HomeMy WebLinkAbout1800 19TH_LIGHTSPEED HMBP 6.27.12I
UNIFIED PROGRAM INSPECTION CHECKLIST''
SECTION 1: Business Plan and Inventory Program
B I 8 R 3 P I uS L D
FIRE
ARIA/ T
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171,
FACILITY NAME
v C= Compliance OPERATION
V= Violation
INSP ION D TE INSPECTION TIME
0 ?tit i..)V i' ( 1 n c
APPROPRIATE PERMIT ON HAND
2 7 t Q
ADDRESS
1900
Business PLAN CONTACT INFORMATION ACCURATE
PHONE NO.
716 -7600
NO OF EMPLOYEES
FACILITY CONTACT
60 y Q t
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
BUSINESS ID NUMBER
t'A
CORRECT OCCUPANCY y - r t CBC: 401)
Consent to Inspect Name /Title
V6S VADtL 6t- C)LI 2_ 2_
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
s
0 APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
Business PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
d' VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) f , ' •.-,r ;' 1 { 't'
Ef CORRECT OCCUPANCY y - r t CBC: 401)
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)
6 VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b))
Er VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
Ef CONTAINERS PROPERLY LABELED (CCR: 66262.34(0, CFC: 2703.5)
HOUSEKEEPING CFC: 304.1)
El FIRE PROTECTION CFC: 903 & 906)
3 SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? El YES ® NO Signature of Receipt
ll
Explain:
POST INSPECTION INSTRUCTIONS:
Correct the violation(s) noted above by
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 lobe Sent in'afler return to Compliance
Signature (that all violations have been corrected as noted)
Date '
Pink — Prevention Services Copy FD2155 (Rev 61/10)