HomeMy WebLinkAbout1331 33rd St. i
BAKERSFIELD FIRE DEPT,
-- Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST .." '� � R '
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..xh ARTM T Bakersfield, CA 93301
SECTION 1 : Business Plan and Inventory Program Tel.: 661 326-3979
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Fax: (661) 852-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
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ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
A5_-
Consent to Inspect Name/Title
Section 1: Business Plan and Inventory Program
El ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
C V C=Compliance OPERATION
COMMENTS
V=Violation
❑ D APPROPRIATE PERMIT ON HAND (BMC: 1.65.080)
❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR:2729.1)
EJ ❑ 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 (CCR:2704.1)
❑ VERIFICATION OF MSDS AVAILABILITY (CCR:2729.2(3)(6))
❑'` ❑ VERIFICATION OF HAZ MAT TRAINING (CCR:2732)
❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731))
E ❑ EMERGENCY PROCEDURES ADEQUATE (CCR:2731)
Ea ❑ CONTAINERS PROPERLY LABELED
(CCR:66262.34(F),CFC 2703.5)
❑" ❑ HOUSEKEEPING (CFC:304.1)
ED* ❑ FIRE PROTECTION (CFC:903&906)
El" ❑ SITE DIAGRAM ADEQUATE&ON HAND (CCR:2729.2) 4
ANY HAZARDOUS WASTE ON SITE? 0"YES ❑ NO Signature of Receipt '
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Explain:
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POST'INSPECTION INSTI�UCrhIONS:
• Refer to the back of this inspection report for regulatory citations and corrective actions
• Correct the violation(s)noted above by Signature(that all violations have been corrected as noted)
• Within 5 days of correctin g all of the violations,sign and return a copy of this page to:
Bakersfield Fire Dept.,Prevention Services,2101 H Street,California 93301
I_)ate
White Business C"opy Yellow-Business Copy to be Sent in after return to Compliance Pink Prevention services Copy 1'1)2155(Rev 12/11