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Home My WebLink AboutBUSINESS PLAN 6-11-12UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program H_ _ K_ C R_5 F 1 1+ D FIRE D a R TM 'T BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME C 2 / 5 e/70/--y/ Z2,' Tz -2�c.4 �` INSPECTION DATE jz INSPECTION TIME ADDRESS T?rl r . h r-,11& i" ?<<T 2 ° /e54 q330—) PHONE NO. (6 61) &3i- 32_03 NO OF EMPLOYEES FACILITY CONTACT (CCR: 2729.1) { Sr /t" �C 55 /� BUSINESS ID NUMBER 15 p2l no yG Consent to InspectN°ame /Title �FoLC)le -,- t iS�r � / i /(°C�Di ❑ CORRECT OCCUPANCY (CBC: 401 ) ❑ VERIFICATION OF INVENTORY MATERIALS Section 1: Business Plan and Inventory Program ❑ ROUTINE �� COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS 1, / ❑ APPROPRIATE PERMIT ON HAND (BMC: 1.65.080) ❑- , BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) { Sr /t" �C 55 /� ❑ 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) D PROPER SEGREGATION OF MATERIAL (CCR: 2704.1) " f1 ❑' VERIFICATION OF MSDS 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) ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(F), CFC 2703.5) �` ❑ HOUSEKEEPING (CFC: 304.1) ')3 ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? AYES r ❑ NO Signature of,Wec_ei Explain: c 5- p POST INSPECTION INSTRUCTIONS: ' A Refer to the back of this inspection report for regulatory citations and corrective actions _ e Correct the violation(s) noted above by Signature (that all violations have been corrected as noted) o Within 5 days of correcting . all of the violations, sign and return a copy of this page to: Bakersfield Firi fl '6t bFtM4d , 2101 H Street, California 93301 3� Date l � 326 -3332 While —Business Copy Ycl low —Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy I' D2155 (Rev 12 111) '� ^ : -..- aM �'. �Ar Z <^+ .... Ni . °C��z ^l KERN PRINT SERVICES - (661) 325 -5818 - KPS -2215 UNIFIED PROGRAM INSPECTION CHECKLIST i1 Z t cFIRE - -- -- - - -- - - -- - -- — - - D A R TM 'T SECTION 1: Business Plan and Inventory Program u B-./ 82A11rs7VAiJ 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 ADDRESS PHONE NO. NO OF EMPLOYEES El ' FACILITY CONTACT BUSINESS ID NUMBER T - 2 1 - h 2 I/G Consent to Inspect Name /Title VISIBLE ADDRESS Section 1: Business Plan and Inventory Program ❑ ROUTINE [S COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ® C= Compliance OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND (BMC: 1.65.080) El ' BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ` ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) rx1' ❑ 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) ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR: 2731)) .El ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(F), CFC 2703.5) 'I;V ❑ HOUSEKEEPING (CFC: 304.1) ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? BYES ❑ NO SianatureOf KkceiD r" Explain: POST INSPECTION INSTRUCTIONS: ® Rcl`er to the back ol'lhis inspection report for regulatory citations and corrective actions Correct the violation(s) noted above by "Within 5 days of-correcting all-ofthe violations, sign and return a copy of this page to: / '__�lield Fir. De it., Prevention Services, 2101 1-1 Street, California 93301 mgosc4w My (zd z ale t{usinc s Copy 3258-an "'iness Copy to be Sent in after reuirn to Compliance Signature (that all violations have been corrected as noted) Date fink Prevention Services Copy FD2155 (Rcv 12/11) INSPECTIONS BUSINESS PLAN & INVENTORY PROGRAM - UNIFIED PROGRAM INSPECTION CHECKLIST �Cc,�iv t� %y,� sc�ian //� %sT %/29/LS. ✓7E�T FACILITY NAME: yin/ G ./>F//C %EW'rf INSPECTION DATE: �� Z Section 2: Underground Storage Tank Program ❑ Routine Y Combined ❑ Joint Agency ❑ Multi- Agency ❑ Complaint ❑ Re- Inspection Type of Tank n /,,) Number of Tanks ? Type of Monitoring ';c Type of Piping ' w/ - OPERATION BAKERSFIELD FIRE DEPT. Prevention Services s/ x R R 8 P P 1 a D 1501 Truxtun Avenue, lsr Floor Bakersfield, CA 93301 J/g/ Do A'�/ T Tel.: (661) 326 -3979 Fax: (661) 852 -2171 Al v ' G. 56 7y" Page I of I �Cc,�iv t� %y,� sc�ian //� %sT %/29/LS. ✓7E�T FACILITY NAME: yin/ G ./>F//C %EW'rf INSPECTION DATE: �� Z Section 2: Underground Storage Tank Program ❑ Routine Y Combined ❑ Joint Agency ❑ Multi- Agency ❑ Complaint ❑ Re- Inspection Type of Tank n /,,) Number of Tanks ? Type of Monitoring ';c Type of Piping ' w/ - OPERATION C V COMMENTS Proper tank data on file Al v ' G. 56 7y" Proper owner / operator data on file N6 4 �< A,- U/ e -''F ^/ vG✓a�f 'bnJ ;A-,j4o C (FI& GaJ SS' 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: �QatoP Medina 326 -3682 Questions regarding this inspection? Please call us at (661) 326 -3979 Bydiness S to Responsible Party White — Prevention Services Pink - Business Copy FD 2156 (Rev. 03/08) 'Z =mss.