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Home My WebLink About805 34TH ST 2010 hazmat IIIIIII VIII III IIII 03 IE Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST 1rj 900 T=tun Ave., suite 210 - Bakersfield, CA 93301 SECTION 1 : Business Plan and Inventory Program Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME NSPECTION DATE INSPECTION TIME ADDRESS 11ONE NO. NO OF EMPLOYEES SJ ^ � 0//0 FACILITY CONTACT 3USINESS ID NUMBER 3 15-021- �,,o� __ = Se�tio 1: Busi ess Ian and IFlVem ory Progr m � �� ❑ ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION C v C=Compliance OPERATION COMMENTS V=Violation I ❑ APPROPRIATE PERMIT ON HAND ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION X ❑ 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 ❑ FIRE PROTECTION ❑ >< SITE DIAGRAM ADEQUATE&ON HAND IIIIIIIIIIIIIIIIIIII kswota ANY HAZARDOUS WASTE ON SITE? ` Y 04 ES ❑ M0 � IE EXPLAIN: - / ' S��2/l0,✓�3�-/ r.��-�ti ©�o� c�rs0e�vc��s�st.�'�� QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (6 61 326-3979 i�iVfL MrD�d12_ Inspector (Please Print) Fire Prevention/1m In/Shift of Site/Station# Business Site/Responsible Party(Please Print) While-Prevention Services Yellow-Station Copy Pink—Business Copy FD 2155 (Rev.09105 UNIFIED PROGRAM INSPECTION CHECKLISTI' 4-. Prevention Services 'S F 1 D 900 Truxtun Ave., Suite 210 __ w� _K ___,.,..,V __ �,e,,�, F►es Bakersfield, CA 93301 ' SECTION 1 : Business Plan and Inventory Program "R'"' Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME r� NSPECTION DATE INSPECTION TIME T &//6, o /o:oo -a ,, ADDRESS HONE NO. NO OF EMPLOYEES 64 324; FACILITY CONTACT USINESS ID NUMBER 3 O 15-021- ��ax Sep ion, 1 Business Plana c! Inv®ntory Pc gram w ❑ ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION C v ( C=Compliance OPERATION COMMENTS V=Violation ❑ APPROPRIATE PERMIT ON HAND ❑ BUSIITeSS 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 ❑ FIRE PROTECTION ❑ X SITE DIAGRAM ADEQUATE&ON HAND 1VI'SS N Sr 2II/ Odv S, G— KBF6013 ANY HAZARDOUS WASTE ON SITE? - -XYES ❑ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention./f In I Shift of Site/Station# Business Site/Responsible Party.(Please Print) White—Prevention Services Yellow-Station Copy Pink—Business Copy FD 2155 (Rev.09/05 _ � .f "�- "; '� � -. �l lZ. ti � � _ , `y C ,, • -. '� -.. x �, _. ,, �" ' ,, ,. �y. - k ' A n ',? I'., •\ ._ _ , BMMRSFIELD FIRE DEPT. INSPECTIONS Prevention Services B;aRS 900 Truxtun Ave., Ste. 210 FIRE BUSINESS PLAN & � 1 Bakersfield, CA 93301 (661) 326-3979 INVENTORY PROGRAM Fax: (661) 852-2171 UNIFIED PROGRAM INSPECTION CHECKLIST Page 1 of 1 FACILITY NAME: '`'� r INSPECTION DATE: G�/6 CA �33oj Section 2: Underground Storage Tanks Program ❑ Routine Combined ❑ Joint Agency ❑ Multi-Agency 11 Complaint ❑ Re-Inspection Type Xnk Number of Tanks Type of Monitoring Type of Piping OPERATION C V COMMENTS Proper tank data on file X Proper owner/operator data on file Permit fees current Certification of Financial Responsibility Monitoring record adequate and current x Av AJ Maintenance records adequate and current R 6 vrS 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: i e Responsible Party Questions regarding this inspection? Please call us at(661)326-3979 White—Prevention Services Pink-Business Copy KBF-7335 FD 2156 (Rev.09/05) CORRECTION NOTICE BAKERSFIELD FIRE; DEPARTMENT PREVENTION SERVICES.DIVISION : 1501 TRUXTUN AVENUE , (661)326-3979 Location• -" 327 , 2K�-2 S Ic`/c0 C� 93301 You are hereby required to take.the following action at the above location; ❑CORRECT&CALL FOR REINSPECTION ❑CORRECT&PROCEED „��•/ � , ,-�s- ,,� i�P1-� X70�/ ,/�/,��.� /Vr-a/� Z) � '-7 r)17' Completion Date for Corrections: ` _/_/��I Y) Received by. Inspector: Emie MQ-iroa Initial: GI-1 Date: (o I /!� l� .Desk Phone: L661) 326-3682 (from 8:00am to 8:30am) CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT f PREVENTION SERVICES DIVISION 0 0 1501 TRUXTUN AVENUE (661)326-3979 Location: `;°t'�� '✓` �;�� You are hereby required to take the following action at the above location; ❑CORRECT&CALL FOR REINSPECTION ❑CORRECT& PROCEED 1 r/ .illu.�!)7�` t lip / 1)g !)ST' i Completion Date for Corrections: f I /Q Received by: =? __ Inspector: Ernie Medina Initial: [, ' Date: Desk Phone: (661) 326-3682 (from 8.00am to 8:30am)