HomeMy WebLinkAbout715 SUMMER STREETCORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT
PREVENTION SERVICES DIVISION
1501 TRUXTUN AVENUE S
661) 326 -3979
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Location: r-) ,.,,IArd c—
933-05—
You are hereby required to take the following action at the above location;
CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED
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Completion Date for Corrections:
Received by: p 2
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Inspector. ErnieMedina Initial: E/"/ Date: /Z / 6
Desk Phone: (661) 326 -3682 (from 8:00am to 8:30am)
CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT
PREVENTION SERVICES DIVISION
1501 TRUXTUN AVENUE
661) 326-3979
r' "-' A"
Location: 1.1, "1 A I,
J0
You are hereby required to take the following action at the above location;
CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED
7
Completion Date for Corrections:. 6
Received by:
Inspector: Ernie Medina Initial: Date: / —' / (- / /(,,, -
Desk Phone: (661) 326-3682 (from 8:00am to 8:30am)
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
B _C R S F I 3 D
FIRE
D ARTM
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
SP i1N7— I Z /t
ADDRESS PHONE NO. NO OF EMPLOYEES
S . _c,2 -92xcie camC} 933 2Z-5--29 913
FACILITY CONTACT BUST SS ID NUMBER
214_ r2II5 - I 569 - 'm Y- 0 rS -off- 3
Consent to Inspect Name /Title
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C V C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
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)
VERIFICATION OF QUANTITIES CCR: 2729.4)
VERIFICATION OF LOCATION CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL CFC: 2704.1)
VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
CONTAINERS PROPERLY LABELED
HOUSEKEEPING
CCR: 66262.34(f), CFC: 2703.5)
CFC: 304.1)
FIRE PROTECTION CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES XNO SignatureofReceipt
Explain:
POST INSPECTION 1NS'FRUCI'IONS:
Correct the violation(s) noted above by
Within 5 days ofcorrecting all of the violations, sign and return a copy of this page to:
Bakersfield Fire De t., Prevention Services, 2101 H Street, California 93301
L,vS I -c7 B'y
White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance
f
Signature (that all violations have been corrected as noted)
Date
Pink — Prevention Services Copy F132155 (Rev 6//10)
UNIFIED PROGRAM INSPECTION CHECKLIST)
SECTION 1: Business Plan and Inventory Program
B K E R S_F_I_@ U
FIRE
D ARTM
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
V. S r l Z A r'o o
ADDRESS PHONE NO. NO OF EMPLOYEES
r)
v IZ — 94 n ,t /
c/ C 9V zz5 -
FACILITY CONTACT / BUSINESS ID NUMBER
M'
Consent to Inspect Name /Title
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
M' 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 CFC: 2704.1)
VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
CONTAINERS PROPERLY LABELED CCR: 66262.34(f), CFC: 2703.5)
i HOUSEKEEPING CFC: 304.1)
1; FIRE PROTECTION CFC: 903 & 906)
0, SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES P<NO Signature ofReceipt
Explain:
POST INSPECTION INSTRUCTIONS:
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 Dept., Prevention Services, 2101 H Street, California 93301
White — Business Copy Yellow— Business Copy to be Sent in alter return to Compliance
f
Signature (that all violations have been corrected as noted)
Date
Pink — Prevention Services Copy FD2155 (Rev 6//10)
U.S. spR;NT
FACILITY NAME: 715- SUMA)5e sT
f3agC-ks iE/ 0'+ c)-nos-
Section 2: Underground Storage Tanks Program
Routine Combined
Type XT-ank
Type of Monitoring _
Joint Agency Multi- Agency
Number of Tanks
Type of Piping
BAKERSFIELD FIRE DEPT.
Prevention Services
900 Truxtun Ave., Ste. 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
Page 1 of 1
INSPECTION DATE: L & , .p
Complaint Re- inspection
OPERATION C V COMMENTS
Proper tank data on file
Proper owner / operator data on file
Permit fees current
Certification of Financial Responsibility CF G 6b • o-V
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 Tanks 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
Inspector: ERA)) 57 /15D;/U2
Questions regarding this inspection? Please call us at (661) 326 -3979
White — Prevention Services
usi s Site Responsible Pa
Pink - Business Copy
K13F -7335 FD 2156 (Rev. 09/05)