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HomeMy WebLinkAboutinspection report 2016Bakersfield Fire Department Prevention e Pod 2101 H St B E R S P �ID Bakersfield CA. 93301 w �� r 661- 326 -3911 -- Underground Storage Tank Program SW Inspection Report NOTICE TO COMPLY/NOTICE OF VIOLATION Business Name: Fastbreak Mobil\15- 021 - 03412 -White & Stine Partners Date: 1 104/2016 Facility has a valid Permit to Address Name: 4800 White Ln- CAL000397346 Inspector Name: Shane Gardner #8248557 Inspection Type: Routine LReport: I Final NVO = No Violation Observed OUT = Out of Compliance NA = Not Applicable UD = Undetermined COS = Corrected On Site RPT = Repeat Violation elation Program Requirement ° o SOC. Comments No O �- v) E- I- Z O Z M V W File Review cility Tank Information 3:0021 Facility has a valid Permit to Tank 1- 10000 - REG -SW Operate from the CUPA - 23 ® ❑ ❑ ❑ ❑ ❑ None Tank 2- 10000 - REG -SW Tank 3- 10000- PRM -SW CCR 16 2712(1); HSC 6.7 Tank 4- 10000- DSL -SW 25284 10010 UST Operating Permit Application for Facility information and Tank information ❑ ❑ ❑ ❑ ❑ None submitted/maintained - 23 CCR 16 2711; HSC 6.7 25286(a) 10001 Current BOE number submitted to the CUPA ❑ ❑ ❑ ❑ ❑ None and/or CERS - HSC 6.7 25286(c) 3;0011 UST compliance statement and/or Designated Operator current certification ❑ ❑ ❑ ❑ ❑ None submitted - 23 CCR 16 2715(a), 2715(b) 10046 A complete and accurate response plan has been submitted, approved and ❑ ❑ ❑ ❑ ❑ None maintained - 23 CCR 16 2632, 2634(e), 2641(h), 2712(1) 3:0041 A complete and accurate plot plan has been submitted, approved and ] ❑ ❑ ❑ ❑ ❑ None maintained - 23 CCR 16 2632(d)(1)(C), 2711(a )(8) 10006 Owner /Operator has not made false statements or representation on any El ❑ ❑ ❑ ❑ ❑ None required document - HSC 6.7 25299 10003 Owner /Operator has a DO and/or informed the CUPA FIE] ❑ ❑ r-1 None of any change (s) within 30 days - 23 CCR 16 2715(a) sting Bakersfield Fire Department Prevention 2101 H St Bakersfield CA. 93301 661- 326 -3911 '�► PIA Underground Storage Tank Program SW Inspection Report NOTICE TO COMPLY/NOTICE OF VIOLATION olation Program Requirement o 00 SOC Comments No p �n °_' a Z o z v o> 30002 Owner /Operator has U r) C_ 11 tested and certified leak ❑ t� `�' ❑ ❑ ❑ ❑ None detection equipment annual) - 23 CCR 16 2638 30048 Secondary containment testing conducted every 36 months in accordance ® ❑ ❑ ❑ ❑ ❑ None with requirements - 23 CCR 16 2637 30055 Spill buckets have been C6 - 7 , 5q � �„CCC` tested annually as ❑ ❑ ❑ ❑ ❑ None required - HSC 6.7 25284.2 10009 Secondary containment test results submitted to the CUPA within 30 days "[ ❑ ❑ ❑ ❑ ❑ None after the test - 23 CCR 16 2637(e) 30042 0.1 gph annual line test performed and passed for RD pressurized piping without ❑ LE ❑ ❑ ❑ ❑ None fail safe or shut down - 23 Yes CCR 16 2636 (4) 30050 0.1 gallon per hour piping RD integrity test conducted every three years (pre- ❑ ❑ ® ❑ ❑ ❑ None ❑ January 1984) - 23 CCR Yes 16 2643 d 30051 Piping integrity test or overfill integrity test conducted every two ❑ ❑ ® ❑ ❑ ❑ None years (pre - January 1, 1984 ) - 23 CCR 16 2643(e) 30029 Lined or repaired steel tank was inspected within RP 10 years