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HomeMy WebLinkAboutBUSINESS PLAN INSPECTION 10-2-2008UNIFIED PROGRAM ~INSPECTION CHECKLIST B ~ R S F~ e. o i/RE ; - ~ ARTM , T. SECTION 1: Business Plan and InventoryProgram ~ Prevention Services . ' 900'IYuxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 .. Fax: (661) 872-2171 . FACILITY NAME ~~ INSPECTION DATE INSPECTION TIME ` ~ T ~% Clo2.~ ~ a -is ADDRESS PHONE NO. 0 OF EMPLOYEES 2a 23 :s~i . ~330~ ~Z FACILITY CONTACT , USINESS ID NUMBER ' ~~ : ~ 15-021- . ~/ . ' ~ ' . - . "KBF-6073 ` ; ANY HAZARDOUS WASTE ON SITE? ^YES ~C]~NO • . ' ' ~ EXPLAIN: - . . ~J ~ ; . ~/Z~'- :~us,/~FcT~~l~oyv l~~/o g, ~ ~/l ~=~'`'i QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US.AT (661) 326-3979 ~ - ~L,C /L~ /~I~~//l,L ~ ' ' Inspector (Please Print) . Fire Prevention / 1s` In / Shift of Site/Station # • Business Site / Responsible Party (Please Print), . i • - . , p~'c~ ~ `~Z6 - 36 ~z ,Q~ - `~vs~~ c-~ ~~li~~o sr ~. - ~ ~ .. . . . . . White - Prevention Services Yellow - Station Copy . Pink - Business Copy ' ~ , y. ' FD 2155 ,(Rev.:09/05 ' 1 . . ' - - . • ~ . .~ ~& N + w` 4 . a x " ^ ~ rtM~~~~ ~~5~ c~~ n~1r ~Bus~~neSss~Plan:and Inu~nt°ory~~Pr~ogram .'~ , ~ °,; *_ ^ ROUTINE - ~ COMBINED ^ JOINT AGENCY . ^ ~MULTI~AGENCY ^ COMPLAINT ^ RE-INSPECTION ~ ~ C V ~ ( C=Compliance~ OPERATION V=Violation COMMENTS ~ ~ ^ i APPROPRIATE PERMIT ON IiAND , . . ~^ BUSIII@SS PLAN CONTACT INFORMATION ACCURATE ~ ' - I~ ^ ' VISIBLE ADDRESS , . - ~ ^ CORRECT OCCUPANCY ~C ^ VERIFICATION OF INVENTORY MATERIALS ' ~ ^ VERIFICATION OF QUANTITIES ~ ~ ^ VERIFICATION OF LOCATION . . • ~ ^ PROPER SEGREGATION OF MATERIAL i ~- ^ VERIFICATION OF MSDS AVAILABILITY ~ ^ VERIFICATION OF HAZ MAT TRAINING ' ~^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES " ~ ^ EMERGENCY PROCEDURES ADEQUATE ~, : ~. ^. CONTAINERS PROPERLY LABELED . ~ ~ , ~ ^ HOUSEKEEPING ~ ~• ~ . ^ ~ FIRE PROTECTION , SfiQGJGL D~T~~ ~~ ~ 2 SlllL~fi ~ Coec~l /~OI ~C Td E/ ~ ^ SITE DIAGRAM ADEQUATE & ON HAND ~ INSPECTIONS BUSIiVESS PLAN & INVENTORY PROGRAM UNIFIED PROGRAM INSPECTION CHECKLIST FACILITY NAME: ~%~';~S/2 ~,i'~-ri~JD72-~ 20 23 ~;z~ sT Section 2: Underground Storage Tank Program O Routine ~ Combined ^ Joint Agency O Multi-Agency ^ Complaint 