HomeMy WebLinkAboutUNDERGROUND TANK
FACILITY NAME~_&;J ()1.tt1t
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave,. 3rd Floor. Bakersfield. CA 93301
INSPECTION DATE 9 ¡fg/l>4-
Section 2:
Underground Storage Tanks Program
o Routine ~ Combined 0 Joint Agency
Type of Tank 6W L ((1, I P, )
Type of Monitoring -AT C~
o Multi-Agency
Number of Tanks
Type of Piping
o Complaint
'Z
DLùF
ORe-inspection
OPERA TION C V COMMENTS
Proper tank data on tile X
Proper owner/operator data on tile {
Permit fees current 'if
Certification of Financial Responsibility ~
Monitoring record adequate and current ~
Maintenance records adequate and current rA
Failure to correct prior UST violations KJ
Has there been an unauthorized release? Yes No )(
Section 3:
Aboveground Storage Tanks Program
AGGREGA TE CAP AGTY
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?
If yes, Does tank have overfillloverspill protection?
C=Compliance
V=Violation
Y=Yes
N=NO
White - ['nv. Sves,
Pink - AlIsiness Cory
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1 Business Plan and Inventory Program
Bakersfield Fire Dept.
Enironmental Services
1715 Chester Ave
Bakersfield. CA 93301
Tel: (661)326-3979
FACILITY NAME if _ I, ~t" - ~þW;;:¡" INSPECTION TIME
__________~JA_--t:à --~å----ÍÌ1- ____________________ ______________________________________________ ~---------------n------ _____u______________
ADDRESS . PHONE No, No, of Employees
______--3-40._L_5L_C_~~~t~~lç_______________________ -------------- ____oj __________
FACILlTYCONTACT Business ID Number
15-021-
Section 1: Business Plan and Inventory Program
D Routine
)( Combined
D Joint Agency
D Multi-Agency
D Complaint
D Re-inspection
C V ( C=Compliance )
V=Violation
OPERATION
COMMENTS
'Ø D ApPROPRIATE PERMIT ON HAND
-~:Ki-U--~--- BU--~,NE~~-~~AN-~~~~-;~--~~~~;~~~,~~--:;~~r:,,~-----u----
__. _~_.____~_________._..__,_____~_.~___ __ _.___..._~ . __'_______n_______ ...."
D VISIBLE ADDRESS
-. ~--_....::~-----------_._---_._._--_.._-------_._--_.._--_.------~-~-_.-..._-_.,. .--
D CORRECT OCCUPANCY
..........--.-.--.-----. .------.."---------+--.. -.
. . ------.. --...-_..._--- ---- --....--.. ...--
_... _ _...+...__._...___ .__.._.......______+ . _. ._..____...__.__......_... _.._.._ _. .n_..
...._....__._._____________ m _____.._...___ u___._________._.__._._.__...__.._ ._ _.__n' __._
-- --_..._-----_._------------_._------_..--~_.-._---_._---
_..._..._.._.__.____.. .__.__.+_._._ __....____._.._. ....___.u..___ __.._._.___..__... __+.__.. ___ .
D VERIFICATION OF INVENTORY MATERIALS
- --_.~------~---------_.__._----~--_._.._.__._------------ ...__.__._.~
___ __ ,_____. __. _ _____ _.__ ._ ._ ________.__ ._ _.__ ._____,__.._. ._.... .__ __ _.no_._ _._... __.
. . . - -- - .-
D VERIFICATION OF QUANTITIES
__..___..___..____.__________________~._.______ u.....________.._____...__ .____. _____._____..._____ __._ ._.____.
.. ._.__.____...._...._____....~n....._ __. _.,,_...._..__.__ ~_ ._._
iL~____~~_R~~~AT~~ OF _~OC~~'~~________________________u__.. _________________________ __n._______________ _ __ nm _u_u___ _.. . _un
~--~--~~~~~~EG~~~~~~-~~~~TE~~~--------_--u---------- ___h_______ __u,___,___ __ _ _ _ _________________ ________m___ ____ __
_'!__~___~=~~~ATION OF !"1_~~~_~~~~~~~~~_~____,_________n____u__ _ ______________ un ___.____________m__ _n _ n_______ _ _u__
!___~_~_RIFICATI~N OF ~~~ TRAI~~~~__u____________n._____________________ ___________________ _________________ . _ _____un
} ~_ ~:;::::~ =:.:~:~~=~S þ,N~'·:EDU~S_ _____ ..............~__........_~__n.. ... .__.. ...
__ _______________ __ __ __ - ___ __ __ __ ___ __ __ __ ____ _._ _n__ __ __ ~_ __ _ __ _ __ _ _ __ _ __ ,_ __ __ ____ _ __ _ _
.. D CONTAINERS PROPERLY LABELED I
- --- -------__ -- - __ _ __ ____ ____ __ _u_ ____ ____ __ -L u__ __ ____ _n __ ____ __ 'u _ _ _ _____u______________n___________
~ D HOUSEKEEPING j
__. .--__._..___.._._______________________._~__._._.__._.____ ._n _.. ._____...___ __ ____._____ _.________.....__..___. ._.__.___.~____._...________. _. ______.
~ LJ FIRE PROTECTION
-----.-.---.----________. ._____.._ .__,,___ ___.___.__~__.___._.___________~__.__ _____. ___..___.__ _______..__. _._._ ___.___.._ ___ ___._..__.___._____.._ u . ___ ._._ . _ __. __.......___.__~_ __ _ _ .. .__ __ __.___
D SITE DIAGRAM ADEQUATE & ON HAND
i
... _._._..._..~--_._-
...--------.-.- - .
ANY HAZARDOUS WASTE ON SITE?:
DYES
f{ No
EXPLAIN:
- dtk=-._--m._----------_ --------
~ Badge No"
White -- Environmental Services
G THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
X---------
Yellow - Slation Copy
Pink . Business Copy
THIARA FOOD 1"1ART
3401 SO CHÐ3TER
BAKERSFIELD CA.93304
661 -8:32-5900
SEP 28. 2004 9:49 AM
SYSTEM STATUS REPORT
- - - - - -- - - - -
ALL FUNCT IONS r"jOF:r"1AL
N'v'ENTORY REPORT
1 : UNLEADED
) L UI"IE
'"LAGE
. .)% ULLAGE =
;~ 'v'OLUl"lE
,;IGHT
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ITER
TEr1P
T 2: PREt"1 I UI"1
'v'0 L UI1E
ULLAGE
90% ULLAGE=
TC \JOLUI'1E
HEIGHT
WATER VOL
WATER
TEI"1P
7219
2781
1781
7075
65.10
o
0,00
88.3
:3:379
6621
5621
3310
35.64
12
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