HomeMy WebLinkAbout6009 COFFEE ROAD (7)CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT
PREVENTION SERVICES DIVISION w
1501 TRUXTUN AVENUE: '
661) 326 -3979
Location: C co,c
3 a le- E' /,>s-/-iG/ C4 g 33/Z
You are hereby required to take the following action at the above location;
CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED
3) yL E/EciRi Ex rrrvs,'a
UST
Completion Date for Corrections: 61 v
Received
Inspector: Ernie Medina Initial: % Date: /0/ 2///0
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:k /i.
You are hereby required to take the following action at the above location;
CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED
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N
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Completion Date for Corrections:
Received by:
Inspector: Ernie Medina Initial: Date:
Desk Phone: (661) 326-3682 (from 8.00am to 8.30am)
11,2910 :fill
SECTION 1: Business Plan and Inventory Program
B _ _E —R_ S P _ I_ 11-1 L. U
FIRE
ARTM J T.
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
V c C= Compliance) OPERATION
V= Violation
INSPECTION DATE INSPECTION TIME
X
Cot/
APPROPRIATE PERMIT ON HAND
CALI j o 9 :00 Zwt
ADDRESS
BUSI11eSS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
PHONE NO. NO OF EMPLOYEES
VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
I5 - G Zr 0 0
FACILITY CONTACT
CORRECT OCCUPANCY CBC: 401)
BUSINESS ID NUMBER
t1LrV
CCR: 2729.3)
i
Consent to Inspect Name /Title
j
VERIFICATION OF QUANTITIES CCR: 2729.4)
VERIFICATION OF LOCATION
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
X APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
BUSI11eSS 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 CCR: 66262.34(f), CFC: 2703.5) r rj/ SS- Ql eTLr.6
X HOUSEKEEPING CFC: 304.1) Oyt
cM
FIRE PROTECTION CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES KNO Si na r of cei t
Explain:
M 2 A '# CA/ 00033 G Y,;-
MUST INSYLC'1'ION INS RUC 7IONS:
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 'DDeept.,, Prevention Services, 2101 H Street, California 93301
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 FD2155 (Rev 6//10)
KERN BUSINESS FORMS- (661)325- 5818 - #6013 Ca/ czo73 67 Y a'
I
BAKERSFIELD FIRE DEPT.
E Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST " S 1'' - L ° 2101 H Street
ARTM r Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
v
INSPECTION DATE INSPECTION TIME
C Oviv r%la/O 9 -00 0-P-1
ADDRESS PHONE NO. NO OF EMPLOYEES
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
l5 -62- 10 Ip
FACILITY CONTACT
CFC: 505.1, BMC: 15.52.020)
BUSINESS ID NUMBER
L1
VAN
CORRECT OCCUPANCY CBC: 401)
Consent to Inspect Name/Title
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
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)
L1 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)
JAI, HOUSEKEEPING CFC: 304.1) ErM01/ I TL NS ON
20tH
FIRE PROTECTION CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES NO Si na r ofRecei t
Explain:
EGAD CAI 00033(o y95-
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
rNSCcTr,/A/ 6XIW " CDirU2
While - BusinessCopy Yellow- Business Copy to be Sent in after return to Compliance
Signature (that all violations have been corrected as noted)
Date
Pink — Prevention Services Copy FD2155 (Rev 61/10)
13; j COUAJ h1_1y
FACILITY NAME: 6 009 C_e
3alce72 5A;gE l CA 93-31 z
Section 2: Underground Storage Tanks Program
Routine Combined
Type of 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: _10-Al !/ o
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 vl SST
Monitoring record adequate and current Nr r./ ,26V%J6 N1 oN
Maintenance records adequate and current
Failure to correct prior UST violations
Has there been an unauthorized release? Yes T&O
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: 6bV & 1160%/ir2
Questions regarding this inspection? Please call us at (661) 326 -3979
White — Prevention Services
Business Site Responsible Party
Pink - Business Copy
KBF -7335 FD 2156 (Rev. 09/05)