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HomeMy WebLinkAboutBUSINESS PLAN 9/2008,$... r INSPECTIONS BUSINESS PLAN 8~ INVENTORY PROGRAM UNIFIED PROGRAM INSPECTION CHECKLIST FACILITY NAME: ~C~A1at~-r ~ t C~~lm/ .. B D E R S F I L D P/RE A/PTM T Section 2: Und ground Storage Tanks Program 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 INSPECTION DATE: r~( ^ Routine Combined Join Agency ^ Multi-Agency Complaint ^ Re-Inspection Type of Tank ~~ Number of Tanks Type of Monitoring Type of Piping ~ 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 ,~t~ 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 I overspill protection? C =Compliance V =Violation Y =Yes N = No r Inspector: Questions regarding this inspection? Please call us at (661) 326-3979 White -Prevention Services ~~ Business Site Responsible Party Pink -Business Copy KBF-7335 FD 2156 (Rev. 09/05) ~- INSPECTIONS B E R S F I L D BUSINESS PLAN & ~ rM r INVENTORY PROGRAM UNIFIED PROGRAM INSPECTION CHECKLIST FACILITY NAME: ~'C.•E~+N~7 LI q,~ o2,s • Section 2: Underground Storage Tanks Program INSPECTION DATE: ~ 3( 0~ ^ Routine ^ Combined ^ Joint Agency ^ Multi-Agency ^ Complaint ^ Re-Inspection Type of Tank ~ ~ ~•ho ~ c~~ s Number of Tanks 2 Type of Monitoring~`~~~ ~G~ Type of Piping ~~.ESSu.2~ ~ ~+1 A~• S(4s s 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 - Section 3: Aboveground Storage Tanks Program Tank Size(s) Type of Tank 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 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: V~G ~'"~~ '`~ ~ ~"~ Questions regarding this inspection? Please call us at (661) 326-3979 • White -Prevention Services Aggregate Capacity Number of Tanks tf u n s Sit esponsible Party Pink -Business Copy KBF-7335 FD 2156 (Rev. 09105) / _ BAKER8FIELD FIRE DEPT. B_ a x_.~ P ' D Prevention 8er~rices FIRE ORDINANCE VIOLATION. ass ' „~~_ " ~,< wRrm .900 Trtzxtian Ave., Ste. 210 _ ' Bakersfield, CA 93301 ~ ~ ~ • .: Tel.: (661) 326-3979 X Fax: (661) 852-2171 OCCUPANCY': DISTRICT. BLOCK NO. DATE ~ c) l~ ~ / I TO f) ~~ CY ' TITLE - FIRM OR DBA , ~ • , ` (CITY, STATE, ZIP) ) ~ ~ ~ !'~ ~~~~ ~ ~^ ~ ~~ COMP ANY ADDRESS --} Cx BUSINESS PH NE ~*~~ ~y.~''~ H E PHONE CORRECT ALL VIOLATIONS vaLnnox REQUIREMENTS , ' CHECKED BELOW xo. TIBLE WA TE I DRY COM 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) BUS S , VEGETATION 2 Provide non-combustible containers with tight fitting lids for the storage bt combustible waste and rubbish pending .its safe disposal. (U.F.C.) COMeusTIBLE STORAGE 3 Relocate combustible storage to provide at least 3 feet clearance around motor fuse boxlfire door (N.E.C.) (11.F.C.) 4 Relocate fire extinguisher(s) so that they will be in a conspicuous locati'o'n, hanging.on brackets with the top to the extinguisher not more than 5 feet above, the floor. (N. F.P.A. No. 10) ' EXTINGUISHERS _ 5 Provide and install (amount) __M approved (type 8 size) _____~_________~ poatable fire extinguisher to be immediately accessible for use in (area) ________________~_~__~~ (U. F.G.) ` g Re-charge all fire' extinguishers. Fire extinguishers shall be serviced at least once each year, and/or after each use, • by a person having a valid license or certificate. (U. F.C.) • 7~ . Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit (door/window) to 51GNS fire escape. (U.F.C.j g Provide and maintain appropriate numbers on a contrasting background and visible from the street to indicate the correct address of the building. (B.M.C.) (U.F.C.) ' g Repair all (cracks/holes/openings) in plaster in (location) ~__________________~_______________. Plastering FlR~E ~PARRA/T S y shall return the surface to.its original fire resistive condition. (U.B.C.) _ SE K)N ' 10 Remove/repair (item & location) ___________________~___~_ _ _ ~ _ _________.. Self-closing doors shall be designed to close by gravity, or by the action of a mechanical device, or by an approved smoke and - heat sensitive device. Self-closing doors shall have no attachrnents capable of preventing the operation of the closing device. (U. F.C.) ExrrS - 11 Remove all obstruction from hallways. Maintain all means of egress tree of-any storage. (U.F.C.) -- ~ 12 Provide a contrasting colored and permanently installed electric light'over or near required exit (location) ' _________________~___________ to clearly indicate it as an exit. (U.F.C.) SroRAGE 19 Remove all storage and/or other obstructions from fire escape landings and stairways stair shafts. (Fire • escapes/stair shafts are to .be maintained free from obstructions at alt times.) (U.F.G.) 14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets ELECTRICALaPPLUwCES where needed. (N.E.C,) (U.F.C.) 15 Remove multiple attachment cords from specific electrical convenience outlet (one plug per outlet) (N. E.C.) (U. F.C.) oUTDOORBURNING 16 Violation of Section 1102 dealin with recreational tires or o en burnin U.F.C. FIREWORKS 17 Violations of Section 7802 U.F.C. or 8.49.040 of the Bakersfield Munici al Code B.M.C. re ardin fireworks: OTHER 18. - .~ ~'t ,/ ,/ )( I r.'•a / 1 7 ~ . r _t.^ w.~/` .~ r'- ~ r" f. s%''' , :' i'~,.~'1 `^'r- f ./ ~ ~ /~ ° w•1f/'~ % l ~ ' ,. ~ - ~ ~ .. f7~ ~~j°,~~-•'~tr 11 ."./ ~~f!'/J i'ii_.J ! rl/ ~ ~1.~. ~~ -dlf~C..t~ l ' . f' ~f /, }. ..•' - `fF'rC ~ J(~G-} f(,-~'01'..~J'l. r'.a~~l,~H^Nt...-+ ~`'s'>I•l «sr1'•>-9 .• ~ . - -` ''~ ON (DATE) ~ AN INSPECTION WILL BE MADE, IF NO COMPLUWCE HAS BEEN MADE, ADDTfIONAL f '' ' ~~N ~ REGULATORY ACTION MAY BE INfMTED. ', tr,,.^`r' O E RCM RD R VN L E NT BY C All P D A NG DA ~+~TURE AFTER VIOLATIONS ARE CORRECTED, RETURN THIS BY ORDER OF THE FIRE CHIEF ~~ DATIs COMFLETED~ ~ ~ NOTICE BY MAIL OR IN PERSON TO: ~ ~~~~ _ s ~~ ~ BAKERSFIELD FIRE DEPT. ~~~RSK+NAnRE ~---wsFECroRSIDNAnaiE OFFICE OF PREVENTION SERVICES LEDEND: ' C.F.C. CALIFORNUI FIRE CODE ~--•'. • 800 TRUXTUN AVE., SUITE 210 . u.e.c. uNtFOtan BUtLdNO CoOE ~ BAKERSFIELD, CA 9~D1 ' B.M.C. BAKERaFiELD MUNK~AL CODE - N.FPA. NATONAL FIRE iROTECTiDN Ati60C1AT10N ,j°'~ . ^' N.E.C. NATIONAL ELECTRIC CODE ~ - '; ~ ' White-Customer/Original Yellow-Station Copy pink-Prevention Services a^FD1818 (REV. Otlos) Pt~~R~ :®F~tGI#~AL _ _ , . '~ _, ~+'~~` ~~'~ ~ CITY OF BAKERSFIF,I.D FIRE DEPARTMENT d ~ ~ ~~ OFFICE OF ~+;NVIRONNiEN'1'AL SERVICES ;° y+i1 UNIFIED PROGRAM INSPECTION CHF,CKLIST Aw ~gti,,!'~ 1715 Chester Ave., 3"' Floor, Bakersfield, CA 93301 FACILITY NAME fr,ZS_£wQc-~ ~ ~`o~in~GS INSPECTION DATE ~'~~°_~? __ Section 2: Underground Storage Tanks Program ^ Routine ~'6mbined ^ Joint Agency ^Mulfi-Agency ^ Complaint ^ Re-inspection Type of Tank ~kt~ wflil Number of Tanks'..