HomeMy WebLinkAboutES-UST 9/27/2004
F AC]L!TY NAME :r Q Irt VI 1'\ Y ~1.d/- INSPECTION DATE c¡ /Z-7/04-
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave.~ 3rd Floor, Bakersfield. CA 93301
Section 2:
Underground Storage Tank~ Program
o Routine I2í Combined 0 Joint Agency
Type of Tank DwF
Type of Monitoring OJ...W\
o Multi-Agency
Number of Tanks
Type of Piping
o Complaint
:s
D w F{c')C
ORe-inspection
OPERA TION C V COMMENTS
Proper tank data on file K
Proper owner/operator data on tile ~
Pennit fees current Ix
Certification of Financial Responsibility V
Monitoring record adequate and current IX' ~c;>L ~G\ -Å I ¿.IV Y--
Maintenance records adequate and current ~
Failure to correct prior UST violations ~
Has there been an unauthorized release? Yes No X
Section 3:
Aboveground Storage Tanks Program
AGGREGATE CAPACITY
Number of Tanks
TANK SIZE(S)
Type of Tank
OPERA TION Y N COMMENTS
SPCC available
SPCC on file with OES
Adequate secondary protection
Proper tank placarding/labeling
[s tank used to dispense MVF?
If yes, Does tank have overfill/overspill protection?
C=Complianee
V=Violation
Y=Yes
N=NO
Inspector:
Office of
xMc:rd::\w\ ~'\
Business Site Responsl Ie Party
White - Fnv, Sves.
Pink - Business Copy
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1 Business Plan and Inventory Program
Bakersfield Fire Dept.
Enuonmental Services
1715 Chester Ave
Bakersfield, CA 9330 I
Tel: (661)326-3979
FACILITY NAME . VOV\V'\(\' 's Fl VVldt- Iqï~77;4- INSPECTION TIME
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Z,lR I z- ~l<K:,,__~___\L\Lº-AJS____j3t~L_~______________1~~/~D~__h__H_~______
FACllITYCONTACT Business 10 Number
15-021-
Section 1: Business Plan and Inventory Program
o Routine
X Combined
L1 Joint Agency
[] Multi-Agency
o Complaint
aRe-inspection
c v
( C=Compliance )
V=Violation
OPERATION
COMMENTS
~ a ApPROPRIATE PERMIT ON HAND
~!-~ - B~-~INE~-~-;LAN~~;~~_~~~~~~;;~;--;~~~;~~~~~:~_- :-~:~-_-::-~~~~~__:--_:-:--:~:~~~: - ---~--__ --- .--.--- - ------
dI a VISIBLE ADDRESS
-~--_..::_....:.........._--_._---_._--_.._-----_.._._------------_._..---..,.-- ---
li___~_ CORRECT~~CU~~~~~______________________
~ a VERIFICATION OF INVENTORY MATERIALS
K-C;- VERI~~~~~~ OF ~~~~~~;~~__________________m________ ------ -- ---.----- -- ______n___ - -----------.. ------ - -. --
~--~~~~~~~~-~~~-:;~N-~;~~OC~~I~~--=-~~.~=-~~~~=-~~~_-~_~_~~_. --~-~==_:~-~_~~~:_-~-~:_..--~~~~~~:_:~~_=~:_:-_-.._:-~-:~-_-__::._:-.
o PROPER SEGREGATION OF MATERIAL
.____.__H___.___ _n_no_ ...."
_____ ____" __._ n..__·_··,.__·__ ____ ____. ._____
u. _______ _._
..... .__.u _. .__
.____n._n..__"___.. . ~.___._.._., ___....._____._..u..'....___.._..__ __.._._.___.,.__ '_'.~_~_______...
_.________~_____.__________._.___.__ ..._ __.__._______·.__m._....__.__.. _. '_.__n_______._.___.. .__'_"'_'__m __ ... _.._~____.__..__._ __.__________. ...____. ____. __..
It 0 VERIFICATION OF MSDS AVAILABllITYE
__________,__._~_______~_.___.____._____..______ .__,_.,.__u__.. __.._~_. .____...___ _ ______._. ____ .,__.____._~.~.__ .___ __n_ ___~.. .__~._ ...__..__ n__._.u___ .... ._. __.,_____. ._ __ ..__. ____ _ _.._
~ D VERIFICATION OF H~MAT TRAINING
b( --rJ-~-RIFICATI~N OF -:~~TE~~;;-~~;~~;~~-~~;;~~~~~~~~~----·_---- -- --------------- --------------------- -
__·________·__·_____,________.__~u..__._.___._.______._0._ ._.0__._ _."_"_.___._____ ._____..____.__.,.___._.. .,.~_.. _"_.._._ ___., _.____.__.._~._.. .____.___.___ _.. _._____..._ ___.
~ D EMERGENCY PROCEDURES ADEQUATE
-~~-----------------.--._-------...-- -----..-...-..----...... .-.--------- ----m-.-..------4-...--..-.--.-------.----...--- -- .. -- ....------ .. .... - ... -. _h. ·_.._nn__
)t a CONTAINERS PROPERLY LABELED I - - ---- -- -- _u..
.._.___.______.____ __..____.___ ____.___mm....__...___ _..____._.u__.__ ...._. _.__~.._n_. ..__.._____ _._ _. ____.__.._n__._. _ ._...______ .._ _._ .__.__ _"___'_"
~ a HOUSEKEEPING. 1
)j --~--~~~-pR;~~~;~~-------..-----------.--------- ---- -------- ____.n__________.__________.________._ --- m_
_Q________n_______ _____ __ __m__ ___ m_.____ _____._ _____ __. __._.._ ___._. ___..__.__ ____________ __._ ___..._ __ .__...__..______.__. . __ ._.n_ .._._ ._ _h. ___m__ _n _. _ _. _un ____ _.
IJI(.. a SITE DIAGRAM ADEQUATE & ON HAND
I
.. ...---..--.--- -. -
ANY HAZARDOUS WASTE ON SITE?:
aVES
XNO
EXPLAIN:
~~-
Yellow - Station Copy
Pink - Business Copy
K~~l~N l~~E~ ß8~M
8AKERSFI LD, CA. 93308
:3 IT :~ ::: 1360
9/27/2004 05:36 AP
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27/2004
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If~K NO. 1
05: 36 Ar1
KMP INU.ARCO AM PM
2612 PIERCE ~:D.
E:AKE~:::;F I ELD, CA. '33308
3ITE # 81360
9/27/2004 05:37 AM
ALARì1 ~~EPORT
9.····27/2004
05: 37 At1
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