HomeMy WebLinkAbout3701 SILLECTUNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
46 , R S F I V L D
FIRE
ARTM r
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME D2 I(-,s LATOCA, 6e_ iU" (` k tfZi4 ;
INSPECTION DATE
9 // 4 1, Z
INSPECTION TIME
ADDRESS
Y U I !J .rc. i
PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name/Title
PUS '1 INSPEC;'I [ON INS I' RUC 1'1UNb:
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 aver return to Compliance
4_( L.J, A E S
Signature (that all violations have been corrected as noted)
It4 //7-
Date
Pink — Prevention Services Copy FD2155 (Rev 6//1 O)
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C V l
C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND BMC: 15.65.080) L r' >(= UPo r r J lJCC
BUSIneSS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
c. M 7!
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) 1
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))
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.of- Receipt',
Explain:
PUS '1 INSPEC;'I [ON INS I' RUC 1'1UNb:
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 aver return to Compliance
4_( L.J, A E S
Signature (that all violations have been corrected as noted)
It4 //7-
Date
Pink — Prevention Services Copy FD2155 (Rev 6//1 O)