HomeMy WebLinkAbout2900 Union Haz-Mat\-
HAZARDOUS WASTE
- ...,,
V
BA FIRE DEPARTMENT
UNIFIED PROGRAM fAN5DIl0ATE0 FORMS
CERS
Violation k
Prevention Se
Prevention Services
:
SMALL QUANTITY HAZARDOUS
2101 H Street
eakerstield, CA 93301
WASTE GENERATOR INSPECTION
; l� Phone: 661 - 326 -3979 a Fax: 661 - 852 -2171
FeciliVName: MIN1T- STOe Date: 9 /7!5//CI
Site Address: '29W ( l ?lna i Aur 6W Ti CA Timelih Time Owe
Owner /()pemtor: �k_��� C,g i! Q Phone: i6/-395-II4I EPA ID aA!4y, 'j(Jf�Q�'/
Twe of lnsvect on
Romine - RninspectinNF011ow -up ❑ Combined Road.; Inspertien If Joint Irµpecthan - Complaint - FocusN D Other
ONSENT TO INSPECT GRANTED BY (Name / Tide):
Inspe,tion may involve obtainingpllaogmphs, review and car n frecords, and detemlirmtion ofcompliance withharardeus waste handlingdoluimrsnts.
..
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„a,,,,.. - ..,o,� ....... ...................
HAZARDOUS WASTE REQUIREMENT
N/A
CERS
Violation k
COMMENTS
Reeardide in documentation
Generator has an EPA ID number HSC' 25143.13
3010002
Ilazardons waste determination made for all wastes
l Anal sis 110ca erator Knowl [CCR 6626240
3030005
Contio enc IaninPosmation ostednear hone CCR 66162.341d)2
30.10022
Facility monnal demonstrate traman awareness CCR 6626234(d)(2)
3020001
Maoifests/Cmn.lidated Manifest .611, cm late CCR 66262.23(a)
3010008
Blue co s) efmanifest mailed to DlSC [CC 66262.231.(47
3010011
Bills ofladin recei is available CCR 66262.40.
3010010
LDR, available and mom lave CCR 6626&77
3030006
Omaha recycling hermated using UPCP T11KC25145 .10
3030MI
Co toiesr /tankmama ment
Conminers are in nod condition CCR 6626234(d)(2
3030013
Conminers are closed ex" when addin tamovin CCR66262.34(d) 2
3030017
Satellitewntainers at or near point at goneration CCR 66262.34(e )(OA
throw rather. are em (R66262.34(1)1
3030007
Ccnuiners m tad week) t'('R 66262.34(d)(2)]
30IM19
Tanks insacteddail CCR 6626234(d(2) -40CFR 265.201
3030027
Olw conminer Per wane edam at satellite area ('CR 66262341d(2
3030022
Exclude swyclable materials stored in awordence wish local
o[dlnalsNlamrdoua deardils moles HS ('25143.10
3010016
Ae¢ oa Time Limits
Waste is accumulated not more than 90/180/29ISO/27 0 CCR 66262.34(d
3030010
Emptyroniminshannera ed within one ear JCCR 66262.34(d)
3030010
Universal waste accumulated less than one year I CCR 66273.15 et
3030011
Used oil filters ofTshe within 190 (1 yir<1 ton ) CC R 6626613ac 4)
3030004
Pbacidbetteries oblate within 1801 yr. <I ton CCR66266.B1s3
3030002
Labaling/Marking
Containers are properly, labeled [66262340]
3030007
Excluded her fable, materials marked Pordery I." C 25143. a
3050005
Universal waste container pro,erly labeled CCR 66273.34
3030008
Used oil filters marked "drained used oil filters" CC'R 66266.130
3030004
Use, written on nt lead -acid baneries JCCR 66266.81 s 6 B
3030003
"Used Oil" marked on all used oil tandelwnminers CCR66279.21(b)
3030007
Tank marked with °heai waste° contents, hart date 66262 34
3030007
'fmtmeniq Trans ort and Dis osall0ther
Have pervithuthoirration to do tmadeent HSC 25136.2 3040003
Waste sent with authorized trans en. di ble CCR 66263,4 1
3050001
rite rh osed onto authorized 'com,pany I HSC 2.1 rm.5 adl
1
3050002
ailed m pronvaly handle a ppliative wanes f HSC 25212 a
Fire Protection E66161 .3 d(2 )1
1
3030032
Print and sign in this box for receipt of this report Sigirattue does not Imply agreement with findings only motipt of repmb
Ixt
INSPECTOR
POST INSPECTIONINSTRUCTIONS:
• Cannot the vietation(s) noted above by 10/1- .'1/�� Signature(Rod all violations have been wareeted as noted)
• Within 5 days ofcorecting all of the violatioM,ngnmld return a eopy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H St, Bakersfield, CA 93301 Date
FM171 mar M7018)
White - Business Copy Yellow- Station COpy Pink - Prevention Smites Copy
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
��ZVBA Prevention ELD FIRE DEPT.
