HomeMy WebLinkAbout4456 CALIFORNIABAKERSFIELD FIRE DEPT.
UNIFIED PROGRAM INSPECTION CHECKLIST E R 5 P t_E__q
Prevention Services
B _ ____
FIRE 2101 H Street
o ARTM r Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME i INSP 'TION DATE
tZ
INSPECTION TIME
a .
ADDRESS 445 AFa2MrA
PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT
B r t L_ e
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BUSINESI NUMBER
3 J cj 0
Consent to Inspect Name /Title
VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
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: 15.65.080)
EVE] Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
0% CORRECT OCCUPANCY CBC: 401)
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3) i A-Tcv
rn (Wiow 30d. lJ
VERIFICATION OF QUANTITIES CCR: 2729.4)
VERIFICATION OF LOCATION CCR: 2729.2)
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))
IJi EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
Gi CONTAINERS PROPERLY LABELED CCR: 66262.34(f), CFC: 2703.5)
2p HOUSEKEEPING CFC: 304.1)
E°
C FIRE PROTECTION CFC: 903 & 906)
t
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES NO Signature ofReceipt
1 IExplain'.. iin D f
W I S' 1 Attic li It_ 7 -L w Asti I'=-i
POST INSPECTION IN TRUUCTTIIONS::
Correct the violatioli(s noietl Above by
Within 5 days ofcorrecting all of the viol tions, sign and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
f
Asiature (that all violatio shave been corrected as noted)
Date
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance link — Prevention Services Copy FD2155 (Rev 6//10)