HomeMy WebLinkAboutCORRECTION NOTICE & BUSINESS PLAN 10-12-11CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT 1337
PREVENTION SERVICES DIVISION
2101 H STREET
(66_1)/326 -3979
(s�v111� G2/c/ Cd�1t�t//lOA/
Location: ��� G✓
XE/l 9330e/
You are hereby required to take the following action at the above location:
�. CORRECT & CALL FOR REINSPECTION ❑ CORRECT & PROCEED
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Completion Da -te"f r Corrections:
Received by:
Inspector: �`rE/J //r/Z Initial 614
Desk Phone: 3Z &' 3fs-z.
Date: /0 / /Z / tl
(from 8:00am to 8:30am)
KBF -9229
CORRECTION NOTICE
f ' BAKERSFIELD FIRE DEPARTMENT '33
PREVENTION SERVICES DIVISION
2101 H STREET
(661) 326 -3979
Location:
933061
You are hereby required to take the following action at the above location:
s CORRECT & CALL FOR REINSPECTION ❑ CORRECT & PROCEED
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Completion Date-f• r Corrections:
Received by: l 1
Inspector: Initial
Desk Phone: 5 1, - �,
6/--� Date: t"' / 141 //
(from 8:00am to 8:30am)
KBF -9229
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
• BAKERSFIELD FIRE DEPT.
Prevention Services
I ARrm. 2101 H Street
PIKE r Bakersfield, CA 93301
�. Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
( C= Compliance OPERATION
V= Violation
INSPECTION DATE
INSPECTION TIME
GJ�iifE .L.52,v67
chE(1,0004i
/O i i/
/ .'as
ADDRESS
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729:1)
PHONE NO.
VW?
NO OF EMPLOYEES
'7
FACILITY CONTACT
(CFC: 505.1, BMC: 15.52.020)
BUSINESS ID NUMBER
❑
CORRECT OCCUPANCY
(CBC:401)
0/S -02 1 — 1O0
5256
Consentio Inspect Name /Title
(CCR: 2729.3)
❑
USt ev nG , e l
G h
❑
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)
❑ ❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(f), CFC: 2703.5)
❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? ❑YES NO
Signature ofRecei
Explain:
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by Signature_( that all violations have been corrected as noted)
• 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
UUilsV=ar N(zdha Date
White — Business Copy a84M Business Copy to be Sent in aRer return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6H10)
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... a'C '
-UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program u
r
B
L 5I?I i L D
E
TM T
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
( C= Compliance OPERATION
V= Violation
INSPECTION DATE
INSPECTION TIME
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
ADDRESS
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
(CFC: 505.1, BMC: 15.52.020)
BUSINESS ID NUMBER
❑
CORRECT OCCUPANCY
021 — /00 5 .2 .56
Consent to Inspect Name /Title
❑
VERIFICATION OF INVENTORY MATERIALS
"C U'�- t 0 ( ;N
�. ❑
Section 1: Business Plan and Inventory Program
❑ ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V
( C= Compliance OPERATION
V= Violation
COMMENT S
❑
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)
r-1
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
Ipl. ❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
Y` ❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑ ❑
CONTAINERS PROPERLY LABELED
s�
(CCR: 66262.34(8, CFC: 2703.5)
rlr ❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? ❑ YES
Jn,' NO
Signature ofRecei t- --`s
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 orthis page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
U.- do7m
CZ _V°
Signature (that all violations have been corrected as noted)
Date
White — Business Copy 4%t usiness Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6//10)
BAKERSFIELD FIRE DEPT.
INSPECTIONS Prevention Services
H (= 9 8 D 1501 Truxtun Avenue, lst Floor
FIRS Bakersfield, CA 93301
BUSINESS PLAN & ; O ARTM r Tel.: (661) 326 -3979
INVENTORY PROGRAM Fax: (661) 852 -2171
UNIFIED PROGRAM INSPECTION CHECKLIST
Page I of I
6Ai'iF 62'ur CA5,1Ar'V
FACILITY NAME: 2��5 � � Gti/ INSPECTION DATE: /0//L/,/
C14 9770 y
Section 2: Underground Storage Tank Program
❑ Routine )9( Combined ❑ Joint Agency ❑ Multi- Agency ❑ Complair� ❑ Re- Inspection
Type of Tank 7)ul Number of Tanks S
Type of Monitoring GGa^ Type of Piping 00
OPERATION
C
V
COMMENTS
Proper tank data on file
K
Proper owner / operator data on file
Permit fees current
X
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 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
ii p- ' -i fr e-d- ...
326-3614,2
Questions regarding this inspection? Please call us at (661) 326 -3979
White - Prevention Services
B iness ife i4esponsible Party
Pink - Business Copy
FD 2156 (Rev. 03/08)
P&