Prevention Services
210111 Strew
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
CERS
Violation
N
COMMENT
NSP TIONDATE
lNSPECTION TIME
ADDRESS
L OG
3010001
pEPj D
HONE NO.
OOF EMPLOYEES
FACILITY CONTACT
3210043
USINESS ID NUM/SyE�flZZ
(�J�
on ono to inspect Nart.arle
VISIBLEADDRESS (CFG: 505.1. BMC: 15.52.020)
CORRECTOCCUPANCY (CBC: 401)
Section 1:
Business Plan and Inventory Program
ROUTINE ❑
COMBINED ❑ JOINTAGENCY ❑ MULTI AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V CGwonlion. OPERATION
V- V'01ahon; ill Minor
CERS
Violation
N
COMMENT
APPROPRIATE PERMIT ON HAND BMC: 15105.080)
3010001
pEPj D
CERS INFORMATION ENTERED &UPDATED ANNUALLY (CCR:2729.1)
3210043
VISIBLEADDRESS (CFG: 505.1. BMC: 15.52.020)
CORRECTOCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (OCR: 2)20.3)
1010004
VERIFICATION OF QUANTITIES (CCR: 2929.4)
1010008
to
VERIFICATION OF LOCATION (0011:2729.2)
PROPER SEGREGATION OF MATERIAL (CFO: 2704.1)
VERIFICATION OF SOS AVAILABILITY (OCR: 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:(i8282.34g),CFG2703.5)
3030007
HOUSEKEEPING (CFO: 304.1)
FIRE PROTECTION (CFC: 903 &900)
30m—
IAJCtiAlf A -)-S 1
SUE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
NV HAZARDOUS WASTE ON SITE? ❑ YES NO
to o
vPlflin: I I '
POST INSPECTION MTRIU� CRO
NS:
•
Within 0above vi
• Within 5 days of correcting all of the violations, sign and mount C a copy of this page to:
Bakersfield Fire Dept, Prevention Services, 2101 H Sweeet, , Glifomie 93301
White - Business COpy Yellow - Station Copy Pink - Prevention Services
Signettue (that ell violations have been corrected as noted)
Date
M2155 (Rev 912017)
C
%,VA1a
` y
auaaaa.
HAZARDOUS WASTE RE UIREMENT
N/A
CERS
Violation #
COMMENTS.
Recordkee in documentation
Generatar.has an EPA ID number [HSC 25143.13}
3010002f
Hazardous .waste.determination made for all wastes
0, Analysis. :0 :Generator Knowledge [CCR 66262.401 ,
3030005
Contingency plan information posted near phone [CCR 66262.34 (d)(2)] .
