HomeMy WebLinkAbout2612 BUCK OWENS BOULEVARD (5)CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT 1363
PREVENTION SERVICES DIVISION
2101 H STREET
661) 326 -3979
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Location: 2 12- 6 gcle of cJFiUS 81 yd
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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 Corrections: l2 / 30 / //
Received by:
Inspector: Inspector Medina Initial
326 -3682
Desk Phone:
Date: / / 30 /JZ—
from 8:00am to 8:30am)
KBF -9229
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CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT 1363
PREVENTION SERVICES DIVISION
2101 H STREET
661) 326 -3979
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Location: G/C
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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 Corrections:
Received by:
Inspector: MSPOMIT UviO &S Initial , Date: f j / -air /-1j—
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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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E E R S I'_ I E I_ D
F /RE
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BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield; CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171.
FACILITY NAME INSPECTION DATE INSPECTION TIME
s o / 2U - ivG. 1! 30/ 9/3z) 4-7
ADDRESS
2 13uc.1(f au5, s- f.%- 2l 2 c' /C/G'
PHONE NO.
37, /30`1
NO OF EMPLOYEES
FACILITY CONTACT g33 BUSINESS ID NUMBER
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
Consent to Inspect Name /Title
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINTAGENCY MULTI- AGENCY COMPLAINT RE- INSPECTION
C V c C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
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)) N07- P_ Z- a C- 27E CA- s
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
CONTAINERS PROPERLY LABELED 66262.34(f), CFC: 2703.5)
X HOUSEKEEPING CFC: 304.1)
Xk FIRE PROTECTION CFC: 903 & 906) SMZ y 6' y co- /S
7 Pac- 56rr 1,' AA4V S Zl %C
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES NO SignatureofReceiPt
Explain:
POST INSPLC'F10N INS'CRUC7 IONS:
o Correct the violation(s) noted above by Signature (that all violations have been corrected as noted)
o Within 5 days of correcting all ofthe violations, sign and return a copy of this page to:
Bakersfield Fie Dept., Prevention
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Services, 2101 H Street, California 93301
0 8 UUULI JUU 0 1 Date
0
White —Business Copy 13usiness Copy to be Sent in aaer return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6//10)
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BAKERSFIELD FIRE DEPT.
UNIFIED PROGRAM INSPECTION CHECKLIST' B_ - _P. R-5_,' I t: L
Prevention Services
FIRE 2101 H Street
ARTM r Bakersfield, CA -93301
SECTION 1: Business Plan and Inventory Progrn Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
V
INSPECTION DATE INSPECTION TIME
COMMENTS
r
W
V= Violation
ADDRESS
r,4
PHONE NO NO OF EMPLOYEES
FACILITY CONTACT c%'3 C BUSINESS ID NUMBER
De Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
Consent to Inspect Name /Title
VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C V C= Compliance OPERATION COMMENTS
V= Violation
Cl> APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
De Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
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)
El;, VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b))
de VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
CONTAINERS PROPERLY LABELED `r` CCR: 66262.34(f), CFC: 2703.5)
El El HOUSEKEEPING CFC: 304.1)
0, FIRE PROTECTION CFC: 903 & 906)
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r f
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES l2l', NO Signature of Receipt r —z t.e
Explain:
Y0S7 1Nh1'EC77UN INS 'I RUC'1'IUNS:
Correct the violation(s) noted above by
Within 5 days ol'correcting all ofthe violations, sign and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Qnq=cz "
I,
Idiam_
Signature (that all violations have been corrected as noted)
Date
White —Business Copy e ti3 iness Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev G / /10)
BAKERSFIELD FIRE DEPT.
INSPECTIONS Prevention Services
B ,L jj R s pj a a 1501 Truxtun Avenue, lst Floor
FIRE Bakersfield, CA 93301
BUSINESS PLAN & O AAR r Tel.: (661) 326 -3979
INVENTORY PROGRAM Fax: (661) 852 -2171
UNIFIED PROGRAM INSPECTION CHECKLIST
Page 1 of I
FACILITY NAME: 2(x/2- INSPECTION DATE: // Jio i
wok
Section 2: Underground Storage Tank Program
13 Routine L Combined Joint Agency Multi- Agency Complaint Re- Inspection
Type of Tank D 6J Number of Tanks 3
Type of Monitoring CL4" Type of Piping Dw i=
OPERATION C V COMMENTS
Proper tank data on file
Proper owner / operator data on file X
Permit fees current x
Certification of Financial Responsibility
Monitoring record adequate and current des zoo ve/ 7o
Maintenance records adequate and current Mal aGjle ` LoC2 Ucr' M1
Failure to correct prior UST violations
Has there been an unauthorized release? Yes P(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
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Questions regarding this inspection? Please call us at (661) 326 -3979
White — Prevention Services
Business Site Responsible Party
Pink - Business Copy
FD 2156 (Rev. 03/08)
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