of lining and 19 ❑ ❑ ❑ ❑ ❑ None ❑ every 5 years after - 23 Yes CCR 16 2663 30028 Tank lining certification submitted to the CUPA within 30 days, proper ❑ ❑ ❑ None tests and inspector used - 23 CCR 16 2663 30067 ELD testing conducted every 36 months on USTs located within 1,000 feet ❑ ❑] ❑ ❑ ❑ None of a public drinking well - 23 CCR 16 2644.1(a 3 10005 ELD testing results sent to the board and the CUPA within 60 days of None completion of the test - 23 CCR 16 2644.1(a) 5) 30056 SIR Report submitted annually to the CUPA - 23 ❑ ❑ '1] ❑ El None CCR 16 2646.16) Bakersfield Fire Department Prevention 2101 H St Bakersfield CA. 93301 661 - 326 -3911 Underground Storage Tank Program SW Inspection Report NOTICE TO COWLY/NOTICE OF VIOLATION olation Program Requirement o SOC Comments No o Q o CO) a as Q)0 z O z M V W of 30064 CUPA was properly notified within the prescribed number of ❑ ❑ El ❑ ❑ None hours prior to testing - 23 CCR 16 2637(1), 2638(e), 2643(g), 2644.1(a)(4) Install /Repair 30009 Permits obtained to install, replace, repair, or ❑ ❑ ❑ ❑ ❑ None modify part of the UST system - 23 CCR 16 2712 UST System Observation .neral Monitoring 30003 Leak detection system maintains continuous RD monitoring that activates ❑ ❑ ❑ ❑ ❑ None ❑ an audible and visual Yes alarm - 23 CCR 16 2632, 2634, 2636, 2666 30017 Product piping outside the UDC is fail -safe and shuts down the pump or ❑ ❑ ❑ ❑ ❑ None restricts flow - 23 CCR 16 2636(0 (5) 30018 Turbine sump monitor activates an audible and RD visual alarm or stops the ❑ ❑ ® ❑ ❑ ❑ None ❑ flow of at the dispenser - Yes 23 CCR 16 2636(0(1) 30019 Monitoring system in the UDCs activates an audible and visual alarm ❑ ❑ ❑ ❑ ❑ None or stops the flow at the UDC - 23 CCR 16 2636 (0(1) 30043 Leak detection equipment RD properly programmed or properly operated - 23 ® ❑ ❑ ❑ ❑ ❑ None ❑ CCR 16 2632, 2634, 2636, Yes 2666 30005 System constructed with a monitoring system capable of detecting entry N] ❑ ❑ ❑ ❑ None into secondary containment - HSC 6.7 25291 b ^00014 Correct leak detection equipment installed for RD the type of system ❑ ❑ ❑ ❑ ❑ None ❑ present - 23 CCR 16 2638, Yes HSC 6.7 25290.1, 25290.2, 25291 ^00015 Sensor located in the RD proper position /location - ❑ ❑ ❑ ❑ ❑ None ❑ 23 CCR 16 2630(d), 2641(a) Yes Bakersfield Fire Department Prevention 2101 H St Bakersfield CA. 93301 661-326-3911 Underground Storage Tank Program SW Inspection Report NOTICE TO COMPLY/NOTICE OF VIOLATION olation Program Requirement 46 r- (D .0 SOC Comments No O a CO) 0 I­ 0. m4, I- (a 010 Z 0 Z M 0 W 30062 Facility is in compliance with not tampering with or RD disabling leak detection ❑ ❑ ❑ ❑ ❑ None F-1 devices or alarms - HSC Yes 6.7 25299(a)(9) 30034 Tag/sticker on affixed monitoring equipment being certified, repaired, EP F ❑ ❑ 1 El ❑ ❑ None or replaced - 23 CCR 16 2638(o thodic Protection 30009 Impressed-current system is turned on and RP functioning properly and ❑ ❑ ❑ None ❑ inspected as required - 23 Yes I CCR 16 2635(a)(2) igle Walled Tank Monitoring 30004 Automatic tank gauge tests the tank at least RD once per month at 0.1 [__j ❑ ❑ None ❑ gallons per hour - 23 CCR Yes 16 2643(b)(2) 30005 The 0.2 gallons per hour continuous in