3010022
Facility ersonnel demonstrate trainin awareness. [CCR 66262.34(d)(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 Lading/receipts available [CCR 66262.40(a)]
3010010
LDRs available and complete CCR 66268.7(a)]
3030006
Onsite rec clin re ooted using, UPCF [HSC 25143.10
303000E
Container /tank management
Containers are in good condition CCR 66262.34(d)(2)]
3030013
Containers are closed except when addin iemovin [CCR66262.34(d)(2)
3030017
Satellite containers at or near oint of generation [CCR 66262.34(e)(1) (A)]
Em containers are empty (CCR 66262. 34 ]
3030007
Containers inspected weekly. [CCR 66262.34(d)(2)] `
3030019
Tanks 'ins ected 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 25143.101
3010016
Accumulation Time Limits
Waste is accumulated not more than 90/180/270 CCR 66262.34(d)]
3030010
Empty containers mans ed within one year CCR 66262.34(d)]
3030010
Universal waste accumulated less than one ear : 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/Marking
Containers are properly labeled, ' [66262.34(f)] ,
3030007
Excluded recyclable materials. marked properly [HSC 25143.9(a)]
3050005
Universal' waste, container properly labeled (CCR 66273.341
3030008
Used oil filters- marked "drained used oil filters" [CCR 66266.1301
3030004
Date written on' spent. lead -acid batteries CCR 66266.81(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 Transport and Disposal/Other,
Have permit/authorization to do treatment [HSC 25136.21
3040003
Waste sent with authorized trans ort (gen. eli ible ) [CCR 66263.411
3050001
Waste disposed of, to authorized point/ party [HSC 25189.5(a)]
3050002
Failed to properly handle appliance wastes HSC 25212 a
Fire Protection:.: w [66262.34(d)(2)]
3030032
Print and sign in this box for receipt of this report. Signature does not imply agreement with findings; rily, recelpt of report.
f
/
INSPECTOR
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by Signature (that all violations have been corrected as noted)
• 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 Date
FD2171 (Rev 9/14)
White — Business Copy Yellow -- Station Copy Pink, -Prevention Services Copy
-
C
o
V I
BAIKERSFIELD FIRE DEPARTMENT
HAZARDOUS WASTE
CERS
Violation #
COMMENTS
Prevention Services
UNIFIED PROGRAM CONSOLIDATED FORMS
B
E R s F I t D
2101 H Street
SMALL QUANTITY HAZARDOUS
Generator has an EPA ID number [HSC 25143.131
m T� r
Bakersfield, CA 93301
WASTE GENERATOR I SPECTI
Phone: 661 -326 -3979 •Fax: 661 - 852 -2171
3030005
t= fZc� d j\
Facility Name: , /f } F ,
Contingency plan information posted near .phone [CCR 66262.34(4)(2)]
Date:
Site Address; � ' 'did /tom f4- �, ® , ? z l ` f �� rte
_ 142 Time In: Time Out:
Owner /Operator: le'p' 9 mil'^` �°'r t/
Facility personnel demonstrate training /awareness [CCR 66262.34(4)(2)]
Manifests /Consolidated Manifest receipts complete [CCR 66262.23(a)]
Phone:
' - EPA ID # NJ 0
Type of Inspection
-e Routine 0 Re- inspection/Follow -up 0 Combined Routine Inspection
0 Joint Inspection
0 Complaint 0 Focused 0 Other
-KCONSENT TO INSPECT GRANTED BY (Name / Title):
3010011
Inspection may involve obtaining photographs, review and copying
of records,
and determination of compliance with hazardous waste handling requirements.
