HomeMy WebLinkAboutBUSINESS PLAN (2)
UNIFIED PROGRAM INSPECTION CHECKLIST
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SECTION 1 Business Plan and Inventory Program
Bakersfield Fire Dept.
Enironmental Services
1715 Chester Ave
Bakersfield, CA 93301 '
Tel: (661)326-3979
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v(£/ V c.......c::> d ~ 'I --- PHONE No. No. of Employees
____________~__________~_L___m______u_________ _u_ ___u__mm_ ___m_________ 7 z :~/~I______ _ ___ _____"
FACILlTYCONTACT Business 10 Number
15-021-
.
..
. Section 1: Business Plan and Inventory Program
LI Routine
]( Combined
LI Joint Agency
LI Multi-Agency
LI Complaint
LI Re-inspection
C V
( C=Compliance )
V=Violation
OPERATION
COMMENTS
~__~__~~~~~~~~~=-PE~~~T ~~_ HA~~___u____u_m____________
_~_ LI___~USINESS_PL~~~~~_~~N~~_~~~~~~.~~~~~~TE~.._______ .·.0-~__~=-~_~:-·._'-~.E~~~~..:..-....:..-._·~:~~~-:.---.::~_-~::.-
LI VISIBLE ADDRESS
~~~~.~_ CO;~~~~~_~~~;Ni~---.=_~-~.~~~-.~..:.~_~~~_--.--::-~.-..- _. __.______....~..__._..~~..- -- -.--. -.--..-. ---
~ LI· VERIFICATION OF INVENTORY MATERIALS
------~--------_.__._----,------~----_._._-~------_._--.------- ---------- -. -----.------...-- -------..----.----.--.- .-...-..- ----.---..
R( __~___ VE~~I~~~I~~_~_~~~~~'~I~~_.m_ __________m__________ __j ___m_____________
l ~- :~p~;;~~:R~~T~N~~"'~I:.cu- . __u j _u .----
1[-D.!;~;TION-~~~~i:~ILlTY~--~= -=-1-.= -.. --..
~ LI VERIFICATION OF HA~AT TRAINING '
_________.___________~___.______u___ .__._________._._____._._ . m__~ .__ ._..__._ __
~ LI VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
. _.._ n~.__..____.~._..___._
- ..-.--- ..---.-....-
_u__ ~_ ._____..___..._...__n_ _.
. ._-. --_.._......_._--_._-------~_.._... -.--...-
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_. .__ _.____ ~._..._ __._ . _______._. ___ ._.__~_________u
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.._. u____ ___ __ __..._.._.__. _~._____._._.._ __...__..._._'.~
.____.__.______._________....___._~.___ ~___________ - ____n___. .. _.._ _.__ _ _..._______ ______..'__ ._.__.___
--.-.--~----.- - .-'
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~ LI EMERGENCY PROCEDURES ADEQUATE
.__~____",_____._.._._.~____~____.__._____________.__._.___ _~__n.__ _ ____._______.__.__.______~_._ ._"__ __..._____... _._ ...___.__..____ ..._ _ .___._
ttQ. LI CONTAINERS PROPERLY LABELED
_·______________..._______u_____.__ ______ ______ __.___._. _._____..____.______...___
~_ LI__~o~~~~~~~~~________________ ___________ .... __ __1______ __m___
tä. LI F IRE PROTECTION !
þ{-D-&T~U[}¡~~~~~ADE~~~T~-&--O~ -HAN~------ ---- ----r------------
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__ ._,_ __···..______n__.m
-- '.- --'-- .----. - --.-.------'"-"---.---.-.-..--------.--.
ANY HAZARDOUS WASTE ON SITE?:
LI YES
tsi No
EXPLAIN:
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THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
_. _.. __ __~________~___m______________.
ector (Please Print) U Fire Prevention 1st-In/Shift of Site
White - Environmental Services Yellow - Station Copy
'X ___-r;.¿{L~L_____
I Business Site Responsible Party (Please Print) a>
~
~
Pink - Business Copy
FACILITYNAME.J2d-y: .Ad J:(5 SWe #Q3nJ~CTIONDATE Ibl4iJ4-
Section 4: Hazardous Waste Generator Program EP A ID # A.J M
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 tÝ y W5b r1>~1 AJ:j -.. ~ \ 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 ~\P C£'V7--1J.\,J~
Containers are compatible with the hazardous waste
Containers are kep't 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 a.ïJ
-3979
White - Env. Svcs.
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Business Site Responsible Party
Pink - Business Copy
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RITE AID DRUG STORE #5814
Manager : REUBEH fA:JCUAL 7ëdJ Cl""4 bjy(¿
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:
, ,.~ ,
. -
Emergency Contact
RUBDEN PA3Clli\L
Business Phone:
24-Hour Phone :
Pager Phone :
/ Title
/ MANAGER
(661) 872-6161x
(661) ';:¡2':J J~1Gx33Z.tI.s-S-
( ) - x
AI- r;1!I,',.JIJ
Emergency Contact / Title
HBl\.THER 'fIIOMPOON / ASSIST MGR
Business Phone: (661) 872-6161x
24-Hour Phone : (661) 873 9268x ~32Z3 "'Ý I
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--;;t:!d Œ~hp..e<_ Do hereby certify that I have
· (Type or print name)
reviewed the attached hazardous materials manage-
ent Plan for Kf i-~ Âf ~ and that it along with
m (Name of Bualnesa)
any corrections constitute a complete and correct man-
agement plan for my facility.
Y;;dr/ CdJJ--
SignallJr8
/Þ/t(;/otf
Date
-1-
10/08/2004
,,- - -------------
I
/'
I j RITE AID DRUG STORE #5814 SiteID: 015-021-000334 9
f= Hazmat Inventory, By Facility Unit 9
f== MCP+DailyMax 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