HomeMy WebLinkAbout5075 GOSFORD ROADUNIFIED PROG AM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
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BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME / 5rI
INSPECTION DATE INSPECTION TIME
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ADDRESS - ^ A
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PHONE NO.
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NO OF EMPLOYEES
1
FACILITY CONTACT BUSINESS ID NUMBER
BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
Consent to Inspect Name /Title uV1G,
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VISIBLE ADDRESS
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Section 1: Business Plan and Inventory Program b
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE -INSP TIO
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)
VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY CBC:401)
01 VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
b'- VERIFICATION OF QUANTITIES CCR: 2729.4)
VERIFICATION OF LOCATION CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL CCR: 2704.1)
Cl- VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(B))
LS- VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
C VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR: 2731))
E) EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
CONTAINERS PROPERLY LABELED CCR: 66262.34(F), CFC 2703.5)
Efl HOUSEKEEPING CFC: 304.1)
4 FIRE PROTECTION CFC: 903 & 906)
d" SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES NO Sianatureof Receipt
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Explain:
POST INSPECTION INSTRUCTIONS:
Refer to the back ofthis inspection report for regulatory citations and corrective actions
Correct the violation(s) noted above by
Within 5 days of correcting all of the violations, sign and return a copy ofthis page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Signature (that all violations have been corrected as noted)
Date
While — Business Copy Yellow — Business Copy to be Sent in alter return to Compliance fink Prevention Services Copy FD2155 (Rev 12/1 1)