tank leak RD detection test is being None ❑ conducted - 23 CCR 16 Yes 2643(b)(5) 30006 Monthly 0.2 gallons per hour automatic tank RD gauging test on a single [Y] ❑ n El ❑ R None ❑ wall tank is being Yes conducted - 23 CCR 16 2643(b)(1) '50 0 0 2 Automatic tank gauging/continuous in RD tank leak detection ❑ ❑ KI ❑ ❑ ❑ None ❑ system installed/properly Yes functioning - 23 CCR 16 2643, HSC 6.7 25292(a) 30030 Weekly manual tank gauging performed in RD accordance to the None ❑ required specifications - Yes 23 CCR 16 2645 30022 Groundwater and/or vadose zone monitoring ❑ El None conducted as required - 23 CCR 16 2647, 2648 igle Walled Piping Monitoring 30052 Piping monitored hourly and a 0.2 gph monthly or RD 0.1 gph annual line "'I LAJ ❑ ❑ ❑ R None 94 integrity test is performed Yes - 23 CCR 16 2641(a), 2643(c) ie Leak Detector Bakersfield Fire Department Prevention 2101 H St Bakersfield CA. 93301 661-326-3911 Underground Storage Tank Program SW Inspection Report NOTICE TO COMPLY/NOTICE OF VIOLATION ollation Program Requirement '8 r- 0 soc Comments No I-- n < a U) 0 0 . co 73 Z 0 Z n 0 W 0 > 30012 Line leak detector installed on pressurized RD piping system - HSC 6.7 None ❑ 25290.1(h), 25290.2(8), Yes 25291(1), 25292(e), 2636(1) (2) 30026 Line leak detectors detect a 3 gph leak and/or RD audible and visual alarm None ❑ function properly - 23 Yes CCR 16 2636(0(6), 2666(c) 30027 Turbine shuts down when a leak is detected or RD when line leak detector is ❑ [--j None F-1 disconnected - 23 CCR 16 Yes 2666 30025 Pressurized piping able to detect a 3.0 gph leak RD within an hour, and ❑ ❑ ❑ ❑ ❑ None ❑ restricts the flow or Yes alarms - 23 CCR 16 2636 (0(2) ction Piping 30053 Suction piping sloped to drain back into storage RD tank, one check valve and ❑ ❑ ❑ ❑ ❑ None ❑ inspections conducted - Yes 23 CCR 16 2636(a)(3), 2641(b) condary Containment 30008 UDC, sumps, and/or other secondary containment in good El M ❑ ❑ ❑ None condition and/or are free of debris/liquid - HSC 6.7 25290.1, 25290.2, 25291 30047 Secondary containment maintained tight and has been confirmed by testing ❑ ❑ ❑ ❑ ❑ None - 23 CCR 16 2662; HSC 6.7 25290.1(c)(2), 25290.2(c)(2), 25291 a , 25292(e) 30060 Entry fittings in secondary containment for UST system maintained None tight/sealed - 23 CCR 16 2630, 2635(d), 2636(c), 2666 30020 Spill bucket is installed and has a functional drain RP valve or other means to ❑ r-1 ❑ ❑ None ❑ remove liquid - 23 CCR 16 Yes 2635 2665 Bakersfield Fire Department Prevention 2101 H St Bakersfield CA. 93301 661-326-3911 Underground Storage Tank Program SW Inspection Report NOTICE TO COWLY/NOTICE OF VIOLATION Diation Program Requirement "6 C W .O SOC Comments No :R. 11-- :) < a CO 0 (L 4) *j %. cc CIO Z 0 Z M 0 Ix 30054 Spill bucket maintained in RP good condition and free of E] &t E] None 9 debris and/or liquid - 23 Yes CCR 16 2635(b), 2715(c)(2) 30019 Spill bucket to has a minimum capacity of five 1:1 ❑ ❑ ❑ ❑ None gallons - 23 CCR 16 2635 2665 -erfill 30035 UST system is operated to prevent unauthorized RP release, including spills ❑ ❑ r-1 None ❑ and overfills - HSC 6.7 Yes 25292.1(a) 30036 Overfill prevention system has not been overridden RP and