HomeMy WebLinkAbout503 ESPEE_HMBP 1.17.12UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
c ,e/2 2 , 41,9 -D r
BAKERSFIELD FIRE DEPT.
INSPECTION TIME
Prevention Services
B_ E R S F I v D
PARE 2101 H Street
97ARTM T Bakersfield, CA 93301
Tel.: (661) 326 -3979
BUSINESS ID NUMBER
Fax: (661) 852 -2171
FACILITY NAME
c ,e/2 2 , 41,9 -D r
INSPECTION DATE
1-Z2-12
INSPECTION TIME
ADDRESS PHONE NOMNOOFE LOYEES
7 j7 ' .S ,Af:
FACILITY CON ACT BUSINESS ID NUMBER
11W 5--0,21 — 06,? I
Consent to Inspect Name /Title
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: 1.65.080)
BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
Er CORRECT OCCUPANCY CBC: 401)
E! VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
2' VERIFICATION OF QUANTITIES CCR: 2729.4)
R__ VERIFICATION OF LOCATION CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL CCR: 2704.1)
VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(B))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES CCR: 2731))
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? El YES NO Signature of Receipt
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
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 afler return to Compliance Pink Prevention Services Copy I'D2155 (Rev 12/11)
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
B FRSFI _D
P/RE -
ARTM T
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
f S 2 I Z e-1 e2 —
ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
APPROPRIATE PERMIT ON HAND
Consent to Inspect Name/Title
POST INSPECTION INSTRUCTIONS:
Refer to the back of this inspection report for regulatory citations and corrective actions
Correct the violation(s) noted above by
Within 5 (lays 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 aver return to Compliance Pink Prevention Services Copy FD2155 (Rev 12/11)
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINTAGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND BMC: 1.65.080)
Z' BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
2r- VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
L'1 CORRECT OCCUPANCY CBC: 401)
El' VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
I' VERIFICATION OF QUANTITIES CCR: 2729.4)
El VERIFICATION OF LOCATION CCR: 2729.2) I"
L7 PROPER SEGREGATION OF MATERIAL CCR: 2704.1)
VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(8))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES CCR: 2731))
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? El YES NO SienatureofReceipt -
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
Within 5 (lays 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 aver return to Compliance Pink Prevention Services Copy FD2155 (Rev 12/11)