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HAZARDOUS WASTE BAKERSFIELD FIRE DEPARTMENT
UNIFIED PROGRAM CONSOLIDATED FORMS B P. a 9 F t p Prevention Services
11RR 2101 H Street
SMALL QUANTITY HAZARDOUS AIr rM Bakersfield, CA 93301
Phone: 661-326-3979 . Fax: 661-852-2171
WASTE GENERATOR INSPECTION a�A
Facility Nance Dare:
Site Address:
Tinge In: Time Out:
Owner/Ope a or, Phor: EPA ID #
Tymp ofinso«'
,{kRottine 0 Re-inspectioNFollow-up D Combined Roufiued ispenion 0 Joint Inspection 0 Complaint 0 Focused 0 Other
'D CONSENT TO INSPECT GRANTED BY (Name / Title):
Inspection may involve obtaining photopuphs, inview and copying of records, and detemunauon of t nmplienen with hazardoos waste hatuBing re9uhements.
C V HAZARDOUS WASTE UIREhIENT
N/A
CS
VlobtlonR COMfsdENTS
BeingocilgapintigMdoestaterabifinan
('senerazor has an EPA 0 number JHSC 25143.131
1 3010002
Haeadous waste determination mnde for all wastes
0 Analysis 0 peneratm Faaawlealse [CCR 66262.401
3030005
Contingenvy plan inf gnamben pesboi near phone
[CCR 6626234(1 2)1
3010022
Failit onnel demonstrate nairuv awareness
[CCR66262.34(d)(2)
3(120001
Manifemslconsotidated Manifest revel wmlete [CCR 6626223(a)]
3010008
Blue w (s) of manifest mailed to DISC [CCR 66262.23(a)(4)1
301WII
Bills of tsdin reeeits available [CCR 65262.40(a) I
30/00111
LDRs available and cianlate CCR 66269.7bol
3030006
Onsite mcvcUng bersonted using UPCF [HSC 25143.10
0100(l
Container/mnk maim ement
Commons am an condition CCR bit —4(102 3030013
Conan.. ane closed esae t when addm mnvtng [CCR6626234(d)(2) 3030019
Satellite contaivem at or near point of enemtion[CCR 6626234(e)(1)(A)
Empty containers are empty ICCR 6626234(FlI 30300017
Comalaem inseeted weekly [CCR 66262.34(dµ21 30301019
Tanks inspected dally CCR 66262,3401 (2), iDCM 26.5.201 j 3030029
One container per Pette stream a1 satellite aura CCR 66262 34(d)(221 3030)22
Emlude.,table matelots stored in aaordanee with I«al 301 W 1fi
oolinsaxe'hatardws materials We, IHSC"_5143.101
Aceurnulatiau Time Limits
Waste is ateamulnatt not more than 904 BOT70 JCCR 6626234(11 3030010
Enim, entrant. mina ed wbhln one yea, CCR 6626234(d) 3030010
A Univerxel waste aecamulnled less then one year ICCR 662]3,IS(al 3030011
Used oli films offsite within 180(1 an<Iton) [CCR6626fi130(c)(4)] 3030004
1'b -said battedee ofTnite within 180(1 yr.<I ma) [CCR66Z66.81(a)(3U 303q%i2
Labellnp/hlarldng
x Coubsuers are properly labeled [6626234(013030(1(19
Ersluded ret elable materials marked prosely IHSC 25143.9(8)1
3050005
labeled (.113.34
Universal waste container ootri CCR
30301111
Used oil filrem marked "laird used oil filters" ICCR 66266.1301
30-31X04
Data written one mIevd-acid havuies CCR 66265.81(a)(6)(BI]
3030003
"Used Oil" marked an e0 used oil tankslcoanainem CCR 6627421(6
3030(109
Tank marked with"haz waste",contents. sten date 66262.34(
3030007
Treammnt, Trannipart and Dispgsyadoflger
Have peotabinithorizatim to do treatment IHSC 25136.21 3040003
Wavle sent with auffiax d trans Orel en. eligible) ICCR an2n,.411 3(150111
Waste disposed of to autlwrited intl on [HSC 25189A ' 30500012
U --e
Pailedm al handle a Dance wastes HSC25212(a).
Fbe Protec4ion 166262.34(d)(2)1 3030032
nd sago m Was box for receipt report. SiRnatme does not imply agreement wiW fiodiugs Duly receipt of report.
,P' C
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POST INSPECTION INSTRUCTIONS:
• Coneat the violations) noted above by
• Withiu 5 days of correcting all of the violafions sign and reason a copy of this page he
Bakersfield Fire Rept., Pmventidn Services. 2101 H St. Bakersfield, CA 93301
Signature that all violations have been coueced as wredi
snxan ("moot
White – Business Copy Yellow–Stafion Copy Pink- Prevention Services Copy