HomeMy WebLinkAboutCLASS II NOV 1.31.19t
1
KPs #8447
iness Co Yellow - Business Co to be sent.in; after Return �to= Compliance ` Pink= Prevention" Services ', Copy
White -Bus py. py.
C
C= compliance OPERATION
CE RS'
.V"
v ation;i.,ll•Minor
Vio
Violation
COMMENT
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080) .
3010001
'.
CERS INFORMATION ENTERED &" UPDATED ANNUALLY (CCR: 2729.1)
3210043
VISIBLE ADDRESS'
(CFC: 505.1,;BMC:.15.52.020)
a
CORREC7O.000PANCY
(CBC: 401)
k•
ti
ar "
VERIFICATION OF.INVENTORY MATERIALS
(CCR: 2729.3)
" 1010004 "
VERIFICATION OF QUANTITIES.,
(CCR: 2729.4)
101.0006
VERIFICATION OF ':LOCATION
(CCR 2729.2)
PROP ER"SEGREGATION OF MATERIAL
(CFC 2704::1)
"
VERIFICATION OF'SDS AVAILABILITY '',
(CCR- 2729.2(3)(b,))
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
.1020002
VERIFICATION OFABATEMENT SUPPLIES & PROCEDURES (CC R:. 273 1 (c))
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED " (CCR: 66262.34(fl, CFC: 2703:5)
3030007:,
HOUSEKEEPING" '
(CFC 304 1)
,
FIRE PROTECTION
(CFC: 903 & 906)
3030032
"
SITE DIAGRAM ADEQUATE'& ON' HAND"
(CCR: 2729.2)
1010005'"
'
NY
HAZARDOUS WASTE ON SITE? - IZI YES
NO
Si nature: ofRecei
E x p l a i n:
)` ( ,r e� L
t .f' .R.a
".
.7ll�C
Inspector:
-POST INSPECTION
INSTRUCTIONS:
• Correct
the violations) noted:above by
+, Within S days of correcting' al "l of the �iolations;:sign and retum'a.copy of is page to:.
Signature (that all violations have been corrected is, noteO
Bakersfield Fire Dept:, Prevention" Services; 2101 H Street, California 93301
'Date
White — Business Copy .:' Yellow — Station C opy, Pink — Prevention Services
FD2155 (Rev 9 /2017)
t.
r
I-
,
FACILITY ADDRESS y�
'1' N^+ t J"
DATE .,
^`mow
FEE'
„>......+w
FACILITY NAME a _
,dr 7i 1. 411+'
CITY, STATE, ZIP
BUSINESS OWNER'S NAME•AND'ADDRESS
M�� ' AGERS NArf�
PHNO.
. "q f V1.
SAS J 3 it ,,
BILL TO: ;(IF DIFFERENT FROM ABOVE) NAME, ADDRESS
CITY, STATE, ZIP
PH NO.
OCC'TYPE
OCC LOAD
NO. OF FLOORS
OCC USE
RISER DATE
�v ,1
v 71
S +« 'W.
.rf' i "'+.3
'$Ya Y. T4F,F la. S ^ "+� m L... i'4`i<�r¢yw ! a�'x,.r 1rJ;...4..,"
Iw`•'I g�a+'r ry,:..
Wet /Dry 8prinkler.System
Type of Alarm: System
CONSTRUCTION TYPE .. ", s ,.
HIGH RISE BLDG .
SQ /FT OF OLD
L ^4
_
❑ YES 11 NO
CORRECT ALL VIOLATIONS VIOLATION
-NO.
REQUIREMENTS
CHECKED_BELOW
i
Remove and safely dispose of all hazardous refuse and dry vegetation on +the above premises (CFC
COMBUSTIBLE WASTE /DRY
VEGETATION.
