HomeMy WebLinkAbout1009 34th St. BAKERSFIELD FIRE DEPT.
-- Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST ...: r K;S' t y
2101 H Street
FIE
f�PARTN T Bakersfield, CA 93301
SECTION 1 : Business Plan and Inventory Program Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name/Title
Section 1 Business Plan and Inventory Program
_........
El ROUTINE ..._..E] COMBINED...._.. ❑.. JOINT AGENCY ❑ MULTI-AGENCY.. ...❑..._WCOMP..._..._ _..........__.--- __._......._.-._ ................._ --W.............__._
LAINT ❑ RE-INSPECTION
C V ( C=Compliance) OPERATION
COMMENTS
V=Violation
❑ ❑ 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)
❑ ❑ 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)
❑ ❑ FIRE PROTECTION (CFC:903&906)
❑ ❑ SITE DIAGRAM ADEQUATE&ON HAND (CCR:2729.2)
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Signature of Receipt
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,sign and return a copy of this page to:
Bakersfield Fire Dept.,Prevention Services,2101 If Street,California 93301
Date
White-Business Copy Yellow- Business Copy to be Sent in alter return to Compliance Pink-Prevention Services Copy FD21 SS(Rev 6H10)