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Home My WebLink AboutInspections~~(~~ f UIy~.FIC~ PROGRAM INSPECTION CHECKLIST;', 3, SECTION 1: Business Plan and Inventory Program Prevention Services _... e.....R..._S_._F:..., __.D 900 Truxtun Ave., Suite 210 F/RE Bakersfield, CA 93301 ~erM ~ Tel.: '(661) 326-3979 Fax: (661) 872-2171 FACILITY NA E INSP CTI DATE INSPECTION TIME t ~ ~SV~ ADDRESS ~ ~ ~ - j ( PHON ~ NO OF EMPLOYEES *~ ~ ~ ~ ~ ~ ~ ( et r ~ J FACILITY CONTAC~ BUSI ESS ID NUMBER /A ~ ~~~ 15-021- J Section 1: Business Plan and Invent~iry Program ^ ROUTINE COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ( C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ l1~ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ LiY CORRECT OCCUPANCY ^ LEI/ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ~NT'D APR ^ VERIFICATION OF LOCATION _ _ ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ I~EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ' ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? YES ^ NO EXPLAIN: ~ ~ QUESTION REGARDyIJG~HIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Fire PrLvention / 1" In /Shift of Site/Station # White -Prevention Services .Yellow -Station Copy usiness Site I Respons le Party (Please Print) 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: ~a)~n. ,GJry/V' ltQftU~.S~ Section 2: , Underground Storage Tanks Program ^ Routine ~ Combined ^ Joint Agency ^ Multi-Agency Type of Tank ^ Z Number of Tanks Type of Monitoring t.b Type of Piping INSPECTION DATE: ^ Complaint ^ Re-Inspection. OPERATION C V COMMENTS Proper tank data on file Proper owner I operator data on file Permit fees current '/ Certification of Financial Responsibility v Monitoring record adequate and current / L ~ ~ 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 _ BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 2-10 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 placarding/labeling Is tank used to dispense MVF?) If yes, does tank have ove~ll /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 Aggregate Capacity Number of Tanks ~~ f,~ Business Site Responsible Party Pink -Business Copy ~BF-7335 FD 2156 (Rev. 09/OS) ,~ :~, '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 FACILITY NA E INSPE~TIOt>J DATE INSPECTION TIME ---~~~~- W ~-r--~u.~' -mss ~------ ---- - -------- --- - - -------------- - ~-~I~--- - -- --- ----- -- -. ADDRESS NON No. No. of Employees _ __ ~a®t ---s~~~~-- _ __ __________ _ 8_~t~_~ao i ~ --_ 3_ FACILITYCONTAC Business ID Number It 15-02t- Section 1: Business Plan and inventory Program ^ Routine ombined O Joint Agency ^Mu1ti-Agency ^ Complaint ^ Re-inspection ~ V \V=Voationnce~ OPERATION COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ~^ CORRECT OCCUPANCY ~ i9j^ VERIFICATION OF INVENTORY MATERIALS ----------------- -- ----- 4y ^ VERIFICATION OF QUANTITIES __.._ ^ VERIFICATION OF LOCATION PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITYE ~^ VERIFICATION OF FIAT MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING - -s -/--------- --------- - --------- ---- . -...----...--- -- -------- -----.._...- ----- ------ ----------- - ------ -._...- ------ -.. IlY ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE 8c ON HAND ~ i ANY HAZARDOUS WASTE ON S//I~~TE?: ~o[~YES ^ NO EXPLAIN: ~~(14~Q_ Qlt' "~Pitll/A ~.tl~l QUESTIONS CARDING IS SPECTION? PLEASE CALL US AT (66'I } 326-3979 Inspector Badge No., White -Environmental Services Yellow - S[etgn Copy w '4 ,.