Taint• - V Class I II or Minor Violation
.3010010
-
C
o
V I
P -
HAZARDOUS WASTE REQUIREMENT
N/A
CERS
Violation #
COMMENTS
Recordkeepin documentation
Generator has an EPA ID number [HSC 25143.131
3010002
fQ0 € N3
Hazardous waste determination made for all wastes
0 Analysis 0 Generator Knowledge [CCR 66262.40]
3030005
t= fZc� d j\
Contingency plan information posted near .phone [CCR 66262.34(4)(2)]
3010022
Facility personnel demonstrate training /awareness [CCR 66262.34(4)(2)]
Manifests /Consolidated Manifest receipts complete [CCR 66262.23(a)]
3020001
3010008
F CG
Blue copy(s) of manifest mailed to DTSC [CCR 66262.23(a)(4)]
3010011
Bills of Lading /receipts available [CCR 66262.40(a)]
.3010010
LDRs available and complete [CCR 66268.7(a)]
3030006
Onsite recycling reported using. UPCF [HSC 25143.10]
3030001
Container /tank management
Containers are in good condition [CCR 66262.34(d)(2)]
Containers are closed except when adding/removing [CCR66262.34(d)(2)]
3030013
3030017
15i-Tr— Qvri- c, -5 Ali ,a., i"a A-
6 j , f ,% �,�a� 1 c� �` L < `�� , r?,
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
Tanks inspected daily [CCR 66262.34(d)(2), 40CFR 265.2011
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]
3010016
Accumulation Time Limits
Waste is accumulated not more than 90/180/270 [CCR 66262.34(d)]
3030010
Empty containers managed within one year [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/Marking
Containers are properly labeled [66262.34(f)]
3030007
OAi ? � . l / .,t �� 6 7F ,
Excluded recyclable materials marked properly [HSC 25143.9(a)]
Universal waste container properly labeled (CCR 66273.341
3050005
3030008
r',� + � , . / rr�„_fl. ,£' q CA 1.01A1A # .
j;-1,�, 1 t'!7"V ,r j .e,,A /VU0'� t3F—ZI-�
Used oil.filters marked "drained used oil filters" [CCR ,66266 .1301
Date.written on spent lead -acid batteries [CCR 66266.81(a)(6)(B)l
3030003
"Used Oil" marked on all used oil .tanks /containers [CCR 66279.21(b)]
3030007
Tank marked with "haz waste" , contents, start date [66262.34(f)]
3030007
Treatment, Transport and Disposal/Other
Have permit/authorization to do treatment [HSC 25136.2]
3040003
Waste sent with authorized transport (gen. eligible) [CCR 66263.41]
3050001
Waste disposed of to authorized point/ arty [HSC 25189.5(a)]
3050002
Failed to properly handle appliance wastes [HSC 25212(a)]
Fire Protection [66262.34(4)(2)]
3030032
Print and sign in this box for receipt of this report. Signature does not imply agreement with findings only receipt of report.
INSPECTOR
r 1
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above .by 8
• 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 - Business Copy Yellow- Station. Copy
Signature (that all violations have been corrected as noted)
Date
FD2171 (Rev 9/14)
Pink - Prevention Services Copy
^fej
/u0 ell-
KERN BUSINESS FORMS - (661) 325 -5818 - #6013
BAKE1tSFIELD ;FIRE DEFT:'
Pr" "even �` on Sery ces:
U N:I �D •PRO. GR/o►M' "IIIISPE , TIOI1I. C�HEC`I°CI_i'ST:
8 =' E.RTS �m� L p'' 2101 H.S reet
FrRE .
ARra� r Bakersfield; CA 93301 ...
SECTION ''I : .BlAS111eSS Plan and �InV!e11t01''j/� PI'Ograrrn
"32:6 -3979 •
FAX:, (6:61') 852 -2-171
FACILITY NAME"
INSPECTION" DA..E
'INSPECTION TIME
_
ADDRESS , t
PHONE NO. •, NO ,OF EMPLOYEES
•-
BUSINESS ID'NUMB'ER
FACILITY °CO. TACT .
Consent to Inspect Na to Title
> w z k
, r
<H:
-
.. 'El' JOINT AGENCY ' ❑ MULTI = AGENCY ❑ COMPLAINT w ❑ . -RE= INSPECTION
❑ .. ROUTINE COMBINED
C= Compliance, OPERATION '
C aM'M E N , 'S
V= Violation
❑ "� APPROPRIATE P.ERMIT:ON HAND (BMC: 15:65.080)
"?
