HomeMy WebLinkAbout BUENA VISTAVt
V
n r
DUNIFIEPROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
t
ARS
F 1@ D
RE
TM 77
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
V
INSPECTION DATE INSPECTION TIME
1160
COMMENTS
i r 9(,
V= Violation
ADDRESS. PHONI NO.
r
NO OF EMPLOYEES
i C
FACILITY CONTACT
L lnct PG cow
BUSINESS ID,NUMBER
5,= 07-'1- 'oo1g33o sA cymeti
Consent to Inspect Name /Title
ClAct(, >, 1.\'v,.)/x-r c - 1 - - ->N MCc 5j V 0—
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C V C= Compliance OPERATION COMMENTS
V= Violation
0' APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
Z' VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
f,.
Ll CORRECT OCCUPANCY CBC:401)
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3) Z
VERIFICATION OF QUANTITIES CCR: 2729.4)
VERIFICATION OF LOCATION CCR: 2729.2)
C'S PROPER SEGREGATION OF MATERIAL CFC: 2704.1)
d
F.. VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b))
2
fi
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
i
v
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
0 EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
0' CONTAINERS PROPERLY LABELED CCR: 66262.34(o, CFC: 2703.5)
Z HOUSEKEEPING CFC: 304.1)
FIRE PROTECTION CFC: 903 & 906)
Ef SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES NO Signature of Receipt
Explain:
t 7
POST INSPECTION INSTRUCTIONS:
Correct the violation(s),tibted above by
Within 5 days of correcting all of the violations, sign and return a copy ofthis page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
r
Signature abat -all violations have been corrected as noted)
a?-1Z
Date
White —Business Copy Yellow — Business Copy to be Sent in alterreturn to Compliance Pink — Prevention Services Copy I'Mi 55 (Rev 6HIO)