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HomeMy WebLinkAbout1210 33rd St. IM I BAKERSFIELD FIRE DEPT, Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST R FiRE 5 F 1 I- r' 2101 H Street i E rRTN 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 x - ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name/Title If . Section 1: Business Plan and Inventory Program W_. _._.�...._ .. ..._............_ -__.... W.._........- .....------ � �.._....:...._ �.__....._..._� W..._........... .......-W_ _�. �� __...........El ROUTINE ❑ COMBINED ❑ JOINT AGENCY El MULTI-AGENCY El COMPLAINT ❑ RE-INSPECTION -___-_- -_-C=Compliance. C V ( - ) OPERATION COMMENTS V=Violation --_..._____ ❑ ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) f ❑ ❑ 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) v ❑ ❑ FIRE PROTECTION (CFC:903&906) ❑ ❑ SITE DIAGRAM ADEQUATE&ON HAND (CCR:2729.2) ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑' NO Signature of Receipt Explain: . i POST INSPECTION INSTRUCTIONS: • Correct the violation(s)noted above by., _ Signature(that all violations have been corrected as noted) 0 Within 5 days of correcting all of the violations,sign and return a copy of this page to: Bakersfield Fire Dept.,Prevention Services,2101 H Street,California 93301 Date White Business Copy Yellow -Business Copy to be Sent in after return to Compliance Pink—Prevention Services Copy FD2155(Rev 6//10)