HomeMy WebLinkAbout430 CALIFORNIA AVENUE (6)CORRECTION NOTICE
BAKER3FIELD FIRE DEPARTMENT
PREVENTION SERVICES DIVISION
01TRUXTUN AVENUE5
661) 326 -3979
Location.: 61 30 6. Cz //L 1/iz t
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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 Corrections: 3 / 2c-) I_ J
Received by:- -i i
Inspector: 'ErnieMedina Initial: -- - Date: ? 1-2-e-11
Desk Phone: (661) 326 -3682 (from 8 :00am to 8 :30am)
C'O,RRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT
PREVENTION. SERVICES DIVISION
1'501 TRUXTUN AVENUE
661) 326 -3979
Location: d/""
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: '3 B i
Received by: t' i
Inspector: Ernie Medina Initial: Date: 1 / ?Gi / a
Desk Phone: (661) 326 -3682 (from 8:00am to 8 :30am)
CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT
PREVENTION' SERVICES DIVISION w
1501 TRUXTUN AVENUE
661) 326 -3979
N;9 60 60
Location: C/ ?/9 6x, ,E'it i2 Ave
You are hereby required to take the following action at the above location;
CORRECT & CA L FOR REINSPECTION CORRECT & PROCEED
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Completion Date for Corrections:
Received by: L
Inspector: Emie Medina Initial:
Desk Phone: 661 326 -3682 (from
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Date:
8 :00am to 8:30am)
CORRECT NOTICE
BAKERSFIELD FIRE DEPARTMENTEPARTMENT
PREVENTION SERVICES DIVISION
1601 TRUXTUN AVENUE 0
661) 326-3979
Location:
You are hereby required to take the following action at the above location;
1121CORRECT &
CALL FOR REINSPECTION CORRECT & PROCEED
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Complidtion"Date for Corrections: 12 6
Received by: e C4
Inspector: Emie-kedina Initial: Date: J.
Desk Phone: (661) 326-3682 (from 8:00am to 8:30am)
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CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT
PREVENTION
TRUXTUNI
AVENUE
A 71501 h
661) 326 -3979
HP 6'v
Location: J 'R.0 C'2 A,Alex/ %& Au-c-
31 70,re W'CA 933011
You are hereby required to take the following action at the above location;
OCORRECT & CALL FOR REINSPECTION OCORRECT & PROCEED
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Completion Date for Corrections: 3 / 7_ e /
Received by - (/ y
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Inspector: EmieMedina Initial: &4-1 Date:
Desk Phone: (661)•326 -3682 (from 8 :00am to 8 :30am)
CORRECTION NOTICE
BAKE,RSFIELD FIRE DEPARTMENT
PREVENTION SERVICES DIVISION r
s 1501 TRUXTUN AVENUE
661) 326 -3979
Location: r/ 4161
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 Correctiion /s: / Z 41 / //
Received by:
7 Date: 12'1111Inspector: Ernie Medina Initial:
Desk Phone: (661) 326 -3682 (from 8 :00am to 8 :30am)
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Completion Date for Correctiion /s: / Z 41 / //
Received by:
7 Date: 12'1111Inspector: Ernie Medina Initial:
Desk Phone: (661) 326 -3682 (from 8 :00am to 8 :30am)
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CORRECTION NOTICE lb % /3ldc
BAKERSFIELD FIRE DEPARTMENT
PREVENTION SERVICES DIVISION
1501 TRUXTUN AVENUE
661) 326 -3979
Location: &/'fin C. A tz
2 A 6,1,-1 CA 9 -;F3oy
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: 'S/ 6,1 !/
Received by:
Inspector: Ernie Medina Initial: Date:
Desk Phone: (661) 326 -3682 (from 8 :00am to 8 :30am)
CORRECTION NOTICE
BA:KERSFIELD FIRE DEPARTMENT
PREVENTION SERVICES DIVISION
1501 TRUXTUN AVENUE
661) 326-3979
Location: A I /,f
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:
Received by:
1Inspector: Emie Medina Initial: (--.-i , , Date:
Desk Phone: (661) 326-3682 (from 8:00am to 8:30am)
CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT
PREVENTION SERVICES DIVISION
1501 TRUXTUN AVENUE Q
661) 326 -3979
P Ga —Go
Location: 0 6-, 024*74W2 Ave-
C4 9-Tt -3 C),--/
