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3401 COFFEE ROAD_HMBP 1.5.09
UNIFIED PROGRAM INSPECTION CHECKLISTF, prevention Services A . e R,_S_F.1. _D 900 Truxtun Ave., Suite 210 �, AR ' Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME IN PECTION DATE INSPECTION TIME ❑ Business PLAN CONTACT INFORMATION ACCURATE ADDRESS PHONE NO. Str) - 38b Z NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER 15-021 - "' (1�6 ❑ VERIFICATION OF QUANTITIES Section 1 Business Plan and Inventory Program ❑ ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS D`\ ❑ APPROPRIATE PERMIT ON HAND ❑ Business PLAN CONTACT INFORMATION ACCURATE J� ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS (1�6 ❑ VERIFICATION OF QUANTITIES )E ❑ VERIFICATION OF LOCATION i ❑ 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 ❑ HOUSEKEEPING t b ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND nor -ouiu ANY HAZARDOUS WASTE ON SITE? DES ❑ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program FACILITY NAME YDG loL Prevention Services S F 1 D 900 Truxtun Ave., Suite 210 fARTM�' FIRE Bakersfield, CA 93301 r Tel.:. (661) 326 -3979 NO OF EMPLOYEES Fax: (661) 872 -2171 FACILITY NAME YDG loL INSPECTION DATE 1) j'D INSPECTION TIME WE�TE2o� ti, S' ADDRESS n 41 PHON^^EE� NO. Sp! NO OF EMPLOYEES C>�G7C. ►`� XG e FACILITY CONTACT BUSINESS ID NUMBER 15-021 - ❑ VERIFICATION OF LOCATION Section 15: Business Plan and Inventory Program ❑ ROUTINE `z' COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND ❑ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ® ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ,�i]3 ❑ VERIFICATION OF QUANTITIES f ❑ VERIFICATION OF LOCATION �P ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING �j ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES S© ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED 1S], ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑'7 ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? 9EY.ES ❑ NO Vir 1—A' C \ x n / EXPLAIN: QUESTION REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Pleasd,Print) Fire Prevention / 1" In / S ift of Site /Station # White — Prevention Services Yellow - Station Copy Pink — Business Copy . FD 2155 (Rev. 09/05 -4 o�k CITY OF BAKERSFIELD FIRE DEPARTMENT b OFFICE OF ENVIRONMENTAL SERVICES y UNIFIED PROGRAM INSPECTION CHECKLIST ski,`' Ag 1715 Chester Ave., 3'd Floor, Bakersfield, CA 93301 FACILITY NAME INSPECTION DATE Section 4: Hazardous Waste Generator Program EPA ID ❑ Routine ® Combined ❑ Joint Agency ❑ Multi- Agency ❑ Complaint ❑ Re- inspection OPERATION C V COMMENTS Hazardous waste determination has been made EPA ID Number. Ew p 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 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 �c Secondary containment provided .16 Conducts daily inspection of tanks Used oil not contaminated with other hazardous waste /V Proper management of lead acid batteries including labels p+% 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 i t,= t_ompuance/ -,v= vtotation Inspector: ` —'- Office of Environmental Services (661) 326 -3979 White - Env. Svcs. Pink - Business Copy. Bus' s ite Responsible Party