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3125 CALIFORNIA AVENUE (5)
CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT 1421 PREVENTION SERVICES DIVISION 2101 H STREET 14kCO /AAA - 26 -3979 Location: 933'0y You are hereby required to take the following .action at the above location: CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED I ) GyO.l16 L=,A17-C-7e /1 /J 05 s; e- ,?7 IA-) o61d`271-ON IN -1-0 Completion Date for Corrections: / -2- Received by: Inspector: Inspector Medina Initial -` / Date: 7// 326 -3632 Desk Phone: from 8:00am to 8:30am) KBF -9229 t^ 4„ .4+,.Sw CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT . 4, 2 1 PREVENTION SERVICES DIVISION 2101 H STREET 61) 326-3979 , Location: i , i 14 You are hereby required to take the following action at the above location: CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED 1) AvF6c /(, AI) Iii %s; ?4-/gz/t-4,0-7- Completion Date for Corrections: / i / Z Received by: Inspector: Us =4Ar Madne Initial Date: 32642M Desk Phone: from 8:00am to 8:30am) KBF -9229 5 r Completion Date for Corrections: / i / Z Received by: Inspector: Us =4Ar Madne Initial Date: 32642M Desk Phone: from 8:00am to 8:30am) KBF -9229 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program B _ K. s_ RS F1 E g FIRE D ARTM T 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 AICCO 1-1 i /Z t-,, ADDRESS p PHONE NO.. / NO OF EMPLOYEES. vE a / 2 5717 € (f 6b 6 y- 015-0 FACILITY CONTACT BUSINESS ID NUMBER C, v ,0C A72,2 2 AJ / D4016W 0/,2 12 tl" Consent to Inspect Name /Title VISIBLE ADDRESS Section 1: Business Plan and Inventory Program ROUTINE COMBINED JOINT.AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION C V c C= Compliance OPERATION V= Violation COMMENTS APPROPRIATE PERMIT ON HAND BMC: 1.65.080) D BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1) iE/1 iTt> CE t O E, t 41A 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) IX VERIFICATION OF LOCATION CCR: 2729.2) 1 PROPER SEGREGATION OF MATERIAL CCR: 2704.1) VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(B)) VERIFICATION OF HAZ MAT TRAINING CCR: 2732) VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR: 2731)) EMERGENCY PROCEDURES ADEQUATE CCR: 2731) CONTAINERS PROPERLY LABELED CCR: 66262.34(F), 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? YES No Signature of Receipt Explain: r s?/ CCinJ r i SD /,'f - Nvs S 7Z ozz /3• Sr_7`E POST INSPECTION INS'I'RUCTIONS: Refer to the back of this inspection report for regulatory citations and corrective actions Correct the violation(s) noted above by Within 5 days ofcorrecting all ofthe violations, sign and return a copy bf this page to: Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 White —Business Copy ' Yellow— Business Copy to be Sent in alter retum to Compliance Signature (that all violations have been corrected as noted) Date . Pink Prevention Services Copy FD2155 (Rev 12/11) J KERN PRINT SERVICES - (661) 325 -5818 - KPS -2215 CA 1 600 z-?- & / y UNIFIED PROGRAM INSPECTION CHECKLIST j;rF;71;E L , D ._ _ -__ - -- _ _ _ T SECTION 1: Business Plan and Inventory Program 2 `73 (11 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 COMMENTS ADDRESS v PHONE NO. 6 - C /SD NO OF EMPLOYEES FACILITY CONTACT tl3 JC BUSINESS ID NUMBER BUSINESS PLAN CONTACT INFORMATION ACCURATE Consent to Inspect Name /Title l LLn- L \. Cv7. C+t_&" , } . vulX 5. CSZt C) t t L'K ©. j c_ . Section 1: Business Plan and Inventory Program ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION C V c C =Compliance OPERATION, V= Violation COMMENTS APPROPRIATE PERMIT ON HAND BMC: 1.65.080) BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1) L s ;" T11 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)) yk VERIFICATION OF HAZ MAT TRAINING CCR: 2732) VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES CCR: 2731)) 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? PTYES NO SienaturcofReceipt Explain: r NUS 1' INSPEC FION INS I'RUU'FIONS: Refer to the back ol'this inspection report for regulatory citations and corrective actions Correct the violation(s) noted above by Within 5 days ofcorrecting all of the violations, sign and return a copy dfthis page to: Bakersfield Fire Dept., Prevention Services, 2101 1 -1 Street, California 93301 White— Business Copy Yellow— Business Copy to be Sent in alter return to Compliance 1• Signature (that all violations have been corrected as noted) Date Pink Prevention Services Copy I'D2155 (Rev 12/11) 1} 7e' X I BMMRSFIELD FIRE DEPT. INSPECTIONS Prevention Services e s n 1501 Truxtun Avenue, 19t Floor arms Bakersfield, CA 93301 BUSINESS PLAN & O Affrk t Tel.: (661) 326 -3979 INVENTORY PROGRAM Fax: (661) 852 -2171 UNIFIED PROGRAM INSPECTION CHECKLIST Page l of I FACILITY NAME: o4i /v/2 4uJ INSPECTION DATE: 311112Z 74 7 330 ( Section 2: Underground Storage Tank Program Routine ) Combined Joint Agency Multi- Agency Complain Re- Inspection Type of Tank Number of Tanks Type of Monitoring CGS Type of Piping OPERATION C V COMMENTS Proper tankdata on file 69t/]I 7—t-A1k- %%27-_1 iN4, c Proper owner/ operator data on file X E,Uj 0.27— A/¢p of /6 Permit fees current Certification of Financial Responsibility Monitoring record adequate and current 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: E/exll& v/ / Questions regarding this inspection? Please call us at (661) 326 -3979 White — Prevention Services B ssSite Responsible PartyResponsibleP Pink - Business Copy FD 2156 (Rev. 03/08) 2fs