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Home My WebLink About1-5-10 IIIIIII VIII III IIII 01 IE Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST 3 k 3 F , 0 900TruxtunAve., Suite 210 Bakersfield, CA 93301 SECTION 1 : Business Plan and Inventory Program "erg r Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME INSPECTION DATE NSPECTION TIME �V fl I �� • P�^'1 sh ADDRESS � �� HONE NO. 140 OF EMPLOYEES FACILITY CONTACT USINESS ID NUMBER va 1s-o21- ; _ S®ction 1: Busi ess Plan and Inventory Program ❑ ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION C V C=Compliance OPERATION COMMENTS V=Violation ❑ ❑ APPROPRIATE PERMIT ON HAND As ( 5 ❑ Business PLAN CONTACT INFORMATION ACCURATE -g ❑ 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 A ❑ K HOUSEKEEPING ❑ X FIRE PROTECTION cITST/1c .2&V ^ D ❑ SITE DIAGRAM ADEQUATE&ON HAND KOF-6013 ANY HAZARDOUS WASTE ON SITE? ❑YES XNO EXPLAIN: IIIIIIIIIIIIIIIIIIII 02 IE QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 n � it/1E /Ll�ii ,� c�a Inspector (Please Print) Fire Prevention/1"In/Shift of Site/Station# Busin s Ite/Respon ' le (P se Print) White—Prevention Services Yellow-Station Copy Pink—Business Copy FD 2155 (Rev.09105 s. r rA * Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST[I B n 900TruxtunAve., Suite 210 == - - Bakersfield, CA 93301 SECTION 1 : Business Plan and Inventory Program � Tel.: (661) 326-3979 Fax: (661) 872-2171- FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES . 15?ov 1A u .v 13 kA cam, 93 3c�. i - o FACILITY CONTACT BUSINESS ID NUMBER AU0 -CAD 2 ki 0A1 15-021- Fectio_n 1" Business PI n and Llnven o � _ rY 9 . ❑ ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION C V ( c=Complianc OPERATION COMMENTS V=Violation `I ❑ ❑ APPROPRIATE PERMIT ON HAND `c, S 55oEcZ 6Ne,,,J S ❑ 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 73 ! 2 EG C 5 . ❑ FIRE PROTECTION 6 X,7 Us 14 r, QAJ A./ S ❑ SITE DIAGRAM ADEQUATE&ON HAND l KBF-6013 ANY HAZARDOUS WASTE ON SITE? ❑YES XNO EXPLAIN: rN QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention 11� In I Shift of Site/Station# Busin s ite I Respon • le P (P ase Print) White—Prevention Services Yellow-Station Copy Pink—Business Copy FD 2155 (Rev.09105 •' I __ t \ -. � �. h 4. y\ 1 t i • • , • � 1 �� ... •� _ _ INSPECTIONS sAKERSFIELD FIRE DEPT. Prevention Services n 1501 Truxtun Avenue, 1111 Floor BUSINESS PLAN & r �rr ' Bakers(fi61d) 326939709 INVENTORY PROGRAM Fax: (661) 852-2171 UNIFIED PROGRAM INSPECTION CHECKLIST Page I of 1 FACILITY NAME: 5 tJb AA,-' INSPECTION DATE: � Program 33 D Section 2: Underground 13 ud gan ❑ Routine Combined ❑ Joint Agency ❑ Multi-Agency 13 Complaint 13 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 f Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? ❑ Yes o 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 placard!ng/labeli ng Is tank used to dispense MVF?) If yes,does tank have overfill!overspill protection? C=Compliance V=Violation Y=Yes N=No Inspector: Busi pSi_te on sible rty Questions regarding this inspection? Please call us at(661)326-3979 White—Prevention Services Pink-Business Copy FD 2156 (Rev.03108) CORRECTION NOTICE 1 °' � BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES DIVISION ,;_1501 TRUXTUN AVENUE (661)326-3979 Location: S '?O0 Al )baeA,) You are hereby required to take the following action at the above location; OCORRECT&CALL FOR REINSPECTION ❑CORRECT& PROCEED l� ,l--iR� T—, Xi,-�•��Ji*SGi E/� illJ (_'z<� G�/P-s � Dom."C.� 13,2 GIC C>P J�9,o&J&12 �� A iu A1,�,�'f/ f 1,e 1-- 6 X7'iN9 u s- &--f 2 T r_Tiv�,��','iP rX T�1✓cJ�r S t�/� iAl S.�I,�C Completion Dbte f r-Corrections: .2 !_mil f n Received by: �� v Inspector: Ernie Medina Initial: Date: I IZ Desk Phone: (661) 326-3682 (from 8:00am to 8:30am) = lCORRECTION NOTICE -BAKERSFIELD FIRE DEPARTMENT :PREVENTION SERVICES.DIVISION y �: f 1501 TRUXTUN AVENUE t.i (661)326-3979 Location: L ..,A You are hereby required to take the following action at the above location; OCORRECT&CALL FOR REINSPECTION OCORRECT& PROCEED 1 � �-- �,?�.� .�=• X i e..ai/lip S�r.P�i� f."� 1''•'�.� t':�=� �� EJ��r'x;-` r _ t ., t � ./, /b f,< AJr- �t�i:�C„ t1:r.f� y.4 l �rt.'i /it" Ix JT/•. `3 i I "3 � iC E. .>:�7r r 1r'� � r i��•t., .�..,J t`��,s?, dr e�.�. !.f'f:�' t.._ � l:' =✓� f+- vn C. t `TriV�CJ� � .��.t' (-rG s t lip Completion Date for Corrections: 14, I Received by: V11 i Inspector: Ernie Medina Initial: Date: l 1 1 !r Desk Phone: (661) 326-3682 (from 8.00am to,8:30am) CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES.DIVISION ' 1501 TRUXTUN AVENUE (661)326-3979 I�V17 SGrs// Location• S'7r A y-4 ilReU curl CA 9 33 a(a You are hereby required to take the following action at the above location; CORRECT&CALL FOR REINSPECTION ❑CORRECT& PROCEED �2 /V FfU1 �osi ', /liF 4 D;zrt/�,vr�SLiL�c� 2�vr//Ua 5�-1b/Ciiy°> Completion-Date for Carre11cti(on ! S Receivedb)y:, Inspector: Emie Medina Initial: 4 Date: / / ! Q Desk Phone: (661) 326-3682 (from 8:00am to 8:30am) 'C. �7.�BF-�..is a.�%f�`r�.r7.yfj�reRJ•�Epy11I'A' � .��,��-".v.'.��x..- ✓4:. CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES DIVISION r 1501 TRUXTUN AVENUE ` 4 ;" (661)326-3979 Avn syE// Location: ?o ' A L)L [udtdiJ You are hereby required to take the following action at the above location; KCORRECT&CALL FOR REINSPECTION ❑CORRECT& PROCEED 7 2�vk Completion Date for�Correctioris: Received-by: Inspector: Ernie Medina Initial: `"f Date: 1 Desk Phone: (661) 326-3682 (from 8:00am to.8:30am)