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Home My WebLink About1030 OAK STREET (6)UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program B E R S F L! L D FIRE- ARM r BAKERSFIELD. FIRE DEPT. Prevention .Services . 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME COMMENTS APPROPRIATE PERMIT ON HAND ADDRESS PHONE NO. NO OF EMPLOYEES TT I/ 3 Vc% ST- K r 4 C Q SO l ill FACILITY CONTACT BUSINESS ID NUMBER 2I- 00 -39 Consent to Inspect Name /Title Section 1.: Business Plan and Inventory Program ROUTINE WCOMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION C I) 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) A 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) 1 EIRE PROTECTION CFC: 903 & 906) SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE YES NO Signature4off Recei t Explain: '• t A M4 " "' - ' j- — - -) POST INSPECI'10N INS7'RU014ONS: ` 0 Correct the violation(s) noted above by O Within 5 days of correcting all ofthe violations, sign and return a copy of this page to: Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 Virile — t3usiness Copy Yellow — Business Copy to be Sent in alter return to Compliance V Signature (that all violations have been corrected as noted) Date Pink — Prevention Services Copy P02I55 e.". —1.) UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program B E R S_P 1 B 1, D FIRE— — ARrM r BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTION DATE, INSPECTION TIME COMMENTS I '" 1-;. 1 V= Violation ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACTCONTACT BUSINESS ID NUMBER r = j,1);21-0(-, 3.3 21 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 COMMENTS V= Violation w APPROPRIATE PERMIT ON HAND BMC: 15.65.080) a Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1 12 VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020) CORRECT OCCUPANCY CBC: 401) VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3) r} VERIFICATION OF QUANTITIES CCR: 2729.4) f VERIFICATION OF LOCATION CCR: 2729.2) f PROPER SEGREGATION OF MATERIAL CFC: 2704.1) t w VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b)) t' El VERIFICATION OF HAZ MAT TRAINING CCR: 2732) IJ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) r EMERGENCY PROCEDURES ADEQUATE CCR: 2731) CONTAINERS PROPERLY LABELED CCR: 66262.34(f), CFC: 2703.5) D, HOUSEKEEPING CFC: 304.1) r FIRE PROTECTION CFC: 903 & 906) t SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? YES NO ! Si nature, fRecei t Explain:' t Ir t POST INSPECTION INSTRUCTIONS: Correct the violation(s) noted above by Within 5 days ofcorrecting all ofthe violations, sign and return a copy ofthis page to: uerst -tell Fire Dept., Prevention Services, 2101 H Street, California 93301 nc .- I)usiucss 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 FD2I55 (Rev 6H10) INSPECTIONS saxERSFIELD FIRE DEPT. Prevention Services s n 1501 Truxtun Avenue, lgt Floor p /R/ Bakersfield, CA 93301 BUSINESS PLAN & ARrk r Tel.: (661) 326 -3979 INVENTORY PROGRAM '/\ Fax: (661) 852 -2171 UNIFIED PROGRAM INSPECTION CHECKLIST Page 1 of I C /`.PC /c- /< . II FACILITY NAME: a/ 5-1 INSPECTION DATE: 13a, -6/zs 7' C4 9330 Section 2: Underground Storage ank Program Routine X Combined Joint Agency Multi- Agency Complaint Re- Inspection Type of Tank i2w F Number of Tanks Z Type of Monitoring _ C. _./l Type of Piping Dw E 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 0 No 3 1 1 ,_ i Section 3: Aboveground Storage Tank Program Tank Size(s) Type of Tank Aggregate Capacity Number of Tanks Q 4o a'1h'5+'-b OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding /labeling Is tank used to dispense MVF ?) It 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 Pink - Business Copy FD 2156 (Rev. 03/08)