HomeMy WebLinkAbout3300 WHITE LANE (8)CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT I
PREVENTION SERVICES DIVISION
2101 H STREET
661) 326 -3979
52,11 C 0 Z-
Location: 3 3 o o GN
R2t-Cl2 ,c - -i CA
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 f r Corrections: / 2 / /Z
Received by:
Inspector: Inspi?Cfor Medina Initial M Date: !2 / 2Z 11
326 -3682
Desk Phone: from 8:00am to 8:30am)
KBF -9229
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CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT 1367
PREVENTION SERVICES DIVISION
2101 H STREET
661) 326 -3979
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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: -41— /
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Received by:
Inspector: Initial i Date: 12-/ 2Z-1 /1
Desk Phone: from 8:00am to 8:30am)
KBF -9229
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory. Program
BAKERSFIELD FIRE DEPT.
Prevention Services
ri 1 :RS IFEI,D
FIRE 2101HStreet
ARTR r Bakersfield, CA 98301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME - INSPECTION DATE INSPECTION TIME
COMMENTS
APPROPRIATE PERMIT ON HAND
ADDRESS
tom// nom/ 933U7
P NE NO.
3 0 o
NO OF EMPLOYEES
S
FACILITY CONTACT BUSINESS ID NUMBER 0, II rte
7
015 - 0,21— 0.4 'T
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= Violati6n
COMMENTS
APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
BUSIneSS PLAN CONTACT) NFORMATION ACCURATE (CCR: 2729.1)
VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY CBC: 401)
VERIFICATION OF INVENTORY MATERIALS, CCR: 2729.3)
a
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))
EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
CONTAINERS PROPERLY LABELED
A CCR: 66262.34(0, CFC: 2703.5)
AL, HOUSEKEEPING CFC: 304.1)
FIRE PROTECTION CFC: 903 & 906)
SITE DIAGRAM ADEQUATE.& ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? El YES NO Signature of R
Explain:
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POST INS PECTIONANSTRUCTIONS:
Correct the violation(s) noted above by
Within 5 days ofcorrecting all ofthe violations; sign and return a.copy ofthis page to:
Bakersfield FirDept.; Prevvei 'oi S vices; 2'.IOt H Street; California 93301
dt6WCs""1
Signature (that all violations have been corrected as noted)
Date
o
White — Business Copy Yc I W_ usiness Copy to be Seni in after return to Compliance - Pink — prevention Services Copy . PD2155 (Rev 6//10)
CA/ DOV 1z 1?240/19 KERN BUSINESS FORMS- (661) 325- 5818 -#6013
UNIFIED PROGRAM INSPECTION CHECKLIST I JDA -R S- - - t.E =,
F /RE
SECTION 1: Business Plan and Inventory Program
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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
C= Compliance OPERATION
INSPECTION DATE INSPECTION TIME
V= Violation
ADDRESS
J f r ~. - .(... CX/ `If3j J
P ONE NO.
3/-- i 3
NO OF EMPLOYEES
3('(- a- r >< `II 1, 1j : t .
CCR: 2729.1)
FACILITY CONTACT
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
BUSINESS ID NUMBER QG} 1
9, CORRECT OCCUPANCY CBC: 401)
Consent to Inspect Name /Title
IZh VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v C= Compliance OPERATION COMMENTS
V= Violation
hr APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
9. BUSIneSS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
9 VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
9, CORRECT OCCUPANCY CBC: 401)
IZh 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)
e VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b)) S4• rLk1 '" `
Q VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
n ,
HOUSEKEEPING CFC: 304.1)
r FIRE PROTECTION CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES %( NO Signature of Recei .
i /,
Explain:
6r
POST INSPECTION INSTRUCTIONS:
Correct the violation(s) noted above by
Within 5 days ofcorrecting all of the violations, sign and return a copy ofthis page to:
Bakersfield Fir De t. Proven i S° vices, 2101 II Street, California 93301
White — Business Copy e low usiness 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 6H10)
INSPECTIONS
BUSINESS PLAN &
INVENTORY PROGRAM
UNIFIED PROGRAM INSPECTION CHECKLIST
BAKERSFIELD FIRE DEPT.
Prevention Services
H s P IB D 1501 Truxtun Avenue, 1st Floor
p /R/ Bakersfield, CA 93301
O ARTM T Tel.: (661) 326 -3979
Fax: (661) 852 -2171
Page I of I
FACILITY NAME: 3 cxx Ga>Ghr` 61U. INSPECTION DATE: /? /
Section 2: Underground Storage Tank Program
Routine I Combined Joint Agency Multi- Agency Complaint 13 Re- Inspection
Type of Tank 0 60 r 5.C—. Number of Tanks
Type of Monitoring C /_ /--,v Type of Piping fijwf
OPERATION C V COMMENTS
Proper tank data on file
Proper owner / operator data on file
Permit fees current
Certification of Financial Responsibility X C' S' a Oa72 C6_27-/
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: Inspector Mi ading
326 -3362
Questions regarding this inspection? Please call us at (661) 326 -3979
White — Prevention Services
7
Business Site Responsible
Pink - Business Copy
FD 2156 (Rev. 03/08)
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