Loading...
HomeMy WebLinkAboutFMC FORMS 2016Kern Business Forms (661) 325 -5818 — KBF -7320 BAKERSFIELD FIRE DEPARTMENT FIRE PREVENTION INSPECTION Prevention services B EFIRE L D 2101 H Street x ARTM r Bakersfield, CA 93301 - Phone: 661- 326 -3979 • Fax: 661- 852 -2171 DISTRICT BLOCK NO. DATE�� J C� FEE FACILITY` AD RESj� _ /7 f 4 # E >P2 `? �'G 7 CITY, STATE, ZIP }' r (+fir f i ,?3;�) d FACILITY NAME _ MANAGER'S NAME PHO,� jr 4�.•, BUSINESS OWNER'S NAME AND ADDRESS CITY, STATE, ZIP PH NO. BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, PH NO. OCC TYPE OCC LOAD NO. OF FLOORS HIGH RISE BLDG NO"y, RISER DATE ❑ YES CORRECT ALL VIOLATIONS VIOLATION REQUIREMENTS CHECKED BELOW NO. 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (CFC COMBUSTIBLE WASTE / DRY 304.1.1 VEGETATION 2 Provide non - combustible containers with tight fitting lids for the storage of combustible waste and rubbish pending its safe disposal. (CFC 304.3.2) Note: applies to containers over 40 gallons. COMBUSTIBLE STORAGE 3 Relocate combustible storage to provide at least 3 feet clearance around motor fuse box /fire door .(CFC 605.3) Relocate fire extinguisher(s) so that they will be in a conspicuous location, hanging on brackets with the 4 top to the extinguisher not more than 5 feet above the floor. (CFC 906.5 & 906.9) EXTINGUISHERS 5 Provide and install.(amount) approved (type & size) _ ________ ___ __ _ ___ portable fire extinguisher to be immediately accessible for use in (area) ----------------------------- (CFC TA .BLE 906.3(1)) 6 Re- charge all fire extinguishers. Fire extinguishers shall be serviced at least once each year, and /or after each use, by a person having a valid license or certificate. (CFC 906.2) 7 Provide and maintain "EXIT" sign(s) with letters 6 or more inches in height ;over each required exit SIGNS (door /window) to fire escape. (CFC 1011) $ Provide and maintain appropriate numbers on a contrasting background and visible from the street to indicate the correct address of the building. (CFC 505.1) 9 Repair all (cracks /holes /openings) in plaster in (location) ----------- ------------ FIRE DOORS Plastering shall return the surface to its original fire resistive condition. (CFC 703.1) FIRE SEPARATIONS 10 Remove /repair (item & location) ----------------------------=---------------------------- Self- closing doors shall be designed to close by gravity, or by the action of a mechanical device, or by an approved smoke and heat sensitive device. Self - closing doors shall have no attachments capable of preventing the operation of the closing device. (CFC 703.2) 11 Remove all obstruction from hallways. Maintain all means of egress free of any storage. (CFC 1028.3) EXITS 12 Provide a contrasting colored and permanently installed electric light over or near required exit (location) ------------------------------ to clearly indicate it as an exit.. (CFC 100.6.3) Remove all storage and /or other obstructions from .fire escape landings and stairways stair shafts. (Fire. STORAGE 13 escapes /stair shafts are to be maintained free from obstructions at all times.) (CFC 1003.6)" 14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved ELECTRICAL APPLIANCES electrical outlets where needed. (CFC 605.5) is Remove multiple attachment cords from specific electrical convenience outlet (one plug per outlet) (CFC 605.4) OUTDOOR BURNING 16 Recreational fires or open burning. CFC 307.1 FIREWORKS 17 Violations of Section (CFC 5608.1) & 8.44.040 (B.M.C.). OTHER 18 )14 f, c". 