HomeMy WebLinkAboutHAZMAT INSP 6/1/201706/101/2017 11 :21arii RI TEA ID 6303 6613960372
1
U�IF:IED PROGRAM INSPECTION CHECKLIST
SECTION 1: H�amrdous Matehals Businm Plan
- Inspection
FACII.ITY NAMC
/Z A-10
ADDRESS
FACILITY CONTACT
U-927 Page 01/03
BAKE FIELD FME DEFT4
Prevention Services
T) 2101 H Streit
FIRE
7.10 r Bakersfield, CA 93301
A R T
M
Ttl, (661) 3263979
Fax, (661) 852-2171
qSPEQTION DATE INSPECTION TIME
jio 1 NC, NO OF EMPLOYEES
6 05 26 - OA6 —Z—L
U$INESS ID NUMBER
j .4 1 / - A'1
.Onsent to Inspect Narneffitle
Section 1nv4qt6.iy.:,,Prq.gr,�'m:
ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI-AGENCY q COMPLAINT ❑ RE- INSPECTION
C V
OPERATION
Y-Vioiation; 1,11 Minor
CERS
Violation COMMENT
APPROPRIATE FERmrT ON HAND @mc: 15,65,080) 3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (COR: 2729.1) 1010008
VISIBLE ADDRESS
CORRECT OCCUPANCY
VITRIFICATION OF INVENTORY MATERIALS
Vl:-;RIF;ICATION OP OUANTrTIES
VERIFICATION OF LOCATION
(GFC: 606.1, SMC: 15-$2-020)
(CBC: 401)
(COR,'2728,3) 1010004
(CCR: 2729.4) 1010006
(COR; 2729.2)
PROPER SEGREGATION OF MATERIAL (C FC: 2704. 1)
VERIFICATION OF SDS AVAILABILrT-Y (OCR: 274,2($)(b))
VEIRIFICATION OF HAZ MAT TRAINING (OCR: 2732) 1020002
VE=RIFICATION OF ABATEMENT SUPPLIES & PROCEDURi S (CCR:27$*))
EMERGENCY PROCEDURES ADEQUATE (CCR:27,31)1 ininn-in
CONTAINERS PROPEP'll-Y LABELED
H008EKEEPING
7
FIRE. PROTECTION
(OCR: 66262.$4(0, CFC! 2703.
(CFC: 304
(CFC; 903 & 908) 1 3030032
SITE DIAGRAM ADEQUATE ON HAND (CCR;2729.2) 1010006
Y HAZARQC-US WASTG ON SITE? Ja�YES ❑ NO
plain:
15 ILL
INSFECbON INSTRL�OnONS:
Correct the violation(s) noted above by
Within 5 days of correcting all of the violations, sign and rttum a copy of this pap to:
B4crsficld- Fire Dept., Prayrntion $Frvicm 2101 H Street, California 93301
Wldtr- - Business Copy Yellow - Smdon Copy Pink - Prt-yention Services
Signatw tol 4
(thitit v`i`o'1avcnshavtb&-n cormcttsdas noted)
,
FD2155 (Rev 81/14)
RITE
1111*111M �r
P�HAR;IIIIA
June 27, 2017
Bakersfield Fire Department
Prevention Services
2101 H Street
Bakersfield, CA 93301
ATTN: Michael Taylor
Sent via Certified Mail and Facsimile to: 661 -852 -2171
RE: Rite Aid Store 6303
3225 Panama Lane
Bakersfield, CA 93313
Dear Mr. Taylor:
MAILING ADDRESS
P.O. Box 3165
Harrisburg, PA 17105
GENERAL OFFICE
30 Hunter Lane
Camp Hill, PA 17011
717.761.2633
In response to the Notice to Comply, dated June 1, 2017 for Store 6303 in Bakersfield, enclosed is
verification that the hot water temperature has been decreased at the 3 compartment sink indicated.
The signed and dated Unified Program Inspection List is also enclosed.
Please contact me if you need additional information.
Kind Regards,
Thrifty Payless, Inc.
Chris Hansen
Vice President, Risk Management
Work Order WEB - 1718897
WORK ORDER:
i
ky�
Date Reported: 6/2/2017 11:35:30 AM
Date Committed: 6/6/2017 5:00:00 PM
Priority: 48 HOURS
Page 1 of 2
Operator ID: ANDI LEVY
Requester Name: Corp, Andi Levy Alternate Contact: ASSISTANT MANAGER
Telephone Number: 661- 396 -0108 Alt Contact Phone: 661 -396 -0108
Cost Center: 101010
Location ID: RIT -06303 - (RA5)
Description: RITE AID STORE - 06303
Mall Name:
Address: 3225 PANAMA LANE
BAKERSFIELD, CA 93313 US
Service Location:
Request Code: VIOLATION RESOLUTION
** VIOLATION - 48 hrs ** Hot water is too hot, in the ice cream, 3 compartment sink. The
temp should be 111 degrees. Please correct ASAP, & advise when done. Thank you!
Comments: ANDI LEVY - 6/5/2017 2:12:52 PM
Per call w /Brandon, job is complete
**************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
ANDI LEVY - 6/5/2017 2:12:43 PM
Sharon: I confirmed with our vendor, this job was completed earlier today. The temperature
has been adjusted, to 111 degrees, per your request.
Thanks,
**************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Provider: 12647 - R.C. STORE MAINTENANCE - PIN:72579
Provider Contact: R.C. STORE MAINTENANCE
Provider Telephone: 951 -738 -9701 DNE: $350.00
Provider Fax: Release #:
Provider will observe all relevant current code authorities' rules and regulations, including safety regulations, and
be licensed, insured, and bonded, as required by applicable state law where work is performed. Provider must
check in by calling 1- 866 - 532 -9931 when arriving on site.
Provider will not exceed DNE stated above without prior approval. If work is expected to exceed this amount,
technician must call the Service Solutions call center at 1- 866 -532 -9927 and provider's service desk must
submit a Request for Proposal or Quote on -line.
To ensure the efficient and timely processing of an invoice, follow the instructions set forth below.
To avoid a delay in processing your invoice, please follow these instructions:
Technician must check in and out of the store using the above IVR (Integrated Voice Response) number 1 -866-
532 -9931 (failure to check in and out with the store and IVR system could result in invoice challenge and poor
provider scorecard rating).
Invoices submitted with missing information will be challenged on -line automatically. Invoices that exceed the
DNE (Do Not Exceed) stated above or an approved increase.
Submit your company's work ticket indicating their hours on -site, # of technicians, and description of work
performed, complete with Rite Aid store management signature and store stamp. You must submit your invoice
online (www.fmpilot.com /riteaid), and attach the signed /stamped work ticket or your payment will be delayed.
Paper invoices sent to Rite Aid will not be paid.
https: / /riteaid.fmpilot.com /riteaid/ DeskICust /riteaid /WOForm.asp ?wonum= WEB - 1718897 6/27/2017