HomeMy WebLinkAboutHAZ-BUSINESS PLAN 5/19/2003
QUALITY SERVICE· SATISFACTION GUARANTEED
TRANSMISSION DR.
20 YEARS EXPERIENCE · TRANSMISSION & BRAKE SPECIAISTS
..... FOREIGN AND DOMESTIC
AUTD AND STANDARD
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OPERATOR DATE 134 NAME OF DOCUMENT PREPARER
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CITY OF BAKERSFIELD
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., Bakersfield, CA (661) 326-3979
HAZARDOUSMATEmALSMANAGEMENTPLAN
INSTRUCTIONS
SECTION I. - BUSINESS IDENTIFICATION DATA:
The Business Owner / Operator Form, Chemical Description Form(s) and other Forms
(e.g.: underground storage tank information, hazardous waste treatment, etc., as needed)
may be submitted as the first section of the Hazardous Materials Management Plan in
order to avoid duplication of information for initial submissions.
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION II. I - DISCOVERY AND NOTIFICATIONS
A. LEAK DETECTION AND MONITORING PROCEDURES:
Describe the procedures and equipment used to detect any release or threatened release of a
hazardous material from any storage container, tank, or vessel at your business. Please
provide a written explanation that also includes the make and model number of any
automated or electronic leak detection equipment in use at your facility.
B. EMPLOYEE AND AGENCY NOTIFICATION:
What agencies and or corporate officials are notified in case of a hazardous materials spill
or emergency - What procedures are used to notify these parties? At a minimum, you
must call 9-1-1 and the Office of Emergency Services at 1-800- 852-7550 to report any
spills that are a threat to life, safety or the environment, or for other non-emergency
spill reporting, please call our office at (661) 326-3979.
C. ENVIRONMENTAL RESPONSE MANAGEMENT:
Please describe who will be responsible for what activities (notifying authorities, clean-up
companies, etc.), and what the chain-of-command is at your facility for making sure these
activities are carried out.
D. EMERGENCY MEDICAL PLAN:
Summarize your plan for handling medical emergencies occuning at your business. List
the local medical facility capable of handling an accident involving Hazardous Materials
used at your business.
HAZARDOUS MATERIALS MANAGEMENT PLAN
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SECTION II.2 - RELEASE RESPONSE PLAN
A. HAZARD ASSESSMENT AND PREVENTION MEASURES:
Explain the procedures that you have developed and implemented to help prevent an
incident from occurring. These steps could include, but are not limited to, storage methods,
container types, segregation, safety equipment, and/or procedures used.
B. RELEASE CONTAINMENT AND/OR MITIGATION:
Explain the procedures that you have developed and implemented to assist in keeping a
hazardous materials incident at your business as small or confined as possible.
C. CLEAN-UP AND RECOVERY PROCEDURES:
Explain what clean up procedures will be implemented in case of a release at your business.
This should address small spills, as well as a major release of material once the material is
contained.
Hazardous Waste: Please provide the name of the hazardous waste company that
regularly removes the wastes from your business, and how often that waste is removed.
Please keep all disposal receipts for the last three years available on site for inspection.
UTILITY SHUT -OFFS
list locations of shut offs using compass .points and known or obvious landmarks. If you
have a lock box containing keys and maps of the facility for the Fire Department to use,
please list its location also.
PRIVATE FIRE PROTECTIONIW ATER A V AILABlllTY
A. Private Fire Protection: Describe on-site fire protection for your business or
facility unit, including sprinklers, fire extinguishers, alann systems and private
response teams.
B. Water Availability (Fire Hydrant): Give the location of the closest water supply
or fire hydrant to be used by the Fire Department in case of an emergency.
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SECTION ill - TRAINING
List the number of employees that are working in the area of the hazardous materials, use or
storage. Include all employees who have any occasion to be in those areas.
Give the location where Material Safety Data Sheets (MSDS) are kept on file. The MSDS
must be readily available on site in a place where employees can access them.
Gi ve a brief summary of your Hazardous Materials Training Program.
Employees are required by State law to have a program which provides employees with initial and
refresher training in the following areas:
1) Methods, for safe handling of the hazardous materials used by your business.
2) The Cal OSHA Hazard Communication Standard.
3) Correct use of emergency response equipment and supplies available at your business.
4) The prevention, minimizing and clean up procedures you have developed for your business.
5) The emergency evacuation plans you have developed,· as well as, your notification
procedure ~d medical plan.
