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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 , � ^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 � t- _ _ -. ,. - � :�r Y I � F :2. ? P 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 so7672 @att.com LL.oud Sm of[he (�C]J(CXJ'1 5.Olympic pic T seam 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)