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HomeMy WebLinkAboutBUSINESS PLAN UNIFIED PROGRAM INSPECTION CHECKLIST ~~~~~~~'ã1;.';:';i~,,$.~:;~X~;~j~'1~M:Wt:~~~~~40 SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 . Tel: (661)326-3979 ~;;l/~Z~~_ INSPE_:ION TI~~_ PHONE No_ No_ of Employees 71, - ,,' (p I ::;:'~-'k3(~ð ~~Œ .1f~4-- ____L___________________E;__[___________ ____________________ --------- -------------- ----------- --. ---.__.-._--------_.~ --- FACILlTYCONTACT Business ID Number 15-021- Section 1: Business Plan and Inventory Program c:J Routine J( Combined c:J Joint Agency c:J Multi-Agency c:J Complaint c:J Re-inspection C V ( C=Compliance ) V=Violation OPERATION COMMENTS ~__~_~~~ROP~IAT~PER~T O~ HAND _________________________ _~_ c:J _~USINESS_PLA~_~O_~~~~I~~_~_~_~~~I~~_A_C~~~~~E___________ --º-~__~;~_~--_-._,-~-:E~~~~.~_-.-_--_-.-.~=~~~-~-~-...~._-.~~~. c:J VISIBLE ADDRESS ~~~e_~_~~;~~i~~:_~~~;~i~--..-_=~~--._-~-.-~_..~~~~.~.-_:~-n-_______ ___ ~ c:J - VERIFICATION OF INVENTORY MATERIALS -----..--.------...-"----------------------------.----------- ------ ~.. -.--.--.--..--..--- R( c:J VERIFICATION OF QUANTITIES ~ c:J VERIFICATION OF LOCATION ~---- ------------.----.---.----------- ------------ ~ LJ PROPER SEGREGATION OF MATERIAL ~-O--~-~~~F~;~TIO~~~-MS~S~~~I~~~I~~~------- ____.____...___..___._n~_· _ __. _ _____...._____.___ ..- - .._._-_._-~...._-_._. -. -.-.--.--..----. ._~.__. --"-.--.- ..-- ..- ._._-------~--_.._------------ -----.-.--.--.-..-.--.- _.-.------- .. .-..-.------- -..---..-------------. .._... ____"________.________..u.__..._ .--.-.--.--- -. _______ _m.._n________...___._ _ ___ ____._.___.._ _..._ ___ .__ _.____~_____.._ ____ .________ ~ __··__.__________n -------.----.---.-------.-- .-------------- -...--- ..-- -.-----.---.-.-....-- .-- ._.-.-_._.----_...__._..._-~-_..-- -., ---~_._.._------------ ~__~___~_~~I~~~~TION o.~~~~AT ~~~~~~G_________ ~ c:J VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES -......-.--...-.-- --- -------.-.--..--.-. ------ ..__.__..._.._.__._~.__.__..._--_._-_.__..- ._--_._---_.__.__.._.._.._._.._-_.._._---_._-~----- ~--------_. .-.. -----.-- - ".- .. -------. -- --.----..- ..---- .---...----.- - --.-------.-.--- .-....--..-----.------.-----.--..------...---.. ~ c:J EMERGENCY PROCEDURES ADEQUATE ------_._-_._.._._._..._--~-_.----_._----_.."---~-----.--.------ . ------------.-----.-----..--.-.-.-- ~ CJ CONTAINERS PROPERLY LABELED _._-~-_.._-_._-----_._--------_._------ ----.-----.---- ------.--. --------.---.-.-..--- iRl 0 HOUSEKEEPING --~-------~---~--- ------_._--~--------_.__.._----.- --..--.---. --~.._--_._._-_._--- ~ c:J FIRE PROTECTION þi-D--;T~-D~~~~~~ADE~-~~T~-&-O~ HAND -. -.--...--.---- -... ------..-----..- __ _.__ __ n__._..__ .___~_ ____...__._._.___.. __u._____.__.. . .._ ..___ ~_. ___.__ -..--.---....---- -- -------.-..-.. . --. _ _ --.---.--- -. -. -.--- ..-------..--.-- .----. ----.------..-- . __.___ __. _.___._____..__u____.________._ -- --.- ---.----.---.--- - .--.-.. -_._._--~----._-_._._-----_._---_. ANY HAZARDOUS WASTE ON SITE?: c:J YES þ(NO EXPLAIN: r~ r'Ó~/^D e:->,~~A- THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~ ----r;.