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5401 STOCKDALE HWY (9)
CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT 2403 PREVENTION SERVICES DIVISION 2101 H STREET 661) 326 -3979 57Tac/e 024F Mo6,'1 -Ar2. Location: / © SToG l L 2 / /-cox You are hereby required to take the following action at the above location: 7' CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED l) &-/i3/1 A4) U5Y- •' '6<- 16 9,Z /127— oeg' d C1EZ2 2 ,uc c- e'-T 671cc i l 02 i4CG675S ; J M;sSiN Fi/G Cxii yiSGJE2 2T was is /z. b/ 5 i dV iNG i'C2TJ i`IL YTiitlgtJiS %NS!c Completion Date for Corrections: -/ / 346 / ) Received by: Inspector: Initial CIL1 Date: /30 / 0) 3263682 Desk Phone: from 8:00am to 8:30am) KBF -9229 r; s` r.a . r. . CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT 2483 PREVENTION SERVICES DIVISION 2101 H STREET 661) 326-3979 Location: You are hereby required to take the following action at the above location: Ul' CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED Completion Date for Corrections: Received 1:5y--. Inspector: Initial Date: Desk Phone: (from 8:00am to 8:30am) KBF-9229 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and. Inventory Program R SS 1:_D FIRE ARTM T BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPE TION DATE INSPECTION TIME COMMENTS 0I1 . 2;.1- qA ADDRESS PHONE NO. NO OF EMPLOYEES bI c 2 , /59/ 32-9929 E] FACILITY CONTACT 9? -30? BUSINESS ID NUMBER Consent to Inspect Name /Title CBC: 401) Section 1: Business Plan and Inventory Program. ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION c V c C= Compliance O P E RATION V= Violation COMMENTS APPROPRIATE PERMIT ON HAND BMC: 15.65.080) BusineSS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) E] VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020) CORRECT OCCUPANCY CBC: 401) f" 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)4 HOUSEKEEPING . CFC: 304.1) J FIRE PROTECTION CFC: 903 8 906) SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? El YES, i NO SilInature of Receipt Explain: POST INSPECTION INSTRUCTIONS: 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 Fi QMJ s, 2101 H Street, California 93301 Signature (that all violations have been corrected as noted) Date White —Business Copy ' Yellow — Business Copy to be Sent inaver return to Compliance Pink — Prevention Services Copy ' FD2155 (Rev 6//111) r L:F. . KERN BUSINESS FORMS- (661)325 -5816 -X6013 UNIFIED PROGRAM INSPECTION CHECKLIST R_S FIRE ARTM T SECTION 1: Business Plan and Inventory Program Z i 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 Cls APPROPRIATE PERMIT ON HAND BMC: 15.65.080) ADDRESS Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) PHONE NO. NO OF EMPLOYEES FACILITY CONTACT L 3Oc, CFC: 505.1, BMC: 15.52.020) BUSINESS ID NUMBER X, CORRECT OCCUPANCY V ) - t V1 " ! /r! 5-919 ponsent to Inspect Name /Title 7 / /-A 0 r' r` A 1 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 Cls 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) X, 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) ID. VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b)) J6'e 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) n, HOUSEKEEPING CFC: 304.1) FIRE PROTECTION CFC: 903 &906) r'" `; " rr «' • t.• +,',r :; SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? YES 231 NO Signature of Receipt Explain: i POST INSPECTION INSTRUCTIONS: Correct the violation(s) noted above by Within 5 days of correcting all of the violations, sign and return a copy ofthis page to: Bakersfield F4fi Ipj&f LjPt0_Nft, 2101 H Street, California 93301 ma o = 2 Signature (that all violations have been corrected as noted) Date White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy PD2155 (Rev 6H10) 4-.. BAKERSFIELD FIRE DEPT. INSPECTIONS BUSINESS PLAN & INVENTORY PROGRAM UNIFIED PROGRAM INSPECTION CHECKLIST i%DG /D2I "o,. % 2 FACILITY NAME: 54W 1>_- / 0 MAW C 83309 Section 2: Underground Storage Tank Program INSPECTION DATE: 8_4 0 // / Routine f4 Combined Joint Agency Multi-Agency Complaint Re- Inspection Type of Tank Uta1 -SC_ Number of Tanks 3 ` Type of Monitoring 0 1 Type of Piping 0 {Ai x I t_ OPERATION Prevention Services a = s s a 1501 Truxtun Avenue, lg Floor Rt Bakersfield, CA 93301 D A`/ 1 Tel.: (661) 326 -3979 Proper owner / operator data on file Fax: (661) 852 -2171 Pagelofl INSPECTION DATE: 8_4 0 // / Routine f4 Combined Joint Agency Multi-Agency Complaint Re- Inspection Type of Tank Uta1 -SC_ Number of Tanks 3 ` Type of Monitoring 0 1 Type of Piping 0 {Ai xI t_ OPERATION C V COMMENTS Proper tank data on file Proper owner / operator data on file x Permit fees current Certification of Financial Responsibility Monitoring record adequate and current M s5 / N'0"iV- 0/1'Ajgy' Q /Zw DA/ S Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes A No Section 3: Aboveground Storage Tank Program Tank Size(s) Aggregate Capacity Type of Tank 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: A@pdovMains 326 °3382 Questions regarding this inspection? Please call us at (661) 326 -3979 White — Prevention Services 6 - '-- , Z' ) siness Site Responsibl rty Pink - Business Copy FD 2156 (Rev. 03/08) c