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631 BAKER STREET (2)
BAKERSFIELD FIRE DEPARTMENT 2425 PREVENTION SERVICES DIVISION 2101 H STREET 661) 326 -3979 fj2k 2 ST2iioN / lCT Location: 6 3 /a/r/ 5 _ eA 933C557 You are hereby required to take the following action at the above location: CORRECT & CALL FOR REINSPECTION ® CORRECT & PROCEED Pd5 DV6 oN )X2255 C U- 57)t 9.:gr-.& 504%¢ Plate 60 Miss /dam /Lfew 16ei/vq R42"V oN s; M i ss` /ti0wr1-4 lk n 0 nA ) <467 1.? 5T a,167 6,v 4A wuz / OUariG6 (6130; S M;5;5%A-jc1 M5P5 744 Focl nKJ si7U' Completion Date for Corrections: / 231-12 Received by: Inspector: Initial Date: L / Z% / L) Desk Phone: from 8:00am to 8:30am) KBF -9229 LINT- k l `!io6 rMN- BAKERSFIELD FIRE DEPARTMENT 2425 PREVENTION SERVICES DIVISION 2101 H STREET 661) 326 -3979 j "We'2 Location: 6 S/ 4A '93365- You are hereby required to take the following action at the above location: CORRECT & CALL FOR REINSPECTION ® CORRECT & PROCEED 1 .'•1. ,. _ ,r;.,,9. 9::4'. +'•> l +i:d• ,fJJJ ,:/ ..'.i ;it, . i >.t. %= P,,af e'r'rJli / >.s ? F'11t.`r'l- i„+;,i.* Completion Date for Corrections: Received by: o ' Inspector: "OP= ° Woq tial Date: a Desk Phone: (from 8:OOam to 8:30am) KBF -9229 CORRECTION NOTICE Z W 2- BAKERSFIELD FIRE DEPARTMENT 2409 PREVENTION SERVICES DIVISION 2101 H STREET 661) 326 -3979 2k6;,? S% T ;O 1/ M/CT Location: 6,31 You are hereby required to take the following action at the above location: CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED 9 M 55i oN D/v AA.NUZ1 5;6le j CC- ( (.2s•— It) //aST a2 C6R , Al n S /-71U U 57" C2 hcdi G f R07-667ToN IZ) S" 1-Ssj' y 5 ;- & oau s% gC-MoL,C OR2A.)9 EI6LiR)CZ1 COe,,'15 z7- Srz/Z ConIC-It ',- 66171• C0 7-d:5Z, Completion Date for Corrections: / 2-31 1 % Q Received by: ,/- Inspector Desk Phone: Initial ( l / Date: 47/Z//// from 8:00am to 8:30am) KBF -9229 CORRECTION - BAKERSFIELD FIRE DEPARTMENT 2409 PREVENTION SERVICES DIVISION 2101 H STREET 661) 326 -3979 Location: rA You are hereby required to take the following action at the above location: CORRECT & CALL FOR REINSPECTION ® CORRECT & PROCEED tr e G r ! 1 / ,!''J. . s tr L L '7 12, fC,/'• r/ 9'•' r:': t" N 7, ii %` % /`f % ='i " t1 r- I } fit .," i% 1 ;'jl.Jt r(. ! i.. i -.%irs /(. ' ( P ,•.{j f Gtr.( i'. iA. Completion Date for Corrections: Received by: Inspector: Desk Phone: Initial Date: 1-// —7// from 8:00am to 8:30am) KBF -9229 FACILITY NAME: 92 5r 2,s ,5i C 4 93305 Section 2: Under round Storage Tanks Program BAKERSF IELID 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: Routine Combined Joint Agency Multi- Agency Complaint Re- Inspection Type Tank SW L C. %' Number of Tanks -3 Type of Monitoring A-rc. Type of Piping SW S CrP OPERATION C V COMMENTS Proper tank data on file 2 o ale C» Proper owner / operator data on file Permit fees current 0j;r L)L Certification of Financial Responsibility D!G_ Monitoring record adequate and current Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes 19 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: Inspector Medina 323 -3632 Questions regarding this inspection? Please call us at (661) 326 -3979 White — Prevention Services siness Site Responsible Party Pink - Business Copy KBF -7335 FD 2156 (Rev. 09/05) UNif IE D PROGRAM INSPECTION (;H (:Kl IS 1 SECT 0 O N i : Business P0an and hventouy Program O B 8 R _ SF._ I, uL 1_U FIRE atnR rr , tT 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 S7-.277'eW COMMENTS roo P"- ADDRESS 631 PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER 015--0,21- D00910 Consent to Inspect Name /Title Section 1: Business Plan and Inventory Program ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION C V Q C= Compliance OPERATION COMMENTS V= Violation APPROPRIATE PERMIT ON HAND BMC: 15.65.080) 19 USCG S '> Sv - 't EI/iSEG' i vs"ysVF55KBUSIneSSPLANCONTACTINFORMATIONACCURATECCR: 2729.1) 12N VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020) CORRECT OCCUPANCY CBC: 401) I VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3) 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)) l VERIFICATION OF HAZ MAT TRAINING CCR: 2732) VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) NC EMERGENCY PROCEDURES ADEQUATE CCR: 2731) CONTAINERS PROPERLY LABELED CCR: 66262.34(f), CFC: 2703.5) HOUSEKEEPING CFC: 304.1) FIRE PROTECTION CFC: 903 & 906) SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2) T r ANY HAZARDOUS WASTE ON SITE? YES NO Signature ofReceipt 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 Fire Dept., Prevention Services, 2101 H Street, California 93301 unsPector Medina 3 W3 Signature (that all violations have been corrected as noted) Date White —Business Copy VA06s Copyto be Sent in after return to Compliance Pink — Prevention Services Copy 171)2155 (Rev 6//10) UNIFIED PROGRAM INSPECTION CHECKLIST SECTION " 1 e Business Plan and Inventory Program 0 d•-- - -rR- s. -r__t ,_ n FIRE 2 r BAKERSFIEL D FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME QD/ M tQ /GAT l:o© ADDRESS PHONE NO. NO OF EMPLOYEES 8a1ce 2 FACILITY CONTACT BUSINESS ID NUMBERY Business PLAN CONTACT INFORMATION ACCURATE (CCR:2729.1) 0/57- -0_?/- D00914 Consent to Inspect Name /Title V Section 1: Business Plan and Inventory Program ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION c y Q C= Compliance OPERATION V= Violation COMMENTS APPROPRIATE PERMIT ON HAND BMC: 15.65.080) Business PLAN CONTACT INFORMATION ACCURATE (CCR:2729.1) plc' S 12AJ Sti aur, V•S irc FVL"5 VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020) CORRECT OCCUPANCY CBC:401) X 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)) T VERIFICATION OF HAZ MAT TRAINING CCR: 2732) VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) fl EMERGENCY PROCEDURES ADEQUATE CCR; 2731) CONTAINERS PROPERLY LABELED AJA CCR: 66262.34(f), CFC: 2703.5) HOUSEKEEPING CFC: 304.1) FIRE PROTECTION CFC: 903 & 906) LIw SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2) OW 5h ANY HAZARDOUS WASTE ON SITE? YES P' N0 Signature of Receipt Explain: POST INSPEC'FION 1N5'1' RUC 'I'IONS: 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 et CXOPign,d' 2101. H Street, California 93301 E l11 32116- 3Ifs82 Signature (that all violations have been corrected as noted) Date White — Business Copy Ye ow -- usiness Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6//10)