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HomeMy WebLinkAboutVictoria Secret PINK Haz Mat SQG _16-20UNIFIED PROGRAM CONSOLIDATED FORMS SMALL QUANTATY HAZARDOUS WASTE GENERATOR INSPECTION f^, BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 v Phone: 661-326-3979 is Fax: 661-652-2171 Facility Name: Date: �I Site Addmss: 2,-70/ tLA A ( Iilk' #/- %y�;' lJK F'L"7 (/' ' Hire Iii Time taut: ownefoperatm: 110Cr ,^ n sjE� L-4:.-/ [_e_C phone: PTA ID# ALCCCy266zb" Tvao of Inspection Routine Re-inapecfloNPo4low-rip It>Cdored Rpudnalirp.tion John Inspection Complanit Foec.ved Other CONSENT TO INSPECT GRANTED BY (Name / TiBe): l - Inspection may involve obtainingphom rophs, mview and copying of mwrds, and determination of compliance with haeard,, 41w.ate handling requiremelns. � — wen ,a.,.... —..icy w ...,. ....,... ......,.,.. C Y HAZARDOUS WASTE REQUIREMENT N/A CERS Vid.timila COMMENTS Recordkee hi documadntion Genoutm has an BPA ID number 122CUR 66262.12 1 3010002 Hamrdeas warm detwormumn made for all wastes Analysis Gonermor Knowles e I CCR 66262.11 3030005 Conan enc lar ratan "on oskdned hone CCR66262.34(d)(2 Facility ersomecldemonshaktminio awmm�ees CCR6626234(d)(2) 3010022 3020001 MamfisWConeolidated Manifest res hcmn4ete CCR 6626223(.) ---mu-cmp3jsofmmiE,dmadcdm DTSC CCR 662fi2.231a 4 3010008 3010011 Billsot'tadin racif, available CCR66262.40a 3010010 LORA available and ed Ilam ICCR 66268.7 a 3030006 Onsite bicycling topped asing UPCF HSC 25143.10 3030001 Container/tank mann lament Containers am in head condition CCR b6262.34(0)(2)13030013 Containers are closed ezc twhen addin mmovwn CCR66262.34d 2) Satellite containers at or nem 'nt of embana CCR 66262.34cU AI 3030017 Em t wmtainers"' em CCR 662b1.1 30300M Containers ins acted wcckl CCR bfi262.341d (211 3030019 Tanks ins ectad daily CCR 66262.34(d I, io, 265.201 3030027 Onecommocr mwaste.neem atsatcllitc arca GCR 6626234(d(2) 3030022 Exclude .,[able mmerials shared in accordance with local oNinanecibaysrhmamaterialscodes HSC25143.10 3010016 accunsomm n, Time Limits Waste is accumulated at more than 303010 Em conaners mans ed within ow2CCCR66 3030010 Univmsal waste accumulated less Nan one Ican, I CCR 66273.15 a 3030011 Used oil filters offsite within i no 1 ear <1 toe) JLUK602w,.I3mc 4 3030000. Pb -acid batteries craft, within 1201 Yr.<I mail CCR6626&NI(ax3) 3030002 Labeling/Marking Couminersam properly labeled 166262.34(f)I 3030007 Excluded ridable hadenals marked ml HSC 25143.9 a1 3050005 Utdrawalwasmconminer ro erl labeled CCR 66273.14 Used oil Thera marked "drained used oil fillets rCCR 66266.130 3030008 3030004 Data written on s ant lend -acid batteries CCR 66266.R1(a) b R 3030003 "USW Oil" marked on all used an I....ofcamers CCR 66279.21 6 3030007 Tank mmked wiN"hua waste'. contents scan date 66262.34 3030007 Tremas l.Trahe orterl Dis an ther Have enniVamhodzation to do pcmmcmt I HSC 25136.2 3040003 (/ Waste seat with authorized nen, on( an. ch ible ICCR 66263.41 1 Waste di osed ofm malmaia mV an HSC 251 H9.5(a) 1 3050001 3050002 Failed in in crit handle lianeewastes JHSC 25212a L Firel',decnon 66262.34(d 2 3030032 Print and sign in this box for receipt of this report. 5igasture does a., am,, agreement who. Bndtngs only receipt of report. i 7 Z INSPECTOR _F Nb1 c POST INSPECTION INSTRUCTIONS: a Como the violeffirds) noted above by S,,,,,, (Sam it violations have been comachad as noted) a Within 5 days ofemosefingall of the violations, sign and renuma copy of this page W. Bakersfield Fire Dept, Powemion Scrvkes. 2101 H St. Bakersfield, CA 93301 Dam PN 171 (Rev IM19) White—prevention Services Yellow— Statlw Copy Pink-13minoss Copy