The URL can be used to link to this page

Home My WebLink About1030 OAK ST (3) / l IIIIIII VIII III IIII 55 IE Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST ri 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 SECTION 1 : Business Plan and Inventory Program Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ,2 & I o o�o� �•2 ADDRESS PHONE NO. NO OF EMPLOYEES 10 2o 0 a lC 9 3130V 761-8-0 y FACILITY CONTACT BUSINESS ID NUMBER oil 2N 1 C 15-021- _- - _ _- '-, .. � .._ _.• '. IT :.� ?�- '.." '�'�r�R�',i. .'- ...x . 's:�.,x ;, w Section ) Business Plan and In Program ❑ ROUTINE Y COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION C v c C=Compliance OPERATION COMMENTS V=Violation ❑ ❑ APPROPRIATE PERMIT ON HAND ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS X ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL t ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED Z- ❑ HOUSEKEEPING �^ 11 � FIRE PROTECTION 1—�-AE 67Xr,,�,l V s & a 2T XWWr 6kf7—R ❑ SITE DIAGRAM ADEQUATE&ON HAND KBF-6013 ANY HAZARDOUS WASTE ON SITE? ❑YES P<NO EXPLAIN: Z I IIIIIIIIIIIIIIIIIIII 56 - IE QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention/1"In!Shift of Site/Station# usiness ite!Responsible Party(Please Print) White—Prevention Services Yellow-Station Copy Pink—Business Copy FD 2155 (Rev.09105 KERN BUSINESS FORMS MFG.(881)325-5818 r! Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST:,`: B R S F I o 900Truxtun Ave., Suite 210 ;1 FIRE Bakersfield, CA 93301 SECTION -1 : Business Plan and inventory Program ARAM r Tel.: (661) 326-3979 ry 9 Fax: (661) 872-2171 FACILITY NAME INSPECTION DATE INSPECTION TIME C ADDRESS PHONE NO. NO OF EMPLOYEES a s7 1e s 1- , 1 C g33o g6 -aoy FACILITY CONTACT BUSINESS ID NUMBER 2 15-021- °� - •� �� ection 1 Business�Plan and � Inv�ento� ga �r_ � ❑ ROUTINE C�(COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY" ❑ COMPLAINT ❑ RE-INSPECTION C v ( C=Compliance OPERATION COMMENTS V=Violation ❑ ❑ APPROPRIATE PERMIT ON HAND ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES 3K ❑ 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 w ❑ CONTAINERS PROPERLY LABELED Z' (9 S J� ❑ HOUSEKEEPING ,❑` ?� FIRE PROTECTION i cQ6 EXTi�i✓f U s h 62 2 T X-- Alr 6:A- 11— -z ❑ SITE DIAGRAM ADEQUATE&ON HAND KBF-6013 ANY HAZARDOUS WASTE ON SITE? ❑YES J9N0 EXPLAIN: ! `/ !Fla/ 'Fe edeCr�S r'4 QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention/f In/Shift of Site/Station# usiness ite/Responsible Party(Please Print) White-Prevention Services Yellow-Station Copy Pink-Business Copy FD 2155 (Rev.09/05 ,� ." �, s A Y' ` �� 1 � � � BAKERSFIELD FIRE DEPT. INSPECTIONSPrevention Services k K B E R s P t t o 900 Truxtun Ave., Ste. 210 BUSINESS PLAN 8c ARTM T Bakersfield,(66 ) 326939709 INVENTORY PROGRAM *40* Fax: (661) 852-2171 UNIFIED PROGRAM INSPECTION CHECKLIST Page 1 of 1 G2 cl6 l< FACILITY NAME: INSPECTION DATE: Section 2: Underground Storage Tanks Program ❑ Routine )( Combined ❑ Joint 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 X 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: W/LGi /A 1-Vop, usiness Site Responsible Parry Questions regarding this inspection? Please call us at(661)326-3979 White—Prevention Services Pink-Business Copy KBF-7335 FD 2156(Rev.09/05) CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES DIVISION 1 501 TRUXTUN AVENUE . (661)326-3979 Location: %h 3 r-1 .J� Sz- e -RS�� %� �� 133ay You are hereby required to take the following action at the above location; ❑CORRECT&CALL FOR REINSPECTION ❑CORRECT& PROCEED % r eoiv-r E�ti`f'�Pa�uCc ps7 iVr;o-9s4 oit/ . I�/-�2/�� %2,oc//� EiyClos�J2cT . �Di�,-»•�/�s�P6 Completion Date for' orrections: Z_1 �7 I lh Received by: Inspector: Ernie Medina Initial: 6=-M Date:_LI�_I-�_ Desk Phone: (661) 326-3682 (from 8:00am to 8:30am) G T CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES DIVISION u=i Wl TRUXTUN AVENUE ' f (661)326-3979 Location: '=:-r You are hereby required to take the following action at the above location; OCORRECT&CALL FOR REINSPECTION OCORRECT&PROCEED �, /.Pl �i/T:rt/rG ✓.c fn sr:� =/`�:2oivTth+�22/tJCc l/ NA!-��F?�,T-44' t L�i.VV�1E �35.4 tJ r1124 ?4/ ?�C ( Fr- 7222, E-) /�i.S�i,"AJ`a f°'% f,�P.'7"' 9^--� > f��t.•.i_'.�:,'ic.� �d1 �i�`t Completion Date or Corrections: - I -- --- Received by: �- Inspector Ernie Medina Initial: Date: a l Desk Phone: (661) 326-3682 (from 8:00am to 8:30am)