-~ Type of Monitoring ~ Type of Piping ~~Efc~,~(~ OPERATION C V COMMENTS Proper tank data on file Proper owner,'operator data un file Permit fees current Certification of Financial Responsibility Monitoring record adequate and current L,'` •7 w S GNU nJ ~"' re Maintenance records adequate and current ~ c r~Gy ~ ,~£ Failure to correct prior UST violations Has there been an unauthorized release? YeS NO :fd~ 8e ~, z ~,~,, 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 (s tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compliance V=Violation Y=Yes N=NO Inspector:~/~ (J-Q~~~'" Office of Environmental Services (661) 326-3979 White - inv. sues. Pink - t3usiness C~~ry Business Site Responsible Party UNDERGROUND STORAGE T~II~ !NSPECTION ~ Bakersfield Fire Dept. ', "~'~'"~"~'~'=.','"'"' ~'~'"' :~ ' Office of Environmental Services, ~ Bakersfield, CA 93301 FACILITY NAME ~.~(,~J~,~,~r-,2,~,~.. BUSINESS /.D No 215-000 ] ~/,;, FACILITY ADDRESS ~'~-©-a~ L" ~ ~'~,.~ ~.--{,~a z~. CITY .~P.~5"~, ~ Ir-'/' ZiP CODE FACILITY PHONE No. ~D~ ~D~ INSPECTION DATE (~}/ ~" ~ P,[~_oduc! Product Product TIME IN TIME OUT /~-~'a ~' //£ (?J- '~'V/~E Inst Date Insl Dale'"'5 Insl Dale' INSPECTION TYPE: /9' ?~ / ~O Size Size Size ROUTINE ~ FOLLOW-UP /~ ! ~ / _~./2/~E /~ REQUIREMENTS yes no n/a yes no n/a yes no n/a la. Forms A & B Submitted ~/ ~ ~'~ 1 b. Form C Submitted '/ ~ lc. Operating Fees Paid ~/ / ,~ ld. State Surcharge Paid ~ ~' ~_.~'~.. c~ ~ 1 e. Statement of Financial Responsibility Submitted ~ ,-~ lf. Written Contract Exists between Owner & Operator to Operate UST c~ 2a. Valid Operating Permit ~ ~' 2b. Approved Written Routin~ Monitoring Procedure ~/ ~ ~" 2c. Unauthorized Release Response Plan ~ ~ aa. Tank ,ntegrity Test Last Months 3b. Pressurized Piping Integrity'Test in Last 12 Mo0ths ~ ~ 3c. Suction Piping Tightness Test in Last 3 Years ~-~ ~- ~-~" 3d. Gravity Flow Piping Tightness Test in Last 2 Years ~"[ ~' 3e. Test Results Submitted Within 30 Days / ~ 3f. Daily Visual Monitoring of Suction Product Piping ~ ~'~ ~" 4a. Manual Inventory Reconciliation Each Month >x,~, ~ t,.,-- 4b. Annual Inventory Reconciliation Statement Submitted ~/ ~ 4c. Meters Calibrated Annually -~ 4,.., ~' .... 5. Weekly Manual Tank Gauging Records for Small Tan, ks, ~ o,.,-' >,~- 6. Monthly Statis~Jical Inventory Regon.cOi~ation~ I~e,s~lts~ ~';~b'~'~tC{ t"A~~, /-"(;~/ " ~''~'~] ~,~- ~,-~ ~r~,- ~ /;' ~' .~ z~ 4 ~ " 7. Monthly ,~ut6m atlOTanl~,~{jfff~-~ / suits / ~- 8. Ground Water Monitoring ~,' ~,-- 9. Vapor Monitoring ~ ~- ,', 10. Continuous Interstitial Monitoring for Double-Walled Tanks t,,- ~ ~'" 11. Mechanical Line Leak Detectors LL~. ~,~'~ ~;~;~i~. ~ ~ ~ 12. Electronic Line Leak Detectors o-,'"' ~-"/ 13. Continuous Piping Monitoring in Sumps ~,- ~ 14. Automatic Pump Shut-off Capability ~' ~ 15, Annual Maintenance/Calibration of Leak Detection Equipment >~--' ~,-' 16. Leak Detection Equipment and Test Methods Listed in LG-t 13 Series ;,- ~,m 17. Written Records Maintained on Site / ~' .'/ 18, Reported Changes in Usage/Conditions to Operating/Monitoring ~.~ Procedures of UST System Within 30 Days ~' 19. Reported Unauthorized Release Within 24 Hours .~- ,v,.,-' 20. Approved UST System Repairs and Upgrades ~.,- c~ 21. Records Showing Cathodic Protection Inspection ~ ~- 22. Secured Monitoring Wells .~ ~,~ 23. Drop Tube v/ . ~-~ RE-INSPECTION DATE . ,/ RECEIVED BY: /<, , .' / ~.~-- : ...... _ -~ ,,.-' ,.-.- ./~,~..~ _.~ . ~J. ~ INSPECTOR: ../.z. a-:.~,~ ~,'~: ~-~/~__,, ._. ,,/.~-.Z.,~/r___- OFFICE TELEPHONE NO. ,~,,.