HomeMy WebLinkAbout1230 21 STREET (2)P
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a BAKERSFIELD FIRE DEPT.
F Prevention ServicestE, S__F I E L DUNIFIEDPROGRAMINSPECTIONCHECKLIST sR 2101 H Street
T Rrm r Bakersfield, CA 93301
S E C T I N 1 e Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661)852 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
COMMENTS
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ADDRESS PHONE NO. NO OF EMPLOYEES
23 21 Z-3 - u &77 s
FACILITY C NTACT .-- BUSINESS ID NUMBER
CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY
Consent to Inspect Name /Title
Section 1: Business Plan and Inventory Program
ROUTINE Ell COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v Q C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND BMC: 1.65.080)
BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY CBC:401)
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
VERIFICATION OF QUANTITIES CCR: 2729.4)
VERIFICATION OF LOCATION CCR: 2729.2)
Q PROPER SEGREGATION OF MATERIAL CCR: 2704.1)
VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(8))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES °' (CCR: 2731 ))
EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
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CONTAINERS PROPERLY LABELED CCR: 66262.34(F), CFC 2703.5)
HOUSEKEEPING CFC: 304.1)
FIRE PROTECTION CFC: 903 & 906)
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SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES NO , SignatureofoK&ipt
v
Explain:
POST INSPECTION INSTRUCTIONS:
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
White — Business Copy Yellow — Business Copy to be Sent in aver return to Compliance
Signature (that all violations have been corrected as noted)
Date
Pink Prevention Services Copy 171)2155 (Rev 12/11)