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Home My WebLink AboutInsp 2012UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program ri r e a s F 1 11 n FIRE E ARTM BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel:: (66Q026 -3979 Fax: (661) 8.52 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME COMMENTS `K ADDRESS PHONE NO. NO OF EMPLOYEES �lI. ❑ FACILITY CONTACT BUSINESS ID NUMBER �; `/� /15,__ 02 003/ 6 Consent to Inspect Name /Title Section 1: Business Plan and Inventory Program ❑ ROUTINE COMBINED ❑ JOINTAGENCY ❑ MULTI- AGENCY .❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS `K ❑ APPROPRIATE PERMIT ON HAND (BMC: 1.65.080) �lI. ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) /4 ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ❑ CORRECT OCCUPANCY' (CBC: 401) �Q ❑ 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)(B)) ❑ VERIFICATION. OF HAZ MAT TRAINING (CCR: 2732) ' ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR: 2731 )) Ltd ❑ 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? .tt,YES 4 o0 L n e ❑ NO SianatureofReceipt (! Explain: S5 ? /- vo,' %i�il�cfL al 2 Via./ /- 252 ��IvSe'c/A�vi�% 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 Fire De t. rev ton Services, 2101 H Street, California 93301 Fire OrUguona 326 -3652 White — Business Copy YeIIgW — Business Copy to be Sent in after return to Compliance Signature (that all violations have been corrected as noted) - Date Pink Prevention. Services Copy 17D2155 (Rev 12/ 1 1) —* � Jl % QIJQ [� Q�C�! KERN PRINT SERVICES - (661) 325 -5818 - KPS -2215 c_�✓I �71� UNIFIED PROGRAM INSPECTION CHECKLISTI H x Hill a s - F' � FIRE ) -n SECTION 1:., Business Plan and Inventory Program 0316& BAKERSFIELD FIRE DEPT. Prevention Services 2101 1 -1 Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INS DATE INSPECTION TIME �f �� }�PECTION ADDRESS PHONE NO. NO OF EMPLOYEES I 9 /Z 66 /) 5` -12o,- ❑ FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name/Title y 0 .e A, Section 1: Business Plan and Inventory Program ❑ ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V C= Compliance OPERATION COMMENTS V= Violation FT ❑ APPROPRIATE PERMIT ON HAND (BMC: 1.65.080) ;0 ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ®� El ADDRESS (CFC: 505.1, BMC: 15.52.020) ❑ CORRECT OCCUPANCY (CBC:401) S. ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) r ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑ PROPER SEGREGATION OF MATERIAL (CCR: 2704.1) ,Iq ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(B)) ,C El VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) �N ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR: 2731)) 01 ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 'El' , ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(F), CFC 2703.5) ®, ❑ HOUSEKEEPING (CFC: 304.1) 12 ❑ FIRE PROTECTION (CFC: 903 & 906) 0, ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 4A A ANY HAZARDOUS WASTE ON SITE? KYES ❑ NO Signature of Receipt `j ON/ ' ,r ^. ' r s _ N Explain: 71 1 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 �D�(� ^�i v a 0 s, 2101 H Street, California 93301 UUI� 32,E S 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 PD2155 (Rev 12/11) P a ®zaPa�,�L ��rn.�/ u•� FACILITY NAME: C> C4 93312 Section 2: Underground Storage Tanks Program BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 Page 1 of 1 INSPECTION DATE: (,g /////Z. ❑ Routine )4, Combined ❑ Joint Agency ❑ Multi- Agency ❑ Complaint ❑ Re- Inspection Type of Tank Dt" Number of Tanks Type of Monitoring el";f11" Type of Piping 7)L cJ% OPERATION C V COMMENTS Proper tank data on file A Proper owner / operator data on file Permit fees current Certification of Financial Responsibility Monitoring record adequate and current X Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? ❑ Yes ANo Section 3: Aboveground Storage Tanks Program Tank Size(s) Type of Tank Aggregate Capacity Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OSS 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: o,i'cG 32io- 36�a Questions regarding this inspection? Please call us at (661) 326 -3979 White — Prevention Services B siness Site Responsible Party Pink - Business Copy KBF -7335 FD 2156 (Rev. 09/05)