The URL can be used to link to this page

Home My WebLink AboutINSPECTIONS CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3r'~ Floor, Bakersfield, CA 93301 FACILITY NAME ~. ~Lt,+ INSPECTION DATE ADDRESS .(,:0_0 ~t'Ol~c~a.q~ klq PHONE NO. 3~(~'"c,~t'5''- FACILITY CONTACT' BUSINESS ID NO. 15-210- INSPECTION TIME NUMBER oF EMPLOYEES Section 1: Business Plan and Inventory Program Routine ~ Combined ~ Joint Agency [~ Multi-Agency ~ Complaint [~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand L/ . ,/ Business plan contact information 'accurate k// Visible address Correct occupancy Verification of inventory materials L,/ 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 Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: [~ Yes ~ No Explain: Questions regarding this inspection?' Please call us at (661) 326-3979 -~' Business Site esponsi e 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., 3ra Floor, Bakersfield, CA 93301 FACILITY NAME ./~'. ~"a.5'~ INSPECTION DATE ~" ~&"'" ~) "r. Section 2: Underground Storage Tanks Program [] Routine ~'ombined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection Type of Tank ~00~ Number of Tanks ~ Type of Monitoring d:/--tv',. Type of Piping ~ I~' 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 .. =Violation Y--Yes N=NO Inspector: ~ d~/~~ ---~ Office of Environmental Services (805) 326-3979 Business Site Re~"~sible 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 ~¢. ~'rL~,'¥ INSPECTION DATE ADDRESS ~ ~t)n~: ~ N. ' PHONE NO. ~q-~ ' FACILITY CONTACT BUSINESS ID NO. 15-210- ~SPECTION TIME NUMBER OF EMPLOYEES 'Section 1: Business Plan and Inventory Program [~l Routine [~[ Combined [~ Joint Agency [~ Multi-Agency ~ Complaint [~} Re-inspection OPERATION C V · COMMENTS Appropriate permit on hand ~ / Business plan contact information accurate ~,,/ Visible address L, f Correct occupancy ~ /~ Verification of inventory materials ~, / Verification of quantities {e// Verification of location ~ / Proper segregation of material [../ Verification of MSDS availability L /' Verification of Haz Mat training L, / Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled Housekeeping Fire Protection L/ ~k~,_ ,~¢.U~trt ~ '~0 d~x4 Site Diagram Adequate & On Hand ~, / C=Compliance V=Violation Any hazardous waste on site?: [~ Yes ~.No Explain: Questions regarding this inspection? Please call us at (661) 326-3979 Business Si~ble 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 ~t · F0.,6~ INSPECTION DATE Section 2: Underground Storage Tanks Program [] Routine [~ Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection Type of Tank O l~ FC~t) Number of Tanks Type of Monitoring (2/- fla. 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 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., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~'. ~'O~q'~ INSPECTION DATE ADDRESS (at)tO .I~VtII'~a.~,L [x~_~ ¢. PHONE NO. ~(./' g - FACILITY CONTACT BUSINESS ID NO. 15,210- INSPECTION TIME NUMBER OF EMPLOYEES r~ Section 1: Business Plan and Inventory Program [] Routine {~],Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address L/ 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 L, Emergency procedures adequate id/ Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation AnYExplain:hazardoUs waste on site?: [] Yes [] No[, ~~.A~4 "/,~ Questions regarding this inspection? Please call us at (661) 326-3979 Business Site/l~esponsible Party White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: v~O. to'~ 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 [~ombined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection Type of Tank lX/..OF:e.