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HAZARDOUS WASTE
IT PIED PROGRAM CONSOLIDATED FORMS
SMALL QUANTITY HAZARDOUS
WASTE GENERATOR INSPECTION
BAKERSFIELD FIRE DEPARTMENT
® Prevention Services
2101 H Street
Bakemfleld, CA 93301
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Phone: 661-326-3979 is Fax: 661-852-2171`
Facility Name: •, `fl \ far T r Date C _ ✓
Site Address: ti" \ i Time In: Tins, Our.
Owner/Opv tar: L ' t I iU r—'7 Phone: S z - T EPA ID N
Tvne of Inamagion
— Routloe ReinspuctioNFollow-upombined Routine Inspection D Joint lnspation -Complaint -Focused rl Other
_ CONSENT TO INSPECT GRANTED BY (Name / Title):
Inspection may involve obtaining phmogmphs, review and copying of recnrds, and donarrinmion de orpliarce with hicandnos wane handling requirements.
C V
HAZARDOUS WASTE RE UIREMENT
N/A
CERS
VlotatfonW COMMENTS
Recordluespinipdartaxientation
Genemtorhasan EPA lDnrmber IiSC 25143.13
3010002
Haardous waste dmcnodr, wa made P r all wastes
l Atlel is lGemrator Rnowl CCR 66262.40
3030005
Con6v etre plan mf rmatwo cale! near hone CCR 66262.3 d 2
3010022
Facilityneel demonstrate tramin awareness CCR66262.34dH2
3020001
s(
ManifeslNConsolidated Manilla( recd scnm late CCR66262.23 t)
3010008
Blure co s) of manifest mailed m DTSC CCR 66262,23(.)(4)1
Y
3010011
Bills nfladin rroeits...liable CCR 66262.40.
3010010
I.DRs available and crinoline CCR 66268].
X
3030006
(loiac recelite oned.site UPCF HSC 25143.10
3030001
Contaicerkavkmay. amen
Containers are in goodcondition CCR66262.34(d)2
3030013
Dontafnersare closed cat.r, when eddin war m CCR66262- 4d)2
30 17
v
Satellite containers at or near point of memtion CCR 6626234. 1)(A)
Y
Enecontainers are arept, [CCR 66262A 01
303007
✓
Containers inspected! weekly TCCR 66262.34 d 2
3030019
Tanks connected daily CCR 6(126234(d)(2), 40CFR 265.201
3030027
One container per axon, stream at satellite area CCR 6526234(d)Q]
3030022
Y
Exclude recyclable materials stared in accordance with local
mdiranceRr.xardous materials codes I NSC 25143.10
3010016
Aec I.fian Thine lAbod"
1.
Waste is accumulated not more than 9 1 W270 1 CCR 66262.34 d
3030010
Roney containers mans ed within ..yearCCR 66262.34(SM
3030010
al w.. accumulated less than one year CCR66273.1$e
Universm
303011
Used ail filters offsite within 180 (1 ear<I tan) [CCR 66266.13 c4
3030004
Pb -acid batteries offsite within 180 I Ia. < I ton) [CCRA6266,816,)(311
1
303002
L•befing/Markng
Container are properly labeled 166262.34(1)130300]
a
Excluded tee lable materials marked Property11SC 25143.'fall
305005
( lniversal wane container property labeled D?( R 66273,341
j
3030008
Used oil filters marked "drained used oil fi1tem"('('R 66266.130
303004
written ritten m sent lead -acid batteries CCR 6626ff, G
3030003
Used Oil" marked on all used oil mnks/comainm CCR 662]9.21
30300]
Tonle marked with "her waste" , convents, star[ date 66262.341)
303007
Treatment,Transport and Dis esaVOlher
Haveemit/sin onration to do treatment IIS( '25136.2
3040003
Waste sent with authorized van n en. eli ible CCR 66263.411
1 4
3050001
Waste disposed afaraulhxized point)Vary
305002
Palled to d M1vndlea Bance wanes IISC 252120
FirePmtectiov 66262.3 d 2
3030032
Print and sign In this box fnr receipt of this repert, Sign.toa does at inapt, ii cement with findings only receipt arecp.rt.
V
.Y ,x S T '/',,
POST INSPECTIONINSTRUC IONS
• Conecttheviclation(s)notedaboveby Signature(that all violations have been corrected as stated)
• Within 5 days of P.Poatingall of1heci.l.tions, sign and return a copy ofthispage Eo:
Bakersfield Fire Dept, Prevention Services, 2101 H St. Bakersfield, CA 93301 Date
Ptlf l9l (ae,Vlmal
White -Business Copy Yellow- Stamm Copy Pink- Prevention Serviees Copy