HomeMy WebLinkAbout3800 ROSEDALE HWY (11)BAKERSFIELD FIRE DEPT.
INSPECTIONS
BUSINESS PLAN &
INVENTORY PROGRAM
UNIFIED PROGRAM INSPECTION CHECKLIST
C0!5no `o 4, 0-e
FACILITY NAME: & INSPECTION DATE: �r(_
�._
Section 2: Underground torage Tank Program
❑ Routine oK Combined ❑ Joint Agency ❑ Multi- Agency ❑ Complaint ❑ Re- Inspection
Type Tank 77i��f Number of Tanks _
Type of Monitoring "v�I Type of Piping
OPERATION
Prevention Services
s i a a
1501 Truxtun Avenue, lg� Floor
� /R/
Bakersfield, CA 93301
A� T
Tel.: (661) 326 -3979
Proper owner / operator data on file
Fax: (661) 852 -2171
Page I of I
❑ Routine oK Combined ❑ Joint Agency ❑ Multi- Agency ❑ Complaint ❑ Re- Inspection
Type Tank 77i��f Number of Tanks _
Type of Monitoring "v�I 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 ❑ 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 placard!ng /labeling
Is tank used to dispense MVF ?)
If yes, does tank have overfill / overspill protection?
C = Compliance V = Violation Y = Yes N = No
Inspector: ��r�rann
326 -3656
Questions regarding this inspection? Please call us at (661) 326 -3979
White — Prevention Services
B ine s esponsi a Pa y
Pink - Business Copy
FD 2156 (Rev. 03/08)
UNIFIED PROGRAM-INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
BAKERSFIELD FIRE DEPT.
INSPECTION TIME
Prevention Services
8•__ K _E_ R _S_
FIRE
2101 N Street
ARrM r
Bakersfield, CA 93301
NO OF EMPLOYEES
Tel.: (661) 326 -3979
- 2- 6 413
Fax: (661) 852 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
COMMENTS
113 U
ADDRESS
PHONE NO.
NO OF EMPLOYEES
/ . x . . ' /64 93.3Dk ('6411)
- 2- 6 413
/
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name /Title
Section 1: Business Plan and Inventory Program
❑ ROUTINE Ell, COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
C= Compliance OPERATION
V= Violation
COMMENTS
/
❑
APPROPRIATE PERMIT ON HAND
(BMC: 1.65.080)
/
BUSINESS PLAN CONTACT INFORMATION 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)(6))
.
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR: 2731))
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
ONTAINERS PROPERLY LABELED
(CCR: 66262.34(F), CFC 2703.5)
V
OUs KEEPING
jPROTECTION
(CFC: 304.1)
RE
(CFC: 903 & 906)
-
❑.
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? ❑ YES
❑ NO
Signatur7 ofRece1D
/1 (,
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��De�pt., Prgvoert* ��S�ervices, 2101 I1 Street, California 93301
White = Business Copy ��6- cltow—.13usiness Copy be Sent in aller return to Compliance
Signature (that all violations have been corrected as noted)
Date
Pink Prevention Services Copy
1D2155 (Rev 12/11)
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KERN PRINT SERVICES - (661) 325 -5818 - KPS -2215
UNIFIED PROGRAM INSPECTION CHECKLISTJi
SECTION 1: Business Plan and Inventory Program]
/' R s r 1 E I D
FIRE
DfARTM T
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
INSPECTION TIME
❑
APPROPRIATE PERMIT ON HAND
(BMC: 1.65.080)
ADDRESS
BUSINESS PLAN CONTACT INFORMATION ACCURATE
PHONE NO.
NO OF EMPLOYEES
❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
FACILITY CONTACT
CORRECT OCCUPANCY
BUSINESS ID NUMBER
❑
VERIFICATION OF INVENTORY MATERIALS
Consent to Inspect Name /Title
❑
Section 1: Business Plan and Inventory Program
❑ ROUTINE EXCOMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v
( C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
(BMC: 1.65.080)
❑
BUSINESS PLAN CONTACT INFORMATION 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)(B))
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
(CCR: 2731))
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
1 41
❑
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
Sienature,ufReceipt
Explain:
t
POST INSPECTION INSTRUCTIONS:
• Reler 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( �mi . es, 2101 1-1 Street, California 93301
U0o�3� o iYfUU
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)