HomeMy WebLinkAbout6201 LAKE MING AVENUECORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT
PREVENTION SERVICES DIVISION t
1501 TRUXTUN AVENUE"'
661) 326 -3979Rio0122L-0 G146J2c!AJ .
Location: 6,201 /_2 /Cs M., v AilG
93306,
You are hereby required to take the following action at the above location;
QCORRECT & CALL FOR REINSPECTION CORRECT & PROCEED
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Completion Date for Corrections: / °/ I / 0
Received by: T
Inspector: Ernie Medina Initial: Date: r) lam/ r
Desk Phone: (661) 326 -3682 (from 8 :00am to 8 :30am)
w-CORRECTION NOTICE.
BAKERSFIELD FIRE DEPARTMENT
PREVENTION SERVICES DIVISION
1501 TRUXTUN AVENUE
661) 326-3979
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Location:
You are hereby required to take the following action at the above location;
jqCORRECT & CALL FOR REINSPECTION CORRECT & PROCEED
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Completion Date for Corrections: $ F
Received by:
Inspector: Ernie Medina Initial: e Date:
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
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Location: 6 col L. 2x & dam' >,og AWL .
gl,5A5:7e,'61,5/ CA. 9330E
You are hereby required to take the following action at the above location;
CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED
Completion Date for Corrections:. R i IF / /t7
Received by: ---
Inspector: Ernie Medina Initial: Date:
Desk Phone: (661) 326 -3682 (from 8 :00am to 8 :30am)
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Completion Date for Corrections:. R i IF / /t7
Received by: ---
Inspector: Ernie Medina Initial: Date:
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
Location: e:: ._x. }: _
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:. R % 9 / lr)
Received by.
Inspector: Ernie Medina Initial: Date:
Desk Phone: (661) 326-3682 (from 8:00am to 8:30arn).
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
Prevention Services
BJDA R s , R, D 900 Truxtun Ave., Suite 210
IRS Bakersfield, CA 93301
R TM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BU INESS ID NUMBER
15 -021-
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED X JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C V p C= Compliance OPERATION1
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND
Business PLAN CONTACT INFORMATION ACCURATE
VISIBLE ADDRESS
A CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL
VERIFICATION OF MSDS AVAILABILITY
VERIFICATION OF HAZ MAT TRAINING M a %/F
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VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
EMERGENCY PROCEDURES ADEQUATE
CONTAINERS PROPERLY LABELED
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HOUSEKEEPING
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FIRE PROTECTION i46
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SITE DIAGRAM ADEQUATE R ON HAND
ANY HAZARDOUS WASTE ON SITE? YES rNO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please Print) Fire Prevention / 1" In / Shift ofSite /Station # Business Site / Responsible Party (Please Print)
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White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention ServicesJF
DA
R S F , a, . „ 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
Rr Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
K APPROPRIATE PERMIT ON HAND
p i
ADDRESS PHONE NO. NO OF EMPLOYEES
r °
VISIBLE ADDRESS
FACILITY CONTACT BUS NESS ID NUMBER
15 -021-
Section 1: Business Plan and Inventory Program
ROUTINE A COMBINED 'JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
K APPROPRIATE PERMIT ON HAND
BUSIneSS PLAN CONTACT INFORMATION ACCURATE
VISIBLE ADDRESS
CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL
VERIFICATION OF MSDS AVAILABILITY UpT Optl S C
VERIFICATION OF HAZ MAT TRAINING M IchcllE r s AA-7
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VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
EMERGENCY PROCEDURES ADEQUATE
CONTAINERS PROPERLY LABELED
XHOUSEKEEPING ii7 fNS,fa C p
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FIRE PROTECTION ifN f Uf'S 2r .- 57—,PUE ids
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SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
YES 1 YNCI
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station #
White — Prevention Services Yellow - Station Copy
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V %S'b,x
Business Site / Responsible Party (Please Print)
Pink — Business Copy FD 2155 (Rev. 09/05 `
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FACILITY NAME:
9296As T 41 64 9330
Section 2: Underground Storage Tanks Program
Routine Combined
Type o Tank _
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:
Complaint Re- Inspection
OPERATION C V COMMENTS
Proper tank data on file
Proper owner / operator data on file i_
Permit fees current
Certification of Financial Responsibility
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:
Questions regarding this inspection? Please call us at (661) 326 -3979
White — Prevention Services
Business Site Responsible Party '
Pink - Business Copy
K13F -7335 FD 2156 (Rev. 09/05)
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