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CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT 24.04PREVENTIONSERVICESDIVISION
2101 H STREET
661) 326 -3979
Location:
404 '93301
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: 5- /-Z —9 / -Ll-
Received by:
Mspector Medina
Inspector: 326-32Initial C Date
Desk Phone:
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from 8:00am to 8:30am)
KBF -9229
CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT 2404
PREVENTION SERVICES DIVISION
2101 H STREET
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:.
UMPWOF Mean.
Inspector: 326-3M Initial :.' 'p Date:
Desk Phone: from 8:00am to 8:30am)
KBF -9229
CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT 2405
PREVENTION SERVICES DIVISION
2101 H STREET
661) 326 -3979
n
Location: 34,20 /sOO / l
You are hereby required to take the following action at the above location:
X CORRECT & CALL FOR REINSPECTION ® CORRECT & PROCEED
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Completion Date for Correct' ns: 5-1 /q/ 1 1
Received by:
M;Pewdfor Medina
Inspector: 326 am Initial Date:
Desk Phone: from 8:00am to 8:30am)
KBF -9229
CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT 2405PREVENTIONSERVICESDIVISION
2101 H STREET
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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t
Completion Date for Corrections: % / F,)/ d d
Received by:
fl spe oP Medina
Inspector: 2r G2 Initial Dater/
Desk Phone: from 8:00am to 8:30am)
KBF -9229
UN FIE® PROGRAM INSPECTION C 'ECKLOS1T d It R s r _t R u
SECTION 1: Bushess Phan and Inventory Program
IBAK EIRS FI EL D FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
V
INSPECTION ATE INSPECTION TIME
COMMENTS
APPROPRIATE PERMIT ON HAND
ADDRESS `
SBN /f3
PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
iM sj
CFC: 505.1, BMC: 15.52.020)
D -W /-
Consent to Inspect Name /Title
CORRECT OCCUPANCY CBC:401)
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C V c C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020) I Gv - 4 s!--j N 1310 e-16 A - r'c GSr
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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)
4 VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b)) NOT DN SNI
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)
HOUSEKEEPING
FIRE PROTECTION
CFC: 304.1)
CFC: 903 & 906)
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k 3- C7
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES NO Signature ofReceipt
Explain:
POST INSPECTION INSTRUCTIONS:/
Correct the violation(s) noted above by
Within 5 days ofcorrecting all of the violations, sign and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Inspector Medina
Signature (that all violations have been corrected as noted)
Date
White — Business Copy a6(91dpy5Wsiness Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6 / /10)
UNIFIED PROGRAM INSPECTION CHECKLIST d 1' `Ram -t 11
SECTION 1: Business Plan and Inventory Program
EAKERSFIIEL D FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME CTION ATE INSPECTION TIME
J!_' t q//
1
ADDRESS E NO. NO OF EMPLOYEES
2S CA 0! 3 -b
Business PLAN CONTACT INFORMATION ACCURATE
FACILITY CONTACT BUSINESS ID NUMBER
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) pp, Repti fjv
Consent to Inspect Name /Title
f`''1 CORRECT OCCUPANCY
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED El JOINTAGENCY El MULTI-AGENCY El COMPLAINT 11 RE-INSPECTION
C V Q C= Compliance OPERATION
V= Violation
COMMENTS
1 APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
Business PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) pp, Repti fjv s.'q kj 310 e -16 /IGGS.0
f 2dt/C
f`''1 CORRECT OCCUPANCY CBC: 401)
VERIFICATION.OF INVENTORY MATERIALS CCR: 2729.3)
Tif VERIFICATION OF QUANTITIES CCR: 2729.4)
VERIFICATION OF LOCATION CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL CFC: 2704.1)
El VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b)) a OA-) si ^
T VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
l' VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
HOUSEKEEPING CFC: 304.1) gc$40V TE' r O c
FIRE PROTECTION CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES NO Signature ofReceipt
Explain:
r62,0.- E? y"OR L) .577
POST INSPECTION INSTRUCTIONS:'
P Correctthe violaiion(s) noted above by
o Within 5 days ofcorrecting 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 to be Sent in after return to Compliance
Signature (that all violations have been corrected as noted)
Date
Pink — Prevention Services Copy FD2155 (Rev 6//10)
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FACILITY NAME: 362D
3 KEes icy C14 93309
Section 2: Underground Storage Tanks Program
BAKERSF'IELD 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 Combined Joint Agency Multi- Agency Complaint Re- Inspection
Type f T nk DJA) FCS Number of Tanks
Type of Monitoring CI—M Type of Piping I)WF
OPERATION C V COMMENTS
Proper tank data on file A/ F IrC— i I U37– 6 22_
Proper owner / operator data on file
Permit fees current
Certification of Financial Responsibility
Monitoring record adequate and current VI ) S 5,1 /viola
Maintenance records adequate and current
Failure to correct prior UST violations
Has there been an unauthorized release? Yes 'KNo
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 Medina
326 -3682
Inspector:
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)