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Home My WebLink About4101 KIMBER AVENUE_HMBP 6.9.10UNIFIED PROGRAM INSPECTION. CHECKLIST SECTION 1: Business Plan and Inventory Program 400w Prevention Services B F R S F I „ 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 D aarM Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INpSP CTION DATE INSPECTION TIME jQ;z2 aJ ❑ ADDRESS PHONE NO. NO OF EMPLOYEES ❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE FACILITY CONTACT • BUSINESS ID NUMBER VISIBLE ADDRESS 15 -021- Secxlon 1 Bus1ness Plan and�ln entory 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 ❑ VISIBLE ADDRESS ,6 ❑ CORRECT OCCUPANCY ,2� ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL I ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES No I �d .� e T>a k ❑ EMERGENCY PROCEDURES ADEQUATE $ ❑ CONTAINERS PROPERLY LABELED N ❑ HOUSEKEEPING ❑ P FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? DYES ❑ NO (� EXPLAIN: X015 a_ O \' �'l�a� ' . R.e "d.l.j +0 QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention 11" In / Shift of Site /Station # gun,ss Site /Re 4)le �(Pl Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05 B MiRE R S F I A LD 'F /RE ARTM r FACILITY NAME: KEi-N Section 2: Undergroun4i Storage Tanks Program ❑ Routine .❑ Combined ❑ J ' t Agency ❑ Multi- Agency Type of Tank Number of Tanks Type of Monitoring Type of Piping ❑ Complaint BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 Page 1 of 1 INSPECTION DATE: 6/9/1 ❑ Re- Inspection OPERATION C V COMMENTS Proper tank data on file jp Proper owner / operator data on file Permit fees current Certification of Financial Responsibility A. Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? ❑ Yes ❑ No Section 3: Aboveground Storage Tanks Program Tank Size(s) ozi0 &0 Aggregate Capacity Type of Tank Number of Tanks 2y0 a OPERATION Y N COMMENTS SPCC available jp SPCC on file with OES Adequate secondary protection Proper tank placarding /labeling A. Is tank used to dispense MVF ?) If yes, does tank have overfill / overspil1.protection? C = Compliance V = Violation Y = Yes N = No Inspector: C, Questions regarding this inspection? Please call us at (661) 326 -3979 White — Prevention Services I Business Site Responsible rty Pink - Business Copy KBF -7335 FD 2156 (Rev. 09/05)