6) Procedure to coordinate with and assist the local emergency personnel that may respond to
your business
7) Who and how to call for immediate assistance in the event of an accident involving
hazardous materials.
CERTIFICATION
Please fill in your name, title, and sign and date on the signature line.
IMPORTANT
You must return this plan, inventory forms, and map within 30 days of receipt.
If you have any questions
please call us at (661) 326-3979
Thank you for helping to keep our All America City cleaner and safer.
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I CITY OF BAKERSFI~
o ICE OF ENVIRONMENTAL ~RVICES
1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979
HAZARDOUS MATERIALS MANAGEMENT PLAN
Section 11.1 - DISCOVERY AND NOTIFICATIONS
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HAZARDOUS MATERIALS MANAGEMENT PLAN
Section 111.1 - FACILITY AND LOCALITY INFORMATION
I . . . UTILITY SHUT '()FFS.
LOCATION OF SHUT-OFFS AT YOUR FACILITY:
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DATE 477,
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CITY OF BAKERSFIELD
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., Bakersfield, CA (661) 326-3979
HAZARDOUS MATERIALS INVENTORY
INSTRUCTIONS
CHEMICAL DESCRIPTION FORM
Make as many copies of the chemical description fonn as necessary to report your entire inventory of
hazardous materials. Report every hazardous material handled in quantities equal to or exceeding 55
gallons of a liquid, 500 pounds of a solid or 200 cubic feet of a gas. Report any amount of any
hazardous waste being generated or handled on site.
I. FACILITY INFORMATION:
Check the appropriate box for a new inventory or for additions, revisions or deletions to an existing
inventory.
Enter the business name at the top of the fonn. Enter the page number in the right hand corner. Describe
the exact location of the hazardous waste or material being reported. NOTE: Chemical location
infonnation is considered confidential unless you check "no."
If a site map is being submitted, you may refer to the map number and grid coordinates for the approximate
location of the material, as shown on the map.
II. CHEMICAL INFORMATION:
Each of the instructions below correspond to the entry field with the same number on the chemical
description fonn.
CHEMICAL NAME 205
Enter the proper chemical name associated with the Chemical Abstract Service (CAS) number of the
hazardous material. This should be the International Union of Pure and Applied Chemistry (!UP AC) name
found on the Material Safety Data Sheet (MSDS). NOTE: Ifthe chemical is a mixture or a hazardous
waste, do not complete this field; complete the "common name" field instead.
TRADE SECRET 206
Check "Y" for yes if the infonnation in this section is declared a trade secret, or "N" for no, if it is not.
State requirement: If yes, and business is not subject to EPCRA, disclosure of the designated trade secret
infonnation is bound by Health and Safety Code, Section 25511. Federal Requirement: If yes, and business
is subject to EPCRA, disclosure of the designated Trade Secret infonnation is bound by Title 40 Code of
Federal Regulations (CFR) and the business must submit a "Substantiation to Accompany Claims of Trade
Secrecy" fonn (40 CFR 350.27) to USEPA.
COMMON NAME 207
Enter the common name or trade name of the hazardous material or mixture containing a hazardous
material.
EHS 208
Check "Y" for yes if the hazardous material is an Extremely Hazardous Substance (EHS), as defined in 40
CFR, Part 355, Appendix A. If the material is a mixture containing an EHS, leave this section blank and
complete the section on hazardous components below.
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CAS # e _ 209 "
Enter the Chemical Abstract Service (CAS) number for the hazardous materiàl. For mixtures, enter the
CAS number of the mixture if it has been assigned a number distinct from its components. If the mixture
has no CAS number, leave this column blank and report the CAS numbers of the individual hazardous
components in the section below.
FIRE CODE HAZARD CLASSES (Please leave blank) 210
HAZARDOUS MATERIAL TYPE 211
Check the one box .that best describes the type of hazardous material: pure, mixture or waste. If waste
, material, check only that box. If mixture or waste, complete hazardous components section.
RADIOACTIVE 212
Check "Y" for yes if the hazardous material is radioactive or "N" for no, if it is not.
CURIES 213
If the hazardous material is radioactive, use this area to report the activity in curies. You may use up to
nine digits ,with a floating decimal point to report activity in curies.
PHYSICAL STATE 214
Check the one box that best describes the state in which the hazardous material is handled: solid, liquid or
gaseous (gas).
LARGEST CONTAINER
Enter the total capacity of the largest container in which the material is stored.
