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HomeMy WebLinkAbout522 33RD STREET_HMBP 1.17.12a UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program B E R S F I .. L D FIRE ARrm r BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 8S2 -2171 FACILITY NAME C= Compliance OPERATION V= Violation INSPECTION DATE INSPECTION TIME APPROPRIATE PERMIT ON HAND LD ©© ADDRESS S 2 3 D f— PHONE 7- O NO OF EN,PLOYEES FACILITY CONTACT CFC: 505.1, BMC: 15.52.020) BUSINESS ID NUMBER Er 'E] CORRECT OCCUPANCY CBC:401) Consent to Inspect Name /Title 0,,—// VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3) Section 1: Business Plan and Inventory Program Er 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) Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) B-10 VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020) Er 'E] CORRECT OCCUPANCY CBC:401) 0,,—// VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3) Er 'El VERIFICATION OF QUANTITIES CCR: 2729.4) Z 0 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)) 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 ofReceipt Explain: POST INSPECTION INSTRUCTIONS: 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 Signature (that all violations have been corrected as noted) Date White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6//10) J1 tY• IJNIFIED PROGRAM INSPECTION CHECKLIST d s P. R 3 F ° FIRE _ ARTM T S- ECTION 1: Business Plan and Inventory Program BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME C= Compliance OPERATION V= Violation INSPECTION DATE 2 INSPECTION TIME D OD ADDRESS APPROPRIATE PERMIT ON HAND PHONE NO. 7- NO OF E PLOYEES FACILITY CONTACT Lo,/ BUSINESS ID NUMBER 15' —D,;2 /--0019`37 VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020) Consent to Inspect Name/Title 0-_I CORRECT OCCUPANCY CBC:401) 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) I BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) B-__ VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020) 0-_I CORRECT OCCUPANCY CBC:401) 13-- VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3) 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)) 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: POST INSPECTION INSTRUCTIONS: 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 Signature (that all violations have been corrected as noted) Date White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 61/10) r <`