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UNIFIED PROGRAM INSPECTION - 'FitCI~CLIST
SECTION_1:. Business Plan and Inventory Program
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ADDRESS PHONE NO. NO OF EJv1PLOYEES
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FACILITY CONTACT - I USINESS ID NUMBER /
- 15-021- ~ jJ` 3
Section 1: Business. Plan and Inventory Program
^ ROUTINE COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ~ C=Compliance) OPERATION
V=Violation COMMENTS -
^ ~ APPROPRIATE PERMIT ON HAND e 1 ~ ~ S boys ~ l ~ ~
10 ~
^ ~ BUSIr1eSS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
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VERIFICATION OF INVENTORY MATERIALS
/~ ^ VERIFICATION OF QUANTITIES i
~' ^ VERIFICATION OF LOCATION i
~ ^ PROPER SEGREGATION OF MATERIAL _
' ~ ^ VERIFICATION OF MSDS AVAILABILITY ~ ~.. I
~I ^ VERIFICATION OF HAZ MAT TRAINING
^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~ A
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^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED
^ ~ HOUSEKEEPING (J _ ~ U ~~ \ _ Q ~S a^
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i ^ FIRE PROTECTION
i ^ ^ SITE DIAGRAM ADEQUATE & ON HAND D
ANY HAZARDOUS WASTE ON SITE
EXPLAIN: ~1'7a5'~Q
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H F: R S F I D
P/RE
D aRrM _PTevention Services.
900~Tr-uxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661)-326-3979 -
Fax: (661) 872-2171
INSPECTIPN D?TE INSPECTION TIME
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QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~
Inspector (Plea es Print) Fire Prevention / 1st In /Shift of Site/Station # iness Site / esponsibl Party (Please Print)
White -Prevention Services- Yellow -Station Copy Pink -Business Copy
FD 2155 (Rev. 09105
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FACILITY NAME_ A ~ ~~ ~~
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
ITNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3'd Floor, Bakersfield, CA 93301
~~, r ~~ S INSPECTION DATE 1 a ~ 9~_
Section 4: Hazardous Waste Generator Program EPA ID # N
^ Routine ~~, Combined ^ Joint Agency ^Muiti-Agency ^ Complaint ^ Re-inspection
OPERATION C V COMMENTS
Hazardous waste determination has been made
EPA ID Number ~ ~ ~„r ~ )'
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 J~~-~. ~. P2 ~G 5.}.~ S~}~G~.
Containers in good condition and not leaking
Containers are compatible with the hazardous waste Sp
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 l
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Nf=~d1 s~E-d~-tll0.r Co^iL4 ~
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 ~ ~ G ~ ti„ ) G ~ 1
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
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Inspector:. - t~C~2. ~- ~-
Office of Environmental Services (661) 326-3979
White -Env. Svcs.
Business Site Re onsible Party
Pink -Business Copy
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