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Home My WebLink AboutBUSINESS PLAN 6/26/2012r UNIFIED PROGRAM INSPECTION CHECKLISTil SECTION 1: Business Plan and Inventory Program D ri_ _rRSFIE .D FIRE D ARTM T BAKERSFIELD FIRE DEFT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME ATz-_u_FA W-- C C_-(_ J0 ta=-P INS E TION 17ATE 12-( INSPECTION TIME ADDRESS APPROPRIATE PERMIT ON HAND PHO E NO. NO OF EMPLOYEESl U s C (_/ r 1 f CCR: 2729.1) FACILITY CONTACT VISIBLE ADDRESS BUSINESS ID NUMBER LI L- Consent to Inspect Name /Title f A Section 1: Business Plan and Inventory Program lr ROUTINE COMBINED JOINTAGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION c V C= Compliance OPERATION V= Violation COMMENTS 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) CORRECT OCCUPANCY CBC:401) f A VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3) VERIFICATION OF QUANTITIES CCR: 2729.4) VERIFICATION OF LOCATION CCR: 2729.2) M- PROPER SEGREGATION OF MATERIAL CCR: 2704.1) 0 VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(B)) VERIFICATION OF HAZ MAT TRAINING CCR: 2732) VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES CCR: 2731)) EMERGENCY PROCEDURES ADEQUATE CCR: 2731) D CONTAINERS PROPERLY LABELED CCR: 66262.34(F), CFC 2703.5) XHOUSEKEEPING CFC: 304.1) FIRE PROTECTION CFC: 903 & 906) SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2) ANY -AZAR.DOUS WASTE ON SITE? ES NO ce' I Signature ofe t Explain: POST INSPECTION INSTRUCTIONS: / I 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 of correcting all ofthe violations, sign and return a copy of this page to: Bakersfield Fire Dept., Prevention Services, 2101 1 -1 Street, California 93301 Date White —Business Copy Yellow— Business Copy to be Sent in alter return to Compliance Pink Prevention Services Copy FD2155 (Rev 12/11) BAKERSFIELD FIRE DEPT. Prevention Services R.. F. R. S..F..! J. n UNIFIED PROGRAM INSPECTION CHECKLIST ` - - 01 x Street : <:<;: FIRE 21 TM f „ "`° � ` '� Bakersfield, CA 93301 HaZ -Mat Business Plan and Inventor/ Program Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPEGTIO r DATE INSPECTION TIME, ¢q y �.. �fy A•" a }�Y g, ; ••gr51 { � 1 M+. ^ .0 ` .. .{e .k f } l. ADDRESS PHONE Nb. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER onsent to Inspect Name /Title E. ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT El RE- INSPECTION C V t u= uompuance) OPERATION COMMENTS V= Violation ❑ ❑ VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020) El ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑ IT CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) w ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) El ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑ ' ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ` ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) ❑ ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) ❑ ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 'El' ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) '❑ ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) '❑ ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) El ❑ HOUSEKEEPING (CFC: 304.1) '❑ ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) ANY HAZARDOUS WASTE ON SITE? -0-YES ❑ NO ` Explain: ISi nature of Recei t:.. POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE: r • Correct the violation(s) noted above by Signature (that all violations have been corrected as noted) • Within 5 days of correcting all of the violations, sign and return a copy of this page to: Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 - Date White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14) BAKERSFIELD FIRE DEPT. Prevention Services UNIFIED,,RROGRAM INSPECTION.-CH.ECKLISTl..'-..-".��"I 2101 H Street I R FARE A jr TM I aAT Bakersfield, CA 93301 RTN Haz -Mat Business Plan and Inventory Program -3979 Tel.: (661) 326 /�C Fax: (661) 852-2171 FACILITY NAME V INSPECTION DATE INSPECTION TIME Du,cA ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ADDRESS PHONE NO.- NO OF EMPLOYEES J/ CERS UPDATED FOR THE CURRENT CALENDAR YEAR FACILITY CONTACT BUSINESS ID NUMBER ❑ & D Consent to Inspect Name/Title VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ... .. ....... XX F X: d X: x 'K-ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION C V r C=Compliance) OPERATION V=Violation COMMENTS ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H&S 25404(e) ❑ ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) 'El ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) FT ❑ SAFETY DATA SHEET AVAILABI�JTY (CCR: 2729.2(3)(b)) nt', ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731-(c)) D ❑ EMERGENCY PROCEDURES ADEQUATE pc��1) 4- 'U ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5*00.3.5) "D ❑ HOUSEKEEPING (CFC: 304.1) ❑ ❑ FIRE PROTECTION (CFC: 903 & 906) -El ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) ANY HAZARDOUS WASTE ON SITE? ❑-YES ❑ NO Explain: Ngnature of ReEtillt z' F0S'1'1NSFEU'1'101N INS1RUU11U.NN FOR KETUKN-TO-UUMFLMNUL: , • Correct the violation(s) noted above by • Within 5 days of correcting all of the violations, sign and return a copy of this page to: Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Signature (that all violaffions have been corrected as noted) Date Pink Prevention Services Copy FD2155 (Rev 1/14)