HomeMy WebLinkAbout13703 VIA LA MADREUNIFIED 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
v C= Compliance OPERATION
V= Violation
INSPECTION IATE INSPECTION TIME
ADDRESS _
APPROPRIATE PERMIT ON HAND
PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT
do Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
BUSINESS ID NUMBER
Consent to Inspect Name /Title
VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
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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 HAND BMC: 15.65.080)
do Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
C
x, VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
t CORRECT OCCUPANCY CBC: 401)
a VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
bl— VERIFICATION OF QUANTITIES CCR: 2729.4)
z VERIFICATION OF LOCATION CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL CFC: 2704.1)
VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
fly EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
IT,Q CONTAINERS PROPERLY LABELED CCR: 66262.34(g, CFC: 2703.5)
l5, 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 tNO 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 retum a copy ofthis page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Signature (that all violations hav been corrected as noted)
2,- 7—
Date
White — Business Copy Yellow — Business Copy to be Sent in after retum to Compliance Pink — Prevention Services Copy Rn2155 (Rev 61/10)