HomeMy WebLinkAboutCORRECTION NOTICE AND BUSINESS PLAN 9-27-10CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT
PREVENTION SERVICES DIVISION
1501 TRUXTUN AVENUE
(661) 326-3979
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Location: Z1)23 5,7—
You are hereby required to take the following action at the above location;
❑dORRECT & CALL FOR REINSPE6 TION ❑CORRECT & PROCEED
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Completion -Date for Corrections:
Received by:
Inspector: Ernie Medina Initial: D aite: '7 ?/
Desk Phone: (661) 326-3682 (from 8:00am to 8:30am)
CORRECTION NOTICE'
BAKERSFIELD FIRE DEPARTMENT
PREVENTION SERVICES DIVISION 0
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(661) 326-3979
Location: —4
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You are hereby required to take the following action at the above location;
❑tORRECT & CALL FOR REINSPECTION ❑CORRECT & PROCEED
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Completion Date for Corrections: 1612')
Received by:
Inspector: Ernie Medina Initial: eS. '*l 'Date:—')/ -?`)l
Desk Phone: (661) 326-3682 (from 8:00am to 8:30am)
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
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FIRE
ARTM T
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301 "
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
INSPECTION DATE
°!12_71!
INSPECTION TIME
6
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ADDRESS 3 2�C�C S� (�� s �� ��
,//�' ~`�
PHONE 3z 30.�� l
NO OF .EMPLOYEES
FACILITY CONTACT q 3�bs
BUSINESS ID NUMBER
❑
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
Consent to Inspect Name /Title
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)
(
X51
❑
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)
❑
-V-
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
NO/ Dti
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
(((
❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(f), CFC: 2703.5)
❑
HOUSEKEEPING
(CFC: 304.1)
El
FIRE PROTECTION
(CFC: 903 & 906)
/�
PzsTo0E
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? ❑YES NO
Signature ofRecei t
Explain:
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 Fire Dept., Prevention Services, 2101 H Street, California 93301
f
6e2Nl 146VI Na
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 6010)
BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM•, INSPECTION CHECKLIST
" IRE t=
_ /RE
2101 H Street.
�- -- -- — Rrm r Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
�,' ST2
INSPECTION DATE
°i129/1
INSPECTION TIME
U' voRS
b
APPROPRIATE PERMIT ON HAND
ADDRESS
9 0;2 3 32,k1&2 s7- �30,AOes �1 1' C4 C
PHONE NO.
) 32 3- Z169-1V
NO OF EMPLOYEES
3
FACILITY CONTACT G>?3bs
BUSINESS ID NUMBER
❑
VISIBLE ADDRESS
Consent to Inspect Name /Title'
Section 1: Business Plan and Inventory Program
❑ ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v
C= compliance OPERATION E RATIO N
� �
V= Violation
COMMENTS:
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
e
❑
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
t
❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
❑
CORRECT OCCUPANCY
(CBC: 401)
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
t
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
I ❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
❑ T51�
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
AJO; 01V 5,
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
7 ❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
T1' ❑
/❑
EMERGENCY PROCEDURES ADEQUATE.
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(f), CFC: 2703.5)
❑
HOUSEKEEPING
(CFC: 304.1)
❑ �K
FIRE PROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? ❑ YES X NC
Signature of Receipt
Explain:
PUS7 INSPI:C'1'IUN INS'1'RUCIIUNS:
• 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 Fire Dept., Prevention Services, 2101 H Street, California 93301
1 N5 &-67 d i9y '75 /Ui t C MEJ1A)a
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
PD2155 (Rev 6//10)
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FACILITY NAME: 3 57—
Ot 933
Section 2: Underground Storage Tanks Program
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: 2Z
❑ Routine Combined ❑ oint Agency ❑ Multi- Agency ❑ Complaint ❑ Re- Inspection
Type o Tank T (_.'dvFR Number of Tanks 3
Type of Monitoring Type of Piping C PT
OPERATION
C
V
COMMENTS
Proper tank data on file
Proper owner / operator data on file
Permit fees current
Certification of Financial Responsibility
Alof ON ST
Monitoring record adequate and current
S S� vrf A Ma"Vj
.i -
Maintenance records adequate and current
x
Failure to correct prior UST violations
Has there been an unauthorized release? ❑ Yes No
Section 3: Aboveground Storage Tanks 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: 6"' E
Questions regarding this inspection? Please call us at (661) 326 -3979
White — Prevention Services
A�1�
Busin s Site Responsible Party
Pink - Business Copy
KBF -7335 FD 2156 (Rev. 09/05)