$ Number of Tanks Type of Monitoring d£Wt Type of Piping OPERATION C V COMMENTS Proper tank data on file V' Proper owner/operator data on file Permit fees current Certification of Financial Responsibility Monitoring record adequate and current Maintenance recordsadequateandcurrent X/r /~'~ ,~t'~'l~,to,~ ~It~taf~. t0/x ~,tt~(. 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: ...... ~ D Office of Environmental Services (805) 326-3979 Business Site Responsible Party White - Env. Svcs. Pink - Business Copy Okersfield Fire Dept. OFFIC~~ OF ENVIRONMENTAL SERVICES 1715 Chester Ave. Bakersfield, CA 93301 Date Completed 10/Iq/¢7 Business Name: ~t~ Location: &oO ~ro,~,~,~ ~. Business Identification No. 215-000 II 't (¢ (Top of Business Plan) Station No. Shift Inspector Arrival Time: Departure Time: Inspection Time: Ad te Inadequate Adeq~e Inadequate Address Visable el~ I-I Emergency Procedures Posted v, [] Correct OccupanCY ~ [] Containers Propedy Labled ~ [] Verification of Inventory Materials I~ [] Comments: Verification of Quantities ~ [] Verification of Location I~' I'1 Verification of Facility Diagram I~ [] Proper Segregation of Matedal I~ [] Housekeeping I~/ [] Fire Protection ~ [] Comments: Electrical ~ 1"1 Comments: Verification of MSDS Availablity i~' [] Number of Employees: ~ UST Monitoring Program [] Comments: t4c~¢ ~.,~.~1 l~a,JtJ Verification of Haz Mat Training 03/' Permits Bi/ I'1 Comments: Spill Control Hold Open Device 133/ [] Verification of I~ Hazardous Waste EPA No. Abbatement Supplies and Procedures [] Proper Waste Disposal ~' r'l Comments: Secondary Containment [] Secudty ~ [] Special Hazards Associated with this Facility: Violations: N~ ~, ~/,. 'q_~n ~: N~A7--- / . ~ All Items O,K Business O~eflManager PRINT ME Correc~on Needed ~Re-H~ Mat Div. Yellow-S~tion C~y Pink-Business Copy UNDERGROUND STORAGE TAI NSPECTION Bakersfield Fire Dept. ............... ~,~,~,~,~,~,~i ~ ; ~ ;~,~,,, ~,~ ............ ........................ i ~'~' Office of Environmental Services -- ' Bakersfield, CA 93301 FACILITY NAME '(~'. {c'~6Jr BUSINESS I.D. No. 215-000 FACILITY ADDRESS ~3~) i~_l-d~a.~L~ Aau~_ CITY ~a~_,~-~,-~d~r{~ ZIPCODE FACILITY PHONE No.' ,D~ '~'~,1~ ,D~ '¢~,lL ,D~ INSPECTIONDATE /0//Ir~ ~? Product i Eroduct Product TIME IN TIME OUT ' O/~ ' {~:w~ , - Inst Date Inst Date Insl Dale INSPECTION TYPE: I ~ f~ Size Size Size ROUTINE FOLLOW-UP .' 9 00o ~ REQUIREMENTS yes no n/a yes no n/a yes no n/a · la. Forms A & S Submitted / lb. Form C Submitted lc. Operating Fees Paid ld. State Surcharge Paid' le. Statement of Financial Responsibility Submitted lf. Written Contract Exists between Owner & Operator to Operate UST ~ ' 2a. Valid Operating Permit V/ 2b. Approved Written Routine Monitoring Procedure ~/' 2c. Unauthorized Release Response Plan V 3a. Tank Integrity Test in Last 12 Months ~/, ~- ' 3b. Pressurized Piping Integrity Test in Last 12 Months~'1 ~ 3c. Suction Piping Tightness Test in Last 3 Years V"' ~ 3d. Gravity Flow Piping Tightness Test in Last 2 Years ~ "~ 3e. Test Results Submitted Within 30 Days V" · ~' · 3f. Daily Visual Monitoring of Suction Product Piping ~ _~ _z 4a. Manual Inventory Reconciliation Each Month V~ 4b. Annual Inventory Reconciliation Statement Submitted 4c. Meters Calibrated Annually ' ' 5. Weekly Manual Tank Gauging Records for