HomeMy WebLinkAbout5201 WHITE LANE (5)CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT 2465
PREVENTION SERVICES DIVISION
2101 H STREET
661) 326 -3979
Location: O 604,1,Ae GN -
3//15 ice/ L'd 330 • . .. - - ..
You are hereby required to take the following action at the above location:
CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED
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619 - 2010 OAJ siY
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Completion Date for Corrections: 9 / 2G/
Received by:
Inspector: 6nyector Medina Initial bate:-
326 -3632 -
Desk Phone: (from 8 :00am to 8 :304rri)-
KBF -9229
CORRE N NOTICETI
BAKERSFIELD FIRE DEPARTMENT 2465
PREVENTION SERVICES DIVISION
2101 H STREET
661) 326-3979
Location:
You are hereby required to take the following action at the above location:
W' CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED
J
Lj P -,e
7 Ave,-:
Completion Date for Corrections:
Received by:
Inspector: Onspa=r Madne Initial Date:
323-SM
Desk Phone: from 8:00am to 8:30am)
KBF-9229
UNIFIED PROGRAM INSPECTION' CHECKLIST
SECTION 1: Business Plan and Inventory Program
BAKERSFIELD FIRE DEPT.
Prevention Services
RE 2101 H StreetF / _
ARTM NNNr Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPE TION DATE INSPECTION TIME
6 Sa 2k %A 2 2Lf A130 pt-1 . .
ADDRESS. PHONE NO.
6,61 - igW
NO OF EMPLOYEES
FACILITY CONTACT t BUSINESS ID NUMBER
021- 0036-39,
Consent to Inspect Name /Title
Section 1: Business Plan and Inventory Program..
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT El. RE- INSPECTION
C v c C= Compliance OPERATION COMMENTS -
V= Violation
APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
is US /NBUSIIIeSSPLANCONTACTINFORMATIONACCURATECCR: 2729.1)
l
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)
X VERIFICATION OF LOCATION CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL CFC: 2704.1)
X 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)
HOUSEKEEPING CFC: 304.1)
FIRE PROTECTION CFC: 903 & 906)
X SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2) r
ANY HAZARDOUS WASTE ON SITE? YES NO Signature ofReceipt .
Explain:
rOS C INS MU I ION INN 1'KUC;'1'1ONS: .
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
v/
2101 H Street, California 93301
c726 ' o - 0
White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance
Sleaturc (that all violations have bean - corrected as noted)
Date _
Pink - Prevention Services Copy •` FD2155 (Rev 61110)
9
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i.
625 'C; —/C_ 6,12110 KERN BUSINESS FORMS— (661)325- 5818— #6013
UNIFIED PROGRAM INSPECTION CHECKLISTS = -R S I E ' ="
F/IPE
ARTM T
SECTION 1: Business Plan and Inventory Program Ul
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -397.9
Fax: (661) 852 -2171
FACILITY NAME /
v
INSPECTION` DATE INSPECTION TIME
e-5 0.r S t/Q '!wjiG? "7"` G ' 7 ,d: >
t 6f t F"' t
ADDRESS PHONE NO. NO OF EMPLOYEES
APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
FACILITY CONTACT
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
BUSINESS ID NUMBER
Consent to Inspect Name /Title
r /A
VISIBLE ADDRESS _ CFC: 505.1, BMC: 15.52.020)
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v C= Compliance OPERATION COMMENTS
V= Violation
APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
A\ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) r /A
VISIBLE ADDRESS _ CFC: 505.1, BMC: 15.52.020) 0,*
CORRECT OCCUPANCY CBC: 401)
ua 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))
E`< VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
0. EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
CONTAINERS PROPERLY LABELED J CCR: 66262.34(f), CFC: 2703.5)
0` HOUSEKEEPING CFC: 304.1)
r{ FIRE PROTECTION CFC: 903 & 906)
11 i]l
r
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES Y NO SienatureofReeeipt .' y
Explain:
POST INSPECTION INSTRUCTIONS:
Correct the violation(s) noted above by
Within 5 days o correcting all of the violations, sign and return a copy of this page to:
Bakersfield Fir wl°Sf ls, 2101 H Street, California 93301
32& 'oe
White — Business Copy Yellow — Business Copyto be Sent in after retum to Compliance
Signature (that all violations•have been corrected as noted)
Pink — Prevention S iviJes Copy i I'D2155 (Rev 6H10)
R
FACILITY NAME: 620 X;1 AJ
331ea5 / 014 9330?
Section 2: Underground Storage Tanks Program
Routine ( Combined
Type of Tank _
Type of Monitoring _
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:
Joint Agency Multi- Agency Complaint Re- Inspection
Number of Tanks /
Type of Piping
OPERATION C V COMMENTS
Proper tank data on file
Proper owner / operator data on file R
Permit fees current
Certification of Financial Responsibility r
Monitoring record adequate and current X1 15:5 20/0 M rte, o C i2%•
Maintenance records adequate and current
Failure to correct prior UST violations Y
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: inspector Medina
32 &3382
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)