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3605 ROSEDALE HWY (6)
CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT 1465 PREVENTION SERVICES DIVISION 2101 H STREET J (661) 326 -3979 Location:_ 16 WY You are hereby required to take the following action at the above location: CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED N COM/ yDU/1 /3.SS OG`O . Z) NE G Q z7` `12C 7>Sicyfil2T U L 2¢DiP Ot- We2 Sis721iGi,:741.1 FDal-I iN C6/2s r Cv;e1?ca17' i3 us;,u Css /912Au 1-261C- Oti A22. UO C—PA /t y 7 sje/L ha r Completion Date for Corrections: /2— Received by: Inspector: Initial Date: Z 326 -3682 Desk Phone: from 8:00am to 8:30am) KBF -9229 1. F o , , CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT, PREVENTION SERVICES DIVISION 2101 H STREET 661) 326 -3979 Location: C t /`t•C' HG y You are hereby required to take the following action at the above location: CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED iAv 2) NE " ©lj /2,47,C 01,LJA1%Z SiaT"!LlLii%' ! iN t^fc S reJ i° y rlN i;s'. / i'l. C/' °bi"l^' `s ,C. 6 , t-1 t. i- t "'n?.I•i' °••^ a <'- °4" Completion Date for Corrections: /, / 'i / / ! ' " -- 1 ( j Received by: t L.- O= f v) 6c-L( Inspector: roa,/C v l (adin Initial ! Date: 6 Desk Phone: from 8:00am to 8:30am) KBF -9229 UNIRED PROGRAM INSPECTION CHECKLIST SECTION. 1: Business Plan and .Inventory Program E F. R S F I E D FIRE AR TM T BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979. Fax: (661) 852 -2171 FACILITY NAME V Q C= Compliance OPERATION V= Violation INSPECTION DATE INSPECTION TIME l 1` APPROPRIATE PERMIT ON HAND 1 BMC: 1.65.080) ADDRESS BUSINESS PLAN CONTACT INFORMATION ACCURATE a 2 uG PHONE NO. f a3 = ay NO OF EMPLOYEES FACILITY CONTACT VISIBLE ADDRESS S C2 BUSrNESS ID NUMBER CORRECT OCCUPANCY x= o - C03-T92 Consent to Inspect N me /Title VERIFICATION OF INVENTORY MATERIALS Q. h d5 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 l 1` APPROPRIATE PERMIT ON HAND 1 BMC: 1.65.080) BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1) MI SSI N j V$iuFSS fI2/ 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) f VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(B)) dCI VERIFICATION OF HAZ MAT TRAINING CCR: 2732) NZ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR: 2731)) l EMERGENCY PROCEDURES ADEQUATE CCR: 2731) CONTAINERS PROPERLY LABELED (CCR: 66262.34(F), CFC 2703.5) j'S 92 r G So /i t- t4 (4.? HOUSEKEEPING CFC: 304.1) FIRE PROTECTION CFC: 903 & 906) SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? KYES NO Sianature of Receipt i d`1 Explain: v POST INSPECTION INSTRUCTIONS: Refer to the back ofthis inspection report for regulatory citations and corrective actions 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 FimWott6,r v rl{ipnn S rrvviicces, 2101 H Street, California 93301 5 32 U6C ° 3 iJ02. ai -,White — Business Copy Yellow — Business 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 12/1 1 n;bny. UNIFIED PROGRAM INSPECTION CHECKLIST E_R_3-F 1 E •-° B FIRE V SECTION 1: Business Plan and Inventory Program 41 BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME V p C= Compliance OPERATION1 V= Violation INSPECTION DATE INSPECTION TIME n APPROPRIATE PERMIT ON HAND BMC: 1.65.080) ADDRESS BUSINESS PLAN CONTACT INFORMATION ACCURATE PHONE NO. NO OF EMPLOYEES VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020) X FACILITY CONTACT CORRECT OCCUPANCY BUSI ESS ID NUMBER VERIFICATION OF INVENTORY MATERIALS 6x2 — CIO Consent to Inspect Name /Title X 1 1 ^ VERIFICATION OF QUANTITIES CCR: 2729.4) Section 1: Business Plan and Inventory Program ROUTINE COMBINED JOINTAGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION C V p C= Compliance OPERATION1 V= Violation COMMENTS APPROPRIATE PERMIT ON HAND BMC: 1.65.080) 0, BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1) f VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020) X 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) x 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) AJCZ7- h /6) /aE- v"V C/" C" CONTAINERS PROPERLY LABELED CCR: 66262.34(F), CFC 2703.5) i `> t i r % " v HOUSEKEEPING CFC: 304.1) FIRE PROTECTION CFC: 903 & 906) SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? l5iCYES NO Signature of Receipt yy A Explain: Nu G.? 1 -- M v uwi c c 2 Si +g POST INSPECTION INSTRUCTIONS: Rel'er to the back or this inspection report for regulatory citations and corrective actions Correct the violation(s) noted above by Signature (that all violations have been corrected as noted) Within 5 days ofcorrecting all of the violations, sign and return a copy of this page to: Bakersfield C•ry I? t. Prey C n0 ervices, 2101 1-1 Street, California 93301 V S T Date o?J222,- Mg.- White — Business Copy Business Copy to be Sent in ufler return to Compliance Pink Prevention Services Copy PO SS (Ki; IZ(I t BMMRSFIELD FIRE DEPT. INSPECTIONS Prevention Services B ArK aR s $ rp 1501 Truxtun Avenue, lst Floor FIRE Bakersfield, CA 93301 BUSINESS PLAN & O ARTAI T Tel.: (661) 326 -3979 INVENTORY PROGRAM Fax: (661) 852 -2171 UNIFIED PROGRAM INSPECTION CHECKLIST Page I of I jeO.S D2 /F- Sbe-ll FACILITY NAME: S 5 1 21 /GrJY INSPECTION DATE:',9 % I -2 1467 S iE/ Section 2: Underground Storage Tank Program Routine Combined Joir .Agency Multi- Agency Complain Re- Inspection Type of Tank 01j Y Number of I auks Type of Monitoring CCO-1 Type of Piping ,D"J F- OPERATION C V COMMENTS Proper tank data on file r C c c/12* ? ow vex S54? C +, I ;AJ C Proper owner /operator data on file a/E/1 D 22 WL p,2orr '. CE/1S Permit fees current X Certification of Financial Responsibility n Monitoring record adequate and current fVP ISSi dL ' 0 Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes XNo 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: h3 Odor Medina 326 -3662 Questions regarding this inspection? Please call us at (661) 326 -3979 White — Prevention Services BusiT' Site Respon;&Ie Party Pink - Business Copy FD 2156 (Rev. 03/08) 25