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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
B B R SF I _D
FIRE
ARFN r
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
W I 1-i-1 Ay`^S �A N 1
INSPE TION D TE
-5 / ()
INSPECTION TIME
ADDRESS
PHONE NO.
(33>L4, d ?_
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
❑ CORRECT OCCUPANCY
15 -021-
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
_)fl ❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
/) q
ii6'
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
61MI-M
ANY HAZARDOUS WASTE ON SITE? YES ❑ NO
I
EXPLAIN: � C, \A- - -s A'^'1-�\ CL... Z-_
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1" In / Shfft of Site /Station # Business Site / Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05
HAZARDOUS WASTE BAKERSFIELD FIRE DEPARTMENT
UNIFIED PROGRAM CONSOLIDATED FORMS = B Prevention Services
FIRE 1501 Truxtun Ave 1sT FLR
HAZARDOUS WASTE GENERATOR ' ANIFN r Bakersfield, CA 93301
INSPECTION REPORT I Phone: 661- 326 -3979 • Fax: 661 -852 -2171
Facility Name W I u-1 AYV S -I"A N -,,— G/ ^6 Date -U"V1 2
!j —T
Site Address 2- Jti &A.) Time In Time Out
Owner /Operator Phone 5 rsc.
Type of Inspection Inspection Consolidation EPA 1_ Q
❑ Routine ❑ Re- inspection/Follow -up _1X)::ombined Routine Inspection ❑ Joint Inspection ❑ Complaint ❑ Focused ❑ Other
❑ Integrated or Multi -Media Inspection CUPA Facility ID#
❑ CONSENT TO INSPECT GRANTED BY (Name / Title):
Inspection may involve obtaining photographs, review and copying of records, and determination of compliance with hazardous waste handling requirements.
I - Class [Violation. 11- Class II Violation. M -Minor Violation
Page of
I
11
M
HAZARDOUS WASTE REQUIREMENTS Y N
Code I I
N/A
I
COMMENTS /NOTES/DOCUMENT(S) REVIEWED
MISSING INFORMATION/ UNRESOLVED ISSUES
Recordkee in doctunentation
GR01
I Generator has an EPA ID number
GR02
Hazardous waste determination made for all wastes
nal sis ❑ Generator Knowledge
f
Jam'
GR03
ontin e_ncy plan information posted near phone
GR04
Facility personnel demonstrate training/awareness
GR05
Mani fests/Consolidated Manifest receipts complete
GR06
Blue co (s) of manifest mailed to DTSC
,, - -, IN
GR07
TSDF signed copy of manifest available Win 35
days of waste shipment
GR08
I Bills of Ladin recei is available
GR09
I LDRs available and complete
G 1
1 Onsite recycling reported using UPCF
y
Container /tank management
GC01
Containers are in good condition
GCO2
Containers are closed except when adding/removing
$J
GC03
Emptv containers are empty
T,
GC04
Containers inspected week)
GC05
Tanks inspected daily
GC06
Satellite containers at or near point of generation
kl
GC07
Satellite containers under control of operator
GC08
One container per wastestream at satellite area
GC09
Exclude recyclable materials stored in accordance
with local ordinancethazardous materials codes
Accumulation Time Limits
GA01
Waste is accumulated not more than
GA02
Satellite wastes accumulated for less
GA03
Empty containers managed within on
GA04
Universal waste accumulated less tha Ayear
GA05
Used oil filters offsite within 180 (1
GA06
Pb -acid batteries offsite within 180 1
Labeli arkin
GL01
Containers are ro erl labeled
GL02
Satellite containers have 2" ASD marked once full
GL03
Excluded recyclable materials marked properly
GL04
Universal waste container properly labeled
GL05
Used oil filters marked "drained used oil filters"
GL06
Date written on spent lead -acid batteries
GL07
"Used Oil' marked on all used oil tanks /containers
GL08
Tank marked with "haz waste", contents, start date
GL09
Empty containers marked with date emptied
^w
Treatment Transport and Disposal/Other
Print and sign in this box for re eipt of this report. Signature does
not imply agreement with findings, only receipt of report.