meets overfill None ❑ requirements - 23 CCR 16 Yes 2635 b (2), 2665 On Site Records rtifications 3.'0023 Required designated operators or contractors maintain a proper and C-1 Ly ❑ ❑ ❑ None current ICC certification - 23 CCR 16 2715 3.'0024 Service technician, installer, and/ or employee maintain a E3 ❑ El None proper license - 23 CCR 16 2715 3.'0031 Employee or contractor obtained and maintained proper manufacturer None certification - 23 CCR 16 2715 10007 Submit/maintain current Certificate of Financial Responsibility/mechanism of financial assurance - 23 ❑ ❑ ❑ None CCR 16 2711; 23 CCR 18 2808. 1 , 2809-2809.2; HSC 6.7 25292.2; HSC 6.75 25299.30-25299.34 10007 Positive statement of compatibility for UST system components 1:1 ❑ 1:1 ❑ ❑ submitted and maintained on site - 23 CCR 16 263 1 signated Operator 10004 Copies of DO inspections for last 12 months and list of trained employees None maintained - 23 CCR 16 2715 Bakersfield Fire Department Prevention 2101 H St Bakersfield CA. 93301 661- 326 -3911 Yd - Underground Storage Tank Program SW Inspection Report NOTICE TO COMPLY/NOTICE OF VIOLATION olation Program Requirement o SOC Comments No d z O z n V W o> 30013 Designated operator properly conducted the monthly inspection and E ❑ ❑ ❑ ❑ ❑ None the reports are complete - 23 CCR 16 2715 30010 DO notified operator of any condition observed during the monthly Ep ❑ ❑ ❑ ❑ ❑ None inspection that may require action - 23 CCR 16 2715(d) 30012 DO employee training performed, current for at least one employee on 3 ❑ ❑ ❑ ❑ ❑ None site, and a log kept - 23 CCR 16 2715(c)(6), 2715 gs 30001 Leak detection alarm logs, maintenance and records of appropriate ❑ ❑ ❑ ❑ ❑ None follow -up actions maintained - 23 CCR 16 2632, 2634, 2712(b) 30020 Unburied fuel piping RD visually inspected at least yam' ❑ ❑ ❑ ❑ ❑ None ❑ monthly and log kept - _V Yes HSC 6.7 25281.5(b)(3) 30049 Suction pipe monitored daily and results logged - 4 ❑ C)� ❑ ❑ ❑ None 23 CCR 16 2643(d 30057 When SIR results indicate failure: The facility met all RD corrective action ❑ ❑ ❑ ❑ ❑ None ❑ requirements - 23 CCR 16 Yes 2646.1(d 30058 All Statistical Inventory RD Reconciliation (SIR) ❑ R ❑ ❑ ❑ None ❑ requirements met - 23 Yes CCR 16 2646.1 intenance/Tests 10008 Monitoring, maintenance, repairs, linings, and RD upgrade records 1:1 El El 1:1 E] None ❑ maintained for the proper Yes time period - 23 CCR 16 2712(b) Bakersfield Fire Department Prevention 2101 H St Bakersfield CA. 93301 661- 326 -3911 l R-1 Underground Storage Tank Program SW Inspection Report NOTICE TO COMPLY/NOTICE OF VIOLATION olation Program Requirement o SOC Comments No 0::1- = in 0 a. m° O z = 0 W o> 10002 Records of cathodic protection systems testing ❑ ❑ ❑ ❑ ❑ None maintained - 23 CCR 16 2635, 2712(b) 1cumentation 30033 Failure to maintain on site an approved monitoring NA ❑ ❑ ❑ ❑ ❑ None plan - 23 CCR 16 2632, 2634, 2711, 2712(1) 30037 Written agreement between the tank owner and tank operator to monitor the tank ❑ ❑ ❑ ❑ ❑ None system is maintained - 23 CCR 16 2620(b); HSC 6.7 25284(a)(3) 30061 Suspected or actual unauthorized release RD reported in appropriate time ❑ ❑ ❑ ❑ ❑ None ❑ frame - HSC 6.7 29294, Yes 29295 neral Operating