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Home My WebLink About4647 WILSON ROAD (4)UNIFIED PROGRAM INSPECTION CHECKLIST, S E C T 10 N 1: Business Plan and Inventory Program. as r i it! t_._.R FIRE a, t T 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 r z 9; 30-, ADDRESS y r,).- /SOA/ ,ee1/ 8 PHONE NO. s3 - Z NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER 9 0/5-- 0.21- 6o0o0`0Fr Consent to Inspect Name /Title 6; L) 0 `NOC 1N Section 1: Business Plan and Inventory Program ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT T 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) HOUSEKEEPING CFC: 304.1) FIRE PROTECTION CFC: 903 & 906) SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? YES NO SienatureofReceipt Explain: 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 8/1/ M,5r 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 6n10) UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1, Business Plan and Inventory Program d Ii R S_F_I 8 I. 1) FIRE EPAR rM r BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME 7 INSPECTION DATE INSPECTION TIME 9,'3o an ADDRESS V)) r,'SO a . e/ _ PHONE NO. 93.7 -693 z NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER BMC: 15.65.080) Consent to Inspect Name/Title p 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) I 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)) I EMERGENCY PROCEDURES ADEQUATE CCR: 2731) IF, CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 4 El HOUSEKEEPING CFC: 304.1) FIRE PROTECTION CFC: 903 & 906) C SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? YES NO Signature ofReii t Explain: POST INSPECTION INSTRUCTIONS: Correct the violation(s) noted above by 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 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 6H10) iP FACILITY NAME: 4%16 LI l GJ11/3j2A'--' {0 i3a1,e E_1 - y ?3c)9 Section 2: Underground Storage Tanks Program 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: Z g Routine Combined Joint Agency Multi- Agency Complaint Re- Inspection Type of Tank )LJ Fc -5 Number of Tanks 9- Z Type of Monitoring A-rCa Type of Piping DIJ F 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 WNo 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 Inspector: Questions regarding this inspection? Please call us at (661) 326 -3979 White — Prevention Services KBF -7335 f_ Business Si bAesponsible Party Pink - Business Copy FD 2156 (Rev. 09/05)