HomeMy WebLinkAbout300 GOLDEN STATE AVENUEUNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
u K e R S F i B 'n
FIRE
D' ARTM . 'r
BAKERSFIELD . FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSP CTI N DATE INSPECTION TIME
COMMENTS
V APPROPRIATE PERMIT ON HAND
ADDRESS
3 ,p - 5--.-
PHONE NO.
SCI - I f co
NO OF EMPLOYEES
s
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name /Title (
A p 1 1
v
Section 1: Business Plan and Inventory Program
41,-IfOUTINE COMBINED JOINTAGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
V APPROPRIATE PERMIT ON HAND BMC: 1.65.080)
BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR : 2729.1) J C CS L
1/ El VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY CBC:401)
El VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3) C na— 1 CZ /
S C
El Lr VERIFICATION OF QUANTITIES CCR: 2729.4)
E( VERIFICATION OF LOCATION CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL CCR: 2704.1)
VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(B))
L f VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES CCR: 2731))
L EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
CONTAINERS PROPERLY LABELED CCR: 66262.34(F), CFC 2703.5)
11 HOUSEKEEPING CFC: 304.1)
Ltd' FIRE PROTECTION CFC: 903 & 906)
V SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? 4WES NO SianatureofReceiat
Explain: y C
POST INSPECTION INSTRUCTIONS: p p
Reler to the back of this inspection report for regulatory citations and corrective actions ( nu
Correct the violation(s) noted above by Signature that all v olationns have been corrected as noted)
Within 5 days ofcorrecting all of the violations, sign and return a copy of this page to: 7? e J I —.- Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 1
Date
White — Business Copy Yellow— Business Copy to be Sent in atler return to Compliance Pink Prevention Services Copy I'D2155 (Rev 12 /11)