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FACILITY NAME ~ /3;,- (~
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INSPECTION DATE
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CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
o Routine
~ombined
o Joint Agency
EPA ID # CAL êXbIZ7'ifC:¡S-
/0 ~ -;).... ó- 0 3
D Multi-Agency 0 Complaint 0 Re-inspection
Section 4:
Hazardous Waste Generator Program
OPERATION C V COMMENTS
Hazardous waste determination has been made
EP A 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 ¡/ ftGA:s6 ~(lòVID'E
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Conducts daily inspection of tanks
Used oil not contaminated with other hazardous waste - -' .---- -_._-~-~-- ---
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Proper management of lead acid batteries including labels I
Proper management of used oil filters I j .'" .
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Transports hazardous waste with completed manifest I ¿JfJ/
I GREGtRtE. HANFORD I
Sends manifest copies to DTSC !
</' {/ DDS
Retains manifests for 3 years /~ ... I
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<1::- ...- DENTISTRY
Retains hazardous waste analysis for 3 years FAMILY
i 3130 Union A venue . Bakersfield, CA 93305 . (805) 327-8473
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Retains copies of used oil receipts for 3 years ---- ~ - " -- '=' ---"
Determines if waste is restricted fTom land disposal
Pink - Business Copy
y
C=Compliance
V=Violation
Inspector:
Office of Environmental SelVices (661) 326-3979
White - Env, Svcs,
w ( ,JCS
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CITY OF BAKERSFIEI,D FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Hoor, Bakersfield, CA 93301
FACILITY NAME GQ~ ç- Ë-tiWR}Q(,> PD~
ADDRESS , I 30 U...s,o.-J ~,¡
FACILITY CONTACT (Y'Çtn C~Cj:.~
INSPECTION TIME
INSPECTION DATE 3(ç-lð"'2.
PHONE NO, 3'27- ~473
BUSINESS 10 NO. 15-210- pJ&...J
NUMBER OF EMPLOYEES 7
1~3/9.D '3 fb~1
Section I:
Business Plan and Inventory Program
o Routine
üi..Combined
o Joint Agency
o Multi-Agency
o Complaint
ORe-inspection
OPERA TlON C V COMMENTS
Appropriate permit on hand NG-.J fc-..-e,;t.-. 'T s;'tïE
Business plan contact information accurate
Visible address
Correct occupancy
Veri fication of inventory materials ~1E ç::¡,,~
Verification of quantities "2- ~AL.
Verification of location i"'¡S (1)(;- i')~ 2d1ÐW'\
Proper segregation of material
Verification of MSDS availability
Verification of Haz Mat training
Veri ficationof abatement supplies and procedures
Emergency procedures adequate
Containers properly labeled
Housekeeping
Fire Protection
Site Diagram Adequate & On Hand
C=Compliance
V=Violation
Any hazardou~ ..was!e on site?:
Explain: ~ F I)O..C.t1..-
¡;t.ves 0 No
Questions regarding this inspection? Please call us at (661) 326-3979
White· Env, Svcs,
Yellow· Station Copy
Pink - Business Copy
Inspector: W//VEß