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Home My WebLink AboutBUSINESS PLAN 1/10/2012UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1:. Business Plan and Inventory Program N li R 3 F r M, L D FIRE AR TM T BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 3.26 -3979 Fax: (661) 852 -2171 FACILITY NAME - y-' V C= Compliance OPERATION V= Violation INSPECTIO_ N DATE INSPECTION TIME ADDRESS / APPROPRIATE PERMIT ON HAND BMC: 15.65. 8q) GQv 6; /) NO OF EMPLOYEES FACILITY CONTACT CCR: 2729 1) BUSINESS ID NUMBER Consent. to Inspect Name /Title CFC: 505.1, BMC: 15:52.020) CORRECT OCCUPANCY CBC: 401) 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. 8q) v BUSIIIeSS 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) X VERIFICATION OF QUANTITIES CCR: 2729.4) VERIFICATION OF LOCATION CCR: 2729.2) PROPER SEGREGATIOROF 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(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 Signature of Receipt_ Explain: POST INSPECTION INSTRUCTIONS: C Correct the violation(s) noted above by 0. Within 5 clays ofcorrecting all of the violations; sign and return a copy of this page to: Bakersfield fire Dept., Prevention Services, 2101 H Street, California 93301 Signat re (that all violations have bAen corrected as noted) Date White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy - FD2155 (Rev 6010) KERN BUSINESS FORMS - (661) 325 -5818 - #6013 cr B ARTM1 a t. oUNIFIEDPROGRAMINSPECTIONCHECKLIST t SECTION 1.: Business Plan and Inventory Program < Y6c ( BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTION DATE 1 — I c 'j, ,- D, INSPECTION TIME ADDRESS PHONE NO. 6e- 27 3 NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name /Title Section 1: Business Plan and Inventory Program ROUTINE COMBINED JOINT AGENCY MULTI- AGENCY COMPLAINT RE- INSPECTION C v l C= Compliance OPERATION V= Violation COMMENTS q APPROPRIATE PERMIT ON HAND BMC: 15.65.080) f n 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 CFC: 2704.1) VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b)) s 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(f), CFC: 2703.5) HOUSEKEEPING CFC: 304.1) J FIRE PROTECTION CFC: 903 & 906) 1 SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? YES NO Signature ofReceipt Explain: POST INSPECTION INSTRUCTIONS: Correct the violation(s) noted above by Within 5 days of correcting all ol'the violations, sign and return a copy of this page to: Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 White — Business Copy Yellow — Business Copy to be Sent in alter return to Compliance Signatfe (that all violations have been corrected as noted) Date Pink — Prevention Services Copy • + 1as in_. 4u1 m BAKERSFIELD FIRE DEPT. INSPECTIONS BUSINESS PLAN & INVENTORY PROGRAM UNIFIED PROGRAM INSPECTION CHECKLIST T T SAY 09e FACILITY NAME: INSPECTION DATE: A 9_?3 Section 2: nderground Storage Tank Program Routine Combined Joint Agency Multi- Agency Complaint 13 Type k Number of Tanks Typ of Monitoring Type of Piping OPERATION Prevention Services B z s B a 1501 Truxtun Avenue, ls Floor R/ Bakersfield, CA 93301r ARrN f Tel.: (661) 326 -3979 Proper owner / operator data on file Fax: (661) 852 -2171 Page I of 1 Routine Combined Joint Agency Multi- Agency Complaint 13 Type k Number of Tanks Typ of Monitoring 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 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: Questions regarding this inspection? Please call us at (661) 326 -3979 White — Prevention Services 1 _ 04C 1, d4X-k- Busine Site Responsible Party Pink - Business Copy FD 2156 (Rev. 03/08)