You are hereby required to take the following action at the above location;
CORRECT & CALL FOR REINSPECTION OCORRECT & PROCEED
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Completion Date for Cojections: - i- /L
Received by:
Inspector: Ernie Medina Initial: Date:
Desk Phone: (661) 326 -3682 (from 8:00am to 8:30am)
CORRECTION NOTICE
BA,kERSFIELD FIRE DEPARTMENT
PREVENTION SERVICES DIVISION
1501 TRUXTUN AVENUE
C(
061
326-3979
HP
Location: 4/ 3/7 !S-. A V,?Z-
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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 Corrections:
Received by:
Inspector: Emie Medina Initial: ' , Date: / / .1 / P
Desk Phone: (661) 326-3682 (from 8:00am to 8:30am)
CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT
PREVENTION SERVICES DIVISION
1501 TRUXTUN AVENUE '
661) 326 -3979
H ? &0 —60
Location: e-130 E. C2//'1,01MI;J ALL
13 2 /,E45 4; W C',4 9 33 0e/
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:
Received by
Inspector: Emie Medina Initial: 60i Date: 1- / '9 /
Desk Phone: (661) 326 -3682 (from 8:00am to 8:30am)
CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT
PREVENTION SERVICES DIVISION
1501 TRUXTUN AVENUE J
661) 326 -3979
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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 Ceections: S / 9 / 1
Received by:.
Inspector: Ernie Medina Initial: Date: tr / /?
Desk Phone: (661) 326 -3682 (from 8:00am to 8:30am)
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
A r R S F I II'. L U
FIRE —
ARrX T
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
V
INSPECTION DATE INSPECTION TIME
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ADDRESS PHONE NO. NO OF EMPLOYEES
C'4 935__ 96V
FACILITY CONTACT 0130 4/ BUSINESS ID NUMBER
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CORRECT OCCUPANCY
ois - Q; t- oa r
Consent to Inspect Name /Title
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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 C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
K BUSIIIeSS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1) N07- IC- 67J7 (i3/tc(
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
g CORRECT OCCUPANCY CBC:401)
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
VERIFICATION OF QUANTITIES CCR: 2729.4)
X VERIFICATION OF LOCATION CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL CFC: 2704.1)
VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b)) l/OT OAJ 5i "
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)
X, SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2) V07- 0A1 S1-4-0-
ANY HAZARDOUS WASTE ON SITE? YES KNO Sip-nature ofReceipt
Explain:
POST INSPECTION INS'1'RUC'1'I0NS:
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
L 'vsf- 'c.7cY/2y ;
White — 13usiness 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 1'D2155 (Rev 6HI0)
KERN BUSINESS FORMS - (661) 325 -5818 -#6013
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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
B _f.R_S ,r I,. _e L o
FIRE
ARTM T
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
Go -Gv
ROUTINE COMBINED JOINT AGENCY
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ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT r3.? C) C/ BUSINESS ID NUMBER
A
COMMENTS
Consent to Inspect Name /Title
o,
BMC: 15.65.080)
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BUSineSS PLAN CONTACT INFORMATION ACCURATEBusiness 2729.1)
POST INSPECTION INSTRUCTIONS:
Correct the violation(s) noted above by
Within 5 days ol'correcting all ol'the violations, sign and return a copy of' this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, Calirornia 93301
White —Business Copy Yellow — Business Copy to be Sent in aRer return to Compliance
Signature (that'all violations have been corrected as noted)
