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HomeMy WebLinkAbout13001 STOCKDALE HWYHOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST Permit No. Permit No. Permit No. Permit No. Permit No. UST Permit No. File Number: g797c/ Address: - 130 p / If Bakersfield, CA 933 _ Date Received: Z Business Name: D,:IAAG,, SYSTEM: BUILDING SQUARE FEET: INSPECTION LOG New Mod. ❑ ❑ Commercial Hood System ❑ ❑ Fire Alarm System ❑ ❑ Fire Sprinkler System ❑ ❑ Spray Finish System ❑ ❑ Aboveground Storage Tank ❑ ❑ Underground Storage Tank minor modification Underground Storage Tank removal Underground Storage Tank ❑ &1 Other Z vYl C Building Sq. Feet: Calculation Bldg. Sq. Ft: Z Comments: I )a bk-n';n : ` (' U Ut, . 3. 4. Signature BAKERSFIELD CITY FIRE DEPARTMENT — INSPECTION RECORD Post this Card at the Job Site and DO NOT Remove for Duration of Work Inspection Request Phone No. (661) 326 -3979 UST NEW INSTALL DESCRIPTION DATE SIGNATURE BACKFILL PRIMARY PIPE SECONDARY PIPE SECONDARY CONTAINMENT SENSORS AUTHORIZATION FOR FUEL ELECTRICAL SEAK -OFF TANK TESTING t= tAA C . UST REMOVAL DESCRIPTION DATE SIGNATURE AST NEW INSTALL DESCRIPTION DATE SIGNATURE MODIFICATIONS MINOR / MAJOR AST REMOVAL DESCRIPTION DATE SIGNATURE EVR UPGRADE PRIOR TO OPERATION OF ANY SYSTEM, ALL UST AND /OR AST SYSTEMS SHALL BE INSTALL, COMPLETE AND ACCEPTED BY MISC. ACTIVITY THE BAKERSFIELD CITY FIRE DEPARTMENT. FIRE DEPARTMENT (FINAL) REMARKS: BUILDING ADDRESS: / OQ JOB DESCRIPTION: OCCUPANCY TYPE: OWNER: PERMIT NO. CONTRACTOR: i PHONE# C �Vt FD 1743 -,*� .. 4 � ,.'au cT -+�<., .T.�r3z+P` >. � r� � 7z^'*'"F�"�.:�� +ft 3 r !✓' ',�sm�i- :.�.`�;.- -'pia .'�t`.n..,'"�.,, �� *"7.-a�r.�a�sx -- NAME A # OF C TACT P o 1` ADDRESS RICH ENVIRONMENTAL OWNER NAME OPERATOR NAME SERVICE STATION SERVICES PERMIT TO OPERATE # so 7162/3222 4021 . LIC. #809850 TANK # VOLUME 5643 BROOKS CT. Q BAKERSFIELD, CA 93308 -3708 2 DATE OK (661) 392 -8 87 PAY:TOTHE r ORDER OF. l' ( Q i•SKU IY ..: jw- CHASE r TANK TESTING COMPANY. VJPPO �frG9 JP Morgan Chase Bank, N.A. NAME & PHONE C OF CONTACT PERSON pot MAILING ADDRESS 51a� -13 4 SP F Bakersfield, CA 93308 � / 4 / AUTHORIZED SIGNATURE y FCGD 5�`J - LL FOR ` / APPLICANT GNAT E ^� 13dc)� THIS APPLICATION BECOMES A PERMIT WHEN APPROVED r ED BY .- � �. n00402LII .3 227L27i. 30 6 8 3 50 400 71, ' ❑ TANK TIGHTNESS \ OFFUEL MONITORING CERTIFICA' FD2095 (Rev 03/08) SI FA TION FACILITY NAME A # OF C TACT P o 1` ADDRESS OWNER NAME OPERATOR NAME PERMIT TO OPERATE # # OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO TANK # VOLUME CONTENTS 2 OK rl TANK TESTING COMPANY. TESTING COMPANY `� Nv "V'jc�' N ► &zKr et L- NAME & PHONE C OF CONTACT PERSON pot MAILING ADDRESS 51a� -13 3C�ook.S c_T. — P�P�K�RSF t'E.c -O � C� °13308 NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR `16U -8c� 9 CERTIFICATION # `�`'Sv DATE & TIME TEST O BE COND ICC tt �acQ L)T TEST METHOD APPLICANT GNAT E DATE 9 THIS APPLICATION BECOMES A PERMIT WHEN APPROVED r ED BY .- DATE / ` //' — /Z FD2095 (Rev 03/08) UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD /LINE TESTING/ SB989 SECONDARY CONTAINMENT TESTING/TANK TIGHTNESS TEST AND FUEL MONITORING CERTIFICATION (Please note that these are separate Individual tests and will be charged per separate type test accordingly.) PERMIT # I weer ��rTrr IT BAKERSFIELD FIRE DEPARTMENT Prevention Services Q10( t-t 5-me-ET Bakersfield, CA 93301 Phone: 661 - 326 -3979 • Fax: 661- 852 -2171 Page 1 of 1 ❑ ENHANCED LEAK DETECTION TESTI 11 SB 989 SECONDARY CONTAINMENT FU ❑ TANK TIGHTNESS EL MONITORING CERTIFICATIO SI FACILITY NAME & # OF TACT P S — ADDRESS &oA %bb�AaU ffiA)477� OWNER NAME OPERATOR NAME PERMIT TO OPERATE # # OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO TANK # VOLUME CONTENTS 1 bV 2 -1 CA TANK TESTING COIMPANY.:, - TESTING COMPANY `�� Iry �� N ►� ►.r'c t_ NAME & PHONE # OF CONTACT PERSON - y c MAILING ADDRESS �jtQy3 �C�OO`RS C_T. - �A�K�ftSF1Et -O.C� °13308 NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR `t ca - B(D 9 CERTIFICATION # S09 6so DATE & TIME TEST O BE COND ef� ICC # naU 1 a.