~-.3F FD 1669 (rev. 9/95) Bakersfield Fire Dept. ~G~M II~ECTION CHECKLIST Enironmental Se~ces 1715 Chester Ave SECTION I Business Plan and inventory Program Bakersfield, CA 93301 Tel: {661)326-3979 ~.~'.~'_~.~..~_~~ ..... ~,_~.~ ................................... ~ .......................... ~.~_~ ...... t.~._~_~.~'.._~_~.~ .... ADDRESS / ~ i {~ONE No. [ No. of Employees ~~ ~ ~ .................................... i~_~~ ........ _ ................... Section 1: Business Plan and Inven~ Pr~mm ~ Routine ~Combin~ ~ Joint Agency ~ Multi-Agency ~ Complaint ~ Re-inspection C V iC=C°~"~ia"c~ OPE~TION COMMENTS k V=Violation ~ APPROPRIATE PERMIT ON HAND ..................................................................................................... ~ ~ BUSINESS P~N CONTACT INFORMATION ACCU~TE ~ 3 VISIBLE ADDRESS ~ ~ CORRECT OCCUPANCY ~ ~ VERIFICATION OF INVENTORY MA~RIALS  ~ VERIFICATION OF QUANTITIES  ~ VERIFICATION OF LOCATION  ~ PROPER SEGREGATION OF MATERIAL  ~ VERIFICATION OF MSDS AVAILABILIWE ~ ~ VERIFICATION OF HAT MAT T~INING  ~ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~ ~ EMERGENCY PROCEDURES ADEQUATE  ~ CONTAINERS PROPERLY ~BELED '~ ~ HOUSEKEEPING .  ~ SITE DIAGRAM ADEQUATE & ON HAND ANY H~ARDOUS WASTE ON SITE?; ~ YES ~ No EXPLAIN: White. Environmental Services Yellow - Station Copy Pi~'- Business Copy CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CltECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME F('~V=. ~kJzP,/ ~.,1610 O ~r,~ INSPECTION DATE Section 2: Underground Storage Tanks Program [~[ Routine ~Combined [~[ Joint Agency [~ Multi-Agency [~1 Complaint [~ Re-inspection Type of Tank "i~[/k] ~" Number of Tanks ~. Type of Monitoring 0_-L- 144 Type of Piping ~ ~,~J ~' OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file Permit tees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current K 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 Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection? C=Compl,ance V:Violation Y:Yes N=NO inspector:, ,~]/'~'~//~~./~~ Office o El~y~onmental SetYvi~ (~)~w5~979 Bff~i~s Site Re~pon~ble Party White - Env. Svcs. Pink - Business Copy  Bakersfield Fire Dept. UNIFIED PROGRAM PECTION CHECKLIST Enironmenta] Sez~dces , ,"," , ,, ',,, -~''''"~ 1715 Chester Ave SECTION 1. Business Plan and Inventory Program Bakersfield, CA. 93301 'Tel: (661)326-3979 FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS ~' P . NO. of Employees e. ....... ........... FACILITYCONTACT Business ID Number 15-021 - ' ' .... ' ...... S : s PI n d InventorY Progra , , ...~, ection 1 BUsines a .an m l"1 Routine '~ Combined ~ Joint Agency ~ Multi-Agency ~ Complaint ~ Re-inspection · C V (C=Comp,ancel OPERATION COMMENTS ~. V=Violation ./ [~ APPROPRIATE PERMIT ON HAND ~ 17 VISIBLE ADDRESS ~ [] CORRECT OCCUPANCY ~ ~ VERIFICATION OF INVENTORY MATERIALS ~[] VERIFICATION OF QUANTITIES [~ VERIFICATION OF LOCATION PROPER SEGREGATION OF MATERIAL VERIFICATION OF MSDS AVAILABILITYE VERIFICATION OF HAT 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,9; ~ YES I'1 No EXPLAIN: White. Environmental Services Yellow - Siation Copy Pink - Business Copy CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME .~tu/.