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CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT
PREVENTION SERVICES DIVISION,
1501 TRUXTUN AVENUE
661) 326 -3979
Location: 317n/ /Li,K AVF
C'4 i3 309
You are hereby required to take the following action at the above location;
CORRECT & CALL FOR REINSPECTION . CORRECT & PROCEED
Completion Date for orrectionns: _L15
Ir
Received by:
Inspector: Ernie Medina Initial: Date: _l? l_l)
Desk Phone: (661) 326 -3682 (from 8:00am to 8:30am)
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Completion Date for orrectionns: _L15
Ir
Received by:
Inspector: Ernie Medina Initial: Date: _l? l_l)
Desk Phone: (661) 326 -3682 (from 8:00am to 8:30am)
CIORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT
PREVENTION SERVICES DIVISION
1501 TRUXTUN AVENUE
661) 326 -3979
F s %a' -ice
Location: 3`?r/ Auc-
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: /15
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Received by:
Inspector: Enie Medina Initial: . Date: _/ ?
Desk Phone: (661) 326 -3682 (from 8 :00am to 8:30am)
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
N Ii _R S F I k I. D
FIRE
ARTM T
V
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
11-051-1? 40
INSPECTION DATE INSPECTION TIME
ADDRESS
f'l A /G
PHONE NO. NO OF EMPLOYEES
q
FACILITY CONTACT ` BUSINESS ID NUMBER
a/— 00062-17
Consent to Inspect Name /Title
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 BMC: 15.65.080)
IK
X
E] Business PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
Ix 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))
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 CFC: 304.1) 1`7 SSrr 5 Z I GTlL /GS UT(C = GaIGCC
FIRE PROTECTION CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES NO Signature uk Roccipt
Explain:
POST INSPECTION INS'FRUCI'IONS:
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 hl Street, California 93301
Jpvcc7a/By fr/t'lEO /Nz
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 010)
z/
UNIFIED PROGRAM INSPECTION CHECKLISTj H
Vi
SECTION 1: Business Plan and Inventory Program
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
i-25%R 1
v
INSPECTION DATE
V7110
INSPECTION TIME
1;? -/5- //-)
ADDRESS
90 t'11! ve 2I/1 /C 33v
PHONE NO.
I - 3 `19
NO OF EMPLOYEES
FACILITY CONTACT
IT 6 -f S
BUSINESS ID NUMBER
Consent to Inspect Name /Title
Business PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
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 BMC: 15.65.080)
l
Business PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
T CORRECT OCCUPANCY CBC:401)
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
VERIFICATION OF QUANTITIES CCR: 2729.4)
l VERIFICATION OF LOCATION CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL CFC: 2704.1)
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(o, CFC: 2703.5)
HOUSEKEEPING CFC: 304.1) M1sS 5 a El c77ti z OUT /E'/— Cotl C
e Z 2 V2,- Cotes -,2 e v er/ -_
FIRE PROTECTION CFC: 903 & 906) zsVE
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES
2Neu
IR NO Signature % R ei t
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
we "670iNz
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)
z/
f''Gsrl
FACILITY NAME: ir' c
6+ 93309
Section 2: Underground Storage anks 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: ;1Li7
Routine Combined Joint Agency Multi- Agency Complaint Re- Inspection
Type o Tank TAW f Number of Tanks _3'
Type of Monitoring Type of Piping J?w F
OPERATION C V COMMENTS
Proper tank data on file x
Proper owner / operator data on file x
Permit fees current x
Certification of Financial Responsibility
Monitoring record adequate and current s, /
r
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: r-,P WeFC "66k-10-
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)