HomeMy WebLinkAbout211 CALIFORNIA AVENUE_HMBP 6.15.12Y
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
11 R 5 F D
FIRE - -
D ARTM r
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
INSPECTION DATE INSPECTION TIME
APPROPRIATE PERMIT ON HAND BMC: 1.65.080)
D
ADDRESS t
Ca'
PHONE NO. NO OF EMPLOYEES
CFC: 505.1, BMC: 15.52.020)
z 7- i
CBC:401)
FACILITY CONTACT
12' VERIFICATION OF INVENTORY MATERIALS
BUSINESS ID NUMBER
i
CCR: 2729.4)
Consent to Inspect Name /Title
VERIFICATION OF LOCATION CCR: 2729.2)
z 'lad Section 1: Business Plan and Inventory Program
iY ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
z APPROPRIATE PERMIT ON HAND BMC: 1.65.080)
D BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
Ca' VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY CBC:401)
12' VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
VERIFICATION OF QUANTITIES CCR: 2729.4)
if VERIFICATION OF LOCATION CCR: 2729.2)
E] PROPER SEGREGATION OF MATERIAL CCR: 2704.1)
D VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(B))
El VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR: 2731)) Ina- (i iCJ J
EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
r o L
21 CONTAINERS PROPERLY LABELED CCR: 66262.34(F), CFC 2703.5)
0 HOUSEKEEPING CFC: 304.1)
FIRE• PROTECTION CFC: 903 & 906)
ET SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES NO Si natureof][I ei t,
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)
iZ
Date
White —Business Copy Yellow — Business Copy to be Sent in alter return to Complimue Pink Prevention Services Copy FD2155 (Rev 12/11)