304.1.1)._
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
s
Relocate combustible ,storage to provide at least 3 feet clearance around`_motor fuse box /fire door (CFC
605.3)
4
Relocate fire extinguishers) so that they will' be in a conspicuous location, hahging,on brackets with the
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_
TABLE 906.3)
6
Re- charge all fire extin.guishers.. 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)
2
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)
g
Provide and .maintain appropriate numbers on a contrasting background and.visible from th'e. street to
- indicate the correct address of the building. (CFC 505.1)`
9
.,Repair e p ( s /holes /openings) in plaster in (location) _ _ ___ ____________ _ __ _ _ _ __ _ ___ ____
all crack
FIRE.DOORs/
Plastering _shall return the surface to its original fire resistive•con'dition. (CFC 703.1)
FIRE SEPARATIONS
10
-- - - - - -- ---------------- ---- - - - - -- ------------- - - - - -- --
R e m o.v a /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 al] obstruction from 'hallways. Maintain all means of..egres's free of any storage. (CFC 1031:1)
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 .1008)
STORAGE
13
Remove all storage and /or other obstructions from fire escape landings and stairways stair. shafts. (Fire
escapes /stair shafts are to" be maintained free from obstructions at all times.) (C,FC 1003.6)
i4
Extension cords shall not be used in lieu of permanent approved wiring. _Install additional approved
'ELECTRICAL APPLIANCES
electrical outlets where "needed. ('CFC 6105.5) `
15
Remove multiple attachment cords from'specific eIe "ctrical convenience ou,tiet (on "e plug per outlet) (CFC:
6.05.4)
-OUTDOOR
16
Recreational fires or o eh burnin CFC 307.1
FIREWORKS
17
Violations "of Section (CFC' 5608`.1) & 8 44 °.040;(&. M. C.).
OTHER
18
CORRECTION DATE '
dn
, rrect: the violations'n`oted above by:
"
LEGEND:
.CUSTOMER: �"? °'�"
C.F.C. CALIFORNIA FIRE CODE
(Signature) (Please Print Name W ibly, Title)
C.B.C. CALIFORNIA BUILDING CODE
c
B.M.C. BAKERSFIELD MUNICIPAL CODE
TNSPECTOR: ��� '`t „ -. '� ,...w° NO.: ,.
aW '
N.F.P.A. NATIONAL FIRE PROTECTION
ASSOCIATION
N.E.C. - .NATIONAL ELECTRIC CODE.,; .
White Customer /Original Yellow - Station Copy Ri,,,'; Preyetlohr'rvices
FD 2022 (Rev. 10/2017)
HAZARDOUS WASTE' BAKERSFIELD FIRE DEPARTMENT
UNIFIED PROGRAM CONSOLIDATED FORMS - . Prevention Services
n ERs r 1' -n 2101 H Street
SMALL QUANTITY HAZARDOUS't1�'�' Bakersfield, CA 93301
WASTE GENERATOR INSPECTION ARM Phone: 661-326'3979 o Fax: 661 -852 -2171
Facility Name: i ;
:t t "'s Date:,
Site Address: Time In: Time Out:
.y �.
ry
Owner /Operator: 1 . , ; J.; , �. 4 3. = ��..r -��� Phone: �a �. `ter 'EPA 1D
Tyne of Inspection w
r Routine Re-inspection/Follow-up' Combined Routine Ins p econ � 0 Joint Ins p ection 0 Complaint 0 Focused d Other
'CONSENT TO INSPECT GRANTED BY (Name / Title): f 1
Inspection may involve obtaining photographs, review and copying of records, and de erminatton of cA°mphance with hazardous waste handling requirements.-
C Com Taint: V = Class L R or Minor violation
C
V
HAZARDOUS WASTE REQUIREMENT `
N/A
CERS
Violation #
COMMENTS
Recordkee in documentation
Generator has an EPA ID number [HSC 25143.13]
3010002'
Hazardous waste determination' made for all wastes
O Analysis `Generator Knowledge [CCR 66262.401 .
3030005
'Contingency plan information posted near phone [CCR 66262.34(d)(2)1'
3010022
Facility ersonnel demonstrate training/awareness [CCR 66262.34(4)(2)];
- 3020001
Manifests/Consolidated Manifest receipts complete [CCR 66262.23(a)]
3010008
Blue co "(s) of manifest mailed to DTSC [CCR 66262.23(a)(4)]
3010011
Bills of Ladin recei is available _ . [CCR 66262.40(a)]
3010010
LDRs'available and complete [CCR 66268.7(a)]
3030006` `
Onsite recycling ` reported using UPCF [HSC 2514110],
- 3030001
Container /tank management
Containers are in good condition CCR 66262.34(d)(2)].
