HomeMy WebLinkAbout10 UNION AVENUE (6)CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT 1467
PREVENTION SERVICES DIVISION
2101 H STREET
661) 326 -3979
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Location 10 4LAUlolt/ 4 dG
You are hereby required to take the following action• at the above location:
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CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED
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Completion Date for Corrections: / // / /Z-
Received by: & 4 Z 4 K I/
Inspector: Inspector Medina Initial Date:
326 -3662
Desk Phone: from 8:00am to 8:30am)
KBF -9229
CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT A'
PREVENTION SERVICES DIVISION
2101 H STREET
661) 326 -3979
4.
Location: r
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You are hereby required to take the following action at the above location:
L-J CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED
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Completion Date for Corrections:
Received by:
Inspector: inspectoir Medina Initial '' Date:
326 - =2
Desk Phone: (from 8:00am to 8:30am)
KBF -9229
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and, Inventory Program
B F. _'G R S F 1 D
FIRE
D ARTM T
BAKERSFIELD FIRE DEPT.
Prevention Services
210.1 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
q.. c.
INSPECTION DATE
iz
INSPECTION TIME
10:30
ADDRESS
tz&ZQA1 A VC, / 2A /l <'
PHONE NO.
O5-
NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
APPROPRIATE PERMIT ON HAND
5-- 02-1 - o N17312 2-
Consent to Inspect Name /Title
c C
v
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v c C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND BMC: 1.65.080)
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY CBC:401)
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
L VERIFICATION OF QUANTITIES CCR: 2729.4)
VERIFICATION OF LOCATION CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL CCR: 2704.1)
VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(6))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR: 2731))
X EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
CONTAINERS PROPERLY LABELED CCR: 66262.34(F), CFC 2703.5)
HOUSEKEEPING CFC: 304.1)
FIRE PROTECTION CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
IAJ ( - T Isv
ANY HAZARDOUS WASTE ON SITE? ,YES NO Si natur fRea i t z
Explain:
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C-7,O lz
0"/ Gj'if CA 06V-201
POST INSPECTION INSTRUCTIONS:
Refer to the back ofthis 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 2101 H Street, Califomia 93301
326 -3682
White —Business Copy Yellow — Business Copy to be Sent in alter return to Compliance
Signature (that all violations have been corrected as noted)
Date
Pink Prevention Services Copy F132155 (Rev 12/11)
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ae r.: k:
KERN PRINT SERVICES - (661) 325 -5818 - KPS -2215
UNIFIED PROGRAM INSPECTION CHECKLIST FINEZARTM T
SECTION 1: Business Plan and Inventory Program
Y939 Z
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
C= Compliance OPERATION
V= Violation
INSPECTION DATE INSPECTION TIME
h 7 5-//v %/-z 10:30
ADDRESS
0
PHONE NO. NO OF EMPLOYEES
i . vc . % % , 5 (' ' 0574/
FACILITY CONTACT
CORRECT OCCUPANCY
BUSINESS ID NUMBER
S - 02 / - C)'-11731? 2
Consent to Inspect Name /Titl{e
VERIFICATION OF QUANTITIES CCR: 2729.4)
VERIFICATION OF LOCATION CCR: 2729.2)
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
CO M M E N TS
APPROPRIATE PERMIT ON HAND BMC: 1.65.080)
0/ BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1) NEB /• uP %4,Te. %eft.-- S > !
VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY CBC:401)
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
VERIFICATION OF QUANTITIES CCR: 2729.4)
VERIFICATION OF LOCATION CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL CCR: 2704.1)
T VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(8))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR: 2731))
EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
0, CONTAINERS PROPERLY LABELED CCR: 66262.34(F), CFC 2703.5)
HOUSEKEEPING CFC: 304.1)
FIRE PROTECTION CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2) NC
ANY HAZARDOUS WASTE ON SITE? CIoYES NO Sil!naturloi'Receint
c
Explain:.'':# e1
C ,i orr acs!
POST INSPECTION INSTRUCTIONS:
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 ti t, 2101 H Street, California 93301
M-3r.,
White — Business Copy Yellow— Business Copy to be Sent in after relurn to Compliance
Signature (that all violations have been corrected as noted)
Date
Pink Prevention Services Copy FD2155 (Rev 12/11)
9
114/0
Y
BAKERSFIELD FIRE DEPT.
INSPECTIONS
3 11
BUSINESS PLAN &
INVENTORY PROGRAM
UNIFIED PROGRAM INSPECTION CHECKLIST
FACILITY NAME: UN' ®°' `
C 9Z ' 5733&)
Section 2: Underground Storage Tank Program
Prevention Services
s = x a 1501 Truxtun Avenue, lg Floor
R/ Bakersfield, CA 93301
D A T Tel.: (661) 326 -3979
Fax: (661) 852 -2171
Page I of I
INSPECTION DATE: y//L
Routine Ef Combined Jo' t Agency Multi-Agency Complaint Re-Inspection
Type of Tank %)i1 Number of Tanks
Type of Monitoring Type of Piping !/
OPERATION C V COMMENTS
Proper tank data on file
Proper owner / operator data on file V G U,O ETC //U e S W,5-e
Permit fees current qa r f
Certification of Financial Responsibility L G -mac-+ °' of !_" i c_ ic) GLIG:L's 7
Monitoring record adequate and current
Maintenance records adequate and current
Failure to correct prior UST violations
Has there been an unauthorized release? Yes _ No
Section 3: Aboveground Storage Tank Program
Tank Size(s)
Type of Tank
Aggregate Capacity
Number of Tanks
OPERATION Y N COMMENTS
SPCC available
SPCC on file with OES
Adequate secondary protection
Proper tank placarding /labeling
Is tank used to dispense MVF ?)
If yes, does tank have overfill / overspill protection?
C = Compliance V = Violation Y = Yes N = No
C
Inspector: Inspector Medina
326 -3662
Questions regarding this inspection? Please call us at (661) 326 -3979
White — Prevention Services
Business Site Responsible Party
Pink - Business Copy
FD 2156 (Rev. 03/08)
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