HomeMy WebLinkAbout5350 HAGEMARUNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
AFRI
R S F I fl D
RE
D TM F
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME ^ INSPECTION DATE INSPECTION TIME
ADDRESS
PA 9.P AA
PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name /Title
Section 1: Business Plan and Inventory Program
t5 ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
Z APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
0' Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
J VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
Q_ CORRECT OCCUPANCY CBC:401)
Z, VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
VERIFICATION OF QUANTITIES CCR: 2729.4)
0 VERIFICATION OF LOCATION CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL CFC: 2704.1)
VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b))
I] VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
0.1 CONTAINERS PROPERLY LABELED CCR: 66262.34(f), CFC: 2703.5)
HOUSEKEEPING CFC: 304.1)
7 FIRE PROTECTION CFC: 903 & 906)
t:> SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES ' NO Signature of Receipt
Explain:
POST INSPECTION INSTRUCTIONS:
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 (th t all violns have been corrected as noted)
17 zatL
Date
White — Business Copy Yellow — Business Copy to be Sent in a(lerreturn to Compliance Pink — Prevention Services Copy FD2155 (Rev6//10)