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Home My WebLink About805 34TH STREET 2012 hazmatUNIFIED PROGRAM INSPECTION CHECKLIST SECTION.1: Business Plan and Inventory Program B K Ii R S F I_ E D FIRE D ARTM r BAKERSFIELD FIRE DEPT. Prevention Services 210.1 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME COMMENTS ❑ APPROPRIATE PERMIT ON HAND ADDRESS PHONE NO. NO OF EMPLOYEES BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 272 9.1 ) FACILITY CONTACT BUSINESS ID NUMBER on Chi 621AI Consent to Inspect Name /Title CORRECT OCCUPANCY 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: 1 .65.080) ❑. BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 272 9.1 ) /—' ❑ 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) ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(F), CFC 27015) 571— Z2T ❑ HOUSEKEEPING (CFC: 304.1) ❑ FIRE PROTECTION (CFC: 903 & 906) 5,'5X111ce= Z7 ❑ SITE DIAGRAM ADEQUATE& ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? VYES ❑ NO 1 SiznatureofReceipt Explain: C7 / 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 ofthe violations, sign and return a copy of this page to: 11u erslicld Firfeig0eL4t6j N S[hCvfs, 2101 H Street, California 93301 ® 326.3682 Signature tl t.al•I-vto 5 roes haA been corrected as noted) Date BusinesS Copy Yellow — Business Copy to be Sent in after return to Compliance fink Prevention Services Copy 171)2 155 Irscy Izn I� - `�'i.7r'!�t1P I7 ..aid :'V(�2 •} dmd E KERN PRINT SERVICES - (661) 325 -5818 - KPS -2215 rr UNIFIED PROGRAM INSPECTION CHECKLIST 'K E R_S FJ H\I. FIRE D AR TM r SECTION 1: Business Plan and Inventory Program 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 COMMENTS INSPECTION DATE INSPECTION TIME 1.161 Ll ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) l' /v// -2 -, ADDRESS • (CFC: 505. 1, BMC: 15.52.020) ❑ PHONE NO. NO OF EMPLOYEES 5i ?�"� I (CCR: 2729.3) 3? S- 0 //v ❑ FACILITY CONTACT (CCR: 2729.4) ❑ BUSINESS ID NUMBER (CCR: 2729.2) A K ❑ PROPER SEGREGATION OF MATERIAL (CCR: 2704.1) Consent to Inspect Name /Title ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(8)) Cl 1, j C(I-f C VERIFICATION OF HAZ MAT TRAINING 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: 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) K ❑ 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)) ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(F), CFC 2703.5) rjj ?r:'T ❑ HOUSEKEEPING (CFC: 304.1) % ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? j _ 2. ES ❑ NO Sivature of Receipt Explain: "s •7 � 2 v�'-r! C,J sb �i'r"� = r / a S v.2%7 � t%- 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 Fi�[��i� b es, 2101 H Street, California 93301 315 -� � � • White — Business Copy Yellow — Business Copy r• m be Sent in after return to Compliance Signature th 44-vie dons hav+ been corrected as noted) Date Pink Prevention Services Copy 1'132155 (Rev 12/11) BAKERSFIELD FIRE DEPT. INSPECTIONS -� BUSINESS PLAN & INVENTORY PROGRAM UNIFIED PROGRAM INSPECTION CHECKLIST FACILITY NAME: US 3! T�� INSPECTION DATE: as / / /-2- Section 2: Underground Storage CTank rog amp/ �Prevention Services e J? 1501 Truxtun Avenue, lst Floor p /R/ Bakersfield, CA 93301 O Ate/' T Tel.: (661) 326 -3979 Proper owner / operator data on file Fax: (661) 852 -2171 Page i of I , ❑ Routine Combined ❑ Joint Agency ❑ Multi- Agency ❑ Complaint ❑ Re- Inspection Type o Tank G Number of Tanks 47 Type of Monitoring Type of Piping �� OPERATION C V COMMENTS Proper tank data on file Proper owner / operator data on file i 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 i 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 Questions regarding this inspection? Please call us at (661) 326 -3979 White — Prevention Services 0 Business- Site-Responsible arty Pink - Business Copy FD 2156 (Rev. 03/08)