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Home My WebLink About2010 INSPECTION REPORT Illilll VIII III IIII �47 IE Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST >, P R 5 F . 0 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 SECTION 1 : Business Plan and Inventory Program *ARrm r Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME INSPECTION DATE INSPECTION TIME 6; $ �� ADDRESS PHONE NO / OF EMPLOYEES Z. 5G✓ c� r 1fl�o � 6 FACILITY CONTACT BUSINESS ID NUMBER 15-021- Business IS arad Inventory Program ❑ ROUTINE CK COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION C v ( C=Compliance OPERATION COMMENTS V=Violation ❑ APPROPRIATE PERMIT ON HAND AZo7- /l! r ❑ Business PLAN CONTACT INFORMATION ACCURATE �C ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY �[ ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL 11 1)1( VERIFICATION OF MSDS AVAILABILITY il/D�o.J S� fir? Ib �'4? Sm hs3 Nord? ❑ )t VERIFICATION OF HAZ MAT TRAINING - r ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE ❑ ❑ CONTAINERS PROPERLY LABELED N A, El )I HOUSEKEEPING ( � slb+tJ �0 ❑ q FIRE PROTECTION q.,TS;Wg J�Cld 9>rTi}�fi�f�rc�C fS f/QTR ( ❑ SITE DIAGRAM ADEQUATE&ON HAND KBF-6013 ANY HAZARDOUS WASTE ON SITE? ❑YES NO EXPLAIN: 1111111�III!II IIII 48 IE QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 �i 6 Ml7.C/ir4Z Inspector (Please Print) Fire Prevention 11"In/Shift of Site/Station# Bu 'ness Site I Response a Party(Please Print) White—Prevention Services Yellow-Station Copy Pink—Business Copy FD 2155 (Rev.09105 y �` , t. .� ,t .i k Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST B B R 3 F , 0 900 Truxtun Ave., Suite 210- �—T. -_ =:? _� � FiRE Bakersfield, CA 93301 SECTION 1 : Business Plan and Inventory Program " Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME INSPECTION DATE INSPECTION TIME N1o�; l 3 j/ice �00 21,11 ADDRESS. PHONE NO. Nb OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER 15-021- %' tlC�, *5 "v Section 1 Business"Plan,and Inventory Program m - , x, El!ROUTINE X COMBINED ❑ JOINTAGEN,CY� ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION C=Compliance C V ( , ) OPERATION COMMENTS V=Violation.,,, ❑ APPROPRIATE PERMIT ON HAND T ti Alo❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY �] ❑ VERIFICATION OF INVENTORY MATERIALS - ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION �. ❑ _ PROPER SEGREGATION OF MATERIAL \\ El VERIFICATION OF MSDS AVAILABILITY A/0�ON S`i C ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES �I ❑ EMERGENCY PROCEDURES ADEQUATE !' ❑ ❑ CONTAINERS PROPERLY LABELED N/T ❑ ?I HOUSEKEEPING N�L�G VC_ 4 4tX s C CiQ 2y1 F/lE— ❑ .RI FIRE PROTECTION L 0ci7- P=v-.e Ey Ti:�v ❑ 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 Inspector (Please Print) Fire Prevention/f In/Shift of Site/Station# Bu_iness Site I Responsi le Party(Please Print) White—Prevention Services Yellow-Station Copy Pink—Business Copy FD 2155 (Rev.09105 INSPECTIONS rAjFlRlr'jWrrjlNr sAKERSFIELD FIRE DEPT. Prevention services 1501 Truxtun Avenue, tat Floor BUSINESS PLAN & T Bal.: (661) 326-3979 INVENTORY PROGRAM 4 Fax: (661) 852-2171 UNIFIED PROGRAM INSPECTION CHECKLIST � � Page I of t /_-7 oil' FACILITY NAME: si INSPECTION DATE: 3 1 Section 2: Underground ragTank Progra3mDL ❑ Routine X 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 X Certification of Financial Responsibility Monitoring record adequate and current Nom S,,r4& 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) 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: /Fi A4& Busi Site ResponsiblilVarty Questions regarding this inspection? Please call us at(661)326-3979 White—Prevention Services Pink-Business Copy FD 2156 (Rev.03/08) CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT „ PREVENTION SERVICES,DIVISION 1501 TRUXTUN AVENUE (661)326-3979 Location: 2` E �Sw€// s 92,�c'-/1 S /c/ CAr You are hereby required to take the following action at the above location; OCORRECT&CALL FOR REINSPECTION OCORRECT& PROCEED 2) Ali s5.,c.C, /V1 S bS 54 c'FTs h� s.` rr i l / Ah A 1)5-r 14,22 MST 7722iyCl�IVEa✓.Li%,CG {-vit Ff r,clFzGCS� 45 die ? pe"-S: arc, .25 F o'UA" l Fes,c y"F-C6-1 Completion Date for Corrections: 9 1 ---_I 70 "F/zcC 5r�;"V50jL Received Inspector: Emfe Medina Initial: Date:_ l_�1 /6 Desk Phone: (661) 326-3682 (from 8.00am to 8:30am) r " G ARECTION NOTICE BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES.DIVISION 1501 TRUXTUN AVENUE r.f, (661)326-3979 Location: You are hereby required to take the following action at the above location; OCORRECT&CALL FOR REINSPECTION OCORRECT& PROCEED J 77 t Y � J r. - •f- / ' _: :'ait.�.f.1. ./"� � � f r , ( � Completion Date for,Corrections: Received by: - . Inspector: Ernie Medina Initial: ''� Date: > Desk Phone: (661) 326-3682 (from 8.00am to 8:30am)