~t,l ~,~.;/'~tS INSPECTION DATE i'- ~ I "0 71 Section 2: Underground Storage Tanks Program [21 Routine [~ Combined [] Joint Agency [] Multi-Agency [21 Complaint [] Re-inspection Type of Tank ._F~}I~ Number of Tanks ~ Type of Monitoring ~ ¢)h Type of Piping fJt_fl~ OPERATION C V COMMENTS Proper tank data on file Proper owner/operator 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) 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 overfill/overspill protection? C=Compliance V=Violation Y=Yes N=NO Inspector: .~ f~ ~~R (,.~.,~..~.' ~.~~ Omce of Environmental"Services (805) 3"'-26-3979 espons~bl'e Party White - Env. Svcs. Pink - Business Copy CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 ' FACILITY NAME r~rttttncq txto~?ot,3.. INSPECTION DATE ADDRESS ~0~ 0 ~-' l~nt~a.tt ~ PHONE NO. ,~3.3" 02fi"q FACILITY CONTACT BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program I~l Routine [~ Combined I~ Joint Agency I~ Multi-Agency ~l Complaint [~l Re-inspection OPERATION C V COMMENTS Appropriate permit on hand [~. J Business plan contact information accurate L /~ Visible address L J Correct occupancy ~ ~ Verification of inventory materials ~ f' Verification of quantities L,, /' Verification of location Proper segregation of material Verification of MSDS availability f,. ~' Verification of Haz Mat training U,/ / Verification of abatement supplies and procedures / Emergency procedures adequate Containers properly labeled / Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: {~ Yes [~No Questions regarding this inspection? Please call us at (661) 326-3979 Business Site ~,esponsible Party White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 Section 2: Underground Storage Tanks Program [] Routine [~[ Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection Type of Tank /][1]~- Number of Tanks Type of Monitoring d/.-th. Type of Piping OPERATION C V COMMENTS Proper tank data on file ~ Proper owner/operator data on file L,., / Permit fees current Certification of Financial Responsibility [,, / 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) 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 overfill/overspill protection? C=Complianclj~_. ~ V=Violation Y=Yes N--NO Inspector: .~g4,O.~ ~~0 ~~~~'~ Office of Environmental Services (805) 326-3979 Business Site Responsible Party White - Env. Svcs. Pink - Business Copy CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME ~tc.c.0Jatu {ne o. uo~ ~t .,~ INSPECTION DATE ~q ~l._,c' ADDRESS ~o.30 ~. ' ~'onat~tft- ~tmt_ PHONE NO. ~t~3' Ogg'~ FACILITY CONTACT BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program [~ Routine ~ Combined [~1 Joint Agency {~ Multi-Agency ~ Complaint [~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location {.~/ 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 C=Compliance V=Violation Any hazardous waste on site?:Explain: [~l Yes [~No Questions regarding this inspection? Please call us at (661) 326-3979 Business Site Responsible Party White-Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~'r~.t~ ~q I'~ ~t_ ~'~ INSPECTION DATE ! Section 2: Underground Storage Tanks Program [] Routine ~l Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection Type of Tank OC0 '~ Number of Tanks Type of Monitoring &L. tt/1. Type of Piping OPERATION C V COMMENTS Proper tank data on file Proper owner/operator 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) 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 overfill/overspill protection? C=Compliance ,~V=Violation Y=Yes N=NO Inspector: .