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NETWORK
Affiliated with ~a,~dventist Health
Richard E. Sail, MD, MPH
Medical Director
Board Certified in Occupational and Forensic Medicine
Qualii=ied Medical Examiner, Certified MRO
661-321-3781 * Fax 661-321-0690
2811 "H" Street * Bakersfield, California 93301-1913
FACILITY NAME ~05 .,K;~5
ADDRESS 'Z,~ll ~
FACILITY CONTACT
INSPECTION TIME
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
57'
Section 1: Business Plan and Inventory Program
Joint Agency
Routine /~f,,,Combined
INSPECTION DATE /~7.-/"c~/O/
PHONE NO. ~"~- "~ '7~!
BUSINESS IDNO. 15-210- ~
NUMBER OF EMPLOYEES ~
IO31q
Multi-Agency
Complaint [~ Re-inspection
OPERATION C V COMMENTS
Appropriate permit on hand
Business plan contact information accurate
Visible address
Correct occupancy
Verification of inventory 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=Compliance V=Violation
Any hazardous waste on site?: ~es [~ No
Questions regarding this inspection? Please call us at (661 ) 326-3979
White - Env. Svcs. Yellow - Station Copy Pink - Business Copy
lJ~'sines~'S]te Responsible Party
Inspector: (.~/'o,/~--:~ /
FACILITY NAME
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301
INSPECTION DATE
Section 4: Hazardous Waste Generator Program
EPA ID #
[] Routine ~ 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 frames
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
containment provided (/~) [~{-E-'~ '0~/,O~ t~"7'r'~d
Secondary
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: L~l ~'/~'~
Office of EnvironmentalServices (661) 326-3979 ~siness-§~e Responsible Party
White - Env. Svcs. Pink - Business Copy