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4800 FAIRFAX ROAD (5)
CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT 2445 PREVENTION SERVICES DIVISION 2101 H STREET 661) 326 -3979 Location: You are hereby required to take the following action at the above location: 1CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED f I N€'c U A e14e%iOoh I LJ C Gc c gr-/C CZ ! . 7 tF Z% 1AST 9116- OAJ AAMICel / Completion Date for Corr tions: /—L7 / / Received by: QE -I N S OEcT'pv Res Inspector: Inspector Medina Initial /Al Date: 3265-3682 Desk Phone: (from 8:00am to 8:30am) KBF -9229 19; "b'"3 f * r f " 4'' CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT Z 4 4 0 PREVENTION SERVICES DIVISION "' 2101 H STREET 661) 326 -3979 RC'o Location: t x gaX, -7AI lel C >-73 0 You are hereby required to take the following action at the above location: CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED CA17-6X611 057-5,,h- C Ti7`7 GAT. ! L: T l n v 3) fa5r Du,,T- olu 2{ ,' a, Dames Completion Date for Correc ions: 4-v Received by: - - Inspector: WPSWav Modinotial 326 °2 Desk Phone: C14_1 ZE / by S ®Gli OrV Rea; Date: from 8:00am to 8:30am) KBF -9229 CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT PREVENTION 1501TRUXTN SERVICES DIVISION AVENUE 661) 326 -3979 Location: RJR !- -7:/ -- mil a- 9330& You are hereby required to take the following action at the above location; CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED i) A JE1 =0 41 C,v{i ;A,x"'q"f' J AA ;.-e AP.C. P. ct.n lrtG !lnn, /°+- i`7 -- .tA V u 1 Nl'c4 liJl / , P,4c,4/'P Z'; A0 -2 r.' >% < n r!, °-. OF n 4i Completion Date for Corrections: , J-/ J,2_1 /I Received by: Inspector: Ernie edina Initial: Date: l / 7 I_ ! Desk Phone: (661) 326 -3682 (from 8 :00am to 8:30am) CORRECTION NOTICE BA,KEli§FIELD FIRE D" EPARTMENT PREVENTION SERVICES DIVISION j 1501 TRUXTUN AVENUE J 661) 326-3979 Location: You are hereby required to take the following action at the above location; CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED A1V1Uo.--,)1 Completion Date for Corrections: Received b Inspector: Emie Medina Initial: = Date: Desk Phone: (661) 326-3682 (from 8:00ani to 8:30am) CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES DIVISION 1501 TRUXTUN AVENUE Q 0 7 19RC0 ( 6 326-39793979 Location: 0A -9 33 60 You are hereby required to take the following action at the above location; CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED A111-- << A %-'IA/ A 5, ;Z7 U s j Gu f' s CEf'7 `t' e a_ -i5 n Completion Date for Corrections: / 2-1 / In Received by: Y 1A v% Inspector: Emie Medina Initia (: Date: 15` / / if) 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: You are hereby required to take the following action at the above location; QCORRECT & CALL FOR REINSPECTION CORRECT & PROCEED L_ /alt ,% Completion Date for Corrections: Received by: Inspector: Ernie Medina Initial: Date: L "'P Desk Phone: (661) 326-3682 (from 8:00am to 8:30am) UNIFIED PROGRAM INSPECTION CHECKLISTI Q- 1i R S F I M __n FIRE ARTS/ SECTION 1: Business Plan and Inventory Program BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME ARCS INSPECTION DATE INSPECTION TIME a .cr) ", ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) b %QN Consent to Inspect Name /Title fy'V-VL (A'S 0--2 / 1 yV%b_% M4 kgev CFC: 505.1, BMC: 15.52.020) I v 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) Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) b %QN 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) IX VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) EMERGENCY PROCEDURES ADEQUATE CCR: 2731) CONTAINERS PROPERLY LABELED CCR: 66262.34(f), CFC: 2703.5) ir HOUSEKEEPING CFC: 304.1) FIRE PROTECTION CFC: 903 & 906) a"__ A41 2,1 SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2) V67— D'u ANY HAZARDOUS WASTE ON SITE? YES NO Signature ofReceipt Explain: L!7!— e'--5 L 'i U POST INSPECTION INSTRUCTIONS: - o Correct the violation(s) noted above by o Within 5 days ofcorrecting all of the violations, sign and return a copy of this page to: Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 White —Business Copy Yellow — Business Copy to be Sent in alter return to Compliance Sign ure that 11 violations have been corrected as noted) Date Pink — Prevention Services Copy FD2155 (Rev 61/10) C 2 0 _ALn 2-071 13119 Cbz 7-2Nl< KERN BUSINESS FORMS — (661) 325 -5818 — #6013 BAKERSFIELD FIRE DEPT. UNIFIED PROGRAM INSPECTION CHECKLIST JDAPrevention Services FIRE 2101 H Street RTN Bakersfield, CA 93301 SECTION 1: Business. Plan and Inventory Progra Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME COMMENTS or ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMrBBEERX2 6-r ©Aj rJ T Consent to Inspect Name /Title VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) V Section 1: Business Plan and Inventory Program ROUTINE COMBINED JOINT AGENCY MULTI- AGENCY COMPLAINT RE- INSPECTION C V C= Compliance OPERATION V= Violation COMMENTS or APPROPRIATE PERMIT ON HAND BMC: 15.65.080) Business PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1) 6-r ©Aj rJ T 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) g 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(g, CFC: 2703.5) 7. HOUSEKEEPING CFC: 304.1) FIRE PROTECTION CFC: 903 & 906) E'Jt'7E1Z 1n2 j=, %2C exl A-1 U 2$7 DO 0A.1 !U W2l 5eA & -1'Ce7 SITE DIAGRAWADEQUATE & ON HAND CCR: 2729.2) l/6T Oti.ST`F ANY HAZARDOUS WASTE ON SITE? YES NO Signature of Receipt Explain: A 2 Rulk v1 POST INSPEC7'IOty INS'FRUCI'IONS: 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 i tie White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Signa re that a violations have been corrected as noted) Date Pink — Prevention Services Copy FD2155 (Rev 6010) AI?CO FACILITY NAME: 'woo ! 2 " 9aA,45/z s ;-/ CA 9U-706 Section 2: Underground Storage Tanks Program Routine >X 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: /Z Complaint Re- Inspection OPERATION C V COMMENTS Proper tank data on file U 5T S. Proper owner / operator data on file Permit fees current Certification of Financial Responsibility N66V 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 al_ - BLWess Site Responsible Party Pink - Business Copy K3F -7335 FD 2156 (Rev. 09/05) oi a