❑ , BUSItIeSS PLAN CONTACT INFORMATION ACCURATE' (CCR;.2729.1)
VISIBLE ADD.RESS' (CFC:.505.1, BMC: 15.52.020)
❑ CORRECT OCCUPANCY (GBC:;409) `
"El ; ❑ , .` VERIFICATION OF INVENTORY MATERIALS.(CCR:2729.3 =)
4 ❑ VERIFICATION OF QUANTITIES (CCR:`2729 4)
:27"
c2k 'El VERIFICATION--OF, LOCATION (CCR .29.2)
* ❑. PROPER SEGREGATION OFWATERIAL (CFG:;'- 2704.1;)
•
t fy.
❑, VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b))
❑ _` VERIFICATION OF HAZ MAT TRAINING., (CCR:2732)�*
ff
_ ,- 4"�
"I' p.i
❑` ,VERIFICATION OF ABATEMENT SUPPLIES`& PROCEDURES " ',(CCR: 2731,(c))I'
❑ EMERGENCY PROCEDURES.ADEQUATE (CCR: 2731.)
❑ . ❑' CONTAINERS:PROPERLY LABELED - .(C,CR: 66262.34(f), CPC: "2703:5)
❑ HOUSEKEEPING �.: (CFC 304.,1)
❑ ° FIRE PROTECTION" (CFC:,903 & "906)
❑ . SITE. DIAGRAM ADEQUATE & ON HAND (CCR: 2729:2)
ANY HAZA'RDOUS�WAST-E ,ON SITE ?. 'El- YES. ` ❑. NO
S* ture.of Receipt '
�•
rEx,piain
POST INSPECTION INSTRUCTIONS;,, - t-
"
Correct he above by -�"
Signature ( that: allviolationshavebeen . corrected, as•noted)
I
• violation(s).noted
_ �T�:.L. a .,�' ,� n, A„r;,, `att ;,f:rt,P �i�Iations_ sign and return a copy of,this page to:
KERN PRINT SERVICES - (661) 325 -5818 - KPS -2215
■
FIRE PREVENTION INSPECTION
00-1-0 BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
, Bakersfleld, CA 93301
Phone: 661 - 326 -3979 B Fax: 661 -852 -2171
FACILITY.EDDRES6 'L°10� NION AV,
own
as hy,
PfCn3TY N4ME
Nt P
may' �Arz' ¢ cn
M/.rMaES'E N1M6
PN NO.
aY6Ix aSS OWNERS NMIE.YNO aDO0.lE6
LLY0: m`DlV1UWmON.YIOVE]NaMe,A00REE6
R
CITY, STITI, Can P
PM XO.
CC Me
O CLOAD
f
NO. OP FLOORS
act se
N
0.11
IL
r UCI_
W« /Ory Sunk., aw..
Type er Fleem 9Yenm
CONSIRYCRON TYPL
H'.. RISE B }OO
Sg /PT OP III
S
❑ YES p NO
CO..ECraLLYsOLA b n
0.e0UISENEHl9
CHECHUS ELOW xDi
Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (CFC
Co.... w<Ele /DRY
304.1.1)
O
Provide non - combustible containers with tight fitting lids for the storage of Combustible waste and
2
rubbish pending Its safe disposal. (CFC 304.3.2) Nate: applies to containers over 40 gallons.