Small Tanks ~/' 6. Monthly Statistical Inventory Reconciliation Results 7. Monthly Automatic Tank Gauging Results 8. Ground Water Monitoring . v,/ 9. Vapor Monitoring 10. Continuous Interstitial Monitoring for Double-Walled Tanks -~/ 11. Mechanical Line Leak Detectors V/ 12. Electronic Line Leak Detectors V~ 13. Continuous Piping Monitoring in Sumps V~ 14. Automatic Pump Shut-off Capability v/ 15. Annual Maintenance/Calibration of Leak Detection Equipment j~ ~¢ / V/ , 16. Leak Detection Equipment and Test Methods Listed in LG-113 Series ~//'" 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 , 20. Approved UST System Repairs a~d Upgrades [// 21. Records Showing Cathodic Protection Inspection 22. Secured Monitoring Wells I,/' 23. Drop Tube RE-INSPECTION D.~E . .~ ' RECEIVED BY: FD 1669 (rev. 9/95) UNDERGROUND STORAGE TAI~IqNSPECTION Bakersfield Fire Dept. ....... HazardousBakersfield, Materials CA 93301 Division FACILITY NAME /~ ~7I~ BUSINESS I_~,. No. 21S-000 //~:, FACILITY ADDRESS ~ ~c,~,~o_ J~, CIW ;~~~ ZIP CODE FACILI~ PHONE No. INSPECTION DATE ~ Pr~ Pr~ TIME IN TIME OUT ~ ~te In~ ~te Inst ~te INSPECTION ~PE: SEe S~e S~e ~OUTINE ~ FOLLOW-UP la. F~s A & B Su~ lb. F~ C Su~ 1 c. O~mting F~ Pa~ ld. State Sumharge Paid le. State,hr of Fina~al R~si~l~ Su~ lf. W~en Contract E~sts ~n ~er & O~t~ to O~mte UST ~. ~lid O~mting Pe~E 2b. Approv~ Wr~en Ro~ine MonR~ng Pr~um 2c. Una~ho~ Rel~ Res~n~ P~n ~. Tank Int~ T~t in Last 12 Months 3b. Pr~u~ Piping Int~ri~ Test in Last 12 Months ~. Suction Piping ~ghtn~s Test in Last 3 Yearn ~. Gmv~ F~ Piping ~ght~ T~ in La~ 2 Yearn ~. Test R~uRs Subm~ Within ~ Da~ 3f. Dai~ ~sual MonRo~ng of Su~i~ Pr~t Pipi~ ~. Manual Invento~ R~ncil~tion Each Month ~. Annual Invento~ R~nciliation Statement Su~ ~. Metem Calibmt~ Annually 5. W~y Manual Tank Gauging R~rds f~ Small Tan~ 6. Monthly Statisti~l Invento~ R~ciliation R~uRs 7. Month~ A~at~ Tank Gauging R~uRs 8. Gmu~ Water MonR~ing ~. ~r MonR~ing 10. Continuous InterstRial Monitoring f~ Doubl~Wal~ Tan~ 11. M~hani~l Line Leak Det~tom 12. El~tmnic Line Leak Det~tom 13. Continuous Piping MonRoring in Sum~ 14. A~omatic Pump Shrift Ca~bil~ 15. Annual Maintenan~Calibmtion of Leak Det~ Equi~nt 16. Leak Det~tion Equipment and T~ Meth~s Ust~ in LG-113 ~ 17. Wr~en R~rds Main~in~ on SRe 18. Re~ Changes in U~g~C~dRions to O~rati~R~ Pr~ures of UST S~tem WRhin ~ Da~ 19. Re~ Una~ho~ Relea~ WRhin 24 Houm Ap~ov~ UST S~tem Re~im and U~md~ 21. R~rds Sh~ng Cath~ic Prot~ti~ Ins~t~ S~ur~ Mon~oring Wells Dr~ Tu~ RE-INSPECTION DATE RECEIVED BY: INSPECTOR: OFFICE TELEPHONE NO. FD HAZARDOUS MA¥'E S INSPECTION ersfield Fire Dept. Hazardous Materials Division Date Completed Business Name: ~ ,,"~'~ Location: ~'~ /~"~'*~*~-' Business Identification No. 215-000 ~ ×/~ (Top of Business Plan) Station No'. ~/ Shift ~ Inspector ~,,~o~-~ Arrival Time: /~'~J~-' Departure Time: /'+~'3'~ Inspection Time: ~.~ Adequate Inadequate Verification of Inventory Materials ~ Verification of Quantities (~ Verification of Location I;~ Proper Segregation of Material~ 1-1 Comments: Verification of MSDS Availability [~ .__:i..' ,~~~f~~ Number of Employees: ~-- Verification of Haz Mat Training ~ Comments: Verification of Abatement Supplies & Procedures ~] Comments: Emergency Procedures Posted I~ Containers Properly Labeled ~ I"! Comments: Verification of Facility Diagram [~ Special Hazards Associated with ~is Facility: Violations: ~q Busin~ ~erNanager PRINT ~ME SIGNATURE v Wh~e-H~ Mat D~ Yellow-S~fion ~py Pink-Busings ~py