HomeMy WebLinkAboutBUSINESS PLAN
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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
FACILITY NAME
LD"5~ Dr~ ::,tvfE: 'ff417
INSPECTION DATE
~,h~/04-
Section 4: Hazardous Waste Generator Program EPA ID #
o Routine J( Combined 0 Joint Agency 0 Multi-Agency 0 Complaint
ORe-inspection
OPERATION C V COMMENTS
Hazardous waste detennination has been made ;~
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 E'..I ~à< ø7..J I c::;.... ~.Þ'5~
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 L. ()-..ly- }(~~AJ - Cc~;J.r~
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
Detennínes ífwaste is restricted from land disposal ~
) 326-3979
White - Env. Svcs.
Pink - Business Copy
~
Bakersfield Fire Dept.
Enironmental Services
1715 Chester Ave
Bakersfield, CA 93301
Tel: (661)326-3979
"qr~I;Nþ~ INSPECTION TIME
- P~H<5NE No~'~--~---- No_ o(Emp¡oÿOOs-~--
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Business 10 Number
15-021-
UNIFIED PROGRAM INSPECTION CHECKLIST
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SECTION 1 Business Plan and Inventory Program
FACILITY NAME. 1f
'oOOci~~l?!Jw~~ïà --112.- - ...-. n .......-
___________________c.e.______~______ ___________~_____~__________________________ -________ -_______ _ ____~ _______~
FACILlTYCONTACT
Section 1: .Business Plan and Inventory Program
D Routine
Combined
D Joint Agency
D Multi-Agency
D Complaint
D Re-inspection
c V ( C=ComPlianCe)
V=Violation
OPERATION
COMMENTS
l- D___~~~~~~~~A~,=-PER~~T O~_ HA~~_____________________
l_~_D ___~USII~~SS_ PLA_~~~~~~~~~~_~_~~_A~I~~~~~~~~-r:________ _ ___________
k"___C?___ VIS~==!'~~~E~~____________________ _________________ _________m
bI D CORRECT OCCUPANCY
~____:-_._-----.----_-.-_--------.---.----+--------.---._.__.______ _~+__·.._____·___·_.__·____m_ ___ __.,_.__..___.~___._._______ _._...
!1 D' VERIFICATION OF INVENTORY MATERIALS
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__.___.___~_.__ ._.__._____~_,___.__________._________.__.___ .._________..__....__.. ___,__..___.__."'_ .._."_ __.._._.__ _....._.. ... ,_._~__ _..____'.'..___ ______.__ _ _ .__._ __..______m_... ___ .__~_____ _.._.u~.________..
~ D VERIFICATION OF MSDS AVAILABILlTYE t
A--Ci ~;~'F'C~T~~~- ~ ~~;-;RA~'~G - - ~ - ----- - - -- - -- -- - - - - - -- -- _____n
(~{~:~;~~f~~:~;~:t~~~~~URE~I¡ ~~< ~~_........__ ... - . ~..-__--_-~=....~
o CONTAINERS PROPERLY LABELED
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--------------------------------------------- ------- ---- ----- --------------------- ---- -- --~--i-
__~_ n_~O~_~=~~:~~~______________________ ___________ __~----- ________ __________. _ __
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.__..____~_n_.________._____._ _
ANY HAZARDOUS WASTE ON SITE?:
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EXPLAIN:
QUESTIONS REGAR ING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
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Pink - Business Copy
.-.
LONGS DRUG STORES #417
SiteID: 015-021-001842
Manager : RICK STEVENS
Location: 4400 COFFEE RD
City BAKERSFIELD
BusPhone:
Map : 102
Grid: 16C
(661) 588-0290
CommHaz : Moderate
FacUnits: 1 AOV:
CommCode: COUNTY STATION 65
EPA Numb: CAL000176616
SIC Code:
DunnBrad:
Emergency Contact
RICK STEVENS
Business Phone:
24-Hour Phone :
Pager Phone :
/ Title
/ MANAGER
(661) 588-0290x
(661) 664-9656x
( ) - x
Emergency Contact / Title
JOHN MENDIOLA / ASST MANAGER
Business Phone: (661) 588-0290x
24-Hour Phone : (661) 664-9769x
Pager Phone : ( ) - x
Hazmat Hazards:
RSs
Fire Press React ImmHlth DelHlth
Period :
Preparer:
Certif'd:
ParcelNo:
to
Phone: (661) 588-0290x
State: CA
Zip : 93308
Phone: (925) 937-1170x
State: CA
Zip : 94596
TotalASTs: = Gal
TotalUSTs: = Gal
RSs: Yes
Contact : RICK STEVENS
MailAddr: 4400 COFFEE RD
City : BAKERSFIELD
Owner
Address :
City
LONGS DRUG STORES CALIF INC
141 N CIVIC DR
: WALNUT CREEK
Emergency Directives:
WASTE TREATMENT SITE: CONTACT 326-3979 FOR JOINT HAZ-MAT INSPECTION
I .,..-Jþ¡../¡J /J7ØJDíbt-A Do hSf®by e~ú'my ~h~~ ~ &1~vs
~ (Type or print nama)
reviewed the attached hazardous ma~srial$ manage-
ment plan for !ðIJ bs DeVG and ~hai i~ along with
(Name of Business)
any corrections constitute a complete and correct man-
agement plan for my faciHty.
~~
Signature
9- Z"5-Dt(
Date
-1-
09/22/2004
tJ
--'
F LONGS DRUG STORES #417 SiteID: 015-021-001842 ì
f= Hazmat Inventory By Facility Unit ì
f== MCP+DailyMax Order Fixed Containers at Site ì
Hazmat Common Name. . . specHaZEPA Hazards Frm I DailyMax UnitMCP
CHLORINE F P IH G 128.00 GAL Ext
PROPANE E F P IH G 360.00 FT3 Hi
DEVELOPER PART A R IH L 5.00 GAL Hi
DEVELOPER PART A R IH L 2.00 GAL Hi
FIXER PART A R IH L 2.00 GAL Hi
CLEANER DH L 55.00 GAL Mod
PHOTOGRAPHIC FIXERS R IH L 20.00 GAL Mod
PHOTOGRAPHIC DEVELOPERS R IH L 10.00 GAL Mod
DEVELOPER PART C R IH L 5.00 GAL Mod
DEVELOPER PART C R IH L 2.00 GAL Mod
PHOTOGRAPHIC DEVELOPERS R IH L GAL Mod
FIXER PART B R IH L 10.00 GAL Low
DEVELOPER PART B F R IH L 5.00 GAL Low
DEVELOPER L 3.00 GAL Low
DEVELOPER PART B F R IH L 2.00 GAL Low
PHOTOGRAPHIC CHEMICALS F DH L 1. 00 GAL Low
HELIUM F P IH G 732.00 FT3 Min
WASTE DEVELOPER R L 30.00 GAL Min
-2 -
09/22/2004