HomeMy WebLinkAbout126 21 STREET (2)UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
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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
S 4 S AL. F_ IN C O•
v
INSPECTION DATE
i)t, rJ / 12
INSPECTION TIME
l U
ADDRESS
126 sr -1-
PHONE NO.
32 4 - -7`6
BMC: 1.65.080)
NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER 03t4(),45
Consent to Inspect Name /Title
A 4- ` A, V V.
VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
Section 1: Business Plan and Inventory Program
E( ROUTINE COMBINED JOINTAGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v c= Compliance OPERATION
V= Violation
COMMENTS
E 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)
0 CORRECT OCCUPANCY CBC:401)
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
VERIFICATION OF QUANTITIES CCR: 2729.4)
VERIFICATION OF LOCATION CCR: 2729.2)
IS PROPER SEGREGATION OF MATERIAL CCR: 2704.1)
N VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(B))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
Q VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES CCR: 2731))
D. EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
CONTAINERS PROPERLY LABELED CCR: 66262.34(F), CFC 2703.5)
0: HOUSEKEEPING CFC: 304.1)
S FIRE PROTECTION CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? DYES NO SilnatureofReceipt
Explain:
A 37a` DIL n
POST INSPECTION INSTRUCTIONS:
Refer to the back of this inspection report for regulatory citations and corrective actions "._ ----
Correct the violation(s) noted above by Signature (that all violations have been corrected as noted)
Within 5 days ofcorrecting all of the violations, sign and return a copy of' this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 6 7- 9// Date
White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 12/11