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HomeMy WebLinkAboutINSPECTIONSBakersfield Fire Dept.~ Enironmental Services 1715 Chester Ave SECTION 1. Business Plan and Inventory Program Bakersfield, CA 9330l Tel: (661)326-3979 ADDRESS ................................................. IP~ON~'' ........ NoYof E p oyee FACILITYCONTACT IBusiness--i~u-mber ! 1.5-021 - "'" '~"" '~'~ ~--:i :~:i','~ ':~':.' ?",i?'i::'~''~' :,': sebtion ~lfBUsiness Plan. and In~entorypr°gram i'~' ' [] Routine ~Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection C V (C=Cor. pliance~ OPERATION COMMENTS ~, V=Violation ~ [] APPROPRIATE PERMIT ON HAND ~[~ [] BUSINESS PLAN CONTACT INFORMATION ACCURATE ~i~ []'1 VISIBLE ADDRESS ~ [] CORRECT OCCUPANCY '  [] VERIFICATION OF INVENTORY MATERIALS  [] VERIFICATION OF QUANTITIES ............................................................................ [] VERIFICATION OF LOCATION ~ [] PROPER SEGREGATION OF MATER,AL '~ [] VERIFICATION OF MSDS AVAtLABILITYE .~ [] VERIFICATION OF HA'~IAT TRAINING  [] VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES  [] EMERGENCY PROCEDURES ADEQUATE '~ [] CONTAINERS PROPERLY LABELED ~ [] HOUSEKEEPING f.._[] FIRE PROTECTION [] SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: [] YES ~ No EXPLAIN: "' .~ White - Environmental Services Yellow - Station Copy Pink - Business Copy CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3r'~ Floor, Bakersfield, CA 93301 Section 2: Underground Storage Tanks Program [] Routine ~Combined [] Joint Age.ncy [] Multi-Agency [] Complaint [] Re-inspection Type ofTa'nk ~ ~ L-- (t'q_. P, ]~ Number of Tanks g Type of Monitoring .~_~-l--C--~.. Type of Piping ' ~-a~._} .~ (0, -P, ) 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 No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) AGGREGATE CAPACITY Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC available . SPCC on file with OES A&quate 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 Office of~i~h~nln[al-S'~ice.~l)3~79 Business Site Responsible Party ~ ~ White - Env. Svcs. Pink - Business Copy ' ITY OF BAKE{I FIELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (661) 326-3979 NSPECTION RECORD POST CARD AT JOB SITE Facility ~'C3'3__ ,~'"~q'lc, a~ ~'t~r Owner Add.ss G ~ I ~ ~C~ Add~ City, Z}~ City, Zip -' INSTRU~IONS: Ple~e call roran ins~lor only when ~h ~up ofins~fions with the ~e numar am ~dy. ~ey.will mn in conseculive o~er beginning wilh number I. ~ NOT cover wo~ tbr ~y numbe~ ~up umil all ile~ in I~I ~up am si~ offby the Pe~iuing AulhoHly. Following these instructions will number or ~ui~d ins~lion visits ~d lh~mtb~ p~enl ~menl ora~i~ional r~. . _ TAN~ AND BACKFILL : INSPE~ION: .: DATE 'INSPECTOR .... " BackfillofT~k(s) "~ -::" "' : '''' : ;"" ' - .. :.....:' ...~'..=~;:-L '?.' ..... Sp~ T.t C~.ifi~i~ ~r'M~ur~tu~ M~ "J ~-~c-'_ :;J~.J ;~ ~.-:~ .:~'. -. ;~. '~' ........ - Cath~ic P~t~ti0n of T~k(s) ' "' ": .? , .... ' '. ' ' ' PIPINGSY~EM ". .... ":¢.. ..... .~.. ... Piping & Race~y. w/Collation S~mp :, .~ .' .':, ;':-:'~'.':= ~: '~ ::?.~:~ ' :' · Cat'lc ~t~ti°'~' ~y~te~Pi~i~ '~?, '" "'~-.-: '. '~;?.?;~:'~- q ';.~ '.=''~ .-~:, ~..;' ~ '?i'~ Dis~nser P~ ";: ~" · '":"-? , ,'. ',:: -'~ " ' " SECONDARY CO~AINME~, O~ILL PROTE~ION, LEAK DE~ION - " ,' . :. -, ,', .~; Liner lns~llation -"T~k(s)' h ~. ?' "- .. ;.~- '% · '. ': '-': '; ................. .. - Liner Installation-Piping"' :'-:. ' ;""" - - ' '."· ' ': .... .~"~ J i' ' _ _ · . .. ' , '- . , , %?; '~,,~'~,~: P~uct Compatible Fill Box(~) ' '..' :... Leak ~t~toffs) for Annual Space-O.W. T~k(s) ............ Monitoring Well(s~sum~s) - H20 Test .:: Leak ~tection ~vic~s)~or Vados~Gmundwater ' . . Spill Prevention Box~ ' FINAL Monitod.g: Fill Box L~k Monitodng Requi~men~ Type UtOtem.+ ~'t~ RECORI . INSPECTION Bakersfield Fire Dept. 1715 Chester Ave. Bakersfield, CA 93301 FACILITY NAME: MANAGER NAME: FACILITY PHONE BUSINESS OWNER NAME, ADDRESS, ZIP CODE BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS, ZIP CODE, PHONE No. OCC TYPE ·[ OCC LOAD No. OF FLOORS I HI RISE BLDG. I RISER DATE I I YES I-I NO El I VIOLATION NOTICE CORRECTION: DATEOFREINSPECTION 3. 10. 11. 12. 13. 14. 15. NOTES CUSTOMER: ,'~ ?--~:j'~ ['~ .C?