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HomeMy WebLinkAbout1125 COFFEE ROAD (14)UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program fl AS__ F ,I iP L D IRE R It , T \ I BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME v INSPECTION DATE INSPECTION TIME l F's V N lQ 1% d q• ?b.2--- ADDRESS 2 S aI c/ I PHONE NO. bbl 5 -90 NO OF EMPLOYEES FACILITY CONTACT 930 BUSINESS ID NUMBER 0/ !_ - (L2 l - 0015-2 Z Consent to Inspect Name/Title MIIII V ' CPe I t 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) 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) J CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) HOUSEKEEPING (CFC: 304.1) s;r 6I&I-jeo FIRE PROTECTION (CFC: 903 & 906) SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SI'T'E ?? RYES NO 6 6 / OW12—q " Signature of Receipt Explain: 3V g-2/ . -ESP 20 Fibs -zr- r4Es POST INSPECTION INSTRUCTIONS: Correct the violation(s) noted above by Within 5 days ofcorrecting all ofthe violations, sign and return a copy of this page to: Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 i JS 6 -Cc A : Ci4'ViG ED iva 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 6//10) sd -9 1 X30% oie 5 2z KERN BUSINESSBUSINESS FORMS - (661) 325 -5818 - #6013 UNIFIED PROGRAM 4NSPECTION CHECKLIST SECTION 1: Business-Plan and Inventory Program r B_ LAN R S F 1 B _I) IRE rM r BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME v c= Compliance_ OPERATION V= Violation INSPECTION DATE 1012-9110 INSPECTION TIME 19 : Z'D _7n ADDRESS 2 57 EE t aI x-/61 CA! PHONE NO. 61,19 sS-,-r- `1o6& NO OF EMPLOYEES FACILITY CONTACT CCR: 2729.1) BUSINESS ID NUMBER D/5 -21- no/5a Z Consent to Inspect Name /Title NA Ad SU UlAMA t f ul. r/ CORRECT OCCUPANCY CBC: 401) VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3) 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) 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) fY SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? PEES A<e NO Signature of Receipt yj- 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 1iUSpECTE : iQAliG MEDirva 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 6//10) FACILITY NAME: 1 7 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: Routine Combined Joint Agency Multi- Agency Complaint Re- Inspection Type f Tank owrC S Number of Tanks 3 Type of Monitoring GSM Type of Piping n WF 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 jl Has there been an unauthorized release? Yes XNo 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: EKN C Am 4es Questions regarding this inspection? Please call us at (661) 326 -3979 White — Prevention Services Business siteXespdrdible Party Pink - Business Copy KBF -7335 FD 2156 (Rev. 09/05)