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2601 WHITE LANE (6)
CORRECTION NOTICE I °-P Z" BAKERSFIELD FIRE DEPARTMENT 1360PREVENTIONSERVICESDIVISION 2101 H STREET 661) 326 -3979 a ys M2RxcT- Z Location: 2(n 33 7 You are hereby required to take the following action at the above location: CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED a" I %sSla y FIAt ,IAACi!/ /cs y us.'l.y C6e7 , DL /P S G25i ai12w =, Cv /e —c= H MPOR? -Cg T. , D27T-" j,/h ,-iv 7-0A, e 6 2) I-11,5,5LA? ijv5;,0,UCss p>2/v CY,U s;s Ad S U Sj y- Pryvi D/Z Ncj /'2 y ON 5 c Completion Date for Corrections: Received by: Inspector: f DiRJ Initial % Date: Desk Phone: 3(°_ Z (from B:00am to 8:30am) KBF -9229 CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT A. -1 -4 6 0 PREVENTION SERVICES DIVISION o 2101 H STREET 661) 326-3979 7-77r Z Location: You are hereby required to take the following action at the above location: CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED I ) IUC6'110 -74 H, 55,A.4- M pog C67 e7- D2-rC- 015o C4.2 1?aTa. 3) C/ Off 5_ 11 40 Completion Date for Corrections: /Z 91 Received by: C Inspector: —Initial y Date: Desk Phone: (from 8:00am to 8:30am) KBF-9229 Z o Z CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT 1345 PREVENTION SERVICES DIVISION 2101 H STREET 661) 326 -3979 Location: &jAIlc 64 012 You are hereby required to take the following action at the above location: CORRECT & CALL FOR REINSPECTION . CORRECT & PROCEED Cea2 2g ©vG SG/z zc. /c ;, utc /low AuIf'1+ I) o y A/0 Completion Date for Correctio s: 2 / 1 9 / Received by: Inspector: Empantar Medina Initial 45ILI Date: 326 -3+662 Desk Phone: (from 8:00am to 8:30am) KBF -9229 IPKJ310 ",luomi-Is CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT e PREVENTION SERVICES DIVISION 2101 H STREET 661) 326 -3979 Location: t,azd°'r ", ` .'c• -, r'.`l > y :ter '1 You are hereby required to take the following action at the above location CJ CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED A ` tt-, r j. +9 ' e'', ice. % s•, CJ!j d,: .s`JC. id`!, e' . Completion Date for Correctio s: Z /__g / y Received by: Inspector: on1SpR &wMadina Initial ef: - t ° Date: 326° o ° 2 Desk Phone: (from 8:00am to 8:30am) KBF -9229 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and. Inventory Program it r R .5 F I e I. D Rr9 r BAKERSFIELD FIRE DEFT[['. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME Z INSPECTION DATE. h INSPECTION TIME 00LWYSO 2-7 ADDRESS / 77 6r- 13,9 PHONE NOO.. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER y0c) 02 - p 5-//9,? - 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 OPERATION V= Violation COMMENTS APPROPRIATE PERMIT ON HAND BMC: 15.65.080) Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) A44s;w57 30sFA -'1- 1"12R-' osv S« 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 n ( 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)) Jar EMERGENCY PROCEDURES ADEQUATE CCR: 2731) CONTAINERS PROPERLY LABELED AJAA CCR: 66262.34(f), CFC: 2703.5) E r HOUSEKEEPING CFC: 304.1) P-157" 0 VC G ' - C/G 3 / G2 CX 7.61t,5 El Id. FIRE PROTECTION CFC: 903 & 906) F/ z ri2C EX7' L) rllE72 %r 6-1t-'7a2 SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2) T % C —yT%Nj V e ZT ( ZS +.5 /zi ANY HAZARDOUS WASTE ON SITE? DYES Er NO Signature ofReceipt Explain: _ POST INSPECTION INSTRUCTIONS: e Correct the violation(s) noted above.by Signature (that all violations have been corrected as noted) o Within 5 days of correcting all of the violations, sign and return a copy of this page to: Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 tNs/GGT U 3y 6WA)1'G= 11 -'C9 /dvz 3210 - ,U79Z_ Date White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6810) GB S ', r UNIFIED PROGRAM INSPECTION CHECKLIST,' SECTION 1: Business Plan and Inventory Program u B_ _ r_13 R S V I I. L D F /RE ARTM T BAKERSFIELD. FIRE- DEPTI , -- Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME COMMENTS ADDRESS + ) PHONE NO.. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER 0`1 BUSIneSS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) Consent to Inspect Name /Title Section 1: Business Plan and Inventory Program ROUTINE Q COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS APPROPRIATE PERMIT ON HAND BMC: 15.65.080) r 0`1 BUSIneSS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) Cam' - '•' "'? > : ' _ < ' /j 'nl L+ / „' *;= VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020) CORRECT OCCUPANCY CBC: 401) Id 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)) Or EMERGENCY PROCEDURES ADEQUATE CCR: 2731) CONTAINERS PROPERLY LABELED tt CCR: 66262.34(f), CFC: 2703.5) 0' y HOUSEKEEPING CFC: 304.1)'- l..tJ''Y= j c`. r / '/ -• i r.::'rt I..f)r i1. .r C"e Ci• +iR 0fis D7 FIRE PROTECTION CFC: 903 & 906) SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2) i ' ' ' °i -' S % ^, r ' qq - =' f : ,' >'_a i ANY HAZARDOUS WASTE ON SITE? YES NO Signature of Receipt Explain: POST INSPECTION INSTRUCTIONS: Correct the violation(s) noted above by Signature (that all violations have been corrected as noted) Within 5 days of correcting all of the violations, sign and return a copy of this page to: Bakersfield Fire Dept., Prevention Services, 2101 H Street, Calilornia 93301 D ate t t.Y $'r: IT - I F' e t . - "t j,tl„ J / / c %1. ...I ,ic'i l .o' ! - - Ll j`? " 1..,, While — 1usiness Copy Yellow — businessCopy to be Sent in alter return to Compliance Pink — Prevention Services Copy FD2155 (Rev 60 0) 9 F f BAKERSFIELD FIRE DEPT. INSPECTIONS = Prevention Services B s a D 1501 Truxtun Avenue, ls' Floor BUSINESS PLAN & O !ARRTN r Tel.: (661) 326-93979 INVENTORY PROGRAM < Fax: (661) 852 -2171 UNIFIED PROGRAM INSPECTION CHECKLIST Page I of I H20,1 s jA4V1z,e67_-7T- Z FACILITY NAME: 2-(,0l G / i/ZF 6eAe INSPECTION DATE: 1 3 _ of Section 2: Underground Storage Tank Program Routine 76 Combined Joint Agency Multi- Agency Complaint Re- Inspection Type of Tank D f,J S„ C, Number of Tanks Z. Type of Monitoring C L #"I Type of Piping G J ,- OPERATION C V COMMENTS Proper tank data on file Proper owner / operator data on file Permit fees current Certification of Financial Responsibility x Nt i SSi vs you 5 Monitoring record adequate and current Maintenance records adequate and current Si Failure to correct prior UST violations Has there been an unauthorized release? Yes 'IS /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? ti C = Compliance V = Violation Y = Yes N = No Inspector: 67rIZ /% E A.2,9 Questions regarding this inspection? Please call us at (661) 326 -3979 White — Prevention Services 441 1 Business Site Responsible Party Pink - Business Copy FD 2156 (Rev. 03/08) J