HomeMy WebLinkAboutHMBP INSP 6.26.13 ,
„
BAKERSFIELD E D EPT*,
',r
reventi
UNIFIED PR [NSPECTION n
OGRAM v •
CHE � •
Services
J
I
u4n•«•r:v::v.�::•A vwv.,wv:vnv
T . 2101 H Street
...:. r ....... ...... }.:....... ..............:..:.::n•:::...v:;.:.v.:::a ...a'wx.:::¢:kww;n�w,,..}:r.,::t.'rr+ '.
nr:n ......: . ......: .....v.
-. x � nnKv,fmm...n,.:... ........... r.......:......n:..,v.r:.n.r.,..:...:.........4.........w...:.n...v....n.nr...:...x:............J.....:.v:A::w...«».v.:.v:.u+v:n....}...tt.......:.................v:...::..4...:.•:{W.}:.:x r:inM"u:u:.«,.:.::.::....y.:`.vv::.L•..Jn.:4+..,...l.m....:n.0..:..:..:...m......::...:.v.:n...•.:.5..:...:,:.v:,.:«'::n:.y.«:1 vv:ti:v.:.ivry i74W::'vv,v.i:$>.I....:....::....:.:.:Y.:...:.:..:.:.:..::.::..:..:....w........:.:v..n v.f...:.?..}:xv.n.n.:.:w k:
.aCn Y:v�.:.y.t,H4w'C•n Jm}
%rM r�.V...�.W,..iH�.:i.0�'v:•w.:�>0..:.v..4�:::..,y.;i:i.4%:h 4.2..i:.:}v.«,u.n
n
v:;.k}::J,;:M:w.y.�♦.n:n.:�n rT
� Ba R M r a
ers le '
SECTION 1 . Business Plan and Inventory Program Tel... . (661),32.6:3979
.
Fax: (661) 52-2171
.,:
FACILITY NAME:
INSPECTION DATE INSPECTION TIME
b,'��"'� ++. 1177 .- v,.m �... A� ,1 1 �� •1 a_'
Ye: r..1� F•F r.. V ,..:.<:.�.. '. �1.Ff .t :✓ r...+'J�, .A. .jn^ „4 ..I�•
t fi `:y-.1,Y '.h: '•�, I ;Kw, Y'A' .s .T. S {: 1,.'-.1-
_
lv`
ADDRESS
4 N
PHO ENO. NO OF EMPLOYEES
� fi.t:-•h�
FACILITY CONTACT BUSINESS ID NUMBER
i
Consent to Inspect Name/Title -
I
w
,
'ROUTINE' ❑ :COMBINED El JOINT AGENCY ❑ MULTI-AGENCY
El.
COMPLAINT ❑ N..
p
OPERATION
- Iianee
C-Com
_ V=Violation
EJ 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)
❑r ❑ CORRECT OCCUPANCY
I (CBC:401).
❑
VERIFICATION OF'INVENTORY MATERIALS ,
f
d E VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION.
(CCR:2729.2)
PROPER SEGREGATION OF MATERIAL CFC:2704
''In ❑, VERIFICATION OF MSDS AVAILABILITY CCR:2729.2(3)(b))
wl" VERIFICATION OF HAZ MAT TRAINING
(CCR:2732).
0 ❑ VERIFICATION OF ABATEM•ENT,SUPPLIES&PROCEDURES CCR:27.31(c))
EMERGENCY PROCEDURES ADE UA
I I
. - _Q TE. (CCR:2731) •. � ;. i ..
0 ❑ CONTAINERS PROPERLY.LABELED
• `..'•(CCR:66262.34(f),CFC:2703;5)
ET ❑ HOUSEKEEPING (CFC:304.1)
0<. ❑ FIRE PROTECTION (CFC 903&906)
0 ,SITE DIAGRAM ADEQUATE&ON HAND
(CCR;2729.2)
ANY H A Z A;R D O.:U S WASTE O:N SITE? YES ❑ NO Signature.of Receipt
Explain. i x
POST INSPECTION INSTRUCTIONS..
., �,�• ;lam. t�t ? i: � - t' �
Correct the violations noted above b `, Signature that all violations have been correc
ted as noted)
Within 5 days of correcting all of the violations,sign and return a copy off this page to:
Bakersfield Fire Dept.,Prevention Services,2101 H Street,California 93301
Date
i
White—Business Copy Yellow—Business-Copy to be Sent in after return to Compliance, Pink—Prevention Services Copy FD2 1 55(Rev 6//10)