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HomeMy WebLinkAboutNOV 2015I IMMARY OF VIOLATIONS CERTIFICATION OF RETURN TO COMPLIANCE I certify that the violations. noted above on this Notice to Comply /Summary of. Violations,'have, been corrected. 1. have personally examined any documentation "attached to the certification to establish that the violations .have been corrected. Signature: Title: Print Name: Date: KPS #8446 t__ 4-- he moo.,+ in nf+cr Pali irn_+n_rmmnlianne Pink - Prevention Services Copy REQUIREMENT FOR CORRECTION OF DATE FORItemVIOLATIONVIOLATIONCORRECTION t p,.._ ,, _, ;: _.:. r -°- j i ;"' .^:"',,,^ ' r,•,.- f ,7 `" a -ti: w.,'y'1/'i i *' f k,._! k « r' , , ..,... ' ; -. r J - J ,.. r f C _ "`-` c. ,n',; d't..d.k'' tfG ' l' • r / J ' t r iU ! 1. a'G' / ( C;I CdrtJ 5;,3 d"v{ L'.• @ u. Y ,%' f-1 [ r,.._ f_A. j:yj .4, • . t p.; - F J :....! i/ f. ^"'Y1rF` f i JAx t°P.. C.,:. /r 'k y 1 k..., r,,,. f„. 1 r dti}..+' g /t,.:• f i. ! ;. r %l. 9 e 'sInspectors Received by: - signature: ar r gfi1 : ! Print Name: Phone Tate;` Date:; CERTIFICATION OF RETURN TO COMPLIANCE I certify that the violations. noted above on this Notice to Comply /Summary of. Violations,'have, been corrected. 1. have personally examined any documentation "attached to the certification to establish that the violations .have been corrected. Signature: Title: Print Name: Date: KPS #8446 t__ 4-- he moo.,+ in nf+cr Pali irn_+n_rmmnlianne Pink - Prevention Services Copy CLASS 11 AND GLASS 1 VIOLATIONS Owner/Operator: Facility:: gg0 l ` f '. , Address: C16. A . u6 A _ KPS #8447 White —; Business Copy Yellow : Business Copy to be sent in after Return -to- Compliance Pink - Prevention Services Copy Notice Of Violation: Class H and /or Class./ 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 11 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 FACILITY NAME INSPECTION DATE INSPECTION TIME APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ADDRESS PHONE NO. NO OF jC:.x C.' !...% C .^" .,°„ G-. ,E'lr"1 p ''...5 -° C., , I _`.+^^' i.a•rG' ca•:+ " •, - -.d EMPLOYEES t,,+{' FACILITY CONTACT. BUSINESS ID NUMBER VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) onsent to Inspect Name /Title a ..: ,.,,r :> ::: ». ,.. x < us. ,.. . «. i.. <, e?k,. ».. a>..pa< a . xart. .. •'v .o ......< r, .v.,s < a /vK >." s.. .:vv` . < :x 1yR` » .b .. <n. x x .. r .. 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P9<e..m':N,e:'Rk.hTJ»4 a,'?au., ka f<,u.!:.sa.... ,: ?e , ..., >,.(?,'XY sr.Si'.e2. < : 7?# q£.M.a`y..a•..i,s.<.f. .:e<'.'.`F3sa +.a <. an:X.a,z i a., ^,ai ,,,a.3. n_adS..v. x..a .ac"a., .,. ?aS•r's. ).K ROUTINE 1771 COMBINED 171 JOINT AGENCY F-1 MULTI-AGENCY 171 COMPLAINT RE- INSPECTION C V C= - Compliance OPERATION V= Violation; 1,11 Minor CERS Violation COMMENT APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 3010001 BUSINESS, PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008 VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) CORRECT OCCUPANCY (CBC: 401.) VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004 VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006` ala1' f VERIFICATION OF LOCATION (CCR: 2729.2) PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) VERIFICATION OF $DS AVAILABILITY (CCR: 2729.2(3)(b)) VERIFICATION OF HAZ MAT. TRAINING (CCR: 2732) 1020002 VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731'(c)) EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010 CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 3030007 Ini v t • i. Lam- c.- 66>r.w 4 ,Q G .4 { y. . V.J'%. ,5 e7 A, . u # HOUSEKEEPING, (CFC: 304.1) rvar tL A-1 FIRE PROTECTION (CFC: 903 & 906) 3030032 L.W„N "'2es l '.'C.«.. 7 (W'A• I 7 : f^tli .% •. °,„.; SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005 ANY HAZARDOUS WASTE ON SITE? 19 YES NO ii natureofRecei t Explain: So 6At t6- J f, _" - Cc,P,,`i, f .,;• ". _- (Jr , 1'y1 ii. P Oft, "b -57 `s; a !r; r'7C e Ll ,t/L ell .1JL.1 t C- w ^wrlt:.:4 i M1. c' ` C, }i^ x:3' ir.;tt i t. e;..LG- 'C•,,•`. Inspector: POST INSPECTION INSTRUCTIONS: Correct the violation(s) noted above by Within 5 days of correcting all of the violations, sign and return a copy ofthis page to: Signature (that all violations have been corrected as noted) Bakersfield FireDept., Prevention Services, 2101 H Street, California 93301 Date White Rti,cynecc Conv Yellow -. Station CoDv Pink - .Prevention Services FD2155 (Rev 8014) s 4 -