Requirements ,mit Condition /Approval 30039 Compliance with all operating permit conditions ❑ ❑ ❑ ❑ ❑ None - 23 CCR 16 2712; HSC 6.7 25299 30059 UST system maintained in accordance with ❑ ❑ ❑ ❑ ❑ None exclusion/exemption status - HSC 6.7 25281.6, 25283.5 30014 Owner /Operator received approval and has implemented a training ❑ ❑ ® ❑ ❑ ❑ None program at an unstaffed facility - 23 CCR 16 2715(f)(2) 30015 Facility exhibited that the method used to monitor the tank meets the monitoring ❑ ❑ ❑ ❑ ❑ None methods in 2643(f) - 23 CCR 16 2643 d Tag 30045 Red Tag information is legible and has not been ❑ ❑ ❑ ❑ ❑ None tampered with - 23 CCR 16 2717.1(g) 30044 Facility did not allow for deposit of petroleum into a UST that has a red tag ❑ ❑ ❑ ❑ ❑ None affixed to the fill - 23 CCR 16 2717.1(f) tall/Repair Bakersfield Fire Department Prevention 2101 H St Bakersfield CA. 93301 661 -326 -3911 a� "c C�nY'2;, y S H R S F I D FIRE ART// T Underground Storage Tank Program SW Inspection Report NOTICE TO COWLY/NOTICE OF VIOLATION olation Program Requirement o SOC Comments No = a. 0 d° z O z 93 0 a: o > 3:0066 Repaired and retested the system due to a failed ELD test when located within ❑ ❑ ❑ ❑ ❑ None 1000' of public well - HSC 6.7 25292.4(d), 25292.5(c) 50018 Existing SW piping is constructed of FRP, cathodically protected steel, ❑ ❑ ❑ ❑ ❑ None RP ❑ or steel clad with FRP - 23 Yes CCR 16 2666(b); HSC 6.7 25292(e)(2) 50021 Striker plate installed and positioned correctly - 23 ❑ ❑ ❑ ❑ ❑ None CCR 16 2631(c), 2662(d) 50004 Corrosion protection installed for USTs and cathodic protection system ❑ ❑ ❑ ❑ ❑ None RP ❑ meets the consensus Yes standards - 23 CCR 16 2635(a)(2)(A) ❑ There were no violations noted for this inspection. 7 j7 his report shall serve as a "NOTICE TO COMPLY" for Minor Violations, and a "NOTICE OF VIOLATION" for his violations. You are, hereby, ordered to correct the above noted violations within 30 days, or according to correction summaries provided. Formal enforcement and /or penalty assessment may be initiated for any violations noted, and for those not corrected in a timely manner. (NOTE: If this is a preliminary report, a final report will follow.) Inspectors Signature: `-- Date: Inspector: Enter # of Violations: RD: '2._ RP: I- Check one box for facility Significant Operational Status (SOC) to be reported to SWRC13 and US EPA: ❑ SOC with both Release Detection and Release Detection (Facility has no Release Prevention and no Release Prevention Violations) UNot in SOC (Facility has both Release Prevention and Release Detection Violations) SOC with Release Detection only (Facility has no Release Detection violations but one or more Release Prevention violations) ❑ SOC with Release Prevention only (Facility has no Release Prevention violations but one or more Release Detection violations) Owner/Operator; c5 t - s -r . Facility: V4 t R I C Address. L4 CD (D t L A Notice' Of Violation: Qass H nd /or Class l Violations were found during this inspection as noted in the following Su ma of Violations. H The violations indicated in this inspection report must be corrected within 30. days, unless Otherwise noted. Formal enforcement will be initiated for all Class l Violations, and for any Class 11 violations. not corrected within the required timeframe. This report does not represent that there are no other violations at this facility. A re- inspection may occur to determine compliance status. SUMMARY OF VIOLATIONS Item # VIOLATION REQUIREMENT FOR CORRECTION OF VIOLATION DATE FOR CORRECTION' uoc- Pz— "ere r, } C �+�C _ 71(/ .J`.1,j€.1A tLY'r:x�.