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Home My WebLink AboutBUSINESS PLAN 11/14/2011� B "_R _s �' ' —° UNIFIED PROGRAM INSPECTION CHECKLIST FIRE �--- = - -__ ARTM T SECTION 1: Business- Plan and Inventory Program BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 9330.1 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTION DATE ' INSPECTION TIME L uc 1,1v 17. l i/ 9.30 +--1 ADDRESS PHONE NO. NO OF EMPLOYEES �� s -� A. 0� & (,/ - zZ BUSIf1 @SS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) FACILITY CONTACT BUSINESS ID NUMBER ❑ VISIBLE ADDRESS Consent to Inspect Name /Title Section1: Business Plan and Inventory Program ❑ ROUTINE COMBINED ` ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V C= Compliance OPERATION V= Violation C O M M E N T S ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑ BUSIf1 @SS 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) ❑ HOUSEKEEPING (CFC: 304.1) ❑ FIRE PROTECTION (CFC: 903 & 906) . Pzs7- �� o"� ie.�tlNvz/ 5c'12✓i r_G Oti ,_, %4e? 'ti r ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? El YES NO Signature of Receipt Explain: PUS'F INSPUCI'IUN INS''RUCCIONS: • 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 Fiww� o tap r es, 2101 H Street, California 93301 0 00 White — Business Copy Ye16W — 13usiness Copy to be sent in aver return to Compliance . Signature (that all violations have been corrected as noted) Date Pink — Prevention Services Copy M2155 (Rev 6//10) i i 1 ` . Jz , �.�, .} BAKERSFIELD FIRE DEPT. UNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services N_ I _.I _R S. F I L+ L D FIRE 2101 H Street �__ - - - - -- - ._.--- _----- - - - - -- _ -- — _._-- - -__�1 EARTH , r Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME L k/N l7 /I 11q1ji q- , '30"4--4, ADDRESS % PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) Consent to Inspect Name /Title (Y'7 �� ' �`r f / � _. Section 1: Business Plan and Inventory Program ❑ ROUTINE CK COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS El. ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) /r.i� ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ❑ CORRECT OCCUPANCY (CBC: 401) �i: ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) l// El VERIFICATION OF LOCATION (CCR: 2729.2) 'ffJ ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) i� ❑ 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) ❑ [2; FIRE PROTECTION (CFC: 903 & 906) ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) J ANY HAZARDOUS WASTE ON SITE? ❑ YES 0'NO Signature of Receipt Explain: J 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 Fir eaDG pt. Pr�v ntnSices, 2101 H Street, California 93301 M3 o o R Signature (that all violations have been corrected as noted) Date White — Business Copy Ye owv- Business Copy to be Sent in alter return to Compliance Pink — Prevention Services Copy 17D2155 (Rev 61/10) INSPECTIONS I BUSINESS PLAN & INVENTORY PROGRAM UNIFIED PROGRAM INSPECTION CHECKLIST BAKERSFIELD FIRE DEP *. Prevention eefoces,. \cVkA� = R s e n 1501 Truxtun Avenue, lst Floor FIRE Bakersfield, CA 93301 ` O A'�/' T Tel.: (661) 326 -3979 LUC ley 7 FACILITY NAME: Section 2: Underground Storage Tank Program Page 'of 'l �� CZUA ZV X7%0 INSPECTION DATE: /I m/4 J ❑ Routine 15. Combined ❑ Jo�'nt A ency ❑ Multi- Agency ❑ Complaint ❑ Re- Inspection Type of Tank P�(A1 i` �. C . Number of Tanks 3 Type of Monitoring CCW1 Type of Piping (A) a r OPERATION C V COMMENTS Proper tank data on file Proper owner / operator data on file Permit fees current Certification of Financial Responsibility M�SSi N� v/I�C CC/� CzTF �w Monitoring record adequate and current CT X %'%acv, Z,,✓5 2N rVG S /3G Grp' Maintenance records adequate and current X 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: nspector a n i a— 326 -3362 Questions regarding this inspection? Please call us at (661) 326 -3979 White — Prevention Services Business Site Responsible Party Pink - Business Copy FD 2156 (Rev. 03/08) i "6"Ne% ✓,'f%CF5 ANNU21 P CcRT ,-, V5i. J OZT2- ✓sr &,c -,ee