Loading...
HomeMy WebLinkAbout1001 TOWER WAY STE 150-B GLDN ST EYE CTR r BAKERSFIELD FIRE.DEPT. Prevention iServices , UNIFIED -PROGRAW INSPECTION CHECKLIST B _ER _-_ _ v DIRE 2.101 H Street p► A R fM Bakersf el d CA 93301 _ SECTION 'L: Buqiness Plan a11C� Inventory PrograrYl Tel.: (6.61).8263979- Fax: (661) 852-2171 FACILITY NAME I-NSPECTION DATE INSPECTION TI-ME. n'N^-er ..-.•ae;w;. ,,x �+`' 7,;�5� �-�� -`r:� - ADDRESS �. PHONE NO. NO OF EMPLOYEES ' f't�. �'�xaa;. tT F"'.`:` -�'�,..�. �` `''�•`''�'f, '" '' "'`'t�• .±.. �.'3;Y-"� - FACILITY CONTACT BUSINESS ID NUMBER �3+ r c•'�'.� .+ � ;1 Sb .fir �*�. � a�.. �s�L`� 'C# �y..c�k`#� ���� �' . .°'� -fi '�ac��,�'�'��;� ':� .a..' �� �� *$�.h t i�7i: 'l�rr '�`.'�Y`�`� 1'�` ��'=' -�"�!�r• 'c� �'� .,� -r�Y t, Consent to Inspect Name/Title � Q� .T ,4 R LL .� 'ifs :�(4.;.*. .i,; t �_}� }< -�'.�,..°i[,'�'d17f •L s- ... >3`:s...:�.�_:'>._::: •.:.. ::i;::iir:�::>':::::::ii:::i;;i;?:;:8;x;;:irisiz>:::si:;:ii�:;i::::::r iii:%:i^%::i:;iszx:<:isz:::i>;::>:::::�i:i>i:;<:;::i:':s::::itz<::<::::%::i::::<:ii:�:::t::?t::::::::::.i<:::::iii::i:::>:<:::::t;'•�:>:r.;:<::>.''�::::::..,_:'.'�>::::s:::..>::::�>;�::>:::::>.:.::::::.:: .:.::: ::::i,..,::�,;�'<<::::s. ;::..:;;:..:..:,.;c:::i:...,>s,..:.;x::..:::8::::'.:..:.,:.:•,;:..;:;•.;::::;'::::.:;:;':,,s::.;;:::::.:..;.�.;.<:,:,:.::.:;;;:::..<.�:;;,::,:;;;.;.�::<:;::i<:::>:;::::isi::::i::::s::s�:ssiss:�:::::::::;i:;%.:::::;::s::::::�::::;::�::::i::>::>:z:>::::��:x:::zi;.:::>::.::::>t::::>::�::<:;;:::::;:::::::is�::::;::::t::>:::c:::::>:�::s:::::::%::::#:is::x:::::>:::a:>E%<3 r:>::E::>::::::>::s:::::;:>:::z':::z:::>:;:s::::: ..... ...................................................................:..................:. ........................... .......................:.. ❑ .,.ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION C=Compliance C V ( ) OPERATION -: r COMMENTS ' V=Violation � .`❑ APPROPRIATE PE � � ._:: - �� .� �,. �- .����.�a=� p£�� r f n�.�t �. -� mss: r �. t. PERMIT,ON HAND - MC. 15.65.080) �� � aF.r't't_.., F y 0 Business PLAN�•CONTACT INFORMATION ACCURATE (CCR:2729.1) VISIBLE.ADDRESS (CFC:505.1,BMC: 15.52.020) a,. ❑ -CORRECT OCCUPANCY `. -` (CB-C:401): ,. �i ❑ VERIFICATION OF INVENTORY MATERIALS (CCR:2729.3) ❑ •VERIFICATION OF QUANTITIES * (CCR:272.9.4) ❑ ❑ VERIFICATION OF LOCATION (CCR:2729.2) L 1 Yf2 r� ❑ PROPER SEGREGATION OF MATERIAL (CFC:2704.1) ❑ VERIFICATION OF MSDS AVAILABILITY (CCR:2729.2(axb,j� �,t"t VERIFICATION OF HAZ MATTRAINING (CCR:2732) �b ❑ VERIFICATION OF ABATEMENT SUPPLIES&PROCEDURES (CCR:2731(c)) EMERGENCY PROCEDURES ADEQUATE (CCR:2731) f El ❑ CONTAINERS PROPERLY LABELED (CCR.:66262.34(f),-CFt:27q3-5) ❑ HOUSEKEEPING (CFC 304.1) El FIRE PROTECTION (CFC:903&906) ❑ SITE DIAGRAM ADEQUATE&ON HAND (CCR:2729.2) ANY HAZARDOUS WASTE ON SITE?* ❑YES II NO Signature of Receipt a *z +Fa 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,..si n,and return a co of this pa get- .A y. g g copy p g Bakersfield Fire Dept.,Prevention Services,210111.Street,.California.93301 F• - Date -' -. �White—Business Copy Yellow Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155(Rev 6/110) .. - r -