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Home My WebLink AboutBUSINESS PLAN AND INVENTORY PROGRAM 6-28-10 1111111 IIIII III IIII 79 IE Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST ' B > k 3 F , n .900Truxtun Ave., Suite 210 _ - Pine Bakersfield, CA 93301 SECTION 1 :, Business Plan and Inventory Program "RrM r Tel (661).326-3979 Fax: (661) 872-2171 FACILITY NAME INSPECTION DATE INSPECTION TIME &x,//o s ADDRESS PHONE NO. NO OF EMPLOYEES a s- c z&6 -9 3 FACILITY CONTACT BUSINESS ID NUMBER j 15-021- _ pa - �Seetion Bness Plan and In entory 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 ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL X .❑ VERIFICATION OF MSDS AVAILABILITY x ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES X ❑ -:`EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE&ON HAND KBF-6013 ANY HAZARDOUS WASTE ON SITE? AYES ❑ NO EXPLAIN: 2 - 1A)/ USEt� 1 Z7,,4 F� 80 l E�irolt SS 9z� IE QUESTIONS REGARDING THIS INSPECTIO ? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention 11a'In I Shift of Site/Station# Business Site 1 Responsible Party(Please Print) White—Prevention Services Yellow-Station Copy Pink—Business Copy FD 2155' (Rev.09105 Shy �o y _ s�00 t a Prevention Services UNIFIED PROGRAM INSPECTION. CHECKLIST� F R S F t o 900 Truxtun Ave., Suite 210 �. = - — _ .—r __ _- _- w _ _ FIRE Bakersfield, CA 93301 SECTION 1 : Business Plan and Inventory Program �Rr� Tel.: (661)326-3979. Fax: (661) 872-2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES w �b -2�3 FACILITY CONTACT BUSINESS ID NUMBER 3 15-021- _ � � _ # R � �t � ? Sectlon Business Plan andIrventory Programme ❑ -ROUTINE COMBINED ❑ JOINTAGENCY ❑ 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 ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE&ON HAND KBF-6013 ANY HAZARDOUS WASTE ON SI TE? AYES ❑ NO EXPLAIN: 2 - Sh G►9 / u5 ,!Zc l ez_14 i� S7zkT QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention/1"In Shift of Site/Station# Business Site/Responsible arty(Please Print) -White—Prevention Services Yellow-Station Copy Pink—Business Copy FD 2155 (Rev.09/05 �, - , , ,, .� • � . ,F _ ;x ��- :�� - �, � ` "t INSPECTIONS BaxER8FIELD FIRE DEPT. Prevention Services rAj& ~ 1501 Truxtun Avenue, 181 Floor BUSINESS PLAN & 1 Bakersfield,(66 ) 326939709 INVENTORY PROGRAM 'a. Fax: (661) 852-2171 UNIFIED PROGRAM INSPECTION CHECKLIST Page l of I FACILITY NAME: v INSPECTION DATE: 6� to Section 2: Undegroun Storage tank Program33 ❑ Routine )( Combined ❑ Joint Agency ❑ Multi-Agency ❑ Complaint ❑ Re-Inspection. Type of Tank f>>,J -F;hEQ Number of Tanks Type of Monitoring .UA 5J]2 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? 0 Yes Ix No Section 3: Aboveground Storage Tank Program Tank Size(s) Aggregate Capacity Type of Tank Number of Tanks OPERATION Y N COMMENTS J SPCC available ti SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF?) H yes,does tank have overfill/overspill protection? C=Compliance V=Violation Y=Yes N=No Inspector: `N"�� li4_5_1 Business Site Responsible Party Questions regarding this inspection? Please call us at(661)326-3979 White—Prevention Services Pink-Business Copy FD 2156(Rev.03/08)