~ ~ ~ ~ Office of Environmental Services (805~}'3~-3979 Bu[si~es~S~t"~e Resp-onsi~ole Party White - Env. Svcs. Pink - Business Copy CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME ~-t'~co, ta,, ~.l~OC~, INSPECTION DATE ADDRESS c00~lr) ~.'~tJ~Aae~ Att~,___ PHONENO. FACILITY CONTACT BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program [] Routine [~l'C"ombined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address V Correct occupancy Verification of inventory materials [,,/ Verification of quantities Verification of location Proper segregation of material L/ ~ Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures V Emergency procedures adequate U Containers properly labeled t,/' Housekeeping ~'~ ' Fire Protection [/ ~__ e~%x~O~5~C¢.~ b~Ct~ Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: [] Yes [] No A , Explain: Questions regarding this inspection? Please call us at (661) 326-3979 B sp~,/~ '/'3: , arty White- Env. Svc~. Ye,ow - St~tio,, Copy Pi,,k - ~,,si,~¢ss Copy Inspector: CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME t'l~¢ O.~V INSPECTION DATE Section 2: Underground Storage Tanks Program I~] Routine [~/ombined I~1 Joint Agency l~l Multi-Agency I221 Complaint I~1 Re-inspection Type of Tank ,Du_}~" Number of Tanks Type of Monitoring d:/.-I'vX Type of Piping Oal F-- OPERATION C V COMMENTS Proper tank data on file k/~ Proper owner/operator data on file Permit tees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current q Failure to correct prior UST violations [,,/ Has there been an unauthorized release? Yes No 't// 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 overfill/overspill protection? C=Compliance V=Violation Y=Yes N=NO Inspector: ~,.~.~, ..... Office of Environmental Services (805) 326-3979 Business SitkResponsible Party White - Env. Svcs. Pink - Business Copy CITY OF BAKER~IELD OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA (805) 326-3979 ~NSPECTTON RECORD POST CARD AT JOB 81TE City, Zip ! Spark Te~ ~~ ~ ~ of T~s) ~ ~1~ - Pi~$ .... vau~t wi~ ~ c~bl~ ~ ~/~ ~wl ~gm ~ S~ ~ C~bl~ Fill ~ ~) for ~ S~D.W. Fill ~ ~k UNDERGROUND STORAGE TANi ISPECTION Bakersfield Fire Dept. Office of Environmental Services Bakersfield, CA 93301 FACILITY NAME ~'rceu~au /-~o0~ .5 BUSINESS I.D. No. 215-000 1.3'.~ / FACILI~ADDRESS 3030 ~. /~~ ~,~ CI~ ~(~ ZIPCODE FACILI~ PHONE No. ~ - 0~ ~ ~ ~ INSPECTION DATE Pr~.a Pr~u~ Pr~ua TIME IN TIME OUT ~r¢¢~ d~ Insl Date Inst Date Inst INSPECTION ~PE: t ~O [ q¢O ROUTINE ~ FOLLOW-UP siz. siz. /~1~o i0 ~o /~, REQUIREMENTS yes no n/a yes no ~a y~ no ~a For s A · S Sub i. lb. Form C Su~i~ lc. O~rating F~s Paid ld. State Surcharge Paid le, Statement of Financial Res~nsibili~ Submiff~ lf. Wriffen Contract Exists ~een Owner & O~mtor to Operate UST 2a. Valid O~rating Permit 2b. Approved Wriffen Routine Monitoring Pr~edure ~ ~ 2c, Unauthoriz~ Release Res~n~ Plan ~~ 3a. Tank Integrity Test in Last 12 Months f( 15 {q 7 ~1~ ~ ~ 3b. Pressurized Piping Integrity Test in Last 12 Months ~ ~e~ ' ~ ~ ~. Suction Piping Tightness Test in Last 3 Years ~ ~ ~. Gmvi~ Flow Piping Tightness Test in Last 2 Yearn ~ ~, Test Results Submiff~ Within ~ Days 3f, Daily ~sual Monitoring of Suction Pr~uct Piping ~. Manual Invento~ R~onciliation Each Month ~. Annual Invento~ R~onciliation Statement Submiffed ~. Meters Calibrat~ Annually 5, Weekly Manual Tank Gauging R~ords for Small Tanks 6. Monthly Statistical Invento~ Reconciliation Results 7. Monthly Automatic Tank Gauging Results 8. Ground Water