HomeMy WebLinkAbout2010 INSPECTION REPORT IIIIIIIIII�IIIIIIII 59
IE Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST E E R S F 1 D 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
SECTION 1 : Business Plan and Inventory Program ARTM r Tel.: (661) 326-3979
Fax:. (661) 872-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
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ADDRESS PHONE NO. NO OF EMPLOYEES
� C74-
FACILITY CONTACT BUSINESS ID NUMBER
` 330 15-021-
- � Se¢ lon 1� Business Plan amd�lnventor�y Program
❑ ~ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
C v ( C=Compliance OPERATION COMMENTS
V=Violation
❑ APPROPRIATE PERMIT ON HAND �?
❑ A BUSIfteSS PLAN CONTACT INFORMATION ACCURATE �ys�r/✓� I2� C� ��T i N'. I�SC-C S
❑ 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
X ❑ EMERGENCY PROCEDURES ADEQUATE
❑ ❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING N
❑ FIRE PROTECTION M rss�' r �`/' �XTXk1
/K ❑ SITE DIAGRAM ADEQUATE&ON HAND
KBF-6013
ANY HAZARDOUS WASTE ON SITE? ❑YES /` NO
EXPLAIN: / `
INIIII IIIII III NII 60
IE_ _
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
Inspector (Please Print) Fire Prevention/1"In/Shift of Site/Station# Business Site/Responsibl arty(Please Print)
White—Prevention Services Yellow-Station Copy Pink—Business Copy FD 2155 (Rev.09105
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLISTS B R s F . 1. 1 900 TrtixtunAve:, sulte210
FARE Bakersfield, CA 93301
SECTION -1 : Business Plan and Inventory Program A erM r Tel.: (66I) 326-3979
Fax: (661) 872-2171
FACILITY NAME; INSPECTION DATE INSPECTION TIME
ADDRESS PHONE NO. NO OF EMPLOYEES
- r
2 v'
FACILITY CONTACT BUSINESS ID NUMBER
g33D 15-021-
r2' -
Sectlon1 BusmesRlan and Inventory
❑ ROUTINE.'-. 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 U US�r/VGSSS I2.� Cb.�2 LT-%N NEB s
❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY. i
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
❑ % VERIFICATION OF MSDS AVAILABILITY ND7 ON SJf
❑ VERIFICATION OF HAZ MAT TRAINING
❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
X ❑ EMERGENCY PROCEDURES ADEQUATE
❑ ❑ CONTAINERS PROPERLY LABELED
/V
❑ HOUSEKEEPING pE/ �' 6
❑ FIRE PROTECTION M iSS'Ny �%ZG CXT J�f G2 25 �2,4,�
❑ SITE DIAGRAM ADEQUATE&ON HAND
KBF-6013
ANY HAZARDOUS WASTE ON SITE? ❑YES X.NO.
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
Inspector (Please Print) Fire Prevention/1s In/.Shift of Site/Station# Business Site/Responsible'Party arty(Please Print)
White=Prevention Services Yellow-Station Copy Pink—Business Copy FD 2155 (Rev.09/05
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INSPECTIONS r�AJRF prveatlon Serrvia�DEPT.
1501 Tru xtun Avenue, 1-t Floor
BUSINESS PLAN & Bakersfield, CA 93301
T Tel.: (661) 326-3979
INVENTORY PROGRAM Fax: (661) 852-2171
UNIFIED PROGRAM INSPECTION CHECKLIST
Page 1 of 1
S'am's c"19 vor
FACILITY NAME: D% �', C /,' .2/V�2.4✓� INSPECTION DATE: _I 2' a
Section 2: Underground Storage Tank Program
❑ Routine IJ 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 /V t + 6G �IP��T Luz
Monitoring record adequate and current �� 7
Maintenance records adequate and current
Failure to correct prior UST violations
Has there been an unauthorized release? ❑ Yes l 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 placard!ng/labeling
Is tank used to dispense MVF?)
If yes,does tank have overflll/overspill protection?
C=Compliance V=Violation Y=Yes N=No
Inspector: .. ��C�(/� /—'T 1I
Business ite Respon
Questions regarding this inspection? Please call us at(661)326-3979
White—Prevention Services Pink-Business Copy
FD 2156 (Rev.03/08)
. CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT
. PREVENTION SERVICES DIVISION
1501 TRUXTUN AVENUE
(661)326-3979
Location: 36, i 6-
32k' S
You are hereby required to.take the following action at the above location;
❑CORRECT&CALL FOR REINSPECTION ❑CORRECT& PROCEED
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S� QCAJ7�-�/� U 5T S;4—1- /7 TZ 1"Aj l CE,e5
Completion Date for Co rections. Z I / /Q
Received b .,11-11 1-1
Inspector. Emie Medina Initial:�'V=--� -Date:-)_/—1 /n
Desk Phone: (661) 326-3682 (from 8:00am to 8.30am)
-
T CORRECTION NOTICE
f
BAKERSFIELD FIRE DEPARTMENT
PREVENTION SERVICES DIVISION
' 1501 TRUXTUN AVENUE
II (661)326-3979
Location: ,
You are hereby required to take the following action at the above location;
❑CORRrECT&CALL FOR REINSPECTION ❑CORRECT& PROCEED
Al s C>S -54z;-,7`S Div s;f
/�07':, Cc,2S
Completion Date for Corrections:
Received by:L,
Inspector: Ernie Medina Initial:�r�?T9---Date:!--
Desk Phone: (661) 326=3682 (from 8.00am to 8:30am)
RICH ENVIRONMENTAL
Service Station Services i
Steven Obert-Des.Operator Div:Supervisor'
We Provide All Required Testing From.
A.Q.M.D./Environmental'Health/City Fire Departments
For Your Gasoline Dispensing Facility.}
Email:tech1res @gmail.com
5643.'Brooks Ct,�, " 4 Cell#:(661)706-8190
Bakersfield,CA 93308 °Bus#:(661)392-8687'
Lic.#809850 C61/040 Fax#:(661)392-0621
CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT
PREVENTION'SERVICES DIVISION 0 0,S4
.�
1501 TRUXTUN AVENUE
(661)326-3979
U04 Y- � V S
Location:
j 1G tZ S IC—/rte/ CA
You are hereby required to take the following action at the above location;
OCORRECT&CALL FOR REINSPECTION' ❑CORRECT&PROCEED
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Completion Date for Corrections: _! _/��
Received by:
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Inspector: Ernie Medina Initial: Date:.*.J /22 I..zn
Desk Phone: (661) 326.3682 (from 8.00am to,8:30am)
- x
CORRECTION NOTICE
Y
BAKERSFIELD FIRE DEPARTMENT
PREVENTION SERVICES.DIVISION
1501 TRUXTUN AVENUE )
(//661).326-3979.
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Location: `f_�/
You are hereby required to take the following action at the above location;
❑CORRECT&CALL FOR REINSPECTION ❑CORRECT& PROCEED
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Completion Date for Corrections: 7
Received by:
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Inspector: Ernie Medina Initial: °= Date:
Desk Phone: (661) 326-3682 (from 8:00am to 8:30am)