HomeMy WebLinkAbout4801 wible rd whitton const hw 6.18.20HAZARDOUS WASTE
UNIFIED PROGRAM CONSOLIDATED FORMS a ¢ a s P: D
SMALL QUANTITY HAZARDOUS i�rrir�r
WASTE GENERATOR INSPECTION
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661 - 326 -3979 • Fax: 661 - 852 -2171
Facility Name Date:
Site Address: Timelo: Time OUt:
Owner /Opemmr Phone: _ EPA ID#
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8 Routine 0 Re- inspvcfioNP011ow -up 0 ComhlnW Roufive mspecfion a Joint lvspecfion 0 Complaint 0 Focused D Other
0 CONSENT TO LNSPECr GRANTED BY (Name / Title):
hw,p tm. may involve obWnir, phutogr.phs, review and copying of records, and determitutbm of compliance with hazardous warn ha�n `ng mqummmm
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HAZARDOUS WASTE RE UDOEMENT
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COMMENTS
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Genemtor has an EPA m number BC 25143.13 I
I
3010002
Hamrdws waste detemdnmion made for all wastes
0 Anal ,cis 0 Genermvr lUx,wledg, [CCR b6262A0
3030005
Conde enc Ian informad. sled near hone C'CR (X262.34 dR2)l
3010022
Facfllt "Bonne(damonsvate (mime awmrneas [CCRMM2.34(d)(2)
Mattif,etdCOnsolidated Manifest .6 1's com lets ICCR6626123(a)1
3020001
30111(108
Blue rn (s) of mauifest mailed to DTSC [CCR 66262.23(.) (4)1
3010011
Bills of L din recd U available CCR 6626140(.)
30101110
LDRs available and ro Ids [CCR 662687(.)1
3030006
Omite rev clw re ved usin UPCF HSC 25143.IOj
3030001
Container /tank t
Conminersareia ondcondRiou CCR66262.34(d 2)
3030013
Containers are dosed ezc t when adNn removin LCCRW262.34(d)(2)J
303W
SmeOite conminem at mvem pml of genMIlm IUCK M262.34(e)(1)(A)
E t conainers are em Y Luclkb 262.34(0
3030'4Y]
Conmmen ins erred wwe y
30IMI9
Tanksius mddad [CCR 66262.34(d)QI. 40CFR 265.201
3030027
One canminee waste stream m' m III area CCR 66'e" d) 2
3030022
Emlude recyclable maredak stored in accordanm witM1 Imal
ordlnancerha our matedals ender IHSC25143.101
301 W l6
AeemvWatma Time I..
Waste is accumulated not more dmn 90 1180/270 CCR 66262.14 d
3030010
Em t containers moon ed within one em CCR 062.2,Ld2L
UvverW, waste attumulrnd less then orm em [CCR tk1273,15(a)1
3030010
3030011
Used it filters offsite within 18U 0 Y. II ton) CCR 66266.I301e R4))
3030000
PMacid banedes office aimiv 18011 . < 1 ton) CCR66266.811a)(3)
303000!
Lahel Ivt.eking
ConI are properly labeled [6626214(t)l
3030003'
Exdudedrec clablemearialsmarked mmly HSC 25143.9(a)I
3050005
UNversalwastecontvner ry A labeled (CCB662]3.34
Used oil rilmm merked "drained us oil filters" ICCR 66266.1301
3030008
30311)04
Date wdven on s mt lead -acid batteries [CCR 66266.81 ta)(6) B)
3030003
"Used Oil" nmrked o. aR used oU mnkWcanminers CCRt%219.zlmil
3030007
Tank merked witM1'Taz waste" . contents, smv de[e 66262.34(p
303000]
Treamren' Ttwm and Other
Have emd:/.uthmmfion tv do vemmmt [HSC 25136.2
30,10003
Waste sent wiffi wffionzed Bova ( ..e. 'b1e) CCR M263.41
3050001
Wazre di sad ono avWcri.d I. an IHSC 251895(.)]
3050002
a)
Periled to ro d y handle apelvmve wastes I C25212(a)ll
Fire Pro=tion [66262.34(d)(2)
3NW32
Print and sign N this bas for receipt of this repot Si1VMto `e eteea exx imply agreement with Mdltrgs "I receipt of repo"'
POST INSPECTION MSTRUCTIONS:
• Conad OIe violafi..(,) nmed above by
• Within 5 days ofc.d gaU of lbe VIoI ono, sign aad return acopy of mis page to:
Bakersfield Fire Dept, peevevfim Service. 2101 H St. Bakersfield, CA 93M1
Signanae (that all violadans bave been corrected m neted)
Date
.III n4vw:41
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