HomeMy WebLinkAbout11050 OLIVE DRIVE_hmbp 12.1.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
B_ I e R s F t E_ {_ D
FIRE /
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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
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v
INSPECTION ATE
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INSPECTION TIME
ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name /Title ,^
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
Section 1: Business Plan and Inventory Program
ROUTINE ) COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
ba APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
00 Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020) C,
0:' CORRECT OCCUPANCY CBC:401)
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
VERIFICATION OF QUANTITIES CCR: 2729.4)
0-:4 VERIFICATION OF LOCATION CCR: 2729.2)
Z PROPER SEGREGATION OF MATERIAL CFC: 2704.1)
D VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b))
om 1:1 VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
b) VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
9 EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
3, CONTAINERS PROPERLY LABELED CCR: 66262.34(1), CFC: 2703.5)
HOUSEKEEPING CFC: 304.1)
IK FIRE PROTECTION CFC: 903 & 906) 0 E F_.x4 a
ncl SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES NO
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Signature of Receipt Z7 `
C
Explain:
POST' INSPECTION INSTRUCTIONS:
Correct the violation(s) noted above by 1/ I/) )
Within 5 days ofcorrecting all ofthe violations, sign and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
White —Business Copy Yellow — Business Copy to to Sent in alter return to Compliance
Signature (that all violations have been corrected as noted)
Date
Pink — Prevention Services Copy FD2155 (Rev 6//10)