HomeMy WebLinkAbout1026 WALLACE (2)UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
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BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield; CA 93301
Tel.: (661) 326 7-3979
Fax: (661) 852 -2171
FACILITY NAME
I(E 2SFIEL 2vt,mE 4 , xlE
INSPECTION DATE
5131
INSPECTION TIME
10:3o
ADDRESS
1021 WA Pc.0
PHONE NO.
327 5`17 7
NO OF E PLOYEES
FACILITY CONTACT
5:'SN -33o^ (3LI
BUSINESS ID NUMBER
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Consent to Inspect Name/Title
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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)
iaf Business PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
210, VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY CBC: 401)
Lit" VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
E VERIFICATION OF QUANTITIES CCR: 2729.4)
VERIFICATION OF LOCATION( CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL CFC: 2704.1)
2"' VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
131.1 VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
Ole CONTAINERS PROPERLY LABELED (CCR: 66262.34(1], CFC: 2703.5)
HOUSEKEEPING CFC: 304.1)
FIRE PROTECTION CFC: 903 & 906)
2 SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? El YES NO Signature ofReceipt—. I
Explain:
POS1 INSI EUrI ION INS'I'KUCTIONS:
Correct the violation(s) noted 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
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 6H10)