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1200 COFFEE ROAD (6)
CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT 2462 PREVENTION SERVICES DIVISION 2101 H STREET 661) 326 -3979 Location: 26 21e;6W A 93-309 You are hereby required to take the following action at the above location: CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED l AJF ef e 2I/ 6157- 5 % c-n CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT 2462 PREVENTION SERVICES DIVISION 2101 H STREET 661) 326 -3979 Location: a2cr 'LeZ 9-?30$?' You are hereby required to take the following action at the above location: Ad CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED I AZE11-1, fU C 2 2/0 USi S c= ? /`/C2 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program BAKERSFIELD FIRE DEPT.' Prevention Services RL D RE 2101 H Street 7;A RTM T Bakersfield, CA 93301• Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPE TIO DATE INSPECTION TIME ADDRESS C' C f' 3 cr0. f?I . E'l PHONE NO. lob/ 5 -0 3 NO OF EMPLOYEES FACILITY CONTACT JBUSINESS ID NUMBER CCR: 2729.1) Consent to Inspect Name /Title 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: 2729.1) VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) CORRECT OCCUPANCY CBC:401) VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3) Apr 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) 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)' E SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? 1:1 YES ^NO Signature of Receipt Explain: POST INSPECTION INSIRUCI'IONS: C Correct the violation(s) noted above by Signature (that all violations have been corrected as noted) o Within 5 days orcorrectingg aallll of the violations, sign and return a copy ofthis page to: Bakersfield Fi uu i t Wes, 2101 H•Street, California 93301 Date White —Business Copy Yellow— Business Copy to be Sent in aller return to Compliance Pink — Prevention Service's Copy F1321 55 (Rev 600) I 03 y KERN BUSINESS FORMS —(661) 325-5818—#6013 1,4 ?;t©06 2- a- Z793 r UNIFIED PROGRAM INSPECTION CHECKLIST - "p RE! - a !--U fr RrM 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 V C= Compliance OPERATION INSPECTIO DATE INSPECTION TIME V= Violation ADDRESS e PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER I1, Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) Consent to Inspect Name /Title n Section 1: Business Plan and Inventory Program ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION C V C= Compliance OPERATION COMMENTS V= Violation e APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) I1, 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) LM Li VERIFICATION OF LOCATION (CCR: 2729.2) Ef— PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) v VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) lJ, EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) IJ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) HOUSEKEEPING (CFC: 304.1) A LJ. FIRE PROTECTION (CFC: 903 & 906) SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? YES ,[100 Signature of Receipt Explain: POST INSPECTION INSTRUCTIONS: Correct the violation(s) noted above by Within 5 days of correcting all ofthe violations, sign and return a copy of this page to: Bakersfield 1 vices, 2101 H Street, California 93301 W35- mm White — Business Copy Yellow — 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) FACILITY NAME: Section 2: Underground Storage Tanks Program 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: Routine Combined Joint Agency 11 Multi-Agency Complaint Re- Inspection Type o Ow r 5 Number of Tanks 31 Type of Monitoring CLpti Type of Piping Z2i,lc' OPERATION C V COMMENTS Proper tank data on file Proper owner / operator data on file Permit fees current 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 KNo 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: insp 1 or Medina Questions regarding this inspection? Please call us at (661) 326 -3979 K White — Prevention Services Business Site Responsible Parry Pink - Business Copy KBF -7335 . FD 2156 (Rev. 09/05)