HomeMy WebLinkAbout1129 UNION AVENUE (6)CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT 1361
PREVENTION SERVICES DIVISION
2101 H STREET
661) 326 -3979
Location: UfU e
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: 12'
Received by: ga_
Inspector: Inspector Madina Initial Date:
326 -3682
Desk Phone: from 8:00am to 8:30am)
KBF -9229
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CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT
PREVENTION SERVICES DIVISION
2101 H STREET
661) 326 -3979
Location: UfUi
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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:
Inspector: af SK9 GnP rMv CJuWI Initial `
Desk Phone:
Date:
from 8:00am to 8:30am)
KBF -9229
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Completion Date for Corrections:
Received by:
Inspector: af SK9 GnP rMv CJuWI Initial `
Desk Phone:
Date:
from 8:00am to 8:30am)
KBF -9229
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1:. Business Plan and Inventory Program
B- E R S F 14i L_D
FIRE
ART, r
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE IN_ SPECTION TIME
COMMENTS
APPROPRIATE PERMIT ON HAND
ADDRESS PHONE NO. NO OF EMPLOYEES
Business PLAN CONTACT INFORMATION ACCURATE (CCR` 2729.1)
FACILITY CONTACT BUSINESS ID NUMBER
Q — 21
Consent to Inspect Name /Title
E G-'N 1GS s o 11 wSt.Lv L'z M A N
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) FQ
Business PLAN CONTACT INFORMATION ACCURATE (CCR` 2729.1)
VISIBLEADDRESS 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)
Iii VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES . (CCR: 2731(c))
41 11 EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
CONTAINERS PROPERLY LABELED CCR: 66262.34(f), CFC: 2703.5)
HOUSEKEEPING CFC: 304.1)
FIRE PROTECTION. CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES -NO Signature of Receipt
U.
Explain:
POST INSPECTION INSTRUCTIONS:
Correct the violation(s) noted above by
Within 5 days ofcorrecting all ofthe violations, sign and return .a copy of this page to:
Bakersfield Fire De t., Prevent]' ces, 2101 H Street; California 93301OrreSP1Mona
Signature (that all violations have been corrected as noted)
Date
White —Business Copy Ye ow = usiness Copy to be Sent inafter return to Compliance Pink — Prevention Services Copy - FD2155 (Rev 6/ /10)
B_ '__H.RS_F_I,I- LuUNIFIEDPROGRAMINSPECTIONCHECKLISTF/
F
E,pa a rM r
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
i
C= Compliance OPERATION
V= Violation
INSPECTION DATE INSPECTION TIME
APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
ADDRESS
AV
PHONE NO NO OF EMPLOYEES
VISIBLE ADDRESS
OitJ
FACILITY CONTACT
CBC: 401)
BUSINESS ID NUMBER
VERIFICATION OF INVENTORY MATERIALS
C-_ 2 /
Consent to Inspect Name /Title i
C'Xwt- f.sQ VINsti„ :z
Section 1: Business Plan and Inventory Program
ROUTINE ( COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
1
C v i
C= Compliance OPERATION
V= Violation
COMMENTS
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)
CORRECT OCCUPANCY CBC: 401)
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3) I
le, 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)) Perr
W VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
y< 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)
I SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES Qt NO Signature of Receipt
Explain:
POST INSPECTION INSTRUCTIONS:
Correct the violation(s) noted above by
Within 5 days ofcorrecting all ofthe violations, sign and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Jam, °Ua'a WY ooC 1
White — Business Copy 118Q `Business Copy to be Sent in alter return to Compliance
Signature (that all violations have been corrected as noted)
Date
Pink — Prevention Services Copy FD2155 (Rev 6//10)
BAKERSFIELD FIRE DEPT.
INSPECTIONS
BUSINESS PLAN &
INVENTORY PROGRAM
UNIFIED PROGRAM INSPECTION CHECKLIST
60 j/[Ji /L%"N% IL 82 i
FACILITY NAME: .2 N c%
Section 2: Underground Storage Tank Program
B =
Prevention Services
Pl 1501 Truxtun Avenue, ls Floor
Rt Bakersfield, CA 93301
O ARTAI T Tel.: (661) 326 -3979
Fax: (661) 852 -2171
Page 1 of 1
INSPECTION DATE: // 2/
Routine Combined J int Agency Multi Agency Complaint Re- Inspection
Type of Tank D(4) /- Number of Tanks
Type of Monitoring Type of Piping G!—
OPERATION C V COMMENTS
Proper tank data on file
Proper owner / operator data on file jC
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 FN,
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 ?)
It yes, does tank have overfill / overspill protection?
C = Compliance V = Violation Y = Yes N = No
Inspector: 'ispec nr 2_n'n
326-3092
Questions regarding this inspection? Please call us at (661) 326 -3979
White — Prevention Services
61y I-
Business Site Responsible Party
Pink - Business Copy
FD 2156 (Rev. 03/08)