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Home My WebLink About2200 BRUNDAGE LANE_hmbp 5.19.09UNIFIED- PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program FACILITY NAME Prevention Services F' ; ._„ 900 Truxtun Ave., Suite 210 E f Bakersfield; CA 93301 M 4111111101" . Tel.: (661) 326 -3979 NO OF EMPLOYEES Fax: (661) 872 -2171 FACILITY NAME INSPE TION D)TE INSPECTION TIME W 1avc,E L6 � E c. �� ► 9 1 � ❑ ADDRESS PHONE NO. NO OF EMPLOYEES ZZlJd E �Np9lG� LA.. - BUSII1eSS PLAN CONTACT INFORMATION ACCURATE FACILITY CONTACT BUSINESS ID NUMBER ' VISIBLE ADDRESS 15 -021- �a ri I , Section 1 B6uslness Plan and Inventory Program� ❑ ROUTINE COMBINED ❑ JOINT AGENCY ❑ AMULTI-AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C _V c C= Compliance OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND ❑ BUSII1eSS PLAN CONTACT INFORMATION ACCURATE ❑ ' VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION �l ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY X ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES p� LT ❑ EMERGENCY PROCEDURES ADEQUATE ❑ 15 CONTAINERS PROPERLY LABELED `- ❑ HOUSEKEEPING Co e- GW ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? 9 YES ❑ NO EXPLAIN: ASS QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661).326-3979 Mend i Raw, Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site % Responsible arty (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09105 Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST;; A r R S F 11 „ 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program D ARrM Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME COMMENTS pfg ADDRESS PHONE NO. NO OF EMPLOYEES 2 -g-atc) h ,©► ❑ FACILITY CONTACT BUSINESS ID NUMBER 15 -021- Section 1: Business Plan and Inventory Program ❑ ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v _ ( C= Cornpliance� OPERATION V= Violation' COMMENTS pfg ❑ APPROPRIATE PERMIT ON HAND ,©► ❑ M1 BUSIneSS PLAN CONTACT INFORMATION ACCURATE .0 ❑ VISIBLE•ADDRESS ©a ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS - o - - - ..• _ ❑ VERIFICATION OF QUANTITIES - - ❑ VERIFICATION OF LOCATION {� ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY-- --+,__ � ❑- .,_VERIFICATION OF HAZ MAT TRAINING I ❑ VERIFICATION OF ABArEMENT_SUPPLIES AND PROCEDURES b ❑ EMERGENCY PROCEDURES ADEQUATE " » ❑ ^¢ CONTAINERS PROPERLYLABELED CoCre El HOUSEKEEPING /fig C s' Q9 ❑ FIRE PROTECTION �7 ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? 'BYES ❑ NO EXPLAIN: ewe A s lk © /d- QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 °^ �n Wind, 8I� {� a _(� t7y Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site /'RRd §ponslble Party (Please Print) `J White — Prevention Services Yellow - Station Copy Pink — Business Copy. FD 2155 (Rev. 09/05 f4y` .v _ CITY OF BAKERSlFI ELIID FIRE DEPARTMENT ENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST c 1715 Chester Ave., 3" Floor, )I ekersffield, CA 93301 FACILITY NAME W �^dLr- �*Lf_- a,-3 INSPECTION DATE Section 4: Hazardous Waste Generator Program EPA ID # �i ME? I T 7 o/ ❑ Routine Combined ❑ Joint Agency ❑ Multi- Agency ❑ Complaint ❑ Re- inspection OPERATION C V COMMENTS Hazardous waste determination has been made EPA ID Number AD Authorized for waste treatment and/or storage Reported release, fire, or explosion within 15 days of occurrence �G Established or maintains a contingency plan and training Hazardous waste accumulation time frames Containers in good condition and not leaking Containers are compatible with the hazardous waste %0 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 provided Conducts daily inspection of tanks Used oil not contaminated with other hazardous waste Proper management of lead acid batteries including labels �G — Proper management of used oil filters tj A Transports hazardous waste with completed manifest Sends manifest copies to DTSC Retains manifests for 3 years G ( Nt Retains hazardous waste analysis for 3 years Retains copies of used oil receipts for 3 years Determines if waste is restricted from land disposal , %,= uompuancee �v= vtoiatton Inspector: ° '�- Office of Environmental Services (661) 326 -3979 White Env. Svcs. Pink - Business Copy ponsible Party BAKERSFIELD FIRE DEPT. INSPECTIONS Prevention Services B jillAsplia D 1501 Truxtun Avenue, 13t Floor BUSINESS PLAN & *AFI'rVrNfflfl'F Tel.: Bakersfield, 66) 326-3979 INVENTORY PROGRAM Fax: (661) 852 -2171 UNIFIED PROGRAM INSPECTION CHECKLIST Page I of 1 `L��c sG: e� l G FACILITY NAME: � � `� �� C INSPECTION DATE: � � C t � Section 2: Underground Storage Tank Program ❑ Routine [�OCombined Type of Tank _ Type of Monitoring _ ❑ Joint Agency ❑ Multi- Agency ❑ Complaint Number of Tanks Type of Piping ❑ Re- Inspection OPERATION C V COMMENTS Proper tank data on file Proper owner / operator data on file xi IV4 S Le C<' Permit fees current }G Certification of Financial Responsibility Monitoring record adequate and current aG Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? ❑ Yes 1% No Section 3: Aboveground Storage Tank Program Tank Size(s) Type of Tank Aggregate Capacity Number of Tanks OPERATION Y N COMMENTS SPCC available SPCC on file with OES IV4 S Le C<' Adequate secondary protection Proper tank placarding /labeling Is tank used to dispense MVF ?) aG If yes, does tank have overfill / overspill protection? C = Compliance V = Violation Y = Yes N = No Inspector: Questions regarding this inspection? Please call us at (661) 326 -3979 White — Prevention Services Pink - Business Copy FD 2156 (Rev. 03108)