3030013
Containers` are closed except when adding/removing ' [CCR66262.34(d )(2)]
3030017
Satellite containers at or near point :of` generation [CCR.66262.34(e) (1) (A)]
Empty containers are empty [CCR 66262.34(f)]
3030007
Containers inspected weekly [CCR 66262.34 d)(2)]
3030019
�t
Tanks inspected daily - CCR 66262.34 d 2 ;.40CFR 265.201
3030027
One container per waste stream at satellite area CCR 66262.34 d 2
3030022-
;
Exclude recyclable materials stored.in accordance with local
ordinance/hazardous materials codes [HSC 25143.10]
30100161.
$:
Accumulation Time Limits
Waste is accumulated not more than 90/180/270` CCR 66262.34(d)]
3030010
Empty containers managed within one ear CCR 66262.34(d)]
3030010
Universal waste accumulated less. than one year [CCR 66273.15(a)] ,
3030011
Used oil filters offsite within 180 (1 year <1 ton) "[CCR 66266.130(c)(4)] "
3030004 '
Pb -acid batteries offsite within 180 (1 yr. < 1 ton) [CCR66266.81(a)(3)]
3030002
Labeling/Marldng
Containers are properly labeled [66262.34(f)]
3030007
Excluded recyclable materials marked properly [HSC 25143.9(a)]
3050005
Universal waste container propckly labeled (CCR 66273.34]
3030008
Used oil filters marked "drained used oil filters" [CCR 66266.130]:
3030004 .
Date written on spent lead -acid batteries [CCR 662668:1(a)(6 )(B)].
3030003,
"Used Oil" marked on all used oil tanks /containers CCR 66279.21
[
3030007
Tank marked with "haz waste" , contents, start date 66262.34 (f)]
..
3030007
Treatment Trans ort and`Dis osall0ther .
Have ermit/authorizadon to do treatment [HSC 25136.21
3040003 l
Waste sent with authorized transport ' en. eligible) CCR 66263.41
3050001;
Waste disposed of to authorized' point/'arty [HSC 25189.5(a)]
3050002
Failed to properly handle appli ance wastes fHSC 25212 a
Fire Protection [66262.34(d)(2)]
W
3030032
Print and sign in this box for receipt of this report. Signature does not imply agreement with findingk,only receipt of report.
E?
BILLING & PERMIT STATEMENT
PERMIT #
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Dhnna- s Fax• FF1 - Rri7 -71 71
Please make checks payable to CITY OF BAKERSFIELD. NO CASH Please. Thank you.
EI PERMIT TYPE FEE CALCULATION TOTAL
DUE
❑ Alarm - New & Modification (minimum charge) FA $ 288
°
ONLY
TREASURY
ACCT NO
SITE INFORMATION
Over 10,000 sq ft
LOCATION OF PROJECT
2698 Mt Vernon Ave
PROPERTY OWNER
St Peter & St Paul LLC
SCOPE OF WORK
NAME
Monitor Certification & Overfill Prevention
$ 98 /hr (2 hrs minimum) _ $196
PROJECT NAME
ADDRESS
PHONE #
Arco AMPM
2698 Mt Vernon Ave
661 - 472 -5480
PROJECT ADDRESS
2698 Mt Vernon Ave
CITY L�r"CK �T S�( E-L.� STATE C A
ZIP CODE
93306
CONTRACTOR INFORMATION
CONTRACTOR NAME CA LICENSE #
1804904
TYPE OF LICENSE EXPIRATION DATE
lHaz, A, C61 -D4 03/31/2020
PHONE #
661 - 631 -3870
CONTRACTOR COMPANY NAME
Confidence UST Services Inc.
FAX #
661 - 587 -9758
ADDRESS
CITY
ZIP CODE
16250 Meacham Road
Bakersfield
93314
Please make checks payable to CITY OF BAKERSFIELD. NO CASH Please. Thank you.
