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CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT 1491
PREVENTION SERVICES DIVISION
2101 H STREET
661) 326 - 3979,
Location: 02017/ D c
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 Correction
Received by:
Inspector: inspector MediDa—lnitial Date: /Z--
326 -3662
Desk Phone: from 8:00am to 8:30am)
KBF -9229
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CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT
PREVENTION SERVICES DIVISION
2101 H STREET
f (
661) 326 -3979
O
Location:2i f/
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.
Received by:
Inspector: Inspector In liadins Initial bILI Date: 9/ /Z
326 °31M
Desk Phone: from 8:00am to 8:30am)
KBF -9229
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
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FIRE
ARTM T
BAKERSFIELD FIRE .DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2.171
FACILITY NAME
C= Compliance OPERATION
V= Violation
INSPECTION DATE INSPECTION TIME
APPROPRIATE PERMIT ON HAND BMC: 1 .65.080)
ADDRESS
BUSINESS PLAN CONTACT INFORMATION ACCURATE
PHONE NO. NO OF EMPLOYEES
211
a 2"-3600
FACILITY CONTACT
CORRECT OCCUPANCY
BLrSINESS, ID NUMBER
VERIFICATION OF INVENTORY MATERIALS
C?al- 000 Z
Cons nht to Inspect.IN a /Title
VERIFICATION OF QUANTITIES CCR`. 2729.4)
VERIFICATION OF LOCATION
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: 1 .65.080)
BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1) N FCC )ZrJ U%l 2 v5 %NESS %
L r
211 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 CCR: 2704.1)
VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(6)) 6W N /<
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES CCR: 2731))
k E GENCY PROCEDURES ADEQUATE CCR: 2731) fl/Lc el TL= ON S.'7 C be
a/ C
CONTAINERS PROPERLY LABELED CCR: 66262.34(F), 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 NO Si natuee.ofRecei t
U/ t
Explain:
T , !
POST INSPECTION INSTRUCTIONS:
Refer to the back ofthis inspection report for regulatory citations.and corrective actions
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 Depecg ®Pi!!Y'
EVIces,
2101 H Street, California 93301
326 ; Y§
6q?
White — Business Copy e luw— 3usiness Copy to be Sent in after return to Compliance
U
Signature (that all violations have been corrected as noted)
Date
Pink Prevention Services Copy FD2155 (Rev 12/11)
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VA- %P CAD / 2 KERN PRINT SERVICES - (661) 325 -5818 - KPS -2215
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UNIFIED PROGRAM INSPECTION CHECKLIST j&4Fj?A
s- -'
FIRE
R TM T
SECTION 1: Business Plan and Inventory Program C
BAKERSFIELD FIRE 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
6- h-1112 r -7 ' !;r /r --1
ADDRESS
BUSINESS PLAN CONTACT INFORMATION ACCURATE
PHONE NO. NO OF EMPLOYEES
f
CFC: 505.1, BMC: 15.52.020)
FACILITY CONTACT
CORRECT OCCUPANCY
BUSINESS ID NUMBER
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
Consent to Inspect Name /Title
VERIFICATION OF QUANTITIES CCR: 2729.4)
VERIFICATION OF LOCATION CCR: 2729.2)
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: 1.65.080)
N" BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
I
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 CCR: 2704.1)
VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(B)) r N 1 <Pi
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES CCR: 2731))
CMERGENCY PROCEDURES ADEQUATE CCR: 2731) 7C
3
CONTAINERS PROPERLY LABELED CCR: 66262.34(F), CFC 2703.5)
EZ HOUSEKEEPING CFC: 304.1)
FIRE PROTECTION CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? 'YES NO Si nature.of Receipt
Explain:
POST,INSPECTION INSTRUCTIONS: '
Refer to the back of this inspection report for regulatory citations and corrective actions
Corlectthe violation(s) noted above by
Within 5 days of correctingaal l of the violations, sign and return a copy of this page to:
Bakersfield Pi mw , I00hies, 2101 1-I Street, California 93301
3382
White — Business Copy Yellow— Business Copy to be Sent in a(ler return to Compliance
Signature (that all violations have been corrected as noted)
Date
Pink Prevention Services Copy I'D21SS (R— 12/11)
v
BMMRSFIELD FIRE DEPT.
INSPECTIONS Prevention Services
e =
o
E RS P 1 e L a 1501 Truxtun Avenue, 1st Floor
P/RE Bakersfield, CA 93301
BUSINESS PLAN & D ARTM r Tel.: (661) 326 -3979
INVENTORY PROGRAM Fax: (661) 852 -2171
UNIFIED PROGRAM INSPECTION CHECKLIST
Page I of I
FACILITY NAME: / /, INSPECTION DATE: f g112_
ft4 9 330/
Section 2: Underground Storage Tank Program
Routine )X Combined Joint Agency Multi- Agency Complaint Re- Inspection
Type of Tank Number of Tanks /
Type of Monitoring Type of Piping
OPERATION C V COMMENTS
Proper tank data on file AJ u 27 i
Proper owner / operator data on file
Permit fees current
Certification of Financial Responsibility
Monitoring record adequate and current y liSs •G K'O>?i yo% b
Z
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 ?)
If yes, does tank have overfill / overspill protection?
C = Compliance V = Violation Y = Yes N = No
Inspector: Inspector Mali a
326 -3662
Questions regarding this inspection? Please call us at (661) 326 -3979
White — Prevention Services
ZA114 ,
Business Site Respons ble Party
Pink - Business Copy
FD 2156 (Rev. 03/08)
1.