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Home My WebLink AboutBUSINESS PLAN 1/6/2012UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program B__ I Ii R S I' 1 ui TLI F /RE ARTM 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 T COMMENTS r — ADDRESS M8, "M" gA,, e5 C/ /C 93301. PHONE NO. GY7 9 3 V? NO OF EMPLOYEES / . ,4 56 Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) FACILITY CONTACT C BUSINESS ID NUMBER Consent to Inspect Name/Title e 1 (a i1 C1� Jt`t ! � �}/� �CAv14 (? r 7 9' Y"� c ✓YI �M MC✓� e Section 1: Business Plan and Inventory Program ❑ ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V C= Compliance OPERATION -' V= Violation COMMENTS r — ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑ ;2f, Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) f'�!�SSiG✓J C'Us�iP6/�/% �`� ate/ s/�zl " ❑ . 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 (CFC: 2704.1) ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) \� /❑' ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) /❑ ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ CONTAINERS PROPERLY LABELED (CCR: 66262:34(17, 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. Si naMr o Recei t Explain: A A CA-7-0800 20 i POST INSPECTION INSTRUCTIONS: • Correct the violation(s) noted above by Signature (that all violations have been corrected as noted) • Within 5 days of correcting all ol'the violations,'sigti and return a copy `of this page-to: Bakersfield Fire Dept., Prevention Services, 2101 1 -1 Street, California 93301 r r Date White —Business Copy Yellow — Business Copy to be Sent in after, return to Compliance . Pink — Prevention Services Copy _ FD2155 (Rev 600) a t & t AT &T Services, Inc Environment, Health & Safety 2600 Camino Ramon, Room 3E000 San Ramon, CA 94583 February 8, 2012 Original Sent Via Certified US Mail # 70101060 000194819858 FAX: (661) 852 -2171 Ernie Medina, Inspector Bakersfield Fire Department 2101 "H" Street Bakersfield, CA 93301 RE: Completion of Required Follow -Up Action, Your Inspection on 1 -06 -2012 at AT &T Facility 1918 "M" Street, Bakersfield CA 93301 (SA004) ITS #126733 Dear Mr. Medina: We are pleased to report completion of the corrective action that you required pursuant to your inspection referenced above: -;> Missing current HMBP on site - Needs to be revised annually Status: COMPLETED. Updated HMBP was e- mailed to you by Grant Armstrong and a copy was placed on site on 2-8 2 We trust that we are now in full compliance with all of the requirements that resulted from this inspection. If you need anything more from us to close this matter, please contact me at the number below. Sincerely, L f en Marasigan ironmental Manager Tel: 925 824 5783 Email: km5428 @att.com cc: Andrew Taylor, Area Manager, EH &S Grant Armstrong, Environmental Site Manager S ,R -°� KERN BUSINESS FORMS —(661) 325-5818—#6013 t UNIFIED PROGRAM INSPECTION CHECKLIST R- ARRE TM ,� -- - -- — __ — — _ -- P/ SECTION 1: Business Plan and Inventory Program � �J3S�7 BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: .(661) 852 -2171 FACILITY NAME v ( C= Compliance OPERATION V= Violation INSPECTION DATE INSPECTION TIME ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ADDRESS Rl- Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) NO. NO OF EMPLOYEES ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) gPHONE X, FACILITY CONTACT CORRECT OCCUPANCY BUSINESS ID NUMBER ❑ VERIFICATION OF INVENTORY MATERIALS Consent to Inspect Name /Title ❑ 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 ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑ Rl- Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) '0 ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) X, ❑ 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 (CFC: 2704.1) 0. ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) ❑� ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) 0� ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(17, CFC: 2703.5) HE ❑ HOUSEKEEPING (CFC: 304.1) ❑ FIRE PROTECTION (CFC: 903 & 906) b" ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ❑ YES [E, NO Signat6re^of Receipt J l �/ / q •- iaysr % u� Explain: POST INSPECTION INSTRUCTIONS: • Correct the violation(s) noted above by Signature (that all violations have been corrected as noted) • Within 5 days of correcting all of the violations, sign and return a copy of this page to: Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 s .1 Date White — Business Copy Yellow— Business Copy to be Sent in after return to Compliance Pink— Prevention Services Copy FD2155 (Rev 6H 10) BAKERSFIELD FIRE DEPT. INSPECTIONS Prevention Services H A 1Z x s Ifl i e L a 1501 Truxtun Avenue, lst Floor BUSINESS PLAN & PINS Bakersfield, CA 93301 O ARTIM T Tel.: (661) 326 -3979 INVENTORY PROGRAM Fax: (661) 852 -2171 UNIFIED PROGRAM INSPECTION CHECKLIST Page I of I ATE -7r" FACILITY NAME: T" INSPECTION DATE: / Z 30 KEG fe CA 9vol Section 2: Underground Storage Tank Program ❑ Routine �� Combined ❑ Joint Agency ❑ Multi- Agency ❑ Complaint ❑ Re- Inspection Type of Tank t. 1 S C' . Number of Tanks Type of Monitoring C/. M Type of Piping 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 X 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: off,' Questions regarding this inspection? Please call us at (661) 326 -3979 White — Prevention Services I Busin is Site Responsible Party t Pink - Business Copy FD 2156 (Rev. 03/08)