HomeMy WebLinkAbout2012 CLASS II VIOLATIONSCORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT 1389
PREVENTION SERVICES DIVISION
2101 H STREET
!� (661) 326 -3979
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Location:
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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- 4reetieRs; / Z/ / /Z-
Received by:
Inspector: Inspector Madints Initial CI% Date: Z-
326 -3332
Desk Phone: (from 8:00am to 8:30am)
KBF -9229
'CORRECTION NOTICE
4 BAKERSFIELD FIRE DEPARTMENT 1389
PREVENTION SERVICES DIVISION
2101 H STREET
(661) 326-3979
Atli-
Location: 4 -/4�
You are hereby required to take the following action at the above location:
11 CORRECT & CALL FOR REINSPECTION ❑ CORRECT & PROCEED
4
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J
Completion Date-Zf.o., rrac�fions__�_�! Z/ 7
Received by:
Inspector: wvactor Medina Initial C:e-"7 Date:
326-3602
Desk Phone: (from 8:00am to 8:30am)
KBF-9229
UNIFIED PROGRAM INSPECTION CHECKLIST
S E C T.I O N 1: Business Plan and Inventory Program
B E R S F IL+ L D
FIRE
ARIR r
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
Ca1"7KPv,.2.14 ✓5 h
Av
(BMC: 15.65.080)
ADDRESS
'W06'
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
PHONE NO.
NO OF EMPLOYEES
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
❑
FACILITY CONTACT
(CBC: 401)
BUSINESS ID NUMBER -
-C)52
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
Consent to Inspect Name /Title
X❑
w
u
Section 1: Business Plan and Inventory Program
❑ ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C- v
( -C= Compliance OPERATION
V= Violation .
COMMENTS
j� ❑ -
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)
1W ❑
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))
";S. ❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
El
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(f), CFC: 2703.5)
1
❑ -07
HOUSEKEEPING.
(CFC: 304.1)
DEC
2N E C
❑
. FIRE PROTECTION
(CFC: 903 & 906)
�. ' �'
� � % L.�Sy l- l2 >
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS
WASTE ON SITE? AYES ❑ NO
Signature of Receipt
Explain:
- - -� - / ^n' 8rN
/� ut/ Wzr �-i >' - 6PA # c t 000 3(0 095-0
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 Fir t. Pr vc 1' S * S, 2101 1 -1 Street, California 9330
3264M
0
White _ Business Copy - Yellow — Business Copy to be Sent in alter return to Compliance
l
Signature a a vio a IT`o b®en corrected as noted)
Date
Pink — Prevention Services Copy
FD2155 (Rev G1110)
/ WAN BU ,61661)32,s.,8- #6073
1�0,ARTN R 5 F I E 1. D
UNIFIED PROGRAM INSPECTION CHECKLISTFIRE
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
�i
( C= Compliance OPERATION
V= Violation
IN�S7PECTTION DATE
INSPECTION TIME
l-.7 �.% / t !%` /tf r �.�
j'i ✓'d �!' f �' {� • (°j%�
d- 17 11 Z"
Business PLAN CONTACT INFORMATION ACCURATE
ADDRESS
❑
PHONE NO.
NO OF EMPLOYEES
❑
CORRECT OCCUPANCY
(CBC: 401)
❑
FACILITY CONTACT
(CCR: 2729.3)
BUSINESS ID NUMBER
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
Consent to Inspect Name /Title
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
J -.
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)
IJ ❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
'fi31. ❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
0 ❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
❑ l].
HOUSEKEEPING
(CFC: 304.1)
❑ �<
FIRE PROTECTION
(CFC: 903 & 906)
!L'I. . � f.• d +max;. 6+.� / S� �:'�f "..�
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS
WASTE ON SITE? El YES ❑
NO
Signature of Receipt
Explain:
ry
/�
/�O(A' •e .. b •.- C PA
POST INSPECTION INSTRUCTIONS:
® Correct the violation(s) noted above by
o Within 5 days of correcting all of the violations, sign and return a copy of this page to:
Bakersfield Fj�ey,J'c�y�ntai es, 2101 H Street, California 93301
=91- o o�
White — Business Copy Yellow— Business Copy to be Sent in aver return to Compliance
1 '
Signat=7,t a`t aall— violations lydve•been corrected as noted)
Date ' ' U
Pink -{Prevention Services Copy 17D2155 (Rev 6//'
iiill
BAKERSFIELD FIRE DEPT.
INSPECTIONS Prevention Services
B s s a D 1501 Truxtun Avenue, 1st Floor
BUSINESS PLAN & O A rm r Tell.: (661) 3-3979
INVENTORY PROGRAM Fax: (661) 852 -2171
UNIFIED PROGRAM INSPECTION CHECKLIST
Page I of I
FACILITY NAME: ell/10 r1_/: /1lU.f2 .4 v� INSPECTION DATE: 2114111 2
C 33
Section 2: Underground Storage Tank Program
❑ Routine ,tt7- Combined ❑ Joint Agency ❑ Multi- Agency ❑ Complaint ❑ Re- Inspection
Type of Tank D (,j l�-` Number of Tanks _S_
Type of Monitoring C (F11s -9 Type of Piping fDC4/t="
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 XNo
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 ?)
It yes, does tank havo overfill / overspill protection?
C = Compliance V = Violation Y = Yes N = No
inspector �i�F:!(jlrllF:
Questions regarding this inspection? Please call us at (661) 326 -3979
White — Prevention Services Pink - Business Copy
FD 2156 (Rev. 03/08)