HomeMy WebLinkAbout108 MADISON STREET (4)UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
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FIRE
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BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
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INS%PE TION ATE INSPECTION TIME
APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
0 Business PLAN CONTACT INFORMATION ACCURATE
ADDRESS PTJONE KO. NO OF EMPLOYEES
10 r 1 K" Z,300
CORRECT OCCUPANCY
FACILITY CONTACT BUSINESS IID/NUMBE
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
l VERIFICATION OF QUANTITIES CCR: 2729.4)
VERIFICATION OF LOCATION
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
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C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
0 Business PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
52 VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
k CORRECT OCCUPANCY CBC:401)
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
l VERIFICATION OF QUANTITIES CCR: 2729.4)
VERIFICATION OF LOCATION CCR: 2729.2)
1p" PROPER SEGREGATION OF MATERIAL CFC: 2704.1)
l VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b))
IYJ VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
V-" VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
9 EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
CONTAINERS PROPERLY LABELED (CCR: 66262.34(0, CFC: 2703.5)
Q, HOUSEKEEPING CFC: 304.1)
IRr FIRE PROTECTION CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? 11 YES ANC Signature of Receipt
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 ofthis page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Sift ture (ti fall vio ati have been corrected as noted)
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White —Business Copy Yellow — Business Copy to be Sent in alter return to Compliance Pink — Prevention Services Copy FD2155 (Rev 010)