'r12C24 f � 1 ♦ 'i » ' ~ 1 CORRECTION DATE Correct the violations noted above by: /,,,,,} ,%. LEGEND: C.F.C. CALIFORNIA FIRE CODE C.B.C. CALIFORNIA BUILDING CODE CUSTOMER B.M.C. BAKERSFIELD MUNICIPAL CODE N.F.P.A. NATIONAL FIRE PROTECTION . (Signs re) (Please Print Name Legibly, T le) ° { NO.: i� _ tv ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE INSPECTOR: �-- 01 IRARAADV t%P Xllnl ®Tit')Kl-lq . CERTIFICATION OF- RETURN TO COMPLIANCE KPS #8446 V- 11^.A, — Pt minzeQ r.nnv to hp sent in after Return -to- Compliance mnK — vrevenuon cervices Lopy -- ... -- REQU " "IREMENT FOR CORRECTION OF. DATE FOR Item VIOLATION V VIOLATION CORRECTION invj nJ �U �'C;`7` -� �✓C�l w t3 f L" f r �. ) ✓ (rya °L+ W N••A •i i, dr✓o. `d $'^' i"e"F A.:, C V�V';V ^"',. F' J- .. �F�' 1 �, Ste ��} /✓ry .1; ..... iLl j! tl.:.' 3. i..� i�.!' f �..rl S. "! Y..F'.+.. jypy}{ #F (py 1� ,/. ! ✓ J !r C.a'^ ! e.,., iJ v f y/ �f, O C. 0 4 Z) _ X11 r`t:4 °sue. ti >' S ( LLt.�✓ CERTIFICATION OF- RETURN TO COMPLIANCE KPS #8446 V- 11^.A, — Pt minzeQ r.nnv to hp sent in after Return -to- Compliance mnK — vrevenuon cervices Lopy CLASS HAND, CLASS I VIOLATIONS Owner/Operator::: --le Facility:� c Zls <2196,r) Address: s i ^4l 77 r �~ KPS #8447 White = Business Copy Yellow - Business Copy to be sent in after Return -to- Compliance Pink. — Prevention Services copy No Lice Of Violafion: (;Classy and /or Cass l Violations were found during this inspection as noted in the following Summary, of Violations. The violations indicated in this inspection report must be corrected within 30 days, unless otherwise noted. Formal enforcement will. be initiated for all.Class I.-Violations:, and :for any. Class. l violations not corrected within the required timeframe. This report. does not represent that there are no,other, violations at this facility. A re- inspection may occur to determine compliance status. KPS #8447 White = Business Copy Yellow - Business Copy to be sent in after Return -to- Compliance Pink. — Prevention Services copy BAKERSFIELD FIRE DEPARTMENT HAZARDOUS WASTE — Prevention Services UNIFIED PROGRAM CONSOLIDATED FORMS B E R S F I D FIRE 2101 H Street Bakersfield, CA 93301 HAZARDOUS WASTE GENERATOR D, ARTM T phone: 661 - 326 -3979 •Fax: 661- 852 -2171 INSPECTION REPORT � r ` ..r.' .r_; r L...i w; Date Facility Name r r r =.. �� .:f e �:, _� �'T �., Site Address t- Time-In Time Out h Owner /Operator ; .. ", i _ :" Y s .. j-; '� Yj c ;; L, ^� Phone fi ` 1 - 6, 3Y - .5 e.5 Misc. Type of Inspection Inspection Consolidation EPA ID # FY.^ , r`, 96 _t =w [��':outine ❑ Re- inspection/Follow -up ❑ Combined Routine Inspection ❑ Joint Inspection ❑ Complaint ❑ Focused ❑ Other ❑ Integrated or Multi -Media Inspection CUPA Facility ID# 2 CONSENT TO INSPECT GRANTED BY (Name / Title). � Inspection may involve obtaining photographs, review and copying of records, and determination of compliance with hazardous waste handling requirements. Ao na of I - Class I Violation, 11- Class 11 Violation, 1v1 - 'vi-nor v 101auvu COMMENTS/NOTES/DOCUMENT(S) REVIEWED MISSING INFORMATION/ UNRESOLVED ISSUES I II M Code :1 HAZARDOUS WASTE REQUIREMENTS Recordkee in documentation Ar GR01 Generator has an EPA ID number GR02 Hazardous waste determination made for all wastes ❑ Analysis &Generator