303000]
Containers ins acted weekl CCR 66262,34(d)(2)1
3030019
Tanks ins coed daily CCR 66262.34 d 2 , 40CFR 265.201
3031021
One container waste stream at satellite area CC'R 6c;lie J4 d 2
3030022
Exclude recyclable materials Stored in accordance with local
ordinance/hazrdous materials codes HSC 25143.10
30F00)6
Are ... [an.. Time Limits
Waste is accumulated not mom than 90 1180/270 CCR 6626234(d
3030010
Form, containers mans ed within one CCR 6626234 d)
3030010
Universal waste accumulated Imes than one em CCR 6673.15(.
303WIl
Used oil filters obtain within 180 I ear <I ton [CUM 66266.130 c) 4
3030004
Pb -acid batteries them 'I'm 180 i .<I too CCR66266.g 1(a (3)
3030002
Labeling/Marking
Containers are properly labeled [6..2.34d"
3030007
.a
Excluded table materials morked r m 11C25143 9
3050005
Universal waste container property labeled CUR 6627334 I
1
1 030008
Used oil filters marked "damed used oB filters" 6266.130
3030004
Daze written onspent lead -acid bahedes CU(a 6(B
3030003
K�22�
"UxdOil" mark d on all used oil onks /comavteo 79.21 b
3030007
Took marked with "has, waste' contents, sort date 62.34
3030007
Tream Trans aft nod Dis osai /Other
Have ermiUauthorization to do treatment I HSC 251363
3040003
Waste sent with authorzcd trans en. ell 'tale CC'R 66263.41
3050001
Waste dis Sed ofm authorized poinUpady HSC 25189.5( =)
3050002
Ended to nottactly handle appliance wastes [HSC 25212.
Fns Protection 3 Wdo7li
I k
y
I Soon
Print and sign in this box for receipt of this report. Signature does not imply agreement with findings only receipt of report.
Y C- 1V 11 6o
INSPECTOR :� I 1 ,k+��
I
POST INSPECTION INSTRUCTIONS: / �/
• Correct the violation(s)aoodabove by /L Signatare(that all violations have been corrected as noted)
• Within 5 days ofee. rag aB oftheviola6o s,srg dreom..Wy ofthispage to:
Bakersfield Fire Dept, PReentioa Services, 2101 H St. Bakersfield, CA 93301 Doe
reel, (RoCnId
White - Business COpy Yellow- Station Copy Pink - Prevention Services Copy
BAKERSFIELD FIRE DEPARTMENT
FIRE PREVENTION INSPECTION Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661 - 326 -3979 • Fax: 661 - 852 -2171
PCLm/p 1"'
r^ J }
ig
•(.�
cnm NAME
-F
mAM
-' t.3c 'T
MANA06R'B A. P - /-1- j C,I
r ll it
BUB M Ovai MAKE AND AVORE66
Cm, Si .1 IN
LL M: ([P011.B 11 PROM ABOVE) NAM, ADORES4
OCC LypE
OK LOM
•� XO.OP PI
ORS
OttC •CV! RDMR
aAn
I`EG
Wet /Dry pdREle
Type al Rlenn
CON9T;7N TYPE
RlE6•} NQ/
r f
V /(."
'-
N
❑YES AL1 NO C
CORRECT ALL VLOLATIOXN via
REDDOEMENIH
NECKED BELOW x
Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (CFC
CDMwsTULE wANre /DRY
1
304.1.1)
Va4YTRTLON
Provide Tending bustibe containers fitting for the storage combustible waste and
1
e: in
rubbish pending Its safe disposal. (CFC 304.3.2) Note: applies to containers over 40 gallons.