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 'X 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 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 overtill / overspill protection? C= Compliance V= Violation Y= Yes N= No Inspector: ~/~/U~/~ /~~i/% /'V2- Questions regarding this inspection? Please call us at (661) 326-3979 White - Prevention Services BAKERSFIELD FIRE DEPT. Prevention 3ervices H R 9 P a D 1501 Truxtun Avenue, 1 gt Floor p/R/ Bakersfield, CA 93301 ~ A~ T Tel.: (661) 326-3979 Fax: (661) 852-2171 Page 1 of I INSPECTION DATE: /D/z~aFr <~~~ Business Site Responsible Party Pink - Business Copy 0 Re-Inspection FD 2156 (Rev. 03/08) ,_ `' 1501 TRUXTUN AVENUE ~ `"' `~ ~ ``` ~~ ,. ; (661) 326-3979 '~ Location: ~r'~<~-~ r' -.,>>;~-~~ t( _,l' `.:.' ~n ~,`~~ ~r t~ ~ %~ i.. ~;.. ~`- You are hereby required to take the following action at the above location; ~' ^CO ECT 8~ CALL FOR REINSPECTION _~-~CORRECT 8~ PROCEED !: ~ ~ \ ,.. ~~ ) , j~ ~~~F ~ ~ h t:' . ~ , ~ f ~ ~~ rY ^,Fr ,nJ~ i,.:7~r~.. ..~-~~ i.if:`..~ ~'1!~ e`.~ ~ M 'J . ~ ..~~ ~l '/7.i~ ~ •^''-., r r ) ''~ ~,, t'~ ~ ~°.f"} ~ /_%'rL+.`i~ 'yti''! / ~~,':~ ~. ~~>i -~ T /l'~ f ~ . i . . i f - ~ ~. ~, . . . . . . . ~~':~ . . . . r~, " , . ' . : N;: .: ~ ~~ ; J ~ ~ ~ ., .. r3 -Yr~ '~' ~...: ~ f ~ ~./-7• ~ r..... c. 1r•~~,st". ..-".~`f'il'-:J'l.w `f'7i~1~i..J ('•~~}~i,..- {~.,~' ; ,ot_, ftr /~ft_':~ . o- } ..:' ~`~ " ' ~ ' ~~ i 'i.-g / ~ a s.`':. - `' ' ,....~-:~ ["'r~~: .~ j r=,i ,•~ './ r~ .' t`"'? ~ ~:._~&,/, _Jt_ .•;~:-- . t`r,`-: ,~-~ : _ • . ' ~ ,.. ~-"`t. r'' ~' i ! `~ !' .~, '` i ~'.*5••-%~'. ? ~'i~'~.. ~; . ';1 d'~:~,, ~~:~~'li.i~~ ~ fr !_'.:.~ - !;r . ,-..;~. - . . ~ . . (`~ .V ; f ~ . !J ~~ . ~'~ t~• ~ ~ . f _ i '~ ~. ,~ ; {. ~ '' f.. ~'r r~• n ~ f~i'~-'~ ! %'v ~ ~,'~ L ~ r • ~pL~~ ( ,-. . • . ~::: . . . . ; ..i,-'s J i ~, .:~ /~.:1 ~ . ` " /~ Y.~' . ..~- `! +„ . , 7~""._ ' ~ . .. . -' . (; ~'. - . . . ' . . . t'.. . -.; .. . . ~ . . . , ~ . . ' " . ' 4~:~,~:'...- ' . . . . . . . . . . ~ ~':~~.:~'~~ . ~ ~ ~ . . . . . ~ .. . . ~~-::~,.. - ' " ' ' ' . . F'.': . . . . . . . f;:'.; . . . . ~ Completion Date for Correctionsj. l F'- / I r'-~. I~">r~ ~ ='~°,~-~'~~~-= ` Received by: Inspector. Emie Medina : Initial: ~-.if~--i Date: ~ C~ I"' I c'~'= Desk Phone: (661) 326-3682 (from 8:OOam to 8:30am)