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4201 BELLE TERRACE (9)
CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT 1356 PREVENTION SERVICES DIVISION 2101 H STREET (661) 326 -3979 Location: �-%a?0/ '96 E<PrP�L fj2ll�/1 r�'� CA 93 09 d You are hereby required to take the following action at the above location: . ❑ CORRECT & CALL FOR REINSPEC"T`IIO�N ❑ CORRECT &PROCEED ��a Z G�'%°% //1/ToiPd'%2T�0/✓ jrt/7� �S Gc�c�y�P� Cca�!'ler�' t-aci��'�i D� %/s ���, �c� /o�✓ s�-c., . C��sc SL CX'GN /0 yES %N 7*,f &y5l�WE 3 1 � � 3) P2 s T DUC 6,v 56/,"I ;g U,,Vte1 Elz, !S�J S4e11%cam Completion Date for o rectionr � �Z- /—U— Received by: Inspector: Inspector Medina Initial �%� Date: P / /D / /( 326 -3662 Desk Phone:. (from 8:00am to 8:30am) KBF -9229 r -.� s:.r-t;dC � t ,� ��y.�i;. '='f +,� , CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT 1-356 PREVENTION SERVICES DIVISION 2101 H STREET �(661)326 -3979 ���t- ✓2�C./'S 6�ist/r J�l�,PT Location: Y,,?('/ &-4,C 7-&6ede You are hereby required to take the following action at the above location: ❑ CORRECT & CALL FOR REINSPECTION ❑ CORRECT & PROCEED 6- /t - Sc'c% 74,c 1&051�Ve- 5 eG�^'i,� A /:.)li%W( , 4 Completion Date for dor ections- Received by: —Ajta f Inspector: Initialer Date: Desk Phone: 326- 0 2 (from 8:00am to 8:30am) KBF -9229 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program IFCAJI! •R " s F' E D FIRE TM T " BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: J661) 852 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS T PHONE NO. 760b r NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER C IAJ CAE, s -OW Consent to Inspect Name /Title ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) -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) e ❑ 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)) L ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) ❑ HOUSEKEEPING (CFC: 304.1) ❑ IQ` FIRE PROTECTION (CFC: 903 & 906) s N X ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)' ANY HAZARDOUS WASTE ON SITE? ❑ YES NO . SianatureofReeeipt 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 Fir Dept., Prevention Services, 2101 H Street, California 93301 � pscaw (ntadhe White —Business Copy 3" 0�c� {m" I o q- usiness Copy to be Sent in alter return to Compliance Signature (that all violations have been corrected as noted) Date Pink — Prevention Services Copy PD2155 (Rev 01 O) UNIFIED PROGRAM INSPECTION CHECKLIST; SECTION 1: Business Plan and Inventory Program It R S P I_ E 1 D IRE RIA/ it 4� BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME r INSPECTION DATE �+ INSPECTION TIME COMMENTS 0\ ADDRESS &1,2(11 13C- l e- % c`;:��' eC. JI<l ,I 5 /V s D PHONE NO. .(,/) X12- 1606 NO OF EMPLOYEES C FACILITY CONTACT /26'a BUSINESS ID NUMBER C •',v c Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) Consent to Inspect Name /Title 3" ❑ VISIBLE ADDRESS Section 1: Business Plan and Inventory Program ❑ ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance) OPERATION V= Violation COMMENTS 0\ ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) P', ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 3" ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) I ❑ CORRECT OCCUPANCY (CBC:401) ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) �. ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ii ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) ,E]"' ❑ 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) ❑ ft's. FIRE PROTECTION (CFC: 903 & 906) ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ❑ YES 7,NO Sipnatureof Receipt 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 Fir Dept., Prevenyton SNrvices, 2101 H Street, California 93301 TU11 White — Business COPY 3 oO Copy p l�iw'— `t3usiness Co to be Sent in after return to Compliance Signature (that all violations have been corrected as noted) Date Pink — Prevention Services Copy pD2155 (Rcv 010) 3FIEVP, F RF DEP�T� \���� o Preveatio Services t'� \� •V'� Z23�r s1 a 1 A j uu5 xtr , ) Aven%`l� ,,v �2 J Flo ie1d C'63-3d 1 JuRL B�ers°A BUSINESS PLAN & ARTA �g2f6- 2�\ INVENTORY PROd 'AM 8 � UNIFIED PROGRAM INSPECTION CHECKLIST s� 5 FACILITY NAME: W0 13F//- T'-2PP _ - INSPECTION DATE: &29Kes2S ;,r7/ 933 Section 2: Underground Storage Tank Program ❑ Routine ❑ Combined ❑ Joint Agency ❑ Multi- Agency O Complaint O Re- Inspection Type of Tank nip 1 t , c , Number of Tanks -3 Type of Monitoring Li✓l Type of Piping 0 lcJ11�_ OPERATION C V COMMENTS Proper tank data on file Proper owner / operator data on file x Permit fees current Certification of Financial Responsibility X' 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 ?) If yes, does tank have overfill / overspill protection? C = Compliance V = Violation Y = Yes N = No Inspector: 1nSPeGt0F Merlin 326 =32 Questions regarding this inspection? Please call us at (661) 326 -3979 White — Prevention Services Busin ss Site Responsible Party Pink - Business Copy FD 2156 (Rev. 03/08) pG / z- /r y6-5 /;u Ty U 8vs�'fv��s �7;r/•` l s „�' f X F A1+Vt,• / J 1