The URL can be used to link to this page

Home My WebLink AboutInspections 7-23-07 . .UNIFIED PROGRAM INSPECTION CHECKLIST . Prevention Services D 900 Truxtun.Ave.;'Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 .-;..SECTI.ON 1:~ Business Plan and Inventory Program .-" FACILITY CONTACT uS A-~\.. UC-f'tflOf; TE niiSPECTION TIME j (:17 P~l).~. 58 G.:;). BUSINESS ID NUMBER 15-021- C v (C comPlianCe) V=Violation W 0 ApPROPRIATE PERMIT ON HAND nv1S Business PLAN CONTACT INFORMATION ACCURATE OPERATION COMMENTS Jt .Q..o \" (,lA- Ad--. 13 o VISIBLE ADDRESS CORRECT OCCUPANCY VERIFICATION OF INVENTORY MATERIALS ~ VERIFICATION OF LOCATION VERIFICATION OF QUANTITIES o 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 DYES -rfNO ANY HAZARDOUS WASTE ON SITE? EXPLAIN: PLEASE CALL US AT (661) 326-3979 White - Prevention Services Yellow - StatioD Copy Pink - Business Copy FD 2155 (Rev. 09/05 " ,~ ~.fi INSPECTIONS BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 BUS}NESS PLAN & INVENTORY PROGRAM UNIFIED PROGRAM INSPECTION CHECKLIST Page 1 of 1 FACILITY NAME: -''^t. Ul t'NI1N t- fO~6S AIM. Ptltl INSPECTION DATE: ~ Section 2: Underground Storage Tanks Program o Routine ~ombined 0 Joint Agency 0 Multi-Agency Type of Tank Number of Tanks Type of Monitoring Type of Piping o Complaint ORe-Inspection OPERA TION C V COMMENTS Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Proper tank data on file Proper owner I operator data on file ~ec.-- No Permit fees current Certification of Financial Responsibility DYes No Section 3: Aboveground Storage Tanks Program Aggregate Capacity Number of Tanks Tank Size(s) Type of Tank OPERATION y N COMMENTS SPCC available I SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF?) If yes, does tank have overfill I 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 Pink - Business Copy KBF-7335 FD 2156 (Rev. 09/05) ~~.,.~, ~\''8!'':.'l1'<~.,,:~..'.w.;.'.j,~~!;fJ''M~~~;'~;.lJ''-''.''{~''.9;'~l7.;'':'' .~; , ;.h'St!.,:::;:;"~,:,,, ~,. .:.,1"~,;,' -'.....~~ ~..., ',.-i.'.".,,- ; ;,.;;,. '/~''''." ..,',.."~~,r-" ' BAKERSFIELD FIRE DEPI' Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 ~ ---' " UNIFIED PROGRAM INSPECTiON CHECKLIST SECTION 1: Business Plan and Inventory Program NSPECTION TIME o ROUTINE Section 1: Business Plan Jlnd Inventory Program COMBINED 0 JOINT AGENCY 0 MUL TI-AGENCY-O- COMPLAINT e ~ ~ ~~1 ORE-INSPECTION C v (C=ComplianCe) V=Violation OPERATION COMMENTS ApPROPRIATE PERMIT ON HAND Business PLAN CONTACT INFORMATION ACCURATE VERIFICATION OF INVENTORY MATERIALS VISIBLE ADDRESS CORRECT OCCUPANCY VERIFICATION OF QUANTITIES VERIFICATION OF LOCATION PROPER SEGREGATION OF MATERIAL -etvrv AU~ . ... _m______ -------.~--'J-08 Z(J(Jt--------- VERIFICATION OF MSDS AVAILABILITY VERIFICATION OF HAZ MAT TRAINING EMERGENCY PROCEDURES ADEQUATE CONTAINERS PROPERLY LABELED HOUSEKEEPING cl O~~t~ &rir5 ~<' FIRE PROTECTION SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: DYES o~ PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention /1st In / Shift of Site/Station # White - Prevention Services Yellow - Station Copy Pink - Business Copy FD2049 (Rev. 02/051 ~ .'"':-/ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave.. 3rd Floor. Bakersfield. CA 93301 FACILITY NAME A'tt 0 A.v.. ~\.'-- INSPECTION DATE ~ I~&t, Section 2: Underground Storage Tanks Program o Routine ~mbined 0 Joint Agency 0 Multi-Agency 0 Complaint. 0 Re-inspection Type of Tank l)u..1R-5 Number of Tanks :l Type of Monitoring C f..,. t-Y\... Type of Piping fi.l)F OPERA TION C V COMMENTS . V Proper tank data on tile V Proper owner/operator data on tile V V Penn it fees current \..,.. V V v Certification of Financial Responsibility Monitoring record adequate and current 1'-""" 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 AGGREGA TE CAPACITY Number of Tanks OPERA TION Y N COMMENTS SPCC available SPCC on tile with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MYF? If yes, Does tank have overtill/overspill protection? C=Compliance Y=Yes N=NO Inspector: Office of Environmental Services (661) 326-3979 ~f~ //~ usiness SHe ResponsIble Party White - Env. Svcs. Pink - Business Copy ~ i ~IFIED PROGRAM INSPECTION CHECKLIST . I SECii~;;;;IS PIR~";~~;;--'.. Bakersfield Fire Dept. Environmental Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel: (~61) }~6~~2I2 _om ::=:~T~1i:-&~J~(ii0..