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Home My WebLink About215 21ST ST (5) 77 IE vow, Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST e E 900Truxtu'nAve., Suite 210 FIRE Bakersfield, CA 93301 SECTION 1 : Business Plan and Inventory Program ± o aR:wr Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME r INSPECTION DATE INSPECTION TIME pa�Ip S i 6 l30 l0 9: D.1-7 ADDRESS PHONE NO. NO OF EMPLOYEES / sT s7-r 434 °f3 30S FACILITY CONTACT BUSINESS ID NUMBER 15-021- £ W 4,•. ^' Section 1 Business Plan ,and Inventory Progralm �� ❑ ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT T ❑ RE-INSPECTION C V ( C=Compliance OPERATION COMMENTS V=Violation ❑ APPROPRIATE PERMIT ON HAND ❑ 13USIf1eSS 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 ❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE ❑ ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE 8 ON HAND ANY HAZARDOUS WASTE ON SITE? ❑YES XNO EXPLAIN: IIIIIIIIIIIIIIIIIIII 78 _ IE QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention/1"In/Shift of Site/Station# Busi s SI e/Respo arty(Mase Print) White-Prevention Services Yellow-Station Copy Pink-Business Copy FD 2155 (Rev.09/05 VOW Prevention Services :U � � �_� � , ION CHECKLIST UNIFIED PROGRAM INSPECT } un e A R s F , 900Truxti .Ave., Suite 210 FIRE Bakersfield, CA 93301 SECTION 1 : Business Plan and Inventory Program s ° ARTM Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME INSPECTION DATE NSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES l sT FACILITY CONTACT _ BUSINESS ID NUMBER 15-021- , - h�� '• ''� xrSt T6ltj� dF�ll e. 4 b�'f,' * ,$, 6Sectlon 1. Business Plan andInventory.Program x -. ` t�� _ Y.. � 1 ❑- ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION � C V ( C=Cornpliance) OPERATION COMMENTS - V=Violation El 'APPROPRIATE PERMIT ON HAND ❑ Business 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 /❑� ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE /❑` ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION ` ❑ SITE DIAGRAM ADEQUATE&ON HAND ANY HAZARDOUS WASTE ON SITE? ❑YES gNO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 0ex 144— Inspect r (Please Pri t) Fire Prevention/f In/Shift of Site/Station# Busine s'StWI Responsit Je,Partyjobaigb Print) White—Prevention Services Yellow-Station Copy Pink—Business Copy FD 2155 (Rev.09105 BAKERSFIELD FIRE DEPT. INSPECTIONS Prevention Services B E R s F n 900 Truxtun Ave., Ste. 210 w. jr1Rff, BUSINESS PLAN & ARTM T Tel.:ers(661) 3 -3979 INVENTORY PROGRAM Fax: (661) 852-2171 UNIFIED PROGRAM INSPECTION CHECKLIST Page 1 of 1 FACILITY NAME: 2/3' 1 5' Si INSPECTION DATE: 413o Section 2: Underground Storage Tanks Program ❑ Routine Combined X Joint Agency ❑ Multi-Agency ❑ Complaint 11 Re-Inspection Type Ank 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 r Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? ❑ Yes /`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: fr Bu ' ss Site Resp Party Questions regarding this inspection? Please call us at(661)326-3979 White—Prevention Services Pink-Business Copy KBF-7335 FD 2156(Rev.09105) �1"'l�-+�.rti"'�rF2*w'v'++.�'c2`�p'C-y��'-�.r•-i".`2-y'--:,�'��-+'.a��i—\ .i,:2..5%.c��I.._ ..:c�U...,,4 .✓�4t.,''tom. �. K CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES.DIVISION 1501 TRUXTUN AVENUE 0 03,0 (661),326-,3979 Location: Z/;" C. a21 5' .57- b 2/e6-2 You are hereby required to take the following action at the above location; . CORRECT&CALL FOR REINSPECTION ❑CORRECT& PROCEED /7�62Jii7.�iif41 s Completion Date for Corrections: I. l Received by: Inspector: E. a Medina In Date: 13r) Desk Phone: (661)326-3682 (from 8.00am to 8:30am) (CORRECTION N®TICE ,; BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES DIVISION 1501 TRUXTUN AVENUE ► (661)326-3979 Location: 7 You are hereby required to take the following action at the above location; -'OCORRECT&CALL FOR REINSPECTION ❑CORRECT& PROCEED i Completion Date for Corrections: / / Received by:l� Inspector. EMieMedina Initial: Date: Desk Phone: (661)326-,3682 (from 8:OOam to 8:30am)