HomeMy WebLinkAbout1000 18TH (2)UNIFIED PROGRAM :INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
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S'F I E n
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BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 9301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
S. rt .ice COAC H AAV &DY to-/ _- Z_
ADDRESS 7-14 PHONE NO. NO OF EMPLOYEES
00 i 3-4 -4S6S
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name /Title,
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: 1.65.080)
BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1) l C-s L G -'i-%l_ L 1 JTO CRS
E] E] VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
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CORRECT OCCUPANCY CBC:401)
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
VERIFICATION OF QUANTITIES CCR: 2729.4)
VERIFICATION OF LOCATION CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL CCR: 2704.1)
VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(13))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES CCR: 2731 ))
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)
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ANY HAZARDOUS WASTE ON SITE? 19YES NO Sienature of Receipt
Explain: Arp I
t
POST INSPECTION INSTRUCTIONS: /
Refer to the back of this inspection report for regulatory citations and corrective actions
Correct the violation(s) noted above by
e 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
Signature.(that all violations have been corrected as noted)
10 —I — /Z.
Date
White — Business Copy Yellow— Business Copy to be Sent in after rclum to Compliance Pink Prevention Services Copy FD2155 (Rev 12/11)
UNIFIED PROGRAM INSPECTION CHECKLIST.
SECTION 1: Business Plan and Inventory Program
B B_ R S F I E _D
FIRE
D ART T
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 K Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
h I ST, Imo/ CoAC 0 Q n
INSPECTION DATE
10 — — / Z.
INSPECTION TIME
ADDRESS
IOcx)
rt (
r
PHONE NO
ZQ -45_65-
NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name/Title
BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1) C C L''Z I r'/'1'n CG.WZ
Section 1: Business Plan and Inventory Program
ROUTINE
t
COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v c C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND BMC: 1.65.080)
BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1) C C L''Z I r'/'1'n CG.WZ
VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY CBC:401)
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
VERIFICATION OF QUANTITIES CCR: 2729.4)
VERIFICATION OF LOCATION CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL CCR: 2704.1)
VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(8))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES CCR: 2731))
El 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 ofReceiat i
J t ,. ) i
Explain: t
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
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
Signature (that all violations have been corrected as noted)
Z
Date
White —Business Copy Yellow— Business Copy to be Sent in aller return to Compliance Pink Prevention Services Copy FD2155 (Rev 12/11)