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13004 STOCKDALE HWY (10)
CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES DIVISION 1. 1501 TRUXTUN AVENUE'. 661) 326 -3979 C41—vA0/Ll Location: 1 2 vr? 57-D /e-~ ea 41: A2S IC, C4 You are hereby required to take the following action at the above location; CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED a Completion .Date for Corrections: 9 4-/ / / 1 Received 15y: _ > -1- , /? Inspector: Ernie Medina Initial:°_ Date: Desk Phone: (661) 326 -3682 (from 8 :00am to 8:30am) S AJ n2 /III i.S BG .SC-rr q ;-77,967 Completion .Date for Corrections: 9 4-/ / / 1 Received 15y: _ > -1- , /? Inspector: Ernie Medina Initial:°_ Date: Desk Phone: (661) 326 -3682 (from 8 :00am to 8:30am) CORRECTION NOTICE BAI<ERSFIELD 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; CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED 9 ) A W -f -- - / 1 -1 7, i05 11 ; <-/,' Cr e 7— C,.25 e", /tk -414 7z 76 /4i7- AF;s L./ Completion Date for Corrections: Y Received by Inspector: Emie Medina Initial: Date: Desk Phone: (661) 326-3682 (from 8:00am, to 8:30am) V7, 5 9 ) A W -f -- - / 1 -1 7, i05 11 ; <-/,' Cr e 7— C,.25 e", /tk -414 7z 76 /4i7- AF;s L./ Completion Date for Corrections: Y Received by Inspector: Emie Medina Initial: Date: Desk Phone: (661) 326-3682 (from 8:00am, to 8:30am) Z of 2— CORRECTION NOTICE BAKERSFIELD FIRE D'. EPARTMENT PREVENTION SERVICES DIVISION n 1501 TRUXTUN AVENUE ' ` = 2 661) 32¢ -3979 Location: 130001 570cXeD94F Awy_ CA 91331--2 You are hereby required to take the following action at the above location;, CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED P2,J61 4a2 AeeCSS . iAl 82c Rog," Completion Date -fbr Corrections: Q/ L/ Received by:' Inspector: Ernie Medina Initial: Date- 3 Desk.Phone: (661) 326 -3682 (from 8:00am to 8:30am) Z- CORRECTION NOTICE BA,KE,RSFIE,LD FIRE DEPARTMENT PREVENTION SERVICES DIVISION 4: 1501 TR,UXTUN AVENUE 661) 326-3979 Location: 1 CVV rA 933/--' You are hereby required to take the following action at the above location; OCORRECT & CALL FOR REINSPECTION OCORRECT & PROCEED CC- CI 6if` F,, 9C6Z6;A 27 lacc 4-' e7,,,7' 0,, 6--;r; 7' S;-j/L/ 4,- S. CXV /5 A&)7- Completion Date for Corrections: Received by: Inspector: Ernie Medina Initial: Date: -3: Desk Phone: (661) 326-3682 (from 8:00am to 8:30am) UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program O a L o FIRE T BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME Ckcweow COMMENTS ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT _ 1933 12, BUSINESS ID NUMBER 1 V 1 o s--o:21— Consent to Inspect Name /Title Section 1: Business Plan and Inventory Program ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION C V Q C= Compliance) OPERATION V= Violation COMMENTS APPROPRIATE PERMIT ON HAND BMC: 15.65.080) Business PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1) ir 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) VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) EMERGENCY PROCEDURES ADEQUATE CCR: 2731) CONTAINERS PROPERLY LABUED (CCR: 66262.34(f), CFC: 2703.5) HOUSEKEEPING (CFC: 304.1) N Fei 7.& ClEZ224,C_'e—_ LGGZi 'i 2 P21 U/S l'Ad FIRE PROTECTION CFC: 903 & 906) N /ne 7t %!r JVits a7- SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? YES XNO SipnatureofReceipt Explain: POST INSPECTION INSTRUCTIONS: Correct the violation(s) noted above by Within 5 days of correcting all of the violations, sign and return a copy ofthis page to: Bakersfield Fire Dept., Prevention Services, 2101 FI Street, California 93301 Tit15 ©e y e ce-Iotlle M6;0b '_ White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Signature (that all vto a I ve een corrected as noted) Date Pink — Prevention Services Copy FD2155 (Rev 6/ /10) Sg -1 KERN BUSINESS FORMS - (661) 325 -5818 - M6013 R UNIFIED PROGRAM INSPECTION CHECKLIST VR 5 3 F /RE aR FM T 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 INSPECTION DATE INSPECTION TIME 3r-) 16u/z /L/ IJy 313111 a " ADDRESS PHONE NO. NO OF EMPLOYEES Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) FACILITY CONTACT y3 12 BUSINESS ID NUMBER r-D CORRECT OCCUPANCY CBC:401) Consent to Inspect Name /Title VERIFICATION OF INVENTORY MATERIALS Section 1: Business. Plan and Inventory Program ROUTINE - < COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS IJy 1:1. 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) 57-K 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)) a VERIFICATION OF HAZ MAT TRAINING CCR: 2732) C1' VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) m%- EMERGENCY PROCEDURES ADEQUATE CCR: 2731) CONTAINERS PROPERLY LA E D CCR: 66262.34(f), CFC: 2703.5) HOUSEKEEPING CFC: 304.1) Cel l C -- l( FIRE PROTECTION CFC: 903 & 906) 2S `S 9 0 SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? YES KNO Signature of'Reccipt Explain: POST INSPECTION INSTRUCTIONS: 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 r White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Signature (that all violastion`have been corrected as noted) Date Pink — Prevention Services Copy FD2155 (Rev 6//10) Jln.. J _ - ,_,_ _ ._ . -.. , . . i _,v - - ,-- FACILITY NAME: 1300 d4Ca. .ZfC 1&Vy c3 CA- g 3312 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 )C Combined Joint Agency Multi- Agency Complaint Re- Inspection Type of Tank pw S Cc_ Number of Tanks C Type of Monitoring Type of Piping D GcJ OPERATION C V COMMENTS Proper tank data on file Proper owner / operator data on file Permit fees current Certification of Financial Responsibility d . E 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: eew ' /r(f2 Questions regarding this inspection? Please call us at (661) 326 -3979 White — Prevention Services KBF -7335 Business Site Responsi6TLrParty Pink - Business Copy FD 2156 (Rev. 09105)