HomeMy WebLinkAboutUNDERGROUND TANK (2)
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave" 3rd Floor, Bakersfield, CA 93301
FACILITY NAME LLtcJp FäxI ~e:
INSPECTION DATE 9/Z'B/D4
Section 2:
Underground Storage Tank~ Program
o Routine ~Combined 0 Joint A)ency
Type of Tank :5\AlL (Q.... Pc
Type of Monitoring f:...-r0
o Multi~Agency
Number of Tanks
Type of Piping
o Complaint
3
DJJJ F[~J'
ORe-inspection
OPERA TION C V COMMENTS
Proper tank data on tile IX
Proper owner/operator data on tile IX
Pennit fees current (
Certification of Financial Responsibility X
Monitoring record adequate and current K
Maintenance records adequate and current ~/
Failure to correct prior UST violations ~
Has there been an unauthorized release? Yes No Y-
Section 3:
Aboveground Storage Tanks Program
TANK SIZE(S)
Type of Tank
AGGREGATE CAPACITY
Number of Tanks
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?
If yes, Does tank have overtill/overspill protection?
C=Compliance
V=Violation
Y=Yes
N=NO
f
Pink - RlIsincss C"py
Bakersfield Fire Dept.
Enironmental Services
1715 Chester Ave
Bakersfield, CA 93301
Tel: (661)326-3979
FA:'~T_~_~_:Lti~I~_,(____2__.~__EDal_.._..6~e._...__________....._.______.._______..._1iißZr&_._ ._::_:~TI::~~:E____
ADDRESS 1 PHONE No, No. of Employees
_____ VPO L 6,.CJ1~~mL___~i~_____._____________W-=_/lqf___ 1..________
FACILITYCONTACT Business 10 Number
15-021-
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1 Business Plan and Inventory Program
LJ Routine
ACOmbined
C] Joint Agency
Section 1: Business Plan and Inventory Program
C] Complaint
C] Multi-Agency
C] Re-inspection
Jt_D__ APPRO~~~~~~~~~~~~~_~~_________________,_____._____ .. ____,_____________n__n____. _________._ ____nn_____ ._n _,._. . __.__
!f__~____~USINE~~LA~~~~~~~_~N~~~~~~~_~~C~~_R,\~_=____._,
~ LJ VISIBLE ADDRESS
~___...:.~_______.___.____+ ._____._._________._____._._...____d.__......_... . ...._....___._..__._._..____.. m ____ _n _....__... ___.__,+.._.___ ___ .__._.+.__...___ _ __.. ._..___. _.. ..n. __ ..__. _. ___ .
_~_~_ CO~~~~~_~~U~.~~~~________________n_n__ ____________.____ __n__n ___'m__m__n_u___ ._ ____ n____.__n .. __ __n _ ___
_~--~--~ERI~~~~ON OF ~~~NT~~~_~T~~~~:_n____________H,h_____ ________ __ __________.___________H________H__ m________ . ___
e___~ERIF~CA~ON OF _~UAN2~~IE~_____ _ ....________._________ ________________ __ ____......______ nn__n.__________. __
~t___~____~~_R~~~AT~~~_~OC~~~~________________________. ___________..___________ __________ ____n_ .. __.. .. _n____ mH ___ _______
~__~ PR~:ER ~EG~~G~~~~~~~~~.:~A~ __.________________,__ _,_________._____, _______ __ H ______________ ____________ ____ ____
_~___ 0 __~=~~~ATION OF ~_~~~_ AV~L~~~~~=___.___________ ._____ _ __H._____________ _ ._____________.___H_ ____n ._u______
bf C] VERIFICATION OF HAT MAT TRAINING
f-ï------------------------- ___ _____ ______ -__ -. _,_________ --__ _______ _d. __ ..__._______.__._._._.__.__ _.__ ...u_ __..
t..9_- V~~IFICATI~~~_ABA~~~~T SUP~~IES ~_~~!~~C~~~~~S_ _ ________ __ ______ __________H___'___ _'__h________________ _____n__
Œ!f C] EMERGENCY PROCEDURES ADEQUATE
._!'_\---_._______..______.______ ._...._._.______...._.._____.._._________.______mh... __.__~-n---.--..-._--.-. . H_"___ ___._..__.... ..___. ._______ _.. ... ._
~ 0 CONTAINERS PROPERLY LABELED I
.._L'-_.__.________. ____.___ .___._ __________.__....__ _ _..____._._____ ..._ _. _._.+_..____ ..__._____._ __ _. ._.___._______ _._... .__.___.. _.___...._
_~_~___~~~_SEKE~~~~___________:________.._ __ _______ __ ¡_____.___._________'_____..___. .______,___.___.._______. _. _____ __._._..___._.._
M C] FIRE PROTECTION
-,{--Õ--- SI~~D~¡~~~M -A~~~~~~~-&-ONH~~-~-----n- ____un_nun. _____n_______ ---,--- ----------.---- . -- __n______ -.. . ------.-.
I
C V ( C=COmPlianCe)
V=Violation
OPERATION
COMMENTS
. _ __.._...__'_4"'___4 . __...
.<----..-.--..".
-.---....--.--.
...u..._..____. .____.
-.. - ---.-.-.- - ..
ANY HAZARDOUS WASTE ON SITE?:
j(NO
C] YES
EXPLAIN:
IS INSPECTION? PLEASE CALL US AT (661) 326-3979
Badge No,_
White . Environmental Services
~--~,,~~"'--
Yellow - Station Copy
Pink . Business Copy