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Home My WebLink AboutES-HAZ-WASTE INSP 11/16/2001FACILITY NAME UNIFIED PROGRAM INSPECTION CItECKLIST-- 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 Section 4: Hazardous Waste Generator Program EPA ID # [] Routine ~ Combined [] Joint Agency [] Multi-Agency [] Complaint [3 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 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 Busine te Responsible White - Env. Svcs. Pink - Business Copy · ~ . Bryant Smith Store Team Leader 9100 Rosedale Highway '. Bakersfield,.California 93312 661-589~0554 CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT N° 1 0 0 0 Location ~// Sub Div, Blk Lot You are hereby required to make the following corrections at the above location: COl'* Completion Date for Corrections Date /~/I O / ~ I Inspector 326-3979 CITY OF BAKERSFIi ) ICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one form oer mate#al per building or area) Page -- of 201~ CHEMICAL LOCATION [] Yes [] No 202 ' ~ CONFIDENTIAL (EPCRA) '~ : II, CHEMICAL InFORMAtiON COMMON FIRE CODE HAZ.~M3.D CLASSES (Complete if requested by local fire chief) 210 TYPE ~PURE [] m MIXTURE [] w WASTE PHYSICAL STA3'E [] s SOLID []1 LIQUID .GAS 214 RADIOACTIVE [] Yes [] No 212 i CURIES 213 LARGEST CONTAINER FED HAZARD CATEGORIES "J~LFIRE [] 2 REACTIVE ~ PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 (Chec~ all that apply) ~/ __ ANNUAL WASTE 217 MAXIMUM AVERAGE AMOUNT L DAILY AMOUNT ............ L DAILYAMUum~ ~ UNITS* [] ga GAL ~ CU FT [] lb LBS I'-'] tn TONS * ff EHSo amount must be in lbs. 219 STATE WASTE CODE 221 DAYS ON SH'E STORAGE CONTAINER [] a ABOVEGROUND TANK (Check al~ that app/y) [] b UNDERGROUND TANK [] c TANK INSII~E BUILDING ' [] d STEEL DRUM STORAGE PRESSURE [] a AMBIENT [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] f CAN r-~ j BAG [] n PLASTIC BOTTLE [] g CARBOY [] k BOX [] o TOTE BIN h SILO ~ CYLINDER [] p TANK WAGON ~aa ABOVE AMBIENT [] ba BELOWAMBIENT STORAGE TEMPERATURE ~a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT :.` :~.~.,~=~%~~'~.-.~. ,~: · .~,:~:.,.~,:~;: ........ HAZARDOUS~COMPONENT ~... :,.:,.~,.~,~,~-:,, ~,.. ?:~: /.:.:.~t;., ........ :;E~ .:.;, 1 226 227I DYes r-IN• 228 PRINT NAME 235 [] Yes [] NO 236 239 [] Yes [] No 240 243 [] Yes [] No 244 SIGNATURE [] q RAIL CAR [] r OTHER 224 [] c CRYOGENIC 225.. 233 237 242 241 245 DATE 246 UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd CITY OF BAKERS ICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION [] NEW [] ADO I-] DELETE [] REVISE 200 I. FACILITY INFORMATION BUSINESS NAME (Same as FA~IMTY NAME Or DBA - Ooi~'*~i-~ess--.~T-' ......................... 'C"E.CALLOCAT'O" Ct 3 ~-~ ~A.---~CO 6.' (one fo~rn per mateHal per builairtg or area) Page ~ of COMMON NAME 201: CHEMICAL LOCATION CONFIDENTIAL (EPCRA) ....................... 