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Home My WebLink AboutBUSINES SPLAN 3/22/2010 IIIIIII VIII IIIIIII 07 IE Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST R s F I D 900TruxtunAve., Suite 210 F1IE Bakersfield, CA 93301 SECTION 1 : Business Plan and Inventory Program � aerx Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME l INSPECTION DATE NSPECTION TIME /L106"/ 22 n 3:oo/r7 ADDRESS c r Q HONE NOS.! O OF EMPLOYEES d / S �rl�� 33; (W'l— 7f FACILITY CONTACT BUSINESS ID NUMBER 15-021- �, n : Pogram e ryBSP d Int ❑ ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION C V C= mpliance` OPERATION / COMMENTS V=Violation ❑ APPROPRIATE PERMIT ON HAND ❑ Business PLAN CONTACT INFORMATION ACCURATE A0' S ❑ ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL l ❑ VERIFICATION OF MSDS AVAILABILITY ❑ )( VERIFICATION OF HAZ MAT TRAINING ❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ K EMERGENCY PROCEDURES ADEQUATE Aobr ❑ ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING =X7-6WXraN 2'r Co AIM CA trAng 4"& ❑ FIRE PROTECTION r T ?T r. ❑ SITE DIAGRAM ADEQUATE&ON HAND 11 Orr ANY HAZARDOUS WASTE ON SITE? ❑YES ❑ NO IJ 1 EXPLAIN: I IIIIII��IIIIIIIIIII 08 c- IE _ QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Ei?Al:Lc' M pd LV2 41 "4AA Inspector (Please Print) Fire Prevention/1p1 In/Shit of Site/Station# Business as sib le Party(Please Print) White-Prevention Services Yellow-Station Copy Pink-Business Copy FD 2155 (Rev.09/05 �+ . Prevention Services, UNIFIED PROGRAWINSP:ECTION CHECKLIST j . fARTH S 900"tunAve., Suite 210 w � •_:� ; Y FIRE Bakersfield, CA 93301 SECTION 1 : Business Plan and Inventory Program Tel.:w(66 1) 326-3979 Fax: (661) 872-2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER 15-021- _ r °' '� .r E# 1 -t r`a�, -; I €•�a3�tl-" 1 �k � � �Sectio,n1B`isiriess Plan arl�dInuentoryPlr gram f � : ❑ ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION t S. C v ( C=Compliance OPERATION COMMENTS V=Violation ❑ APPROPRIATE PERMIT ON HAND ` ❑ P( Business PLAN CONTACT INFORMATION ACCURATE � 7' ti '. ❑ ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY { ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL a� ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING - ❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ K EMERGENCY PROCEDURES ADEQUATE ❑ ❑ CONTAINERS PROPERLY LABELED ❑ X HOUSEKEEPING R y!� 4J� E XrC_ ❑ EZ FIRE PROTECTION ❑ SITE DIAGRAM�fDEQUATE&ON HAND ANY H'AZARDOUS WASTE ON SITE? ❑YES ❑ NO EXPLAIN: r QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 CR4 r'-10 Inspector (Please Print) Fire Prevention/1"In/Shift of Site/Station# Business Sit 7s:p �ibkl Party(Please Print) White—Prevention Services. Yellow-Station-Copy Pink.Business Copy FD 2155,-(Rev.09/05 BAKERSFIELD FIRE DEPT. INSPECTIONSPrevention Services -- rFIRE r L D 900 Truxtun Ave., Ste. 210 3"" 8 _ Bakersfield, CA 93301 BUSINESS PLAN & T Tel.: (661) 326-3979 73,INVENTORY PROGRAM M Fax: (661) 852-2171 UNIFIED PROGRAM INSPECTION CHECKLIST Page 1 of 1 FACILITY NAME: _Yms INSPECTION DATE: ?60 3ti 5*7 gz� k/ 9 s3a f Section 2: Underground Storage Tanks Program ❑ Routine 1� Combined ❑ Joint Agency ❑ Multi-Agency ❑ Complaint ❑ 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 IX eas—, zg vA.1 Age-ZA-16V Fees� Certification of Financial Responsibility �E'4tff Monitoring record adequate and current G Maintenance records adequate and current s y Failure to correct prior UST violations Has there been an unauthorized release? ❑ Yes X 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: �/yv/Ci /"/��/r/�2 � Busine s Site R si ona APa' Questions regarding this inspection? Please call us at(661)326-3979 White—Prevention Services Pink-Business Copy K13F-7335 FD 2156(Rev.09/05) UST Fuel Monitor Certification Testers Cal Valley Equipmen Phone # (661) 327- 9341 Confidence UST Services Phone # (800) 339-9930 Redwine Testing Services Phone # (661) 834-6993 Rich Environmental Phone # (661) 392 8687 CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES DIVISION 1501 TRUXTUN AVENUE 0050 ,08 Y�s (X1)326-3979 f Location: Y60 yfis ST oa l( �c 1 'Fl C-A 9 X30/ _ You are hereby required to'take'the following action at the above location; OCORRECT&CALL FOR REINSPECTION OCORRECT& PROCEED �� DO JtlA7r n7 t l� }t I!'RD PA/_7-,5 Pcl'LM.� DN Si� /2 1>n itl�,? �<�� /2'/flN��/�i (U 57 iNSPFc�i�.vf 0AJ Si 3 ) Da A167- h2�� Z A!e Ced ulzes 2_0vP_cJ5 2 7' Co6�Z,57,- `. '� } SSAiyGi tJ5T /Lln✓(�.� L .y!� 1/PN `6- Completion Date for Corrections: LI !ZZ I r c� 3 o Received by: y: Inspector: Emie Medina Initlai: .M Date: 3 I Z-1-1 Desk Phone: (6614-326-3662 ( m :OOam to 8:30am) r rCORRECTION NOTICE, f.BAKERSFI L•D(FIRE�DEPARTMENT tPR,EV€-�T,I%N SERVICES DIVISION 1501 TRUkTUN AVENUE 1(661)326-3979 ni t You are herebp *take Illo n a trig above location; OCORRECT A REIN PET.IN 0.6tF7 & PROCEED � n o 26� r r TT Completion Date for Corrections: �/ I '2_ 1 !e) 3 n cf':ys 3 Received by: ` Inspector: Emie Medina` Initial: Date: Desk Phoney"[66!).326.3682------(�8: Oaf m to 8:30am), f. k 'ra i'ahQ cc Ca� -rte 4on7 «ia� � 6713n g CORRECTION NOTICE r, BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES DIVISION 1501 TRUXTUN AVENUE 005,C ' (661)326-3979 Location:.' 'Frbo 34/ S i You are hereby required to take the following action at the above location; CORRECT&CALL FOR REINSPEC11ON OCORRECT& PROCEED N6Ed P,eTPr--9Q O(.ya161Z Z� &12 M,'� ��5 �/l�' �2 Si /7v 6 / i vE/ /10/V/,'Xa,2 C&P 7"if-.`CZiiGLtl %S .P257��Ut� L 2s: D'O'Ve log r,,,2 C u o k,5,r vT Completion Date for Corrections: y / I , C/ G/2 Ys r: �'- Received by: Inspector: EMI &W lina Initial: Date: Desk Phone: s669) 326-3682 (from 0 m to 8:30am) CORRECTION NOTICE BAKERSFIELD FIRE D'E'PARTMENT PREVENTION SERVICES DIVISION 1501 TRUXTUN AVENUE „s (661)326-3979 Location: '4 M You are hereby required to take the following action at the above location; 'EICORRECT&CALL FOR REINSPECTION ❑CORRECT& PROCEED �`fL�_ �� l'��i i 7r�r� r''f•1��1._ %,�� f ��`7.r1`r, ? J',%?��7 t. t!. .;: f�.•,c,af ,,/,.� /r1/ig/nor 1' � f f � !�; ri.�. ��5 Y,f �/y S.ti.r'sil��'C /�r�P + r.�t'',/�1,r'•'sL/ 'e "•� r�� T I'�'1� /aJ i I� �i� 11�'f� c�''�f��'IrJ..�f �� / �/��-� 7 ��/ ' F Completion Date for Corrections: I = 1 / / /-Ys Received by I _ Inspector: Ernie-Medina !Initial: �r�: Date- Desk Phone: (661)326-3682 (from 08 0 m to 8.30am)