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Home My WebLink About2010 HAZMAT IIIIIIIIVIIIIIIIIII 51 IE- -- Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST B e R 3 p 1 0 900 Truxtun Ave., Suite 210 - FIRS Bakersfield, CA 93301 SECTION 1 : Business Plan and Inventory Program A R7~ r Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME INSPECTION DATE INSPECTION TIME F IO ADDRESS / ONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER 15-021- eetlon 1: Business Plan-and Invento Pro ram - - �° ❑ 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 ❑ 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 N ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE&ON HAND KBF6013 ANY HAZARDOUS WASTE ON SITE? ❑YES NO EXPLAIN: 1111111 VIII III IIII 52 IE QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention/10 In/Shift of Site/Station# Business sit�ponsi le Party(Please Print) White—Prevention Services Yellow-Station Copy Pink—Business Copy FD 2155 (Rev.09105 1 ( f! Prevention Services PROGRAM TI CHECKLIST , ; >3 & B 6 P 1 0 900 Truxtun Ave., Suite 2 TO P/R6 Bakersfield, CA 93301 SECTION 1 : Business Plan and Inventory Program "RS.r r Tel.: (661) 326-3979 i Fax: (661) 872-2171 FACILITY NAME INSPECTION DATE INSPECTION TIME !D ADDRESS HONE NO. NO OF EMPLOYEES FACILITY CONTACT 1 j BUSINESS ID NUMBER 15-021- WN a� c �, Seetlon 1. Buness Plan and Iri�entor"yProgram , .❑ 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 ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING X ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES _ ❑ EMERGENCY PROCEDURES ADEQUATE ❑ ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION ° ❑ 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# Business Site I Responsible Party(Please Print) . q White—Prevention Services Yellow-Station Copy Pink—Business Copy FD 2155 (Rev.09105 �` 1 /� � .� ., w ,_ . � � sic t, � � ( I INSPECTIONS �n BAKERSFIELD FIRE DEPT. Prevention Services a s D 1501 Truxtun Avenue, 1st Floor Bakersfield, CA 93301 BUSINESS PLAN & ARTI/ ! Tel.: (661) 326-3979 INVENTORY PROGRAM Fax: (661) 852-2171 UNIFIED PROGRAM INSPECTION CHECKLIST Page 1 of 1 CV'e04l FACILITY NAME: 3360 aazama LAJ INSPECTION DATE: 2- /D1 64 93.3 Section 2: Underground Storage Tank Program ❑ Routine ',R( 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 x Proper owner/operator data on file Ix 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?) It yes,does tank have overfill/overspill protection? C-Compliance V=Violation Y-Yes N=No Inspector: G&O V/cG /`460/rA/219 hL�0,4A d B ess Site Response I'b a Party 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 0# ',4, 1501 TRUXTUN AVENUE ' (661 326.3979 G�ic- OAJ Location: 334,1D a C1c/ You are hereby required to take the following action at the above location; ❑CORRECT&CALL FOR REINSPECTION ❑CORRECT& PROCEED I ! X-4, l 9_al/c /t,?, 5-,; ;A49 /V F,,I Z� "!JO .5/LJe,/lam 2 7/)?. /2. l } � :Aga nip. �./ ESPnays;�; �� iN � iAI�0 Completion Date for Corrections: i-10-1 /T �7 Received by: . Inspector. Ernie Medina Initial: 1� Date: Desk Phone: (661)326-3682 (from 8:00am to 8:30am) CORRECTION NOTICE 1 BAKERSFIELD 'FIRE DEPARTMENT PREVENTION SERVICES DIVISION �s ` 1501 TRUXTUN AVENUE (661)326-3979 Location: 3.3:4�-, :? �tf You are hereby required to take the following action at the above location; ❑CORRECT&CALL FOR REINSPECTION ❑CORRECT& PROCEED t , i f..l .- f.Y.,r. .r:' � ;r,= t�e�'�-yF��r'r �Ii�FJ��r G ^� ��- ''�...� !✓ Ax' �� r/f .AA Completion Date for Correction 1/o 116 Received by: Inspector: Emle Medina Initial: L- Date: Desk Phone: (661) 326-3682 (from 8:00am to 8:30am)