-Li~/~'7 ~ FIRE PI~EV~NTION SERVICES INSPECTOR: ~ t'~J~S ¢,~ No. "~' (661) 326-3979 WHITE ORIGINAL-OWNER YELLOW-INSPECTOR'S COPY PINK-FILE FD1952 Bakersfield Fire Dept. UNIFIED PROGRAM INSPECTION CHECKLIST I Enb'onmenta] Services '== ' "" '" "'"""' ' '" ' ' ' ' ""' "' "'i 17 !5 Chester ^ye SECTION 1 Business Plan and Inventory Program Bakersfield, CA 9330] Teh {661)326-3979 [~.FACR. ITY NAME IINSPECTION OATE t INSPECTION TIME · / ' 15-021- Section 1: Business Plan and Inventory Program ~ Routine '~ Combined ~ Joint Agency ~ Multi-Agency I~ Complaint r'l Re-inspection C V [ C=Compliance '~ OPERATION COMMENTS ~, V=Violation s ......................................................................................................................................... -'~ VERIFICATION OF MSDS AVAILABILI~E CONTAINERS PROPERLY ~BELED ~ SITE DIAGRAM ADEQUATE & ON HAND ANY H~ARDOUS WASTE ON SITE?; ~ YES ~No EXPLAIN: ..... InspectOr ............ ~dg~-~'~:: ............ --~~ Party White. Environmental Services Yellow - Station Copy Pink - Business Copy CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CltECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILFI'Y NAME (~CC ,~q~.,4-lo/q ~--~- INSPECTION DATE q'3O 03 Section 2: Underground Storage Tanks Program [] Routine ' [~ Combined~[],_Joi, 0.~/ Agency [] Multi-Agency [] Complaint [] Re-inspection Type of Tank ,SUdta. ~¢ · Number of Tanks 3 Type of Monitoring ,~T'(w Type of Piping ,.60dS (~ d,., P. } OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file Pennit tees 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 No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) AGGREGATE CAPACITY Type of Tank 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: ...~ d&_J'~ _ Office of Environmental Services (661) 326-3979 '"'"'Business Site Responsible Party White - Env. Svcs. Pink - Business Copy CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKI~IST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME 0)a~tc .h~O'~ ~L~ INSPECTION DATE f-o~3'O'~ ADDRESS &.E,.c ,5'T PHONE NO. ~31- i'I?g- FACILITY CONTACT BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program {~ Routine ~°mbined [~ Joint Agency ~ Multi-Agency ~ Complaint I~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand ( Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training L Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping ~.. Fire Protection I Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: [~ Yes [~ No Explain: [/~~ Questions regarding this inspection? Please call us at (661)326-3979 -Business Site/~. esponsjble Party CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME {~.C.~' .qlu:t_JdO'~ INSPECTION DATE q" Section 2: Underground Storage Tanks Program [] Routine [~ombined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection Type of Tank ~O.}.c~ Number of Tanks Type of Monitoring _~TC~ 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 No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) AGGREGATE CAPACITY' Type of Tank Number Df 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 /IV=Violation Y=Yes N=NO Inspector: Office of Environmental Services (805) 326-3979 Business Site Responsible Party White - Env. Svcs. Pink - Business Copy CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ()/l,*v, //141vt~ t,~R~_~t ~SPECTION DATE ADDRESS [~3[ ~tc PHONENO. FACILITY CONTACT BUSINESS IDNO. 15-210- ~SPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program I~1 Routine [~Combined I~ Joint Agency ~ Multi-Agency ~ Complaint {~ Re-inspection OPERATION C V COMMENTS / Appropriate permit on hand Business plan contact information accurate k.,, /' Visible address Correct occupancy ~ / Verification of inventory materials Verification of quantities ~ /i Verification of location C~ /' Proper segregation of material L, / /l Verification of MSDS availability L,' Verification of Haz Mat training L,,' / / Verification of abatement supplies and procedures L/ Emergency procedures adequate / Containers properly labeled / Housekeeping Fire Protection Site Diagram Adequate & On Hand L, / C=Compliance V=Violation Any hazardous waste on site?: [~1 Yes ~No Questions regarding this inspection? Please call us at (661) 326-3979 Business ~sp:?