CFC 04.3
Relocate combustible storage to provide at least 3 feet clearance around motor fuse Lc ire door (CFC
CONED.L. sraR.we
3
605.3)
Relocate fire extinguisher(s) so that they will be In a conspicuous IOCatlon, hanging on brackets with the
A
top to the extinguisher not more than 5 feet above the floor. (CFC 90fi.5 & 906.9)
0uvxeRS
3
Provide and Install (amount) __ approved (type R size) __ __ portable fire
(CFC
extinguisher to be Immediately a¢esslble for use in (area) ___— _
TABLE 906.3)
Re- charge all fire extinguishers. Fire extinguishers shall be serviced at least once each year, and/or
6
after each use, by a person having a valid Ilcense or certificate. (CFC 906.2)
Provide and maintain "EXIT" sig n(5J with letters 6 or more Inches in height over each required exit
srgxs
T
(door /window) t0 fire escape. (CFC 1011)
Provide and maintain appropriate numbers on a Con Vesting background and visible from the sheet to
B
Indicate the correct atldress of the building. (CFC 505.1)
9
Repair all (cracks /holes /openings) In plaster in (location) - - - --
Its original fire reslstive condition. (CFC 703.1)
MREODOns/
Plastering shall return the surface to
PWEBtyaRATLONB
to
Remove /repair (Item ® location) ___ Y 9 -v y - -- ---- or by an
doors shall be designed [o close b ravit orb [he action of a macho NCal device,
Self - closing
smoke and heat sensitive Cavite. Self - closing doors shall have no attachments capable of
approved
preventing the operation of the closing device. (CFC 703.2)
II
Remove all obstruction from hallways. Maintain all means of egress free of any storage. (CFC 1031.1)
exm
contrasting colored and permanently Install etl electric over or near exit
12
Provide a a it (CFC 1008
- - -- tO clearly indicate It as an exit (CFC 1008)
(location) __________
rag and/or other obstructions fro in i (Fire
DmeeeE
13
escapes /stlair to maintained bstructions at allllstimes.)alINC 1003r6Jhafts.
Extension cards shall not be used In lieu of permanent approved wiring. Install additional approved
eLeCTRLCAL APPLU .
14
electrical outlets where needed. (CFC 605.5)
electrical Convenience outlet (one plug per outlet) (CFC
15
Remove multiple attachment Cords from specific
605.4)
ODr000aeuu+ma
16
Re rat nal fires or .990 b In F 07.
5608.1) & 8.44.040 (B.M.C.J.
PuewoRlo
17
Violations of Section (CFC
mxa0.
18
Correct the violations noted above by: _
CORRECTION DATE
LEGEND!
(
\- I+
C.P.C. CALIFORNIA FIRE CODE
CUSTOMER: -1
Sign to I (Pleau rn Name Legibly, Ttle)
C.B.C. CALIFORNIA BUILDING CODE
I
B.M.C. BAKERSFIELD MUNICIPAL CODE
(. NO. ') -
N.F.P.A. NATIONAL FIRE PROTECTION
INSPECTOR' �1i �` -` -�
N.E.C. NATIONALEE LECTRIC CODE
White - Prevention Services yellow - Station Copy Pink - Business COPY
an 3D]3 (Re+.0Y30191
INSPECTION RECORD >`�� BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
UST JOB CARD ® Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: 16611 852 -2 17 1
Post this Card at the Job Site and DO NOT Remove for Duration of Work
a. z1a
10 1 MITI 1
171 IN 14
PRIOR TO OCCUPANCY OF ANY SYSTEM,
ALL UST ANDIOR AST SYSTEMS SHALL BE
INTALLED, COMPLETED, AND ACCEPTED BY
THE BAKERSFIELD CITY FIRE DEPARTMENT.
