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Home My WebLink About5634 STINE ROAD (5)UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1:: Business Plan and Inventory Program 1.. ArgsrI emit F /RE RTM r BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 . Fax: (661).852 -2171 FACILITY NAME 1 INS ECTION DATE INSPECTION TIME ADDRESS 5 3 S7".'.v6 k / C,9 93313 HONE NO. G /i S341- s62 NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name /Title Section 1: Business Plan and.lnventory 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) s 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)) D (\_ 1 VERIFICATION OF HAZ MAT TRAINING CCR: 2732) VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) Q.- EMERGENCY PROCEDURES ADEQUATE CCR: 2731) CONTAINERS PROPERLY LABELED CCR: 66262.34(f), CFC: 2703.5) HOUSEKEEPING CFC: 304.1) FIRE PROTECTION CFC: 903 & 906) SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2) i ANY HAZARDOUS WASTE ON SITE? YES NO Si n tureof Recei t Explain: 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: Bakersfield Fire Dept., Prevention Services, 210I.H Street; California 93301 Signature (that all violations have been corrected as noted) Date White —Business Copy Yellow— Business Copy to be Sent in afterreturn to Compliance Pink — prevention Services Copy FD2155 (Rev 6H10) r -)2 95"7 KERN BUSINESS FORMS - (881) 325-5818-#6013 BAKERSFIELD FIRE DEPT. UNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services4ARTM _R_S_ P I L L U FIRE 2101 H Street v- = it Bakersfield; CA 93301. SECTION 1: Business Plan and Inventory Program i / Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME COMMENTS V= Violation ADDRESS 4 3 vc Oar - }k ?S, rr / C'1 X331 HONE NO. i) g;y- $('y' NO OF EMPLOYEES FACILITY CONTACT 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 COMMENTS V= Violation APPROPRIATE PERMIT ON HAND BMC: 15.65.080) J 4; Business PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1) El VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) I/ 2 CORRECT OCCUPANCY CBC:401) VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3) VERIFICATION OF QUANTITIES, CCR: 2729.4) VERIFICATION OF LOCATION CCR: 2729.2) i PROPER SEGREGATION OF MATERIAL CFC: 2704.1) VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b)) ll, 1:1 a` VERIFICATION OF HAZ MAT TRAINING CCR: 2732) a VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) 0;, EMERGENCY PROCEDURES ADEQUATE CCR: 2731) El" CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) I HOUSEKEEPING CFC: 304.1) FIRE PROTECTION CFC: 903 & 906) T SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? YES NO Si na'tureofRecei t Explain: I -- 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 Signature (that all violations have been corrected as noted) Date White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6//10) INSPECTIONS BUSINESS PLAN & INVENTORY PROGRAM UNIFIED PROGRAM INSPECTION CHECKLIST BAKERSFIELD FIRE DEPT. Prevention Services a = e D 1501 Truxtun Avenue, 1-st Flo FIRE Bakersfield, CA 93301 ARrm r Tel.: (661) 326 -3979 FACILITY NAME: 3 S iV / INSPECTION DATE: - 732x 2s CA 93313 Section 2: Underground Storage Tank Program Routine < Combined Join ncy Multi- Agency Complaint Re- Inspection Type o Tank ft Number of Tanks k Z L i S Type of Monitoring 'o GLM Type of Piping OPERATION C V or Proper tank data on file Proper owner / operator data on file Fax: (661) 852 -2171 Page I of I FACILITY NAME: 3 S iV / INSPECTION DATE: - 732x 2s CA 93313 Section 2: Underground Storage Tank Program Routine < Combined Join ncy Multi- Agency Complaint Re- Inspection Type o Tank ft Number of Tanks k Z L i S Type of Monitoring 'o GLM Type of Piping OPERATION C V COMMENTS Proper tank data on file Proper owner / operator data on file Permit fees current XA 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 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 placard!ng /labeling Is tank used to dispense MVF ?) If 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 1 Busindss Site Responsible Party Pink - Business Copy FD 2156 (Rev. 03/08)