HomeMy WebLinkAboutBUSINESS PLAN & CORRECTION NOTICE 8-11-10CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTME=NT
PREVENTION SERVICES DIVISION
1501 TRUXTUN AVENUE
(661)326-3979
Fas'
Location: :,'4-M /L-7-7
3 P, 1"C r S�; � /G/
You are hereby required to take the following action at the above location;
❑CORRECT & CALL FOR REINSPECTION ❑CORRECT & PROCEED
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Completion Date for Corrections: % I l3 l�
Received by:/ /f >�
Inspector: Ernie Medina Initial: Daate:
Desk Phone: (661) 326-3682 (from 8:00ain to 8:30am)
`'�C ;ORRECTION NOTICE
16AKERSFIELD FIRE DEPARTMENT
PREVENTION SERVICES DIVISION
1501 TRUXTUN AVENUE -
J..
(661) 326 -3979
Location: r %: o /r..:�r�l,
You are hereby required to take the following action at the above location;
❑CORRECT & CALL FOR REINSPECTION ❑CORRECT & PROCEED
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Completion Date ffor Corrections:
Received by
Inspector: Ernie Medina Initial: _s., a Date: I I
Desk Phone: (661) 326 -3682 (from 8:00am to 8:30am)
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
B 1: R S F I LL _b
FIRE
D ARTM
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
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ADDRESS
35-0/ Al—,,
, �i2iUDti, 21 i�j � G 1
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT 933 0d
BUSINESS ID NUMBER
❑
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
Consent to Inspect Name /Title
r
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)
19
❑
CORRECT OCCUPANCY
(CBC: 401)
1*
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
X
❑
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)
❑
W_
HOUSEKEEPING
(CFC: 304.1)
3 C�P�2/L2N N
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS
WASTE ON SITE? YES
❑ NO
Signature of Receipt
Explain:
I - 5-�7 R2,/
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 I -1 Street, California 93301
1X r &�&V /c 1A C5e I 'AJ 2
White —Business Copy Yellow — Business Copy to be Sent in alter return to Compliance
Signature (that all violations have been corrected as noted)
Date
Pink — Prevention Services Copy
FD2155 (Rev 6H10)
BAKERSFIELD FIRE DEPT.
I Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST a 5 �' —° 2101 H street F /RE - -- ARTM 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
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT 5P33 496
BUSINESS ID NUMBER/}//—
❑
—001_9 Z 0
Consent to Inspect Name /Title `
C it � >ri .
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)
l ❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
T
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
LEl
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
ll ❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
❑
EMERGENCY PROCEDURES ADEQUATE.
(CCR: 2731)
�. ❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(f), CFC: 2703.5)
❑ 01�
HOUSEKEEPING
(CFC: 304.1)
3 C 2
. ❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS
WASTE ON SITE? YES ❑ NO
Signature of Receipt
Explain:
_ /
l - 5-S P-/ :>� US�F ✓r;/ ./ u USG�i� 2 So.�/Ed.�+T` C 57-2/27- ,pZ7-&
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
TX)S/�G� C 72 13
d y : 45- elU/'z: 1-4 C-0 , t AJ 2
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 6UI0)
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FACILITY NAME: ZlecQA 01U
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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: F1'I)/Jl0
❑ Routine _V Combined ❑ Joint Agency ❑ Multi- Agency ❑ Complaint ❑ Re- Inspection
Type of Tank P&J SF Number of Tanks _3
Type of Monitoring Type of Piping Dc--) ) /EX
OPERATION
C
V
COMMENTS
Proper tank data on file
x
Proper owner / operator data on file
x
Permit fees current
Certification of Financial Responsibility
x
Monitoring record adequate and current
x
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: ERA 11'6 1' 6 M C- al/Lia
Questions regarding this inspection? Please call us at (661) 326 -3979
White — Prevention Services
si s Site Resp sible Party
Pink - Business Copy
KBF -7335 FD 2156 (Rev. 09/05)