~.~~.. -----.-.--- INSPECTION DATE INSPECTION TIME PHONE No. .-------- No. o;-EmPiOy~--m . FACILITYCONTACT Business 10 Number 15-021- Section 1: Business Plan and Inventory Program LI Routine Combined LI Joint Agency LI Multi-Agency LI Complaint (] Re-inspection c V ( C=Compliance ) V=Violation OPERATION COMMENTS LI LI APPROPRIATE PERMIT ON HAND LI LI BUSINESS PLAN CONTACT INFORMATION ACCURATE Ll (:J VISIBLE ADDRESS LI LI CORRECT OCCUPANCY LI Ll. VERIFICATION OF INVENTORY MATERIALS -------..-.-.--.-.------..----...-----------.--..----..._n.._._._ ----.--- ..--. --. . . -..t .. uo.._.__. -.- ~:~~~~~;~;;~~;~......l: 9__~.__~_~~~~~_SEG~:~~~~~~F.~~~~~I~__ _________.. -j-_....___. ~___~_._~=~I.~~~:~~_.~~~~~~~~_I~~I~ITYE ... --of _. __. __ ._____ ....... I ..+----- .9__~___~_=~~~I~~~I~_N_~F A_~~:~_~ENT ~~PP~I=_~~N~~ROCEOURES t- i - -~-~~~-~-~~~~~~=.~~~--~~:~~-.~....--~.:.-.~.~-...-.~-..--..----.=.--.-.-~.- -~~.~:-.1--. I .._..__ . _0. - ...[_ .__.._._u.___.._. I ENT'O SEp.o-l--2rros--.---. Cl Cl VERIFICATION OF HAT MAT TRAINING Cl Cl EMERGENCY PROCEDURES ADEQUATE (] LI CONTAINERS PROPERLY LABELED LI LI. FIRE PROTECTION LI Cl SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: (] YES Cl No EXPLAIN: IS INSPECTION? PLEASE CALL US AT (661) 326-3979 WMe - Environmental Services Yellow - Station Copy Pink.. Busin888 Copy Business Siie-ResPonsible pa,ty(PkisSe Prinij- ~ ~ ~ i ~IFIED PROGRAM INSPECTION CHECKLIST . I SECii~;;;;IS PIR~";~~;;--'.. Bakersfield Fire Dept. Environmental Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel: (~61) }~6~~2I2 _om ::=:~T~1i:-&~J~(ii0..~.~~.. -----.-.--- INSPECTION DATE INSPECTION TIME PHONE No. .-------- No. o;-EmPiOy~--m . FACILITYCONTACT Business 10 Number 15-021- Section 1: Business Plan and Inventory Program LI Routine Combined LI Joint Agency LI Multi-Agency LI Complaint (] Re-inspection c V ( C=Compliance ) V=Violation OPERATION COMMENTS LI LI APPROPRIATE PERMIT ON HAND LI LI BUSINESS PLAN CONTACT INFORMATION ACCURATE Ll (:J VISIBLE ADDRESS LI LI CORRECT OCCUPANCY LI Ll. VERIFICATION OF INVENTORY MATERIALS -------..-.-.--.-.------..----...-----------.--..----..._n.._._._ ----.--- ..--. --. . . -..t .. uo.._.__. -.- ~:~~~~~;~;;~~;~......l: 9__~.__~_~~~~~_SEG~:~~~~~~F.~~~~~I~__ _________.. -j-_....___. ~___~_._~=~I.~~~:~~_.~~~~~~~~_I~~I~ITYE ... --of _. __. __ ._____ ....... I ..+----- .9__~___~_=~~~I~~~I~_N_~F A_~~:~_~ENT ~~PP~I=_~~N~~ROCEOURES t- i - -~-~~~-~-~~~~~~=.~~~--~~:~~-.~....--~.:.-.~.~-...-.~-..--..----.=.--.-.-~.- -~~.~:-.1--. I .._..__ . _0. - ...[_ .__.._._u.___.._. I ENT'O SEp.o-l--2rros--.---. Cl Cl VERIFICATION OF HAT MAT TRAINING Cl Cl EMERGENCY PROCEDURES ADEQUATE (] LI CONTAINERS PROPERLY LABELED LI LI. FIRE PROTECTION LI Cl SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: (] YES Cl No EXPLAIN: IS INSPECTION? PLEASE CALL US AT (661) 326-3979 WMe - Environmental Services Yellow - Station Copy Pink.. Busin888 Copy Business Siie-ResPonsible pa,ty(PkisSe Prinij- ~ ~ 4, - ';;. ..-- CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF I~NVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITYNAME~R820 INSPECTION DATE Section 2: Underground Storage Tanks Program o Routine ~Combined 0 Joint Agency Type of Tank DuJF" Type of Monitoring LL~ o Multi-Agency 0 Complaint Number of Tanks 'Z- Type of Piping SuJ L- ORe-inspection OPERA TION C V COMMENTS Proper tank data on tile Proper owner/operator data 011 file Pennit 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 OPERA TION Y N COMMENTS SPCC available SPCC on tile 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 Business Site Responsible Party Pink - Au,illess Copy