HomeMy WebLinkAboutBUSINESS PLAN 11/15/2011BAKERSFIELD FIRE DEPT.
N S P E C T I O N S Prevention Services
» z a R s 11 18 D 1501 Truxtun Avenue, 1st Floor
BUSINESS PLAN & I O A fM T Tel.: Bakersfield, 66) 32690
3979
INVENTORY PROGRAM Fax: (661) 852 -2171
UNIFIED PROGRAM INSPECTION CHECKLIST
Page I of 1
FACILITY NAME: 1,611) J --P-- INSPECTION DATE: l /SIO
R2 ��Ie . �/ C4 93307
Section 2: Underground Storage Tank Program
❑ Routine ,0" Combined ❑ Joint Agency ❑ Multi- Agency ❑ Complaint ❑ Re- Inspection
Type of Tank 60 ozj Number of Tanks 'i
Type of Monitoring C t_Nl Type of Piping r'3i�d
OPERATION
C
V
COMMENTS
Proper tank data on file
Proper owner / operator data on file
J(
Permit fees current
Certification of Financial Responsibility
Monitoring record adequate and current
/✓!l 55,ljk '-1.2AII aft "u`? IJIVIV IVA )
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
Inc.. coo_ Medina
326-3082
Questions regarding this inspection? Please call us at (661) 326 -3979
White — Prevention Services
Business Site Res onsible P rty
Pink - Business Copy
FD 2156 (Rev. 03/08)
.d ' H R S P 10". L D
UNIFIED PROGRAM INSPECTION CHECKLIST FIRE
SECTION 1: Business Plan and Inventory Program
BAKERSFIELD FIRE DEPT.
Prevention Services .
2101 H Street
Bakersfield, CA 93301
Tel.:: (661) 326 -3979
Fax:" (661) 8S2 -2171
FACILITY NAME
INSPE�TIOS ATE
INSPECTION TIME
COMMENTS"
/
ADDRESS /
PHONE NO.
NO OF EMPLOYEES
12. ,P / C/4
�f = '7c5�o
10
FACILITY CONTACT
BUSINESS ID NUMBER
r Sj i �� fo,/�n/ESS. j� %Z SV CosctT2LT
% Al NN
if W,-L4TI�el
®/s - CC3Da
Consent to Inspect Name /Title
BMC: 1$.52.020)
❑
CORRECT OCCUPANCY
Section 1: Business Plan and Inventory Program
❑ ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
C= Compliance OPERATION
V= Violation
COMMENTS"
/
❑
APPROPRIATE PERMIT ON HAND
(13MC:.15;65.080)
❑
11R
m
Business PLAN CONTACT INFORMATION ACCURATE,
(CCR: 2729.1)
r Sj i �� fo,/�n/ESS. j� %Z SV CosctT2LT
% Al NN
if W,-L4TI�el
❑
VISIBLE ADDRESS (CFC: 505.1,
BMC: 1$.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)
X❑
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)
/VE �>"T C /Gz/1 ?�✓CC �`N r 2oiuT d
❑
FIRE PROTECTION
(CFC: 903 & 906)
l
❑
SITE DIAGRAM ADEQUATE & ON HAND
-(CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? S&ES ❑
Z coo
NO
Signature of Receipt
Explain:
POST INSPECTION 1NSFRUC'F10NS:
• 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 De t. P even�I n S rvices, 2101 H Street, California 93301 "
VI � g Clyt1Leon&
��Fo
White — Business Copy c@-2ausiness 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 6//10)