2~:~ " T--G-RiD ~ ~op=tionaO CAS # 3 []Yes[]No 202 i 2O5 TRADE SECRET E:] Yes [] No 206 ff Subject to EPCRA, refer to instructions 207 EHS* [] Yes I'-I NO 208 ........................................ ~ ' '~: ~'~'~,~'~'~,'"' -'~:¥~'~ ~, v~ :~' ~' ' ~. 210 FIRE CODE HAZARD CLASSES (Complete if requested hy local fire cflie~ TYPE .~URE [] rn MIXTURE [] w WASTE 2~: RADIOACTIVE [] Yes [] No 212 i CURIES 213 PHYSICAL STATE '. 0, SOLID 0, LIQUID ~ GAS 214 LARGEST CONTAINER FED HAZARD CATEGORIES ~"I'.FIRE [] 2 REACTIVE [~PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH 216 (Chec~ all ~at apply) ANNUAL WASTE · 217 MAXIMUM 218 i AVERAGE ~'"'/O 219 I STATE WASTE CODE 220 UNrrs- [] ga c~ I~cf cu FT ' [] ~ LBS [] ~. TONS 22~ DAYS ON SrTE " 222 · If EHS, amount must/be in lbs. STORAGE CONTAINER [] a AB•rEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all b~at apply) [] b UNDERGROUND TANK [] f CAN r-~ j BAG [] n PLASTIC BOTTLE [] r OTHER [] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN [] d STEEL DRUM [] h SILO .~CYLINDER [] p TANK WAGON [] a AMBIENT ~l/'aa ABOVE AMBIENT [] ba BELOW AMBIENT 224 STORAGE PRESSURE STORAGE TEMPERATURE [] c CRYOGENIC 225.. _1 226 229 238 242 PRINT NAME & ./~..a AMBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT 231 ~ ~y~ ~No~2 235 [] Yes [] No 236 ' 239 . [] yes [] 241 NO 240 243 [] Yes ~ NO 244 : 245 UPCF (7~99) S:\CUPAFORMS\OES2731.TV4.wpd CITY OF BAKERSFII ) ICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION :~EW [] ADD t-I DELETE [] REVISE 200 BUSINESS ~ (~e ~ FACIU~ ~ME ~ D~ - ~ng Busin~ ~) CHEMICAL NAME /t~t~,~.,~, (:~ ~.. COMMON NAME CAS# (one form per mate#al per building or area) Page ~ of CHEMICAL LOCATION CONFIDENTIAL (EPCRA) [] Yes [] No 202 205 TRADE SECRET I-'] Yes E:] No 206 ff Subject to EPCRA, re,et' to instructions 207 EHS* [] Yes [] NO 208 FIRE CODE HAZARD CLAS~ES (C~nplete if requested by local fire chief) 210 TYPE ~ PURE [] m MIXTURE [] w WASTE 2:: RAOIOACTIVE [] Yes [] No ' 212 i CURIES 213 PHYSICAL STATE [] S SOLID 4~'+-f..IQUID [] g GAS 214 LARGEST CONTAINER t/ ~ (_. 2~5 FED HAZARD CATEGORIES J"~ * FIRE (Chec~ all mat apply) ANNUAL WASTE 217 AMOUNT UNITS* [] 2 REACTIVE [] 3 PRESSURE RELEASE [] 4 ACUTE HEALTH [] 5 CHRONIC HEALTH MAXIMUM 218 i AVERAGE ~..~ ~"' 219 STATE WASTE CODE DA,LYAMOU ES"- .l DAILY^MO NT []ga C~L E] ct' CUFT ' [] Ih LBS [] tn TONS 221 DAYS ON SITE * If EHS, amount must be in lbs. 216 STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BO'R'LE [] q RAIL CAR 223 (Check all that apply) [] b UNDERGROUND TANK [] f CAN ~ j BAG ~'n PLASTIC BO'I-FLE [] r OTHER [] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN [] d STEEL DRUM [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSuRE ~ AMBIENT [] aa ABOVE AMBIENT [] ba BELOWAMBIENT 224 . STORAGE TEMPERATURE ~AMBIENT [] aa ABOVE AMBIENT . [] ba BELOWAMBIENT [] c CRYOGENIC 225 ~,',~ ~t~ ~ '~'"'~' '~ ...... .,; ::~'~ -,,,~.:~,~-~,:..~,~:'.:~,'~ ~,'~:d:~:,' '. -: ...... :::".'