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BUSINESS PLAN & CORRECTION NOTICE 5-25-11
CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT 2421 PREVENTION SERVICES DIVISION 2101 H STREET (661) 326 -3979 uE�sv A ;,4 T414001 VA57 Tie2A151. Location: 39O/ C. Skll.E 'G/1 2cE CA 933x'1 You are hereby required to take the following action at the above location: CORRECT & CALL FOR REINSPECTION ❑ CORRECT & PROCEED — ,�j�2G EJr% / iU �/ i S6�/�1�5 a�E /0e%7— �Dae� "A' /VA./ &V / SGT i/1cL� Completion Pate for Corrections: Received by: Inspector: Initial �� Date: 5 / 25-1 Desk Phone: (from 8:00am to 8:30am) KBF -9229 CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT 2421 PREVENTION SERVICES DIVISION 2101 H STREET (661) 326 -3979 i Location: 39ol C. You are hereby required to take the following action at the above location: I CORRECT & CALL FOR REINSPECTION ❑ CORRECT & PROCEED �� � - �io�G .C-`Yi iilJ�yi �Y/�._�S �/?� /��$�" /� ✓�' ofti iva,1v.91 Z ) ML6i c--A,4 `/2 a// Wf 7i'o L/ 4, Hag ft4, % �.21�y cc--1,2s Completion gate for Corrections: Received by:' Inspector: `'nitial Date: 5,125111 Desk Phone: (from 8:00am to 8:30am) KBF -9229 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program b Ii R S P I 8 L_U FIRE €�ARTM T v� 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 COMMENTS ❑ INSPECTION DATE INSPECTION TIME ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ADDRESS ❑ PHONE NO. NO OF EMPLOYEES (CCR: 2729.3) � VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑ FACILITY CONTACT (CCR: 2729.2) i� �7��� / PROPER SEGREGATION OF MATERIAL BUSINESS ID NUMBER ❑ VERIFICATION OF MSDS AVAILABILITY - (CCR: 2729.2(3)(b)) 015` -o,?- 3 2 y Consent to Inspect Name /Title \ C�cz) t- 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) ]r ❑ 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) / SZWafe e r ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? 'VES ❑ NO Si nattreofRecei t JZ3 cp��z Explain: / POST INSPECTION INSTRUCTIONS: • Correct the violation(s) noted above by • Within 5 days of corr all the yioIations, sign and return a.copy of this page to: Bakersfield Fir i s, 2101 FI Street, California 93301 326 -3632 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) . UNIFIED PROGRAM INSPECTION CHECKLIST" a t;_H s_I. - -t g � � FIRE - - - - - - - - -__- - - -- _ - 011, rM" r 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 t ' Z,v h l ran ris:. w ezfTo —,'e.,, -V INSPECTION DATE INSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES -off 712 _1,rC z�� � ,�f�"c4 ❑ FACILITY CONTACT 9 3?0 / BUSINESS ID NUMBER ❑ Consent to Inspect Name /Title Section 1: Business Plan and Inventory Program ❑ ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v c 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) ✓g' ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) t ❑ 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) LIti ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) C ❑ HOUSEKEEPING (CFC: 304.1) ❑ P:� FIRE PROTECTION (CFC: 903 & 906) ��`'C '5'K 71 S lt3-7- ?/ 52r'�2vlcG ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ..YES ❑ NO Signature of Receipt. Explain: rua r tivsr> U Inuty INN I RUC t IUNN: • Correct the violation(s) noted above by • Within 5 days ol'correcting all ol'the violations, sign and return a copy ol'this page to: Bakersfield r ft' e, 1j ices, 2101 H Street, Calilornia 93301 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 6//10) KBF -7335 • [i E R S F I �11L D FIRE vPA N rN (¢IS. V;Sr TReAvsQoeia710A1 FACILITY NAME: 90/ i// / e,9,_e = Sa/j� s7;�/ l C14 933 og Section 2: Underground Storage Tanks Program ❑ Routine Y Combined [i Joint Agency ❑ Multi- Agency Type of Tank P,) F-r 5 Number of Tanks Type of Monitoring G(" Type of Piping 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: ❑ Complaint ❑ Re- Inspection OPERATION C V COMMENTS Proper tank data on file Proper owner / operator data on file x 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) Aggregate Capacity Type of Tank 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 Insp ed.r adi 326-3682 Questions regarding this inspection? Please call us at (661) 326 -3979 White - Prevention Services "I ��'Mv/ Business Site Responsiblb Party Pink - Business Copy FD 2156 (Rev. 09/05)'