HomeMy WebLinkAbout1124 DUBRUSKY LANEUNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
li r R S F I E _p
FIRE
O €PARTM T
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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 INSPECTION DATE INSPECTION TIME
1 4C,i r+1cu U G r St°r V1C 1- 11 21)1 2 IL106
ADDRESS PHONE NO. NO OF EMPLOYEES
1 I t ` yj G ) S 3 Z
FACILITY CONTACT BUSINESS ID NUMBER
12' VISIBLE ADDRESS
Consent to Inspect Name /Title
m
Section 1: Business Plan and Inventory Program
9, ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v c C= Compliance OPERATION
V= Violation
COMMENTS
R APPROPRIATE PERMIT ON HAND BMC: 1.65.080)
0 BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
12' VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
m CORRECT OCCUPANCY CBC: 401)
0 VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
VERIFICATION OF QUANTITIES CCR: 2729.4)
0 VERIFICATION OF LOCATION CCR: 2729.2)
12 PROPER SEGREGATION OF MATERIAL CCR: 2704.1)
VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(B))
D VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR: 2731))
0 EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
Q CONTAINERS PROPERLY LABELED CCR: 66262.34(F), CFC 2703.5)
El HOUSEKEEPING CFC: 304.1)
FIRE PROTECTION CFC: 903 & 906)
0 SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES 123 NO Si natureof ece
Explain:
POST INSPECTION INSTRUCTIONS:
Refer to the back of this 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
Signature (that all violations have been corrected as noted)
Date
y- ti QUIZ
White — Business Copy Yellow — Business Copy to be Sent in alter return to Compliance Pink Prevention Services Copy FD2155 (Rev 12/11)