BUILDING ADDRESS' 270 S. 0nJ AuCV5
JOB DESCRIPTION: U 7— /
OWNER: S ♦1I PERMITNO.: 17-10000101
CONTRACTOR: b4.T r�,jrm. - -rto..J
FD 2165 (Rev. 3 /2018)
1�=" OWN
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield. CA 93301
STAR VG,,DATE COMPLERON DATE MAME
qy�p cJ4Y Gr1� %�fJ
ER NPME - , �/ _ /i_ I - _ Aeorc A9n/ P u�i4il A..X GHONEb /`✓ % / -a
'a r 40-Y 911233
Please make checks payable to CITY OF
PitK.ERS�IELD srxT CA
❑
011 well (Installation, Inspection, or re- Inspection) X
Alarm - New & Modification (minimum charge)
grou
82
❑
Over 10,000 sq ft
$0 .028 x sq ft
Tent
•
Sprinkler - New & Modification (minimum charge)
$280
•
After -hours inspection fee
❑
Over 10,000 sq ft
$0 .028 x sq it
Pyrotechnic (1 permit per event, plus an inspection fee of VY
•
$96 /hr during business hours)
NOTE: After flours Pyrotechnic event inspection s $121/hr
Sprinkler -Minor Modification (<10 heads)
$ 96 (inspection only)
❑
84
$ 96 /hr
•
84
84
Commercial Hood (New & UL 300 Upgrade''.MOdification)
$235
$ 96 /hr
B4
El
Explosive Storage
Additional Hood
58 hood
84
❑
84
El
Commercial Hood -Minor Modification (add /move nozzle)
$ 96 (inspection only)
❑
Spray Booth (New & Modification)
$235
98
❑
boveground Storage Tank (1 inspection per Installation) AST
$180 /tank
82
13
Additional Tank ATI
$ 96 /tank
82
❑
Aboveground Stange Tank (Removal, Mod,or Inspect'n) ATR
$109/
k
82
Storage Tank (Installation /Inspection) NI
/tank
v
Underground
Underground Storage Storage Tank (Modification) MOD
$878 /site
82
•
Underground Storage Tank (Minor Modification) MTM
$167/s..
82
•
Underground Stange Tank (Removal) TR
$573 /tank
84
11
Mandated UST Testing: Fuel Mont Cert/SB989 /Cath. Prot.
$ 96 /hr (2 h, minimum) _ $192
82
NOTE: $96 /hr for each type of test /per sitelper UST System
-
even if scheduled at the same time
cl
011 well (Installation, Inspection, or re- Inspection) X
$ 96 /hr
82
$ 96 /tent
84
13
Tent
$121 1hr (2 him minimum) _ $242
•
After -hours inspection fee
$ 96 /hr + (5 him min standby fee /insp) _ $576
84
•
Pyrotechnic (1 permit per event, plus an inspection fee of VY
$96 /hr during business hours)
NOTE: After flours Pyrotechnic event inspection s $121/hr
5 hrs min sWndb Fee ins =• 4605
❑
Re-Inspecdon /Follow -up Inspection
$ 96 /hr
84
84
❑
Portable LPG (propane): # of Cages? —
$ 96 /hr
B4
El
Explosive Storage
$235
84
❑
Copying & File Research (File Research fee $57 1hr)
$0.25 /page
Ra
BAKERSFIELD FIRE DEPARTMENT
UNDERGROUND STORAGE TANK *IMP*, Prevention Services
2101 H Street
PERMIT APPLICATION AFIRE Bakersfield, CA 93301
TO CONSTRUCT- INSTALL NEW TANK (NEW FACILITY) /NEW ARrI Phone: 661 - 326 -3979 P Fax: 661 -852 -2171
TANK INSTALL (EXISTING FACILITY) /MOD -MINOR MOD
Page 1 Of 1
Permit # _ p O
TYPE OF APPLICATION: NEW TANK INSTALUNEW FACILITY ❑ NEW TANK INSTALVEXISTING FACILITY
CHECK ONE ONLY) ❑ MODIFICATION OF FACILITY ❑ MINOR MODIFICATION OF FACILITY
STARTING DATE/ 44/
PROPOSED COMPLETION DATE
FACILITY NAME tllj& / / -I '
(�.1
WSTING FACIIIiY PERMIT A
, /f. "
FAtlLIIV ADDRESS ZZa�
CITY
✓N
7
NPE OF BUSINESS
AP R
TANK OWNER � ua• I )% ��i' �� J
PHONE 2d Y YZIP
ADDRESS / L /.I• N/QYR' �{
CITY
COOEq;7;0, .'
