HomeMy WebLinkAbout1416 GOLDEN STATE HWYBAKERSFIELD FIRE DEPARTMENT 1-423
PREVENTION SERVICES DIVISION
2101 H STREET
661) 326 -3979
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Location: A/ // 64-16ti S%% / t i'`
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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( : 3 / / Z-
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Inspector: InspeCtOP Miedins Initial Date: -3
326 -3382
Desk Phone: from 8:00am to 8:30am)
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BAKERSFIELD FIRE DEPARTMENT 1423
PREVENTION SERVICES DIVISION
2101 H STREET
661) 326 -3979
Location: jt %/ C t t.' 57,?7r A
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
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Inspector: InsNc$®y Medina Initial E" /
326 °3382
Desk Phone:
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BAKERSFIELD FIRE DEPARTMENT 1391
PREVENTION SERVICES DIVISION
2101 H STREET
661) 326 -3979
Location: l y/6 G o/ ov s7-21
SOk R5 ;e/ CA 933
You are hereby required to take the following action at the above location:
in CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED
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Completion Date for Corrections:
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Inspector: '7 Ni d`'P l%/U Initial
Desk Phone: 6, f) 2—
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from 8:00am to 8; 30am)
KBF -9229
BAKERSFIELD FIRE DEPARTMENT
PREVENTION SERVICES DIVISION`
2101 H STREET
661) 326 -3979
Location:
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You are hereby required to take the following action at the above location:
W CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED
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Completion Datfqr Corrections: / / 0
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Inspector: 1kli ` G"(i/Uv Initialer Date: /_L2 / / Z--
Desk Phone: &(,1) 32-6 ` 3 (,,:? 2- (from 8:00am to 8:30am)
KBF -9229
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BAKERSFIELD FIRE DEPARTMENT 2452
PREVENTION SERVICES DIVISION
r 2101 H STREET
661) 326 -3979
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Location:
Yo are hereby required to take the following action at the above location: Yo
CALL FOR REINSPECTION ® CORRECT & PROCEED
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Completion Date for Corrections:
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InspWorr Medina 6 / / Inspector: Initial % Date:
Desk Phone: (from 8:00am to 8:30am)
KBF -9229
BAKERSFIELD FIRE DEPARTMENT 2452
PREVENTION SERVICES DIVISION
2101 H STREET
661) 326 -3979
Location: f t1'• /e fI t/G
IV CA 9 33
Yo are hereby required to take the following action at the above location: VCORRECT & CALL FOR REINSPECTION ® CORRECT & PROCEED
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Completion Date for Corrections: ?
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Inspector: OfigPeC$W Fr.-WO M Initial Date:
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Desk Phone: (from 8:OOam to 8:30am)
KBF -9229
UNIFIED) PROGRAM iNSF"F(_;1lON (;H C;KI ITT
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S E C T OO N 1 Business f "ial l and Inventoryy Plog I I
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BAKERSFIELD FIDE DEPT.
Prevention Services
2101 H Street -
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
C= Compliance OPERATION
V= Violation
INSPECTION DATE INSPECTION TIME
APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
ADDRESS
Business PLAN CONTACT INFORMATION ACCURATE
PHONE NO. NO OF EMPLOYEES
U jC—/
FACILITY CONTACT C Y%J BUSINESS ID NUMBER
VERIFICATION OF INVENTORY MATERIALS
o/5 = 0.2 19'2-
Consent to Inspect Name/Title
VERIFICATION OF QUANTITIES CCR: 2729.4)
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Section 'I: 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)
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)
P\ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) Aio7 26IE GaC O/v S
EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
HOUSEKEEPING CFC: 304.1)
T
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FIRE PROTECTION CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? El YES )NO Signature of Receipt
C
Explain:
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POST INSPECTION INSTRUCTIONS:
Correct the violation(s) noted above by
Within 5 days ofcorrecting all of the violations, sign and return a copy of this page to:
Bakersfield Fire D1en y ntigryjpflj 101 H Street, California 93301
EYE
326-3362
C:IItdu
White —Business Copy Yellow — Business Copy to be Sent inafter return to Compliance
Signature (that all violations have been corrected as noted)
Date
Pink — Prevention Services Copy FD2155 (Rev 6/110)
L
BAKERSFIELD FIDE DEPT.
Preeenti ®n Services
I k S Fi _ I II oUNIFIE® PROGRAM INSPECTION CHECKLIST FIRE 2101 H Street
ARFmfT Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
C= Compliance OPERATION
V= Violation
INSPECTION DATE INSPECTION TIME
APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
1, 30 r
ADDRESS
Business PLAN CONTACT INFORMATION ACCURATE
PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT 04 9_73 0/ BUSINESS ID NUMBER
CORRECT OCCUPANCY
U2 1- OY-93 -792-
Consent to Inspect Name /Title
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
Section 1: Business Plan and Inventory Program
J. .,o ROUTINE) I COMBINED JOINTAGENCY 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) 3j- lee /, t5 1 Z7Ce-
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)
1 (, VERIFICATION OF LOCATION CCR: 2729.2)
L PROPER SEGREGATION OF MATERIAL CFC: 2704.1)
VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
K VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
7(1 EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
s\ HOUSEKEEPING CFC: 304.1)
FIRE PROTECTION CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES
1p:
NO Signature ofReceipt_
7
f
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 t. r
loJUiU
1S 1 2101 1-1 Street, California 93301
White - Business Copy Ycl ow- Business Copy to bgSent in Mier return toCompliance
Signature (that all violations have been corrected as noted)
Date
Pink — Prevention Services Copy FD2155 (Rev 6 #10)
If
C iePC/ 7 %J67//' M2/1T
FACILITY NAME: G S ;-z7Ff4 G
2lLC-1-95 4,,'C_1C1 C 9330/
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: / i
Routine V Combined Joint Agency Multi- Agency Complaint Re- Inspection
Type of Tank S4 A-) Number of Tanks 7
Type of Monitoring A70, Type of Piping D'
OPERATION C V COMMENTS
Proper tank data on file
Proper owner / operator data on file
Permit fees current
Certification of Financial Responsibility ng _ C
Is tank used to dispense MVF ?)
Monitoring record adequate and current 1t'I OiPjN /aN S d Ssi'"`i
Maintenance records adequate and current P—"M C_ S P -'ice REST /1 oiv S'.'ri`e
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: MOPWoP Medina
326 °3682
Questions regarding this inspection? Please call us at (661) 326 -3979
White — Prevention Services
Business Site Responsible Party
Pink - Business Copy
KBF -7335 FD 2156 (Rev. 09/05)
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NATIONAL RETAIL
PROPERTIES
NYSEANN
To: City of Bakersfield Fire Department, Prevention Services
From: Will Mims
Subject: UST Facility Applications on 5 sites
Date: 6/23/2009
Memorandum
Enclosed are UST Facility applications for five (5) locations in the City of Bakersfield.
Should you have any questions, please give me a call or send me an email.
Thank you,
Will
407 - 650 -1150
will.mims @nnnreit.com
The information contained in this memorandum is intended only for the use of the
individuals to whom it is addressed and may contain information that is privileged and
confidential. If the reader of this message is not the intended recipient, you are hereby
450 S. Orange Ave., Suite 900 I Orlando, FL 32801 notified that any dissemination, distribution or copying of this communication is strictly
prohibited. If you have received this communication in error, please notify us immediately800) NNN-REIT I www.nnnreiLcom by telephone at (800) NNN -REIT. Thank you.