HomeMy WebLinkAboutUNDERGROUND TANK
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UNIFIED PROGRAM IN'ECTION CHECKLIST
SECTION 1 Business Plan and Inventory Program
Bakersfield Fire Dept.
Enironmental Services
1715 Chester Ave
Bakersfield, CA 93301
Tel: (661)326-3979
FA:':_Y_~_AME ~______..._E£~_.___:m!.~~..._.J1J d±_.._______.___._._____~.__..._._.__..._ liq;Z,-+-:_._ _:S:_~~TI::_T~::__.._
ADDRESS 50 1 E" CALL~fJJA--~ý~---------.--------- ~6(-:7~(~.____ _:~ ~f~Y:::__.._
Business 10 Number
15-021-
FACILlTYCONTACT
Section 1: Business Plan and Inventory Program
o Routine
){combined
o Joint Agency
o Multi-Agency
o Complaint
ORe-inspection
c V ( c=comPliance)
V=Violation
OPERATION
COMMENTS
'å 0 ApPROPRIATE PERMIT ON HAND
__~-------.-.--.--------..--.----..-------...-. ____n____._u..__.._.______.. _. ___ _._______. . _.___......___._.nn__..._ ....n. ._n__ _._... .._..
_R_~___~~SINE~~LA~~~~~~...I~~~~~~~~_~~~~~~~~___n__._ _ . _ _._________..._
~ 0 VISIBLE ADDRESS
I-~ .. .' .----..--.-.-----...-.---------.--.--...-------....-.- ....-..------.-.--........... ---------..
]J( 0 CORRECT OCCUPANCY I
f--.--...-.----.---.----.----------...----.--...-----.-----.....-..-..--- ...-____..._......_.. _.._._m..._.. __....____._..._......_n.__...__ ._.__. ._..._. ...___.... ._.....
1( 0 VERIFICATION OF INVENTORY MATERIALS
f-----.---.-----.------....-------...----.------------
)( 0 VERIFICATION OF QUANTITIES
f-..----..--..-.---.--------------....---...-..----......--..----...- ----.----.....---.. --.- ....---.............---...-.......---..-.----.-- .-. -.....-......--..- .-.-
R_.~____~~_~~~AT~~ OF u~OC~~I~~___________...____..____. _ ._____..___________ ___________....__ .........___
&..0 PR~~ER ~~G~~GA~~..?~~~~~~~~____________________ ..___m_____._...____....... ... _.._________._____..._______ ____ .u_
)i 0 VERIFICATION OF MSDS AVAILABILlTYE
r:....-.-------.-.....-.---------..----.-..--.--.------. .------..-.---... -....-.....- .....- ...---...---.-........-- -... --..-..-.....-.....-.-....- -.. ... ....-..--. ..- .---. .....-.-.......
J7( 0 VERIFICATION OF HAT MAT TRAINING
f---..---..----------.--.----------.-.-.-. ..___n..____........... _.......1-._._____........ --. ----.-.--.....-...... . - ..-------.
Jl1 0 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES .
- 1--__.____..________ ------................--..-.-..--........- .-..--.- m_._._____..__ ._____..___...._...___._.._._....._n....._.. ..._... ____........__ _._ ._..____.___.__ _.. _.__.........__...
.ð( 0 EMERGENCY PROCEDURES ADEQUATE
-_.....~----_.__.__._-_.._.__..._-_..._.._._._-_........__.......-.--------.-- -.----..... -_....~_..._-_.__.._..._- -.-. .. .-..----.. -. -"- '.---"-- -- ...... .
bzt 0 CONTAINERS PROPERLY LABELED I
-------__________ ._______________ _________ __._ ___~----- _______ ___________... __ _ ...._.___ __u_____.
~__..?__~OUSEKE~~~~__._ -.....-------..--- ---- ..- ----- ....----1-------..---. --- - -- --- ____n_______ ------- - ----------
'Ii 0 FIRE PROTECTION
--- -- ----- -- ------ -___ - __ __ __ - _____ __ - - - - - - - - ____ __ ____ __________ __. ___ ".___ __ - ___ __ __ __ - - - - __ __".__u__. __. _ .. .________..
¡)if 0 SITE DIAGRAM ADEQUATE & ON HAND
"_ ___. _H..___
..u...... ... __...__
-.---....--..-..
... ....-. ..-...
.----,-----". -- --------
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_'..__ ._.". _ ou__._...
.. .__.__n..._.. _ .
ANY HAZARDOUS WASTE ON SITE?:
CJ YES
)(No
EXPLAIN:
QUESTIONS REGAR
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U Inspec or
G THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
rK-~~eR~~rty ---
Yellow .. Station Copy
Pink· Business Copy
..
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CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
t 715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME B<-D~:S ~Y1?tJt-
INSPECTION DATE /0 /.:ybt-
Section 2:
Underground Storage Tanks Program
o Routine ~ Combined ~ Joint Agency
Type of Tank --J)vvF .::>
Type of Monitoring 0 L. VV\
o Multi-Agency
Number of Tanks
Type of Piping
o Complaint
3>
J)tVF
ORe-inspection
OPERA TION C V COMMENTS
Proper tank data on tile i)(.,
Proper owner/operator data on tile X
Pennit fees current ~
Certification of Financial Responsibility X
Monitoring record adequate and current ><
Maintenance records adequate and current Y...
Failure to correct prior UST violations X:
Has there been an unauthorized release? Yes No ><
Section 3:
Aboveground Storage Tanks Program
TANK SIZE(S)
Type of Tank
AGGREGA TE 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 overfill/overspill protection?
C=Compliance
V=Violation
Y=Yes
N=NO
4\,<J~ V~
Business Site Responsible Party
White - Fnv. Sves.
Pink - Business Copy