HomeMy WebLinkAboutBUSINESS PLAN 4/5/2010 IIIIIII VIII III IIII 71
IE wow, Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST I B A F R S F ; T) 900 Truxtun Ave., Suite 210
=� -` FIRM Bakersfield, CA 93301
SECTION 1 : Business Plan and Inventory Program ? ° RTM Tel.: (661) 326-3979
t# Fax: (661) 872-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
� .
ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
15-021-
q Sectlon�1 �Business'Plan.and Inven o`ry Program
❑ ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY' - ❑ COMPLAINT ❑ RE-INSPECTION
C V C=Compliance OPERATION COMMENTS
V=Violation
❑ K APPROPRIATE PERMIT ON HAND
❑ Business PLAN CONTACT INFORMATION ACCURATE
X_ ❑ VISIBLE ADDRESS
X ❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
1 ❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING NEf sece / / CO/V z%* +-1 vAj Z
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE&ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑YES ;' NO
EXPLAIN:
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QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
Inspector (Please Print) Fire Prevention/1"In/Shift of Site/Station# Business Site/Respo ible Party(Pleas rint)
White—Prevention Services Yellow-Station Copy Pink—Business Copy FD 2155 (Rev.09105
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�► Prevention Services
UNIFIED PROGRAM INSPECTION-CHECKLIST F R s r i D 900 T ixtunAve., Suite 210
FIRE Bakersfield, CA 93301
o ARTM Tel.: (661) 326-3979
SECTION 1 : Business Plan and Inventory Program Fax: (661) 872-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS PHONE NO. NO OF EMPLOYEES
' 4. 52 C— 9' /far_
FACILITY CONTACT BLISINESS ID NUMBER
y 15-021-
�� g. � S®cIrM B.ws iness Plartamdlmveiit�ory Program w a #�
❑ ROUTINE Ql 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
s❑ VERIFICATION OF MSDS AVAILABILITY
- ❑ VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ EX HOUSEKEEPING NEFr/ S�Cos / Cn 2%.�"`'t Fes. 2
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE&ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑YES ! NO
EXPLAIN: /
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QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
Inspector (Please Print) Fire Prevention./1"In/Shift of Site/Station# Business Site/Respon ble Party(Please Tint)
White-Prevention Services Yellow-Station Copy - Pink-Business Copy FD 2155. (Rev.09/05
BAKERSFIELD FIRE DEPT.
INSPECTIONSMI Prevention Services
w e E R s F i L D 900 Tl uxtun Ave., Ste. 210
BUSINESS PLAN & �Rrm T Bakersfield,66 ) 3 6939709
INVENTORY PROGRAM *46* Fax: (661) 852-2171
UNIFIED PROGRAM INSPECTION CHECKLIST
Page 1 of 1
YRG
FACILITY NAME: INSPECTION DATE:
$alb 5-A/?3t a- 0/3?t 3
Section 2: Underground Storage Tanks Program
❑ 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
Certification of Financial Responsibility
Monitoring record adequate and current
Maintenance records adequate and current
Failure to correct prior UST violations X
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: CJ�/V�Ci o I zk/ 2
Business Site WespohAle ParW
Questions regarding this inspection? Please call us at(661)326-3979
White—Prevention Services Pink-Business Copy
KBF-7335 FD 2156(Rev.09/05)
Walley Blodgett
Service Center Manager
^ walley,blodgett@yrcw.com
Phone:661.833.1895 x 3
Fax:661.833.6607
4901 Lisa Marie Ct Mobile:661.978.0026
Bakersfield,CA 93313
YRC Customer Support Center
1,800,610.6500
yrc.com Tho a ate of ZOM aid RacKhway
CORRE'CTIO'N NOTICE
BAKERSFIELD FIRE DEPARTMENT
PREVENTION SERVICES DIVISION , .
1501 TRUXTUN AVENUE
Y R e- (661)326-3979
Location: qgfi/ U s2 �,e,`c c i
You are hereby required to take the following acti n at the above location;.
❑CORRECT&CALL FOR REINSPECTION CORRECT& PROCEED
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Completion Date for Correcttiioonnss:, I I
�a Received by:�
Inspector: Ernie Medina Initial: Date:
Desk Phone: (661) 326-3682 (from 8:00am to 8:30am)
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CORRE'CT'ION NOTICE
BAKERSFIELD FIRE DEPARTMENT
PREVENTION SERVICES DIVISION ,
1501 TRUXTUN AVENUE '
(661)326-3979
Location: 99,9/ L;5.
�S "'Cle/ (-,4 a33f3
You are hereby required to take the following actin at the above location;
❑CORRECT&CALL FOR REINSPECTION CORRECT& PROCEED
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Completion Date for Correcttioonns�:, I I
-Received by:{'
Inspector: EMIe Medina Initial: Date:
,: Desk Phone: (661)326-3682 (from 8.00am to 8.30am)