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Home My WebLink About3800 ROSEDALE HWY (10)UNIFIED PROGRAM INSPECTION CHECKLIST[ _eR S F� n FIRE -- -- - - - - - -- - - - - - -- — - - -- D ARTM T SECTION 'I.: Business Plan and Inventory Program BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 933.01 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME Q5 4_06_9 �y � INSPE CTION DATE 9/%/ '1 INSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER ❑ ©15-- oil - 0032 94�1 Consent to Inspect Name /Titl II SG1 e�`1l/r S V C . V ul k�L. Section 1: Business Plan and Inventory Program ❑ ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V C= Compliance OPERATION COMMENTS V= Violation ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) L?11 ❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) El VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) .1� "E ❑ CORRECT OCCUPANCY (CBC: 401) ❑ VERIFICATION OF INVENTORY MATERIALS .(CCR: 2729.3) ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑ J< _ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) 00, ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) ©4 ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) L lif; ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) �i\ (� ❑ / HOUSEKEEPING (CFC: 304.1) — ❑ FIRE PROTECTION (CFC: 903 & 906) f,h ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? kYES ❑ NO Signature of Recei Explain: - 6a � So 5�01 G %,3 v >u0 5TZ27- OZ7- s 61gl" 7e- %1/ %!1 POST INSPECTION INSTRUCTIONS: • 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 V"&"MVcjjjMjqqp210I li Street, California 93301 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 F1)2155 (Rev 6H10) aari�A�i 1Ai��t�«i!� n� a�,r. KERN BUSINESS FORMS - (661) 325 -5818 - #6013 UNIFIED PROGRAM INSPECTION CHECKLIST A FARE ij - - - -- -- - - B D K t RrMk r `i SECTION i : Business Plan and Inventory Program i a32'� BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME C= Compliance OPERATION V= Violation INSPECTION DATE f INSpPECTION TIME */ ❑ G,/ ;A" f , . " ADDRESS Business PLAN CONTACT INFORMATION ACCURATE P ONE NO. NO OF EMPLOYEES FACILITY CONTACT VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) BUSINESS ID NUMBER ❑ 23 3 05- ®is-- OP - 00 2 94 Consent to Inspect Name /Title, i VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) f� ❑ 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) (]# ❑ r Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ❑ CORRECT OCCUPANCY (CBC: 401) l ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) f� ❑ 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)) ?. ; []tl ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ❑, ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) CI,A ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) C ❑ 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? ❑'IYES ❑ NO mature of Receij t Explain: POST INSPEC "PION INS "1'RUC'I'I0NS: • 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 �A DD O' WANl , 2101 H Street, California 93301 32r -Or,R? White - Business Copy Yellow - Business Copy to be Sent in alter return to Compliance Signature (that all violations have been corrected as noted) Date Pink — Prevention Services Copy FD2155 (Rev 6//10) 69R-Co-7 06�� FACILITY NAME: (24 el- Section 2: Underground Storage Tanks Program ❑ Routine Combined Type ATank _ Type of Monitoring _ ❑ Joint Agency ❑ Multi- Agency Number of Tanks Type of Piping 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: ❑ Complaint ❑ Re- Inspection 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 X Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? ❑ Yes /No Section 3: Aboveground Storage Tanks Program Tank Size(s) Type of Tank Aggregate Capacity Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC onlile 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 Medina Inspector: 3!)S -36S2 Questions regarding this inspection? Please call us at (661) 326 -3979 White — Prevention Services Business�Site Responsible Party Pink - Business Copy KBF -7335 FD 2156 (Rev. 09/05)