~{L~L--___ I Business Site Responsible Party (Please Print) 0> ;g N ;¡;¡ Pink - Business Copy FACILITYNAMEMt<: .40 J)-55tðrE #B8nJ:t;cnONDATE ¡rJ,-4éJ4- Section 4: Hazardous Waste Generator Program EPA ID # ;V~ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 o Routine þ( Combined o Joint Agency o Multi-Agency o Complaint ORe-inspection OPERATION C V COMMENTS Hazardous waste detennination has been made fY y \Øfo r1> ceM>1 ~ - "2:>.\ v'¿ EP A ID Number 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 ~\9 C0V7-1 'I1Ju::Q 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 Detennines if waste is restricted from land disposal !aV -3979 White - Env, Svcs, ì< Y;;d~ C~/tC<{~ Business Site Responsible Party Pink - Business Copy ,''- "~ F RITE AID DRUG STORE #5814 Manager : REUBEN PAOCUAL 7õdd C,..4- bfyf.~ Location: 2681 OSWELL ST City : BAKERSFIELD SiteID: 015-021-000334 : BusPhone: Map : 103 Grid: 23A (661) 872-6161 CommHaz : Moderate FacUnits: 1 AOV: CommCode: COUNTY STATION 42 EPA Numb: SIC Code:5912 DunnBrad: I /'t , . ...- Emergency Contact RUBDEN PA3CUAL Business Phone: 24-Hour Phone : Pager Phone : / Title / MANAGER (661) 872 - 6161x (661) -1-2:; J:;1Gx332.tlS-S- ( ) - x A'- Emergency Contact / Title HEl\.THBR 'I'IIOMP80N / ASSIST MGR Business Phone: (661) 872-6161x 24-Hour Phone : (661) 073 9268x g'.32Z3 1 Pager Phone : ( ) - x Hazmat Hazards: Fire Press React ImmHlth DelHlth Owner Address : City RITE AID CORP PO BOX 3165 : HARRISBURG Phone: ( 661) 872 - 6161x State: CA Zip : 93306-3199 Phone: (717) 761-2633x State: PA Zip : 17105 Contact : MailAddr: 2681 OSWELL ST City : BAKERSFIELD Period : Preparer: Certif'd: ParcelNo: to TotalASTs: = TotalUSTs: = RSs: No Gal Gal Emergency Directives: I 7 odd û~hfre<_ Do ~19i'®©Y c~v1ñ~ iha~ ~ havG , (Type or print name) reviewed the attached hazardous ma~efial~ managso :; A..r.\ I3\nd ~M~ i~ along wi~h ment Plan for ^t í-~ rTJ ~ ~ (Nama of BußiMlSll) any corrections cons~i1u1e t§l e©mpi~~® ~iîd oorfi'sd mano agement plan for my i~cili'ty. y;-,¡ ç,/ C ",,¿¡-- SigMltur0 jÞ /tz./o 'I Date -1- 10/08/2004 ,,- F RITE AID DRUG STORE #5814 SiteID: 015-021-000334 9 f= Hazmat Inventory By Facility Unit 9 f== MCP+Dai1yMax Order Fixed Containers on Site 9 Hazmat Common Name.. . specHaZ EPA Hazards Frm I DailyMax unitlMCP BLEACH F R IH DH L 750.00 GAL Hi POOL CHLORINE IH DH L 200.00 GAL Hi PROPANE F P IH G 100.00 GAL Hi FUEL ADDITIVES F P R IH L 100.00 GAL Hi POOL ACIDS R IH S 30.00 GAL Hi POOL CHLORINE TABLETS DH S 1000.00 LBS Mod PHOTOGRAPHIC DEVELOPERS R IH L 4.00 GAL Mod PHOTOGRAPHIC DEVELOPERS R IH L 4.00 GAL Mod LIQUID FERTILIZERS DH L 1000.00 GAL Low ANTIFREEZE F DH L 500.00 GAL Low PHOTOGRAPHIC FIXER IH DH L 4.00 GAL Low PHOTOGRAPHIC BLEACH IH L 4.00 GAL Low PHOTOGRAPHIC BLEACH IH L 1. 00 GAL Low FERTILIZER DH S 20000.00 LBS Min HELIUM F P IH G 600.00 FT3 Min MOTOR OIL F DH L 500.00 GAL Min PHOTOGRAPHIC STABILIZER IH L 28.00 GAL Min PHOTOGRAPHIC STABILIZER IH L 5.00 GAL Min LIQUID INSECTICIDES F IH DH L 1000.00 GAL UnR INSECTICIDES IH DH S 1000.00 LBS UnR -2- 10/08/2004