GTOI
Have 4n itlauthorization to do treatment
GT02
Waste sent with authorized transport (en. eligible)
GD01
Waste disposed of to authorized poi nt/ art
GH01
Failed to p—perly properly handle a liance wastes
POST INSPECTION INSTRUCTIONS:
• Refer to the back of this inspection report for r gulat y citations and corrective actions
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the vro ations, sign and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 1501 Truxtun Avenue, California 93301
Signature (that all violations have been corrected as noted)
Date
FD2179(Rev 10/21/08)
While — Prevention Services Copy Yellow— Business Copy
17 ..
Reaulatoty Citations and ColTective Actions
FU2 179s /Rev 10 13 'ON)
Description of violation Regulatory /statutory citationj Corrcc•tive actions to be-taken fi)r minor violations narked in the "A9" column on 'rant)
GROI
The facility failed to obtain an EPA ID number [Title 22, CCR, 66262.12] Fora California EPA ID # contact the Department of Tonic Substances Conlro! at
I- 800 -618' -6942. For a EPA ID # ca!! 415- 495 - 8495. Write the number in the s ace marked "EPA ID # " on the front ofthis liage .
GR02
The facility failed to make a waste determination for the noted in the
[Title 22, CCR, 66262.11 ] Blake a determination of the waste based on your knowledge (you can are A•ISDS or other clocurnents for hell)) at- have the waste
Sampled and sent to a state certilied laboratory for ana(vsis. Ifsaon ling is conducted tell the lab to analyze far
GR03
The facility did not have the name and phone number of the emergency coordinator, the location of fire extinguishers and spill control equipment, or the lire
department telephone number posted next to the telephone. Title 22, CCR, 66262.34(d)(2) Prepare. and osi the above infornnttion next to a phone.
GR04
Facility personnel did not demonstrate that they were familiar with proper waste handling procedures due to
Title 22, CCR, 66262.34(d)(2) Provide training to personnel regarding
G1205
The facility failed to properly complete a hazardous waste manifest. Manifest # was missing
[Title 22, CCR, 66262.23(a)(1)]. Correct the information oil the nan4est in Box(es) . initial and clate. Submit a letter to DTSC. GISS:: P.O.
Box 806 Flrl -l; Sacramento, CA 95812 -0806 stating the manilest #, the ship clate, your E(?4 ID #, the Box # and correction made and pour signanrre.
(Correction for more than one manifest may be included in the same letter)
G1206
Facility failed to submit a copy of the manifest to DTSC within 30 days of shipment. [Title 22, CCR, 66262.32(x)(4)] Mail the blue copv gi'mani/irst
# to: DTSC, PO Box 4011• Sacramento, CA 951'12 -0400 or a hotoco m ofthe TSDF eo v to: DTSC. PO Box 3000• Sacramento. CA 95812
GR07
The facility failed to file an exception report to DTSC after not receiving the signed TSDF copy ofa manifest within 35 clays. [Title 22, CCR, 66262.421
Make a copv of the manifest and send it with a letter to DTSC. PO Box ,tVX Sacramento. CA 95812 stating what you are doing to.linel out whj? poll have not
received the final. signed cool; ofd+e manifest. Include a si�iZnature and vour findings while looking for the manifest in the cover letter.
GROS
The facility failed to have copies of receipts for the removal of . [I-ISC 25160.2 - Consolidated manifests/ 66266.51(a)(6)(B)-
lead acid batteries /66266.130- oil filters The Ikc•ility shall contact and request c•o)ies ofreceilits between &
GR09
The facility failed to complete or maintain a Land Disposal Restriction notification for manifest # [ Title 22, CCR, 66262.34(x)(4)1
The facility shall determine ifits waste is subject to LDR requirements, and ipso, ensure that a LDR is reared and submitted with each shipment of waste.