~arty White- Env. Svcs. Yellow- Station Copy Pink- Business Copy Inspector:. CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME 0/llt')~ ~lto[ l~y.Ot'~ INSPECTION DATE lO[ 3/OJ Section 2: Underground Storage Tanks Program [] Routine ~] Combined {~[,Joint Agency [21 Multi-Agency [] Complaint [2[ Re-inspection Type of Tank ,~0J~ (.~rt) Number of Tanks --~ Type of Monitoring ~'-F~ Type of Piping .~Co...q C<. ?"/ OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file Permit tees 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 No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) AGGREGATE CAPACITY' Type of Tank 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=Complian5 ~. V:Violation ¥:Yes N=NO ~.~f~ Inspector: _k~,4_, ;~~D /'~'~C~- Office of Environmental Services (805) 326-3979 ~Bu~ine~s Site Responsible Party White - Env. Svcs. Pink - Business Copy CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME OIMOv, {/~t~n, [~.~ INSPECTION DATE ADDRESS ~31 fitx~r ~' PHONENO. qSl' "'ilo FACILITY CONTACT BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and'Inventory Program [] Routine [~Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures iL/ Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand L/ C=Compliance V=Violation Any hazardous waste on site?: [] Yes ~o Explain: Questions regarding this inspection? Please call us at (661) 326-3979 Business Sit~ Responsible Party White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: ~ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ()tll~ [Mt~ '/14Il. tic INSPECTION DATE Section 2: Underground Storage Tanks Program ~l Routine [~ombined [] Joint Agency [21 Multi-Agency 121 Complaint [] Re-inspection TypeofTank ~50d5 ~mcd Number of Tanks 3 Type of Monitoring !{T'G Type of Piping ,.~t,O~ (2 ~, 19. ) OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file Permit tees current Certification of Financial Responsibility Monitoring record adequate and current V/ Maintenance records adequate and current Failure to correct prior UST violations L,/ Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S). AGGREGATE CAPACITY' Type of Tank 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 Office of Environmental Services (805) 326-3979 Business Site Responsible Party White - Env. Svcs. Pink - Business Copy CITY OF BAKER~iELD OFFICE OF ENVIRON~~~ SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-39'/9 INSPECTION RECORD POST CARD AT .IOB SITE INSTRUCTIONS: PI~~~~~~~~~~~. T~ [ ~S~=ON [ DA~ ~R I , I C~c ~m of T~s) PIPING ~EM Pip~ & ~y w/~ll~ SECONDLY CO~NME~. O~L ~ ~1~ - T~s) Vault Wi~ ~ Co--him ~ C~blm Fill ~ ~ ~ ~s) ~ ~s) for ~ S~D.W. T~s) M~to~{ Well(syS~s) - H20 T~ M~ ~ ~s) f~ V~~ ~ Spill ~i~ ~ FIN~ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CH ECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME O~lo~ ~,~, {q, lat'Y INSPECTION DATE ADDRESS (0f:l{ _0m {,er PHONE NO. 631 ' 7103 FACILITY CONTACT BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES Section 1.: Business Plan and Inventory Program [~/l~outine [] Combined [] Joint Agency [] Multi-Agency [~l Complaint [] Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact intbrmation accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training / Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: ~l Yes [~ No Questions regarding this inspection? Please call us at (805) 326-3979 Business Site ~esponsible Party While- Env. Svcs. Yell,,,,,- Station Col,>, Pink- Business Copy Inspector: ~_~t~a6 ~ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME q)rl,~o, ~m', l/har~- INSPECTION DATE Section 2: Underground Storage Tanks Program ~,/Routine [] Combined [] Joint Agency [~[ Multi-Agency [] Complaint [] Re-inspection Type of Tank ._qtl_5 Number of Tanks $ Type of Monitoring /h t ~ ~ Type of Piping &t.~/5 OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file Permit fees current V 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 t40 Section 3: Aboveground Storage Tanks Program TANK SIZE(S) AGGREGATE CAPACITY' Type of Tank 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: Office of Environmental Services (805) 326-3979 Business Site Responsible Party White - Env. Svcs. Pink - Business Copy