CONTRACTOR u /NON`
CA LIC
NSE F
ICC a , L
ADDRESS
fo Ly,'
CRY 21
�15Q/Cl/2-
ZIP
�✓JT%�'
PRONE lI
Lxf
BAKERSFIELD CRY BUSINESS LICENSE S
WOR#IAN
INSURER
N
BRIEFLY DESCRIBE THE WORK TO BE DONE; w, (,, �'( T'' C.E� ( tb
E-7T
WATER TO FACILITY PROVIDED BY
DEPTH TO GROUND WATER / D )*2L 1
SOIL TPE EXPECTED AT SUE
# OF TANKS TO BE INSTAU£O
ARE TKEV FOR MOTO0. FVELi
IK TES ❑ NO
SPSLL PREVENnON CIXJTROL AND COUNTER EABURES PUJi ON FILET
O YES ❑ NO
THIS SECTION IS FOR STORAGE TANK IDENTIFICATION
TANK
VOLUME
UNLEADED
REGULAR
PREMIUM
DIESEL
OTHER
TANK MANUFACTURER
7,
70AP
LbV
6GXES
Tank Testing Company
NAME OF TESTUNG COMPANY
PHONE NUMBERa &/ 76 40 X/
MAILING ADDRESS
NAME OF TESTER -jq;pa4!e '/M
THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS
PERMIT AND ANY OTHER STATE, LOCAL, AND FEDERAL REGULATIONS. THIS FORM HAS BEEN COMPLETED UNDER
PENALTY OF PERJURY, AND TO THE BEST OF MV KNOWLEDGE IS TRUE AND CORRECT.
NAME OF TESTER •'Cf�
ICCN �����
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
FOR OFFICIAL USE ONLY
DATE APPROVED
9/z/,//7
APPROVED BY
(Rev 11/2015)
Candidate ID:
ICC00042632
Name:
DANIEL CRUZ
Address
PO BOX 81233
BAKERSFIELD CA 93380
Date: 3/31/2016
EXAMINATION RESULT: PASS
Congratulations! You have passed the above named examination. Your wallet card will be forwarded to
you by ICC within six weeks from the last day of the month in which you tested. Generally, ICC
certificates are current for two years; check with your state for expiration periods in your state.
You may request a wall certificate from ICC as well. This certificate will be provided at no cost to you, if
you request it within 90 days of your exam. Only one wall certificate per exam passed will be provided to
you at no charge. For more information on requesting a wall certificate, go to www.iccsafe.orci/inspector.
It is extremely important that you notify Pearson VUE and ICC of any changes in name and /or address to
avoid the possibility of your wallet card and /or certificate not being received. Please contact Pearson
VUE at 800 -275 -8301 and ICC at certexam Qiccsafe.ora with changes to your name and address (name
changes may require additional documentation). There may be an additional fee if a certification is
re- issued due to a misspelled name or incorrect address.
The authenticity of this score report can be validated by using Pearson Vrie's Online Score Report Authentication found at:
P VU / uthorcicate
Digital embossing eliminates the possibility of uneutboncon embossing of counterfeit score reports.
Registration Number: 297133892 Validation Number: 1862986191
PREPARED 2/21/17, 15:44:29
CITY OF BAKERSFIELD
PAYMENT DUE
PROGRAM BP820L
____________________________________________
APPLICATION NUMBER:
17- 10000109 2201
_______________________________
S UNION
AVE
FEE DESCRIPTION
AMOUNT
DUE
PLAN CHECK FEES 1350.00
UNDGRND SIR TANK INSTALL /INSP 1350.00
TOTAL DUE 2700.00
Please present this receipt to the cashier with full payment.