HomeMy WebLinkAbout430 21 STREETUNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
K e k's F t H\ _D
FIRE
D ARTM TTT
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME 011-el4er U eo
c C= Compliance OPERATION
V= Violation
INSPECTION DATE INSPECTION TIME
r
vt
APPROPRIATE PERMIT ON HAND
e - S-- /,2- 1-5-40
ADDRESS Vr
J
PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT 1
22
VISIBLE ADDRESS
BUSINESS ID NUMBER
CORRECT OCCUPANCY CBC:401)
Consent to Inspect Name /Title
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
i f t 15 1 Z 1? Z
VERIFICATION OF QUANTITIES
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT-AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v c C= Compliance OPERATION
V= Violation
COMMENTS
r APPROPRIATE PERMIT ON HAND BMC: 1 .65.080)
I BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY CBC:401)
10 VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
VERIFICATION OF QUANTITIES CCR: 2729.4)
LI VERIFICATION OF LOCATION CCR: 2729.2)
z PROPER SEGREGATION OF MATERIAL CCR: 2704.1)
0' El VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(8))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
If
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES CCR: 2731))
r EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
CONTAINERS PROPERLY LABELED CCR: 66262.34(F), CFC 2703.5)
RT HOUSEKEEPING CFC: 304.1)
FIRE PROTECTION CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES NO Si nl re ofReceipt r
Explain:
POST INSPECTION INSTRUCTIONS:
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 ofcorrecting 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 alter return to Compliance Pink Prevention Services Copy FD2155 (Rev 12/11)
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