HomeMy WebLinkAbout1421 34TH STREET (2)UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
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FIRE
ARTM T
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 8S2 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
G ,eL -ic h Z - 24- /c D 30
ADDRESS PHONE NO. NO OF EMPLOYEES
11121 7 el
1-1
FACILITY CONTACT BUSINESS ID NUMBER
4 /IT,n+ f;V --"e 77 Jll> d
CBC: 401)
Consent to Inspect Name /Title
ED' VERIFICATION OF INVENTORY MATERIALS
Section 1: Business Plan and Inventory Program
971ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
Er"' APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
Lei' Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
9- VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
Q2 CORRECT OCCUPANCY CBC: 401)
ED' VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
ID" VERIFICATION OF QUANTITIES CCR: 2729.4)
IE' VERIFICATION OF LOCATION CCR: 2729.2)
t]/ PROPER SEGREGATION OF MATERIAL CFC: 2704.1)
VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b))
L VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
ET VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
I(a CONTAINERS PROPERLY LABELED CCR: 66262.34(0, CFC: 2703.5)
Zf HOUSEKEEPING CFC: 304.1)
In FIRE PROTECTION CFC: 903 & 906)
A
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES NO Signature of Receipt /f
Y
Explain:
r
POST INSPECTION INSTRUCTIONS: j
Correct the violation(s) noted above by t, Sig
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
all violations have
Date ( `"
White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Cop/
corrected as noted)
FD2155 (Rev 6H] 0)