Monitoring 9. Vapor Monitoring 10. Continuous Interstitial Monitoring for Double-Walled Tanks 11. Mechanical Line Leak Detectors 12. El~tronic Line Leak Det~tors 13. Continuous Piping Monitoring in Sum~ 14. Automatic Pump Shutoff Capabili~ 15. Annual Maintenance/Calibration of Leak Detection Equipment 16. Leak Det~tion Equipment and Test Methods Listed in LG-~13 Series 17. Wri~en Records Maintained on Site 18. Rended Changes in Usage/Conditions to Operating/Monitoring Procedures of UST System Within ~ Days 19. RepoSed Unauthorized Release Within 24 Hours 20. Approved UST S~tem Repairs and Upgrades 21. Records Showing Cathodic Protection Ins~tion 22. Secured Monitoring Wells 23. Drop Tu~ RE-INSPECTION DaTE -- RECEIVED BY: ~ -~, FD 1~9 (rev. 9/~) HAZARDOUS MATERIALS INSPEt )N [kerst~eld l~i~e Dept. OF ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 Date Completed ?/it~/¢ 7 Business Namei Location: ~o3~ ~, /~n~/~fc Amc, Business Identification No. 215-000 I,-3~1 (Top of Business Plan) Station No. Shift Inspector Arrival Time: Departure Time: Inspection Time: Ad te Inadequate Adeq~te Inadequate Address Visable eli~ I-I Emergency Procedures Post(dL~ r'l Correct Occupancy I~ [] Containers Propedy Labl(d (2~ [] Verification of Inventory Materials ~ i'l Comments: Verification of Quantities I~/ r'l Verification of Location ~ r'l Verification of Facility Diagra: n Proper Segregation of Material O~' [] Housekeepiqg I~__ [] F~re Protection El Comments: Electrical ~ [] Comments: Verification of MSDS Availablity [] [] Number of Employees: ¢.! UST Monitoring Progra,m ~ [] Comments: / Verification of Haz Mat Training~ [] Permits ~ [] Comments: Spill ContrOl ~ [] .I Hold Open Device ~ [] Verification of Hazardous Waste EPA No. Abbatement Supplies and Procedures ~ [] P .... roper waste u~sposa Comments: Secondary Containment ~ [] Secudly ~ [] Special Hazards Associated with this Facility: Violations: ~ k L.O£,~.~ ~ All Items O.K ~ '~ Business OwnedManager PRINT NAME SIGNATURE Correction Needed [] ~ White-Haz Mat Div. Yellow-Station Copy Pink-Business Copy ,*-, t.l_ UNDER. GROUND ST GE TANK INsPECTIoN "~i kcrsfield :Fire Dei)t' Hazardous Materials Division Date Completed Operating Perm,: Business Name: ~,~.~ ~~ Location: ~ E. ~~ /~ Business Identification No. 215-000 I~/ (Top of Business Plan) Number of Tanks. ~ Type: ~(~ ,~.~1(~, ~,~_ ~J :/~ Containment: ~ Lines:. ,~ ]~ ./,j~//~ . .~_.~ CONTACT INFORMATION ~er: ~/~ ~,'/~ / Emergency Contact:~ ~ ; /~ Adequate Inadequate Monitoring Program ~ , ~ / · ~ RECORDS Maintenance [~ ~ Testing ~ ~ Inventory Reconciliation I--~ ~~'"'~ ~ RESPONSE PLAN Emergency Plan Violations: i~~~~ ~ AIl Items O.K. Bus Correction Needed White - H~ Mat Div Pink - Busies Copy FREEWAY ~LIQUOR I CHILDERs', LLOYD .. '-... 2030 E. BRUNDAGE I 208 RAY STREET .... .. :. BAKERSFIELD,' CA I OILDALE, CA.. 93308 ' .' .. TANK ~ ~IIN YRS[ SUBSTANCE CODE PRESSURIZED PIPING? - 1-3 UNK MVF '1 UNK NOTE; ALL INTERIM REQUIREMENTS ESTABLISHED BY THE PERMITTING... . AUTHORITY MUST. BE MET D~RINO THE TERM O~ .THIS PERMIT ' ., ,..:.'.;.:.:~:.. :.,...-:'.... ..' ..... . . . : :{ : . : ' '.: . . . . ...:. ., .-.':':':.,..'.'.: ..' .. : . .' .,: ...., '-..-.,,:..'...'....: :.:, , .... '. :: ...' '' -.' ~:T&:.: ...~. ~ :':'..'.".:.',.. '.:' ' .. ' ' - . '. .. '. ' .... .. "- '..'. / .'~ ~..~- '.~ . .-.' . '. , .. - ..' .. ~... ..... · .. . . ~. .. ....,~ .' ..