�3 - L)T TEST METHOD i MCOQ APPLICANT GNA hE DATE ^ O THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APP7D BY DATE c FD2095 (Rev 03/08) BAKERSFIELD FIRE DEPT. INSPECTIONS BUSINESS PLAN & 4, INVENTORY PROGRAM UNIFIED PROGRAM INSPECTION CHECKLIST FACILITY NAME: lX;�. INSPECTION DATE: -- �146eS : ,"/G CFA g 33f Section 2: Underground Storage Tank Program ❑ Routine Combined ❑ Joint Agency ❑ Multi- Agency ❑ Complaint ❑ Re- Inspection Type o Tank ��J F Number of Tanks Type of Monitoring �i'� Type of Piping LJ� OPERATION Prevention Services H e x 9 P I B D 1501 Truxtun Avenue, 1st Floor p/R� Bakersfield, CA 93301 ARTM T Tel.: (661) 326 -3979 Proper owner / operator data on file Fax: (661) 852 -2171 Page I of I ❑ Routine Combined ❑ Joint Agency ❑ Multi- Agency ❑ Complaint ❑ Re- Inspection Type o Tank ��J F Number of Tanks Type of Monitoring �i'� Type of Piping LJ� OPERATION C V COMMENTS Proper tank data on file Proper owner / operator data on file 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 Tank Program Tank Size(s) Type of Tank Aggregate Capacity Number of Tanks OPERATION Y N COMMENTS SPCC available 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: inspeeter Duran 326 -3656 Questions regarding this inspection? Please call us at (661) 326 -3979 White — Prevention Services usiness Site ponsible Party Pink - Business Copy FD 2156 (Rev. 03/08) . i BAKERSFIELD FIRE DEPT. UNIFIED PROGRAM INSPECTION CHECKLIST E R s F' . Prevention Services a, F1Ui<E 2101 H Street ARTM r Bakersfield; CA 93301 SECTION 1:: Business -Plan and Inventory Program Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME COMMENTS ADDRESS PHONE NO. NO OF EMPLOYEES D STD '{❑ FACILITY CONTACT '�331ej BUSINESS ID NUMBER Consent to Inspect Name/Title VISIBLE ADDRESS. 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 - (BMC: 1.65.080) '{❑ BUSINESS PLAN CONTACT IN FORMAT ION .ACCURATE . (CCR: 2729.1) ❑ VISIBLE ADDRESS. (CFC: 505.1, BMC: 15.52.020) ❑ _ CORRECT OCCUPANCY (CBC:.401) ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑ VERIFICATION OF QUANTITIES' (CCR: 2729.4) ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑ PROPER SEGREGATION OF MATERIAL (CCR: 2704.1) ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(8)) ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) i ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR: 2731)) f ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ CONTAINERS PROPERLY LABELED. (CCR: 66262.34(F), CFC 2703.5) ❑ HOUSEKEEPING (CFC: 304.1) ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO SiEnatureofReceint Explain: \� POST INSPECTION INSTRUCTIONS: • Refer to the back of this inspection report for regulatory citations and corrective actions • Correct the violation(s) noted above by Within 5 days of correcting all of the violations, sign and return a copy of this page to: - Bakersfield Fires Dept., Preventin Services, 2101 H Street, California _93301 Signature (that all violations have been corrected as noted) 0Fou Or Ulu" Date 326- White —Business Copy �usiness Copy to be Sent in after return to Compliance Pink Prevention Services Copy - FD2155 (Rev 12/11) UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program B -E R S F IaY. D FIRE D1AR,,TM T BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME COMMENTS ❑ APPROPRIATE PERMIT ON HAND (BMC: 1.65.080) b ❑ ADDRESS PHONE NO. NO OF EMPLOYEES 1300/ STC 4-K D2 /,Ir' , ' !1e - ,F6/ CCR FACILITY CONTACT 933/`"/ / BUSINESS ID NUMBER / a2 Consent.to Inspect Name /Title ❑ 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 (BMC: 1.65.080) b ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 0/*"'❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) . ❑ CORRECT OCCUPANCY (CBC:401) ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑ PROPER SEGREGATION OF MATERIAL (CCR: 2704.1) �4 ❑ VERIFICATION OF N1SDS AVAILABILITY (CCR: 2729.2(3)(6)) ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR: 2731 )) © ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ I CONTAINERS PROPERLY LABELED (CCR: 66262.34(F), CFC 2703.5) W❑ HOUSEKEEPING (CFC: 304.1) f ❑ FIRE PROTECTION (CFC: 903 & 906) ` ❑ 1 SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Signature of Receipt )- t�- Explain: POST INSPECTION INSTRUCTIONS: • Refer to the back of this inspection report for regulatory citations and corrective actions • Correct the violation(s) noted above by • Within 5 days of correcting all of the violations, sign and return a copy of this page to: Bakersfield Fir w es, 2101 H Street, California 93301 N1�i�� White — Business Copy Yellow— Business Copy to be Sent in after return to Compliance Signature (that all violations have been corrected as noted) Date Pink Prevention services Copy FD2155 (Rev 12/11)