HomeMy WebLinkAbout705 UNION AVENUE (9)BAKERSFIELD FIRE DEPT.
INSPECTIONS Prevention Services
s R SF 13 n 1501 Truxtun Avenue, 1s, Floor
BUSINESS PLAN & FIRE Bakersfield, CA 93301
L AV" T Tel.: (661) 326 -3979
INVENTORY PROGRAM Fax: (661) 852 -2171
UNIFIED PROGRAM INSPECTION CHECKLIST
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Page I of I
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FACILITY NAME: S • (JNrPON 4L/F INSPECTION DATE:
132/ / 933c)?
Section 2: Underground Storage Tank Program
Routine Combined
Type o Tank _
Type of Monitoring _
Joint Agency Multi- Agency Complaint
Number of Tanks
Type of Piping
Re- Inspection
OPERATION C V COMMENTS
Proper tank data on file X N v T K Tz
6.
Proper owner / operator data on file NEB v ilz7 cr'/ 0,0
Permit fees current X.
Certification of Financial Responsibility
Monitoring record adequate and current
Maintenance records adequate and current X7FailuretocorrectpriorUSTviolations
Has there been an unauthorized release? Yes No
Section 3: Aboveground Storage Tank Program
Tank Size(s) Aggregate Capacity
Type of Tank 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 ?)
It yes, does tank have overfill / overspill protection?
C = Compliance V = Violation Y = Yes N = No
Inspector: 44--1)
Questions regarding this inspection? Please call us at (661) 326 -3979
White — Prevention Services
siness Site Responsible Party
Pink - Business Copy
FD 2156 (Rev. 03/08)
9
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1': .Business Plan and Inventory- Program"
BAKERSFIELD FIRE DEPT.
Prevention ServicesJDARSFI. E I)
IRE 2101 H Street
erM t Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE INSPECTION
COMMENTS
13
vTIME
ADDRESS PHONE NO. NO OF EMPLOYEES -
i / 4I 8 Z-SfW
FACILITY CONTACT BUSINESS ID NUMBER
CFC: 505.1, BMC: 15.52.020)
r 73o Hzu ue,,V S - o9v -
CORRECT OCCUPANCY
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
COMMENTS
13 APPROPRIATE PERMIT ON HAND BMC: 1.65:080) l
CCCJJJ —J
K BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
f 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 CCR: 2704.1)
VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(6))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES CCR: 2731))
EMERGENCY PROCEDURES ADEQUATE . CCR: 2731)
CONTAINERS PROPERLY LABELED CCR: 66262.34(F), CFC 2703.5)
j I
HOUSEKEEPING CFC: 304.1)
I
FIRE PROTECTION CFC: 903 & 906)
SITE DIAGRAM ADEQUATE &.ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES NO SianatureofReceipt
Explain:
POST INSPECTION INSTRUCTIONS:
Refer to the back of this inspection. report for regulatory citations and corrective action
Correct the violation(s) noted above by
Within 5 days ofcorrecting all of the violations, sign and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 1 -1 Street, Cali lornia 93301
White - Business Copy Yellow - Business Copy to be Sent in after return to Compliance
Sgnature ia6at lol tions have been corrected as noted)
L
D e f
Pink Prevention Services Copy FD2155 (Rev 12/11)
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
BAKERSFIELD FIRE DEPT.
Prevention Services
K H R -_S P I e I)
FIRE 2101 H Street
nffARTM T Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
14.1 )OW-12 OVI SCA*11/5
V= Violation
ADDRESS PHONE NO. NO OF EMPLOYEES
APPROPRIATE PERMIT ON HAND BMC: 1.65.080). t f
FACILITY CONTACT BUSINESS ID NUMBER
Sc- 077— / n 2fLlAloLi PS - () 2- 4///I?
Consent to Inspect Name /Title
Section 1: Business Plan and Inventory Program
ROUTINE i COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v C= Compliance OPERATION COMMENTS
V= Violation
APPROPRIATE PERMIT ON HAND BMC: 1.65.080). t f
Eg,^ BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
25 IAJ6 6
I VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020) ti
4
0
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 CCR: 2704.1)
VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(8))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES CCR: 2731))
EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
2 CONTAINERS PROPERLY LABELED CCR: 66262.34(F), CFC 2703.5)
1127
HOUSEKEEPING CFC: 304.1)
FIRE PROTECTION CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES NO Sienatureof Receipt
Explain: j
POST INSPECTION INSTRUCTIONS:
Refer to the back of this inspection report for regulatory citations and corrective action
Correct the violations) noted above by
Within 5 days ofcorrecting all of the violations, sign and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 1 -1 Street, California 93301
White — Business Copy Yellow —Ilusiness Copy to be Sent in after return to Compliance
Signature (that'all- violations have been corrected as noted)
D
Kink Prevention Services Copy F1321 55 (Rev 12/11)