HomeMy WebLinkAbout3300 WHITE LANE (9)CORRECTION NOTICE
BAKERSFIELD FIRE. DEPARTMENT
PREVENTION SERVICES. DIVISION
1501 TRUXTUN AVENUE,
661) 326 -3979
Location: eA J%)Ar eA/
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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: _ /2q/ !/
Received by :f
Inspector: Ernie Medina tI intial: , Date: 11 L z
Desk Phone: (661) 326 -3682 (from 8 :00am to 8 :30am)
CORRECTION NOTICE
BAKERSFIELD FIRE, REPARTMENT
PREVENT10N'gER'V'fd i'—DlVltrC)N \"I
1501 TRUXTUN AVENUE
661) 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 for Corrections:
Received by:
Inspector: Ernie Medina t Itlal: Date:
Desk Phone: (661) 326-3682 (from 8:00am to 8:30am)
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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
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B I _r R S r l M I D
FIRE
ARTM T
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
v
INSPECTION DATE INSPECTION TIME
COMMENTS
2rZ,TO 10 :00 z--A
ADDRESS
v 'vow oLt1NcS/L$h - (/6fsC
PHONE NO. NO OF EMPLOYEES
Business PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1) L#Ld6 f N644,' OWAACA -1hY - Ivelea4 Aw
FACILITY CONTACT
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
BUSINESS ID NUMBER
CORRECT OCCUPANCY
0/5-
Consent to Inspect Name/Title
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v Q C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
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X Business PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1) L#Ld6 f N644,' OWAACA -1hY - Ivelea4 Aw
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))
X 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)
R HOUSEKEEPING CFC: 304.1)
X FIRE PROTECTION CFC: 903 & 906) S/"2 // 4"
Q;,e -V /CC= Gzsr ,u
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES NO Signature of Rec4 t [
A
Explain:
POST INSPECTION INSTRUCTIONS:
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 Fire Dept., Prevention Services, 2101 1 -1 Street, California 93301
White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance
LWI
Signature (that all violations have been corrected as noted)
Date
Pink — Prevention Services Copy FD2155 (Rev 6 //I O)
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5i3_jk7 ?lZ-10
KERN BUSINESS FORMS -(661) 325 -5818 - #6013
BAKERSFIELD FIRE DEPT.
UNIFIED PROGRAM INSPECTION CHECKLIST R
Prevention Services
I FIRE 2101 H Street
E aRrM , T Bakersfield, CA 93301 y'
SECTION 1: Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
COMMENTS
ADDRESS PHONE NO. NO OF EMPLOYEES
2 sA 2009 97/-/3067
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name /Title
Section 1: Business Plan and Inventory Program
ROUTINE A COMBINED JOINT AGENCY MULTI- AGENCY COMPLAINT - RE- INSPECTION
C V C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
El Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) NG4Ef CW Q4iiv/ZSA;"" - AlerCrwlc 74.p C'
VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY CBC: 401)
Dg VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
VERIFICATION OF QUANTITIES CCR: 2729.4)
X VERIFICATION OF LOCATION CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL CFC: 2704.1)
I. 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 CCR: 66262.34(f), CFC: 2703.5)
l)Z HOUSEKEEPING CFC: 304.1)
I;r FIRE PROTECTION CFC: 903 & 906) S y77 OOGr o7eyE2 s' vt o ' - A"
SEf J cc= C e-rsr- r:'-Afc_ AAq, Oq .
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES NO Signature ofRec t
Explain:
POST INSPECTION INSfRUCI]ONS:
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 Fire Dept., Prevention Services, 2101 H Street, California 93301
White — Business Copy Yellow — Business Copy t6 be Sent in after return to Compliance
2
Signature (that all violations have been corrected as noted)
Date f r A
Pink — Prevention Services Copy FD2155 (Rev 6 / /10)
LIZ/
FACILITY NAME: W .
S C* 9-M 7Section2: Underground Storage Tanks Program
BAKERSFIELD FIRE DEPT.
Prevention Services
900 Truxtun Ave., Ste. 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
Page 1 of 1
INSPECTION DATE: l %23Jm
Routine
fZ
Combined Joint Agency Multi- Agency Complaint Re- Inspection
Type o Tank nw %%3 s Number of Tanks
Type of Monitoring Type of Piping
OPERATION C V COMMENTS
Proper tank data on file AIC—W OG
Proper owner / operator data on file
Permit fees current
Certification of Financial Responsibility
Monitoring record adequate and current o-_
Maintenance records adequate and current X
Failure to correct prior UST violations
Has there been an unauthorized release? Yes XNo
Section 3: Aboveground Storage Tanks 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: F"fs /!1 !z
Questions regarding this inspection? Please call us at (661) 326 -3979
White — Prevention Services
4,?Wq
Busfneh Site Responsible rty
Pink - Business Copy
KBF -7335 FD 2156 (Rev. 09/05)
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