HomeMy WebLinkAbout4800 WHITE LANE 2011 HAZMATCORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT 1344
PREVENTION SERVICES DIVISION
2101 H STREET
(661) 326 -3979
Location: -/,300 GcIG/ zF LsU.
13 2%��%l 9.30
You are hereby required to take the following action at the above location:
CORRECT & CALL FOR REINSPECTION ❑ CORRECT & PROCEED
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Completion t for Corrections: �� I- A/—Y--
Received by \
Inspector: Ons Or Medina Initial 61"1 Date:
325 -3662
Desk Phone:
(from 8:00am to 8:30am)
KBF -9229 '
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CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT 11344
PREVENTION SERVICES DIVISION
2101 H STREET
(661) 326 -3979
Location:
You are hereby required to take the following action at the above location:
❑• CORRECT & CALL FOR REINSPECTION ❑ CORRECT & PROCEED
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Completion bate for Corrections: /77—/
Received by:
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Inspector: MRfaZca!Qr MwadhR Initial Date:
326 -W-m
Desk Phone:
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(from 8:00am to 8:30am)
KBF -9229
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
4.A R S F I E _U
F /RE
RTM r
BAKERSFIELD FIRE DEPT.
Prevention S_ ervices
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
v
INSPEqTIOV DATE
INSPECTION TIME
T 2 l p
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ADDRESS
.
Q
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PHONE NO. /
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NO OF EMPLOYEES
S
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
J
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❑
FACILITY CONTACT
(CFC: 505.1, BMC: 15.52.020)
BUSINESS ID NUMBER
A bdu / /a Z % z.
CORRECT OCCUPANCY
6l5—call -- t)o3
/ 2
Consent to Inspect Name /Title
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
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)
J
❑
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)
j
❑
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
Aj
(CCR: 66262.34(0, CFC: 2703.5)
�f
❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
`,4'
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? ❑ YES NO
Signature of Receipt -- " --
Explain:
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by Signature (that 4 I lotions have been corrected as noted)
• Within 5 days of correcting all of the violations, sign and Ltrn a copy of this page to:
Bakersfield Firae t. P eve�}t�n SJvices, 2101 H Street, C1lifornia 93301
�V �oyy�ss���yy� IIG'f lei Date
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White -Business Copy c ow - ;usiness Copy to be Sent in after return to Compliance fink - Prevention Services Copy FD2155 (Rev 6//10)
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KERN BUSINESS FORMS — (661) 325 -5818 — #6013
UNIFIED PROGRAMINSPECTION CHECKLIST ° R -S F I E
F /RE
SECTION 1: Business Plan and Inventory Program
/? 099
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
COMMENTS
AE�
ADDRESS
PHONE NO.
NO OF EMPLOYEES
bl
❑
FACILITY CONTACT
BUSINESS ID NUMBER
A bc/u / A77- % -Z
6j5--o;21- or) 3 c. I Z
Consent to Inspect Name /Title
RAro' .
�( -011�' cpo<
Section 1: Business Plan and Inventory Program
❑ ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
( C= Compliance OPERATION
V= Violation
COMMENTS
AE�
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
bl
❑
Business PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
l
❑
CORRECT OCCUPANCY
(CBC:401)
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES.
(CCR: 2729.4)
l
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
El
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
i
❑
EMERGENCY PROCEDURES ADEQUATE
(GCR: 2731)
❑
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
li<,
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? El YES
L1\ NO
SienatureofReceipt -
Explain:
PUS t iNNFLU I JUN tNN 111CUC I K NS
• Correct the violation(s) noted above by Signature (that all- vio4ons have been corrected as noted)
• Within 5 days of correcting all of the violations, sign and•!furn a copy of this page to: ` \
Bakersfield Fir De t. P eve 1 n Services, 2101 H Street, California 93301 i�
®P w ° oUVWI Date
White — Business Copy el ow — usiness Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6//10)
INSPECTIONS
BUSINESS PLAN &
INVENTORY PROGRAM
UNIFIED PROGRAM INSPECTION CHECKLIST
BAKERSFIE�D fIgp Etbk, g�
Prevention Services
C �H- a 1501 TruxtunQAV6flUe)n1.�+ glodilr-�,
Bakersfield, CA 93301
O ARTN f Tel.: (661')`A26 =309
Fax: .(66- 1)x&5 ?��lr� \};
Page I of 1
FACILITY NAME: (�Ur '4-0 INSPECTION DAAf '
cw- 93-9001
Section 2: Underground Storage Tank =Pfogra_m�
❑ Routine Combined ❑ Joint Agency ❑ Mult'i Agency O Co�plaint Wlnspe&ioh
Type o Tank 5w Ci Number of Tanks
Type of Monitoring Type of Piping �Ul
OPERATION
C
V
COMMENTS
Proper tank data on file
e'
Proper owner / operator data on file
Perrrsit 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 Tank Program
Tank Size(s)
Type of Tank
Aggregate Capacity
Number of Tanks
OPERATION
Y
N
COMMENTS
SPCC available
e'
SPCC on file with OES
Adequate secondary protection
Proper tank placard!ng /labeling
Is tank used to dispense MVF ?)
If yes, does tank have overfill / overspill protection?
C = Compliance V = Violation Y = Yes N = No
Inspecto T • f -
326-3902
Questions regarding this inspection? Please call us at (661) 326 -3979
White - Prevention Services
Business itc•Responsible Party
Pink - Business Copy
FD 2156 (Rev. 03/08)
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