GRIO
The facility did not submit a recycling report [HSC 25143.101 TheJacilityshall complete and submit the UPCFfor•m "Recyclable iWalerials Report ". The
farm can befo+md at www.cale a.ca.trov/ ublicatioiis /title27 /default.litni (Htvfi-ecvc. dl)
GC01
The facility failed to maintain containers holding hazardous waste in good condition. The container of was
Title 22, CCR, 66262.34(a)(1)(A) The contents ofthe container of shall inmrechatelh- be transferred to a container in goon! condition
GCO2 .
The facility tailed to keep containers closed except when adding /removing waste. The container of was observed open [Title 22, CCR,
66262.34(a)(1)(.A) . The facility shalt immedialell- close all containers and ensure that containers remain closet/ except when addling or reatovin,g waste.
GC03
The facility is handling contaminated containers as empty when they are not. A container of was noted as not meeting the definition of
empty. [Title 22, CCR, 66261.7] The facility shall mark the container as hazardous waste or consolidate the contents of the container
with a like waste and inmrediateh, label the emptied container with the words "empty" and the date.
GC04
The facility could not demonstrate that containers were being inspected weekly. [Title 22, CCR, 66262.34(a)(1)(A)] 7{+e.fircility shall clevelop and in+plenrerrt
ar plan that ensures that all containers holding waste are inspected week(r
GC05
The facility could not demonstrate that tanks were being inspected daily. [Title 22, CCR, 66262.34(a)(I)(A)] The fiwilhY shall keep a log showing that tanks
holding waste are ins ected'daily.
0006
Containers utilizing satellite accumulation rules were not at or near the point of generation. ['Title 22, CCR, 66262.34(e)(1)(A)] The /utility shall move the
container holding to a location that is at or near the point ofgeneration or shall ens'u'e that the waste is remover/ within 9011801270
days of first drop of waste being added. (if the facili& .generates less than 100 kg. the clock does not start until 100 kg. are generated)
GC07
Containers utilizing satellite accumulation rules were not under the control of an operator. [Title 22, CCR, 66262.34(e)(1)(A)] The facilit)- shall ensue that
all .o et for is at or near- the point ol'acc•uauladon or shall ensue that the waste is remover( within 901181112711 days of first drop oflvaste being added
GCOS
The facility kept more than one satellite container of at a satellite accumulation area. [Title 22, CCR, 66262.34(e)(I )] The ftrc•ility
shall irnmediate(v remove all but one container from the accumulation area or shall demonstrate that it is not practical or sale to do such.
GC09
The facility stored excluded recyclable materials not in accordance with local ordinance /lire code /hazardous materials codes [I-ISC 25143.9(c)] The facility
shall return to code by
GA01
The facility accumulated waste for greater than allowed time limits (Storage without a perniit). A container of had an start date of
marked on it. [ "Title 22, CCR, 66262.34(a)l 7hefacilitr shall inemediately arrange for the remoral of the waste, and shall supply a copy ollhe manifest or bill
or lathing demonstrating removal within clans.
GA02
The facility held satellite accunmlation wastes for greater than one year. ITille 22, CCR, 66262.34(e)(I )(B) See GA01 above for corrections.
GA03
The facility failed to properly handle contaminated containers within I year. Title 22, CCR, 66261.7(1) See GA01 above for corrections.
GA04
The facility held universal wastes for greater than one year. Title 22, CCR, 66273.15(a) or 66273..35(x) See GA01 above fa• corrections.
GA05
The facility helot drained used oil filters for greater than ISO days /one year. Title 22, CCR, 66266.130(c)(4)1 See GA01 above for corrections.
GA06
The facility held lead acid batteries for greater than 180 days /one year. ITitle 22, CCR, 66268.81(a)(6) See GAOL above for corrections.
GL01
The facility failed to properly label all containers. Containers, contents and missing information are noted on the front of this page. [Title 22, CCR,
66262.34(1)) TheJacility shall dearly mark all containers with the following: 1) the wards "Ha= arclous waste ". 2) composition and phvsical state. 3) h(nzai -cl
properly. 4) name and address of the generator, and 5) accumulation start clate.
GL02
The facility failed to mark the date the container was moved from the satellite accumulation area [Title 22, CCR, 66262.34(e)(1)(B)] The facility shed! mark
all satellite accumulation with the date waste is first added as well as the date the container is fidl.
