HomeMy WebLinkAbout2301 H STREET (9)CORRECTION N,OTIM\ -,' -,
BAKERSFIELD FIRE DEPARTMENT X134 6
PREVENTION SERVICES DIVISION `
C ` 21`01 H STREET
661) 326 -3979
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Location: 2-3 01 H ST
fA 93301
You are hereby required to take the following action at the above location:
X CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED -.
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Completion Date for,Corre tions:
Received by:
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Inspector: Lpector-M-"edina Initial C—/4-7 Date:
326 -3662
Desk Phone: from 8:00am to 8:30am)
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CORRECTION N PT`ICE3\ o `Nv, A
BAKERSFIELD FIRE DEPARTMENT
PREVENTION SERVICES DIVISION
C 2101 H STRUTc 326 -3979 ^
Location:
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 fo* Corrections: ? / =
Received by: k „
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Inspector: Initial - 7A'l Date
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Desk Phone: from 8:00am to 8:30am)
KBF -9229
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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
B H R S P I B i,
FIRE
ARTM T
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: J661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
V
INSPECTION DATE INSPECTION TIME
COMMENTS
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ADDRESS
C r
Z` r . 3JD GO
PHONE NO.
2 — Se15];
NO OF EMPLOYEES
FACILITY CONTACT
CCR: 2729.1)
BUSINESS ID NUMBER
1(
ois - 0,;2 r
Consent to Inspect Name /Title Jen
CORRECT OCCUPANCY
9e- r MCAnacC
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: 15:65.080)
Business PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1) dSi/ESS 2N C wT2a'i v 'NEE . s
i
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))
212SD/1 Asti/
EMERGENCY PROCEDURES ADEQUATE \ CCR: 2731)
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 Signature ofRecei t
Explain: .
L tAsL 0/\-), S,T
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 FirlD
o
e tgggi tQv' cgs, 2101 H Street, California 93301
SM. ° o $
White — Business Copy . Yellow — Business Copy to be Sent in after return to Compliance
Signature (that all violations have been corrected as noted)
Date
Pink — Prevention Services Copy FD2155 (Rev 6//10)
r t
01
Ury1J2 / KERN BUSINESS FORMS- (661)325 - 5818 -#6013
UNIFIED PROGRAM INSPECTION CHECKLIST tARFMsF r
FIRE
T
SECTION 1: Business Plan and Inventory Progra
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
ti
FACILITY NAME INSPECTION DATE INSPECTION TIME
COMMENTS
ADDRESS / PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
iBusness PLAN CONTACT INFORMATION ACCURATE
Consent to Inspect Name /Title
iiSi,vc j = t C'cu %mac %" %U . tJGC " S v'
J J 1)
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: 15.65.080)
i f iBusness PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1) iiSi,vc j = t C'cu %mac %" %U . tJGC " S v'
1E: VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
0, CORRECT OCCUPANCY CBC: 401)
y 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)
r VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
r -
EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
27 CONTAINERS PROPERLY LABELED (CCR: 66262.34(17, CFC: 2703.5)
HOUSEKEEPING CFC: 304.1)
I B FIRE PROTECTION CFC: 903 & 906)
PIC SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE OiJ SITE? LIYES NO SignatureofReceilit I
f
Explain:
POST INSPECTION INS - (RUCTIONS:
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 fir Dept., Prevendo S vices, 2101 H Street, California 93301
ct>
Signature (that all violations have been corrected as noted)
Date
White — Business Copy to vN—` usiness Copy to be Sent in after return to Compliance Pink — Prevention Services Copy F132155 (Rev 010)
i°
1
BAKERSFIELD FIRE DEPT.
INSPECTIONS Prevention Services
e 1 / _ ZR s 11 i e 1501 Truxtun Avenue, lst Floor
FIRE Bakersfield, CA 93301
BUSINESS PLAN & O ANTR T Tel.: (661) 326 -3979
INVENTORY PROGRAM Fax: (661) 852 -2171
UNIFIED PROGRAM INSPECTION CHECKLIST Page 1 of 1
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FACILITY NAME: X30%• INSPECTION DATE:
Section 2: Underground Storage Tank Program
Routine !"' Combined Joint A ency Multi- Agency Complaint Re- Inspection
Type of Tank D61) S• Number of Tanks 3
Type of Monitoring Type of Piping D )i=
OPERATION C V COMMENTS
Proper tank data on file c
Proper owner / operator data on file x
Permit fees current
Certification of Financial Responsibility X
Monitoring record adequate and current X
Maintenance records adequate and current x
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 ?)
If yes, does tank have overfill / overspill protection?
C = Compliance V = Violation Y = Yes N = No
Inspector: 1 (: r Medina
326-3092
Questions regarding this inspection? Please call us at (661) 326 -3979
White — Prevention Services
Busi ess Site Responsibl, arty
Pink - Business Copy
FD 2156 (Rev. 03/08)