+ VA 0 /%J'7 f t It P- A<:z 14�� � d ^.� 5 4—.. ti " i ,Q inspectors Signature: w 14 R. 0 LIZ Received by: Phone: - TPrint.Name: EDE Date: White - Business Copy Yellow — Business Copy to be sent in after Return -to- Compliance Pink - Prevention Services Copy I BAKERSFIELD FIRE DEPARTMENT HAZARDOUS WASTE UNIFIED PROGRAM CONSOLIDATED FORMS Preventi ®n Services 914E R S F I D 2101 H Street A066US SMALL QUANTITY HAZARDOUS- PINK Bakersfleld, CA 93301 0 S A&rmfr Phone: 661-326-3979 • Fax: 661-852-2171 WASTE GENERATOR INSPECTION Facility Name: -AST V\-\ Date: Site Address: 4 r Time In: Time Out: -T; ------ Owner/Operator: 'Atnt Phon6: EPA ID Type of Inspection 0, Routine 0 Re-inspection/Follow-up>-IeU'mbined Routin �Oection Jqi4it Inspection 0 Complaint 0 Focused 0 Othe'r 0 CONSENT TO INSPECT GRANTED BY (Name / Title): Inspection may involve obtaining photographs, review and copying of recof"d1 s, an determination of compliance with hazardous waste handling requirements. d"l--- T TT C V - - - - - -- - - - IV HAZARDOUS WASTE REQUIREMENT I NIA CERS Violation # COMMENTS ' Xk6iftkepifig/documentation Generator has an EPA ID number (HSC'25143.131 3010002, Hazardous waste determination made for all wastes 0 Anal ,sis „,"eneraf6y'K,.nowledgo- [CCR 6,6202,-40] 3030005 Contingency,planinformation posted near phone [CCR 66262.34(d)(2)] 3010022 Facility personfiil demohitfaid training/awareness [CCR 66262.34(d)(2)] 3020001 Manifests/Consolidated Manifest receipts complete [CCR 66262.23(a)] 3010008 IN, Blue co (s) of manifest mailed to DTSC [CCR 66262.23(a)(4)) 3010011 Bills of Lading/receipts available [CCR 66262.40(a)] 3010010 LDRs available and complete [CCR 66268.7(a)] 3030006 Onsite recycling reported using UPCF [HSC 25143.10] 3030001 Container/tank -management Containers are in good condition [CCR 66262.34 (d)(,))] 3030013 Containers are.closed except when,.adding/removirig, [CCR66202.34(d)(2)] 30300;17!. Satellite containers at or near point of gen I era on [CCR 66262.34(e)(1) (A)] Empty containers are empty [CCR 66262-34(f)] 3030007 Containers inspected weekly [CCR 66262.34(d)(2)] 3030019 Tanks inspected daily [CCR 66262.34(d)(2),40CFR 265.2011 3030027 One container per waste stream at satellite area [CCR 66262.34(d)(2)] 3030022 Exclude recyclable materials stored in accordance With local ordinance/hazardous materials codes . , : ; fHSC25143.--,10] 3010016 Accumulation Time Limits Waste is accumulated not more than 90/180/270 [CCR 66262.34(d)l_ 3030010 , -7 Empty containers rnanag.edwithin one year,-, "MY [CCR 6626154(d)1 "3050010”' Universal waste accumulated less than one' can _[CCR,662733 5(a)] •3030011 �ear <1 ton) [CCR 66266.130(c)(4)] Used oil filters offsite within 180 (1 y 3030004 Pb-acid batteries offsite within 180 (1 yr. < I ton) [CCR66266.81(a)(3)] 3030002 Labeling/Marking Containers are properly labeled [66262.34.