HomeMy WebLinkAboutBUSINESS PLAN 10/2/2008' ~ ~~ Prevention Services
UNIF.IED PROGRAM INSPECTION CHECKLIST B e R S F, e o 900'IYuxtun Ave., suite 210
_ __ -------- -
.. FiRE Bakersfield; CA 93301
SECTION 1: Business Plan and Inventory Program °'""r"' ~ r Tel.: (661) 326-3979
~ ~ Fax: (661) 872-2171
FACILITY NAME ~ INSPECTION DATE INSPECTION~TIME
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ADDRESS i HONE NO. ~ O OF EMPLOYEES
2iv~ Z C.N.
FACILITY CONTA T - USINESS ID NUMBER .
', 15-021- . .
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~'~~x~ ;~ Sect on~1 ~~°Busine*sskPlan~and~n~ento~y~Program~~~#~ ~ ~~~, ,
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^~ ROUTINE' COMBINED ^ JOINT AGENCY • ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V.
' ( C=Compliance~ OPERATION
V=Violation
' COMMENTS .
`~;
^ ~ .
APPROPRIATE PERMIT ON HAND ~
~ ^ - BUSIIIeSS 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 , ST D~/~ O
t - ~ T~%`'~ /`~
s ~ ~c~r,/c
~' ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES . ,
~ ^ EMERGENCY PROCEDURES ADEQUATE ~ _
^ ^ CONTAINERS PROPERLY LABELED ~ ~ -
^ .~. HOUSEKEERING ~ ~jTQ,Y ! /1VS~ t ~
: ,~ ~~ ~Ps~L
eTs 2 -.
^ ~ FIRE PROTECTION ~~V~ ~k~~s d''~ CO S ~2t)v~j ~
I -
~ ^ SITE DIAGRAM ADEQUATE 8 ON HAND . - ~
ANY HAZARDO.US WASTE ON SITE?
EXPLAIN:
, ^ YES . ~NO
'
QUESTIONS REGARDING THIS INSPECTION? BLEASE CALL US AT (6B1) 326-3979
~~2,_A/%~ ~Dr'`ijl~ - : . . • . .
Inspector (Please Print) Fire Prevention I 1"'In / Shift of Site/Station # , ~ Business Site / Responsible Party (Please Print)
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White - Prevention 9eFvl~e`~:~ Yellow , Station Copy Pink - Business Copy FD 2155 (Rev. 09/O5,
i . .
' ~. -
BAKERSFIELD FIRE DEPT.
INSPECTIONS
BUSINESS PLAN &
INVENTORY PROGRAM
UNIFIED PROGRAM INSPECTION CHECKLIST
FACILITY NAME: i" ~ G~'~ U~
230~ ~,a~2 ~N
Section 2: Underground Storage Tank Program
O Routine ~ Combined
Type of Tank _
Type of Monitoring _
^ Joint Agency ^ Multi-Agency ^ Complaint ^ Re-Inspection
Number of Tanks
Type of Piping
OPERATION C V COMMENTS
Proper tank data on file
Proper owner / operator data on file
Permit fees current x
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 Tank Program
Tank Size(s)
Type of Tank
INSPECTION DATE: /D 2
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 overtill / 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
FD 2156 (Rev. 03/08)
Aggregate Capacity
Number of Tanks
Prevention Servlces
a = R 9 i e a 1501 Truxtun Avenue, 1~ Floor
/rypt Bakersfield, CA 93301
~ A
T Tel.: (661) 326-3979
~ Fax: (661) 852-2171
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