HomeMy WebLinkAboutUNDERGROUND TANK (3)
UNIFIED PROGRAM INSPECTION CHECKLIST
as'ECTION 1 Business Plan and Inventory Program
Bakersfield Fire Dept.
Enironmental Services
1715 Chester Ave
Bakersfield. CA 93301
Tel: (661)326-3979
~~I~~Y ~AME LMc¿I¿._v..__:z_._ ~_.~_ _ 6~e.___ _______._..._____________._ j2~~1;;;¡___~~~~_~~TI:~~~:E__
ADDRESS 1 PHONE No. No. of Employees
____ U?D L 0, CJ1~~mL_.~Y'~_.__________ B3t?-J7.Q+_ _. ____t._____.__
FACILlTYCONTACT Business 10 Number
15-021-
.
Section 1: Business Plan and Inventory Program
o Routine
.p\ Combined
o Joint Agency
o Multi-Agency
o Complaint
ORe-inspection
c V ( c=comPlianCe)
V=Violation
OPERATION
COMMENTS
Jt_. 0__ Ap~RO~~~~E. P~~~~~~!:~AN~_____ _______________m__.__ _.' . ___ _.__.... n_..-____.___.__ _ m____ ___._ ._._n_n _ _______.._ .... __.___
_.~-.!:!-- BUSINESS PLA~~~N2~~~_~NF~~~2:'~_~~~~~_RA~.:..__.._ _'.._n._ ..__________.... ___n" .... ____.
!JfI 0 VISIBLE ADDRESS
~.____...:~___.___~__.__~_._,______..._____._____..___~_.______.___.__,___._..., . ... __ ._..,,___.~_..____. .__..._ _._... ____~.. _...___ n..__ _ ._____,_,.. .__._._.~___.__. ...
~ 0 CORRECT OCCUPANCY
_____n.._____.___.__________.______...__...____.._____.n........._ .....____....._n_.... __.____..... ___'_'__'_'_"__n..' _'mm'__"__ __.__, '__"_'
1\ 0 VERIFICATION OF INVENTORY MATERIALS
_~.--.__-.__.--..-_-----....-m.--..-.....--....-----_.. ____...__om__.._.._ __.____. __ _________ .. ....__.____.._ _. ___...___.._.__.... __. ........_.. ..._.... ...._. .. ..._
__J!__~_.._~ERIFI~~~ON_~_~UAN~~~IE~_____.. . __.._____.n..._.... ___..________..._ __ _.__....____..___.____._______ _
_[__~__....~~_~~~AT~~~_~OC~~I~~_______..________________. ..______...._______...__ ____________________..____.__ __" u__
!...~ PROPER SEG~~G~~~~..?~~~~ERIA.: ____._______________ .______..._..____. moo_.._.. __ _.. .____.._........__...___.__ __ _______
_~---O ._~=~~:~TION OF ~_~~~_AV~~~~~~~~.._...__..______. ____.,,_ ..__..____...______....__ __n___n..__......._.._ .___u....... _'_'_".___
b' LI VERIFICATION OF HAT MAT TRAINING
-3:.--..__.._______....__.____________..._____. ____...... ___"_,,. _._______...._____..__...__..._..__.. .. ...m..._____....._.. .._._..........__ .. .
. k-....9--- VE~IFICATI~~.. AB~~~....':~T SUP~~IE~_~~~!~~~~~~=-~_ __________.__m_______ ______....______ __,,_____.. .___._.______ _.. ___
~ 0 EMERGENCY PROCEDURES ADEQUATE
..~-.-__-_-__--.-.....----- .......m..____.....__.....__......·.......____.._______ _ __mum. ..__._.~_..__..____.._....__._. ..._.....__ ._..___....__. .__.__._ _ ...__ _ ... _. _.__ .__..__...
~ LI CONTAINERS PROPERLY LABELED 1
"'~"r;--H~US~~~~;ING -....--- ----..-.-------- --..----------... --1' ......-.. "--'-'---"--- -. '-'-'-..------- - ......--.--- --..-.. ........--
-- ...---.-.--..------------...------------.-..-.--....-- ...- -.----.-..- --- ----.----.----.----.....--..-..-----..-.--...-.-----.. -... ----..-- _.--
If 0 FIRE PROTECTION
"J.mï:J_-- SI~~D~~~-AMA~~~~~~~...&-ON-H~~-~..----..- ---..-..---.. -..----...---.--- --------------------- .....--- ..- - .-' ------..- ......
1<.. i
..........
...-.-. -. .--..-
ANY HAZARDOUS WASTE ON SITE?:
o YES
þ(NO
EXPLAIN:
IS INSPECTION? PLEASE CALL US AT (661) 326-3979
Badge No...
)L~~..(;i'~ --
White· Environmental Services
Yellow .. Slalion Copy
Pink - Business Copy
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CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, C A 93301
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FACILITY NAME L«d'¡<l FäJ ~e:
INSPECTION DATE 9/zß/v4
Section 2:
Underground Storage Tanks Program
o Routine ~Combined ? Joint A)ency
Type of Tank :5 ,Ai L <!.. I Pc
Type of Monitoring L\TCS?
o Multi-Agency
Number of Tanks
Type of Piping
o Complaint
3
DIAl Fl~~
ORe-inspection
OPERA TION C V COMMENTS
Proper tank data on tile X
Proper owner/operator data on tile X
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 :t
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 MYF?
[f yes, Does tank have overtill/overspill protection?
C=Compliance
Y=Yiolation
Y=Yes
N=NO
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f͡ si~ess Site sponsible Party
Pink - Business Copy