Relocate combustible storage to provide at least 3 feet clearance around motor fuse box /fire door (CFC
mMBUen.Le slaRACe
3
605.3)
Relocate fire extinguisher(s) so that they will be in a conspicuous lac. tion, hanging on brackets with the
4
top to the extinguisher not more than 5 feet above the floor. (CFC 906.5 & 90fi.9)
exTDlaupeasse
5
Provide and Install (amount) approved (type d size) ___ - -__— _ Portable fire
(CFC
extinguisher to be immediately accessible for use in (area) _____— ___ —_
TABLE 906.3)
Re- charge all fire ex[ing ulsh ers. Fire extinguishers shall be serviced at least once each year, and/or
s
after each use, by a person having a valid license or certificate, (CFC 906.2)
Provide and maintain "EXIT- sign(s) with letters 6 or more Inches In height over each required exit
aaxa
T
(door /window) to fire escape. (CFC 1011)
Provide and maintain appropriate numbers on a contrasting background and visible from the street to
a
indicate the correct address of the bidding, (CFC 505.1)
9
Repair all (cracks /holes /openings) In plaster In (location) _ - - --
EUR.00eE/
Plastering shall return the surface to Its original fire resistive condition. (CFC 703.1)
R wNU ON9
10
Remove /repair (Item 8 location) _ ------ —__ —_ _ -- -- — - -- -- -
Self- closing doors shall be designed to close by gravity, Or by the action of a mechanical device, or by an
smoke antl heat sensitive device. Self - closing doors shell have no attachments capable of
approved
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 1031.1)
ems
12
Provide a contrasting colored and permanently Installed electric light over or near rag exit
(location) ____ to clearly indicate it as an exit. (CFC 1008 1008)
__ ______
Remove all storage and /or other obstructions from fire escape landings and stairways stair shafts. (Fire
Sn"i
13
escapes /stair shafts are to be maintained free from obstructions at all times.) (CFC 1003.6)
of usd(CFC u ofSp)ermanen0 approved wiring. Install additional approved
clECmlcALmPLw+cE6
14
electrical outlets where needed.
Is
Remove multiple attachment cords from specific electrical convenience outlet (one plug per outlet) (CFC
605.4)
DvrooOR euanwa
16
Recreational fires or OPEC burning FC 7.1
n.
17
Violations of Section (CFC 5608.1) B 8.44.040 (B.M.C.).
mNe0.
18
Correct the violations noted above IAI 7 3
COR II ION DATE
EGEND:
L.P.C. GVSFORNIA FIRE CODE
C.B.C. CALIFORNIA BUILDING CODE
CUSTOMER:
(SlgneNre) (Please Print Name Legibly, Tltle1
ArL�+A60r NO.: 5
B.M.C. BAKERSFIELD MUNICIPAL CODE
N.F.P.A. NATIONAL FIRE PROTECTION
INSPECTOR:
ASSOCIATION
N.E.C. NATIONAL ELECTRIC CODE
White - Prevention Services Yellow - Station COPY Pink - Business Copy
Fn ME31S «. Dy]DIS]
FACILITY. ADDRESS .' riw q,f i f ,,_ g
DATE fi" 'Y 9
FEE
FACILITY NAME _
CITY, STATE, ZIP
BUSINESS OWNER'S NAME AND ADDRESS
MANAGER'S NAME r
PH NO.
BILL TO: (IF DIFFERENT, FROM ABOVE) NAME, ADDRESS
CITY, STATE,; ZIP
PH NO. .
OCC TYPEt
OCC L6A�D
NO, OF FLOORS
� OyC^C USE
RISER DATE -
Wet/Dry Sprinkler System
Type of Alarm System
CONSTRUCTION TYPE
HIGH RISE BLDG
SQ /FT OF BLD
D YES ❑ NO .
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.
3:
Relocate combustible storage to provide at least 3 feet clearance around motor fuse box /fire door (CFC,e
COMBUSTIBLE STORAGE
605.3)"
Relocate fire extinguishers) so that :th.ey will be in a.conspicuous location, :hanging on brackets :with the
4'
"
top to the extinguisher not more than 5'-feet aboveMthe" ofl"' 0r (,C'F"C &6°.T &906.9)
4XTINGUISHERS �
P'rovide and instal) (amount) ___- _approved :(type & size) ______ _ _____ portable fire
extinguisher to be :immediately accessible for use in (area) _______ _______ _______ ______ (CFC
�.
TABL.E 906.3)
6
Re- charge: all fire extinguishers. Fire extinguishers shall be serviced a.t least once each year, and /or
after each use, by a 'pe'rson having a valid li.c.ense or certifica'i:e:- �teFC"906.2).
