HomeMy WebLinkAbout3601 STOCKDALE HWY (7)C.n
CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT
PREVENTION SERVICES DIVISION, y
1501 TRUXTUN AVENUE
9-11 (
661) 326 -3979
Location: 3 &01 STa eC% /t N
c,4 7330°1
You are hereby required to take the following action at the above location;
CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED
SE21/i[
Z) r'!o g C /EcJ"''i ct / t- XT t/Si Ct'BT .C.9 • i12c %S
Completion Date for Corrections: , 5- / 301
Received by:
Inspector: Ernie Medina Initial: Date: C—
Desk Phone: (661) 326 -3682 (from 8:00am to 8:30am)
CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT
PREVENTION SERVICES DIVISION w
1501 TRUXTUN AVENUE
661) 326 -3979
Location;
A
You are hereby required to take the following action at the above location;
CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED
f
e 7Tfr.,V C'lYZcf T c,'9
Completion Date for Corrections: Fr / 3D / / ,/)
Received by:
Inspector: Ernie Medina Initial: /o- /i'I Date: IF
Desk Phone: (661) 326 -3682 (from 8:00am to 8:30am)
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
11
Prevention Services
A K r R 5 F I E o 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
D aRFN Tel.: (661) 326 -3979
c_'e c k
Fax: (661) 872 -2171
FACILITY NAME
11
INSPECTION DATE
zI iD
INSPECTION TIME
3 C)
ADDRESS
360 %CR Ic 2%
r&
PHONE NO.
41) Sg - 3a 3
NO OF EMPLOYEES
FACILITY CONTACT 3.30 5 Jk J
BUSINESS ID NUMBER
15 -021- c_'e c k
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
Business PLAN CONTACT INFORMATION ACCURATE
VISIBLE ADDRESS
Al CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL
VERIFICATION OF MSDS AVAILABILITY
VERIFICATION OF HAZ MAT TRAINING
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
X EMERGENCY PROCEDURES ADEQUATE
CONTAINERS PROPERLY LABELED
HOUSEKEEPING
FIRE PROTECTION F E 6X-rr4t1yl1r<14 7eS 226 P43T t7UF ZJw 4AJ()0. -11
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
n' '
YES d NO
EXPLAIN: / - ` g2 !aAe% " EmRt;22
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Q
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05
0
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
B A li R S f i- n 900'R uxtun Ave., Suite 210
F/R . 4 Bakersfield, CA 93301
DE ARTM T Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME - INSPECTION DATE INSPECTION TIME
COMMENTS
ADDRESS PHONE NO. NO OF EMPLOYEES
BUSIfIeSS'PLAN CONTACT INFORMATION ACCURATE'
FACILITY CONTACT
5 A %3'1?5
BUSINESS ID NUMBER
15-021 -
VISIBLE ADDRESS
Section.1: Business Plan and Inventory Program
ROUTINE •I1'COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v c C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND
BUSIfIeSS'PLAN CONTACT INFORMATION ACCURATE'
VISIBLE ADDRESS
CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL
VERIFICATION OF MSDS AVAILABILITY
1
VERIFICATION OF HAZ MAT TRAINING
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
x EMERGENCY PROCEDURES ADEQUATE
CONTAINERS PROPERLY LABELED
HOUSEKEEPING
FIRE PROTECTION FjQ 1 i t/yC/iiLis 2RE />ST J UE A.vtaJlJZ
X SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? 1-1 YES •rNO
EXPLAIN: -9 _iZ y 25— Gc1d4 ®i7_'
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1s' In / Shift of Site /Station #
White - Prevention Services Yellow - Station Copy
Business Site / Responsible Party, (Please Print)
i r
Pink - Business Copy 4 FD 2155 (Rev. 09/05
FACILITY NAME: 3&01 S7 C/ ic y
Section 2: 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:
Routine A Combined Joint Agency Multi- Agency Complaint Re- Inspection
Type of Tank SLAT) Number of Tanks 3
Type of Monitoring Type of Piping [J
OPERATION C V COMMENTS
Proper tank data on file
Proper owner / operator data on file
Permit fees current
Certification of Financial Responsibility
Monitoring record adequate and current
Maintenance records adequate and current x
Failure to correct prior UST violations
Has there been an unauthorized release? Yes x No
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: 0_0167
Questions regarding this inspection? Please call us at (661) 326 -3979
White — Prevention Services
Business Site Responsible Party
Pink - Business Copy
KBF -7335 FD 2156 (Rev. 09/05)