Knowledge< � GR03 Contin ency Ian information posted near hone` f GR04 Facility personnel demonstrate training/awareness Manifests /Consolidated Manifest receipts complete GR05 GR06 Blue copy(s) of manifest mailed to DTSC TSDF signed copy of manifest available w /in 35 days of waste ship ment ` GRO7 . GR08 Bills of Lading./receipts available GR09 LDRs available and complete GRID Onsite recycling reported using UPCF Container /tank mans em mt GCO1 Containers are in good,condition GCO2 Containers are closed exce t when adding/removing GC03 Empty containers are empty° GCO4 Containers inspected weekly GG05 Tanks inspected daily GC06 Satellite containers at or near point of generation "9 GC07 Satellite containers under control of operator GCO8 One container per wastestream at satellite area GC09 ; Exclude recyclable materials -stored in accordance with local ordinance/hazardous materials codes Accumulation Time Limits r GA01 Waste is accumulated not more than 90/180/270` GA02 Satellite wastes accumulated for less than 1 year GA03 Empty containers managed within one year }f GA04 Universal waste accumulated less than one year GA05 Used oil filters offsite within 180 (1 year if <1 ton) , GA06 Pb -acid batteries offsite within 180 (1 yr. if < 1 ton) Labelin arkin GL01 Containers are ro erly labeled GL02 Satellite containers have 2' ASD marked once full GL03 Excluded recyclable materials marked properly GL04 Universal waste container properly labeled GL05 Used oil filters marked "drained used oil filters "' GL06- Date written on spent lead -acid batteries GL07 "Used Oil" marked on all used oil tanks /containers Tank marked with "haz waste" , contents,`start date GLO8 GL09 Empty containers marked with date emptied Treatment, Transport and Disposal/Other Print and. sign in this box for receipt of this report. Signature does not imply agreement with findings, only receipt of report. 'o ) t GTO1 Have' errnit/authorization to do treatment GT02 Waste sent with authorized transport ( en. "eli ible) f GDO1 Waste disposed of to authorized point/party GHO1 Failed to properly handle appliance wastes 1 � POST INSPECTION INSIRUUJUUN�: • Refer to the back of this inspection report for regulatory citations and corrective actions • 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 St. Bakersfield, CA 93301 . white — Prevention Services Copy Qnature (that all violations have been corrected as noted) Date FD2171 (Rev 11/13) Yellow— Business Copy BILLING & PERMIT STATEMENT PERMIT # 14;--1 .. S 8 Av,. iC R R S F -_t "•L D BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone, 661 - 326 -3979_ • Fax _66 852 -2171 II errnits must be reviewed stamoed, and alqxxoved PRIOR TO BEGINNING CALCULATION 11 PERMIT TYPE FEE • ❑ Alarm - New & Modification (minimum charge) $280 SITE INFORMATION LOCATION OF PROJECT 1501 Feliz Drive PROPERTY OWNER Bakersfield City School District STARTING DATE COMPLETION DATE 01/06/16 01/06/16 NAME John Worley PROJECT NAME Monitor Certification ADDRESS 1501 Feliz Drive PHONE # 661- 631 -5880 PROJECT ADDRESS 1501 Feliz Drive �p //�� /� CITY t�/-C ��r�vC ( �% STATE CA ZIP CODE 83307 $280 CONTRACTOR NAME: Cal-Valley Equipment CA LICENSE # 998733 TYPE OF LICENSE: A, Haz 111/30/16 EXPIRATION DATE: PHONE # 661- 327 -9341 CONTRACTOR COMPANY NAME: Cal-Valley Equipment FAX # 661 - 325 -2529 ADDRESS: 3500 Gilmore Avenue CITY: Bakersfield ZIP CODE: 93308 II