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UNIFIED PROGRAM IN ECTION 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 NAME
INSPEfTION DATE INSPECTION TIME
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PHONE No, No, of Employees
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ADDRESS
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FACILlTYCONTACT
15-021-
Section 1: Business Plan and Inventory Program
o Routine
ftombined
o Joint Agency
o Multi-Agency
o Complaint
o Re-inspectìon
c V
( C~Compliance )
V~Violation
OPERATION
COMMENTS
CI 0 ApPROPRIATE PERMIT ON HAND
_____ __________~_____________._____.___,._______n___ ___..____ ______...__.___..._0_____ _ ..... ....._ ___.__~_ __._. , _._.u+_....____. ___.____.. _
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o 0 BUSINESS PLAN CONTACT INFORMATION ACCURATE
_________________.___~___ ______~____._~__ __ ____._______._ ____..___________._._ __ _ . ___ _ _ _4'_·_·..__·_" ___ _." .._ ___.___._____
o 0 VISIBLE ADDRESS
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o 0 CORRECT OCCUPANCY
_______._._____________._____________________.____.___..___.__._____ n___.__.._.___.____.. _.._.____...._.. __....._________...______.___.__ __. __ ____.._._ __.__~_..__ ____._
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o 0 VERIFICATION OF INVENTORY MATERIALS k.M<;--n=- rþ<f ~r
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o 0 VERIFICATION OF QUANTITIESC ç ~<-
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o 0 VERIFICATION OF LOCATION
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o LJ PROPER SEGREGATION OF MATERIAL
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o 0 VERIFICATION OF MSDS AVAILABILlTYE
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o 0 VERIFICATION OF HAT MAT TRAINING
o 0 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
Auto Body;';A
Colusslon-Cust
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o 0 EMERGENCY PROCEDURES ADEQUATE
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o LJ FIRE PROTECTION
--..---------------------. ---.--.-- .--..- -----.---._~--_._-_.__._._---_.._.._..._..- -.--.-. ---..--.-- ~"-,
LJ 0 SITE DIAGRAM ADEQUATE & ON HAND
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o 0 CONTAINERS PROPERLY LABELED
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ANY HAZARDOUS WASTE ON SITE?: )ÆVES LJ No
EXPLAIN: t-JVJ«ff'{, fA-, rJ1í
White· Environmental Services
Yellow . Slalion Copy
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QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
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Inspector
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Badge No"
Pink . Business 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 6.1.- YTG
Axð ßðÐV
INSPECTION DATE '.S 117-/03
VJ 11.L PcN\()8'
EP A ID # C A (... CJC'X:) 'Z0? 62- z...
Section 4:
Hazardous Waste Generator Program
ø.... Combined
o Joint Agency
o Multi-Agency
o Complaint
ORe-inspection
o Routine
OPERATION C V COMMENTS
Hazardous waste determination has been made
EPA 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
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
Determines if waste is restricted from land disposal /1
C-Compliance V=Violation P;,k _ B",;_C~ ~USine~~;i.~ :arty
Inspector: lAJ/ f\JC-s
Office of Environmental Services (661) 326-3979
White - Env, Svcs.
CHEMICAL LOCATION r- J ~ '" . A. /l' ß 201 CHEMICAL LOCATION - D D
, N ç "1);-6: ~ ~ f... c.N'- S -# ~ r ' CONFIDENTIAL (EPCRA) - Yes No 202
FACILITY 10. ~rr'- r--- '-~---rMAP (op~--" .----. --- --- - 2õ3--~GRiÖ¡;iãPÏionaÎ)--- 204
, ' , . :,_':jf.~;1;:/~ :~' . ; L_L_~ : II. CHEM CA~-;;ORM~TlON -._--~---,
CITY OF BAKERSFIEI£
<aCE OF ENVIRONMENTAL.RVICES
ms Chester Ave., CA 93301 (661) 326-3979
HAZARDOUS MATERIALS INVENTORY
CHEMICAL DESCRIPTION
~EW
OAOQ
o DELETE
o REVISE
200
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..::.:.t; /~~+~.~~::: I. FACILITY INFORMATION
BUSINZšLVT6AOLI1Y ~-D~~~ñ9-~._-~~-··- .~,-~.-.~'~-.
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(one fomt per _teriM per buidlng or af8a)
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TRADE SECRET D Yes D No 206
It SuÞject to EPCRA. reler to insInJc:tions
-----
CHEMICAL NAME
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t EHS·
COMP.()N HAM:
DYes oNo 208
CAS' - -------------- ..... -...._- . -- -.." ,.._-, 209 ¡ .,f~~;··:~~;.;'··~~~ii;.:,1
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FIRE CODE HAlAAO ClASSES (CompIeIe if requesIed~ IocII h Ciiif--:--------- - --- '_.:'-' --'- --_...,--
TYPE
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Jt!"'W--WAS7!: ,': ft..OtOACTIVE 0 Yes ~
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opPURE
o m MIXTURE
PHYSICAL STAn:
D s saUD ~ LIQUID
.D g GAS
214 : LARGEST CONTAINER
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---.-.--
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FED HAZARD CATEGORIES
(Check an lllat apply)
~FIRE
o 5 CHRONIC HEALTH
220 ,
02 REACTIVE
)2!4.. A.:IJ!'E HEAlTH
D 3 PRESSiJRE RELEASE
---,-
_....- - .-----.--------...--------------.
ANNUAL WASTE
AMOUNT
S'$:"'
217 I MAXlYJM ~...- 218 i AVERAGe e--"--
, OAIL Y AMOUNT .;;;> ..> : CAlLY AMOUNT ..;;::, ~
-L.. ___.__._____L-._.___.__.____._~.__ ____ _..
UNITS" ~ GAL D d CU Fr 0 Ib LaS 0 In TONS
. " EHS. amount mUll be in Ibs.
STORAGE CONTAINER
(Check an /flat apply)
D a ABOVEGROUND TANI<
Db UNDERGROUNOTANK
o ç TANK INSIDE BUILDING
~ STEEL DRUM
o e PLASTICJNONMETALUC DRUM
01 CAN
o g CARBOY
o h SILO
o I FIBER DRUM
CjBAG
Ok BOX
o I CYlINDER
o m GLASS BOTTLE
o n PLASTIC BOTTLE
Do TOn: BIN
o p TANK WAGON
--.......-. .-.....- .-----.-.--------
STORAGE PRESSURE
~ AM81~.__.___.~ aa ABO~~~~~..NT_....__ , ...~..ba, ~~_~~.:NT
STORAGE TEMPERATURE
~AM8IENT
o sa ABOVE AMBIENT
Dba BElOW AM8IENT
210
212
CURIES
213
215 ,
216
219 ¡
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221 i
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STATE WASTE CODE
CAYS ON SITE
222
o q RAIl CAR
Dr OTHER
223
224
o ç CRYOGENIC
225i
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