HomeMy WebLinkAbout107 LAKEUNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
B E R S F I D
FIRE
D ARTM 'T
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME S-c Cam.
C= Compliance OPERATION
V= Violation
INSPECTION DATE INSPECTION TIME
3rViC
APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
a7 I I ItO
ADDRESS
CCR: 2729.1)
PHONE NO. NO OF EMPLOYEES
CORRECT OCCUPANCY CBC: 401)
FACILITY CONTACT if
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
BUSINESS ID NUMBE6RJ
0/ VERIFICATION OF QUANTITIES CCR: 2729.4)
Consent to Inspect Name /Title
VERIFICATION OF LOCATION CCR: 2729.2)
V 1Gf.'
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CYVtCP O! CVlr tl ant- 4c/ 5. t..Q1Dk . 1.
V
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
2 APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
Business PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
0" VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY CBC: 401)
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
0/ VERIFICATION OF QUANTITIES CCR: 2729.4)
VERIFICATION OF LOCATION CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL CFC: 2704.1)
f El VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b))
1
Lit VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
El VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
Lt' EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
CONTAINERS PROPERLY LABELED (CCR: 66262.34(1], CFC: 2703.5)
D/ HOUSEKEEPING CFC: 304.1)
1311F
FIRE PROTECTION CFC: 903 & 906)
3" SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? D-YES NO Signature of Receipt
Explain:
50C)ca
POST INSPECTION INSTRUCTIONS: I
Correct the violation(s) noted above by
Within 5 days of correcting all ofthe violations, sign and return a copy of this 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 fink — Prevention Services Copy FD2155 (Rev 6//10)