-.:-',,,' · · .... :,~P~: ,':~.' ' .': '~",.~'~-"' '-,..'.'~ ~._~_~.~!~::'". ~: ..................... "~'HAZAR $ COMPONENT ...... ~.~'~' ,"~'.~ ........ · 226 227_~ [] Yes, [] No 228I 229 2 Z30 231 / [] Yes [] No 232 233 234 235 [] Yes [] No 236 237 · 1 ... : ,.. ',,,,: ,, .,. ,,;.,~,,ffi~:,,,.~.?,~, ...... ' "~' " ' ' ' DATE 246 / PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE '~i'~'A~-R-~- UPCF (7199) S:\CUPAFORMS\OES2731.TV4.wpd FICECITY OF BAKERSFIi D OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY 'CHEMICAL DESCRIPTION (one form per materfal per building or ama) (~W I'~ ADO Ir-1 DELETE I'-I REVISE 200 .~:. ........ :.~=.~.*~.~;,,,~:..~,~.,..: *' · · I. ?A~.IUTY INFORMATION .......... BUSINESS NAME (Same as FACILITY NAME or DBA - Ooing Business As) CHEMICAL LOCATION ~ COL/~-- ~ ~__.,-~"~ ~ ~ FRCILITYlO# I ~i~]~F~ ' i i ! 11 MAP#(op~na/) ........................ , ~ ~; >~,'~? ~: ~'~"~: ~:!' :~- ' .... ~" '. ': II. CHEMICAL INFORMATION 205 TRADE SECRET [] Yes r-~ No 206 2O7 2~0 , PHYSI~L STA~ D s ~LID ~ LIQUID ~ g ~S . 214 ~RGEST CO~AINER ~ ~ 215 FED 1 FIRE ~ 2 ~ ~ 3 PRESSURE EEL~SE ~CUTE H~L~ ~ 5 CHRONIC H~LTH 216 (Ch~ all ~at ~ply) A~U~ __ ~ ~ILY~U~ .[ DAILYA~U~ UN.S* ~ ~ ~ ~ d CU~ ' ~ lb ~S ~ m TONS STORAGE CONTAINER [] a ABOVEGROOND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all that apply) [] b UNDERGROUND TANK [] f CAN E~ j BAG ~ PLAs'r~c BOTTLE [] r OTHER [] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN [] d STEEL DRUM [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE ..~ AMBIENT [] aa ABOVE AMBIENT [] ha BELOW AMBIENT 224 STORAGE TEMPERATURE 2~ 234 238 242 ~"" ::-~:::?.,' · .~, ,..;~,~ ~ ~:~'~ ~; '..:-": " ......:'~::. ~:': :' .' ~!'-:' "' :~m; ~,~NATURE · ,?, ~"~ '~" ': ~i:~, .,?~:,~?~ ~%','~-~ ~': :" '~: "'.' . . :" ,' .: :.::': :~.',i. ..... g~:;.~,?:" .~ .: . ,~.:.:. - :!:.,::~,...:~:;:.,,.:.:~.~:¥,~.~.~??.!,~ .,:,.,i,:.,::i.-~., _: ,~ : '>'.:~:~:':.~ '. ,~::, : :. .... :. ..... :. .... '.' . PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATUre- 235 []Yes[],o 236 23g [] Yes [] ~o 24o 243 [] Yes [] No 244 [] c CRYOGENIC 225.. 233 237 241 245 UPCF (7/99) S:~CUPAFORMS\OES2731.TV4.wpd ICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION ~ ~<~NEw ICJ ADO [] DELETE [] REVISE 200 :' '..:!::/~=~¥~:~:~:~k~.,~;h'~:-:: '. ' _.._!: FACILI~ INFORMATION BUSINESS ~ (~e ~ FACIL!~ ~E ~ D~ - ~ng Busin~ ~) (one form per mate~fal per bu#~ing or ama) Page ~ o~ ; CHEMICAL NAME !. CHEMICAL LOCATION 201 CHEMICAL LOCATION [] Yes [] No 202 FACILITYID#J J ~'~:-'i i I 1-ri MAPJ(o,ot/ona/) ............... : ...... ~:~"7~G-RJD~op~/ona/) 204 i I ? ~~'"b 205 ': TRADE SECRET ["] Yes r-] No 206 207 i COMMON NAME i EHS* I'1 Yes I--I No 208 FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) MIXTURE 210 TYPE [] p PURE [] w WASTE 2t: RAOIOACTIVE [] Yes [] No 212 I CURIES 213 PH~(SICAL STATE' [] $ SOLID /~.LIQUID [] g GAS 214 LARGEST CONTAINER t ~//~r iL. 215 FED HAZARD CATEGORIES [] 1 FIRE ['-1 2 REACTIVE [] 3 PRESSURE RELEASE ~CUTE HEALTH [] 5 cHRoNIC HEALTH 216 (Chec~ all that apply) ANNUAL WASTE 217 MAXIMUM ~ 218 i AVERAGE 219 J STATE WASTE CODE 220 AMOUNT ! DAILY AMOUNT ~ DAILY AMOUNT UNITS* ~Lga-C~L [] d CU FT E] lb LBS L.