215
FEDERAL HAZARD CATEGORIES
Check all the physical and health hazards associated with the hazardous material:
216
PHYSICAL HAZARDS:
Fire: Flammable Liquids and Solids, Combustible Liquids, Pyrophorics, Oxidizers
Reactive: Unstable Reactive, Organic Peroxides, Water Reactive, Radioactive
Pressure Release: Explosives, Compressed Gases, Blasting Agents
HEALTH HAZARDS:
Acute Health (Immediate):
Highly Toxic, Toxic, Irritants, Sensitizers, Corrosives, other hazardous
chemicals with an adverse effect with short term exposure.
Carcinogens, other hazardous chemicals with an adverse effect with
long term exposure.
Chronic Health (Delayed):
ANNUAL WASTE AMOUNT 217
If the hazardous material being inventoried is a waste, provide an estimate of the annual amount handled.
MAXIMUM DAILY AMOUNT 218
Enter the maximum amount of each hazardous material or mixture containing a hazardous material, which
is handled in a building or adjacent/outside area at anyone time over the course of the year. This amount
must contain at aminimum last year's invento!)' of the material reported on this page, with the reflection of
additions, deletions, or revisions projected for the current year. This amount should be consistent with the
units reported in box 221.
AVERAGE DAILY AMOUNT 219
Calculate the average daily amount of the hazardous material or mixture containing a hazardous material,
in each building or adjacent/outside area. Calculations shall be based on the previous year's invento!)' of
material reported on this page. Total all daily amounts and divide by the number of days the chemical will
be on site. If this is a material that has not previously been present at this location, the amount shall be the
average daily amount you project to be on hand during the course of the year. This amount should be
consistent with the units reported in box 221 and should not exceed that of maximum daily amount.
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STATE WASTE CODE 220
If the hazardous material is a waste, enter the appropriate California 3-digit hazardous waste code as listed
on the back of the Unifonn Hazardous Waste Manifest. A list of common State Waste Codes are included.
on page 4 of these instructions.
UNITS 221
Check the unit of measure that is most appropriate for the material being reported on this page: gallons,
pounds, cubic feet or tons. NOTE: If the material is a federally defined Extremely Hazardous Substance
(EHS), all amounts must be reported in pounds. If material is a mixture containing an EHS, report the units
that the material is stored in (gallons, pounds, cubic feet, or tons).
DAYS ON SITE 222
List the total number of days during the year that the material is on site.
STORAGE CONTAINER 223
Check all boxes that describe the type of storage containers in which the hazardous material is stored.
NOTE: If appropriate, you may choose more than one.
STORAGE PRESSURE 224
Check the one box that best describes the pressure at which the hazardous material is stored.
STORAGE TEMPERATURE 225
Check the one box that best describes the temperature at which the hazardous material is stored.
HAZARDOUS COMPONENT 1 - 5 (% by weight) 226, 230, 234, 238, 242
If a range of percentages is available, report the highest percentage in that range.
HAZARDOUS COMPONENT 1- 5 Name 227,231,235,239,243
When reporting a hazardous material that is a mixture, list up to five chemical names of hazardous
components in that mixture by percent weight (refer to MSDS or, in the case of trade secrets, refer to
manufacturer). All hazardous components in the mixture present at greater than 1 % by weight if non-
carcinogenic, or 0.1 % by weight if carcinogenic, should be reported. If more than five hazardous
components are present above these percentages, you may attach an additional sheet of paper to capture the
required infonnation. When reporting waste mixtures, mineral and chemical composition should be listed.
HAZARDOUS COMPONENT 1 - 5 EHS 228, 232, 236, 240, 244
Check "Y" for yes if the component of the mixture is considered an Extremely Hazardous Substance as
defined in 40 CFR, Part 355, or "N" for no, if it is not.
HAZARDOUS COMPONENT 1- 5 CAS 229,233,237,241,245
List the Chemical Abstract Service (CAS) numbers as related to the hazardous components in the mixture.
III. SIGNATURE:
Please print name, title, sign and date each chemical description fonn.
