HomeMy WebLinkAbout1520 20TH ST (8) IIIIIIIIVIIIIIIIIII 69
IE Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST B p R s F , n 900Truxtun Ave., Suite 210
aRE Bakersfield, CA 93301
SECTION 1 : Business Plan and Inventory Program ARrM r Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME NSPECTION DATE INSPECTION TIME
I 9 /d 1,0:so Z"
ADDRESS PHONE NO. NO OF EMPLOYEES
33 07 -Fz��-
FACILITY CONTACT 3U9INESS ID NUMBER
15-021-
,g, .�,�Secti•n 1. Business Plan �nd Inventory Program
❑ ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
C v c C=Compliance OPERATION COMMENTS
V=Violation
❑ APPROPRIATE PERMIT ON HAND
T" ❑ Business PLAN CONTACT INFORMATION ACCURATE
pr ❑ VISIBLE ADDRESS
j ❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
j ❑ VERIFICATION OF QUANTITIES
6 ❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
j ❑ EMERGENCY PROCEDURES ADEQUATE
1� ❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ 0 FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE&ON HAND
KBF-6013
ANY HAZARDOUS WASTE ON SITE? ❑YES XNO
EXPLAIN:
IIIIIIIIVIIIIIIIIII 70
I-E
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 `
r
Inspector (Please Print) Fire Prevention 11° In I Shift of Site/Station# Busines S /Responsible Party(Please Print)
White—Prevention Services Yellow-Station Copy Pink—Business Copy FD 2155 (Rev.09105
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST. BH( B R 5 F /_ 0 900 Trtixtun Ave., Suite 210
-, -- --- FIRE Bakersfield, CA 93301
SECTION 1 : Business Plan and Inventory Program AM r Tel.: (661) 326-3979
u Fax: (661) 872-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
' 3C 2—
ADDRESS PHONE NO. NO OF EMPLOYEES
5�C� ooh 5�'' 33vI
5,;q 5-ZF -5'z/S
FACILITY CONTACT BUSINESS ID NUMBER
Sv 2.2,v �' d Ka v✓Z 15-021-
n a T ,
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^fix y* } action 1 Business Plan nd Inventory Program
❑ ROUTINE 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
I5' ❑ VERIFICATION OF INVENTORY MATERIALS'
❑ VERIFICATION OF QUANTITIES .
❑ VERIFICATION'OF LOCATION'
❑ PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF,MSDS AVAILABILITY
)9 ❑ VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE,
❑ CONTAINERS PROPERLY LABELED \\
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ I Z/1 Hzlc> /� ,Alc it S
I SITE DIAGRAM ADEQUATE&ON HAND /
KBF-6013
ANY HAZARDOUS WASTE ON SITE? ❑YES NO ,.
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
i
Inspector (Please Print) Fire Prevention/1s'In/Shift of Site/Station# Busines Si /Responsible arty(Please Print)
White-Prevention Services Yellow-Station Copy Pink-Business Copy FD 2155 (Rev.09/05
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INSPECTIONS �� Prreve lion Se�n�@S DEPT.
s 1501 Truxtun Avenue, tat Floor
/Rt Bakersfield, CA 93301
BUSINESS PLAN & jAj t rNr r Tel.: (661) 326-3979
INVENTORY PROGRAM Fax: (661) 852-2171
UNIFIED PROGRAM INSPECTION CHECKLIST
Page 1 of l
FACILITY NAME: D''-' ST INSPECTION DATE: 2
,(
Section 2: Unde ground Storage Tank Program
❑ Routine -K 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 Tank 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: G7ew/!G
Business Responsible Party
Questions regarding this inspection? Please call us at(661)326-3979
White—Prevention Services Pink-Business Copy
FD 2156(Rev.03/08)
a CQ� AT&T Services, Inc.
�A Vl 225 North K Street,Roam 201
Dinuba,CA 93618-1927
Suzanne T.Okamura T: 559.595.9218
Environmental Site Manager M: 559.433.5150
Environment, Health&Safety F: 559.595.1376
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CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT
PREVENTION SERVICES DIVISION
1501 TRUXTUN AVENUE
(661)326-3979
Location:
04 9-7-3ol
You are hereby required to take the following action at the above location;
13CORRECT&CALL FOR REINSPECTION ❑CORRECT& PROCEED
f
Completion Date or Corrections: 1 -5 / /0
Received by. �..
Inspector: Ernie M 'ina Initial: 1M Date: 2— / ,/9 ! 1 it
Desk Phone: (661)326-3682 (from 8:00am to 8:30am)
_
CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT
PREVENTION SERVICES DIVISION .
1501 TRUXTUN AVENUE
T, (61)326-3979
Location:
A.
You are hereby required to take the following action at the above location;
OCORRECT&CALL FOR REINSPECTION ❑CORRECT& PROCEED
1 .! I
r
.. 'rte
Completion Date for Corrections:
Received by:
Inspector. Ernie McJfna Initial: '1 Date: I ! ;
Desk Phone: (669) 326-3682 (from 8:00am to 8:30am)