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BUSINESS PLAN
CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 171SChester A ve" 3rd Floor, Bakersfield, CA 93301 FACILITY NAME "o^1~ 1F 2,033 INSPECTION DATE q¡4,}/O~ Section 4: Hazardous Waste Generator Program EPA ID # D Routine ~ Combined D Joint Agency 0 Multi-Agency 0 Complaint ORe-inspection OPERATION C V I C:::P COMMENTS Hazardous waste detennination has been made EP A ID Number Authorized for waste treatment and/or storage Reported release, fire, or explosion within IS 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 tbe 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 Detennines if waste is restricted from land disposal C=Compliance ~=Vitrtion Inspector: ~~,;)7~~ ~~//I~ .rI ,.., ...__., I (] '1 /l II / / // /// / ¡¡;/~v/ Retains copies of used oil receipts for 3 years 6-3979 White· Env. Svcs. ~ .~ Business Site Responsible Party Pink· Business Copy FACILITY NAME ON~ f1= 2,,033 ADORESS---4;¡Q~~~£.p~~:~~BJ~~_~__~~:~~:..~-~-.~-_.-_~~-~.~~_ FACILlTYCONTACT - .---_.._.~---_.__._.._-- Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield. CA 93301 Tel: (661)326-3979 :i:~L~-- ~:S:~:~I:::~~:____ __::!2~_fp___1~__~__. __ Business 10 Number - - - 15-021- UNIFIED PROGRAM INSPECTION CHECKLIST ~'1?~:::!$t~J};~~~·=t';'&f.lW~.'1~~W4}.L~~~~W~~m(tð.~:Jt~~~~~~!ß.% SECTION 1 Business Plan and Inventory Program .-.----------..-,.-,--. Section 1: Business Plan and Inventory Program C] Routine Combined C] Joint Agency C] Multi-Agency C] Complaint C] Re-inspection C V ( c=,comPlianCe) V=,Violation OPERATION COMMENTS ~__~__~~~~?~~~~~~~ER_~~T O~!,AN~__ .._________________ ~-: _~_ ~USI~SS PLA~ C~~ACT_I_NFOR_MATI~N ACCURATE ~ C] VISIBLE ADDRESS ~----ª-~--~~;~~~~;~~~~;~;~::-~:~--~-~.._~:~:-~~..::~~~:-~~:-----_.._- ...--- _.......~..:_--.::.:.:_-~ .-.: :....-..-:- -- ~ C] , VERIFICATION OF INVENTORY MATERIALS .."------------.......-.-- -....-- .--.. ...,-~_. ...-.. .._ _ ., ..,__._......_.,. .__. __.... _.__..__._____._.____...__.._..u_____~ --. ...-..----...-.. - --_.~~---_.__.._._---~_.- .--... .~- ._ _ n_.._______.._..___._· .. .. _ .... n_ _..n..n.___.____________.._._,,____ _____~____....______.___.____.___~____________.____..____.____. _ ._._______... _"_.. ______._.____... _0>_ ____..__"__._.________._.__._ __._.___ ...-. - ,,---_._--.--_....__....~-_._. o VERIFICATION OF QUANTITIES -.-.--------------------------------.---..-.--. -.-.-,-.- ---.... ,.------..------.---.-.- ---.------j .------ -_.- .-. ..------..----- --------- --. --- --..- \;¡ 0 VERIFICATION OF LOCATION j ~_r::'__!:'_R~~:~_~EG~~~~~~~~~~~E~I~~_ ____________ ________ _________ _ ..... .nn ...______ ~ C] VERIFICATION OF MSDS AVAILABILlTYE I ~---O---V~-~IFIC~;~~~-;;~H~~~-;~~~;~-~------·-------- ---T--- - -- ________.__.__________________,___________._.__ ____.___.____ ___,______________.. .._._+_..______ __. n.__.___.______.__ ______ .________.__. .. n____._ _ ___ _.____..______ _ ___._____ .__. l ~j~;~~~~~~:~:~~~A~~~D=R::-:R':S¡----:n-~-:----- ~~___~_~~~~~N~~_~~_~~=~~~~_~~==~__________________n_______ '___ n_______ .nn. _H___ ~___~___~~~S~~~~~~~n______m______n___________ .- -1 -----------. --- - ------ --- ~ 0 FIRE PROTECTION I __ __________n ___ _____._.________n____u____ ____n___.____.___.__ n_ .~--_---------- ...___ _ _ n____ _n_____.. ._n._ _ _n..___._ ____ __. __ .____. __ ._n___._ _. .____.______._____n I .-.-.-----.-.-.-.------.-- _. . ____u__... ._. .. . --,,--.._-_. ------..--.-----..-.---- r _..._.___~__._.____..__.._ ___ .______ __._._____.______._ - ~.- ---~~----_.__._~---_..- _._.---".~-...__.-..._--_..- - .-...._..._--~..._----_..__._,,------_._- . un _,___.___ _.__._'__.n___. ___.._._______"._ ._._ .___ ~__ _._._. --- ...-------- ---.-..-.---..---------- . . ___ ._.. __·_.._____.·_______n··_~.__·_ o SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: C] YES {NO 1>/1 ð!-v f l7fðCe-~/Ô EXPLAIN: Å ),:> - lf111jW JQ I QUESTIONS REGAR ING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 <J> ;g N :E Pink - Business Copy 'IIJ.·· ;, .. \ I VONS #2033 SiteID: 015-021-002005 Manager : Location: 4500 COFFEE RD City BAKERSFIELD BusPhone: Map : 102 Grid: 16C (661) 589-0316 CommHaz : Minimal FacUnits: 1 AOV: CommCode: COUNTY STATION 66 EPA Numb: SIC Code:5411 DunnBrad:00-132-5034 Business Phone: 24-Hour Phone Pager Phone / Title / LOSS PREVENTION (626) 821-7545x (626) 821-7545x () x Business Phone: 24-Hour Phone : Pager Phone / Title / STORE MANAGER (661) 589-0316x (626) 821-7545x () x Emergency Contact Emergency Contact Hazmat Hazards: Fire Press ImmHlth Owner Address City VONS, A DIVISION OF SAFEWAY PO BOX 513338 LOS ANGELES Phone: (661) 589-0316x State: CA Zip 90051-1338 Phone: (626) 821-5601x State: CA Zip 90051-1338 Contact : MailAddr: PO BOX 513338 City LOS ANGELES Period Preparer: Certif'd: ParcelNo: to TotalASTs: = TotalUSTs: = RSs: No Gal Gal Emergency Directives: ~ IJ/ ;t3/d Do hereby certify illai I ha\l~ , (Type or print name) reviewed the attached hazardous materials manag~o ment plan for cDóY'lS' and ~h~t i~ a1~Orig with (Name of Business) any corrections constitute a com~liSt0 ~nd c©rrsd ffialU'i° agement plan for my faciUt . ~ Date -1- 09/22/2004 " SiteID: 015-021-002005 9 By Facility Unit 9 Fixed Containers at Site 9 specHazEPA Hazards Frm DailyMax UnitMCP IH L 80.00 GAL Hi P IH G 13200.00 FT3 Low F P IH G 500.00 FT3 Min F P IH G 500.00 FT3 Min f VaNS #2033 p= Hazmat Inventory f== MCP+DailyMax Order Hazmat Common Name... BLEACH FREON R-22 HELIUM CARBON DIOXIDE -2- 09/22/2004