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Home My WebLink About3360 PANAMA LANE (8)UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program d G R S F I E L U F/BE ARTM T BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NZj INSPECTION DATE INSPECTION TIME ADDRESS n PHONE NO. 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 C °Compliance OPERATION COMMENTS V= Violation APPROPRIATE PERMIT ON HAND BMC: 15.65.080) Business PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1) IKI VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) LIB CORRECT OCCUPANCY CBC:401) t ' 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)) 0 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 Signature ofReceipt .l 1 Explain: POST INSPECTION INSTRUCTIONS: 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 H Street, California 93301 Signature (that all violations have been corrected as noted) Date While — Business Copy Yellow — Business Copy to be Sent in afterreturn toCompliance Pink — Prevention Services Copy FD2155 (Rev 6010) BAKERSFIELD FIRE DEPT. Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST '' -RLSF 0 1 1) 2101 H StreetF / Bakersfield, CA 93301 SECTION 1. Business Plan and Inventory Program Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME A C= Compliance OPERATION INSPECTION DATE INSPECTION TIME V= Violation ADDRESS APPROPRIATE PERMIT ON HAND PHONE NO. NO OF EMPLOYEES t( Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020) r FACILITY CONTACT BUSINESS ID NUMBER t p` Consent to Inspect Name /Title CBC:401) l J 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) N Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020) r t p` CORRECT OCCUPANCY CBC:401) l J VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3) VERIFICATION OF QUANTITIES CCR: 2729.4) VERIFICATION OF LOCATION CCR: 2729.2) x PROPER SEGREGATION OF MATERIAL CFC: 2704.1) B VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b)) r 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) de HOUSEKEEPING CFC: 304.1) FIRE PROTECTION CFC: 903 & 906) e SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? YES NO Signature ofRecei 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 Signature (that all violations have been corrected as noted) Date White — Business Copy Yellow— Business Copy to be Sent in alter return to Compliance fink — Prevention Services Copy 1 1'132155 (Rev 6H 10) INSPECTIONS me BUSINESS PLAN & INVENTORY PROGRAM UNIFIED PROGRAM INSPECTION CHECKLIST B E R S F I E L D FIRE ARrM r 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 FACILITY NAME: alk 1)(_a '1 INSPECTION DATE: Section 2: nderground Storage Tanks PPogra Routine Combined Joint Agency Multi- Agency Complaint Re- Inspection Type of ank Number of Tanks Type of Monitoring Type of Piping 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 StN o 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 zz Violation Y = Yes N = No Inspector: ec 4L Questions regarding this inspection? Please call us at (661) 326 -3979 White – Prevention Services mzi6w4 Business Site Responsible Party Pink - Business Copy KBF -7335 FD 2156 (Rev. 09/05)