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400 OLD RIVER ROAD (12)
CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT 1396 PREVENTION SERVICES DIVISION 2101 H STREET 661) 326 -3979 4-jpa - Location: C16Z-2 3a96; ;61C c,4 X731 You are hereby required to take the following action at the above location: CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED 1 J65d -7 U f> -7a a // (/sT S: ;,4- /71-22 Ptla T iN 7o2I-I27!O I/U7V 2-) /' /SSf /3t/SiN SS 2/V ' % 9 // dr2v- oZ y 6Ai s: O/ti Si c S17 C c9 2°' oa/ S MiSSi i C 2Ti C2j[= a i,y2i c.2/ Completion Date for Correctio s: Z; / Z% / 2- Received by- Inspector: Inspector Me ha Initial ` / Date: l / O/ /,;D- 326-3302 Desk Phone: from 8:00am to 8:30am) KBF -9229 i'y ?.-^.' tir . CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT 1 3 9 6 PREVENTION SERVICES DIVISION 2101 H STREET 6 1) 326 -3979 Location: i 73// You are hereby required to take the following action at the above location: CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED Al—VA-1 ll 4 l MISS //ti 5 c/<<'cs.a<•a'+ oti 5.=fcr O/ll 5,*7 2 i,/ s i'i ot/ of Completion Date for Corrections: 2-, / 217 Received by:' Inspector: inspsctw (t Z010a Initial Date Desk Phone: from 8:00am to 8:30am) KBF -9229 UNIFIED PROGRAM INSPECTION CHECKLIST' SECTION 1! Business Plan and .lnventory Program d e R s P t e t. a f /RE ARrM r BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME V INSPECTION DATE INSP TIME C` LS i` SD(1dJGcJ Sl' 1; 0 U'1 Wrz_ ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT C/ BUSINESS ID NUMBER VISIBLE ADDRESS a2 003 5-9 5 w_ nt to Inspect Name /Tit] , 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: 27291) CktJ r 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)) PC VERIFICATION OF HAZ MAT TRAINING CCR: 2732) AloT S.r7`'c l VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) LK EMERGENCY PROCEDURES ADEQUATE CCR: 2731) CONTAINERS PROPERLY LABELED/ (CCR: 66262.34(f), CFC: 2703.5) HOUSEKEEPING CFC: 304.1) FIRE PROTECTION CFC: 903 & 906) P< SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? EXYES NO Signature ofRec i`t Explain: 6-55 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 ofthis page to: Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 White —Business Copy Business Copy to be Sent in atier return to Compliance Signature (that all violations have been corrected as noted) Date Pink— Prevention Services Copy. FD2155 (Rev 6H10) KERN BUSINESS FORMS - (661) 325-5818-#6013 UNIFIED PROGRAM INSPECTION CHECKLIST JD A - R- S --_11. t= FIRE 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 v C= Compliance OPERATION INSPECTION DATE INSPECTION TIME V= Violation ADDRESS APPROPRIATE PERMIT ON HAND PHONE NO. NO OF EMPLOYEES FACILITY CONTACT 33 / Business PLAN CONTACT INFORMATION ACCURATE BUSINESS ID NUMBER 5 y Cogsant to Inspect Name /Title VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) CORRECT OCCUPANCY CBC: 401) t Section 1: Business Plan and Inventory Program ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION C v C= Compliance OPERATION COMMENTS V= Violation d 0, APPROPRIATE PERMIT ON HAND BMC: 15.65.080) 154 Business 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,SEGRFd6Tl0NOF MATERIAL CFC: 2704.1) b VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b)) VERIFICATION OF HAZ MAT TRAINING CCR: 2732) Qy VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) n' EMERGENCY PROCEDURES ADEQUATE CCR: 2731) CONTAINERS PROPERLY LABELED J / ( CCR: 66262.34(f), CFC: 2703.5) 51' HOUSEKEEPING CFC: 304.1) 0 E] FIRE PROTECTION CFC: 903 & 906) 0( SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ©;YES NO SipnatureofReceipt - Explain: POST INSPECTION INSTRUCTIONS: Correct the violation(s) noted above by Signature (that all violations have been corrected as noted) Within 5 days ofcorrecting all ofthe violations, sign and return a copy of this page to: Bakersfield Fir Dept ve L t S vices, 2101 H Street, California 93301 w 0; 0 ` 0 Date FD2155 Rev 6//10While - Business Copy el ow - usiness Copy b be Sent in alter return to Compliance Pink - Prevention Services Copy ) BAKERSFIELD FIRE DEPT. INSPECTIONS Prevention Services B AfS R 8 111 s n 1501 Truxtun Avenue, 1st Floor BUSINESS PLAN & wIRN Bakersfield, CA 93301 j O A T Tel.: (661) 326 -3979 INVENTORY PROGRAM L Fax: (661) 852 -2171 UNIFIED PROGRAM INSPECTION CHECKLIST Page I of I Mt2 Cy 14vsP1'h / S /,WC-57- FACILITY NAME: Y00 01Y 1 v INSPECTION DATE: 0 /-Z S E161 C4 C/ 33 11 Section 2: Underground Storage Tank Program Routine - Combined Joint Agency Multi- Agency Complaint Re- Inspection Type of Tank 'Qa(s1J Number of Tanks 2- Type of Monitoring Type of Piping — OPERATION C V COMMENTS Proper tank data on file Proper owner / operator data on file Permit fees current Certification of Financial Responsibility x 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 Tank 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: inspeeteii, Medina 326-3362 Questions regarding this inspection? Please call us at (661) 326 -3979 White — Prevention Services xe" 1 Business Site Responsib a Party Pink - Business Copy FD 2156 (Rev. 03/08)