HomeMy WebLinkAbout1701 PACHECO ROAD (13)CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT 1387
PREVENTION SERVICES DIVISION
2101 H STREET
(661) 326 -3979
Location: P70/ �2Gv /�eU
You are hereby required to take the following action at the above location: .
CORRECT & CALL FOR REINSPECTION ❑ CORRECT & PROCEED
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jj,L1% q2 -Z- w057-,-- SaAci
Completion Da� for Correct Received by:
�
Inspector: Mspector Medina Initial e" rt -/ ? Date: � / 13/ J Z
326 -3662
Desk Phone:
(from 8:00am to 8:30am)
KBF -9229
IM
CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT 13 8 7
PREVENTION SERVICES DIVISION
2101 H STREET
(661) 326-3979
Location: 1` 20
You are hereby required to take the following action at the above location:
CORRECT & CALL FOR REINSPECTION ❑ CORRECT & PROCEED
Completion Datp for Corrections:
Received by.
Inspector: MSPW(or Madine initial e"7 Date: 31 ;L
Desk Phone: (from 8:00am to 8:30am)
KBF-9229
BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST LJF 2101 H Street
T Bakersfield, CA 93301
.SECTION 1: Business Plan and Inventory Program TeL (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME.
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
ADDRESS
� � Pace► c �o �� f3 �����s,' l /�' 330
PHONE NO.
c�� s3� -� 50
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
0/6--0/,z - 04312'
Consent to Inspect Name /Title
y ., F
Section 1: 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
(BMC: 15.65.080)
❑
Business PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑
CORRECT OCCUPANCY
(CBC: 401)
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES
(CCR:.2729.4)
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
❑
VERIFICATION OF HAZ MAT TRAINING.
(CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑ X
CONTAINERS PROPERLY LABELED (CCR: 66262.34(1), CFC: 2703.5)
4f - 3� 2 / Con�Tai tiE/L - No L j
❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? 'DYES ❑
NO
SipnatureofRecei t
Explain:
- 60'4,P7L 55 2/ moo
PUS I IN5PLU I ION INS'1'RUC I IONS:
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the ��vii�ollations, sign and return a copy of this page to:
Bakersfield Fir�tl2 S h;,;��2��1�es, 2101 1 -1 Street, California 93301
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance
Signature (that all violations have been corrected as noted)
Date
Pink'— Prevention Services Copy FD2155 (Rev 6//10)
CAIE1 ,x#7 Cr4l 000z9 y 227 KERN BUSINESS FORMS- (661)325- 5818 -#6013
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
U__ - Ii_ R 5_ F I E i- D
FIRE
ARTM T
V�
0 3/2 7
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
COMMENTS
ADDRESS
' -a Acgo c�f� k'E.tay ,r. F x'.3334
PHONE NO.
k�' "i
NO OF EMPLOYEES
FACILITY CONTACT-
BUSINESS ID NUMBER
❑
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
Consent to Inspect Name / Title
4\ y
�) r El",
Section 1: Business Plan and Inventory Program
❑ ROUTINE 121' COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
( C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
IC
❑
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
❑
CORRECT OCCUPANCY
(CBC: 401)
"'Ed
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
�IZJ�
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
'E,
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
f7�
❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? 12.YES
❑ NO
Signature ofReceh �C /'
Explain:
4—t We
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign and return a copy of this page to:
Bakersfield Fir t. Pr ven S vices, 2101 H Street, California 93301
0° c
White — Business Copy Yellow w— Business Copy to be Sent in after return to Compliance
Signature (that all violations have been corrected as noted)
Date
Pink — Prevention Services Copy
FD2155 (Rev 6//10)
BAKERSFIELD FIRE DEPT.
INSPECTIONS
r �� Prevention Services
e s i s a 1501 Truxtun Avenue, 1st Floor
FIRM Bakel, CA
BUSINESS PLAN & O ARrm r Tel.: (661) 326-93973301 9
INVENTORY PROGRAM I Fax: (661) 852 -2171
UNIFIED PROGRAM INSPECTION CHECKLIST
Page I of I
?- Il -'Tr l &3a'Vf �
FACILITY NAME: �7 / ?c -L' � INSPECTION DATE: 1 i3, /
9a,zery .�/ C� � Z30 4P
Section 2: Underground Storage ank rogram
❑ Routine Y Combined 13 Joint Agency ❑ Multi- Agency ❑ Complaint ❑ Re- Inspection
Type ofT_ank 4) CC . Number of Tanks
Type of Monitoring rc 'A4 Type of Piping pt.�J i=
OPERATION
C
V
COMMENTS
Proper tank data on file
Proper owner / operator data on file
Permit fees current
Certification of Financial Responsibility
Monitoring record adequate and current
Maintenance records adequate and current
Failure to correct prior UST violations
Has there been an unauthorized release? ❑ Yes i" l 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
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: InSpActor Medina
326-3302
Questions regarding this inspection? Please call us at (661) 326 -3979
White — Prevention Services Pink - Business Copy
FD 2156 (Rev. 03/08)