246
If you have any questions
please call us at (661) 326-3979
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CALIFORNIA WASTE CODES
Code
Description
lnorganics
III Acid solution 2 < pH < 7 with metals
(antimony, arsenic, barium, beryllium,
cadmium, chromium, cobalt, copper, lead,
mercury, molybdenum, nickel, selenium, silver,
thallium, vanadium and zinc)
112 Acid solution without metals
113 Unspecified acid solution
121 Alkaline solution pH >12.5 with metals (see
Ill)
122 Alkaline solution without metals
123 Unspecifieèl alkaline solution
131 Aqueous solution (2 < pH < 12.5) containing
reactive anoins (azide, bromate, chlorate,
cyanide, fluoride, hypochlorite, nitrite,
perchlorate and sulfide anions)
132 Aqueous solution with metals (see 111)
133 Aqueous solution with total organic residues
10% or more
134 Aqueous solution with total organic residues
less than 10%
135 Unspecified aqueous solution
141 Off-spec, aged, or surplus inorganics
151 Asbestos containing waste
161 FCC Waste
162 Other spent catalyst
171 Metal sludge (see Ill)
172 Metal dust and machining waste (see Ill)
181 Other inorganic solid waste
Organics
211 Halogenated solvents (methylene chloride, .
chloroform, TCE, TCA)
Oxygenated solvents (acetone, butanol, MEK)
Hydrocarbon solvents (stoddard solvent,
xylene)
Unspecified solvent mixture
Waste oil and mixed oil
Oil/water separation sludge
Unspecified oil- containing waste
Pesticide rinse water
Pesticide and other waste associated with
pesticide production
212
213
214
$
223
231
232
Code
Description
241 Tank bottom waste
251 Still bottoms with halogenated organics
252 Other still bottom waste
261 PCB's and material containing PCB's
271 Organic monomer waste (includes unreacted
resins)
272 Polymeric resin waste
281 Adhesives
291 Latex waste
311 Pharmaceutical waste
321 Sewage sludge
322 Biological waste other than sewage sludge
331 Off-spec, aged or surplus organics
341 Org¥1ic liquids (nonsolvents) with halogens
343 Unspecified organic liquid mixture
351 Organic solids with halogens
Sludges
411 Alum and gypsum sludge
421 Lime sludge
431 Phosphate sludge
441 Sulfur sludge
451 Degreasing sludge
461 Paint sludge
471 Paper sludge/pulp
481 Tetraethyllead sludge
491 Unspecified sludge waste
Miscellaneous
511 Empty pesticide containers 30 gal or more
512 Other empty container 30 gal or more
513 Empty containers less than 30 gal
521 Drilling mud
531 Chemical toilet waste
541 Photo chemical/photo processing waste
551 Laboratory waste chemicals
561 Detergent and soap
571 Fly ash, bottom ash, and retort ash
581 Gas scrubber waste
591 Baghouse waste
611 Contaminated soil from site clean-ups
612 Household wàstes
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CHEMICAL DESCRIPTION
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207 L EHS'
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FIRE CODE HAZARD CLASSES (Complete if requested by local fire chief)
TYPE
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PHYSICAL STATE
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FED HAZARD CATEGORIES
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AMOUNT
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DAILY AMOUNT
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RADIOACTIVE
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CURIES
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LARGEST CONTAINER
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05 CHRONIC HEALTH 216
218 AVERAGE
DAILY AMOUNT
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DAYS ON SITE
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STORAGE PRESSURE
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o a AMBIENT
STORAGE TEMPERATURE
o a AMBIENT
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o ba BELOW AMBIENT
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CITY OF BAKERSFIELD
OFFICE OF ENVIRONMENTAL SERVICES
1715 CHESTER AVE., BAKERSFIELD, CA (661) 326-3979
SITE AND FACILITY DIAGRAM INSTRUCTIONS
FOR
HAZARDOUSMATER~LSMANAGEMENTPLANS
These instructions explain the use of the site diagram and the facility diagram. Nonnal1v. small
and medium size businesses will only have to submit a site diagram. If you have subdh " .;d yc'
business into smaller areas because of the complexity or size, then you will be completirg and
additional detail map, facility diagram, for each of these areas. Include instructions that show the
route to your business if it is in a remote location. All diagrams must be on 8 ~ x 11 paper and '
drawn using a straight edge tool.
SITE DIAGRAM INSTRUCTIONS
The site diagram is used to show your business and to indicate the businesses that immediately
surround your property, usually within 300 feet. If you will be showing specific area detail on
facility diagrams, use the site diagram to show an overall layout of the plant. If you will not be
submitting facility diagrams, the site map must include all of the following infonnation:
I. Check the box on the top left comer of the fonn provided that indicated "Site
Diagram" .
2. Print the name of your business, as shown in your HMMP, on the top of the
diagram.
3. Label the location of the hazardous materials and identify them by name and type
of hazard (ie, Flammable liquid, corrosive solid).
