HomeMy WebLinkAbout107 LAKE (2)UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
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FIRE
D A .T. 'T
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
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ADDRESS
f07 C A
PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT
7
BUSINESS ID NUMBER
CC ir Lt 37 -a7yCi
CCR: 2729.1)
Consent to Inspect Name/Title
VISIBLE ADDRESS
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINTAGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND BMC: 1.65.080)
I BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
5Y VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
D CORRECT OCCUPANCY CBC:401)
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
VERIFICATION OF QUANTITIES CCR: 2729.4)
VERIFICATION OF LOCATION CCR: 2729.2)
G]" PROPER SEGREGATION OF MATERIAL CCR: 2704.1)
LJ' VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(B))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
3 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES CCR: 2731))
0 EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
CONTAINERS PROPERLY LABELED CCR: 66262.34(F), CFC 2703.5)
HOUSEKEEPING CFC: 304.1)
0 FIRE PROTECTION CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? ES NO Signature of Re ci t1
Explain:
POST INSPECTION INSTRUUTIONS:
Refer to the back ofthis inspection report for regulatory citations and corrective actions
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 Dept., Prevention Services, 2101 H Street, California 93301
Lftnc — Business Copy Yellow — Business Copy to be Sent in atler return to Compliance
Signature (that all violations have been corrected as noted)
Date
Pink Prevention Services Copy FD2155 (Rev 12/11)