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Home My WebLink About4800 FAIRFAX RD I IIIIIII VIII III IIII 45 IE Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST B B R 6 F , D 900 Truxtun Ave., Suite 210. Free Bakersfield, CA 93301 SECTION 1 : Business Plan and Inventory Program "R"' ' Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME INSPECTION DATE INSPECTION TIME X110 2 .Y�i�� ADDRESS PHONE NO, NO OF EMPLOYEES c3� Cdr `33- flry - FACILITY CON ACT BU5INFSS ID N1 3E 15-021- Section 1: Bus nes Plan and Is p illi ry Program ❑ ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION C v ( C=Compliance) OPERATION COMMENTS V=Violation ❑ APPROPRIATE PERMIT ON HAND ❑ K BUSIDesS PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS 7� ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES X ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY ❑ r VERIFICATION OF HAZ MAT TRAINING X ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ X EMERGENCY PROCEDURES ADEQUATE oT ❑ ❑ CONTAINERS PROPERLY LABELED N ❑ "-)( HOUSEKEEPING N O 3 9_6t/CG a7— 2f ❑ tK FIRE PROTECTION /.v Ix ❑ SITE DIAGRAM ADEQUATE&ON HAND KBF-6013 ANY HAZARDOUS WASTE ON SITE? ❑YES L NO EXPLAIN: IIIIIII VIII III IIII 46 IE QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 6�eae5�/�r�D�rya2 Inspector (Please Print) Fire Prevention/I"In/Shift of Site/Station# s Site/Responsible Party(Please Print) White—Prevention Services Yellow-Station Copy Pink—Business Copy FD 2155 (Rev.09/05 Prevention Services UNIFIED PROGRAM INSPECTION 'CHECKLIST B E R S F I 900Truxtun.Ave., suite 210 FIRE Bakersfield, CA 93301 ' SECTION 1 : . Business`Plan and Inventory Program " ARYN r Tel.: (661) 326-3979 Fax: (661) 872-2171, FACILITY NAME INSPECTION DATE- INSPECTION TIME Akco A�-i ��'! 1 5-1io 2 :y ADDRESS PHONE NO. NO OF EMPLOYEES -z 2 r3 C A gz')z- �r. FA ILITY CON ACT, BU51NESS ID NUMBER 15-021- . Section 1: Business Plan and Inventory Program 1/ ❑ ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION -C v ( C=Compliance OPERATION COMMENTS V/ V=Violation J�!1 ❑ APPROPRIATE PERMIT ON HAND r/ 0 Business PLAN CONTACT N INFORMATION ACCURATE a .�� _ oy'' ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES j X ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY ❑ 1X VERIFICATION OF HAZ MAT TRAINING /V DT OR/ S j ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE Cl,, ❑ CONTAINERS PROPERLY LABELED ❑ '§R� HOUSEKEEPING x)ge-;-�W 3 74 1x-ZZeA/CG 2T C r5L ❑ FIRE PROTECTION /-i�� C5 j�Tj N� j;,5 e•2 �N e e- ❑ 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 �/U�/_� /VIFD�n/a2. • Inspector (Please Print) Fire Prevention/1"In/Shift of Site/Station# siness Site/Responsible Party(Please Print) White-Prevention Services Yellow-Station Copy Pink-Business Copy FD 2155 (Rev.09/05 ) onz�3s , � f, . _. _ _ '�� .L . `,� . •;, ..F 1 o a G ,�` `� � _ �'� ,, . i t BAKERSFIELD FIRE DEPT. INSPECTIONS Prevention Services Al B JFI)RE � R 900 Truxtun Ave., Ste. 210 B U S I N E S S PLAN & A T Bakersfield,66 ) 326939709 INVENTORY PROGRAM y Fax: (661) 852-2171 UNIFIED PROGRAM INSPECTION CHECKLIST Page 1 of 1 FACILITY NAME: INSPECTION DATE: p Section 2: Unde ground Storage anks Program ❑ Routine )< 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 Certification of Financial Responsibility Monitoring record adequate and current 7- 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: �iie/1/�(� !`'`E ZA)P, *' Site:Re:sp:on:sib:1eParty Questions regarding this inspection? Please call us at(661)326-3979 White—Prevention Services Pink-Business Copy KBF-7335 FD 2156(Rev.09105) c CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES.DIVISION 1501 TRUXTUN AVENUE f{,�= (661)326-3979 Location: � t �>r 'tea 7-J x You are hereby required to take the following action at the above location; OC OFECT&CALL FOR REINSPECTION ❑CORRECT& PROCEED AJ T. n 77 f � /�,-,�� :a��♦.�'JC3 G1 i'S"�? G''fd it� ��%£ 1C i�.t �'%ci"'f'T cam.,•l,^'/ J a4?JtJcS-,�� _� / a;� S � !'�r r F-- s'��i l !� �1 E_ f l•L9v,r �, r��j si 1 -; A, W Aj c—,I /�, c.lue:4;S :;7 r7.✓ g i T { I , fCompletion Date,for'C,orrections: Received by-,,-'-'\ Inspector. imie edina lnitial:. e-p't 7 Date: _! 5-/ /-) !' Desk-Phone: (661) 326-3682 (from 8:00am to 8:30am)