GI-03
The facility failed to mark tanks /container(s) of excluded recyclable materials properly [HSC 25143.9(a)] The tanks /containers of materials shall be clerarl�-
marked with the words "E.veluded rec•vclable material" instead of 'hazardous waste ".
Cr 1-04
The facility failed to mark a container of universal waste properly. [Title 22, CCR, 66273.14 for SQH or 66273.34 for LQI I1. Thef teilit : shall inunecliatetly
mark all containers holding universal waste with the words "Universal !Paste- "
GL05
The facility failed to mark a container of drained used oil filters with the words "drained used oil filters ". [Title 22, CCR, 66266.130(c)(3)] The facility shall
mark all filter containers with the wards "drained used oil filters ".
GL06
The facility failed to mark the date on which the battery was received. Title 22, CCR, 66266.51(a)(6)(D) The lac+lity shall y mark the date on each battery.
GL07
The facility failed to mark a tank /container of used oil destined for recycling with the words "used oil" [HSC 25143.9(a)] Clearly mark all tanks and
containers with the words 'lased oil ".
GLOS
The facility failed to mark the tank of with the • [Title 22, CCR, 66234(1)1 Thejacilitv shall
clearly mark the tank with
GL09
The facility failed to mark contaminated containers with the date emptied. Title 22, CCR, 66261.7(1) Clearly mark all containers with the date emptied.
131-101
The facility failed to remove from an appliance prior to crushing, baling, shredding, sawing or disposing of the appliance [HSC
25212(a)]. The facility must submit to DTSC all application to be certifies( as a "Certified : i liance Recvcler"
GT01
The facility failed to obtain a permit or other authorization for. treatment of hazardous waste. I HSC. 25159.5(d)
GT02
The facility failed to use a registered trans orler /used a transporter or consolidated waste when they were not eligible I HSC 25165(a)/25160
GD01
The facility disposed of hazardous waste at an unauthorized point. fFISC 25159.5(a)
FU2 179s /Rev 10 13 'ON)
FACILITY NAME: lJ���'1 fiv-,,s Ll aEs
Section 2: Underground Storage Tanks Program
Page 1 of 1
INSPECTION DATE: .5- I q.
.1 C)
❑ Routine ❑ Combined ❑ Joint Agency ❑ Multi- Agency ❑ Complaint ❑ Re- Inspection
Type of Tank Number of Tanks
Type of Monitoring Type of Piping
OPERATION
BAKERSFIELD FIRE DEPT.
V
Prevention Services
B A R. s F I e L n. ;.
,,, 900 Truxtun Ave., Ste. 210
FIRE
Bakersfield, CA 93301
ARTM T
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME: lJ���'1 fiv-,,s Ll aEs
Section 2: Underground Storage Tanks Program
Page 1 of 1
INSPECTION DATE: .5- I q.
.1 C)
❑ Routine ❑ Combined ❑ Joint Agency ❑ Multi- Agency ❑ Complaint ❑ Re- Inspection
Type of Tank Number of Tanks
Type of Monitoring Type of Piping
OPERATION
C
V
COMMENTS
Proper tank data on
42-C
Proper owner / operator data on i
Permit fees current
Certification of Financial Responsibility
Monitoring record adequate and current
Maintenance records adequate and current
Failure to correct prior UST violations
Has there been an unauthorized release? ❑ Yes ❑ No
Section 3: Aboveground Storage Tanks Program
Tank Size(s) i L Aggregate Capacity 2,6a°
Type of Tank ) "J .s Number of Tanks r
OPERATION
Y
COMMENTS
SPCC available
42-C
SPCC on file with OES
Adequate secondary protection
Proper tank placarding /labeling
Is tank used to dispense MVF ?)
If yes, does tank have overfill / overspill protection?
C = Compliance V = Violation Y = Yes N = No
. ...........................
Inspector:
Questions regarding this inspection? Please call us at (661) 326 -3979
White — Prevention Services
J
Business Si sponsible Party
Pink - Business Copy
KBF -7335 FD 2156 (Rev. 09/05)