HomeMy WebLinkAbout1700 MT VERNONCORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT 1384
PREVENTION SERVICES DIVISION
2101 H STREET
661) 326 -3979
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Location: OW1 M V6,,eAJ V11
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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 Co r ections:
Received by
Inspector: (i1S Initial Date:
326 -3662
Desk Phone: from 8:00am to 8:30am)
KBF -9229
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CORRECTION NOTICE
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BAKERSFIELD FIRE DEPARTMENT 1
PREVENTION SERVICES DIVISION
2101 H STREET
661) 326 -3979
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Location:
You are hereby required to take the following action at the above location:
ICOR/
REIT & /CALL FOR REIN /SPECjTION CORRECT & PROCEED
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Completion Date for Corrections:
Received by-
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Initial —ef Date:
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Desk Phone:
2
from 8:00am to 8:30am)
KBF -9229
UNIFIED PROGRAM INSPECTION. CHECKLIST
SECTION 1: Business Plan and Inventory Program
F F R S F tV L D
FIRE
ARTM r
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel:: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME IN/SPECTI N DATE INSPECTION TIME
ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT
t \
BUSINESS ID NUMBER
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 OPERATIONA
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND BMC: 15.65.080) 4V
Business -PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) Al y*40 CcGtTG 2T
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)`h C Lof
N EG TAO
CONTAINERS PROPERLY LABELED CCR: 66262.34(f), CFC: 2703.5)
V14 O 9gzo 2_05J9,! `
HOUSEKEEPING CFC: 304.1)
FIRE PROTECTION CFC: 903 &,906)
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES NO SijLn2Wa ecei
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 or this page to:
Bakersfield Fire Dept.; Prevention Services, 2101 H Street, California 93301
Drys o tT one
Signature (that all-violations have been corrected as noted)
Date
White —Business Copy usiness Copy to be Sent in after returnto Compliance Pink — Prevention Services Copy. rD2155 (Rev 6//10)
G, -D cI2 a Z03 1015—
KERN BUSINESS FORMS — (661) 325 -5818 — #6013
Y
UNIFIED PROGRAM INSPECTION CHECKLIST e- '' `
FiRe
l e 1 --U
SECTION 1: Business Plan and Inventory Program
7! /yo
A/17/3
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPECTI N DATE INSPECTION TIME
p1 / Z Q: D 0 1 --7
ADDRESS 11167,f' /L!% PHONE NO. NO OF EMPLOYEES
E,
FACILITY CONTA T BUSINESS ID NUMBER
1.
Consent to Inspect Name /Title gam/ / -?,o
Section 1: Business Plan and Inventory Program
ROUTINE Ito COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C V C= Compliance) OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
E, Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
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)
VERIFICATION OF ABATEMENT SUPPLIES &PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
CONTAINERS PROPERLY LABELED CCR: 66262.34(17, 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? El YES NO Si natu•eIt Recei
Explain:
POST INSPECTION INSTRUCTIONS:
Correct the violation(s) noted above by
Within 5 days ofborrecting all of the violations, sign and return a copy of this page to:
Bakersfield Fi%ft,-Wi#Ui,So lafs, 2101 1 -1 Strcet, Catifornia 93301
While - Business Copy Yellow- Business Copy to be Sent in alter return to Compliance
Signature (that all violations have been corrected as noted)
Pink — Prevention Services Copy FD2155 (Rev 6l /10)
INSPECTIONS
BUSINESS PLAN &
INVENTORY PROGRAM
UNIFIED PROGRAM INSPECTION CHECKLIST
BAKERSFIELD FIRE DEPT.
Prevention Services
e AfSE R 3 Pl s 1. D 1501 Truxtun Avenue, lst Floor
J/Rt Bakersfield, CA 93301
O Affrm, t Tel.: (661) 326 -3979
Fax: (661) 852 -2171
Page I of I
J< m c
FACILITY NAME: U9201 /% INSPECTION DATE: 9I/ Z
1133015-
Section 2: Underground Storage Tank Program
Routine J Combined Joint Agency D Multi- Agency Complaint Re- Inspection
Type of Tank yJ FX <3 '/Z 5C Number of Tanks
Type of Monitoring Ct;--\ Type of Piping )w
OPERATION C V COMMENTS
Proper tank data on file K
Proper owner / operator data on file
Permit fees current
Certification of Financial Responsibility
Monitoring record adequate and current
Maintenance records adequate and current 1>5/
If$N. 20/! '7Zi,:v a"t2 20 //
Failure to correct prior UST violations
Has there been an unauthorized release? Yes KNo
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: Par tor G.An,7i a a
326-3392
Questions regarding this inspection? Please call us at (661) 326 -3979
White — Prevention Services
4//
Business Site Respon ' I Party
Pink - Business Copy
FD 2156 (Rev. 03/08)
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