- ~~iw4e' ``~ ~\ CITY OF BAKERSFIELD FIRE DEPARTMENT ;6 ~ ~ ~~ OFFICE OF ENVIRONMENTAL SERVICES ~~' .y~~~ UNIFIED PROGRAM INSPECTION CHECKLIST \~_w ~gti,,~'~~ 1715 Chester Ave., 3~d Floor, Bakersfield, CA 93301 ~..~~ FACILITY NAME ~~)~,~~'I-C ~t1~1Yt(- ~~1~ C~}f_:L~ INSPECTION DATE L 3 ~_ Section 2: Underground Storage Tanks Program ^ Routine ^~(.:elinbined ^ Joint Agency ^Mu1ti-Agency ^ Complaint ^ Re-inspection Type of Tank ( Number of Tanks Type of Monitoring C` C~ ~ Type of Piping ~1 OPERATION C V COMMENTS Proper tank data on the Proper ownerJoperator data on file 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 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 Inspector: Office of Environmental Services (805) 326-3979 White -Inv. Svcs. Pink -Business Copy ~ _~ UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmenta'1 Services 1715 Chester Ave Bakersfield. CA 93301 ,.~ .S y Y j / - 1 et: (tbb 1)~lti-;jyly FaiaUj~~ u IE INSPECTION GATE INSPECTION nME J __ .-- _. .. .- _- .~ --.. .. ..-.._... ... .. _. ..-. _.. --__.... -..... -_ - PHONE No. j No. or Employees >DCRESS r FACIIITVCONTACT 8umneea 10 Number ~~~ ~~ 15-Q21- Section 1: Business Plan and Inventory Pn~gram O Routine Combined ^ Joint Agency ^MuIti-Agency ^ Complaint ^ Re-inspection LC~V ~ V=V o atonnce l OPERATION (LY~O APPROPRIATE PERMIT ON HAND U ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE` ----- - - - - - ^-- VISIBLE ADDRESS ----------------- -- - ----.-._._.-. C31/ ^ CORRECT OCCUPANCY -.'_.._-_.-----.---._-__-.._ - ^ VERIFICATION OF INVENTORY MATERIALS VERIFICATION OF QUANTITIES W ^ VERIFICATION OF LOCATION ~^ -PROPER SEGREGATION OF MATERIAL L~' ^ VERIFICATION OF MSDS AVAILABILITYE - - /^ VERIFICATION OF HAT MAT TRAINING l~' ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~~^ EMERGENCY PROCEDURES ADEQUATE _ - f _ .. - II - CONTAINERS PROPERLY LABELED ~ v - ^ HOUSEKEEPING L.-. .._ _ ^ ^ FIRE PROTECTION . .- - - - ^ SITE DIAGRAM ADEQUATE 8c ON HAND COMMENTS ANY HAZARDOUS WASTE ON SITE?: ^ YES ~1 NO EXPLAIN: W a StC_ O L` t ~ ~ ~~ ~~ ~ b~C~ Q L QUESTIO /REGAR01 G IS INSPECTIONS PLEASE CALL US AT ~66~~ 3Z6-3979 Inspector Badge No.- White • Environmental Services Yellow • 9utbn Copy „~L~GLI/G'' Business Site Responsible Party Pink • Business Copy IY4~ F ~4 ~ M < b W ~I ':-~F CA~i~~.l' 0 0 C{TY" OF BAkERSF1El.D FIRE DEPART; 1' OFFICE OF F:NVIRON~`~II::N'1'AL SERVICES UNIFIED PROGRAM INSPECT'InN CIIECkL.IST 1715 Chester Ave., 3"'Floor, Bakersfield, CA 93301 FACIL[TY' NAME ~n tCS~(c~c' ,-I~T~ St~~ Section 2: Underground Storage Tanks Program INSPE;C~-ION DATE ~~ ~ - ~ ~ ^ Routine ~ Combined ^ Joint Agency ^Mulfi-Agency ^ Complaint ^ Re-inspection Type of Tank V~tl)F Number of yanks 3 Type of Monitoring [~ c~61~ Type of Piping (t7F OPERATION C V COMMENTS Proper tank data on file Pmper ownerroperator data on file Permit tees current Certification oFFinancial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure ro con•ect prior UST violations Has there been an unauthorized release? ~ YeS NU Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank OPERAT[ON Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? Ifyes, Does tank have overfill/overspill protection'? C=Compliance ~ V=Violation Y=Yes N=NO Inspector: b,~~_ . I -• ~~~T Oflice of Environmental Services (661) 326-3979 whi~C - rn~. s~«. AGGREGATE CAPACITY Number of Tanks fink - 4kisincrs C'npy siness Site Responsible Party