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)
.8
Provide and. maintain appropriate numbers on a contrasting background anal visible from the, street to .
indicate the .correct address of the building. ,(CFC 505.1)
g
Repair all (`cracks /holes /openings) i n plaster i n (location) __ ___ ____ ___ __ __ _ ___ ____ _ ___ __ _____
FIRE DOORS/
Plastering.shall return.the surface to its original fire resistive. condition. (CFC 703.1)
FIRE SEPARATIONS
10
Remove / re pa'i r (item & I o ca t i o n) ------------------------------------ - - - - -- -------- - - - - =- -
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 1031.1)
EXITS
12
Provide a contrasting colored and permanently. installed electric light over or near required: exit
(location) _ ___________ ___ ____- .- __- - - - - -- to clearly indicate it a;s an. exit; . (CFC ,1008)
Remove all storage anal /or other obstructions from fire escape landings and stairways stair shafts. (Fire
STDRAGE
13
scapes /stair shafts are to be maintained free. from obstructions at all times.) (CFC 1.003.6)
14
tension.co.rds shall not'be used in lieu of permanent approved wiring. Install additional approved
ELECTRICAL APPLIANCES
lectrical outlets where needed. (CFC 605.5)
15'
emove multiple attachment cords from specific electrical convenience outlet (one plug per outlet) (CFC
[05.4)
OUTDOOR BURNING
16
Recreational fires'or o en burnin . CFC 307.1 -
FIRewORKS-
17
Violations of Section (CFC 5608:1) & 8.44.040 (B.M.C.).
OTHER
,.
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•
- -
CORRECTION DATE .
..
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Correct the violations noted above by
CUSTOMER: ' `
LEGEND:
C.F.C. CALIFORNIA FIRE CODE
C.B.C. CALIFORNIA BUILDING CODE
/" ignature) (Please Print Name Legibly, Title)
' r "
NO
B.M.C. BAKERSFIELD MUNICIPAL CODE
N.F.P.A. NATIONAL FIR E PROTECTION
INSPECTOR:
ASSOCIATION
i
N.E.C.. NATIONAL ELECTRIC :CODE
White Customer /O,riglnal-':. Yellow - Station Copy Pink Prevention Services
FD 2022 (Rev.:10 /2017)
. r'
BAKERSFIELD FIRE DEPT.
i.<
Prevention Services
A.... F... R;.: S.:i ... t. P
UNIFIED PROGRAM INSPECTION CHECKLIST FIRE 210114 Street
.v.....:.....r.., field
�.........�.. akers
Haz -Mat Business Plan and Inventory Program z Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
T /
INSPECTION DATE
_ •° }
INSPECTION TIME
ADDRESS
PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to inspect Name /Title
60
U—) Pi 6�__ V2
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION.
.�r
C V
i C= Compliance OPERATION
COMMENTS
V= Violation
�,� ❑
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
❑
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
-
P= _t. t. C U e e
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
Z' ❑
VERIFICATION OFA.'VENT-ORY MATERI'AC"S; (CCR: 2729.3)
LI ❑
VERIFICATION OF QUANTITIES (CCR: 2729.4)
I 00 0. 6 ( .
❑
VERIFICATION OF LOCATION (CCR: 2729.2)
11 ❑
PROPER SEGREGATION OF_MATERIAL (CFC: 5004.1)
❑ .
SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
N
❑ I
VERIFICATION OF HAZ'MAT TRAINING (CCR:.2732)
i '� r M04 R � �
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
❑
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
❑'
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)''�`�°��w
r( ❑
HOUSEKEEPING (CFC: 304.1)
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(y_) !.�°..... fS�. i�a. { �St,J 'k./�/i.° ' 4.-3^'x• Y' 7
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-
❑ Rf
FIRE PROTECTION (CFC: 903 & 906)
P T
f tf 4 L. A 5'E_P—.0 i
❑
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? <zgrv, ES NO
Explain:
; ,' i ,� ; V
ture of Re i t: 9
:.-
�' -
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• Correct
the violation(s) noted above by
Signature (that all violations have been corrected, as noted)
• 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
Date
White - Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1114)
Kern Business Forms (661) 325 -5818 — KBF -7320
BAKERSFIELD FIRE DEPARTMENT
s .4
FIRE PREVENTION INSPECTIO ",,t1 Prevention Services
�x B PE x s a> L o 2101 H Street
t _ aRrM r Bakersfield, CA 93301
.,,m..
