HomeMy WebLinkAboutHMBP 3/18/2014Consent to Inspect Nanterritle
Iq ROUTINE
C V r C= Compliai
l V= Violation
Section 1: Business Plan and Inventory Program
❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
OPERATION
KERN BUSINESS FORMS - (661) 3255-5818 - 116013
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
-C1
❑
WOMFIELD FIRE DEPT.
UNIFIED PROGRAM
INSPECTION CHECKLIST `
B aj'ffN
Prevention Services
(CFC: 2704.1)
❑
CORRECT OCCUPANCY
2101HStreet
❑
❑
Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program
41401�
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
INSPE TION D TE INSPECTION TIME
_-2
o.,E 5336
I
ADDRESS
PHONE NO.
NO OF EMPLOYEES
S09 -
7S
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Nanterritle
Iq ROUTINE
C V r C= Compliai
l V= Violation
Section 1: Business Plan and Inventory Program
❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
OPERATION
1)
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
-C1
❑
Business PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
ER
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
(CFC: 2704.1)
❑
CORRECT OCCUPANCY
(CBC:401)
❑
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
1)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
ER
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
c� ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b))
LJ' ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
Q, ❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
ta1,z, u nUU,'jttcttrnvU
❑ U. FIRE PROTECTION
R, ❑ SITE DIAGRAM ADEQUATE & ON HAND
COMMENTS
z
a
(CCR: 2731)
(CCR: 66262.34(0, CFC: 2703.5)
(CFC: 304.1)
(CFC: 903 & 906)
(CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? OYES ❑ NO
Explain:
POST 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:
Si natur Receipt (--",% ��
— Kyw_d- -
Signature (that all violations have been corrected as noted)