Label the location of utility shutoff points for gas, electric and water·services.
Label the location of fire hydrants.
Label portions of the building protected by automatic sprinkler systems.
Label the direction representing north on the diagram. (The diagram fonn
provided includes a north arrow).
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Map labeJing must be lesiblee wily understandable. Try to avoiee use of abbreviations or"
symbols. If you must use them. provide a lesend explaining your system.
Maps may be returned for correction if you fail to follow these instruction.
FACII.JTY DIAGRAM INSTRUCTIONS
Facility diagrams are supplements to the site diagram. Use them to show the subdivision deta.iJs
of a larse business.
1. Check the box in the upper risht hand comer of the fonn provided that indicated
"Facility Diagram".
2. Print the name ofyout business as shown on your HMMP. Print the name of the
~ that this map represents. This name should be the same name that you used
on this area's inveotory report.
3., Indicate which area the cfiaøram represents and the total number of 1àciIity
dia¡rams that you are.including. If a map repRSeßted the first offour areas, it
would be labeled #1 of 4.
4. Follow instruction (3 -7) for site diagrams regardins the specific details to be
included on each fàcility diagram.
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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1 Business Plan and Inventory Program
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Bakersfield Fire Dept.
Enironmental Services
1715 Chester Ave
Bakersfield. CA 93301
Tel: (661)326-3979
FACILITY NAMEj,j. Ó I J/ IINSPECJION !).ATE INSPECTION TIME
~SM,tÇSIW Dfl. ¡//Yl ______________~3-{~-{~3 ________ ________
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FACILlTYCONTACT Business ID Number
'j2.ø,.,j l-(N{)L'é.Y 15-021- ~
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Section 1: Business Plan and Inventory Program
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o 0 ApPROPRIATE PERMIT ON HAND
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o D BUSINESS PLAN CONTACT INFORMATION ACCURATE
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D 0 VISIBLE ADDRESS
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o 0 CORRECT OCCUPANCY
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o LJ VERIFICATION OF LOCATION tV w c./tNR.. oF s-lkP nlD~
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_._____..____________.___~~___.___.__________...____.._________.__...._..n. ___.______._.___.~___. __._. _ ..n__._..____.__._____....._ _____
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CJ 0 PROPER SEGREGATION OF MATERIAL
._.._..~.________~____..___________._._____ .__..__.__._______~_...._.._.__.___._ ._____._______._._.__ _.. ._,__._._.__ _._ __ . .. __.______.___...___ _____.___ ____~ _..__.n..__
o 0 VERIFICATION OF MSDS AVAILABILlTYE
1-____._______________.__________________..________ .---...------..-.,... ---..--- _ --...------- --.-------.-.....-- -... ---.. ..,----.,._..__ .---.-.------- -..---.._- - ,- .------
o 0 VERIFICATION OF HAT MAT TRAINING
~--.-----.----------._,------------.---------.-----.--.....- -.---.'c-----------..-- --. ----.-.----,---,- - ,..-------..-.- ..--
o 0 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
- 1----_________________ -.____..___ ____"____m_ ._________.__ .-..---- ____.________. .-___ ____.__..____,_,__ -.. -- ____ _ ___. ____..___.___._ .______.____. : \
o 0 EMERGENCY PROCEDURES ADEQUATE
--------------,-------------------.-- -----.----.-.-..--.-.-----...------- --.-- - ------....--...-4-.---.-------- ---. . - .-.--.--- --..-..--.- -,..------- .....-- --
D CJ CONTAINERS PROPERLY LABELED I
.________._.______._____ ________.m__._ ____._.____.___..___ _________________ ... __. ___~----- ___.______ __ _. _____.______.___ .._... .______ __ ___ .. __..._
___~_--.?____~~~SEKE~.':'~~_______________________ -- ------- ---1-----..---.- ---------,- --.---. -------..-----.-.----------. - .------ ------
o 0 FIRE PROTECTION
-.-..--. --------------------.. ______.___ .__m__..___._..____._._.__.___________ _..._.__ ____.__ ___..__.__ _..________. _._._ ___ ____ ___ .___..._..~_____.__. _ u_ . _._.._.____._ __. .__..______..___. __... _ _ .. ,,_.__ ____._
o 0 SITE DIAGRAM ADEQUATE & ON HAND
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ANY HAZARDOUS WASTE ON SITE?:
'JÍ YES
o No
EXPLAIN:
VVf>6. --rr:: () t (...
