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BUSINESS PLAN & CORRECTION NOTICE 8-11-11
CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT 2476 PREVENTION SERVICES DIVISION 2101 H STREET (661) 326 -3979 �=- 2ST�2ipA � Location: D/ /,L I "E iUDN e' 933M, You are hereby required to take the following action at the above location: CORRECT & CALL FOR REINSPECTION ❑ CORRECT & PROCEED 2) %'�iSSi�N� G�/ONf '%�N�7 P)9AJ p/V 5ir Z2 Aid 2 %5o P9.5 7- D 06 ON i}DvAl U2/ 5, -/e /f45 e671-IO[/6 ek_,C-7/US,, aA,, `IJG COO/e;e ( STV,2T /0 *-iv Completion Date for Corrections: '� 112- Received Inspector: v Initial �� _ ( Date: Desk Phone: 326 -31682 (from 8:00am to 8:30am) KBF -9229 iPORRECTION NOTICE i3AKERSFIELD FIRE DEPARTMENT 2476 PREVENTION SERVICES DIVISION 2101 H STREET (661) 326-3979 Location: "V, -J You are hereby required to take the following action at the above location: ❑, CORRECT kCALL FOR RE.,INSPECTION ❑ CORRECT & PROCEED A/I 125Z S;-47 2-) 9I,- -5 '" z S Ce H-:2a t4)C5--,C- C.51—rV�7- oe-7,-F Completion Date for Corrections: Received bvz�- Inspector: Date: 9////// Onspsgz�ny UMInalnitial 328-=2 Desk Phone (from 8:00am to 8:30am) KBF-9229 I UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program FACILITY NAME BAKERSFIELD FIRE DEPT. INSPECTION TIME Prevention Services FIRE: 3; oo P "7 2101 H Street R TM T . Bakersfield, CA 93301 -BUSINESS ID NUMBER Tel.: (661) 326 -3979 . ate- 0-7-/- Fax: (661) 852 -2171 FACILITY NAME INSPECT19N DATE INSPECTION TIME COMMENTS /i! 3; oo P "7 ADDRESS 3 wa l 3a 2s �/ CA PHONE NO. 99'Z - V') NO OF EMPLOYEES FACILITY CONTACT -BUSINESS ID NUMBER 933 (o ate- 0-7-/- Consent to Ihspect Name /Title (CCR: 2729.1) Section 1: Business Plan and, Inventory Program ❑ ROUTINE COMBINED ❑ JOINT AGENCY. . ❑ MULTI - AGENCY ❑ .COMPLAINT ❑ RE- INSPECTION C V ( C= Compliance OPERATION COMMENTS V= Violation 1:1. 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 of Receipt Explain: 56- .1-/ 'H2 Z 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 Firgfl0 Wt mss, 2101 H Street, California 93301 326-302 White — Business Copy Yellow— Business Copy to be Sent in alter renim to Compliance, Signature (that all violations have been corrected as noted) . Date Pink — Prevention Services Copy FD2155 (Rev 6HI6) ,+/� , v_ w..� �r . cad �t4 / caoz� �s-2 P Vf- KERN BUSINESS FORMS — (861) 325 -5818 — #6013 UNIFIED PROGRAM INSPECTION CHECKLIST B rFiRE 1 1,1) – -- —- _== - -- -- - -- — AN TM T SECTION 1: Business Plan and Inventory Program `\ BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME V INSPE TI%N DATE INSPECTION TIME COMMENTS V= Violation ADDRESS PHONE NO. NO OF EMPLOYEES APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) .f FACILITY CONTACT BUSINESS ID NUMBER ©, ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) Consent to Inspect Name /Title tl\ ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ❑ Section 1: Business Plan and Inventory Program ❑ ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V (C= Compliance OPERATION COMMENTS V= Violation ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) .f ©, ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) tl\ ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ❑ CORRECT OCCUPANCY (CBC: 401) I ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑ VERIFICATION OF LOCATION (CCR: 2729.2) r 11 PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) A ❑ 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? ❑AYES ❑ NO Signature ofReceipt 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 of this page to: Bakersfield Fi s, 2101 1 -1 Street, California 93301 a!o ooh Signature (that all violations have been corrected as noted) Date White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6H 10) t • B E R S F I E L D FIRE EvPARTM T . F, ;q FACILITY NAME: 5-0/ 3a 467 EIC e q 330.E 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: ❑ Routine ❑ Combined ❑ Joint Agency ❑ Multi- Agency ❑ Complaint ❑ Re- Inspection Type of Tank DuJ - S C Number of Tanks -3 Type of Monitoring r L-t-) _ Type of Piping OPERATION C V COMMENTS Proper tank data on file x 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 / 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: Mapect®P Medina 326 -3682 Questions regarding this inspection? Please call us at (661) 326 -3979 White — Prevention Services u iness4i a Responsible Party Pink - Business Copy KBF -7335 FD 2156 (Rev.'09 /05) -