HomeMy WebLinkAbout1501 FELIZ STREETPT-01,
BAKERSFIELD FIRE DEPARTMENT 1382
PREVENTION SERVICES DIVISION
2101 H STREET
661) 326 -3979
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Location: 5-0/ /iz
933
You are hereby required to take the following -action at the above location:
0 CORRECT & CALL FOR REINSPECTION ® CORRECT & PROCEED
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Completion Date for Co}fections: / () 6 1/
Received by: -WUU (k1'
Inspector: Inspector Duran Initial Date:
326 -3656
Desk Phone: (from 8:00am to 8:30am)
KBF -9229
CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT 1382
PREVENTION SERVICES DIVISION
2101 H STREET
661) 326 -3979
sCA oo /s
Location:
9330S
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 Co rections:
Received by:
Inspector: Initial Date:
Desk Phone: from 8:00am to 8:30am)
KBF -9229
BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED. PROGRAM INSPECTION CHECKLIST "
RTM
2101 H Street
Bakersfield, CA 93301
SECTION ;1: Business Plan and.Inventory Program Tel.: (661) 326-397.9. -
Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE- INSPECTION TIME
COMMENTS
ADDRESS
S0/ Fc //'z s. C r / Cry
PHONE NO. Nd OF EMPLOYEES
3_0_5 i
FACILITY CONTACT BUSINESS ID NUMBER
61 -0 1- 01916
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 OPERATIONJ
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 0,2_ Zi t ne4 JCCLV
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 LABELED CCR: 66262.34(o, 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 NC Signature of Receipt
Explain:
POST INSPECTION INSTRUCTIONS:
Correct the violation(s) noted above by
Within 5 days ofcorrecting all orthe violations, sign and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
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 61/10)
A” 1,
KERN BUSINESS FORMS - (661) 325 -5818 - #6013
UNIFIED PROGRAM INSPECTION CHECKLIST ZiARII'm
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1 /RE
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SECT ION 1: Business Plan and Inventory Program L
19/62
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
r
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INSPECTION DATE
L -
INSPECTION TIME
ADDRESS
5-0 "- /,' s;. A 2 --
PHONE NO. NO'OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
p APPROPRIATE PERMIT ON HAND
Consent to Inspect Name /Title
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v c C= Compliance OPERATION COMMENTS
V= Violation
p APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
Business PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
z]' •y VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY CBC: 401)
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
I VERIFICATION OF QUANTITIES CCR: 2729.4)
VERIFICATION OF LOCATION CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL CFC: 2704.1)
y
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)
p
sue.
HOUSEKEEPING CFC: 304.1)
LJ FIRE PROTECTION CFC: 903 & 906)
a SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? C9,YES NO Signature ofReceint R?
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 H Street, California 93301
Signature (that all violations have been corrected as noted)
Date
White —Business Copy Yellow — Business Copy to be Sent in alter return to Compliance Pink— Prevention Services Copy PD2155 (Rev 6//10)
BMMRSFIELD FIRE DEPT.
INSPECTIONS Prevention Services
B s s 111 a D 1501 Truxtun Avenue, l st Floor
BUSINESS PLAN & v ARTNT Tel.: (661) 326-93979
INVENTORY PROGRAM L Fax: (661) 852 -2171
UNIFIED PROGRAM INSPECTION CHECKLIST
Page 1 of I
FACILITY NAME: S O S% INSPECTION DATE: -
3 cE2s (fe- 933oS
Section 2: Underground Storage Tank Program
Routine )K Combined Joint Agency Multi- Agency Complaint Re- Inspection
Type of Tank hLi Number of Tanks -2-
Type of Monitoring CLV) 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
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 ?)
It yes, does tank have overfill / overspill protection?
C = Compliance V = Violation Y = Yes N = No
inspector Duran
Inspector: 226 -3658
Questions regarding this inspection? Please call us at (661) 326 -3979
White - Prevention Services
sines Site Responsible Party
Pink - Business Copy
FD 2156 (Rev. 03/08)
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