HomeMy WebLinkAboutBUSINESS PLAN 11/16/2007`l~ UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1 Business Plan and Inventory Program
Bakersfield Fire Dept.
Enironmental Services
1715 Chester Ave
Bakersfield, CA 93301
Tel: (661)326-3979
FACILIT~<J(~M`~~r ~ INSPE ION ATE INSPECTION TIME
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ADDRESS tt ~ t PHON No. No. of'Em, ployees
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FACILITYCONTACT Business ID Number
15-02 t-
Section 1: Business Plan and Inventory Program
D Routine ombined O Joint Agency ^Mu1ti-Agency ^ Complaint ^ Re-inspection
C ~c=Compliances OPERATION COMMENTS
V=Violation
^ APPROPRIATE PERMIT ON HAND
LAY LJ BUSINESS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
~^ CORRECT OCCUPANCY I
^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
L~ ^ PROPER SEGREGATION OF MATERIAL
^ VERIFICATION OF MSDS AVAILABILITYE
i~ Ll VERIFICATION OF HAT MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
^ EMERGENCY PROCEDURES ADEQUATE I
---- ------------- ---_._ ----- - ----. .------------- -----i- ----- ------... .. _.--..._--------..__ - . _.. .__ _ --- -----
~^ CONTAINERS PROPERLY LABELED
-,-,--~------ --- ----- -- ----.-----_ --------- ---- ..... _ __ -1 _...-- - -- ------ - -. _. _..- ---_ _- --_ _ ___ _ _ _
Ly' U HOUSEKEEPING
^ FIRE PROTECTION
~^ SITE DIAGRAM ADEQUATE 8c ON HAND
ANY HAZARDOUS WASTE ON SITE: YES ^ NO
EXPLAIN: ~~((', ~E( ~ ~f~~~
QUESTIO REGARDIN HI NSPECTION~ PLEASE CALL US AT ~BG'I ~ 326-3979
Inspector Badge No.,
White • Environmental Services Yellow -Station Copy
Busines ite Resp ible Party
Pink -Business Copy
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,'~~w~~' "~~~ CITY OF BAKERSFIELD FIRE DEPARTMENT
`~ ~ ~ y,1 OFFICE OF ENVIRONMENTAL SERVICES , ^
~~ UNIFIED PROGRAM INSPECTION CHECKLIST '
_w ~gti,,~'~ 1715 Chester Ave., 3~d Floor, Bakersfield, CA 93301 •
.,.~~~ -
FACILITY NAME ~~,t~ ~Cr ~ Q,r ~ INSPECTION DATE ~ L3 ~S i
i
Section 2: Underground Storage Tanks Program
^ Routine ~ombined •^ Joint Agency , ^Minti-Agency ^ Complaint ^ Re-inspection
Type of Tank ~.~ ~ Number of Tanks
Type of Monitoring • L~ LINE Type of Piping ~1~
OPERATION C V COMMENTS
Proper tank data on the •.
Proper owner/operator data on f le
Permit tees 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 t71e with OES
Adequate secondary protection
Proper tank placarding/labe--ling
Is tank used to dispense MVF?
If, yes, Does tank have overfill/overspill protection?
C=Compliance '~/=Violation Y=Yes N=NO
Inspector:
Oftlce of Environmental Services (805) 326-3979
White - I?nv. Svcs.
Pink -Business Cony
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~N, IFIED PROGRAM INSPECTION CHECKLIS
~-ECT~0'~ 1 Bu'sinesS 'pi'an an~l' I'.Ve'"ntorY-Pr0g~;m
Bakers~eld Fire Dept.
Enironmental Services
1715 Chester Ave
Bakersfield, CA 93301
Tel: (661)326-3979
Section 1' Business Plan and Inventory Program
[] Routine ~/~'Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection
~' c=c°mpliance ~1 OPERATION COMMENTS
~, v=violation
APPROPRIATE PERMIT ON HAND
V,S,BLE ADDRESS
VERIFICATION OF INVENTORY ~TERIALS
VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL
VERIFICATION OF MSDS AVA~LABIUWE
VERIFICATION OF HAT MAT TRAINING
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
EMERGENCY PROCEDURES ADEQUATE
CONTAINERS PROPERLY ~BELED
........................
HOUSEKEEPING
FIRE PROTECTION
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?: ~J~YES
EXPLAIN: / )~'J ~' I
[] No
QUESTIONS REC-,~A~DtNG/T~IS INSPECTION? PLEASE CALL US AT (661',t 326-397~~
~ White - Environmenlal Services Yellow Slation Copy ' Pink - Business Copy
FACILITY NAME
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CitECKLIST
1715 Chester Ave., 3r'~ Floor, Bakersfield, CA 93301
Section 2: Underground Storage Tanks Program
[221 Routine ,.[~Combined [221 Joint Agency
Type of Tank ,l~tO ~' (.~zS>
Type of Monitoring ,~_ ~.'"~-t;~.~
~21 Multi-Agency %Complaint
Number of Tanks ~
Type of Piping ~.PT'-
[] Re-inspection
OPERATION C V . COMMENTS
Proper tank data on file
Proper owner/operator data on tile
Permit fkes current
Certification of Financial Responsibility
Monitoring reco,'d 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). AGGREGATE CAPACITY
Type of Tank Number of Tanks
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 overtill/overspill protection? ~
k, irt~s's Site Responsibre Party
C=Compliance V=Violation Y=Yes N=NO
Inspector:
0 ffice o f/~vi~on men~'a~ Servicis (~61) t~79
~ ~ (~ White - Env. Svcs.
Pink - Business Copy
~-'~f'~ CITY OF BAKI~FIELD
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., Bakersfield, CA (661) 326-3979
(
INSPECTION RECORD
POST CARl:) AT JOB SITE
City, Zip [~C"~ q ~J3 0 I
Phone No.
Owner
City, Zip
Permit# g~- ~3~3
INSTRUCTIONS: Please call for an inspector only when each group of inspections with the same number are ready. They will run in consecutive order beginning with
number I..DO NOT cover work for any numbered group until all items in that group are signed offby the Permitting Authority. Following these instructions will reduce the
number of required inspection visits and theretbre prevent assessment of additional fe, es.
TANKS AND BACKFILL
INSPECTION I DATE [ INSPECTOR
Backfill of Tank(s)
Spark Test Certification or Manufactures Method
Cathodic Protection of Tank(s) tg
,, PIPI G SYSTEM f
Piping & Raceway w/Collection Sump
Corrosion Protection of Piping, Joints, Fill Pipe
Electrical Isolation of Piping From Tank(s)
Cathodic Protection System-Piping
Dispenser Pan
', OVERFILL PROTECTION, LEAK DETECTION
Liner Installation - Tank(s)
Liner Installation - Piping
Vault With Product Compatible Sealer
Level Gauges or Sensors, Float Vent Valves
Product Compatible Fill Box(es)
Product Line Leak Detector(s)
Leak Detector(s) for Annual Space-D.W. Tank(s)
Monitoring Well(s)/Sump(s) - H20 Test
Leak Detection Device(s) for Vadose/Groundwater
Spill Prevention Boxes
FINAL
Fill Box Lock
Monitoring Requi~ments
Authorization tbr Fuel Drop
CONTRACTOR e"~O,~x~-- '~{XIP~- '~['XC' LICENSE# 5~,,~_"~.~'''
CONTACT C~l~l ~ 0{500 PHONE# ~0~" ~O~'g ~00 3