~ tn TONS 221 I DAYS ON srrE 222 · If EHS, amount must be in lbs. STORAGE CONTAINER [] a ABOVEGROUND TANK [] e PLASTIC/NONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE (Check all that apply) ' [] b UNDERGROUND TANK [] f CAN [] j BAG ~ PLASTIC BOTTLE [] c TANK INSIDE BUILDING [] g CARBOY [] k BOX [] o TOTE BIN [] d 'STEEL DRUM [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE ,~ AMEIENT [] aa ABOVE AI~IENT ............ [] ba BELOWAMSIEI~ STORAGE TEIVlPERATURE ~.'.~t"..~..~MBIENT [] aa ABOVE AMBIENT [] ba BELOW AMBIENT [] c CRYOGENIC []Yes []No 228 _ 1 ~ ~ 227 2 ~ 2~ ~ 231 De RAIL CAR [] r OTHER 224 238 []Yes []No232 235 [] Yes [] No 236 239 [] Yes [] NO 240 233 237 241 242 243 [] Yes [] No 244 · ~: :: * I ':: PRINT NAME & TITLE OF AUTHORIZED COMPANY REPRESENTATIVE SIGNATURE 245 UPCF (7199) S:\CUPAFORMS\OES2731.TV4.wpd · .~EW [] ADD f"] DELETE CITY OF BAKERSFIi~) FICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., CA 93301 (661) 326-3979 BUSINESS NAME (~ame a~ FACILITY NAME or DBA - Doing Business As) C.E~CA~LOCATION AJ ~ L ~: ~' -- ~ ~' FACILITY ID # ~ .... * T ..... F"-!-- 1--~ MAP#(op~onal) HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION [] REVISE 200 I. FACILITY INFORMATION (one fonw per material per building or ama) Page ~ of CONFIDENTIAL (EPCRA) I1. C~'IEMICAL INFORMATION FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief) TYPE [] p PURE "~m MIXTURE [] w WASTE 210 PHYSICAL STATE* [] s SOLID ~..I~IQUID [] g GAS 214 RADIOACTIVE [] Yes [] No 212 i CURIES 213 LARGEST CONTAINER ~ ~,,~/... 215 FED HAZARD CATEGORIES [] 1 FIRE [] 2 REACTIVE (Chec~ all lhat apply) [-~3 PRESSURE RELEASE ACUTE HEALTH [] 5 CHRONIC HEALTH 216 22O STORAGE CONTAINER [] a ABOVEGROUND TANK [] · PLASTICINONMETALLIC DRUM [] i FIBER DRUM [] m GLASS BOTTLE [] q RAIL CAR 223 (Check all that apply) Eib UNDERGROUND TANK [~]f CAN i-'~j BAG ~PLASTIC BOTTLE E]r OTHER [] c TANK INSIDE BUILDING [] g CARBOY []k BOX. / [] o TOTE BIN [] ti STEEL DRUM [] h SILO [] I CYLINDER [] p TANK WAGON STORAGE PRESSURE ~a AMBIENT [] aa ABOVE AMBIENT [] ba OELOWAMBIENT 224 STORAGE TE,~RE ~,~NT . ~..~v~.~,~ ' .. . ~ ~ ~ow,MB,~ ~ ~ c.~o~.,c ~ 2 I 233 r 3 ~ 234 235 []Yes[] No 236 237 238 239 [] yes r-I No 240 241 242 243 [] Yes [] No 244 245 PRINT NAME & TITLE OF AUTHORIZED coMPANY REP~R[SE~~-~i'~--~*~- ..... ......... -- '" ' DATE 248 t UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd TARGET A Great Place To Find What You Need! T-1384 Bakersfield, CA r~ Indicates service center for your convenience. The bullseye design is a registered trademark of Target Corporation. All rights reserved.~ " www. target,com'