Loading...
HomeMy WebLinkAboutINSPECTION UNIFIED PROGRAM INSPECTION CHECKLIST~~' t}~(+C:- ..,,"'>. k :.'tF:`ii.'.3. <... s.,. .F k ... 1 ~.,u. .. rt ..w .. , ... x:t .SECTION 1: Business Plan and Inventory Program BAKERSFIELD FIRE DEPT a Prevention Services ~~~s 900 Tnuctun Ave., Suite 210 ~Rrr Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 ~ FACILITY NAME ~ NSPECTION DATE INSPECTION TIME j ADDRESS J HONE NO. O OF EMPLOYEES ~ ` (~~ ~" ~ FACILITY CONTACT ~ USINESS ID NUMBER ~-$-~ ` ® s S~ 15-021- Section 1: Business Plan and Inv®ntory Program ^ ROUTINE MBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V C=Compliance ( ) OPERATION V=Violation / y~~ COMM NTS .;~ ~/~~°GL ._--L-~_~~----~it/ ~r-~2--1''1--~ ~--~~--~~--- APPROPRIATE PERMIT ON HAND ~^ BUSIfIQSS PLAN CONTACT INFORMATION ACCURATE ~^ VISIBLE ADDRESS ~ 7/-t%~v •7© 7~ / ~~ ~ / (9~~~ ~~` ~ ~^ CORRECT OCCUPANCY - [;(~ ~ 7~ - ~ f ~ -1--~ ~ g~ /5 ~r/ ~[ ~- ^ VERIFICATION OF INVENTORY MATERIALS ~ Lra~Lx~. ~~ ~ ~P/7.~,%CJvP~ f.~T C~^--8- VERIFICATION OF QUANTITIES [~ VERIFICATION OF LOCATION ~ ~ ~o ~ ~T9 C~/^ PROPER SEGREGATION OF MATERIA6~t` ' '" I~/^ VERIFICATION OF MSDS AVAILABILITY _/ ! ~~ _ T /i ~ d f v~ L l~.^ VERIFICATION OF HAZ MAT TRAINING ._- ~ f ~, ^ VERIFICATION OF ABATEMENT SUPPLIES AND CEDURES ~° ` ~ C.-L r sZ~ . 7/f i J/,/!?fi~r O/~~ C CI7 ~ ~/ EMERGENCY PROCEDURES ADEQUATE v! il/ ^ ~-CONTAINERS PROPERLY LABELED _ ~7. „^ HOUSEKEEPING ~~ ~~7~ ~ ~ / fG /~ ~ ~ G ^~ ^ FIRE PROTECTION / ~~~~~-~~ ~~~L` ~ SITE DIAGRAM ADEQUATE 8 ON HAND (/ ~ /s ANY HAZAR~D9O- U/S WASTE ON SITE? /J BYES ^ NO ' EXPLAIN: -I.CL(~l G{//~S•_7~ v ~~~5 = - -------~~-~---~-~~ - ~-~J ~r--3 --~- DUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (881) 328-3979 Ins'actar (Plaasa Print) Fin Pnvanti~n / 1 `~ In / Shift d Sita/Statian N i Sd~/Schaal SNs ~aspnsiNa Party (PNas~ Print) White -Prevention Services Yellow -Station Copy Pink - 8usinesa Copy FD2048 (Rw. ~10li) ~~ l"~~> CITY OF BAKERSFiELD FIRE DEPARTMENT F ~ OFFICE OF ENVIRONMENTAL SERVICES y/~'~ i1NIFIED PROGRAM INSPEC'CION CHECKO_,IST ;w ~gti,,!'~ 1715 Chester Ave., 3r`' Floor, i)akiersfield, CA 93301 FACILITY NAME ©~~4~re~.~~~L INSPECT IUN DATE~~C> rw Section 2: Underground Storage Tanks Program ^ Routine Combined ^ Joint Agency ^Minti-Agency ^ Complaint ^ Re-inspection Type of Tank Dd~ ~f4 wA% ~ Number of Tanks , Type of Monitoring ~ L~ Type of Piping ~~r~~lC~~1~ OPERATION C V COMMENTS Proper tank data on the Proper owner/operator data un the (~- Permit tees current Certification of Financial Responsibility [i Monitoring record adequate and current ~ ,< 7 ~ a~ Maintenance records adequate and current l ~ Failure to correct prior UST violations r Has there been an unauthorized release? Yes NO Section 3: Aboveground Storage Tanks Program TANK SIZ,E(S) _ Type of Tank AGGREGATE CAPACITY' Number oI~ Tanks i OPERATION Y N COMMENTS SPCC available SPCC on the with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overtill/overspill protection'? C=Compliance V=Violation Y=Yes N=NO Inspector: ~Of~'1D//' ~~27~~ !"" Z Office of Environmental Services (661) 326-3979 ~b'hitc - inv. Svcc. Pink - Rueiness Cory Business Site Responsible Party