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HomeMy WebLinkAbout7825 ROSEDALE HWY_HMBP 5.24.10UNIFIED PROGRAM INSPECTION, CHECKLIST SECTION 1: Business Plan and Inventory Program Prevention Services F R s e , D 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 v a R tM Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPE ION DA E INSPECTION TIME o� E S _51-Z4 v ADDRESS PHONE NO. �� NO OF EMPLOYEES 8 25 � j&i 2,7 FACILITY CONTACT BUSINESS ID NUMBER ��:Ilb r =, ZZi 15 -021- It Section 1 Blusiness Plan I and Inventory Program .:,a �. ❑ ROUTINE >b1COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND ❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE i ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY � ate. cL ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES AS ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED Iii 7 ❑ HOUSEKEEPING \- J �� -•u 3c `, �, .,� �, vt. C ,v AEA FIRE PROTECTION AF ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? YES ❑ NO EXPLAIN' k—\ " 'j . ! `)I Wf_y- h)­ a i c:tl. I) rw—s Pc ` QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 �' G-t JL Inspector (Please Print) Fire Prevention / 1't In / Shift of Site /Station # /Businer,Site nsible Party (Please Print) White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05 FACILITY NAME: G©w�-_ .S Section 2: Underground Storage Tanks Program ❑ Routine Combined Type of ank _ Type of Monitori"g — ❑ Joint Agency ❑ Multi- Agency Number of Tanks Type of Piping 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: _A2 U ❑ Complaint ❑ Re- Inspection O TION C V COMMENTS Proper tank data on file 0 u - F Proper owner / operator data on file Permit fees current Certification of Financial Responsibility Monitoring record adequate and current 341 Maintenance records adequate and current e- e q V J ­ Failure to correct prior UST violations Has there been an unauthorized release? ❑ Yes ❑ No Section 3: Aboveground Storage Tanks Program Tank Size(s) JS �v� l Aggregate Capacity Type of Tank Number of Tanks J OPERATION Y N COMMENTS SPCC available 0 u - F SPCC on file with OES Adequate secondary protection Proper tank placarding /labeling Is tank used to dispense MVF ?) 341 If yes, does tank have overfill / overspill protection? e- e q V J ­ C = Compliance V = Violation Y = Yes N = No Inspector: l r �� Q, Questions regarding this inspection? Please call us at (661) 326 -3979 White — Prevention Services 0 us 'Sit esponsible Party Pink - Business Copy KBF -7335 FD 2156 (Rev. 09/05)