HomeMy WebLinkAbout107 LAKE ST NOV 10.13.14BAKERSFIELD FIRE DEPARTMENT
UNIFIED PROGRAM INSPECTION CHECKLIST rER n Prevention Services Division
2101 H Street
T Bakersfield, CA 93301
Fax: 661-326-3979
Fax: 661 - 852 -2171
NOTICE OF VIOLATION / SUMMARY OF VIOLATIONS
CLASS II AND CLASS I VIOLATIONS
Owner /Operator:
Facility:
Address:
❑
Notice Of Violation: Class ❑ and /or Class I Violations were found during this inspection as
noted in the following Summary of Violations.
The violations indicated in this inspection report must be corrected within 30 days, unless
otherwise noted.
Formal enforcement will be initiated for all Class I Violations, and for any Class II violations not
corrected within the required timeframe. This report does not represent that there are no other
violations at this facility. A re- inspection may occur to determine compliance status.
SUMMARY OF VIOLATIONS
Item VIOLATION REQUIREMENT FOR CORRECTION DATE FOR
# OF VIOLATION CORRECTION
Inspectors Received by:
Signature:
Phone: Print Name:
Date: Date: I
KPS 08447
White — Business Copy Yellow — Business Copy to be sent in after Return -to- Compliance Pink — Prevention Services Copy
adiity/Site
Some or all of the following fields maybe required by your local regulator(s).
ERVICE OIL CO
Imperly Owner
CERS ID
07 Lake St
10022641
akersfield, CA 93305
hone
0
661) 327 -8744
ubmittal Status
alling Address
15- 021 -02895
ubmitted on 7/25/2013 by William Barksdale of SERVICE OIL CO (BAKERSFIELD, CA)
ubmittal was Not Accepted; Processed on 8/9/2013 by Craig Perkins for Bakersfield City Fire Department
omments by regulator: Please enter your beginning date as 7/25/2013 and your ending date as 7/25/2014 on your business owner /operator form. Please submit the
oHowl ng elements: Hazardous materials inventory with your site map, Emergency
Response and Train! ng Plans a templet is provided in the instructions .
dentifiation
illiam Barksdale
Beginning Date Ending Date
Aerator Phone Business Phone Business Fax
661) 201 -6280 (661) 327 -8744
Dun & Bradstreet SICCode
Primary NAICS
Facility/Site Mailing Address
rimary Emergency Contact
07 Lake street
awn Ambrose
Bakersfield, CA 93305
Itle
mployee
slness Phone 24 -14our Phone
Pager Number
661) 327 -8744 (661) 310 -0250
ner
iecondarV Emergency Contact
illiam BARKSDALE
Casey Barksdale
661) 201 -6280
Itle
07 Lake St
akersfield, CA 93305
lusiness Phone 24 -Hour Phone
Pager Number
661) 327 -8744 (661) 428 -0183
filling Contact
mrironmental Contact
illiam Barksdale
Milliam Barkdale
661) 201 -6280 bill @halldistributing.com
661) 327 -8744 bill @halldistributing.com
07 Lake St
L07 LAKE ST
akersfield, CA 93305
IAKERSFIELD, CA 93305
Name of Signer Signer Title Document Preparer
William Barksdale Owner William Barksdale
Additional Information
Locally-collected Fields
Some or all of the following fields maybe required by your local regulator(s).
Imperly Owner
Assessor Parcel Number (APN)
illiam Barksdale
Number of Employees
hone
0
661) 327 -8744
Facility ID
alling Address
15- 021 -02895
07 Lake St
akersfield, CA 93305
Printed on 10/13/2014 9:29 AM
SERVICE OIL CO (CERSID: 10022641)
Submitted on 7/25/2013 2:21:52 PM by William Barksdale of SERVICE OIL CO (BAKERSFIELD, CA) d
Submittal was NotAccepted on 8/9/2013 4:25:40 PM by Craig Perkins
Comments by regulator: Please enter your beginning date as 7/25/2013 and your ending date as 7/25/2014 on your business
owner /operator form. Please submit the following elements: Hazardous materials inventory with your site map, Emergency Response
and Training Plans (a templet is provided in the instructions).
Business Activities
Business Owner /Operator Identification
Printed on 10/13/2014 9:29 AM