Inspector
Badge No,_
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
_________bJl~_______________~______________
White· Environmental Services
Yellow ' Station Copy
Pink - Business Copy
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SECTION 1 Business Plan and Inventory Program
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Business ID Number
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Bakersfield Fire Dept.
Enironmental Services
1715 Chester Ave
Bakersfield, CA 93301
Tel: (661)326-3979
FAC ILlTYCONTACT
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o 0 ApPROPRIATE PERMIT ON HAND f\.If:..W P Ea....... I T $ , 'tC:
_____._____~_~____.________.___._.____.________~_.____ _______.___.__.._,,__....__...___ _ ".. _...._ _._._____ _._. _~_.____.n.___n.__n_.._ _ ..___,,_____ _.__.._._.. .. _...___ _. __..____________
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o 0 VISIBLE ADDRESS
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o 0 CORR\CT OCCUPANCY
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o 0 VERIFICATION OF QUANTITIES Î ç GAL. 7- 7 S c;..þ.c..
_·_·____·.__...____._____~__.___~___n______.~____ ...__.________.....__ __.___.__~__________.. __._ ~_.__.__ _'__'_M___h______ .____.._._.____ _b.__ _...._...__ .__ _
o 0 VERIFICATION OF LOCATION tV W C(tNI'l. oF S.tIeR ¡ROc;.
---_.__....._-~---_.----------_.__._-_.._----------_..------~---_._----_.__."'.. ------------_.__..~~-~--_._,,- ...-.-.-,----- --. -----...-- -- -. - "--'-;-"\":-
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o 0 PROPER SEGREGATION OF MATERIAL
---_._----------------_._-~------..-._-_._- --~- -~.__._-----_.__.".._.._._-_.._-- . .-.----------...----.... ...--...-..------
__.________________.._ ___.___ _~___ _..____.m__u
o 0 VERIFICATION OF MSDS AVAILABILlTYE
_n______._._____.____.____._.________"____~.___~___ .__......__.__.__._____.. _.____ .__ _ .___..._.____.__.______._.__ ___ _._... .__.._ . _._ ._.__..__ ,,_,__.__,_ ... __..._...~ __.. __ __ _._ _..._... ____._
o 0 VERIFICATION OF HAT MAT TRAINING
__._u_________.u_·,__·_____u__u__u.__ ___ u__.__uu _.._ -..--..c--.----u------ __ ____u.u.__._u._u_, ,_ _.__u_u____ .._._.____ .·__u_
o 0 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES '
- ____________u_______ _________.u____m._____.u.____u.._ ._..__._ uo._.u.u____,_.u .__.._____.,. ___._.___.. _.__. ___. ____un. ._________u___.___ _ __u_...._ __.
o 0 EMERGENCY PROCEDURES ADEQUATE .
·___·_______._________u.__.____ _.__..______::·..u...u_..__..._.__.______uu _._____,... _._....~_.,__. __.__...__ _.u ...u. ._u.u ._._. ___ ._..__U.U_ ....._ U
o 0 CONTAINERS PROPERLY LABELED 1
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o 0 FIRE PROTECTION
____.__ ---___._~____________.______._.__...__.___.________.__.__._______.._____.____ _._~._u___..______" _.._______. _.__ ___ n.____ .__.._..___'_~'____ .__ __._.._n_._._ .__ ____ ._..___.____.__ ... _. u.",_ h ____..
o 0 SITE DIAGRAM ADEQUATE & ON HAND
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ANY HAZARDOUS WASTE ON SITE?:
"'YES
o No"
EXPLAIN:
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Inspector
Badge No,_
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
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While - Environmenta,1 Services
Yel.low u Station Copy
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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 ~5M.rSS(~ Q(l...
INSPECTION DATE
3/4/03
Section 4:
Hazardous Waste Generator Program
EPAID# 000 26ÇC¡27
o Routine
¢... Combined
o Joint Agency
o Multi-Agency
o Complaint
ORe-inspection
OPERATION C V COMMENTS
Hazardous waste detell11ination has been made Au- (~S ~
EP A ID Number (Phone: 916-324-1781 to obtain EP A 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 /J
Detell11ines if waste is restricted from land disposal II /{/J /":' \
C-Compliance V=Violation J¡øa¿Ju~ I
Inspector: Wtl\JE~
Office of Environmental Services (661) 326-3979 . Business Sitfesponsible!7
White - Env, Svcs, Pink - Business Copy
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