HomeMy WebLinkAbout131 19TH (2)UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
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FIRE
D ART, T
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street,
Bakersfield, CA 93301
Tel.: (661) 326-:3979
Fax: (661) 852 -2171
FACILITY NAME
CR 7
INSPECTION DATE INSPECTION TIME
50aV1t.c..>A.. t om- o1 5/23/ 2.
ADDRESS
BUSINESS PLAN CONTACT INFORMATION ACCURATE
PHONE NO.
3 7-
NO OF EMPLOYEES
FACILITY CONTACT f, 3L
BUSINESS ID NUMBER
fie` V(JZ Iv - -1
CORRECT OCCUPANCY
Consent to Inspect Name /Title
V V_ w rtA C i 0 ( C,-Z 7 -17 - -7 3D'-(
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON BAND BMC: 1.65.080)
Of BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
I VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY CBC:401)
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
U/
L VERIFICATION OF QUANTITIES CCR: 2729.4) Yi/
Lk VERIFICATION OF LOCATION CCR: 2729.2)
1:1 PROPER SEGREGATION OF MATERIAL CCR: 2704.1)
D"" D" VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(B))
Lit' VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR: 2731))
W EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
CONTAINERS PROPERLY LABELED CCR: 66262.34(F), CFC 2703.5)
HOUSEKEEPING CFC: 304.1)
FIRE PROTECTION CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES NO Signature of ReceiDt l
Explain:
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POST INSPECTION INSTRUCTIONS:
Refer to the back ofthis 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 of correcting all ofthe violations, sign and return a copy of this page to: 2BakersfieldFireDept., Prevention Services, 2101 14 Street, California 93301 5 9
Date
White — Business Copy Yellow— Business Copy tobe Sent in alter return to Compliance Pink Prevention Services Copy FD2155 (Rev 12/11)