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Home My WebLink AboutBUSINESS PLAN (2) CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~ 'SC ,At.cc~ ff'=.~-~,,~"'~ INSPECTION DATE {~/~ ADDRESS ~7~ C~ ~ (O~ PHONENO. ~ FACILITY CONTACT ~ ~W~t& BUSINESS ID NO. 15-210- ~SPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and lnvento~ Program ~ Routine ~ Combined ~ Joint Agency ~ Multi-Agency ~ Complaint ~ Re-inspection OPERATION C V COMMENTS Appropriate pe~it on hand Business plan contact info~ation accurate Visibl~ a~dress Co.oct occupancy Verification ofinvento~ materials ~~ ~ Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliancc V=Violation ~ ~ Explain:Any hazardous ~~ waste ~~ o~ site?: ~es ~No~~~ Questions reg~ding this inspection? Please call us at (661) 326-3979 y White- Env. Svcs. Yellow- Station Copy Pink- a~si~ss Copy Inspector: eFICE OF ENVIRONMENTAI~IBERVICES '1 FII~ ~ 1715 Chester Ave., CA 93301 (661) 326-3979 *~'~'"~"~~'~"*" BUSINESS OWNER / OPE~TOR IDENTIFICATION ' FACIU~INFORMAT,ON . ~~ of BUSINESS ~ME (Same as FACILI~ NAME ~ DBA- Doing Busings ~) 3 I BUSINESS PHONE SITE ADDRESS lO3 CI~ ~ CA ~ ZIP DUN & .... ~ I SIC CODE ....... ~ (4 Digit ~) B~DSTREET COUN~ OPE~TOR NAME lO9 ~ OPE~TOR PHONE ~o OWNER NAME ~ ~ OWNER PHONE OWNER MAILING ADDRESS ~3 CONTACT NAME ~ CONTACT PHONE il8 CONTACT ~ILING ~19 ADDRESS 1~ ~ STATE TITLE ~~ ~2s TITLE ~ BUSINESS PHONE 126 BUSINESS PHONE 131 24-HOUR PHONE G? ( - 74 ~ 127 24-HOUR PHONE ~ ~ q63~ PAGER~ ~ ~ ~ O ~ ~ ~28 PAGER~ ~33 Ce~ifica~on: Based on my inqui~ of ~ose individuals responsible for chaining ~e info~ation, I ~Ai~ under penal~ of law ~at I have pe~onally examined and am ~miliar with the info~ation submi~ed in this invento~ and believe ~e info~ation is t~e, accu~te, and ~mple~. SIGNATURE OF OWNE~OPE~TOR DATE . l~ NAME OF DOCUMENT PREPARER NAMES OF OWNE~OPE~TOR (print) 136 TITLE OF OWNE~OPE~TOR. 137 UPCF (7/99) S:\CUPAFORMS\OES2730.TV4.wpd CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME ~(LC '5g'- ~LCOx) ~ ~g,Cc?' INSPECTION DATE Section 4: Hazardous Waste Generator Program EPA ID # [] Routine ~3~-Combined [] Joint Agency · [] Multi-Agency [] Complaint [] Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made EPA ID Number (Phone: 916-324-1781 to obtain EPA ID #) Authorized for waste treatment and/or storage Reported release, fire, or explosion within 15 days of occurrence Established or maintains a contingency plan and training Hazardous waste accumulation time frameg Containers in good condition and not leaking Containers are compatible with the hazardous waste Containers are kept closed when not in use Weekly inspection of storage area Ignitable/reactive waste located at least 50 feet from property line Secondary containment provided Conducts daily inspection of tanks Used oil not contaminated with other hazardous waste Proper management of lead acid batteries including labels Proper management of used oil filters Transports hazardous waste with completed manifest Sends manifest copies to DTSC Retains manifests for 3 years Retains hazardous waste analysis for 3 years Retains copies of used oil receipts for 3 years Determines if waste is restricted from land disposal C=Compliance V=Violation Inspector: Office of Environmental Services (661) 326-3979 Business Site Responsible Party White - Env. Svcs. Pink - Business Copy