HomeMy WebLinkAbout6450 WHITE LANE (7)CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT 2469
PREVENTION SERVICES DIVISION
2101 H STREET
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661) 326 -3979
Location:
e 14 93001
You are hereby required to take the following action at the above location:
d CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED
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Completion- Dat forCorrections
Received by:
Inspector: Initial Date:
326_x682
Desk Phone: from 8:00am to 8:30am)
KBF -9229
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CORRECTION NOTICE
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Completion Dat for Corrections:
Received by: : v V
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Inspector: Initial r``
f Date: ` / •'- /
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Desk Phone: 326°302 (from 8:00am to 8:30am)
KBF -9229
BAKERSFIELD FIRE DEPARTMENT 2469
PREVENTION SERVICES DIVISION
2101 H STREET
6r61) 326 -3979 f
Location: t':7
ig
You are hereby required to take the following action at the above location:
CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED
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Completion Dat for Corrections:
Received by: : v V
rte.•
Inspector: Initial r``
f Date: ` / •'- /
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Desk Phone: 326°302 (from 8:00am to 8:30am)
KBF -9229
JNIFIED PROGRAM INSPECTION CHECKLISI
SECTION 1: Business Plan and Inventory Program
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d I. R 51 I H L D
FIRE1D' ARTM T
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
COMMENTS
INSPECTION DATE INSPECTION TIME
BMC: 15.65.080)
IsJ. BUSIneSS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
ADDRESS
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
M
PHONE NO. NO OF EMPLOYEES
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
FACILITY CONTACT
CCR: 2729.4)
BUSINESS ID NUMBER
CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL CFC: 2704.1)
Consent to Inspe t Name /TitleLISA to-A f1A_-S
VERIFICATION OF MSDS AVAILABILITY
C-,IOL
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)
I sJ. BUSIneSS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
7 VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
M CORRECT OCCUPANCY
w
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)
l HOUSEKEEPING CFC: 304.1)
FIRE PROTECTION CFC: 903 & 906)
I SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES NO Signature of iLeiDt
Explain:
POST INSPECTION INSTRUCTIONS:
m Correct the violation(s) noted above by
O Within 5 days ofcorrecting all of the violations, sign and return a copy ofthis page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
White — Business Copy Yellow — Business Copy to be Sent in aaerreturn to Compliance
Signature (that all violations have been corrected as noted)
Date
Pink — Prevention Services Copy FD2)55 tRev &WO?
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1. Business Plan and Inventory Program
JHr: R S P 1 8 t. p
FIRE
D'ARTM . T
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
COMMENTS
ADDRESS PHONE NO.
j
NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
p^(
Business PLAN CONTACT INFORMATION ACCURATE
Consent to Inspe t Name /Title
L,I5 A nt S
Section 1: Business Plan and Inventory Program
ROUTINE `, COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C V C= Compliance OPERATION
V= Violation
COMMENTS
Di APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
I is Business PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1) 1 f
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
C CORRECT OCCUPANCY CBC:401)
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
0 VERIFICATION OF QUANTITIES CCR: 2729.4)
0. VERIFICATION OF LOCATION CCR: 2729.2)
El PROPER SEGREGATION OF MATERIAL CFC: 2704.1)
0
E! VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b))
fnp El VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) lA.
CIO EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
CONTAINERS PROPERLY LABELED
N/A (
CCR: 66262.34(f), CFC: 2703.5)
HOUSEKEEPING CFC: 304.1)
FIRE PROTECTION CFC: 903 & 906)
4 SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? El YES NO Signatuteol Receipt
4;
Explain:
POST 1NSPLC; I'IUN INS I RUC; I IONS:
Correct the violation(s) noted above by
Within 5 days ofcorrecting all ofthe violations, sign and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Signature (that all violations have been corrected as noted)
Date,
White — Business Copy Yellow — Business Copy to be Sent in atler return to Compliance Pink — Prevention Services Copy FD2155 (Rev 600)
A,
BAKERSFIELD FIRE DEPT.
NS P E C T O N S Prevention Services
E R S F I E L D 900 Truxtun Ave., Ste. 210
FIRE Bakersfield, CA 93301
BUSINESS PLAN DvPARTM T Tel.;, (661) 326 -3979
INVENTORY PROGRAM =:h Fax: (661) 852 -2171
UNIFIED PROGRAM INSPECTION CHECKLIST
Page 1 of 1
Mc o A ri f°
FACILITY NAME: i AC W INSPECTION DATE:
c
Section 2: Underground Storage Tanks Program f '
Routines Combined Joint Agency Multi- Agency Complaint Re- Inspection
Type of ank DfaJ % Number of Tanks
Type of Monitoring C `M Type of Piping b
OPERATION C V COMMENTS
Proper tank data on file
Proper owner / operator data on file
Permit fees current
Certification of Financial Responsibility
Monitoring record adequate and current O / O M -&N) fo/Z
Maintenance records adequate and current
Failure to correct prior UST violations I
L 1 UST $ f t-
Has there been an unauthorized release? Yes No GC-
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
r 4 t. l c A c tr Fo r I'
Inspector: CAN; 6 i''lE/1iA/z
l/
Business Site Responsible Party
Questions regarding this inspection? Please call us at (661) 326 -3979
White — Prevention Services Pink - Business Copy
K13F -7335 FD 2156 (Rev. 09/05)
41