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FACILITY NAME pþ~ p~Rv
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave,. 3rd Floor. Bakersfield. CA 93301 \ \
PèA1Ò f E:J ~NSPECTION DATE /D/5.,ß4-
Section 2:
Underground Storage Tanks Program
o Routine ~Combined 0 Joint Agency
Type of Tank 12..ß1.F
Type of Monitoring <!... lJ ~
o Multi-Agency
Number of Tanks
Type of Piping
o Complaint
I
t)(¡ÙF
ORe-inspection
OPERA TlON C V COMMENTS
Proper tank data on tile ~
, ~
Proper owner/operator data on tile
Pennit fees cun-ent K
Certification of Financial Responsibility )(
Monitoring record adequate and current '/.,
Maintenance records adequate and current v..
Failure to correct prior UST violations ~.
Has there been an unauthorized release? Yes No '-¡
Section 3:
Aboveground Storage Tanks Program
AGGREGA TE CAPACITY
Number of Tanks
TANK SIZE(S)
Type of Tank
OPERA TION
Y N
COMMENTS
SPCC available
SPCC on tile with OES
Adequate secondary protection
Proper tank placarding/labeling
Is tank used to dispense MVF?
ý...
/
/
If yes, Does tank have overtill/overspill protection?
C=Compliance
V=Violation
Y=Yes
N=NO
Pink - Business Copy
UNIFIED PROGRAM INIECTION CHECKLIST
SECTION 1 Business Plan and Inventory Program
Bakersfield Fire Dept.
Enironmental Services
1715 Chester Ave
Bakersfield. CA 93301
Tel: (661)326-3979
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FACILlTYCONTACT Business ID Number
15-021-
Section 1: Business Plan and Inventory Program
l] Routine
~Ombined
l] Joint Agency
l] Multi-Agency
l] Complaint
l] Re-inspection
C V ( c=comPliance)
V=Violation
OPERATION
COMMENTS
M l] ApPROPRIATE PERMIT ON HAND
_~..______________________._____.___,.,_______.___. __·________'4____··___.__...___
){~.__~~SINE~PLA~~N2~~~_I~~~~~~~~~~C~~_RÞ.~_
Þr l].. VISIBLE ADDRESS
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..-..--.-- - -...
l] CORRECT OCCUPANCY
...._--_.__._-~----_._-----_.__.__.__.._---------_._----
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Þ!.__~__~ERI~~~~.ON OF ~~~NT~~~_ MATE~IA~~_m_____ _____ u_ ._____ _ .____ _. _ u.______. _ __._____u__ u ____ u ... ..
_ ~__c:'__ _~:RIF~CA~ON_~~_~~~N~~~~ES ______. uu. _._.. ____u_ .... ___. __________._.. _ _ ____ ._____._.,____ _.. __ ., .___ _ .. u
u~..C?_._~~~~~~AT~~~_~OC~~I~~______.________________ . ________.___._______ _ _.._._u._________ .._. ..u___._'.' .._
~ l] PROPER SEGREGATION OF MATERIAL
l(---l] -~ER;FIC~TION ~F ~-S~S AV~;:ABILI~~'-·------·---u--. .___..______,_,__u___._ . .... ____.___.u.._ ..---.---. ---- u_
---------_._---._---_._----_._---------~----_.._-- .---.. .-----.....-.---... .----.. .-- _ .-...-...---..--.---------.-- '-- -'- --.'-.---'-.-"---"'-- ..---.-----..... ._.._--~----. -.'- -.- -- -- ---
;gf l] VERIFICATION OF H.~MAT TRAINING
){ --ã- VERIFICATI~~~-~~:TE~;NT S~;~;~~-~~D-;~~~~~~~~~--·----· h ---.-.----, . _u________ ..__.u__u__ u. u' uu
__._~________~_____________.__.__.~___.________.__ ._..__.. _h_._.___._____ ._____.___~._...._ __._.. ._.._._.' _.._.._..____.. ____n.___..__ _._ ._..___._____._~ _.. _"_.__n._ __..
~ l] EMERGENCY PROCEDURES ADEQUATE
__·______._m____·_··_·___u_.u___._____..._..__.._.u_._-..-----.-.----.....-.....4_,..__..___..____ . ....-..---..-..-. .. u_·· ...____. _..._ _ u.._
Þ'. l] CONTAINERS PROPERLY LABELED l
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.. l] FIRE PROTECTION
- -- -----_ __ ___~__ _______ _ ____ _ _~___________ _ _ ___ _ _~__ _______ _ __________ ___ .~___ ____ ___ __ ___ _ __ _._ _ _ __ _ __~___ _ .... _.n .______._..
~ l] SITE DIAGRAM ADEQUATE & ON HAND
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ANY HAZARDOUS WASTE ON SITE?: K YES l] No
EXPLAIN:---U~ O,l/ru.E (--£¡ltF;:V~ 1 Jsed ð;/
White . Environmental Services
Yellow . Slalicn Copy
INSPECTION? PLEASE CALL US AT (661) 326-3979
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