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BAKERSFIELD FIRE DEPARTMENT 2426
PREVENTION SERVICES DIVISION
2101 H STREET
661) 326 -3979
DUE
Location: Y o2 5• CGl s'P.
93309
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:
Received by: !rl y'l AA y
Inspector:
Desk Phone:
Initial
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Date:
from 8:00am to 8:30am)
KBF -9229
CORRECTION
BAKERSFIELD FIRE DEPARTMENT 2426
PREVENTION SERVICES DIVISION
2101 H STREET
X (661) 326 -3979
Location: Yo2 5. CG1z--5 6-,2
93-30c/
You are hereby required to take the following action at the above location:
C CORRECT & CALL FOR REINSPECTII ON ® CORRECT & PROCEED
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Completion Date for Corrections:
Received b F` '1 INY ,.
Inspector:
Desk Phone:
Initial Date:
from 8:OOam to 8:30am)
KBF -9229
CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT
PREVENTION SERVICES DIVISION *
1501 TRUXTUN AVENUE -
661) 326 -3979
Location: 4162 S. 0111,' s7.1.;T
3 r -ZclZ 5 ' i CA 9.? 3
You are hereby required to take the following action at the above location;
CORRECT& CALL FOR REINSPECTION OCORRECT & PROCEED
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Completion Dat for C23 l
Received by:
r
Inspector: Ernie Medina Initial: . rj" Date: ' I I in
Desk Phone: (661) 326 -3682 (from 8:00am to 8 :30am)
CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT
PREVENTION SERVICES DIVISION
Jy a1501TRUXTUNAVENUE
661) 326 -3979
Location:
You are hereby required to take the following action at the above location;
CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED
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Completion Dat for Corrections: —LI / /r
f'
Received
Inspector: Ernie Medina Initial: a Date: ) I I f,
Desk Phone: (661) 326 -3682 (from 8:00am to 8 :30am)
UNIFlED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
Prevention Services
A ,a E R 5 F , ,- . r, 900 Truxtun Ave., Suite 210
9/9
FIRE Bakersfield, CA 93301
PHONE NO.
1,/ - 9
Tel.: (661) 326 -3979
FACILITY CONTACT X33
Fax: (661) 872 -2171
FACILITY NAME INSPECTION DATE
r
INSPECTION TIME
ab; 9/9 b 0
ADDRESS
6A
PHONE NO.
1,/ - 9
NO OF EMPLOYEES
FACILITY CONTACT X33 BUSIN SS ID NUMBER
7 15 -021 -
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
Business PLAN CONTACT INFORMATION ACCURATE
A VISIBLE ADDRESS
mil. CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL
79 VERIFICATION OF MSDS AVAILABILITY iJOr ON S r
VERIFICATION OF HAZ MAT TRAINING
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
EMERGENCY PROCEDURES ADEQUATE
CONTAINERS PROPERLY LABELED
X HOUSEKEEPING Co 2 %j®%J1c_r
FIRE PROTECTION
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
YES XNO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Tire Prevention / 1" In / Shift of Site /Station #
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
FACILITY NAME
Prevention Services
R A. r? R S F I r:' „ 900 Truxtun Ave., Suite 210
F1 E Bakersfield, CA 93301
7ARTH Tel.: (661) 326 -3979
Fax: 872
NO OF EMPLOYEES
661) -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
COMMENTS
9 00 9, --7
ADDRESS PHONE NO. NO OF EMPLOYEES
o/ -
FACILITY CONTACT 33 BUSINESS ID NUMBER
VISIBLE ADDRESS
15 -021-
fZ
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
APPROPRIATE PERMIT ON HAND
Business PLAN CONTACT INFORMATION ACCURATE
A VISIBLE ADDRESS i s5i,y /V /G/ %.v ZWW-C-.S5 AJUAI
fZ CORRECT OCCUPANCY,
I' VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL
VERIFICATION OF MSDS AVAILABILITY NOT 0A1 S,
VERIFICATION OF HAZ MAT TRAINING
r
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
O' EMERGENCY PROCEDURES ADEQUATE
CONTAINERS PROPERLY LABELED
HOUSEKEEPING Co 2 13®/7765 /1 ZF`
9 FIRE PROTECTION
EY
r
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? YES (NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
e R4iC iMg_n74 /g. stInspector (Please Print) Fire Prevention / 1 In / Shift of Site /Station # Business Site / R6sponsible Party (Please Print)
i
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05
e
B E R S F I E L D
FIRE
dNYN T
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
0/ic—
FACILITY NAME: 02 INSPECTION DATE: % 91/0
r3aicfo? 5vgev CA 933cxvSection2: Underground Storage Tanks Program
Routine Combined Joint Agency Multi- Agency Complaint Re- Inspection
Type o Tank D1_j f Number of Tanks Z
Type of Monitoring 'LwC6N Type of Piping
OPERATION C V COMMENTS
Proper tank data on file
Proper owner / operator data on file x
Permit fees current x
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: EeAJI Z-7 / -I&OI /2
Questions regarding this inspection? Please call us at (661) 326 -3979
White – Prevention Services
Business S e esponsible Party
Pink - Business Copy
KBF -7335 FD 2156 (Rev. 09/05)