HomeMy WebLinkAbout13004 STOCKDALE HWY (8)' Prevention Services
U~IIFIED PROGRAM INSPECTION CHECKLIST ~'~ A p R S F, .„ 90o Zruxtun Ave., Suite 2~0
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rn~T ~~ v ARrM B~ersfield, CA 93301
SECTION 1: Business Plan and Inventory Program Tel.: ~661~ 326-39~9
, ~ F~: (661) 872-2171
FACILITY NAME INSPE ION D TE INSPECTION TIME
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ADDRESS PHON NO. NO OFEMPLOYEES .
~ -1 J 1`
FACILITY CONTACT USINESS ID NUMBER
15-021-
Section 1: Business Plan and Inventory Program
^ ROUTINE ~1~OMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ~ COMPLAINT ^ RE-INSPECTION
C V ~ C=Compliance~ OPERATION
V=Violation COMMENTS
~Y ^ APPROPRIATE PERMIT ON HAND
L~ ^ BUSIIIBSS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
I~ CORRECT OCCUPANCY
~ ^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
LK O VERIFICATION OF MSDS AVAILABILITY
LI ^ VERIFICATION OF HAZ MAT TRAINING
~^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
~ ^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
^ ~IV FIRE PROTECTION
J ~ ~
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SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ^YES ~NO
EXPLAIN
90t/~
Inspector.(Please Print)
Fire Prevention / 1" In / Shift of Site/Station #
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05
B E R S F 1 L D
P/RE
ARTM T
~
INSPECTION DATE: ~~
Page 1 of 1
FACILITY NAME: S'~tpc ~~. ~ft~~oh
Section 2: Underground Storage Tanks Program
^ Routine Combined ^ Joint Agency ~ Multi-Agency ~iJ Complaint ^ Re-Inspection
Type of Tank m WE{° S Number of Tanks 7
Type of Monitoring ['_Lh~t Type of Piping ~F
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? O Yes ^ No
Section 3: Aboveground Storage Tanks Program
Tank Size(s) ~1 Aggregate Capacity
Type of Tank Number of Tanks
~OOD
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BAKERSFIELD FIRE DEPT.
Prevention Services
900 Truxtun Ave., Ste. 210
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
~ .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:
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)
CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT 0 015 9 9
PREVENTION SERVICES DIVISION
1600 TRUXTUN AVENUE, SUITE 401
(661) 326-3979
Location: ~~~ ~ ~ ~~~'
i
~~
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~ ~L~ !7~' Er~- S `'~~1!~~~~ /9~ ~l~l1~r.
Completion Date for Corrections: ~/ / ~ f~~~~ ~~\~~~~1 ~ t'
~
~°. () l'l1~)~ ti~t4\Cl~
Received by: ~~ 1~~ (~j SJ ~
~ ~
mspector: Steve Underwoo Initial Date: ~/~Q /~_
Desk Phone: (66i) 326-3190 (from B:OOam to 8:30am)
KBF-9229
Y,,~.o,uLare hereby required to take the following action at the above location;
l~t~CORRECT & CALL FOR REINSPECTION ^ CORRECT & PROCEED
° CORRECTION NOTICE
:-
BAKERSFIELD FIRE DEPARTMENT 0 015 9 9
PREVENTION SERVICES DIVISION
1600 TRUXTUN AVENUE, SUITE 401
(661) 326-3979
Location: ~~ t~10 ~ 5-~~~-~~" t~~ ~t!~
~ ~«
Completion Date for Corrections: ~ ~ ~ ~-~-
Received by:
~nspector: Steve Underwoo Initial Date
Desk Phone: (661) 326-3190
~G~J: Ncc~ '+G
~ 0 ~ti~~~ 1lNeL
~zl~'~°~~
: ~/.~Q/~
(from B:OOam to 8:30am)
KBF-9229
Y~ou `are hereby required to take the following action at the above location;
LU/CORRECT & CALL FOR REINSPECTION ^ CORRECT & PROCEED
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