Date
Pink — Prevention Services Copy — FD2155 (Rev 6H 10)
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI- AGENCY COMPLAINT RE- INSPECTION
C v Q C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
13 BUSineSS PLAN CONTACT INFORMATION ACCURATEBusiness 2729.1)
4187-
K VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
l CORRECT OCCUPANCY CBC:401)
Y°- VERIFICATION OF INVENTORY. MATERIALS CCR: 2729.3)
N" VERIFICATION OF QUANTITIES CCR: 2729.4)
VERIFICATION OF LOCATION CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL CFC: 2704.1)
IS VERIFICATION OF MSDS AVAILABILITY -7- ` CCR:27'29.2 (3)(b)) 04
r r,
C VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
iX VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE CCR:2731)
T
CONTAINERS PROPERLY LABELED /(CCR: 66262.34(f), CFC: 2703.5)
t5l HOUSEKEEPING CFC: 304.1)
Lit FIRE PROTECTION CFC: 903 & 906)
IX SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2) V07' OA/ S+"`f"C
ANY HAZARDOUS WASTE ON SITE? 11 YES NO Signature ofReceii ,
Explain:
POST INSPECTION INSTRUCTIONS:
Correct the violation(s) noted above by
Within 5 days ol'correcting all ol'the violations, sign and return a copy of' this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, Calirornia 93301
White —Business Copy Yellow — Business Copy to be Sent in aRer return to Compliance
Signature (that'all violations have been corrected as noted)
Date
Pink — Prevention Services Copy — FD2155 (Rev 6H 10)
INSPECTIONS
BUSINESS PLAN &
INVENTORY PROGRAM
UNIFIED PROGRAM INSPECTION CHECKLIST
B Y E R S F 1 E L D
FIRE
ARTM T
14,0 Go - 6o
FACILITY NAME: Y30 E.
Isa4 6KS l 9 3'?0V
Section 2: Underground Storage Tanks Program
Routine Combined Joint Agency Multi- Agency
Type Tank Do FS Number of Tanks
Type of Monitoring 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: / r•
Complaint Re- Inspection
DwF
OPERATION C V COMMENTS
Proper tank data on file
Proper owner / operator data on file X
Permit fees current
Certification of Financial Responsibility A/07— D,v j
Monitoring record adequate and current X. zs7 e c7 Tve aycw %> :
Maintenance records adequate and current
Failure to correct prior UST violations
Has there been an unauthorized release? Yes 1 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: 5/./(/'/'G-- It-1641;iig
Questions regarding this inspection? Please call us at (661) 326 -3979
White — Prevention Services
4&-
Business Site Responsible Party
Pink - Business Copy
KBF•7335 FD 2156 (Rev. 09/05)
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Apr 14 11 11:55a Ownerkern Valley S S M 661- 873 -7152
Kern Valley
Service Station Maintenance
State Contractors Lic, # 569211 11220 Paladins Drive, Bakersileld, CA 93306 (661) a73 -7150
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Work Performed At :
L
Name
Date Call Made
HOURS
Station # Repair Date
c street
Ia /
6/fitr` 3 Gs' r'
DeDarledl
Time
AM
PM
Travel
P.O.# Invoice Date
I IoCityZip
Keported 5ym. p oms n 7
3
Work Performed
Ll dl U K 71'6515'kll
LABOR
Date Name Class HOURS Hourly Rats Amount
Arrived DeDarledl Labboorl Travel Total
3
AM AM
PM PM
AM AM
a antity OLITSIDE SERVICES- MATERIAL - RENTALS Each Amount SUBT07AL
LABOR
1 TAX (RATE %)
ItApplkoble vYo ,
323- da s` f ,.:
U o Total A
Lobor
61llEP/ - f
Total
MaterialsI!
Total C
Mileage
Handling %
TOTAL AMOUNT
lnvolceA&B &G
i
MILEAGE SUBTOTAL
Miles Rate TOTAL
HANDLING %
TAX (i FAPPLICABLE)
TOTAL C y
4 }: TOTAL B TERMS NET:
Make and Modet Serial Number
Equipment! Tagged Tag 9REDOGREENQUUE
Finish ( money) Finish (gallons) Fast
Totalizer Callibration:
Headings Ch
AddjusedStart (money) Start (gallons) Fast Slow
I
Product Return to Storage gallons) Totalizer Sealed Meter Sealed
YES NO YES NO
Verification: I hereby urs/materials shown are correct Date:
Signature X '` /
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