(f)] 3030007 Excluded recyclable materials marked properly [HSC 25143.9(a)] 3050005 Universal waste container pro2erly labeled (CCR 66273.341 3030008 Used oil filters marked "drained used oil filters" [CCR 66266.130] 3030004 Date written on spent lead-acid batteries . [CCR 66266.8 1 (a)(6)(B)l 3030003 "Used Oil" marked on all used oil tanks/containers [CCR 66279.21(b)) 3030007 Tank marked with "haz waste" , contents, start date [66262.34(f)] 3030007 Treatment, Transport and Dis posal/Other Have permit/authorization to do treatment [HSC 25136.2] 3040003 Waste sent with authorized transport (gen. eligible) [CCR 66263.41] 3050001 Waste of to authorized point/p art y [HSC 25189.5(a)] 3050002 .disposed Failed to properly. handle appliance wastes [HSC 25212(a)) Fire Protection [66262.34(d)(2)) 3030032 %P_r1nt and sign in this box for receipt of this report. Signature does not imply agreement with findings only receipt of report. SPECTOR- 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 Dept., Prevention Services, 2101 H St. Bakersfield, CA 93301 White Business.Copy Yellow-- Station, Copy Signature (that all violations have been corrected as noted) Date FD2171 (Rev 9/14) Pink- Prevention, Services Copy BAKERSFIELD FIRE DEPTO Prevention Services B R 8 F T 0 2101 H Street UNIFIED PROGRAM INSPECTION CHECKLIST FIRE Bakersfield, CA 93301 Tel.: (661) 326-3979. SECTION 1: Hazardous Materials Business Plan Fax: (661) 852-2171 Ins !on FACILITY NAME INSPECTION DATE INSPECTION TIME Mom ❑ ROUTINE COMBINED ❑ JOINTAGENCY ❑ MULTI-AGENCY ❑ COMPLAINT 'El RE-INSPECTION V C=(;ompliance OPERATION CERS T Violation COMMENT ADDRESS PHONE NO. NO OF EMPLOYEES NO APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) FACILITY CONTACT BUSINESS ID NUMBER Consent t'bktnspect Name/Title 1010008 Mom ❑ ROUTINE COMBINED ❑ JOINTAGENCY ❑ MULTI-AGENCY ❑ COMPLAINT 'El RE-INSPECTION V C=(;ompliance OPERATION CERS V=Violation; 1,11 Minor Violation COMMENT NO APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 3010001 BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008 VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) CORRECT OCCUPANCY (CBC: 401) VERIFICATION OF INVENTORY MATERIALS 2729.3) 1010004 VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006 VERIFICATION OF LOCATION (CCR: 2729.2) PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b)) VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002 VERIFICATION OF ABATEMENT SUPPLIES& PROCEDURES (CCR: 2731(c)) EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010 CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703-5) 3030007 HOUSEKEEPING (CFC: 304.1) FIRE PROTECTION (CFC: 903 & 906) 3030032 SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 10100 5 WNY HAZARDOUS WASTE ON SITE? ❑ YES Signatureof leceip �Q:NO Explain: C Insvector:_51/ -r ­,-I f— P _3 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: Signature (that all violations have been corrected as noted) Bakersfield Fire Dept., Prevention Services, 2101 H Street, California :9330 Date White Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 8#14)