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Home My WebLink AboutInsp 2009UNIFIED PROGRAM INSPECTION CHECKLIST �i SECTION 1: Business Plan and Inventory Program i Prevention Services 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 ARTM r Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAM INSPECTION DATE INSPECTION TIME ,,� ❑ ❑ APPROPRIATE PERMIT ON HAND ADDRESS _ (� PHONE NO. NO OF EMPLOYEES C e� (�J— Vl \! FACILITY CONTACT 3USINESS ID NUMBER 15 -021- Sectionl: Business Plan and Inventory Program ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v c C= Compliance OPERATION V= Violation COMMENTS ❑ ❑ APPROPRIATE PERMIT ON HAND ❑ Business PLAN CONTACT INFORMATION ACCURATE �m ❑ VISIBLE ADDRESS -6 ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS i§ ❑ VERIFICATION OF QUANTITIES '�iD ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES 9�1 ❑ EMERGENCY PROCEDURES ADEQUATE ❑ ("0 CONTAINERS PROPERLY LABELED 1 ( ❑ _h� HOUSEKEEPING >S ❑ FIRE PROTECTION ;8 ❑ SITE DIAGRAM ADEQUATE & ON HAND Kbr-bU1:1 ANY HAZARDOUS WASTE ON SITE? YES ❑ NO _'�' EXPLAIN- W TE Q� ` f QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspecto lease Print) Fire Prevention / 1' In I 91hift of Site /Station # Business Site / Responsible Party (Please Pri t) White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05 Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST rAR D 900Truxtun Ave., Suite 210 Bakersfield, CA 93301 SECTION 1: Busines s Plan and Inventory Program � t Tel.: (661) 326 -3979 Fax: -(661) 872 -2171 FACILITY NAM INSPECTION DATE a INSPECTION TIME P I-F C_ ZI APPROPRIATE PERMIT ON HAND ADDRESS PHONE NO. NO OF EMPLOYEES Caen �� FACILITY CONTACT BUSINESS ID NUMBER 15 -021- . Section�_4: Business,Plan and'Inventory Program ❑ ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑. COMPLAINT ❑ RE- INSPECTION C V C= Compliance OPERATION V= Violation COMMENTS ❑ ❑+ APPROPRIATE PERMIT ON HAND ❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE /Ql ❑ VISIBLE ADDRESS C�] ❑ CORRECT OCCUPANCY !30 ❑ VERIFICATION OF INVENTORY MATERIALS 9` E�JI ❑ VERIFICATION OF QUANTITIES '10) ❑ VERIFICATION OF LOCATION A� ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY El VERIFICATION OF HAZ MAT TRAINING 1�33 ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES %® ❑ EMERGENCY PROCEDURES ADEQUATE ❑ P'0 CONTAINERS PROPERLY LABELED / y ❑ -P HOUSEKEEPING `l ❑ FIRE PROTECTION PG ❑ SITE DIAGRAM ADEQUATE & ON HAND nor -oUI s ANY HAZARDOUS WASTE ON SITE? YES ❑ NO EXPLAIN: V3 .S kL 011 QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 4-- x Inspector Please Print) Fire Prevention / P In / hift of Site /Station # White - Prevention Services Yellow - Station Copy Business Site / Responsible Party (Please Pri t) Pink - Business Copy FD 2155 (Rev. 09/05 CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST , L 1715'Chester Ave., 3'd Floor, Bakersfield, CA 93301 FACILITY NAME 3 PN� � L INSPECTION DATE 317,/b Section 4: Hazardous Waste Generator Program ❑ Routine `M Combined ❑ Joint Agency EPA ID 1 ❑ Multi- Agency ❑ Complaint ❑ Re- inspection OPERATION C V COMMENTS Hazardous waste determination has been made EPA ID Number Authorized for waste treatment and/or storage Reported release, fire, or explosion within 15 days of occurrence Established or maintains a contingency plan and training Hazardous waste accumulation time fiances Containers in good condition and not leaking Containers are compatible with the hazardous waste Containers are kept closed when not in use Weekly inspection of storage area Ignitable /reactive waste located at least 50 feet from property line Secondary containment provideda5 Conducts daily inspection of tanks Used oil not contaminated with other hazardous waste Proper management of lead acid batteries including labels Proper management of used oil filters Transports hazardous waste with completed manifest 3 Sends manifest copies to DTSC Retains manifests for 3 years Retains hazardous waste analysis for 3 years; Retains copies of used oil receipts for 3 years Determines if waste is restricted from land disposal C= Compliance V= Violation Inspector: Office of Environmental Services (661) 326 -3979 White - Env. Svcs. Business Site Responsib Party Pink - Business Copy. I INSPECTIONS BUSINESS PLAN & INVENTORY PROGRAM UNIFIED PROGRAM INSPECTION CHECKLIST BAKERSFIELD FIRE DEPT. Prevention Services B A, s n I s a 1501 Truxtun Avenue, 1st Flo p/RO Bakersfield, CA 93301 ARfN f Tel.: (661) 326 -3979 FACILITY NAME. P►J�PL� -El C_ INSPECTION DATE: 3l Section 2: Underground Storage Tank Program ❑ Routine V Combined ❑ Joint Agency ❑ Multi- Agency ❑ Complaint ❑ Re- Inspection Type of Tank Number of Tanks Type of Monitoring Type•of.Piping OPERATION C V or Proper tank data on file Proper owner / operator data on file Fax: (661) 852 -2171 Page I of 1 FACILITY NAME. P►J�PL� -El C_ INSPECTION DATE: 3l Section 2: Underground Storage Tank Program ❑ Routine V 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 10 Permit fees current �0 Certification of Financial Responsibility Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations fp Has there been an unauthorized release? ❑ Yes ft 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. (��i2_t ^, Questions regarding this inspection? Please call us at (661) 326 -3979 White — Prevention Services Business Site Responsible Party G: Pink - Business Copy FD 2156 (Rev. 03/08) `