EI PERMIT TYPE FEE CALCULATION TOTAL
DUE
❑ Alarm - New & Modification (minimum charge) FA $ 288
°
ONLY
TREASURY
ACCT NO
❑
Over 10,000 sq ft
$ 0 .0288 x sq ft
❑
Alarm - Minor Modification (Add 1 device /Relocation of 2 devices)
$ 98 /hr (2 hrs minimum) _ $196
84
❑
Sprinkler - New & Modification (minimum charge) FIRE
$ 288
❑
Over 10,000 sq ft
$ 0 .028 x sq ft
❑
Sprinkler - Minor Modification ( <10 heads)
$ 98 /hr (2 hrs minimum) _ $196
84
❑
Commercial Hood (New & UL 300 Upgrade Modification) FHD
Additional Hood
$ 241
$ 59 /hood
❑
Commercial Hood - Minor Modification (add /move nozzle)
$ 98 /hr (2 hrs minimum) _ $196
84
❑
Spray Booth (New & Modification) SB
$ 241
❑
Aboveground Storage Tank (1 inspection per installation) AST
$ 185 /tank
❑
Each Additional Tank
$ 98/Tank
❑
Aboveground Storage Tank (Removal, Mod, or Inspection) ATR
$ 112 /tank
❑
Underground Storage Tank (Installation /Inspection) NI
$ 900 /tank
❑
Underground Storage Tank (Modification) MOD
$ 900 /site
❑
Underground Storage Tank (Minor Modification) MTM
$ 171 /site
❑
Underground Storage Tank (Removal) TR
$ 587 /tank
Mandated UST Testing: Fuel Mont Cert /SB989 /Cath. Prot.
NOTE: $98 /hr for each type of test /per site /per UST system
even if scheduled at the same time TT
$ 98 /hr (2 hrs minimum) _ $196
❑
Oil well (Installation, Inspection, or re- inspection) X
$ 98 /hr
84
•
Tent TENT
$ 98 /hr
•
After -hours inspection fee
124 /hr 2 hrs minimum = 248
•
Pyrotechnic (1 permit per event, plus an inspection fee of
$98 /hr during business hours) PYRO
NOTE: After hours Pyrotechnic event inspection is @ $124/hr
$ 98 /hr + (5 hrs min standby fee /insp) _ $58
5 hrs min standby fee ins = 620
•
Re- inspection /Follow -up Inspection
$ 98 /hr
84
•
Portable LPG (Propane): # of Cages?
$ 98 /hr
84
•
Explosive Storage
$ 241
84
•
Copying & File Research (File Research fee $51 /hr)
$ 0.02 /page
84
•
Miscellaneous Site Plan Review (Carnival & Fairs /Vehicle
Picture)
$ 98 /hr
84
IDisplay/Motion
FD2021 (Rev 07/18)
UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD /LINE TESTING/
SB989 SECONDARY CONTAINMENT
TESTING/TANK TIGHTNESS TEST AND
FUEL MONITORING CERTIFICATION
(Please note that these are separate
individual tests and will be charged per
separate type test accordingly.)
PERMIT #
❑ ENHANCED LEAK DETECTION
❑ TANK TIGHTNESS
❑ LINE TESTING
FUEL MONITORING CERTIFICATION
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661 - 326 -3979 s Fax: 661- 852 -2171
Page 1 of 1
❑ SB -989 SECONDARY CONTAINMENT
OVERFILL PREVENTION
SITE INFORMATION
FACILITY
Arco AMPM
NAME & PHONE # OF CONTACT PERSON
Ibraham 661- 472 -5480
ADDRESS 2698 Mt Vernon Ave
OWNER NAME
St Peter & St Paul LLC
OPERATOR NAME
Ibraham
PERMIT TO OPERATE #
# OF TANKS TO BE TESTED:
IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO
TANK #
VOLUME
CONTENTS
1
20000
87 U N L
2
12000
91 U N L
TANK TESTING COMPANY
TESTING COMPANY
Confidence UST Services, Inc.
NAME & PHONE # OF CONTACT PERSON
Jessica Baker (661) 631 -3870
MAILING ADDRESS
16250 Meacham Road, Bakersfield, CA 93314
NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR
Austin Sterling
CERTIFICATION #
TEST METHOD
ICC #
8339953
APPLICAN IGNAT E
DATE
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
DATE
FD2095 (Rev 03/18)
PREPARED 12/28/18, 8:13:26 PAYMENT DUE
CITY OF BAKERSFIELD PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER: 18- 10000784 2698 MT VERNON AVE
FEE DESCRIPTION AMOUNT DUE
--------------------------------------------------------------------- - - - - --
PLAN CHECK FEES 196.00
MANDATED LEAK DETECT TEST 196.00
TOTAL DUE 392.00
Please present this receipt to the cashier with full payment.