W Phone: 661 - 326 - 397;9 ®. Fax..6.61- 852-'21171x.
DISTRICT
BLOCK NO
DATE
',
F EE
FACILITY ADDRESS
CIY, STATE, ZIP
FACILITY NAME
iMAN� G��^yyE.R+'S Ny�AME , " �- • ' '° `PHj N, 0.'
j e q
BUSINESS OWNER'S NAME AND ADDRESS
CITY, STATE, ZIP
"li€i'SIrtE C•[
PH NO
i12:t
3U.1`.1 -� {C?a
BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS
CITY, STATE, ZIP,
PH NO.
OCC TYPE
OCC LOAD
NO. OF FLOORS
HI6li'RI3E BLDG; '
RISER DATE
i
❑ YES 0` NO
AI
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
3 0 4.1.1)
VEGETATION
t -_
containers with tight fitting lids for the storage of combustitble waste and
2
Provide non - combustible
rubbish pending its safe disposal. (CFC 304.3.1) ,
Relocate combustible storage to provide at least 31eet clearance around motor; fuse box /,fire dpor. (CF,C
COMBUSTIBLE STORAGE
3
605.3)
Relocate fire extinguisher(s) so that they will be in a conspicuous location, ganging on bracketsr' with the
4
top to the extinguisher not more than 5 feet above the floor. (CFC 90'6.5`& 906:9)
EXTINGUISHERS
5
Provide and install (amount) —_ - -- approved (type & size) ------------ - - ---- portable fire
extinguisher to be immediately accessible for use in (area) ------------- -- - - ---
TABLE 906.3(1))
Re- charge all fire extinguishers. Fire extinguishers shall be serviced at least once each year, and /or
'(GCR'T1TLE
after each use, by a person having a valid license or-certificate.
7
Rr,�ovi a,�d Ma,,iG►t "EXIT" sign(s) with letters 5;or more inches'i,n*lVeight,over each- ,r,equired exit
SIGNS
(doo - window) to fire escape. (CFC 1011.5.1)
Provide and maintain appropriate numbers on a contrasting— backkground and visiblekfrom tMe street.to; d
8
indicate the correct address of the building. (CFC',505.1)
9.g'
Repair all (cracks / h o l e s /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) --- ------ -- ------ ---- --- - - - - -- t o ';c l e a r l y indicate it as an exit. (CFC 1006.3)
13
Remove all storage and /or other obstructions from fire escape landings and stairways stair shafts. (Fire
STORAGE
to be free from obstructions at all times.) (CFC 1028.3)
escapes /stair shafts are maintained
Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved
ELECTRICAL APPLIANCES
14.
electrical outlets where needed. (CFC 605.5)
5
Remove multiple attachment cords from specific electrical convenience outlet (one plug per outlet) (CFC
605.4) er !"G+5 teY Trn:I rv3SCtcst IGrs
OUTDOOR BURNING
16
Recreational fires or o en burning. CFC 307.1
FIREWORKS
177
Violations of Section (CFC 3308.1)'& 8.44.04.0 (B.M.C.).
OTHER
,
�1t5/"
M 1 �iC 1e {' Jr? t G? �� fi,it!eJ > 4° GJCfCr 1f Yi d t 3'cA, +-
21- — 2 g 0.1
CUSTOMER: i e i '; : ;tioi)
LEGEND:
C.F.C. CALIFORNIA FIRE CODE
(S'i'gnatu`re)' J _(Please Print Name Legibly, Title)
C.B.C. CALIFORNIA BUILDING CODE
=
B.M.C. BAKERSFIELD MUNICIPAL CODE
INSPECTOR: --- ° °' N0, ; yt +
N.F.P.A. NATIONAL FIRE PROTECTION
ASSOCIATION
(Signature)
N.E.C. NATIONAL ELECTRIC CODE
•r,, Na