HomeMy WebLinkAbout2701 CALLOWAY_HMBP 5.4.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
OW
Prevention Services
B e R S FV�. 900 Tiuxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
ARTM r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME I
INSPECTION DATE I
INSPECTION TIME
ADDRESS O 1 /1 � \ \A �Q P
PHONE NO,_ N
NO OF EMPLOYEES
FACILITY CONTACT `
USSINEUQSSSID NUMBER �
15 -021-
Business, Plan and Inventory Program
❑ ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v c C= Compliance OPERATION COMMENTS
V= Violation
❑ ❑ APPROPRIATE PERMIT ON HAND
❑ ❑ BUSIIIeSS PLAN CONTACT INFORMATION ACCURATE pp
❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
C�C] VERIFICATION OF LOCATION
/❑ ❑ PROPER SEGREGATION OF MATERIAL
❑ `�N VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING�(� g�
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
1,�i. ❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
j El FIRE PROTECTION
/ _ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON TE? �jTES ❑ NO
EXPLAIN: � 4,xEQ >a
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / I" In / Shift of Site /Station #
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05
ANY HAZARDOUS WASTE ON TE? �jTES ❑ NO
EXPLAIN: � 4,xEQ >a
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / I" In / Shift of Site /Station #
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05
UNIFIED PROGRAM"�I�NSPECTION CHECKLIST prevention Services
e 900 Truxtun Ave., Suite 210
Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 872 4171
FACILITY NAME
INSPECTION DATE
d
INSPECTION TIME
ADDRESS
27 0 1 C q \�o.a_,
PHONE NO.
SAS
NO OF EM LOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
C
15 -021 -
Section 1: Business Plan and Inventory Program
❑ ROUTINE 19 COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY " .❑ COMPLAINT ❑ RE- INSPECTION
C v
c C= Compliance OPERATION
YV= Violation
COMMENTS
❑ ❑
APPROPRIATE PERMIT ON HAND
❑ ❑
BUSIneSS PLAN CONTACT INFORMATION ACCURATE
C
❑
VISIBLE ADDRESS
I& ❑
CORRECT OCCUPANCY
C3- ❑
VERIFICATION OF INVENTORY MATERIALS
-O ❑
VERIFICATION OF QUANTITIES
[J) E]
VERIFICATION OF LOCATION
❑ ❑
PROPER SEGREGATION OF MATERIAL
❑ '9�-
VERIFICATION OF MSDS AVAILABILITY
�O ❑
VERIFICATION OF HAZ MAT TRAINING
`Y
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
/
b� ❑
EMERGENCY PROCEDURES ADEQUATE
�I> ❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
FIRE PROTECTION
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON t\TE? DYES ❑ NO
EXPLAIN: 1n) AS7� xC
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / R6sponsibleParty (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
S ,
c A 1715 Chester Ave., 3'd Floor, Bakersfield, CA 93301
\ `" S'
FACILITY NAME INSPECTION DATE �`��� 1 -
Section 4: Hazardous Waste Generator Program
❑ Routine q2:) Combined ❑ Joint Agency
EPA ID # See ") 1
❑ Multi- Agency ❑ Complaint ❑ Re- inspection
OPERATION
C
V
COMMENTS
Hazardous waste determination has been made
EPA ID Number
Authorized for waste treatment an "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
1(��
Conducts daily inspection of tanks
Used oil not contaminated with other hazardous waste
N /�
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
fhx�
Retains hazardous waste analysis for 3 years
Retains copies of used oil receipts for 3 years
Determines if waste is restricted from land disposal
C= Compliance V= Violation
Inspector: 42?,E2
Office. of Environmental Services (661) 326 -3979
White - Env. Svcs.
B/asiness Sdt esponsible Party
Pink - Business Copy