The URL can be used to link to this page

Home My WebLink About5201 WHITE LN IIIIIIIIVIIIIIIIIII 05 IE 401W Prevention Services UNIFIED PROGRAM INSPECTION CHECKLISTS H ERS F , ;, 9ooTruxtunAve., Suite 2lo FIRE Bakersfield, CA 93301 SECTION 1 : BUSIneSS Plan and Inventory Program 11 ARrM Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS HONE NO. NO OF EMPLOYEES FACILITY CONTACT // USINESS ID NUMBER OS � U�( 15-021- „ n 3 a4 r •4S $�}. Sad °. . k'6'-t fi t i' S a A a f# s '.. n w 4 ,4 Section 1 Br�siness Plan and Inventory Program k- ❑ 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 , l ❑ HOUSEKEEPING !V ❑ FIRE PROTECTION ❑ *�, SITE DIAGRAM ADEQUATE&ON HAND r ANY HAZARDOUS WASTE ON SITE? ❑YES , NO EXPLAIN: l IIIIIIIIII�IIIIIIII 06 IE - QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 aev%E McDi�v2 Inspector (Please Print) Fire Prevention/1"In/Shift of Site/Station# usine St tent Re ponsible Party(Please Print) White—Prevention Services Yellow-Station Copy Pink—Business Copy FD 2155 (Rev.09/05 r TM UNIFIED PROGRAM. I NS P E C T I O N CHECKLIST a F R s� S F prevention Services F , n 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 SECTION 1 : Business Plan and Inventory Program ° AM Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME INSPECTION DATE INSPECTION TIME Gax� 5 612-110 ADDRESS — Q !�— / C4 9?3 HONE¢O. ,p� NO OF EMPLOYEES FACILITY CONTACT 7 BUSINESS ID NUMBER - 1 F 4 1 15-021- ire 4 ill r 11 41 h x� 8 r,.r.:: Y' a EDAM�F on 1. tusine�s Pla .a d i ram ❑ ROUTINE C COMBINED' ' ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINTS ❑ RE-INSPECTION C V ( C--Compliance) OPERATION COMMENTS V=Violation ❑ APPROPRIATE PERMIT ON.HAND ❑ -x Business PLAN CONTACT INFORMATION ACCURATE � ❑ VISIBLE ADDRESS r ❑ CORRECT OCCUPANCY J ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ' ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING $�f ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE f ❑ ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING FEl FIR E PROTECTION ❑l f�, SITE DIAGRAM ADEQUATE&ON HAND f ANY HAZARDOUS WASTE ON SITE? ❑YES 1 NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 C/Q/V i E EO AJ?__ Inspector (Please Print) Fire Prevention J 1.In/Shift of Site/Station# ne ' / e nsible Party(Please Print) White-Prevention Services Yellow Station Copy Pink-Business Copy FD 2155 (Rev.09105 INSPECTIONS BAKERSFIELD FIRE DEPT. Prevention Services r-AR 1501 Truxtun Avenue, 1s' Floor BUSINESS PLAN & t Bakersfield, 1ers(661) 3 6939709 INVENTORY PROGRAM A Fax: (661) 852-2171 UNIFIED PROGRAM INSPECTION CHECKLIST Page I of I acct/ saM 044-t1 MW' FACILITY NAME: 520/ 4,0A746 Lzwf INSPECTION DATE: 2 t CA g330') Section 2: Underground Storage Tank Program ❑ Routine Combined ❑ Joint Agency ❑ Multi-Agency ❑ Complaint E3 Re-Inspection Type o Tank Number of Tanks Type of Monitoring Type of Piping OPERATION C V COMMENTS Proper tank data on file Proper owner/operator data on file Permit fees current Certification of Financial Responsibility r 7 Monitoring record adequate and current i Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? ❑ Yes No Section 3: Aboveground Storage Tank Program Tank Size(s) Aggregate Capacity Type of Tank Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF?) If yes,does tank have overfill/overspill protection? C=Compliance V=Violation Y=Yes N=No Inspector: ��rC Business Site Re-sptrnsibletParty Questions regarding this inspection? Please call us at(661)326-3979 White—Prevention Services Pink-Business Copy FD 2156 (Rev.03/08) ►�"C..t,n,,:�` .xi.:r"?2--+A: ?,,,••... . ., .•-'�Sr.�s-:-`-iR`.''` +Ti&�.'a'$�,=c�'e�,;,-.w-a_.-,�.-.:.:`S.r+v-.�-- — __` CORRECTIOWNOTICE I BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES DIVISION . c 1501 TRUXTUN AVENUE (661)32 a7a Location: 5`2-01 r3a1�E,�s1,116516� (f4 9336 You are hereby required to take the following action at the above.location; I OCORRECT&CALL FOR REINSPECTION ❑CORRECT& PROCEED 4-0 /4�-/ 9u7- ti 3) OA-0 514C s . 'M;5S,'"5 ZGh 9 F`u6/ Z:276 ',✓S ?e 9''S'el- I . : sg S L� n Completion Date for orrections: / / /D t. Received by: inspector: Ernie'Medih . .Initial: 4:FY'Ll Date: 6 / Z' / M Desk Phone: (66�) 326-3682 (from 8:00am to 8:30am) CORRECTIORNOTICE / . BAKERSFIE.LD FIRE DEPARTMENT PREVENTION SERVICES DIVISION 1501 TRUXTUN AVENUE ` (661)326-3979 ` Location: !�- �440 f'A 3 3 rY'j You are hereby required to take the following action at the above location; ❑CORRECT&CALL FOR REINSPECTION ❑CORRECT& PROCEED f �_, / f►u% 10/:?Ay /vf ? 7i� A-1; SS 'dlS :A S r- Ll t ' v '• q a �4 R T Completion Date for Corrections: —I �2 /j/—N . Received by: .,. Inspector: Ernie Medina Initial: c i Date:�_/_ :7 hen Desk Phone: (661)326-3682 (from 8:00am to 8:30am)