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Home My WebLink About1200 COFFEE ROAD (5)UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program d K_E R'S _r_, I_Y D FIRE — ARTM T 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 INSPECTION TIME ADDRESS. 12-60 C' 2 .' /// _?_70 'S C. PHONE NO. a:3 NO OF EMPLOYEES FACILITY CONTACT BUSINESS PLAN CONTACT INFORMATION ACCURATE BUSINESS ID NUMBER t Consent to Inspect Name /Title VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020) dl CORRECT OCCUPANCY CBC: 401) Section 1: Business Plan and Inventory Program ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS I APPROPRIATE PERMIT ON HAND BMC: 1.65 080) BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1) t VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020) dl 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)(B)). 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) HOUSEKEEPING CFC: 304.1) FIRE PROTECTION CFC: 903 & 906) SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? YES NO Siy_natureof'Receipt Explain: POST INSPECTION INSTRUCTIONS: Refer to the back of this inspection report for regulatory citations and corrective actions 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, 2101.1 Street, California 93301 QnsoWor Duran Sign re_ (that all violations have been corrected as noted) Date White —Business Copy ` 26 business Copy to be Sent in after-return to Compliance pink prevention Services Copy FD2155 (Rev 12/1 1) ._ Kt 1 €:- 3`.. UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program EL_ K...e_R _s__ r_ t. e_ D F/RE c "ARTM r 4 BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME c t INSPECTION DATE INSPECTION TIME COMMENTS f E] APPROPRIATE PERMIT ON HAND ADDRESS I IJ PHONE NO. NO OF EMPLOYEES BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1) I FACILITY CONTACT VISIBLE ADDRESS BUSINESS ID NUMBER CORRECT OCCUPANCY Consent to Inspect Name /Title IB i, , CCR: 2729.3) f Section 1: Business Plan and Inventory Program ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS f E] APPROPRIATE PERMIT ON HAND BMC: 1.65.080) BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1) I VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020) 5 CORRECT OCCUPANCY CBC:401) IB VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3) f VERIFICATION OF QUANTITIES CCR: 2729.4) VERIFICATION OF LOCATION CCR: 2729.2) fiff PROPER SEGREGATION OF MATERIAL CCR: 2704.1) VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(6)) VERIFICATION OF HAZ MAT TRAINING CCR: 2732) K VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR: 2731)) EMERGENCY PROCEDURES ADEQUATE CCR: 2731) CONTAINERS PROPERLY LABELED CCR: 66262.34(F), CFC 2703.5) HOUSEKEEPING CFC: 304.1) FIRE PROTECTION CFC: 903 & 906) NIS f El SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? YES NO Signature of Receipt Explain: POS'h INSPEC77UN INS 'I I4UC I IONS: Refer to the back of this inspection report for regulatory citations and corrective actions 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., Proven n Services, 2101 H Street, California 93301 oQ MR a White — Business Copy 323- M. c o — Business Copy to be Sent in alter return to Compliance ign titre (that all violations have been corrected as noted) Date Pink Prevention Services Copy 1"D2155 (Rev 12/11) 3 0 BAKERSFIELD FIRE DEPT. INSPECTIONS Prevention Services s x x s i s D 1501 Truxtun Avenue, 1st Floor FIRE Bakel, CA BUSINESS PLAN & o ARTM T Tel.: (661) 326-93979 INVENTORY PROGRAM L Fax: (661) 852 -2171 UNIFIED PROGRAM INSPECTION CHECKLIST Page 1 of I V2)< irp 7F FACILITY NAME: INSPECTION DATE: 7 L l-- 64 9330& Section 2: Underground Storage ank Program Routine Combined Joint Agency Multi- Agency Complaint Re- Inspection Type Tank ai'j77 5G. Number of Tanks 17 Type of Monitoring r-E-M Type of Piping [)WF OPERATION C V COMMENTS Proper tank data on file Proper owner / operator data on file Permit fees current Certification of Financial Responsibility c)- --` 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 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: or uran 326 -3656 Questions regarding this inspection? Please call us at (661) 326 -3979 White - Prevention Services Business Site es onsi le Party Pink - Business Copy FD 2156 (Rev. 03/08) E ,;. g?','•,Vi',.•.