HomeMy WebLinkAbout4500 COFFEE ROAD_CORRECTION VONS 2009CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT r1 I1 r1 J �i' q
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PREVENTION SERVICES DIVISION 0 0 V
1600 TRUXTUN AVENUE, SUITE 401
(661) 326 -3979
Location:
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You are hereby required to take the following action at the above location;
❑ CORRECT & CALL FOR REINSPECTION ❑ CORRECT & PROCEED
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Completion Dat D for C rrections:
Received by:
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Inspector: Initi-ar-47777 Date: �� /�
Desk Phone: (661) 326 -,ItW (from 8:00am to 8:30am)
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Location
CORRECTION NOTICE
BAKERSFIELD FIRE DEPARTMENT
PREVENTION SERVICES DIVISION
1600 TRUXTUN AVENUE, SUITE 40-1
(661) 326 -3979
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You are hereby required to take the following action at the above location;
❑ CORRECT & CALL FOR REINSPECTION ❑ CORRECT &- P,_ROCEED
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Completion Da t for Corrections:
Received by:�� ry .
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Inspector: UM=d VW= Initial Date: �1
Desk Phone: (661) 326 -3653' (ftom 8:00am tv 8:30am)
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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
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FIRE
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Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
Q - 7'0 33
INSPEC ION DAT
INSPECTION TIME
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❑
❑
ADDRESS 4e Co � O
U G
HONE NO. D
3
NO OF EMPLOYEES
FACILITY CONTA
BUSINES S ID NUMBER
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15 -021-
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VISIBLE ADDRESS
Section 1: Business Plan andinventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
c C= Compliance OPERATION
V= Violation
COMMENTS
❑
❑
APPROPRIATE PERMIT ON HAND
❑
BUSIneSS PLAN CONTACT INFORMATION ACCURATE
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❑
VISIBLE ADDRESS
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❑
CORRECT OCCUPANCY
!
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
Of
❑
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
Z
❑
HOUSEKEEPING
FIRE PROTECTION
-
❑
SITE DIAGRAM ADEQUATE & ON HAND
KBF•6013
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
siness Site / Responsible Part Please Print
Inspector (Please Print) Fire Prevention / 1 In /Shift of Site /Station # P Y ( )
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09105
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
B_ R R s F 1- _ o 900'Fruxtun Ave., Suite 210
F/IPE Bakersfield, CA 93301
�erM r Tel.: (661) 326 -3979
Fax: (661) 872 -2171 -.
FACILITY NAME
k30^5 -�- ?c) 33
INSPEC ION DAT
2,
INSPECTION TIME
ADDRESS O �O ^,.� C j(
T` 1� (�
PHO�NO.
NO OF EMPLOYEES
FACILITY CONT"ACy
l \
BUSINESS ID NUMBER
15-021 -
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❑
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
JQ ' ❑
business PLAN CONTACT INFORMATION ACCURATE
U
❑
VISIBLE ADDRESS
�\9 ❑
CORRECT OCCUPANCY
-
❑
VERIFICATION OF INVENTORY MATERIALS
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❑
VERIFICATION OF QUANTITIES
^1 j0
VERIFICATION OF LOCATION
+•
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
❑ ❑
VERIFICATION OF HAZ MAT TRAINING
C (t7 C__t ` �/V `
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES.
/flLl ❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
\� ❑
HOUSEKEEPING
FIRE PROTECTION
Yj ❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑+ NO'� /f �°,
EXPLAIN: ��"-� R-c L�\ , ' ^Et c,_ 4 CC _g. C'" r dLU Ol
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Q
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Inspector (Please Print) Fire Prevention / 1s` In / Shift of Site /Station # siness Site / Responsible Party (Please Print)
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White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05