HomeMy WebLinkAboutES-UST PLAN 10/4/2004 (COPY)
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CITY OF BAKERSFIELD HRE DEPARTMENT
OFFUCE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave,. 3rd Floor. Bakersfield. CA 93301
FACIUTYNAME---L)SF f?;e,dW¿j L.c..
INSPECTION DATE IV/4-/l:> 4-
Section 2:
Underground Storage Tanks Program
o Routine ~ Combined 0 Joint Agency
Type of Tank ---ILIA.LE (l2
Type of Monitoring _ G.lXv\
o Multi-Agency
Number of Tanks
Type of Piping
o Complaint
t
òJA}P
ORe-inspection
OPERA TION
C V
COMMENTS
Proper tank data on tile
. cef1-
Proper owner/operator data on tile
Permit fees current
Certification of Financial Responsibility
Monitoring record adequate and current
Failure to correct prior UST violations
X-
X.
Maintenance records adequate and current
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
spec available
spec on tile with OES
Adequate secondary protection
Proper tank placarding/labeling
Is tank used to dispense MVF?
If yes, Does tank have overtilI/overspi1l protection?
e=Compliance
V=Violation
Y=Yes
N=NO
~
ite Responsible Party
Inspector:
Office of
Pink - AlIsiness Copy
~~~~1
Bakersfield Fire Dept.
Enironmental Services
1715 Chester Ave
Bakersfield, CA 93301
Tel: (661)326-3979
FACILITY NAMEÙ . F e-s + W.b I AJ c:.. 'tV!;"';;4.- INSPECTION TIME
~~A~~~~~~==~~~~-
FACILlTYCONTÃ2F --- &Jsin¡;SsIDNlm,bð, ---- ____m____~_____m_
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
~_~__~~~~OP~~~~~_PER~~_5'~~AN_~____________________
~ D BUSINESS PLAN CONTACT INFORMATION ACCURATE
~& --~-_-~IS~~_~~~R~~~-~~_~~~-~-_---~=~~_-_-~_~=~~._~~~~~~~~_~-~_ ~ ..-.._-~-~--~~~~_ ___-~~_-_.....---
~ D CORRECT OCCUPANCY
- '_.__.;_____~__~______.__.___._ ____.·_·_·_~_____~____________n._.··__·_____·_ ~__.__.___~______
D ' VERIFICATION OF INVENTORY MATERIALS
- r(-O--VER~~~~TI;N-~;-~~~~~I~~~------------------ _._m -------------------~ ... ------- -------------- -----
--.-.---.--------.---- --------------- ---'-.- .---...-.--..-- .. .-- .----.-.----..- ---'-'- ---...-...- .._---.-- - .---.- .-..--.....-- -------.-- ---. ..- .- - ..--.-. ---- - --.---.---.....- -....-
~~__ V~_~~':~~I?~-'=~_~~:~I~~______ _ ___________________________ ________ .....___. _____ _u__ ___________
!i\~___~_~~~~~_~E~~~~~~~~~~~~~~~I~_ ___________________ _______ _ _ u_. __ ________ _______ ___________~_m ______________
~ 0 VERIFICATION OF MSDS AVAILABILlTYE
.. -._---_._.._~_.
.--.---...------..-..--.- .-.-..-
---. _ ---.-....--.----.-------------------.-....------
.- ..._-~----_._"._.._._._..__.- .--.-.---.
. - ..... .. .--- --- ----.------.....- -.-... - ----.--
--..-...-.---------..--. --..-..---.--
____n__.______~__..__._____.. _.______. _
---_._.._---~--~-_...__.._.-- ._~-_._._---- -.-- ----...--- ..-- - .-----_._---_.-_._~
__ __.u._._
.u.u _._..__ __ ___
.- ._--_._.._------~--_..-
D VERIFICATION OF HAT MAT TRAINING
-------..-------------------.---- ----.---..----- --- ---- ---- ......---. .--. -~ --.-
!3""RlF'CAT'ON()f~l<"ENT~PPUE:~D PROCEDURES I u_ - - . -- .. ... . ------
~ .~~:~~:.~ ::~:~~~~AlE___n__ ,_ n ____ ____ . ... ..__
--~-----.----_.-----------.----~------------ --- ------ u__________.___..___.. --.---- ,---.-t--.---- . ---.----. -- -.-.- -----
~ D HOUSEKEEPING I
----------.---- .-----------------------..-----.. -------------.----- .-- ---r······_----------- ----- - -- - --- --.- -... --- .- -.- -- - - -- - .-.- -.- .-------------.------------
:~ ::: ~~~:?_~~~~&O~;¡AND - .....-- t --- ...----- . .. -- ... .--. .
...-.-----------..-.-- --.--.-.----
.-----_. --..-...--.
.-'-- .--..---------- ._---~--_.-.-_._-
.._........_..~._----~---- -. .-.--.-.. _._~----.---- .---_.._----_.~--~----
ANY HAZARDOUS WASTE ON SITE?:
DYES
"-NO
EXPLAIN:
White - Environmental Services
Yellow - Station Copy
11.~~Prin" .
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HIS INSPECTION? PLEASE CALL US AT (661) 326-3979
Pink - Business Copy