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CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME -7-((
ADDRESS t{{¡¡ 4ì tth\.sO,,", QJ~
FACILITY CONTACT
INSPECTION TIME
INSPECTION DATE 1\ Uïl 0 0
PHONE NO. ß33 - Oì 3~
BUSINESS ID NO. 15-210-
NUMBER OF EMPLOYEES K
Section 1: Business Plan and Inventory Program
D Routine ~~mbined D Joint Agency 0 Multi-Agency
D Complaint
ORe-inspection
OPERA TION C V COMMENTS
\i Ir
Appropriate permit on hand
Business plan contact information accurate IV
Visible address V All. ,. 11=<:' Nc.n( ~ hr I 1("1 S ((
Correct occupancy V
v '/
Verification of inventory materials
Verification of quantities Iv
Verification of location V
Proper segregation of material ~
Verification ofMSDS availability V
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Verification of Haz Mat training V
Verification of abatement supplies and procedures V
Emergency procedures adequate V
Containers properly labeled V
Housekeeping tJ' .v ,'tkJ. n 1.ln4-" .....L.. I¡\m.....(.{1f'"
Fire Protection h.J Ncc.J. -\-() I\'\.Qd"-\-'" _~(t"\J(lL P".f..thlfA
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Site Diagram Adequate & On Hand 'V"
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C=Compliance
V=Violation
Any hazardous waste on site?:
Explain:
DYes ONo
Questions regarding this inspection? Please call us at (661) 326-3979
White - Env, Svcs.
Yellow - Station Copy
Pink· Business Copy
Business 7esPo~sibIe Party
Inspector: , ~~
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CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME ì -((
INSPECTION DATE II-rS~OO
Section 2:
Underground Storage Tanks Program
o Routine cYéombined 0 Joint Agency
Type of Tank f\u) Fc.s
Type of Monitoring f\-lto
o Multi-Agency 0 Complaint
Number of Tanks ,.3
Type of Piping k(JT
ORe-inspection
OPERA TION C V COMMENTS
Proper tank data on file vi
Proper owner/operator data on tile V
Pemit fees current vi
Certification of Financial Responsibility J
Monitoring record adequate and current V
Maintenance records adequate and current V No ~(orJ c~ !\V\U\ÙIL\ I/)M, 1I\:tt-1-\CA.u..
Failure to correct prior UST violations V
Has there been an unauthorized release? Yes No ~
Section 3:
Aboveground Storage Tanks Program
AGGREGATE CAPACITY
Number of Tanks
TANK SIZE(S)
Type of Tank
OPERATION Y N COMMENTS
SPCC available
SPCC on file 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
In,p"to, Jf dáØHO
Office of Environmental Services (805) 326-3979
White - Env, Svcs,
:L-~ ~
Business Site R~onsible Party
Pink - Business Copy