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Home My WebLink AboutBUSINESS PLAN~ p ~ '~ ii BIG COUNTRY t ii 6009 COFFEE ROAD -- - ~~JN~IFIED PROGRAM INSPECTION CHECKLIST _ __ ___ SECTION 1: Business Plan and Inventory Program ^ YES L'7~N0 FACILITY NAME ~~ ~_ INSPEC ION ATE INSPECTION TIME ADDRESS ( C.. HON NO. O OF E PLOYEES FACILITY CONTACT ~ USINESS ID NUMBER ^ n 15.021- ~j "/J` 1//I v Sectloq 1: Business Plan and Inventory Prog~atn ^ ROUTINECOMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V (c=compliance OPERATION V=Violation COMMENTS [~^ ~ APPROPRIATE PERMIT ON HAND ~^ BUSInG'SS PLAN CONTACT INFORMATION ACCURATE , ISY ^ VISIBLE ADDRESS Ltl~^ CORRECT OCCUPANCY t~' ^ VERIFICATION OF INVENTORY MATERIALS 0~^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ~i'~~ U / C7 ^ VERIFICATION OF MSDS AVAILABILITY ^~^ VERIFICATION OF HAZ MAT TRAINING L 1 ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES , , / L~ ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ~^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: Prevention Services B I's R 5 F ,_ 0 900 TI-Llxtun Ave., Suite 210 _. Fine Bakersfield, CA 93301 ARTM r Tel.: (661) 326-3979 Fax: (661) 872-2171 nnr-nu» QUESTIO)?4iS REGAFj~DII)t~G THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~~ / ~/ 7 Inspector (Please Print) Fire Prevention / 1" In /Shift of Site/Station # Business ite / ponsible Party (Please Print) White -Prevention Services Vellow -Station Copy - Pink -Business Copy FD 2155 (Rev. 09/05 ~' INSPECTIONS B E R S F I L D BUSINESS PLAN & ~RrM r INVENTORY PROGRAM UNIFIED PROGRAM INSPECTION CHECKLIST FACILITY NAME: ~_~~~ ~ ~C~fdtL Section 2: Underground Storage Tanks Program INSPECTION DATE: ~7~~~- ^ Routine I~Combined ^ Joint Agency ^ Multi-Agency ^ Complaint ^ Re-Inspection Type of Tank ~fJ~ Number of Tanks 3 Type of Monitoring (` LM Type of Piping OWF OPERATION C V COMMENTS Proper tank data on file Proper owner /operator data on file Permit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? ^ Yes No V Section 3: Aboveground Storage Tanks Program Tank Size(s) Aggregate Capacity Type of Tank Number of Tanks BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of 1 OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placardingllabeling Is tank used to dispense MVF?) If yes, does tank have overfill /overspill protection? C =Compliance V =Violation Y =Yes N = No Inspector: ~ Questions regarding this inspection? Please call us at (661) 326-3979 White -Prevention Services (/ ~ Business Sit ponsible Party Pink -Business Copy KBF-7335 FD 2156 (Rev. 09/05) ., ..,._ /~4,tiLD pl , ~~'~~ ~'~ ~~ C[Tl' OF BAKERSFIELD FIRE DEPARTMENT ~~ ~ ~ ~+ OFFICE OF ENVIRONMF..NTAL SERVICES ~~' y~` UNIFIED PROGRAM INSPECTION CHECKLIST \` ,W ~~%,I/~p 17i5 Chester Ave., 3r`' Floor, Bakierstield, CA 93301 FACILITY~~IME~ ~ _~~~~~ Section 2: Underground Storage Tanks Program ~ ~~ql~ INSPECTION DATE 7 ~ 7 O ^ Routine ~ombined ^ Joint Agency ^Mulfi-Agency 3 ^ Complaint ^ Re-inspection Type of Tank pW FC. Number of ~ anks _ Type of Monitoring _~ t_ W~. Type of Piping _~t~F= OPERATION C V COMMENTS Proper tank data inn file Proper owner/operator data un file U L ~ 1 2,Q~6 Permit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGATE CAPACITY Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OF,S Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? ~ If yes, Does tank have overfill/overspill protection'? C=Compliance Violation 1'=Yes N=NO Inspector: Office of Environmental Services (661) 3 6-3979 ~`~°~~ v ~~ ~~ Business Site Responsible Party bVhite - fnv. Svcs. Pink -Business Cory BAKEI[tSFIELD FIRE DEPT '"' - Prevention Services { V/ lei IFIED PROGRAM INSPECTION CHECKLIST',` ~~~ir 900 Truxtun Ave~i5uite 210 ,.,-~, w~,,.,:~.~ .,:. _ :. ~ 6 ; : >,> ,. M.. .} :... ~ ...R . ; : b .:,_. _ . .,<: ,..,.:: ,1RtAI BakersSeld. CA 93301 .SECTION 1: Business Plan and Inventory Program y Tel.: (661) 326-3979 Fax: (661) 872-2171 ~c Section 1: Business Plan end Inventory Program ^ ROUTINE COMBINED ^ JOINT AGENCY ^ MULTI•AGENCY ^ COMPLAINT ^ RE-INSPECTION ~,..- FACILITY NAM ~ NSPE TION ATE NSPECTION TIME • 1 / J ~'l A / ES5 D- /~.~,% ~~ ~ NE ISO. ~~ ~~ OOF E LOYEES FACILITY CONTAC"~ ~ USINESS ID NUM ~ ~'02~ C V ~ C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSitI@SS PLAN CONTACT INFORMATION ACCURATE y~,, / l)1/ ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ,/ bl/ ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ~ 11 1 ~J V ^ ^ PROPER SEGREGATION OF MATERIAL VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ ^ FIRE PROTECTION SITE DIAGRAM ADEQUATE & ON HAND / ~~ ANY HAZARDOUS WASTE ON SITE? EXPLAIN: - - ^ YES MVO r. _ i ~ / / , ~.[~ REGAR (NG THIS INSPECTION? PLEASE CALL US AT (881) 326-3979 ~9- ~% (Please Print) Fire Prevention / 1" In / Shift of Sfte/Station 8 White -Prevention Services Yaltow -Station Copy 1 I- >,/ ~,~ ~~v ~, ~- ~~ iness Sfte/School Site Responsible Parry (Please Print) Pink - 8uainese Copy FD2t)4e (Rw.O¢105)