errnits must be reviewed stamoed, and alqxxoved PRIOR TO BEGINNING CALCULATION 11 PERMIT TYPE FEE • ❑ Alarm - New & Modification (minimum charge) $280 ONLY ❑ Over 10,000 scl ft $0 .028 x scl ft ❑ Sprinkler - New & Modification (minimum charge) $280 ❑ Over 10,000 scl ft $0 .028 x scl ft ❑ Sprinkler - Minor Modification ( <10 heads) $ 96 (inspection only) 4 ❑ Commercial Hood (New & UL 300 Upgrade Modification) Additional Hood $470 ❑ Commercial Hood - Minor Modification (add /move nozzle) I 96 (inspection only) 84 ❑ Spray Booth (New & Modification) $470 ❑ bove round Storage Tank 1 inspection per installation AST 180 /tank 1 82 ❑ Additional Tank ATI $ 96 /tank 82 ❑ Aboveground Storage Tank Removal, Mod,or Inspect'n) ATR $109 /tank 82 ❑ Underground Storage Tank (Installation /Inspection) NI $878 /tank 82 ❑ Underground Storage Tank (Modification) MOD $878 /site 82 ❑ Underground Storage Tank (Minor Modification) MTM $167 /site 82 ❑ Underground Storage Tank (Removal) TR $573 /tank 84 ❑ Mandated UST Testing: Fuel Mont Cert/SB989 /Cath. Prot. NOTE: $96 /hr for each type of test /per site /per UST system even if scheduled at the same time $ 96 /hr (2 hrs minimum) _ $192 �� V 82 ❑ Oil well (Installation, Inspection, or re- inspection) X $ 96 /hr 82 ❑ Tent # $ 96 /tent 84 ❑ After -hours inspection fee $121/hr (2 hrs minimum) = $242 ❑ Pyrotechnic (1 permit per event, plus an inspection fee of $96 /hr during business hours) Py NOTE: After hours Pyrotechnic event inspection is @ 121 /hr $ 96 /hr+ (5 hrs min standby fee /insp) _ $576 5 hrs min standby fee ins = 605 84 Re- inspection /Follow -up Inspection $ 96 /hr 84 ❑ Portable LPG (Propane): # of Cages? $ 96 /hr 84 ❑ Explosive Storage $266 84 ❑ Copying & File Research (File Research fee $50 /hr) $0.25 /page 84 ❑ Miscellaneous 84 UNDERGROUND STORAGE TANKS 1,10 1 �z ❑ ENHANCED LEAK DETECTION ❑ TANK TIGHTNESS ❑ LINE TESTING XFUEL MONITORING CERTIFICATION BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661- 326 -3979 . Fax: 661 -852 -2171 Page 1of1 SB -989 SECONDARY CONTAINMENT SITE INFORMATION FACILITY: Bakersfield City School District NAME & PHONE # OF CONTACT PERSON John 631 -5880 ADDRESS 1501 Feliz Drive, Bakersfield, CA. OWNER NAME Kern High School District OPERATOR NAME John PERMIT TO OPERATE # # OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? ❑ YES X NO TANK # VOLUME CONTENTS 1 10,000 Unleaded 2 10,000 Diesel TANK TESTING COMPANY TESTING COMPANY Cal- Valley Equipment NAME & PHONE # OF CONTACT PERSON Jerry Rangel MAILING ADDRESS 3500 Gilmore Avenue, Bakersfield, CA. 93308 NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR Jerry Rangel CERTIFICATION # Veeder Root: B35460 DATE & TIME TEST TO BE CONDUCTED 01/06/15 @ 9:00 am ICC # 8160834 TEST METHOD Industry Standard APPLICANT SIGNATURE DATE 12/10/15 r THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROVED BY DATE 12- /Z. FD2095 (Rev 03/08) Cal Valley Equipment 3500 Gilmore Ave Bakersfield, CA 93308 Customer: BAKERSFIELD CITY SCHOOL #28 DIST. Problem ATTN: TRANSPORTATION 1501 11/12/2015 FELIZ DR Bill To: BAKERSFIELD CITY SCHOOL #89 DISTRICT Matthew Hernandez 1300 BAKER ST ENVIRONMENTAL COMPLIANCE (661) 631 -5880 (661) 327 -9341 (661) 325 -2529 (fax) Alt. #: Map: Fax: (661) 834 -1551 x john Cell: WO Contact: BAKERSFIELD CITY SCI (661) 631 -5880 Co. Contact #1: BAKERSFIELD CF (661) 631 -5880 Co. Contact #2: Yolanda Rivas (661) 631 -4691 Service Work Order Number: 67700 Alt. WO No.: Entered: 12/10/2015 Payment Expected by: PO Number: Taxable ?: Check YES Tax at: Cust Call Type: Time & Material Problem: Perform Vapor Recovery Test Est. Hours /Priority: 0.00 First Call Special: 16101512= 7/1/15- 6/30/16 Scheduled: 12/10/15 12:00 am Jerry Rangel Comments: Perform annual vapor recovery testing and monitor certification testing. Eqp # & Desc: Alt # & Loc: Agreement: Comments: Parts: Comments & Notes: Customer Notes: payable lisa Phone 631 -4691 MILES RT- 13 14 MINUTES RT Work Order Notes: Scheduled testing with SJVAPCD. Equipment Notes: Previous Calls: Labor: WO # Date Tech Call Type Problem 67202 11/12/2015 Erick Cooley Time & Material FMU REPAIR/ TROUBLESHOOT 67199 12/2/2015 Matthew Hernandez Quoted Job ENVIRONMENTAL COMPLIANCE 67198 11/23/2015 Matthew Hernandez Quoted Job ENVIRONMENTAL COMPLIANCE Work Order 67700 Gasoline Vapor Recovery Test Notification Form Thank You for Your Gasoline Vapor Recovery Test Notification Application! District Confirmation Number: I I The District will issue this number via return email. Region: I South Facility Name: H Bakersfield City School District Address: 1501 Feliz Drive City: Bakersfield Facility Permit Number: i S- 737 -1 -5 Date of Test: 1 F/6/2016 Time of Test: 11:00 a.m. Category of Test(s): Compliance Equipment Startup Date: Type of Test(s)• Healy Dispenser Integrity, Clean Air Separator, Vapor-to-Liquid Ratio (V/L), TP- 201.113 (Torque Test), TP-201.1C/D (Drop Tube), TP-201.3 (Leak Decay) Testing Company: Cal Valley Equipment Your Name: 1 Ferry Rangel Your Phone Number: 661-979-0953 Your Email Address: I al-valley.com Remote Name: 7174.202.196.90 Remote User: IF HTTP User Agent: i 5.0 (compatible; MSIE 9.0; Windows NT 6.0; Trident/5.0) Notes / Comments: 1F Date / Time: Thursday, December 10, 2015 12:11 PM Page 1 of I http://www.valleyair.org/eForms/GVRTestNotificationForm.aspx 12/10/2015 11/13/2015 09:27 661-834-1551 B.C.S.D. TRANS. PAGE 01/01 San Joaquin Valley AIR POLLUTION CONTROL DISTRICT BAKERSFIELD CITY SCHOOL DI ST 1300 BAKER ST BAKERSFIELD, CA 93305 HEALTHY Ails LIVING° November 04, 2015 K BY -JF"'E G-bLl Ocmcz Dear Sir or Madam-, _.—Thi�i3eftff -iato. -n-PtifY Yclu _that4=r2.arm. facility located at 1501 FELIZ DR, BAKERSFIELD, requires that you perform vapor recovery system testing at specified periodic intervals. Our records indicate that your facility is required to conduct the following-test(s) by the due date listed below: Test Type Due Date Clean Air Separator January 13, 2116 Healy Dispenser Intergrity Test January 13, 2016 TP-201. I B-($tatic Torque) January 13, 2016 TP-20 1. 1 C\D(Leak Rate) January .13. 2016 TP-201.3(Leek Decay) January.13, 2016. V/L January. 13, 2016 Please contact d schedule -the. required test(-s� to be completed.'You your source testing co mpany ar must notify. the .District at least 7 days prior to testing. Your failure to conduct the test(s), within 30 day.5 of th6 date1ndicated above, will result in legal action, including monetary fines. Pleate'r6member that'your Permit to Operate requires you to s U'bmit copies of the test results to the District within 30 days of conducting the test(s), as well as, maintain copies on-site in your Operations & Maintenance (O&M) manual for a minimum of 6 years. If you have 'uestions regarding this letter please call Angela Frantz at 661-392-554,11.