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Home My WebLink AboutBUSINESS PLAN 2/16/2010 r I IIIIIII VIII III IIII 49 IE Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST ri 900T-uxtunAve., Suite 210 Bakersfield, CA 93301 SECTION 1 : Business Plan and Inventory Program Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME NSPECTION DATE INSPECTION TIME z 1 Xlv •00 ADDRESS HONE NO. NO OF EMPLOYEES c.,4 qx3 FACILITY CONTACT BUSINESS ID NUMBER 15-021- � Section 1 Business P'lan�and Inventory P ogram �= �;; ❑ ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION C V ( C=Compliance) OPERATION COMMENTS V=Vlolation ❑ APPROPRIATE PERMIT ON HAND ❑ )( Business PLAN CONTACT INFORMATION ACCURATE s r ❑ VISIBLE ADDRESS j ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ -�K VERIFICATION OF MSDS AVAILABILITY ❑ % VERIFICATION OF HAZ MAT TRAINING '7L iV.' S ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE ❑ ❑ CONTAINERS PROPERLY LABELED ❑ A, HOUSEKEEPING /�1es�j� Se W9 w„f-4 [1 FIRE PROTECTION N '� �IQEEX/�MSc�f SGrF�Ar ar ❑ SITE DIAGRAM ADEQUATE&ON HAND (( �� KBF6013 ANY HAZARDOUS WASTE ON SITE? ❑YES 111C NO EXPLAIN: IIIIIII(IIII III IIII 50 IE _ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 4&&?r , Inspector (Please Print) Fire Prevention/1'In/Shift of Site/Station# Business Site/Responsible Party(Please Pr' ) White—Prevention Services Yellow-Station Copy Pink—Business Copy FD 2155 (Rev.09105 `r t, MTANF' Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST, 900,1ruxtun Ave., Suite 210 SECTION 1 : Business Plan and In tory Pr Bakersfield, CA 93301 ogram Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER 4 l /t�.2 15-021- - �~- I j I fit$@ tlon 1 BiSineS"sPl{an-and Ir� entory Program 9 pp } s ❑ ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINTS ❑ RE-INSPECTION. - C V ( C=Compliance) OPERATION COMMENTS V=Violation r ❑ APPROPRIATE PERMIT ON HAND ❑ 'X Business PLAN CONTACT INFORMATION ACCURATE 1 vT ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ` ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES �( ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL r ❑ -�K VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING �J �� Zi N- �LZSTLrtl �I3�YV� ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE ❑ ❑ CONTAINERS PROPERLY LABELED AJIA ❑ HOUSEKEEPING O -?GVe ev/- (v, Fi7� U$tC/ /eQ� • ❑ ') FIRE PROTECTION NCE 5 EX/fN L"'i's ie/Z. r75- Pr 27- i ❑ SITE DIAGRAM ADEQUATE&ON HAND KBF-6013 ANY HAZARDOUS WASTE ON SITE? ❑YES L NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 e—c—,e L) (' 54e A/ler Inspector (Please Print) Fire Prevention/1"In 1 Shift of Site/Station# Business Site/Responsible Party(Please Pr' ) White—Prevention Services Yellow-Station Copy Plnk—Business Copy FD 2155 (Rev.D9/05 �'� - >; �. . .� _ ,�. ,� 4�. ' ,. - �' `^ '�J � ti t s � � � a. ! . i INSPECTIONS �� Preve�a>�Se�ces DEPT. 1501 Truxtun Avenue, lst Floor BUSINESS PLAN & JARrAl T Tel erg(661) 326-3979 INVENTORY PROGRAM LJ Fax: (661) 852-2171 UNIFIED PROGRAM INSPECTION CHECKLIST Page 1 of I HP Go Ga FACILITY NAME: 3L 9!2 G� '� INSPECTION DATE: Z. M 133 Section 2: Underground Storage Tank Program ❑ Routine Combined ❑ Joint Agency ❑ Multi-Agency ❑ Complaint ❑ Re-Inspection Type of 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 Maintenance records adequate and current X 1?45 /� yAV. 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: ��//Lf/_TL�I�tJ2 l ft >f� �.✓t-�/ 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) CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES.DIVISION 4501 TRUXTUN AVENUE HP <,- 06 G �326-3979 Location: You are hereby required to take.the following action at the above location; NrACORRECT&CALL FOR REINSPECTION OCORRECT& PROCEED / t ! A!1C;il 4r, "// nuT /��s::uEsS �l�u� CnaTlac: /}AI'412,A4 Ti ? fVuFr� �o �:// n�T ft/Jn�l �-�n/1 ,itJ� P��,� n/Z or rtP.-', ;'��TC- (o l A/,�� Sffc 2vuCC i. 4,-74-- 3 �EPes Ain Completion Date for Corrections: a l 2. I / Received by: Inspector: Ernie Medina Initial: Date: ' Desk Phone: (661) 326=3682 (from 8:00am to 8:30am) Er CORRECTION NOTICE BAKE,RSFIELD FIRE DEPARTMENT PREVENTION SERVICES DIVISION - "1'5o1 T:RUXTUN AVENUE ° P (661),326-3979 hl t 60 Location: ?< � �,t�•/� a � r. You are hereby required to take the following action at the above location; '\�ICORRECT&CALL FOR REINSPECTION ❑CORRECT& PROCEED A1lT�• / `^ t`. 1� r.rr % /� cAC_53 - •_:.I At�'t`:�f'/ Y�r. .: . 1f (3c1T .+''fir .rLJr �r^.: e� .'..: I r'''�J �: r . �N UST Gas:" >,��Cnei�cr ?i:Z�;,y✓y? `�� 7) iU�er � /�'FF .J 057 /L-IVIA k�C�,(?. Completion Date for Corrections: ! / > Received by: » Inspector: Emie Medina Initial: ``1 Date: Desk Phone: (661) 326-3682 (from 8:00am to 8:30am) CORRECTION NOTICE z z BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES DIVISION 1501 TRUXTUN AVENUE (661).326-3979 Location: 99 snlu CA 933 You are hereby required to take the following action at the above location; OCORRECT&CALL FOR REINSPECTION OCORRECT& PROCEED Completion Date for Corrections:-_/ J1 /10 Received by: Inspector: Ernie Medina Initial: Date: Z ill Desk Phone: (669)326-3682 (from 8:00am to 8:30am) F,,:Zs'k '��.:F.. '�iy�'}' ;�.•", .=fir-° .. ., .. -.r:. �,.. _ .. .,-._ CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES DIVISION 0.501 TRUXTUN AVENUE C(661^3x26-3979 Location: 31,99 / ,�• sniv c� You are hereby required to take the following action at the above location; ❑CORRECT&CALL FOR REINSPECTION ❑CORRECT& PROCEED 9 /�� -jt?�/c ?'��/i/5�c�V Cn�c �o /L► Chi, /h) SSiit/g X.' Si�y✓ 2:21a,Jf /JZY� Completion Date for Corrections: 3 / J / /e) Received by: Inspector: Ernie Medina Initial: Date: Z lam! Desk Phone: (661) 326.3682 (from 8.00am to 8:30am)