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3605 ROSEDALE HWY (7)
CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT 2438 PREVENTION SERVICES DIVISION 2101 H STREET 661) 326 -3979 Location: 360j . /e CA 330,9- You are hereby required to take the following action at the above location: Ld CORRECT & CALL FOR REINSPECTION CORRECT & PROCEED 1) A) 66761 -242 COPT /c Z) %a!91290-1, 2N cl YZ j A NN vz% CC- X7,',;Iry C,-7C jAJA0 N1iSSi /1iJS 1 S aN 5,467 A20A 7-716 /FOB"/ 1V1;55irtJ G/t2 L tl F;'iy2ryr- ;2- 1 /",/,v 2iJ ifGETC 6 ylJ S C 2 vcC f ©aR CY lLia Completion Date for Corrections: Received byf/ Inspector: Initial nspedOp Ina Desk Phone: 326 -3682 Date: -> / /i L/—/ from 8 :00am to 8:30am) KBF -9229 - F CORRECTION NOTICE BAKERSFIELD FIRE DEPARTMENT 2438 PREVENTION SERVICES DIVISION 2101 H STREET 661) 326 -3979 Location: 'S,%)' f= t r. CA 9r3309- You are hereby required to take the following action at the above location: CORRECT &CALL FOR REINSPECTIO'N CORRECT & PROCEED f a i:t is / #' C''. /' : t 9 { !! -' L ''•f'r`' i• % !, f- ,. . 14 1-1f ; ? c' _ .,• Cc ' tr.., . fa ej:s /•'R.9 J'l .5 tilt- .. .. " -, dfi`'`l. ii.N'J Q,-e t I C; L F i lJ<_j /' -i•> 2}Lt .3j;f%/,Jrtl a ,', n C."• 'C +'l6•'! t` / Yt 0 e. A? f 9}-• 7(' J r Completion Date for Corrections: Received by Inspector: Inspe6toP Misdina Desk Phone: Initial Date: 5'/ Qe/ } from 8 :00am to 8 :30am) KBF -9229 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program B.- - __R A r_ i_ 6 L p FIRE ARTM r BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME Y C= Compliance OPERATION V= Violation INSPECTION DATE 0 <t INSPECTION TIME 2: 00, ADDRESS f f BMC: 15.65.080) NO OF EMPLOYEES FACILITY CONTACT Business PLAN CONTACT INFORMATION ACCURATE BUSINESS ID NUMBER 015 0.2 - C o339 Consent to Inspect Name /Title VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) Section 1: Business Plan and Inventory Program n ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS APPROPRIATE PERMIT ON HAND BMC: 15.65.080) Q Business PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1) 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) l` PROPER SEGREGATION OF MATERIAL CFC: 2704.1) 0: VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b)) P VERIFICATION OF HAZ MAT TRAINING CCR: 2732) VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES . (CCR: 2731(c)) C7 EMERGENCY PROCEDURES ADEQUATE CCR: 2731) CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) L2"% f HOUSEKEEPING CFC: 304.1) FIRE PROTECTION CFC: 903 & 906) m SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? YES clE NO Sianatureof Receipt /J L / " Explain: POST INSPECTION INSTRUCTIONS: Correct the violation(s) noted above by Signature (that all violations have been corrected as noted) Within 5 days of correcting all of the violations, sign and return a copy of this page to: Bakersfield Fir at0rnMjq ids, 2101 H Street, California 93301 Date 326 -3W2 White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6 / /10) UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program u A li R S P 1. 6 1_ D FIRE D €BARrk Ir 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 r 1/,. ADDRESS PHONE NO. NO OF EMPLOYEES 14 93 0, FACILITY CONTACT BUSINESS ID NUMBER 0? Consent to Inspect Name /Title Section 1: Business Plan and Inventory Program ROUTINE ;7,COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION C V C= Compliance OPERATION V= Violation COMMENTS 1/,. El APPROPRIATE PERMIT ON HAND BMC: 15.65.080) 0, Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 0? VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020) i E CORRECT OCCUPANCY CBC:401) 0, VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3) 2` VERIFICATION OF QUANTITIES CCR: 2729.4) 0, VERIFICATION OF LOCATION CCR: 2729.2) 0` PROPER SEGREGATION OF MATERIAL CFC: 2704.1) 0'. VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b)) Ot VERIFICATION OF HAZ MAT TRAINING CCR: 2732) VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) EMERGENCY PROCEDURES ADEQUATE CCR: 2731) ED"' CONTAINERS PROPERLY LABELED CCR: 66262.34((), CFC: 2703.5) e. HOUSEKEEPING CFC: 304.1) 0 FIRE PROTECTION CFC: 903 & 906) a SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? El YES 111' NO Signature of Receipt Explain: POST INSPECTION INSTRUCTIONS: Correct the violation(s) noted above by Signature (that all violations have been corrected as noted) Within 5 days of correcting all of the violations, sign and return a copy of this page to: Bakersfield fire 0ft116fi hg, 2101 H Street, California 93301@@"' ®® Date 326-3682 White — Business Copy Yellow — BusinessCopy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6010) FACILITY NAME: .3(i1nS < OSCD.% IOW% f3 2 K6 /e5 iE1b CA 93-30& 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: .S/ /811j.1 Routine " Combined Joint Agency Multi- Agency Complaint Re- Inspection Type o(Tank Dw p Number of Tanks Type of Monitoring C / _t-1 Type of Piping OPERATION C V COMMENTS Proper tank data on file Proper owner / operator data on file Permit fees current Certification of Financial Responsibility viJSSi Gvd2 'G'' CE,2i 'y';w^j Monitoring record adequate and current x Maintenance records adequate and current Failure to correct prior UST violations Has there been an unauthorized release? Yes T17' 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: Inspector Medina Business Site Responsible Party Questions regarding this inspection? Please call us at (661) 326 -3979 White — Prevention Services Pink - Business Copy KBF -7335 FD 2156 (Rev. 09/05)