HomeMy WebLinkAbout3640 SILLECT AVENUE (5)UNIFIED PROGRAM INSPECTION CHECKLIST I
SECTION 1: Business Plan and Inventory Program ii
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F /RE
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BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
01,2 2
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INSPECTION SATE
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INSPECTION TIME
9
ADDRESS
APPROPRIATE PERMIT ON HAND
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
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M w0le-Thl t" AC t N ft, 12.
BUSINESS ID NUMBER
C?/-5 -- 02 - ar-) 9,�a
Consent to Inspect Name /Title
VISIBLE ADDRESS (CFC:
505.1, BMC: 15.52.020)
Section 1: Business Plan and Inventory Program
❑ ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V
C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
l ❑
VISIBLE ADDRESS (CFC:
505.1, BMC: 15.52.020)
5< ❑
CORRECT OCCUPANCY
(CBC:401)
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
Itl� ❑
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))
L� ❑
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
t�irV X7Z5 Al
Explain:
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(�S��Bi�C%'/
POST INSPEC'T'ION INSTRUCTIONS:
• Correct the violation(s) noted above by
• Within 5 days of correcting all or the violations, sign and return a copy of this page to:
Bakersfield FireOfd,,,expy�0.t�4pSe516�s, 2101 H Street, California 93301
✓320 - (( UUlH/II 22 n1 GG1l
Signature (that all violations have been corrected as noted)
Date
White — Business Copy Yellow— Business Copy to be Sent in alter return to Compliance Pink— Prevention Services Copy PD2155 (Rev 6//10)
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6)1 -�/-0,?/// 15C-z,-1 C/q 4-
KERN BUSINESS FORMS - (661)325 -581- #6013
UNIFIED PROGRAM INSPECTION CHECKLIST'
SECTION 1: Business Plan and Inventory Program
c H s r• i 2 t. p
F /RE
OFFARTM T
VV�
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME /
26tkp r %7" s
INSPECTION ATE
/2%1//
INSPECTION TIME
9 1;S
(-A9 L� j l
l� ❑
11 ___7
ADDRESS
✓. 5i��- CC
PHONE NO.
i�i� /� �d —Ile
NO OF EMPLOYEES
f
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
FACILITY CONTACT
BUSINESS ID NUMBER
VISIBLE ADDRESS
/J }
Consent to Inspect Name /Title
Section 1: Business Plan and Inventory Program
❑ ROUTINE COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v
C= Compliance OPERATION
V= Violation
COMMENTS
l� ❑
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)
l: ❑
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
l� ❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
td� ❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
❑ 0 ".
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
t
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
Of ❑
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)
C� ❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS
WASTE ON SITE? rv<Y
ES ❑ NO
Signature of Receipt
.,-
/
Explain:
211
MUST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign and return a copy of this page to:
Bakersfield Fire 2101 H Street, California 93301
326°12M
Signature (that all violations have been corrected as noted)
Date
White — Business Copy , Yellow — Business Copy to be Sent in after return to Compliance Pink— Prevention Services Copy FD2155 (Rev 6 / /10)