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Home My WebLink AboutBUSINESS PLAN 8/16/2010UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program B _1_ a s,- -r..i_ [ c o FIRE €$A It rffr/ r v� BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME / INSPECTION DATE SP 114 /10 INSPECTION TIME 6 ; 70 ADDRESS C`J /�h,�c �J ` �� O. � Z NO OF EMPLOYEES iS FACILITY CONTACT p,.3 -3 O' , _/ / BUSINESS ID NUMBER ❑ o - vd -DOOM 23 Consent to Inspect Nanne/Title 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: 15.65.080) ❑ 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 (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) S'j2,eT OP- 7-t: ; D 3/ /❑ ❑ HOUSEKEEPING (CFC: 304.1) )9 ❑ FIRE PROTECTION SITE DIAGRAM ADEQUATE & ON HAND (CFC: 903 & 906) (CCR: 2729.2) 2 ANY HAZARDOUS WASTE ON SITE? YES ❑ NO Sip-nature of Recei Explain: —5 c; OA R(f R.4 h122- w �� 6/ � (srr !'�� 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 1 -1 Street, California 93301 �,USo�r.,TE�'l3y � �rQ/Ui� I�'1 �1,►+/z 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 6HI0) CPA KERN BUSINESS FORMS - (661) 325 -5616 - N6013 7 1 • BAKERSFIELD FIRE DEPT. Prevention Services N _ _ Lrm 1 9 1,U UNIFIED PROGRAM INSPECTION CHECKLIST 2101 x Street —= = T Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME. INSPECTION DATE . /io INSPECTION TIME 3(00 i, 302 ADDRESS (� G h;LIE L_x_J le // , c /c %C. PHONE NO. �� - 02.71 NO OF EMPLOYEES FACILITY CONTACT �i 300, 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 C= Compliance OPERATION V= Violation COMMENT S ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: ) 5.52.020) I ❑ 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)) ❑ 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) l //❑ ❑ HOUSEKEEPING (CFC: 304.1) ®. FIRE PROTECTION (CFC: 903 & 906) v� Y;26 10P D uC- e)A..J '5 q A . 7F/. Sy cM S 66X; : A' C,27�DN ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? YES ❑ NO Signature of Receipt Explain: / - �• /Z/I -/ ivoN-/eL'/�� 2Z WZST� So /,�/ S7 6G�P�g> /�UG/2j✓ 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 Street, California 93301 ZNSO�c•— �"�oi3y ; ��2�JiC �J��irv� 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 F1321 55 (Rev 6HI0) FasTe,fP 7T 3 &b FACILITY NAME: 66101 Gv�1�C L iE21cF 5 4f r-101 CA Section 2: Underground Storage Tanks Program ❑ Routine W Combined ❑ Joint Agency Type o (Tank DLy Type of Monitoring BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 Page 1 of 1 INSPECTION DATE: 8 /6 /a ❑ Multi- Agency ❑ Complaint ❑ Re- Inspection Number of Tanks 3 Type of Piping 12/y P OPERATION C V COMMENTS Proper tank data on file Proper owner / operator data on file x Permit fees current Certification of Financial Responsibility Monitoring record adequate and current x q a MiSS�NS I�loNifv/� %N/ P 2�/ oN S. Maintenance records adequate and current Failure to correct prior UST violations x Has there been an unauthorized release? ❑ Yes 1,44 No Section 3: Aboveground Storage Tanks 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 r Inspector: �iCIU /te r Cl� /1/2 Questions regarding this inspection? Please call us at (661) 326 -3979 White — Prevention Services Business Site Responsible Party Pink - Business Copy KBF•7335 FD 2156 (Rev. 09/05) __ - % -- .; _ 1 ..► �' � � /� %'